INPATIENT APRDRG 8444: PARTIAL THICKNESS BURNS W/O SKIN GRAFT
|
Facility
|
IP
|
$13,423.48
|
|
Service Code
|
APR-DRG 8444
|
Hospital Charge Code |
APRDRG 8444
|
Min. Negotiated Rate |
$12,784.27 |
Max. Negotiated Rate |
$13,423.48 |
Rate for Payer: BCBS Complete |
$13,423.48
|
Rate for Payer: Mclaren Medicaid |
$12,784.27
|
Rate for Payer: Meridian Medicaid |
$13,423.48
|
Rate for Payer: Priority Health Choice Medicaid |
$12,784.27
|
|
INPATIENT APRDRG 8501: PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE
|
Facility
|
IP
|
$10,635.41
|
|
Service Code
|
APR-DRG 8501
|
Hospital Charge Code |
APRDRG 8501
|
Min. Negotiated Rate |
$10,128.96 |
Max. Negotiated Rate |
$10,635.41 |
Rate for Payer: BCBS Complete |
$10,635.41
|
Rate for Payer: Mclaren Medicaid |
$10,128.96
|
Rate for Payer: Meridian Medicaid |
$10,635.41
|
Rate for Payer: Priority Health Choice Medicaid |
$10,128.96
|
|
INPATIENT APRDRG 8502: PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE
|
Facility
|
IP
|
$17,417.30
|
|
Service Code
|
APR-DRG 8502
|
Hospital Charge Code |
APRDRG 8502
|
Min. Negotiated Rate |
$16,587.90 |
Max. Negotiated Rate |
$17,417.30 |
Rate for Payer: BCBS Complete |
$17,417.30
|
Rate for Payer: Mclaren Medicaid |
$16,587.90
|
Rate for Payer: Meridian Medicaid |
$17,417.30
|
Rate for Payer: Priority Health Choice Medicaid |
$16,587.90
|
|
INPATIENT APRDRG 8503: PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE
|
Facility
|
IP
|
$26,355.36
|
|
Service Code
|
APR-DRG 8503
|
Hospital Charge Code |
APRDRG 8503
|
Min. Negotiated Rate |
$25,100.34 |
Max. Negotiated Rate |
$26,355.36 |
Rate for Payer: BCBS Complete |
$26,355.36
|
Rate for Payer: Mclaren Medicaid |
$25,100.34
|
Rate for Payer: Meridian Medicaid |
$26,355.36
|
Rate for Payer: Priority Health Choice Medicaid |
$25,100.34
|
|
INPATIENT APRDRG 8504: PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE
|
Facility
|
IP
|
$62,366.93
|
|
Service Code
|
APR-DRG 8504
|
Hospital Charge Code |
APRDRG 8504
|
Min. Negotiated Rate |
$59,397.08 |
Max. Negotiated Rate |
$62,366.93 |
Rate for Payer: BCBS Complete |
$62,366.93
|
Rate for Payer: Mclaren Medicaid |
$59,397.08
|
Rate for Payer: Meridian Medicaid |
$62,366.93
|
Rate for Payer: Priority Health Choice Medicaid |
$59,397.08
|
|
INPATIENT APRDRG 8601: REHABILITATION
|
Facility
|
IP
|
$9,834.46
|
|
Service Code
|
APR-DRG 8601
|
Hospital Charge Code |
APRDRG 8601
|
Min. Negotiated Rate |
$9,366.15 |
Max. Negotiated Rate |
$9,834.46 |
Rate for Payer: BCBS Complete |
$9,834.46
|
Rate for Payer: Mclaren Medicaid |
$9,366.15
|
Rate for Payer: Meridian Medicaid |
$9,834.46
|
Rate for Payer: Priority Health Choice Medicaid |
$9,366.15
|
|
INPATIENT APRDRG 8602: REHABILITATION
|
Facility
|
