INPATIENT APRDRG 3252: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$12,655.79
|
|
Service Code
|
APR-DRG 3252
|
Hospital Charge Code |
APRDRG 3252
|
Min. Negotiated Rate |
$12,053.13 |
Max. Negotiated Rate |
$12,655.79 |
Rate for Payer: BCBS Complete |
$12,655.79
|
Rate for Payer: Mclaren Medicaid |
$12,053.13
|
Rate for Payer: Meridian Medicaid |
$12,655.79
|
Rate for Payer: Priority Health Choice Medicaid |
$12,053.13
|
|
INPATIENT APRDRG 3253: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$16,812.86
|
|
Service Code
|
APR-DRG 3253
|
Hospital Charge Code |
APRDRG 3253
|
Min. Negotiated Rate |
$16,012.25 |
Max. Negotiated Rate |
$16,812.86 |
Rate for Payer: BCBS Complete |
$16,812.86
|
Rate for Payer: Mclaren Medicaid |
$16,012.25
|
Rate for Payer: Meridian Medicaid |
$16,812.86
|
Rate for Payer: Priority Health Choice Medicaid |
$16,012.25
|
|
INPATIENT APRDRG 3254: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$24,610.82
|
|
Service Code
|
APR-DRG 3254
|
Hospital Charge Code |
APRDRG 3254
|
Min. Negotiated Rate |
$23,438.88 |
Max. Negotiated Rate |
$24,610.82 |
Rate for Payer: BCBS Complete |
$24,610.82
|
Rate for Payer: Mclaren Medicaid |
$23,438.88
|
Rate for Payer: Meridian Medicaid |
$24,610.82
|
Rate for Payer: Priority Health Choice Medicaid |
$23,438.88
|
|
INPATIENT APRDRG 3261: ELECTIVE KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$6,836.86
|
|
Service Code
|
APR-DRG 3261
|
Hospital Charge Code |
APRDRG 3261
|
Min. Negotiated Rate |
$6,511.30 |
Max. Negotiated Rate |
$6,836.86 |
Rate for Payer: BCBS Complete |
$6,836.86
|
Rate for Payer: Mclaren Medicaid |
$6,511.30
|
Rate for Payer: Meridian Medicaid |
$6,836.86
|
Rate for Payer: Priority Health Choice Medicaid |
$6,511.30
|
|
INPATIENT APRDRG 3262: ELECTIVE KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$7,617.91
|
|
Service Code
|
APR-DRG 3262
|
Hospital Charge Code |
APRDRG 3262
|
Min. Negotiated Rate |
$7,255.15 |
Max. Negotiated Rate |
$7,617.91 |
Rate for Payer: BCBS Complete |
$7,617.91
|
Rate for Payer: Mclaren Medicaid |
$7,255.15
|
Rate for Payer: Meridian Medicaid |
$7,617.91
|
Rate for Payer: Priority Health Choice Medicaid |
$7,255.15
|
|
INPATIENT APRDRG 3263: ELECTIVE KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$10,882.72
|
|
Service Code
|
APR-DRG 3263
|
Hospital Charge Code |
APRDRG 3263
|
Min. Negotiated Rate |
$10,364.50 |
Max. Negotiated Rate |
$10,882.72 |
Rate for Payer: BCBS Complete |
$10,882.72
|
Rate for Payer: Mclaren Medicaid |
$10,364.50
|
Rate for Payer: Meridian Medicaid |
$10,882.72
|
Rate for Payer: Priority Health Choice Medicaid |
$10,364.50
|
|
INPATIENT APRDRG 3264: ELECTIVE KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$16,607.88
|
|
Service Code
|
