INPATIENT APRDRG 2833: OTHER DISORDERS OF THE LIVER
|
Facility
|
IP
|
$5,261.32
|
|
Service Code
|
APR-DRG 2833
|
Hospital Charge Code |
APRDRG 2833
|
Min. Negotiated Rate |
$5,010.78 |
Max. Negotiated Rate |
$5,261.32 |
Rate for Payer: BCBS Complete |
$5,261.32
|
Rate for Payer: Mclaren Medicaid |
$5,010.78
|
Rate for Payer: Meridian Medicaid |
$5,261.32
|
Rate for Payer: Priority Health Choice Medicaid |
$5,010.78
|
|
INPATIENT APRDRG 2834: OTHER DISORDERS OF THE LIVER
|
Facility
|
IP
|
$9,014.41
|
|
Service Code
|
APR-DRG 2834
|
Hospital Charge Code |
APRDRG 2834
|
Min. Negotiated Rate |
$8,585.15 |
Max. Negotiated Rate |
$9,014.41 |
Rate for Payer: BCBS Complete |
$9,014.41
|
Rate for Payer: Mclaren Medicaid |
$8,585.15
|
Rate for Payer: Meridian Medicaid |
$9,014.41
|
Rate for Payer: Priority Health Choice Medicaid |
$8,585.15
|
|
INPATIENT APRDRG 2841: DISORDERS OF GALLBLADDER & BILIARY TRACT
|
Facility
|
IP
|
$3,831.40
|
|
Service Code
|
APR-DRG 2841
|
Hospital Charge Code |
APRDRG 2841
|
Min. Negotiated Rate |
$3,648.95 |
Max. Negotiated Rate |
$3,831.40 |
Rate for Payer: BCBS Complete |
$3,831.40
|
Rate for Payer: Mclaren Medicaid |
$3,648.95
|
Rate for Payer: Meridian Medicaid |
$3,831.40
|
Rate for Payer: Priority Health Choice Medicaid |
$3,648.95
|
|
INPATIENT APRDRG 2842: DISORDERS OF GALLBLADDER & BILIARY TRACT
|
Facility
|
IP
|
$4,637.88
|
|
Service Code
|
APR-DRG 2842
|
Hospital Charge Code |
APRDRG 2842
|
Min. Negotiated Rate |
$4,417.03 |
Max. Negotiated Rate |
$4,637.88 |
Rate for Payer: BCBS Complete |
$4,637.88
|
Rate for Payer: Mclaren Medicaid |
$4,417.03
|
Rate for Payer: Meridian Medicaid |
$4,637.88
|
Rate for Payer: Priority Health Choice Medicaid |
$4,417.03
|
|
INPATIENT APRDRG 2843: DISORDERS OF GALLBLADDER & BILIARY TRACT
|
Facility
|
IP
|
$6,031.88
|
|
Service Code
|
APR-DRG 2843
|
Hospital Charge Code |
APRDRG 2843
|
Min. Negotiated Rate |
$5,744.65 |
Max. Negotiated Rate |
$6,031.88 |
Rate for Payer: BCBS Complete |
$6,031.88
|
Rate for Payer: Mclaren Medicaid |
$5,744.65
|
Rate for Payer: Meridian Medicaid |
$6,031.88
|
Rate for Payer: Priority Health Choice Medicaid |
$5,744.65
|
|
INPATIENT APRDRG 2844: DISORDERS OF GALLBLADDER & BILIARY TRACT
|
Facility
|
IP
|
$8,546.58
|
|
Service Code
|
APR-DRG 2844
|
Hospital Charge Code |
APRDRG 2844
|
Min. Negotiated Rate |
$8,139.60 |
Max. Negotiated Rate |
$8,546.58 |
Rate for Payer: BCBS Complete |
$8,546.58
|
Rate for Payer: Mclaren Medicaid |
$8,139.60
|
Rate for Payer: Meridian Medicaid |
$8,546.58
|
Rate for Payer: Priority Health Choice Medicaid |
$8,139.60
|
|
INPATIENT APRDRG 3031: DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK
|
Facility
|
IP
|
$23,510.08
|
|
Service Code
|
APR-DRG 3031
|
Hospital Charge Code |
