INPATIENT APRDRG 3152: SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT
|
Facility
|
IP
|
$10,433.59
|
|
Service Code
|
APR-DRG 3152
|
Hospital Charge Code |
APRDRG 3152
|
Min. Negotiated Rate |
$9,936.75 |
Max. Negotiated Rate |
$10,433.59 |
Rate for Payer: BCBS Complete |
$10,433.59
|
Rate for Payer: Mclaren Medicaid |
$9,936.75
|
Rate for Payer: Meridian Medicaid |
$10,433.59
|
Rate for Payer: Priority Health Choice Medicaid |
$9,936.75
|
|
INPATIENT APRDRG 3153: SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT
|
Facility
|
IP
|
$15,515.84
|
|
Service Code
|
APR-DRG 3153
|
Hospital Charge Code |
APRDRG 3153
|
Min. Negotiated Rate |
$14,776.99 |
Max. Negotiated Rate |
$15,515.84 |
Rate for Payer: BCBS Complete |
$15,515.84
|
Rate for Payer: Mclaren Medicaid |
$14,776.99
|
Rate for Payer: Meridian Medicaid |
$15,515.84
|
Rate for Payer: Priority Health Choice Medicaid |
$14,776.99
|
|
INPATIENT APRDRG 3154: SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT
|
Facility
|
IP
|
$27,225.88
|
|
Service Code
|
APR-DRG 3154
|
Hospital Charge Code |
APRDRG 3154
|
Min. Negotiated Rate |
$25,929.41 |
Max. Negotiated Rate |
$27,225.88 |
Rate for Payer: BCBS Complete |
$27,225.88
|
Rate for Payer: Mclaren Medicaid |
$25,929.41
|
Rate for Payer: Meridian Medicaid |
$27,225.88
|
Rate for Payer: Priority Health Choice Medicaid |
$25,929.41
|
|
INPATIENT APRDRG 3161: HAND & WRIST PROCEDURES
|
Facility
|
IP
|
$6,845.14
|
|
Service Code
|
APR-DRG 3161
|
Hospital Charge Code |
APRDRG 3161
|
Min. Negotiated Rate |
$6,519.18 |
Max. Negotiated Rate |
$6,845.14 |
Rate for Payer: BCBS Complete |
$6,845.14
|
Rate for Payer: Mclaren Medicaid |
$6,519.18
|
Rate for Payer: Meridian Medicaid |
$6,845.14
|
Rate for Payer: Priority Health Choice Medicaid |
$6,519.18
|
|
INPATIENT APRDRG 3162: HAND & WRIST PROCEDURES
|
Facility
|
IP
|
$7,366.06
|
|
Service Code
|
APR-DRG 3162
|
Hospital Charge Code |
APRDRG 3162
|
Min. Negotiated Rate |
$7,015.30 |
Max. Negotiated Rate |
$7,366.06 |
Rate for Payer: BCBS Complete |
$7,366.06
|
Rate for Payer: Mclaren Medicaid |
$7,015.30
|
Rate for Payer: Meridian Medicaid |
$7,366.06
|
Rate for Payer: Priority Health Choice Medicaid |
$7,015.30
|
|
INPATIENT APRDRG 3163: HAND & WRIST PROCEDURES
|
Facility
|
IP
|
$11,366.21
|
|
Service Code
|
APR-DRG 3163
|
Hospital Charge Code |
APRDRG 3163
|
Min. Negotiated Rate |
$10,824.96 |
Max. Negotiated Rate |
$11,366.21 |
Rate for Payer: BCBS Complete |
$11,366.21
|
Rate for Payer: Mclaren Medicaid |
$10,824.96
|
Rate for Payer: Meridian Medicaid |
$11,366.21
|
Rate for Payer: Priority Health Choice Medicaid |
$10,824.96
|
|
INPATIENT APRDRG 3164: HAND & WRIST PROCEDURES
|
Facility
|
IP
|
$21,416.85
|
|
Service Code
|
APR-DRG 3164
|
Hospital Charge Code |
