INPATIENT APRDRG 8603: REHABILITATION
|
Facility
|
IP
|
$10,463.28
|
|
Service Code
|
APR-DRG 8603
|
Hospital Charge Code |
APRDRG 8603
|
Min. Negotiated Rate |
$9,965.03 |
Max. Negotiated Rate |
$10,463.28 |
Rate for Payer: BCBS Complete |
$10,463.28
|
Rate for Payer: Mclaren Medicaid |
$9,965.03
|
Rate for Payer: Meridian Medicaid |
$10,463.28
|
Rate for Payer: Priority Health Choice Medicaid |
$9,965.03
|
|
INPATIENT APRDRG 8604: REHABILITATION
|
Facility
|
IP
|
$12,369.00
|
|
Service Code
|
APR-DRG 8604
|
Hospital Charge Code |
APRDRG 8604
|
Min. Negotiated Rate |
$11,780.00 |
Max. Negotiated Rate |
$12,369.00 |
Rate for Payer: BCBS Complete |
$12,369.00
|
Rate for Payer: Mclaren Medicaid |
$11,780.00
|
Rate for Payer: Meridian Medicaid |
$12,369.00
|
Rate for Payer: Priority Health Choice Medicaid |
$11,780.00
|
|
INPATIENT APRDRG 8611: SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS
|
Facility
|
IP
|
$2,273.30
|
|
Service Code
|
APR-DRG 8611
|
Hospital Charge Code |
APRDRG 8611
|
Min. Negotiated Rate |
$2,165.05 |
Max. Negotiated Rate |
$2,273.30 |
Rate for Payer: BCBS Complete |
$2,273.30
|
Rate for Payer: Mclaren Medicaid |
$2,165.05
|
Rate for Payer: Meridian Medicaid |
$2,273.30
|
Rate for Payer: Priority Health Choice Medicaid |
$2,165.05
|
|
INPATIENT APRDRG 8612: SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS
|
Facility
|
IP
|
$3,502.73
|
|
Service Code
|
APR-DRG 8612
|
Hospital Charge Code |
APRDRG 8612
|
Min. Negotiated Rate |
$3,335.93 |
Max. Negotiated Rate |
$3,502.73 |
Rate for Payer: BCBS Complete |
$3,502.73
|
Rate for Payer: Mclaren Medicaid |
$3,335.93
|
Rate for Payer: Meridian Medicaid |
$3,502.73
|
Rate for Payer: Priority Health Choice Medicaid |
$3,335.93
|
|
INPATIENT APRDRG 8613: SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS
|
Facility
|
IP
|
$5,719.17
|
|
Service Code
|
APR-DRG 8613
|
Hospital Charge Code |
APRDRG 8613
|
Min. Negotiated Rate |
$5,446.83 |
Max. Negotiated Rate |
$5,719.17 |
Rate for Payer: BCBS Complete |
$5,719.17
|
Rate for Payer: Mclaren Medicaid |
$5,446.83
|
Rate for Payer: Meridian Medicaid |
$5,719.17
|
Rate for Payer: Priority Health Choice Medicaid |
$5,446.83
|
|
INPATIENT APRDRG 8614: SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS
|
Facility
|
IP
|
$7,919.66
|
|
Service Code
|
APR-DRG 8614
|
Hospital Charge Code |
APRDRG 8614
|
Min. Negotiated Rate |
$7,542.53 |
Max. Negotiated Rate |
$7,919.66 |
Rate for Payer: BCBS Complete |
$7,919.66
|
Rate for Payer: Mclaren Medicaid |
$7,542.53
|
Rate for Payer: Meridian Medicaid |
$7,919.66
|
Rate for Payer: Priority Health Choice Medicaid |
$7,542.53
|
|
INPATIENT APRDRG 8621: OTHER AFTERCARE & CONVALESCENCE
|
Facility
|
IP
|
$2,794.50
|
|