APRDRG 3031
|
Min. Negotiated Rate |
$22,390.55 |
Max. Negotiated Rate |
$23,510.08 |
Rate for Payer: BCBS Complete |
$23,510.08
|
Rate for Payer: Mclaren Medicaid |
$22,390.55
|
Rate for Payer: Meridian Medicaid |
$23,510.08
|
Rate for Payer: Priority Health Choice Medicaid |
$22,390.55
|
|
INPATIENT APRDRG 3032: DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK
|
Facility
|
IP
|
$25,529.52
|
|
Service Code
|
APR-DRG 3032
|
Hospital Charge Code |
APRDRG 3032
|
Min. Negotiated Rate |
$24,313.83 |
Max. Negotiated Rate |
$25,529.52 |
Rate for Payer: BCBS Complete |
$25,529.52
|
Rate for Payer: Mclaren Medicaid |
$24,313.83
|
Rate for Payer: Meridian Medicaid |
$25,529.52
|
Rate for Payer: Priority Health Choice Medicaid |
$24,313.83
|
|
INPATIENT APRDRG 3033: DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK
|
Facility
|
IP
|
$39,582.30
|
|
Service Code
|
APR-DRG 3033
|
Hospital Charge Code |
APRDRG 3033
|
Min. Negotiated Rate |
$37,697.43 |
Max. Negotiated Rate |
$39,582.30 |
Rate for Payer: BCBS Complete |
$39,582.30
|
Rate for Payer: Mclaren Medicaid |
$37,697.43
|
Rate for Payer: Meridian Medicaid |
$39,582.30
|
Rate for Payer: Priority Health Choice Medicaid |
$37,697.43
|
|
INPATIENT APRDRG 3034: DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK
|
Facility
|
IP
|
$58,144.78
|
|
Service Code
|
APR-DRG 3034
|
Hospital Charge Code |
APRDRG 3034
|
Min. Negotiated Rate |
$55,375.98 |
Max. Negotiated Rate |
$58,144.78 |
Rate for Payer: BCBS Complete |
$58,144.78
|
Rate for Payer: Mclaren Medicaid |
$55,375.98
|
Rate for Payer: Meridian Medicaid |
$58,144.78
|
Rate for Payer: Priority Health Choice Medicaid |
$55,375.98
|
|
INPATIENT APRDRG 3041: DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK
|
Facility
|
IP
|
$12,664.76
|
|
Service Code
|
APR-DRG 3041
|
Hospital Charge Code |
APRDRG 3041
|
Min. Negotiated Rate |
$12,061.68 |
Max. Negotiated Rate |
$12,664.76 |
Rate for Payer: BCBS Complete |
$12,664.76
|
Rate for Payer: Mclaren Medicaid |
$12,061.68
|
Rate for Payer: Meridian Medicaid |
$12,664.76
|
Rate for Payer: Priority Health Choice Medicaid |
$12,061.68
|
|
INPATIENT APRDRG 3042: DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK
|
Facility
|
IP
|
$14,716.62
|
|
Service Code
|
APR-DRG 3042
|
Hospital Charge Code |
APRDRG 3042
|
Min. Negotiated Rate |
$14,015.83 |
Max. Negotiated Rate |
$14,716.62 |
Rate for Payer: BCBS Complete |
$14,716.62
|
Rate for Payer: Mclaren Medicaid |
$14,015.83
|
Rate for Payer: Meridian Medicaid |
$14,716.62
|
Rate for Payer: Priority Health Choice Medicaid |
$14,015.83
|
|
INPATIENT APRDRG 3043: DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK
|
Facility
|
IP
|
$22,530.53
|
|
Service Code
|
APR-DRG 3043
|
Hospital Charge Code |
