INPATIENT APRDRG 1364: RESPIRATORY MALIGNANCY
|
Facility
|
IP
|
$11,218.75
|
|
Service Code
|
APR-DRG 1364
|
Hospital Charge Code |
APRDRG 1364
|
Min. Negotiated Rate |
$10,684.52 |
Max. Negotiated Rate |
$11,218.75 |
Rate for Payer: BCBS Complete |
$11,218.75
|
Rate for Payer: Mclaren Medicaid |
$10,684.52
|
Rate for Payer: Meridian Medicaid |
$11,218.75
|
Rate for Payer: PHP Medicaid |
$10,684.52
|
Rate for Payer: Priority Health Choice Medicaid |
$10,684.52
|
|
INPATIENT APRDRG 1371: MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS
|
Facility
|
IP
|
$2,367.82
|
|
Service Code
|
APR-DRG 1371
|
Hospital Charge Code |
APRDRG 1371
|
Min. Negotiated Rate |
$2,255.07 |
Max. Negotiated Rate |
$2,367.82 |
Rate for Payer: BCBS Complete |
$2,367.82
|
Rate for Payer: Mclaren Medicaid |
$2,255.07
|
Rate for Payer: Meridian Medicaid |
$2,367.82
|
Rate for Payer: PHP Medicaid |
$2,255.07
|
Rate for Payer: Priority Health Choice Medicaid |
$2,255.07
|
|
INPATIENT APRDRG 1372: MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS
|
Facility
|
IP
|
$4,328.90
|
|
Service Code
|
APR-DRG 1372
|
Hospital Charge Code |
APRDRG 1372
|
Min. Negotiated Rate |
$4,122.76 |
Max. Negotiated Rate |
$4,328.90 |
Rate for Payer: BCBS Complete |
$4,328.90
|
Rate for Payer: Mclaren Medicaid |
$4,122.76
|
Rate for Payer: Meridian Medicaid |
$4,328.90
|
Rate for Payer: PHP Medicaid |
$4,122.76
|
Rate for Payer: Priority Health Choice Medicaid |
$4,122.76
|
|
INPATIENT APRDRG 1373: MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS
|
Facility
|
IP
|
$5,621.42
|
|
Service Code
|
APR-DRG 1373
|
Hospital Charge Code |
APRDRG 1373
|
Min. Negotiated Rate |
$5,353.73 |
Max. Negotiated Rate |
$5,621.42 |
Rate for Payer: BCBS Complete |
$5,621.42
|
Rate for Payer: Mclaren Medicaid |
$5,353.73
|
Rate for Payer: Meridian Medicaid |
$5,621.42
|
Rate for Payer: PHP Medicaid |
$5,353.73
|
Rate for Payer: Priority Health Choice Medicaid |
$5,353.73
|
|
INPATIENT APRDRG 1374: MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS
|
Facility
|
IP
|
$9,917.01
|
|
Service Code
|
APR-DRG 1374
|
Hospital Charge Code |
APRDRG 1374
|
Min. Negotiated Rate |
$9,444.77 |
Max. Negotiated Rate |
$9,917.01 |
Rate for Payer: BCBS Complete |
$9,917.01
|
Rate for Payer: Mclaren Medicaid |
$9,444.77
|
Rate for Payer: Meridian Medicaid |
$9,917.01
|
Rate for Payer: PHP Medicaid |
$9,444.77
|
Rate for Payer: Priority Health Choice Medicaid |
$9,444.77
|
|
INPATIENT APRDRG 1381: BRONCHIOLITIS & RSV PNEUMONIA
|
Facility
|
IP
|
$2,795.59
|
|
Service Code
|
APR-DRG 1381
|
Hospital Charge Code |
APRDRG 1381
|
Min. Negotiated Rate |
$2,662.47 |
Max. Negotiated Rate |
$2,795.59 |
Rate for Payer: BCBS Complete |
$2,795.59
|
Rate for Payer: Mclaren Medicaid |
$2,662.47
|
Rate for Payer: Meridian Medicaid |
$2,795.59
|
Rate for Payer: PHP Medicaid |
$2,662.47
|
Rate for Payer: Priority Health Choice Medicaid |
$2,662.47
|
|
