INPATIENT APRDRG 0564: BRAIN CONTUSION/LACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA
|
Facility
|
IP
|
$8,668.55
|
|
Service Code
|
APR-DRG 0564
|
Hospital Charge Code |
APRDRG 0564
|
Min. Negotiated Rate |
$8,255.76 |
Max. Negotiated Rate |
$8,668.55 |
Rate for Payer: BCBS Complete |
$8,668.55
|
Rate for Payer: Mclaren Medicaid |
$8,255.76
|
Rate for Payer: Meridian Medicaid |
$8,668.55
|
Rate for Payer: PHP Medicaid |
$8,255.76
|
Rate for Payer: Priority Health Choice Medicaid |
$8,255.76
|
|
INPATIENT APRDRG 0571: CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA
|
Facility
|
IP
|
$2,897.02
|
|
Service Code
|
APR-DRG 0571
|
Hospital Charge Code |
APRDRG 0571
|
Min. Negotiated Rate |
$2,759.07 |
Max. Negotiated Rate |
$2,897.02 |
Rate for Payer: BCBS Complete |
$2,897.02
|
Rate for Payer: Mclaren Medicaid |
$2,759.07
|
Rate for Payer: Meridian Medicaid |
$2,897.02
|
Rate for Payer: PHP Medicaid |
$2,759.07
|
Rate for Payer: Priority Health Choice Medicaid |
$2,759.07
|
|
INPATIENT APRDRG 0572: CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA
|
Facility
|
IP
|
$4,640.37
|
|
Service Code
|
APR-DRG 0572
|
Hospital Charge Code |
APRDRG 0572
|
Min. Negotiated Rate |
$4,419.40 |
Max. Negotiated Rate |
$4,640.37 |
Rate for Payer: BCBS Complete |
$4,640.37
|
Rate for Payer: Mclaren Medicaid |
$4,419.40
|
Rate for Payer: Meridian Medicaid |
$4,640.37
|
Rate for Payer: PHP Medicaid |
$4,419.40
|
Rate for Payer: Priority Health Choice Medicaid |
$4,419.40
|
|
INPATIENT APRDRG 0573: CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA
|
Facility
|
IP
|
$6,351.94
|
|
Service Code
|
APR-DRG 0573
|
Hospital Charge Code |
APRDRG 0573
|
Min. Negotiated Rate |
$6,049.47 |
Max. Negotiated Rate |
$6,351.94 |
Rate for Payer: BCBS Complete |
$6,351.94
|
Rate for Payer: Mclaren Medicaid |
$6,049.47
|
Rate for Payer: Meridian Medicaid |
$6,351.94
|
Rate for Payer: PHP Medicaid |
$6,049.47
|
Rate for Payer: Priority Health Choice Medicaid |
$6,049.47
|
|
INPATIENT APRDRG 0574: CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA
|
Facility
|
IP
|
$10,102.46
|
|
Service Code
|
APR-DRG 0574
|
Hospital Charge Code |
APRDRG 0574
|
Min. Negotiated Rate |
$9,621.39 |
Max. Negotiated Rate |
$10,102.46 |
Rate for Payer: BCBS Complete |
$10,102.46
|
Rate for Payer: Mclaren Medicaid |
$9,621.39
|
Rate for Payer: Meridian Medicaid |
$10,102.46
|
Rate for Payer: PHP Medicaid |
$9,621.39
|
Rate for Payer: Priority Health Choice Medicaid |
$9,621.39
|
|
INPATIENT APRDRG 0581: OTHER DISORDERS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$4,163.93
|
|
Service Code
|
APR-DRG 0581
|
Hospital Charge Code |
APRDRG 0581
|
Min. Negotiated Rate |
$3,965.65 |
Max. Negotiated Rate |
$4,163.93 |
Rate for Payer: BCBS Complete |
$4,163.93
|
Rate for Payer: Mclaren Medicaid |
$3,965.65
|
Rate for Payer: Meridian Medicaid |
$4,163.93
|
Rate for Payer: PHP Medicaid |
$3,965.65
|
Rate for Payer: Priority Health Choice Medicaid |
