INPATIENT APRDRG 1202: MAJOR RESPIRATORY & CHEST PROCEDURES
|
Facility
|
IP
|
$14,747.66
|
|
Service Code
|
APR-DRG 1202
|
Hospital Charge Code |
APRDRG 1202
|
Min. Negotiated Rate |
$14,045.39 |
Max. Negotiated Rate |
$14,747.66 |
Rate for Payer: BCBS Complete |
$14,747.66
|
Rate for Payer: Mclaren Medicaid |
$14,045.39
|
Rate for Payer: Meridian Medicaid |
$14,747.66
|
Rate for Payer: Priority Health Choice Medicaid |
$14,045.39
|
|
INPATIENT APRDRG 1203: MAJOR RESPIRATORY & CHEST PROCEDURES
|
Facility
|
IP
|
$20,955.72
|
|
Service Code
|
APR-DRG 1203
|
Hospital Charge Code |
APRDRG 1203
|
Min. Negotiated Rate |
$19,957.83 |
Max. Negotiated Rate |
$20,955.72 |
Rate for Payer: BCBS Complete |
$20,955.72
|
Rate for Payer: Mclaren Medicaid |
$19,957.83
|
Rate for Payer: Meridian Medicaid |
$20,955.72
|
Rate for Payer: Priority Health Choice Medicaid |
$19,957.83
|
|
INPATIENT APRDRG 1204: MAJOR RESPIRATORY & CHEST PROCEDURES
|
Facility
|
IP
|
$35,364.72
|
|
Service Code
|
APR-DRG 1204
|
Hospital Charge Code |
APRDRG 1204
|
Min. Negotiated Rate |
$33,680.69 |
Max. Negotiated Rate |
$35,364.72 |
Rate for Payer: BCBS Complete |
$35,364.72
|
Rate for Payer: Mclaren Medicaid |
$33,680.69
|
Rate for Payer: Meridian Medicaid |
$35,364.72
|
Rate for Payer: Priority Health Choice Medicaid |
$33,680.69
|
|
INPATIENT APRDRG 1211: OTHER RESPIRATORY & CHEST PROCEDURES
|
Facility
|
IP
|
$9,230.73
|
|
Service Code
|
APR-DRG 1211
|
Hospital Charge Code |
APRDRG 1211
|
Min. Negotiated Rate |
$8,791.17 |
Max. Negotiated Rate |
$9,230.73 |
Rate for Payer: BCBS Complete |
$9,230.73
|
Rate for Payer: Mclaren Medicaid |
$8,791.17
|
Rate for Payer: Meridian Medicaid |
$9,230.73
|
Rate for Payer: Priority Health Choice Medicaid |
$8,791.17
|
|
INPATIENT APRDRG 1212: OTHER RESPIRATORY & CHEST PROCEDURES
|
Facility
|
IP
|
$12,225.22
|
|
Service Code
|
APR-DRG 1212
|
Hospital Charge Code |
APRDRG 1212
|
Min. Negotiated Rate |
$11,643.07 |
Max. Negotiated Rate |
$12,225.22 |
Rate for Payer: BCBS Complete |
$12,225.22
|
Rate for Payer: Mclaren Medicaid |
$11,643.07
|
Rate for Payer: Meridian Medicaid |
$12,225.22
|
Rate for Payer: Priority Health Choice Medicaid |
$11,643.07
|
|
INPATIENT APRDRG 1213: OTHER RESPIRATORY & CHEST PROCEDURES
|
Facility
|
IP
|
$15,446.27
|
|
Service Code
|
APR-DRG 1213
|
Hospital Charge Code |
APRDRG 1213
|
Min. Negotiated Rate |
$14,710.73 |
Max. Negotiated Rate |
$15,446.27 |
Rate for Payer: BCBS Complete |
$15,446.27
|
Rate for Payer: Mclaren Medicaid |
$14,710.73
|
Rate for Payer: Meridian Medicaid |
$15,446.27
|
Rate for Payer: Priority Health Choice Medicaid |
$14,710.73
|
|
INPATIENT APRDRG 1214: OTHER RESPIRATORY & CHEST PROCEDURES
|
Facility
|
IP
|
$27,536.37
|
|
Service Code
