INPATIENT APRDRG 3424: FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK
|
Facility
|
IP
|
$12,308.59
|
|
Service Code
|
APR-DRG 3424
|
Hospital Charge Code |
APRDRG 3424
|
Min. Negotiated Rate |
$11,722.47 |
Max. Negotiated Rate |
$12,308.59 |
Rate for Payer: BCBS Complete |
$12,308.59
|
Rate for Payer: Mclaren Medicaid |
$11,722.47
|
Rate for Payer: Meridian Medicaid |
$12,308.59
|
Rate for Payer: Priority Health Choice Medicaid |
$11,722.47
|
|
INPATIENT APRDRG 3431: MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG
|
Facility
|
IP
|
$5,778.55
|
|
Service Code
|
APR-DRG 3431
|
Hospital Charge Code |
APRDRG 3431
|
Min. Negotiated Rate |
$5,503.38 |
Max. Negotiated Rate |
$5,778.55 |
Rate for Payer: BCBS Complete |
$5,778.55
|
Rate for Payer: Mclaren Medicaid |
$5,503.38
|
Rate for Payer: Meridian Medicaid |
$5,778.55
|
Rate for Payer: Priority Health Choice Medicaid |
$5,503.38
|
|
INPATIENT APRDRG 3432: MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG
|
Facility
|
IP
|
$6,776.71
|
|
Service Code
|
APR-DRG 3432
|
Hospital Charge Code |
APRDRG 3432
|
Min. Negotiated Rate |
$6,454.01 |
Max. Negotiated Rate |
$6,776.71 |
Rate for Payer: BCBS Complete |
$6,776.71
|
Rate for Payer: Mclaren Medicaid |
$6,454.01
|
Rate for Payer: Meridian Medicaid |
$6,776.71
|
Rate for Payer: Priority Health Choice Medicaid |
$6,454.01
|
|
INPATIENT APRDRG 3433: MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG
|
Facility
|
IP
|
$10,077.68
|
|
Service Code
|
APR-DRG 3433
|
Hospital Charge Code |
APRDRG 3433
|
Min. Negotiated Rate |
$9,597.79 |
Max. Negotiated Rate |
$10,077.68 |
Rate for Payer: BCBS Complete |
$10,077.68
|
Rate for Payer: Mclaren Medicaid |
$9,597.79
|
Rate for Payer: Meridian Medicaid |
$10,077.68
|
Rate for Payer: Priority Health Choice Medicaid |
$9,597.79
|
|
INPATIENT APRDRG 3434: MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG
|
Facility
|
IP
|
$17,409.24
|
|
Service Code
|
APR-DRG 3434
|
Hospital Charge Code |
APRDRG 3434
|
Min. Negotiated Rate |
$16,580.23 |
Max. Negotiated Rate |
$17,409.24 |
Rate for Payer: BCBS Complete |
$17,409.24
|
Rate for Payer: Mclaren Medicaid |
$16,580.23
|
Rate for Payer: Meridian Medicaid |
$17,409.24
|
Rate for Payer: Priority Health Choice Medicaid |
$16,580.23
|
|
INPATIENT APRDRG 3441: OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS
|
Facility
|
IP
|
$3,743.12
|
|
Service Code
|
APR-DRG 3441
|
Hospital Charge Code |
APRDRG 3441
|
Min. Negotiated Rate |
$3,564.88 |
Max. Negotiated Rate |
$3,743.12 |
Rate for Payer: BCBS Complete |
$3,743.12
|
Rate for Payer: Mclaren Medicaid |
$3,564.88
|
Rate for Payer: Meridian Medicaid |
$3,743.12
|
Rate for Payer: Priority Health Choice Medicaid |
$3,564.88
|
|
INPATIENT APRDRG 3442: OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS
|
Facility
|
IP
|
$5,353.64
|
|
Service Code
|
APR-DRG 3442
|
Hospital Charge Code |
APRDRG 3442
|
Min. Negotiated Rate |
$5,098.70 |
Max. Negotiated Rate |
$5,353.64 |
Rate for Payer: BCBS Complete |
$5,353.64
|
Rate for Payer: Mclaren Medicaid |
$5,098.70
|
Rate for Payer: Meridian Medicaid |
$5,353.64
|
Rate for Payer: Priority Health Choice Medicaid |
$5,098.70
|
|
INPATIENT APRDRG 3443: OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS
|
Facility
|
IP
|
$7,162.52
|
|
Service Code
|
APR-DRG 3443
|
Hospital Charge Code |
APRDRG 3443
|
Min. Negotiated Rate |
$6,821.45 |
Max. Negotiated Rate |
$7,162.52 |
Rate for Payer: BCBS Complete |
$7,162.52
|
Rate for Payer: Mclaren Medicaid |
$6,821.45
|
Rate for Payer: Meridian Medicaid |
$7,162.52
|
Rate for Payer: Priority Health Choice Medicaid |
$6,821.45
|
|
INPATIENT APRDRG 3444: OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS
|
Facility
|
IP
|
$8,891.49
|
|
Service Code
|
APR-DRG 3444
|
Hospital Charge Code |
APRDRG 3444
|
Min. Negotiated Rate |
$8,468.09 |
Max. Negotiated Rate |
$8,891.49 |
Rate for Payer: BCBS Complete |
$8,891.49
|
Rate for Payer: Mclaren Medicaid |
$8,468.09
|
Rate for Payer: Meridian Medicaid |
$8,891.49
|
Rate for Payer: Priority Health Choice Medicaid |
$8,468.09
|
|
INPATIENT APRDRG 3461: CONNECTIVE TISSUE DISORDERS
|
Facility
|
IP
|
$5,145.49
|
|
Service Code
|
APR-DRG 3461
|
Hospital Charge Code |
APRDRG 3461
|
Min. Negotiated Rate |
$4,900.47 |
Max. Negotiated Rate |
$5,145.49 |
Rate for Payer: BCBS Complete |
$5,145.49
|
Rate for Payer: Mclaren Medicaid |
$4,900.47
|
Rate for Payer: Meridian Medicaid |
$5,145.49
|
Rate for Payer: Priority Health Choice Medicaid |
$4,900.47
|
|
INPATIENT APRDRG 3462: CONNECTIVE TISSUE DISORDERS
|
Facility
|
IP
|
$5,974.62
|
|
Service Code
|
APR-DRG 3462
|
Hospital Charge Code |
APRDRG 3462
|
Min. Negotiated Rate |
$5,690.11 |
Max. Negotiated Rate |
$5,974.62 |
Rate for Payer: BCBS Complete |
$5,974.62
|
Rate for Payer: Mclaren Medicaid |
$5,690.11
|
Rate for Payer: Meridian Medicaid |
$5,974.62
|
Rate for Payer: Priority Health Choice Medicaid |
$5,690.11
|
|
INPATIENT APRDRG 3463: CONNECTIVE TISSUE DISORDERS
|
Facility
|
IP
|
$8,095.72
|
|
Service Code
|
APR-DRG 3463
|
Hospital Charge Code |
APRDRG 3463
|
Min. Negotiated Rate |
$7,710.21 |
Max. Negotiated Rate |
$8,095.72 |
Rate for Payer: BCBS Complete |
$8,095.72
|
Rate for Payer: Mclaren Medicaid |
$7,710.21
|
Rate for Payer: Meridian Medicaid |
$8,095.72
|
Rate for Payer: Priority Health Choice Medicaid |
$7,710.21
|
|
INPATIENT APRDRG 3464: CONNECTIVE TISSUE DISORDERS
|
Facility
|
IP
|
$16,910.73
|
|
Service Code
|
APR-DRG 3464
|
Hospital Charge Code |
APRDRG 3464
|
Min. Negotiated Rate |
$16,105.46 |
Max. Negotiated Rate |
$16,910.73 |
Rate for Payer: BCBS Complete |
$16,910.73
|
Rate for Payer: Mclaren Medicaid |
$16,105.46
|
Rate for Payer: Meridian Medicaid |
$16,910.73
|
Rate for Payer: Priority Health Choice Medicaid |
$16,105.46
|
|
INPATIENT APRDRG 3471: OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES
|
Facility
|
IP
|
$5,188.04
|
|
Service Code
|
APR-DRG 3471
|
Hospital Charge Code |
APRDRG 3471
|
Min. Negotiated Rate |
$4,940.99 |
Max. Negotiated Rate |
$5,188.04 |
Rate for Payer: BCBS Complete |
$5,188.04
|
Rate for Payer: Mclaren Medicaid |
$4,940.99
|
Rate for Payer: Meridian Medicaid |
$5,188.04
|
Rate for Payer: Priority Health Choice Medicaid |
$4,940.99
|
|
INPATIENT APRDRG 3472: OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES
|
Facility
|
IP
|
$5,679.65
|
|
Service Code
|
APR-DRG 3472
|
Hospital Charge Code |
APRDRG 3472
|
Min. Negotiated Rate |
$5,409.19 |
Max. Negotiated Rate |
$5,679.65 |
Rate for Payer: BCBS Complete |
$5,679.65
|
Rate for Payer: Mclaren Medicaid |
$5,409.19
|
Rate for Payer: Meridian Medicaid |
$5,679.65
|
Rate for Payer: Priority Health Choice Medicaid |
$5,409.19
|
|
INPATIENT APRDRG 3473: OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES
|
Facility
|
IP
|
$7,195.30
|
|
Service Code
|
APR-DRG 3473
|
Hospital Charge Code |
APRDRG 3473
|
Min. Negotiated Rate |
$6,852.67 |
Max. Negotiated Rate |
$7,195.30 |
Rate for Payer: BCBS Complete |
$7,195.30
|
Rate for Payer: Mclaren Medicaid |
$6,852.67
|
Rate for Payer: Meridian Medicaid |
$7,195.30
|
Rate for Payer: Priority Health Choice Medicaid |
$6,852.67
|
|
INPATIENT APRDRG 3474: OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES
|
Facility
|
IP
|
$9,894.26
|
|
Service Code
|
APR-DRG 3474
|
Hospital Charge Code |
APRDRG 3474
|
Min. Negotiated Rate |
$9,423.10 |
Max. Negotiated Rate |
