INPATIENT APRDRG 6504: SPLENECTOMY
|
Facility
|
IP
|
$24,993.80
|
|
Service Code
|
APR-DRG 6504
|
Hospital Charge Code |
APRDRG 6504
|
Min. Negotiated Rate |
$23,803.62 |
Max. Negotiated Rate |
$24,993.80 |
Rate for Payer: BCBS Complete |
$24,993.80
|
Rate for Payer: Mclaren Medicaid |
$23,803.62
|
Rate for Payer: Meridian Medicaid |
$24,993.80
|
Rate for Payer: Priority Health Choice Medicaid |
$23,803.62
|
|
INPATIENT APRDRG 6511: OTHER PROCEDURES OF BLOOD & BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$7,134.93
|
|
Service Code
|
APR-DRG 6511
|
Hospital Charge Code |
APRDRG 6511
|
Min. Negotiated Rate |
$6,795.17 |
Max. Negotiated Rate |
$7,134.93 |
Rate for Payer: BCBS Complete |
$7,134.93
|
Rate for Payer: Mclaren Medicaid |
$6,795.17
|
Rate for Payer: Meridian Medicaid |
$7,134.93
|
Rate for Payer: Priority Health Choice Medicaid |
$6,795.17
|
|
INPATIENT APRDRG 6512: OTHER PROCEDURES OF BLOOD & BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$10,412.89
|
|
Service Code
|
APR-DRG 6512
|
Hospital Charge Code |
APRDRG 6512
|
Min. Negotiated Rate |
$9,917.04 |
Max. Negotiated Rate |
$10,412.89 |
Rate for Payer: BCBS Complete |
$10,412.89
|
Rate for Payer: Mclaren Medicaid |
$9,917.04
|
Rate for Payer: Meridian Medicaid |
$10,412.89
|
Rate for Payer: Priority Health Choice Medicaid |
$9,917.04
|
|
INPATIENT APRDRG 6513: OTHER PROCEDURES OF BLOOD & BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$15,994.80
|
|
Service Code
|
APR-DRG 6513
|
Hospital Charge Code |
APRDRG 6513
|
Min. Negotiated Rate |
$15,233.14 |
Max. Negotiated Rate |
$15,994.80 |
Rate for Payer: BCBS Complete |
$15,994.80
|
Rate for Payer: Mclaren Medicaid |
$15,233.14
|
Rate for Payer: Meridian Medicaid |
$15,994.80
|
Rate for Payer: Priority Health Choice Medicaid |
$15,233.14
|
|
INPATIENT APRDRG 6514: OTHER PROCEDURES OF BLOOD & BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$34,265.35
|
|
Service Code
|
APR-DRG 6514
|
Hospital Charge Code |
APRDRG 6514
|
Min. Negotiated Rate |
$32,633.67 |
Max. Negotiated Rate |
$34,265.35 |
Rate for Payer: BCBS Complete |
$34,265.35
|
Rate for Payer: Mclaren Medicaid |
$32,633.67
|
Rate for Payer: Meridian Medicaid |
$34,265.35
|
Rate for Payer: Priority Health Choice Medicaid |
$32,633.67
|
|
INPATIENT APRDRG 6601: MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL
|
Facility
|
IP
|
$4,881.01
|
|
Service Code
|
APR-DRG 6601
|
Hospital Charge Code |
APRDRG 6601
|
Min. Negotiated Rate |
$4,648.58 |
Max. Negotiated Rate |
$4,881.01 |
Rate for Payer: BCBS Complete |
$4,881.01
|
Rate for Payer: Mclaren Medicaid |
$4,648.58
|
Rate for Payer: Meridian Medicaid |
$4,881.01
|
Rate for Payer: Priority Health Choice Medicaid |
$4,648.58
|
|
INPATIENT APRDRG 6602: MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL
|
Facility
|
IP
|
$5,045.45
|
|
Service Code
|
APR-DRG 6602
|
Hospital Charge Code |
APRDRG 6602
|
Min. Negotiated Rate |
$4,805.19 |
Max. Negotiated Rate |
$5,045.45 |
Rate for Payer: BCBS Complete |
$5,045.45
|
Rate for Payer: Mclaren Medicaid |
$4,805.19
|
Rate for Payer: Meridian Medicaid |
$5,045.45
|
Rate for Payer: Priority Health Choice Medicaid |
$4,805.19
|
|
INPATIENT APRDRG 6603: MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL
|
Facility
|
IP
|
$8,141.72
|
|
Service Code
|
APR-DRG 6603
|
Hospital Charge Code |
APRDRG 6603
|
Min. Negotiated Rate |
$7,754.02 |
Max. Negotiated Rate |
$8,141.72 |
Rate for Payer: BCBS Complete |
$8,141.72
|
Rate for Payer: Mclaren Medicaid |
$7,754.02
|
Rate for Payer: Meridian Medicaid |
$8,141.72
|
Rate for Payer: Priority Health Choice Medicaid |
$7,754.02
|
|
INPATIENT APRDRG 6604: MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL
|
Facility
|
IP
|
$20,134.65
|
|
Service Code
|
APR-DRG 6604
|
Hospital Charge Code |
APRDRG 6604
|
Min. Negotiated Rate |
$19,175.86 |
Max. Negotiated Rate |
$20,134.65 |
Rate for Payer: BCBS Complete |
$20,134.65
|
Rate for Payer: Mclaren Medicaid |
$19,175.86
|
Rate for Payer: Meridian Medicaid |
$20,134.65
|
Rate for Payer: Priority Health Choice Medicaid |
$19,175.86
|
|
INPATIENT APRDRG 6611: COAGULATION & PLATELET DISORDERS
|
Facility
|
IP
|
$4,772.91
|
|
Service Code
|
APR-DRG 6611
|
Hospital Charge Code |
APRDRG 6611
|
Min. Negotiated Rate |
$4,545.63 |
Max. Negotiated Rate |
$4,772.91 |
Rate for Payer: BCBS Complete |
$4,772.91
|
Rate for Payer: Mclaren Medicaid |
$4,545.63
|
Rate for Payer: Meridian Medicaid |
$4,772.91
|
Rate for Payer: Priority Health Choice Medicaid |
$4,545.63
|
|
INPATIENT APRDRG 6612: COAGULATION & PLATELET DISORDERS
|
Facility
|
IP
|
$7,601.23
|
|
Service Code
|
APR-DRG 6612
|
Hospital Charge Code |
APRDRG 6612
|
Min. Negotiated Rate |
$7,239.27 |
Max. Negotiated Rate |
$7,601.23 |
Rate for Payer: BCBS Complete |
$7,601.23
|
Rate for Payer: Mclaren Medicaid |
$7,239.27
|
Rate for Payer: Meridian Medicaid |
$7,601.23
|
Rate for Payer: Priority Health Choice Medicaid |
$7,239.27
|
|
INPATIENT APRDRG 6613: COAGULATION & PLATELET DISORDERS
|
Facility
|
IP
|
$13,981.79
|
|
Service Code
|
APR-DRG 6613
|
Hospital Charge Code |
APRDRG 6613
|
Min. Negotiated Rate |
$13,315.99 |
Max. Negotiated Rate |
$13,981.79 |
Rate for Payer: BCBS Complete |
$13,981.79
|
Rate for Payer: Mclaren Medicaid |
$13,315.99
|
Rate for Payer: Meridian Medicaid |
$13,981.79
|
Rate for Payer: Priority Health Choice Medicaid |
$13,315.99
|
|
INPATIENT APRDRG 6614: COAGULATION & PLATELET DISORDERS
|
Facility
|
IP
|
$26,033.94
|
|
Service Code
|
APR-DRG 6614
|
Hospital Charge Code |
APRDRG 6614
|
Min. Negotiated Rate |