Service Code
|
APR-DRG 8621
|
Hospital Charge Code |
APRDRG 8621
|
Min. Negotiated Rate |
$2,661.43 |
Max. Negotiated Rate |
$2,794.50 |
Rate for Payer: BCBS Complete |
$2,794.50
|
Rate for Payer: Mclaren Medicaid |
$2,661.43
|
Rate for Payer: Meridian Medicaid |
$2,794.50
|
Rate for Payer: Priority Health Choice Medicaid |
$2,661.43
|
|
INPATIENT APRDRG 8622: OTHER AFTERCARE & CONVALESCENCE
|
Facility
|
IP
|
$5,278.77
|
|
Service Code
|
APR-DRG 8622
|
Hospital Charge Code |
APRDRG 8622
|
Min. Negotiated Rate |
$5,027.40 |
Max. Negotiated Rate |
$5,278.77 |
Rate for Payer: BCBS Complete |
$5,278.77
|
Rate for Payer: Mclaren Medicaid |
$5,027.40
|
Rate for Payer: Meridian Medicaid |
$5,278.77
|
Rate for Payer: Priority Health Choice Medicaid |
$5,027.40
|
|
INPATIENT APRDRG 8623: OTHER AFTERCARE & CONVALESCENCE
|
Facility
|
IP
|
$5,441.87
|
|
Service Code
|
APR-DRG 8623
|
Hospital Charge Code |
APRDRG 8623
|
Min. Negotiated Rate |
$5,182.73 |
Max. Negotiated Rate |
$5,441.87 |
Rate for Payer: BCBS Complete |
$5,441.87
|
Rate for Payer: Mclaren Medicaid |
$5,182.73
|
Rate for Payer: Meridian Medicaid |
$5,441.87
|
Rate for Payer: Priority Health Choice Medicaid |
$5,182.73
|
|
INPATIENT APRDRG 8624: OTHER AFTERCARE & CONVALESCENCE
|
Facility
|
IP
|
$5,663.31
|
|
Service Code
|
APR-DRG 8624
|
Hospital Charge Code |
APRDRG 8624
|
Min. Negotiated Rate |
$5,393.63 |
Max. Negotiated Rate |
$5,663.31 |
Rate for Payer: BCBS Complete |
$5,663.31
|
Rate for Payer: Mclaren Medicaid |
$5,393.63
|
Rate for Payer: Meridian Medicaid |
$5,663.31
|
Rate for Payer: Priority Health Choice Medicaid |
$5,393.63
|
|
INPATIENT APRDRG 8631: NEONATAL AFTERCARE
|
Facility
|
IP
|
$6,183.50
|
|
Service Code
|
APR-DRG 8631
|
Hospital Charge Code |
APRDRG 8631
|
Min. Negotiated Rate |
$5,889.05 |
Max. Negotiated Rate |
$6,183.50 |
Rate for Payer: BCBS Complete |
$6,183.50
|
Rate for Payer: Mclaren Medicaid |
$5,889.05
|
Rate for Payer: Meridian Medicaid |
$6,183.50
|
Rate for Payer: Priority Health Choice Medicaid |
$5,889.05
|
|
INPATIENT APRDRG 8632: NEONATAL AFTERCARE
|
Facility
|
IP
|
$11,980.97
|
|
Service Code
|
APR-DRG 8632
|
Hospital Charge Code |
APRDRG 8632
|
Min. Negotiated Rate |
$11,410.45 |
Max. Negotiated Rate |
$11,980.97 |
Rate for Payer: BCBS Complete |
$11,980.97
|
Rate for Payer: Mclaren Medicaid |
$11,410.45
|
Rate for Payer: Meridian Medicaid |
$11,980.97
|
Rate for Payer: Priority Health Choice Medicaid |
$11,410.45
|
|
INPATIENT APRDRG 8633: NEONATAL AFTERCARE
|
Facility
|
IP
|
$21,260.72
|
|
Service Code
|
APR-DRG 8633
|
Hospital Charge Code |
APRDRG 8633
|
Min. Negotiated Rate |
$20,248.30 |
Max. Negotiated Rate |
$21,260.72 |
Rate for Payer: BCBS Complete |
$21,260.72
|
