INPATIENT APRDRG 1773: CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$18,838.65
|
|
Service Code
|
APR-DRG 1773
|
Hospital Charge Code |
APRDRG 1773
|
Min. Negotiated Rate |
$17,941.57 |
Max. Negotiated Rate |
$18,838.65 |
Rate for Payer: BCBS Complete |
$18,838.65
|
Rate for Payer: Mclaren Medicaid |
$17,941.57
|
Rate for Payer: Meridian Medicaid |
$18,838.65
|
Rate for Payer: Priority Health Choice Medicaid |
$17,941.57
|
|
INPATIENT APRDRG 1774: CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$21,464.01
|
|
Service Code
|
APR-DRG 1774
|
Hospital Charge Code |
APRDRG 1774
|
Min. Negotiated Rate |
$20,441.91 |
Max. Negotiated Rate |
$21,464.01 |
Rate for Payer: BCBS Complete |
$21,464.01
|
Rate for Payer: Mclaren Medicaid |
$20,441.91
|
Rate for Payer: Meridian Medicaid |
$21,464.01
|
Rate for Payer: Priority Health Choice Medicaid |
$20,441.91
|
|
INPATIENT APRDRG 1781: EXTERNAL HEART ASSIST SYSTEMS
|
Facility
|
IP
|
$24,745.99
|
|
Service Code
|
APR-DRG 1781
|
Hospital Charge Code |
APRDRG 1781
|
Min. Negotiated Rate |
$23,567.61 |
Max. Negotiated Rate |
$24,745.99 |
Rate for Payer: BCBS Complete |
$24,745.99
|
Rate for Payer: Mclaren Medicaid |
$23,567.61
|
Rate for Payer: Meridian Medicaid |
$24,745.99
|
Rate for Payer: Priority Health Choice Medicaid |
$23,567.61
|
|
INPATIENT APRDRG 1782: EXTERNAL HEART ASSIST SYSTEMS
|
Facility
|
IP
|
$29,168.74
|
|
Service Code
|
APR-DRG 1782
|
Hospital Charge Code |
APRDRG 1782
|
Min. Negotiated Rate |
$27,779.75 |
Max. Negotiated Rate |
$29,168.74 |
Rate for Payer: BCBS Complete |
$29,168.74
|
Rate for Payer: Mclaren Medicaid |
$27,779.75
|
Rate for Payer: Meridian Medicaid |
$29,168.74
|
Rate for Payer: Priority Health Choice Medicaid |
$27,779.75
|
|
INPATIENT APRDRG 1783: EXTERNAL HEART ASSIST SYSTEMS
|
Facility
|
IP
|
$30,342.27
|
|
Service Code
|
APR-DRG 1783
|
Hospital Charge Code |
APRDRG 1783
|
Min. Negotiated Rate |
$28,897.40 |
Max. Negotiated Rate |
$30,342.27 |
Rate for Payer: BCBS Complete |
$30,342.27
|
Rate for Payer: Mclaren Medicaid |
$28,897.40
|
Rate for Payer: Meridian Medicaid |
$30,342.27
|
Rate for Payer: Priority Health Choice Medicaid |
$28,897.40
|
|
INPATIENT APRDRG 1784: EXTERNAL HEART ASSIST SYSTEMS
|
Facility
|
IP
|
$41,193.30
|
|
Service Code
|
APR-DRG 1784
|
Hospital Charge Code |
APRDRG 1784
|
Min. Negotiated Rate |
$39,231.71 |
Max. Negotiated Rate |
$41,193.30 |
Rate for Payer: BCBS Complete |
$41,193.30
|
Rate for Payer: Mclaren Medicaid |
$39,231.71
|
Rate for Payer: Meridian Medicaid |
$41,193.30
|
Rate for Payer: Priority Health Choice Medicaid |
$39,231.71
|
|
INPATIENT APRDRG 1791: DEFIBRILLATOR IMPLANTS
|
Facility
|
IP
|
$17,305.74
|
|
Service Code
|
APR-DRG 1791
|
Hospital Charge Code |
