INPATIENT APRDRG 0442: INTRACRANIAL HEMORRHAGE
|
Facility
|
IP
|
$7,607.59
|
|
Service Code
|
APR-DRG 0442
|
Hospital Charge Code |
APRDRG 0442
|
Min. Negotiated Rate |
$7,245.32 |
Max. Negotiated Rate |
$7,607.59 |
Rate for Payer: BCBS Complete |
$7,607.59
|
Rate for Payer: Mclaren Medicaid |
$7,245.32
|
Rate for Payer: Meridian Medicaid |
$7,607.59
|
Rate for Payer: PHP Medicaid |
$7,245.32
|
Rate for Payer: Priority Health Choice Medicaid |
$7,245.32
|
|
INPATIENT APRDRG 0443: INTRACRANIAL HEMORRHAGE
|
Facility
|
IP
|
$11,529.71
|
|
Service Code
|
APR-DRG 0443
|
Hospital Charge Code |
APRDRG 0443
|
Min. Negotiated Rate |
$10,980.68 |
Max. Negotiated Rate |
$11,529.71 |
Rate for Payer: BCBS Complete |
$11,529.71
|
Rate for Payer: Mclaren Medicaid |
$10,980.68
|
Rate for Payer: Meridian Medicaid |
$11,529.71
|
Rate for Payer: PHP Medicaid |
$10,980.68
|
Rate for Payer: Priority Health Choice Medicaid |
$10,980.68
|
|
INPATIENT APRDRG 0444: INTRACRANIAL HEMORRHAGE
|
Facility
|
IP
|
$11,964.14
|
|
Service Code
|
APR-DRG 0444
|
Hospital Charge Code |
APRDRG 0444
|
Min. Negotiated Rate |
$11,394.42 |
Max. Negotiated Rate |
$11,964.14 |
Rate for Payer: BCBS Complete |
$11,964.14
|
Rate for Payer: Mclaren Medicaid |
$11,394.42
|
Rate for Payer: Meridian Medicaid |
$11,964.14
|
Rate for Payer: PHP Medicaid |
$11,394.42
|
Rate for Payer: Priority Health Choice Medicaid |
$11,394.42
|
|
INPATIENT APRDRG 0451: CVA & PRECEREBRAL OCCLUSION W INFARCT
|
Facility
|
IP
|
$4,603.48
|
|
Service Code
|
APR-DRG 0451
|
Hospital Charge Code |
APRDRG 0451
|
Min. Negotiated Rate |
$4,384.27 |
Max. Negotiated Rate |
$4,603.48 |
Rate for Payer: BCBS Complete |
$4,603.48
|
Rate for Payer: Mclaren Medicaid |
$4,384.27
|
Rate for Payer: Meridian Medicaid |
$4,603.48
|
Rate for Payer: PHP Medicaid |
$4,384.27
|
Rate for Payer: Priority Health Choice Medicaid |
$4,384.27
|
|
INPATIENT APRDRG 0452: CVA & PRECEREBRAL OCCLUSION W INFARCT
|
Facility
|
IP
|
$6,105.02
|
|
Service Code
|
APR-DRG 0452
|
Hospital Charge Code |
APRDRG 0452
|
Min. Negotiated Rate |
$5,814.30 |
Max. Negotiated Rate |
$6,105.02 |
Rate for Payer: BCBS Complete |
$6,105.02
|
Rate for Payer: Mclaren Medicaid |
$5,814.30
|
Rate for Payer: Meridian Medicaid |
$6,105.02
|
Rate for Payer: PHP Medicaid |
$5,814.30
|
Rate for Payer: Priority Health Choice Medicaid |
$5,814.30
|
|
INPATIENT APRDRG 0453: CVA & PRECEREBRAL OCCLUSION W INFARCT
|
Facility
|
IP
|
$8,481.04
|
|
Service Code
|
APR-DRG 0453
|
Hospital Charge Code |
APRDRG 0453
|
Min. Negotiated Rate |
$8,077.18 |
Max. Negotiated Rate |
$8,481.04 |
Rate for Payer: BCBS Complete |
$8,481.04
|
Rate for Payer: Mclaren Medicaid |
$8,077.18
|
Rate for Payer: Meridian Medicaid |
$8,481.04
|
Rate for Payer: PHP Medicaid |
$8,077.18
|
Rate for Payer: Priority Health Choice Medicaid |
$8,077.18
|
|
INPATIENT APRDRG 0454: CVA & PRECEREBRAL OCCLUSION W INFARCT
|
Facility
|
IP
|
$12,768.96
|
|
Service Code
|
APR-DRG 0454
|
Hospital Charge Code |
APRDRG 0454
|
Min. Negotiated Rate |
