INPATIENT APRDRG 8934: HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS
|
Facility
|
IP
|
$8,818.90
|
|
Service Code
|
APR-DRG 8934
|
Hospital Charge Code |
APRDRG 8934
|
Min. Negotiated Rate |
$8,398.95 |
Max. Negotiated Rate |
$8,818.90 |
Rate for Payer: BCBS Complete |
$8,818.90
|
Rate for Payer: Mclaren Medicaid |
$8,398.95
|
Rate for Payer: Meridian Medicaid |
$8,818.90
|
Rate for Payer: Priority Health Choice Medicaid |
$8,398.95
|
|
INPATIENT APRDRG 8941: HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND
|
Facility
|
IP
|
$3,438.38
|
|
Service Code
|
APR-DRG 8941
|
Hospital Charge Code |
APRDRG 8941
|
Min. Negotiated Rate |
$3,274.65 |
Max. Negotiated Rate |
$3,438.38 |
Rate for Payer: BCBS Complete |
$3,438.38
|
Rate for Payer: Mclaren Medicaid |
$3,274.65
|
Rate for Payer: Meridian Medicaid |
$3,438.38
|
Rate for Payer: Priority Health Choice Medicaid |
$3,274.65
|
|
INPATIENT APRDRG 8942: HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND
|
Facility
|
IP
|
$3,645.86
|
|
Service Code
|
APR-DRG 8942
|
Hospital Charge Code |
APRDRG 8942
|
Min. Negotiated Rate |
$3,472.25 |
Max. Negotiated Rate |
$3,645.86 |
Rate for Payer: BCBS Complete |
$3,645.86
|
Rate for Payer: Mclaren Medicaid |
$3,472.25
|
Rate for Payer: Meridian Medicaid |
$3,645.86
|
Rate for Payer: Priority Health Choice Medicaid |
$3,472.25
|
|
INPATIENT APRDRG 8943: HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND
|
Facility
|
IP
|
$4,430.90
|
|
Service Code
|
APR-DRG 8943
|
Hospital Charge Code |
APRDRG 8943
|
Min. Negotiated Rate |
$4,219.90 |
Max. Negotiated Rate |
$4,430.90 |
Rate for Payer: BCBS Complete |
$4,430.90
|
Rate for Payer: Mclaren Medicaid |
$4,219.90
|
Rate for Payer: Meridian Medicaid |
$4,430.90
|
Rate for Payer: Priority Health Choice Medicaid |
$4,219.90
|
|
INPATIENT APRDRG 8944: HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND
|
Facility
|
IP
|
$6,475.77
|
|
Service Code
|
APR-DRG 8944
|
Hospital Charge Code |
APRDRG 8944
|
Min. Negotiated Rate |
$6,167.40 |
Max. Negotiated Rate |
$6,475.77 |
Rate for Payer: BCBS Complete |
$6,475.77
|
Rate for Payer: Mclaren Medicaid |
$6,167.40
|
Rate for Payer: Meridian Medicaid |
$6,475.77
|
Rate for Payer: Priority Health Choice Medicaid |
$6,167.40
|
|
INPATIENT APRDRG 9101: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$14,218.87
|
|
Service Code
|
APR-DRG 9101
|
Hospital Charge Code |
APRDRG 9101
|
Min. Negotiated Rate |
$13,541.78 |
Max. Negotiated Rate |
$14,218.87 |
Rate for Payer: BCBS Complete |
$14,218.87
|
Rate for Payer: Mclaren Medicaid |
$13,541.78
|
Rate for Payer: Meridian Medicaid |
$14,218.87
|
Rate for Payer: Priority Health Choice Medicaid |
$13,541.78
|
|
INPATIENT APRDRG 9102: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$14,827.84
|
|
Service Code
|
APR-DRG 9102
|
Hospital Charge Code |
APRDRG 9102
|
Min. Negotiated Rate |
$14,121.75 |
Max. Negotiated Rate |
$14,827.84 |
Rate for Payer: BCBS Complete |
$14,827.84
|
Rate for Payer: Mclaren Medicaid |
$14,121.75
|
Rate for Payer: Meridian Medicaid |
$14,827.84
|
Rate for Payer: Priority Health Choice Medicaid |
$14,121.75
|
|
INPATIENT APRDRG 9103: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$26,090.61
|
|
Service Code
|
APR-DRG 9103
|
Hospital Charge Code |
APRDRG 9103
|
Min. Negotiated Rate |
$24,848.20 |
Max. Negotiated Rate |
$26,090.61 |
Rate for Payer: BCBS Complete |
$26,090.61
|
Rate for Payer: Mclaren Medicaid |
$24,848.20
|
Rate for Payer: Meridian Medicaid |
$26,090.61
|
Rate for Payer: Priority Health Choice Medicaid |
$24,848.20
|
|
INPATIENT APRDRG 9104: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$22,906.59
|
|
Service Code
|
APR-DRG 9104
|
Hospital Charge Code |
