INPATIENT APRDRG 3624: MASTECTOMY PROCEDURES
|
Facility
|
IP
|
$17,267.72
|
|
Service Code
|
APR-DRG 3624
|
Hospital Charge Code |
APRDRG 3624
|
Min. Negotiated Rate |
$16,445.45 |
Max. Negotiated Rate |
$17,267.72 |
Rate for Payer: BCBS Complete |
$17,267.72
|
Rate for Payer: Mclaren Medicaid |
$16,445.45
|
Rate for Payer: Meridian Medicaid |
$17,267.72
|
Rate for Payer: Priority Health Choice Medicaid |
$16,445.45
|
|
INPATIENT APRDRG 3631: BREAST PROCEDURES EXCEPT MASTECTOMY
|
Facility
|
IP
|
$6,961.06
|
|
Service Code
|
APR-DRG 3631
|
Hospital Charge Code |
APRDRG 3631
|
Min. Negotiated Rate |
$6,629.58 |
Max. Negotiated Rate |
$6,961.06 |
Rate for Payer: BCBS Complete |
$6,961.06
|
Rate for Payer: Mclaren Medicaid |
$6,629.58
|
Rate for Payer: Meridian Medicaid |
$6,961.06
|
Rate for Payer: Priority Health Choice Medicaid |
$6,629.58
|
|
INPATIENT APRDRG 3632: BREAST PROCEDURES EXCEPT MASTECTOMY
|
Facility
|
IP
|
$10,427.37
|
|
Service Code
|
APR-DRG 3632
|
Hospital Charge Code |
APRDRG 3632
|
Min. Negotiated Rate |
$9,930.83 |
Max. Negotiated Rate |
$10,427.37 |
Rate for Payer: BCBS Complete |
$10,427.37
|
Rate for Payer: Mclaren Medicaid |
$9,930.83
|
Rate for Payer: Meridian Medicaid |
$10,427.37
|
Rate for Payer: Priority Health Choice Medicaid |
$9,930.83
|
|
INPATIENT APRDRG 3633: BREAST PROCEDURES EXCEPT MASTECTOMY
|
Facility
|
IP
|
$13,813.38
|
|
Service Code
|
APR-DRG 3633
|
Hospital Charge Code |
APRDRG 3633
|
Min. Negotiated Rate |
$13,155.60 |
Max. Negotiated Rate |
$13,813.38 |
Rate for Payer: BCBS Complete |
$13,813.38
|
Rate for Payer: Mclaren Medicaid |
$13,155.60
|
Rate for Payer: Meridian Medicaid |
$13,813.38
|
Rate for Payer: Priority Health Choice Medicaid |
$13,155.60
|
|
INPATIENT APRDRG 3634: BREAST PROCEDURES EXCEPT MASTECTOMY
|
Facility
|
IP
|
$26,512.06
|
|
Service Code
|
APR-DRG 3634
|
Hospital Charge Code |
APRDRG 3634
|
Min. Negotiated Rate |
$25,249.58 |
Max. Negotiated Rate |
$26,512.06 |
Rate for Payer: BCBS Complete |
$26,512.06
|
Rate for Payer: Mclaren Medicaid |
$25,249.58
|
Rate for Payer: Meridian Medicaid |
$26,512.06
|
Rate for Payer: Priority Health Choice Medicaid |
$25,249.58
|
|
INPATIENT APRDRG 3641: OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES
|
Facility
|
IP
|
$4,718.68
|
|
Service Code
|
APR-DRG 3641
|
Hospital Charge Code |
APRDRG 3641
|
Min. Negotiated Rate |
$4,493.98 |
Max. Negotiated Rate |
$4,718.68 |
Rate for Payer: BCBS Complete |
$4,718.68
|
Rate for Payer: Mclaren Medicaid |
$4,493.98
|
Rate for Payer: Meridian Medicaid |
$4,718.68
|
Rate for Payer: Priority Health Choice Medicaid |
$4,493.98
|
|
INPATIENT APRDRG 3642: OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES
|
Facility
|
IP
|
$5,707.20
|
|
Service Code
|
APR-DRG 3642
|
Hospital Charge Code |
APRDRG 3642
|
Min. Negotiated Rate |
$5,435.43 |
Max. Negotiated Rate |
$5,707.20 |
Rate for Payer: BCBS Complete |
$5,707.20
|
Rate for Payer: Mclaren Medicaid |
$5,435.43
|
Rate for Payer: Meridian Medicaid |
$5,707.20
|
Rate for Payer: Priority Health Choice Medicaid |
$5,435.43
|
|
INPATIENT APRDRG 3643: OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES
|
Facility
|
IP
|
$8,803.44
|
|
Service Code
|
APR-DRG 3643
|
Hospital Charge Code |
APRDRG 3643
|
Min. Negotiated Rate |
$8,384.23 |
Max. Negotiated Rate |
$8,803.44 |
Rate for Payer: BCBS Complete |
$8,803.44
|
Rate for Payer: Mclaren Medicaid |
$8,384.23
|
Rate for Payer: Meridian Medicaid |
$8,803.44
|
Rate for Payer: Priority Health Choice Medicaid |
$8,384.23
|
|
INPATIENT APRDRG 3644: OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES
|
Facility
|
IP
|
$11,781.98
|
|
Service Code
|
APR-DRG 3644
|
Hospital Charge Code |
APRDRG 3644
|
Min. Negotiated Rate |
$11,220.93 |
Max. Negotiated Rate |
$11,781.98 |
Rate for Payer: BCBS Complete |
$11,781.98
|
Rate for Payer: Mclaren Medicaid |
$11,220.93
|
Rate for Payer: Meridian Medicaid |
$11,781.98
|
Rate for Payer: Priority Health Choice Medicaid |
$11,220.93
|
|
INPATIENT APRDRG 3801: SKIN ULCERS
|
Facility
|
IP
|
$3,049.86
|
|
Service Code
|
APR-DRG 3801
|
Hospital Charge Code |
APRDRG 3801
|
Min. Negotiated Rate |
$2,904.63 |
Max. Negotiated Rate |
$3,049.86 |
Rate for Payer: BCBS Complete |
$3,049.86
|
Rate for Payer: Mclaren Medicaid |
$2,904.63
|
Rate for Payer: Meridian Medicaid |
$3,049.86
|
Rate for Payer: Priority Health Choice Medicaid |
$2,904.63
|
|
INPATIENT APRDRG 3802: SKIN ULCERS
|
Facility
|
IP
|
$3,991.50
|
|
Service Code
|
APR-DRG 3802
|
Hospital Charge Code |
APRDRG 3802
|
Min. Negotiated Rate |
$3,801.43 |
Max. Negotiated Rate |
$3,991.50 |
Rate for Payer: BCBS Complete |
$3,991.50
|
Rate for Payer: Mclaren Medicaid |
$3,801.43
|
Rate for Payer: Meridian Medicaid |
$3,991.50
|
Rate for Payer: Priority Health Choice Medicaid |
$3,801.43
|
|
INPATIENT APRDRG 3803: SKIN ULCERS
|
Facility
|
IP
|
$4,978.52
|
|
Service Code
|
APR-DRG 3803
|
Hospital Charge Code |
APRDRG 3803
|
Min. Negotiated Rate |
$4,741.45 |
Max. Negotiated Rate |
$4,978.52 |
Rate for Payer: BCBS Complete |
$4,978.52
|
Rate for Payer: Mclaren Medicaid |
$4,741.45
|
Rate for Payer: Meridian Medicaid |
$4,978.52
|
Rate for Payer: Priority Health Choice Medicaid |
$4,741.45
|
|
INPATIENT APRDRG 3804: SKIN ULCERS
|
Facility
|
IP
|
$7,132.63
|
|
Service Code
|
APR-DRG 3804
|
Hospital Charge Code |
APRDRG 3804
|
Min. Negotiated Rate |
$6,792.98 |
