INPATIENT APRDRG 2061: MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$4,551.10
|
|
Service Code
|
APR-DRG 2061
|
Hospital Charge Code |
APRDRG 2061
|
Min. Negotiated Rate |
$4,334.38 |
Max. Negotiated Rate |
$4,551.10 |
Rate for Payer: BCBS Complete |
$4,551.10
|
Rate for Payer: Mclaren Medicaid |
$4,334.38
|
Rate for Payer: Meridian Medicaid |
$4,551.10
|
Rate for Payer: Priority Health Choice Medicaid |
$4,334.38
|
|
INPATIENT APRDRG 2062: MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$5,109.70
|
|
Service Code
|
APR-DRG 2062
|
Hospital Charge Code |
APRDRG 2062
|
Min. Negotiated Rate |
$4,866.38 |
Max. Negotiated Rate |
$5,109.70 |
Rate for Payer: BCBS Complete |
$5,109.70
|
Rate for Payer: Mclaren Medicaid |
$4,866.38
|
Rate for Payer: Meridian Medicaid |
$5,109.70
|
Rate for Payer: Priority Health Choice Medicaid |
$4,866.38
|
|
INPATIENT APRDRG 2063: MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$5,651.84
|
|
Service Code
|
APR-DRG 2063
|
Hospital Charge Code |
APRDRG 2063
|
Min. Negotiated Rate |
$5,382.70 |
Max. Negotiated Rate |
$5,651.84 |
Rate for Payer: BCBS Complete |
$5,651.84
|
Rate for Payer: Mclaren Medicaid |
$5,382.70
|
Rate for Payer: Meridian Medicaid |
$5,651.84
|
Rate for Payer: Priority Health Choice Medicaid |
$5,382.70
|
|
INPATIENT APRDRG 2064: MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$11,361.52
|
|
Service Code
|
APR-DRG 2064
|
Hospital Charge Code |
APRDRG 2064
|
Min. Negotiated Rate |
$10,820.50 |
Max. Negotiated Rate |
$11,361.52 |
Rate for Payer: BCBS Complete |
$11,361.52
|
Rate for Payer: Mclaren Medicaid |
$10,820.50
|
Rate for Payer: Meridian Medicaid |
$11,361.52
|
Rate for Payer: Priority Health Choice Medicaid |
$10,820.50
|
|
INPATIENT APRDRG 2071: OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
|
IP
|
$2,857.34
|
|
Service Code
|
APR-DRG 2071
|
Hospital Charge Code |
APRDRG 2071
|
Min. Negotiated Rate |
$2,721.28 |
Max. Negotiated Rate |
$2,857.34 |
Rate for Payer: BCBS Complete |
$2,857.34
|
Rate for Payer: Mclaren Medicaid |
$2,721.28
|
Rate for Payer: Meridian Medicaid |
$2,857.34
|
Rate for Payer: Priority Health Choice Medicaid |
$2,721.28
|
|
INPATIENT APRDRG 2072: OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
|
IP
|
$3,759.08
|
|
Service Code
|
APR-DRG 2072
|
Hospital Charge Code |
APRDRG 2072
|
Min. Negotiated Rate |
$3,580.08 |
Max. Negotiated Rate |
$3,759.08 |
Rate for Payer: BCBS Complete |
$3,759.08
|
Rate for Payer: Mclaren Medicaid |
$3,580.08
|
Rate for Payer: Meridian Medicaid |
$3,759.08
|
Rate for Payer: Priority Health Choice Medicaid |
$3,580.08
|
|
INPATIENT APRDRG 2073: OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
|
IP
|
$6,156.57
|
|
Service Code
|
APR-DRG 2073
|
Hospital Charge Code |
APRDRG 2073
|
Min. Negotiated Rate |
$5,863.40 |
Max. Negotiated Rate |
$6,156.57 |
Rate for Payer: BCBS Complete |
$6,156.57
|
Rate for Payer: Mclaren Medicaid |
$5,863.40
|
Rate for Payer: Meridian Medicaid |
$6,156.57
|
Rate for Payer: Priority Health Choice Medicaid |
$5,863.40
|
|
INPATIENT APRDRG 2074: OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
|
IP
|
$10,308.67
|
|
Service Code
|
APR-DRG 2074
|
Hospital Charge Code |
APRDRG 2074
|
Min. Negotiated Rate |
$9,817.78 |
Max. Negotiated Rate |
$10,308.67 |
Rate for Payer: BCBS Complete |
$10,308.67
|
Rate for Payer: Mclaren Medicaid |
$9,817.78
|
Rate for Payer: Meridian Medicaid |
$10,308.67
|
Rate for Payer: Priority Health Choice Medicaid |
$9,817.78
|
|
INPATIENT APRDRG 2201: MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES
|
Facility
|
IP
|
$8,550.57
|
|
Service Code
|
APR-DRG 2201
|
Hospital Charge Code |
APRDRG 2201
|