APRDRG 9104
|
Min. Negotiated Rate |
$21,815.80 |
Max. Negotiated Rate |
$22,906.59 |
Rate for Payer: BCBS Complete |
$22,906.59
|
Rate for Payer: Mclaren Medicaid |
$21,815.80
|
Rate for Payer: Meridian Medicaid |
$22,906.59
|
Rate for Payer: Priority Health Choice Medicaid |
$21,815.80
|
|
INPATIENT APRDRG 9111: EXTENSIVE ABDOMINAL/THORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$9,497.20
|
|
Service Code
|
APR-DRG 9111
|
Hospital Charge Code |
APRDRG 9111
|
Min. Negotiated Rate |
$9,044.95 |
Max. Negotiated Rate |
$9,497.20 |
Rate for Payer: BCBS Complete |
$9,497.20
|
Rate for Payer: Mclaren Medicaid |
$9,044.95
|
Rate for Payer: Meridian Medicaid |
$9,497.20
|
Rate for Payer: Priority Health Choice Medicaid |
$9,044.95
|
|
INPATIENT APRDRG 9112: EXTENSIVE ABDOMINAL/THORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$11,001.93
|
|
Service Code
|
APR-DRG 9112
|
Hospital Charge Code |
APRDRG 9112
|
Min. Negotiated Rate |
$10,478.03 |
Max. Negotiated Rate |
$11,001.93 |
Rate for Payer: BCBS Complete |
$11,001.93
|
Rate for Payer: Mclaren Medicaid |
$10,478.03
|
Rate for Payer: Meridian Medicaid |
$11,001.93
|
Rate for Payer: Priority Health Choice Medicaid |
$10,478.03
|
|
INPATIENT APRDRG 9113: EXTENSIVE ABDOMINAL/THORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$15,161.51
|
|
Service Code
|
APR-DRG 9113
|
Hospital Charge Code |
APRDRG 9113
|
Min. Negotiated Rate |
$14,439.53 |
Max. Negotiated Rate |
$15,161.51 |
Rate for Payer: BCBS Complete |
$15,161.51
|
Rate for Payer: Mclaren Medicaid |
$14,439.53
|
Rate for Payer: Meridian Medicaid |
$15,161.51
|
Rate for Payer: Priority Health Choice Medicaid |
$14,439.53
|
|
INPATIENT APRDRG 9114: EXTENSIVE ABDOMINAL/THORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$34,936.94
|
|
Service Code
|
APR-DRG 9114
|
Hospital Charge Code |
APRDRG 9114
|
Min. Negotiated Rate |
$33,273.28 |
Max. Negotiated Rate |
$34,936.94 |
Rate for Payer: BCBS Complete |
$34,936.94
|
Rate for Payer: Mclaren Medicaid |
$33,273.28
|
Rate for Payer: Meridian Medicaid |
$34,936.94
|
Rate for Payer: Priority Health Choice Medicaid |
$33,273.28
|
|
INPATIENT APRDRG 9121: MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$11,217.88
|
|
Service Code
|
APR-DRG 9121
|
Hospital Charge Code |
APRDRG 9121
|
Min. Negotiated Rate |
$10,683.70 |
Max. Negotiated Rate |
$11,217.88 |
Rate for Payer: BCBS Complete |
$11,217.88
|
Rate for Payer: Mclaren Medicaid |
$10,683.70
|
Rate for Payer: Meridian Medicaid |
$11,217.88
|
Rate for Payer: Priority Health Choice Medicaid |
$10,683.70
|
|
INPATIENT APRDRG 9122: MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$11,803.92
|
|
Service Code
|
APR-DRG 9122
|
Hospital Charge Code |
APRDRG 9122
|
Min. Negotiated Rate |
$11,241.83 |
Max. Negotiated Rate |
$11,803.92 |
Rate for Payer: BCBS Complete |
$11,803.92
|
Rate for Payer: Mclaren Medicaid |
$11,241.83
|
Rate for Payer: Meridian Medicaid |
$11,803.92
|
Rate for Payer: Priority Health Choice Medicaid |
$11,241.83
|
|
INPATIENT APRDRG 9123: MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$18,042.29
|
|
Service Code
|
APR-DRG 9123
|
Hospital Charge Code |
APRDRG 9123
|
Min. Negotiated Rate |
$17,183.13 |
Max. Negotiated Rate |
$18,042.29 |
Rate for Payer: BCBS Complete |
$18,042.29
|
Rate for Payer: Mclaren Medicaid |
$17,183.13
|
Rate for Payer: Meridian Medicaid |
$18,042.29
|
Rate for Payer: Priority Health Choice Medicaid |
$17,183.13
|
|
INPATIENT APRDRG 9124: MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$30,383.85
|
|
Service Code
|
APR-DRG 9124
|
Hospital Charge Code |
APRDRG 9124
|
Min. Negotiated Rate |
$28,937.00 |
Max. Negotiated Rate |
$30,383.85 |
Rate for Payer: BCBS Complete |
$30,383.85
|
