INPATIENT APRDRG 0981: OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES
|
Facility
|
IP
|
$6,363.30
|
|
Service Code
|
APR-DRG 0981
|
Hospital Charge Code |
APRDRG 0981
|
Min. Negotiated Rate |
$6,060.29 |
Max. Negotiated Rate |
$6,363.30 |
Rate for Payer: BCBS Complete |
$6,363.30
|
Rate for Payer: Mclaren Medicaid |
$6,060.29
|
Rate for Payer: Meridian Medicaid |
$6,363.30
|
Rate for Payer: Priority Health Choice Medicaid |
$6,060.29
|
|
INPATIENT APRDRG 0982: OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES
|
Facility
|
IP
|
$9,060.53
|
|
Service Code
|
APR-DRG 0982
|
Hospital Charge Code |
APRDRG 0982
|
Min. Negotiated Rate |
$8,629.08 |
Max. Negotiated Rate |
$9,060.53 |
Rate for Payer: BCBS Complete |
$9,060.53
|
Rate for Payer: Mclaren Medicaid |
$8,629.08
|
Rate for Payer: Meridian Medicaid |
$9,060.53
|
Rate for Payer: Priority Health Choice Medicaid |
$8,629.08
|
|
INPATIENT APRDRG 0983: OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES
|
Facility
|
IP
|
$14,553.89
|
|
Service Code
|
APR-DRG 0983
|
Hospital Charge Code |
APRDRG 0983
|
Min. Negotiated Rate |
$13,860.85 |
Max. Negotiated Rate |
$14,553.89 |
Rate for Payer: BCBS Complete |
$14,553.89
|
Rate for Payer: Mclaren Medicaid |
$13,860.85
|
Rate for Payer: Meridian Medicaid |
$14,553.89
|
Rate for Payer: Priority Health Choice Medicaid |
$13,860.85
|
|
INPATIENT APRDRG 0984: OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES
|
Facility
|
IP
|
$21,645.12
|
|
Service Code
|
APR-DRG 0984
|
Hospital Charge Code |
APRDRG 0984
|
Min. Negotiated Rate |
$20,614.40 |
Max. Negotiated Rate |
$21,645.12 |
Rate for Payer: BCBS Complete |
$21,645.12
|
Rate for Payer: Mclaren Medicaid |
$20,614.40
|
Rate for Payer: Meridian Medicaid |
$21,645.12
|
Rate for Payer: Priority Health Choice Medicaid |
$20,614.40
|
|
INPATIENT APRDRG 1101: EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES
|
Facility
|
IP
|
$5,019.58
|
|
Service Code
|
APR-DRG 1101
|
Hospital Charge Code |
APRDRG 1101
|
Min. Negotiated Rate |
$4,780.55 |
Max. Negotiated Rate |
$5,019.58 |
Rate for Payer: BCBS Complete |
$5,019.58
|
Rate for Payer: Mclaren Medicaid |
$4,780.55
|
Rate for Payer: Meridian Medicaid |
$5,019.58
|
Rate for Payer: Priority Health Choice Medicaid |
$4,780.55
|
|
INPATIENT APRDRG 1102: EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES
|
Facility
|
IP
|
$5,826.27
|
|
Service Code
|
APR-DRG 1102
|
Hospital Charge Code |
APRDRG 1102
|
Min. Negotiated Rate |
$5,548.83 |
Max. Negotiated Rate |
$5,826.27 |
Rate for Payer: BCBS Complete |
$5,826.27
|
Rate for Payer: Mclaren Medicaid |
$5,548.83
|
Rate for Payer: Meridian Medicaid |
$5,826.27
|
Rate for Payer: Priority Health Choice Medicaid |
