INPATIENT APRDRG 4441: RENAL DIALYSIS ACCESS DEVICE AND VESSEL REPAIR
|
Facility
|
IP
|
$6,240.83
|
|
Service Code
|
APR-DRG 4441
|
Hospital Charge Code |
APRDRG 4441
|
Min. Negotiated Rate |
$5,943.65 |
Max. Negotiated Rate |
$6,240.83 |
Rate for Payer: BCBS Complete |
$6,240.83
|
Rate for Payer: Mclaren Medicaid |
$5,943.65
|
Rate for Payer: Meridian Medicaid |
$6,240.83
|
Rate for Payer: Priority Health Choice Medicaid |
$5,943.65
|
|
INPATIENT APRDRG 4442: RENAL DIALYSIS ACCESS DEVICE AND VESSEL REPAIR
|
Facility
|
IP
|
$8,984.06
|
|
Service Code
|
APR-DRG 4442
|
Hospital Charge Code |
APRDRG 4442
|
Min. Negotiated Rate |
$8,556.25 |
Max. Negotiated Rate |
$8,984.06 |
Rate for Payer: BCBS Complete |
$8,984.06
|
Rate for Payer: Mclaren Medicaid |
$8,556.25
|
Rate for Payer: Meridian Medicaid |
$8,984.06
|
Rate for Payer: Priority Health Choice Medicaid |
$8,556.25
|
|
INPATIENT APRDRG 4443: RENAL DIALYSIS ACCESS DEVICE AND VESSEL REPAIR
|
Facility
|
IP
|
$11,623.79
|
|
Service Code
|
APR-DRG 4443
|
Hospital Charge Code |
APRDRG 4443
|
Min. Negotiated Rate |
$11,070.28 |
Max. Negotiated Rate |
$11,623.79 |
Rate for Payer: BCBS Complete |
$11,623.79
|
Rate for Payer: Mclaren Medicaid |
$11,070.28
|
Rate for Payer: Meridian Medicaid |
$11,623.79
|
Rate for Payer: Priority Health Choice Medicaid |
$11,070.28
|
|
INPATIENT APRDRG 4444: RENAL DIALYSIS ACCESS DEVICE AND VESSEL REPAIR
|
Facility
|
IP
|
$22,357.52
|
|
Service Code
|
APR-DRG 4444
|
Hospital Charge Code |
APRDRG 4444
|
Min. Negotiated Rate |
$21,292.88 |
Max. Negotiated Rate |
$22,357.52 |
Rate for Payer: BCBS Complete |
$22,357.52
|
Rate for Payer: Mclaren Medicaid |
$21,292.88
|
Rate for Payer: Meridian Medicaid |
$22,357.52
|
Rate for Payer: Priority Health Choice Medicaid |
$21,292.88
|
|
INPATIENT APRDRG 4451: OTHER BLADDER PROCEDURES
|
Facility
|
IP
|
$8,311.34
|
|
Service Code
|
APR-DRG 4451
|
Hospital Charge Code |
APRDRG 4451
|
Min. Negotiated Rate |
$7,915.56 |
Max. Negotiated Rate |
$8,311.34 |
Rate for Payer: BCBS Complete |
$8,311.34
|
Rate for Payer: Mclaren Medicaid |
$7,915.56
|
Rate for Payer: Meridian Medicaid |
$8,311.34
|
Rate for Payer: Priority Health Choice Medicaid |
$7,915.56
|
|
INPATIENT APRDRG 4452: OTHER BLADDER PROCEDURES
|
Facility
|
IP
|
$10,407.72
|
|
Service Code
|
APR-DRG 4452
|
Hospital Charge Code |
APRDRG 4452
|
Min. Negotiated Rate |
$9,912.11 |
Max. Negotiated Rate |
$10,407.72 |
Rate for Payer: BCBS Complete |
$10,407.72
|
Rate for Payer: Mclaren Medicaid |
$9,912.11
|
Rate for Payer: Meridian Medicaid |
$10,407.72
|
Rate for Payer: Priority Health Choice Medicaid |
$9,912.11
|
|
INPATIENT APRDRG 4453: OTHER BLADDER PROCEDURES
|
Facility
|
IP
|
$10,882.65
|
|
Service Code