|
APR-DRG 1214
|
Hospital Charge Code |
APRDRG 1214
|
Min. Negotiated Rate |
$26,225.11 |
Max. Negotiated Rate |
$27,536.37 |
Rate for Payer: BCBS Complete |
$27,536.37
|
Rate for Payer: Mclaren Medicaid |
$26,225.11
|
Rate for Payer: Meridian Medicaid |
$27,536.37
|
Rate for Payer: Priority Health Choice Medicaid |
$26,225.11
|
|
INPATIENT APRDRG 1301: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS
|
Facility
|
IP
|
$17,124.05
|
|
Service Code
|
APR-DRG 1301
|
Hospital Charge Code |
APRDRG 1301
|
Min. Negotiated Rate |
$16,308.62 |
Max. Negotiated Rate |
$17,124.05 |
Rate for Payer: BCBS Complete |
$17,124.05
|
Rate for Payer: Mclaren Medicaid |
$16,308.62
|
Rate for Payer: Meridian Medicaid |
$17,124.05
|
Rate for Payer: Priority Health Choice Medicaid |
$16,308.62
|
|
INPATIENT APRDRG 1302: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS
|
Facility
|
IP
|
$19,136.48
|
|
Service Code
|
APR-DRG 1302
|
Hospital Charge Code |
APRDRG 1302
|
Min. Negotiated Rate |
$18,225.22 |
Max. Negotiated Rate |
$19,136.48 |
Rate for Payer: BCBS Complete |
$19,136.48
|
Rate for Payer: Mclaren Medicaid |
$18,225.22
|
Rate for Payer: Meridian Medicaid |
$19,136.48
|
Rate for Payer: Priority Health Choice Medicaid |
$18,225.22
|
|
INPATIENT APRDRG 1303: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS
|
Facility
|
IP
|
$24,865.59
|
|
Service Code
|
APR-DRG 1303
|
Hospital Charge Code |
APRDRG 1303
|
Min. Negotiated Rate |
$23,681.51 |
Max. Negotiated Rate |
$24,865.59 |
Rate for Payer: BCBS Complete |
$24,865.59
|
Rate for Payer: Mclaren Medicaid |
$23,681.51
|
Rate for Payer: Meridian Medicaid |
$24,865.59
|
Rate for Payer: Priority Health Choice Medicaid |
$23,681.51
|
|
INPATIENT APRDRG 1304: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS
|
Facility
|
IP
|
$27,562.24
|
|
Service Code
|
APR-DRG 1304
|
Hospital Charge Code |
APRDRG 1304
|
Min. Negotiated Rate |
$26,249.75 |
Max. Negotiated Rate |
$27,562.24 |
Rate for Payer: BCBS Complete |
$27,562.24
|
Rate for Payer: Mclaren Medicaid |
$26,249.75
|
Rate for Payer: Meridian Medicaid |
$27,562.24
|
Rate for Payer: Priority Health Choice Medicaid |
$26,249.75
|
|
INPATIENT APRDRG 1311: CYSTIC FIBROSIS - PULMONARY DISEASE
|
Facility
|
IP
|
$9,841.36
|
|
Service Code
|
APR-DRG 1311
|
Hospital Charge Code |
APRDRG 1311
|
Min. Negotiated Rate |
$9,372.72 |
Max. Negotiated Rate |
$9,841.36 |
Rate for Payer: BCBS Complete |
$9,841.36
|
Rate for Payer: Mclaren Medicaid |
$9,372.72
|
Rate for Payer: Meridian Medicaid |
$9,841.36
|
Rate for Payer: Priority Health Choice Medicaid |
$9,372.72
|
|
INPATIENT APRDRG 1312: CYSTIC FIBROSIS - PULMONARY DISEASE
|
Facility
|
IP
|
$12,473.04
|
|
Service Code
|
APR-DRG 1312
|
Hospital Charge Code |
