INPATIENT APRDRG 4454: OTHER BLADDER PROCEDURES
|
Facility
|
IP
|
$12,794.93
|
|
Service Code
|
APR-DRG 4454
|
Hospital Charge Code |
APRDRG 4454
|
Min. Negotiated Rate |
$12,185.65 |
Max. Negotiated Rate |
$12,794.93 |
Rate for Payer: BCBS Complete |
$12,794.93
|
Rate for Payer: Mclaren Medicaid |
$12,185.65
|
Rate for Payer: Meridian Medicaid |
$12,794.93
|
Rate for Payer: Priority Health Choice Medicaid |
$12,185.65
|
|
INPATIENT APRDRG 4461: URETHRAL & TRANSURETHRAL PROCEDURES
|
Facility
|
IP
|
$5,570.54
|
|
Service Code
|
APR-DRG 4461
|
Hospital Charge Code |
APRDRG 4461
|
Min. Negotiated Rate |
$5,305.28 |
Max. Negotiated Rate |
$5,570.54 |
Rate for Payer: BCBS Complete |
$5,570.54
|
Rate for Payer: Mclaren Medicaid |
$5,305.28
|
Rate for Payer: Meridian Medicaid |
$5,570.54
|
Rate for Payer: Priority Health Choice Medicaid |
$5,305.28
|
|
INPATIENT APRDRG 4462: URETHRAL & TRANSURETHRAL PROCEDURES
|
Facility
|
IP
|
$5,888.24
|
|
Service Code
|
APR-DRG 4462
|
Hospital Charge Code |
APRDRG 4462
|
Min. Negotiated Rate |
$5,607.85 |
Max. Negotiated Rate |
$5,888.24 |
Rate for Payer: BCBS Complete |
$5,888.24
|
Rate for Payer: Mclaren Medicaid |
$5,607.85
|
Rate for Payer: Meridian Medicaid |
$5,888.24
|
Rate for Payer: Priority Health Choice Medicaid |
$5,607.85
|
|
INPATIENT APRDRG 4463: URETHRAL & TRANSURETHRAL PROCEDURES
|
Facility
|
IP
|
$8,982.99
|
|
Service Code
|
APR-DRG 4463
|
Hospital Charge Code |
APRDRG 4463
|
Min. Negotiated Rate |
$8,555.23 |
Max. Negotiated Rate |
$8,982.99 |
Rate for Payer: BCBS Complete |
$8,982.99
|
Rate for Payer: Mclaren Medicaid |
$8,555.23
|
Rate for Payer: Meridian Medicaid |
$8,982.99
|
Rate for Payer: Priority Health Choice Medicaid |
$8,555.23
|
|
INPATIENT APRDRG 4464: URETHRAL & TRANSURETHRAL PROCEDURES
|
Facility
|
IP
|
$16,316.11
|
|
Service Code
|
APR-DRG 4464
|
Hospital Charge Code |
APRDRG 4464
|
Min. Negotiated Rate |
$15,539.15 |
Max. Negotiated Rate |
$16,316.11 |
Rate for Payer: BCBS Complete |
$16,316.11
|
Rate for Payer: Mclaren Medicaid |
$15,539.15
|
Rate for Payer: Meridian Medicaid |
$16,316.11
|
Rate for Payer: Priority Health Choice Medicaid |
$15,539.15
|
|
INPATIENT APRDRG 4471: OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES
|
Facility
|
IP
|
$7,135.12
|
|
Service Code
|
APR-DRG 4471
|
Hospital Charge Code |
APRDRG 4471
|
Min. Negotiated Rate |
$6,795.35 |
Max. Negotiated Rate |
$7,135.12 |
Rate for Payer: BCBS Complete |
$7,135.12
|
Rate for Payer: Mclaren Medicaid |
$6,795.35
|
Rate for Payer: Meridian Medicaid |
$7,135.12
|
Rate for Payer: Priority Health Choice Medicaid |
$6,795.35
|
|
INPATIENT APRDRG 4472: OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES
|
Facility
|
IP
|
$8,552.07
|
|
