INPATIENT APRDRG 0204: CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$39,004.60
|
|
Service Code
|
APR-DRG 0204
|
Hospital Charge Code |
APRDRG 0204
|
Min. Negotiated Rate |
$37,147.24 |
Max. Negotiated Rate |
$39,004.60 |
Rate for Payer: BCBS Complete |
$39,004.60
|
Rate for Payer: Mclaren Medicaid |
$37,147.24
|
Rate for Payer: Meridian Medicaid |
$39,004.60
|
Rate for Payer: PHP Medicaid |
$37,147.24
|
Rate for Payer: Priority Health Choice Medicaid |
$37,147.24
|
|
INPATIENT APRDRG 0211: CRANIOTOMY EXCEPT FOR TRAUMA
|
Facility
|
IP
|
$11,208.50
|
|
Service Code
|
APR-DRG 0211
|
Hospital Charge Code |
APRDRG 0211
|
Min. Negotiated Rate |
$10,674.76 |
Max. Negotiated Rate |
$11,208.50 |
Rate for Payer: BCBS Complete |
$11,208.50
|
Rate for Payer: Mclaren Medicaid |
$10,674.76
|
Rate for Payer: Meridian Medicaid |
$11,208.50
|
Rate for Payer: PHP Medicaid |
$10,674.76
|
Rate for Payer: Priority Health Choice Medicaid |
$10,674.76
|
|
INPATIENT APRDRG 0212: CRANIOTOMY EXCEPT FOR TRAUMA
|
Facility
|
IP
|
$16,790.47
|
|
Service Code
|
APR-DRG 0212
|
Hospital Charge Code |
APRDRG 0212
|
Min. Negotiated Rate |
$15,990.92 |
Max. Negotiated Rate |
$16,790.47 |
Rate for Payer: BCBS Complete |
$16,790.47
|
Rate for Payer: Mclaren Medicaid |
$15,990.92
|
Rate for Payer: Meridian Medicaid |
$16,790.47
|
Rate for Payer: PHP Medicaid |
$15,990.92
|
Rate for Payer: Priority Health Choice Medicaid |
$15,990.92
|
|
INPATIENT APRDRG 0213: CRANIOTOMY EXCEPT FOR TRAUMA
|
Facility
|
IP
|
$23,719.26
|
|
Service Code
|
APR-DRG 0213
|
Hospital Charge Code |
APRDRG 0213
|
Min. Negotiated Rate |
$22,589.77 |
Max. Negotiated Rate |
$23,719.26 |
Rate for Payer: BCBS Complete |
$23,719.26
|
Rate for Payer: Mclaren Medicaid |
$22,589.77
|
Rate for Payer: Meridian Medicaid |
$23,719.26
|
Rate for Payer: PHP Medicaid |
$22,589.77
|
Rate for Payer: Priority Health Choice Medicaid |
$22,589.77
|
|
INPATIENT APRDRG 0214: CRANIOTOMY EXCEPT FOR TRAUMA
|
Facility
|
IP
|
$29,440.06
|
|
Service Code
|
APR-DRG 0214
|
Hospital Charge Code |
APRDRG 0214
|
Min. Negotiated Rate |
$28,038.15 |
Max. Negotiated Rate |
$29,440.06 |
Rate for Payer: BCBS Complete |
$29,440.06
|
Rate for Payer: Mclaren Medicaid |
$28,038.15
|
Rate for Payer: Meridian Medicaid |
$29,440.06
|
Rate for Payer: PHP Medicaid |
$28,038.15
|
Rate for Payer: Priority Health Choice Medicaid |
$28,038.15
|
|
INPATIENT APRDRG 0221: VENTRICULAR SHUNT PROCEDURES
|
Facility
|
IP
|
$7,792.01
|
|
Service Code
|
APR-DRG 0221
|
Hospital Charge Code |
APRDRG 0221
|
Min. Negotiated Rate |
$7,420.96 |
Max. Negotiated Rate |
$7,792.01 |
Rate for Payer: BCBS Complete |
$7,792.01
|
Rate for Payer: Mclaren Medicaid |
$7,420.96
|
Rate for Payer: Meridian Medicaid |
$7,792.01
|
Rate for Payer: PHP Medicaid |
$7,420.96
|
Rate for Payer: Priority Health Choice Medicaid |
$7,420.96
|
|
INPATIENT APRDRG 0222: VENTRICULAR SHUNT PROCEDURES
|
Facility
|
IP
|
$8,107.07
|
|
Service Code
|
