INPATIENT APRDRG 6962: OTHER CHEMOTHERAPY
|
Facility
|
IP
|
$5,972.89
|
|
Service Code
|
APR-DRG 6962
|
Hospital Charge Code |
APRDRG 6962
|
Min. Negotiated Rate |
$5,688.47 |
Max. Negotiated Rate |
$5,972.89 |
Rate for Payer: BCBS Complete |
$5,972.89
|
Rate for Payer: Mclaren Medicaid |
$5,688.47
|
Rate for Payer: Meridian Medicaid |
$5,972.89
|
Rate for Payer: Priority Health Choice Medicaid |
$5,688.47
|
|
INPATIENT APRDRG 6963: OTHER CHEMOTHERAPY
|
Facility
|
IP
|
$9,665.42
|
|
Service Code
|
APR-DRG 6963
|
Hospital Charge Code |
APRDRG 6963
|
Min. Negotiated Rate |
$9,205.16 |
Max. Negotiated Rate |
$9,665.42 |
Rate for Payer: BCBS Complete |
$9,665.42
|
Rate for Payer: Mclaren Medicaid |
$9,205.16
|
Rate for Payer: Meridian Medicaid |
$9,665.42
|
Rate for Payer: Priority Health Choice Medicaid |
$9,205.16
|
|
INPATIENT APRDRG 6964: OTHER CHEMOTHERAPY
|
Facility
|
IP
|
$21,031.05
|
|
Service Code
|
APR-DRG 6964
|
Hospital Charge Code |
APRDRG 6964
|
Min. Negotiated Rate |
$20,029.57 |
Max. Negotiated Rate |
$21,031.05 |
Rate for Payer: BCBS Complete |
$21,031.05
|
Rate for Payer: Mclaren Medicaid |
$20,029.57
|
Rate for Payer: Meridian Medicaid |
$21,031.05
|
Rate for Payer: Priority Health Choice Medicaid |
$20,029.57
|
|
INPATIENT APRDRG 7101: INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE
|
Facility
|
IP
|
$6,682.99
|
|
Service Code
|
APR-DRG 7101
|
Hospital Charge Code |
APRDRG 7101
|
Min. Negotiated Rate |
$6,364.75 |
Max. Negotiated Rate |
$6,682.99 |
Rate for Payer: BCBS Complete |
$6,682.99
|
Rate for Payer: Mclaren Medicaid |
$6,364.75
|
Rate for Payer: Meridian Medicaid |
$6,682.99
|
Rate for Payer: Priority Health Choice Medicaid |
$6,364.75
|
|
INPATIENT APRDRG 7102: INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE
|
Facility
|
IP
|
$8,802.95
|
|
Service Code
|
APR-DRG 7102
|
Hospital Charge Code |
APRDRG 7102
|
Min. Negotiated Rate |
$8,383.76 |
Max. Negotiated Rate |
$8,802.95 |
Rate for Payer: BCBS Complete |
$8,802.95
|
Rate for Payer: Mclaren Medicaid |
$8,383.76
|
Rate for Payer: Meridian Medicaid |
$8,802.95
|
Rate for Payer: Priority Health Choice Medicaid |
$8,383.76
|
|
INPATIENT APRDRG 7103: INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE
|
Facility
|
IP
|
$14,651.07
|
|
Service Code
|
APR-DRG 7103
|
Hospital Charge Code |
APRDRG 7103
|
Min. Negotiated Rate |
$13,953.40 |
Max. Negotiated Rate |
$14,651.07 |
Rate for Payer: BCBS Complete |
$14,651.07
|
Rate for Payer: Mclaren Medicaid |
$13,953.40
|
Rate for Payer: Meridian Medicaid |
$14,651.07
|
Rate for Payer: Priority Health Choice Medicaid |
$13,953.40
|
|
INPATIENT APRDRG 7104: INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE
|
Facility
|
IP
|
$22,111.44