APRDRG 1312
|
Min. Negotiated Rate |
$11,879.09 |
Max. Negotiated Rate |
$12,473.04 |
Rate for Payer: BCBS Complete |
$12,473.04
|
Rate for Payer: Mclaren Medicaid |
$11,879.09
|
Rate for Payer: Meridian Medicaid |
$12,473.04
|
Rate for Payer: Priority Health Choice Medicaid |
$11,879.09
|
|
INPATIENT APRDRG 1313: CYSTIC FIBROSIS - PULMONARY DISEASE
|
Facility
|
IP
|
$16,400.15
|
|
Service Code
|
APR-DRG 1313
|
Hospital Charge Code |
APRDRG 1313
|
Min. Negotiated Rate |
$15,619.19 |
Max. Negotiated Rate |
$16,400.15 |
Rate for Payer: BCBS Complete |
$16,400.15
|
Rate for Payer: Mclaren Medicaid |
$15,619.19
|
Rate for Payer: Meridian Medicaid |
$16,400.15
|
Rate for Payer: Priority Health Choice Medicaid |
$15,619.19
|
|
INPATIENT APRDRG 1314: CYSTIC FIBROSIS - PULMONARY DISEASE
|
Facility
|
IP
|
$19,273.33
|
|
Service Code
|
APR-DRG 1314
|
Hospital Charge Code |
APRDRG 1314
|
Min. Negotiated Rate |
$18,355.55 |
Max. Negotiated Rate |
$19,273.33 |
Rate for Payer: BCBS Complete |
$19,273.33
|
Rate for Payer: Mclaren Medicaid |
$18,355.55
|
Rate for Payer: Meridian Medicaid |
$19,273.33
|
Rate for Payer: Priority Health Choice Medicaid |
$18,355.55
|
|
INPATIENT APRDRG 1321: BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD
|
Facility
|
IP
|
$2,959.42
|
|
Service Code
|
APR-DRG 1321
|
Hospital Charge Code |
APRDRG 1321
|
Min. Negotiated Rate |
$2,818.50 |
Max. Negotiated Rate |
$2,959.42 |
Rate for Payer: BCBS Complete |
$2,959.42
|
Rate for Payer: Mclaren Medicaid |
$2,818.50
|
Rate for Payer: Meridian Medicaid |
$2,959.42
|
Rate for Payer: Priority Health Choice Medicaid |
$2,818.50
|
|
INPATIENT APRDRG 1322: BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD
|
Facility
|
IP
|
$4,262.91
|
|
Service Code
|
APR-DRG 1322
|
Hospital Charge Code |
APRDRG 1322
|
Min. Negotiated Rate |
$4,059.91 |
Max. Negotiated Rate |
$4,262.91 |
Rate for Payer: BCBS Complete |
$4,262.91
|
Rate for Payer: Mclaren Medicaid |
$4,059.91
|
Rate for Payer: Meridian Medicaid |
$4,262.91
|
Rate for Payer: Priority Health Choice Medicaid |
$4,059.91
|
|
INPATIENT APRDRG 1323: BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD
|
Facility
|
IP
|
$7,974.39
|
|
Service Code
|
APR-DRG 1323
|
Hospital Charge Code |
APRDRG 1323
|
Min. Negotiated Rate |
$7,594.66 |
Max. Negotiated Rate |
$7,974.39 |
Rate for Payer: BCBS Complete |
$7,974.39
|
Rate for Payer: Mclaren Medicaid |
$7,594.66
|
Rate for Payer: Meridian Medicaid |
$7,974.39
|
Rate for Payer: Priority Health Choice Medicaid |
$7,594.66
|
|
INPATIENT APRDRG 1324: BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD
|
Facility
|
IP
|
$9,530.29
|
|
Service Code
|
APR-DRG 1324
|
Hospital Charge Code |
APRDRG 1324
|
Min. Negotiated Rate |
$9,076.47 |
