INPATIENT APRDRG 1692: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$18,102.09
|
|
Service Code
|
APR-DRG 1692
|
Hospital Charge Code |
APRDRG 1692
|
Min. Negotiated Rate |
$17,240.09 |
Max. Negotiated Rate |
$18,102.09 |
Rate for Payer: BCBS Complete |
$18,102.09
|
Rate for Payer: Mclaren Medicaid |
$17,240.09
|
Rate for Payer: Meridian Medicaid |
$18,102.09
|
Rate for Payer: Priority Health Choice Medicaid |
$17,240.09
|
|
INPATIENT APRDRG 1693: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$25,564.76
|
|
Service Code
|
APR-DRG 1693
|
Hospital Charge Code |
APRDRG 1693
|
Min. Negotiated Rate |
$24,347.39 |
Max. Negotiated Rate |
$25,564.76 |
Rate for Payer: BCBS Complete |
$25,564.76
|
Rate for Payer: Mclaren Medicaid |
$24,347.39
|
Rate for Payer: Meridian Medicaid |
$25,564.76
|
Rate for Payer: Priority Health Choice Medicaid |
$24,347.39
|
|
INPATIENT APRDRG 1694: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$35,410.15
|
|
Service Code
|
APR-DRG 1694
|
Hospital Charge Code |
APRDRG 1694
|
Min. Negotiated Rate |
$33,723.95 |
Max. Negotiated Rate |
$35,410.15 |
Rate for Payer: BCBS Complete |
$35,410.15
|
Rate for Payer: Mclaren Medicaid |
$33,723.95
|
Rate for Payer: Meridian Medicaid |
$35,410.15
|
Rate for Payer: Priority Health Choice Medicaid |
$33,723.95
|
|
INPATIENT APRDRG 1701: PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$12,586.31
|
|
Service Code
|
APR-DRG 1701
|
Hospital Charge Code |
APRDRG 1701
|
Min. Negotiated Rate |
$11,986.96 |
Max. Negotiated Rate |
$12,586.31 |
Rate for Payer: BCBS Complete |
$12,586.31
|
Rate for Payer: Mclaren Medicaid |
$11,986.96
|
Rate for Payer: Meridian Medicaid |
$12,586.31
|
Rate for Payer: Priority Health Choice Medicaid |
$11,986.96
|
|
INPATIENT APRDRG 1702: PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$15,667.05
|
|
Service Code
|
APR-DRG 1702
|
Hospital Charge Code |
APRDRG 1702
|
Min. Negotiated Rate |
$14,921.00 |
Max. Negotiated Rate |
$15,667.05 |
Rate for Payer: BCBS Complete |
$15,667.05
|
Rate for Payer: Mclaren Medicaid |
$14,921.00
|
Rate for Payer: Meridian Medicaid |
$15,667.05
|
Rate for Payer: Priority Health Choice Medicaid |
$14,921.00
|
|
INPATIENT APRDRG 1703: PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$22,795.66
|
|
Service Code
|
APR-DRG 1703
|
Hospital Charge Code |
APRDRG 1703
|
Min. Negotiated Rate |
$21,710.15 |
Max. Negotiated Rate |
$22,795.66 |
Rate for Payer: BCBS Complete |
$22,795.66
|
Rate for Payer: Mclaren Medicaid |
$21,710.15
|
Rate for Payer: Meridian Medicaid |
$22,795.66
|
Rate for Payer: Priority Health Choice Medicaid |
$21,710.15
|
|
INPATIENT APRDRG 1704: PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$32,220.73
|
|
Service Code
|
APR-DRG 1704
|
Hospital Charge Code |
