INPATIENT APRDRG 4202: DIABETES
|
Facility
|
IP
|
$3,121.18
|
|
Service Code
|
APR-DRG 4202
|
Hospital Charge Code |
APRDRG 4202
|
Min. Negotiated Rate |
$2,972.55 |
Max. Negotiated Rate |
$3,121.18 |
Rate for Payer: BCBS Complete |
$3,121.18
|
Rate for Payer: Mclaren Medicaid |
$2,972.55
|
Rate for Payer: Meridian Medicaid |
$3,121.18
|
Rate for Payer: Priority Health Choice Medicaid |
$2,972.55
|
|
INPATIENT APRDRG 4203: DIABETES
|
Facility
|
IP
|
$4,579.03
|
|
Service Code
|
APR-DRG 4203
|
Hospital Charge Code |
APRDRG 4203
|
Min. Negotiated Rate |
$4,360.98 |
Max. Negotiated Rate |
$4,579.03 |
Rate for Payer: BCBS Complete |
$4,579.03
|
Rate for Payer: Mclaren Medicaid |
$4,360.98
|
Rate for Payer: Meridian Medicaid |
$4,579.03
|
Rate for Payer: Priority Health Choice Medicaid |
$4,360.98
|
|
INPATIENT APRDRG 4204: DIABETES
|
Facility
|
IP
|
$8,325.64
|
|
Service Code
|
APR-DRG 4204
|
Hospital Charge Code |
APRDRG 4204
|
Min. Negotiated Rate |
$7,929.18 |
Max. Negotiated Rate |
$8,325.64 |
Rate for Payer: BCBS Complete |
$8,325.64
|
Rate for Payer: Mclaren Medicaid |
$7,929.18
|
Rate for Payer: Meridian Medicaid |
$8,325.64
|
Rate for Payer: Priority Health Choice Medicaid |
$7,929.18
|
|
INPATIENT APRDRG 4211: MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS
|
Facility
|
IP
|
$2,572.06
|
|
Service Code
|
APR-DRG 4211
|
Hospital Charge Code |
APRDRG 4211
|
Min. Negotiated Rate |
$2,449.58 |
Max. Negotiated Rate |
$2,572.06 |
Rate for Payer: BCBS Complete |
$2,572.06
|
Rate for Payer: Mclaren Medicaid |
$2,449.58
|
Rate for Payer: Meridian Medicaid |
$2,572.06
|
Rate for Payer: Priority Health Choice Medicaid |
$2,449.58
|
|
INPATIENT APRDRG 4212: MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS
|
Facility
|
IP
|
$4,449.35
|
|
Service Code
|
APR-DRG 4212
|
Hospital Charge Code |
APRDRG 4212
|
Min. Negotiated Rate |
$4,237.48 |
Max. Negotiated Rate |
$4,449.35 |
Rate for Payer: BCBS Complete |
$4,449.35
|
Rate for Payer: Mclaren Medicaid |
$4,237.48
|
Rate for Payer: Meridian Medicaid |
$4,449.35
|
Rate for Payer: Priority Health Choice Medicaid |
$4,237.48
|
|
INPATIENT APRDRG 4213: MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS
|
Facility
|
IP
|
$6,937.61
|
|
Service Code
|
APR-DRG 4213
|
Hospital Charge Code |
APRDRG 4213
|
Min. Negotiated Rate |
$6,607.25 |
Max. Negotiated Rate |
$6,937.61 |
Rate for Payer: BCBS Complete |
$6,937.61
|
Rate for Payer: Mclaren Medicaid |
$6,607.25
|
Rate for Payer: Meridian Medicaid |
$6,937.61
|
Rate for Payer: Priority Health Choice Medicaid |
$6,607.25
|
|
INPATIENT APRDRG 4214: MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS
|
Facility
|
IP
|
$10,187.97
|
|