IP
|
$12,501.22
|
|
Service Code
|
APR-DRG 8602
|
Hospital Charge Code |
APRDRG 8602
|
Min. Negotiated Rate |
$11,905.92 |
Max. Negotiated Rate |
$12,501.22 |
Rate for Payer: BCBS Complete |
$12,501.22
|
Rate for Payer: Mclaren Medicaid |
$11,905.92
|
Rate for Payer: Meridian Medicaid |
$12,501.22
|
Rate for Payer: Priority Health Choice Medicaid |
$11,905.92
|
|
INPATIENT APRDRG 8603: REHABILITATION
|
Facility
|
IP
|
$12,062.50
|
|
Service Code
|
APR-DRG 8603
|
Hospital Charge Code |
APRDRG 8603
|
Min. Negotiated Rate |
$11,488.10 |
Max. Negotiated Rate |
$12,062.50 |
Rate for Payer: BCBS Complete |
$12,062.50
|
Rate for Payer: Mclaren Medicaid |
$11,488.10
|
Rate for Payer: Meridian Medicaid |
$12,062.50
|
Rate for Payer: Priority Health Choice Medicaid |
$11,488.10
|
|
INPATIENT APRDRG 8604: REHABILITATION
|
Facility
|
IP
|
$14,259.50
|
|
Service Code
|
APR-DRG 8604
|
Hospital Charge Code |
APRDRG 8604
|
Min. Negotiated Rate |
$13,580.48 |
Max. Negotiated Rate |
$14,259.50 |
Rate for Payer: BCBS Complete |
$14,259.50
|
Rate for Payer: Mclaren Medicaid |
$13,580.48
|
Rate for Payer: Meridian Medicaid |
$14,259.50
|
Rate for Payer: Priority Health Choice Medicaid |
$13,580.48
|
|
INPATIENT APRDRG 8611: SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS
|
Facility
|
IP
|
$2,620.76
|
|
Service Code
|
APR-DRG 8611
|
Hospital Charge Code |
APRDRG 8611
|
Min. Negotiated Rate |
$2,495.96 |
Max. Negotiated Rate |
$2,620.76 |
Rate for Payer: BCBS Complete |
$2,620.76
|
Rate for Payer: Mclaren Medicaid |
$2,495.96
|
Rate for Payer: Meridian Medicaid |
$2,620.76
|
Rate for Payer: Priority Health Choice Medicaid |
$2,495.96
|
|
INPATIENT APRDRG 8612: SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS
|
Facility
|
IP
|
$4,038.08
|
|
Service Code
|
APR-DRG 8612
|
Hospital Charge Code |
APRDRG 8612
|
Min. Negotiated Rate |
$3,845.79 |
Max. Negotiated Rate |
$4,038.08 |
Rate for Payer: BCBS Complete |
$4,038.08
|
Rate for Payer: Mclaren Medicaid |
$3,845.79
|
Rate for Payer: Meridian Medicaid |
$4,038.08
|
Rate for Payer: Priority Health Choice Medicaid |
$3,845.79
|
|
INPATIENT APRDRG 8613: SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS
|
Facility
|
IP
|
$6,593.30
|
|
Service Code
|
APR-DRG 8613
|
Hospital Charge Code |
APRDRG 8613
|
Min. Negotiated Rate |
$6,279.33 |
Max. Negotiated Rate |
$6,593.30 |
Rate for Payer: BCBS Complete |
$6,593.30
|
Rate for Payer: Mclaren Medicaid |
$6,279.33
|
Rate for Payer: Meridian Medicaid |
$6,593.30
|
Rate for Payer: Priority Health Choice Medicaid |
$6,279.33
|
|
INPATIENT APRDRG 8614: SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS
|
Facility
|
IP
|
$9,130.11
|
|
Service Code
|
APR-DRG 8614
|
Hospital Charge Code |
APRDRG 8614
|
