INPATIENT APRDRG 3081: HIP & FEMUR FRACTURE REPAIR
|
Facility
|
IP
|
$8,501.65
|
|
Service Code
|
APR-DRG 3081
|
Hospital Charge Code |
APRDRG 3081
|
Min. Negotiated Rate |
$8,096.81 |
Max. Negotiated Rate |
$8,501.65 |
Rate for Payer: BCBS Complete |
$8,501.65
|
Rate for Payer: Mclaren Medicaid |
$8,096.81
|
Rate for Payer: Meridian Medicaid |
$8,501.65
|
Rate for Payer: Priority Health Choice Medicaid |
$8,096.81
|
|
INPATIENT APRDRG 3082: HIP & FEMUR FRACTURE REPAIR
|
Facility
|
IP
|
$9,997.75
|
|
Service Code
|
APR-DRG 3082
|
Hospital Charge Code |
APRDRG 3082
|
Min. Negotiated Rate |
$9,521.67 |
Max. Negotiated Rate |
$9,997.75 |
Rate for Payer: BCBS Complete |
$9,997.75
|
Rate for Payer: Mclaren Medicaid |
$9,521.67
|
Rate for Payer: Meridian Medicaid |
$9,997.75
|
Rate for Payer: Priority Health Choice Medicaid |
$9,521.67
|
|
INPATIENT APRDRG 3083: HIP & FEMUR FRACTURE REPAIR
|
Facility
|
IP
|
$13,142.31
|
|
Service Code
|
APR-DRG 3083
|
Hospital Charge Code |
APRDRG 3083
|
Min. Negotiated Rate |
$12,516.49 |
Max. Negotiated Rate |
$13,142.31 |
Rate for Payer: BCBS Complete |
$13,142.31
|
Rate for Payer: Mclaren Medicaid |
$12,516.49
|
Rate for Payer: Meridian Medicaid |
$13,142.31
|
Rate for Payer: Priority Health Choice Medicaid |
$12,516.49
|
|
INPATIENT APRDRG 3084: HIP & FEMUR FRACTURE REPAIR
|
Facility
|
IP
|
$24,066.37
|
|
Service Code
|
APR-DRG 3084
|
Hospital Charge Code |
APRDRG 3084
|
Min. Negotiated Rate |
$22,920.35 |
Max. Negotiated Rate |
$24,066.37 |
Rate for Payer: BCBS Complete |
$24,066.37
|
Rate for Payer: Mclaren Medicaid |
$22,920.35
|
Rate for Payer: Meridian Medicaid |
$24,066.37
|
Rate for Payer: Priority Health Choice Medicaid |
$22,920.35
|
|
INPATIENT APRDRG 3091: OTHER SIGNIFICANT HIP & FEMUR SURGERY
|
Facility
|
IP
|
$9,141.60
|
|
Service Code
|
APR-DRG 3091
|
Hospital Charge Code |
APRDRG 3091
|
Min. Negotiated Rate |
$8,706.29 |
Max. Negotiated Rate |
$9,141.60 |
Rate for Payer: BCBS Complete |
$9,141.60
|
Rate for Payer: Mclaren Medicaid |
$8,706.29
|
Rate for Payer: Meridian Medicaid |
$9,141.60
|
Rate for Payer: Priority Health Choice Medicaid |
$8,706.29
|
|
INPATIENT APRDRG 3092: OTHER SIGNIFICANT HIP & FEMUR SURGERY
|
Facility
|
IP
|
$12,133.23
|
|
Service Code
|
APR-DRG 3092
|
Hospital Charge Code |
APRDRG 3092
|
Min. Negotiated Rate |
$11,555.46 |
Max. Negotiated Rate |
$12,133.23 |
Rate for Payer: BCBS Complete |
$12,133.23
|
Rate for Payer: Mclaren Medicaid |
$11,555.46
|
Rate for Payer: Meridian Medicaid |
$12,133.23
|
Rate for Payer: Priority Health Choice Medicaid |
$11,555.46
|
|
INPATIENT APRDRG 3093: OTHER SIGNIFICANT HIP & FEMUR SURGERY
|
Facility
|
IP
|
$15,350.24
|
|
Service Code
|
APR-DRG 3093
|
Hospital Charge Code |
