INPATIENT APRDRG 8153: OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES
|
Facility
|
IP
|
$8,177.94
|
|
Service Code
|
APR-DRG 8153
|
Hospital Charge Code |
APRDRG 8153
|
Min. Negotiated Rate |
$7,788.51 |
Max. Negotiated Rate |
$8,177.94 |
Rate for Payer: BCBS Complete |
$8,177.94
|
Rate for Payer: Mclaren Medicaid |
$7,788.51
|
Rate for Payer: Meridian Medicaid |
$8,177.94
|
Rate for Payer: Priority Health Choice Medicaid |
$7,788.51
|
|
INPATIENT APRDRG 8154: OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES
|
Facility
|
IP
|
$13,513.75
|
|
Service Code
|
APR-DRG 8154
|
Hospital Charge Code |
APRDRG 8154
|
Min. Negotiated Rate |
$12,870.24 |
Max. Negotiated Rate |
$13,513.75 |
Rate for Payer: BCBS Complete |
$13,513.75
|
Rate for Payer: Mclaren Medicaid |
$12,870.24
|
Rate for Payer: Meridian Medicaid |
$13,513.75
|
Rate for Payer: Priority Health Choice Medicaid |
$12,870.24
|
|
INPATIENT APRDRG 8161: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES
|
Facility
|
IP
|
$2,878.92
|
|
Service Code
|
APR-DRG 8161
|
Hospital Charge Code |
APRDRG 8161
|
Min. Negotiated Rate |
$2,741.83 |
Max. Negotiated Rate |
$2,878.92 |
Rate for Payer: BCBS Complete |
$2,878.92
|
Rate for Payer: Mclaren Medicaid |
$2,741.83
|
Rate for Payer: Meridian Medicaid |
$2,878.92
|
Rate for Payer: Priority Health Choice Medicaid |
$2,741.83
|
|
INPATIENT APRDRG 8162: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES
|
Facility
|
IP
|
$3,350.41
|
|
Service Code
|
APR-DRG 8162
|
Hospital Charge Code |
APRDRG 8162
|
Min. Negotiated Rate |
$3,190.87 |
Max. Negotiated Rate |
$3,350.41 |
Rate for Payer: BCBS Complete |
$3,350.41
|
Rate for Payer: Mclaren Medicaid |
$3,190.87
|
Rate for Payer: Meridian Medicaid |
$3,350.41
|
Rate for Payer: Priority Health Choice Medicaid |
$3,190.87
|
|
INPATIENT APRDRG 8163: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES
|
Facility
|
IP
|
$4,951.73
|
|
Service Code
|
APR-DRG 8163
|
Hospital Charge Code |
APRDRG 8163
|
Min. Negotiated Rate |
$4,715.93 |
Max. Negotiated Rate |
$4,951.73 |
Rate for Payer: BCBS Complete |
$4,951.73
|
Rate for Payer: Mclaren Medicaid |
$4,715.93
|
Rate for Payer: Meridian Medicaid |
$4,951.73
|
Rate for Payer: Priority Health Choice Medicaid |
$4,715.93
|
|
INPATIENT APRDRG 8164: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES
|
Facility
|
IP
|
$8,333.76
|
|
Service Code
|
APR-DRG 8164
|
Hospital Charge Code |
APRDRG 8164
|
Min. Negotiated Rate |
$7,936.91 |
Max. Negotiated Rate |
$8,333.76 |
Rate for Payer: BCBS Complete |
$8,333.76
|
Rate for Payer: Mclaren Medicaid |
$7,936.91
|
Rate for Payer: Meridian Medicaid |
$8,333.76
|
Rate for Payer: Priority Health Choice Medicaid |
$7,936.91
|
|
INPATIENT APRDRG 8171: OVERDOSE
|
Facility
|
IP
|
