INPATIENT APRDRG 4661: MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC
|
Facility
|
IP
|
$2,712.71
|
|
Service Code
|
APR-DRG 4661
|
Hospital Charge Code |
APRDRG 4661
|
Min. Negotiated Rate |
$2,583.53 |
Max. Negotiated Rate |
$2,712.71 |
Rate for Payer: BCBS Complete |
$2,712.71
|
Rate for Payer: Mclaren Medicaid |
$2,583.53
|
Rate for Payer: Meridian Medicaid |
$2,712.71
|
Rate for Payer: Priority Health Choice Medicaid |
$2,583.53
|
|
INPATIENT APRDRG 4662: MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC
|
Facility
|
IP
|
$3,581.02
|
|
Service Code
|
APR-DRG 4662
|
Hospital Charge Code |
APRDRG 4662
|
Min. Negotiated Rate |
$3,410.50 |
Max. Negotiated Rate |
$3,581.02 |
Rate for Payer: BCBS Complete |
$3,581.02
|
Rate for Payer: Mclaren Medicaid |
$3,410.50
|
Rate for Payer: Meridian Medicaid |
$3,581.02
|
Rate for Payer: Priority Health Choice Medicaid |
$3,410.50
|
|
INPATIENT APRDRG 4663: MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC
|
Facility
|
IP
|
$5,064.31
|
|
Service Code
|
APR-DRG 4663
|
Hospital Charge Code |
APRDRG 4663
|
Min. Negotiated Rate |
$4,823.15 |
Max. Negotiated Rate |
$5,064.31 |
Rate for Payer: BCBS Complete |
$5,064.31
|
Rate for Payer: Mclaren Medicaid |
$4,823.15
|
Rate for Payer: Meridian Medicaid |
$5,064.31
|
Rate for Payer: Priority Health Choice Medicaid |
$4,823.15
|
|
INPATIENT APRDRG 4664: MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC
|
Facility
|
IP
|
$7,071.28
|
|
Service Code
|
APR-DRG 4664
|
Hospital Charge Code |
APRDRG 4664
|
Min. Negotiated Rate |
$6,734.55 |
Max. Negotiated Rate |
$7,071.28 |
Rate for Payer: BCBS Complete |
$7,071.28
|
Rate for Payer: Mclaren Medicaid |
$6,734.55
|
Rate for Payer: Meridian Medicaid |
$7,071.28
|
Rate for Payer: Priority Health Choice Medicaid |
$6,734.55
|
|
INPATIENT APRDRG 4681: OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS
|
Facility
|
IP
|
$3,334.64
|
|
Service Code
|
APR-DRG 4681
|
Hospital Charge Code |
APRDRG 4681
|
Min. Negotiated Rate |
$3,175.85 |
Max. Negotiated Rate |
$3,334.64 |
Rate for Payer: BCBS Complete |
$3,334.64
|
Rate for Payer: Mclaren Medicaid |
$3,175.85
|
Rate for Payer: Meridian Medicaid |
$3,334.64
|
Rate for Payer: Priority Health Choice Medicaid |
$3,175.85
|
|
INPATIENT APRDRG 4682: OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS
|
Facility
|
IP
|
$3,771.05
|
|
Service Code
|
APR-DRG 4682
|
Hospital Charge Code |
APRDRG 4682
|
Min. Negotiated Rate |
$3,591.48 |
Max. Negotiated Rate |
$3,771.05 |
Rate for Payer: BCBS Complete |
$3,771.05
|
Rate for Payer: Mclaren Medicaid |
$3,591.48
|
Rate for Payer: Meridian Medicaid |
$3,771.05
|
Rate for Payer: Priority Health Choice Medicaid |
$3,591.48