APR-DRG 0222
|
Hospital Charge Code |
APRDRG 0222
|
Min. Negotiated Rate |
$7,721.02 |
Max. Negotiated Rate |
$8,107.07 |
Rate for Payer: BCBS Complete |
$8,107.07
|
Rate for Payer: Mclaren Medicaid |
$7,721.02
|
Rate for Payer: Meridian Medicaid |
$8,107.07
|
Rate for Payer: PHP Medicaid |
$7,721.02
|
Rate for Payer: Priority Health Choice Medicaid |
$7,721.02
|
|
INPATIENT APRDRG 0223: VENTRICULAR SHUNT PROCEDURES
|
Facility
|
IP
|
$8,379.61
|
|
Service Code
|
APR-DRG 0223
|
Hospital Charge Code |
APRDRG 0223
|
Min. Negotiated Rate |
$7,980.58 |
Max. Negotiated Rate |
$8,379.61 |
Rate for Payer: BCBS Complete |
$8,379.61
|
Rate for Payer: Mclaren Medicaid |
$7,980.58
|
Rate for Payer: Meridian Medicaid |
$8,379.61
|
Rate for Payer: PHP Medicaid |
$7,980.58
|
Rate for Payer: Priority Health Choice Medicaid |
$7,980.58
|
|
INPATIENT APRDRG 0224: VENTRICULAR SHUNT PROCEDURES
|
Facility
|
IP
|
$22,123.46
|
|
Service Code
|
APR-DRG 0224
|
Hospital Charge Code |
APRDRG 0224
|
Min. Negotiated Rate |
$21,069.96 |
Max. Negotiated Rate |
$22,123.46 |
Rate for Payer: BCBS Complete |
$22,123.46
|
Rate for Payer: Mclaren Medicaid |
$21,069.96
|
Rate for Payer: Meridian Medicaid |
$22,123.46
|
Rate for Payer: PHP Medicaid |
$21,069.96
|
Rate for Payer: Priority Health Choice Medicaid |
$21,069.96
|
|
INPATIENT APRDRG 0231: SPINAL PROCEDURES
|
Facility
|
IP
|
$9,209.01
|
|
Service Code
|
APR-DRG 0231
|
Hospital Charge Code |
APRDRG 0231
|
Min. Negotiated Rate |
$8,770.49 |
Max. Negotiated Rate |
$9,209.01 |
Rate for Payer: BCBS Complete |
$9,209.01
|
Rate for Payer: Mclaren Medicaid |
$8,770.49
|
Rate for Payer: Meridian Medicaid |
$9,209.01
|
Rate for Payer: PHP Medicaid |
$8,770.49
|
Rate for Payer: Priority Health Choice Medicaid |
$8,770.49
|
|
INPATIENT APRDRG 0232: SPINAL PROCEDURES
|
Facility
|
IP
|
$12,676.74
|
|
Service Code
|
APR-DRG 0232
|
Hospital Charge Code |
APRDRG 0232
|
Min. Negotiated Rate |
$12,073.09 |
Max. Negotiated Rate |
$12,676.74 |
Rate for Payer: BCBS Complete |
$12,676.74
|
Rate for Payer: Mclaren Medicaid |
$12,073.09
|
Rate for Payer: Meridian Medicaid |
$12,676.74
|
Rate for Payer: PHP Medicaid |
$12,073.09
|
Rate for Payer: Priority Health Choice Medicaid |
$12,073.09
|
|
INPATIENT APRDRG 0233: SPINAL PROCEDURES
|
Facility
|
IP
|
$20,344.77
|
|
Service Code
|
APR-DRG 0233
|
Hospital Charge Code |
APRDRG 0233
|
Min. Negotiated Rate |
$19,375.97 |
Max. Negotiated Rate |
$20,344.77 |
Rate for Payer: BCBS Complete |
$20,344.77
|
Rate for Payer: Mclaren Medicaid |
$19,375.97
|
Rate for Payer: Meridian Medicaid |
$20,344.77
|
Rate for Payer: PHP Medicaid |
$19,375.97
|
Rate for Payer: Priority Health Choice Medicaid |
$19,375.97
|
|
INPATIENT APRDRG 0234: SPINAL PROCEDURES
|
Facility
|
IP
|
$27,258.19
|
|
Service Code
|
APR-DRG 0234
|
Hospital Charge Code |
APRDRG 0234
|
Min. Negotiated Rate |
$25,960.18 |
Max. Negotiated Rate |
$27,258.19 |
Rate for Payer: BCBS Complete |
$27,258.19
|