Rate for Payer: Mclaren Medicaid |
$28,937.00
|
Rate for Payer: Meridian Medicaid |
$30,383.85
|
Rate for Payer: Priority Health Choice Medicaid |
$28,937.00
|
|
INPATIENT APRDRG 9301: MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE
|
Facility
|
IP
|
$3,971.55
|
|
Service Code
|
APR-DRG 9301
|
Hospital Charge Code |
APRDRG 9301
|
Min. Negotiated Rate |
$3,782.43 |
Max. Negotiated Rate |
$3,971.55 |
Rate for Payer: BCBS Complete |
$3,971.55
|
Rate for Payer: Mclaren Medicaid |
$3,782.43
|
Rate for Payer: Meridian Medicaid |
$3,971.55
|
Rate for Payer: Priority Health Choice Medicaid |
$3,782.43
|
|
INPATIENT APRDRG 9302: MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE
|
Facility
|
IP
|
$4,648.85
|
|
Service Code
|
APR-DRG 9302
|
Hospital Charge Code |
APRDRG 9302
|
Min. Negotiated Rate |
$4,427.48 |
Max. Negotiated Rate |
$4,648.85 |
Rate for Payer: BCBS Complete |
$4,648.85
|
Rate for Payer: Mclaren Medicaid |
$4,427.48
|
Rate for Payer: Meridian Medicaid |
$4,648.85
|
Rate for Payer: Priority Health Choice Medicaid |
$4,427.48
|
|
INPATIENT APRDRG 9303: MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE
|
Facility
|
IP
|
$8,915.16
|
|
Service Code
|
APR-DRG 9303
|
Hospital Charge Code |
APRDRG 9303
|
Min. Negotiated Rate |
$8,490.63 |
Max. Negotiated Rate |
$8,915.16 |
Rate for Payer: BCBS Complete |
$8,915.16
|
Rate for Payer: Mclaren Medicaid |
$8,490.63
|
Rate for Payer: Meridian Medicaid |
$8,915.16
|
Rate for Payer: Priority Health Choice Medicaid |
$8,490.63
|
|
INPATIENT APRDRG 9304: MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE
|
Facility
|
IP
|
$13,585.46
|
|
Service Code
|
APR-DRG 9304
|
Hospital Charge Code |
APRDRG 9304
|
Min. Negotiated Rate |
$12,938.53 |
Max. Negotiated Rate |
$13,585.46 |
Rate for Payer: BCBS Complete |
$13,585.46
|
Rate for Payer: Mclaren Medicaid |
$12,938.53
|
Rate for Payer: Meridian Medicaid |
$13,585.46
|
Rate for Payer: Priority Health Choice Medicaid |
$12,938.53
|
|
INPATIENT APRDRG 9501: EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$7,791.98
|
|
Service Code
|
APR-DRG 9501
|
Hospital Charge Code |
APRDRG 9501
|
Min. Negotiated Rate |
$7,420.93 |
Max. Negotiated Rate |
$7,791.98 |
Rate for Payer: BCBS Complete |
$7,791.98
|
Rate for Payer: Mclaren Medicaid |
$7,420.93
|
Rate for Payer: Meridian Medicaid |
$7,791.98
|
Rate for Payer: Priority Health Choice Medicaid |
$7,420.93
|
|
INPATIENT APRDRG 9502: EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$11,184.97
|
|
Service Code
|
APR-DRG 9502
|
Hospital Charge Code |
APRDRG 9502
|
Min. Negotiated Rate |
$10,652.35 |
Max. Negotiated Rate |
$11,184.97 |
Rate for Payer: BCBS Complete |
$11,184.97
|
Rate for Payer: Mclaren Medicaid |
$10,652.35
|
Rate for Payer: Meridian Medicaid |
$11,184.97
|
Rate for Payer: Priority Health Choice Medicaid |
$10,652.35
|
|
INPATIENT APRDRG 9503: EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$15,953.52
|
|
Service Code
|
APR-DRG 9503
|
Hospital Charge Code |
APRDRG 9503
|
Min. Negotiated Rate |
$15,193.83 |
Max. Negotiated Rate |
$15,953.52 |
Rate for Payer: BCBS Complete |
$15,953.52
|
Rate for Payer: Mclaren Medicaid |
$15,193.83
|
Rate for Payer: Meridian Medicaid |
$15,953.52
|
Rate for Payer: Priority Health Choice Medicaid |
$15,193.83
|
|
INPATIENT APRDRG 9504: EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$27,836.74
|
|
Service Code
|
APR-DRG 9504
|
Hospital Charge Code |
APRDRG 9504
|
Min. Negotiated Rate |
$26,511.18 |
Max. Negotiated Rate |
$27,836.74 |
Rate for Payer: BCBS Complete |
$27,836.74
|
Rate for Payer: Mclaren Medicaid |
$26,511.18
|
Rate for Payer: Meridian Medicaid |
$27,836.74
|
Rate for Payer: Priority Health Choice Medicaid |
$26,511.18
|
|