$24,794.23 |
Max. Negotiated Rate |
$26,033.94 |
Rate for Payer: BCBS Complete |
$26,033.94
|
Rate for Payer: Mclaren Medicaid |
$24,794.23
|
Rate for Payer: Meridian Medicaid |
$26,033.94
|
Rate for Payer: Priority Health Choice Medicaid |
$24,794.23
|
|
INPATIENT APRDRG 6621: SICKLE CELL ANEMIA CRISIS
|
Facility
|
IP
|
$3,161.24
|
|
Service Code
|
APR-DRG 6621
|
Hospital Charge Code |
APRDRG 6621
|
Min. Negotiated Rate |
$3,010.70 |
Max. Negotiated Rate |
$3,161.24 |
Rate for Payer: BCBS Complete |
$3,161.24
|
Rate for Payer: Mclaren Medicaid |
$3,010.70
|
Rate for Payer: Meridian Medicaid |
$3,161.24
|
Rate for Payer: Priority Health Choice Medicaid |
$3,010.70
|
|
INPATIENT APRDRG 6622: SICKLE CELL ANEMIA CRISIS
|
Facility
|
IP
|
$4,526.25
|
|
Service Code
|
APR-DRG 6622
|
Hospital Charge Code |
APRDRG 6622
|
Min. Negotiated Rate |
$4,310.71 |
Max. Negotiated Rate |
$4,526.25 |
Rate for Payer: BCBS Complete |
$4,526.25
|
Rate for Payer: Mclaren Medicaid |
$4,310.71
|
Rate for Payer: Meridian Medicaid |
$4,526.25
|
Rate for Payer: Priority Health Choice Medicaid |
$4,310.71
|
|
INPATIENT APRDRG 6623: SICKLE CELL ANEMIA CRISIS
|
Facility
|
IP
|
$7,237.27
|
|
Service Code
|
APR-DRG 6623
|
Hospital Charge Code |
APRDRG 6623
|
Min. Negotiated Rate |
$6,892.64 |
Max. Negotiated Rate |
$7,237.27 |
Rate for Payer: BCBS Complete |
$7,237.27
|
Rate for Payer: Mclaren Medicaid |
$6,892.64
|
Rate for Payer: Meridian Medicaid |
$7,237.27
|
Rate for Payer: Priority Health Choice Medicaid |
$6,892.64
|
|
INPATIENT APRDRG 6624: SICKLE CELL ANEMIA CRISIS
|
Facility
|
IP
|
$12,624.83
|
|
Service Code
|
APR-DRG 6624
|
Hospital Charge Code |
APRDRG 6624
|
Min. Negotiated Rate |
$12,023.65 |
Max. Negotiated Rate |
$12,624.83 |
Rate for Payer: BCBS Complete |
$12,624.83
|
Rate for Payer: Mclaren Medicaid |
$12,023.65
|
Rate for Payer: Meridian Medicaid |
$12,624.83
|
Rate for Payer: Priority Health Choice Medicaid |
$12,023.65
|
|
INPATIENT APRDRG 6631: OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$3,250.36
|
|
Service Code
|
APR-DRG 6631
|
Hospital Charge Code |
APRDRG 6631
|
Min. Negotiated Rate |
$3,095.58 |
Max. Negotiated Rate |
$3,250.36 |
Rate for Payer: BCBS Complete |
$3,250.36
|
Rate for Payer: Mclaren Medicaid |
$3,095.58
|
Rate for Payer: Meridian Medicaid |
$3,250.36
|
Rate for Payer: Priority Health Choice Medicaid |
$3,095.58
|
|
INPATIENT APRDRG 6632: OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$4,594.09
|
|
Service Code
|
APR-DRG 6632
|
Hospital Charge Code |
APRDRG 6632
|
Min. Negotiated Rate |
$4,375.32 |
Max. Negotiated Rate |
$4,594.09 |
Rate for Payer: BCBS Complete |
$4,594.09
|
Rate for Payer: Mclaren Medicaid |
$4,375.32
|
Rate for Payer: Meridian Medicaid |
$4,594.09
|
