INPATIENT APRDRG 2511: ABDOMINAL PAIN
|
Facility
|
IP
|
$3,293.74
|
|
Service Code
|
APR-DRG 2511
|
Hospital Charge Code |
APRDRG 2511
|
Min. Negotiated Rate |
$3,136.90 |
Max. Negotiated Rate |
$3,293.74 |
Rate for Payer: BCBS Complete |
$3,293.74
|
Rate for Payer: Mclaren Medicaid |
$3,136.90
|
Rate for Payer: Meridian Medicaid |
$3,293.74
|
Rate for Payer: Priority Health Choice Medicaid |
$3,136.90
|
|
INPATIENT APRDRG 2512: ABDOMINAL PAIN
|
Facility
|
IP
|
$3,832.90
|
|
Service Code
|
APR-DRG 2512
|
Hospital Charge Code |
APRDRG 2512
|
Min. Negotiated Rate |
$3,650.38 |
Max. Negotiated Rate |
$3,832.90 |
Rate for Payer: BCBS Complete |
$3,832.90
|
Rate for Payer: Mclaren Medicaid |
$3,650.38
|
Rate for Payer: Meridian Medicaid |
$3,832.90
|
Rate for Payer: Priority Health Choice Medicaid |
$3,650.38
|
|
INPATIENT APRDRG 2513: ABDOMINAL PAIN
|
Facility
|
IP
|
$4,793.98
|
|
Service Code
|
APR-DRG 2513
|
Hospital Charge Code |
APRDRG 2513
|
Min. Negotiated Rate |
$4,565.70 |
Max. Negotiated Rate |
$4,793.98 |
Rate for Payer: BCBS Complete |
$4,793.98
|
Rate for Payer: Mclaren Medicaid |
$4,565.70
|
Rate for Payer: Meridian Medicaid |
$4,793.98
|
Rate for Payer: Priority Health Choice Medicaid |
$4,565.70
|
|
INPATIENT APRDRG 2514: ABDOMINAL PAIN
|
Facility
|
IP
|
$7,883.75
|
|
Service Code
|
APR-DRG 2514
|
Hospital Charge Code |
APRDRG 2514
|
Min. Negotiated Rate |
$7,508.33 |
Max. Negotiated Rate |
$7,883.75 |
Rate for Payer: BCBS Complete |
$7,883.75
|
Rate for Payer: Mclaren Medicaid |
$7,508.33
|
Rate for Payer: Meridian Medicaid |
$7,883.75
|
Rate for Payer: Priority Health Choice Medicaid |
$7,508.33
|
|
INPATIENT APRDRG 2521: MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE
|
Facility
|
IP
|
$3,914.69
|
|
Service Code
|
APR-DRG 2521
|
Hospital Charge Code |
APRDRG 2521
|
Min. Negotiated Rate |
$3,728.28 |
Max. Negotiated Rate |
$3,914.69 |
Rate for Payer: BCBS Complete |
$3,914.69
|
Rate for Payer: Mclaren Medicaid |
$3,728.28
|
Rate for Payer: Meridian Medicaid |
$3,914.69
|
Rate for Payer: Priority Health Choice Medicaid |
$3,728.28
|
|
INPATIENT APRDRG 2522: MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE
|
Facility
|
IP
|
$4,943.61
|
|
Service Code
|
APR-DRG 2522
|
Hospital Charge Code |
APRDRG 2522
|
Min. Negotiated Rate |
$4,708.20 |
Max. Negotiated Rate |
$4,943.61 |
Rate for Payer: BCBS Complete |
$4,943.61
|
Rate for Payer: Mclaren Medicaid |
$4,708.20
|
Rate for Payer: Meridian Medicaid |
$4,943.61
|
Rate for Payer: Priority Health Choice Medicaid |
$4,708.20
|
|
INPATIENT APRDRG 2523: MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE
|
Facility
|
IP
|
$5,727.64
|
|
Service Code
|
APR-DRG 2523
|
Hospital Charge Code |
APRDRG 2523