APRDRG 3043
|
Min. Negotiated Rate |
$21,457.65 |
Max. Negotiated Rate |
$22,530.53 |
Rate for Payer: BCBS Complete |
$22,530.53
|
Rate for Payer: Mclaren Medicaid |
$21,457.65
|
Rate for Payer: Meridian Medicaid |
$22,530.53
|
Rate for Payer: Priority Health Choice Medicaid |
$21,457.65
|
|
INPATIENT APRDRG 3044: DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK
|
Facility
|
IP
|
$32,082.59
|
|
Service Code
|
APR-DRG 3044
|
Hospital Charge Code |
APRDRG 3044
|
Min. Negotiated Rate |
$30,554.85 |
Max. Negotiated Rate |
$32,082.59 |
Rate for Payer: BCBS Complete |
$32,082.59
|
Rate for Payer: Mclaren Medicaid |
$30,554.85
|
Rate for Payer: Meridian Medicaid |
$32,082.59
|
Rate for Payer: Priority Health Choice Medicaid |
$30,554.85
|
|
INPATIENT APRDRG 3051: AMPUTATION OF LOWER LIMB EXCEPT TOES
|
Facility
|
IP
|
$7,266.29
|
|
Service Code
|
APR-DRG 3051
|
Hospital Charge Code |
APRDRG 3051
|
Min. Negotiated Rate |
$6,920.28 |
Max. Negotiated Rate |
$7,266.29 |
Rate for Payer: BCBS Complete |
$7,266.29
|
Rate for Payer: Mclaren Medicaid |
$6,920.28
|
Rate for Payer: Meridian Medicaid |
$7,266.29
|
Rate for Payer: Priority Health Choice Medicaid |
$6,920.28
|
|
INPATIENT APRDRG 3052: AMPUTATION OF LOWER LIMB EXCEPT TOES
|
Facility
|
IP
|
$8,094.22
|
|
Service Code
|
APR-DRG 3052
|
Hospital Charge Code |
APRDRG 3052
|
Min. Negotiated Rate |
$7,708.78 |
Max. Negotiated Rate |
$8,094.22 |
Rate for Payer: BCBS Complete |
$8,094.22
|
Rate for Payer: Mclaren Medicaid |
$7,708.78
|
Rate for Payer: Meridian Medicaid |
$8,094.22
|
Rate for Payer: Priority Health Choice Medicaid |
$7,708.78
|
|
INPATIENT APRDRG 3053: AMPUTATION OF LOWER LIMB EXCEPT TOES
|
Facility
|
IP
|
$12,336.08
|
|
Service Code
|
APR-DRG 3053
|
Hospital Charge Code |
APRDRG 3053
|
Min. Negotiated Rate |
$11,748.65 |
Max. Negotiated Rate |
$12,336.08 |
Rate for Payer: BCBS Complete |
$12,336.08
|
Rate for Payer: Mclaren Medicaid |
$11,748.65
|
Rate for Payer: Meridian Medicaid |
$12,336.08
|
Rate for Payer: Priority Health Choice Medicaid |
$11,748.65
|
|
INPATIENT APRDRG 3054: AMPUTATION OF LOWER LIMB EXCEPT TOES
|
Facility
|
IP
|
$18,539.04
|
|
Service Code
|
APR-DRG 3054
|
Hospital Charge Code |
APRDRG 3054
|
Min. Negotiated Rate |
$17,656.23 |
Max. Negotiated Rate |
$18,539.04 |
Rate for Payer: BCBS Complete |
$18,539.04
|
Rate for Payer: Mclaren Medicaid |
$17,656.23
|
Rate for Payer: Meridian Medicaid |
$18,539.04
|
Rate for Payer: Priority Health Choice Medicaid |
$17,656.23
|
|
INPATIENT APRDRG 3081: HIP & FEMUR FRACTURE REPAIR
|
Facility
|
IP
|
$7,374.52
|
|
Service Code
|
APR-DRG 3081
|
Hospital Charge Code |
APRDRG 3081
|
Min. Negotiated Rate |
$7,023.35 |
Max. Negotiated Rate |
$7,374.52 |
Rate for Payer: BCBS Complete |
$7,374.52
|
