INPATIENT APRDRG 0093: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)
|
Facility
|
IP
|
$48,053.38
|
|
Service Code
|
APR-DRG 0093
|
Hospital Charge Code |
APRDRG 0093
|
Min. Negotiated Rate |
$45,765.12 |
Max. Negotiated Rate |
$48,053.38 |
Rate for Payer: BCBS Complete |
$48,053.38
|
Rate for Payer: Mclaren Medicaid |
$45,765.12
|
Rate for Payer: Meridian Medicaid |
$48,053.38
|
Rate for Payer: Priority Health Choice Medicaid |
$45,765.12
|
|
INPATIENT APRDRG 0094: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)
|
Facility
|
IP
|
$104,163.38
|
|
Service Code
|
APR-DRG 0094
|
Hospital Charge Code |
APRDRG 0094
|
Min. Negotiated Rate |
$99,203.22 |
Max. Negotiated Rate |
$104,163.38 |
Rate for Payer: BCBS Complete |
$104,163.38
|
Rate for Payer: Mclaren Medicaid |
$99,203.22
|
Rate for Payer: Meridian Medicaid |
$104,163.38
|
Rate for Payer: Priority Health Choice Medicaid |
$99,203.22
|
|
INPATIENT APRDRG 0111: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES
|
Facility
|
IP
|
$36,627.95
|
|
Service Code
|
APR-DRG 0111
|
Hospital Charge Code |
APRDRG 0111
|
Min. Negotiated Rate |
$34,883.76 |
Max. Negotiated Rate |
$36,627.95 |
Rate for Payer: BCBS Complete |
$36,627.95
|
Rate for Payer: Mclaren Medicaid |
$34,883.76
|
Rate for Payer: Meridian Medicaid |
$36,627.95
|
Rate for Payer: Priority Health Choice Medicaid |
$34,883.76
|
|
INPATIENT APRDRG 0112: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES
|
Facility
|
IP
|
$80,324.71
|
|
Service Code
|
APR-DRG 0112
|
Hospital Charge Code |
APRDRG 0112
|
Min. Negotiated Rate |
$76,499.72 |
Max. Negotiated Rate |
$80,324.71 |
Rate for Payer: BCBS Complete |
$80,324.71
|
Rate for Payer: Mclaren Medicaid |
$76,499.72
|
Rate for Payer: Meridian Medicaid |
$80,324.71
|
Rate for Payer: Priority Health Choice Medicaid |
$76,499.72
|
|
INPATIENT APRDRG 0113: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES
|
Facility
|
IP
|
$93,549.25
|
|
Service Code
|
APR-DRG 0113
|
Hospital Charge Code |
APRDRG 0113
|
Min. Negotiated Rate |
$89,094.52 |
Max. Negotiated Rate |
$93,549.25 |
Rate for Payer: BCBS Complete |
$93,549.25
|
Rate for Payer: Mclaren Medicaid |
$89,094.52
|
Rate for Payer: Meridian Medicaid |
$93,549.25
|
Rate for Payer: Priority Health Choice Medicaid |
$89,094.52
|
|
INPATIENT APRDRG 0114: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES
|
Facility
|
IP
|
$160,406.20
|
|
Service Code
|
APR-DRG 0114
|
Hospital Charge Code |
APRDRG 0114
|
Min. Negotiated Rate |
$152,767.81 |
Max. Negotiated Rate |
$160,406.20 |
Rate for Payer: BCBS Complete |
$160,406.20
|
Rate for Payer: Mclaren Medicaid |
$152,767.81
|
Rate for Payer: Meridian Medicaid |
$160,406.20
|
Rate for Payer: Priority Health Choice Medicaid |