APRDRG 3093
|
Min. Negotiated Rate |
$14,619.28 |
Max. Negotiated Rate |
$15,350.24 |
Rate for Payer: BCBS Complete |
$15,350.24
|
Rate for Payer: Mclaren Medicaid |
$14,619.28
|
Rate for Payer: Meridian Medicaid |
$15,350.24
|
Rate for Payer: Priority Health Choice Medicaid |
$14,619.28
|
|
INPATIENT APRDRG 3094: OTHER SIGNIFICANT HIP & FEMUR SURGERY
|
Facility
|
IP
|
$21,539.32
|
|
Service Code
|
APR-DRG 3094
|
Hospital Charge Code |
APRDRG 3094
|
Min. Negotiated Rate |
$20,513.64 |
Max. Negotiated Rate |
$21,539.32 |
Rate for Payer: BCBS Complete |
$21,539.32
|
Rate for Payer: Mclaren Medicaid |
$20,513.64
|
Rate for Payer: Meridian Medicaid |
$21,539.32
|
Rate for Payer: Priority Health Choice Medicaid |
$20,513.64
|
|
INPATIENT APRDRG 3101: INTERVERTEBRAL DISC EXCISION & DECOMPRESSION
|
Facility
|
IP
|
$8,089.97
|
|
Service Code
|
APR-DRG 3101
|
Hospital Charge Code |
APRDRG 3101
|
Min. Negotiated Rate |
$7,704.73 |
Max. Negotiated Rate |
$8,089.97 |
Rate for Payer: BCBS Complete |
$8,089.97
|
Rate for Payer: Mclaren Medicaid |
$7,704.73
|
Rate for Payer: Meridian Medicaid |
$8,089.97
|
Rate for Payer: Priority Health Choice Medicaid |
$7,704.73
|
|
INPATIENT APRDRG 3102: INTERVERTEBRAL DISC EXCISION & DECOMPRESSION
|
Facility
|
IP
|
$11,817.56
|
|
Service Code
|
APR-DRG 3102
|
Hospital Charge Code |
APRDRG 3102
|
Min. Negotiated Rate |
$11,254.82 |
Max. Negotiated Rate |
$11,817.56 |
Rate for Payer: BCBS Complete |
$11,817.56
|
Rate for Payer: Mclaren Medicaid |
$11,254.82
|
Rate for Payer: Meridian Medicaid |
$11,817.56
|
Rate for Payer: Priority Health Choice Medicaid |
$11,254.82
|
|
INPATIENT APRDRG 3103: INTERVERTEBRAL DISC EXCISION & DECOMPRESSION
|
Facility
|
IP
|
$18,136.60
|
|
Service Code
|
APR-DRG 3103
|
Hospital Charge Code |
APRDRG 3103
|
Min. Negotiated Rate |
$17,272.95 |
Max. Negotiated Rate |
$18,136.60 |
Rate for Payer: BCBS Complete |
$18,136.60
|
Rate for Payer: Mclaren Medicaid |
$17,272.95
|
Rate for Payer: Meridian Medicaid |
$18,136.60
|
Rate for Payer: Priority Health Choice Medicaid |
$17,272.95
|
|
INPATIENT APRDRG 3104: INTERVERTEBRAL DISC EXCISION & DECOMPRESSION
|
Facility
|
IP
|
$33,723.73
|
|
Service Code
|
APR-DRG 3104
|
Hospital Charge Code |
APRDRG 3104
|
Min. Negotiated Rate |
$32,117.84 |
Max. Negotiated Rate |
$33,723.73 |
Rate for Payer: BCBS Complete |
$33,723.73
|
Rate for Payer: Mclaren Medicaid |
$32,117.84
|
Rate for Payer: Meridian Medicaid |
$33,723.73
|
Rate for Payer: Priority Health Choice Medicaid |
$32,117.84
|
|
INPATIENT APRDRG 3121: SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$10,266.85
|
|
Service Code
|
APR-DRG 3121
|
Hospital Charge Code |
APRDRG 3121
|
Min. Negotiated Rate |
$9,777.95 |
