INPATIENT APRDRG 6811: OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS
|
Facility
|
IP
|
$9,222.68
|
|
Service Code
|
APR-DRG 6811
|
Hospital Charge Code |
APRDRG 6811
|
Min. Negotiated Rate |
$8,783.50 |
Max. Negotiated Rate |
$9,222.68 |
Rate for Payer: BCBS Complete |
$9,222.68
|
Rate for Payer: Mclaren Medicaid |
$8,783.50
|
Rate for Payer: Meridian Medicaid |
$9,222.68
|
Rate for Payer: Priority Health Choice Medicaid |
$8,783.50
|
|
INPATIENT APRDRG 6812: OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS
|
Facility
|
IP
|
$11,781.34
|
|
Service Code
|
APR-DRG 6812
|
Hospital Charge Code |
APRDRG 6812
|
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 6813: OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS
|
Facility
|
IP
|
$15,387.61
|
|
Service Code
|
APR-DRG 6813
|
Hospital Charge Code |
APRDRG 6813
|
Min. Negotiated Rate |
$14,654.87 |
Max. Negotiated Rate |
$15,387.61 |
Rate for Payer: BCBS Complete |
$15,387.61
|
Rate for Payer: Mclaren Medicaid |
$14,654.87
|
Rate for Payer: Meridian Medicaid |
$15,387.61
|
Rate for Payer: Priority Health Choice Medicaid |
$14,654.87
|
|
INPATIENT APRDRG 6814: OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS
|
Facility
|
IP
|
$38,843.92
|
|
Service Code
|
APR-DRG 6814
|
Hospital Charge Code |
APRDRG 6814
|
Min. Negotiated Rate |
$36,994.21 |
Max. Negotiated Rate |
$38,843.92 |
Rate for Payer: BCBS Complete |
$38,843.92
|
Rate for Payer: Mclaren Medicaid |
$36,994.21
|
Rate for Payer: Meridian Medicaid |
$38,843.92
|
Rate for Payer: Priority Health Choice Medicaid |
$36,994.21
|
|
INPATIENT APRDRG 6901: ACUTE LEUKEMIA
|
Facility
|
IP
|
$11,229.36
|
|
Service Code
|
APR-DRG 6901
|
Hospital Charge Code |
APRDRG 6901
|
Min. Negotiated Rate |
$10,694.63 |
Max. Negotiated Rate |
$11,229.36 |
Rate for Payer: BCBS Complete |
$11,229.36
|
Rate for Payer: Mclaren Medicaid |
$10,694.63
|
Rate for Payer: Meridian Medicaid |
$11,229.36
|
Rate for Payer: Priority Health Choice Medicaid |
$10,694.63
|
|
INPATIENT APRDRG 6902: ACUTE LEUKEMIA
|
Facility
|
IP
|
$16,883.14
|
|
Service Code
|
APR-DRG 6902
|
Hospital Charge Code |
APRDRG 6902
|
Min. Negotiated Rate |
$16,079.18 |
Max. Negotiated Rate |
$16,883.14 |
Rate for Payer: BCBS Complete |
$16,883.14
|
Rate for Payer: Mclaren Medicaid |
$16,079.18
|
Rate for Payer: Meridian Medicaid |
$16,883.14
|
Rate for Payer: Priority Health Choice Medicaid |
$16,079.18
|
|
INPATIENT APRDRG 6903: ACUTE LEUKEMIA
|
Facility
|
IP
|
$29,036.49
|
|
Service Code
|
APR-DRG 6903
|
Hospital Charge Code |
APRDRG 6903
|
Min. Negotiated Rate |
$27,653.80 |
Max. Negotiated Rate |
$29,036.49 |
Rate for Payer: BCBS Complete |
$29,036.49
|
Rate for Payer: Mclaren Medicaid |
$27,653.80
|
Rate for Payer: Meridian Medicaid |
$29,036.49
|
Rate for Payer: Priority Health Choice Medicaid |
$27,653.80
|
|
INPATIENT APRDRG 6904: ACUTE LEUKEMIA
|
Facility
|
IP
|
$44,287.26
|
|
Service Code
|
APR-DRG 6904
|
Hospital Charge Code |
APRDRG 6904
|
Min. Negotiated Rate |
$42,178.34 |
Max. Negotiated Rate |
$44,287.26 |
Rate for Payer: BCBS Complete |
$44,287.26
|
Rate for Payer: Mclaren Medicaid |
$42,178.34
|
Rate for Payer: Meridian Medicaid |
$44,287.26
|
Rate for Payer: Priority Health Choice Medicaid |
$42,178.34
|
|
INPATIENT APRDRG 6911: LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA
|
Facility
|
IP
|
$6,598.47
|
|
Service Code
|
APR-DRG 6911
|
Hospital Charge Code |
APRDRG 6911
|
Min. Negotiated Rate |
$6,284.26 |
Max. Negotiated Rate |
$6,598.47 |
Rate for Payer: BCBS Complete |
$6,598.47
|
