INPATIENT APRDRG 4244: OTHER ENDOCRINE DISORDERS
|
Facility
|
IP
|
$14,308.38
|
|
Service Code
|
APR-DRG 4244
|
Hospital Charge Code |
APRDRG 4244
|
Min. Negotiated Rate |
$13,627.03 |
Max. Negotiated Rate |
$14,308.38 |
Rate for Payer: BCBS Complete |
$14,308.38
|
Rate for Payer: Mclaren Medicaid |
$13,627.03
|
Rate for Payer: Meridian Medicaid |
$14,308.38
|
Rate for Payer: Priority Health Choice Medicaid |
$13,627.03
|
|
INPATIENT APRDRG 4251: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$2,761.06
|
|
Service Code
|
APR-DRG 4251
|
Hospital Charge Code |
APRDRG 4251
|
Min. Negotiated Rate |
$2,629.58 |
Max. Negotiated Rate |
$2,761.06 |
Rate for Payer: BCBS Complete |
$2,761.06
|
Rate for Payer: Mclaren Medicaid |
$2,629.58
|
Rate for Payer: Meridian Medicaid |
$2,761.06
|
Rate for Payer: Priority Health Choice Medicaid |
$2,629.58
|
|
INPATIENT APRDRG 4252: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$3,711.50
|
|
Service Code
|
APR-DRG 4252
|
Hospital Charge Code |
APRDRG 4252
|
Min. Negotiated Rate |
$3,534.76 |
Max. Negotiated Rate |
$3,711.50 |
Rate for Payer: BCBS Complete |
$3,711.50
|
Rate for Payer: Mclaren Medicaid |
$3,534.76
|
Rate for Payer: Meridian Medicaid |
$3,711.50
|
Rate for Payer: Priority Health Choice Medicaid |
$3,534.76
|
|
INPATIENT APRDRG 4253: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$5,307.07
|
|
Service Code
|
APR-DRG 4253
|
Hospital Charge Code |
APRDRG 4253
|
Min. Negotiated Rate |
$5,054.35 |
Max. Negotiated Rate |
$5,307.07 |
Rate for Payer: BCBS Complete |
$5,307.07
|
Rate for Payer: Mclaren Medicaid |
$5,054.35
|
Rate for Payer: Meridian Medicaid |
$5,307.07
|
Rate for Payer: Priority Health Choice Medicaid |
$5,054.35
|
|
INPATIENT APRDRG 4254: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$11,703.72
|
|
Service Code
|
APR-DRG 4254
|
Hospital Charge Code |
APRDRG 4254
|
Min. Negotiated Rate |
$11,146.40 |
Max. Negotiated Rate |
$11,703.72 |
Rate for Payer: BCBS Complete |
$11,703.72
|
Rate for Payer: Mclaren Medicaid |
$11,146.40
|
Rate for Payer: Meridian Medicaid |
$11,703.72
|
Rate for Payer: Priority Health Choice Medicaid |
$11,146.40
|
|
INPATIENT APRDRG 4261: NON-HYPOVOLEMIC SODIUM DISORDERS
|
Facility
|
IP
|
$2,995.65
|
|
Service Code
|
APR-DRG 4261
|
Hospital Charge Code |
APRDRG 4261
|
Min. Negotiated Rate |
$2,853.00 |
Max. Negotiated Rate |
$2,995.65 |
Rate for Payer: BCBS Complete |
$2,995.65
|
Rate for Payer: Mclaren Medicaid |
$2,853.00
|
Rate for Payer: Meridian Medicaid |
$2,995.65
|
Rate for Payer: Priority Health Choice Medicaid |
$2,853.00
|
|
INPATIENT APRDRG 4262: NON-HYPOVOLEMIC SODIUM DISORDERS
|
Facility
|
IP
|
$3,981.74
|
|
Service Code
|
APR-DRG 4262
|
Hospital Charge Code |
APRDRG 4262
|
Min. Negotiated Rate |
$3,792.13 |
Max. Negotiated Rate |
$3,981.74 |
Rate for Payer: BCBS Complete |
$3,981.74
|
Rate for Payer: Mclaren Medicaid |
$3,792.13
|
Rate for Payer: Meridian Medicaid |
$3,981.74
|
Rate for Payer: Priority Health Choice Medicaid |
$3,792.13
|
|
INPATIENT APRDRG 4263: NON-HYPOVOLEMIC SODIUM DISORDERS
|
Facility
|
IP
|
$6,175.86
|
|
Service Code
|
APR-DRG 4263
|
Hospital Charge Code |
APRDRG 4263
|
Min. Negotiated Rate |
$5,881.77 |
Max. Negotiated Rate |
$6,175.86 |
Rate for Payer: BCBS Complete |
$6,175.86
|
Rate for Payer: Mclaren Medicaid |
$5,881.77
|
Rate for Payer: Meridian Medicaid |
$6,175.86
|
Rate for Payer: Priority Health Choice Medicaid |
$5,881.77
|
|
INPATIENT APRDRG 4264: NON-HYPOVOLEMIC SODIUM DISORDERS
|
Facility
|
IP
|
$11,493.85
|
|
Service Code
|
APR-DRG 4264
|
Hospital Charge Code |
APRDRG 4264
|
Min. Negotiated Rate |