Min. Negotiated Rate |
$8,695.34 |
Max. Negotiated Rate |
$9,130.11 |
Rate for Payer: BCBS Complete |
$9,130.11
|
Rate for Payer: Mclaren Medicaid |
$8,695.34
|
Rate for Payer: Meridian Medicaid |
$9,130.11
|
Rate for Payer: Priority Health Choice Medicaid |
$8,695.34
|
|
INPATIENT APRDRG 8621: OTHER AFTERCARE & CONVALESCENCE
|
Facility
|
IP
|
$3,221.61
|
|
Service Code
|
APR-DRG 8621
|
Hospital Charge Code |
APRDRG 8621
|
Min. Negotiated Rate |
$3,068.20 |
Max. Negotiated Rate |
$3,221.61 |
Rate for Payer: BCBS Complete |
$3,221.61
|
Rate for Payer: Mclaren Medicaid |
$3,068.20
|
Rate for Payer: Meridian Medicaid |
$3,221.61
|
Rate for Payer: Priority Health Choice Medicaid |
$3,068.20
|
|
INPATIENT APRDRG 8622: OTHER AFTERCARE & CONVALESCENCE
|
Facility
|
IP
|
$6,085.59
|
|
Service Code
|
APR-DRG 8622
|
Hospital Charge Code |
APRDRG 8622
|
Min. Negotiated Rate |
$5,795.80 |
Max. Negotiated Rate |
$6,085.59 |
Rate for Payer: BCBS Complete |
$6,085.59
|
Rate for Payer: Mclaren Medicaid |
$5,795.80
|
Rate for Payer: Meridian Medicaid |
$6,085.59
|
Rate for Payer: Priority Health Choice Medicaid |
$5,795.80
|
|
INPATIENT APRDRG 8623: OTHER AFTERCARE & CONVALESCENCE
|
Facility
|
IP
|
$6,273.60
|
|
Service Code
|
APR-DRG 8623
|
Hospital Charge Code |
APRDRG 8623
|
Min. Negotiated Rate |
$5,974.86 |
Max. Negotiated Rate |
$6,273.60 |
Rate for Payer: BCBS Complete |
$6,273.60
|
Rate for Payer: Mclaren Medicaid |
$5,974.86
|
Rate for Payer: Meridian Medicaid |
$6,273.60
|
Rate for Payer: Priority Health Choice Medicaid |
$5,974.86
|
|
INPATIENT APRDRG 8624: OTHER AFTERCARE & CONVALESCENCE
|
Facility
|
IP
|
$6,528.90
|
|
Service Code
|
APR-DRG 8624
|
Hospital Charge Code |
APRDRG 8624
|
Min. Negotiated Rate |
$6,218.00 |
Max. Negotiated Rate |
$6,528.90 |
Rate for Payer: BCBS Complete |
$6,528.90
|
Rate for Payer: Mclaren Medicaid |
$6,218.00
|
Rate for Payer: Meridian Medicaid |
$6,528.90
|
Rate for Payer: Priority Health Choice Medicaid |
$6,218.00
|
|
INPATIENT APRDRG 8631: NEONATAL AFTERCARE
|
Facility
|
IP
|
$7,128.60
|
|
Service Code
|
APR-DRG 8631
|
Hospital Charge Code |
APRDRG 8631
|
Min. Negotiated Rate |
$6,789.14 |
Max. Negotiated Rate |
$7,128.60 |
Rate for Payer: BCBS Complete |
$7,128.60
|
Rate for Payer: Mclaren Medicaid |
$6,789.14
|
Rate for Payer: Meridian Medicaid |
$7,128.60
|
Rate for Payer: Priority Health Choice Medicaid |
$6,789.14
|
|
INPATIENT APRDRG 8632: NEONATAL AFTERCARE
|
Facility
|
IP
|
$13,812.17
|
|
Service Code
|
APR-DRG 8632
|
Hospital Charge Code |
APRDRG 8632
|
Min. Negotiated Rate |
$13,154.45 |
Max. Negotiated Rate |
$13,812.17 |
Rate for Payer: BCBS Complete |
$13,812.17
|
Rate for Payer: Mclaren Medicaid |
$13,154.45
|
Rate for Payer: Meridian Medicaid |
