INPATIENT APRDRG 8921: HIV W MAJOR HIV RELATED CONDITION
|
Facility
|
IP
|
$3,542.45
|
|
Service Code
|
APR-DRG 8921
|
Hospital Charge Code |
APRDRG 8921
|
Min. Negotiated Rate |
$3,373.76 |
Max. Negotiated Rate |
$3,542.45 |
Rate for Payer: BCBS Complete |
$3,542.45
|
Rate for Payer: Mclaren Medicaid |
$3,373.76
|
Rate for Payer: Meridian Medicaid |
$3,542.45
|
Rate for Payer: Priority Health Choice Medicaid |
$3,373.76
|
|
INPATIENT APRDRG 8922: HIV W MAJOR HIV RELATED CONDITION
|
Facility
|
IP
|
$4,246.80
|
|
Service Code
|
APR-DRG 8922
|
Hospital Charge Code |
APRDRG 8922
|
Min. Negotiated Rate |
$4,044.57 |
Max. Negotiated Rate |
$4,246.80 |
Rate for Payer: BCBS Complete |
$4,246.80
|
Rate for Payer: Mclaren Medicaid |
$4,044.57
|
Rate for Payer: Meridian Medicaid |
$4,246.80
|
Rate for Payer: Priority Health Choice Medicaid |
$4,044.57
|
|
INPATIENT APRDRG 8923: HIV W MAJOR HIV RELATED CONDITION
|
Facility
|
IP
|
$6,811.79
|
|
Service Code
|
APR-DRG 8923
|
Hospital Charge Code |
APRDRG 8923
|
Min. Negotiated Rate |
$6,487.42 |
Max. Negotiated Rate |
$6,811.79 |
Rate for Payer: BCBS Complete |
$6,811.79
|
Rate for Payer: Mclaren Medicaid |
$6,487.42
|
Rate for Payer: Meridian Medicaid |
$6,811.79
|
Rate for Payer: Priority Health Choice Medicaid |
$6,487.42
|
|
INPATIENT APRDRG 8924: HIV W MAJOR HIV RELATED CONDITION
|
Facility
|
IP
|
$11,332.28
|
|
Service Code
|
APR-DRG 8924
|
Hospital Charge Code |
APRDRG 8924
|
Min. Negotiated Rate |
$10,792.65 |
Max. Negotiated Rate |
$11,332.28 |
Rate for Payer: BCBS Complete |
$11,332.28
|
Rate for Payer: Mclaren Medicaid |
$10,792.65
|
Rate for Payer: Meridian Medicaid |
$11,332.28
|
Rate for Payer: Priority Health Choice Medicaid |
$10,792.65
|
|
INPATIENT APRDRG 8931: HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS
|
Facility
|
IP
|
$5,345.59
|
|
Service Code
|
APR-DRG 8931
|
Hospital Charge Code |
APRDRG 8931
|
Min. Negotiated Rate |
$5,091.04 |
Max. Negotiated Rate |
$5,345.59 |
Rate for Payer: BCBS Complete |
$5,345.59
|
Rate for Payer: Mclaren Medicaid |
$5,091.04
|
Rate for Payer: Meridian Medicaid |
$5,345.59
|
Rate for Payer: Priority Health Choice Medicaid |
$5,091.04
|
|
INPATIENT APRDRG 8932: HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS
|
Facility
|
IP
|
$5,693.46
|
|
Service Code
|
APR-DRG 8932
|
Hospital Charge Code |
APRDRG 8932
|
Min. Negotiated Rate |
$5,422.34 |
Max. Negotiated Rate |
$5,693.46 |
Rate for Payer: BCBS Complete |
$5,693.46
|
Rate for Payer: Mclaren Medicaid |
$5,422.34
|
Rate for Payer: Meridian Medicaid |
$5,693.46
|
Rate for Payer: Priority Health Choice Medicaid |
$5,422.34
|
|
INPATIENT APRDRG 8933: HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS
|
Facility
|
IP
|
$7,027.41
|
|
Service Code
|
APR-DRG 8933
|
Hospital Charge Code |
APRDRG 8933
|
Min. Negotiated Rate |
$6,692.77 |
Max. Negotiated Rate |
$7,027.41 |
Rate for Payer: BCBS Complete |
$7,027.41
|
Rate for Payer: Mclaren Medicaid |
$6,692.77
|
Rate for Payer: Meridian Medicaid |
$7,027.41
|
Rate for Payer: Priority Health Choice Medicaid |
$6,692.77
|
|
INPATIENT APRDRG 8934: HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS
|
Facility
|
IP
|
$10,166.79
|
|
Service Code
|
APR-DRG 8934
|
Hospital Charge Code |
APRDRG 8934
|
Min. Negotiated Rate |
$9,682.66 |
Max. Negotiated Rate |
$10,166.79 |
Rate for Payer: BCBS Complete |
$10,166.79
|
Rate for Payer: Mclaren Medicaid |
$9,682.66
|
Rate for Payer: Meridian Medicaid |
$10,166.79
|
Rate for Payer: Priority Health Choice Medicaid |
$9,682.66
|
|
INPATIENT APRDRG 8941: HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND
|
Facility
|
IP
|
$3,963.91
|
|
Service Code
|
APR-DRG 8941
|
Hospital Charge Code |
APRDRG 8941
|