|
Min. Negotiated Rate |
$5,454.90 |
Max. Negotiated Rate |
$5,727.64 |
Rate for Payer: BCBS Complete |
$5,727.64
|
Rate for Payer: Mclaren Medicaid |
$5,454.90
|
Rate for Payer: Meridian Medicaid |
$5,727.64
|
Rate for Payer: Priority Health Choice Medicaid |
$5,454.90
|
|
INPATIENT APRDRG 2524: MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE
|
Facility
|
IP
|
$10,438.34
|
|
Service Code
|
APR-DRG 2524
|
Hospital Charge Code |
APRDRG 2524
|
Min. Negotiated Rate |
$9,941.28 |
Max. Negotiated Rate |
$10,438.34 |
Rate for Payer: BCBS Complete |
$10,438.34
|
Rate for Payer: Mclaren Medicaid |
$9,941.28
|
Rate for Payer: Meridian Medicaid |
$10,438.34
|
Rate for Payer: Priority Health Choice Medicaid |
$9,941.28
|
|
INPATIENT APRDRG 2531: OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE
|
Facility
|
IP
|
$3,797.48
|
|
Service Code
|
APR-DRG 2531
|
Hospital Charge Code |
APRDRG 2531
|
Min. Negotiated Rate |
$3,616.65 |
Max. Negotiated Rate |
$3,797.48 |
Rate for Payer: BCBS Complete |
$3,797.48
|
Rate for Payer: Mclaren Medicaid |
$3,616.65
|
Rate for Payer: Meridian Medicaid |
$3,797.48
|
Rate for Payer: Priority Health Choice Medicaid |
$3,616.65
|
|
INPATIENT APRDRG 2532: OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE
|
Facility
|
IP
|
$4,161.57
|
|
Service Code
|
APR-DRG 2532
|
Hospital Charge Code |
APRDRG 2532
|
Min. Negotiated Rate |
$3,963.40 |
Max. Negotiated Rate |
$4,161.57 |
Rate for Payer: BCBS Complete |
$4,161.57
|
Rate for Payer: Mclaren Medicaid |
$3,963.40
|
Rate for Payer: Meridian Medicaid |
$4,161.57
|
Rate for Payer: Priority Health Choice Medicaid |
$3,963.40
|
|
INPATIENT APRDRG 2533: OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE
|
Facility
|
IP
|
$5,931.14
|
|
Service Code
|
APR-DRG 2533
|
Hospital Charge Code |
APRDRG 2533
|
Min. Negotiated Rate |
$5,648.70 |
Max. Negotiated Rate |
$5,931.14 |
Rate for Payer: BCBS Complete |
$5,931.14
|
Rate for Payer: Mclaren Medicaid |
$5,648.70
|
Rate for Payer: Meridian Medicaid |
$5,931.14
|
Rate for Payer: Priority Health Choice Medicaid |
$5,648.70
|
|
INPATIENT APRDRG 2534: OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE
|
Facility
|
IP
|
$8,422.40
|
|
Service Code
|
APR-DRG 2534
|
Hospital Charge Code |
APRDRG 2534
|
Min. Negotiated Rate |
$8,021.33 |
Max. Negotiated Rate |
$8,422.40 |
Rate for Payer: BCBS Complete |
$8,422.40
|
Rate for Payer: Mclaren Medicaid |
$8,021.33
|
Rate for Payer: Meridian Medicaid |
$8,422.40
|
Rate for Payer: Priority Health Choice Medicaid |
$8,021.33
|
|
INPATIENT APRDRG 2541: OTHER DIGESTIVE SYSTEM DIAGNOSES
|
Facility
|
IP
|
$3,374.54
|
|
Service Code
|
APR-DRG 2541
|
Hospital Charge Code |
APRDRG 2541
|
Min. Negotiated Rate |
