INPATIENT APRDRG 3233: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$15,121.40
|
|
Service Code
|
APR-DRG 3233
|
Hospital Charge Code |
APRDRG 3233
|
Min. Negotiated Rate |
$14,401.33 |
Max. Negotiated Rate |
$15,121.40 |
Rate for Payer: BCBS Complete |
$15,121.40
|
Rate for Payer: Mclaren Medicaid |
$14,401.33
|
Rate for Payer: Meridian Medicaid |
$15,121.40
|
Rate for Payer: Priority Health Choice Medicaid |
$14,401.33
|
|
INPATIENT APRDRG 3234: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$21,853.84
|
|
Service Code
|
APR-DRG 3234
|
Hospital Charge Code |
APRDRG 3234
|
Min. Negotiated Rate |
$20,813.18 |
Max. Negotiated Rate |
$21,853.84 |
Rate for Payer: BCBS Complete |
$21,853.84
|
Rate for Payer: Mclaren Medicaid |
$20,813.18
|
Rate for Payer: Meridian Medicaid |
$21,853.84
|
Rate for Payer: Priority Health Choice Medicaid |
$20,813.18
|
|
INPATIENT APRDRG 3241: ELECTIVE HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$8,000.84
|
|
Service Code
|
APR-DRG 3241
|
Hospital Charge Code |
APRDRG 3241
|
Min. Negotiated Rate |
$7,619.85 |
Max. Negotiated Rate |
$8,000.84 |
Rate for Payer: BCBS Complete |
$8,000.84
|
Rate for Payer: Mclaren Medicaid |
$7,619.85
|
Rate for Payer: Meridian Medicaid |
$8,000.84
|
Rate for Payer: Priority Health Choice Medicaid |
$7,619.85
|
|
INPATIENT APRDRG 3242: ELECTIVE HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$9,138.16
|
|
Service Code
|
APR-DRG 3242
|
Hospital Charge Code |
APRDRG 3242
|
Min. Negotiated Rate |
$8,703.01 |
Max. Negotiated Rate |
$9,138.16 |
Rate for Payer: BCBS Complete |
$9,138.16
|
Rate for Payer: Mclaren Medicaid |
$8,703.01
|
Rate for Payer: Meridian Medicaid |
$9,138.16
|
Rate for Payer: Priority Health Choice Medicaid |
$8,703.01
|
|
INPATIENT APRDRG 3243: ELECTIVE HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$13,642.56
|
|
Service Code
|
APR-DRG 3243
|
Hospital Charge Code |
APRDRG 3243
|
Min. Negotiated Rate |
$12,992.91 |
Max. Negotiated Rate |
$13,642.56 |
Rate for Payer: BCBS Complete |
$13,642.56
|
Rate for Payer: Mclaren Medicaid |
$12,992.91
|
Rate for Payer: Meridian Medicaid |
$13,642.56
|
Rate for Payer: Priority Health Choice Medicaid |
$12,992.91
|
|
INPATIENT APRDRG 3244: ELECTIVE HIP JOINT REPLACEMENT
|
Facility
|
IP
|
$22,998.04
|
|
Service Code
|
APR-DRG 3244
|
Hospital Charge Code |
APRDRG 3244
|
Min. Negotiated Rate |
$21,902.90 |
Max. Negotiated Rate |
$22,998.04 |
Rate for Payer: BCBS Complete |
$22,998.04
|
Rate for Payer: Mclaren Medicaid |
$21,902.90
|
Rate for Payer: Meridian Medicaid |
$22,998.04
|
Rate for Payer: Priority Health Choice Medicaid |
$21,902.90
|
|
INPATIENT APRDRG 3251: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$12,529.39
|
|
Service Code
|
APR-DRG 3251
|
Hospital Charge Code |
APRDRG 3251
|
Min. Negotiated Rate |
$11,932.75 |
Max. Negotiated Rate |
$12,529.39 |
Rate for Payer: BCBS Complete |
$12,529.39
|
Rate for Payer: Mclaren Medicaid |
$11,932.75
|
Rate for Payer: Meridian Medicaid |
$12,529.39
|
Rate for Payer: Priority Health Choice Medicaid |
$11,932.75
|
|
INPATIENT APRDRG 3252: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$14,590.12
|
|
Service Code
|
APR-DRG 3252
|
Hospital Charge Code |
APRDRG 3252
|
Min. Negotiated Rate |
$13,895.35 |
Max. Negotiated Rate |
$14,590.12 |
Rate for Payer: BCBS Complete |
$14,590.12
|
Rate for Payer: Mclaren Medicaid |
$13,895.35
|
Rate for Payer: Meridian Medicaid |
$14,590.12
|
Rate for Payer: Priority Health Choice Medicaid |
$13,895.35
|
|
INPATIENT APRDRG 3253: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$19,382.58
|
|
Service Code
|
APR-DRG 3253
|
Hospital Charge Code |
