INPATIENT APRDRG 0244: EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$23,851.89
|
|
Service Code
|
APR-DRG 0244
|
Hospital Charge Code |
APRDRG 0244
|
Min. Negotiated Rate |
$22,716.09 |
Max. Negotiated Rate |
$23,851.89 |
Rate for Payer: BCBS Complete |
$23,851.89
|
Rate for Payer: Mclaren Medicaid |
$22,716.09
|
Rate for Payer: Meridian Medicaid |
$23,851.89
|
Rate for Payer: Priority Health Choice Medicaid |
$22,716.09
|
|
INPATIENT APRDRG 0261: OTHER NERVOUS SYSTEM & RELATED PROCEDURES
|
Facility
|
IP
|
$8,689.10
|
|
Service Code
|
APR-DRG 0261
|
Hospital Charge Code |
APRDRG 0261
|
Min. Negotiated Rate |
$8,275.33 |
Max. Negotiated Rate |
$8,689.10 |
Rate for Payer: BCBS Complete |
$8,689.10
|
Rate for Payer: Mclaren Medicaid |
$8,275.33
|
Rate for Payer: Meridian Medicaid |
$8,689.10
|
Rate for Payer: Priority Health Choice Medicaid |
$8,275.33
|
|
INPATIENT APRDRG 0262: OTHER NERVOUS SYSTEM & RELATED PROCEDURES
|
Facility
|
IP
|
$11,233.38
|
|
Service Code
|
APR-DRG 0262
|
Hospital Charge Code |
APRDRG 0262
|
Min. Negotiated Rate |
$10,698.46 |
Max. Negotiated Rate |
$11,233.38 |
Rate for Payer: BCBS Complete |
$11,233.38
|
Rate for Payer: Mclaren Medicaid |
$10,698.46
|
Rate for Payer: Meridian Medicaid |
$11,233.38
|
Rate for Payer: Priority Health Choice Medicaid |
$10,698.46
|
|
INPATIENT APRDRG 0263: OTHER NERVOUS SYSTEM & RELATED PROCEDURES
|
Facility
|
IP
|
$13,576.43
|
|
Service Code
|
APR-DRG 0263
|
Hospital Charge Code |
APRDRG 0263
|
Min. Negotiated Rate |
$12,929.93 |
Max. Negotiated Rate |
$13,576.43 |
Rate for Payer: BCBS Complete |
$13,576.43
|
Rate for Payer: Mclaren Medicaid |
$12,929.93
|
Rate for Payer: Meridian Medicaid |
$13,576.43
|
Rate for Payer: Priority Health Choice Medicaid |
$12,929.93
|
|
INPATIENT APRDRG 0264: OTHER NERVOUS SYSTEM & RELATED PROCEDURES
|
Facility
|
IP
|
$21,748.62
|
|
Service Code
|
APR-DRG 0264
|
Hospital Charge Code |
APRDRG 0264
|
Min. Negotiated Rate |
$20,712.97 |
Max. Negotiated Rate |
$21,748.62 |
Rate for Payer: BCBS Complete |
$21,748.62
|
Rate for Payer: Mclaren Medicaid |
$20,712.97
|
Rate for Payer: Meridian Medicaid |
$21,748.62
|
Rate for Payer: Priority Health Choice Medicaid |
$20,712.97
|
|
INPATIENT APRDRG 0271: OTHER OPEN CRANIOTOMY
|
Facility
|
IP
|
$9,692.43
|
|
Service Code
|
APR-DRG 0271
|
Hospital Charge Code |
APRDRG 0271
|
Min. Negotiated Rate |
$9,230.89 |
Max. Negotiated Rate |
$9,692.43 |
Rate for Payer: BCBS Complete |
$9,692.43
|
Rate for Payer: Mclaren Medicaid |
$9,230.89
|
Rate for Payer: Meridian Medicaid |
$9,692.43
|
Rate for Payer: Priority Health Choice Medicaid |
$9,230.89
|
|
INPATIENT APRDRG 0272: OTHER OPEN CRANIOTOMY
|
Facility
|
IP
|
$10,962.57
|
|
Service Code
|
