INPATIENT APRDRG 3094: OTHER SIGNIFICANT HIP & FEMUR SURGERY
|
Facility
|
IP
|
$18,683.68
|
|
Service Code
|
APR-DRG 3094
|
Hospital Charge Code |
APRDRG 3094
|
Min. Negotiated Rate |
$17,793.98 |
Max. Negotiated Rate |
$18,683.68 |
Rate for Payer: BCBS Complete |
$18,683.68
|
Rate for Payer: Mclaren Medicaid |
$17,793.98
|
Rate for Payer: Meridian Medicaid |
$18,683.68
|
Rate for Payer: Priority Health Choice Medicaid |
$17,793.98
|
|
INPATIENT APRDRG 3101: INTERVERTEBRAL DISC EXCISION & DECOMPRESSION
|
Facility
|
IP
|
$7,017.41
|
|
Service Code
|
APR-DRG 3101
|
Hospital Charge Code |
APRDRG 3101
|
Min. Negotiated Rate |
$6,683.25 |
Max. Negotiated Rate |
$7,017.41 |
Rate for Payer: BCBS Complete |
$7,017.41
|
Rate for Payer: Mclaren Medicaid |
$6,683.25
|
Rate for Payer: Meridian Medicaid |
$7,017.41
|
Rate for Payer: Priority Health Choice Medicaid |
$6,683.25
|
|
INPATIENT APRDRG 3102: INTERVERTEBRAL DISC EXCISION & DECOMPRESSION
|
Facility
|
IP
|
$10,250.81
|
|
Service Code
|
APR-DRG 3102
|
Hospital Charge Code |
APRDRG 3102
|
Min. Negotiated Rate |
$9,762.68 |
Max. Negotiated Rate |
$10,250.81 |
Rate for Payer: BCBS Complete |
$10,250.81
|
Rate for Payer: Mclaren Medicaid |
$9,762.68
|
Rate for Payer: Meridian Medicaid |
$10,250.81
|
Rate for Payer: Priority Health Choice Medicaid |
$9,762.68
|
|
INPATIENT APRDRG 3103: INTERVERTEBRAL DISC EXCISION & DECOMPRESSION
|
Facility
|
IP
|
$15,732.08
|
|
Service Code
|
APR-DRG 3103
|
Hospital Charge Code |
APRDRG 3103
|
Min. Negotiated Rate |
$14,982.93 |
Max. Negotiated Rate |
$15,732.08 |
Rate for Payer: BCBS Complete |
$15,732.08
|
Rate for Payer: Mclaren Medicaid |
$14,982.93
|
Rate for Payer: Meridian Medicaid |
$15,732.08
|
Rate for Payer: Priority Health Choice Medicaid |
$14,982.93
|
|
INPATIENT APRDRG 3104: INTERVERTEBRAL DISC EXCISION & DECOMPRESSION
|
Facility
|
IP
|
$29,252.68
|
|
Service Code
|
APR-DRG 3104
|
Hospital Charge Code |
APRDRG 3104
|
Min. Negotiated Rate |
$27,859.70 |
Max. Negotiated Rate |
$29,252.68 |
Rate for Payer: BCBS Complete |
$29,252.68
|
Rate for Payer: Mclaren Medicaid |
$27,859.70
|
Rate for Payer: Meridian Medicaid |
$29,252.68
|
Rate for Payer: Priority Health Choice Medicaid |
$27,859.70
|
|
INPATIENT APRDRG 3121: SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$8,905.68
|
|
Service Code
|
APR-DRG 3121
|
Hospital Charge Code |
APRDRG 3121
|
Min. Negotiated Rate |
$8,481.60 |
Max. Negotiated Rate |
$8,905.68 |
Rate for Payer: BCBS Complete |
$8,905.68
|
Rate for Payer: Mclaren Medicaid |
$8,481.60
|
Rate for Payer: Meridian Medicaid |
$8,905.68
|
Rate for Payer: Priority Health Choice Medicaid |
$8,481.60
|
|
INPATIENT APRDRG 3122: SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$13,479.72
