INPATIENT APRDRG 6904: ACUTE LEUKEMIA
|
Facility
|
IP
|
$38,415.72
|
|
Service Code
|
APR-DRG 6904
|
Hospital Charge Code |
APRDRG 6904
|
Min. Negotiated Rate |
$36,586.40 |
Max. Negotiated Rate |
$38,415.72 |
Rate for Payer: BCBS Complete |
$38,415.72
|
Rate for Payer: Mclaren Medicaid |
$36,586.40
|
Rate for Payer: Meridian Medicaid |
$38,415.72
|
Rate for Payer: Priority Health Choice Medicaid |
$36,586.40
|
|
INPATIENT APRDRG 6911: LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA
|
Facility
|
IP
|
$5,723.66
|
|
Service Code
|
APR-DRG 6911
|
Hospital Charge Code |
APRDRG 6911
|
Min. Negotiated Rate |
$5,451.10 |
Max. Negotiated Rate |
$5,723.66 |
Rate for Payer: BCBS Complete |
$5,723.66
|
Rate for Payer: Mclaren Medicaid |
$5,451.10
|
Rate for Payer: Meridian Medicaid |
$5,723.66
|
Rate for Payer: Priority Health Choice Medicaid |
$5,451.10
|
|
INPATIENT APRDRG 6912: LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA
|
Facility
|
IP
|
$7,953.07
|
|
Service Code
|
APR-DRG 6912
|
Hospital Charge Code |
APRDRG 6912
|
Min. Negotiated Rate |
$7,574.35 |
Max. Negotiated Rate |
$7,953.07 |
Rate for Payer: BCBS Complete |
$7,953.07
|
Rate for Payer: Mclaren Medicaid |
$7,574.35
|
Rate for Payer: Meridian Medicaid |
$7,953.07
|
Rate for Payer: Priority Health Choice Medicaid |
$7,574.35
|
|
INPATIENT APRDRG 6913: LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA
|
Facility
|
IP
|
$13,056.28
|
|
Service Code
|
APR-DRG 6913
|
Hospital Charge Code |
APRDRG 6913
|
Min. Negotiated Rate |
$12,434.55 |
Max. Negotiated Rate |
$13,056.28 |
Rate for Payer: BCBS Complete |
$13,056.28
|
Rate for Payer: Mclaren Medicaid |
$12,434.55
|
Rate for Payer: Meridian Medicaid |
$13,056.28
|
Rate for Payer: Priority Health Choice Medicaid |
$12,434.55
|
|
INPATIENT APRDRG 6914: LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA
|
Facility
|
IP
|
$20,011.35
|
|
Service Code
|
APR-DRG 6914
|
Hospital Charge Code |
APRDRG 6914
|
Min. Negotiated Rate |
$19,058.43 |
Max. Negotiated Rate |
$20,011.35 |
Rate for Payer: BCBS Complete |
$20,011.35
|
Rate for Payer: Mclaren Medicaid |
$19,058.43
|
Rate for Payer: Meridian Medicaid |
$20,011.35
|
Rate for Payer: Priority Health Choice Medicaid |
$19,058.43
|
|
INPATIENT APRDRG 6921: RADIOTHERAPY
|
Facility
|
IP
|
$4,279.78
|
|
Service Code
|
APR-DRG 6921
|
Hospital Charge Code |
APRDRG 6921
|
Min. Negotiated Rate |
$4,075.98 |
Max. Negotiated Rate |
$4,279.78 |
Rate for Payer: BCBS Complete |
$4,279.78
|
Rate for Payer: Mclaren Medicaid |
$4,075.98
|
Rate for Payer: Meridian Medicaid |
$4,279.78
|
Rate for Payer: Priority Health Choice Medicaid |
$4,075.98
|
|
INPATIENT APRDRG 6922: RADIOTHERAPY
|
Facility
|
IP
|
$8,902.19
|
|
Service Code