Service Code
|
APR-DRG 4472
|
Hospital Charge Code |
APRDRG 4472
|
Min. Negotiated Rate |
$8,144.83 |
Max. Negotiated Rate |
$8,552.07 |
Rate for Payer: BCBS Complete |
$8,552.07
|
Rate for Payer: Mclaren Medicaid |
$8,144.83
|
Rate for Payer: Meridian Medicaid |
$8,552.07
|
Rate for Payer: Priority Health Choice Medicaid |
$8,144.83
|
|
INPATIENT APRDRG 4473: OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES
|
Facility
|
IP
|
$11,124.62
|
|
Service Code
|
APR-DRG 4473
|
Hospital Charge Code |
APRDRG 4473
|
Min. Negotiated Rate |
$10,594.88 |
Max. Negotiated Rate |
$11,124.62 |
Rate for Payer: BCBS Complete |
$11,124.62
|
Rate for Payer: Mclaren Medicaid |
$10,594.88
|
Rate for Payer: Meridian Medicaid |
$11,124.62
|
Rate for Payer: Priority Health Choice Medicaid |
$10,594.88
|
|
INPATIENT APRDRG 4474: OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES
|
Facility
|
IP
|
$20,240.78
|
|
Service Code
|
APR-DRG 4474
|
Hospital Charge Code |
APRDRG 4474
|
Min. Negotiated Rate |
$19,276.93 |
Max. Negotiated Rate |
$20,240.78 |
Rate for Payer: BCBS Complete |
$20,240.78
|
Rate for Payer: Mclaren Medicaid |
$19,276.93
|
Rate for Payer: Meridian Medicaid |
$20,240.78
|
Rate for Payer: Priority Health Choice Medicaid |
$19,276.93
|
|
INPATIENT APRDRG 4611: KIDNEY & URINARY TRACT MALIGNANCY
|
Facility
|
IP
|
$4,568.06
|
|
Service Code
|
APR-DRG 4611
|
Hospital Charge Code |
APRDRG 4611
|
Min. Negotiated Rate |
$4,350.53 |
Max. Negotiated Rate |
$4,568.06 |
Rate for Payer: BCBS Complete |
$4,568.06
|
Rate for Payer: Mclaren Medicaid |
$4,350.53
|
Rate for Payer: Meridian Medicaid |
$4,568.06
|
Rate for Payer: Priority Health Choice Medicaid |
$4,350.53
|
|
INPATIENT APRDRG 4612: KIDNEY & URINARY TRACT MALIGNANCY
|
Facility
|
IP
|
$5,113.69
|
|
Service Code
|
APR-DRG 4612
|
Hospital Charge Code |
APRDRG 4612
|
Min. Negotiated Rate |
$4,870.18 |
Max. Negotiated Rate |
$5,113.69 |
Rate for Payer: BCBS Complete |
$5,113.69
|
Rate for Payer: Mclaren Medicaid |
$4,870.18
|
Rate for Payer: Meridian Medicaid |
$5,113.69
|
Rate for Payer: Priority Health Choice Medicaid |
$4,870.18
|
|
INPATIENT APRDRG 4613: KIDNEY & URINARY TRACT MALIGNANCY
|
Facility
|
IP
|
$6,827.89
|
|
Service Code
|
APR-DRG 4613
|
Hospital Charge Code |
APRDRG 4613
|
Min. Negotiated Rate |
$6,502.75 |
Max. Negotiated Rate |
$6,827.89 |
Rate for Payer: BCBS Complete |
$6,827.89
|
Rate for Payer: Mclaren Medicaid |
$6,502.75
|
Rate for Payer: Meridian Medicaid |
$6,827.89
|
Rate for Payer: Priority Health Choice Medicaid |
$6,502.75
|
|
INPATIENT APRDRG 4614: KIDNEY & URINARY TRACT MALIGNANCY
|
Facility
|
IP
|
$11,220.88
|
|
Service Code
|
APR-DRG 4614
|
Hospital Charge Code |
APRDRG 4614
|
Min. Negotiated Rate |
$10,686.55 |