Rate for Payer: Mclaren Medicaid |
$25,960.18
|
Rate for Payer: Meridian Medicaid |
$27,258.19
|
Rate for Payer: PHP Medicaid |
$25,960.18
|
Rate for Payer: Priority Health Choice Medicaid |
$25,960.18
|
|
INPATIENT APRDRG 0241: EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$5,300.20
|
|
Service Code
|
APR-DRG 0241
|
Hospital Charge Code |
APRDRG 0241
|
Min. Negotiated Rate |
$5,047.81 |
Max. Negotiated Rate |
$5,300.20 |
Rate for Payer: BCBS Complete |
$5,300.20
|
Rate for Payer: Mclaren Medicaid |
$5,047.81
|
Rate for Payer: Meridian Medicaid |
$5,300.20
|
Rate for Payer: PHP Medicaid |
$5,047.81
|
Rate for Payer: Priority Health Choice Medicaid |
$5,047.81
|
|
INPATIENT APRDRG 0242: EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$8,807.88
|
|
Service Code
|
APR-DRG 0242
|
Hospital Charge Code |
APRDRG 0242
|
Min. Negotiated Rate |
$8,388.46 |
Max. Negotiated Rate |
$8,807.88 |
Rate for Payer: BCBS Complete |
$8,807.88
|
Rate for Payer: Mclaren Medicaid |
$8,388.46
|
Rate for Payer: Meridian Medicaid |
$8,807.88
|
Rate for Payer: PHP Medicaid |
$8,388.46
|
Rate for Payer: Priority Health Choice Medicaid |
$8,388.46
|
|
INPATIENT APRDRG 0243: EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$12,469.26
|
|
Service Code
|
APR-DRG 0243
|
Hospital Charge Code |
APRDRG 0243
|
Min. Negotiated Rate |
$11,875.49 |
Max. Negotiated Rate |
$12,469.26 |
Rate for Payer: BCBS Complete |
$12,469.26
|
Rate for Payer: Mclaren Medicaid |
$11,875.49
|
Rate for Payer: Meridian Medicaid |
$12,469.26
|
Rate for Payer: PHP Medicaid |
$11,875.49
|
Rate for Payer: Priority Health Choice Medicaid |
$11,875.49
|
|
INPATIENT APRDRG 0244: EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$21,251.54
|
|
Service Code
|
APR-DRG 0244
|
Hospital Charge Code |
APRDRG 0244
|
Min. Negotiated Rate |
$20,239.56 |
Max. Negotiated Rate |
$21,251.54 |
Rate for Payer: BCBS Complete |
$21,251.54
|
Rate for Payer: Mclaren Medicaid |
$20,239.56
|
Rate for Payer: Meridian Medicaid |
$21,251.54
|
Rate for Payer: PHP Medicaid |
$20,239.56
|
Rate for Payer: Priority Health Choice Medicaid |
$20,239.56
|
|
INPATIENT APRDRG 0261: OTHER NERVOUS SYSTEM & RELATED PROCEDURES
|
Facility
|
IP
|
$7,741.80
|
|
Service Code
|
APR-DRG 0261
|
Hospital Charge Code |
APRDRG 0261
|
Min. Negotiated Rate |
$7,373.14 |
Max. Negotiated Rate |
$7,741.80 |
Rate for Payer: BCBS Complete |
$7,741.80
|
Rate for Payer: Mclaren Medicaid |
$7,373.14
|
Rate for Payer: Meridian Medicaid |
$7,741.80
|
Rate for Payer: PHP Medicaid |
$7,373.14
|
Rate for Payer: Priority Health Choice Medicaid |
$7,373.14
|
|
INPATIENT APRDRG 0262: OTHER NERVOUS SYSTEM & RELATED PROCEDURES
|
Facility
|
IP
|
$10,008.70
|
|
Service Code
|
APR-DRG 0262
|
Hospital Charge Code |
APRDRG 0262
|
Min. Negotiated Rate |
$9,532.10 |
Max. Negotiated Rate |
$10,008.70 |
Rate for Payer: BCBS Complete |
$10,008.70
|
Rate for Payer: Mclaren Medicaid |
$9,532.10
|
Rate for Payer: Meridian Medicaid |