|
APR-DRG 6922
|
Hospital Charge Code |
APRDRG 6922
|
Min. Negotiated Rate |
$8,478.28 |
Max. Negotiated Rate |
$8,902.19 |
Rate for Payer: BCBS Complete |
$8,902.19
|
Rate for Payer: Mclaren Medicaid |
$8,478.28
|
Rate for Payer: Meridian Medicaid |
$8,902.19
|
Rate for Payer: Priority Health Choice Medicaid |
$8,478.28
|
|
INPATIENT APRDRG 6923: RADIOTHERAPY
|
Facility
|
IP
|
$11,780.98
|
|
Service Code
|
APR-DRG 6923
|
Hospital Charge Code |
APRDRG 6923
|
Min. Negotiated Rate |
$11,219.98 |
Max. Negotiated Rate |
$11,780.98 |
Rate for Payer: BCBS Complete |
$11,780.98
|
Rate for Payer: Mclaren Medicaid |
$11,219.98
|
Rate for Payer: Meridian Medicaid |
$11,780.98
|
Rate for Payer: Priority Health Choice Medicaid |
$11,219.98
|
|
INPATIENT APRDRG 6924: RADIOTHERAPY
|
Facility
|
IP
|
$16,770.97
|
|
Service Code
|
APR-DRG 6924
|
Hospital Charge Code |
APRDRG 6924
|
Min. Negotiated Rate |
$15,972.35 |
Max. Negotiated Rate |
$16,770.97 |
Rate for Payer: BCBS Complete |
$16,770.97
|
Rate for Payer: Mclaren Medicaid |
$15,972.35
|
Rate for Payer: Meridian Medicaid |
$16,770.97
|
Rate for Payer: Priority Health Choice Medicaid |
$15,972.35
|
|
INPATIENT APRDRG 6941: LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR
|
Facility
|
IP
|
$4,187.50
|
|
Service Code
|
APR-DRG 6941
|
Hospital Charge Code |
APRDRG 6941
|
Min. Negotiated Rate |
$3,988.10 |
Max. Negotiated Rate |
$4,187.50 |
Rate for Payer: BCBS Complete |
$4,187.50
|
Rate for Payer: Mclaren Medicaid |
$3,988.10
|
Rate for Payer: Meridian Medicaid |
$4,187.50
|
Rate for Payer: Priority Health Choice Medicaid |
$3,988.10
|
|
INPATIENT APRDRG 6942: LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR
|
Facility
|
IP
|
$5,216.43
|
|
Service Code
|
APR-DRG 6942
|
Hospital Charge Code |
APRDRG 6942
|
Min. Negotiated Rate |
$4,968.03 |
Max. Negotiated Rate |
$5,216.43 |
Rate for Payer: BCBS Complete |
$5,216.43
|
Rate for Payer: Mclaren Medicaid |
$4,968.03
|
Rate for Payer: Meridian Medicaid |
$5,216.43
|
Rate for Payer: Priority Health Choice Medicaid |
$4,968.03
|
|
INPATIENT APRDRG 6943: LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR
|
Facility
|
IP
|
$6,601.46
|
|
Service Code
|
APR-DRG 6943
|
Hospital Charge Code |
APRDRG 6943
|
Min. Negotiated Rate |
$6,287.10 |
Max. Negotiated Rate |
$6,601.46 |
Rate for Payer: BCBS Complete |
$6,601.46
|
Rate for Payer: Mclaren Medicaid |
$6,287.10
|
Rate for Payer: Meridian Medicaid |
$6,601.46
|
Rate for Payer: Priority Health Choice Medicaid |
$6,287.10
|
|
INPATIENT APRDRG 6944: LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR
|
Facility
|
IP
|
$10,794.45
|
|
Service Code
|
APR-DRG 6944
|
Hospital Charge Code |
APRDRG 6944
|
Min. Negotiated Rate |
$10,280.43 |
