INPATIENT APRDRG 3443: OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS
|
Facility
|
IP
|
$6,212.93
|
|
Service Code
|
APR-DRG 3443
|
Hospital Charge Code |
APRDRG 3443
|
Min. Negotiated Rate |
$5,917.08 |
Max. Negotiated Rate |
$6,212.93 |
Rate for Payer: BCBS Complete |
$6,212.93
|
Rate for Payer: Mclaren Medicaid |
$5,917.08
|
Rate for Payer: Meridian Medicaid |
$6,212.93
|
Rate for Payer: Priority Health Choice Medicaid |
$5,917.08
|
|
INPATIENT APRDRG 3444: OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS
|
Facility
|
IP
|
$7,712.67
|
|
Service Code
|
APR-DRG 3444
|
Hospital Charge Code |
APRDRG 3444
|
Min. Negotiated Rate |
$7,345.40 |
Max. Negotiated Rate |
$7,712.67 |
Rate for Payer: BCBS Complete |
$7,712.67
|
Rate for Payer: Mclaren Medicaid |
$7,345.40
|
Rate for Payer: Meridian Medicaid |
$7,712.67
|
Rate for Payer: Priority Health Choice Medicaid |
$7,345.40
|
|
INPATIENT APRDRG 3461: CONNECTIVE TISSUE DISORDERS
|
Facility
|
IP
|
$4,463.32
|
|
Service Code
|
APR-DRG 3461
|
Hospital Charge Code |
APRDRG 3461
|
Min. Negotiated Rate |
$4,250.78 |
Max. Negotiated Rate |
$4,463.32 |
Rate for Payer: BCBS Complete |
$4,463.32
|
Rate for Payer: Mclaren Medicaid |
$4,250.78
|
Rate for Payer: Meridian Medicaid |
$4,463.32
|
Rate for Payer: Priority Health Choice Medicaid |
$4,250.78
|
|
INPATIENT APRDRG 3462: CONNECTIVE TISSUE DISORDERS
|
Facility
|
IP
|
$5,182.52
|
|
Service Code
|
APR-DRG 3462
|
Hospital Charge Code |
APRDRG 3462
|
Min. Negotiated Rate |
$4,935.73 |
Max. Negotiated Rate |
$5,182.52 |
Rate for Payer: BCBS Complete |
$5,182.52
|
Rate for Payer: Mclaren Medicaid |
$4,935.73
|
Rate for Payer: Meridian Medicaid |
$5,182.52
|
Rate for Payer: Priority Health Choice Medicaid |
$4,935.73
|
|
INPATIENT APRDRG 3463: CONNECTIVE TISSUE DISORDERS
|
Facility
|
IP
|
$7,022.40
|
|
Service Code
|
APR-DRG 3463
|
Hospital Charge Code |
APRDRG 3463
|
Min. Negotiated Rate |
$6,688.00 |
Max. Negotiated Rate |
$7,022.40 |
Rate for Payer: BCBS Complete |
$7,022.40
|
Rate for Payer: Mclaren Medicaid |
$6,688.00
|
Rate for Payer: Meridian Medicaid |
$7,022.40
|
Rate for Payer: Priority Health Choice Medicaid |
$6,688.00
|
|
INPATIENT APRDRG 3464: CONNECTIVE TISSUE DISORDERS
|
Facility
|
IP
|
$14,668.74
|
|
Service Code
|
APR-DRG 3464
|
Hospital Charge Code |
APRDRG 3464
|
Min. Negotiated Rate |
$13,970.23 |
Max. Negotiated Rate |
$14,668.74 |
Rate for Payer: BCBS Complete |
$14,668.74
|
Rate for Payer: Mclaren Medicaid |
$13,970.23
|
Rate for Payer: Meridian Medicaid |
$14,668.74
|
Rate for Payer: Priority Health Choice Medicaid |
$13,970.23
|
|
INPATIENT APRDRG 3471: OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES
|
Facility
|
IP
|
$4,500.23
|
|
Service Code
|
APR-DRG 3471
|
Hospital Charge Code |
APRDRG 3471
|
Min. Negotiated Rate |
$4,285.93 |
Max. Negotiated Rate |
$4,500.23 |
Rate for Payer: BCBS Complete |
$4,500.23
|
Rate for Payer: Mclaren Medicaid |
$4,285.93
|
Rate for Payer: Meridian Medicaid |
$4,500.23
|
Rate for Payer: Priority Health Choice Medicaid |
$4,285.93
|
|
INPATIENT APRDRG 3472: OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES
|
Facility
|
IP
|
$4,926.65
|
|
Service Code
|
APR-DRG 3472
|
Hospital Charge Code |
APRDRG 3472
|
Min. Negotiated Rate |
$4,692.05 |
Max. Negotiated Rate |
$4,926.65 |
Rate for Payer: BCBS Complete |
$4,926.65
|
Rate for Payer: Mclaren Medicaid |
$4,692.05
|
Rate for Payer: Meridian Medicaid |
$4,926.65
|
Rate for Payer: Priority Health Choice Medicaid |
$4,692.05
|
|
INPATIENT APRDRG 3473: OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES
|
Facility
|
IP
|
$6,241.36
|
|
Service Code
|
APR-DRG 3473
|