$10,946.52 |
Max. Negotiated Rate |
$11,493.85 |
Rate for Payer: BCBS Complete |
$11,493.85
|
Rate for Payer: Mclaren Medicaid |
$10,946.52
|
Rate for Payer: Meridian Medicaid |
$11,493.85
|
Rate for Payer: Priority Health Choice Medicaid |
$10,946.52
|
|
INPATIENT APRDRG 4271: THYROID DISORDERS
|
Facility
|
IP
|
$3,399.86
|
|
Service Code
|
APR-DRG 4271
|
Hospital Charge Code |
APRDRG 4271
|
Min. Negotiated Rate |
$3,237.96 |
Max. Negotiated Rate |
$3,399.86 |
Rate for Payer: BCBS Complete |
$3,399.86
|
Rate for Payer: Mclaren Medicaid |
$3,237.96
|
Rate for Payer: Meridian Medicaid |
$3,399.86
|
Rate for Payer: Priority Health Choice Medicaid |
$3,237.96
|
|
INPATIENT APRDRG 4272: THYROID DISORDERS
|
Facility
|
IP
|
$4,373.30
|
|
Service Code
|
APR-DRG 4272
|
Hospital Charge Code |
APRDRG 4272
|
Min. Negotiated Rate |
$4,165.05 |
Max. Negotiated Rate |
$4,373.30 |
Rate for Payer: BCBS Complete |
$4,373.30
|
Rate for Payer: Mclaren Medicaid |
$4,165.05
|
Rate for Payer: Meridian Medicaid |
$4,373.30
|
Rate for Payer: Priority Health Choice Medicaid |
$4,165.05
|
|
INPATIENT APRDRG 4273: THYROID DISORDERS
|
Facility
|
IP
|
$6,846.28
|
|
Service Code
|
APR-DRG 4273
|
Hospital Charge Code |
APRDRG 4273
|
Min. Negotiated Rate |
$6,520.27 |
Max. Negotiated Rate |
$6,846.28 |
Rate for Payer: BCBS Complete |
$6,846.28
|
Rate for Payer: Mclaren Medicaid |
$6,520.27
|
Rate for Payer: Meridian Medicaid |
$6,846.28
|
Rate for Payer: Priority Health Choice Medicaid |
$6,520.27
|
|
INPATIENT APRDRG 4274: THYROID DISORDERS
|
Facility
|
IP
|
$14,227.88
|
|
Service Code
|
APR-DRG 4274
|
Hospital Charge Code |
APRDRG 4274
|
Min. Negotiated Rate |
$13,550.36 |
Max. Negotiated Rate |
$14,227.88 |
Rate for Payer: BCBS Complete |
$14,227.88
|
Rate for Payer: Mclaren Medicaid |
$13,550.36
|
Rate for Payer: Meridian Medicaid |
$14,227.88
|
Rate for Payer: Priority Health Choice Medicaid |
$13,550.36
|
|
INPATIENT APRDRG 4411: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$8,719.00
|
|
Service Code
|
APR-DRG 4411
|
Hospital Charge Code |
APRDRG 4411
|
Min. Negotiated Rate |
$8,303.81 |
Max. Negotiated Rate |
$8,719.00 |
Rate for Payer: BCBS Complete |
$8,719.00
|
Rate for Payer: Mclaren Medicaid |
$8,303.81
|
Rate for Payer: Meridian Medicaid |
$8,719.00
|
Rate for Payer: Priority Health Choice Medicaid |
$8,303.81
|
|
INPATIENT APRDRG 4412: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$14,151.98
|
|
Service Code
|
APR-DRG 4412
|
Hospital Charge Code |
APRDRG 4412
|
Min. Negotiated Rate |
$13,478.08 |
Max. Negotiated Rate |
$14,151.98 |
Rate for Payer: BCBS Complete |
$14,151.98
|
Rate for Payer: Mclaren Medicaid |
$13,478.08
|
Rate for Payer: Meridian Medicaid |
$14,151.98
|
Rate for Payer: Priority Health Choice Medicaid |
$13,478.08
|
|
INPATIENT APRDRG 4413: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$19,211.81
|
|
Service Code
|
APR-DRG 4413
|
Hospital Charge Code |
APRDRG 4413
|
Min. Negotiated Rate |
$18,296.96 |
Max. Negotiated Rate |
$19,211.81 |
Rate for Payer: BCBS Complete |
$19,211.81
|
Rate for Payer: Mclaren Medicaid |
$18,296.96
|
Rate for Payer: Meridian Medicaid |
$19,211.81
|
Rate for Payer: Priority Health Choice Medicaid |
$18,296.96
|
|
INPATIENT APRDRG 4414: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$35,630.36
|
|
Service Code
|
APR-DRG 4414
|
Hospital Charge Code |
APRDRG 4414
|
Min. Negotiated Rate |
$33,933.68 |
Max. Negotiated Rate |
$35,630.36 |
Rate for Payer: BCBS Complete |
$35,630.36
|
Rate for Payer: Mclaren Medicaid |
$33,933.68
|
Rate for Payer: Meridian Medicaid |
$35,630.36
|
