INPATIENT APRDRG 0734: ORBIT AND EYE PROCEDURES
|
Facility
|
IP
|
$23,834.64
|
|
Service Code
|
APR-DRG 0734
|
Hospital Charge Code |
APRDRG 0734
|
Min. Negotiated Rate |
$22,699.66 |
Max. Negotiated Rate |
$23,834.64 |
Rate for Payer: BCBS Complete |
$23,834.64
|
Rate for Payer: Mclaren Medicaid |
$22,699.66
|
Rate for Payer: Meridian Medicaid |
$23,834.64
|
Rate for Payer: Priority Health Choice Medicaid |
$22,699.66
|
|
INPATIENT APRDRG 0821: EYE INFECTIONS AND OTHER EYE DISORDERS
|
Facility
|
IP
|
$3,444.70
|
|
Service Code
|
APR-DRG 0821
|
Hospital Charge Code |
APRDRG 0821
|
Min. Negotiated Rate |
$3,280.67 |
Max. Negotiated Rate |
$3,444.70 |
Rate for Payer: BCBS Complete |
$3,444.70
|
Rate for Payer: Mclaren Medicaid |
$3,280.67
|
Rate for Payer: Meridian Medicaid |
$3,444.70
|
Rate for Payer: Priority Health Choice Medicaid |
$3,280.67
|
|
INPATIENT APRDRG 0822: EYE INFECTIONS AND OTHER EYE DISORDERS
|
Facility
|
IP
|
$5,239.79
|
|
Service Code
|
APR-DRG 0822
|
Hospital Charge Code |
APRDRG 0822
|
Min. Negotiated Rate |
$4,990.28 |
Max. Negotiated Rate |
$5,239.79 |
Rate for Payer: BCBS Complete |
$5,239.79
|
Rate for Payer: Mclaren Medicaid |
$4,990.28
|
Rate for Payer: Meridian Medicaid |
$5,239.79
|
Rate for Payer: Priority Health Choice Medicaid |
$4,990.28
|
|
INPATIENT APRDRG 0823: EYE INFECTIONS AND OTHER EYE DISORDERS
|
Facility
|
IP
|
$10,039.16
|
|
Service Code
|
APR-DRG 0823
|
Hospital Charge Code |
APRDRG 0823
|
Min. Negotiated Rate |
$9,561.10 |
Max. Negotiated Rate |
$10,039.16 |
Rate for Payer: BCBS Complete |
$10,039.16
|
Rate for Payer: Mclaren Medicaid |
$9,561.10
|
Rate for Payer: Meridian Medicaid |
$10,039.16
|
Rate for Payer: Priority Health Choice Medicaid |
$9,561.10
|
|
INPATIENT APRDRG 0824: EYE INFECTIONS AND OTHER EYE DISORDERS
|
Facility
|
IP
|
$16,845.19
|
|
Service Code
|
APR-DRG 0824
|
Hospital Charge Code |
APRDRG 0824
|
Min. Negotiated Rate |
$16,043.04 |
Max. Negotiated Rate |
$16,845.19 |
Rate for Payer: BCBS Complete |
$16,845.19
|
Rate for Payer: Mclaren Medicaid |
$16,043.04
|
Rate for Payer: Meridian Medicaid |
$16,845.19
|
Rate for Payer: Priority Health Choice Medicaid |
$16,043.04
|
|
INPATIENT APRDRG 0891: MAJOR CRANIAL/FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$12,458.67
|
|
Service Code
|
APR-DRG 0891
|
Hospital Charge Code |
APRDRG 0891
|
Min. Negotiated Rate |
$11,865.40 |
Max. Negotiated Rate |
$12,458.67 |
Rate for Payer: BCBS Complete |
$12,458.67
|
Rate for Payer: Mclaren Medicaid |
$11,865.40
|
Rate for Payer: Meridian Medicaid |
$12,458.67
|
Rate for Payer: Priority Health Choice Medicaid |
$11,865.40
|
|
INPATIENT APRDRG 0892: MAJOR CRANIAL/FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$17,192.48