Hospital Charge Code |
APRDRG 3473
|
Min. Negotiated Rate |
$5,944.15 |
Max. Negotiated Rate |
$6,241.36 |
Rate for Payer: BCBS Complete |
$6,241.36
|
Rate for Payer: Mclaren Medicaid |
$5,944.15
|
Rate for Payer: Meridian Medicaid |
$6,241.36
|
Rate for Payer: Priority Health Choice Medicaid |
$5,944.15
|
|
INPATIENT APRDRG 3474: OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES
|
Facility
|
IP
|
$8,582.49
|
|
Service Code
|
APR-DRG 3474
|
Hospital Charge Code |
APRDRG 3474
|
Min. Negotiated Rate |
$8,173.80 |
Max. Negotiated Rate |
$8,582.49 |
Rate for Payer: BCBS Complete |
$8,582.49
|
Rate for Payer: Mclaren Medicaid |
$8,173.80
|
Rate for Payer: Meridian Medicaid |
$8,582.49
|
Rate for Payer: Priority Health Choice Medicaid |
$8,173.80
|
|
INPATIENT APRDRG 3491: MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$3,882.27
|
|
Service Code
|
APR-DRG 3491
|
Hospital Charge Code |
APRDRG 3491
|
Min. Negotiated Rate |
$3,697.40 |
Max. Negotiated Rate |
$3,882.27 |
Rate for Payer: BCBS Complete |
$3,882.27
|
Rate for Payer: Mclaren Medicaid |
$3,697.40
|
Rate for Payer: Meridian Medicaid |
$3,882.27
|
Rate for Payer: Priority Health Choice Medicaid |
$3,697.40
|
|
INPATIENT APRDRG 3492: MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$5,464.30
|
|
Service Code
|
APR-DRG 3492
|
Hospital Charge Code |
APRDRG 3492
|
Min. Negotiated Rate |
$5,204.10 |
Max. Negotiated Rate |
$5,464.30 |
Rate for Payer: BCBS Complete |
$5,464.30
|
Rate for Payer: Mclaren Medicaid |
$5,204.10
|
Rate for Payer: Meridian Medicaid |
$5,464.30
|
Rate for Payer: Priority Health Choice Medicaid |
$5,204.10
|
|
INPATIENT APRDRG 3493: MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$5,744.11
|
|
Service Code
|
APR-DRG 3493
|
Hospital Charge Code |
APRDRG 3493
|
Min. Negotiated Rate |
$5,470.58 |
Max. Negotiated Rate |
$5,744.11 |
Rate for Payer: BCBS Complete |
$5,744.11
|
Rate for Payer: Mclaren Medicaid |
$5,470.58
|
Rate for Payer: Meridian Medicaid |
$5,744.11
|
Rate for Payer: Priority Health Choice Medicaid |
$5,470.58
|
|
INPATIENT APRDRG 3494: MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$10,511.16
|
|
Service Code
|
APR-DRG 3494
|
Hospital Charge Code |
APRDRG 3494
|
Min. Negotiated Rate |
$10,010.63 |
Max. Negotiated Rate |
$10,511.16 |
Rate for Payer: BCBS Complete |
$10,511.16
|
Rate for Payer: Mclaren Medicaid |
$10,010.63
|
Rate for Payer: Meridian Medicaid |
$10,511.16
|
Rate for Payer: Priority Health Choice Medicaid |
$10,010.63
|
|
INPATIENT APRDRG 3511: OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$2,605.97
|
|
Service Code
|
APR-DRG 3511
|
Hospital Charge Code |
APRDRG 3511
|
Min. Negotiated Rate |
$2,481.88 |
Max. Negotiated Rate |
$2,605.97 |
Rate for Payer: BCBS Complete |
$2,605.97
|
Rate for Payer: Mclaren Medicaid |
$2,481.88
|
Rate for Payer: Meridian Medicaid |
$2,605.97
|
Rate for Payer: Priority Health Choice Medicaid |
$2,481.88
|
|
INPATIENT APRDRG 3512: OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$2,960.58
|
|
Service Code
|
APR-DRG 3512
|
Hospital Charge Code |
APRDRG 3512
|
Min. Negotiated Rate |
$2,819.60 |
Max. Negotiated Rate |
$2,960.58 |
Rate for Payer: BCBS Complete |
$2,960.58
|
Rate for Payer: Mclaren Medicaid |
$2,819.60
|
Rate for Payer: Meridian Medicaid |
$2,960.58
|
Rate for Payer: Priority Health Choice Medicaid |
$2,819.60
|
|
INPATIENT APRDRG 3513: OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$4,883.27
|
|
Service Code
|
APR-DRG 3513
|
Hospital Charge Code |
APRDRG 3513
|
Min. Negotiated Rate |
$4,650.73 |
Max. Negotiated Rate |
$4,883.27 |
Rate for Payer: BCBS Complete |
$4,883.27
|
Rate for Payer: Mclaren Medicaid |
