INPATIENT APRDRG 1404: CHRONIC OBSTRUCTIVE PULMONARY DISEASE
|
Facility
|
IP
|
$8,934.62
|
|
Service Code
|
APR-DRG 1404
|
Hospital Charge Code |
APRDRG 1404
|
Min. Negotiated Rate |
$8,509.16 |
Max. Negotiated Rate |
$8,934.62 |
Rate for Payer: BCBS Complete |
$8,934.62
|
Rate for Payer: Mclaren Medicaid |
$8,509.16
|
Rate for Payer: Meridian Medicaid |
$8,934.62
|
Rate for Payer: Priority Health Choice Medicaid |
$8,509.16
|
|
INPATIENT APRDRG 1411: ASTHMA
|
Facility
|
IP
|
$3,383.18
|
|
Service Code
|
APR-DRG 1411
|
Hospital Charge Code |
APRDRG 1411
|
Min. Negotiated Rate |
$3,222.08 |
Max. Negotiated Rate |
$3,383.18 |
Rate for Payer: BCBS Complete |
$3,383.18
|
Rate for Payer: Mclaren Medicaid |
$3,222.08
|
Rate for Payer: Meridian Medicaid |
$3,383.18
|
Rate for Payer: Priority Health Choice Medicaid |
$3,222.08
|
|
INPATIENT APRDRG 1412: ASTHMA
|
Facility
|
IP
|
$4,304.30
|
|
Service Code
|
APR-DRG 1412
|
Hospital Charge Code |
APRDRG 1412
|
Min. Negotiated Rate |
$4,099.33 |
Max. Negotiated Rate |
$4,304.30 |
Rate for Payer: BCBS Complete |
$4,304.30
|
Rate for Payer: Mclaren Medicaid |
$4,099.33
|
Rate for Payer: Meridian Medicaid |
$4,304.30
|
Rate for Payer: Priority Health Choice Medicaid |
$4,099.33
|
|
INPATIENT APRDRG 1413: ASTHMA
|
Facility
|
IP
|
$4,552.12
|
|
Service Code
|
APR-DRG 1413
|
Hospital Charge Code |
APRDRG 1413
|
Min. Negotiated Rate |
$4,335.35 |
Max. Negotiated Rate |
$4,552.12 |
Rate for Payer: BCBS Complete |
$4,552.12
|
Rate for Payer: Mclaren Medicaid |
$4,335.35
|
Rate for Payer: Meridian Medicaid |
$4,552.12
|
Rate for Payer: Priority Health Choice Medicaid |
$4,335.35
|
|
INPATIENT APRDRG 1414: ASTHMA
|
Facility
|
IP
|
$10,084.58
|
|
Service Code
|
APR-DRG 1414
|
Hospital Charge Code |
APRDRG 1414
|
Min. Negotiated Rate |
$9,604.36 |
Max. Negotiated Rate |
$10,084.58 |
Rate for Payer: BCBS Complete |
$10,084.58
|
Rate for Payer: Mclaren Medicaid |
$9,604.36
|
Rate for Payer: Meridian Medicaid |
$10,084.58
|
Rate for Payer: Priority Health Choice Medicaid |
$9,604.36
|
|
INPATIENT APRDRG 1421: INTERSTITIAL & ALVEOLAR LUNG DISEASES
|
Facility
|
IP
|
$3,509.10
|
|
Service Code
|
APR-DRG 1421
|
Hospital Charge Code |
APRDRG 1421
|
Min. Negotiated Rate |
$3,342.00 |
Max. Negotiated Rate |
$3,509.10 |
Rate for Payer: BCBS Complete |
$3,509.10
|
Rate for Payer: Mclaren Medicaid |
$3,342.00
|
Rate for Payer: Meridian Medicaid |
$3,509.10
|
Rate for Payer: Priority Health Choice Medicaid |
$3,342.00
|
|
INPATIENT APRDRG 1422: INTERSTITIAL & ALVEOLAR LUNG DISEASES
|
Facility
|
IP
|
$4,847.66
|
|
Service Code
|
APR-DRG 1422
|
Hospital Charge Code |
APRDRG 1422
|
Min. Negotiated Rate |
$4,616.82 |
Max. Negotiated Rate |
$4,847.66 |
