INPATIENT APRDRG 0482: PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS
|
Facility
|
IP
|
$4,947.13
|
|
Service Code
|
APR-DRG 0482
|
Hospital Charge Code |
APRDRG 0482
|
Min. Negotiated Rate |
$4,711.55 |
Max. Negotiated Rate |
$4,947.13 |
Rate for Payer: BCBS Complete |
$4,947.13
|
Rate for Payer: Mclaren Medicaid |
$4,711.55
|
Rate for Payer: Meridian Medicaid |
$4,947.13
|
Rate for Payer: Priority Health Choice Medicaid |
$4,711.55
|
|
INPATIENT APRDRG 0483: PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS
|
Facility
|
IP
|
$7,117.10
|
|
Service Code
|
APR-DRG 0483
|
Hospital Charge Code |
APRDRG 0483
|
Min. Negotiated Rate |
$6,778.19 |
Max. Negotiated Rate |
$7,117.10 |
Rate for Payer: BCBS Complete |
$7,117.10
|
Rate for Payer: Mclaren Medicaid |
$6,778.19
|
Rate for Payer: Meridian Medicaid |
$7,117.10
|
Rate for Payer: Priority Health Choice Medicaid |
$6,778.19
|
|
INPATIENT APRDRG 0484: PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS
|
Facility
|
IP
|
$13,428.66
|
|
Service Code
|
APR-DRG 0484
|
Hospital Charge Code |
APRDRG 0484
|
Min. Negotiated Rate |
$12,789.20 |
Max. Negotiated Rate |
$13,428.66 |
Rate for Payer: BCBS Complete |
$13,428.66
|
Rate for Payer: Mclaren Medicaid |
$12,789.20
|
Rate for Payer: Meridian Medicaid |
$13,428.66
|
Rate for Payer: Priority Health Choice Medicaid |
$12,789.20
|
|
INPATIENT APRDRG 0491: BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$7,348.82
|
|
Service Code
|
APR-DRG 0491
|
Hospital Charge Code |
APRDRG 0491
|
Min. Negotiated Rate |
$6,998.88 |
Max. Negotiated Rate |
$7,348.82 |
Rate for Payer: BCBS Complete |
$7,348.82
|
Rate for Payer: Mclaren Medicaid |
$6,998.88
|
Rate for Payer: Meridian Medicaid |
$7,348.82
|
Rate for Payer: Priority Health Choice Medicaid |
$6,998.88
|
|
INPATIENT APRDRG 0492: BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$14,268.12
|
|
Service Code
|
APR-DRG 0492
|
Hospital Charge Code |
APRDRG 0492
|
Min. Negotiated Rate |
$13,588.69 |
Max. Negotiated Rate |
$14,268.12 |
Rate for Payer: BCBS Complete |
$14,268.12
|
Rate for Payer: Mclaren Medicaid |
$13,588.69
|
Rate for Payer: Meridian Medicaid |
$14,268.12
|
Rate for Payer: Priority Health Choice Medicaid |
$13,588.69
|
|
INPATIENT APRDRG 0493: BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$15,972.95
|
|
Service Code
|
APR-DRG 0493
|
Hospital Charge Code |
APRDRG 0493
|
Min. Negotiated Rate |
$15,212.33 |
Max. Negotiated Rate |
$15,972.95 |
Rate for Payer: BCBS Complete |
$15,972.95
|
Rate for Payer: Mclaren Medicaid |
$15,212.33
|
Rate for Payer: Meridian Medicaid |
$15,972.95
|
Rate for Payer: Priority Health Choice Medicaid |
$15,212.33
|
|