APR-DRG 3264
|
Hospital Charge Code |
APRDRG 3264
|
Min. Negotiated Rate |
$15,817.03 |
Max. Negotiated Rate |
$16,607.88 |
Rate for Payer: BCBS Complete |
$16,607.88
|
Rate for Payer: Mclaren Medicaid |
$15,817.03
|
Rate for Payer: Meridian Medicaid |
$16,607.88
|
Rate for Payer: Priority Health Choice Medicaid |
$15,817.03
|
|
INPATIENT APRDRG 3401: FRACTURE OF FEMUR
|
Facility
|
IP
|
$2,826.92
|
|
Service Code
|
APR-DRG 3401
|
Hospital Charge Code |
APRDRG 3401
|
Min. Negotiated Rate |
$2,692.30 |
Max. Negotiated Rate |
$2,826.92 |
Rate for Payer: BCBS Complete |
$2,826.92
|
Rate for Payer: Mclaren Medicaid |
$2,692.30
|
Rate for Payer: Meridian Medicaid |
$2,826.92
|
Rate for Payer: Priority Health Choice Medicaid |
$2,692.30
|
|
INPATIENT APRDRG 3402: FRACTURE OF FEMUR
|
Facility
|
IP
|
$3,528.16
|
|
Service Code
|
APR-DRG 3402
|
Hospital Charge Code |
APRDRG 3402
|
Min. Negotiated Rate |
$3,360.15 |
Max. Negotiated Rate |
$3,528.16 |
Rate for Payer: BCBS Complete |
$3,528.16
|
Rate for Payer: Mclaren Medicaid |
$3,360.15
|
Rate for Payer: Meridian Medicaid |
$3,528.16
|
Rate for Payer: Priority Health Choice Medicaid |
$3,360.15
|
|
INPATIENT APRDRG 3403: FRACTURE OF FEMUR
|
Facility
|
IP
|
$6,352.58
|
|
Service Code
|
APR-DRG 3403
|
Hospital Charge Code |
APRDRG 3403
|
Min. Negotiated Rate |
$6,050.08 |
Max. Negotiated Rate |
$6,352.58 |
Rate for Payer: BCBS Complete |
$6,352.58
|
Rate for Payer: Mclaren Medicaid |
$6,050.08
|
Rate for Payer: Meridian Medicaid |
$6,352.58
|
Rate for Payer: Priority Health Choice Medicaid |
$6,050.08
|
|
INPATIENT APRDRG 3404: FRACTURE OF FEMUR
|
Facility
|
IP
|
$10,256.30
|
|
Service Code
|
APR-DRG 3404
|
Hospital Charge Code |
APRDRG 3404
|
Min. Negotiated Rate |
$9,767.90 |
Max. Negotiated Rate |
$10,256.30 |
Rate for Payer: BCBS Complete |
$10,256.30
|
Rate for Payer: Mclaren Medicaid |
$9,767.90
|
Rate for Payer: Meridian Medicaid |
$10,256.30
|
Rate for Payer: Priority Health Choice Medicaid |
$9,767.90
|
|
INPATIENT APRDRG 3411: FRACTURE OF PELVIS OR DISLOCATION OF HIP
|
Facility
|
IP
|
$2,634.40
|
|
Service Code
|
APR-DRG 3411
|
Hospital Charge Code |
APRDRG 3411
|
Min. Negotiated Rate |
$2,508.95 |
Max. Negotiated Rate |
$2,634.40 |
Rate for Payer: BCBS Complete |
$2,634.40
|
Rate for Payer: Mclaren Medicaid |
$2,508.95
|
Rate for Payer: Meridian Medicaid |
$2,634.40
|
Rate for Payer: Priority Health Choice Medicaid |
$2,508.95
|
|
INPATIENT APRDRG 3412: FRACTURE OF PELVIS OR DISLOCATION OF HIP
|
Facility
|
IP
|
$3,524.67
|
|
Service Code
|
APR-DRG 3412
|
Hospital Charge Code |
APRDRG 3412
|
Min. Negotiated Rate |
$3,356.83 |
Max. Negotiated Rate |
$3,524.67 |
Rate for Payer: BCBS Complete |
$3,524.67
|
Rate for Payer: Mclaren Medicaid |
$3,356.83
|