Rate for Payer: BCBS Complete |
$4,847.66
|
Rate for Payer: Mclaren Medicaid |
$4,616.82
|
Rate for Payer: Meridian Medicaid |
$4,847.66
|
Rate for Payer: Priority Health Choice Medicaid |
$4,616.82
|
|
INPATIENT APRDRG 1423: INTERSTITIAL & ALVEOLAR LUNG DISEASES
|
Facility
|
IP
|
$6,664.01
|
|
Service Code
|
APR-DRG 1423
|
Hospital Charge Code |
APRDRG 1423
|
Min. Negotiated Rate |
$6,346.68 |
Max. Negotiated Rate |
$6,664.01 |
Rate for Payer: BCBS Complete |
$6,664.01
|
Rate for Payer: Mclaren Medicaid |
$6,346.68
|
Rate for Payer: Meridian Medicaid |
$6,664.01
|
Rate for Payer: Priority Health Choice Medicaid |
$6,346.68
|
|
INPATIENT APRDRG 1424: INTERSTITIAL & ALVEOLAR LUNG DISEASES
|
Facility
|
IP
|
$10,788.35
|
|
Service Code
|
APR-DRG 1424
|
Hospital Charge Code |
APRDRG 1424
|
Min. Negotiated Rate |
$10,274.62 |
Max. Negotiated Rate |
$10,788.35 |
Rate for Payer: BCBS Complete |
$10,788.35
|
Rate for Payer: Mclaren Medicaid |
$10,274.62
|
Rate for Payer: Meridian Medicaid |
$10,788.35
|
Rate for Payer: Priority Health Choice Medicaid |
$10,274.62
|
|
INPATIENT APRDRG 1431: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES
|
Facility
|
IP
|
$3,628.70
|
|
Service Code
|
APR-DRG 1431
|
Hospital Charge Code |
APRDRG 1431
|
Min. Negotiated Rate |
$3,455.90 |
Max. Negotiated Rate |
$3,628.70 |
Rate for Payer: BCBS Complete |
$3,628.70
|
Rate for Payer: Mclaren Medicaid |
$3,455.90
|
Rate for Payer: Meridian Medicaid |
$3,628.70
|
Rate for Payer: Priority Health Choice Medicaid |
$3,455.90
|
|
INPATIENT APRDRG 1432: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES
|
Facility
|
IP
|
$5,332.94
|
|
Service Code
|
APR-DRG 1432
|
Hospital Charge Code |
APRDRG 1432
|
Min. Negotiated Rate |
$5,078.99 |
Max. Negotiated Rate |
$5,332.94 |
Rate for Payer: BCBS Complete |
$5,332.94
|
Rate for Payer: Mclaren Medicaid |
$5,078.99
|
Rate for Payer: Meridian Medicaid |
$5,332.94
|
Rate for Payer: Priority Health Choice Medicaid |
$5,078.99
|
|
INPATIENT APRDRG 1433: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES
|
Facility
|
IP
|
$7,525.34
|
|
Service Code
|
APR-DRG 1433
|
Hospital Charge Code |
APRDRG 1433
|
Min. Negotiated Rate |
$7,166.99 |
Max. Negotiated Rate |
$7,525.34 |
Rate for Payer: BCBS Complete |
$7,525.34
|
Rate for Payer: Mclaren Medicaid |
$7,166.99
|
Rate for Payer: Meridian Medicaid |
$7,525.34
|
Rate for Payer: Priority Health Choice Medicaid |
$7,166.99
|
|
INPATIENT APRDRG 1434: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES
|
Facility
|
IP
|
$10,768.22
|
|
Service Code
|
APR-DRG 1434
|
Hospital Charge Code |
APRDRG 1434
|
Min. Negotiated Rate |
$10,255.45 |
Max. Negotiated Rate |
$10,768.22 |
Rate for Payer: BCBS Complete |
$10,768.22
|
