INPATIENT APRDRG 4632: KIDNEY & URINARY TRACT INFECTIONS
|
Facility
|
IP
|
$3,596.50
|
|
Service Code
|
APR-DRG 4632
|
Hospital Charge Code |
APRDRG 4632
|
Min. Negotiated Rate |
$3,425.24 |
Max. Negotiated Rate |
$3,596.50 |
Rate for Payer: BCBS Complete |
$3,596.50
|
Rate for Payer: Mclaren Medicaid |
$3,425.24
|
Rate for Payer: Meridian Medicaid |
$3,596.50
|
Rate for Payer: Priority Health Choice Medicaid |
$3,425.24
|
|
INPATIENT APRDRG 4633: KIDNEY & URINARY TRACT INFECTIONS
|
Facility
|
IP
|
$5,035.67
|
|
Service Code
|
APR-DRG 4633
|
Hospital Charge Code |
APRDRG 4633
|
Min. Negotiated Rate |
$4,795.88 |
Max. Negotiated Rate |
$5,035.67 |
Rate for Payer: BCBS Complete |
$5,035.67
|
Rate for Payer: Mclaren Medicaid |
$4,795.88
|
Rate for Payer: Meridian Medicaid |
$5,035.67
|
Rate for Payer: Priority Health Choice Medicaid |
$4,795.88
|
|
INPATIENT APRDRG 4634: KIDNEY & URINARY TRACT INFECTIONS
|
Facility
|
IP
|
$8,114.12
|
|
Service Code
|
APR-DRG 4634
|
Hospital Charge Code |
APRDRG 4634
|
Min. Negotiated Rate |
$7,727.73 |
Max. Negotiated Rate |
$8,114.12 |
Rate for Payer: BCBS Complete |
$8,114.12
|
Rate for Payer: Mclaren Medicaid |
$7,727.73
|
Rate for Payer: Meridian Medicaid |
$8,114.12
|
Rate for Payer: Priority Health Choice Medicaid |
$7,727.73
|
|
INPATIENT APRDRG 4651: URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION
|
Facility
|
IP
|
$4,320.97
|
|
Service Code
|
APR-DRG 4651
|
Hospital Charge Code |
APRDRG 4651
|
Min. Negotiated Rate |
$4,115.21 |
Max. Negotiated Rate |
$4,320.97 |
Rate for Payer: BCBS Complete |
$4,320.97
|
Rate for Payer: Mclaren Medicaid |
$4,115.21
|
Rate for Payer: Meridian Medicaid |
$4,320.97
|
Rate for Payer: Priority Health Choice Medicaid |
$4,115.21
|
|
INPATIENT APRDRG 4652: URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION
|
Facility
|
IP
|
$4,519.91
|
|
Service Code
|
APR-DRG 4652
|
Hospital Charge Code |
APRDRG 4652
|
Min. Negotiated Rate |
$4,304.68 |
Max. Negotiated Rate |
$4,519.91 |
Rate for Payer: BCBS Complete |
$4,519.91
|
Rate for Payer: Mclaren Medicaid |
$4,304.68
|
Rate for Payer: Meridian Medicaid |
$4,519.91
|
Rate for Payer: Priority Health Choice Medicaid |
$4,304.68
|
|
INPATIENT APRDRG 4653: URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION
|
Facility
|
IP
|
$6,148.26
|
|
Service Code
|
APR-DRG 4653
|
Hospital Charge Code |
APRDRG 4653
|
Min. Negotiated Rate |
$5,855.49 |
Max. Negotiated Rate |
$6,148.26 |
Rate for Payer: BCBS Complete |
$6,148.26
|
Rate for Payer: Mclaren Medicaid |
$5,855.49
|
Rate for Payer: Meridian Medicaid |
$6,148.26
|
Rate for Payer: Priority Health Choice Medicaid |
$5,855.49
|
|
INPATIENT APRDRG 4654: URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION
|
Facility
|
IP
|
$10,721.66
|
|
Service Code
|
APR-DRG 4654
|
Hospital Charge Code |
APRDRG 4654
|
Min. Negotiated Rate |
$10,211.10 |
Max. Negotiated Rate |
$10,721.66 |
Rate for Payer: BCBS Complete |
$10,721.66
|
Rate for Payer: Mclaren Medicaid |
$10,211.10
|
Rate for Payer: Meridian Medicaid |
$10,721.66
|
Rate for Payer: Priority Health Choice Medicaid |
$10,211.10
|
|
INPATIENT APRDRG 4661: MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC
|
Facility
|
IP
|
$3,127.32
|
|
Service Code
|
APR-DRG 4661
|
Hospital Charge Code |
APRDRG 4661
|
Min. Negotiated Rate |
$2,978.40 |
Max. Negotiated Rate |
$3,127.32 |
Rate for Payer: BCBS Complete |
$3,127.32
|
Rate for Payer: Mclaren Medicaid |
$2,978.40
|
Rate for Payer: Meridian Medicaid |
$3,127.32
|
Rate for Payer: Priority Health Choice Medicaid |
$2,978.40
|
|
INPATIENT APRDRG 4662: MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC
|
Facility
|
IP
|
$4,128.36
|
|
Service Code
|
APR-DRG 4662
|
Hospital Charge Code |
APRDRG 4662
|
Min. Negotiated Rate |
$3,931.77 |
Max. Negotiated Rate |
$4,128.36 |
Rate for Payer: BCBS Complete |
$4,128.36
|
Rate for Payer: Mclaren Medicaid |
$3,931.77
|
Rate for Payer: Meridian Medicaid |
$4,128.36
|
Rate for Payer: Priority Health Choice Medicaid |
$3,931.77
|
|
INPATIENT APRDRG 4663: MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC
|
Facility
|
IP
|
$5,838.35
|
|
Service Code
|
APR-DRG 4663
|
Hospital Charge Code |
APRDRG 4663
|
Min. Negotiated Rate |
$5,560.33 |
Max. Negotiated Rate |
$5,838.35 |
Rate for Payer: BCBS Complete |
$5,838.35
|
Rate for Payer: Mclaren Medicaid |
$5,560.33
|
Rate for Payer: Meridian Medicaid |
$5,838.35
|
Rate for Payer: Priority Health Choice Medicaid |
$5,560.33
|
|
INPATIENT APRDRG 4664: MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC
|
Facility
|
IP
|
$8,152.06
|
|
Service Code
|
APR-DRG 4664
|
Hospital Charge Code |
APRDRG 4664
|
Min. Negotiated Rate |
$7,763.87 |
Max. Negotiated Rate |
$8,152.06 |
Rate for Payer: BCBS Complete |
$8,152.06
|
Rate for Payer: Mclaren Medicaid |
$7,763.87
|
Rate for Payer: Meridian Medicaid |
$8,152.06
|
Rate for Payer: Priority Health Choice Medicaid |
$7,763.87
|
|
INPATIENT APRDRG 4681: OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS
|
Facility
|
IP
|
$3,844.31
|
|
Service Code
|
APR-DRG 4681
|
Hospital Charge Code |
APRDRG 4681
|
Min. Negotiated Rate |
$3,661.25 |
Max. Negotiated Rate |
$3,844.31 |
Rate for Payer: BCBS Complete |
$3,844.31
|
Rate for Payer: Mclaren Medicaid |
$3,661.25
|
Rate for Payer: Meridian Medicaid |
$3,844.31
|
Rate for Payer: Priority Health Choice Medicaid |
$3,661.25
|
|
INPATIENT APRDRG 4682: OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS
|
Facility
|
IP