APRDRG 1791
|
Min. Negotiated Rate |
$16,481.66 |
Max. Negotiated Rate |
$17,305.74 |
Rate for Payer: BCBS Complete |
$17,305.74
|
Rate for Payer: Mclaren Medicaid |
$16,481.66
|
Rate for Payer: Meridian Medicaid |
$17,305.74
|
Rate for Payer: Priority Health Choice Medicaid |
$16,481.66
|
|
INPATIENT APRDRG 1792: DEFIBRILLATOR IMPLANTS
|
Facility
|
IP
|
$19,693.64
|
|
Service Code
|
APR-DRG 1792
|
Hospital Charge Code |
APRDRG 1792
|
Min. Negotiated Rate |
$18,755.85 |
Max. Negotiated Rate |
$19,693.64 |
Rate for Payer: BCBS Complete |
$19,693.64
|
Rate for Payer: Mclaren Medicaid |
$18,755.85
|
Rate for Payer: Meridian Medicaid |
$19,693.64
|
Rate for Payer: Priority Health Choice Medicaid |
$18,755.85
|
|
INPATIENT APRDRG 1793: DEFIBRILLATOR IMPLANTS
|
Facility
|
IP
|
$24,162.38
|
|
Service Code
|
APR-DRG 1793
|
Hospital Charge Code |
APRDRG 1793
|
Min. Negotiated Rate |
$23,011.79 |
Max. Negotiated Rate |
$24,162.38 |
Rate for Payer: BCBS Complete |
$24,162.38
|
Rate for Payer: Mclaren Medicaid |
$23,011.79
|
Rate for Payer: Meridian Medicaid |
$24,162.38
|
Rate for Payer: Priority Health Choice Medicaid |
$23,011.79
|
|
INPATIENT APRDRG 1794: DEFIBRILLATOR IMPLANTS
|
Facility
|
IP
|
$33,383.91
|
|
Service Code
|
APR-DRG 1794
|
Hospital Charge Code |
APRDRG 1794
|
Min. Negotiated Rate |
$31,794.20 |
Max. Negotiated Rate |
$33,383.91 |
Rate for Payer: BCBS Complete |
$33,383.91
|
Rate for Payer: Mclaren Medicaid |
$31,794.20
|
Rate for Payer: Meridian Medicaid |
$33,383.91
|
Rate for Payer: Priority Health Choice Medicaid |
$31,794.20
|
|
INPATIENT APRDRG 1801: OTHER CIRCULATORY SYSTEM PROCEDURES
|
Facility
|
IP
|
$7,845.60
|
|
Service Code
|
APR-DRG 1801
|
Hospital Charge Code |
APRDRG 1801
|
Min. Negotiated Rate |
$7,472.00 |
Max. Negotiated Rate |
$7,845.60 |
Rate for Payer: BCBS Complete |
$7,845.60
|
Rate for Payer: Mclaren Medicaid |
$7,472.00
|
Rate for Payer: Meridian Medicaid |
$7,845.60
|
Rate for Payer: Priority Health Choice Medicaid |
$7,472.00
|
|
INPATIENT APRDRG 1802: OTHER CIRCULATORY SYSTEM PROCEDURES
|
Facility
|
IP
|
$8,947.26
|
|
Service Code
|
APR-DRG 1802
|
Hospital Charge Code |
APRDRG 1802
|
Min. Negotiated Rate |
$8,521.20 |
Max. Negotiated Rate |
$8,947.26 |
Rate for Payer: BCBS Complete |
$8,947.26
|
Rate for Payer: Mclaren Medicaid |
$8,521.20
|
Rate for Payer: Meridian Medicaid |
$8,947.26
|
Rate for Payer: Priority Health Choice Medicaid |
$8,521.20
|
|
INPATIENT APRDRG 1803: OTHER CIRCULATORY SYSTEM PROCEDURES
|
Facility
|
IP
|
$12,303.42
|
|
Service Code
|
APR-DRG 1803
|
Hospital Charge Code |
APRDRG 1803
|
Min. Negotiated Rate |
$11,717.54 |
Max. Negotiated Rate |
$12,303.42 |
Rate for Payer: BCBS Complete |
$12,303.42
|
Rate for Payer: Mclaren Medicaid |