Max. Negotiated Rate |
$10,794.45 |
Rate for Payer: BCBS Complete |
$10,794.45
|
Rate for Payer: Mclaren Medicaid |
$10,280.43
|
Rate for Payer: Meridian Medicaid |
$10,794.45
|
Rate for Payer: Priority Health Choice Medicaid |
$10,280.43
|
|
INPATIENT APRDRG 6951: CHEMOTHERAPY FOR ACUTE LEUKEMIA
|
Facility
|
IP
|
$3,033.90
|
|
Service Code
|
APR-DRG 6951
|
Hospital Charge Code |
APRDRG 6951
|
Min. Negotiated Rate |
$2,889.43 |
Max. Negotiated Rate |
$3,033.90 |
Rate for Payer: BCBS Complete |
$3,033.90
|
Rate for Payer: Mclaren Medicaid |
$2,889.43
|
Rate for Payer: Meridian Medicaid |
$3,033.90
|
Rate for Payer: Priority Health Choice Medicaid |
$2,889.43
|
|
INPATIENT APRDRG 6952: CHEMOTHERAPY FOR ACUTE LEUKEMIA
|
Facility
|
IP
|
$5,106.20
|
|
Service Code
|
APR-DRG 6952
|
Hospital Charge Code |
APRDRG 6952
|
Min. Negotiated Rate |
$4,863.05 |
Max. Negotiated Rate |
$5,106.20 |
Rate for Payer: BCBS Complete |
$5,106.20
|
Rate for Payer: Mclaren Medicaid |
$4,863.05
|
Rate for Payer: Meridian Medicaid |
$5,106.20
|
Rate for Payer: Priority Health Choice Medicaid |
$4,863.05
|
|
INPATIENT APRDRG 6953: CHEMOTHERAPY FOR ACUTE LEUKEMIA
|
Facility
|
IP
|
$12,149.55
|
|
Service Code
|
APR-DRG 6953
|
Hospital Charge Code |
APRDRG 6953
|
Min. Negotiated Rate |
$11,571.00 |
Max. Negotiated Rate |
$12,149.55 |
Rate for Payer: BCBS Complete |
$12,149.55
|
Rate for Payer: Mclaren Medicaid |
$11,571.00
|
Rate for Payer: Meridian Medicaid |
$12,149.55
|
Rate for Payer: Priority Health Choice Medicaid |
$11,571.00
|
|
INPATIENT APRDRG 6954: CHEMOTHERAPY FOR ACUTE LEUKEMIA
|
Facility
|
IP
|
$33,236.21
|
|
Service Code
|
APR-DRG 6954
|
Hospital Charge Code |
APRDRG 6954
|
Min. Negotiated Rate |
$31,653.53 |
Max. Negotiated Rate |
$33,236.21 |
Rate for Payer: BCBS Complete |
$33,236.21
|
Rate for Payer: Mclaren Medicaid |
$31,653.53
|
Rate for Payer: Meridian Medicaid |
$33,236.21
|
Rate for Payer: Priority Health Choice Medicaid |
$31,653.53
|
|
INPATIENT APRDRG 6961: OTHER CHEMOTHERAPY
|
Facility
|
IP
|
$4,244.36
|
|
Service Code
|
APR-DRG 6961
|
Hospital Charge Code |
APRDRG 6961
|
Min. Negotiated Rate |
$4,042.25 |
Max. Negotiated Rate |
$4,244.36 |
Rate for Payer: BCBS Complete |
$4,244.36
|
Rate for Payer: Mclaren Medicaid |
$4,042.25
|
Rate for Payer: Meridian Medicaid |
$4,244.36
|
Rate for Payer: Priority Health Choice Medicaid |
$4,042.25
|
|
INPATIENT APRDRG 6962: OTHER CHEMOTHERAPY
|
Facility
|
IP
|
$5,181.02
|
|
Service Code
|
APR-DRG 6962
|
Hospital Charge Code |
APRDRG 6962
|
Min. Negotiated Rate |
$4,934.30 |
Max. Negotiated Rate |
$5,181.02 |
Rate for Payer: BCBS Complete |
$5,181.02
|
Rate for Payer: Mclaren Medicaid |
$4,934.30
|
Rate for Payer: Meridian Medicaid |
$5,181.02
