INPATIENT APRDRG 8172: OVERDOSE
|
Facility
|
IP
|
$2,775.04
|
|
Service Code
|
APR-DRG 8172
|
Hospital Charge Code |
APRDRG 8172
|
Min. Negotiated Rate |
$2,642.90 |
Max. Negotiated Rate |
$2,775.04 |
Rate for Payer: BCBS Complete |
$2,775.04
|
Rate for Payer: Mclaren Medicaid |
$2,642.90
|
Rate for Payer: Meridian Medicaid |
$2,775.04
|
Rate for Payer: Priority Health Choice Medicaid |
$2,642.90
|
|
INPATIENT APRDRG 8173: OVERDOSE
|
Facility
|
IP
|
$4,821.42
|
|
Service Code
|
APR-DRG 8173
|
Hospital Charge Code |
APRDRG 8173
|
Min. Negotiated Rate |
$4,591.83 |
Max. Negotiated Rate |
$4,821.42 |
Rate for Payer: BCBS Complete |
$4,821.42
|
Rate for Payer: Mclaren Medicaid |
$4,591.83
|
Rate for Payer: Meridian Medicaid |
$4,821.42
|
Rate for Payer: Priority Health Choice Medicaid |
$4,591.83
|
|
INPATIENT APRDRG 8174: OVERDOSE
|
Facility
|
IP
|
$9,948.07
|
|
Service Code
|
APR-DRG 8174
|
Hospital Charge Code |
APRDRG 8174
|
Min. Negotiated Rate |
$9,474.35 |
Max. Negotiated Rate |
$9,948.07 |
Rate for Payer: BCBS Complete |
$9,948.07
|
Rate for Payer: Mclaren Medicaid |
$9,474.35
|
Rate for Payer: Meridian Medicaid |
$9,948.07
|
Rate for Payer: Priority Health Choice Medicaid |
$9,474.35
|
|
INPATIENT APRDRG 8411: EXTENSIVE 3RD DEGREE BURNS W SKIN GRAFT
|
Facility
|
IP
|
$28,348.95
|
|
Service Code
|
APR-DRG 8411
|
Hospital Charge Code |
APRDRG 8411
|
Min. Negotiated Rate |
$26,999.00 |
Max. Negotiated Rate |
$28,348.95 |
Rate for Payer: BCBS Complete |
$28,348.95
|
Rate for Payer: Mclaren Medicaid |
$26,999.00
|
Rate for Payer: Meridian Medicaid |
$28,348.95
|
Rate for Payer: Priority Health Choice Medicaid |
$26,999.00
|
|
INPATIENT APRDRG 8412: EXTENSIVE 3RD DEGREE BURNS W SKIN GRAFT
|
Facility
|
IP
|
$28,346.96
|
|
Service Code
|
APR-DRG 8412
|
Hospital Charge Code |
APRDRG 8412
|
Min. Negotiated Rate |
$26,997.10 |
Max. Negotiated Rate |
$28,346.96 |
Rate for Payer: BCBS Complete |
$28,346.96
|
Rate for Payer: Mclaren Medicaid |
$26,997.10
|
Rate for Payer: Meridian Medicaid |
$28,346.96
|
Rate for Payer: Priority Health Choice Medicaid |
$26,997.10
|
|
INPATIENT APRDRG 8413: EXTENSIVE 3RD DEGREE BURNS W SKIN GRAFT
|
Facility
|
IP
|
$40,406.24
|
|
Service Code
|
APR-DRG 8413
|
Hospital Charge Code |
APRDRG 8413
|
Min. Negotiated Rate |
$38,482.13 |
Max. Negotiated Rate |
$40,406.24 |
Rate for Payer: BCBS Complete |
$40,406.24
|
Rate for Payer: Mclaren Medicaid |
$38,482.13
|
Rate for Payer: Meridian Medicaid |
$40,406.24
|
Rate for Payer: Priority Health Choice Medicaid |
$38,482.13
|
|
INPATIENT APRDRG 8414: EXTENSIVE 3RD DEGREE BURNS W SKIN GRAFT
|
Facility
|
IP
|
$130,673.00
|
|
Service Code
|
APR-DRG 8414
|
Hospital Charge Code |
APRDRG 8414
|
Min. Negotiated Rate |
$124,450.48 |
Max. Negotiated Rate |
