INPATIENT APRDRG 0543: MIGRAINE & OTHER HEADACHES
|
Facility
|
IP
|
$5,888.37
|
|
Service Code
|
APR-DRG 0543
|
Hospital Charge Code |
APRDRG 0543
|
Min. Negotiated Rate |
$5,607.97 |
Max. Negotiated Rate |
$5,888.37 |
Rate for Payer: BCBS Complete |
$5,888.37
|
Rate for Payer: Mclaren Medicaid |
$5,607.97
|
Rate for Payer: Meridian Medicaid |
$5,888.37
|
Rate for Payer: Priority Health Choice Medicaid |
$5,607.97
|
|
INPATIENT APRDRG 0544: MIGRAINE & OTHER HEADACHES
|
Facility
|
IP
|
$9,245.10
|
|
Service Code
|
APR-DRG 0544
|
Hospital Charge Code |
APRDRG 0544
|
Min. Negotiated Rate |
$8,804.86 |
Max. Negotiated Rate |
$9,245.10 |
Rate for Payer: BCBS Complete |
$9,245.10
|
Rate for Payer: Mclaren Medicaid |
$8,804.86
|
Rate for Payer: Meridian Medicaid |
$9,245.10
|
Rate for Payer: Priority Health Choice Medicaid |
$8,804.86
|
|
INPATIENT APRDRG 0551: HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE
|
Facility
|
IP
|
$4,451.50
|
|
Service Code
|
APR-DRG 0551
|
Hospital Charge Code |
APRDRG 0551
|
Min. Negotiated Rate |
$4,239.52 |
Max. Negotiated Rate |
$4,451.50 |
Rate for Payer: BCBS Complete |
$4,451.50
|
Rate for Payer: Mclaren Medicaid |
$4,239.52
|
Rate for Payer: Meridian Medicaid |
$4,451.50
|
Rate for Payer: Priority Health Choice Medicaid |
$4,239.52
|
|
INPATIENT APRDRG 0552: HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE
|
Facility
|
IP
|
$6,431.16
|
|
Service Code
|
APR-DRG 0552
|
Hospital Charge Code |
APRDRG 0552
|
Min. Negotiated Rate |
$6,124.91 |
Max. Negotiated Rate |
$6,431.16 |
Rate for Payer: BCBS Complete |
$6,431.16
|
Rate for Payer: Mclaren Medicaid |
$6,124.91
|
Rate for Payer: Meridian Medicaid |
$6,431.16
|
Rate for Payer: Priority Health Choice Medicaid |
$6,124.91
|
|
INPATIENT APRDRG 0553: HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE
|
Facility
|
IP
|
$10,497.98
|
|
Service Code
|
APR-DRG 0553
|
Hospital Charge Code |
APRDRG 0553
|
Min. Negotiated Rate |
$9,998.08 |
Max. Negotiated Rate |
$10,497.98 |
Rate for Payer: BCBS Complete |
$10,497.98
|
Rate for Payer: Mclaren Medicaid |
$9,998.08
|
Rate for Payer: Meridian Medicaid |
$10,497.98
|
Rate for Payer: Priority Health Choice Medicaid |
$9,998.08
|
|
INPATIENT APRDRG 0554: HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE
|
Facility
|
IP
|
$15,657.85
|
|
Service Code
|
APR-DRG 0554
|
Hospital Charge Code |
APRDRG 0554
|
Min. Negotiated Rate |
$14,912.24 |
Max. Negotiated Rate |
$15,657.85 |
Rate for Payer: BCBS Complete |
$15,657.85
|
Rate for Payer: Mclaren Medicaid |
$14,912.24
|
Rate for Payer: Meridian Medicaid |
$15,657.85
|
Rate for Payer: Priority Health Choice Medicaid |
$14,912.24
|
|
INPATIENT APRDRG 0561: BRAIN CONTUSION/LACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA
|
Facility
|
IP
|
$4,403.77