$5,548.83
|
|
INPATIENT APRDRG 1103: EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES
|
Facility
|
IP
|
$10,016.15
|
|
Service Code
|
APR-DRG 1103
|
Hospital Charge Code |
APRDRG 1103
|
Min. Negotiated Rate |
$9,539.19 |
Max. Negotiated Rate |
$10,016.15 |
Rate for Payer: BCBS Complete |
$10,016.15
|
Rate for Payer: Mclaren Medicaid |
$9,539.19
|
Rate for Payer: Meridian Medicaid |
$10,016.15
|
Rate for Payer: Priority Health Choice Medicaid |
$9,539.19
|
|
INPATIENT APRDRG 1104: EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES
|
Facility
|
IP
|
$13,915.09
|
|
Service Code
|
APR-DRG 1104
|
Hospital Charge Code |
APRDRG 1104
|
Min. Negotiated Rate |
$13,252.47 |
Max. Negotiated Rate |
$13,915.09 |
Rate for Payer: BCBS Complete |
$13,915.09
|
Rate for Payer: Mclaren Medicaid |
$13,252.47
|
Rate for Payer: Meridian Medicaid |
$13,915.09
|
Rate for Payer: Priority Health Choice Medicaid |
$13,252.47
|
|
INPATIENT APRDRG 1111: VERTIGO & OTHER LABYRINTH DISORDERS
|
Facility
|
IP
|
$3,927.12
|
|
Service Code
|
APR-DRG 1111
|
Hospital Charge Code |
APRDRG 1111
|
Min. Negotiated Rate |
$3,740.11 |
Max. Negotiated Rate |
$3,927.12 |
Rate for Payer: BCBS Complete |
$3,927.12
|
Rate for Payer: Mclaren Medicaid |
$3,740.11
|
Rate for Payer: Meridian Medicaid |
$3,927.12
|
Rate for Payer: Priority Health Choice Medicaid |
$3,740.11
|
|
INPATIENT APRDRG 1112: VERTIGO & OTHER LABYRINTH DISORDERS
|
Facility
|
IP
|
$4,460.69
|
|
Service Code
|
APR-DRG 1112
|
Hospital Charge Code |
APRDRG 1112
|
Min. Negotiated Rate |
$4,248.28 |
Max. Negotiated Rate |
$4,460.69 |
Rate for Payer: BCBS Complete |
$4,460.69
|
Rate for Payer: Mclaren Medicaid |
$4,248.28
|
Rate for Payer: Meridian Medicaid |
$4,460.69
|
Rate for Payer: Priority Health Choice Medicaid |
$4,248.28
|
|
INPATIENT APRDRG 1113: VERTIGO & OTHER LABYRINTH DISORDERS
|
Facility
|
IP
|
$5,193.22
|
|
Service Code
|
APR-DRG 1113
|
Hospital Charge Code |
APRDRG 1113
|
Min. Negotiated Rate |
$4,945.92 |
Max. Negotiated Rate |
$5,193.22 |
Rate for Payer: BCBS Complete |
$5,193.22
|
Rate for Payer: Mclaren Medicaid |
$4,945.92
|
Rate for Payer: Meridian Medicaid |
$5,193.22
|
Rate for Payer: Priority Health Choice Medicaid |
$4,945.92
|
|
INPATIENT APRDRG 1114: VERTIGO & OTHER LABYRINTH DISORDERS
|
Facility
|
IP
|
$11,043.64
|
|
Service Code
|
APR-DRG 1114
|
Hospital Charge Code |
APRDRG 1114
|
Min. Negotiated Rate |
$10,517.75 |
Max. Negotiated Rate |
$11,043.64 |
Rate for Payer: BCBS Complete |
$11,043.64
|
Rate for Payer: Mclaren Medicaid |
$10,517.75
|
Rate for Payer: Meridian Medicaid |
$11,043.64
|
Rate for Payer: Priority Health Choice Medicaid |
$10,517.75
|
|
INPATIENT APRDRG 1131: INFECTIONS OF UPPER RESPIRATORY TRACT
