INPATIENT APRDRG 2323: GASTRIC FUNDOPLICATION
|
Facility
|
IP
|
$11,235.35
|
|
Service Code
|
APR-DRG 2323
|
Hospital Charge Code |
APRDRG 2323
|
Min. Negotiated Rate |
$10,700.33 |
Max. Negotiated Rate |
$11,235.35 |
Rate for Payer: BCBS Complete |
$11,235.35
|
Rate for Payer: Mclaren Medicaid |
$10,700.33
|
Rate for Payer: Meridian Medicaid |
$11,235.35
|
Rate for Payer: Priority Health Choice Medicaid |
$10,700.33
|
|
INPATIENT APRDRG 2324: GASTRIC FUNDOPLICATION
|
Facility
|
IP
|
$33,400.29
|
|
Service Code
|
APR-DRG 2324
|
Hospital Charge Code |
APRDRG 2324
|
Min. Negotiated Rate |
$31,809.80 |
Max. Negotiated Rate |
$33,400.29 |
Rate for Payer: BCBS Complete |
$33,400.29
|
Rate for Payer: Mclaren Medicaid |
$31,809.80
|
Rate for Payer: Meridian Medicaid |
$33,400.29
|
Rate for Payer: Priority Health Choice Medicaid |
$31,809.80
|
|
INPATIENT APRDRG 2331: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$5,636.38
|
|
Service Code
|
APR-DRG 2331
|
Hospital Charge Code |
APRDRG 2331
|
Min. Negotiated Rate |
$5,367.98 |
Max. Negotiated Rate |
$5,636.38 |
Rate for Payer: BCBS Complete |
$5,636.38
|
Rate for Payer: Mclaren Medicaid |
$5,367.98
|
Rate for Payer: Meridian Medicaid |
$5,636.38
|
Rate for Payer: Priority Health Choice Medicaid |
$5,367.98
|
|
INPATIENT APRDRG 2332: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$7,183.00
|
|
Service Code
|
APR-DRG 2332
|
Hospital Charge Code |
APRDRG 2332
|
Min. Negotiated Rate |
$6,840.95 |
Max. Negotiated Rate |
$7,183.00 |
Rate for Payer: BCBS Complete |
$7,183.00
|
Rate for Payer: Mclaren Medicaid |
$6,840.95
|
Rate for Payer: Meridian Medicaid |
$7,183.00
|
Rate for Payer: Priority Health Choice Medicaid |
$6,840.95
|
|
INPATIENT APRDRG 2333: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$10,060.29
|
|
Service Code
|
APR-DRG 2333
|
Hospital Charge Code |
APRDRG 2333
|
Min. Negotiated Rate |
$9,581.23 |
Max. Negotiated Rate |
$10,060.29 |
Rate for Payer: BCBS Complete |
$10,060.29
|
Rate for Payer: Mclaren Medicaid |
$9,581.23
|
Rate for Payer: Meridian Medicaid |
$10,060.29
|
Rate for Payer: Priority Health Choice Medicaid |
$9,581.23
|
|
INPATIENT APRDRG 2334: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$15,774.97
|
|
Service Code
|
APR-DRG 2334
|
Hospital Charge Code |
APRDRG 2334
|
Min. Negotiated Rate |
$15,023.78 |
Max. Negotiated Rate |
$15,774.97 |
Rate for Payer: BCBS Complete |
$15,774.97
|
Rate for Payer: Mclaren Medicaid |
$15,023.78
|
Rate for Payer: Meridian Medicaid |
$15,774.97
|
Rate for Payer: Priority Health Choice Medicaid |
$15,023.78
|
|
INPATIENT APRDRG 2341: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$5,168.05
|
|
Service Code
|
APR-DRG 2341
|
Hospital Charge Code |
APRDRG 2341
|
Min. Negotiated Rate |
$4,921.95 |
Max. Negotiated Rate |
$5,168.05 |
Rate for Payer: BCBS Complete |
$5,168.05
|
Rate for Payer: Mclaren Medicaid |
$4,921.95
|
Rate for Payer: Meridian Medicaid |
$5,168.05
|
Rate for Payer: Priority Health Choice Medicaid |
$4,921.95
|
|
INPATIENT APRDRG 2342: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$6,258.82
|
|
Service Code
|
APR-DRG 2342
|
Hospital Charge Code |
APRDRG 2342
|
Min. Negotiated Rate |
$5,960.78 |
Max. Negotiated Rate |
$6,258.82 |
Rate for Payer: BCBS Complete |
$6,258.82
|
Rate for Payer: Mclaren Medicaid |
$5,960.78
|
Rate for Payer: Meridian Medicaid |
$6,258.82
|
Rate for Payer: Priority Health Choice Medicaid |
$5,960.78
|
|
INPATIENT APRDRG 2343: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$9,415.40
|
|
Service Code
|
APR-DRG 2343
|
Hospital Charge Code |