Max. Negotiated Rate |
$7,132.63 |
Rate for Payer: BCBS Complete |
$7,132.63
|
Rate for Payer: Mclaren Medicaid |
$6,792.98
|
Rate for Payer: Meridian Medicaid |
$7,132.63
|
Rate for Payer: Priority Health Choice Medicaid |
$6,792.98
|
|
INPATIENT APRDRG 3811: MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$2,102.73
|
|
Service Code
|
APR-DRG 3811
|
Hospital Charge Code |
APRDRG 3811
|
Min. Negotiated Rate |
$2,002.60 |
Max. Negotiated Rate |
$2,102.73 |
Rate for Payer: BCBS Complete |
$2,102.73
|
Rate for Payer: Mclaren Medicaid |
$2,002.60
|
Rate for Payer: Meridian Medicaid |
$2,102.73
|
Rate for Payer: Priority Health Choice Medicaid |
$2,002.60
|
|
INPATIENT APRDRG 3812: MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$4,473.29
|
|
Service Code
|
APR-DRG 3812
|
Hospital Charge Code |
APRDRG 3812
|
Min. Negotiated Rate |
$4,260.28 |
Max. Negotiated Rate |
$4,473.29 |
Rate for Payer: BCBS Complete |
$4,473.29
|
Rate for Payer: Mclaren Medicaid |
$4,260.28
|
Rate for Payer: Meridian Medicaid |
$4,473.29
|
Rate for Payer: Priority Health Choice Medicaid |
$4,260.28
|
|
INPATIENT APRDRG 3813: MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$8,683.24
|
|
Service Code
|
APR-DRG 3813
|
Hospital Charge Code |
APRDRG 3813
|
Min. Negotiated Rate |
$8,269.75 |
Max. Negotiated Rate |
$8,683.24 |
Rate for Payer: BCBS Complete |
$8,683.24
|
Rate for Payer: Mclaren Medicaid |
$8,269.75
|
Rate for Payer: Meridian Medicaid |
$8,683.24
|
Rate for Payer: Priority Health Choice Medicaid |
$8,269.75
|
|
INPATIENT APRDRG 3814: MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$18,807.86
|
|
Service Code
|
APR-DRG 3814
|
Hospital Charge Code |
APRDRG 3814
|
Min. Negotiated Rate |
$17,912.25 |
Max. Negotiated Rate |
$18,807.86 |
Rate for Payer: BCBS Complete |
$18,807.86
|
Rate for Payer: Mclaren Medicaid |
$17,912.25
|
Rate for Payer: Meridian Medicaid |
$18,807.86
|
Rate for Payer: Priority Health Choice Medicaid |
$17,912.25
|
|
INPATIENT APRDRG 3821: MALIGNANT BREAST DISORDERS
|
Facility
|
IP
|
$3,695.24
|
|
Service Code
|
APR-DRG 3821
|
Hospital Charge Code |
APRDRG 3821
|
Min. Negotiated Rate |
$3,519.28 |
Max. Negotiated Rate |
$3,695.24 |
Rate for Payer: BCBS Complete |
$3,695.24
|
Rate for Payer: Mclaren Medicaid |
$3,519.28
|
Rate for Payer: Meridian Medicaid |
$3,695.24
|
Rate for Payer: Priority Health Choice Medicaid |
$3,519.28
|
|
INPATIENT APRDRG 3822: MALIGNANT BREAST DISORDERS
|
Facility
|
IP
|
$4,478.28
|
|
Service Code
|
APR-DRG 3822
|
Hospital Charge Code |
APRDRG 3822
|
Min. Negotiated Rate |
$4,265.03 |
Max. Negotiated Rate |
$4,478.28 |
Rate for Payer: BCBS Complete |
$4,478.28
|
Rate for Payer: Mclaren Medicaid |
$4,265.03