Rate for Payer: Meridian Medicaid |
$3,524.67
|
Rate for Payer: Priority Health Choice Medicaid |
$3,356.83
|
|
INPATIENT APRDRG 3413: FRACTURE OF PELVIS OR DISLOCATION OF HIP
|
Facility
|
IP
|
$6,801.46
|
|
Service Code
|
APR-DRG 3413
|
Hospital Charge Code |
APRDRG 3413
|
Min. Negotiated Rate |
$6,477.58 |
Max. Negotiated Rate |
$6,801.46 |
Rate for Payer: BCBS Complete |
$6,801.46
|
Rate for Payer: Mclaren Medicaid |
$6,477.58
|
Rate for Payer: Meridian Medicaid |
$6,801.46
|
Rate for Payer: Priority Health Choice Medicaid |
$6,477.58
|
|
INPATIENT APRDRG 3414: FRACTURE OF PELVIS OR DISLOCATION OF HIP
|
Facility
|
IP
|
$11,760.03
|
|
Service Code
|
APR-DRG 3414
|
Hospital Charge Code |
APRDRG 3414
|
Min. Negotiated Rate |
$11,200.03 |
Max. Negotiated Rate |
$11,760.03 |
Rate for Payer: BCBS Complete |
$11,760.03
|
Rate for Payer: Mclaren Medicaid |
$11,200.03
|
Rate for Payer: Meridian Medicaid |
$11,760.03
|
Rate for Payer: Priority Health Choice Medicaid |
$11,200.03
|
|
INPATIENT APRDRG 3421: FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK
|
Facility
|
IP
|
$3,897.23
|
|
Service Code
|
APR-DRG 3421
|
Hospital Charge Code |
APRDRG 3421
|
Min. Negotiated Rate |
$3,711.65 |
Max. Negotiated Rate |
$3,897.23 |
Rate for Payer: BCBS Complete |
$3,897.23
|
Rate for Payer: Mclaren Medicaid |
$3,711.65
|
Rate for Payer: Meridian Medicaid |
$3,897.23
|
Rate for Payer: Priority Health Choice Medicaid |
$3,711.65
|
|
INPATIENT APRDRG 3422: FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK
|
Facility
|
IP
|
$4,432.89
|
|
Service Code
|
APR-DRG 3422
|
Hospital Charge Code |
APRDRG 3422
|
Min. Negotiated Rate |
$4,221.80 |
Max. Negotiated Rate |
$4,432.89 |
Rate for Payer: BCBS Complete |
$4,432.89
|
Rate for Payer: Mclaren Medicaid |
$4,221.80
|
Rate for Payer: Meridian Medicaid |
$4,432.89
|
Rate for Payer: Priority Health Choice Medicaid |
$4,221.80
|
|
INPATIENT APRDRG 3423: FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK
|
Facility
|
IP
|
$6,013.93
|
|
Service Code
|
APR-DRG 3423
|
Hospital Charge Code |
APRDRG 3423
|
Min. Negotiated Rate |
$5,727.55 |
Max. Negotiated Rate |
$6,013.93 |
Rate for Payer: BCBS Complete |
$6,013.93
|
Rate for Payer: Mclaren Medicaid |
$5,727.55
|
Rate for Payer: Meridian Medicaid |
$6,013.93
|
Rate for Payer: Priority Health Choice Medicaid |
$5,727.55
|
|
INPATIENT APRDRG 3424: FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK
|
Facility
|
IP
|
$10,676.75
|
|
Service Code
|
APR-DRG 3424
|
Hospital Charge Code |
APRDRG 3424
|
Min. Negotiated Rate |
$10,168.33 |
Max. Negotiated Rate |
$10,676.75 |
Rate for Payer: BCBS Complete |
$10,676.75
|
Rate for Payer: Mclaren Medicaid |
$10,168.33
|
Rate for Payer: Meridian Medicaid |
$10,676.75
|