|
|
Service Code
|
APR-DRG 7104
|
Hospital Charge Code |
APRDRG 7104
|
Min. Negotiated Rate |
$21,058.51 |
Max. Negotiated Rate |
$22,111.44 |
Rate for Payer: BCBS Complete |
$22,111.44
|
Rate for Payer: Mclaren Medicaid |
$21,058.51
|
Rate for Payer: Meridian Medicaid |
$22,111.44
|
Rate for Payer: Priority Health Choice Medicaid |
$21,058.51
|
|
INPATIENT APRDRG 7111: POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE
|
Facility
|
IP
|
$8,049.72
|
|
Service Code
|
APR-DRG 7111
|
Hospital Charge Code |
APRDRG 7111
|
Min. Negotiated Rate |
$7,666.40 |
Max. Negotiated Rate |
$8,049.72 |
Rate for Payer: BCBS Complete |
$8,049.72
|
Rate for Payer: Mclaren Medicaid |
$7,666.40
|
Rate for Payer: Meridian Medicaid |
$8,049.72
|
Rate for Payer: Priority Health Choice Medicaid |
$7,666.40
|
|
INPATIENT APRDRG 7112: POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE
|
Facility
|
IP
|
$9,631.49
|
|
Service Code
|
APR-DRG 7112
|
Hospital Charge Code |
APRDRG 7112
|
Min. Negotiated Rate |
$9,172.85 |
Max. Negotiated Rate |
$9,631.49 |
Rate for Payer: BCBS Complete |
$9,631.49
|
Rate for Payer: Mclaren Medicaid |
$9,172.85
|
Rate for Payer: Meridian Medicaid |
$9,631.49
|
Rate for Payer: Priority Health Choice Medicaid |
$9,172.85
|
|
INPATIENT APRDRG 7113: POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE
|
Facility
|
IP
|
$13,163.59
|
|
Service Code
|
APR-DRG 7113
|
Hospital Charge Code |
APRDRG 7113
|
Min. Negotiated Rate |
$12,536.75 |
Max. Negotiated Rate |
$13,163.59 |
Rate for Payer: BCBS Complete |
$13,163.59
|
Rate for Payer: Mclaren Medicaid |
$12,536.75
|
Rate for Payer: Meridian Medicaid |
$13,163.59
|
Rate for Payer: Priority Health Choice Medicaid |
$12,536.75
|
|
INPATIENT APRDRG 7114: POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE
|
Facility
|
IP
|
$25,490.59
|
|
Service Code
|
APR-DRG 7114
|
Hospital Charge Code |
APRDRG 7114
|
Min. Negotiated Rate |
$24,276.75 |
Max. Negotiated Rate |
$25,490.59 |
Rate for Payer: BCBS Complete |
$25,490.59
|
Rate for Payer: Mclaren Medicaid |
$24,276.75
|
Rate for Payer: Meridian Medicaid |
$25,490.59
|
Rate for Payer: Priority Health Choice Medicaid |
$24,276.75
|
|
INPATIENT APRDRG 7201: SEPTICEMIA & DISSEMINATED INFECTIONS
|
Facility
|
IP
|
$3,791.99
|
|
Service Code
|
APR-DRG 7201
|
Hospital Charge Code |
APRDRG 7201
|
Min. Negotiated Rate |
$3,611.42 |
Max. Negotiated Rate |
$3,791.99 |
Rate for Payer: BCBS Complete |
$3,791.99
|
Rate for Payer: Mclaren Medicaid |
$3,611.42
|
Rate for Payer: Meridian Medicaid |
$3,791.99
|
Rate for Payer: Priority Health Choice Medicaid |
$3,611.42
|
|
INPATIENT APRDRG 7202: SEPTICEMIA & DISSEMINATED INFECTIONS
|
Facility
|
IP
|
$4,694.14
|
|
Service Code
|