$12,160.91 |
Max. Negotiated Rate |
$12,768.96 |
Rate for Payer: BCBS Complete |
$12,768.96
|
Rate for Payer: Mclaren Medicaid |
$12,160.91
|
Rate for Payer: Meridian Medicaid |
$12,768.96
|
Rate for Payer: PHP Medicaid |
$12,160.91
|
Rate for Payer: Priority Health Choice Medicaid |
$12,160.91
|
|
INPATIENT APRDRG 0461: NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT
|
Facility
|
IP
|
$4,918.03
|
|
Service Code
|
APR-DRG 0461
|
Hospital Charge Code |
APRDRG 0461
|
Min. Negotiated Rate |
$4,683.84 |
Max. Negotiated Rate |
$4,918.03 |
Rate for Payer: BCBS Complete |
$4,918.03
|
Rate for Payer: Mclaren Medicaid |
$4,683.84
|
Rate for Payer: Meridian Medicaid |
$4,918.03
|
Rate for Payer: PHP Medicaid |
$4,683.84
|
Rate for Payer: Priority Health Choice Medicaid |
$4,683.84
|
|
INPATIENT APRDRG 0462: NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT
|
Facility
|
IP
|
$5,578.89
|
|
Service Code
|
APR-DRG 0462
|
Hospital Charge Code |
APRDRG 0462
|
Min. Negotiated Rate |
$5,313.23 |
Max. Negotiated Rate |
$5,578.89 |
Rate for Payer: BCBS Complete |
$5,578.89
|
Rate for Payer: Mclaren Medicaid |
$5,313.23
|
Rate for Payer: Meridian Medicaid |
$5,578.89
|
Rate for Payer: PHP Medicaid |
$5,313.23
|
Rate for Payer: Priority Health Choice Medicaid |
$5,313.23
|
|
INPATIENT APRDRG 0463: NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT
|
Facility
|
IP
|
$7,192.63
|
|
Service Code
|
APR-DRG 0463
|
Hospital Charge Code |
APRDRG 0463
|
Min. Negotiated Rate |
$6,850.12 |
Max. Negotiated Rate |
$7,192.63 |
Rate for Payer: BCBS Complete |
$7,192.63
|
Rate for Payer: Mclaren Medicaid |
$6,850.12
|
Rate for Payer: Meridian Medicaid |
$7,192.63
|
Rate for Payer: PHP Medicaid |
$6,850.12
|
Rate for Payer: Priority Health Choice Medicaid |
$6,850.12
|
|
INPATIENT APRDRG 0464: NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT
|
Facility
|
IP
|
$13,918.55
|
|
Service Code
|
APR-DRG 0464
|
Hospital Charge Code |
APRDRG 0464
|
Min. Negotiated Rate |
$13,255.76 |
Max. Negotiated Rate |
$13,918.55 |
Rate for Payer: BCBS Complete |
$13,918.55
|
Rate for Payer: Mclaren Medicaid |
$13,255.76
|
Rate for Payer: Meridian Medicaid |
$13,918.55
|
Rate for Payer: PHP Medicaid |
$13,255.76
|
Rate for Payer: Priority Health Choice Medicaid |
$13,255.76
|
|
INPATIENT APRDRG 0471: TRANSIENT ISCHEMIA
|
Facility
|
IP
|
$3,820.70
|
|
Service Code
|
APR-DRG 0471
|
Hospital Charge Code |
APRDRG 0471
|
Min. Negotiated Rate |
$3,638.76 |
Max. Negotiated Rate |
$3,820.70 |
Rate for Payer: BCBS Complete |
$3,820.70
|
Rate for Payer: Mclaren Medicaid |
$3,638.76
|
Rate for Payer: Meridian Medicaid |
$3,820.70
|
Rate for Payer: PHP Medicaid |
$3,638.76
|
Rate for Payer: Priority Health Choice Medicaid |
$3,638.76
|
|
INPATIENT APRDRG 0472: TRANSIENT ISCHEMIA
|
Facility
|
IP
|
$4,478.48
|
|
Service Code
|
APR-DRG 0472
|
Hospital Charge Code |
APRDRG 0472
|
Min. Negotiated Rate |
$4,265.22 |
Max. Negotiated Rate |
$4,478.48 |
Rate for Payer: BCBS Complete |
$4,478.48