$2,433.89
|
|
Service Code
|
APR-DRG 8171
|
Hospital Charge Code |
APRDRG 8171
|
Min. Negotiated Rate |
$2,317.99 |
Max. Negotiated Rate |
$2,433.89 |
Rate for Payer: BCBS Complete |
$2,433.89
|
Rate for Payer: Mclaren Medicaid |
$2,317.99
|
Rate for Payer: Meridian Medicaid |
$2,433.89
|
Rate for Payer: Priority Health Choice Medicaid |
$2,317.99
|
|
INPATIENT APRDRG 8172: OVERDOSE
|
Facility
|
IP
|
$3,199.19
|
|
Service Code
|
APR-DRG 8172
|
Hospital Charge Code |
APRDRG 8172
|
Min. Negotiated Rate |
$3,046.85 |
Max. Negotiated Rate |
$3,199.19 |
Rate for Payer: BCBS Complete |
$3,199.19
|
Rate for Payer: Mclaren Medicaid |
$3,046.85
|
Rate for Payer: Meridian Medicaid |
$3,199.19
|
Rate for Payer: Priority Health Choice Medicaid |
$3,046.85
|
|
INPATIENT APRDRG 8173: OVERDOSE
|
Facility
|
IP
|
$5,558.33
|
|
Service Code
|
APR-DRG 8173
|
Hospital Charge Code |
APRDRG 8173
|
Min. Negotiated Rate |
$5,293.65 |
Max. Negotiated Rate |
$5,558.33 |
Rate for Payer: BCBS Complete |
$5,558.33
|
Rate for Payer: Mclaren Medicaid |
$5,293.65
|
Rate for Payer: Meridian Medicaid |
$5,558.33
|
Rate for Payer: Priority Health Choice Medicaid |
$5,293.65
|
|
INPATIENT APRDRG 8174: OVERDOSE
|
Facility
|
IP
|
$11,468.55
|
|
Service Code
|
APR-DRG 8174
|
Hospital Charge Code |
APRDRG 8174
|
Min. Negotiated Rate |
$10,922.43 |
Max. Negotiated Rate |
$11,468.55 |
Rate for Payer: BCBS Complete |
$11,468.55
|
Rate for Payer: Mclaren Medicaid |
$10,922.43
|
Rate for Payer: Meridian Medicaid |
$11,468.55
|
Rate for Payer: Priority Health Choice Medicaid |
$10,922.43
|
|
INPATIENT APRDRG 8411: EXTENSIVE 3RD DEGREE BURNS W SKIN GRAFT
|
Facility
|
IP
|
$32,681.86
|
|
Service Code
|
APR-DRG 8411
|
Hospital Charge Code |
APRDRG 8411
|
Min. Negotiated Rate |
$31,125.58 |
Max. Negotiated Rate |
$32,681.86 |
Rate for Payer: BCBS Complete |
$32,681.86
|
Rate for Payer: Mclaren Medicaid |
$31,125.58
|
Rate for Payer: Meridian Medicaid |
$32,681.86
|
Rate for Payer: Priority Health Choice Medicaid |
$31,125.58
|
|
INPATIENT APRDRG 8412: EXTENSIVE 3RD DEGREE BURNS W SKIN GRAFT
|
Facility
|
IP
|
$32,679.56
|
|
Service Code
|
APR-DRG 8412
|
Hospital Charge Code |
APRDRG 8412
|
Min. Negotiated Rate |
$31,123.39 |
Max. Negotiated Rate |
$32,679.56 |
Rate for Payer: BCBS Complete |
$32,679.56
|
Rate for Payer: Mclaren Medicaid |
$31,123.39
|
Rate for Payer: Meridian Medicaid |
$32,679.56
|
Rate for Payer: Priority Health Choice Medicaid |
$31,123.39
|
|
INPATIENT APRDRG 8413: EXTENSIVE 3RD DEGREE BURNS W SKIN GRAFT
|
Facility
|
IP
|
$46,582.00
|
|
Service Code
|
APR-DRG 8413
|
Hospital Charge Code |
APRDRG 8413
|
Min. Negotiated Rate |
$44,363.81 |
Max. Negotiated Rate |
$46,582.00 |
Rate for Payer: BCBS Complete |
$46,582.00
|
Rate for Payer: Mclaren Medicaid |