Rate for Payer: Priority Health Choice Medicaid |
$10,168.33
|
|
INPATIENT APRDRG 3431: MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG
|
Facility
|
IP
|
$5,012.44
|
|
Service Code
|
APR-DRG 3431
|
Hospital Charge Code |
APRDRG 3431
|
Min. Negotiated Rate |
$4,773.75 |
Max. Negotiated Rate |
$5,012.44 |
Rate for Payer: BCBS Complete |
$5,012.44
|
Rate for Payer: Mclaren Medicaid |
$4,773.75
|
Rate for Payer: Meridian Medicaid |
$5,012.44
|
Rate for Payer: Priority Health Choice Medicaid |
$4,773.75
|
|
INPATIENT APRDRG 3432: MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG
|
Facility
|
IP
|
$5,878.27
|
|
Service Code
|
APR-DRG 3432
|
Hospital Charge Code |
APRDRG 3432
|
Min. Negotiated Rate |
$5,598.35 |
Max. Negotiated Rate |
$5,878.27 |
Rate for Payer: BCBS Complete |
$5,878.27
|
Rate for Payer: Mclaren Medicaid |
$5,598.35
|
Rate for Payer: Meridian Medicaid |
$5,878.27
|
Rate for Payer: Priority Health Choice Medicaid |
$5,598.35
|
|
INPATIENT APRDRG 3433: MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG
|
Facility
|
IP
|
$8,741.60
|
|
Service Code
|
APR-DRG 3433
|
Hospital Charge Code |
APRDRG 3433
|
Min. Negotiated Rate |
$8,325.33 |
Max. Negotiated Rate |
$8,741.60 |
Rate for Payer: BCBS Complete |
$8,741.60
|
Rate for Payer: Mclaren Medicaid |
$8,325.33
|
Rate for Payer: Meridian Medicaid |
$8,741.60
|
Rate for Payer: Priority Health Choice Medicaid |
$8,325.33
|
|
INPATIENT APRDRG 3434: MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG
|
Facility
|
IP
|
$15,101.15
|
|
Service Code
|
APR-DRG 3434
|
Hospital Charge Code |
APRDRG 3434
|
Min. Negotiated Rate |
$14,382.05 |
Max. Negotiated Rate |
$15,101.15 |
Rate for Payer: BCBS Complete |
$15,101.15
|
Rate for Payer: Mclaren Medicaid |
$14,382.05
|
Rate for Payer: Meridian Medicaid |
$15,101.15
|
Rate for Payer: Priority Health Choice Medicaid |
$14,382.05
|
|
INPATIENT APRDRG 3441: OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS
|
Facility
|
IP
|
$3,246.86
|
|
Service Code
|
APR-DRG 3441
|
Hospital Charge Code |
APRDRG 3441
|
Min. Negotiated Rate |
$3,092.25 |
Max. Negotiated Rate |
$3,246.86 |
Rate for Payer: BCBS Complete |
$3,246.86
|
Rate for Payer: Mclaren Medicaid |
$3,092.25
|
Rate for Payer: Meridian Medicaid |
$3,246.86
|
Rate for Payer: Priority Health Choice Medicaid |
$3,092.25
|
|
INPATIENT APRDRG 3442: OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS
|
Facility
|
IP
|
$4,643.87
|
|
Service Code
|
APR-DRG 3442
|
Hospital Charge Code |
APRDRG 3442
|
Min. Negotiated Rate |
$4,422.73 |
Max. Negotiated Rate |
$4,643.87 |
Rate for Payer: BCBS Complete |
$4,643.87
|
Rate for Payer: Mclaren Medicaid |
$4,422.73
|
Rate for Payer: Meridian Medicaid |
$4,643.87
|
Rate for Payer: Priority Health Choice Medicaid |
$4,422.73
|
|