INPATIENT APRDRG 6603: MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL
|
Facility
|
IP
|
$7,062.30
|
|
Service Code
|
APR-DRG 6603
|
Hospital Charge Code |
APRDRG 6603
|
Min. Negotiated Rate |
$6,726.00 |
Max. Negotiated Rate |
$7,062.30 |
Rate for Payer: BCBS Complete |
$7,062.30
|
Rate for Payer: Mclaren Medicaid |
$6,726.00
|
Rate for Payer: Meridian Medicaid |
$7,062.30
|
Rate for Payer: Priority Health Choice Medicaid |
$6,726.00
|
|
INPATIENT APRDRG 6604: MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL
|
Facility
|
IP
|
$17,465.23
|
|
Service Code
|
APR-DRG 6604
|
Hospital Charge Code |
APRDRG 6604
|
Min. Negotiated Rate |
$16,633.55 |
Max. Negotiated Rate |
$17,465.23 |
Rate for Payer: BCBS Complete |
$17,465.23
|
Rate for Payer: Mclaren Medicaid |
$16,633.55
|
Rate for Payer: Meridian Medicaid |
$17,465.23
|
Rate for Payer: Priority Health Choice Medicaid |
$16,633.55
|
|
INPATIENT APRDRG 6611: COAGULATION & PLATELET DISORDERS
|
Facility
|
IP
|
$4,140.13
|
|
Service Code
|
APR-DRG 6611
|
Hospital Charge Code |
APRDRG 6611
|
Min. Negotiated Rate |
$3,942.98 |
Max. Negotiated Rate |
$4,140.13 |
Rate for Payer: BCBS Complete |
$4,140.13
|
Rate for Payer: Mclaren Medicaid |
$3,942.98
|
Rate for Payer: Meridian Medicaid |
$4,140.13
|
Rate for Payer: Priority Health Choice Medicaid |
$3,942.98
|
|
INPATIENT APRDRG 6612: COAGULATION & PLATELET DISORDERS
|
Facility
|
IP
|
$6,593.48
|
|
Service Code
|
APR-DRG 6612
|
Hospital Charge Code |
APRDRG 6612
|
Min. Negotiated Rate |
$6,279.50 |
Max. Negotiated Rate |
$6,593.48 |
Rate for Payer: BCBS Complete |
$6,593.48
|
Rate for Payer: Mclaren Medicaid |
$6,279.50
|
Rate for Payer: Meridian Medicaid |
$6,593.48
|
Rate for Payer: Priority Health Choice Medicaid |
$6,279.50
|
|
INPATIENT APRDRG 6613: COAGULATION & PLATELET DISORDERS
|
Facility
|
IP
|
$12,128.11
|
|
Service Code
|
APR-DRG 6613
|
Hospital Charge Code |
APRDRG 6613
|
Min. Negotiated Rate |
$11,550.58 |
Max. Negotiated Rate |
$12,128.11 |
Rate for Payer: BCBS Complete |
$12,128.11
|
Rate for Payer: Mclaren Medicaid |
$11,550.58
|
Rate for Payer: Meridian Medicaid |
$12,128.11
|
Rate for Payer: Priority Health Choice Medicaid |
$11,550.58
|
|
INPATIENT APRDRG 6614: COAGULATION & PLATELET DISORDERS
|
Facility
|
IP
|
$22,582.40
|
|
Service Code
|
APR-DRG 6614
|
Hospital Charge Code |
APRDRG 6614
|
Min. Negotiated Rate |
$21,507.05 |
Max. Negotiated Rate |
$22,582.40 |
Rate for Payer: BCBS Complete |
$22,582.40
|
Rate for Payer: Mclaren Medicaid |
$21,507.05
|
Rate for Payer: Meridian Medicaid |
$22,582.40
|
Rate for Payer: Priority Health Choice Medicaid |
$21,507.05
|
|
INPATIENT APRDRG 6621: SICKLE CELL ANEMIA CRISIS
|
Facility
|
IP
|
$2,742.13
|
|
Service Code
|
APR-DRG 6621
|
Hospital Charge Code |
APRDRG 6621
|
Min. Negotiated Rate |
$2,611.55 |
Max. Negotiated Rate |
$2,742.13 |
Rate for Payer: BCBS Complete |
$2,742.13
|
Rate for Payer: Mclaren Medicaid |
$2,611.55
|
Rate for Payer: Meridian Medicaid |
$2,742.13
|
Rate for Payer: Priority Health Choice Medicaid |
$2,611.55
|
|
INPATIENT APRDRG 6622: SICKLE CELL ANEMIA CRISIS
|
Facility
|
IP
|
$3,926.16
|
|
Service Code
|
APR-DRG 6622
|
Hospital Charge Code |
APRDRG 6622
|
Min. Negotiated Rate |
$3,739.20 |
Max. Negotiated Rate |
$3,926.16 |
Rate for Payer: BCBS Complete |
$3,926.16
|
Rate for Payer: Mclaren Medicaid |
$3,739.20
|
Rate for Payer: Meridian Medicaid |
$3,926.16
|
Rate for Payer: Priority Health Choice Medicaid |
$3,739.20
|
|
INPATIENT APRDRG 6623: SICKLE CELL ANEMIA CRISIS
|
Facility
|
IP
|
$6,277.77
|
|
Service Code