Rate for Payer: Mclaren Medicaid |
$20,248.30
|
Rate for Payer: Meridian Medicaid |
$21,260.72
|
Rate for Payer: Priority Health Choice Medicaid |
$20,248.30
|
|
INPATIENT APRDRG 8634: NEONATAL AFTERCARE
|
Facility
|
IP
|
$44,939.37
|
|
Service Code
|
APR-DRG 8634
|
Hospital Charge Code |
APRDRG 8634
|
Min. Negotiated Rate |
$42,799.40 |
Max. Negotiated Rate |
$44,939.37 |
Rate for Payer: BCBS Complete |
$44,939.37
|
Rate for Payer: Mclaren Medicaid |
$42,799.40
|
Rate for Payer: Meridian Medicaid |
$44,939.37
|
Rate for Payer: Priority Health Choice Medicaid |
$42,799.40
|
|
INPATIENT APRDRG 8901: HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS
|
Facility
|
IP
|
$4,757.08
|
|
Service Code
|
APR-DRG 8901
|
Hospital Charge Code |
APRDRG 8901
|
Min. Negotiated Rate |
$4,530.55 |
Max. Negotiated Rate |
$4,757.08 |
Rate for Payer: BCBS Complete |
$4,757.08
|
Rate for Payer: Mclaren Medicaid |
$4,530.55
|
Rate for Payer: Meridian Medicaid |
$4,757.08
|
Rate for Payer: Priority Health Choice Medicaid |
$4,530.55
|
|
INPATIENT APRDRG 8902: HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS
|
Facility
|
IP
|
$5,017.93
|
|
Service Code
|
APR-DRG 8902
|
Hospital Charge Code |
APRDRG 8902
|
Min. Negotiated Rate |
$4,778.98 |
Max. Negotiated Rate |
$5,017.93 |
Rate for Payer: BCBS Complete |
$5,017.93
|
Rate for Payer: Mclaren Medicaid |
$4,778.98
|
Rate for Payer: Meridian Medicaid |
$5,017.93
|
Rate for Payer: Priority Health Choice Medicaid |
$4,778.98
|
|
INPATIENT APRDRG 8903: HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS
|
Facility
|
IP
|
$6,654.83
|
|
Service Code
|
APR-DRG 8903
|
Hospital Charge Code |
APRDRG 8903
|
Min. Negotiated Rate |
$6,337.93 |
Max. Negotiated Rate |
$6,654.83 |
Rate for Payer: BCBS Complete |
$6,654.83
|
Rate for Payer: Mclaren Medicaid |
$6,337.93
|
Rate for Payer: Meridian Medicaid |
$6,654.83
|
Rate for Payer: Priority Health Choice Medicaid |
$6,337.93
|
|
INPATIENT APRDRG 8904: HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS
|
Facility
|
IP
|
$12,326.11
|
|
Service Code
|
APR-DRG 8904
|
Hospital Charge Code |
APRDRG 8904
|
Min. Negotiated Rate |
$11,739.15 |
Max. Negotiated Rate |
$12,326.11 |
Rate for Payer: BCBS Complete |
$12,326.11
|
Rate for Payer: Mclaren Medicaid |
$11,739.15
|
Rate for Payer: Meridian Medicaid |
$12,326.11
|
Rate for Payer: Priority Health Choice Medicaid |
$11,739.15
|
|
INPATIENT APRDRG 8921: HIV W MAJOR HIV RELATED CONDITION
|
Facility
|
IP
|
$3,072.80
|
|
Service Code
|
APR-DRG 8921
|
Hospital Charge Code |
APRDRG 8921
|
Min. Negotiated Rate |
$2,926.48 |
Max. Negotiated Rate |
$3,072.80 |
Rate for Payer: BCBS Complete |
$3,072.80
|
Rate for Payer: Mclaren Medicaid |
$2,926.48
|
Rate for Payer: Meridian Medicaid |