APRDRG 2343
|
Min. Negotiated Rate |
$8,967.05 |
Max. Negotiated Rate |
$9,415.40 |
Rate for Payer: BCBS Complete |
$9,415.40
|
Rate for Payer: Mclaren Medicaid |
$8,967.05
|
Rate for Payer: Meridian Medicaid |
$9,415.40
|
Rate for Payer: Priority Health Choice Medicaid |
$8,967.05
|
|
INPATIENT APRDRG 2344: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$16,649.27
|
|
Service Code
|
APR-DRG 2344
|
Hospital Charge Code |
APRDRG 2344
|
Min. Negotiated Rate |
$15,856.45 |
Max. Negotiated Rate |
$16,649.27 |
Rate for Payer: BCBS Complete |
$16,649.27
|
Rate for Payer: Mclaren Medicaid |
$15,856.45
|
Rate for Payer: Meridian Medicaid |
$16,649.27
|
Rate for Payer: Priority Health Choice Medicaid |
$15,856.45
|
|
INPATIENT APRDRG 2401: DIGESTIVE MALIGNANCY
|
Facility
|
IP
|
$4,750.10
|
|
Service Code
|
APR-DRG 2401
|
Hospital Charge Code |
APRDRG 2401
|
Min. Negotiated Rate |
$4,523.90 |
Max. Negotiated Rate |
$4,750.10 |
Rate for Payer: BCBS Complete |
$4,750.10
|
Rate for Payer: Mclaren Medicaid |
$4,523.90
|
Rate for Payer: Meridian Medicaid |
$4,750.10
|
Rate for Payer: Priority Health Choice Medicaid |
$4,523.90
|
|
INPATIENT APRDRG 2402: DIGESTIVE MALIGNANCY
|
Facility
|
IP
|
$5,542.61
|
|
Service Code
|
APR-DRG 2402
|
Hospital Charge Code |
APRDRG 2402
|
Min. Negotiated Rate |
$5,278.68 |
Max. Negotiated Rate |
$5,542.61 |
Rate for Payer: BCBS Complete |
$5,542.61
|
Rate for Payer: Mclaren Medicaid |
$5,278.68
|
Rate for Payer: Meridian Medicaid |
$5,542.61
|
Rate for Payer: Priority Health Choice Medicaid |
$5,278.68
|
|
INPATIENT APRDRG 2403: DIGESTIVE MALIGNANCY
|
Facility
|
IP
|
$7,341.11
|
|
Service Code
|
APR-DRG 2403
|
Hospital Charge Code |
APRDRG 2403
|
Min. Negotiated Rate |
$6,991.53 |
Max. Negotiated Rate |
$7,341.11 |
Rate for Payer: BCBS Complete |
$7,341.11
|
Rate for Payer: Mclaren Medicaid |
$6,991.53
|
Rate for Payer: Meridian Medicaid |
$7,341.11
|
Rate for Payer: Priority Health Choice Medicaid |
$6,991.53
|
|
INPATIENT APRDRG 2404: DIGESTIVE MALIGNANCY
|
Facility
|
IP
|
$10,559.04
|
|
Service Code
|
APR-DRG 2404
|
Hospital Charge Code |
APRDRG 2404
|
Min. Negotiated Rate |
$10,056.23 |
Max. Negotiated Rate |
$10,559.04 |
Rate for Payer: BCBS Complete |
$10,559.04
|
Rate for Payer: Mclaren Medicaid |
$10,056.23
|
Rate for Payer: Meridian Medicaid |
$10,559.04
|
Rate for Payer: Priority Health Choice Medicaid |
$10,056.23
|
|
INPATIENT APRDRG 2411: PEPTIC ULCER & GASTRITIS
|
Facility
|
IP
|
$3,397.48
|
|
Service Code
|
APR-DRG 2411
|
Hospital Charge Code |
APRDRG 2411
|
Min. Negotiated Rate |
$3,235.70 |
Max. Negotiated Rate |
$3,397.48 |
Rate for Payer: BCBS Complete |
$3,397.48
|
Rate for Payer: Mclaren Medicaid |
$3,235.70
|
Rate for Payer: Meridian Medicaid |
$3,397.48
|
Rate for Payer: Priority Health Choice Medicaid |
$3,235.70
|
|
INPATIENT APRDRG 2412: PEPTIC ULCER & GASTRITIS
|
Facility
|
IP
|
$4,103.72
|
|
Service Code
|
APR-DRG 2412
|
Hospital Charge Code |
APRDRG 2412
|
Min. Negotiated Rate |
$3,908.30 |
Max. Negotiated Rate |
$4,103.72 |
Rate for Payer: BCBS Complete |
$4,103.72
|
Rate for Payer: Mclaren Medicaid |
$3,908.30
|
Rate for Payer: Meridian Medicaid |
$4,103.72
|
Rate for Payer: Priority Health Choice Medicaid |
$3,908.30
|
|
INPATIENT APRDRG 2413: PEPTIC ULCER & GASTRITIS
|
Facility
|
IP
|
$5,900.21
|
|
Service Code
|
APR-DRG 2413
|
Hospital Charge Code |
APRDRG 2413
|
Min. Negotiated Rate |
$5,619.25 |
Max. Negotiated Rate |
$5,900.21 |
Rate for Payer: BCBS Complete |
$5,900.21
|
Rate for Payer: Mclaren Medicaid |
$5,619.25
|