Service Code
|
APR-DRG 4214
|
Hospital Charge Code |
APRDRG 4214
|
Min. Negotiated Rate |
$9,702.83 |
Max. Negotiated Rate |
$10,187.97 |
Rate for Payer: BCBS Complete |
$10,187.97
|
Rate for Payer: Mclaren Medicaid |
$9,702.83
|
Rate for Payer: Meridian Medicaid |
$10,187.97
|
Rate for Payer: Priority Health Choice Medicaid |
$9,702.83
|
|
INPATIENT APRDRG 4221: HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$1,871.81
|
|
Service Code
|
APR-DRG 4221
|
Hospital Charge Code |
APRDRG 4221
|
Min. Negotiated Rate |
$1,782.68 |
Max. Negotiated Rate |
$1,871.81 |
Rate for Payer: BCBS Complete |
$1,871.81
|
Rate for Payer: Mclaren Medicaid |
$1,782.68
|
Rate for Payer: Meridian Medicaid |
$1,871.81
|
Rate for Payer: Priority Health Choice Medicaid |
$1,782.68
|
|
INPATIENT APRDRG 4222: HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$2,419.44
|
|
Service Code
|
APR-DRG 4222
|
Hospital Charge Code |
APRDRG 4222
|
Min. Negotiated Rate |
$2,304.23 |
Max. Negotiated Rate |
$2,419.44 |
Rate for Payer: BCBS Complete |
$2,419.44
|
Rate for Payer: Mclaren Medicaid |
$2,304.23
|
Rate for Payer: Meridian Medicaid |
$2,419.44
|
Rate for Payer: Priority Health Choice Medicaid |
$2,304.23
|
|
INPATIENT APRDRG 4223: HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$3,405.97
|
|
Service Code
|
APR-DRG 4223
|
Hospital Charge Code |
APRDRG 4223
|
Min. Negotiated Rate |
$3,243.78 |
Max. Negotiated Rate |
$3,405.97 |
Rate for Payer: BCBS Complete |
$3,405.97
|
Rate for Payer: Mclaren Medicaid |
$3,243.78
|
Rate for Payer: Meridian Medicaid |
$3,405.97
|
Rate for Payer: Priority Health Choice Medicaid |
$3,243.78
|
|
INPATIENT APRDRG 4224: HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$7,029.89
|
|
Service Code
|
APR-DRG 4224
|
Hospital Charge Code |
APRDRG 4224
|
Min. Negotiated Rate |
$6,695.13 |
Max. Negotiated Rate |
$7,029.89 |
Rate for Payer: BCBS Complete |
$7,029.89
|
Rate for Payer: Mclaren Medicaid |
$6,695.13
|
Rate for Payer: Meridian Medicaid |
$7,029.89
|
Rate for Payer: Priority Health Choice Medicaid |
$6,695.13
|
|
INPATIENT APRDRG 4231: INBORN ERRORS OF METABOLISM
|
Facility
|
IP
|
$3,097.24
|
|
Service Code
|
APR-DRG 4231
|
Hospital Charge Code |
APRDRG 4231
|
Min. Negotiated Rate |
$2,949.75 |
Max. Negotiated Rate |
$3,097.24 |
Rate for Payer: BCBS Complete |
$3,097.24
|
Rate for Payer: Mclaren Medicaid |
$2,949.75
|
Rate for Payer: Meridian Medicaid |
$3,097.24
|
Rate for Payer: Priority Health Choice Medicaid |
$2,949.75
|
|
INPATIENT APRDRG 4232: INBORN ERRORS OF METABOLISM
|
Facility
|
IP
|
$5,578.52
|
|
Service Code
|
APR-DRG 4232
|
Hospital Charge Code |
APRDRG 4232
|
Min. Negotiated Rate |
$5,312.88 |