APRDRG 3253
|
Min. Negotiated Rate |
$18,459.60 |
Max. Negotiated Rate |
$19,382.58 |
Rate for Payer: BCBS Complete |
$19,382.58
|
Rate for Payer: Mclaren Medicaid |
$18,459.60
|
Rate for Payer: Meridian Medicaid |
$19,382.58
|
Rate for Payer: Priority Health Choice Medicaid |
$18,459.60
|
|
INPATIENT APRDRG 3254: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$28,372.39
|
|
Service Code
|
APR-DRG 3254
|
Hospital Charge Code |
APRDRG 3254
|
Min. Negotiated Rate |
$27,021.32 |
Max. Negotiated Rate |
$28,372.39 |
Rate for Payer: BCBS Complete |
$28,372.39
|
Rate for Payer: Mclaren Medicaid |
$27,021.32
|
Rate for Payer: Meridian Medicaid |
$28,372.39
|
Rate for Payer: Priority Health Choice Medicaid |
$27,021.32
|
|
INPATIENT APRDRG 3261: ELECTIVE KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$7,881.82
|
|
Service Code
|
APR-DRG 3261
|
Hospital Charge Code |
APRDRG 3261
|
Min. Negotiated Rate |
$7,506.50 |
Max. Negotiated Rate |
$7,881.82 |
Rate for Payer: BCBS Complete |
$7,881.82
|
Rate for Payer: Mclaren Medicaid |
$7,506.50
|
Rate for Payer: Meridian Medicaid |
$7,881.82
|
Rate for Payer: Priority Health Choice Medicaid |
$7,506.50
|
|
INPATIENT APRDRG 3262: ELECTIVE KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$8,782.24
|
|
Service Code
|
APR-DRG 3262
|
Hospital Charge Code |
APRDRG 3262
|
Min. Negotiated Rate |
$8,364.04 |
Max. Negotiated Rate |
$8,782.24 |
Rate for Payer: BCBS Complete |
$8,782.24
|
Rate for Payer: Mclaren Medicaid |
$8,364.04
|
Rate for Payer: Meridian Medicaid |
$8,782.24
|
Rate for Payer: Priority Health Choice Medicaid |
$8,364.04
|
|
INPATIENT APRDRG 3263: ELECTIVE KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$12,546.06
|
|
Service Code
|
APR-DRG 3263
|
Hospital Charge Code |
APRDRG 3263
|
Min. Negotiated Rate |
$11,948.63 |
Max. Negotiated Rate |
$12,546.06 |
Rate for Payer: BCBS Complete |
$12,546.06
|
Rate for Payer: Mclaren Medicaid |
$11,948.63
|
Rate for Payer: Meridian Medicaid |
$12,546.06
|
Rate for Payer: Priority Health Choice Medicaid |
$11,948.63
|
|
INPATIENT APRDRG 3264: ELECTIVE KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$19,146.26
|
|
Service Code
|
APR-DRG 3264
|
Hospital Charge Code |
APRDRG 3264
|
Min. Negotiated Rate |
$18,234.53 |
Max. Negotiated Rate |
$19,146.26 |
Rate for Payer: BCBS Complete |
$19,146.26
|
Rate for Payer: Mclaren Medicaid |
$18,234.53
|
Rate for Payer: Meridian Medicaid |
$19,146.26
|
Rate for Payer: Priority Health Choice Medicaid |
$18,234.53
|
|
INPATIENT APRDRG 3401: FRACTURE OF FEMUR
|
Facility
|
IP
|
$3,258.99
|
|
Service Code
|
APR-DRG 3401
|
Hospital Charge Code |
APRDRG 3401
|
Min. Negotiated Rate |
$3,103.80 |
Max. Negotiated Rate |
$3,258.99 |
Rate for Payer: BCBS Complete |
$3,258.99
|
Rate for Payer: Mclaren Medicaid |
$3,103.80
|
Rate for Payer: Meridian Medicaid |
$3,258.99
|
Rate for Payer: Priority Health Choice Medicaid |
$3,103.80
|
|
INPATIENT APRDRG 3402: FRACTURE OF FEMUR
|
Facility
|
IP
|
$4,067.41
|
|
Service Code
|
APR-DRG 3402
|
Hospital Charge Code |
APRDRG 3402
|
Min. Negotiated Rate |
$3,873.72 |
Max. Negotiated Rate |
$4,067.41 |
Rate for Payer: BCBS Complete |
$4,067.41
|
Rate for Payer: Mclaren Medicaid |
$3,873.72
|
Rate for Payer: Meridian Medicaid |
$4,067.41
|
Rate for Payer: Priority Health Choice Medicaid |
$3,873.72
|
|
INPATIENT APRDRG 3403: FRACTURE OF FEMUR
|
Facility
|
IP
|
$7,323.52
|
|
Service Code
|
APR-DRG 3403
|
Hospital Charge Code |
APRDRG 3403
|
Min. Negotiated Rate |
$6,974.78 |
Max. Negotiated Rate |
$7,323.52 |
Rate for Payer: BCBS Complete |
$7,323.52
|
Rate for Payer: Mclaren Medicaid |
$6,974.78