$44,363.81
|
Rate for Payer: Meridian Medicaid |
$46,582.00
|
Rate for Payer: Priority Health Choice Medicaid |
$44,363.81
|
|
INPATIENT APRDRG 8414: EXTENSIVE 3RD DEGREE BURNS W SKIN GRAFT
|
Facility
|
IP
|
$150,645.34
|
|
Service Code
|
APR-DRG 8414
|
Hospital Charge Code |
APRDRG 8414
|
Min. Negotiated Rate |
$143,471.75 |
Max. Negotiated Rate |
$150,645.34 |
Rate for Payer: BCBS Complete |
$150,645.34
|
Rate for Payer: Mclaren Medicaid |
$143,471.75
|
Rate for Payer: Meridian Medicaid |
$150,645.34
|
Rate for Payer: Priority Health Choice Medicaid |
$143,471.75
|
|
INPATIENT APRDRG 8421: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS
|
Facility
|
IP
|
$9,803.41
|
|
Service Code
|
APR-DRG 8421
|
Hospital Charge Code |
APRDRG 8421
|
Min. Negotiated Rate |
$9,336.58 |
Max. Negotiated Rate |
$9,803.41 |
Rate for Payer: BCBS Complete |
$9,803.41
|
Rate for Payer: Mclaren Medicaid |
$9,336.58
|
Rate for Payer: Meridian Medicaid |
$9,803.41
|
Rate for Payer: Priority Health Choice Medicaid |
$9,336.58
|
|
INPATIENT APRDRG 8422: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS
|
Facility
|
IP
|
$18,393.04
|
|
Service Code
|
APR-DRG 8422
|
Hospital Charge Code |
APRDRG 8422
|
Min. Negotiated Rate |
$17,517.18 |
Max. Negotiated Rate |
$18,393.04 |
Rate for Payer: BCBS Complete |
$18,393.04
|
Rate for Payer: Mclaren Medicaid |
$17,517.18
|
Rate for Payer: Meridian Medicaid |
$18,393.04
|
Rate for Payer: Priority Health Choice Medicaid |
$17,517.18
|
|
INPATIENT APRDRG 8423: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS
|
Facility
|
IP
|
$23,912.85
|
|
Service Code
|
APR-DRG 8423
|
Hospital Charge Code |
APRDRG 8423
|
Min. Negotiated Rate |
$22,774.14 |
Max. Negotiated Rate |
$23,912.85 |
Rate for Payer: BCBS Complete |
$23,912.85
|
Rate for Payer: Mclaren Medicaid |
$22,774.14
|
Rate for Payer: Meridian Medicaid |
$23,912.85
|
Rate for Payer: Priority Health Choice Medicaid |
$22,774.14
|
|
INPATIENT APRDRG 8424: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS
|
Facility
|
IP
|
$96,895.63
|
|
Service Code
|
APR-DRG 8424
|
Hospital Charge Code |
APRDRG 8424
|
Min. Negotiated Rate |
$92,281.55 |
Max. Negotiated Rate |
$96,895.63 |
Rate for Payer: BCBS Complete |
$96,895.63
|
Rate for Payer: Mclaren Medicaid |
$92,281.55
|
Rate for Payer: Meridian Medicaid |
$96,895.63
|
Rate for Payer: Priority Health Choice Medicaid |
$92,281.55
|
|
INPATIENT APRDRG 8431: EXTENSIVE 3RD DEGREE OR FULL THICKNESS BURNS W/O SKIN GRAFT
|
Facility
|
IP
|
$3,062.92
|
|
Service Code
|
APR-DRG 8431
|
Hospital Charge Code |
APRDRG 8431
|
Min. Negotiated Rate |
$2,917.07 |
Max. Negotiated Rate |
$3,062.92 |
Rate for Payer: BCBS Complete |
$3,062.92
|
Rate for Payer: Mclaren Medicaid |
$2,917.07
|
Rate for Payer: Meridian Medicaid |