Rate for Payer: Mclaren Medicaid |
$10,255.45
|
Rate for Payer: Meridian Medicaid |
$10,768.22
|
Rate for Payer: Priority Health Choice Medicaid |
$10,255.45
|
|
INPATIENT APRDRG 1441: RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES
|
Facility
|
IP
|
$3,181.36
|
|
Service Code
|
APR-DRG 1441
|
Hospital Charge Code |
APRDRG 1441
|
Min. Negotiated Rate |
$3,029.87 |
Max. Negotiated Rate |
$3,181.36 |
Rate for Payer: BCBS Complete |
$3,181.36
|
Rate for Payer: Mclaren Medicaid |
$3,029.87
|
Rate for Payer: Meridian Medicaid |
$3,181.36
|
Rate for Payer: Priority Health Choice Medicaid |
$3,029.87
|
|
INPATIENT APRDRG 1442: RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES
|
Facility
|
IP
|
$4,863.18
|
|
Service Code
|
APR-DRG 1442
|
Hospital Charge Code |
APRDRG 1442
|
Min. Negotiated Rate |
$4,631.60 |
Max. Negotiated Rate |
$4,863.18 |
Rate for Payer: BCBS Complete |
$4,863.18
|
Rate for Payer: Mclaren Medicaid |
$4,631.60
|
Rate for Payer: Meridian Medicaid |
$4,863.18
|
Rate for Payer: Priority Health Choice Medicaid |
$4,631.60
|
|
INPATIENT APRDRG 1443: RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES
|
Facility
|
IP
|
$6,943.46
|
|
Service Code
|
APR-DRG 1443
|
Hospital Charge Code |
APRDRG 1443
|
Min. Negotiated Rate |
$6,612.82 |
Max. Negotiated Rate |
$6,943.46 |
Rate for Payer: BCBS Complete |
$6,943.46
|
Rate for Payer: Mclaren Medicaid |
$6,612.82
|
Rate for Payer: Meridian Medicaid |
$6,943.46
|
Rate for Payer: Priority Health Choice Medicaid |
$6,612.82
|
|
INPATIENT APRDRG 1444: RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES
|
Facility
|
IP
|
$11,132.18
|
|
Service Code
|
APR-DRG 1444
|
Hospital Charge Code |
APRDRG 1444
|
Min. Negotiated Rate |
$10,602.08 |
Max. Negotiated Rate |
$11,132.18 |
Rate for Payer: BCBS Complete |
$11,132.18
|
Rate for Payer: Mclaren Medicaid |
$10,602.08
|
Rate for Payer: Meridian Medicaid |
$11,132.18
|
Rate for Payer: Priority Health Choice Medicaid |
$10,602.08
|
|
INPATIENT APRDRG 1451: ACUTE BRONCHITIS AND RELATED SYMPTOMS
|
Facility
|
IP
|
$3,291.18
|
|
Service Code
|
APR-DRG 1451
|
Hospital Charge Code |
APRDRG 1451
|
Min. Negotiated Rate |
$3,134.46 |
Max. Negotiated Rate |
$3,291.18 |
Rate for Payer: BCBS Complete |
$3,291.18
|
Rate for Payer: Mclaren Medicaid |
$3,134.46
|
Rate for Payer: Meridian Medicaid |
$3,291.18
|
Rate for Payer: Priority Health Choice Medicaid |
$3,134.46
|
|
INPATIENT APRDRG 1452: ACUTE BRONCHITIS AND RELATED SYMPTOMS
|
Facility
|
IP
|
$4,088.68
|
|
Service Code
|
APR-DRG 1452
|
Hospital Charge Code |
APRDRG 1452
|
Min. Negotiated Rate |
$3,893.98 |
Max. Negotiated Rate |
$4,088.68 |
Rate for Payer: BCBS Complete |
$4,088.68
|
Rate for Payer: Mclaren Medicaid |
$3,893.98
|
