INPATIENT APRDRG 2304: MAJOR SMALL BOWEL PROCEDURES
|
Facility
|
IP
|
$31,391.61
|
|
Service Code
|
APR-DRG 2304
|
Hospital Charge Code |
APRDRG 2304
|
Min. Negotiated Rate |
$29,896.77 |
Max. Negotiated Rate |
$31,391.61 |
Rate for Payer: BCBS Complete |
$31,391.61
|
Rate for Payer: Mclaren Medicaid |
$29,896.77
|
Rate for Payer: Meridian Medicaid |
$31,391.61
|
Rate for Payer: Priority Health Choice Medicaid |
$29,896.77
|
|
INPATIENT APRDRG 2311: MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$8,980.61
|
|
Service Code
|
APR-DRG 2311
|
Hospital Charge Code |
APRDRG 2311
|
Min. Negotiated Rate |
$8,552.96 |
Max. Negotiated Rate |
$8,980.61 |
Rate for Payer: BCBS Complete |
$8,980.61
|
Rate for Payer: Mclaren Medicaid |
$8,552.96
|
Rate for Payer: Meridian Medicaid |
$8,980.61
|
Rate for Payer: Priority Health Choice Medicaid |
$8,552.96
|
|
INPATIENT APRDRG 2312: MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$11,369.07
|
|
Service Code
|
APR-DRG 2312
|
Hospital Charge Code |
APRDRG 2312
|
Min. Negotiated Rate |
$10,827.69 |
Max. Negotiated Rate |
$11,369.07 |
Rate for Payer: BCBS Complete |
$11,369.07
|
Rate for Payer: Mclaren Medicaid |
$10,827.69
|
Rate for Payer: Meridian Medicaid |
$11,369.07
|
Rate for Payer: Priority Health Choice Medicaid |
$10,827.69
|
|
INPATIENT APRDRG 2313: MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$16,516.88
|
|
Service Code
|
APR-DRG 2313
|
Hospital Charge Code |
APRDRG 2313
|
Min. Negotiated Rate |
$15,730.36 |
Max. Negotiated Rate |
$16,516.88 |
Rate for Payer: BCBS Complete |
$16,516.88
|
Rate for Payer: Mclaren Medicaid |
$15,730.36
|
Rate for Payer: Meridian Medicaid |
$16,516.88
|
Rate for Payer: Priority Health Choice Medicaid |
$15,730.36
|
|
INPATIENT APRDRG 2314: MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$27,074.08
|
|
Service Code
|
APR-DRG 2314
|
Hospital Charge Code |
APRDRG 2314
|
Min. Negotiated Rate |
$25,784.84 |
Max. Negotiated Rate |
$27,074.08 |
Rate for Payer: BCBS Complete |
$27,074.08
|
Rate for Payer: Mclaren Medicaid |
$25,784.84
|
Rate for Payer: Meridian Medicaid |
$27,074.08
|
Rate for Payer: Priority Health Choice Medicaid |
$25,784.84
|
|
INPATIENT APRDRG 2321: GASTRIC FUNDOPLICATION
|
Facility
|
IP
|
$7,003.26
|
|
Service Code
|
APR-DRG 2321
|
Hospital Charge Code |
APRDRG 2321
|
Min. Negotiated Rate |
$6,669.77 |
Max. Negotiated Rate |
$7,003.26 |
Rate for Payer: BCBS Complete |
$7,003.26
|
Rate for Payer: Mclaren Medicaid |
$6,669.77
|
Rate for Payer: Meridian Medicaid |
$7,003.26
|
Rate for Payer: Priority Health Choice Medicaid |
$6,669.77
|
|
INPATIENT APRDRG 2322: GASTRIC FUNDOPLICATION
|
Facility
|
IP
|
$8,606.30
|
|
Service Code
|
APR-DRG 2322
|
Hospital Charge Code |
APRDRG 2322
|
Min. Negotiated Rate |
$8,196.48 |
Max. Negotiated Rate |
$8,606.30 |
Rate for Payer: BCBS Complete |
$8,606.30
|
Rate for Payer: Mclaren Medicaid |
$8,196.48
|
Rate for Payer: Meridian Medicaid |
$8,606.30
|
Rate for Payer: Priority Health Choice Medicaid |
$8,196.48
|
|
INPATIENT APRDRG 2323: GASTRIC FUNDOPLICATION
|
Facility
|
IP
|
$12,952.58
|
|
Service Code
|
APR-DRG 2323
|
Hospital Charge Code |
APRDRG 2323
|
Min. Negotiated Rate |
$12,335.79 |
Max. Negotiated Rate |
$12,952.58 |
Rate for Payer: BCBS Complete |
$12,952.58
|
Rate for Payer: Mclaren Medicaid |
$12,335.79
|
Rate for Payer: Meridian Medicaid |
$12,952.58
|
Rate for Payer: Priority Health Choice Medicaid |
$12,335.79
|
|
INPATIENT APRDRG 2324: GASTRIC FUNDOPLICATION
|
Facility
|
IP
|
$38,505.26
|
|
Service Code
|
APR-DRG 2324
|
Hospital Charge Code |