Max. Negotiated Rate |
$10,266.85 |
Rate for Payer: BCBS Complete |
$10,266.85
|
Rate for Payer: Mclaren Medicaid |
$9,777.95
|
Rate for Payer: Meridian Medicaid |
$10,266.85
|
Rate for Payer: Priority Health Choice Medicaid |
$9,777.95
|
|
INPATIENT APRDRG 3122: SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$15,539.99
|
|
Service Code
|
APR-DRG 3122
|
Hospital Charge Code |
APRDRG 3122
|
Min. Negotiated Rate |
$14,799.99 |
Max. Negotiated Rate |
$15,539.99 |
Rate for Payer: BCBS Complete |
$15,539.99
|
Rate for Payer: Mclaren Medicaid |
$14,799.99
|
Rate for Payer: Meridian Medicaid |
$15,539.99
|
Rate for Payer: Priority Health Choice Medicaid |
$14,799.99
|
|
INPATIENT APRDRG 3123: SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$22,615.11
|
|
Service Code
|
APR-DRG 3123
|
Hospital Charge Code |
APRDRG 3123
|
Min. Negotiated Rate |
$21,538.20 |
Max. Negotiated Rate |
$22,615.11 |
Rate for Payer: BCBS Complete |
$22,615.11
|
Rate for Payer: Mclaren Medicaid |
$21,538.20
|
Rate for Payer: Meridian Medicaid |
$22,615.11
|
Rate for Payer: Priority Health Choice Medicaid |
$21,538.20
|
|
INPATIENT APRDRG 3124: SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$42,219.63
|
|
Service Code
|
APR-DRG 3124
|
Hospital Charge Code |
APRDRG 3124
|
Min. Negotiated Rate |
$40,209.17 |
Max. Negotiated Rate |
$42,219.63 |
Rate for Payer: BCBS Complete |
$42,219.63
|
Rate for Payer: Mclaren Medicaid |
$40,209.17
|
Rate for Payer: Meridian Medicaid |
$42,219.63
|
Rate for Payer: Priority Health Choice Medicaid |
$40,209.17
|
|
INPATIENT APRDRG 3131: KNEE & LOWER LEG PROCEDURES EXCEPT FOOT
|
Facility
|
IP
|
$9,481.42
|
|
Service Code
|
APR-DRG 3131
|
Hospital Charge Code |
APRDRG 3131
|
Min. Negotiated Rate |
$9,029.92 |
Max. Negotiated Rate |
$9,481.42 |
Rate for Payer: BCBS Complete |
$9,481.42
|
Rate for Payer: Mclaren Medicaid |
$9,029.92
|
Rate for Payer: Meridian Medicaid |
$9,481.42
|
Rate for Payer: Priority Health Choice Medicaid |
$9,029.92
|
|
INPATIENT APRDRG 3132: KNEE & LOWER LEG PROCEDURES EXCEPT FOOT
|
Facility
|
IP
|
$11,415.08
|
|
Service Code
|
APR-DRG 3132
|
Hospital Charge Code |
APRDRG 3132
|
Min. Negotiated Rate |
$10,871.50 |
Max. Negotiated Rate |
$11,415.08 |
Rate for Payer: BCBS Complete |
$11,415.08
|
Rate for Payer: Mclaren Medicaid |
$10,871.50
|
Rate for Payer: Meridian Medicaid |
$11,415.08
|
Rate for Payer: Priority Health Choice Medicaid |
$10,871.50
|
|
INPATIENT APRDRG 3133: KNEE & LOWER LEG PROCEDURES EXCEPT FOOT
|
Facility
|
IP
|
$14,486.62
|
|
Service Code
|
APR-DRG 3133
|
Hospital Charge Code |
APRDRG 3133
|
Min. Negotiated Rate |
$13,796.78 |
Max. Negotiated Rate |
$14,486.62 |
Rate for Payer: BCBS Complete |
$14,486.62
|