$4,650.73
|
Rate for Payer: Meridian Medicaid |
$4,883.27
|
Rate for Payer: Priority Health Choice Medicaid |
$4,650.73
|
|
INPATIENT APRDRG 3514: OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$7,238.36
|
|
Service Code
|
APR-DRG 3514
|
Hospital Charge Code |
APRDRG 3514
|
Min. Negotiated Rate |
$6,893.68 |
Max. Negotiated Rate |
$7,238.36 |
Rate for Payer: BCBS Complete |
$7,238.36
|
Rate for Payer: Mclaren Medicaid |
$6,893.68
|
Rate for Payer: Meridian Medicaid |
$7,238.36
|
Rate for Payer: Priority Health Choice Medicaid |
$6,893.68
|
|
INPATIENT APRDRG 3611: SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES
|
Facility
|
IP
|
$10,566.02
|
|
Service Code
|
APR-DRG 3611
|
Hospital Charge Code |
APRDRG 3611
|
Min. Negotiated Rate |
$10,062.88 |
Max. Negotiated Rate |
$10,566.02 |
Rate for Payer: BCBS Complete |
$10,566.02
|
Rate for Payer: Mclaren Medicaid |
$10,062.88
|
Rate for Payer: Meridian Medicaid |
$10,566.02
|
Rate for Payer: Priority Health Choice Medicaid |
$10,062.88
|
|
INPATIENT APRDRG 3612: SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES
|
Facility
|
IP
|
$13,434.33
|
|
Service Code
|
APR-DRG 3612
|
Hospital Charge Code |
APRDRG 3612
|
Min. Negotiated Rate |
$12,794.60 |
Max. Negotiated Rate |
$13,434.33 |
Rate for Payer: BCBS Complete |
$13,434.33
|
Rate for Payer: Mclaren Medicaid |
$12,794.60
|
Rate for Payer: Meridian Medicaid |
$13,434.33
|
Rate for Payer: Priority Health Choice Medicaid |
$12,794.60
|
|
INPATIENT APRDRG 3613: SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES
|
Facility
|
IP
|
$16,870.22
|
|
Service Code
|
APR-DRG 3613
|
Hospital Charge Code |
APRDRG 3613
|
Min. Negotiated Rate |
$16,066.88 |
Max. Negotiated Rate |
$16,870.22 |
Rate for Payer: BCBS Complete |
$16,870.22
|
Rate for Payer: Mclaren Medicaid |
$16,066.88
|
Rate for Payer: Meridian Medicaid |
$16,870.22
|
Rate for Payer: Priority Health Choice Medicaid |
$16,066.88
|
|
INPATIENT APRDRG 3614: SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES
|
Facility
|
IP
|
$36,314.98
|
|
Service Code
|
APR-DRG 3614
|
Hospital Charge Code |
APRDRG 3614
|
Min. Negotiated Rate |
$34,585.70 |
Max. Negotiated Rate |
$36,314.98 |
Rate for Payer: BCBS Complete |
$36,314.98
|
Rate for Payer: Mclaren Medicaid |
$34,585.70
|
Rate for Payer: Meridian Medicaid |
$36,314.98
|
Rate for Payer: Priority Health Choice Medicaid |
$34,585.70
|
|
INPATIENT APRDRG 3621: MASTECTOMY PROCEDURES
|
Facility
|
IP
|
$9,155.56
|
|
Service Code
|
APR-DRG 3621
|
Hospital Charge Code |
APRDRG 3621
|
Min. Negotiated Rate |
$8,719.58 |
Max. Negotiated Rate |
$9,155.56 |
Rate for Payer: BCBS Complete |
$9,155.56
|
Rate for Payer: Mclaren Medicaid |
$8,719.58
|
Rate for Payer: Meridian Medicaid |
$9,155.56
|
Rate for Payer: Priority Health Choice Medicaid |
$8,719.58
|
|
INPATIENT APRDRG 3622: MASTECTOMY PROCEDURES
|
Facility
|
IP
|
$12,816.38
|
|
Service Code
|
APR-DRG 3622
|
Hospital Charge Code |
APRDRG 3622
|
Min. Negotiated Rate |
$12,206.08 |
Max. Negotiated Rate |
$12,816.38 |
Rate for Payer: BCBS Complete |
$12,816.38
|
Rate for Payer: Mclaren Medicaid |
$12,206.08
|
Rate for Payer: Meridian Medicaid |
$12,816.38
|
Rate for Payer: Priority Health Choice Medicaid |
$12,206.08
|
|
INPATIENT APRDRG 3623: MASTECTOMY PROCEDURES
|
Facility
|
IP
|
$13,253.78
|
|
Service Code
|
APR-DRG 3623
|
Hospital Charge Code |
APRDRG 3623
|
Min. Negotiated Rate |
$12,622.65 |
Max. Negotiated Rate |
$13,253.78 |
Rate for Payer: BCBS Complete |
$13,253.78
|
Rate for Payer: Mclaren Medicaid |
$12,622.65
|
Rate for Payer: Meridian Medicaid |
$13,253.78
|
Rate for Payer: Priority Health Choice Medicaid |
$12,622.65
|
|