APRDRG 2324
|
Min. Negotiated Rate |
$36,671.68 |
Max. Negotiated Rate |
$38,505.26 |
Rate for Payer: BCBS Complete |
$38,505.26
|
Rate for Payer: Mclaren Medicaid |
$36,671.68
|
Rate for Payer: Meridian Medicaid |
$38,505.26
|
Rate for Payer: Priority Health Choice Medicaid |
$36,671.68
|
|
INPATIENT APRDRG 2331: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$6,497.85
|
|
Service Code
|
APR-DRG 2331
|
Hospital Charge Code |
APRDRG 2331
|
Min. Negotiated Rate |
$6,188.43 |
Max. Negotiated Rate |
$6,497.85 |
Rate for Payer: BCBS Complete |
$6,497.85
|
Rate for Payer: Mclaren Medicaid |
$6,188.43
|
Rate for Payer: Meridian Medicaid |
$6,497.85
|
Rate for Payer: Priority Health Choice Medicaid |
$6,188.43
|
|
INPATIENT APRDRG 2332: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$8,280.87
|
|
Service Code
|
APR-DRG 2332
|
Hospital Charge Code |
APRDRG 2332
|
Min. Negotiated Rate |
$7,886.54 |
Max. Negotiated Rate |
$8,280.87 |
Rate for Payer: BCBS Complete |
$8,280.87
|
Rate for Payer: Mclaren Medicaid |
$7,886.54
|
Rate for Payer: Meridian Medicaid |
$8,280.87
|
Rate for Payer: Priority Health Choice Medicaid |
$7,886.54
|
|
INPATIENT APRDRG 2333: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$11,597.92
|
|
Service Code
|
APR-DRG 2333
|
Hospital Charge Code |
APRDRG 2333
|
Min. Negotiated Rate |
$11,045.64 |
Max. Negotiated Rate |
$11,597.92 |
Rate for Payer: BCBS Complete |
$11,597.92
|
Rate for Payer: Mclaren Medicaid |
$11,045.64
|
Rate for Payer: Meridian Medicaid |
$11,597.92
|
Rate for Payer: Priority Health Choice Medicaid |
$11,045.64
|
|
INPATIENT APRDRG 2334: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$18,186.04
|
|
Service Code
|
APR-DRG 2334
|
Hospital Charge Code |
APRDRG 2334
|
Min. Negotiated Rate |
$17,320.04 |
Max. Negotiated Rate |
$18,186.04 |
Rate for Payer: BCBS Complete |
$18,186.04
|
Rate for Payer: Mclaren Medicaid |
$17,320.04
|
Rate for Payer: Meridian Medicaid |
$18,186.04
|
Rate for Payer: Priority Health Choice Medicaid |
$17,320.04
|
|
INPATIENT APRDRG 2341: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$5,957.94
|
|
Service Code
|
APR-DRG 2341
|
Hospital Charge Code |
APRDRG 2341
|
Min. Negotiated Rate |
$5,674.23 |
Max. Negotiated Rate |
$5,957.94 |
Rate for Payer: BCBS Complete |
$5,957.94
|
Rate for Payer: Mclaren Medicaid |
$5,674.23
|
Rate for Payer: Meridian Medicaid |
$5,957.94
|
Rate for Payer: Priority Health Choice Medicaid |
$5,674.23
|
|
INPATIENT APRDRG 2342: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$7,215.42
|
|
Service Code
|
APR-DRG 2342
|
Hospital Charge Code |
APRDRG 2342
|
Min. Negotiated Rate |
$6,871.83 |
Max. Negotiated Rate |
$7,215.42 |
Rate for Payer: BCBS Complete |
$7,215.42
|
Rate for Payer: Mclaren Medicaid |
$6,871.83
|
Rate for Payer: Meridian Medicaid |
$7,215.42
|
Rate for Payer: Priority Health Choice Medicaid |
$6,871.83
|
|
INPATIENT APRDRG 2343: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$10,854.47
|
|
Service Code
|
APR-DRG 2343
|
Hospital Charge Code |
APRDRG 2343
|
Min. Negotiated Rate |
$10,337.59 |
Max. Negotiated Rate |
$10,854.47 |
Rate for Payer: BCBS Complete |
$10,854.47
|
Rate for Payer: Mclaren Medicaid |
$10,337.59
|
Rate for Payer: Meridian Medicaid |
$10,854.47
|
Rate for Payer: Priority Health Choice Medicaid |
$10,337.59
|
|
INPATIENT APRDRG 2344: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$19,193.98
|
|
Service Code
|
APR-DRG 2344
|
Hospital Charge Code |
APRDRG 2344
|
Min. Negotiated Rate |
$18,279.98 |
Max. Negotiated Rate |
$19,193.98 |
