INPATIENT APRDRG 3171: TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES
|
Facility
|
IP
|
$6,387.50
|
|
Service Code
|
APR-DRG 3171
|
Hospital Charge Code |
APRDRG 3171
|
Min. Negotiated Rate |
$6,083.33 |
Max. Negotiated Rate |
$6,387.50 |
Rate for Payer: BCBS Complete |
$6,387.50
|
Rate for Payer: Mclaren Medicaid |
$6,083.33
|
Rate for Payer: Meridian Medicaid |
$6,387.50
|
Rate for Payer: Priority Health Choice Medicaid |
$6,083.33
|
|
INPATIENT APRDRG 3172: TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES
|
Facility
|
IP
|
$8,252.82
|
|
Service Code
|
APR-DRG 3172
|
Hospital Charge Code |
APRDRG 3172
|
Min. Negotiated Rate |
$7,859.83 |
Max. Negotiated Rate |
$8,252.82 |
Rate for Payer: BCBS Complete |
$8,252.82
|
Rate for Payer: Mclaren Medicaid |
$7,859.83
|
Rate for Payer: Meridian Medicaid |
$8,252.82
|
Rate for Payer: Priority Health Choice Medicaid |
$7,859.83
|
|
INPATIENT APRDRG 3173: TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES
|
Facility
|
IP
|
$10,663.28
|
|
Service Code
|
APR-DRG 3173
|
Hospital Charge Code |
APRDRG 3173
|
Min. Negotiated Rate |
$10,155.50 |
Max. Negotiated Rate |
$10,663.28 |
Rate for Payer: BCBS Complete |
$10,663.28
|
Rate for Payer: Mclaren Medicaid |
$10,155.50
|
Rate for Payer: Meridian Medicaid |
$10,663.28
|
Rate for Payer: Priority Health Choice Medicaid |
$10,155.50
|
|
INPATIENT APRDRG 3174: TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES
|
Facility
|
IP
|
$18,490.66
|
|
Service Code
|
APR-DRG 3174
|
Hospital Charge Code |
APRDRG 3174
|
Min. Negotiated Rate |
$17,610.15 |
Max. Negotiated Rate |
$18,490.66 |
Rate for Payer: BCBS Complete |
$18,490.66
|
Rate for Payer: Mclaren Medicaid |
$17,610.15
|
Rate for Payer: Meridian Medicaid |
$18,490.66
|
Rate for Payer: Priority Health Choice Medicaid |
$17,610.15
|
|
INPATIENT APRDRG 3201: OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$6,614.42
|
|
Service Code
|
APR-DRG 3201
|
Hospital Charge Code |
APRDRG 3201
|
Min. Negotiated Rate |
$6,299.45 |
Max. Negotiated Rate |
$6,614.42 |
Rate for Payer: BCBS Complete |
$6,614.42
|
Rate for Payer: Mclaren Medicaid |
$6,299.45
|
Rate for Payer: Meridian Medicaid |
$6,614.42
|
Rate for Payer: Priority Health Choice Medicaid |
$6,299.45
|
|
INPATIENT APRDRG 3202: OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$8,967.03
|
|
Service Code
|
APR-DRG 3202
|
Hospital Charge Code |
APRDRG 3202
|
Min. Negotiated Rate |
$8,540.03 |
Max. Negotiated Rate |
$8,967.03 |
Rate for Payer: BCBS Complete |
$8,967.03
|
Rate for Payer: Mclaren Medicaid |
$8,540.03
|
Rate for Payer: Meridian Medicaid |
$8,967.03
|
Rate for Payer: Priority Health Choice Medicaid |
$8,540.03
|
|
INPATIENT APRDRG 3203: OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$11,445.82
|
|
Service Code
|
APR-DRG 3203
|
Hospital Charge Code |
APRDRG 3203
|
Min. Negotiated Rate |
$10,900.78 |
Max. Negotiated Rate |
$11,445.82 |
Rate for Payer: BCBS Complete |
$11,445.82
|
Rate for Payer: Mclaren Medicaid |
$10,900.78
|
Rate for Payer: Meridian Medicaid |
$11,445.82
|
Rate for Payer: Priority Health Choice Medicaid |
$10,900.78
|
|
INPATIENT APRDRG 3204: OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$21,807.85
|
|
Service Code
|
APR-DRG 3204
|
Hospital Charge Code |
APRDRG 3204
|
Min. Negotiated Rate |
$20,769.38 |
Max. Negotiated Rate |
$21,807.85 |
Rate for Payer: BCBS Complete |
$21,807.85
|
Rate for Payer: Mclaren Medicaid |
$20,769.38
|
Rate for Payer: Meridian Medicaid |
$21,807.85
|
Rate for Payer: Priority Health Choice Medicaid |
$20,769.38
|
|
INPATIENT APRDRG 3211: CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP
|
Facility
|
IP
|
$9,329.62
|
|
Service Code
|