|
$4,347.42
|
|
Service Code
|
APR-DRG 4682
|
Hospital Charge Code |
APRDRG 4682
|
Min. Negotiated Rate |
$4,140.40 |
Max. Negotiated Rate |
$4,347.42 |
Rate for Payer: BCBS Complete |
$4,347.42
|
Rate for Payer: Mclaren Medicaid |
$4,140.40
|
Rate for Payer: Meridian Medicaid |
$4,347.42
|
Rate for Payer: Priority Health Choice Medicaid |
$4,140.40
|
|
INPATIENT APRDRG 4683: OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS
|
Facility
|
IP
|
$6,105.71
|
|
Service Code
|
APR-DRG 4683
|
Hospital Charge Code |
APRDRG 4683
|
Min. Negotiated Rate |
$5,814.96 |
Max. Negotiated Rate |
$6,105.71 |
Rate for Payer: BCBS Complete |
$6,105.71
|
Rate for Payer: Mclaren Medicaid |
$5,814.96
|
Rate for Payer: Meridian Medicaid |
$6,105.71
|
Rate for Payer: Priority Health Choice Medicaid |
$5,814.96
|
|
INPATIENT APRDRG 4684: OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS
|
Facility
|
IP
|
$9,789.03
|
|
Service Code
|
APR-DRG 4684
|
Hospital Charge Code |
APRDRG 4684
|
Min. Negotiated Rate |
$9,322.89 |
Max. Negotiated Rate |
$9,789.03 |
Rate for Payer: BCBS Complete |
$9,789.03
|
Rate for Payer: Mclaren Medicaid |
$9,322.89
|
Rate for Payer: Meridian Medicaid |
$9,789.03
|
Rate for Payer: Priority Health Choice Medicaid |
$9,322.89
|
|
INPATIENT APRDRG 4691: ACUTE KIDNEY INJURY
|
Facility
|
IP
|
$2,935.85
|
|
Service Code
|
APR-DRG 4691
|
Hospital Charge Code |
APRDRG 4691
|
Min. Negotiated Rate |
$2,796.05 |
Max. Negotiated Rate |
$2,935.85 |
Rate for Payer: BCBS Complete |
$2,935.85
|
Rate for Payer: Mclaren Medicaid |
$2,796.05
|
Rate for Payer: Meridian Medicaid |
$2,935.85
|
Rate for Payer: Priority Health Choice Medicaid |
$2,796.05
|
|
INPATIENT APRDRG 4692: ACUTE KIDNEY INJURY
|
Facility
|
IP
|
$3,978.28
|
|
Service Code
|
APR-DRG 4692
|
Hospital Charge Code |
APRDRG 4692
|
Min. Negotiated Rate |
$3,788.84 |
Max. Negotiated Rate |
$3,978.28 |
Rate for Payer: BCBS Complete |
$3,978.28
|
Rate for Payer: Mclaren Medicaid |
$3,788.84
|
Rate for Payer: Meridian Medicaid |
$3,978.28
|
Rate for Payer: Priority Health Choice Medicaid |
$3,788.84
|
|
INPATIENT APRDRG 4693: ACUTE KIDNEY INJURY
|
Facility
|
IP
|
$6,679.54
|
|
Service Code
|
APR-DRG 4693
|
Hospital Charge Code |
APRDRG 4693
|
Min. Negotiated Rate |
$6,361.47 |
Max. Negotiated Rate |
$6,679.54 |
Rate for Payer: BCBS Complete |
$6,679.54
|
Rate for Payer: Mclaren Medicaid |
$6,361.47
|
Rate for Payer: Meridian Medicaid |
$6,679.54
|
Rate for Payer: Priority Health Choice Medicaid |
$6,361.47
|
|
INPATIENT APRDRG 4694: ACUTE KIDNEY INJURY
|
Facility
|
IP
|
$13,779.39
|
|
Service Code
|
APR-DRG 4694
|
Hospital Charge Code |
APRDRG 4694
|
Min. Negotiated Rate |
$13,123.23 |
Max. Negotiated Rate |
$13,779.39 |