INPATIENT APRDRG 0494: BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$22,166.63
|
|
Service Code
|
APR-DRG 0494
|
Hospital Charge Code |
APRDRG 0494
|
Min. Negotiated Rate |
$21,111.08 |
Max. Negotiated Rate |
$22,166.63 |
Rate for Payer: BCBS Complete |
$22,166.63
|
Rate for Payer: Mclaren Medicaid |
$21,111.08
|
Rate for Payer: Meridian Medicaid |
$22,166.63
|
Rate for Payer: Priority Health Choice Medicaid |
$21,111.08
|
|
INPATIENT APRDRG 0501: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS
|
Facility
|
IP
|
$3,813.26
|
|
Service Code
|
APR-DRG 0501
|
Hospital Charge Code |
APRDRG 0501
|
Min. Negotiated Rate |
$3,631.68 |
Max. Negotiated Rate |
$3,813.26 |
Rate for Payer: BCBS Complete |
$3,813.26
|
Rate for Payer: Mclaren Medicaid |
$3,631.68
|
Rate for Payer: Meridian Medicaid |
$3,813.26
|
Rate for Payer: Priority Health Choice Medicaid |
$3,631.68
|
|
INPATIENT APRDRG 0502: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS
|
Facility
|
IP
|
$8,692.55
|
|
Service Code
|
APR-DRG 0502
|
Hospital Charge Code |
APRDRG 0502
|
Min. Negotiated Rate |
$8,278.62 |
Max. Negotiated Rate |
$8,692.55 |
Rate for Payer: BCBS Complete |
$8,692.55
|
Rate for Payer: Mclaren Medicaid |
$8,278.62
|
Rate for Payer: Meridian Medicaid |
$8,692.55
|
Rate for Payer: Priority Health Choice Medicaid |
$8,278.62
|
|
INPATIENT APRDRG 0503: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS
|
Facility
|
IP
|
$11,914.74
|
|
Service Code
|
APR-DRG 0503
|
Hospital Charge Code |
APRDRG 0503
|
Min. Negotiated Rate |
$11,347.37 |
Max. Negotiated Rate |
$11,914.74 |
Rate for Payer: BCBS Complete |
$11,914.74
|
Rate for Payer: Mclaren Medicaid |
$11,347.37
|
Rate for Payer: Meridian Medicaid |
$11,914.74
|
Rate for Payer: Priority Health Choice Medicaid |
$11,347.37
|
|
INPATIENT APRDRG 0504: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS
|
Facility
|
IP
|
$36,007.54
|
|
Service Code
|
APR-DRG 0504
|
Hospital Charge Code |
APRDRG 0504
|
Min. Negotiated Rate |
$34,292.90 |
Max. Negotiated Rate |
$36,007.54 |
Rate for Payer: BCBS Complete |
$36,007.54
|
Rate for Payer: Mclaren Medicaid |
$34,292.90
|
Rate for Payer: Meridian Medicaid |
$36,007.54
|
Rate for Payer: Priority Health Choice Medicaid |
$34,292.90
|
|
INPATIENT APRDRG 0511: VIRAL MENINGITIS
|
Facility
|
IP
|
$3,037.04
|
|
Service Code
|
APR-DRG 0511
|
Hospital Charge Code |
APRDRG 0511
|
Min. Negotiated Rate |
$2,892.42 |
Max. Negotiated Rate |
$3,037.04 |
Rate for Payer: BCBS Complete |
$3,037.04
|
Rate for Payer: Mclaren Medicaid |
$2,892.42
|
Rate for Payer: Meridian Medicaid |
$3,037.04
|
Rate for Payer: Priority Health Choice Medicaid |
$2,892.42
|
|
INPATIENT APRDRG 0512: VIRAL MENINGITIS