$10,008.70
|
Rate for Payer: PHP Medicaid |
$9,532.10
|
Rate for Payer: Priority Health Choice Medicaid |
$9,532.10
|
|
INPATIENT APRDRG 0263: OTHER NERVOUS SYSTEM & RELATED PROCEDURES
|
Facility
|
IP
|
$12,096.30
|
|
Service Code
|
APR-DRG 0263
|
Hospital Charge Code |
APRDRG 0263
|
Min. Negotiated Rate |
$11,520.29 |
Max. Negotiated Rate |
$12,096.30 |
Rate for Payer: BCBS Complete |
$12,096.30
|
Rate for Payer: Mclaren Medicaid |
$11,520.29
|
Rate for Payer: Meridian Medicaid |
$12,096.30
|
Rate for Payer: PHP Medicaid |
$11,520.29
|
Rate for Payer: Priority Health Choice Medicaid |
$11,520.29
|
|
INPATIENT APRDRG 0264: OTHER NERVOUS SYSTEM & RELATED PROCEDURES
|
Facility
|
IP
|
$19,377.56
|
|
Service Code
|
APR-DRG 0264
|
Hospital Charge Code |
APRDRG 0264
|
Min. Negotiated Rate |
$18,454.82 |
Max. Negotiated Rate |
$19,377.56 |
Rate for Payer: BCBS Complete |
$19,377.56
|
Rate for Payer: Mclaren Medicaid |
$18,454.82
|
Rate for Payer: Meridian Medicaid |
$19,377.56
|
Rate for Payer: PHP Medicaid |
$18,454.82
|
Rate for Payer: Priority Health Choice Medicaid |
$18,454.82
|
|
INPATIENT APRDRG 0271: OTHER OPEN CRANIOTOMY
|
Facility
|
IP
|
$8,635.76
|
|
Service Code
|
APR-DRG 0271
|
Hospital Charge Code |
APRDRG 0271
|
Min. Negotiated Rate |
$8,224.53 |
Max. Negotiated Rate |
$8,635.76 |
Rate for Payer: BCBS Complete |
$8,635.76
|
Rate for Payer: Mclaren Medicaid |
$8,224.53
|
Rate for Payer: Meridian Medicaid |
$8,635.76
|
Rate for Payer: PHP Medicaid |
$8,224.53
|
Rate for Payer: Priority Health Choice Medicaid |
$8,224.53
|
|
INPATIENT APRDRG 0272: OTHER OPEN CRANIOTOMY
|
Facility
|
IP
|
$9,767.42
|
|
Service Code
|
APR-DRG 0272
|
Hospital Charge Code |
APRDRG 0272
|
Min. Negotiated Rate |
$9,302.30 |
Max. Negotiated Rate |
$9,767.42 |
Rate for Payer: BCBS Complete |
$9,767.42
|
Rate for Payer: Mclaren Medicaid |
$9,302.30
|
Rate for Payer: Meridian Medicaid |
$9,767.42
|
Rate for Payer: PHP Medicaid |
$9,302.30
|
Rate for Payer: Priority Health Choice Medicaid |
$9,302.30
|
|
INPATIENT APRDRG 0273: OTHER OPEN CRANIOTOMY
|
Facility
|
IP
|
$16,187.49
|
|
Service Code
|
APR-DRG 0273
|
Hospital Charge Code |
APRDRG 0273
|
Min. Negotiated Rate |
$15,416.66 |
Max. Negotiated Rate |
$16,187.49 |
Rate for Payer: BCBS Complete |
$16,187.49
|
Rate for Payer: Mclaren Medicaid |
$15,416.66
|
Rate for Payer: Meridian Medicaid |
$16,187.49
|
Rate for Payer: PHP Medicaid |
$15,416.66
|
Rate for Payer: Priority Health Choice Medicaid |
$15,416.66
|
|
INPATIENT APRDRG 0274: OTHER OPEN CRANIOTOMY
|
Facility
|
IP
|
$28,289.45
|
|
Service Code
|
APR-DRG 0274
|
Hospital Charge Code |
APRDRG 0274
|
Min. Negotiated Rate |
$26,942.33 |
Max. Negotiated Rate |
$28,289.45 |
Rate for Payer: BCBS Complete |
$28,289.45
|
Rate for Payer: Mclaren Medicaid |
$26,942.33
|
Rate for Payer: Meridian Medicaid |
$28,289.45
|
Rate for Payer: PHP Medicaid |
$26,942.33
|
Rate for Payer: Priority Health Choice Medicaid |
$26,942.33
|
|