Min. Negotiated Rate |
$8,143.40 |
Max. Negotiated Rate |
$8,550.57 |
Rate for Payer: BCBS Complete |
$8,550.57
|
Rate for Payer: Mclaren Medicaid |
$8,143.40
|
Rate for Payer: Meridian Medicaid |
$8,550.57
|
Rate for Payer: Priority Health Choice Medicaid |
$8,143.40
|
|
INPATIENT APRDRG 2202: MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES
|
Facility
|
IP
|
$9,982.49
|
|
Service Code
|
APR-DRG 2202
|
Hospital Charge Code |
APRDRG 2202
|
Min. Negotiated Rate |
$9,507.13 |
Max. Negotiated Rate |
$9,982.49 |
Rate for Payer: BCBS Complete |
$9,982.49
|
Rate for Payer: Mclaren Medicaid |
$9,507.13
|
Rate for Payer: Meridian Medicaid |
$9,982.49
|
Rate for Payer: Priority Health Choice Medicaid |
$9,507.13
|
|
INPATIENT APRDRG 2203: MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES
|
Facility
|
IP
|
$15,030.83
|
|
Service Code
|
APR-DRG 2203
|
Hospital Charge Code |
APRDRG 2203
|
Min. Negotiated Rate |
$14,315.08 |
Max. Negotiated Rate |
$15,030.83 |
Rate for Payer: BCBS Complete |
$15,030.83
|
Rate for Payer: Mclaren Medicaid |
$14,315.08
|
Rate for Payer: Meridian Medicaid |
$15,030.83
|
Rate for Payer: Priority Health Choice Medicaid |
$14,315.08
|
|
INPATIENT APRDRG 2204: MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES
|
Facility
|
IP
|
$27,671.15
|
|
Service Code
|
APR-DRG 2204
|
Hospital Charge Code |
APRDRG 2204
|
Min. Negotiated Rate |
$26,353.48 |
Max. Negotiated Rate |
$27,671.15 |
Rate for Payer: BCBS Complete |
$27,671.15
|
Rate for Payer: Mclaren Medicaid |
$26,353.48
|
Rate for Payer: Meridian Medicaid |
$27,671.15
|
Rate for Payer: Priority Health Choice Medicaid |
$26,353.48
|
|
INPATIENT APRDRG 2221: OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES
|
Facility
|
IP
|
$4,408.95
|
|
Service Code
|
APR-DRG 2221
|
Hospital Charge Code |
APRDRG 2221
|
Min. Negotiated Rate |
$4,199.00 |
Max. Negotiated Rate |
$4,408.95 |
Rate for Payer: BCBS Complete |
$4,408.95
|
Rate for Payer: Mclaren Medicaid |
$4,199.00
|
Rate for Payer: Meridian Medicaid |
$4,408.95
|
Rate for Payer: Priority Health Choice Medicaid |
$4,199.00
|
|
INPATIENT APRDRG 2222: OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES
|
Facility
|
IP
|
$7,732.13
|
|
Service Code
|
APR-DRG 2222
|
Hospital Charge Code |
APRDRG 2222
|
Min. Negotiated Rate |
$7,363.93 |
Max. Negotiated Rate |
$7,732.13 |
Rate for Payer: BCBS Complete |
$7,732.13
|
Rate for Payer: Mclaren Medicaid |
$7,363.93
|
Rate for Payer: Meridian Medicaid |
$7,732.13
|
Rate for Payer: Priority Health Choice Medicaid |
$7,363.93
|
|
INPATIENT APRDRG 2223: OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES
|
Facility
|
IP
|
$11,709.16
|
|
Service Code
|
APR-DRG 2223
|
Hospital Charge Code |
APRDRG 2223
|
Min. Negotiated Rate |
$11,151.58 |
Max. Negotiated Rate |
$11,709.16 |
Rate for Payer: BCBS Complete |
$11,709.16
|
Rate for Payer: Mclaren Medicaid |
$11,151.58
|
Rate for Payer: Meridian Medicaid |
$11,709.16
|
Rate for Payer: Priority Health Choice Medicaid |
$11,151.58
|
|
INPATIENT APRDRG 2224: OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES
|
Facility
|
IP
|
$22,661.20
|
|
Service Code
|
APR-DRG 2224
|
Hospital Charge Code |
APRDRG 2224
|
Min. Negotiated Rate |
$21,582.10 |
Max. Negotiated Rate |
$22,661.20 |
Rate for Payer: BCBS Complete |
$22,661.20
|
Rate for Payer: Mclaren Medicaid |
$21,582.10
|
Rate for Payer: Meridian Medicaid |
$22,661.20
|
Rate for Payer: Priority Health Choice Medicaid |
$21,582.10
|
|
INPATIENT APRDRG 2231: OTHER SMALL & LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$6,733.12
|
|
Service Code
|
APR-DRG 2231
|
Hospital Charge Code |
APRDRG 2231
|
Min. Negotiated Rate |
$6,412.50 |