|
APR-DRG 4453
|
Hospital Charge Code |
APRDRG 4453
|
Min. Negotiated Rate |
$10,364.43 |
Max. Negotiated Rate |
$10,882.65 |
Rate for Payer: BCBS Complete |
$10,882.65
|
Rate for Payer: Mclaren Medicaid |
$10,364.43
|
Rate for Payer: Meridian Medicaid |
$10,882.65
|
Rate for Payer: Priority Health Choice Medicaid |
$10,364.43
|
|
INPATIENT APRDRG 4454: OTHER BLADDER PROCEDURES
|
Facility
|
IP
|
$14,750.54
|
|
Service Code
|
APR-DRG 4454
|
Hospital Charge Code |
APRDRG 4454
|
Min. Negotiated Rate |
$14,048.13 |
Max. Negotiated Rate |
$14,750.54 |
Rate for Payer: BCBS Complete |
$14,750.54
|
Rate for Payer: Mclaren Medicaid |
$14,048.13
|
Rate for Payer: Meridian Medicaid |
$14,750.54
|
Rate for Payer: Priority Health Choice Medicaid |
$14,048.13
|
|
INPATIENT APRDRG 4461: URETHRAL & TRANSURETHRAL PROCEDURES
|
Facility
|
IP
|
$6,421.95
|
|
Service Code
|
APR-DRG 4461
|
Hospital Charge Code |
APRDRG 4461
|
Min. Negotiated Rate |
$6,116.14 |
Max. Negotiated Rate |
$6,421.95 |
Rate for Payer: BCBS Complete |
$6,421.95
|
Rate for Payer: Mclaren Medicaid |
$6,116.14
|
Rate for Payer: Meridian Medicaid |
$6,421.95
|
Rate for Payer: Priority Health Choice Medicaid |
$6,116.14
|
|
INPATIENT APRDRG 4462: URETHRAL & TRANSURETHRAL PROCEDURES
|
Facility
|
IP
|
$6,788.22
|
|
Service Code
|
APR-DRG 4462
|
Hospital Charge Code |
APRDRG 4462
|
Min. Negotiated Rate |
$6,464.97 |
Max. Negotiated Rate |
$6,788.22 |
Rate for Payer: BCBS Complete |
$6,788.22
|
Rate for Payer: Mclaren Medicaid |
$6,464.97
|
Rate for Payer: Meridian Medicaid |
$6,788.22
|
Rate for Payer: Priority Health Choice Medicaid |
$6,464.97
|
|
INPATIENT APRDRG 4463: URETHRAL & TRANSURETHRAL PROCEDURES
|
Facility
|
IP
|
$10,355.96
|
|
Service Code
|
APR-DRG 4463
|
Hospital Charge Code |
APRDRG 4463
|
Min. Negotiated Rate |
$9,862.82 |
Max. Negotiated Rate |
$10,355.96 |
Rate for Payer: BCBS Complete |
$10,355.96
|
Rate for Payer: Mclaren Medicaid |
$9,862.82
|
Rate for Payer: Meridian Medicaid |
$10,355.96
|
Rate for Payer: Priority Health Choice Medicaid |
$9,862.82
|
|
INPATIENT APRDRG 4464: URETHRAL & TRANSURETHRAL PROCEDURES
|
Facility
|
IP
|
$18,809.90
|
|
Service Code
|
APR-DRG 4464
|
Hospital Charge Code |
APRDRG 4464
|
Min. Negotiated Rate |
$17,914.19 |
Max. Negotiated Rate |
$18,809.90 |
Rate for Payer: BCBS Complete |
$18,809.90
|
Rate for Payer: Mclaren Medicaid |
$17,914.19
|
Rate for Payer: Meridian Medicaid |
$18,809.90
|
Rate for Payer: Priority Health Choice Medicaid |
$17,914.19
|
|
INPATIENT APRDRG 4471: OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES
|
Facility
|
IP
|
$8,225.67
|
|
Service Code
|
APR-DRG 4471
|
Hospital Charge Code |
APRDRG 4471
|
Min. Negotiated Rate |
$7,833.97 |