$130,673.00 |
Rate for Payer: BCBS Complete |
$130,673.00
|
Rate for Payer: Mclaren Medicaid |
$124,450.48
|
Rate for Payer: Meridian Medicaid |
$130,673.00
|
Rate for Payer: Priority Health Choice Medicaid |
$124,450.48
|
|
INPATIENT APRDRG 8421: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS
|
Facility
|
IP
|
$8,503.69
|
|
Service Code
|
APR-DRG 8421
|
Hospital Charge Code |
APRDRG 8421
|
Min. Negotiated Rate |
$8,098.75 |
Max. Negotiated Rate |
$8,503.69 |
Rate for Payer: BCBS Complete |
$8,503.69
|
Rate for Payer: Mclaren Medicaid |
$8,098.75
|
Rate for Payer: Meridian Medicaid |
$8,503.69
|
Rate for Payer: Priority Health Choice Medicaid |
$8,098.75
|
|
INPATIENT APRDRG 8422: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS
|
Facility
|
IP
|
$15,954.52
|
|
Service Code
|
APR-DRG 8422
|
Hospital Charge Code |
APRDRG 8422
|
Min. Negotiated Rate |
$15,194.78 |
Max. Negotiated Rate |
$15,954.52 |
Rate for Payer: BCBS Complete |
$15,954.52
|
Rate for Payer: Mclaren Medicaid |
$15,194.78
|
Rate for Payer: Meridian Medicaid |
$15,954.52
|
Rate for Payer: Priority Health Choice Medicaid |
$15,194.78
|
|
INPATIENT APRDRG 8423: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS
|
Facility
|
IP
|
$20,742.52
|
|
Service Code
|
APR-DRG 8423
|
Hospital Charge Code |
APRDRG 8423
|
Min. Negotiated Rate |
$19,754.78 |
Max. Negotiated Rate |
$20,742.52 |
Rate for Payer: BCBS Complete |
$20,742.52
|
Rate for Payer: Mclaren Medicaid |
$19,754.78
|
Rate for Payer: Meridian Medicaid |
$20,742.52
|
Rate for Payer: Priority Health Choice Medicaid |
$19,754.78
|
|
INPATIENT APRDRG 8424: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS
|
Facility
|
IP
|
$84,049.35
|
|
Service Code
|
APR-DRG 8424
|
Hospital Charge Code |
APRDRG 8424
|
Min. Negotiated Rate |
$80,047.00 |
Max. Negotiated Rate |
$84,049.35 |
Rate for Payer: BCBS Complete |
$84,049.35
|
Rate for Payer: Mclaren Medicaid |
$80,047.00
|
Rate for Payer: Meridian Medicaid |
$84,049.35
|
Rate for Payer: Priority Health Choice Medicaid |
$80,047.00
|
|
INPATIENT APRDRG 8431: EXTENSIVE 3RD DEGREE OR FULL THICKNESS BURNS W/O SKIN GRAFT
|
Facility
|
IP
|
$2,656.85
|
|
Service Code
|
APR-DRG 8431
|
Hospital Charge Code |
APRDRG 8431
|
Min. Negotiated Rate |
$2,530.33 |
Max. Negotiated Rate |
$2,656.85 |
Rate for Payer: BCBS Complete |
$2,656.85
|
Rate for Payer: Mclaren Medicaid |
$2,530.33
|
Rate for Payer: Meridian Medicaid |
$2,656.85
|
Rate for Payer: Priority Health Choice Medicaid |
$2,530.33
|
|
INPATIENT APRDRG 8432: EXTENSIVE 3RD DEGREE OR FULL THICKNESS BURNS W/O SKIN GRAFT
|
Facility
|
IP
|
$4,654.34
|
|
Service Code
|
APR-DRG 8432
|
Hospital Charge Code |
APRDRG 8432
|
Min. Negotiated Rate |
$4,432.70 |
Max. Negotiated Rate |
$4,654.34 |