|
Rate for Payer: Mclaren Medicaid |
$4,265.22
|
Rate for Payer: Meridian Medicaid |
$4,478.48
|
Rate for Payer: PHP Medicaid |
$4,265.22
|
Rate for Payer: Priority Health Choice Medicaid |
$4,265.22
|
|
INPATIENT APRDRG 0473: TRANSIENT ISCHEMIA
|
Facility
|
IP
|
$5,372.96
|
|
Service Code
|
APR-DRG 0473
|
Hospital Charge Code |
APRDRG 0473
|
Min. Negotiated Rate |
$5,117.10 |
Max. Negotiated Rate |
$5,372.96 |
Rate for Payer: BCBS Complete |
$5,372.96
|
Rate for Payer: Mclaren Medicaid |
$5,117.10
|
Rate for Payer: Meridian Medicaid |
$5,372.96
|
Rate for Payer: PHP Medicaid |
$5,117.10
|
Rate for Payer: Priority Health Choice Medicaid |
$5,117.10
|
|
INPATIENT APRDRG 0474: TRANSIENT ISCHEMIA
|
Facility
|
IP
|
$9,496.92
|
|
Service Code
|
APR-DRG 0474
|
Hospital Charge Code |
APRDRG 0474
|
Min. Negotiated Rate |
$9,044.69 |
Max. Negotiated Rate |
$9,496.92 |
Rate for Payer: BCBS Complete |
$9,496.92
|
Rate for Payer: Mclaren Medicaid |
$9,044.69
|
Rate for Payer: Meridian Medicaid |
$9,496.92
|
Rate for Payer: PHP Medicaid |
$9,044.69
|
Rate for Payer: Priority Health Choice Medicaid |
$9,044.69
|
|
INPATIENT APRDRG 0481: PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS
|
Facility
|
IP
|
$3,714.14
|
|
Service Code
|
APR-DRG 0481
|
Hospital Charge Code |
APRDRG 0481
|
Min. Negotiated Rate |
$3,537.28 |
Max. Negotiated Rate |
$3,714.14 |
Rate for Payer: BCBS Complete |
$3,714.14
|
Rate for Payer: Mclaren Medicaid |
$3,537.28
|
Rate for Payer: Meridian Medicaid |
$3,714.14
|
Rate for Payer: PHP Medicaid |
$3,537.28
|
Rate for Payer: Priority Health Choice Medicaid |
$3,537.28
|
|
INPATIENT APRDRG 0482: PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS
|
Facility
|
IP
|
$4,407.78
|
|
Service Code
|
APR-DRG 0482
|
Hospital Charge Code |
APRDRG 0482
|
Min. Negotiated Rate |
$4,197.89 |
Max. Negotiated Rate |
$4,407.78 |
Rate for Payer: BCBS Complete |
$4,407.78
|
Rate for Payer: Mclaren Medicaid |
$4,197.89
|
Rate for Payer: Meridian Medicaid |
$4,407.78
|
Rate for Payer: PHP Medicaid |
$4,197.89
|
Rate for Payer: Priority Health Choice Medicaid |
$4,197.89
|
|
INPATIENT APRDRG 0483: PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS
|
Facility
|
IP
|
$6,341.19
|
|
Service Code
|
APR-DRG 0483
|
Hospital Charge Code |
APRDRG 0483
|
Min. Negotiated Rate |
$6,039.23 |
Max. Negotiated Rate |
$6,341.19 |
Rate for Payer: BCBS Complete |
$6,341.19
|
Rate for Payer: Mclaren Medicaid |
$6,039.23
|
Rate for Payer: Meridian Medicaid |
$6,341.19
|
Rate for Payer: PHP Medicaid |
$6,039.23
|
Rate for Payer: Priority Health Choice Medicaid |
$6,039.23
|
|
INPATIENT APRDRG 0484: PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS
|
Facility
|
IP
|
$11,964.64
|
|
Service Code
|
APR-DRG 0484
|
Hospital Charge Code |
APRDRG 0484
|
Min. Negotiated Rate |
$11,394.90 |
Max. Negotiated Rate |
$11,964.64 |
Rate for Payer: BCBS Complete |
$11,964.64
|
Rate for Payer: Mclaren Medicaid |
$11,394.90
|
Rate for Payer: Meridian Medicaid |
$11,964.64
|