INPATIENT APRDRG 1382: BRONCHIOLITIS & RSV PNEUMONIA
|
Facility
|
IP
|
$3,507.17
|
|
Service Code
|
APR-DRG 1382
|
Hospital Charge Code |
APRDRG 1382
|
Min. Negotiated Rate |
$3,340.16 |
Max. Negotiated Rate |
$3,507.17 |
Rate for Payer: BCBS Complete |
$3,507.17
|
Rate for Payer: Mclaren Medicaid |
$3,340.16
|
Rate for Payer: Meridian Medicaid |
$3,507.17
|
Rate for Payer: PHP Medicaid |
$3,340.16
|
Rate for Payer: Priority Health Choice Medicaid |
$3,340.16
|
|
INPATIENT APRDRG 1383: BRONCHIOLITIS & RSV PNEUMONIA
|
Facility
|
IP
|
$5,000.00
|
|
Service Code
|
APR-DRG 1383
|
Hospital Charge Code |
APRDRG 1383
|
Min. Negotiated Rate |
$4,761.90 |
Max. Negotiated Rate |
$5,000.00 |
Rate for Payer: BCBS Complete |
$5,000.00
|
Rate for Payer: Mclaren Medicaid |
$4,761.90
|
Rate for Payer: Meridian Medicaid |
$5,000.00
|
Rate for Payer: PHP Medicaid |
$4,761.90
|
Rate for Payer: Priority Health Choice Medicaid |
$4,761.90
|
|
INPATIENT APRDRG 1384: BRONCHIOLITIS & RSV PNEUMONIA
|
Facility
|
IP
|
$8,474.38
|
|
Service Code
|
APR-DRG 1384
|
Hospital Charge Code |
APRDRG 1384
|
Min. Negotiated Rate |
$8,070.84 |
Max. Negotiated Rate |
$8,474.38 |
Rate for Payer: BCBS Complete |
$8,474.38
|
Rate for Payer: Mclaren Medicaid |
$8,070.84
|
Rate for Payer: Meridian Medicaid |
$8,474.38
|
Rate for Payer: PHP Medicaid |
$8,070.84
|
Rate for Payer: Priority Health Choice Medicaid |
$8,070.84
|
|
INPATIENT APRDRG 1391: OTHER PNEUMONIA
|
Facility
|
IP
|
$2,700.82
|
|
Service Code
|
APR-DRG 1391
|
Hospital Charge Code |
APRDRG 1391
|
Min. Negotiated Rate |
$2,572.21 |
Max. Negotiated Rate |
$2,700.82 |
Rate for Payer: BCBS Complete |
$2,700.82
|
Rate for Payer: Mclaren Medicaid |
$2,572.21
|
Rate for Payer: Meridian Medicaid |
$2,700.82
|
Rate for Payer: PHP Medicaid |
$2,572.21
|
Rate for Payer: Priority Health Choice Medicaid |
$2,572.21
|
|
INPATIENT APRDRG 1392: OTHER PNEUMONIA
|
Facility
|
IP
|
$3,383.19
|
|
Service Code
|
APR-DRG 1392
|
Hospital Charge Code |
APRDRG 1392
|
Min. Negotiated Rate |
$3,222.09 |
Max. Negotiated Rate |
$3,383.19 |
Rate for Payer: BCBS Complete |
$3,383.19
|
Rate for Payer: Mclaren Medicaid |
$3,222.09
|
Rate for Payer: Meridian Medicaid |
$3,383.19
|
Rate for Payer: PHP Medicaid |
$3,222.09
|
Rate for Payer: Priority Health Choice Medicaid |
$3,222.09
|
|
INPATIENT APRDRG 1393: OTHER PNEUMONIA
|
Facility
|
IP
|
$5,195.69
|
|
Service Code
|
APR-DRG 1393
|
Hospital Charge Code |
APRDRG 1393
|
Min. Negotiated Rate |
$4,948.28 |
Max. Negotiated Rate |
$5,195.69 |
Rate for Payer: BCBS Complete |
$5,195.69
|
Rate for Payer: Mclaren Medicaid |
$4,948.28
|
Rate for Payer: Meridian Medicaid |
$5,195.69
|
Rate for Payer: PHP Medicaid |
$4,948.28
|
Rate for Payer: Priority Health Choice Medicaid |
$4,948.28
|
|
INPATIENT APRDRG 1394: OTHER PNEUMONIA
|
Facility
|
IP
|
$8,076.84
|
|
Service Code
|
APR-DRG 1394
|
Hospital Charge Code |
APRDRG 1394
|
Min. Negotiated Rate |