Rate for Payer: Mclaren Medicaid |
$6,284.26
|
Rate for Payer: Meridian Medicaid |
$6,598.47
|
Rate for Payer: Priority Health Choice Medicaid |
$6,284.26
|
|
INPATIENT APRDRG 6912: LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA
|
Facility
|
IP
|
$9,168.63
|
|
Service Code
|
APR-DRG 6912
|
Hospital Charge Code |
APRDRG 6912
|
Min. Negotiated Rate |
$8,732.03 |
Max. Negotiated Rate |
$9,168.63 |
Rate for Payer: BCBS Complete |
$9,168.63
|
Rate for Payer: Mclaren Medicaid |
$8,732.03
|
Rate for Payer: Meridian Medicaid |
$9,168.63
|
Rate for Payer: Priority Health Choice Medicaid |
$8,732.03
|
|
INPATIENT APRDRG 6913: LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA
|
Facility
|
IP
|
$15,051.82
|
|
Service Code
|
APR-DRG 6913
|
Hospital Charge Code |
APRDRG 6913
|
Min. Negotiated Rate |
$14,335.07 |
Max. Negotiated Rate |
$15,051.82 |
Rate for Payer: BCBS Complete |
$15,051.82
|
Rate for Payer: Mclaren Medicaid |
$14,335.07
|
Rate for Payer: Meridian Medicaid |
$15,051.82
|
Rate for Payer: Priority Health Choice Medicaid |
$14,335.07
|
|
INPATIENT APRDRG 6914: LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA
|
Facility
|
IP
|
$23,069.92
|
|
Service Code
|
APR-DRG 6914
|
Hospital Charge Code |
APRDRG 6914
|
Min. Negotiated Rate |
$21,971.35 |
Max. Negotiated Rate |
$23,069.92 |
Rate for Payer: BCBS Complete |
$23,069.92
|
Rate for Payer: Mclaren Medicaid |
$21,971.35
|
Rate for Payer: Meridian Medicaid |
$23,069.92
|
Rate for Payer: Priority Health Choice Medicaid |
$21,971.35
|
|
INPATIENT APRDRG 6921: RADIOTHERAPY
|
Facility
|
IP
|
$4,933.91
|
|
Service Code
|
APR-DRG 6921
|
Hospital Charge Code |
APRDRG 6921
|
Min. Negotiated Rate |
$4,698.96 |
Max. Negotiated Rate |
$4,933.91 |
Rate for Payer: BCBS Complete |
$4,933.91
|
Rate for Payer: Mclaren Medicaid |
$4,698.96
|
Rate for Payer: Meridian Medicaid |
$4,933.91
|
Rate for Payer: Priority Health Choice Medicaid |
$4,698.96
|
|
INPATIENT APRDRG 6922: RADIOTHERAPY
|
Facility
|
IP
|
$10,262.82
|
|
Service Code
|
APR-DRG 6922
|
Hospital Charge Code |
APRDRG 6922
|
Min. Negotiated Rate |
$9,774.11 |
Max. Negotiated Rate |
$10,262.82 |
Rate for Payer: BCBS Complete |
$10,262.82
|
Rate for Payer: Mclaren Medicaid |
$9,774.11
|
Rate for Payer: Meridian Medicaid |
$10,262.82
|
Rate for Payer: Priority Health Choice Medicaid |
$9,774.11
|
|
INPATIENT APRDRG 6923: RADIOTHERAPY
|
Facility
|
IP
|
$13,581.60
|
|
Service Code
|
APR-DRG 6923
|
Hospital Charge Code |
APRDRG 6923
|
Min. Negotiated Rate |
$12,934.86 |
Max. Negotiated Rate |
$13,581.60 |
Rate for Payer: BCBS Complete |
$13,581.60
|
Rate for Payer: Mclaren Medicaid |
$12,934.86
|
Rate for Payer: Meridian Medicaid |
$13,581.60
|
Rate for Payer: Priority Health Choice Medicaid |
$12,934.86
|
|
INPATIENT APRDRG 6924: RADIOTHERAPY
|
Facility
|
IP
|
$19,334.28
|
|
Service Code
|
APR-DRG 6924
|
Hospital Charge Code |
APRDRG 6924
|
Min. Negotiated Rate |
$18,413.60 |
Max. Negotiated Rate |
$19,334.28 |
Rate for Payer: BCBS Complete |
$19,334.28
|
Rate for Payer: Mclaren Medicaid |
$18,413.60
|
Rate for Payer: Meridian Medicaid |
$19,334.28
|
Rate for Payer: Priority Health Choice Medicaid |
$18,413.60
|
|
INPATIENT APRDRG 6941: LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR
|
Facility
|
IP
|
$4,827.53
|
|
Service Code
|
APR-DRG 6941
|
Hospital Charge Code |
APRDRG 6941
|
Min. Negotiated Rate |
$4,597.65 |
Max. Negotiated Rate |
$4,827.53 |
Rate for Payer: BCBS Complete |
$4,827.53
|
Rate for Payer: Mclaren Medicaid |
$4,597.65
|
Rate for Payer: Meridian Medicaid |
$4,827.53
|