Max. Negotiated Rate |
$5,578.52 |
Rate for Payer: BCBS Complete |
$5,578.52
|
Rate for Payer: Mclaren Medicaid |
$5,312.88
|
Rate for Payer: Meridian Medicaid |
$5,578.52
|
Rate for Payer: Priority Health Choice Medicaid |
$5,312.88
|
|
INPATIENT APRDRG 4233: INBORN ERRORS OF METABOLISM
|
Facility
|
IP
|
$9,393.46
|
|
Service Code
|
APR-DRG 4233
|
Hospital Charge Code |
APRDRG 4233
|
Min. Negotiated Rate |
$8,946.15 |
Max. Negotiated Rate |
$9,393.46 |
Rate for Payer: BCBS Complete |
$9,393.46
|
Rate for Payer: Mclaren Medicaid |
$8,946.15
|
Rate for Payer: Meridian Medicaid |
$9,393.46
|
Rate for Payer: Priority Health Choice Medicaid |
$8,946.15
|
|
INPATIENT APRDRG 4234: INBORN ERRORS OF METABOLISM
|
Facility
|
IP
|
$18,539.04
|
|
Service Code
|
APR-DRG 4234
|
Hospital Charge Code |
APRDRG 4234
|
Min. Negotiated Rate |
$17,656.23 |
Max. Negotiated Rate |
$18,539.04 |
Rate for Payer: BCBS Complete |
$18,539.04
|
Rate for Payer: Mclaren Medicaid |
$17,656.23
|
Rate for Payer: Meridian Medicaid |
$18,539.04
|
Rate for Payer: Priority Health Choice Medicaid |
$17,656.23
|
|
INPATIENT APRDRG 4241: OTHER ENDOCRINE DISORDERS
|
Facility
|
IP
|
$3,386.51
|
|
Service Code
|
APR-DRG 4241
|
Hospital Charge Code |
APRDRG 4241
|
Min. Negotiated Rate |
$3,225.25 |
Max. Negotiated Rate |
$3,386.51 |
Rate for Payer: BCBS Complete |
$3,386.51
|
Rate for Payer: Mclaren Medicaid |
$3,225.25
|
Rate for Payer: Meridian Medicaid |
$3,386.51
|
Rate for Payer: Priority Health Choice Medicaid |
$3,225.25
|
|
INPATIENT APRDRG 4242: OTHER ENDOCRINE DISORDERS
|
Facility
|
IP
|
$3,971.05
|
|
Service Code
|
APR-DRG 4242
|
Hospital Charge Code |
APRDRG 4242
|
Min. Negotiated Rate |
$3,781.95 |
Max. Negotiated Rate |
$3,971.05 |
Rate for Payer: BCBS Complete |
$3,971.05
|
Rate for Payer: Mclaren Medicaid |
$3,781.95
|
Rate for Payer: Meridian Medicaid |
$3,971.05
|
Rate for Payer: Priority Health Choice Medicaid |
$3,781.95
|
|
INPATIENT APRDRG 4243: OTHER ENDOCRINE DISORDERS
|
Facility
|
IP
|
$6,505.20
|
|
Service Code
|
APR-DRG 4243
|
Hospital Charge Code |
APRDRG 4243
|
Min. Negotiated Rate |
$6,195.43 |
Max. Negotiated Rate |
$6,505.20 |
Rate for Payer: BCBS Complete |
$6,505.20
|
Rate for Payer: Mclaren Medicaid |
$6,195.43
|
Rate for Payer: Meridian Medicaid |
$6,505.20
|
Rate for Payer: Priority Health Choice Medicaid |
$6,195.43
|
|
INPATIENT APRDRG 4244: OTHER ENDOCRINE DISORDERS
|
Facility
|
IP
|
$12,411.40
|
|
Service Code
|
APR-DRG 4244
|
Hospital Charge Code |
APRDRG 4244
|
Min. Negotiated Rate |
$11,820.38 |
Max. Negotiated Rate |
$12,411.40 |
Rate for Payer: BCBS Complete |
$12,411.40
|
Rate for Payer: Mclaren Medicaid |
$11,820.38
|
