INPATIENT APRDRG 4263: NON-HYPOVOLEMIC SODIUM DISORDERS
|
Facility
|
IP
|
$5,357.08
|
|
Service Code
|
APR-DRG 4263
|
Hospital Charge Code |
APRDRG 4263
|
Min. Negotiated Rate |
$5,101.98 |
Max. Negotiated Rate |
$5,357.08 |
Rate for Payer: BCBS Complete |
$5,357.08
|
Rate for Payer: Mclaren Medicaid |
$5,101.98
|
Rate for Payer: Meridian Medicaid |
$5,357.08
|
Rate for Payer: Priority Health Choice Medicaid |
$5,101.98
|
|
INPATIENT APRDRG 4264: NON-HYPOVOLEMIC SODIUM DISORDERS
|
Facility
|
IP
|
$9,970.01
|
|
Service Code
|
APR-DRG 4264
|
Hospital Charge Code |
APRDRG 4264
|
Min. Negotiated Rate |
$9,495.25 |
Max. Negotiated Rate |
$9,970.01 |
Rate for Payer: BCBS Complete |
$9,970.01
|
Rate for Payer: Mclaren Medicaid |
$9,495.25
|
Rate for Payer: Meridian Medicaid |
$9,970.01
|
Rate for Payer: Priority Health Choice Medicaid |
$9,495.25
|
|
INPATIENT APRDRG 4271: THYROID DISORDERS
|
Facility
|
IP
|
$2,949.11
|
|
Service Code
|
APR-DRG 4271
|
Hospital Charge Code |
APRDRG 4271
|
Min. Negotiated Rate |
$2,808.68 |
Max. Negotiated Rate |
$2,949.11 |
Rate for Payer: BCBS Complete |
$2,949.11
|
Rate for Payer: Mclaren Medicaid |
$2,808.68
|
Rate for Payer: Meridian Medicaid |
$2,949.11
|
Rate for Payer: Priority Health Choice Medicaid |
$2,808.68
|
|
INPATIENT APRDRG 4272: THYROID DISORDERS
|
Facility
|
IP
|
$3,793.49
|
|
Service Code
|
APR-DRG 4272
|
Hospital Charge Code |
APRDRG 4272
|
Min. Negotiated Rate |
$3,612.85 |
Max. Negotiated Rate |
$3,793.49 |
Rate for Payer: BCBS Complete |
$3,793.49
|
Rate for Payer: Mclaren Medicaid |
$3,612.85
|
Rate for Payer: Meridian Medicaid |
$3,793.49
|
Rate for Payer: Priority Health Choice Medicaid |
$3,612.85
|
|
INPATIENT APRDRG 4273: THYROID DISORDERS
|
Facility
|
IP
|
$5,938.62
|
|
Service Code
|
APR-DRG 4273
|
Hospital Charge Code |
APRDRG 4273
|
Min. Negotiated Rate |
$5,655.83 |
Max. Negotiated Rate |
$5,938.62 |
Rate for Payer: BCBS Complete |
$5,938.62
|
Rate for Payer: Mclaren Medicaid |
$5,655.83
|
Rate for Payer: Meridian Medicaid |
$5,938.62
|
Rate for Payer: Priority Health Choice Medicaid |
$5,655.83
|
|
INPATIENT APRDRG 4274: THYROID DISORDERS
|
Facility
|
IP
|
$12,341.57
|
|
Service Code
|
APR-DRG 4274
|
Hospital Charge Code |
APRDRG 4274
|
Min. Negotiated Rate |
$11,753.88 |
Max. Negotiated Rate |
$12,341.57 |
Rate for Payer: BCBS Complete |
$12,341.57
|
Rate for Payer: Mclaren Medicaid |
$11,753.88
|
Rate for Payer: Meridian Medicaid |
$12,341.57
|
Rate for Payer: Priority Health Choice Medicaid |
$11,753.88
|
|
INPATIENT APRDRG 4411: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$7,563.04
|
|
Service Code
|
APR-DRG 4411
|
Hospital Charge Code |
APRDRG 4411
|
Min. Negotiated Rate |
$7,202.90 |