Rate for Payer: BCBS Complete |
$4,654.34
|
Rate for Payer: Mclaren Medicaid |
$4,432.70
|
Rate for Payer: Meridian Medicaid |
$4,654.34
|
Rate for Payer: Priority Health Choice Medicaid |
$4,432.70
|
|
INPATIENT APRDRG 8433: EXTENSIVE 3RD DEGREE OR FULL THICKNESS BURNS W/O SKIN GRAFT
|
Facility
|
IP
|
$11,505.67
|
|
Service Code
|
APR-DRG 8433
|
Hospital Charge Code |
APRDRG 8433
|
Min. Negotiated Rate |
$10,957.78 |
Max. Negotiated Rate |
$11,505.67 |
Rate for Payer: BCBS Complete |
$11,505.67
|
Rate for Payer: Mclaren Medicaid |
$10,957.78
|
Rate for Payer: Meridian Medicaid |
$11,505.67
|
Rate for Payer: Priority Health Choice Medicaid |
$10,957.78
|
|
INPATIENT APRDRG 8434: EXTENSIVE 3RD DEGREE OR FULL THICKNESS BURNS W/O SKIN GRAFT
|
Facility
|
IP
|
$22,599.36
|
|
Service Code
|
APR-DRG 8434
|
Hospital Charge Code |
APRDRG 8434
|
Min. Negotiated Rate |
$21,523.20 |
Max. Negotiated Rate |
$22,599.36 |
Rate for Payer: BCBS Complete |
$22,599.36
|
Rate for Payer: Mclaren Medicaid |
$21,523.20
|
Rate for Payer: Meridian Medicaid |
$22,599.36
|
Rate for Payer: Priority Health Choice Medicaid |
$21,523.20
|
|
INPATIENT APRDRG 8441: PARTIAL THICKNESS BURNS W/O SKIN GRAFT
|
Facility
|
IP
|
$2,807.47
|
|
Service Code
|
APR-DRG 8441
|
Hospital Charge Code |
APRDRG 8441
|
Min. Negotiated Rate |
$2,673.78 |
Max. Negotiated Rate |
$2,807.47 |
Rate for Payer: BCBS Complete |
$2,807.47
|
Rate for Payer: Mclaren Medicaid |
$2,673.78
|
Rate for Payer: Meridian Medicaid |
$2,807.47
|
Rate for Payer: Priority Health Choice Medicaid |
$2,673.78
|
|
INPATIENT APRDRG 8442: PARTIAL THICKNESS BURNS W/O SKIN GRAFT
|
Facility
|
IP
|
$4,679.78
|
|
Service Code
|
APR-DRG 8442
|
Hospital Charge Code |
APRDRG 8442
|
Min. Negotiated Rate |
$4,456.93 |
Max. Negotiated Rate |
$4,679.78 |
Rate for Payer: BCBS Complete |
$4,679.78
|
Rate for Payer: Mclaren Medicaid |
$4,456.93
|
Rate for Payer: Meridian Medicaid |
$4,679.78
|
Rate for Payer: Priority Health Choice Medicaid |
$4,456.93
|
|
INPATIENT APRDRG 8443: PARTIAL THICKNESS BURNS W/O SKIN GRAFT
|
Facility
|
IP
|
$5,851.34
|
|
Service Code
|
APR-DRG 8443
|
Hospital Charge Code |
APRDRG 8443
|
Min. Negotiated Rate |
$5,572.70 |
Max. Negotiated Rate |
$5,851.34 |
Rate for Payer: BCBS Complete |
$5,851.34
|
Rate for Payer: Mclaren Medicaid |
$5,572.70
|
Rate for Payer: Meridian Medicaid |
$5,851.34
|
Rate for Payer: Priority Health Choice Medicaid |
$5,572.70
|
|
INPATIENT APRDRG 8444: PARTIAL THICKNESS BURNS W/O SKIN GRAFT
|
Facility
|
IP
|
$11,643.82
|
|
Service Code
|
APR-DRG 8444
|
Hospital Charge Code |
APRDRG 8444
|
Min. Negotiated Rate |
$11,089.35 |
Max. Negotiated Rate |
$11,643.82 |
Rate for Payer: BCBS Complete |
$11,643.82
|
Rate for Payer: Mclaren Medicaid |
$11,089.35
|