|
|
Service Code
|
APR-DRG 0561
|
Hospital Charge Code |
APRDRG 0561
|
Min. Negotiated Rate |
$4,194.07 |
Max. Negotiated Rate |
$4,403.77 |
Rate for Payer: BCBS Complete |
$4,403.77
|
Rate for Payer: Mclaren Medicaid |
$4,194.07
|
Rate for Payer: Meridian Medicaid |
$4,403.77
|
Rate for Payer: Priority Health Choice Medicaid |
$4,194.07
|
|
INPATIENT APRDRG 0562: BRAIN CONTUSION/LACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA
|
Facility
|
IP
|
$5,099.49
|
|
Service Code
|
APR-DRG 0562
|
Hospital Charge Code |
APRDRG 0562
|
Min. Negotiated Rate |
$4,856.66 |
Max. Negotiated Rate |
$5,099.49 |
Rate for Payer: BCBS Complete |
$5,099.49
|
Rate for Payer: Mclaren Medicaid |
$4,856.66
|
Rate for Payer: Meridian Medicaid |
$5,099.49
|
Rate for Payer: Priority Health Choice Medicaid |
$4,856.66
|
|
INPATIENT APRDRG 0563: BRAIN CONTUSION/LACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA
|
Facility
|
IP
|
$8,989.82
|
|
Service Code
|
APR-DRG 0563
|
Hospital Charge Code |
APRDRG 0563
|
Min. Negotiated Rate |
$8,561.73 |
Max. Negotiated Rate |
$8,989.82 |
Rate for Payer: BCBS Complete |
$8,989.82
|
Rate for Payer: Mclaren Medicaid |
$8,561.73
|
Rate for Payer: Meridian Medicaid |
$8,989.82
|
Rate for Payer: Priority Health Choice Medicaid |
$8,561.73
|
|
INPATIENT APRDRG 0564: BRAIN CONTUSION/LACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA
|
Facility
|
IP
|
$9,729.24
|
|
Service Code
|
APR-DRG 0564
|
Hospital Charge Code |
APRDRG 0564
|
Min. Negotiated Rate |
$9,265.94 |
Max. Negotiated Rate |
$9,729.24 |
Rate for Payer: BCBS Complete |
$9,729.24
|
Rate for Payer: Mclaren Medicaid |
$9,265.94
|
Rate for Payer: Meridian Medicaid |
$9,729.24
|
Rate for Payer: Priority Health Choice Medicaid |
$9,265.94
|
|
INPATIENT APRDRG 0571: CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA
|
Facility
|
IP
|
$3,251.51
|
|
Service Code
|
APR-DRG 0571
|
Hospital Charge Code |
APRDRG 0571
|
Min. Negotiated Rate |
$3,096.68 |
Max. Negotiated Rate |
$3,251.51 |
Rate for Payer: BCBS Complete |
$3,251.51
|
Rate for Payer: Mclaren Medicaid |
$3,096.68
|
Rate for Payer: Meridian Medicaid |
$3,251.51
|
Rate for Payer: Priority Health Choice Medicaid |
$3,096.68
|
|
INPATIENT APRDRG 0572: CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA
|
Facility
|
IP
|
$5,208.17
|
|
Service Code
|
APR-DRG 0572
|
Hospital Charge Code |
APRDRG 0572
|
Min. Negotiated Rate |
$4,960.16 |
Max. Negotiated Rate |
$5,208.17 |
Rate for Payer: BCBS Complete |
$5,208.17
|
Rate for Payer: Mclaren Medicaid |
$4,960.16
|
Rate for Payer: Meridian Medicaid |
$5,208.17
|
Rate for Payer: Priority Health Choice Medicaid |
$4,960.16
|
|
INPATIENT APRDRG 0573: CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA
|
Facility
|
IP
|
$7,129.17
|
|
Service Code
|