|
Rate for Payer: Meridian Medicaid |
$7,323.52
|
Rate for Payer: Priority Health Choice Medicaid |
$6,974.78
|
|
INPATIENT APRDRG 3404: FRACTURE OF FEMUR
|
Facility
|
IP
|
$11,823.89
|
|
Service Code
|
APR-DRG 3404
|
Hospital Charge Code |
APRDRG 3404
|
Min. Negotiated Rate |
$11,260.85 |
Max. Negotiated Rate |
$11,823.89 |
Rate for Payer: BCBS Complete |
$11,823.89
|
Rate for Payer: Mclaren Medicaid |
$11,260.85
|
Rate for Payer: Meridian Medicaid |
$11,823.89
|
Rate for Payer: Priority Health Choice Medicaid |
$11,260.85
|
|
INPATIENT APRDRG 3411: FRACTURE OF PELVIS OR DISLOCATION OF HIP
|
Facility
|
IP
|
$3,037.04
|
|
Service Code
|
APR-DRG 3411
|
Hospital Charge Code |
APRDRG 3411
|
Min. Negotiated Rate |
$2,892.42 |
Max. Negotiated Rate |
$3,037.04 |
Rate for Payer: BCBS Complete |
$3,037.04
|
Rate for Payer: Mclaren Medicaid |
$2,892.42
|
Rate for Payer: Meridian Medicaid |
$3,037.04
|
Rate for Payer: Priority Health Choice Medicaid |
$2,892.42
|
|
INPATIENT APRDRG 3412: FRACTURE OF PELVIS OR DISLOCATION OF HIP
|
Facility
|
IP
|
$4,063.38
|
|
Service Code
|
APR-DRG 3412
|
Hospital Charge Code |
APRDRG 3412
|
Min. Negotiated Rate |
$3,869.89 |
Max. Negotiated Rate |
$4,063.38 |
Rate for Payer: BCBS Complete |
$4,063.38
|
Rate for Payer: Mclaren Medicaid |
$3,869.89
|
Rate for Payer: Meridian Medicaid |
$4,063.38
|
Rate for Payer: Priority Health Choice Medicaid |
$3,869.89
|
|
INPATIENT APRDRG 3413: FRACTURE OF PELVIS OR DISLOCATION OF HIP
|
Facility
|
IP
|
$7,841.00
|
|
Service Code
|
APR-DRG 3413
|
Hospital Charge Code |
APRDRG 3413
|
Min. Negotiated Rate |
$7,467.62 |
Max. Negotiated Rate |
$7,841.00 |
Rate for Payer: BCBS Complete |
$7,841.00
|
Rate for Payer: Mclaren Medicaid |
$7,467.62
|
Rate for Payer: Meridian Medicaid |
$7,841.00
|
Rate for Payer: Priority Health Choice Medicaid |
$7,467.62
|
|
INPATIENT APRDRG 3414: FRACTURE OF PELVIS OR DISLOCATION OF HIP
|
Facility
|
IP
|
$13,557.45
|
|
Service Code
|
APR-DRG 3414
|
Hospital Charge Code |
APRDRG 3414
|
Min. Negotiated Rate |
$12,911.86 |
Max. Negotiated Rate |
$13,557.45 |
Rate for Payer: BCBS Complete |
$13,557.45
|
Rate for Payer: Mclaren Medicaid |
$12,911.86
|
Rate for Payer: Meridian Medicaid |
$13,557.45
|
Rate for Payer: Priority Health Choice Medicaid |
$12,911.86
|
|
INPATIENT APRDRG 3421: FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK
|
Facility
|
IP
|
$4,492.90
|
|
Service Code
|
APR-DRG 3421
|
Hospital Charge Code |
APRDRG 3421
|
Min. Negotiated Rate |
$4,278.95 |
Max. Negotiated Rate |
$4,492.90 |
Rate for Payer: BCBS Complete |
$4,492.90
|
Rate for Payer: Mclaren Medicaid |
$4,278.95
|
Rate for Payer: Meridian Medicaid |
$4,492.90
|
Rate for Payer: Priority Health Choice Medicaid |
$4,278.95
|
|
INPATIENT APRDRG 3422: FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK
|
Facility
|
IP
|
$5,110.42
|
|
Service Code
|
APR-DRG 3422
|
Hospital Charge Code |
APRDRG 3422
|
Min. Negotiated Rate |
$4,867.07 |
Max. Negotiated Rate |
$5,110.42 |
Rate for Payer: BCBS Complete |
$5,110.42
|
Rate for Payer: Mclaren Medicaid |
$4,867.07
|
Rate for Payer: Meridian Medicaid |
$5,110.42
|
Rate for Payer: Priority Health Choice Medicaid |
$4,867.07
|
|
INPATIENT APRDRG 3423: FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK
|
Facility
|
IP
|
$6,933.11
|
|
Service Code
|
APR-DRG 3423
|
Hospital Charge Code |
APRDRG 3423
|
Min. Negotiated Rate |
$6,602.96 |
Max. Negotiated Rate |
$6,933.11 |
Rate for Payer: BCBS Complete |
$6,933.11
|
Rate for Payer: Mclaren Medicaid |
$6,602.96
|
Rate for Payer: Meridian Medicaid |
$6,933.11
|
Rate for Payer: Priority Health Choice Medicaid |
$6,602.96
|
|