APRDRG 3164
|
Min. Negotiated Rate |
$20,397.00 |
Max. Negotiated Rate |
$21,416.85 |
Rate for Payer: BCBS Complete |
$21,416.85
|
Rate for Payer: Mclaren Medicaid |
$20,397.00
|
Rate for Payer: Meridian Medicaid |
$21,416.85
|
Rate for Payer: Priority Health Choice Medicaid |
$20,397.00
|
|
INPATIENT APRDRG 3171: TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES
|
Facility
|
IP
|
$7,363.77
|
|
Service Code
|
APR-DRG 3171
|
Hospital Charge Code |
APRDRG 3171
|
Min. Negotiated Rate |
$7,013.11 |
Max. Negotiated Rate |
$7,363.77 |
Rate for Payer: BCBS Complete |
$7,363.77
|
Rate for Payer: Mclaren Medicaid |
$7,013.11
|
Rate for Payer: Meridian Medicaid |
$7,363.77
|
Rate for Payer: Priority Health Choice Medicaid |
$7,013.11
|
|
INPATIENT APRDRG 3172: TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES
|
Facility
|
IP
|
$9,514.20
|
|
Service Code
|
APR-DRG 3172
|
Hospital Charge Code |
APRDRG 3172
|
Min. Negotiated Rate |
$9,061.14 |
Max. Negotiated Rate |
$9,514.20 |
Rate for Payer: BCBS Complete |
$9,514.20
|
Rate for Payer: Mclaren Medicaid |
$9,061.14
|
Rate for Payer: Meridian Medicaid |
$9,514.20
|
Rate for Payer: Priority Health Choice Medicaid |
$9,061.14
|
|
INPATIENT APRDRG 3173: TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES
|
Facility
|
IP
|
$12,293.07
|
|
Service Code
|
APR-DRG 3173
|
Hospital Charge Code |
APRDRG 3173
|
Min. Negotiated Rate |
$11,707.69 |
Max. Negotiated Rate |
$12,293.07 |
Rate for Payer: BCBS Complete |
$12,293.07
|
Rate for Payer: Mclaren Medicaid |
$11,707.69
|
Rate for Payer: Meridian Medicaid |
$12,293.07
|
Rate for Payer: Priority Health Choice Medicaid |
$11,707.69
|
|
INPATIENT APRDRG 3174: TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES
|
Facility
|
IP
|
$21,316.81
|
|
Service Code
|
APR-DRG 3174
|
Hospital Charge Code |
APRDRG 3174
|
Min. Negotiated Rate |
$20,301.72 |
Max. Negotiated Rate |
$21,316.81 |
Rate for Payer: BCBS Complete |
$21,316.81
|
Rate for Payer: Mclaren Medicaid |
$20,301.72
|
Rate for Payer: Meridian Medicaid |
$21,316.81
|
Rate for Payer: Priority Health Choice Medicaid |
$20,301.72
|
|
INPATIENT APRDRG 3201: OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$7,625.38
|
|
Service Code
|
APR-DRG 3201
|
Hospital Charge Code |
APRDRG 3201
|
Min. Negotiated Rate |
$7,262.27 |
Max. Negotiated Rate |
$7,625.38 |
Rate for Payer: BCBS Complete |
$7,625.38
|
Rate for Payer: Mclaren Medicaid |
$7,262.27
|
Rate for Payer: Meridian Medicaid |
$7,625.38
|
Rate for Payer: Priority Health Choice Medicaid |
$7,262.27
|
|
INPATIENT APRDRG 3202: OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$10,337.56
|
|
Service Code
|
APR-DRG 3202
|
Hospital Charge Code |
APRDRG 3202
|
Min. Negotiated Rate |
$9,845.30 |
Max. Negotiated Rate |
$10,337.56 |