|
Facility
|
IP
|
$2,431.01
|
|
Service Code
|
APR-DRG 1131
|
Hospital Charge Code |
APRDRG 1131
|
Min. Negotiated Rate |
$2,315.25 |
Max. Negotiated Rate |
$2,431.01 |
Rate for Payer: BCBS Complete |
$2,431.01
|
Rate for Payer: Mclaren Medicaid |
$2,315.25
|
Rate for Payer: Meridian Medicaid |
$2,431.01
|
Rate for Payer: Priority Health Choice Medicaid |
$2,315.25
|
|
INPATIENT APRDRG 1132: INFECTIONS OF UPPER RESPIRATORY TRACT
|
Facility
|
IP
|
$3,092.82
|
|
Service Code
|
APR-DRG 1132
|
Hospital Charge Code |
APRDRG 1132
|
Min. Negotiated Rate |
$2,945.54 |
Max. Negotiated Rate |
$3,092.82 |
Rate for Payer: BCBS Complete |
$3,092.82
|
Rate for Payer: Mclaren Medicaid |
$2,945.54
|
Rate for Payer: Meridian Medicaid |
$3,092.82
|
Rate for Payer: Priority Health Choice Medicaid |
$2,945.54
|
|
INPATIENT APRDRG 1133: INFECTIONS OF UPPER RESPIRATORY TRACT
|
Facility
|
IP
|
$4,681.49
|
|
Service Code
|
APR-DRG 1133
|
Hospital Charge Code |
APRDRG 1133
|
Min. Negotiated Rate |
$4,458.56 |
Max. Negotiated Rate |
$4,681.49 |
Rate for Payer: BCBS Complete |
$4,681.49
|
Rate for Payer: Mclaren Medicaid |
$4,458.56
|
Rate for Payer: Meridian Medicaid |
$4,681.49
|
Rate for Payer: Priority Health Choice Medicaid |
$4,458.56
|
|
INPATIENT APRDRG 1134: INFECTIONS OF UPPER RESPIRATORY TRACT
|
Facility
|
IP
|
$9,235.33
|
|
Service Code
|
APR-DRG 1134
|
Hospital Charge Code |
APRDRG 1134
|
Min. Negotiated Rate |
$8,795.55 |
Max. Negotiated Rate |
$9,235.33 |
Rate for Payer: BCBS Complete |
$9,235.33
|
Rate for Payer: Mclaren Medicaid |
$8,795.55
|
Rate for Payer: Meridian Medicaid |
$9,235.33
|
Rate for Payer: Priority Health Choice Medicaid |
$8,795.55
|
|
INPATIENT APRDRG 1141: DENTAL DISEASES AND DISORDERS
|
Facility
|
IP
|
$3,079.02
|
|
Service Code
|
APR-DRG 1141
|
Hospital Charge Code |
APRDRG 1141
|
Min. Negotiated Rate |
$2,932.40 |
Max. Negotiated Rate |
$3,079.02 |
Rate for Payer: BCBS Complete |
$3,079.02
|
Rate for Payer: Mclaren Medicaid |
$2,932.40
|
Rate for Payer: Meridian Medicaid |
$3,079.02
|
Rate for Payer: Priority Health Choice Medicaid |
$2,932.40
|
|
INPATIENT APRDRG 1142: DENTAL DISEASES AND DISORDERS
|
Facility
|
IP
|
$3,369.39
|
|
Service Code
|
APR-DRG 1142
|
Hospital Charge Code |
APRDRG 1142
|
Min. Negotiated Rate |
$3,208.94 |
Max. Negotiated Rate |
$3,369.39 |
Rate for Payer: BCBS Complete |
$3,369.39
|
Rate for Payer: Mclaren Medicaid |
$3,208.94
|
Rate for Payer: Meridian Medicaid |
$3,369.39
|
Rate for Payer: Priority Health Choice Medicaid |
$3,208.94
|
|
INPATIENT APRDRG 1143: DENTAL DISEASES AND DISORDERS
|
Facility
|
IP
|
$5,642.28
|
|
Service Code
|
APR-DRG 1143
|
Hospital Charge Code |
APRDRG 1143
|