Rate for Payer: BCBS Complete |
$19,193.98
|
Rate for Payer: Mclaren Medicaid |
$18,279.98
|
Rate for Payer: Meridian Medicaid |
$19,193.98
|
Rate for Payer: Priority Health Choice Medicaid |
$18,279.98
|
|
INPATIENT APRDRG 2401: DIGESTIVE MALIGNANCY
|
Facility
|
IP
|
$5,476.11
|
|
Service Code
|
APR-DRG 2401
|
Hospital Charge Code |
APRDRG 2401
|
Min. Negotiated Rate |
$5,215.34 |
Max. Negotiated Rate |
$5,476.11 |
Rate for Payer: BCBS Complete |
$5,476.11
|
Rate for Payer: Mclaren Medicaid |
$5,215.34
|
Rate for Payer: Meridian Medicaid |
$5,476.11
|
Rate for Payer: Priority Health Choice Medicaid |
$5,215.34
|
|
INPATIENT APRDRG 2402: DIGESTIVE MALIGNANCY
|
Facility
|
IP
|
$6,389.75
|
|
Service Code
|
APR-DRG 2402
|
Hospital Charge Code |
APRDRG 2402
|
Min. Negotiated Rate |
$6,085.48 |
Max. Negotiated Rate |
$6,389.75 |
Rate for Payer: BCBS Complete |
$6,389.75
|
Rate for Payer: Mclaren Medicaid |
$6,085.48
|
Rate for Payer: Meridian Medicaid |
$6,389.75
|
Rate for Payer: Priority Health Choice Medicaid |
$6,085.48
|
|
INPATIENT APRDRG 2403: DIGESTIVE MALIGNANCY
|
Facility
|
IP
|
$8,463.13
|
|
Service Code
|
APR-DRG 2403
|
Hospital Charge Code |
APRDRG 2403
|
Min. Negotiated Rate |
$8,060.12 |
Max. Negotiated Rate |
$8,463.13 |
Rate for Payer: BCBS Complete |
$8,463.13
|
Rate for Payer: Mclaren Medicaid |
$8,060.12
|
Rate for Payer: Meridian Medicaid |
$8,463.13
|
Rate for Payer: Priority Health Choice Medicaid |
$8,060.12
|
|
INPATIENT APRDRG 2404: DIGESTIVE MALIGNANCY
|
Facility
|
IP
|
$12,172.90
|
|
Service Code
|
APR-DRG 2404
|
Hospital Charge Code |
APRDRG 2404
|
Min. Negotiated Rate |
$11,593.24 |
Max. Negotiated Rate |
$12,172.90 |
Rate for Payer: BCBS Complete |
$12,172.90
|
Rate for Payer: Mclaren Medicaid |
$11,593.24
|
Rate for Payer: Meridian Medicaid |
$12,172.90
|
Rate for Payer: Priority Health Choice Medicaid |
$11,593.24
|
|
INPATIENT APRDRG 2411: PEPTIC ULCER & GASTRITIS
|
Facility
|
IP
|
$3,916.76
|
|
Service Code
|
APR-DRG 2411
|
Hospital Charge Code |
APRDRG 2411
|
Min. Negotiated Rate |
$3,730.25 |
Max. Negotiated Rate |
$3,916.76 |
Rate for Payer: BCBS Complete |
$3,916.76
|
Rate for Payer: Mclaren Medicaid |
$3,730.25
|
Rate for Payer: Meridian Medicaid |
$3,916.76
|
Rate for Payer: Priority Health Choice Medicaid |
$3,730.25
|
|
INPATIENT APRDRG 2412: PEPTIC ULCER & GASTRITIS
|
Facility
|
IP
|
$4,730.93
|
|
Service Code
|
APR-DRG 2412
|
Hospital Charge Code |
APRDRG 2412
|
Min. Negotiated Rate |
$4,505.65 |
Max. Negotiated Rate |
$4,730.93 |
Rate for Payer: BCBS Complete |
$4,730.93
|
Rate for Payer: Mclaren Medicaid |
$4,505.65
|
Rate for Payer: Meridian Medicaid |
$4,730.93
|
Rate for Payer: Priority Health Choice Medicaid |
$4,505.65
|
|
INPATIENT APRDRG 2413: PEPTIC ULCER & GASTRITIS
|
Facility
|
IP
|
$6,802.02
|
|
Service Code
|
APR-DRG 2413
|
Hospital Charge Code |
APRDRG 2413
|
Min. Negotiated Rate |
$6,478.11 |
Max. Negotiated Rate |
$6,802.02 |
Rate for Payer: BCBS Complete |
$6,802.02
|
Rate for Payer: Mclaren Medicaid |
$6,478.11
|
Rate for Payer: Meridian Medicaid |
$6,802.02
|
Rate for Payer: Priority Health Choice Medicaid |
$6,478.11
|
|
INPATIENT APRDRG 2414: PEPTIC ULCER & GASTRITIS
|
Facility
|
IP
|
$13,748.34
|
|
Service Code
|
APR-DRG 2414
|
Hospital Charge Code |
APRDRG 2414
|
Min. Negotiated Rate |
$13,093.66 |
Max. Negotiated Rate |
$13,748.34 |
Rate for Payer: BCBS Complete |
$13,748.34
|
Rate for Payer: Mclaren Medicaid |
$13,093.66
|
Rate for Payer: Meridian Medicaid |
$13,748.34
|
Rate for Payer: Priority Health Choice Medicaid |
$13,093.66
|
|