Rate for Payer: BCBS Complete |
$10,337.56
|
Rate for Payer: Mclaren Medicaid |
$9,845.30
|
Rate for Payer: Meridian Medicaid |
$10,337.56
|
Rate for Payer: Priority Health Choice Medicaid |
$9,845.30
|
|
INPATIENT APRDRG 3203: OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$13,195.21
|
|
Service Code
|
APR-DRG 3203
|
Hospital Charge Code |
APRDRG 3203
|
Min. Negotiated Rate |
$12,566.87 |
Max. Negotiated Rate |
$13,195.21 |
Rate for Payer: BCBS Complete |
$13,195.21
|
Rate for Payer: Mclaren Medicaid |
$12,566.87
|
Rate for Payer: Meridian Medicaid |
$13,195.21
|
Rate for Payer: Priority Health Choice Medicaid |
$12,566.87
|
|
INPATIENT APRDRG 3204: OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES
|
Facility
|
IP
|
$25,141.00
|
|
Service Code
|
APR-DRG 3204
|
Hospital Charge Code |
APRDRG 3204
|
Min. Negotiated Rate |
$23,943.81 |
Max. Negotiated Rate |
$25,141.00 |
Rate for Payer: BCBS Complete |
$25,141.00
|
Rate for Payer: Mclaren Medicaid |
$23,943.81
|
Rate for Payer: Meridian Medicaid |
$25,141.00
|
Rate for Payer: Priority Health Choice Medicaid |
$23,943.81
|
|
INPATIENT APRDRG 3211: CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP
|
Facility
|
IP
|
$10,755.58
|
|
Service Code
|
APR-DRG 3211
|
Hospital Charge Code |
APRDRG 3211
|
Min. Negotiated Rate |
$10,243.41 |
Max. Negotiated Rate |
$10,755.58 |
Rate for Payer: BCBS Complete |
$10,755.58
|
Rate for Payer: Mclaren Medicaid |
$10,243.41
|
Rate for Payer: Meridian Medicaid |
$10,755.58
|
Rate for Payer: Priority Health Choice Medicaid |
$10,243.41
|
|
INPATIENT APRDRG 3212: CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP
|
Facility
|
IP
|
$12,887.03
|
|
Service Code
|
APR-DRG 3212
|
Hospital Charge Code |
APRDRG 3212
|
Min. Negotiated Rate |
$12,273.36 |
Max. Negotiated Rate |
$12,887.03 |
Rate for Payer: BCBS Complete |
$12,887.03
|
Rate for Payer: Mclaren Medicaid |
$12,273.36
|
Rate for Payer: Meridian Medicaid |
$12,887.03
|
Rate for Payer: Priority Health Choice Medicaid |
$12,273.36
|
|
INPATIENT APRDRG 3213: CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP
|
Facility
|
IP
|
$19,014.59
|
|
Service Code
|
APR-DRG 3213
|
Hospital Charge Code |
APRDRG 3213
|
Min. Negotiated Rate |
$18,109.13 |
Max. Negotiated Rate |
$19,014.59 |
Rate for Payer: BCBS Complete |
$19,014.59
|
Rate for Payer: Mclaren Medicaid |
$18,109.13
|
Rate for Payer: Meridian Medicaid |
$19,014.59
|
Rate for Payer: Priority Health Choice Medicaid |
$18,109.13
|
|
INPATIENT APRDRG 3214: CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP
|
Facility
|
IP
|
$26,568.68
|
|
Service Code
|
APR-DRG 3214
|
Hospital Charge Code |
APRDRG 3214
|
Min. Negotiated Rate |
$25,303.50 |
Max. Negotiated Rate |
$26,568.68 |
Rate for Payer: BCBS Complete |
$26,568.68