|
|
Service Code
|
APR-DRG 0892
|
Hospital Charge Code |
APRDRG 0892
|
Min. Negotiated Rate |
$16,373.79 |
Max. Negotiated Rate |
$17,192.48 |
Rate for Payer: BCBS Complete |
$17,192.48
|
Rate for Payer: Mclaren Medicaid |
$16,373.79
|
Rate for Payer: Meridian Medicaid |
$17,192.48
|
Rate for Payer: Priority Health Choice Medicaid |
$16,373.79
|
|
INPATIENT APRDRG 0893: MAJOR CRANIAL/FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$24,854.67
|
|
Service Code
|
APR-DRG 0893
|
Hospital Charge Code |
APRDRG 0893
|
Min. Negotiated Rate |
$23,671.11 |
Max. Negotiated Rate |
$24,854.67 |
Rate for Payer: BCBS Complete |
$24,854.67
|
Rate for Payer: Mclaren Medicaid |
$23,671.11
|
Rate for Payer: Meridian Medicaid |
$24,854.67
|
Rate for Payer: Priority Health Choice Medicaid |
$23,671.11
|
|
INPATIENT APRDRG 0894: MAJOR CRANIAL/FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$32,983.72
|
|
Service Code
|
APR-DRG 0894
|
Hospital Charge Code |
APRDRG 0894
|
Min. Negotiated Rate |
$31,413.07 |
Max. Negotiated Rate |
$32,983.72 |
Rate for Payer: BCBS Complete |
$32,983.72
|
Rate for Payer: Mclaren Medicaid |
$31,413.07
|
Rate for Payer: Meridian Medicaid |
$32,983.72
|
Rate for Payer: Priority Health Choice Medicaid |
$31,413.07
|
|
INPATIENT APRDRG 0911: OTHER MAJOR HEAD & NECK PROCEDURES
|
Facility
|
IP
|
$12,805.96
|
|
Service Code
|
APR-DRG 0911
|
Hospital Charge Code |
APRDRG 0911
|
Min. Negotiated Rate |
$12,196.15 |
Max. Negotiated Rate |
$12,805.96 |
Rate for Payer: BCBS Complete |
$12,805.96
|
Rate for Payer: Mclaren Medicaid |
$12,196.15
|
Rate for Payer: Meridian Medicaid |
$12,805.96
|
Rate for Payer: Priority Health Choice Medicaid |
$12,196.15
|
|
INPATIENT APRDRG 0912: OTHER MAJOR HEAD & NECK PROCEDURES
|
Facility
|
IP
|
$26,917.68
|
|
Service Code
|
APR-DRG 0912
|
Hospital Charge Code |
APRDRG 0912
|
Min. Negotiated Rate |
$25,635.89 |
Max. Negotiated Rate |
$26,917.68 |
Rate for Payer: BCBS Complete |
$26,917.68
|
Rate for Payer: Mclaren Medicaid |
$25,635.89
|
Rate for Payer: Meridian Medicaid |
$26,917.68
|
Rate for Payer: Priority Health Choice Medicaid |
$25,635.89
|
|
INPATIENT APRDRG 0913: OTHER MAJOR HEAD & NECK PROCEDURES
|
Facility
|
IP
|
$41,863.14
|
|
Service Code
|
APR-DRG 0913
|
Hospital Charge Code |
APRDRG 0913
|
Min. Negotiated Rate |
$39,869.66 |
Max. Negotiated Rate |
$41,863.14 |
Rate for Payer: BCBS Complete |
$41,863.14
|
Rate for Payer: Mclaren Medicaid |
$39,869.66
|
Rate for Payer: Meridian Medicaid |
$41,863.14
|
Rate for Payer: Priority Health Choice Medicaid |
$39,869.66
|
|
INPATIENT APRDRG 0914: OTHER MAJOR HEAD & NECK PROCEDURES
|
Facility
|
IP
|
$41,433.06
|
|
Service Code
|
APR-DRG 0914
|
Hospital Charge Code |