Rate for Payer: PHP Medicaid |
$11,394.90
|
Rate for Payer: Priority Health Choice Medicaid |
$11,394.90
|
|
INPATIENT APRDRG 0491: BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$6,547.64
|
|
Service Code
|
APR-DRG 0491
|
Hospital Charge Code |
APRDRG 0491
|
Min. Negotiated Rate |
$6,235.85 |
Max. Negotiated Rate |
$6,547.64 |
Rate for Payer: BCBS Complete |
$6,547.64
|
Rate for Payer: Mclaren Medicaid |
$6,235.85
|
Rate for Payer: Meridian Medicaid |
$6,547.64
|
Rate for Payer: PHP Medicaid |
$6,235.85
|
Rate for Payer: Priority Health Choice Medicaid |
$6,235.85
|
|
INPATIENT APRDRG 0492: BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$12,712.60
|
|
Service Code
|
APR-DRG 0492
|
Hospital Charge Code |
APRDRG 0492
|
Min. Negotiated Rate |
$12,107.24 |
Max. Negotiated Rate |
$12,712.60 |
Rate for Payer: BCBS Complete |
$12,712.60
|
Rate for Payer: Mclaren Medicaid |
$12,107.24
|
Rate for Payer: Meridian Medicaid |
$12,712.60
|
Rate for Payer: PHP Medicaid |
$12,107.24
|
Rate for Payer: Priority Health Choice Medicaid |
$12,107.24
|
|
INPATIENT APRDRG 0493: BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$14,231.55
|
|
Service Code
|
APR-DRG 0493
|
Hospital Charge Code |
APRDRG 0493
|
Min. Negotiated Rate |
$13,553.86 |
Max. Negotiated Rate |
$14,231.55 |
Rate for Payer: BCBS Complete |
$14,231.55
|
Rate for Payer: Mclaren Medicaid |
$13,553.86
|
Rate for Payer: Meridian Medicaid |
$14,231.55
|
Rate for Payer: PHP Medicaid |
$13,553.86
|
Rate for Payer: Priority Health Choice Medicaid |
$13,553.86
|
|
INPATIENT APRDRG 0494: BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$19,750.00
|
|
Service Code
|
APR-DRG 0494
|
Hospital Charge Code |
APRDRG 0494
|
Min. Negotiated Rate |
$18,809.52 |
Max. Negotiated Rate |
$19,750.00 |
Rate for Payer: BCBS Complete |
$19,750.00
|
Rate for Payer: Mclaren Medicaid |
$18,809.52
|
Rate for Payer: Meridian Medicaid |
$19,750.00
|
Rate for Payer: PHP Medicaid |
$18,809.52
|
Rate for Payer: Priority Health Choice Medicaid |
$18,809.52
|
|
INPATIENT APRDRG 0501: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS
|
Facility
|
IP
|
$3,397.54
|
|
Service Code
|
APR-DRG 0501
|
Hospital Charge Code |
APRDRG 0501
|
Min. Negotiated Rate |
$3,235.75 |
Max. Negotiated Rate |
$3,397.54 |
Rate for Payer: BCBS Complete |
$3,397.54
|
Rate for Payer: Mclaren Medicaid |
$3,235.75
|
Rate for Payer: Meridian Medicaid |
$3,397.54
|
Rate for Payer: PHP Medicaid |
$3,235.75
|
Rate for Payer: Priority Health Choice Medicaid |
$3,235.75
|
|
INPATIENT APRDRG 0502: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS
|
Facility
|
IP
|
$7,744.87
|
|
Service Code
|
APR-DRG 0502
|
Hospital Charge Code |
APRDRG 0502
|
Min. Negotiated Rate |
$7,376.07 |
Max. Negotiated Rate |
$7,744.87 |
Rate for Payer: BCBS Complete |
$7,744.87
|
Rate for Payer: Mclaren Medicaid |
$7,376.07
|
Rate for Payer: Meridian Medicaid |
$7,744.87
|
Rate for Payer: PHP Medicaid |
$7,376.07
|
Rate for Payer: Priority Health Choice Medicaid |
$7,376.07
|
|