Max. Negotiated Rate |
$9,530.29 |
Rate for Payer: BCBS Complete |
$9,530.29
|
Rate for Payer: Mclaren Medicaid |
$9,076.47
|
Rate for Payer: Meridian Medicaid |
$9,530.29
|
Rate for Payer: Priority Health Choice Medicaid |
$9,076.47
|
|
INPATIENT APRDRG 1331: RESPIRATORY FAILURE
|
Facility
|
IP
|
$2,704.71
|
|
Service Code
|
APR-DRG 1331
|
Hospital Charge Code |
APRDRG 1331
|
Min. Negotiated Rate |
$2,575.91 |
Max. Negotiated Rate |
$2,704.71 |
Rate for Payer: BCBS Complete |
$2,704.71
|
Rate for Payer: Mclaren Medicaid |
$2,575.91
|
Rate for Payer: Meridian Medicaid |
$2,704.71
|
Rate for Payer: Priority Health Choice Medicaid |
$2,575.91
|
|
INPATIENT APRDRG 1332: RESPIRATORY FAILURE
|
Facility
|
IP
|
$4,749.34
|
|
Service Code
|
APR-DRG 1332
|
Hospital Charge Code |
APRDRG 1332
|
Min. Negotiated Rate |
$4,523.18 |
Max. Negotiated Rate |
$4,749.34 |
Rate for Payer: BCBS Complete |
$4,749.34
|
Rate for Payer: Mclaren Medicaid |
$4,523.18
|
Rate for Payer: Meridian Medicaid |
$4,749.34
|
Rate for Payer: Priority Health Choice Medicaid |
$4,523.18
|
|
INPATIENT APRDRG 1333: RESPIRATORY FAILURE
|
Facility
|
IP
|
$7,218.30
|
|
Service Code
|
APR-DRG 1333
|
Hospital Charge Code |
APRDRG 1333
|
Min. Negotiated Rate |
$6,874.57 |
Max. Negotiated Rate |
$7,218.30 |
Rate for Payer: BCBS Complete |
$7,218.30
|
Rate for Payer: Mclaren Medicaid |
$6,874.57
|
Rate for Payer: Meridian Medicaid |
$7,218.30
|
Rate for Payer: Priority Health Choice Medicaid |
$6,874.57
|
|
INPATIENT APRDRG 1334: RESPIRATORY FAILURE
|
Facility
|
IP
|
$11,547.90
|
|
Service Code
|
APR-DRG 1334
|
Hospital Charge Code |
APRDRG 1334
|
Min. Negotiated Rate |
$10,998.00 |
Max. Negotiated Rate |
$11,547.90 |
Rate for Payer: BCBS Complete |
$11,547.90
|
Rate for Payer: Mclaren Medicaid |
$10,998.00
|
Rate for Payer: Meridian Medicaid |
$11,547.90
|
Rate for Payer: Priority Health Choice Medicaid |
$10,998.00
|
|
INPATIENT APRDRG 1341: PULMONARY EMBOLISM
|
Facility
|
IP
|
$3,533.83
|
|
Service Code
|
APR-DRG 1341
|
Hospital Charge Code |
APRDRG 1341
|
Min. Negotiated Rate |
$3,365.55 |
Max. Negotiated Rate |
$3,533.83 |
Rate for Payer: BCBS Complete |
$3,533.83
|
Rate for Payer: Mclaren Medicaid |
$3,365.55
|
Rate for Payer: Meridian Medicaid |
$3,533.83
|
Rate for Payer: Priority Health Choice Medicaid |
$3,365.55
|
|
INPATIENT APRDRG 1342: PULMONARY EMBOLISM
|
Facility
|
IP
|
$4,392.28
|
|
Service Code
|
APR-DRG 1342
|
Hospital Charge Code |
APRDRG 1342
|
Min. Negotiated Rate |
$4,183.12 |
Max. Negotiated Rate |
$4,392.28 |
Rate for Payer: BCBS Complete |
$4,392.28
|
Rate for Payer: Mclaren Medicaid |
$4,183.12
|
Rate for Payer: Meridian Medicaid |
$4,392.28
|
Rate for Payer: Priority Health Choice Medicaid |
$4,183.12
|
|