INPATIENT APRDRG 3611: SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES
|
Facility
|
IP
|
$12,180.96
|
|
Service Code
|
APR-DRG 3611
|
Hospital Charge Code |
APRDRG 3611
|
Min. Negotiated Rate |
$11,600.91 |
Max. Negotiated Rate |
$12,180.96 |
Rate for Payer: BCBS Complete |
$12,180.96
|
Rate for Payer: Mclaren Medicaid |
$11,600.91
|
Rate for Payer: Meridian Medicaid |
$12,180.96
|
Rate for Payer: Priority Health Choice Medicaid |
$11,600.91
|
|
INPATIENT APRDRG 3612: SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES
|
Facility
|
IP
|
$15,487.66
|
|
Service Code
|
APR-DRG 3612
|
Hospital Charge Code |
APRDRG 3612
|
Min. Negotiated Rate |
$14,750.15 |
Max. Negotiated Rate |
$15,487.66 |
Rate for Payer: BCBS Complete |
$15,487.66
|
Rate for Payer: Mclaren Medicaid |
$14,750.15
|
Rate for Payer: Meridian Medicaid |
$15,487.66
|
Rate for Payer: Priority Health Choice Medicaid |
$14,750.15
|
|
INPATIENT APRDRG 3613: SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES
|
Facility
|
IP
|
$19,448.70
|
|
Service Code
|
APR-DRG 3613
|
Hospital Charge Code |
APRDRG 3613
|
Min. Negotiated Rate |
$18,522.57 |
Max. Negotiated Rate |
$19,448.70 |
Rate for Payer: BCBS Complete |
$19,448.70
|
Rate for Payer: Mclaren Medicaid |
$18,522.57
|
Rate for Payer: Meridian Medicaid |
$19,448.70
|
Rate for Payer: Priority Health Choice Medicaid |
$18,522.57
|
|
INPATIENT APRDRG 3614: SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES
|
Facility
|
IP
|
$41,865.44
|
|
Service Code
|
APR-DRG 3614
|
Hospital Charge Code |
APRDRG 3614
|
Min. Negotiated Rate |
$39,871.85 |
Max. Negotiated Rate |
$41,865.44 |
Rate for Payer: BCBS Complete |
$41,865.44
|
Rate for Payer: Mclaren Medicaid |
$39,871.85
|
Rate for Payer: Meridian Medicaid |
$41,865.44
|
Rate for Payer: Priority Health Choice Medicaid |
$39,871.85
|
|
INPATIENT APRDRG 3621: MASTECTOMY PROCEDURES
|
Facility
|
IP
|
$10,554.90
|
|
Service Code
|
APR-DRG 3621
|
Hospital Charge Code |
APRDRG 3621
|
Min. Negotiated Rate |
$10,052.29 |
Max. Negotiated Rate |
$10,554.90 |
Rate for Payer: BCBS Complete |
$10,554.90
|
Rate for Payer: Mclaren Medicaid |
$10,052.29
|
Rate for Payer: Meridian Medicaid |
$10,554.90
|
Rate for Payer: Priority Health Choice Medicaid |
$10,052.29
|
|
INPATIENT APRDRG 3622: MASTECTOMY PROCEDURES
|
Facility
|
IP
|
$14,775.26
|
|
Service Code
|
APR-DRG 3622
|
Hospital Charge Code |
APRDRG 3622
|
Min. Negotiated Rate |
$14,071.68 |
Max. Negotiated Rate |
$14,775.26 |
Rate for Payer: BCBS Complete |
$14,775.26
|
Rate for Payer: Mclaren Medicaid |
$14,071.68
|
Rate for Payer: Meridian Medicaid |
$14,775.26
|
Rate for Payer: Priority Health Choice Medicaid |
$14,071.68
|
|
INPATIENT APRDRG 3623: MASTECTOMY PROCEDURES