Max. Negotiated Rate |
$7,563.04 |
Rate for Payer: BCBS Complete |
$7,563.04
|
Rate for Payer: Mclaren Medicaid |
$7,202.90
|
Rate for Payer: Meridian Medicaid |
$7,563.04
|
Rate for Payer: Priority Health Choice Medicaid |
$7,202.90
|
|
INPATIENT APRDRG 4412: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$12,275.74
|
|
Service Code
|
APR-DRG 4412
|
Hospital Charge Code |
APRDRG 4412
|
Min. Negotiated Rate |
$11,691.18 |
Max. Negotiated Rate |
$12,275.74 |
Rate for Payer: BCBS Complete |
$12,275.74
|
Rate for Payer: Mclaren Medicaid |
$11,691.18
|
Rate for Payer: Meridian Medicaid |
$12,275.74
|
Rate for Payer: Priority Health Choice Medicaid |
$11,691.18
|
|
INPATIENT APRDRG 4413: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$16,664.74
|
|
Service Code
|
APR-DRG 4413
|
Hospital Charge Code |
APRDRG 4413
|
Min. Negotiated Rate |
$15,871.18 |
Max. Negotiated Rate |
$16,664.74 |
Rate for Payer: BCBS Complete |
$16,664.74
|
Rate for Payer: Mclaren Medicaid |
$15,871.18
|
Rate for Payer: Meridian Medicaid |
$16,664.74
|
Rate for Payer: Priority Health Choice Medicaid |
$15,871.18
|
|
INPATIENT APRDRG 4414: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$30,906.54
|
|
Service Code
|
APR-DRG 4414
|
Hospital Charge Code |
APRDRG 4414
|
Min. Negotiated Rate |
$29,434.80 |
Max. Negotiated Rate |
$30,906.54 |
Rate for Payer: BCBS Complete |
$30,906.54
|
Rate for Payer: Mclaren Medicaid |
$29,434.80
|
Rate for Payer: Meridian Medicaid |
$30,906.54
|
Rate for Payer: Priority Health Choice Medicaid |
$29,434.80
|
|
INPATIENT APRDRG 4421: KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$8,107.19
|
|
Service Code
|
APR-DRG 4421
|
Hospital Charge Code |
APRDRG 4421
|
Min. Negotiated Rate |
$7,721.13 |
Max. Negotiated Rate |
$8,107.19 |
Rate for Payer: BCBS Complete |
$8,107.19
|
Rate for Payer: Mclaren Medicaid |
$7,721.13
|
Rate for Payer: Meridian Medicaid |
$8,107.19
|
Rate for Payer: Priority Health Choice Medicaid |
$7,721.13
|
|
INPATIENT APRDRG 4422: KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$9,348.57
|
|
Service Code
|
APR-DRG 4422
|
Hospital Charge Code |
APRDRG 4422
|
Min. Negotiated Rate |
$8,903.40 |
Max. Negotiated Rate |
$9,348.57 |
Rate for Payer: BCBS Complete |
$9,348.57
|
Rate for Payer: Mclaren Medicaid |
$8,903.40
|
Rate for Payer: Meridian Medicaid |
$9,348.57
|
Rate for Payer: Priority Health Choice Medicaid |
$8,903.40
|
|
INPATIENT APRDRG 4423: KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$14,104.65
|
|
Service Code
|
APR-DRG 4423
|
Hospital Charge Code |
APRDRG 4423
|
Min. Negotiated Rate |
$13,433.00 |
Max. Negotiated Rate |
$14,104.65 |
Rate for Payer: BCBS Complete |
$14,104.65
|
Rate for Payer: Mclaren Medicaid |