Rate for Payer: BCBS Complete |
$13,779.39
|
Rate for Payer: Mclaren Medicaid |
$13,123.23
|
Rate for Payer: Meridian Medicaid |
$13,779.39
|
Rate for Payer: Priority Health Choice Medicaid |
$13,123.23
|
|
INPATIENT APRDRG 4701: CHRONIC KIDNEY DISEASE
|
Facility
|
IP
|
$2,983.58
|
|
Service Code
|
APR-DRG 4701
|
Hospital Charge Code |
APRDRG 4701
|
Min. Negotiated Rate |
$2,841.50 |
Max. Negotiated Rate |
$2,983.58 |
Rate for Payer: BCBS Complete |
$2,983.58
|
Rate for Payer: Mclaren Medicaid |
$2,841.50
|
Rate for Payer: Meridian Medicaid |
$2,983.58
|
Rate for Payer: Priority Health Choice Medicaid |
$2,841.50
|
|
INPATIENT APRDRG 4702: CHRONIC KIDNEY DISEASE
|
Facility
|
IP
|
$3,916.18
|
|
Service Code
|
APR-DRG 4702
|
Hospital Charge Code |
APRDRG 4702
|
Min. Negotiated Rate |
$3,729.70 |
Max. Negotiated Rate |
$3,916.18 |
Rate for Payer: BCBS Complete |
$3,916.18
|
Rate for Payer: Mclaren Medicaid |
$3,729.70
|
Rate for Payer: Meridian Medicaid |
$3,916.18
|
Rate for Payer: Priority Health Choice Medicaid |
$3,729.70
|
|
INPATIENT APRDRG 4703: CHRONIC KIDNEY DISEASE
|
Facility
|
IP
|
$6,381.70
|
|
Service Code
|
APR-DRG 4703
|
Hospital Charge Code |
APRDRG 4703
|
Min. Negotiated Rate |
$6,077.81 |
Max. Negotiated Rate |
$6,381.70 |
Rate for Payer: BCBS Complete |
$6,381.70
|
Rate for Payer: Mclaren Medicaid |
$6,077.81
|
Rate for Payer: Meridian Medicaid |
$6,381.70
|
Rate for Payer: Priority Health Choice Medicaid |
$6,077.81
|
|
INPATIENT APRDRG 4704: CHRONIC KIDNEY DISEASE
|
Facility
|
IP
|
$13,202.69
|
|
Service Code
|
APR-DRG 4704
|
Hospital Charge Code |
APRDRG 4704
|
Min. Negotiated Rate |
$12,573.99 |
Max. Negotiated Rate |
$13,202.69 |
Rate for Payer: BCBS Complete |
$13,202.69
|
Rate for Payer: Mclaren Medicaid |
$12,573.99
|
Rate for Payer: Meridian Medicaid |
$13,202.69
|
Rate for Payer: Priority Health Choice Medicaid |
$12,573.99
|
|
INPATIENT APRDRG 4801: MAJOR MALE PELVIC PROCEDURES
|
Facility
|
IP
|
$10,392.76
|
|
Service Code
|
APR-DRG 4801
|
Hospital Charge Code |
APRDRG 4801
|
Min. Negotiated Rate |
$9,897.87 |
Max. Negotiated Rate |
$10,392.76 |
Rate for Payer: BCBS Complete |
$10,392.76
|
Rate for Payer: Mclaren Medicaid |
$9,897.87
|
Rate for Payer: Meridian Medicaid |
$10,392.76
|
Rate for Payer: Priority Health Choice Medicaid |
$9,897.87
|
|
INPATIENT APRDRG 4802: MAJOR MALE PELVIC PROCEDURES
|
Facility
|
IP
|
$11,080.44
|
|
Service Code
|
APR-DRG 4802
|
Hospital Charge Code |
APRDRG 4802
|
Min. Negotiated Rate |
$10,552.80 |
Max. Negotiated Rate |
$11,080.44 |
Rate for Payer: BCBS Complete |
$11,080.44
|
Rate for Payer: Mclaren Medicaid |
$10,552.80
|
Rate for Payer: Meridian Medicaid |
$11,080.44
|
Rate for Payer: Priority Health Choice Medicaid |
$10,552.80
|
|