Rate for Payer: Mclaren Medicaid |
$13,796.78
|
Rate for Payer: Meridian Medicaid |
$14,486.62
|
Rate for Payer: Priority Health Choice Medicaid |
$13,796.78
|
|
INPATIENT APRDRG 3134: KNEE & LOWER LEG PROCEDURES EXCEPT FOOT
|
Facility
|
IP
|
$25,931.02
|
|
Service Code
|
APR-DRG 3134
|
Hospital Charge Code |
APRDRG 3134
|
Min. Negotiated Rate |
$24,696.21 |
Max. Negotiated Rate |
$25,931.02 |
Rate for Payer: BCBS Complete |
$25,931.02
|
Rate for Payer: Mclaren Medicaid |
$24,696.21
|
Rate for Payer: Meridian Medicaid |
$25,931.02
|
Rate for Payer: Priority Health Choice Medicaid |
$24,696.21
|
|
INPATIENT APRDRG 3141: FOOT & TOE PROCEDURES
|
Facility
|
IP
|
$7,728.88
|
|
Service Code
|
APR-DRG 3141
|
Hospital Charge Code |
APRDRG 3141
|
Min. Negotiated Rate |
$7,360.84 |
Max. Negotiated Rate |
$7,728.88 |
Rate for Payer: BCBS Complete |
$7,728.88
|
Rate for Payer: Mclaren Medicaid |
$7,360.84
|
Rate for Payer: Meridian Medicaid |
$7,728.88
|
Rate for Payer: Priority Health Choice Medicaid |
$7,360.84
|
|
INPATIENT APRDRG 3142: FOOT & TOE PROCEDURES
|
Facility
|
IP
|
$8,265.92
|
|
Service Code
|
APR-DRG 3142
|
Hospital Charge Code |
APRDRG 3142
|
Min. Negotiated Rate |
$7,872.30 |
Max. Negotiated Rate |
$8,265.92 |
Rate for Payer: BCBS Complete |
$8,265.92
|
Rate for Payer: Mclaren Medicaid |
$7,872.30
|
Rate for Payer: Meridian Medicaid |
$8,265.92
|
Rate for Payer: Priority Health Choice Medicaid |
$7,872.30
|
|
INPATIENT APRDRG 3143: FOOT & TOE PROCEDURES
|
Facility
|
IP
|
$10,305.36
|
|
Service Code
|
APR-DRG 3143
|
Hospital Charge Code |
APRDRG 3143
|
Min. Negotiated Rate |
$9,814.63 |
Max. Negotiated Rate |
$10,305.36 |
Rate for Payer: BCBS Complete |
$10,305.36
|
Rate for Payer: Mclaren Medicaid |
$9,814.63
|
Rate for Payer: Meridian Medicaid |
$10,305.36
|
Rate for Payer: Priority Health Choice Medicaid |
$9,814.63
|
|
INPATIENT APRDRG 3144: FOOT & TOE PROCEDURES
|
Facility
|
IP
|
$15,512.38
|
|
Service Code
|
APR-DRG 3144
|
Hospital Charge Code |
APRDRG 3144
|
Min. Negotiated Rate |
$14,773.70 |
Max. Negotiated Rate |
$15,512.38 |
Rate for Payer: BCBS Complete |
$15,512.38
|
Rate for Payer: Mclaren Medicaid |
$14,773.70
|
Rate for Payer: Meridian Medicaid |
$15,512.38
|
Rate for Payer: Priority Health Choice Medicaid |
$14,773.70
|
|
INPATIENT APRDRG 3151: SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT
|
Facility
|
IP
|
$7,140.67
|
|
Service Code
|
APR-DRG 3151
|
Hospital Charge Code |
APRDRG 3151
|
Min. Negotiated Rate |
$6,800.64 |
Max. Negotiated Rate |
$7,140.67 |
Rate for Payer: BCBS Complete |
$7,140.67
|
Rate for Payer: Mclaren Medicaid |
$6,800.64
|
Rate for Payer: Meridian Medicaid |
$7,140.67
|
Rate for Payer: Priority Health Choice Medicaid |
$6,800.64
|
|