Min. Negotiated Rate |
$5,373.60 |
Max. Negotiated Rate |
$5,642.28 |
Rate for Payer: BCBS Complete |
$5,642.28
|
Rate for Payer: Mclaren Medicaid |
$5,373.60
|
Rate for Payer: Meridian Medicaid |
$5,642.28
|
Rate for Payer: Priority Health Choice Medicaid |
$5,373.60
|
|
INPATIENT APRDRG 1144: DENTAL DISEASES AND DISORDERS
|
Facility
|
IP
|
$12,584.01
|
|
Service Code
|
APR-DRG 1144
|
Hospital Charge Code |
APRDRG 1144
|
Min. Negotiated Rate |
$11,984.77 |
Max. Negotiated Rate |
$12,584.01 |
Rate for Payer: BCBS Complete |
$12,584.01
|
Rate for Payer: Mclaren Medicaid |
$11,984.77
|
Rate for Payer: Meridian Medicaid |
$12,584.01
|
Rate for Payer: Priority Health Choice Medicaid |
$11,984.77
|
|
INPATIENT APRDRG 1151: OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES
|
Facility
|
IP
|
$3,621.80
|
|
Service Code
|
APR-DRG 1151
|
Hospital Charge Code |
APRDRG 1151
|
Min. Negotiated Rate |
$3,449.33 |
Max. Negotiated Rate |
$3,621.80 |
Rate for Payer: BCBS Complete |
$3,621.80
|
Rate for Payer: Mclaren Medicaid |
$3,449.33
|
Rate for Payer: Meridian Medicaid |
$3,621.80
|
Rate for Payer: Priority Health Choice Medicaid |
$3,449.33
|
|
INPATIENT APRDRG 1152: OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES
|
Facility
|
IP
|
$4,453.80
|
|
Service Code
|
APR-DRG 1152
|
Hospital Charge Code |
APRDRG 1152
|
Min. Negotiated Rate |
$4,241.71 |
Max. Negotiated Rate |
$4,453.80 |
Rate for Payer: BCBS Complete |
$4,453.80
|
Rate for Payer: Mclaren Medicaid |
$4,241.71
|
Rate for Payer: Meridian Medicaid |
$4,453.80
|
Rate for Payer: Priority Health Choice Medicaid |
$4,241.71
|
|
INPATIENT APRDRG 1153: OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES
|
Facility
|
IP
|
$7,313.74
|
|
Service Code
|
APR-DRG 1153
|
Hospital Charge Code |
APRDRG 1153
|
Min. Negotiated Rate |
$6,965.47 |
Max. Negotiated Rate |
$7,313.74 |
Rate for Payer: BCBS Complete |
$7,313.74
|
Rate for Payer: Mclaren Medicaid |
$6,965.47
|
Rate for Payer: Meridian Medicaid |
$7,313.74
|
Rate for Payer: Priority Health Choice Medicaid |
$6,965.47
|
|
INPATIENT APRDRG 1154: OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES
|
Facility
|
IP
|
$10,962.57
|
|
Service Code
|
APR-DRG 1154
|
Hospital Charge Code |
APRDRG 1154
|
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 1201: MAJOR RESPIRATORY & CHEST PROCEDURES
|
Facility
|
IP
|
$10,813.65
|
|
Service Code
|
APR-DRG 1201
|
Hospital Charge Code |
APRDRG 1201
|
Min. Negotiated Rate |
$10,298.71 |
Max. Negotiated Rate |
$10,813.65 |
Rate for Payer: BCBS Complete |
$10,813.65
|
Rate for Payer: Mclaren Medicaid |
$10,298.71
|
Rate for Payer: Meridian Medicaid |
$10,813.65
|
Rate for Payer: Priority Health Choice Medicaid |
$10,298.71
|
|