INPATIENT APRDRG 2042: SYNCOPE & COLLAPSE
|
Facility
|
IP
|
$4,715.41
|
|
Service Code
|
APR-DRG 2042
|
Hospital Charge Code |
APRDRG 2042
|
Min. Negotiated Rate |
$4,490.87 |
Max. Negotiated Rate |
$4,715.41 |
Rate for Payer: BCBS Complete |
$4,715.41
|
Rate for Payer: Mclaren Medicaid |
$4,490.87
|
Rate for Payer: Meridian Medicaid |
$4,715.41
|
Rate for Payer: Priority Health Choice Medicaid |
$4,490.87
|
|
INPATIENT APRDRG 2043: SYNCOPE & COLLAPSE
|
Facility
|
IP
|
$5,561.21
|
|
Service Code
|
APR-DRG 2043
|
Hospital Charge Code |
APRDRG 2043
|
Min. Negotiated Rate |
$5,296.39 |
Max. Negotiated Rate |
$5,561.21 |
Rate for Payer: BCBS Complete |
$5,561.21
|
Rate for Payer: Mclaren Medicaid |
$5,296.39
|
Rate for Payer: Meridian Medicaid |
$5,561.21
|
Rate for Payer: Priority Health Choice Medicaid |
$5,296.39
|
|
INPATIENT APRDRG 2044: SYNCOPE & COLLAPSE
|
Facility
|
IP
|
$10,029.95
|
|
Service Code
|
APR-DRG 2044
|
Hospital Charge Code |
APRDRG 2044
|
Min. Negotiated Rate |
$9,552.33 |
Max. Negotiated Rate |
$10,029.95 |
Rate for Payer: BCBS Complete |
$10,029.95
|
Rate for Payer: Mclaren Medicaid |
$9,552.33
|
Rate for Payer: Meridian Medicaid |
$10,029.95
|
Rate for Payer: Priority Health Choice Medicaid |
$9,552.33
|
|
INPATIENT APRDRG 2051: CARDIOMYOPATHY
|
Facility
|
IP
|
$3,705.17
|
|
Service Code
|
APR-DRG 2051
|
Hospital Charge Code |
APRDRG 2051
|
Min. Negotiated Rate |
$3,528.73 |
Max. Negotiated Rate |
$3,705.17 |
Rate for Payer: BCBS Complete |
$3,705.17
|
Rate for Payer: Mclaren Medicaid |
$3,528.73
|
Rate for Payer: Meridian Medicaid |
$3,705.17
|
Rate for Payer: Priority Health Choice Medicaid |
$3,528.73
|
|
INPATIENT APRDRG 2052: CARDIOMYOPATHY
|
Facility
|
IP
|
$3,947.81
|
|
Service Code
|
APR-DRG 2052
|
Hospital Charge Code |
APRDRG 2052
|
Min. Negotiated Rate |
$3,759.82 |
Max. Negotiated Rate |
$3,947.81 |
Rate for Payer: BCBS Complete |
$3,947.81
|
Rate for Payer: Mclaren Medicaid |
$3,759.82
|
Rate for Payer: Meridian Medicaid |
$3,947.81
|
Rate for Payer: Priority Health Choice Medicaid |
$3,759.82
|
|
INPATIENT APRDRG 2053: CARDIOMYOPATHY
|
Facility
|
IP
|
$6,049.94
|
|
Service Code
|
APR-DRG 2053
|
Hospital Charge Code |
APRDRG 2053
|
Min. Negotiated Rate |
$5,761.85 |
Max. Negotiated Rate |
$6,049.94 |
Rate for Payer: BCBS Complete |
$6,049.94
|
Rate for Payer: Mclaren Medicaid |
$5,761.85
|
Rate for Payer: Meridian Medicaid |
$6,049.94
|
Rate for Payer: Priority Health Choice Medicaid |
$5,761.85
|
|
INPATIENT APRDRG 2054: CARDIOMYOPATHY
|
Facility
|
IP
|
$13,466.03
|
|
Service Code
|
APR-DRG 2054
|
Hospital Charge Code |
APRDRG 2054
|
Min. Negotiated Rate |
$12,824.79 |
Max. Negotiated Rate |
$13,466.03 |
Rate for Payer: BCBS Complete |
$13,466.03
|
Rate for Payer: Mclaren Medicaid |
$12,824.79
|
Rate for Payer: Meridian Medicaid |
$13,466.03
|
Rate for Payer: Priority Health Choice Medicaid |
$12,824.79
|
|
INPATIENT APRDRG 2061: MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$5,246.69
|
|
Service Code
|
APR-DRG 2061
|
Hospital Charge Code |
APRDRG 2061
|
Min. Negotiated Rate |
$4,996.85 |
Max. Negotiated Rate |
$5,246.69 |
Rate for Payer: BCBS Complete |
$5,246.69
|
Rate for Payer: Mclaren Medicaid |
$4,996.85
|
Rate for Payer: Meridian Medicaid |
$5,246.69
|
Rate for Payer: Priority Health Choice Medicaid |
$4,996.85
|
|
INPATIENT APRDRG 2062: MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$5,890.67
|
|
Service Code
|
APR-DRG 2062
|
Hospital Charge Code |
APRDRG 2062
|
Min. Negotiated Rate |
$5,610.16 |
Max. Negotiated Rate |
$5,890.67 |
Rate for Payer: BCBS Complete |
$5,890.67
|
Rate for Payer: Mclaren Medicaid |
$5,610.16
|