|
APR-DRG 6623
|
Hospital Charge Code |
APRDRG 6623
|
Min. Negotiated Rate |
$5,978.83 |
Max. Negotiated Rate |
$6,277.77 |
Rate for Payer: BCBS Complete |
$6,277.77
|
Rate for Payer: Mclaren Medicaid |
$5,978.83
|
Rate for Payer: Meridian Medicaid |
$6,277.77
|
Rate for Payer: Priority Health Choice Medicaid |
$5,978.83
|
|
INPATIENT APRDRG 6624: SICKLE CELL ANEMIA CRISIS
|
Facility
|
IP
|
$10,951.06
|
|
Service Code
|
APR-DRG 6624
|
Hospital Charge Code |
APRDRG 6624
|
Min. Negotiated Rate |
$10,429.58 |
Max. Negotiated Rate |
$10,951.06 |
Rate for Payer: BCBS Complete |
$10,951.06
|
Rate for Payer: Mclaren Medicaid |
$10,429.58
|
Rate for Payer: Meridian Medicaid |
$10,951.06
|
Rate for Payer: Priority Health Choice Medicaid |
$10,429.58
|
|
INPATIENT APRDRG 6631: OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$2,819.44
|
|
Service Code
|
APR-DRG 6631
|
Hospital Charge Code |
APRDRG 6631
|
Min. Negotiated Rate |
$2,685.18 |
Max. Negotiated Rate |
$2,819.44 |
Rate for Payer: BCBS Complete |
$2,819.44
|
Rate for Payer: Mclaren Medicaid |
$2,685.18
|
Rate for Payer: Meridian Medicaid |
$2,819.44
|
Rate for Payer: Priority Health Choice Medicaid |
$2,685.18
|
|
INPATIENT APRDRG 6632: OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$3,985.01
|
|
Service Code
|
APR-DRG 6632
|
Hospital Charge Code |
APRDRG 6632
|
Min. Negotiated Rate |
$3,795.25 |
Max. Negotiated Rate |
$3,985.01 |
Rate for Payer: BCBS Complete |
$3,985.01
|
Rate for Payer: Mclaren Medicaid |
$3,795.25
|
Rate for Payer: Meridian Medicaid |
$3,985.01
|
Rate for Payer: Priority Health Choice Medicaid |
$3,795.25
|
|
INPATIENT APRDRG 6633: OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$5,897.22
|
|
Service Code
|
APR-DRG 6633
|
Hospital Charge Code |
APRDRG 6633
|
Min. Negotiated Rate |
$5,616.40 |
Max. Negotiated Rate |
$5,897.22 |
Rate for Payer: BCBS Complete |
$5,897.22
|
Rate for Payer: Mclaren Medicaid |
$5,616.40
|
Rate for Payer: Meridian Medicaid |
$5,897.22
|
Rate for Payer: Priority Health Choice Medicaid |
$5,616.40
|
|
INPATIENT APRDRG 6634: OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$9,492.71
|
|
Service Code
|
APR-DRG 6634
|
Hospital Charge Code |
APRDRG 6634
|
Min. Negotiated Rate |
$9,040.68 |
Max. Negotiated Rate |
$9,492.71 |
Rate for Payer: BCBS Complete |
$9,492.71
|
Rate for Payer: Mclaren Medicaid |
$9,040.68
|
Rate for Payer: Meridian Medicaid |
$9,492.71
|
Rate for Payer: Priority Health Choice Medicaid |
$9,040.68
|
|
INPATIENT APRDRG 6801: MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS
|
Facility
|
IP
|
$9,576.00
|
|
Service Code
|
APR-DRG 6801
|
Hospital Charge Code |
APRDRG 6801
|
Min. Negotiated Rate |
$9,120.00 |
Max. Negotiated Rate |
$9,576.00 |
Rate for Payer: BCBS Complete |
$9,576.00
|
Rate for Payer: Mclaren Medicaid |
$9,120.00
|
Rate for Payer: Meridian Medicaid |
$9,576.00
|
Rate for Payer: Priority Health Choice Medicaid |
$9,120.00
|
|
INPATIENT APRDRG 6802: MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS
|
Facility
|
IP
|
$12,853.78
|
|
Service Code
|
APR-DRG 6802
|
Hospital Charge Code |
APRDRG 6802
|
Min. Negotiated Rate |
$12,241.70 |
Max. Negotiated Rate |
$12,853.78 |
Rate for Payer: BCBS Complete |
$12,853.78
|
Rate for Payer: Mclaren Medicaid |
$12,241.70
|
Rate for Payer: Meridian Medicaid |
$12,853.78
|
Rate for Payer: Priority Health Choice Medicaid |
$12,241.70
|
|
INPATIENT APRDRG 6803: MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS
|
Facility
|
IP
|
$18,620.33
|
|
Service Code
|
APR-DRG 6803
|
Hospital Charge Code |
APRDRG 6803