APRDRG 1704
|
Min. Negotiated Rate |
$30,686.41 |
Max. Negotiated Rate |
$32,220.73 |
Rate for Payer: BCBS Complete |
$32,220.73
|
Rate for Payer: Mclaren Medicaid |
$30,686.41
|
Rate for Payer: Meridian Medicaid |
$32,220.73
|
Rate for Payer: Priority Health Choice Medicaid |
$30,686.41
|
|
INPATIENT APRDRG 1711: PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$10,530.75
|
|
Service Code
|
APR-DRG 1711
|
Hospital Charge Code |
APRDRG 1711
|
Min. Negotiated Rate |
$10,029.29 |
Max. Negotiated Rate |
$10,530.75 |
Rate for Payer: BCBS Complete |
$10,530.75
|
Rate for Payer: Mclaren Medicaid |
$10,029.29
|
Rate for Payer: Meridian Medicaid |
$10,530.75
|
Rate for Payer: Priority Health Choice Medicaid |
$10,029.29
|
|
INPATIENT APRDRG 1712: PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$12,506.97
|
|
Service Code
|
APR-DRG 1712
|
Hospital Charge Code |
APRDRG 1712
|
Min. Negotiated Rate |
$11,911.40 |
Max. Negotiated Rate |
$12,506.97 |
Rate for Payer: BCBS Complete |
$12,506.97
|
Rate for Payer: Mclaren Medicaid |
$11,911.40
|
Rate for Payer: Meridian Medicaid |
$12,506.97
|
Rate for Payer: Priority Health Choice Medicaid |
$11,911.40
|
|
INPATIENT APRDRG 1713: PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$16,910.73
|
|
Service Code
|
APR-DRG 1713
|
Hospital Charge Code |
APRDRG 1713
|
Min. Negotiated Rate |
$16,105.46 |
Max. Negotiated Rate |
$16,910.73 |
Rate for Payer: BCBS Complete |
$16,910.73
|
Rate for Payer: Mclaren Medicaid |
$16,105.46
|
Rate for Payer: Meridian Medicaid |
$16,910.73
|
Rate for Payer: Priority Health Choice Medicaid |
$16,105.46
|
|
INPATIENT APRDRG 1714: PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$24,692.51
|
|
Service Code
|
APR-DRG 1714
|
Hospital Charge Code |
APRDRG 1714
|
Min. Negotiated Rate |
$23,516.68 |
Max. Negotiated Rate |
$24,692.51 |
Rate for Payer: BCBS Complete |
$24,692.51
|
Rate for Payer: Mclaren Medicaid |
$23,516.68
|
Rate for Payer: Meridian Medicaid |
$24,692.51
|
Rate for Payer: Priority Health Choice Medicaid |
$23,516.68
|
|
INPATIENT APRDRG 1741: PERCUTANEOUS CORONARY INTERVENTION W AMI
|
Facility
|
IP
|
$11,268.45
|
|
Service Code
|
APR-DRG 1741
|
Hospital Charge Code |
APRDRG 1741
|
Min. Negotiated Rate |
$10,731.86 |
Max. Negotiated Rate |
$11,268.45 |
Rate for Payer: BCBS Complete |
$11,268.45
|
Rate for Payer: Mclaren Medicaid |
$10,731.86
|
Rate for Payer: Meridian Medicaid |
$11,268.45
|
Rate for Payer: Priority Health Choice Medicaid |
$10,731.86
|
|
INPATIENT APRDRG 1742: PERCUTANEOUS CORONARY INTERVENTION W AMI
|
Facility
|
IP
|
$12,277.54
|
|
Service Code
|
APR-DRG 1742
|
Hospital Charge Code |
APRDRG 1742
|
Min. Negotiated Rate |
$11,692.90 |
Max. Negotiated Rate |
$12,277.54 |
Rate for Payer: BCBS Complete |