Rate for Payer: Meridian Medicaid |
$5,900.21
|
Rate for Payer: Priority Health Choice Medicaid |
$5,619.25
|
|
INPATIENT APRDRG 2414: PEPTIC ULCER & GASTRITIS
|
Facility
|
IP
|
$11,925.62
|
|
Service Code
|
APR-DRG 2414
|
Hospital Charge Code |
APRDRG 2414
|
Min. Negotiated Rate |
$11,357.73 |
Max. Negotiated Rate |
$11,925.62 |
Rate for Payer: BCBS Complete |
$11,925.62
|
Rate for Payer: Mclaren Medicaid |
$11,357.73
|
Rate for Payer: Meridian Medicaid |
$11,925.62
|
Rate for Payer: Priority Health Choice Medicaid |
$11,357.73
|
|
INPATIENT APRDRG 2421: MAJOR ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$3,155.09
|
|
Service Code
|
APR-DRG 2421
|
Hospital Charge Code |
APRDRG 2421
|
Min. Negotiated Rate |
$3,004.85 |
Max. Negotiated Rate |
$3,155.09 |
Rate for Payer: BCBS Complete |
$3,155.09
|
Rate for Payer: Mclaren Medicaid |
$3,004.85
|
Rate for Payer: Meridian Medicaid |
$3,155.09
|
Rate for Payer: Priority Health Choice Medicaid |
$3,004.85
|
|
INPATIENT APRDRG 2422: MAJOR ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$4,494.74
|
|
Service Code
|
APR-DRG 2422
|
Hospital Charge Code |
APRDRG 2422
|
Min. Negotiated Rate |
$4,280.70 |
Max. Negotiated Rate |
$4,494.74 |
Rate for Payer: BCBS Complete |
$4,494.74
|
Rate for Payer: Mclaren Medicaid |
$4,280.70
|
Rate for Payer: Meridian Medicaid |
$4,494.74
|
Rate for Payer: Priority Health Choice Medicaid |
$4,280.70
|
|
INPATIENT APRDRG 2423: MAJOR ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$6,016.43
|
|
Service Code
|
APR-DRG 2423
|
Hospital Charge Code |
APRDRG 2423
|
Min. Negotiated Rate |
$5,729.93 |
Max. Negotiated Rate |
$6,016.43 |
Rate for Payer: BCBS Complete |
$6,016.43
|
Rate for Payer: Mclaren Medicaid |
$5,729.93
|
Rate for Payer: Meridian Medicaid |
$6,016.43
|
Rate for Payer: Priority Health Choice Medicaid |
$5,729.93
|
|
INPATIENT APRDRG 2424: MAJOR ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$10,715.14
|
|
Service Code
|
APR-DRG 2424
|
Hospital Charge Code |
APRDRG 2424
|
Min. Negotiated Rate |
$10,204.90 |
Max. Negotiated Rate |
$10,715.14 |
Rate for Payer: BCBS Complete |
$10,715.14
|
Rate for Payer: Mclaren Medicaid |
$10,204.90
|
Rate for Payer: Meridian Medicaid |
$10,715.14
|
Rate for Payer: Priority Health Choice Medicaid |
$10,204.90
|
|
INPATIENT APRDRG 2431: OTHER ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$2,794.50
|
|
Service Code
|
APR-DRG 2431
|
Hospital Charge Code |
APRDRG 2431
|
Min. Negotiated Rate |
$2,661.43 |
Max. Negotiated Rate |
$2,794.50 |
Rate for Payer: BCBS Complete |
$2,794.50
|
Rate for Payer: Mclaren Medicaid |
$2,661.43
|
Rate for Payer: Meridian Medicaid |
$2,794.50
|
Rate for Payer: Priority Health Choice Medicaid |
$2,661.43
|
|
INPATIENT APRDRG 2432: OTHER ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$4,017.93
|
|
Service Code
|
APR-DRG 2432
|
Hospital Charge Code |
APRDRG 2432
|
Min. Negotiated Rate |
$3,826.60 |
Max. Negotiated Rate |
$4,017.93 |
Rate for Payer: BCBS Complete |
$4,017.93
|
Rate for Payer: Mclaren Medicaid |
$3,826.60
|
Rate for Payer: Meridian Medicaid |
$4,017.93
|
Rate for Payer: Priority Health Choice Medicaid |
$3,826.60
|
|
INPATIENT APRDRG 2433: OTHER ESOPHAGEAL DISORDERS
|
Facility
|
IP
|
$5,512.18
|
|
Service Code
|
APR-DRG 2433
|
Hospital Charge Code |
APRDRG 2433
|
Min. Negotiated Rate |
$5,249.70 |
Max. Negotiated Rate |
$5,512.18 |
Rate for Payer: BCBS Complete |
$5,512.18
|
Rate for Payer: Mclaren Medicaid |
$5,249.70
|
Rate for Payer: Meridian Medicaid |
$5,512.18
|
Rate for Payer: Priority Health Choice Medicaid |
$5,249.70
|
|