|
|
INPATIENT APRDRG 4683: OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS
|
Facility
|
IP
|
$5,296.23
|
|
Service Code
|
APR-DRG 4683
|
Hospital Charge Code |
APRDRG 4683
|
Min. Negotiated Rate |
$5,044.03 |
Max. Negotiated Rate |
$5,296.23 |
Rate for Payer: BCBS Complete |
$5,296.23
|
Rate for Payer: Mclaren Medicaid |
$5,044.03
|
Rate for Payer: Meridian Medicaid |
$5,296.23
|
Rate for Payer: Priority Health Choice Medicaid |
$5,044.03
|
|
INPATIENT APRDRG 4684: OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS
|
Facility
|
IP
|
$8,491.22
|
|
Service Code
|
APR-DRG 4684
|
Hospital Charge Code |
APRDRG 4684
|
Min. Negotiated Rate |
$8,086.88 |
Max. Negotiated Rate |
$8,491.22 |
Rate for Payer: BCBS Complete |
$8,491.22
|
Rate for Payer: Mclaren Medicaid |
$8,086.88
|
Rate for Payer: Meridian Medicaid |
$8,491.22
|
Rate for Payer: Priority Health Choice Medicaid |
$8,086.88
|
|
INPATIENT APRDRG 4691: ACUTE KIDNEY INJURY
|
Facility
|
IP
|
$2,546.62
|
|
Service Code
|
APR-DRG 4691
|
Hospital Charge Code |
APRDRG 4691
|
Min. Negotiated Rate |
$2,425.35 |
Max. Negotiated Rate |
$2,546.62 |
Rate for Payer: BCBS Complete |
$2,546.62
|
Rate for Payer: Mclaren Medicaid |
$2,425.35
|
Rate for Payer: Meridian Medicaid |
$2,546.62
|
Rate for Payer: Priority Health Choice Medicaid |
$2,425.35
|
|
INPATIENT APRDRG 4692: ACUTE KIDNEY INJURY
|
Facility
|
IP
|
$3,450.86
|
|
Service Code
|
APR-DRG 4692
|
Hospital Charge Code |
APRDRG 4692
|
Min. Negotiated Rate |
$3,286.53 |
Max. Negotiated Rate |
$3,450.86 |
Rate for Payer: BCBS Complete |
$3,450.86
|
Rate for Payer: Mclaren Medicaid |
$3,286.53
|
Rate for Payer: Meridian Medicaid |
$3,450.86
|
Rate for Payer: Priority Health Choice Medicaid |
$3,286.53
|
|
INPATIENT APRDRG 4693: ACUTE KIDNEY INJURY
|
Facility
|
IP
|
$5,793.98
|
|
Service Code
|
APR-DRG 4693
|
Hospital Charge Code |
APRDRG 4693
|
Min. Negotiated Rate |
$5,518.08 |
Max. Negotiated Rate |
$5,793.98 |
Rate for Payer: BCBS Complete |
$5,793.98
|
Rate for Payer: Mclaren Medicaid |
$5,518.08
|
Rate for Payer: Meridian Medicaid |
$5,793.98
|
Rate for Payer: Priority Health Choice Medicaid |
$5,518.08
|
|
INPATIENT APRDRG 4694: ACUTE KIDNEY INJURY
|
Facility
|
IP
|
$11,952.55
|
|
Service Code
|
APR-DRG 4694
|
Hospital Charge Code |
APRDRG 4694
|
Min. Negotiated Rate |
$11,383.38 |
Max. Negotiated Rate |
$11,952.55 |
Rate for Payer: BCBS Complete |
$11,952.55
|
Rate for Payer: Mclaren Medicaid |
$11,383.38
|
Rate for Payer: Meridian Medicaid |
$11,952.55
|
Rate for Payer: Priority Health Choice Medicaid |
$11,383.38
|
|
INPATIENT APRDRG 4701: CHRONIC KIDNEY DISEASE
|
Facility
|
IP
|
$2,588.02
|
|
Service Code
|
APR-DRG 4701
|
Hospital Charge Code |