Min. Negotiated Rate |
$3,775.15 |
Max. Negotiated Rate |
$3,963.91 |
Rate for Payer: BCBS Complete |
$3,963.91
|
Rate for Payer: Mclaren Medicaid |
$3,775.15
|
Rate for Payer: Meridian Medicaid |
$3,963.91
|
Rate for Payer: Priority Health Choice Medicaid |
$3,775.15
|
|
INPATIENT APRDRG 8942: HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND
|
Facility
|
IP
|
$4,203.11
|
|
Service Code
|
APR-DRG 8942
|
Hospital Charge Code |
APRDRG 8942
|
Min. Negotiated Rate |
$4,002.96 |
Max. Negotiated Rate |
$4,203.11 |
Rate for Payer: BCBS Complete |
$4,203.11
|
Rate for Payer: Mclaren Medicaid |
$4,002.96
|
Rate for Payer: Meridian Medicaid |
$4,203.11
|
Rate for Payer: Priority Health Choice Medicaid |
$4,002.96
|
|
INPATIENT APRDRG 8943: HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND
|
Facility
|
IP
|
$5,108.12
|
|
Service Code
|
APR-DRG 8943
|
Hospital Charge Code |
APRDRG 8943
|
Min. Negotiated Rate |
$4,864.88 |
Max. Negotiated Rate |
$5,108.12 |
Rate for Payer: BCBS Complete |
$5,108.12
|
Rate for Payer: Mclaren Medicaid |
$4,864.88
|
Rate for Payer: Meridian Medicaid |
$5,108.12
|
Rate for Payer: Priority Health Choice Medicaid |
$4,864.88
|
|
INPATIENT APRDRG 8944: HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND
|
Facility
|
IP
|
$7,465.54
|
|
Service Code
|
APR-DRG 8944
|
Hospital Charge Code |
APRDRG 8944
|
Min. Negotiated Rate |
$7,110.04 |
Max. Negotiated Rate |
$7,465.54 |
Rate for Payer: BCBS Complete |
$7,465.54
|
Rate for Payer: Mclaren Medicaid |
$7,110.04
|
Rate for Payer: Meridian Medicaid |
$7,465.54
|
Rate for Payer: Priority Health Choice Medicaid |
$7,110.04
|
|
INPATIENT APRDRG 9101: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$16,392.11
|
|
Service Code
|
APR-DRG 9101
|
Hospital Charge Code |
APRDRG 9101
|
Min. Negotiated Rate |
$15,611.53 |
Max. Negotiated Rate |
$16,392.11 |
Rate for Payer: BCBS Complete |
$16,392.11
|
Rate for Payer: Mclaren Medicaid |
$15,611.53
|
Rate for Payer: Meridian Medicaid |
$16,392.11
|
Rate for Payer: Priority Health Choice Medicaid |
$15,611.53
|
|
INPATIENT APRDRG 9102: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$17,094.16
|
|
Service Code
|
APR-DRG 9102
|
Hospital Charge Code |
APRDRG 9102
|
Min. Negotiated Rate |
$16,280.15 |
Max. Negotiated Rate |
$17,094.16 |
Rate for Payer: BCBS Complete |
$17,094.16
|
Rate for Payer: Mclaren Medicaid |
$16,280.15
|
Rate for Payer: Meridian Medicaid |
$17,094.16
|
Rate for Payer: Priority Health Choice Medicaid |
$16,280.15
|
|
INPATIENT APRDRG 9103: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$30,078.35
|
|
Service Code
|
APR-DRG 9103
|
Hospital Charge Code |
APRDRG 9103
|
Min. Negotiated Rate |
$28,646.05 |
Max. Negotiated Rate |
$30,078.35 |
Rate for Payer: BCBS Complete |
$30,078.35
|
Rate for Payer: Mclaren Medicaid |
$28,646.05
|
Rate for Payer: Meridian Medicaid |
$30,078.35
|
Rate for Payer: Priority Health Choice Medicaid |
$28,646.05
|
|
INPATIENT APRDRG 9104: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$26,407.68
|
|
Service Code
|
APR-DRG 9104
|
Hospital Charge Code |
APRDRG 9104
|
Min. Negotiated Rate |
$25,150.17 |
Max. Negotiated Rate |
$26,407.68 |
Rate for Payer: BCBS Complete |
$26,407.68
|
Rate for Payer: Mclaren Medicaid |
$25,150.17
|
Rate for Payer: Meridian Medicaid |
$26,407.68
|
Rate for Payer: Priority Health Choice Medicaid |
$25,150.17
|
|
INPATIENT APRDRG 9111: EXTENSIVE ABDOMINAL/THORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$10,948.77
|
|
Service Code
|
APR-DRG 9111
|
Hospital Charge Code |
APRDRG 9111
|
Min. Negotiated Rate |
$10,427.40 |
Max. Negotiated Rate |
$10,948.77 |
Rate for Payer: BCBS Complete |
$10,948.77
|
Rate for Payer: Mclaren Medicaid |
$10,427.40
|