Max. Negotiated Rate |
$8,225.67 |
Rate for Payer: BCBS Complete |
$8,225.67
|
Rate for Payer: Mclaren Medicaid |
$7,833.97
|
Rate for Payer: Meridian Medicaid |
$8,225.67
|
Rate for Payer: Priority Health Choice Medicaid |
$7,833.97
|
|
INPATIENT APRDRG 4472: OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES
|
Facility
|
IP
|
$9,859.18
|
|
Service Code
|
APR-DRG 4472
|
Hospital Charge Code |
APRDRG 4472
|
Min. Negotiated Rate |
$9,389.70 |
Max. Negotiated Rate |
$9,859.18 |
Rate for Payer: BCBS Complete |
$9,859.18
|
Rate for Payer: Mclaren Medicaid |
$9,389.70
|
Rate for Payer: Meridian Medicaid |
$9,859.18
|
Rate for Payer: Priority Health Choice Medicaid |
$9,389.70
|
|
INPATIENT APRDRG 4473: OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES
|
Facility
|
IP
|
$12,824.93
|
|
Service Code
|
APR-DRG 4473
|
Hospital Charge Code |
APRDRG 4473
|
Min. Negotiated Rate |
$12,214.22 |
Max. Negotiated Rate |
$12,824.93 |
Rate for Payer: BCBS Complete |
$12,824.93
|
Rate for Payer: Mclaren Medicaid |
$12,214.22
|
Rate for Payer: Meridian Medicaid |
$12,824.93
|
Rate for Payer: Priority Health Choice Medicaid |
$12,214.22
|
|
INPATIENT APRDRG 4474: OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES
|
Facility
|
IP
|
$23,334.41
|
|
Service Code
|
APR-DRG 4474
|
Hospital Charge Code |
APRDRG 4474
|
Min. Negotiated Rate |
$22,223.25 |
Max. Negotiated Rate |
$23,334.41 |
Rate for Payer: BCBS Complete |
$23,334.41
|
Rate for Payer: Mclaren Medicaid |
$22,223.25
|
Rate for Payer: Meridian Medicaid |
$23,334.41
|
Rate for Payer: Priority Health Choice Medicaid |
$22,223.25
|
|
INPATIENT APRDRG 4611: KIDNEY & URINARY TRACT MALIGNANCY
|
Facility
|
IP
|
$5,266.24
|
|
Service Code
|
APR-DRG 4611
|
Hospital Charge Code |
APRDRG 4611
|
Min. Negotiated Rate |
$5,015.47 |
Max. Negotiated Rate |
$5,266.24 |
Rate for Payer: BCBS Complete |
$5,266.24
|
Rate for Payer: Mclaren Medicaid |
$5,015.47
|
Rate for Payer: Meridian Medicaid |
$5,266.24
|
Rate for Payer: Priority Health Choice Medicaid |
$5,015.47
|
|
INPATIENT APRDRG 4612: KIDNEY & URINARY TRACT MALIGNANCY
|
Facility
|
IP
|
$5,895.27
|
|
Service Code
|
APR-DRG 4612
|
Hospital Charge Code |
APRDRG 4612
|
Min. Negotiated Rate |
$5,614.54 |
Max. Negotiated Rate |
$5,895.27 |
Rate for Payer: BCBS Complete |
$5,895.27
|
Rate for Payer: Mclaren Medicaid |
$5,614.54
|
Rate for Payer: Meridian Medicaid |
$5,895.27
|
Rate for Payer: Priority Health Choice Medicaid |
$5,614.54
|
|
INPATIENT APRDRG 4613: KIDNEY & URINARY TRACT MALIGNANCY
|
Facility
|
IP
|
$7,871.47
|
|
Service Code
|
APR-DRG 4613
|
Hospital Charge Code |
APRDRG 4613
|
Min. Negotiated Rate |
$7,496.64 |
Max. Negotiated Rate |
$7,871.47 |
Rate for Payer: BCBS Complete |