APRDRG 4701
|
Min. Negotiated Rate |
$2,464.78 |
Max. Negotiated Rate |
$2,588.02 |
Rate for Payer: BCBS Complete |
$2,588.02
|
Rate for Payer: Mclaren Medicaid |
$2,464.78
|
Rate for Payer: Meridian Medicaid |
$2,588.02
|
Rate for Payer: Priority Health Choice Medicaid |
$2,464.78
|
|
INPATIENT APRDRG 4702: CHRONIC KIDNEY DISEASE
|
Facility
|
IP
|
$3,396.99
|
|
Service Code
|
APR-DRG 4702
|
Hospital Charge Code |
APRDRG 4702
|
Min. Negotiated Rate |
$3,235.23 |
Max. Negotiated Rate |
$3,396.99 |
Rate for Payer: BCBS Complete |
$3,396.99
|
Rate for Payer: Mclaren Medicaid |
$3,235.23
|
Rate for Payer: Meridian Medicaid |
$3,396.99
|
Rate for Payer: Priority Health Choice Medicaid |
$3,235.23
|
|
INPATIENT APRDRG 4703: CHRONIC KIDNEY DISEASE
|
Facility
|
IP
|
$5,535.63
|
|
Service Code
|
APR-DRG 4703
|
Hospital Charge Code |
APRDRG 4703
|
Min. Negotiated Rate |
$5,272.03 |
Max. Negotiated Rate |
$5,535.63 |
Rate for Payer: BCBS Complete |
$5,535.63
|
Rate for Payer: Mclaren Medicaid |
$5,272.03
|
Rate for Payer: Meridian Medicaid |
$5,535.63
|
Rate for Payer: Priority Health Choice Medicaid |
$5,272.03
|
|
INPATIENT APRDRG 4704: CHRONIC KIDNEY DISEASE
|
Facility
|
IP
|
$11,452.30
|
|
Service Code
|
APR-DRG 4704
|
Hospital Charge Code |
APRDRG 4704
|
Min. Negotiated Rate |
$10,906.95 |
Max. Negotiated Rate |
$11,452.30 |
Rate for Payer: BCBS Complete |
$11,452.30
|
Rate for Payer: Mclaren Medicaid |
$10,906.95
|
Rate for Payer: Meridian Medicaid |
$11,452.30
|
Rate for Payer: Priority Health Choice Medicaid |
$10,906.95
|
|
INPATIENT APRDRG 4801: MAJOR MALE PELVIC PROCEDURES
|
Facility
|
IP
|
$9,014.91
|
|
Service Code
|
APR-DRG 4801
|
Hospital Charge Code |
APRDRG 4801
|
Min. Negotiated Rate |
$8,585.63 |
Max. Negotiated Rate |
$9,014.91 |
Rate for Payer: BCBS Complete |
$9,014.91
|
Rate for Payer: Mclaren Medicaid |
$8,585.63
|
Rate for Payer: Meridian Medicaid |
$9,014.91
|
Rate for Payer: Priority Health Choice Medicaid |
$8,585.63
|
|
INPATIENT APRDRG 4802: MAJOR MALE PELVIC PROCEDURES
|
Facility
|
IP
|
$9,611.42
|
|
Service Code
|
APR-DRG 4802
|
Hospital Charge Code |
APRDRG 4802
|
Min. Negotiated Rate |
$9,153.73 |
Max. Negotiated Rate |
$9,611.42 |
Rate for Payer: BCBS Complete |
$9,611.42
|
Rate for Payer: Mclaren Medicaid |
$9,153.73
|
Rate for Payer: Meridian Medicaid |
$9,611.42
|
Rate for Payer: Priority Health Choice Medicaid |
$9,153.73
|
|
INPATIENT APRDRG 4803: MAJOR MALE PELVIC PROCEDURES
|
Facility
|
IP
|
$14,138.56
|
|
Service Code
|
APR-DRG 4803
|
Hospital Charge Code |
APRDRG 4803
|
Min. Negotiated Rate |
$13,465.30 |
Max. Negotiated Rate |
$14,138.56 |
Rate for Payer: BCBS Complete |
$14,138.56
|
Rate for Payer: Mclaren Medicaid |