$152,767.81
|
|
INPATIENT APRDRG 0201: CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$11,244.88
|
|
Service Code
|
APR-DRG 0201
|
Hospital Charge Code |
APRDRG 0201
|
Min. Negotiated Rate |
$10,709.41 |
Max. Negotiated Rate |
$11,244.88 |
Rate for Payer: BCBS Complete |
$11,244.88
|
Rate for Payer: Mclaren Medicaid |
$10,709.41
|
Rate for Payer: Meridian Medicaid |
$11,244.88
|
Rate for Payer: Priority Health Choice Medicaid |
$10,709.41
|
|
INPATIENT APRDRG 0202: CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$15,695.23
|
|
Service Code
|
APR-DRG 0202
|
Hospital Charge Code |
APRDRG 0202
|
Min. Negotiated Rate |
$14,947.84 |
Max. Negotiated Rate |
$15,695.23 |
Rate for Payer: BCBS Complete |
$15,695.23
|
Rate for Payer: Mclaren Medicaid |
$14,947.84
|
Rate for Payer: Meridian Medicaid |
$15,695.23
|
Rate for Payer: Priority Health Choice Medicaid |
$14,947.84
|
|
INPATIENT APRDRG 0203: CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$26,225.41
|
|
Service Code
|
APR-DRG 0203
|
Hospital Charge Code |
APRDRG 0203
|
Min. Negotiated Rate |
$24,976.58 |
Max. Negotiated Rate |
$26,225.41 |
Rate for Payer: BCBS Complete |
$26,225.41
|
Rate for Payer: Mclaren Medicaid |
$24,976.58
|
Rate for Payer: Meridian Medicaid |
$26,225.41
|
Rate for Payer: Priority Health Choice Medicaid |
$24,976.58
|
|
INPATIENT APRDRG 0204: CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$43,777.25
|
|
Service Code
|
APR-DRG 0204
|
Hospital Charge Code |
APRDRG 0204
|
Min. Negotiated Rate |
$41,692.62 |
Max. Negotiated Rate |
$43,777.25 |
Rate for Payer: BCBS Complete |
$43,777.25
|
Rate for Payer: Mclaren Medicaid |
$41,692.62
|
Rate for Payer: Meridian Medicaid |
$43,777.25
|
Rate for Payer: Priority Health Choice Medicaid |
$41,692.62
|
|
INPATIENT APRDRG 0211: CRANIOTOMY EXCEPT FOR TRAUMA
|
Facility
|
IP
|
$12,579.99
|
|
Service Code
|
APR-DRG 0211
|
Hospital Charge Code |
APRDRG 0211
|
Min. Negotiated Rate |
$11,980.94 |
Max. Negotiated Rate |
$12,579.99 |
Rate for Payer: BCBS Complete |
$12,579.99
|
Rate for Payer: Mclaren Medicaid |
$11,980.94
|
Rate for Payer: Meridian Medicaid |
$12,579.99
|
Rate for Payer: Priority Health Choice Medicaid |
$11,980.94
|
|
INPATIENT APRDRG 0212: CRANIOTOMY EXCEPT FOR TRAUMA
|
Facility
|
IP
|
$18,844.97
|
|
Service Code
|
APR-DRG 0212
|
Hospital Charge Code |
APRDRG 0212
|
Min. Negotiated Rate |
$17,947.59 |
Max. Negotiated Rate |
$18,844.97 |
Rate for Payer: BCBS Complete |
$18,844.97
|
Rate for Payer: Mclaren Medicaid |
$17,947.59
|
Rate for Payer: Meridian Medicaid |
$18,844.97
|
Rate for Payer: Priority Health Choice Medicaid |
$17,947.59
|
|
INPATIENT APRDRG 0213: CRANIOTOMY EXCEPT FOR TRAUMA
|
Facility
|
IP
|
$26,621.57
|
|