$3,213.85 |
Max. Negotiated Rate |
$3,374.54 |
Rate for Payer: BCBS Complete |
$3,374.54
|
Rate for Payer: Mclaren Medicaid |
$3,213.85
|
Rate for Payer: Meridian Medicaid |
$3,374.54
|
Rate for Payer: Priority Health Choice Medicaid |
$3,213.85
|
|
INPATIENT APRDRG 2542: OTHER DIGESTIVE SYSTEM DIAGNOSES
|
Facility
|
IP
|
$3,985.01
|
|
Service Code
|
APR-DRG 2542
|
Hospital Charge Code |
APRDRG 2542
|
Min. Negotiated Rate |
$3,795.25 |
Max. Negotiated Rate |
$3,985.01 |
Rate for Payer: BCBS Complete |
$3,985.01
|
Rate for Payer: Mclaren Medicaid |
$3,795.25
|
Rate for Payer: Meridian Medicaid |
$3,985.01
|
Rate for Payer: Priority Health Choice Medicaid |
$3,795.25
|
|
INPATIENT APRDRG 2543: OTHER DIGESTIVE SYSTEM DIAGNOSES
|
Facility
|
IP
|
$6,027.40
|
|
Service Code
|
APR-DRG 2543
|
Hospital Charge Code |
APRDRG 2543
|
Min. Negotiated Rate |
$5,740.38 |
Max. Negotiated Rate |
$6,027.40 |
Rate for Payer: BCBS Complete |
$6,027.40
|
Rate for Payer: Mclaren Medicaid |
$5,740.38
|
Rate for Payer: Meridian Medicaid |
$6,027.40
|
Rate for Payer: Priority Health Choice Medicaid |
$5,740.38
|
|
INPATIENT APRDRG 2544: OTHER DIGESTIVE SYSTEM DIAGNOSES
|
Facility
|
IP
|
$9,172.52
|
|
Service Code
|
APR-DRG 2544
|
Hospital Charge Code |
APRDRG 2544
|
Min. Negotiated Rate |
$8,735.73 |
Max. Negotiated Rate |
$9,172.52 |
Rate for Payer: BCBS Complete |
$9,172.52
|
Rate for Payer: Mclaren Medicaid |
$8,735.73
|
Rate for Payer: Meridian Medicaid |
$9,172.52
|
Rate for Payer: Priority Health Choice Medicaid |
$8,735.73
|
|
INPATIENT APRDRG 2601: MAJOR PANCREAS, LIVER & SHUNT PROCEDURES
|
Facility
|
IP
|
$8,935.60
|
|
Service Code
|
APR-DRG 2601
|
Hospital Charge Code |
APRDRG 2601
|
Min. Negotiated Rate |
$8,510.10 |
Max. Negotiated Rate |
$8,935.60 |
Rate for Payer: BCBS Complete |
$8,935.60
|
Rate for Payer: Mclaren Medicaid |
$8,510.10
|
Rate for Payer: Meridian Medicaid |
$8,935.60
|
Rate for Payer: Priority Health Choice Medicaid |
$8,510.10
|
|
INPATIENT APRDRG 2602: MAJOR PANCREAS, LIVER & SHUNT PROCEDURES
|
Facility
|
IP
|
$10,745.07
|
|
Service Code
|
APR-DRG 2602
|
Hospital Charge Code |
APRDRG 2602
|
Min. Negotiated Rate |
$10,233.40 |
Max. Negotiated Rate |
$10,745.07 |
Rate for Payer: BCBS Complete |
$10,745.07
|
Rate for Payer: Mclaren Medicaid |
$10,233.40
|
Rate for Payer: Meridian Medicaid |
$10,745.07
|
Rate for Payer: Priority Health Choice Medicaid |
$10,233.40
|
|
INPATIENT APRDRG 2603: MAJOR PANCREAS, LIVER & SHUNT PROCEDURES
|
Facility
|
IP
|
$16,231.82
|
|
Service Code
|
APR-DRG 2603
|
Hospital Charge Code |
APRDRG 2603
|
Min. Negotiated Rate |
$15,458.88 |
Max. Negotiated Rate |
$16,231.82 |
Rate for Payer: BCBS Complete |
$16,231.82
|
Rate for Payer: Mclaren Medicaid |