$3,965.65
|
|
INPATIENT APRDRG 0582: OTHER DISORDERS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$5,578.89
|
|
Service Code
|
APR-DRG 0582
|
Hospital Charge Code |
APRDRG 0582
|
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 0583: OTHER DISORDERS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$7,173.66
|
|
Service Code
|
APR-DRG 0583
|
Hospital Charge Code |
APRDRG 0583
|
Min. Negotiated Rate |
$6,832.06 |
Max. Negotiated Rate |
$7,173.66 |
Rate for Payer: BCBS Complete |
$7,173.66
|
Rate for Payer: Mclaren Medicaid |
$6,832.06
|
Rate for Payer: Meridian Medicaid |
$7,173.66
|
Rate for Payer: PHP Medicaid |
$6,832.06
|
Rate for Payer: Priority Health Choice Medicaid |
$6,832.06
|
|
INPATIENT APRDRG 0584: OTHER DISORDERS OF NERVOUS SYSTEM
|
Facility
|
IP
|
$10,279.71
|
|
Service Code
|
APR-DRG 0584
|
Hospital Charge Code |
APRDRG 0584
|
Min. Negotiated Rate |
$9,790.20 |
Max. Negotiated Rate |
$10,279.71 |
Rate for Payer: BCBS Complete |
$10,279.71
|
Rate for Payer: Mclaren Medicaid |
$9,790.20
|
Rate for Payer: Meridian Medicaid |
$10,279.71
|
Rate for Payer: PHP Medicaid |
$9,790.20
|
Rate for Payer: Priority Health Choice Medicaid |
$9,790.20
|
|
INPATIENT APRDRG 0591: ANOXIC & OTHER SEVERE BRAIN DAMAGE
|
Facility
|
IP
|
$4,156.25
|
|
Service Code
|
APR-DRG 0591
|
Hospital Charge Code |
APRDRG 0591
|
Min. Negotiated Rate |
$3,958.33 |
Max. Negotiated Rate |
$4,156.25 |
Rate for Payer: BCBS Complete |
$4,156.25
|
Rate for Payer: Mclaren Medicaid |
$3,958.33
|
Rate for Payer: Meridian Medicaid |
$4,156.25
|
Rate for Payer: PHP Medicaid |
$3,958.33
|
Rate for Payer: Priority Health Choice Medicaid |
$3,958.33
|
|
INPATIENT APRDRG 0592: ANOXIC & OTHER SEVERE BRAIN DAMAGE
|
Facility
|
IP
|
$6,096.31
|
|
Service Code
|
APR-DRG 0592
|
Hospital Charge Code |
APRDRG 0592
|
Min. Negotiated Rate |
$5,806.01 |
Max. Negotiated Rate |
$6,096.31 |
Rate for Payer: BCBS Complete |
$6,096.31
|
Rate for Payer: Mclaren Medicaid |
$5,806.01
|
Rate for Payer: Meridian Medicaid |
$6,096.31
|
Rate for Payer: PHP Medicaid |
$5,806.01
|
Rate for Payer: Priority Health Choice Medicaid |
$5,806.01
|
|
INPATIENT APRDRG 0593: ANOXIC & OTHER SEVERE BRAIN DAMAGE
|
Facility
|
IP
|
$9,347.85
|
|
Service Code
|
APR-DRG 0593
|
Hospital Charge Code |
APRDRG 0593
|
Min. Negotiated Rate |
$8,902.71 |
Max. Negotiated Rate |
$9,347.85 |
Rate for Payer: BCBS Complete |
$9,347.85
|
Rate for Payer: Mclaren Medicaid |
$8,902.71
|
Rate for Payer: Meridian Medicaid |
$9,347.85
|
Rate for Payer: PHP Medicaid |
$8,902.71
|
Rate for Payer: Priority Health Choice Medicaid |
$8,902.71
|
|
INPATIENT APRDRG 0594: ANOXIC & OTHER SEVERE BRAIN DAMAGE
|
Facility
|
IP
|
$12,635.75
|
|
Service Code
|
APR-DRG 0594
|
Hospital Charge Code |
APRDRG 0594
|
Min. Negotiated Rate |
$12,034.05 |
Max. Negotiated Rate |
$12,635.75 |
Rate for Payer: BCBS Complete |
$12,635.75
|
Rate for Payer: Mclaren Medicaid |
$12,034.05
|