Service Code
|
APR-DRG 0213
|
Hospital Charge Code |
APRDRG 0213
|
Min. Negotiated Rate |
$25,353.88 |
Max. Negotiated Rate |
$26,621.57 |
Rate for Payer: BCBS Complete |
$26,621.57
|
Rate for Payer: Mclaren Medicaid |
$25,353.88
|
Rate for Payer: Meridian Medicaid |
$26,621.57
|
Rate for Payer: Priority Health Choice Medicaid |
$25,353.88
|
|
INPATIENT APRDRG 0214: CRANIOTOMY EXCEPT FOR TRAUMA
|
Facility
|
IP
|
$33,042.38
|
|
Service Code
|
APR-DRG 0214
|
Hospital Charge Code |
APRDRG 0214
|
Min. Negotiated Rate |
$31,468.93 |
Max. Negotiated Rate |
$33,042.38 |
Rate for Payer: BCBS Complete |
$33,042.38
|
Rate for Payer: Mclaren Medicaid |
$31,468.93
|
Rate for Payer: Meridian Medicaid |
$33,042.38
|
Rate for Payer: Priority Health Choice Medicaid |
$31,468.93
|
|
INPATIENT APRDRG 0221: VENTRICULAR SHUNT PROCEDURES
|
Facility
|
IP
|
$8,745.45
|
|
Service Code
|
APR-DRG 0221
|
Hospital Charge Code |
APRDRG 0221
|
Min. Negotiated Rate |
$8,329.00 |
Max. Negotiated Rate |
$8,745.45 |
Rate for Payer: BCBS Complete |
$8,745.45
|
Rate for Payer: Mclaren Medicaid |
$8,329.00
|
Rate for Payer: Meridian Medicaid |
$8,745.45
|
Rate for Payer: Priority Health Choice Medicaid |
$8,329.00
|
|
INPATIENT APRDRG 0222: VENTRICULAR SHUNT PROCEDURES
|
Facility
|
IP
|
$9,099.06
|
|
Service Code
|
APR-DRG 0222
|
Hospital Charge Code |
APRDRG 0222
|
Min. Negotiated Rate |
$8,665.77 |
Max. Negotiated Rate |
$9,099.06 |
Rate for Payer: BCBS Complete |
$9,099.06
|
Rate for Payer: Mclaren Medicaid |
$8,665.77
|
Rate for Payer: Meridian Medicaid |
$9,099.06
|
Rate for Payer: Priority Health Choice Medicaid |
$8,665.77
|
|
INPATIENT APRDRG 0223: VENTRICULAR SHUNT PROCEDURES
|
Facility
|
IP
|
$9,404.94
|
|
Service Code
|
APR-DRG 0223
|
Hospital Charge Code |
APRDRG 0223
|
Min. Negotiated Rate |
$8,957.09 |
Max. Negotiated Rate |
$9,404.94 |
Rate for Payer: BCBS Complete |
$9,404.94
|
Rate for Payer: Mclaren Medicaid |
$8,957.09
|
Rate for Payer: Meridian Medicaid |
$9,404.94
|
Rate for Payer: Priority Health Choice Medicaid |
$8,957.09
|
|
INPATIENT APRDRG 0224: VENTRICULAR SHUNT PROCEDURES
|
Facility
|
IP
|
$24,830.52
|
|
Service Code
|
APR-DRG 0224
|
Hospital Charge Code |
APRDRG 0224
|
Min. Negotiated Rate |
$23,648.11 |
Max. Negotiated Rate |
$24,830.52 |
Rate for Payer: BCBS Complete |
$24,830.52
|
Rate for Payer: Mclaren Medicaid |
$23,648.11
|
Rate for Payer: Meridian Medicaid |
$24,830.52
|
Rate for Payer: Priority Health Choice Medicaid |
$23,648.11
|
|
INPATIENT APRDRG 0231: SPINAL PROCEDURES
|
Facility
|
IP
|
$10,335.84
|
|
Service Code
|
APR-DRG 0231
|
Hospital Charge Code |
APRDRG 0231
|
Min. Negotiated Rate |
$9,843.66 |
Max. Negotiated Rate |
$10,335.84 |
Rate for Payer: BCBS Complete |