$11,717.54
|
Rate for Payer: Meridian Medicaid |
$12,303.42
|
Rate for Payer: Priority Health Choice Medicaid |
$11,717.54
|
|
INPATIENT APRDRG 1804: OTHER CIRCULATORY SYSTEM PROCEDURES
|
Facility
|
IP
|
$20,895.35
|
|
Service Code
|
APR-DRG 1804
|
Hospital Charge Code |
APRDRG 1804
|
Min. Negotiated Rate |
$19,900.33 |
Max. Negotiated Rate |
$20,895.35 |
Rate for Payer: BCBS Complete |
$20,895.35
|
Rate for Payer: Mclaren Medicaid |
$19,900.33
|
Rate for Payer: Meridian Medicaid |
$20,895.35
|
Rate for Payer: Priority Health Choice Medicaid |
$19,900.33
|
|
INPATIENT APRDRG 1811: LOWER EXTREMITY ARTERIAL PROCEDURES
|
Facility
|
IP
|
$9,183.01
|
|
Service Code
|
APR-DRG 1811
|
Hospital Charge Code |
APRDRG 1811
|
Min. Negotiated Rate |
$8,745.72 |
Max. Negotiated Rate |
$9,183.01 |
Rate for Payer: BCBS Complete |
$9,183.01
|
Rate for Payer: Mclaren Medicaid |
$8,745.72
|
Rate for Payer: Meridian Medicaid |
$9,183.01
|
Rate for Payer: Priority Health Choice Medicaid |
$8,745.72
|
|
INPATIENT APRDRG 1812: LOWER EXTREMITY ARTERIAL PROCEDURES
|
Facility
|
IP
|
$13,342.99
|
|
Service Code
|
APR-DRG 1812
|
Hospital Charge Code |
APRDRG 1812
|
Min. Negotiated Rate |
$12,707.61 |
Max. Negotiated Rate |
$13,342.99 |
Rate for Payer: BCBS Complete |
$13,342.99
|
Rate for Payer: Mclaren Medicaid |
$12,707.61
|
Rate for Payer: Meridian Medicaid |
$13,342.99
|
Rate for Payer: Priority Health Choice Medicaid |
$12,707.61
|
|
INPATIENT APRDRG 1813: LOWER EXTREMITY ARTERIAL PROCEDURES
|
Facility
|
IP
|
$21,058.64
|
|
Service Code
|
APR-DRG 1813
|
Hospital Charge Code |
APRDRG 1813
|
Min. Negotiated Rate |
$20,055.85 |
Max. Negotiated Rate |
$21,058.64 |
Rate for Payer: BCBS Complete |
$21,058.64
|
Rate for Payer: Mclaren Medicaid |
$20,055.85
|
Rate for Payer: Meridian Medicaid |
$21,058.64
|
Rate for Payer: Priority Health Choice Medicaid |
$20,055.85
|
|
INPATIENT APRDRG 1814: LOWER EXTREMITY ARTERIAL PROCEDURES
|
Facility
|
IP
|
$32,930.82
|
|
Service Code
|
APR-DRG 1814
|
Hospital Charge Code |
APRDRG 1814
|
Min. Negotiated Rate |
$31,362.69 |
Max. Negotiated Rate |
$32,930.82 |
Rate for Payer: BCBS Complete |
$32,930.82
|
Rate for Payer: Mclaren Medicaid |
$31,362.69
|
Rate for Payer: Meridian Medicaid |
$32,930.82
|
Rate for Payer: Priority Health Choice Medicaid |
$31,362.69
|
|
INPATIENT APRDRG 1821: OTHER PERIPHERAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$12,314.35
|
|
Service Code
|
APR-DRG 1821
|
Hospital Charge Code |
APRDRG 1821
|
Min. Negotiated Rate |
$11,727.95 |
Max. Negotiated Rate |
$12,314.35 |
Rate for Payer: BCBS Complete |
$12,314.35
|
Rate for Payer: Mclaren Medicaid |
$11,727.95
|
Rate for Payer: Meridian Medicaid |
$12,314.35
|
Rate for Payer: Priority Health Choice Medicaid |
