INPATIENT APRDRG 1343: PULMONARY EMBOLISM
|
Facility
|
IP
|
$6,764.64
|
|
Service Code
|
APR-DRG 1343
|
Hospital Charge Code |
APRDRG 1343
|
Min. Negotiated Rate |
$6,442.51 |
Max. Negotiated Rate |
$6,764.64 |
Rate for Payer: BCBS Complete |
$6,764.64
|
Rate for Payer: Mclaren Medicaid |
$6,442.51
|
Rate for Payer: Meridian Medicaid |
$6,764.64
|
Rate for Payer: Priority Health Choice Medicaid |
$6,442.51
|
|
INPATIENT APRDRG 1344: PULMONARY EMBOLISM
|
Facility
|
IP
|
$10,566.98
|
|
Service Code
|
APR-DRG 1344
|
Hospital Charge Code |
APRDRG 1344
|
Min. Negotiated Rate |
$10,063.79 |
Max. Negotiated Rate |
$10,566.98 |
Rate for Payer: BCBS Complete |
$10,566.98
|
Rate for Payer: Mclaren Medicaid |
$10,063.79
|
Rate for Payer: Meridian Medicaid |
$10,566.98
|
Rate for Payer: Priority Health Choice Medicaid |
$10,063.79
|
|
INPATIENT APRDRG 1351: MAJOR CHEST & RESPIRAZORY TRAUMA
|
Facility
|
IP
|
$4,956.33
|
|
Service Code
|
APR-DRG 1351
|
Hospital Charge Code |
APRDRG 1351
|
Min. Negotiated Rate |
$4,720.31 |
Max. Negotiated Rate |
$4,956.33 |
Rate for Payer: BCBS Complete |
$4,956.33
|
Rate for Payer: Mclaren Medicaid |
$4,720.31
|
Rate for Payer: Meridian Medicaid |
$4,956.33
|
Rate for Payer: Priority Health Choice Medicaid |
$4,720.31
|
|
INPATIENT APRDRG 1352: MAJOR CHEST & RESPIRATORY TRAUMA
|
Facility
|
IP
|
$5,525.56
|
|
Service Code
|
APR-DRG 1352
|
Hospital Charge Code |
APRDRG 1352
|
Min. Negotiated Rate |
$5,262.44 |
Max. Negotiated Rate |
$5,525.56 |
Rate for Payer: BCBS Complete |
$5,525.56
|
Rate for Payer: Mclaren Medicaid |
$5,262.44
|
Rate for Payer: Meridian Medicaid |
$5,525.56
|
Rate for Payer: Priority Health Choice Medicaid |
$5,262.44
|
|
INPATIENT APRDRG 1353: MAJOR CHEST & RESPIRATORY TRAUMA
|
Facility
|
IP
|
$7,617.91
|
|
Service Code
|
APR-DRG 1353
|
Hospital Charge Code |
APRDRG 1353
|
Min. Negotiated Rate |
$7,255.15 |
Max. Negotiated Rate |
$7,617.91 |
Rate for Payer: BCBS Complete |
$7,617.91
|
Rate for Payer: Mclaren Medicaid |
$7,255.15
|
Rate for Payer: Meridian Medicaid |
$7,617.91
|
Rate for Payer: Priority Health Choice Medicaid |
$7,255.15
|
|
INPATIENT APRDRG 1354: MAJOR CHEST & RESPIRATORY TRAUMA
|
Facility
|
IP
|
$11,947.51
|
|
Service Code
|
APR-DRG 1354
|
Hospital Charge Code |
APRDRG 1354
|
Min. Negotiated Rate |
$11,378.58 |
Max. Negotiated Rate |
$11,947.51 |
Rate for Payer: BCBS Complete |
$11,947.51
|
Rate for Payer: Mclaren Medicaid |
$11,378.58
|
Rate for Payer: Meridian Medicaid |
$11,947.51
|
Rate for Payer: Priority Health Choice Medicaid |
$11,378.58
|
|
INPATIENT APRDRG 1361: RESPIRATORY MALIGNANCY
|
Facility
|
IP
|
$5,484.74
|
|
Service Code
|
APR-DRG 1361
|