$7,692.23 |
Max. Negotiated Rate |
$8,076.84 |
Rate for Payer: BCBS Complete |
$8,076.84
|
Rate for Payer: Mclaren Medicaid |
$7,692.23
|
Rate for Payer: Meridian Medicaid |
$8,076.84
|
Rate for Payer: PHP Medicaid |
$7,692.23
|
Rate for Payer: Priority Health Choice Medicaid |
$7,692.23
|
|
INPATIENT APRDRG 1401: CHRONIC OBSTRUCTIVE PULMONARY DISEASE
|
Facility
|
IP
|
$3,296.62
|
|
Service Code
|
APR-DRG 1401
|
Hospital Charge Code |
APRDRG 1401
|
Min. Negotiated Rate |
$3,139.64 |
Max. Negotiated Rate |
$3,296.62 |
Rate for Payer: BCBS Complete |
$3,296.62
|
Rate for Payer: Mclaren Medicaid |
$3,139.64
|
Rate for Payer: Meridian Medicaid |
$3,296.62
|
Rate for Payer: PHP Medicaid |
$3,139.64
|
Rate for Payer: Priority Health Choice Medicaid |
$3,139.64
|
|
INPATIENT APRDRG 1402: CHRONIC OBSTRUCTIVE PULMONARY DISEASE
|
Facility
|
IP
|
$3,927.77
|
|
Service Code
|
APR-DRG 1402
|
Hospital Charge Code |
APRDRG 1402
|
Min. Negotiated Rate |
$3,740.73 |
Max. Negotiated Rate |
$3,927.77 |
Rate for Payer: BCBS Complete |
$3,927.77
|
Rate for Payer: Mclaren Medicaid |
$3,740.73
|
Rate for Payer: Meridian Medicaid |
$3,927.77
|
Rate for Payer: PHP Medicaid |
$3,740.73
|
Rate for Payer: Priority Health Choice Medicaid |
$3,740.73
|
|
INPATIENT APRDRG 1403: CHRONIC OBSTRUCTIVE PULMONARY DISEASE
|
Facility
|
IP
|
$4,579.92
|
|
Service Code
|
APR-DRG 1403
|
Hospital Charge Code |
APRDRG 1403
|
Min. Negotiated Rate |
$4,361.83 |
Max. Negotiated Rate |
$4,579.92 |
Rate for Payer: BCBS Complete |
$4,579.92
|
Rate for Payer: Mclaren Medicaid |
$4,361.83
|
Rate for Payer: Meridian Medicaid |
$4,579.92
|
Rate for Payer: PHP Medicaid |
$4,361.83
|
Rate for Payer: Priority Health Choice Medicaid |
$4,361.83
|
|
INPATIENT APRDRG 1404: CHRONIC OBSTRUCTIVE PULMONARY DISEASE
|
Facility
|
IP
|
$7,960.55
|
|
Service Code
|
APR-DRG 1404
|
Hospital Charge Code |
APRDRG 1404
|
Min. Negotiated Rate |
$7,581.48 |
Max. Negotiated Rate |
$7,960.55 |
Rate for Payer: BCBS Complete |
$7,960.55
|
Rate for Payer: Mclaren Medicaid |
$7,581.48
|
Rate for Payer: Meridian Medicaid |
$7,960.55
|
Rate for Payer: PHP Medicaid |
$7,581.48
|
Rate for Payer: Priority Health Choice Medicaid |
$7,581.48
|
|
INPATIENT APRDRG 1411: ASTHMA
|
Facility
|
IP
|
$3,014.34
|
|
Service Code
|
APR-DRG 1411
|
Hospital Charge Code |
APRDRG 1411
|
Min. Negotiated Rate |
$2,870.80 |
Max. Negotiated Rate |
$3,014.34 |
Rate for Payer: BCBS Complete |
$3,014.34
|
Rate for Payer: Mclaren Medicaid |
$2,870.80
|
Rate for Payer: Meridian Medicaid |
$3,014.34
|
Rate for Payer: PHP Medicaid |
$2,870.80
|
Rate for Payer: Priority Health Choice Medicaid |
$2,870.80
|
|
INPATIENT APRDRG 1412: ASTHMA
|
Facility
|
IP
|
$3,835.04
|
|
Service Code
|
APR-DRG 1412
|
Hospital Charge Code |
APRDRG 1412
|
Min. Negotiated Rate |
$3,652.42 |
Max. Negotiated Rate |
$3,835.04 |
Rate for Payer: BCBS Complete |
$3,835.04
|
Rate for Payer: Mclaren Medicaid |