$10,335.84
|
Rate for Payer: Mclaren Medicaid |
$9,843.66
|
Rate for Payer: Meridian Medicaid |
$10,335.84
|
Rate for Payer: Priority Health Choice Medicaid |
$9,843.66
|
|
INPATIENT APRDRG 0232: SPINAL PROCEDURES
|
Facility
|
IP
|
$14,227.88
|
|
Service Code
|
APR-DRG 0232
|
Hospital Charge Code |
APRDRG 0232
|
Min. Negotiated Rate |
$13,550.36 |
Max. Negotiated Rate |
$14,227.88 |
Rate for Payer: BCBS Complete |
$14,227.88
|
Rate for Payer: Mclaren Medicaid |
$13,550.36
|
Rate for Payer: Meridian Medicaid |
$14,227.88
|
Rate for Payer: Priority Health Choice Medicaid |
$13,550.36
|
|
INPATIENT APRDRG 0233: SPINAL PROCEDURES
|
Facility
|
IP
|
$22,834.18
|
|
Service Code
|
APR-DRG 0233
|
Hospital Charge Code |
APRDRG 0233
|
Min. Negotiated Rate |
$21,746.84 |
Max. Negotiated Rate |
$22,834.18 |
Rate for Payer: BCBS Complete |
$22,834.18
|
Rate for Payer: Mclaren Medicaid |
$21,746.84
|
Rate for Payer: Meridian Medicaid |
$22,834.18
|
Rate for Payer: Priority Health Choice Medicaid |
$21,746.84
|
|
INPATIENT APRDRG 0234: SPINAL PROCEDURES
|
Facility
|
IP
|
$30,593.54
|
|
Service Code
|
APR-DRG 0234
|
Hospital Charge Code |
APRDRG 0234
|
Min. Negotiated Rate |
$29,136.70 |
Max. Negotiated Rate |
$30,593.54 |
Rate for Payer: BCBS Complete |
$30,593.54
|
Rate for Payer: Mclaren Medicaid |
$29,136.70
|
Rate for Payer: Meridian Medicaid |
$30,593.54
|
Rate for Payer: Priority Health Choice Medicaid |
$29,136.70
|
|
INPATIENT APRDRG 0241: EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$5,948.74
|
|
Service Code
|
APR-DRG 0241
|
Hospital Charge Code |
APRDRG 0241
|
Min. Negotiated Rate |
$5,665.47 |
Max. Negotiated Rate |
$5,948.74 |
Rate for Payer: BCBS Complete |
$5,948.74
|
Rate for Payer: Mclaren Medicaid |
$5,665.47
|
Rate for Payer: Meridian Medicaid |
$5,948.74
|
Rate for Payer: Priority Health Choice Medicaid |
$5,665.47
|
|
INPATIENT APRDRG 0242: EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$9,885.63
|
|
Service Code
|
APR-DRG 0242
|
Hospital Charge Code |
APRDRG 0242
|
Min. Negotiated Rate |
$9,414.89 |
Max. Negotiated Rate |
$9,885.63 |
Rate for Payer: BCBS Complete |
$9,885.63
|
Rate for Payer: Mclaren Medicaid |
$9,414.89
|
Rate for Payer: Meridian Medicaid |
$9,885.63
|
Rate for Payer: Priority Health Choice Medicaid |
$9,414.89
|
|
INPATIENT APRDRG 0243: EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$13,995.01
|
|
Service Code
|
APR-DRG 0243
|
Hospital Charge Code |
APRDRG 0243
|
Min. Negotiated Rate |
$13,328.58 |
Max. Negotiated Rate |
$13,995.01 |
Rate for Payer: BCBS Complete |
$13,995.01
|
Rate for Payer: Mclaren Medicaid |
$13,328.58
|
Rate for Payer: Meridian Medicaid |
$13,995.01
|
Rate for Payer: Priority Health Choice Medicaid |
$13,328.58
|
|