APR-DRG 3211
|
Hospital Charge Code |
APRDRG 3211
|
Min. Negotiated Rate |
$8,885.35 |
Max. Negotiated Rate |
$9,329.62 |
Rate for Payer: BCBS Complete |
$9,329.62
|
Rate for Payer: Mclaren Medicaid |
$8,885.35
|
Rate for Payer: Meridian Medicaid |
$9,329.62
|
Rate for Payer: Priority Health Choice Medicaid |
$8,885.35
|
|
INPATIENT APRDRG 3212: CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP
|
Facility
|
IP
|
$11,178.49
|
|
Service Code
|
APR-DRG 3212
|
Hospital Charge Code |
APRDRG 3212
|
Min. Negotiated Rate |
$10,646.18 |
Max. Negotiated Rate |
$11,178.49 |
Rate for Payer: BCBS Complete |
$11,178.49
|
Rate for Payer: Mclaren Medicaid |
$10,646.18
|
Rate for Payer: Meridian Medicaid |
$11,178.49
|
Rate for Payer: Priority Health Choice Medicaid |
$10,646.18
|
|
INPATIENT APRDRG 3213: CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP
|
Facility
|
IP
|
$16,493.66
|
|
Service Code
|
APR-DRG 3213
|
Hospital Charge Code |
APRDRG 3213
|
Min. Negotiated Rate |
$15,708.25 |
Max. Negotiated Rate |
$16,493.66 |
Rate for Payer: BCBS Complete |
$16,493.66
|
Rate for Payer: Mclaren Medicaid |
$15,708.25
|
Rate for Payer: Meridian Medicaid |
$16,493.66
|
Rate for Payer: Priority Health Choice Medicaid |
$15,708.25
|
|
INPATIENT APRDRG 3214: CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP
|
Facility
|
IP
|
$23,046.24
|
|
Service Code
|
APR-DRG 3214
|
Hospital Charge Code |
APRDRG 3214
|
Min. Negotiated Rate |
$21,948.80 |
Max. Negotiated Rate |
$23,046.24 |
Rate for Payer: BCBS Complete |
$23,046.24
|
Rate for Payer: Mclaren Medicaid |
$21,948.80
|
Rate for Payer: Meridian Medicaid |
$23,046.24
|
Rate for Payer: Priority Health Choice Medicaid |
$21,948.80
|
|
INPATIENT APRDRG 3221: SHOULDER & ELBOW JOINT REPLACEMENT
|
Facility
|
IP
|
$8,383.99
|
|
Service Code
|
APR-DRG 3221
|
Hospital Charge Code |
APRDRG 3221
|
Min. Negotiated Rate |
$7,984.75 |
Max. Negotiated Rate |
$8,383.99 |
Rate for Payer: BCBS Complete |
$8,383.99
|
Rate for Payer: Mclaren Medicaid |
$7,984.75
|
Rate for Payer: Meridian Medicaid |
$8,383.99
|
Rate for Payer: Priority Health Choice Medicaid |
$7,984.75
|
|
INPATIENT APRDRG 3222: SHOULDER & ELBOW JOINT REPLACEMENT
|
Facility
|
IP
|
$9,354.56
|
|
Service Code
|
APR-DRG 3222
|
Hospital Charge Code |
APRDRG 3222
|
Min. Negotiated Rate |
$8,909.10 |
Max. Negotiated Rate |
$9,354.56 |
Rate for Payer: BCBS Complete |
$9,354.56
|
Rate for Payer: Mclaren Medicaid |
$8,909.10
|
Rate for Payer: Meridian Medicaid |
$9,354.56
|
Rate for Payer: Priority Health Choice Medicaid |
$8,909.10
|
|
INPATIENT APRDRG 3223: SHOULDER & ELBOW JOINT REPLACEMENT
|
Facility
|
IP
|
$13,501.16
|
|
Service Code
|
APR-DRG 3223
|
Hospital Charge Code |
APRDRG 3223
|
Min. Negotiated Rate |
$12,858.25 |
Max. Negotiated Rate |
$13,501.16 |
Rate for Payer: BCBS Complete |
$13,501.16
|
Rate for Payer: Mclaren Medicaid |
$12,858.25
|
Rate for Payer: Meridian Medicaid |
$13,501.16
|
Rate for Payer: Priority Health Choice Medicaid |
$12,858.25
|
|
INPATIENT APRDRG 3224: SHOULDER & ELBOW JOINT REPLACEMENT
|
Facility
|
IP
|
$18,979.43
|
|
Service Code
|
APR-DRG 3224
|
Hospital Charge Code |
APRDRG 3224
|
Min. Negotiated Rate |
$18,075.65 |
Max. Negotiated Rate |
$18,979.43 |
Rate for Payer: BCBS Complete |
$18,979.43
|
Rate for Payer: Mclaren Medicaid |
$18,075.65
|
Rate for Payer: Meridian Medicaid |
$18,979.43
|
Rate for Payer: Priority Health Choice Medicaid |
$18,075.65
|
|
INPATIENT APRDRG 3231: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$8,268.28
|
|
Service Code
|
APR-DRG 3231
|
Hospital Charge Code |
APRDRG 3231
|
Min. Negotiated Rate |
$7,874.55 |
Max. Negotiated Rate |
$8,268.28 |
Rate for Payer: BCBS Complete |