$12,277.54
|
Rate for Payer: Mclaren Medicaid |
$11,692.90
|
Rate for Payer: Meridian Medicaid |
$12,277.54
|
Rate for Payer: Priority Health Choice Medicaid |
$11,692.90
|
|
INPATIENT APRDRG 1743: PERCUTANEOUS CORONARY INTERVENTION W AMI
|
Facility
|
IP
|
$14,932.81
|
|
Service Code
|
APR-DRG 1743
|
Hospital Charge Code |
APRDRG 1743
|
Min. Negotiated Rate |
$14,221.72 |
Max. Negotiated Rate |
$14,932.81 |
Rate for Payer: BCBS Complete |
$14,932.81
|
Rate for Payer: Mclaren Medicaid |
$14,221.72
|
Rate for Payer: Meridian Medicaid |
$14,932.81
|
Rate for Payer: Priority Health Choice Medicaid |
$14,221.72
|
|
INPATIENT APRDRG 1744: PERCUTANEOUS CORONARY INTERVENTION W AMI
|
Facility
|
IP
|
$22,590.96
|
|
Service Code
|
APR-DRG 1744
|
Hospital Charge Code |
APRDRG 1744
|
Min. Negotiated Rate |
$21,515.20 |
Max. Negotiated Rate |
$22,590.96 |
Rate for Payer: BCBS Complete |
$22,590.96
|
Rate for Payer: Mclaren Medicaid |
$21,515.20
|
Rate for Payer: Meridian Medicaid |
$22,590.96
|
Rate for Payer: Priority Health Choice Medicaid |
$21,515.20
|
|
INPATIENT APRDRG 1751: PERCUTANEOUS CORONARY INTERVENTION W/O AMI
|
Facility
|
IP
|
$10,046.62
|
|
Service Code
|
APR-DRG 1751
|
Hospital Charge Code |
APRDRG 1751
|
Min. Negotiated Rate |
$9,568.21 |
Max. Negotiated Rate |
$10,046.62 |
Rate for Payer: BCBS Complete |
$10,046.62
|
Rate for Payer: Mclaren Medicaid |
$9,568.21
|
Rate for Payer: Meridian Medicaid |
$10,046.62
|
Rate for Payer: Priority Health Choice Medicaid |
$9,568.21
|
|
INPATIENT APRDRG 1752: PERCUTANEOUS CORONARY INTERVENTION W/O AMI
|
Facility
|
IP
|
$11,283.40
|
|
Service Code
|
APR-DRG 1752
|
Hospital Charge Code |
APRDRG 1752
|
Min. Negotiated Rate |
$10,746.10 |
Max. Negotiated Rate |
$11,283.40 |
Rate for Payer: BCBS Complete |
$11,283.40
|
Rate for Payer: Mclaren Medicaid |
$10,746.10
|
Rate for Payer: Meridian Medicaid |
$11,283.40
|
Rate for Payer: Priority Health Choice Medicaid |
$10,746.10
|
|
INPATIENT APRDRG 1753: PERCUTANEOUS CORONARY INTERVENTION W/O AMI
|
Facility
|
IP
|
$14,896.00
|
|
Service Code
|
APR-DRG 1753
|
Hospital Charge Code |
APRDRG 1753
|
Min. Negotiated Rate |
$14,186.67 |
Max. Negotiated Rate |
$14,896.00 |
Rate for Payer: BCBS Complete |
$14,896.00
|
Rate for Payer: Mclaren Medicaid |
$14,186.67
|
Rate for Payer: Meridian Medicaid |
$14,896.00
|
Rate for Payer: Priority Health Choice Medicaid |
$14,186.67
|
|
INPATIENT APRDRG 1754: PERCUTANEOUS CORONARY INTERVENTION W/O AMI
|
Facility
|
IP
|
$25,276.12
|
|
Service Code
|
APR-DRG 1754
|
Hospital Charge Code |
APRDRG 1754
|
Min. Negotiated Rate |
$24,072.50 |
Max. Negotiated Rate |
$25,276.12 |
Rate for Payer: BCBS Complete |
$25,276.12
|
Rate for Payer: Mclaren Medicaid |
$24,072.50
|
Rate for Payer: Meridian Medicaid |