Rate for Payer: Meridian Medicaid |
$5,890.67
|
Rate for Payer: Priority Health Choice Medicaid |
$5,610.16
|
|
INPATIENT APRDRG 2063: MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$6,515.67
|
|
Service Code
|
APR-DRG 2063
|
Hospital Charge Code |
APRDRG 2063
|
Min. Negotiated Rate |
$6,205.40 |
Max. Negotiated Rate |
$6,515.67 |
Rate for Payer: BCBS Complete |
$6,515.67
|
Rate for Payer: Mclaren Medicaid |
$6,205.40
|
Rate for Payer: Meridian Medicaid |
$6,515.67
|
Rate for Payer: Priority Health Choice Medicaid |
$6,205.40
|
|
INPATIENT APRDRG 2064: MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$13,098.05
|
|
Service Code
|
APR-DRG 2064
|
Hospital Charge Code |
APRDRG 2064
|
Min. Negotiated Rate |
$12,474.33 |
Max. Negotiated Rate |
$13,098.05 |
Rate for Payer: BCBS Complete |
$13,098.05
|
Rate for Payer: Mclaren Medicaid |
$12,474.33
|
Rate for Payer: Meridian Medicaid |
$13,098.05
|
Rate for Payer: Priority Health Choice Medicaid |
$12,474.33
|
|
INPATIENT APRDRG 2071: OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
|
IP
|
$3,294.06
|
|
Service Code
|
APR-DRG 2071
|
Hospital Charge Code |
APRDRG 2071
|
Min. Negotiated Rate |
$3,137.20 |
Max. Negotiated Rate |
$3,294.06 |
Rate for Payer: BCBS Complete |
$3,294.06
|
Rate for Payer: Mclaren Medicaid |
$3,137.20
|
Rate for Payer: Meridian Medicaid |
$3,294.06
|
Rate for Payer: Priority Health Choice Medicaid |
$3,137.20
|
|
INPATIENT APRDRG 2072: OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
|
IP
|
$4,333.62
|
|
Service Code
|
APR-DRG 2072
|
Hospital Charge Code |
APRDRG 2072
|
Min. Negotiated Rate |
$4,127.26 |
Max. Negotiated Rate |
$4,333.62 |
Rate for Payer: BCBS Complete |
$4,333.62
|
Rate for Payer: Mclaren Medicaid |
$4,127.26
|
Rate for Payer: Meridian Medicaid |
$4,333.62
|
Rate for Payer: Priority Health Choice Medicaid |
$4,127.26
|
|
INPATIENT APRDRG 2073: OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
|
IP
|
$7,097.55
|
|
Service Code
|
APR-DRG 2073
|
Hospital Charge Code |
APRDRG 2073
|
Min. Negotiated Rate |
$6,759.57 |
Max. Negotiated Rate |
$7,097.55 |
Rate for Payer: BCBS Complete |
$7,097.55
|
Rate for Payer: Mclaren Medicaid |
$6,759.57
|
Rate for Payer: Meridian Medicaid |
$7,097.55
|
Rate for Payer: Priority Health Choice Medicaid |
$6,759.57
|
|
INPATIENT APRDRG 2074: OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
|
IP
|
$11,884.26
|
|
Service Code
|
APR-DRG 2074
|
Hospital Charge Code |
APRDRG 2074
|
Min. Negotiated Rate |
$11,318.34 |
Max. Negotiated Rate |
$11,884.26 |
Rate for Payer: BCBS Complete |
$11,884.26
|
Rate for Payer: Mclaren Medicaid |
$11,318.34
|
Rate for Payer: Meridian Medicaid |
$11,884.26
|
Rate for Payer: Priority Health Choice Medicaid |
$11,318.34
|
|
INPATIENT APRDRG 2201: MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES
|
Facility
|
IP
|
$9,857.45
|
|
Service Code
|
APR-DRG 2201
|
Hospital Charge Code |
APRDRG 2201
|
Min. Negotiated Rate |
$9,388.05 |
Max. Negotiated Rate |
$9,857.45 |
Rate for Payer: BCBS Complete |
$9,857.45
|
Rate for Payer: Mclaren Medicaid |
$9,388.05
|
Rate for Payer: Meridian Medicaid |
$9,857.45
|
Rate for Payer: Priority Health Choice Medicaid |
$9,388.05
|
|
INPATIENT APRDRG 2202: MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES
|
Facility
|
IP
|
$11,508.22
|
|
Service Code
|
APR-DRG 2202
|
Hospital Charge Code |
APRDRG 2202
|
Min. Negotiated Rate |
$10,960.21 |
Max. Negotiated Rate |
$11,508.22 |
Rate for Payer: BCBS Complete |
$11,508.22
|
Rate for Payer: Mclaren Medicaid |
$10,960.21
|
Rate for Payer: Meridian Medicaid |
$11,508.22
|
Rate for Payer: Priority Health Choice Medicaid |
$10,960.21