Rate for Payer: Priority Health Choice Medicaid |
$4,597.65
|
|
INPATIENT APRDRG 6942: LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR
|
Facility
|
IP
|
$6,013.72
|
|
Service Code
|
APR-DRG 6942
|
Hospital Charge Code |
APRDRG 6942
|
Min. Negotiated Rate |
$5,727.35 |
Max. Negotiated Rate |
$6,013.72 |
Rate for Payer: BCBS Complete |
$6,013.72
|
Rate for Payer: Mclaren Medicaid |
$5,727.35
|
Rate for Payer: Meridian Medicaid |
$6,013.72
|
Rate for Payer: Priority Health Choice Medicaid |
$5,727.35
|
|
INPATIENT APRDRG 6943: LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR
|
Facility
|
IP
|
$7,610.43
|
|
Service Code
|
APR-DRG 6943
|
Hospital Charge Code |
APRDRG 6943
|
Min. Negotiated Rate |
$7,248.03 |
Max. Negotiated Rate |
$7,610.43 |
Rate for Payer: BCBS Complete |
$7,610.43
|
Rate for Payer: Mclaren Medicaid |
$7,248.03
|
Rate for Payer: Meridian Medicaid |
$7,610.43
|
Rate for Payer: Priority Health Choice Medicaid |
$7,248.03
|
|
INPATIENT APRDRG 6944: LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR
|
Facility
|
IP
|
$12,444.30
|
|
Service Code
|
APR-DRG 6944
|
Hospital Charge Code |
APRDRG 6944
|
Min. Negotiated Rate |
$11,851.71 |
Max. Negotiated Rate |
$12,444.30 |
Rate for Payer: BCBS Complete |
$12,444.30
|
Rate for Payer: Mclaren Medicaid |
$11,851.71
|
Rate for Payer: Meridian Medicaid |
$12,444.30
|
Rate for Payer: Priority Health Choice Medicaid |
$11,851.71
|
|
INPATIENT APRDRG 6951: CHEMOTHERAPY FOR ACUTE LEUKEMIA
|
Facility
|
IP
|
$3,497.60
|
|
Service Code
|
APR-DRG 6951
|
Hospital Charge Code |
APRDRG 6951
|
Min. Negotiated Rate |
$3,331.05 |
Max. Negotiated Rate |
$3,497.60 |
Rate for Payer: BCBS Complete |
$3,497.60
|
Rate for Payer: Mclaren Medicaid |
$3,331.05
|
Rate for Payer: Meridian Medicaid |
$3,497.60
|
Rate for Payer: Priority Health Choice Medicaid |
$3,331.05
|
|
INPATIENT APRDRG 6952: CHEMOTHERAPY FOR ACUTE LEUKEMIA
|
Facility
|
IP
|
$5,886.65
|
|
Service Code
|
APR-DRG 6952
|
Hospital Charge Code |
APRDRG 6952
|
Min. Negotiated Rate |
$5,606.33 |
Max. Negotiated Rate |
$5,886.65 |
Rate for Payer: BCBS Complete |
$5,886.65
|
Rate for Payer: Mclaren Medicaid |
$5,606.33
|
Rate for Payer: Meridian Medicaid |
$5,886.65
|
Rate for Payer: Priority Health Choice Medicaid |
$5,606.33
|
|
INPATIENT APRDRG 6953: CHEMOTHERAPY FOR ACUTE LEUKEMIA
|
Facility
|
IP
|
$14,006.52
|
|
Service Code
|
APR-DRG 6953
|
Hospital Charge Code |
APRDRG 6953
|
Min. Negotiated Rate |
$13,339.54 |
Max. Negotiated Rate |
$14,006.52 |
Rate for Payer: BCBS Complete |
$14,006.52
|
Rate for Payer: Mclaren Medicaid |
$13,339.54
|
Rate for Payer: Meridian Medicaid |
$14,006.52
|
Rate for Payer: Priority Health Choice Medicaid |
$13,339.54
|
|
INPATIENT APRDRG 6954: CHEMOTHERAPY FOR ACUTE LEUKEMIA
|
Facility
|
IP
|
$38,316.10
|
|
Service Code
|
APR-DRG 6954
|
Hospital Charge Code |
APRDRG 6954
|
Min. Negotiated Rate |
$36,491.52 |
Max. Negotiated Rate |
$38,316.10 |
Rate for Payer: BCBS Complete |
$38,316.10
|
Rate for Payer: Mclaren Medicaid |
$36,491.52
|
Rate for Payer: Meridian Medicaid |
$38,316.10
|
Rate for Payer: Priority Health Choice Medicaid |
$36,491.52
|
|
INPATIENT APRDRG 6961: OTHER CHEMOTHERAPY
|
Facility
|
IP
|
$4,893.08
|
|
Service Code
|
APR-DRG 6961
|
Hospital Charge Code |
APRDRG 6961
|
Min. Negotiated Rate |
$4,660.08 |
Max. Negotiated Rate |
$4,893.08 |
Rate for Payer: BCBS Complete |
$4,893.08
|
Rate for Payer: Mclaren Medicaid |
$4,660.08
|
Rate for Payer: Meridian Medicaid |
$4,893.08
|
Rate for Payer: Priority Health Choice Medicaid |
$4,660.08
|
|