Rate for Payer: Mclaren Medicaid |
$7,023.35
|
Rate for Payer: Meridian Medicaid |
$7,374.52
|
Rate for Payer: Priority Health Choice Medicaid |
$7,023.35
|
|
INPATIENT APRDRG 3082: HIP & FEMUR FRACTURE REPAIR
|
Facility
|
IP
|
$8,672.26
|
|
Service Code
|
APR-DRG 3082
|
Hospital Charge Code |
APRDRG 3082
|
Min. Negotiated Rate |
$8,259.30 |
Max. Negotiated Rate |
$8,672.26 |
Rate for Payer: BCBS Complete |
$8,672.26
|
Rate for Payer: Mclaren Medicaid |
$8,259.30
|
Rate for Payer: Meridian Medicaid |
$8,672.26
|
Rate for Payer: Priority Health Choice Medicaid |
$8,259.30
|
|
INPATIENT APRDRG 3083: HIP & FEMUR FRACTURE REPAIR
|
Facility
|
IP
|
$11,399.93
|
|
Service Code
|
APR-DRG 3083
|
Hospital Charge Code |
APRDRG 3083
|
Min. Negotiated Rate |
$10,857.08 |
Max. Negotiated Rate |
$11,399.93 |
Rate for Payer: BCBS Complete |
$11,399.93
|
Rate for Payer: Mclaren Medicaid |
$10,857.08
|
Rate for Payer: Meridian Medicaid |
$11,399.93
|
Rate for Payer: Priority Health Choice Medicaid |
$10,857.08
|
|
INPATIENT APRDRG 3084: HIP & FEMUR FRACTURE REPAIR
|
Facility
|
IP
|
$20,875.68
|
|
Service Code
|
APR-DRG 3084
|
Hospital Charge Code |
APRDRG 3084
|
Min. Negotiated Rate |
$19,881.60 |
Max. Negotiated Rate |
$20,875.68 |
Rate for Payer: BCBS Complete |
$20,875.68
|
Rate for Payer: Mclaren Medicaid |
$19,881.60
|
Rate for Payer: Meridian Medicaid |
$20,875.68
|
Rate for Payer: Priority Health Choice Medicaid |
$19,881.60
|
|
INPATIENT APRDRG 3091: OTHER SIGNIFICANT HIP & FEMUR SURGERY
|
Facility
|
IP
|
$7,929.63
|
|
Service Code
|
APR-DRG 3091
|
Hospital Charge Code |
APRDRG 3091
|
Min. Negotiated Rate |
$7,552.03 |
Max. Negotiated Rate |
$7,929.63 |
Rate for Payer: BCBS Complete |
$7,929.63
|
Rate for Payer: Mclaren Medicaid |
$7,552.03
|
Rate for Payer: Meridian Medicaid |
$7,929.63
|
Rate for Payer: Priority Health Choice Medicaid |
$7,552.03
|
|
INPATIENT APRDRG 3092: OTHER SIGNIFICANT HIP & FEMUR SURGERY
|
Facility
|
IP
|
$10,524.62
|
|
Service Code
|
APR-DRG 3092
|
Hospital Charge Code |
APRDRG 3092
|
Min. Negotiated Rate |
$10,023.45 |
Max. Negotiated Rate |
$10,524.62 |
Rate for Payer: BCBS Complete |
$10,524.62
|
Rate for Payer: Mclaren Medicaid |
$10,023.45
|
Rate for Payer: Meridian Medicaid |
$10,524.62
|
Rate for Payer: Priority Health Choice Medicaid |
$10,023.45
|
|
INPATIENT APRDRG 3093: OTHER SIGNIFICANT HIP & FEMUR SURGERY
|
Facility
|
IP
|
$13,315.13
|
|
Service Code
|
APR-DRG 3093
|
Hospital Charge Code |
APRDRG 3093
|
Min. Negotiated Rate |
$12,681.08 |
Max. Negotiated Rate |
$13,315.13 |
Rate for Payer: BCBS Complete |
$13,315.13
|
Rate for Payer: Mclaren Medicaid |
$12,681.08
|
Rate for Payer: Meridian Medicaid |
$13,315.13
|
Rate for Payer: Priority Health Choice Medicaid |
$12,681.08
|
|