Rate for Payer: Meridian Medicaid |
$10,948.77
|
Rate for Payer: Priority Health Choice Medicaid |
$10,427.40
|
|
INPATIENT APRDRG 9112: EXTENSIVE ABDOMINAL/THORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$12,683.49
|
|
Service Code
|
APR-DRG 9112
|
Hospital Charge Code |
APRDRG 9112
|
Min. Negotiated Rate |
$12,079.51 |
Max. Negotiated Rate |
$12,683.49 |
Rate for Payer: BCBS Complete |
$12,683.49
|
Rate for Payer: Mclaren Medicaid |
$12,079.51
|
Rate for Payer: Meridian Medicaid |
$12,683.49
|
Rate for Payer: Priority Health Choice Medicaid |
$12,079.51
|
|
INPATIENT APRDRG 9113: EXTENSIVE ABDOMINAL/THORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$17,478.81
|
|
Service Code
|
APR-DRG 9113
|
Hospital Charge Code |
APRDRG 9113
|
Min. Negotiated Rate |
$16,646.49 |
Max. Negotiated Rate |
$17,478.81 |
Rate for Payer: BCBS Complete |
$17,478.81
|
Rate for Payer: Mclaren Medicaid |
$16,646.49
|
Rate for Payer: Meridian Medicaid |
$17,478.81
|
Rate for Payer: Priority Health Choice Medicaid |
$16,646.49
|
|
INPATIENT APRDRG 9114: EXTENSIVE ABDOMINAL/THORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$40,276.77
|
|
Service Code
|
APR-DRG 9114
|
Hospital Charge Code |
APRDRG 9114
|
Min. Negotiated Rate |
$38,358.83 |
Max. Negotiated Rate |
$40,276.77 |
Rate for Payer: BCBS Complete |
$40,276.77
|
Rate for Payer: Mclaren Medicaid |
$38,358.83
|
Rate for Payer: Meridian Medicaid |
$40,276.77
|
Rate for Payer: Priority Health Choice Medicaid |
$38,358.83
|
|
INPATIENT APRDRG 9121: MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$12,932.45
|
|
Service Code
|
APR-DRG 9121
|
Hospital Charge Code |
APRDRG 9121
|
Min. Negotiated Rate |
$12,316.62 |
Max. Negotiated Rate |
$12,932.45 |
Rate for Payer: BCBS Complete |
$12,932.45
|
Rate for Payer: Mclaren Medicaid |
$12,316.62
|
Rate for Payer: Meridian Medicaid |
$12,932.45
|
Rate for Payer: Priority Health Choice Medicaid |
$12,316.62
|
|
INPATIENT APRDRG 9122: MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$13,608.05
|
|
Service Code
|
APR-DRG 9122
|
Hospital Charge Code |
APRDRG 9122
|
Min. Negotiated Rate |
$12,960.05 |
Max. Negotiated Rate |
$13,608.05 |
Rate for Payer: BCBS Complete |
$13,608.05
|
Rate for Payer: Mclaren Medicaid |
$12,960.05
|
Rate for Payer: Meridian Medicaid |
$13,608.05
|
Rate for Payer: Priority Health Choice Medicaid |
$12,960.05
|
|
INPATIENT APRDRG 9123: MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$20,799.90
|
|
Service Code
|
APR-DRG 9123
|
Hospital Charge Code |
APRDRG 9123
|
Min. Negotiated Rate |
$19,809.43 |
Max. Negotiated Rate |
$20,799.90 |
Rate for Payer: BCBS Complete |
$20,799.90
|
Rate for Payer: Mclaren Medicaid |
$19,809.43
|
Rate for Payer: Meridian Medicaid |
$20,799.90
|
Rate for Payer: Priority Health Choice Medicaid |
$19,809.43
|
|
INPATIENT APRDRG 9124: MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
|
Facility
|
IP
|
$35,027.78
|
|
Service Code
|
APR-DRG 9124
|
Hospital Charge Code |
APRDRG 9124
|
Min. Negotiated Rate |
$33,359.79 |
Max. Negotiated Rate |
$35,027.78 |
Rate for Payer: BCBS Complete |
$35,027.78
|
Rate for Payer: Mclaren Medicaid |
$33,359.79
|
Rate for Payer: Meridian Medicaid |
$35,027.78
|
Rate for Payer: Priority Health Choice Medicaid |
$33,359.79
|
|
INPATIENT APRDRG 9301: MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE
|
Facility
|
IP
|
$4,578.57
|
|
Service Code
|
APR-DRG 9301
|
Hospital Charge Code |
APRDRG 9301
|
Min. Negotiated Rate |
$4,360.54 |
Max. Negotiated Rate |
$4,578.57 |
Rate for Payer: BCBS Complete |
$4,578.57
|
Rate for Payer: Mclaren Medicaid |
$4,360.54
|
Rate for Payer: Meridian Medicaid |
$4,578.57
|
Rate for Payer: Priority Health Choice Medicaid |
$4,360.54
|
|