APR-DRG 0272
|
Hospital Charge Code |
APRDRG 0272
|
Min. Negotiated Rate |
$10,440.54 |
Max. Negotiated Rate |
$10,962.57 |
Rate for Payer: BCBS Complete |
$10,962.57
|
Rate for Payer: Mclaren Medicaid |
$10,440.54
|
Rate for Payer: Meridian Medicaid |
$10,962.57
|
Rate for Payer: Priority Health Choice Medicaid |
$10,440.54
|
|
INPATIENT APRDRG 0273: OTHER OPEN CRANIOTOMY
|
Facility
|
IP
|
$18,168.21
|
|
Service Code
|
APR-DRG 0273
|
Hospital Charge Code |
APRDRG 0273
|
Min. Negotiated Rate |
$17,303.06 |
Max. Negotiated Rate |
$18,168.21 |
Rate for Payer: BCBS Complete |
$18,168.21
|
Rate for Payer: Mclaren Medicaid |
$17,303.06
|
Rate for Payer: Meridian Medicaid |
$18,168.21
|
Rate for Payer: Priority Health Choice Medicaid |
$17,303.06
|
|
INPATIENT APRDRG 0274: OTHER OPEN CRANIOTOMY
|
Facility
|
IP
|
$31,750.97
|
|
Service Code
|
APR-DRG 0274
|
Hospital Charge Code |
APRDRG 0274
|
Min. Negotiated Rate |
$30,239.02 |
Max. Negotiated Rate |
$31,750.97 |
Rate for Payer: BCBS Complete |
$31,750.97
|
Rate for Payer: Mclaren Medicaid |
$30,239.02
|
Rate for Payer: Meridian Medicaid |
$31,750.97
|
Rate for Payer: Priority Health Choice Medicaid |
$30,239.02
|
|
INPATIENT APRDRG 0291: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$16,446.73
|
|
Service Code
|
APR-DRG 0291
|
Hospital Charge Code |
APRDRG 0291
|
Min. Negotiated Rate |
$15,663.55 |
Max. Negotiated Rate |
$16,446.73 |
Rate for Payer: BCBS Complete |
$16,446.73
|
Rate for Payer: Mclaren Medicaid |
$15,663.55
|
Rate for Payer: Meridian Medicaid |
$16,446.73
|
Rate for Payer: Priority Health Choice Medicaid |
$15,663.55
|
|
INPATIENT APRDRG 0292: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$20,422.14
|
|
Service Code
|
APR-DRG 0292
|
Hospital Charge Code |
APRDRG 0292
|
Min. Negotiated Rate |
$19,449.66 |
Max. Negotiated Rate |
$20,422.14 |
Rate for Payer: BCBS Complete |
$20,422.14
|
Rate for Payer: Mclaren Medicaid |
$19,449.66
|
Rate for Payer: Meridian Medicaid |
$20,422.14
|
Rate for Payer: Priority Health Choice Medicaid |
$19,449.66
|
|
INPATIENT APRDRG 0293: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$23,002.08
|
|
Service Code
|
APR-DRG 0293
|
Hospital Charge Code |
APRDRG 0293
|
Min. Negotiated Rate |
$21,906.74 |
Max. Negotiated Rate |
$23,002.08 |
Rate for Payer: BCBS Complete |
$23,002.08
|
Rate for Payer: Mclaren Medicaid |
$21,906.74
|
Rate for Payer: Meridian Medicaid |
$23,002.08
|
Rate for Payer: Priority Health Choice Medicaid |
$21,906.74
|
|
INPATIENT APRDRG 0294: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
|
Facility
|
IP
|
$22,284.50
|
|
Service Code
|
APR-DRG 0294
|
Hospital Charge Code |
APRDRG 0294
|
Min. Negotiated Rate |
$21,223.33 |
Max. Negotiated Rate |