|
Facility
|
IP
|
$15,279.52
|
|
Service Code
|
APR-DRG 3623
|
Hospital Charge Code |
APRDRG 3623
|
Min. Negotiated Rate |
$14,551.92 |
Max. Negotiated Rate |
$15,279.52 |
Rate for Payer: BCBS Complete |
$15,279.52
|
Rate for Payer: Mclaren Medicaid |
$14,551.92
|
Rate for Payer: Meridian Medicaid |
$15,279.52
|
Rate for Payer: Priority Health Choice Medicaid |
$14,551.92
|
|
INPATIENT APRDRG 3624: MASTECTOMY PROCEDURES
|
Facility
|
IP
|
$19,906.96
|
|
Service Code
|
APR-DRG 3624
|
Hospital Charge Code |
APRDRG 3624
|
Min. Negotiated Rate |
$18,959.01 |
Max. Negotiated Rate |
$19,906.96 |
Rate for Payer: BCBS Complete |
$19,906.96
|
Rate for Payer: Mclaren Medicaid |
$18,959.01
|
Rate for Payer: Meridian Medicaid |
$19,906.96
|
Rate for Payer: Priority Health Choice Medicaid |
$18,959.01
|
|
INPATIENT APRDRG 3631: BREAST PROCEDURES EXCEPT MASTECTOMY
|
Facility
|
IP
|
$8,024.99
|
|
Service Code
|
APR-DRG 3631
|
Hospital Charge Code |
APRDRG 3631
|
Min. Negotiated Rate |
$7,642.85 |
Max. Negotiated Rate |
$8,024.99 |
Rate for Payer: BCBS Complete |
$8,024.99
|
Rate for Payer: Mclaren Medicaid |
$7,642.85
|
Rate for Payer: Meridian Medicaid |
$8,024.99
|
Rate for Payer: Priority Health Choice Medicaid |
$7,642.85
|
|
INPATIENT APRDRG 3632: BREAST PROCEDURES EXCEPT MASTECTOMY
|
Facility
|
IP
|
$12,021.10
|
|
Service Code
|
APR-DRG 3632
|
Hospital Charge Code |
APRDRG 3632
|
Min. Negotiated Rate |
$11,448.67 |
Max. Negotiated Rate |
$12,021.10 |
Rate for Payer: BCBS Complete |
$12,021.10
|
Rate for Payer: Mclaren Medicaid |
$11,448.67
|
Rate for Payer: Meridian Medicaid |
$12,021.10
|
Rate for Payer: Priority Health Choice Medicaid |
$11,448.67
|
|
INPATIENT APRDRG 3633: BREAST PROCEDURES EXCEPT MASTECTOMY
|
Facility
|
IP
|
$15,924.65
|
|
Service Code
|
APR-DRG 3633
|
Hospital Charge Code |
APRDRG 3633
|
Min. Negotiated Rate |
$15,166.33 |
Max. Negotiated Rate |
$15,924.65 |
Rate for Payer: BCBS Complete |
$15,924.65
|
Rate for Payer: Mclaren Medicaid |
$15,166.33
|
Rate for Payer: Meridian Medicaid |
$15,924.65
|
Rate for Payer: Priority Health Choice Medicaid |
$15,166.33
|
|
INPATIENT APRDRG 3634: BREAST PROCEDURES EXCEPT MASTECTOMY
|
Facility
|
IP
|
$30,564.21
|
|
Service Code
|
APR-DRG 3634
|
Hospital Charge Code |
APRDRG 3634
|
Min. Negotiated Rate |
$29,108.77 |
Max. Negotiated Rate |
$30,564.21 |
Rate for Payer: BCBS Complete |
$30,564.21
|
Rate for Payer: Mclaren Medicaid |
$29,108.77
|
Rate for Payer: Meridian Medicaid |
$30,564.21
|
Rate for Payer: Priority Health Choice Medicaid |
$29,108.77
|
|
INPATIENT APRDRG 3641: OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES
|
Facility
|
IP
|
$5,439.88
|
|
Service Code
|
APR-DRG 3641
|
Hospital Charge Code |