|
Facility
|
IP
|
$3,884.57
|
|
Service Code
|
APR-DRG 0512
|
Hospital Charge Code |
APRDRG 0512
|
Min. Negotiated Rate |
$3,699.59 |
Max. Negotiated Rate |
$3,884.57 |
Rate for Payer: BCBS Complete |
$3,884.57
|
Rate for Payer: Mclaren Medicaid |
$3,699.59
|
Rate for Payer: Meridian Medicaid |
$3,884.57
|
Rate for Payer: Priority Health Choice Medicaid |
$3,699.59
|
|
INPATIENT APRDRG 0513: VIRAL MENINGITIS
|
Facility
|
IP
|
$6,742.80
|
|
Service Code
|
APR-DRG 0513
|
Hospital Charge Code |
APRDRG 0513
|
Min. Negotiated Rate |
$6,421.71 |
Max. Negotiated Rate |
$6,742.80 |
Rate for Payer: BCBS Complete |
$6,742.80
|
Rate for Payer: Mclaren Medicaid |
$6,421.71
|
Rate for Payer: Meridian Medicaid |
$6,742.80
|
Rate for Payer: Priority Health Choice Medicaid |
$6,421.71
|
|
INPATIENT APRDRG 0514: VIRAL MENINGITIS
|
Facility
|
IP
|
$12,415.55
|
|
Service Code
|
APR-DRG 0514
|
Hospital Charge Code |
APRDRG 0514
|
Min. Negotiated Rate |
$11,824.33 |
Max. Negotiated Rate |
$12,415.55 |
Rate for Payer: BCBS Complete |
$12,415.55
|
Rate for Payer: Mclaren Medicaid |
$11,824.33
|
Rate for Payer: Meridian Medicaid |
$12,415.55
|
Rate for Payer: Priority Health Choice Medicaid |
$11,824.33
|
|
INPATIENT APRDRG 0521: ALTERATION IN CONSCIOUSNESS
|
Facility
|
IP
|
$3,948.39
|
|
Service Code
|
APR-DRG 0521
|
Hospital Charge Code |
APRDRG 0521
|
Min. Negotiated Rate |
$3,760.37 |
Max. Negotiated Rate |
$3,948.39 |
Rate for Payer: BCBS Complete |
$3,948.39
|
Rate for Payer: Mclaren Medicaid |
$3,760.37
|
Rate for Payer: Meridian Medicaid |
$3,948.39
|
Rate for Payer: Priority Health Choice Medicaid |
$3,760.37
|
|
INPATIENT APRDRG 0522: ALTERATION IN CONSCIOUSNESS
|
Facility
|
IP
|
$4,659.64
|
|
Service Code
|
APR-DRG 0522
|
Hospital Charge Code |
APRDRG 0522
|
Min. Negotiated Rate |
$4,437.75 |
Max. Negotiated Rate |
$4,659.64 |
Rate for Payer: BCBS Complete |
$4,659.64
|
Rate for Payer: Mclaren Medicaid |
$4,437.75
|
Rate for Payer: Meridian Medicaid |
$4,659.64
|
Rate for Payer: Priority Health Choice Medicaid |
$4,437.75
|
|
INPATIENT APRDRG 0523: ALTERATION IN CONSCIOUSNESS
|
Facility
|
IP
|
$6,018.32
|
|
Service Code
|
APR-DRG 0523
|
Hospital Charge Code |
APRDRG 0523
|
Min. Negotiated Rate |
$5,731.73 |
Max. Negotiated Rate |
$6,018.32 |
Rate for Payer: BCBS Complete |
$6,018.32
|
Rate for Payer: Mclaren Medicaid |
$5,731.73
|
Rate for Payer: Meridian Medicaid |
$6,018.32
|
Rate for Payer: Priority Health Choice Medicaid |
$5,731.73
|
|
INPATIENT APRDRG 0524: ALTERATION IN CONSCIOUSNESS
|
Facility
|
IP
|
$12,316.07
|
|
Service Code
|
APR-DRG 0524
|
Hospital Charge Code |
APRDRG 0524
|
Min. Negotiated Rate |
$11,729.59 |
Max. Negotiated Rate |