|
Rate for Payer: Meridian Medicaid |
$4,478.28
|
Rate for Payer: Priority Health Choice Medicaid |
$4,265.03
|
|
INPATIENT APRDRG 3823: MALIGNANT BREAST DISORDERS
|
Facility
|
IP
|
$7,850.32
|
|
Service Code
|
APR-DRG 3823
|
Hospital Charge Code |
APRDRG 3823
|
Min. Negotiated Rate |
$7,476.50 |
Max. Negotiated Rate |
$7,850.32 |
Rate for Payer: BCBS Complete |
$7,850.32
|
Rate for Payer: Mclaren Medicaid |
$7,476.50
|
Rate for Payer: Meridian Medicaid |
$7,850.32
|
Rate for Payer: Priority Health Choice Medicaid |
$7,476.50
|
|
INPATIENT APRDRG 3824: MALIGNANT BREAST DISORDERS
|
Facility
|
IP
|
$11,660.28
|
|
Service Code
|
APR-DRG 3824
|
Hospital Charge Code |
APRDRG 3824
|
Min. Negotiated Rate |
$11,105.03 |
Max. Negotiated Rate |
$11,660.28 |
Rate for Payer: BCBS Complete |
$11,660.28
|
Rate for Payer: Mclaren Medicaid |
$11,105.03
|
Rate for Payer: Meridian Medicaid |
$11,660.28
|
Rate for Payer: Priority Health Choice Medicaid |
$11,105.03
|
|
INPATIENT APRDRG 3831: CELLULITIS & OTHER SKIN INFECTIONS
|
Facility
|
IP
|
$2,824.92
|
|
Service Code
|
APR-DRG 3831
|
Hospital Charge Code |
APRDRG 3831
|
Min. Negotiated Rate |
$2,690.40 |
Max. Negotiated Rate |
$2,824.92 |
Rate for Payer: BCBS Complete |
$2,824.92
|
Rate for Payer: Mclaren Medicaid |
$2,690.40
|
Rate for Payer: Meridian Medicaid |
$2,824.92
|
Rate for Payer: Priority Health Choice Medicaid |
$2,690.40
|
|
INPATIENT APRDRG 3832: CELLULITIS & OTHER SKIN INFECTIONS
|
Facility
|
IP
|
$3,470.81
|
|
Service Code
|
APR-DRG 3832
|
Hospital Charge Code |
APRDRG 3832
|
Min. Negotiated Rate |
$3,305.53 |
Max. Negotiated Rate |
$3,470.81 |
Rate for Payer: BCBS Complete |
$3,470.81
|
Rate for Payer: Mclaren Medicaid |
$3,305.53
|
Rate for Payer: Meridian Medicaid |
$3,470.81
|
Rate for Payer: Priority Health Choice Medicaid |
$3,305.53
|
|
INPATIENT APRDRG 3833: CELLULITIS & OTHER SKIN INFECTIONS
|
Facility
|
IP
|
$5,153.08
|
|
Service Code
|
APR-DRG 3833
|
Hospital Charge Code |
APRDRG 3833
|
Min. Negotiated Rate |
$4,907.70 |
Max. Negotiated Rate |
$5,153.08 |
Rate for Payer: BCBS Complete |
$5,153.08
|
Rate for Payer: Mclaren Medicaid |
$4,907.70
|
Rate for Payer: Meridian Medicaid |
$5,153.08
|
Rate for Payer: Priority Health Choice Medicaid |
$4,907.70
|
|
INPATIENT APRDRG 3834: CELLULITIS & OTHER SKIN INFECTIONS
|
Facility
|
IP
|
$8,169.03
|
|
Service Code
|
APR-DRG 3834
|
Hospital Charge Code |
APRDRG 3834
|
Min. Negotiated Rate |
$7,780.03 |
Max. Negotiated Rate |
$8,169.03 |
Rate for Payer: BCBS Complete |
$8,169.03
|
Rate for Payer: Mclaren Medicaid |
$7,780.03
|
Rate for Payer: Meridian Medicaid |
$8,169.03
|
Rate for Payer: Priority Health Choice Medicaid |
$7,780.03
|
|