Rate for Payer: Priority Health Choice Medicaid |
$4,375.32
|
|
INPATIENT APRDRG 6633: OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$6,798.56
|
|
Service Code
|
APR-DRG 6633
|
Hospital Charge Code |
APRDRG 6633
|
Min. Negotiated Rate |
$6,474.82 |
Max. Negotiated Rate |
$6,798.56 |
Rate for Payer: BCBS Complete |
$6,798.56
|
Rate for Payer: Mclaren Medicaid |
$6,474.82
|
Rate for Payer: Meridian Medicaid |
$6,798.56
|
Rate for Payer: Priority Health Choice Medicaid |
$6,474.82
|
|
INPATIENT APRDRG 6634: OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS
|
Facility
|
IP
|
$10,943.59
|
|
Service Code
|
APR-DRG 6634
|
Hospital Charge Code |
APRDRG 6634
|
Min. Negotiated Rate |
$10,422.47 |
Max. Negotiated Rate |
$10,943.59 |
Rate for Payer: BCBS Complete |
$10,943.59
|
Rate for Payer: Mclaren Medicaid |
$10,422.47
|
Rate for Payer: Meridian Medicaid |
$10,943.59
|
Rate for Payer: Priority Health Choice Medicaid |
$10,422.47
|
|
INPATIENT APRDRG 6801: MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS
|
Facility
|
IP
|
$11,039.62
|
|
Service Code
|
APR-DRG 6801
|
Hospital Charge Code |
APRDRG 6801
|
Min. Negotiated Rate |
$10,513.92 |
Max. Negotiated Rate |
$11,039.62 |
Rate for Payer: BCBS Complete |
$11,039.62
|
Rate for Payer: Mclaren Medicaid |
$10,513.92
|
Rate for Payer: Meridian Medicaid |
$11,039.62
|
Rate for Payer: Priority Health Choice Medicaid |
$10,513.92
|
|
INPATIENT APRDRG 6802: MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS
|
Facility
|
IP
|
$14,818.39
|
|
Service Code
|
APR-DRG 6802
|
Hospital Charge Code |
APRDRG 6802
|
Min. Negotiated Rate |
$14,112.75 |
Max. Negotiated Rate |
$14,818.39 |
Rate for Payer: BCBS Complete |
$14,818.39
|
Rate for Payer: Mclaren Medicaid |
$14,112.75
|
Rate for Payer: Meridian Medicaid |
$14,818.39
|
Rate for Payer: Priority Health Choice Medicaid |
$14,112.75
|
|
INPATIENT APRDRG 6803: MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS
|
Facility
|
IP
|
$21,466.30
|
|
Service Code
|
APR-DRG 6803
|
Hospital Charge Code |
APRDRG 6803
|
Min. Negotiated Rate |
$20,444.10 |
Max. Negotiated Rate |
$21,466.30 |
Rate for Payer: BCBS Complete |
$21,466.30
|
Rate for Payer: Mclaren Medicaid |
$20,444.10
|
Rate for Payer: Meridian Medicaid |
$21,466.30
|
Rate for Payer: Priority Health Choice Medicaid |
$20,444.10
|
|
INPATIENT APRDRG 6804: MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS
|
Facility
|
IP
|
$47,490.47
|
|
Service Code
|
APR-DRG 6804
|
Hospital Charge Code |
APRDRG 6804
|
Min. Negotiated Rate |
$45,229.02 |
Max. Negotiated Rate |
$47,490.47 |
Rate for Payer: BCBS Complete |
$47,490.47
|
Rate for Payer: Mclaren Medicaid |
$45,229.02
|
Rate for Payer: Meridian Medicaid |
$47,490.47
|
Rate for Payer: Priority Health Choice Medicaid |
$45,229.02
|
|