$12,316.07 |
Rate for Payer: BCBS Complete |
$12,316.07
|
Rate for Payer: Mclaren Medicaid |
$11,729.59
|
Rate for Payer: Meridian Medicaid |
$12,316.07
|
Rate for Payer: Priority Health Choice Medicaid |
$11,729.59
|
|
INPATIENT APRDRG 0531: SEIZURE
|
Facility
|
IP
|
$3,712.08
|
|
Service Code
|
APR-DRG 0531
|
Hospital Charge Code |
APRDRG 0531
|
Min. Negotiated Rate |
$3,535.31 |
Max. Negotiated Rate |
$3,712.08 |
Rate for Payer: BCBS Complete |
$3,712.08
|
Rate for Payer: Mclaren Medicaid |
$3,535.31
|
Rate for Payer: Meridian Medicaid |
$3,712.08
|
Rate for Payer: Priority Health Choice Medicaid |
$3,535.31
|
|
INPATIENT APRDRG 0532: SEIZURE
|
Facility
|
IP
|
$4,324.42
|
|
Service Code
|
APR-DRG 0532
|
Hospital Charge Code |
APRDRG 0532
|
Min. Negotiated Rate |
$4,118.50 |
Max. Negotiated Rate |
$4,324.42 |
Rate for Payer: BCBS Complete |
$4,324.42
|
Rate for Payer: Mclaren Medicaid |
$4,118.50
|
Rate for Payer: Meridian Medicaid |
$4,324.42
|
Rate for Payer: Priority Health Choice Medicaid |
$4,118.50
|
|
INPATIENT APRDRG 0533: SEIZURE
|
Facility
|
IP
|
$5,794.65
|
|
Service Code
|
APR-DRG 0533
|
Hospital Charge Code |
APRDRG 0533
|
Min. Negotiated Rate |
$5,518.71 |
Max. Negotiated Rate |
$5,794.65 |
Rate for Payer: BCBS Complete |
$5,794.65
|
Rate for Payer: Mclaren Medicaid |
$5,518.71
|
Rate for Payer: Meridian Medicaid |
$5,794.65
|
Rate for Payer: Priority Health Choice Medicaid |
$5,518.71
|
|
INPATIENT APRDRG 0534: SEIZURE
|
Facility
|
IP
|
$13,402.79
|
|
Service Code
|
APR-DRG 0534
|
Hospital Charge Code |
APRDRG 0534
|
Min. Negotiated Rate |
$12,764.56 |
Max. Negotiated Rate |
$13,402.79 |
Rate for Payer: BCBS Complete |
$13,402.79
|
Rate for Payer: Mclaren Medicaid |
$12,764.56
|
Rate for Payer: Meridian Medicaid |
$13,402.79
|
Rate for Payer: Priority Health Choice Medicaid |
$12,764.56
|
|
INPATIENT APRDRG 0541: MIGRAINE & OTHER HEADACHES
|
Facility
|
IP
|
$3,955.29
|
|
Service Code
|
APR-DRG 0541
|
Hospital Charge Code |
APRDRG 0541
|
Min. Negotiated Rate |
$3,766.94 |
Max. Negotiated Rate |
$3,955.29 |
Rate for Payer: BCBS Complete |
$3,955.29
|
Rate for Payer: Mclaren Medicaid |
$3,766.94
|
Rate for Payer: Meridian Medicaid |
$3,955.29
|
Rate for Payer: Priority Health Choice Medicaid |
$3,766.94
|
|
INPATIENT APRDRG 0542: MIGRAINE & OTHER HEADACHES
|
Facility
|
IP
|
$4,871.23
|
|
Service Code
|
APR-DRG 0542
|
Hospital Charge Code |
APRDRG 0542
|
Min. Negotiated Rate |
$4,639.27 |
Max. Negotiated Rate |
$4,871.23 |
Rate for Payer: BCBS Complete |
$4,871.23
|
Rate for Payer: Mclaren Medicaid |
$4,639.27
|
Rate for Payer: Meridian Medicaid |
$4,871.23
|
Rate for Payer: Priority Health Choice Medicaid |
$4,639.27
|
|