$9,894.26 |
Rate for Payer: BCBS Complete |
$9,894.26
|
Rate for Payer: Mclaren Medicaid |
$9,423.10
|
Rate for Payer: Meridian Medicaid |
$9,894.26
|
Rate for Payer: Priority Health Choice Medicaid |
$9,423.10
|
|
INPATIENT APRDRG 3491: MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$4,475.65
|
|
Service Code
|
APR-DRG 3491
|
Hospital Charge Code |
APRDRG 3491
|
Min. Negotiated Rate |
$4,262.52 |
Max. Negotiated Rate |
$4,475.65 |
Rate for Payer: BCBS Complete |
$4,475.65
|
Rate for Payer: Mclaren Medicaid |
$4,262.52
|
Rate for Payer: Meridian Medicaid |
$4,475.65
|
Rate for Payer: Priority Health Choice Medicaid |
$4,262.52
|
|
INPATIENT APRDRG 3492: MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$6,299.49
|
|
Service Code
|
APR-DRG 3492
|
Hospital Charge Code |
APRDRG 3492
|
Min. Negotiated Rate |
$5,999.51 |
Max. Negotiated Rate |
$6,299.49 |
Rate for Payer: BCBS Complete |
$6,299.49
|
Rate for Payer: Mclaren Medicaid |
$5,999.51
|
Rate for Payer: Meridian Medicaid |
$6,299.49
|
Rate for Payer: Priority Health Choice Medicaid |
$5,999.51
|
|
INPATIENT APRDRG 3493: MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$6,622.05
|
|
Service Code
|
APR-DRG 3493
|
Hospital Charge Code |
APRDRG 3493
|
Min. Negotiated Rate |
$6,306.71 |
Max. Negotiated Rate |
$6,622.05 |
Rate for Payer: BCBS Complete |
$6,622.05
|
Rate for Payer: Mclaren Medicaid |
$6,306.71
|
Rate for Payer: Meridian Medicaid |
$6,622.05
|
Rate for Payer: Priority Health Choice Medicaid |
$6,306.71
|
|
INPATIENT APRDRG 3494: MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$12,117.70
|
|
Service Code
|
APR-DRG 3494
|
Hospital Charge Code |
APRDRG 3494
|
Min. Negotiated Rate |
$11,540.67 |
Max. Negotiated Rate |
$12,117.70 |
Rate for Payer: BCBS Complete |
$12,117.70
|
Rate for Payer: Mclaren Medicaid |
$11,540.67
|
Rate for Payer: Meridian Medicaid |
$12,117.70
|
Rate for Payer: Priority Health Choice Medicaid |
$11,540.67
|
|
INPATIENT APRDRG 3511: OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$3,004.27
|
|
Service Code
|
APR-DRG 3511
|
Hospital Charge Code |
APRDRG 3511
|
Min. Negotiated Rate |
$2,861.21 |
Max. Negotiated Rate |
$3,004.27 |
Rate for Payer: BCBS Complete |
$3,004.27
|
Rate for Payer: Mclaren Medicaid |
$2,861.21
|
Rate for Payer: Meridian Medicaid |
$3,004.27
|
Rate for Payer: Priority Health Choice Medicaid |
$2,861.21
|
|
INPATIENT APRDRG 3512: OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$3,413.08
|
|
Service Code
|
APR-DRG 3512
|
Hospital Charge Code |
APRDRG 3512
|
Min. Negotiated Rate |
$3,250.55 |
Max. Negotiated Rate |
$3,413.08 |
Rate for Payer: BCBS Complete |
$3,413.08
|
Rate for Payer: Mclaren Medicaid |
$3,250.55
|
Rate for Payer: Meridian Medicaid |
$3,413.08
|
Rate for Payer: Priority Health Choice Medicaid |
$3,250.55
|
|
INPATIENT APRDRG 3513: OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$5,629.63
|
|
Service Code
|
APR-DRG 3513
|
Hospital Charge Code |
APRDRG 3513
|
Min. Negotiated Rate |
$5,361.55 |
Max. Negotiated Rate |
$5,629.63 |
Rate for Payer: BCBS Complete |
$5,629.63
|
Rate for Payer: Mclaren Medicaid |
$5,361.55
|
Rate for Payer: Meridian Medicaid |
$5,629.63
|
Rate for Payer: Priority Health Choice Medicaid |
$5,361.55
|
|
INPATIENT APRDRG 3514: OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES
|
Facility
|
IP
|
$8,344.69
|
|
Service Code
|
APR-DRG 3514
|
Hospital Charge Code |
APRDRG 3514
|
Min. Negotiated Rate |
$7,947.32 |
Max. Negotiated Rate |
$8,344.69 |
Rate for Payer: BCBS Complete |
$8,344.69
|
Rate for Payer: Mclaren Medicaid |
$7,947.32
|
Rate for Payer: Meridian Medicaid |
$8,344.69
|
Rate for Payer: Priority Health Choice Medicaid |
$7,947.32
|
|