$25,276.12
|
Rate for Payer: Priority Health Choice Medicaid |
$24,072.50
|
|
INPATIENT APRDRG 1761: CARDIAC PACEMAKER & DEFIBRILLATOR DEVICE REPLACEMENT
|
Facility
|
IP
|
$10,090.32
|
|
Service Code
|
APR-DRG 1761
|
Hospital Charge Code |
APRDRG 1761
|
Min. Negotiated Rate |
$9,609.83 |
Max. Negotiated Rate |
$10,090.32 |
Rate for Payer: BCBS Complete |
$10,090.32
|
Rate for Payer: Mclaren Medicaid |
$9,609.83
|
Rate for Payer: Meridian Medicaid |
$10,090.32
|
Rate for Payer: Priority Health Choice Medicaid |
$9,609.83
|
|
INPATIENT APRDRG 1762: CARDIAC PACEMAKER & DEFIBRILLATOR DEVICE REPLACEMENT
|
Facility
|
IP
|
$19,337.72
|
|
Service Code
|
APR-DRG 1762
|
Hospital Charge Code |
APRDRG 1762
|
Min. Negotiated Rate |
$18,416.88 |
Max. Negotiated Rate |
$19,337.72 |
Rate for Payer: BCBS Complete |
$19,337.72
|
Rate for Payer: Mclaren Medicaid |
$18,416.88
|
Rate for Payer: Meridian Medicaid |
$19,337.72
|
Rate for Payer: Priority Health Choice Medicaid |
$18,416.88
|
|
INPATIENT APRDRG 1763: CARDIAC PACEMAKER & DEFIBRILLATOR DEVICE REPLACEMENT
|
Facility
|
IP
|
$26,641.12
|
|
Service Code
|
APR-DRG 1763
|
Hospital Charge Code |
APRDRG 1763
|
Min. Negotiated Rate |
$25,372.50 |
Max. Negotiated Rate |
$26,641.12 |
Rate for Payer: BCBS Complete |
$26,641.12
|
Rate for Payer: Mclaren Medicaid |
$25,372.50
|
Rate for Payer: Meridian Medicaid |
$26,641.12
|
Rate for Payer: Priority Health Choice Medicaid |
$25,372.50
|
|
INPATIENT APRDRG 1764: CARDIAC PACEMAKER & DEFIBRILLATOR DEVICE REPLACEMENT
|
Facility
|
IP
|
$46,989.66
|
|
Service Code
|
APR-DRG 1764
|
Hospital Charge Code |
APRDRG 1764
|
Min. Negotiated Rate |
$44,752.06 |
Max. Negotiated Rate |
$46,989.66 |
Rate for Payer: BCBS Complete |
$46,989.66
|
Rate for Payer: Mclaren Medicaid |
$44,752.06
|
Rate for Payer: Meridian Medicaid |
$46,989.66
|
Rate for Payer: Priority Health Choice Medicaid |
$44,752.06
|
|
INPATIENT APRDRG 1771: CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$8,846.07
|
|
Service Code
|
APR-DRG 1771
|
Hospital Charge Code |
APRDRG 1771
|
Min. Negotiated Rate |
$8,424.83 |
Max. Negotiated Rate |
$8,846.07 |
Rate for Payer: BCBS Complete |
$8,846.07
|
Rate for Payer: Mclaren Medicaid |
$8,424.83
|
Rate for Payer: Meridian Medicaid |
$8,846.07
|
Rate for Payer: Priority Health Choice Medicaid |
$8,424.83
|
|
INPATIENT APRDRG 1772: CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$11,438.65
|
|
Service Code
|
APR-DRG 1772
|
Hospital Charge Code |
APRDRG 1772
|
Min. Negotiated Rate |
$10,893.95 |
Max. Negotiated Rate |
$11,438.65 |
Rate for Payer: BCBS Complete |
$11,438.65
|
Rate for Payer: Mclaren Medicaid |
$10,893.95
|
Rate for Payer: Meridian Medicaid |
$11,438.65
|
Rate for Payer: Priority Health Choice Medicaid |
$10,893.95
|
|