Max. Negotiated Rate |
$11,220.88 |
Rate for Payer: BCBS Complete |
$11,220.88
|
Rate for Payer: Mclaren Medicaid |
$10,686.55
|
Rate for Payer: Meridian Medicaid |
$11,220.88
|
Rate for Payer: Priority Health Choice Medicaid |
$10,686.55
|
|
INPATIENT APRDRG 4621: NEPHRITIS & NEPHROSIS
|
Facility
|
IP
|
$2,702.73
|
|
Service Code
|
APR-DRG 4621
|
Hospital Charge Code |
APRDRG 4621
|
Min. Negotiated Rate |
$2,574.03 |
Max. Negotiated Rate |
$2,702.73 |
Rate for Payer: BCBS Complete |
$2,702.73
|
Rate for Payer: Mclaren Medicaid |
$2,574.03
|
Rate for Payer: Meridian Medicaid |
$2,702.73
|
Rate for Payer: Priority Health Choice Medicaid |
$2,574.03
|
|
INPATIENT APRDRG 4622: NEPHRITIS & NEPHROSIS
|
Facility
|
IP
|
$3,748.60
|
|
Service Code
|
APR-DRG 4622
|
Hospital Charge Code |
APRDRG 4622
|
Min. Negotiated Rate |
$3,570.10 |
Max. Negotiated Rate |
$3,748.60 |
Rate for Payer: BCBS Complete |
$3,748.60
|
Rate for Payer: Mclaren Medicaid |
$3,570.10
|
Rate for Payer: Meridian Medicaid |
$3,748.60
|
Rate for Payer: Priority Health Choice Medicaid |
$3,570.10
|
|
INPATIENT APRDRG 4623: NEPHRITIS & NEPHROSIS
|
Facility
|
IP
|
$6,091.24
|
|
Service Code
|
APR-DRG 4623
|
Hospital Charge Code |
APRDRG 4623
|
Min. Negotiated Rate |
$5,801.18 |
Max. Negotiated Rate |
$6,091.24 |
Rate for Payer: BCBS Complete |
$6,091.24
|
Rate for Payer: Mclaren Medicaid |
$5,801.18
|
Rate for Payer: Meridian Medicaid |
$6,091.24
|
Rate for Payer: Priority Health Choice Medicaid |
$5,801.18
|
|
INPATIENT APRDRG 4624: NEPHRITIS & NEPHROSIS
|
Facility
|
IP
|
$16,372.47
|
|
Service Code
|
APR-DRG 4624
|
Hospital Charge Code |
APRDRG 4624
|
Min. Negotiated Rate |
$15,592.83 |
Max. Negotiated Rate |
$16,372.47 |
Rate for Payer: BCBS Complete |
$16,372.47
|
Rate for Payer: Mclaren Medicaid |
$15,592.83
|
Rate for Payer: Meridian Medicaid |
$16,372.47
|
Rate for Payer: Priority Health Choice Medicaid |
$15,592.83
|
|
INPATIENT APRDRG 4631: KIDNEY & URINARY TRACT INFECTIONS
|
Facility
|
IP
|
$2,661.33
|
|
Service Code
|
APR-DRG 4631
|
Hospital Charge Code |
APRDRG 4631
|
Min. Negotiated Rate |
$2,534.60 |
Max. Negotiated Rate |
$2,661.33 |
Rate for Payer: BCBS Complete |
$2,661.33
|
Rate for Payer: Mclaren Medicaid |
$2,534.60
|
Rate for Payer: Meridian Medicaid |
$2,661.33
|
Rate for Payer: Priority Health Choice Medicaid |
$2,534.60
|
|
INPATIENT APRDRG 4632: KIDNEY & URINARY TRACT INFECTIONS
|
Facility
|
IP
|
$3,119.69
|
|
Service Code
|
APR-DRG 4632
|
Hospital Charge Code |
APRDRG 4632
|
Min. Negotiated Rate |
$2,971.13 |
Max. Negotiated Rate |
$3,119.69 |
Rate for Payer: BCBS Complete |
$3,119.69
|
Rate for Payer: Mclaren Medicaid |
$2,971.13
|
Rate for Payer: Meridian Medicaid |
$3,119.69
|