$22,284.50 |
Rate for Payer: BCBS Complete |
$22,284.50
|
Rate for Payer: Mclaren Medicaid |
$21,223.33
|
Rate for Payer: Meridian Medicaid |
$22,284.50
|
Rate for Payer: Priority Health Choice Medicaid |
$21,223.33
|
|
INPATIENT APRDRG 0301: PERCUTANEOUS INTRA & EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$9,921.86
|
|
Service Code
|
APR-DRG 0301
|
Hospital Charge Code |
APRDRG 0301
|
Min. Negotiated Rate |
$9,449.39 |
Max. Negotiated Rate |
$9,921.86 |
Rate for Payer: BCBS Complete |
$9,921.86
|
Rate for Payer: Mclaren Medicaid |
$9,449.39
|
Rate for Payer: Meridian Medicaid |
$9,921.86
|
Rate for Payer: Priority Health Choice Medicaid |
$9,449.39
|
|
INPATIENT APRDRG 0302: PERCUTANEOUS INTRA & EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$13,697.74
|
|
Service Code
|
APR-DRG 0302
|
Hospital Charge Code |
APRDRG 0302
|
Min. Negotiated Rate |
$13,045.47 |
Max. Negotiated Rate |
$13,697.74 |
Rate for Payer: BCBS Complete |
$13,697.74
|
Rate for Payer: Mclaren Medicaid |
$13,045.47
|
Rate for Payer: Meridian Medicaid |
$13,697.74
|
Rate for Payer: Priority Health Choice Medicaid |
$13,045.47
|
|
INPATIENT APRDRG 0303: PERCUTANEOUS INTRA & EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$18,601.18
|
|
Service Code
|
APR-DRG 0303
|
Hospital Charge Code |
APRDRG 0303
|
Min. Negotiated Rate |
$17,715.41 |
Max. Negotiated Rate |
$18,601.18 |
Rate for Payer: BCBS Complete |
$18,601.18
|
Rate for Payer: Mclaren Medicaid |
$17,715.41
|
Rate for Payer: Meridian Medicaid |
$18,601.18
|
Rate for Payer: Priority Health Choice Medicaid |
$17,715.41
|
|
INPATIENT APRDRG 0304: PERCUTANEOUS INTRA & EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$24,978.28
|
|
Service Code
|
APR-DRG 0304
|
Hospital Charge Code |
APRDRG 0304
|
Min. Negotiated Rate |
$23,788.84 |
Max. Negotiated Rate |
$24,978.28 |
Rate for Payer: BCBS Complete |
$24,978.28
|
Rate for Payer: Mclaren Medicaid |
$23,788.84
|
Rate for Payer: Meridian Medicaid |
$24,978.28
|
Rate for Payer: Priority Health Choice Medicaid |
$23,788.84
|
|
INPATIENT APRDRG 0401: SPINAL DISORDERS & INJURIES
|
Facility
|
IP
|
$7,240.73
|
|
Service Code
|
APR-DRG 0401
|
Hospital Charge Code |
APRDRG 0401
|
Min. Negotiated Rate |
$6,895.93 |
Max. Negotiated Rate |
$7,240.73 |
Rate for Payer: BCBS Complete |
$7,240.73
|
Rate for Payer: Mclaren Medicaid |
$6,895.93
|
Rate for Payer: Meridian Medicaid |
$7,240.73
|
Rate for Payer: Priority Health Choice Medicaid |
$6,895.93
|
|
INPATIENT APRDRG 0402: SPINAL DISORDERS & INJURIES
|
Facility
|
IP
|
$9,087.56
|
|
Service Code
|
APR-DRG 0402
|
Hospital Charge Code |
APRDRG 0402
|
Min. Negotiated Rate |
$8,654.82 |
Max. Negotiated Rate |
$9,087.56 |
Rate for Payer: BCBS Complete |