$15,458.88
|
Rate for Payer: Meridian Medicaid |
$16,231.82
|
Rate for Payer: Priority Health Choice Medicaid |
$15,458.88
|
|
INPATIENT APRDRG 2604: MAJOR PANCREAS, LIVER & SHUNT PROCEDURES
|
Facility
|
IP
|
$22,302.10
|
|
Service Code
|
APR-DRG 2604
|
Hospital Charge Code |
APRDRG 2604
|
Min. Negotiated Rate |
$21,240.10 |
Max. Negotiated Rate |
$22,302.10 |
Rate for Payer: BCBS Complete |
$22,302.10
|
Rate for Payer: Mclaren Medicaid |
$21,240.10
|
Rate for Payer: Meridian Medicaid |
$22,302.10
|
Rate for Payer: Priority Health Choice Medicaid |
$21,240.10
|
|
INPATIENT APRDRG 2611: MAJOR BILIARY TRACT PROCEDURES
|
Facility
|
IP
|
$7,392.47
|
|
Service Code
|
APR-DRG 2611
|
Hospital Charge Code |
APRDRG 2611
|
Min. Negotiated Rate |
$7,040.45 |
Max. Negotiated Rate |
$7,392.47 |
Rate for Payer: BCBS Complete |
$7,392.47
|
Rate for Payer: Mclaren Medicaid |
$7,040.45
|
Rate for Payer: Meridian Medicaid |
$7,392.47
|
Rate for Payer: Priority Health Choice Medicaid |
$7,040.45
|
|
INPATIENT APRDRG 2612: MAJOR BILIARY TRACT PROCEDURES
|
Facility
|
IP
|
$10,088.22
|
|
Service Code
|
APR-DRG 2612
|
Hospital Charge Code |
APRDRG 2612
|
Min. Negotiated Rate |
$9,607.83 |
Max. Negotiated Rate |
$10,088.22 |
Rate for Payer: BCBS Complete |
$10,088.22
|
Rate for Payer: Mclaren Medicaid |
$9,607.83
|
Rate for Payer: Meridian Medicaid |
$10,088.22
|
Rate for Payer: Priority Health Choice Medicaid |
$9,607.83
|
|
INPATIENT APRDRG 2613: MAJOR BILIARY TRACT PROCEDURES
|
Facility
|
IP
|
$14,750.54
|
|
Service Code
|
APR-DRG 2613
|
Hospital Charge Code |
APRDRG 2613
|
Min. Negotiated Rate |
$14,048.13 |
Max. Negotiated Rate |
$14,750.54 |
Rate for Payer: BCBS Complete |
$14,750.54
|
Rate for Payer: Mclaren Medicaid |
$14,048.13
|
Rate for Payer: Meridian Medicaid |
$14,750.54
|
Rate for Payer: Priority Health Choice Medicaid |
$14,048.13
|
|
INPATIENT APRDRG 2614: MAJOR BILIARY TRACT PROCEDURES
|
Facility
|
IP
|
$28,351.45
|
|
Service Code
|
APR-DRG 2614
|
Hospital Charge Code |
APRDRG 2614
|
Min. Negotiated Rate |
$27,001.38 |
Max. Negotiated Rate |
$28,351.45 |
Rate for Payer: BCBS Complete |
$28,351.45
|
Rate for Payer: Mclaren Medicaid |
$27,001.38
|
Rate for Payer: Meridian Medicaid |
$28,351.45
|
Rate for Payer: Priority Health Choice Medicaid |
$27,001.38
|
|
INPATIENT APRDRG 2631: CHOLECYSTECTOMY
|
Facility
|
IP
|
$6,212.43
|
|
Service Code
|
APR-DRG 2631
|
Hospital Charge Code |
APRDRG 2631
|
Min. Negotiated Rate |
$5,916.60 |
Max. Negotiated Rate |
$6,212.43 |
Rate for Payer: BCBS Complete |
$6,212.43
|
Rate for Payer: Mclaren Medicaid |
$5,916.60
|
Rate for Payer: Meridian Medicaid |
$6,212.43
|
Rate for Payer: Priority Health Choice Medicaid |
$5,916.60
|
|