APR-DRG 7202
|
Hospital Charge Code |
APRDRG 7202
|
Min. Negotiated Rate |
$4,470.61 |
Max. Negotiated Rate |
$4,694.14 |
Rate for Payer: BCBS Complete |
$4,694.14
|
Rate for Payer: Mclaren Medicaid |
$4,470.61
|
Rate for Payer: Meridian Medicaid |
$4,694.14
|
Rate for Payer: Priority Health Choice Medicaid |
$4,470.61
|
|
INPATIENT APRDRG 7203: SEPTICEMIA & DISSEMINATED INFECTIONS
|
Facility
|
IP
|
$6,979.69
|
|
Service Code
|
APR-DRG 7203
|
Hospital Charge Code |
APRDRG 7203
|
Min. Negotiated Rate |
$6,647.32 |
Max. Negotiated Rate |
$6,979.69 |
Rate for Payer: BCBS Complete |
$6,979.69
|
Rate for Payer: Mclaren Medicaid |
$6,647.32
|
Rate for Payer: Meridian Medicaid |
$6,979.69
|
Rate for Payer: Priority Health Choice Medicaid |
$6,647.32
|
|
INPATIENT APRDRG 7204: SEPTICEMIA & DISSEMINATED INFECTIONS
|
Facility
|
IP
|
$13,649.45
|
|
Service Code
|
APR-DRG 7204
|
Hospital Charge Code |
APRDRG 7204
|
Min. Negotiated Rate |
$12,999.48 |
Max. Negotiated Rate |
$13,649.45 |
Rate for Payer: BCBS Complete |
$13,649.45
|
Rate for Payer: Mclaren Medicaid |
$12,999.48
|
Rate for Payer: Meridian Medicaid |
$13,649.45
|
Rate for Payer: Priority Health Choice Medicaid |
$12,999.48
|
|
INPATIENT APRDRG 7211: POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS
|
Facility
|
IP
|
$3,974.26
|
|
Service Code
|
APR-DRG 7211
|
Hospital Charge Code |
APRDRG 7211
|
Min. Negotiated Rate |
$3,785.01 |
Max. Negotiated Rate |
$3,974.26 |
Rate for Payer: BCBS Complete |
$3,974.26
|
Rate for Payer: Mclaren Medicaid |
$3,785.01
|
Rate for Payer: Meridian Medicaid |
$3,974.26
|
Rate for Payer: Priority Health Choice Medicaid |
$3,785.01
|
|
INPATIENT APRDRG 7212: POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS
|
Facility
|
IP
|
$5,127.10
|
|
Service Code
|
APR-DRG 7212
|
Hospital Charge Code |
APRDRG 7212
|
Min. Negotiated Rate |
$4,882.95 |
Max. Negotiated Rate |
$5,127.10 |
Rate for Payer: BCBS Complete |
$5,127.10
|
Rate for Payer: Mclaren Medicaid |
$4,882.95
|
Rate for Payer: Meridian Medicaid |
$5,127.10
|
Rate for Payer: Priority Health Choice Medicaid |
$4,882.95
|
|
INPATIENT APRDRG 7213: POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS
|
Facility
|
IP
|
$8,408.50
|
|
Service Code
|
APR-DRG 7213
|
Hospital Charge Code |
APRDRG 7213
|
Min. Negotiated Rate |
$8,008.10 |
Max. Negotiated Rate |
$8,408.50 |
Rate for Payer: BCBS Complete |
$8,408.50
|
Rate for Payer: Mclaren Medicaid |
$8,008.10
|
Rate for Payer: Meridian Medicaid |
$8,408.50
|
Rate for Payer: Priority Health Choice Medicaid |
$8,008.10
|
|
INPATIENT APRDRG 7214: POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS
|
Facility
|
IP
|
$12,765.13
|
|
Service Code
|
APR-DRG 7214
|
Hospital Charge Code |