Hospital Charge Code |
APRDRG 1361
|
Min. Negotiated Rate |
$5,223.56 |
Max. Negotiated Rate |
$5,484.74 |
Rate for Payer: BCBS Complete |
$5,484.74
|
Rate for Payer: Mclaren Medicaid |
$5,223.56
|
Rate for Payer: Meridian Medicaid |
$5,484.74
|
Rate for Payer: Priority Health Choice Medicaid |
$5,223.56
|
|
INPATIENT APRDRG 1362: RESPIRATORY MALIGNANCY
|
Facility
|
IP
|
$6,781.89
|
|
Service Code
|
APR-DRG 1362
|
Hospital Charge Code |
APRDRG 1362
|
Min. Negotiated Rate |
$6,458.94 |
Max. Negotiated Rate |
$6,781.89 |
Rate for Payer: BCBS Complete |
$6,781.89
|
Rate for Payer: Mclaren Medicaid |
$6,458.94
|
Rate for Payer: Meridian Medicaid |
$6,781.89
|
Rate for Payer: Priority Health Choice Medicaid |
$6,458.94
|
|
INPATIENT APRDRG 1363: RESPIRATORY MALIGNANCY
|
Facility
|
IP
|
$8,674.72
|
|
Service Code
|
APR-DRG 1363
|
Hospital Charge Code |
APRDRG 1363
|
Min. Negotiated Rate |
$8,261.64 |
Max. Negotiated Rate |
$8,674.72 |
Rate for Payer: BCBS Complete |
$8,674.72
|
Rate for Payer: Mclaren Medicaid |
$8,261.64
|
Rate for Payer: Meridian Medicaid |
$8,674.72
|
Rate for Payer: Priority Health Choice Medicaid |
$8,261.64
|
|
INPATIENT APRDRG 1364: RESPIRATORY MALIGNANCY
|
Facility
|
IP
|
$12,591.48
|
|
Service Code
|
APR-DRG 1364
|
Hospital Charge Code |
APRDRG 1364
|
Min. Negotiated Rate |
$11,991.89 |
Max. Negotiated Rate |
$12,591.48 |
Rate for Payer: BCBS Complete |
$12,591.48
|
Rate for Payer: Mclaren Medicaid |
$11,991.89
|
Rate for Payer: Meridian Medicaid |
$12,591.48
|
Rate for Payer: Priority Health Choice Medicaid |
$11,991.89
|
|
INPATIENT APRDRG 1371: MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS
|
Facility
|
IP
|
$2,657.56
|
|
Service Code
|
APR-DRG 1371
|
Hospital Charge Code |
APRDRG 1371
|
Min. Negotiated Rate |
$2,531.01 |
Max. Negotiated Rate |
$2,657.56 |
Rate for Payer: BCBS Complete |
$2,657.56
|
Rate for Payer: Mclaren Medicaid |
$2,531.01
|
Rate for Payer: Meridian Medicaid |
$2,657.56
|
Rate for Payer: Priority Health Choice Medicaid |
$2,531.01
|
|
INPATIENT APRDRG 1372: MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS
|
Facility
|
IP
|
$4,858.58
|
|
Service Code
|
APR-DRG 1372
|
Hospital Charge Code |
APRDRG 1372
|
Min. Negotiated Rate |
$4,627.22 |
Max. Negotiated Rate |
$4,858.58 |
Rate for Payer: BCBS Complete |
$4,858.58
|
Rate for Payer: Mclaren Medicaid |
$4,627.22
|
Rate for Payer: Meridian Medicaid |
$4,858.58
|
Rate for Payer: Priority Health Choice Medicaid |
$4,627.22
|
|
INPATIENT APRDRG 1373: MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS
|
Facility
|
IP
|
$6,309.25
|
|
Service Code
|
APR-DRG 1373
|
Hospital Charge Code |
APRDRG 1373
|
Min. Negotiated Rate |
$6,008.81 |