Rate for Payer: Meridian Medicaid |
$4,088.68
|
Rate for Payer: Priority Health Choice Medicaid |
$3,893.98
|
|
INPATIENT APRDRG 1453: ACUTE BRONCHITIS AND RELATED SYMPTOMS
|
Facility
|
IP
|
$5,330.06
|
|
Service Code
|
APR-DRG 1453
|
Hospital Charge Code |
APRDRG 1453
|
Min. Negotiated Rate |
$5,076.25 |
Max. Negotiated Rate |
$5,330.06 |
Rate for Payer: BCBS Complete |
$5,330.06
|
Rate for Payer: Mclaren Medicaid |
$5,076.25
|
Rate for Payer: Meridian Medicaid |
$5,330.06
|
Rate for Payer: Priority Health Choice Medicaid |
$5,076.25
|
|
INPATIENT APRDRG 1454: ACUTE BRONCHITIS AND RELATED SYMPTOMS
|
Facility
|
IP
|
$9,592.39
|
|
Service Code
|
APR-DRG 1454
|
Hospital Charge Code |
APRDRG 1454
|
Min. Negotiated Rate |
$9,135.61 |
Max. Negotiated Rate |
$9,592.39 |
Rate for Payer: BCBS Complete |
$9,592.39
|
Rate for Payer: Mclaren Medicaid |
$9,135.61
|
Rate for Payer: Meridian Medicaid |
$9,592.39
|
Rate for Payer: Priority Health Choice Medicaid |
$9,135.61
|
|
INPATIENT APRDRG 1601: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$25,883.30
|
|
Service Code
|
APR-DRG 1601
|
Hospital Charge Code |
APRDRG 1601
|
Min. Negotiated Rate |
$24,650.76 |
Max. Negotiated Rate |
$25,883.30 |
Rate for Payer: BCBS Complete |
$25,883.30
|
Rate for Payer: Mclaren Medicaid |
$24,650.76
|
Rate for Payer: Meridian Medicaid |
$25,883.30
|
Rate for Payer: Priority Health Choice Medicaid |
$24,650.76
|
|
INPATIENT APRDRG 1602: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$33,009.61
|
|
Service Code
|
APR-DRG 1602
|
Hospital Charge Code |
APRDRG 1602
|
Min. Negotiated Rate |
$31,437.72 |
Max. Negotiated Rate |
$33,009.61 |
Rate for Payer: BCBS Complete |
$33,009.61
|
Rate for Payer: Mclaren Medicaid |
$31,437.72
|
Rate for Payer: Meridian Medicaid |
$33,009.61
|
Rate for Payer: Priority Health Choice Medicaid |
$31,437.72
|
|
INPATIENT APRDRG 1603: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$49,907.69
|
|
Service Code
|
APR-DRG 1603
|
Hospital Charge Code |
APRDRG 1603
|
Min. Negotiated Rate |
$47,531.13 |
Max. Negotiated Rate |
$49,907.69 |
Rate for Payer: BCBS Complete |
$49,907.69
|
Rate for Payer: Mclaren Medicaid |
$47,531.13
|
Rate for Payer: Meridian Medicaid |
$49,907.69
|
Rate for Payer: Priority Health Choice Medicaid |
$47,531.13
|
|
INPATIENT APRDRG 1604: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$95,892.29
|
|
Service Code
|
APR-DRG 1604
|
Hospital Charge Code |
APRDRG 1604
|
Min. Negotiated Rate |
$91,325.99 |
Max. Negotiated Rate |
$95,892.29 |
Rate for Payer: BCBS Complete |
$95,892.29
|
Rate for Payer: Mclaren Medicaid |
$91,325.99
|
Rate for Payer: Meridian Medicaid |
$95,892.29
|
Rate for Payer: Priority Health Choice Medicaid |
$91,325.99
|
|