$3,072.80
|
Rate for Payer: Priority Health Choice Medicaid |
$2,926.48
|
|
INPATIENT APRDRG 8922: HIV W MAJOR HIV RELATED CONDITION
|
Facility
|
IP
|
$3,683.77
|
|
Service Code
|
APR-DRG 8922
|
Hospital Charge Code |
APRDRG 8922
|
Min. Negotiated Rate |
$3,508.35 |
Max. Negotiated Rate |
$3,683.77 |
Rate for Payer: BCBS Complete |
$3,683.77
|
Rate for Payer: Mclaren Medicaid |
$3,508.35
|
Rate for Payer: Meridian Medicaid |
$3,683.77
|
Rate for Payer: Priority Health Choice Medicaid |
$3,508.35
|
|
INPATIENT APRDRG 8923: HIV W MAJOR HIV RELATED CONDITION
|
Facility
|
IP
|
$5,908.70
|
|
Service Code
|
APR-DRG 8923
|
Hospital Charge Code |
APRDRG 8923
|
Min. Negotiated Rate |
$5,627.33 |
Max. Negotiated Rate |
$5,908.70 |
Rate for Payer: BCBS Complete |
$5,908.70
|
Rate for Payer: Mclaren Medicaid |
$5,627.33
|
Rate for Payer: Meridian Medicaid |
$5,908.70
|
Rate for Payer: Priority Health Choice Medicaid |
$5,627.33
|
|
INPATIENT APRDRG 8924: HIV W MAJOR HIV RELATED CONDITION
|
Facility
|
IP
|
$9,829.87
|
|
Service Code
|
APR-DRG 8924
|
Hospital Charge Code |
APRDRG 8924
|
Min. Negotiated Rate |
$9,361.78 |
Max. Negotiated Rate |
$9,829.87 |
Rate for Payer: BCBS Complete |
$9,829.87
|
Rate for Payer: Mclaren Medicaid |
$9,361.78
|
Rate for Payer: Meridian Medicaid |
$9,829.87
|
Rate for Payer: Priority Health Choice Medicaid |
$9,361.78
|
|
INPATIENT APRDRG 8931: HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS
|
Facility
|
IP
|
$4,636.88
|
|
Service Code
|
APR-DRG 8931
|
Hospital Charge Code |
APRDRG 8931
|
Min. Negotiated Rate |
$4,416.08 |
Max. Negotiated Rate |
$4,636.88 |
Rate for Payer: BCBS Complete |
$4,636.88
|
Rate for Payer: Mclaren Medicaid |
$4,416.08
|
Rate for Payer: Meridian Medicaid |
$4,636.88
|
Rate for Payer: Priority Health Choice Medicaid |
$4,416.08
|
|
INPATIENT APRDRG 8932: HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS
|
Facility
|
IP
|
$4,938.62
|
|
Service Code
|
APR-DRG 8932
|
Hospital Charge Code |
APRDRG 8932
|
Min. Negotiated Rate |
$4,703.45 |
Max. Negotiated Rate |
$4,938.62 |
Rate for Payer: BCBS Complete |
$4,938.62
|
Rate for Payer: Mclaren Medicaid |
$4,703.45
|
Rate for Payer: Meridian Medicaid |
$4,938.62
|
Rate for Payer: Priority Health Choice Medicaid |
$4,703.45
|
|
INPATIENT APRDRG 8933: HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS
|
Facility
|
IP
|
$6,095.72
|
|
Service Code
|
APR-DRG 8933
|
Hospital Charge Code |
APRDRG 8933
|
Min. Negotiated Rate |
$5,805.45 |
Max. Negotiated Rate |
$6,095.72 |
Rate for Payer: BCBS Complete |
$6,095.72
|
Rate for Payer: Mclaren Medicaid |
$5,805.45
|
Rate for Payer: Meridian Medicaid |
$6,095.72
|
Rate for Payer: Priority Health Choice Medicaid |
$5,805.45
|
|