$13,433.00
|
Rate for Payer: Meridian Medicaid |
$14,104.65
|
Rate for Payer: Priority Health Choice Medicaid |
$13,433.00
|
|
INPATIENT APRDRG 4424: KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$25,008.83
|
|
Service Code
|
APR-DRG 4424
|
Hospital Charge Code |
APRDRG 4424
|
Min. Negotiated Rate |
$23,817.93 |
Max. Negotiated Rate |
$25,008.83 |
Rate for Payer: BCBS Complete |
$25,008.83
|
Rate for Payer: Mclaren Medicaid |
$23,817.93
|
Rate for Payer: Meridian Medicaid |
$25,008.83
|
Rate for Payer: Priority Health Choice Medicaid |
$23,817.93
|
|
INPATIENT APRDRG 4431: KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY
|
Facility
|
IP
|
$7,513.17
|
|
Service Code
|
APR-DRG 4431
|
Hospital Charge Code |
APRDRG 4431
|
Min. Negotiated Rate |
$7,155.40 |
Max. Negotiated Rate |
$7,513.17 |
Rate for Payer: BCBS Complete |
$7,513.17
|
Rate for Payer: Mclaren Medicaid |
$7,155.40
|
Rate for Payer: Meridian Medicaid |
$7,513.17
|
Rate for Payer: Priority Health Choice Medicaid |
$7,155.40
|
|
INPATIENT APRDRG 4432: KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY
|
Facility
|
IP
|
$8,307.68
|
|
Service Code
|
APR-DRG 4432
|
Hospital Charge Code |
APRDRG 4432
|
Min. Negotiated Rate |
$7,912.08 |
Max. Negotiated Rate |
$8,307.68 |
Rate for Payer: BCBS Complete |
$8,307.68
|
Rate for Payer: Mclaren Medicaid |
$7,912.08
|
Rate for Payer: Meridian Medicaid |
$8,307.68
|
Rate for Payer: Priority Health Choice Medicaid |
$7,912.08
|
|
INPATIENT APRDRG 4433: KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY
|
Facility
|
IP
|
$10,219.39
|
|
Service Code
|
APR-DRG 4433
|
Hospital Charge Code |
APRDRG 4433
|
Min. Negotiated Rate |
$9,732.75 |
Max. Negotiated Rate |
$10,219.39 |
Rate for Payer: BCBS Complete |
$10,219.39
|
Rate for Payer: Mclaren Medicaid |
$9,732.75
|
Rate for Payer: Meridian Medicaid |
$10,219.39
|
Rate for Payer: Priority Health Choice Medicaid |
$9,732.75
|
|
INPATIENT APRDRG 4434: KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY
|
Facility
|
IP
|
$18,980.93
|
|
Service Code
|
APR-DRG 4434
|
Hospital Charge Code |
APRDRG 4434
|
Min. Negotiated Rate |
$18,077.08 |
Max. Negotiated Rate |
$18,980.93 |
Rate for Payer: BCBS Complete |
$18,980.93
|
Rate for Payer: Mclaren Medicaid |
$18,077.08
|
Rate for Payer: Meridian Medicaid |
$18,980.93
|
Rate for Payer: Priority Health Choice Medicaid |
$18,077.08
|
|
INPATIENT APRDRG 4441: RENAL DIALYSIS ACCESS DEVICE AND VESSEL REPAIR
|
Facility
|
IP
|
$5,413.43
|
|
Service Code
|
APR-DRG 4441
|
Hospital Charge Code |
APRDRG 4441
|
Min. Negotiated Rate |
$5,155.65 |
Max. Negotiated Rate |
$5,413.43 |
Rate for Payer: BCBS Complete |
$5,413.43
|
Rate for Payer: Mclaren Medicaid |
$5,155.65