$8,268.28
|
Rate for Payer: Mclaren Medicaid |
$7,874.55
|
Rate for Payer: Meridian Medicaid |
$8,268.28
|
Rate for Payer: Priority Health Choice Medicaid |
$7,874.55
|
|
INPATIENT APRDRG 3232: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$9,481.74
|
|
Service Code
|
APR-DRG 3232
|
Hospital Charge Code |
APRDRG 3232
|
Min. Negotiated Rate |
$9,030.23 |
Max. Negotiated Rate |
$9,481.74 |
Rate for Payer: BCBS Complete |
$9,481.74
|
Rate for Payer: Mclaren Medicaid |
$9,030.23
|
Rate for Payer: Meridian Medicaid |
$9,481.74
|
Rate for Payer: Priority Health Choice Medicaid |
$9,030.23
|
|
INPATIENT APRDRG 3233: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$13,116.63
|
|
Service Code
|
APR-DRG 3233
|
Hospital Charge Code |
APRDRG 3233
|
Min. Negotiated Rate |
$12,492.03 |
Max. Negotiated Rate |
$13,116.63 |
Rate for Payer: BCBS Complete |
$13,116.63
|
Rate for Payer: Mclaren Medicaid |
$12,492.03
|
Rate for Payer: Meridian Medicaid |
$13,116.63
|
Rate for Payer: Priority Health Choice Medicaid |
$12,492.03
|
|
INPATIENT APRDRG 3234: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$18,956.49
|
|
Service Code
|
APR-DRG 3234
|
Hospital Charge Code |
APRDRG 3234
|
Min. Negotiated Rate |
$18,053.80 |
Max. Negotiated Rate |
$18,956.49 |
Rate for Payer: BCBS Complete |
$18,956.49
|
Rate for Payer: Mclaren Medicaid |
$18,053.80
|
Rate for Payer: Meridian Medicaid |
$18,956.49
|
Rate for Payer: Priority Health Choice Medicaid |
$18,053.80
|
|
INPATIENT APRDRG 3241: ELECTIVE HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$6,940.11
|
|
Service Code
|
APR-DRG 3241
|
Hospital Charge Code |
APRDRG 3241
|
Min. Negotiated Rate |
$6,609.63 |
Max. Negotiated Rate |
$6,940.11 |
Rate for Payer: BCBS Complete |
$6,940.11
|
Rate for Payer: Mclaren Medicaid |
$6,609.63
|
Rate for Payer: Meridian Medicaid |
$6,940.11
|
Rate for Payer: Priority Health Choice Medicaid |
$6,609.63
|
|
INPATIENT APRDRG 3242: ELECTIVE HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$7,926.64
|
|
Service Code
|
APR-DRG 3242
|
Hospital Charge Code |
APRDRG 3242
|
Min. Negotiated Rate |
$7,549.18 |
Max. Negotiated Rate |
$7,926.64 |
Rate for Payer: BCBS Complete |
$7,926.64
|
Rate for Payer: Mclaren Medicaid |
$7,549.18
|
Rate for Payer: Meridian Medicaid |
$7,926.64
|
Rate for Payer: Priority Health Choice Medicaid |
$7,549.18
|
|
INPATIENT APRDRG 3243: ELECTIVE HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$11,833.85
|
|
Service Code
|
APR-DRG 3243
|
Hospital Charge Code |
APRDRG 3243
|
Min. Negotiated Rate |
$11,270.33 |
Max. Negotiated Rate |
$11,833.85 |
Rate for Payer: BCBS Complete |
$11,833.85
|
Rate for Payer: Mclaren Medicaid |
$11,270.33
|
Rate for Payer: Meridian Medicaid |
$11,833.85
|
Rate for Payer: Priority Health Choice Medicaid |
$11,270.33
|
|
INPATIENT APRDRG 3244: ELECTIVE HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$19,949.00
|
|
Service Code
|
APR-DRG 3244
|
Hospital Charge Code |
APRDRG 3244
|
Min. Negotiated Rate |
$18,999.05 |
Max. Negotiated Rate |
$19,949.00 |
Rate for Payer: BCBS Complete |
$19,949.00
|
Rate for Payer: Mclaren Medicaid |
$18,999.05
|
Rate for Payer: Meridian Medicaid |
$19,949.00
|
Rate for Payer: Priority Health Choice Medicaid |
$18,999.05
|
|
INPATIENT APRDRG 3251: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$10,868.27
|
|
Service Code
|
APR-DRG 3251
|
Hospital Charge Code |
APRDRG 3251
|
Min. Negotiated Rate |
$10,350.73 |
Max. Negotiated Rate |
$10,868.27 |
Rate for Payer: BCBS Complete |
$10,868.27
|
Rate for Payer: Mclaren Medicaid |
$10,350.73
|
Rate for Payer: Meridian Medicaid |
$10,868.27
|
Rate for Payer: Priority Health Choice Medicaid |
$10,350.73
|
|