|
|
Service Code
|
APR-DRG 3122
|
Hospital Charge Code |
APRDRG 3122
|
Min. Negotiated Rate |
$12,837.83 |
Max. Negotiated Rate |
$13,479.72 |
Rate for Payer: BCBS Complete |
$13,479.72
|
Rate for Payer: Mclaren Medicaid |
$12,837.83
|
Rate for Payer: Meridian Medicaid |
$13,479.72
|
Rate for Payer: Priority Health Choice Medicaid |
$12,837.83
|
|
INPATIENT APRDRG 3123: SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$19,616.84
|
|
Service Code
|
APR-DRG 3123
|
Hospital Charge Code |
APRDRG 3123
|
Min. Negotiated Rate |
$18,682.70 |
Max. Negotiated Rate |
$19,616.84 |
Rate for Payer: BCBS Complete |
$19,616.84
|
Rate for Payer: Mclaren Medicaid |
$18,682.70
|
Rate for Payer: Meridian Medicaid |
$19,616.84
|
Rate for Payer: Priority Health Choice Medicaid |
$18,682.70
|
|
INPATIENT APRDRG 3124: SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$36,622.22
|
|
Service Code
|
APR-DRG 3124
|
Hospital Charge Code |
APRDRG 3124
|
Min. Negotiated Rate |
$34,878.30 |
Max. Negotiated Rate |
$36,622.22 |
Rate for Payer: BCBS Complete |
$36,622.22
|
Rate for Payer: Mclaren Medicaid |
$34,878.30
|
Rate for Payer: Meridian Medicaid |
$36,622.22
|
Rate for Payer: Priority Health Choice Medicaid |
$34,878.30
|
|
INPATIENT APRDRG 3131: KNEE & LOWER LEG PROCEDURES EXCEPT FOOT
|
Facility
|
IP
|
$8,224.39
|
|
Service Code
|
APR-DRG 3131
|
Hospital Charge Code |
APRDRG 3131
|
Min. Negotiated Rate |
$7,832.75 |
Max. Negotiated Rate |
$8,224.39 |
Rate for Payer: BCBS Complete |
$8,224.39
|
Rate for Payer: Mclaren Medicaid |
$7,832.75
|
Rate for Payer: Meridian Medicaid |
$8,224.39
|
Rate for Payer: Priority Health Choice Medicaid |
$7,832.75
|
|
INPATIENT APRDRG 3132: KNEE & LOWER LEG PROCEDURES EXCEPT FOOT
|
Facility
|
IP
|
$9,901.69
|
|
Service Code
|
APR-DRG 3132
|
Hospital Charge Code |
APRDRG 3132
|
Min. Negotiated Rate |
$9,430.18 |
Max. Negotiated Rate |
$9,901.69 |
Rate for Payer: BCBS Complete |
$9,901.69
|
Rate for Payer: Mclaren Medicaid |
$9,430.18
|
Rate for Payer: Meridian Medicaid |
$9,901.69
|
Rate for Payer: Priority Health Choice Medicaid |
$9,430.18
|
|
INPATIENT APRDRG 3133: KNEE & LOWER LEG PROCEDURES EXCEPT FOOT
|
Facility
|
IP
|
$12,566.01
|
|
Service Code
|
APR-DRG 3133
|
Hospital Charge Code |
APRDRG 3133
|
Min. Negotiated Rate |
$11,967.63 |
Max. Negotiated Rate |
$12,566.01 |
Rate for Payer: BCBS Complete |
$12,566.01
|
Rate for Payer: Mclaren Medicaid |
$11,967.63
|
Rate for Payer: Meridian Medicaid |
$12,566.01
|
Rate for Payer: Priority Health Choice Medicaid |
$11,967.63
|
|
INPATIENT APRDRG 3134: KNEE & LOWER LEG PROCEDURES EXCEPT FOOT
|
Facility
|
IP
|
$22,493.13
|
|
Service Code
|
APR-DRG 3134
|
Hospital Charge Code |
APRDRG 3134
|