Max. Negotiated Rate |
$6,733.12 |
Rate for Payer: BCBS Complete |
$6,733.12
|
Rate for Payer: Mclaren Medicaid |
$6,412.50
|
Rate for Payer: Meridian Medicaid |
$6,733.12
|
Rate for Payer: Priority Health Choice Medicaid |
$6,412.50
|
|
INPATIENT APRDRG 2232: OTHER SMALL & LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$9,522.14
|
|
Service Code
|
APR-DRG 2232
|
Hospital Charge Code |
APRDRG 2232
|
Min. Negotiated Rate |
$9,068.70 |
Max. Negotiated Rate |
$9,522.14 |
Rate for Payer: BCBS Complete |
$9,522.14
|
Rate for Payer: Mclaren Medicaid |
$9,068.70
|
Rate for Payer: Meridian Medicaid |
$9,522.14
|
Rate for Payer: Priority Health Choice Medicaid |
$9,068.70
|
|
INPATIENT APRDRG 2233: OTHER SMALL & LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$9,845.83
|
|
Service Code
|
APR-DRG 2233
|
Hospital Charge Code |
APRDRG 2233
|
Min. Negotiated Rate |
$9,376.98 |
Max. Negotiated Rate |
$9,845.83 |
Rate for Payer: BCBS Complete |
$9,845.83
|
Rate for Payer: Mclaren Medicaid |
$9,376.98
|
Rate for Payer: Meridian Medicaid |
$9,845.83
|
Rate for Payer: Priority Health Choice Medicaid |
$9,376.98
|
|
INPATIENT APRDRG 2234: OTHER SMALL & LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$20,077.19
|
|
Service Code
|
APR-DRG 2234
|
Hospital Charge Code |
APRDRG 2234
|
Min. Negotiated Rate |
$19,121.13 |
Max. Negotiated Rate |
$20,077.19 |
Rate for Payer: BCBS Complete |
$20,077.19
|
Rate for Payer: Mclaren Medicaid |
$19,121.13
|
Rate for Payer: Meridian Medicaid |
$20,077.19
|
Rate for Payer: Priority Health Choice Medicaid |
$19,121.13
|
|
INPATIENT APRDRG 2241: PERITONEAL ADHESIOLYSIS
|
Facility
|
IP
|
$8,100.20
|
|
Service Code
|
APR-DRG 2241
|
Hospital Charge Code |
APRDRG 2241
|
Min. Negotiated Rate |
$7,714.48 |
Max. Negotiated Rate |
$8,100.20 |
Rate for Payer: BCBS Complete |
$8,100.20
|
Rate for Payer: Mclaren Medicaid |
$7,714.48
|
Rate for Payer: Meridian Medicaid |
$8,100.20
|
Rate for Payer: Priority Health Choice Medicaid |
$7,714.48
|
|
INPATIENT APRDRG 2242: PERITONEAL ADHESIOLYSIS
|
Facility
|
IP
|
$9,688.22
|
|
Service Code
|
APR-DRG 2242
|
Hospital Charge Code |
APRDRG 2242
|
Min. Negotiated Rate |
$9,226.88 |
Max. Negotiated Rate |
$9,688.22 |
Rate for Payer: BCBS Complete |
$9,688.22
|
Rate for Payer: Mclaren Medicaid |
$9,226.88
|
Rate for Payer: Meridian Medicaid |
$9,688.22
|
Rate for Payer: Priority Health Choice Medicaid |
$9,226.88
|
|
INPATIENT APRDRG 2243: PERITONEAL ADHESIOLYSIS
|
Facility
|
IP
|
$12,361.52
|
|
Service Code
|
APR-DRG 2243
|
Hospital Charge Code |
APRDRG 2243
|
Min. Negotiated Rate |
$11,772.88 |
Max. Negotiated Rate |
$12,361.52 |
Rate for Payer: BCBS Complete |
$12,361.52
|
Rate for Payer: Mclaren Medicaid |
$11,772.88
|
Rate for Payer: Meridian Medicaid |
$12,361.52
|
Rate for Payer: Priority Health Choice Medicaid |
$11,772.88
|
|
INPATIENT APRDRG 2244: PERITONEAL ADHESIOLYSIS
|
Facility
|
IP
|
$25,158.45
|
|
Service Code
|
APR-DRG 2244
|
Hospital Charge Code |
APRDRG 2244
|
Min. Negotiated Rate |
$23,960.43 |
Max. Negotiated Rate |
$25,158.45 |
Rate for Payer: BCBS Complete |
$25,158.45
|
Rate for Payer: Mclaren Medicaid |
$23,960.43
|
Rate for Payer: Meridian Medicaid |
$25,158.45
|
Rate for Payer: Priority Health Choice Medicaid |
$23,960.43
|
|
INPATIENT APRDRG 2261: ANAL PROCEDURES
|
Facility
|
IP
|
$4,915.19
|
|
Service Code
|
APR-DRG 2261
|
Hospital Charge Code |
APRDRG 2261
|
Min. Negotiated Rate |
$4,681.13 |
Max. Negotiated Rate |
$4,915.19 |
Rate for Payer: BCBS Complete |
$4,915.19
|
Rate for Payer: Mclaren Medicaid |
$4,681.13
|
Rate for Payer: Meridian Medicaid |
$4,915.19
|
Rate for Payer: Priority Health Choice Medicaid |
$4,681.13
|
|