APRDRG 3641
|
Min. Negotiated Rate |
$5,180.84 |
Max. Negotiated Rate |
$5,439.88 |
Rate for Payer: BCBS Complete |
$5,439.88
|
Rate for Payer: Mclaren Medicaid |
$5,180.84
|
Rate for Payer: Meridian Medicaid |
$5,439.88
|
Rate for Payer: Priority Health Choice Medicaid |
$5,180.84
|
|
INPATIENT APRDRG 3642: OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES
|
Facility
|
IP
|
$6,579.50
|
|
Service Code
|
APR-DRG 3642
|
Hospital Charge Code |
APRDRG 3642
|
Min. Negotiated Rate |
$6,266.19 |
Max. Negotiated Rate |
$6,579.50 |
Rate for Payer: BCBS Complete |
$6,579.50
|
Rate for Payer: Mclaren Medicaid |
$6,266.19
|
Rate for Payer: Meridian Medicaid |
$6,579.50
|
Rate for Payer: Priority Health Choice Medicaid |
$6,266.19
|
|
INPATIENT APRDRG 3643: OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES
|
Facility
|
IP
|
$10,148.97
|
|
Service Code
|
APR-DRG 3643
|
Hospital Charge Code |
APRDRG 3643
|
Min. Negotiated Rate |
$9,665.69 |
Max. Negotiated Rate |
$10,148.97 |
Rate for Payer: BCBS Complete |
$10,148.97
|
Rate for Payer: Mclaren Medicaid |
$9,665.69
|
Rate for Payer: Meridian Medicaid |
$10,148.97
|
Rate for Payer: Priority Health Choice Medicaid |
$9,665.69
|
|
INPATIENT APRDRG 3644: OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES
|
Facility
|
IP
|
$13,582.75
|
|
Service Code
|
APR-DRG 3644
|
Hospital Charge Code |
APRDRG 3644
|
Min. Negotiated Rate |
$12,935.95 |
Max. Negotiated Rate |
$13,582.75 |
Rate for Payer: BCBS Complete |
$13,582.75
|
Rate for Payer: Mclaren Medicaid |
$12,935.95
|
Rate for Payer: Meridian Medicaid |
$13,582.75
|
Rate for Payer: Priority Health Choice Medicaid |
$12,935.95
|
|
INPATIENT APRDRG 3801: SKIN ULCERS
|
Facility
|
IP
|
$3,516.00
|
|
Service Code
|
APR-DRG 3801
|
Hospital Charge Code |
APRDRG 3801
|
Min. Negotiated Rate |
$3,348.57 |
Max. Negotiated Rate |
$3,516.00 |
Rate for Payer: BCBS Complete |
$3,516.00
|
Rate for Payer: Mclaren Medicaid |
$3,348.57
|
Rate for Payer: Meridian Medicaid |
$3,516.00
|
Rate for Payer: Priority Health Choice Medicaid |
$3,348.57
|
|
INPATIENT APRDRG 3802: SKIN ULCERS
|
Facility
|
IP
|
$4,601.56
|
|
Service Code
|
APR-DRG 3802
|
Hospital Charge Code |
APRDRG 3802
|
Min. Negotiated Rate |
$4,382.44 |
Max. Negotiated Rate |
$4,601.56 |
Rate for Payer: BCBS Complete |
$4,601.56
|
Rate for Payer: Mclaren Medicaid |
$4,382.44
|
Rate for Payer: Meridian Medicaid |
$4,601.56
|
Rate for Payer: Priority Health Choice Medicaid |
$4,382.44
|
|
INPATIENT APRDRG 3803: SKIN ULCERS
|
Facility
|
IP
|
$5,739.45
|
|
Service Code
|
APR-DRG 3803
|
Hospital Charge Code |
APRDRG 3803
|
Min. Negotiated Rate |
$5,466.14 |
Max. Negotiated Rate |
$5,739.45 |
Rate for Payer: BCBS Complete |
$5,739.45
|