|
Rate for Payer: Priority Health Choice Medicaid |
$4,934.30
|
|
INPATIENT APRDRG 6963: OTHER CHEMOTHERAPY
|
Facility
|
IP
|
$8,383.99
|
|
Service Code
|
APR-DRG 6963
|
Hospital Charge Code |
APRDRG 6963
|
Min. Negotiated Rate |
$7,984.75 |
Max. Negotiated Rate |
$8,383.99 |
Rate for Payer: BCBS Complete |
$8,383.99
|
Rate for Payer: Mclaren Medicaid |
$7,984.75
|
Rate for Payer: Meridian Medicaid |
$8,383.99
|
Rate for Payer: Priority Health Choice Medicaid |
$7,984.75
|
|
INPATIENT APRDRG 6964: OTHER CHEMOTHERAPY
|
Facility
|
IP
|
$18,242.78
|
|
Service Code
|
APR-DRG 6964
|
Hospital Charge Code |
APRDRG 6964
|
Min. Negotiated Rate |
$17,374.08 |
Max. Negotiated Rate |
$18,242.78 |
Rate for Payer: BCBS Complete |
$18,242.78
|
Rate for Payer: Mclaren Medicaid |
$17,374.08
|
Rate for Payer: Meridian Medicaid |
$18,242.78
|
Rate for Payer: Priority Health Choice Medicaid |
$17,374.08
|
|
INPATIENT APRDRG 7101: INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE
|
Facility
|
IP
|
$5,796.98
|
|
Service Code
|
APR-DRG 7101
|
Hospital Charge Code |
APRDRG 7101
|
Min. Negotiated Rate |
$5,520.93 |
Max. Negotiated Rate |
$5,796.98 |
Rate for Payer: BCBS Complete |
$5,796.98
|
Rate for Payer: Mclaren Medicaid |
$5,520.93
|
Rate for Payer: Meridian Medicaid |
$5,796.98
|
Rate for Payer: Priority Health Choice Medicaid |
$5,520.93
|
|
INPATIENT APRDRG 7102: INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE
|
Facility
|
IP
|
$7,635.86
|
|
Service Code
|
APR-DRG 7102
|
Hospital Charge Code |
APRDRG 7102
|
Min. Negotiated Rate |
$7,272.25 |
Max. Negotiated Rate |
$7,635.86 |
Rate for Payer: BCBS Complete |
$7,635.86
|
Rate for Payer: Mclaren Medicaid |
$7,272.25
|
Rate for Payer: Meridian Medicaid |
$7,635.86
|
Rate for Payer: Priority Health Choice Medicaid |
$7,272.25
|
|
INPATIENT APRDRG 7103: INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE
|
Facility
|
IP
|
$12,708.65
|
|
Service Code
|
APR-DRG 7103
|
Hospital Charge Code |
APRDRG 7103
|
Min. Negotiated Rate |
$12,103.48 |
Max. Negotiated Rate |
$12,708.65 |
Rate for Payer: BCBS Complete |
$12,708.65
|
Rate for Payer: Mclaren Medicaid |
$12,103.48
|
Rate for Payer: Meridian Medicaid |
$12,708.65
|
Rate for Payer: Priority Health Choice Medicaid |
$12,103.48
|
|
INPATIENT APRDRG 7104: INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE
|
Facility
|
IP
|
$19,179.93
|
|
Service Code
|
APR-DRG 7104
|
Hospital Charge Code |
APRDRG 7104
|
Min. Negotiated Rate |
$18,266.60 |
Max. Negotiated Rate |
$19,179.93 |
Rate for Payer: BCBS Complete |
$19,179.93
|
Rate for Payer: Mclaren Medicaid |
$18,266.60
|
Rate for Payer: Meridian Medicaid |
$19,179.93
|
Rate for Payer: Priority Health Choice Medicaid |
$18,266.60
|
|