APR-DRG 0573
|
Hospital Charge Code |
APRDRG 0573
|
Min. Negotiated Rate |
$6,789.69 |
Max. Negotiated Rate |
$7,129.17 |
Rate for Payer: BCBS Complete |
$7,129.17
|
Rate for Payer: Mclaren Medicaid |
$6,789.69
|
Rate for Payer: Meridian Medicaid |
$7,129.17
|
Rate for Payer: Priority Health Choice Medicaid |
$6,789.69
|
|
INPATIENT APRDRG 0574: CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA
|
Facility
|
IP
|
$11,338.60
|
|
Service Code
|
APR-DRG 0574
|
Hospital Charge Code |
APRDRG 0574
|
Min. Negotiated Rate |
$10,798.67 |
Max. Negotiated Rate |
$11,338.60 |
Rate for Payer: BCBS Complete |
$11,338.60
|
Rate for Payer: Mclaren Medicaid |
$10,798.67
|
Rate for Payer: Meridian Medicaid |
$11,338.60
|
Rate for Payer: Priority Health Choice Medicaid |
$10,798.67
|
|
INPATIENT APRDRG 0581: OTHER DISORDERS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$4,673.43
|
|
Service Code
|
APR-DRG 0581
|
Hospital Charge Code |
APRDRG 0581
|
Min. Negotiated Rate |
$4,450.89 |
Max. Negotiated Rate |
$4,673.43 |
Rate for Payer: BCBS Complete |
$4,673.43
|
Rate for Payer: Mclaren Medicaid |
$4,450.89
|
Rate for Payer: Meridian Medicaid |
$4,673.43
|
Rate for Payer: Priority Health Choice Medicaid |
$4,450.89
|
|
INPATIENT APRDRG 0582: OTHER DISORDERS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$6,261.53
|
|
Service Code
|
APR-DRG 0582
|
Hospital Charge Code |
APRDRG 0582
|
Min. Negotiated Rate |
$5,963.36 |
Max. Negotiated Rate |
$6,261.53 |
Rate for Payer: BCBS Complete |
$6,261.53
|
Rate for Payer: Mclaren Medicaid |
$5,963.36
|
Rate for Payer: Meridian Medicaid |
$6,261.53
|
Rate for Payer: Priority Health Choice Medicaid |
$5,963.36
|
|
INPATIENT APRDRG 0583: OTHER DISORDERS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$8,051.44
|
|
Service Code
|
APR-DRG 0583
|
Hospital Charge Code |
APRDRG 0583
|
Min. Negotiated Rate |
$7,668.04 |
Max. Negotiated Rate |
$8,051.44 |
Rate for Payer: BCBS Complete |
$8,051.44
|
Rate for Payer: Mclaren Medicaid |
$7,668.04
|
Rate for Payer: Meridian Medicaid |
$8,051.44
|
Rate for Payer: Priority Health Choice Medicaid |
$7,668.04
|
|
INPATIENT APRDRG 0584: OTHER DISORDERS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$11,537.55
|
|
Service Code
|
APR-DRG 0584
|
Hospital Charge Code |
APRDRG 0584
|
Min. Negotiated Rate |
$10,988.14 |
Max. Negotiated Rate |
$11,537.55 |
Rate for Payer: BCBS Complete |
$11,537.55
|
Rate for Payer: Mclaren Medicaid |
$10,988.14
|
Rate for Payer: Meridian Medicaid |
$11,537.55
|
Rate for Payer: Priority Health Choice Medicaid |
$10,988.14
|
|
INPATIENT APRDRG 0591: ANOXIC & OTHER SEVERE BRAIN DAMAGE
|
Facility
|
IP
|
$4,664.81
|
|
Service Code
|
APR-DRG 0591
|
Hospital Charge Code |
APRDRG 0591
|
Min. Negotiated Rate |
$4,442.68 |
Max. Negotiated Rate |