APRDRG 7214
|
Min. Negotiated Rate |
$12,157.27 |
Max. Negotiated Rate |
$12,765.13 |
Rate for Payer: BCBS Complete |
$12,765.13
|
Rate for Payer: Mclaren Medicaid |
$12,157.27
|
Rate for Payer: Meridian Medicaid |
$12,765.13
|
Rate for Payer: Priority Health Choice Medicaid |
$12,157.27
|
|
INPATIENT APRDRG 7221: FEVER
|
Facility
|
IP
|
$2,599.48
|
|
Service Code
|
APR-DRG 7221
|
Hospital Charge Code |
APRDRG 7221
|
Min. Negotiated Rate |
$2,475.70 |
Max. Negotiated Rate |
$2,599.48 |
Rate for Payer: BCBS Complete |
$2,599.48
|
Rate for Payer: Mclaren Medicaid |
$2,475.70
|
Rate for Payer: Meridian Medicaid |
$2,599.48
|
Rate for Payer: Priority Health Choice Medicaid |
$2,475.70
|
|
INPATIENT APRDRG 7222: FEVER
|
Facility
|
IP
|
$3,001.97
|
|
Service Code
|
APR-DRG 7222
|
Hospital Charge Code |
APRDRG 7222
|
Min. Negotiated Rate |
$2,859.02 |
Max. Negotiated Rate |
$3,001.97 |
Rate for Payer: BCBS Complete |
$3,001.97
|
Rate for Payer: Mclaren Medicaid |
$2,859.02
|
Rate for Payer: Meridian Medicaid |
$3,001.97
|
Rate for Payer: Priority Health Choice Medicaid |
$2,859.02
|
|
INPATIENT APRDRG 7223: FEVER
|
Facility
|
IP
|
$4,879.28
|
|
Service Code
|
APR-DRG 7223
|
Hospital Charge Code |
APRDRG 7223
|
Min. Negotiated Rate |
$4,646.93 |
Max. Negotiated Rate |
$4,879.28 |
Rate for Payer: BCBS Complete |
$4,879.28
|
Rate for Payer: Mclaren Medicaid |
$4,646.93
|
Rate for Payer: Meridian Medicaid |
$4,879.28
|
Rate for Payer: Priority Health Choice Medicaid |
$4,646.93
|
|
INPATIENT APRDRG 7224: FEVER
|
Facility
|
IP
|
$10,760.75
|
|
Service Code
|
APR-DRG 7224
|
Hospital Charge Code |
APRDRG 7224
|
Min. Negotiated Rate |
$10,248.33 |
Max. Negotiated Rate |
$10,760.75 |
Rate for Payer: BCBS Complete |
$10,760.75
|
Rate for Payer: Mclaren Medicaid |
$10,248.33
|
Rate for Payer: Meridian Medicaid |
$10,760.75
|
Rate for Payer: Priority Health Choice Medicaid |
$10,248.33
|
|
INPATIENT APRDRG 7231: VIRAL ILLNESS
|
Facility
|
IP
|
$2,769.68
|
|
Service Code
|
APR-DRG 7231
|
Hospital Charge Code |
APRDRG 7231
|
Min. Negotiated Rate |
$2,637.79 |
Max. Negotiated Rate |
$2,769.68 |
Rate for Payer: BCBS Complete |
$2,769.68
|
Rate for Payer: Mclaren Medicaid |
$2,637.79
|
Rate for Payer: Meridian Medicaid |
$2,769.68
|
Rate for Payer: Priority Health Choice Medicaid |
$2,637.79
|
|
INPATIENT APRDRG 7232: VIRAL ILLNESS
|
Facility
|
IP
|
$3,194.02
|
|
Service Code
|
APR-DRG 7232
|
Hospital Charge Code |
APRDRG 7232
|
Min. Negotiated Rate |
$3,041.92 |
Max. Negotiated Rate |
$3,194.02 |
Rate for Payer: BCBS Complete |
$3,194.02
|
Rate for Payer: Mclaren Medicaid |
$3,041.92
|
Rate for Payer: Meridian Medicaid |
$3,194.02
|
Rate for Payer: Priority Health Choice Medicaid |
$3,041.92
|
|