APRDRG 0914
|
Min. Negotiated Rate |
$39,460.06 |
Max. Negotiated Rate |
$41,433.06 |
Rate for Payer: BCBS Complete |
$41,433.06
|
Rate for Payer: Mclaren Medicaid |
$39,460.06
|
Rate for Payer: Meridian Medicaid |
$41,433.06
|
Rate for Payer: Priority Health Choice Medicaid |
$39,460.06
|
|
INPATIENT APRDRG 0921: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$10,381.27
|
|
Service Code
|
APR-DRG 0921
|
Hospital Charge Code |
APRDRG 0921
|
Min. Negotiated Rate |
$9,886.92 |
Max. Negotiated Rate |
$10,381.27 |
Rate for Payer: BCBS Complete |
$10,381.27
|
Rate for Payer: Mclaren Medicaid |
$9,886.92
|
Rate for Payer: Meridian Medicaid |
$10,381.27
|
Rate for Payer: Priority Health Choice Medicaid |
$9,886.92
|
|
INPATIENT APRDRG 0922: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$12,226.38
|
|
Service Code
|
APR-DRG 0922
|
Hospital Charge Code |
APRDRG 0922
|
Min. Negotiated Rate |
$11,644.17 |
Max. Negotiated Rate |
$12,226.38 |
Rate for Payer: BCBS Complete |
$12,226.38
|
Rate for Payer: Mclaren Medicaid |
$11,644.17
|
Rate for Payer: Meridian Medicaid |
$12,226.38
|
Rate for Payer: Priority Health Choice Medicaid |
$11,644.17
|
|
INPATIENT APRDRG 0923: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$20,113.38
|
|
Service Code
|
APR-DRG 0923
|
Hospital Charge Code |
APRDRG 0923
|
Min. Negotiated Rate |
$19,155.60 |
Max. Negotiated Rate |
$20,113.38 |
Rate for Payer: BCBS Complete |
$20,113.38
|
Rate for Payer: Mclaren Medicaid |
$19,155.60
|
Rate for Payer: Meridian Medicaid |
$20,113.38
|
Rate for Payer: Priority Health Choice Medicaid |
$19,155.60
|
|
INPATIENT APRDRG 0924: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$38,189.02
|
|
Service Code
|
APR-DRG 0924
|
Hospital Charge Code |
APRDRG 0924
|
Min. Negotiated Rate |
$36,370.50 |
Max. Negotiated Rate |
$38,189.02 |
Rate for Payer: BCBS Complete |
$38,189.02
|
Rate for Payer: Mclaren Medicaid |
$36,370.50
|
Rate for Payer: Meridian Medicaid |
$38,189.02
|
Rate for Payer: Priority Health Choice Medicaid |
$36,370.50
|
|
INPATIENT APRDRG 0951: CLEFT LIP & PALATE REPAIR
|
Facility
|
IP
|
$7,859.97
|
|
Service Code
|
APR-DRG 0951
|
Hospital Charge Code |
APRDRG 0951
|
Min. Negotiated Rate |
$7,485.69 |
Max. Negotiated Rate |
$7,859.97 |
Rate for Payer: BCBS Complete |
$7,859.97
|
Rate for Payer: Mclaren Medicaid |
$7,485.69
|
Rate for Payer: Meridian Medicaid |
$7,859.97
|
Rate for Payer: Priority Health Choice Medicaid |
$7,485.69
|
|
INPATIENT APRDRG 0952: CLEFT LIP & PALATE REPAIR
|
Facility
|
IP
|
$10,135.18
|
|
Service Code
|
APR-DRG 0952
|
Hospital Charge Code |
APRDRG 0952
|
Min. Negotiated Rate |
$9,652.55 |
Max. Negotiated Rate |
$10,135.18 |
Rate for Payer: BCBS Complete |
$10,135.18
|