$7,871.47
|
Rate for Payer: Mclaren Medicaid |
$7,496.64
|
Rate for Payer: Meridian Medicaid |
$7,871.47
|
Rate for Payer: Priority Health Choice Medicaid |
$7,496.64
|
|
INPATIENT APRDRG 4614: KIDNEY & URINARY TRACT MALIGNANCY
|
Facility
|
IP
|
$12,935.90
|
|
Service Code
|
APR-DRG 4614
|
Hospital Charge Code |
APRDRG 4614
|
Min. Negotiated Rate |
$12,319.90 |
Max. Negotiated Rate |
$12,935.90 |
Rate for Payer: BCBS Complete |
$12,935.90
|
Rate for Payer: Mclaren Medicaid |
$12,319.90
|
Rate for Payer: Meridian Medicaid |
$12,935.90
|
Rate for Payer: Priority Health Choice Medicaid |
$12,319.90
|
|
INPATIENT APRDRG 4621: NEPHRITIS & NEPHROSIS
|
Facility
|
IP
|
$3,115.81
|
|
Service Code
|
APR-DRG 4621
|
Hospital Charge Code |
APRDRG 4621
|
Min. Negotiated Rate |
$2,967.44 |
Max. Negotiated Rate |
$3,115.81 |
Rate for Payer: BCBS Complete |
$3,115.81
|
Rate for Payer: Mclaren Medicaid |
$2,967.44
|
Rate for Payer: Meridian Medicaid |
$3,115.81
|
Rate for Payer: Priority Health Choice Medicaid |
$2,967.44
|
|
INPATIENT APRDRG 4622: NEPHRITIS & NEPHROSIS
|
Facility
|
IP
|
$4,321.55
|
|
Service Code
|
APR-DRG 4622
|
Hospital Charge Code |
APRDRG 4622
|
Min. Negotiated Rate |
$4,115.76 |
Max. Negotiated Rate |
$4,321.55 |
Rate for Payer: BCBS Complete |
$4,321.55
|
Rate for Payer: Mclaren Medicaid |
$4,115.76
|
Rate for Payer: Meridian Medicaid |
$4,321.55
|
Rate for Payer: Priority Health Choice Medicaid |
$4,115.76
|
|
INPATIENT APRDRG 4623: NEPHRITIS & NEPHROSIS
|
Facility
|
IP
|
$7,022.23
|
|
Service Code
|
APR-DRG 4623
|
Hospital Charge Code |
APRDRG 4623
|
Min. Negotiated Rate |
$6,687.84 |
Max. Negotiated Rate |
$7,022.23 |
Rate for Payer: BCBS Complete |
$7,022.23
|
Rate for Payer: Mclaren Medicaid |
$6,687.84
|
Rate for Payer: Meridian Medicaid |
$7,022.23
|
Rate for Payer: Priority Health Choice Medicaid |
$6,687.84
|
|
INPATIENT APRDRG 4624: NEPHRITIS & NEPHROSIS
|
Facility
|
IP
|
$18,874.87
|
|
Service Code
|
APR-DRG 4624
|
Hospital Charge Code |
APRDRG 4624
|
Min. Negotiated Rate |
$17,976.07 |
Max. Negotiated Rate |
$18,874.87 |
Rate for Payer: BCBS Complete |
$18,874.87
|
Rate for Payer: Mclaren Medicaid |
$17,976.07
|
Rate for Payer: Meridian Medicaid |
$18,874.87
|
Rate for Payer: Priority Health Choice Medicaid |
$17,976.07
|
|
INPATIENT APRDRG 4631: KIDNEY & URINARY TRACT INFECTIONS
|
Facility
|
IP
|
$3,068.09
|
|
Service Code
|
APR-DRG 4631
|
Hospital Charge Code |
APRDRG 4631
|
Min. Negotiated Rate |
$2,921.99 |
Max. Negotiated Rate |
$3,068.09 |
Rate for Payer: BCBS Complete |
$3,068.09
|
Rate for Payer: Mclaren Medicaid |
$2,921.99
|
Rate for Payer: Meridian Medicaid |
$3,068.09
|
Rate for Payer: Priority Health Choice Medicaid |
$2,921.99
|
|