Min. Negotiated Rate |
$21,422.03 |
Max. Negotiated Rate |
$22,493.13 |
Rate for Payer: BCBS Complete |
$22,493.13
|
Rate for Payer: Mclaren Medicaid |
$21,422.03
|
Rate for Payer: Meridian Medicaid |
$22,493.13
|
Rate for Payer: Priority Health Choice Medicaid |
$21,422.03
|
|
INPATIENT APRDRG 3141: FOOT & TOE PROCEDURES
|
Facility
|
IP
|
$6,704.20
|
|
Service Code
|
APR-DRG 3141
|
Hospital Charge Code |
APRDRG 3141
|
Min. Negotiated Rate |
$6,384.95 |
Max. Negotiated Rate |
$6,704.20 |
Rate for Payer: BCBS Complete |
$6,704.20
|
Rate for Payer: Mclaren Medicaid |
$6,384.95
|
Rate for Payer: Meridian Medicaid |
$6,704.20
|
Rate for Payer: Priority Health Choice Medicaid |
$6,384.95
|
|
INPATIENT APRDRG 3142: FOOT & TOE PROCEDURES
|
Facility
|
IP
|
$7,170.03
|
|
Service Code
|
APR-DRG 3142
|
Hospital Charge Code |
APRDRG 3142
|
Min. Negotiated Rate |
$6,828.60 |
Max. Negotiated Rate |
$7,170.03 |
Rate for Payer: BCBS Complete |
$7,170.03
|
Rate for Payer: Mclaren Medicaid |
$6,828.60
|
Rate for Payer: Meridian Medicaid |
$7,170.03
|
Rate for Payer: Priority Health Choice Medicaid |
$6,828.60
|
|
INPATIENT APRDRG 3143: FOOT & TOE PROCEDURES
|
Facility
|
IP
|
$8,939.10
|
|
Service Code
|
APR-DRG 3143
|
Hospital Charge Code |
APRDRG 3143
|
Min. Negotiated Rate |
$8,513.43 |
Max. Negotiated Rate |
$8,939.10 |
Rate for Payer: BCBS Complete |
$8,939.10
|
Rate for Payer: Mclaren Medicaid |
$8,513.43
|
Rate for Payer: Meridian Medicaid |
$8,939.10
|
Rate for Payer: Priority Health Choice Medicaid |
$8,513.43
|
|
INPATIENT APRDRG 3144: FOOT & TOE PROCEDURES
|
Facility
|
IP
|
$13,455.78
|
|
Service Code
|
APR-DRG 3144
|
Hospital Charge Code |
APRDRG 3144
|
Min. Negotiated Rate |
$12,815.03 |
Max. Negotiated Rate |
$13,455.78 |
Rate for Payer: BCBS Complete |
$13,455.78
|
Rate for Payer: Mclaren Medicaid |
$12,815.03
|
Rate for Payer: Meridian Medicaid |
$13,455.78
|
Rate for Payer: Priority Health Choice Medicaid |
$12,815.03
|
|
INPATIENT APRDRG 3151: SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT
|
Facility
|
IP
|
$6,193.98
|
|
Service Code
|
APR-DRG 3151
|
Hospital Charge Code |
APRDRG 3151
|
Min. Negotiated Rate |
$5,899.03 |
Max. Negotiated Rate |
$6,193.98 |
Rate for Payer: BCBS Complete |
$6,193.98
|
Rate for Payer: Mclaren Medicaid |
$5,899.03
|
Rate for Payer: Meridian Medicaid |
$6,193.98
|
Rate for Payer: Priority Health Choice Medicaid |
$5,899.03
|
|
INPATIENT APRDRG 3152: SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT
|
Facility
|
IP
|
$9,050.32
|
|
Service Code
|
APR-DRG 3152
|
Hospital Charge Code |
APRDRG 3152
|
Min. Negotiated Rate |
$8,619.35 |
Max. Negotiated Rate |
$9,050.32 |
Rate for Payer: BCBS Complete |
$9,050.32
|
Rate for Payer: Mclaren Medicaid |