Rate for Payer: Mclaren Medicaid |
$9,652.55
|
Rate for Payer: Meridian Medicaid |
$10,135.18
|
Rate for Payer: Priority Health Choice Medicaid |
$9,652.55
|
|
INPATIENT APRDRG 0953: CLEFT LIP & PALATE REPAIR
|
Facility
|
IP
|
$11,676.12
|
|
Service Code
|
APR-DRG 0953
|
Hospital Charge Code |
APRDRG 0953
|
Min. Negotiated Rate |
$11,120.11 |
Max. Negotiated Rate |
$11,676.12 |
Rate for Payer: BCBS Complete |
$11,676.12
|
Rate for Payer: Mclaren Medicaid |
$11,120.11
|
Rate for Payer: Meridian Medicaid |
$11,676.12
|
Rate for Payer: Priority Health Choice Medicaid |
$11,120.11
|
|
INPATIENT APRDRG 0954: CLEFT LIP & PALATE REPAIR
|
Facility
|
IP
|
$21,889.49
|
|
Service Code
|
APR-DRG 0954
|
Hospital Charge Code |
APRDRG 0954
|
Min. Negotiated Rate |
$20,847.13 |
Max. Negotiated Rate |
$21,889.49 |
Rate for Payer: BCBS Complete |
$21,889.49
|
Rate for Payer: Mclaren Medicaid |
$20,847.13
|
Rate for Payer: Meridian Medicaid |
$21,889.49
|
Rate for Payer: Priority Health Choice Medicaid |
$20,847.13
|
|
INPATIENT APRDRG 0971: TONSIL & ADENOID PROCEDURES
|
Facility
|
IP
|
$5,146.07
|
|
Service Code
|
APR-DRG 0971
|
Hospital Charge Code |
APRDRG 0971
|
Min. Negotiated Rate |
$4,901.02 |
Max. Negotiated Rate |
$5,146.07 |
Rate for Payer: BCBS Complete |
$5,146.07
|
Rate for Payer: Mclaren Medicaid |
$4,901.02
|
Rate for Payer: Meridian Medicaid |
$5,146.07
|
Rate for Payer: Priority Health Choice Medicaid |
$4,901.02
|
|
INPATIENT APRDRG 0972: TONSIL & ADENOID PROCEDURES
|
Facility
|
IP
|
$6,905.51
|
|
Service Code
|
APR-DRG 0972
|
Hospital Charge Code |
APRDRG 0972
|
Min. Negotiated Rate |
$6,576.68 |
Max. Negotiated Rate |
$6,905.51 |
Rate for Payer: BCBS Complete |
$6,905.51
|
Rate for Payer: Mclaren Medicaid |
$6,576.68
|
Rate for Payer: Meridian Medicaid |
$6,905.51
|
Rate for Payer: Priority Health Choice Medicaid |
$6,576.68
|
|
INPATIENT APRDRG 0973: TONSIL & ADENOID PROCEDURES
|
Facility
|
IP
|
$10,251.90
|
|
Service Code
|
APR-DRG 0973
|
Hospital Charge Code |
APRDRG 0973
|
Min. Negotiated Rate |
$9,763.71 |
Max. Negotiated Rate |
$10,251.90 |
Rate for Payer: BCBS Complete |
$10,251.90
|
Rate for Payer: Mclaren Medicaid |
$9,763.71
|
Rate for Payer: Meridian Medicaid |
$10,251.90
|
Rate for Payer: Priority Health Choice Medicaid |
$9,763.71
|
|
INPATIENT APRDRG 0974: TONSIL & ADENOID PROCEDURES
|
Facility
|
IP
|
$17,868.08
|
|
Service Code
|
APR-DRG 0974
|
Hospital Charge Code |
APRDRG 0974
|
Min. Negotiated Rate |
$17,017.22 |
Max. Negotiated Rate |
$17,868.08 |
Rate for Payer: BCBS Complete |
$17,868.08
|
Rate for Payer: Mclaren Medicaid |
$17,017.22
|
Rate for Payer: Meridian Medicaid |
$17,868.08
|
Rate for Payer: Priority Health Choice Medicaid |
$17,017.22
|
|