Max. Negotiated Rate |
$6,309.25 |
Rate for Payer: BCBS Complete |
$6,309.25
|
Rate for Payer: Mclaren Medicaid |
$6,008.81
|
Rate for Payer: Meridian Medicaid |
$6,309.25
|
Rate for Payer: Priority Health Choice Medicaid |
$6,008.81
|
|
INPATIENT APRDRG 1374: MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS
|
Facility
|
IP
|
$11,130.46
|
|
Service Code
|
APR-DRG 1374
|
Hospital Charge Code |
APRDRG 1374
|
Min. Negotiated Rate |
$10,600.44 |
Max. Negotiated Rate |
$11,130.46 |
Rate for Payer: BCBS Complete |
$11,130.46
|
Rate for Payer: Mclaren Medicaid |
$10,600.44
|
Rate for Payer: Meridian Medicaid |
$11,130.46
|
Rate for Payer: Priority Health Choice Medicaid |
$10,600.44
|
|
INPATIENT APRDRG 1381: BRONCHIOLITIS & RSV PNEUMONIA
|
Facility
|
IP
|
$3,137.66
|
|
Service Code
|
APR-DRG 1381
|
Hospital Charge Code |
APRDRG 1381
|
Min. Negotiated Rate |
$2,988.25 |
Max. Negotiated Rate |
$3,137.66 |
Rate for Payer: BCBS Complete |
$3,137.66
|
Rate for Payer: Mclaren Medicaid |
$2,988.25
|
Rate for Payer: Meridian Medicaid |
$3,137.66
|
Rate for Payer: Priority Health Choice Medicaid |
$2,988.25
|
|
INPATIENT APRDRG 1382: BRONCHIOLITIS & RSV PNEUMONIA
|
Facility
|
IP
|
$3,936.31
|
|
Service Code
|
APR-DRG 1382
|
Hospital Charge Code |
APRDRG 1382
|
Min. Negotiated Rate |
$3,748.87 |
Max. Negotiated Rate |
$3,936.31 |
Rate for Payer: BCBS Complete |
$3,936.31
|
Rate for Payer: Mclaren Medicaid |
$3,748.87
|
Rate for Payer: Meridian Medicaid |
$3,936.31
|
Rate for Payer: Priority Health Choice Medicaid |
$3,748.87
|
|
INPATIENT APRDRG 1383: BRONCHIOLITIS & RSV PNEUMONIA
|
Facility
|
IP
|
$5,611.81
|
|
Service Code
|
APR-DRG 1383
|
Hospital Charge Code |
APRDRG 1383
|
Min. Negotiated Rate |
$5,344.58 |
Max. Negotiated Rate |
$5,611.81 |
Rate for Payer: BCBS Complete |
$5,611.81
|
Rate for Payer: Mclaren Medicaid |
$5,344.58
|
Rate for Payer: Meridian Medicaid |
$5,611.81
|
Rate for Payer: Priority Health Choice Medicaid |
$5,344.58
|
|
INPATIENT APRDRG 1384: BRONCHIOLITIS & RSV PNEUMONIA
|
Facility
|
IP
|
$9,511.32
|
|
Service Code
|
APR-DRG 1384
|
Hospital Charge Code |
APRDRG 1384
|
Min. Negotiated Rate |
$9,058.40 |
Max. Negotiated Rate |
$9,511.32 |
Rate for Payer: BCBS Complete |
$9,511.32
|
Rate for Payer: Mclaren Medicaid |
$9,058.40
|
Rate for Payer: Meridian Medicaid |
$9,511.32
|
Rate for Payer: Priority Health Choice Medicaid |
$9,058.40
|
|
INPATIENT APRDRG 1391: OTHER PNEUMONIA
|
Facility
|
IP
|
$3,031.30
|
|
Service Code
|
APR-DRG 1391
|
Hospital Charge Code |
APRDRG 1391
|
Min. Negotiated Rate |
$2,886.95 |
Max. Negotiated Rate |
$3,031.30 |
Rate for Payer: BCBS Complete |
$3,031.30
|
Rate for Payer: Mclaren Medicaid |