$3,062.92
|
Rate for Payer: Priority Health Choice Medicaid |
$2,917.07
|
|
INPATIENT APRDRG 8432: EXTENSIVE 3RD DEGREE OR FULL THICKNESS BURNS W/O SKIN GRAFT
|
Facility
|
IP
|
$5,365.71
|
|
Service Code
|
APR-DRG 8432
|
Hospital Charge Code |
APRDRG 8432
|
Min. Negotiated Rate |
$5,110.20 |
Max. Negotiated Rate |
$5,365.71 |
Rate for Payer: BCBS Complete |
$5,365.71
|
Rate for Payer: Mclaren Medicaid |
$5,110.20
|
Rate for Payer: Meridian Medicaid |
$5,365.71
|
Rate for Payer: Priority Health Choice Medicaid |
$5,110.20
|
|
INPATIENT APRDRG 8433: EXTENSIVE 3RD DEGREE OR FULL THICKNESS BURNS W/O SKIN GRAFT
|
Facility
|
IP
|
$13,264.21
|
|
Service Code
|
APR-DRG 8433
|
Hospital Charge Code |
APRDRG 8433
|
Min. Negotiated Rate |
$12,632.58 |
Max. Negotiated Rate |
$13,264.21 |
Rate for Payer: BCBS Complete |
$13,264.21
|
Rate for Payer: Mclaren Medicaid |
$12,632.58
|
Rate for Payer: Meridian Medicaid |
$13,264.21
|
Rate for Payer: Priority Health Choice Medicaid |
$12,632.58
|
|
INPATIENT APRDRG 8434: EXTENSIVE 3RD DEGREE OR FULL THICKNESS BURNS W/O SKIN GRAFT
|
Facility
|
IP
|
$26,053.49
|
|
Service Code
|
APR-DRG 8434
|
Hospital Charge Code |
APRDRG 8434
|
Min. Negotiated Rate |
$24,812.85 |
Max. Negotiated Rate |
$26,053.49 |
Rate for Payer: BCBS Complete |
$26,053.49
|
Rate for Payer: Mclaren Medicaid |
$24,812.85
|
Rate for Payer: Meridian Medicaid |
$26,053.49
|
Rate for Payer: Priority Health Choice Medicaid |
$24,812.85
|
|
INPATIENT APRDRG 8441: PARTIAL THICKNESS BURNS W/O SKIN GRAFT
|
Facility
|
IP
|
$3,236.56
|
|
Service Code
|
APR-DRG 8441
|
Hospital Charge Code |
APRDRG 8441
|
Min. Negotiated Rate |
$3,082.44 |
Max. Negotiated Rate |
$3,236.56 |
Rate for Payer: BCBS Complete |
$3,236.56
|
Rate for Payer: Mclaren Medicaid |
$3,082.44
|
Rate for Payer: Meridian Medicaid |
$3,236.56
|
Rate for Payer: Priority Health Choice Medicaid |
$3,082.44
|
|
INPATIENT APRDRG 8442: PARTIAL THICKNESS BURNS W/O SKIN GRAFT
|
Facility
|
IP
|
$5,395.04
|
|
Service Code
|
APR-DRG 8442
|
Hospital Charge Code |
APRDRG 8442
|
Min. Negotiated Rate |
$5,138.13 |
Max. Negotiated Rate |
$5,395.04 |
Rate for Payer: BCBS Complete |
$5,395.04
|
Rate for Payer: Mclaren Medicaid |
$5,138.13
|
Rate for Payer: Meridian Medicaid |
$5,395.04
|
Rate for Payer: Priority Health Choice Medicaid |
$5,138.13
|
|
INPATIENT APRDRG 8443: PARTIAL THICKNESS BURNS W/O SKIN GRAFT
|
Facility
|
IP
|
$6,745.66
|
|
Service Code
|
APR-DRG 8443
|
Hospital Charge Code |
APRDRG 8443
|
Min. Negotiated Rate |
$6,424.44 |
Max. Negotiated Rate |
$6,745.66 |
Rate for Payer: BCBS Complete |
$6,745.66
|
Rate for Payer: Mclaren Medicaid |
$6,424.44
|
Rate for Payer: Meridian Medicaid |
$6,745.66
|
Rate for Payer: Priority Health Choice Medicaid |
$6,424.44
|
|