Rate for Payer: Mclaren Medicaid |
$5,466.14
|
Rate for Payer: Meridian Medicaid |
$5,739.45
|
Rate for Payer: Priority Health Choice Medicaid |
$5,466.14
|
|
INPATIENT APRDRG 3804: SKIN ULCERS
|
Facility
|
IP
|
$8,222.79
|
|
Service Code
|
APR-DRG 3804
|
Hospital Charge Code |
APRDRG 3804
|
Min. Negotiated Rate |
$7,831.23 |
Max. Negotiated Rate |
$8,222.79 |
Rate for Payer: BCBS Complete |
$8,222.79
|
Rate for Payer: Mclaren Medicaid |
$7,831.23
|
Rate for Payer: Meridian Medicaid |
$8,222.79
|
Rate for Payer: Priority Health Choice Medicaid |
$7,831.23
|
|
INPATIENT APRDRG 3811: MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$2,424.11
|
|
Service Code
|
APR-DRG 3811
|
Hospital Charge Code |
APRDRG 3811
|
Min. Negotiated Rate |
$2,308.68 |
Max. Negotiated Rate |
$2,424.11 |
Rate for Payer: BCBS Complete |
$2,424.11
|
Rate for Payer: Mclaren Medicaid |
$2,308.68
|
Rate for Payer: Meridian Medicaid |
$2,424.11
|
Rate for Payer: Priority Health Choice Medicaid |
$2,308.68
|
|
INPATIENT APRDRG 3812: MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$5,156.99
|
|
Service Code
|
APR-DRG 3812
|
Hospital Charge Code |
APRDRG 3812
|
Min. Negotiated Rate |
$4,911.42 |
Max. Negotiated Rate |
$5,156.99 |
Rate for Payer: BCBS Complete |
$5,156.99
|
Rate for Payer: Mclaren Medicaid |
$4,911.42
|
Rate for Payer: Meridian Medicaid |
$5,156.99
|
Rate for Payer: Priority Health Choice Medicaid |
$4,911.42
|
|
INPATIENT APRDRG 3813: MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$10,010.41
|
|
Service Code
|
APR-DRG 3813
|
Hospital Charge Code |
APRDRG 3813
|
Min. Negotiated Rate |
$9,533.72 |
Max. Negotiated Rate |
$10,010.41 |
Rate for Payer: BCBS Complete |
$10,010.41
|
Rate for Payer: Mclaren Medicaid |
$9,533.72
|
Rate for Payer: Meridian Medicaid |
$10,010.41
|
Rate for Payer: Priority Health Choice Medicaid |
$9,533.72
|
|
INPATIENT APRDRG 3814: MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$21,682.50
|
|
Service Code
|
APR-DRG 3814
|
Hospital Charge Code |
APRDRG 3814
|
Min. Negotiated Rate |
$20,650.00 |
Max. Negotiated Rate |
$21,682.50 |
Rate for Payer: BCBS Complete |
$21,682.50
|
Rate for Payer: Mclaren Medicaid |
$20,650.00
|
Rate for Payer: Meridian Medicaid |
$21,682.50
|
Rate for Payer: Priority Health Choice Medicaid |
$20,650.00
|
|
INPATIENT APRDRG 3821: MALIGNANT BREAST DISORDERS
|
Facility
|
IP
|
$4,260.03
|
|
Service Code
|
APR-DRG 3821
|
Hospital Charge Code |
APRDRG 3821
|
Min. Negotiated Rate |
$4,057.17 |
Max. Negotiated Rate |
$4,260.03 |
Rate for Payer: BCBS Complete |
$4,260.03
|
Rate for Payer: Mclaren Medicaid |
$4,057.17
|
Rate for Payer: Meridian Medicaid |
$4,260.03
|
Rate for Payer: Priority Health Choice Medicaid |
$4,057.17
|
|