Rate for Payer: Meridian Medicaid |
$11,643.82
|
Rate for Payer: Priority Health Choice Medicaid |
$11,089.35
|
|
INPATIENT APRDRG 8501: PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE
|
Facility
|
IP
|
$9,225.38
|
|
Service Code
|
APR-DRG 8501
|
Hospital Charge Code |
APRDRG 8501
|
Min. Negotiated Rate |
$8,786.08 |
Max. Negotiated Rate |
$9,225.38 |
Rate for Payer: BCBS Complete |
$9,225.38
|
Rate for Payer: Mclaren Medicaid |
$8,786.08
|
Rate for Payer: Meridian Medicaid |
$9,225.38
|
Rate for Payer: Priority Health Choice Medicaid |
$8,786.08
|
|
INPATIENT APRDRG 8502: PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE
|
Facility
|
IP
|
$15,108.14
|
|
Service Code
|
APR-DRG 8502
|
Hospital Charge Code |
APRDRG 8502
|
Min. Negotiated Rate |
$14,388.70 |
Max. Negotiated Rate |
$15,108.14 |
Rate for Payer: BCBS Complete |
$15,108.14
|
Rate for Payer: Mclaren Medicaid |
$14,388.70
|
Rate for Payer: Meridian Medicaid |
$15,108.14
|
Rate for Payer: Priority Health Choice Medicaid |
$14,388.70
|
|
INPATIENT APRDRG 8503: PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE
|
Facility
|
IP
|
$22,861.21
|
|
Service Code
|
APR-DRG 8503
|
Hospital Charge Code |
APRDRG 8503
|
Min. Negotiated Rate |
$21,772.58 |
Max. Negotiated Rate |
$22,861.21 |
Rate for Payer: BCBS Complete |
$22,861.21
|
Rate for Payer: Mclaren Medicaid |
$21,772.58
|
Rate for Payer: Meridian Medicaid |
$22,861.21
|
Rate for Payer: Priority Health Choice Medicaid |
$21,772.58
|
|
INPATIENT APRDRG 8504: PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE
|
Facility
|
IP
|
$54,098.42
|
|
Service Code
|
APR-DRG 8504
|
Hospital Charge Code |
APRDRG 8504
|
Min. Negotiated Rate |
$51,522.30 |
Max. Negotiated Rate |
$54,098.42 |
Rate for Payer: BCBS Complete |
$54,098.42
|
Rate for Payer: Mclaren Medicaid |
$51,522.30
|
Rate for Payer: Meridian Medicaid |
$54,098.42
|
Rate for Payer: Priority Health Choice Medicaid |
$51,522.30
|
|
INPATIENT APRDRG 8601: REHABILITATION
|
Facility
|
IP
|
$8,530.62
|
|
Service Code
|
APR-DRG 8601
|
Hospital Charge Code |
APRDRG 8601
|
Min. Negotiated Rate |
$8,124.40 |
Max. Negotiated Rate |
$8,530.62 |
Rate for Payer: BCBS Complete |
$8,530.62
|
Rate for Payer: Mclaren Medicaid |
$8,124.40
|
Rate for Payer: Meridian Medicaid |
$8,530.62
|
Rate for Payer: Priority Health Choice Medicaid |
$8,124.40
|
|
INPATIENT APRDRG 8602: REHABILITATION
|
Facility
|
IP
|
$10,843.82
|
|
Service Code
|
APR-DRG 8602
|
Hospital Charge Code |
APRDRG 8602
|
Min. Negotiated Rate |
$10,327.45 |
Max. Negotiated Rate |
$10,843.82 |
Rate for Payer: BCBS Complete |
$10,843.82
|
Rate for Payer: Mclaren Medicaid |
$10,327.45
|
Rate for Payer: Meridian Medicaid |
$10,843.82
|
Rate for Payer: Priority Health Choice Medicaid |
$10,327.45
|
|