$11,727.95
|
|
INPATIENT APRDRG 1822: OTHER PERIPHERAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$13,816.19
|
|
Service Code
|
APR-DRG 1822
|
Hospital Charge Code |
APRDRG 1822
|
Min. Negotiated Rate |
$13,158.28 |
Max. Negotiated Rate |
$13,816.19 |
Rate for Payer: BCBS Complete |
$13,816.19
|
Rate for Payer: Mclaren Medicaid |
$13,158.28
|
Rate for Payer: Meridian Medicaid |
$13,816.19
|
Rate for Payer: Priority Health Choice Medicaid |
$13,158.28
|
|
INPATIENT APRDRG 1823: OTHER PERIPHERAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$16,923.39
|
|
Service Code
|
APR-DRG 1823
|
Hospital Charge Code |
APRDRG 1823
|
Min. Negotiated Rate |
$16,117.51 |
Max. Negotiated Rate |
$16,923.39 |
Rate for Payer: BCBS Complete |
$16,923.39
|
Rate for Payer: Mclaren Medicaid |
$16,117.51
|
Rate for Payer: Meridian Medicaid |
$16,923.39
|
Rate for Payer: Priority Health Choice Medicaid |
$16,117.51
|
|
INPATIENT APRDRG 1824: OTHER PERIPHERAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$30,061.68
|
|
Service Code
|
APR-DRG 1824
|
Hospital Charge Code |
APRDRG 1824
|
Min. Negotiated Rate |
$28,630.17 |
Max. Negotiated Rate |
$30,061.68 |
Rate for Payer: BCBS Complete |
$30,061.68
|
Rate for Payer: Mclaren Medicaid |
$28,630.17
|
Rate for Payer: Meridian Medicaid |
$30,061.68
|
Rate for Payer: Priority Health Choice Medicaid |
$28,630.17
|
|
INPATIENT APRDRG 1831: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES
|
Facility
|
IP
|
$18,876.60
|
|
Service Code
|
APR-DRG 1831
|
Hospital Charge Code |
APRDRG 1831
|
Min. Negotiated Rate |
$17,977.71 |
Max. Negotiated Rate |
$18,876.60 |
Rate for Payer: BCBS Complete |
$18,876.60
|
Rate for Payer: Mclaren Medicaid |
$17,977.71
|
Rate for Payer: Meridian Medicaid |
$18,876.60
|
Rate for Payer: Priority Health Choice Medicaid |
$17,977.71
|
|
INPATIENT APRDRG 1832: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES
|
Facility
|
IP
|
$19,794.84
|
|
Service Code
|
APR-DRG 1832
|
Hospital Charge Code |
APRDRG 1832
|
Min. Negotiated Rate |
$18,852.23 |
Max. Negotiated Rate |
$19,794.84 |
Rate for Payer: BCBS Complete |
$19,794.84
|
Rate for Payer: Mclaren Medicaid |
$18,852.23
|
Rate for Payer: Meridian Medicaid |
$19,794.84
|
Rate for Payer: Priority Health Choice Medicaid |
$18,852.23
|
|
INPATIENT APRDRG 1833: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES
|
Facility
|
IP
|
$24,042.22
|
|
Service Code
|
APR-DRG 1833
|
Hospital Charge Code |
APRDRG 1833
|
Min. Negotiated Rate |
$22,897.35 |
Max. Negotiated Rate |
$24,042.22 |
Rate for Payer: BCBS Complete |
$24,042.22
|
Rate for Payer: Mclaren Medicaid |
$22,897.35
|
Rate for Payer: Meridian Medicaid |
$24,042.22
|
Rate for Payer: Priority Health Choice Medicaid |
$22,897.35
|
|