|
Rate for Payer: Mclaren Medicaid |
$25,303.50
|
Rate for Payer: Meridian Medicaid |
$26,568.68
|
Rate for Payer: Priority Health Choice Medicaid |
$25,303.50
|
|
INPATIENT APRDRG 3221: SHOULDER & ELBOW JOINT REPLACEMENT
|
Facility
|
IP
|
$9,665.42
|
|
Service Code
|
APR-DRG 3221
|
Hospital Charge Code |
APRDRG 3221
|
Min. Negotiated Rate |
$9,205.16 |
Max. Negotiated Rate |
$9,665.42 |
Rate for Payer: BCBS Complete |
$9,665.42
|
Rate for Payer: Mclaren Medicaid |
$9,205.16
|
Rate for Payer: Meridian Medicaid |
$9,665.42
|
Rate for Payer: Priority Health Choice Medicaid |
$9,205.16
|
|
INPATIENT APRDRG 3222: SHOULDER & ELBOW JOINT REPLACEMENT
|
Facility
|
IP
|
$10,784.33
|
|
Service Code
|
APR-DRG 3222
|
Hospital Charge Code |
APRDRG 3222
|
Min. Negotiated Rate |
$10,270.79 |
Max. Negotiated Rate |
$10,784.33 |
Rate for Payer: BCBS Complete |
$10,784.33
|
Rate for Payer: Mclaren Medicaid |
$10,270.79
|
Rate for Payer: Meridian Medicaid |
$10,784.33
|
Rate for Payer: Priority Health Choice Medicaid |
$10,270.79
|
|
INPATIENT APRDRG 3223: SHOULDER & ELBOW JOINT REPLACEMENT
|
Facility
|
IP
|
$15,564.71
|
|
Service Code
|
APR-DRG 3223
|
Hospital Charge Code |
APRDRG 3223
|
Min. Negotiated Rate |
$14,823.53 |
Max. Negotiated Rate |
$15,564.71 |
Rate for Payer: BCBS Complete |
$15,564.71
|
Rate for Payer: Mclaren Medicaid |
$14,823.53
|
Rate for Payer: Meridian Medicaid |
$15,564.71
|
Rate for Payer: Priority Health Choice Medicaid |
$14,823.53
|
|
INPATIENT APRDRG 3224: SHOULDER & ELBOW JOINT REPLACEMENT
|
Facility
|
IP
|
$21,880.29
|
|
Service Code
|
APR-DRG 3224
|
Hospital Charge Code |
APRDRG 3224
|
Min. Negotiated Rate |
$20,838.37 |
Max. Negotiated Rate |
$21,880.29 |
Rate for Payer: BCBS Complete |
$21,880.29
|
Rate for Payer: Mclaren Medicaid |
$20,838.37
|
Rate for Payer: Meridian Medicaid |
$21,880.29
|
Rate for Payer: Priority Health Choice Medicaid |
$20,838.37
|
|
INPATIENT APRDRG 3231: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$9,532.02
|
|
Service Code
|
APR-DRG 3231
|
Hospital Charge Code |
APRDRG 3231
|
Min. Negotiated Rate |
$9,078.11 |
Max. Negotiated Rate |
$9,532.02 |
Rate for Payer: BCBS Complete |
$9,532.02
|
Rate for Payer: Mclaren Medicaid |
$9,078.11
|
Rate for Payer: Meridian Medicaid |
$9,532.02
|
Rate for Payer: Priority Health Choice Medicaid |
$9,078.11
|
|
INPATIENT APRDRG 3232: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$10,930.94
|
|
Service Code
|
APR-DRG 3232
|
Hospital Charge Code |
APRDRG 3232
|
Min. Negotiated Rate |
$10,410.42 |
Max. Negotiated Rate |
$10,930.94 |
Rate for Payer: BCBS Complete |
$10,930.94
|
Rate for Payer: Mclaren Medicaid |
$10,410.42
|
Rate for Payer: Meridian Medicaid |
$10,930.94
|
Rate for Payer: Priority Health Choice Medicaid |
$10,410.42
|
|