|
|
INPATIENT APRDRG 2203: MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES
|
Facility
|
IP
|
$17,328.17
|
|
Service Code
|
APR-DRG 2203
|
Hospital Charge Code |
APRDRG 2203
|
Min. Negotiated Rate |
$16,503.02 |
Max. Negotiated Rate |
$17,328.17 |
Rate for Payer: BCBS Complete |
$17,328.17
|
Rate for Payer: Mclaren Medicaid |
$16,503.02
|
Rate for Payer: Meridian Medicaid |
$17,328.17
|
Rate for Payer: Priority Health Choice Medicaid |
$16,503.02
|
|
INPATIENT APRDRG 2204: MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES
|
Facility
|
IP
|
$31,900.47
|
|
Service Code
|
APR-DRG 2204
|
Hospital Charge Code |
APRDRG 2204
|
Min. Negotiated Rate |
$30,381.40 |
Max. Negotiated Rate |
$31,900.47 |
Rate for Payer: BCBS Complete |
$31,900.47
|
Rate for Payer: Mclaren Medicaid |
$30,381.40
|
Rate for Payer: Meridian Medicaid |
$31,900.47
|
Rate for Payer: Priority Health Choice Medicaid |
$30,381.40
|
|
INPATIENT APRDRG 2221: OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES
|
Facility
|
IP
|
$5,082.82
|
|
Service Code
|
APR-DRG 2221
|
Hospital Charge Code |
APRDRG 2221
|
Min. Negotiated Rate |
$4,840.78 |
Max. Negotiated Rate |
$5,082.82 |
Rate for Payer: BCBS Complete |
$5,082.82
|
Rate for Payer: Mclaren Medicaid |
$4,840.78
|
Rate for Payer: Meridian Medicaid |
$5,082.82
|
Rate for Payer: Priority Health Choice Medicaid |
$4,840.78
|
|
INPATIENT APRDRG 2222: OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES
|
Facility
|
IP
|
$8,913.91
|
|
Service Code
|
APR-DRG 2222
|
Hospital Charge Code |
APRDRG 2222
|
Min. Negotiated Rate |
$8,489.44 |
Max. Negotiated Rate |
$8,913.91 |
Rate for Payer: BCBS Complete |
$8,913.91
|
Rate for Payer: Mclaren Medicaid |
$8,489.44
|
Rate for Payer: Meridian Medicaid |
$8,913.91
|
Rate for Payer: Priority Health Choice Medicaid |
$8,489.44
|
|
INPATIENT APRDRG 2223: OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES
|
Facility
|
IP
|
$13,498.81
|
|
Service Code
|
APR-DRG 2223
|
Hospital Charge Code |
APRDRG 2223
|
Min. Negotiated Rate |
$12,856.01 |
Max. Negotiated Rate |
$13,498.81 |
Rate for Payer: BCBS Complete |
$13,498.81
|
Rate for Payer: Mclaren Medicaid |
$12,856.01
|
Rate for Payer: Meridian Medicaid |
$13,498.81
|
Rate for Payer: Priority Health Choice Medicaid |
$12,856.01
|
|
INPATIENT APRDRG 2224: OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES
|
Facility
|
IP
|
$26,124.79
|
|
Service Code
|
APR-DRG 2224
|
Hospital Charge Code |
APRDRG 2224
|
Min. Negotiated Rate |
$24,880.75 |
Max. Negotiated Rate |
$26,124.79 |
Rate for Payer: BCBS Complete |
$26,124.79
|
Rate for Payer: Mclaren Medicaid |
$24,880.75
|
Rate for Payer: Meridian Medicaid |
$26,124.79
|
Rate for Payer: Priority Health Choice Medicaid |
$24,880.75
|
|
INPATIENT APRDRG 2231: OTHER SMALL & LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$7,762.23
|
|
Service Code
|
APR-DRG 2231
|
Hospital Charge Code |
APRDRG 2231
|
Min. Negotiated Rate |
$7,392.60 |
Max. Negotiated Rate |
$7,762.23 |
Rate for Payer: BCBS Complete |
$7,762.23
|
Rate for Payer: Mclaren Medicaid |
$7,392.60
|
Rate for Payer: Meridian Medicaid |
$7,762.23
|
Rate for Payer: Priority Health Choice Medicaid |
$7,392.60
|
|
INPATIENT APRDRG 2232: OTHER SMALL & LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$10,977.52
|
|
Service Code
|
APR-DRG 2232
|
Hospital Charge Code |
APRDRG 2232
|
Min. Negotiated Rate |
$10,454.78 |
Max. Negotiated Rate |
$10,977.52 |
Rate for Payer: BCBS Complete |
$10,977.52
|
Rate for Payer: Mclaren Medicaid |
$10,454.78
|
Rate for Payer: Meridian Medicaid |
$10,977.52
|
Rate for Payer: Priority Health Choice Medicaid |
$10,454.78
|
|