$4,664.81 |
Rate for Payer: BCBS Complete |
$4,664.81
|
Rate for Payer: Mclaren Medicaid |
$4,442.68
|
Rate for Payer: Meridian Medicaid |
$4,664.81
|
Rate for Payer: Priority Health Choice Medicaid |
$4,442.68
|
|
INPATIENT APRDRG 0592: ANOXIC & OTHER SEVERE BRAIN DAMAGE
|
Facility
|
IP
|
$6,842.26
|
|
Service Code
|
APR-DRG 0592
|
Hospital Charge Code |
APRDRG 0592
|
Min. Negotiated Rate |
$6,516.44 |
Max. Negotiated Rate |
$6,842.26 |
Rate for Payer: BCBS Complete |
$6,842.26
|
Rate for Payer: Mclaren Medicaid |
$6,516.44
|
Rate for Payer: Meridian Medicaid |
$6,842.26
|
Rate for Payer: Priority Health Choice Medicaid |
$6,516.44
|
|
INPATIENT APRDRG 0593: ANOXIC & OTHER SEVERE BRAIN DAMAGE
|
Facility
|
IP
|
$10,491.66
|
|
Service Code
|
APR-DRG 0593
|
Hospital Charge Code |
APRDRG 0593
|
Min. Negotiated Rate |
$9,992.06 |
Max. Negotiated Rate |
$10,491.66 |
Rate for Payer: BCBS Complete |
$10,491.66
|
Rate for Payer: Mclaren Medicaid |
$9,992.06
|
Rate for Payer: Meridian Medicaid |
$10,491.66
|
Rate for Payer: Priority Health Choice Medicaid |
$9,992.06
|
|
INPATIENT APRDRG 0594: ANOXIC & OTHER SEVERE BRAIN DAMAGE
|
Facility
|
IP
|
$14,181.88
|
|
Service Code
|
APR-DRG 0594
|
Hospital Charge Code |
APRDRG 0594
|
Min. Negotiated Rate |
$13,506.55 |
Max. Negotiated Rate |
$14,181.88 |
Rate for Payer: BCBS Complete |
$14,181.88
|
Rate for Payer: Mclaren Medicaid |
$13,506.55
|
Rate for Payer: Meridian Medicaid |
$14,181.88
|
Rate for Payer: Priority Health Choice Medicaid |
$13,506.55
|
|
INPATIENT APRDRG 0731: ORBIT AND EYE PROCEDURES
|
Facility
|
IP
|
$8,053.74
|
|
Service Code
|
APR-DRG 0731
|
Hospital Charge Code |
APRDRG 0731
|
Min. Negotiated Rate |
$7,670.23 |
Max. Negotiated Rate |
$8,053.74 |
Rate for Payer: BCBS Complete |
$8,053.74
|
Rate for Payer: Mclaren Medicaid |
$7,670.23
|
Rate for Payer: Meridian Medicaid |
$8,053.74
|
Rate for Payer: Priority Health Choice Medicaid |
$7,670.23
|
|
INPATIENT APRDRG 0732: ORBIT AND EYE PROCEDURES
|
Facility
|
IP
|
$8,889.20
|
|
Service Code
|
APR-DRG 0732
|
Hospital Charge Code |
APRDRG 0732
|
Min. Negotiated Rate |
$8,465.90 |
Max. Negotiated Rate |
$8,889.20 |
Rate for Payer: BCBS Complete |
$8,889.20
|
Rate for Payer: Mclaren Medicaid |
$8,465.90
|
Rate for Payer: Meridian Medicaid |
$8,889.20
|
Rate for Payer: Priority Health Choice Medicaid |
$8,465.90
|
|
INPATIENT APRDRG 0733: ORBIT AND EYE PROCEDURES
|
Facility
|
IP
|
$13,515.48
|
|
Service Code
|
APR-DRG 0733
|
Hospital Charge Code |
APRDRG 0733
|
Min. Negotiated Rate |
$12,871.89 |
Max. Negotiated Rate |
$13,515.48 |
Rate for Payer: BCBS Complete |
$13,515.48
|
Rate for Payer: Mclaren Medicaid |
$12,871.89
|
Rate for Payer: Meridian Medicaid |
$13,515.48
|
Rate for Payer: Priority Health Choice Medicaid |
$12,871.89
|
|