|
Min. Negotiated Rate |
$17,733.65 |
Max. Negotiated Rate |
$18,620.33 |
Rate for Payer: BCBS Complete |
$18,620.33
|
Rate for Payer: Mclaren Medicaid |
$17,733.65
|
Rate for Payer: Meridian Medicaid |
$18,620.33
|
Rate for Payer: Priority Health Choice Medicaid |
$17,733.65
|
|
INPATIENT APRDRG 6804: MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS
|
Facility
|
IP
|
$41,194.26
|
|
Service Code
|
APR-DRG 6804
|
Hospital Charge Code |
APRDRG 6804
|
Min. Negotiated Rate |
$39,232.63 |
Max. Negotiated Rate |
$41,194.26 |
Rate for Payer: BCBS Complete |
$41,194.26
|
Rate for Payer: Mclaren Medicaid |
$39,232.63
|
Rate for Payer: Meridian Medicaid |
$41,194.26
|
Rate for Payer: Priority Health Choice Medicaid |
$39,232.63
|
|
INPATIENT APRDRG 6811: OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS
|
Facility
|
IP
|
$7,999.95
|
|
Service Code
|
APR-DRG 6811
|
Hospital Charge Code |
APRDRG 6811
|
Min. Negotiated Rate |
$7,619.00 |
Max. Negotiated Rate |
$7,999.95 |
Rate for Payer: BCBS Complete |
$7,999.95
|
Rate for Payer: Mclaren Medicaid |
$7,619.00
|
Rate for Payer: Meridian Medicaid |
$7,999.95
|
Rate for Payer: Priority Health Choice Medicaid |
$7,619.00
|
|
INPATIENT APRDRG 6812: OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS
|
Facility
|
IP
|
$10,219.39
|
|
Service Code
|
APR-DRG 6812
|
Hospital Charge Code |
APRDRG 6812
|
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 6813: OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS
|
Facility
|
IP
|
$13,347.55
|
|
Service Code
|
APR-DRG 6813
|
Hospital Charge Code |
APRDRG 6813
|
Min. Negotiated Rate |
$12,711.95 |
Max. Negotiated Rate |
$13,347.55 |
Rate for Payer: BCBS Complete |
$13,347.55
|
Rate for Payer: Mclaren Medicaid |
$12,711.95
|
Rate for Payer: Meridian Medicaid |
$13,347.55
|
Rate for Payer: Priority Health Choice Medicaid |
$12,711.95
|
|
INPATIENT APRDRG 6814: OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS
|
Facility
|
IP
|
$33,694.06
|
|
Service Code
|
APR-DRG 6814
|
Hospital Charge Code |
APRDRG 6814
|
Min. Negotiated Rate |
$32,089.58 |
Max. Negotiated Rate |
$33,694.06 |
Rate for Payer: BCBS Complete |
$33,694.06
|
Rate for Payer: Mclaren Medicaid |
$32,089.58
|
Rate for Payer: Meridian Medicaid |
$33,694.06
|
Rate for Payer: Priority Health Choice Medicaid |
$32,089.58
|
|
INPATIENT APRDRG 6901: ACUTE LEUKEMIA
|
Facility
|
IP
|
$9,740.59
|
|
Service Code
|
APR-DRG 6901
|
Hospital Charge Code |
APRDRG 6901
|
Min. Negotiated Rate |
$9,276.75 |
Max. Negotiated Rate |
$9,740.59 |
Rate for Payer: BCBS Complete |
$9,740.59
|
Rate for Payer: Mclaren Medicaid |
$9,276.75
|
Rate for Payer: Meridian Medicaid |
$9,740.59
|
Rate for Payer: Priority Health Choice Medicaid |
$9,276.75
|
|
INPATIENT APRDRG 6902: ACUTE LEUKEMIA
|
Facility
|
IP
|
$14,644.80
|
|
Service Code
|
APR-DRG 6902
|
Hospital Charge Code |
APRDRG 6902
|
Min. Negotiated Rate |
$13,947.43 |
Max. Negotiated Rate |
$14,644.80 |
Rate for Payer: BCBS Complete |
$14,644.80
|
Rate for Payer: Mclaren Medicaid |
$13,947.43
|
Rate for Payer: Meridian Medicaid |
$14,644.80
|
Rate for Payer: Priority Health Choice Medicaid |
$13,947.43
|
|
INPATIENT APRDRG 6903: ACUTE LEUKEMIA
|
Facility
|
IP
|
$25,186.88
|
|
Service Code
|
APR-DRG 6903
|
Hospital Charge Code |
APRDRG 6903
|
Min. Negotiated Rate |
$23,987.50 |
Max. Negotiated Rate |
$25,186.88 |
Rate for Payer: BCBS Complete |
$25,186.88
|
Rate for Payer: Mclaren Medicaid |
$23,987.50
|
Rate for Payer: Meridian Medicaid |
$25,186.88
|
Rate for Payer: Priority Health Choice Medicaid |
$23,987.50
|
|