$8,619.35
|
Rate for Payer: Meridian Medicaid |
$9,050.32
|
Rate for Payer: Priority Health Choice Medicaid |
$8,619.35
|
|
INPATIENT APRDRG 3153: SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT
|
Facility
|
IP
|
$13,458.77
|
|
Service Code
|
APR-DRG 3153
|
Hospital Charge Code |
APRDRG 3153
|
Min. Negotiated Rate |
$12,817.88 |
Max. Negotiated Rate |
$13,458.77 |
Rate for Payer: BCBS Complete |
$13,458.77
|
Rate for Payer: Mclaren Medicaid |
$12,817.88
|
Rate for Payer: Meridian Medicaid |
$13,458.77
|
Rate for Payer: Priority Health Choice Medicaid |
$12,817.88
|
|
INPATIENT APRDRG 3154: SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT
|
Facility
|
IP
|
$23,616.32
|
|
Service Code
|
APR-DRG 3154
|
Hospital Charge Code |
APRDRG 3154
|
Min. Negotiated Rate |
$22,491.73 |
Max. Negotiated Rate |
$23,616.32 |
Rate for Payer: BCBS Complete |
$23,616.32
|
Rate for Payer: Mclaren Medicaid |
$22,491.73
|
Rate for Payer: Meridian Medicaid |
$23,616.32
|
Rate for Payer: Priority Health Choice Medicaid |
$22,491.73
|
|
INPATIENT APRDRG 3161: HAND & WRIST PROCEDURES
|
Facility
|
IP
|
$5,937.62
|
|
Service Code
|
APR-DRG 3161
|
Hospital Charge Code |
APRDRG 3161
|
Min. Negotiated Rate |
$5,654.88 |
Max. Negotiated Rate |
$5,937.62 |
Rate for Payer: BCBS Complete |
$5,937.62
|
Rate for Payer: Mclaren Medicaid |
$5,654.88
|
Rate for Payer: Meridian Medicaid |
$5,937.62
|
Rate for Payer: Priority Health Choice Medicaid |
$5,654.88
|
|
INPATIENT APRDRG 3162: HAND & WRIST PROCEDURES
|
Facility
|
IP
|
$6,389.49
|
|
Service Code
|
APR-DRG 3162
|
Hospital Charge Code |
APRDRG 3162
|
Min. Negotiated Rate |
$6,085.23 |
Max. Negotiated Rate |
$6,389.49 |
Rate for Payer: BCBS Complete |
$6,389.49
|
Rate for Payer: Mclaren Medicaid |
$6,085.23
|
Rate for Payer: Meridian Medicaid |
$6,389.49
|
Rate for Payer: Priority Health Choice Medicaid |
$6,085.23
|
|
INPATIENT APRDRG 3163: HAND & WRIST PROCEDURES
|
Facility
|
IP
|
$9,859.29
|
|
Service Code
|
APR-DRG 3163
|
Hospital Charge Code |
APRDRG 3163
|
Min. Negotiated Rate |
$9,389.80 |
Max. Negotiated Rate |
$9,859.29 |
Rate for Payer: BCBS Complete |
$9,859.29
|
Rate for Payer: Mclaren Medicaid |
$9,389.80
|
Rate for Payer: Meridian Medicaid |
$9,859.29
|
Rate for Payer: Priority Health Choice Medicaid |
$9,389.80
|
|
INPATIENT APRDRG 3164: HAND & WRIST PROCEDURES
|
Facility
|
IP
|
$18,577.44
|
|
Service Code
|
APR-DRG 3164
|
Hospital Charge Code |
APRDRG 3164
|
Min. Negotiated Rate |
$17,692.80 |
Max. Negotiated Rate |
$18,577.44 |
Rate for Payer: BCBS Complete |
$18,577.44
|
Rate for Payer: Mclaren Medicaid |
$17,692.80
|
Rate for Payer: Meridian Medicaid |
$18,577.44
|
Rate for Payer: Priority Health Choice Medicaid |
$17,692.80
|
|