Rate for Payer: Meridian Medicaid |
$12,635.75
|
Rate for Payer: PHP Medicaid |
$12,034.05
|
Rate for Payer: Priority Health Choice Medicaid |
$12,034.05
|
|
INPATIENT APRDRG 0731: ORBIT AND EYE PROCEDURES
|
Facility
|
IP
|
$7,175.72
|
|
Service Code
|
APR-DRG 0731
|
Hospital Charge Code |
APRDRG 0731
|
Min. Negotiated Rate |
$6,834.02 |
Max. Negotiated Rate |
$7,175.72 |
Rate for Payer: BCBS Complete |
$7,175.72
|
Rate for Payer: Mclaren Medicaid |
$6,834.02
|
Rate for Payer: Meridian Medicaid |
$7,175.72
|
Rate for Payer: PHP Medicaid |
$6,834.02
|
Rate for Payer: Priority Health Choice Medicaid |
$6,834.02
|
|
INPATIENT APRDRG 0732: ORBIT AND EYE PROCEDURES
|
Facility
|
IP
|
$7,920.08
|
|
Service Code
|
APR-DRG 0732
|
Hospital Charge Code |
APRDRG 0732
|
Min. Negotiated Rate |
$7,542.93 |
Max. Negotiated Rate |
$7,920.08 |
Rate for Payer: BCBS Complete |
$7,920.08
|
Rate for Payer: Mclaren Medicaid |
$7,542.93
|
Rate for Payer: Meridian Medicaid |
$7,920.08
|
Rate for Payer: PHP Medicaid |
$7,542.93
|
Rate for Payer: Priority Health Choice Medicaid |
$7,542.93
|
|
INPATIENT APRDRG 0733: ORBIT AND EYE PROCEDURES
|
Facility
|
IP
|
$12,042.01
|
|
Service Code
|
APR-DRG 0733
|
Hospital Charge Code |
APRDRG 0733
|
Min. Negotiated Rate |
$11,468.58 |
Max. Negotiated Rate |
$12,042.01 |
Rate for Payer: BCBS Complete |
$12,042.01
|
Rate for Payer: Mclaren Medicaid |
$11,468.58
|
Rate for Payer: Meridian Medicaid |
$12,042.01
|
Rate for Payer: PHP Medicaid |
$11,468.58
|
Rate for Payer: Priority Health Choice Medicaid |
$11,468.58
|
|
INPATIENT APRDRG 0734: ORBIT AND EYE PROCEDURES
|
Facility
|
IP
|
$21,236.17
|
|
Service Code
|
APR-DRG 0734
|
Hospital Charge Code |
APRDRG 0734
|
Min. Negotiated Rate |
$20,224.92 |
Max. Negotiated Rate |
$21,236.17 |
Rate for Payer: BCBS Complete |
$21,236.17
|
Rate for Payer: Mclaren Medicaid |
$20,224.92
|
Rate for Payer: Meridian Medicaid |
$21,236.17
|
Rate for Payer: PHP Medicaid |
$20,224.92
|
Rate for Payer: Priority Health Choice Medicaid |
$20,224.92
|
|
INPATIENT APRDRG 0821: EYE INFECTIONS AND OTHER EYE DISORDERS
|
Facility
|
IP
|
$3,069.16
|
|
Service Code
|
APR-DRG 0821
|
Hospital Charge Code |
APRDRG 0821
|
Min. Negotiated Rate |
$2,923.01 |
Max. Negotiated Rate |
$3,069.16 |
Rate for Payer: BCBS Complete |
$3,069.16
|
Rate for Payer: Mclaren Medicaid |
$2,923.01
|
Rate for Payer: Meridian Medicaid |
$3,069.16
|
Rate for Payer: PHP Medicaid |
$2,923.01
|
Rate for Payer: Priority Health Choice Medicaid |
$2,923.01
|
|
INPATIENT APRDRG 0822: EYE INFECTIONS AND OTHER EYE DISORDERS
|
Facility
|
IP
|
$4,668.54
|
|
Service Code
|
APR-DRG 0822
|
Hospital Charge Code |
APRDRG 0822
|
Min. Negotiated Rate |
$4,446.23 |
Max. Negotiated Rate |
$4,668.54 |
Rate for Payer: BCBS Complete |
$4,668.54
|
Rate for Payer: Mclaren Medicaid |
$4,446.23
|
Rate for Payer: Meridian Medicaid |
$4,668.54
|
Rate for Payer: PHP Medicaid |
$4,446.23
|
Rate for Payer: Priority Health Choice Medicaid |