Rate for Payer: Priority Health Choice Medicaid |
$33,933.68
|
|
INPATIENT APRDRG 4421: KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$9,346.30
|
|
Service Code
|
APR-DRG 4421
|
Hospital Charge Code |
APRDRG 4421
|
Min. Negotiated Rate |
$8,901.24 |
Max. Negotiated Rate |
$9,346.30 |
Rate for Payer: BCBS Complete |
$9,346.30
|
Rate for Payer: Mclaren Medicaid |
$8,901.24
|
Rate for Payer: Meridian Medicaid |
$9,346.30
|
Rate for Payer: Priority Health Choice Medicaid |
$8,901.24
|
|
INPATIENT APRDRG 4422: KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$10,777.42
|
|
Service Code
|
APR-DRG 4422
|
Hospital Charge Code |
APRDRG 4422
|
Min. Negotiated Rate |
$10,264.21 |
Max. Negotiated Rate |
$10,777.42 |
Rate for Payer: BCBS Complete |
$10,777.42
|
Rate for Payer: Mclaren Medicaid |
$10,264.21
|
Rate for Payer: Meridian Medicaid |
$10,777.42
|
Rate for Payer: Priority Health Choice Medicaid |
$10,264.21
|
|
INPATIENT APRDRG 4423: KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$16,260.44
|
|
Service Code
|
APR-DRG 4423
|
Hospital Charge Code |
APRDRG 4423
|
Min. Negotiated Rate |
$15,486.13 |
Max. Negotiated Rate |
$16,260.44 |
Rate for Payer: BCBS Complete |
$16,260.44
|
Rate for Payer: Mclaren Medicaid |
$15,486.13
|
Rate for Payer: Meridian Medicaid |
$16,260.44
|
Rate for Payer: Priority Health Choice Medicaid |
$15,486.13
|
|
INPATIENT APRDRG 4424: KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$28,831.23
|
|
Service Code
|
APR-DRG 4424
|
Hospital Charge Code |
APRDRG 4424
|
Min. Negotiated Rate |
$27,458.31 |
Max. Negotiated Rate |
$28,831.23 |
Rate for Payer: BCBS Complete |
$28,831.23
|
Rate for Payer: Mclaren Medicaid |
$27,458.31
|
Rate for Payer: Meridian Medicaid |
$28,831.23
|
Rate for Payer: Priority Health Choice Medicaid |
$27,458.31
|
|
INPATIENT APRDRG 4431: KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY
|
Facility
|
IP
|
$8,661.50
|
|
Service Code
|
APR-DRG 4431
|
Hospital Charge Code |
APRDRG 4431
|
Min. Negotiated Rate |
$8,249.05 |
Max. Negotiated Rate |
$8,661.50 |
Rate for Payer: BCBS Complete |
$8,661.50
|
Rate for Payer: Mclaren Medicaid |
$8,249.05
|
Rate for Payer: Meridian Medicaid |
$8,661.50
|
Rate for Payer: Priority Health Choice Medicaid |
$8,249.05
|
|
INPATIENT APRDRG 4432: KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY
|
Facility
|
IP
|
$9,577.44
|
|
Service Code
|
APR-DRG 4432
|
Hospital Charge Code |
APRDRG 4432
|
Min. Negotiated Rate |
$9,121.37 |
Max. Negotiated Rate |
$9,577.44 |
Rate for Payer: BCBS Complete |
$9,577.44
|
Rate for Payer: Mclaren Medicaid |
$9,121.37
|
Rate for Payer: Meridian Medicaid |
$9,577.44
|
Rate for Payer: Priority Health Choice Medicaid |
$9,121.37
|
|
INPATIENT APRDRG 4433: KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY
|
Facility
|
IP
|
$11,781.34
|
|
Service Code
|
APR-DRG 4433
|
Hospital Charge Code |
APRDRG 4433
|
Min. Negotiated Rate |
$11,220.32 |
Max. Negotiated Rate |
$11,781.34 |
Rate for Payer: BCBS Complete |
$11,781.34
|
Rate for Payer: Mclaren Medicaid |
$11,220.32
|
Rate for Payer: Meridian Medicaid |
$11,781.34
|
Rate for Payer: Priority Health Choice Medicaid |
$11,220.32
|
|
INPATIENT APRDRG 4434: KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY
|
Facility
|
IP
|
$21,882.01
|
|
Service Code
|
APR-DRG 4434
|
Hospital Charge Code |
APRDRG 4434
|
Min. Negotiated Rate |
$20,840.01 |
Max. Negotiated Rate |
$21,882.01 |
Rate for Payer: BCBS Complete |
$21,882.01
|
Rate for Payer: Mclaren Medicaid |
$20,840.01
|
Rate for Payer: Meridian Medicaid |
$21,882.01
|
Rate for Payer: Priority Health Choice Medicaid |
$20,840.01
|
|