|
Rate for Payer: Meridian Medicaid |
$5,413.43
|
Rate for Payer: Priority Health Choice Medicaid |
$5,155.65
|
|
INPATIENT APRDRG 4442: RENAL DIALYSIS ACCESS DEVICE AND VESSEL REPAIR
|
Facility
|
IP
|
$7,792.97
|
|
Service Code
|
APR-DRG 4442
|
Hospital Charge Code |
APRDRG 4442
|
Min. Negotiated Rate |
$7,421.88 |
Max. Negotiated Rate |
$7,792.97 |
Rate for Payer: BCBS Complete |
$7,792.97
|
Rate for Payer: Mclaren Medicaid |
$7,421.88
|
Rate for Payer: Meridian Medicaid |
$7,792.97
|
Rate for Payer: Priority Health Choice Medicaid |
$7,421.88
|
|
INPATIENT APRDRG 4443: RENAL DIALYSIS ACCESS DEVICE AND VESSEL REPAIR
|
Facility
|
IP
|
$10,082.73
|
|
Service Code
|
APR-DRG 4443
|
Hospital Charge Code |
APRDRG 4443
|
Min. Negotiated Rate |
$9,602.60 |
Max. Negotiated Rate |
$10,082.73 |
Rate for Payer: BCBS Complete |
$10,082.73
|
Rate for Payer: Mclaren Medicaid |
$9,602.60
|
Rate for Payer: Meridian Medicaid |
$10,082.73
|
Rate for Payer: Priority Health Choice Medicaid |
$9,602.60
|
|
INPATIENT APRDRG 4444: RENAL DIALYSIS ACCESS DEVICE AND VESSEL REPAIR
|
Facility
|
IP
|
$19,393.40
|
|
Service Code
|
APR-DRG 4444
|
Hospital Charge Code |
APRDRG 4444
|
Min. Negotiated Rate |
$18,469.90 |
Max. Negotiated Rate |
$19,393.40 |
Rate for Payer: BCBS Complete |
$19,393.40
|
Rate for Payer: Mclaren Medicaid |
$18,469.90
|
Rate for Payer: Meridian Medicaid |
$19,393.40
|
Rate for Payer: Priority Health Choice Medicaid |
$18,469.90
|
|
INPATIENT APRDRG 4451: OTHER BLADDER PROCEDURES
|
Facility
|
IP
|
$7,209.44
|
|
Service Code
|
APR-DRG 4451
|
Hospital Charge Code |
APRDRG 4451
|
Min. Negotiated Rate |
$6,866.13 |
Max. Negotiated Rate |
$7,209.44 |
Rate for Payer: BCBS Complete |
$7,209.44
|
Rate for Payer: Mclaren Medicaid |
$6,866.13
|
Rate for Payer: Meridian Medicaid |
$7,209.44
|
Rate for Payer: Priority Health Choice Medicaid |
$6,866.13
|
|
INPATIENT APRDRG 4452: OTHER BLADDER PROCEDURES
|
Facility
|
IP
|
$9,027.88
|
|
Service Code
|
APR-DRG 4452
|
Hospital Charge Code |
APRDRG 4452
|
Min. Negotiated Rate |
$8,597.98 |
Max. Negotiated Rate |
$9,027.88 |
Rate for Payer: BCBS Complete |
$9,027.88
|
Rate for Payer: Mclaren Medicaid |
$8,597.98
|
Rate for Payer: Meridian Medicaid |
$9,027.88
|
Rate for Payer: Priority Health Choice Medicaid |
$8,597.98
|
|
INPATIENT APRDRG 4453: OTHER BLADDER PROCEDURES
|
Facility
|
IP
|
$9,439.85
|
|
Service Code
|
APR-DRG 4453
|
Hospital Charge Code |
APRDRG 4453
|
Min. Negotiated Rate |
$8,990.33 |
Max. Negotiated Rate |
$9,439.85 |
Rate for Payer: BCBS Complete |
$9,439.85
|
Rate for Payer: Mclaren Medicaid |
$8,990.33
|
Rate for Payer: Meridian Medicaid |
$9,439.85
|
Rate for Payer: Priority Health Choice Medicaid |
$8,990.33
|
|