$9,087.56
|
Rate for Payer: Mclaren Medicaid |
$8,654.82
|
Rate for Payer: Meridian Medicaid |
$9,087.56
|
Rate for Payer: Priority Health Choice Medicaid |
$8,654.82
|
|
INPATIENT APRDRG 0403: SPINAL DISORDERS & INJURIES
|
Facility
|
IP
|
$10,629.08
|
|
Service Code
|
APR-DRG 0403
|
Hospital Charge Code |
APRDRG 0403
|
Min. Negotiated Rate |
$10,122.93 |
Max. Negotiated Rate |
$10,629.08 |
Rate for Payer: BCBS Complete |
$10,629.08
|
Rate for Payer: Mclaren Medicaid |
$10,122.93
|
Rate for Payer: Meridian Medicaid |
$10,629.08
|
Rate for Payer: Priority Health Choice Medicaid |
$10,122.93
|
|
INPATIENT APRDRG 0404: SPINAL DISORDERS & INJURIES
|
Facility
|
IP
|
$14,751.11
|
|
Service Code
|
APR-DRG 0404
|
Hospital Charge Code |
APRDRG 0404
|
Min. Negotiated Rate |
$14,048.68 |
Max. Negotiated Rate |
$14,751.11 |
Rate for Payer: BCBS Complete |
$14,751.11
|
Rate for Payer: Mclaren Medicaid |
$14,048.68
|
Rate for Payer: Meridian Medicaid |
$14,751.11
|
Rate for Payer: Priority Health Choice Medicaid |
$14,048.68
|
|
INPATIENT APRDRG 0411: NERVOUS SYSTEM MALIGNANCY
|
Facility
|
IP
|
$5,142.05
|
|
Service Code
|
APR-DRG 0411
|
Hospital Charge Code |
APRDRG 0411
|
Min. Negotiated Rate |
$4,897.19 |
Max. Negotiated Rate |
$5,142.05 |
Rate for Payer: BCBS Complete |
$5,142.05
|
Rate for Payer: Mclaren Medicaid |
$4,897.19
|
Rate for Payer: Meridian Medicaid |
$5,142.05
|
Rate for Payer: Priority Health Choice Medicaid |
$4,897.19
|
|
INPATIENT APRDRG 0412: NERVOUS SYSTEM MALIGNANCY
|
Facility
|
IP
|
$5,340.42
|
|
Service Code
|
APR-DRG 0412
|
Hospital Charge Code |
APRDRG 0412
|
Min. Negotiated Rate |
$5,086.11 |
Max. Negotiated Rate |
$5,340.42 |
Rate for Payer: BCBS Complete |
$5,340.42
|
Rate for Payer: Mclaren Medicaid |
$5,086.11
|
Rate for Payer: Meridian Medicaid |
$5,340.42
|
Rate for Payer: Priority Health Choice Medicaid |
$5,086.11
|
|
INPATIENT APRDRG 0413: NERVOUS SYSTEM MALIGNANCY
|
Facility
|
IP
|
$7,672.53
|
|
Service Code
|
APR-DRG 0413
|
Hospital Charge Code |
APRDRG 0413
|
Min. Negotiated Rate |
$7,307.17 |
Max. Negotiated Rate |
$7,672.53 |
Rate for Payer: BCBS Complete |
$7,672.53
|
Rate for Payer: Mclaren Medicaid |
$7,307.17
|
Rate for Payer: Meridian Medicaid |
$7,672.53
|
Rate for Payer: Priority Health Choice Medicaid |
$7,307.17
|
|
INPATIENT APRDRG 0414: NERVOUS SYSTEM MALIGNANCY
|
Facility
|
IP
|
$10,184.62
|
|
Service Code
|
APR-DRG 0414
|
Hospital Charge Code |
APRDRG 0414
|
Min. Negotiated Rate |
$9,699.64 |
Max. Negotiated Rate |
$10,184.62 |
Rate for Payer: BCBS Complete |
$10,184.62
|
Rate for Payer: Mclaren Medicaid |
$9,699.64
|
Rate for Payer: Meridian Medicaid |
$10,184.62
|
Rate for Payer: Priority Health Choice Medicaid |
$9,699.64
|
|