Rate for Payer: Priority Health Choice Medicaid |
$2,971.13
|
|
INPATIENT APRDRG 4633: KIDNEY & URINARY TRACT INFECTIONS
|
Facility
|
IP
|
$4,368.05
|
|
Service Code
|
APR-DRG 4633
|
Hospital Charge Code |
APRDRG 4633
|
Min. Negotiated Rate |
$4,160.05 |
Max. Negotiated Rate |
$4,368.05 |
Rate for Payer: BCBS Complete |
$4,368.05
|
Rate for Payer: Mclaren Medicaid |
$4,160.05
|
Rate for Payer: Meridian Medicaid |
$4,368.05
|
Rate for Payer: Priority Health Choice Medicaid |
$4,160.05
|
|
INPATIENT APRDRG 4634: KIDNEY & URINARY TRACT INFECTIONS
|
Facility
|
IP
|
$7,038.36
|
|
Service Code
|
APR-DRG 4634
|
Hospital Charge Code |
APRDRG 4634
|
Min. Negotiated Rate |
$6,703.20 |
Max. Negotiated Rate |
$7,038.36 |
Rate for Payer: BCBS Complete |
$7,038.36
|
Rate for Payer: Mclaren Medicaid |
$6,703.20
|
Rate for Payer: Meridian Medicaid |
$7,038.36
|
Rate for Payer: Priority Health Choice Medicaid |
$6,703.20
|
|
INPATIENT APRDRG 4651: URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION
|
Facility
|
IP
|
$3,748.11
|
|
Service Code
|
APR-DRG 4651
|
Hospital Charge Code |
APRDRG 4651
|
Min. Negotiated Rate |
$3,569.63 |
Max. Negotiated Rate |
$3,748.11 |
Rate for Payer: BCBS Complete |
$3,748.11
|
Rate for Payer: Mclaren Medicaid |
$3,569.63
|
Rate for Payer: Meridian Medicaid |
$3,748.11
|
Rate for Payer: Priority Health Choice Medicaid |
$3,569.63
|
|
INPATIENT APRDRG 4652: URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION
|
Facility
|
IP
|
$3,920.68
|
|
Service Code
|
APR-DRG 4652
|
Hospital Charge Code |
APRDRG 4652
|
Min. Negotiated Rate |
$3,733.98 |
Max. Negotiated Rate |
$3,920.68 |
Rate for Payer: BCBS Complete |
$3,920.68
|
Rate for Payer: Mclaren Medicaid |
$3,733.98
|
Rate for Payer: Meridian Medicaid |
$3,920.68
|
Rate for Payer: Priority Health Choice Medicaid |
$3,733.98
|
|
INPATIENT APRDRG 4653: URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION
|
Facility
|
IP
|
$5,333.14
|
|
Service Code
|
APR-DRG 4653
|
Hospital Charge Code |
APRDRG 4653
|
Min. Negotiated Rate |
$5,079.18 |
Max. Negotiated Rate |
$5,333.14 |
Rate for Payer: BCBS Complete |
$5,333.14
|
Rate for Payer: Mclaren Medicaid |
$5,079.18
|
Rate for Payer: Meridian Medicaid |
$5,333.14
|
Rate for Payer: Priority Health Choice Medicaid |
$5,079.18
|
|
INPATIENT APRDRG 4654: URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION
|
Facility
|
IP
|
$9,300.20
|
|
Service Code
|
APR-DRG 4654
|
Hospital Charge Code |
APRDRG 4654
|
Min. Negotiated Rate |
$8,857.33 |
Max. Negotiated Rate |
$9,300.20 |
Rate for Payer: BCBS Complete |
$9,300.20
|
Rate for Payer: Mclaren Medicaid |
$8,857.33
|
Rate for Payer: Meridian Medicaid |
$9,300.20
|
Rate for Payer: Priority Health Choice Medicaid |
$8,857.33
|
|