$2,886.95
|
Rate for Payer: Meridian Medicaid |
$3,031.30
|
Rate for Payer: Priority Health Choice Medicaid |
$2,886.95
|
|
INPATIENT APRDRG 1392: OTHER PNEUMONIA
|
Facility
|
IP
|
$3,797.17
|
|
Service Code
|
APR-DRG 1392
|
Hospital Charge Code |
APRDRG 1392
|
Min. Negotiated Rate |
$3,616.35 |
Max. Negotiated Rate |
$3,797.17 |
Rate for Payer: BCBS Complete |
$3,797.17
|
Rate for Payer: Mclaren Medicaid |
$3,616.35
|
Rate for Payer: Meridian Medicaid |
$3,797.17
|
Rate for Payer: Priority Health Choice Medicaid |
$3,616.35
|
|
INPATIENT APRDRG 1393: OTHER PNEUMONIA
|
Facility
|
IP
|
$5,831.45
|
|
Service Code
|
APR-DRG 1393
|
Hospital Charge Code |
APRDRG 1393
|
Min. Negotiated Rate |
$5,553.76 |
Max. Negotiated Rate |
$5,831.45 |
Rate for Payer: BCBS Complete |
$5,831.45
|
Rate for Payer: Mclaren Medicaid |
$5,553.76
|
Rate for Payer: Meridian Medicaid |
$5,831.45
|
Rate for Payer: Priority Health Choice Medicaid |
$5,553.76
|
|
INPATIENT APRDRG 1394: OTHER PNEUMONIA
|
Facility
|
IP
|
$9,065.13
|
|
Service Code
|
APR-DRG 1394
|
Hospital Charge Code |
APRDRG 1394
|
Min. Negotiated Rate |
$8,633.46 |
Max. Negotiated Rate |
$9,065.13 |
Rate for Payer: BCBS Complete |
$9,065.13
|
Rate for Payer: Mclaren Medicaid |
$8,633.46
|
Rate for Payer: Meridian Medicaid |
$9,065.13
|
Rate for Payer: Priority Health Choice Medicaid |
$8,633.46
|
|
INPATIENT APRDRG 1401: CHRONIC OBSTRUCTIVE PULMONARY DISEASE
|
Facility
|
IP
|
$3,700.00
|
|
Service Code
|
APR-DRG 1401
|
Hospital Charge Code |
APRDRG 1401
|
Min. Negotiated Rate |
$3,523.81 |
Max. Negotiated Rate |
$3,700.00 |
Rate for Payer: BCBS Complete |
$3,700.00
|
Rate for Payer: Mclaren Medicaid |
$3,523.81
|
Rate for Payer: Meridian Medicaid |
$3,700.00
|
Rate for Payer: Priority Health Choice Medicaid |
$3,523.81
|
|
INPATIENT APRDRG 1402: CHRONIC OBSTRUCTIVE PULMONARY DISEASE
|
Facility
|
IP
|
$4,408.37
|
|
Service Code
|
APR-DRG 1402
|
Hospital Charge Code |
APRDRG 1402
|
Min. Negotiated Rate |
$4,198.45 |
Max. Negotiated Rate |
$4,408.37 |
Rate for Payer: BCBS Complete |
$4,408.37
|
Rate for Payer: Mclaren Medicaid |
$4,198.45
|
Rate for Payer: Meridian Medicaid |
$4,408.37
|
Rate for Payer: Priority Health Choice Medicaid |
$4,198.45
|
|
INPATIENT APRDRG 1403: CHRONIC OBSTRUCTIVE PULMONARY DISEASE
|
Facility
|
IP
|
$5,140.32
|
|
Service Code
|
APR-DRG 1403
|
Hospital Charge Code |
APRDRG 1403
|
Min. Negotiated Rate |
$4,895.54 |
Max. Negotiated Rate |
$5,140.32 |
Rate for Payer: BCBS Complete |
$5,140.32
|
Rate for Payer: Mclaren Medicaid |
$4,895.54
|
Rate for Payer: Meridian Medicaid |
$5,140.32
|
Rate for Payer: Priority Health Choice Medicaid |
$4,895.54
|
|