Rate for Payer: Meridian Medicaid |
$12,411.40
|
Rate for Payer: Priority Health Choice Medicaid |
$11,820.38
|
|
INPATIENT APRDRG 4251: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$2,395.00
|
|
Service Code
|
APR-DRG 4251
|
Hospital Charge Code |
APRDRG 4251
|
Min. Negotiated Rate |
$2,280.95 |
Max. Negotiated Rate |
$2,395.00 |
Rate for Payer: BCBS Complete |
$2,395.00
|
Rate for Payer: Mclaren Medicaid |
$2,280.95
|
Rate for Payer: Meridian Medicaid |
$2,395.00
|
Rate for Payer: Priority Health Choice Medicaid |
$2,280.95
|
|
INPATIENT APRDRG 4252: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$3,219.44
|
|
Service Code
|
APR-DRG 4252
|
Hospital Charge Code |
APRDRG 4252
|
Min. Negotiated Rate |
$3,066.13 |
Max. Negotiated Rate |
$3,219.44 |
Rate for Payer: BCBS Complete |
$3,219.44
|
Rate for Payer: Mclaren Medicaid |
$3,066.13
|
Rate for Payer: Meridian Medicaid |
$3,219.44
|
Rate for Payer: Priority Health Choice Medicaid |
$3,066.13
|
|
INPATIENT APRDRG 4253: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$4,603.46
|
|
Service Code
|
APR-DRG 4253
|
Hospital Charge Code |
APRDRG 4253
|
Min. Negotiated Rate |
$4,384.25 |
Max. Negotiated Rate |
$4,603.46 |
Rate for Payer: BCBS Complete |
$4,603.46
|
Rate for Payer: Mclaren Medicaid |
$4,384.25
|
Rate for Payer: Meridian Medicaid |
$4,603.46
|
Rate for Payer: Priority Health Choice Medicaid |
$4,384.25
|
|
INPATIENT APRDRG 4254: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$10,152.06
|
|
Service Code
|
APR-DRG 4254
|
Hospital Charge Code |
APRDRG 4254
|
Min. Negotiated Rate |
$9,668.63 |
Max. Negotiated Rate |
$10,152.06 |
Rate for Payer: BCBS Complete |
$10,152.06
|
Rate for Payer: Mclaren Medicaid |
$9,668.63
|
Rate for Payer: Meridian Medicaid |
$10,152.06
|
Rate for Payer: Priority Health Choice Medicaid |
$9,668.63
|
|
INPATIENT APRDRG 4261: NON-HYPOVOLEMIC SODIUM DISORDERS
|
Facility
|
IP
|
$2,598.49
|
|
Service Code
|
APR-DRG 4261
|
Hospital Charge Code |
APRDRG 4261
|
Min. Negotiated Rate |
$2,474.75 |
Max. Negotiated Rate |
$2,598.49 |
Rate for Payer: BCBS Complete |
$2,598.49
|
Rate for Payer: Mclaren Medicaid |
$2,474.75
|
Rate for Payer: Meridian Medicaid |
$2,598.49
|
Rate for Payer: Priority Health Choice Medicaid |
$2,474.75
|
|
INPATIENT APRDRG 4262: NON-HYPOVOLEMIC SODIUM DISORDERS
|
Facility
|
IP
|
$3,453.85
|
|
Service Code
|
APR-DRG 4262
|
Hospital Charge Code |
APRDRG 4262
|
Min. Negotiated Rate |
$3,289.38 |
Max. Negotiated Rate |
$3,453.85 |
Rate for Payer: BCBS Complete |
$3,453.85
|
Rate for Payer: Mclaren Medicaid |
$3,289.38
|
Rate for Payer: Meridian Medicaid |
$3,453.85
|
Rate for Payer: Priority Health Choice Medicaid |
$3,289.38
|
|