$4,446.23
|
|
INPATIENT APRDRG 0823: EYE INFECTIONS AND OTHER EYE DISORDERS
|
Facility
|
IP
|
$8,944.67
|
|
Service Code
|
APR-DRG 0823
|
Hospital Charge Code |
APRDRG 0823
|
Min. Negotiated Rate |
$8,518.73 |
Max. Negotiated Rate |
$8,944.67 |
Rate for Payer: BCBS Complete |
$8,944.67
|
Rate for Payer: Mclaren Medicaid |
$8,518.73
|
Rate for Payer: Meridian Medicaid |
$8,944.67
|
Rate for Payer: PHP Medicaid |
$8,518.73
|
Rate for Payer: Priority Health Choice Medicaid |
$8,518.73
|
|
INPATIENT APRDRG 0824: EYE INFECTIONS AND OTHER EYE DISORDERS
|
Facility
|
IP
|
$15,008.71
|
|
Service Code
|
APR-DRG 0824
|
Hospital Charge Code |
APRDRG 0824
|
Min. Negotiated Rate |
$14,294.01 |
Max. Negotiated Rate |
$15,008.71 |
Rate for Payer: BCBS Complete |
$15,008.71
|
Rate for Payer: Mclaren Medicaid |
$14,294.01
|
Rate for Payer: Meridian Medicaid |
$15,008.71
|
Rate for Payer: PHP Medicaid |
$14,294.01
|
Rate for Payer: Priority Health Choice Medicaid |
$14,294.01
|
|
INPATIENT APRDRG 0891: MAJOR CRANIAL/FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$11,100.41
|
|
Service Code
|
APR-DRG 0891
|
Hospital Charge Code |
APRDRG 0891
|
Min. Negotiated Rate |
$10,571.82 |
Max. Negotiated Rate |
$11,100.41 |
Rate for Payer: BCBS Complete |
$11,100.41
|
Rate for Payer: Mclaren Medicaid |
$10,571.82
|
Rate for Payer: Meridian Medicaid |
$11,100.41
|
Rate for Payer: PHP Medicaid |
$10,571.82
|
Rate for Payer: Priority Health Choice Medicaid |
$10,571.82
|
|
INPATIENT APRDRG 0892: MAJOR CRANIAL/FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$15,318.14
|
|
Service Code
|
APR-DRG 0892
|
Hospital Charge Code |
APRDRG 0892
|
Min. Negotiated Rate |
$14,588.70 |
Max. Negotiated Rate |
$15,318.14 |
Rate for Payer: BCBS Complete |
$15,318.14
|
Rate for Payer: Mclaren Medicaid |
$14,588.70
|
Rate for Payer: Meridian Medicaid |
$15,318.14
|
Rate for Payer: PHP Medicaid |
$14,588.70
|
Rate for Payer: Priority Health Choice Medicaid |
$14,588.70
|
|
INPATIENT APRDRG 0893: MAJOR CRANIAL/FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$22,144.97
|
|
Service Code
|
APR-DRG 0893
|
Hospital Charge Code |
APRDRG 0893
|
Min. Negotiated Rate |
$21,090.45 |
Max. Negotiated Rate |
$22,144.97 |
Rate for Payer: BCBS Complete |
$22,144.97
|
Rate for Payer: Mclaren Medicaid |
$21,090.45
|
Rate for Payer: Meridian Medicaid |
$22,144.97
|
Rate for Payer: PHP Medicaid |
$21,090.45
|
Rate for Payer: Priority Health Choice Medicaid |
$21,090.45
|
|
INPATIENT APRDRG 0894: MAJOR CRANIAL/FACIAL BONE PROCEDURES
|
Facility
|
IP
|
$29,387.80
|
|
Service Code
|
APR-DRG 0894
|
Hospital Charge Code |
APRDRG 0894
|
Min. Negotiated Rate |
$27,988.38 |
Max. Negotiated Rate |
$29,387.80 |
Rate for Payer: BCBS Complete |
$29,387.80
|
Rate for Payer: Mclaren Medicaid |
$27,988.38
|
Rate for Payer: Meridian Medicaid |
$29,387.80
|
Rate for Payer: PHP Medicaid |
$27,988.38
|
Rate for Payer: Priority Health Choice Medicaid |
$27,988.38
|
|