$13,465.30
|
Rate for Payer: Meridian Medicaid |
$14,138.56
|
Rate for Payer: Priority Health Choice Medicaid |
$13,465.30
|
|
INPATIENT APRDRG 4804: MAJOR MALE PELVIC PROCEDURES
|
Facility
|
IP
|
$23,629.28
|
|
Service Code
|
APR-DRG 4804
|
Hospital Charge Code |
APRDRG 4804
|
Min. Negotiated Rate |
$22,504.08 |
Max. Negotiated Rate |
$23,629.28 |
Rate for Payer: BCBS Complete |
$23,629.28
|
Rate for Payer: Mclaren Medicaid |
$22,504.08
|
Rate for Payer: Meridian Medicaid |
$23,629.28
|
Rate for Payer: Priority Health Choice Medicaid |
$22,504.08
|
|
INPATIENT APRDRG 4821: TRANSURETHRAL PROSTATECTOMY
|
Facility
|
IP
|
$4,316.69
|
|
Service Code
|
APR-DRG 4821
|
Hospital Charge Code |
APRDRG 4821
|
Min. Negotiated Rate |
$4,111.13 |
Max. Negotiated Rate |
$4,316.69 |
Rate for Payer: BCBS Complete |
$4,316.69
|
Rate for Payer: Mclaren Medicaid |
$4,111.13
|
Rate for Payer: Meridian Medicaid |
$4,316.69
|
Rate for Payer: Priority Health Choice Medicaid |
$4,111.13
|
|
INPATIENT APRDRG 4822: TRANSURETHRAL PROSTATECTOMY
|
Facility
|
IP
|
$5,304.70
|
|
Service Code
|
APR-DRG 4822
|
Hospital Charge Code |
APRDRG 4822
|
Min. Negotiated Rate |
$5,052.10 |
Max. Negotiated Rate |
$5,304.70 |
Rate for Payer: BCBS Complete |
$5,304.70
|
Rate for Payer: Mclaren Medicaid |
$5,052.10
|
Rate for Payer: Meridian Medicaid |
$5,304.70
|
Rate for Payer: Priority Health Choice Medicaid |
$5,052.10
|
|
INPATIENT APRDRG 4823: TRANSURETHRAL PROSTATECTOMY
|
Facility
|
IP
|
$9,835.35
|
|
Service Code
|
APR-DRG 4823
|
Hospital Charge Code |
APRDRG 4823
|
Min. Negotiated Rate |
$9,367.00 |
Max. Negotiated Rate |
$9,835.35 |
Rate for Payer: BCBS Complete |
$9,835.35
|
Rate for Payer: Mclaren Medicaid |
$9,367.00
|
Rate for Payer: Meridian Medicaid |
$9,835.35
|
Rate for Payer: Priority Health Choice Medicaid |
$9,367.00
|
|
INPATIENT APRDRG 4824: TRANSURETHRAL PROSTATECTOMY
|
Facility
|
IP
|
$17,111.12
|
|
Service Code
|
APR-DRG 4824
|
Hospital Charge Code |
APRDRG 4824
|
Min. Negotiated Rate |
$16,296.30 |
Max. Negotiated Rate |
$17,111.12 |
Rate for Payer: BCBS Complete |
$17,111.12
|
Rate for Payer: Mclaren Medicaid |
$16,296.30
|
Rate for Payer: Meridian Medicaid |
$17,111.12
|
Rate for Payer: Priority Health Choice Medicaid |
$16,296.30
|
|
INPATIENT APRDRG 4831: PENIS, TESTES & SCROTAL PROCEDURES
|
Facility
|
IP
|
$5,944.61
|
|
Service Code
|
APR-DRG 4831
|
Hospital Charge Code |
APRDRG 4831
|
Min. Negotiated Rate |
$5,661.53 |
Max. Negotiated Rate |
$5,944.61 |
Rate for Payer: BCBS Complete |
$5,944.61
|
Rate for Payer: Mclaren Medicaid |
$5,661.53
|
Rate for Payer: Meridian Medicaid |
$5,944.61
|
Rate for Payer: Priority Health Choice Medicaid |
$5,661.53
|
|