$13,812.17
|
Rate for Payer: Priority Health Choice Medicaid |
$13,154.45
|
|
INPATIENT APRDRG 8633: NEONATAL AFTERCARE
|
Facility
|
IP
|
$24,510.24
|
|
Service Code
|
APR-DRG 8633
|
Hospital Charge Code |
APRDRG 8633
|
Min. Negotiated Rate |
$23,343.09 |
Max. Negotiated Rate |
$24,510.24 |
Rate for Payer: BCBS Complete |
$24,510.24
|
Rate for Payer: Mclaren Medicaid |
$23,343.09
|
Rate for Payer: Meridian Medicaid |
$24,510.24
|
Rate for Payer: Priority Health Choice Medicaid |
$23,343.09
|
|
INPATIENT APRDRG 8634: NEONATAL AFTERCARE
|
Facility
|
IP
|
$51,808.00
|
|
Service Code
|
APR-DRG 8634
|
Hospital Charge Code |
APRDRG 8634
|
Min. Negotiated Rate |
$49,340.95 |
Max. Negotiated Rate |
$51,808.00 |
Rate for Payer: BCBS Complete |
$51,808.00
|
Rate for Payer: Mclaren Medicaid |
$49,340.95
|
Rate for Payer: Meridian Medicaid |
$51,808.00
|
Rate for Payer: Priority Health Choice Medicaid |
$49,340.95
|
|
INPATIENT APRDRG 8901: HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS
|
Facility
|
IP
|
$5,484.16
|
|
Service Code
|
APR-DRG 8901
|
Hospital Charge Code |
APRDRG 8901
|
Min. Negotiated Rate |
$5,223.01 |
Max. Negotiated Rate |
$5,484.16 |
Rate for Payer: BCBS Complete |
$5,484.16
|
Rate for Payer: Mclaren Medicaid |
$5,223.01
|
Rate for Payer: Meridian Medicaid |
$5,484.16
|
Rate for Payer: Priority Health Choice Medicaid |
$5,223.01
|
|
INPATIENT APRDRG 8902: HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS
|
Facility
|
IP
|
$5,784.87
|
|
Service Code
|
APR-DRG 8902
|
Hospital Charge Code |
APRDRG 8902
|
Min. Negotiated Rate |
$5,509.40 |
Max. Negotiated Rate |
$5,784.87 |
Rate for Payer: BCBS Complete |
$5,784.87
|
Rate for Payer: Mclaren Medicaid |
$5,509.40
|
Rate for Payer: Meridian Medicaid |
$5,784.87
|
Rate for Payer: Priority Health Choice Medicaid |
$5,509.40
|
|
INPATIENT APRDRG 8903: HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS
|
Facility
|
IP
|
$7,671.96
|
|
Service Code
|
APR-DRG 8903
|
Hospital Charge Code |
APRDRG 8903
|
Min. Negotiated Rate |
$7,306.63 |
Max. Negotiated Rate |
$7,671.96 |
Rate for Payer: BCBS Complete |
$7,671.96
|
Rate for Payer: Mclaren Medicaid |
$7,306.63
|
Rate for Payer: Meridian Medicaid |
$7,671.96
|
Rate for Payer: Priority Health Choice Medicaid |
$7,306.63
|
|
INPATIENT APRDRG 8904: HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS
|
Facility
|
IP
|
$14,210.06
|
|
Service Code
|
APR-DRG 8904
|
Hospital Charge Code |
APRDRG 8904
|
Min. Negotiated Rate |
$13,533.39 |
Max. Negotiated Rate |
$14,210.06 |
Rate for Payer: BCBS Complete |
$14,210.06
|
Rate for Payer: Mclaren Medicaid |
$13,533.39
|
Rate for Payer: Meridian Medicaid |
$14,210.06
|
Rate for Payer: Priority Health Choice Medicaid |
$13,533.39
|
|