$3,652.42
|
Rate for Payer: Meridian Medicaid |
$3,835.04
|
Rate for Payer: PHP Medicaid |
$3,652.42
|
Rate for Payer: Priority Health Choice Medicaid |
$3,652.42
|
|
INPATIENT APRDRG 1413: ASTHMA
|
Facility
|
IP
|
$4,055.84
|
|
Service Code
|
APR-DRG 1413
|
Hospital Charge Code |
APRDRG 1413
|
Min. Negotiated Rate |
$3,862.70 |
Max. Negotiated Rate |
$4,055.84 |
Rate for Payer: BCBS Complete |
$4,055.84
|
Rate for Payer: Mclaren Medicaid |
$3,862.70
|
Rate for Payer: Meridian Medicaid |
$4,055.84
|
Rate for Payer: PHP Medicaid |
$3,862.70
|
Rate for Payer: Priority Health Choice Medicaid |
$3,862.70
|
|
INPATIENT APRDRG 1414: ASTHMA
|
Facility
|
IP
|
$8,985.14
|
|
Service Code
|
APR-DRG 1414
|
Hospital Charge Code |
APRDRG 1414
|
Min. Negotiated Rate |
$8,557.28 |
Max. Negotiated Rate |
$8,985.14 |
Rate for Payer: BCBS Complete |
$8,985.14
|
Rate for Payer: Mclaren Medicaid |
$8,557.28
|
Rate for Payer: Meridian Medicaid |
$8,985.14
|
Rate for Payer: PHP Medicaid |
$8,557.28
|
Rate for Payer: Priority Health Choice Medicaid |
$8,557.28
|
|
INPATIENT APRDRG 1421: INTERSTITIAL & ALVEOLAR LUNG DISEASES
|
Facility
|
IP
|
$3,126.53
|
|
Service Code
|
APR-DRG 1421
|
Hospital Charge Code |
APRDRG 1421
|
Min. Negotiated Rate |
$2,977.65 |
Max. Negotiated Rate |
$3,126.53 |
Rate for Payer: BCBS Complete |
$3,126.53
|
Rate for Payer: Mclaren Medicaid |
$2,977.65
|
Rate for Payer: Meridian Medicaid |
$3,126.53
|
Rate for Payer: PHP Medicaid |
$2,977.65
|
Rate for Payer: Priority Health Choice Medicaid |
$2,977.65
|
|
INPATIENT APRDRG 1422: INTERSTITIAL & ALVEOLAR LUNG DISEASES
|
Facility
|
IP
|
$4,319.15
|
|
Service Code
|
APR-DRG 1422
|
Hospital Charge Code |
APRDRG 1422
|
Min. Negotiated Rate |
$4,113.48 |
Max. Negotiated Rate |
$4,319.15 |
Rate for Payer: BCBS Complete |
$4,319.15
|
Rate for Payer: Mclaren Medicaid |
$4,113.48
|
Rate for Payer: Meridian Medicaid |
$4,319.15
|
Rate for Payer: PHP Medicaid |
$4,113.48
|
Rate for Payer: Priority Health Choice Medicaid |
$4,113.48
|
|
INPATIENT APRDRG 1423: INTERSTITIAL & ALVEOLAR LUNG DISEASES
|
Facility
|
IP
|
$5,937.50
|
|
Service Code
|
APR-DRG 1423
|
Hospital Charge Code |
APRDRG 1423
|
Min. Negotiated Rate |
$5,654.76 |
Max. Negotiated Rate |
$5,937.50 |
Rate for Payer: BCBS Complete |
$5,937.50
|
Rate for Payer: Mclaren Medicaid |
$5,654.76
|
Rate for Payer: Meridian Medicaid |
$5,937.50
|
Rate for Payer: PHP Medicaid |
$5,654.76
|
Rate for Payer: Priority Health Choice Medicaid |
$5,654.76
|
|
INPATIENT APRDRG 1424: INTERSTITIAL & ALVEOLAR LUNG DISEASES
|
Facility
|
IP
|
$9,612.19
|
|
Service Code
|
APR-DRG 1424
|
Hospital Charge Code |
APRDRG 1424
|
Min. Negotiated Rate |
$9,154.47 |
Max. Negotiated Rate |
$9,612.19 |
Rate for Payer: BCBS Complete |
$9,612.19
|
Rate for Payer: Mclaren Medicaid |
$9,154.47
|
Rate for Payer: Meridian Medicaid |
$9,612.19
|
Rate for Payer: PHP Medicaid |
$9,154.47
|
Rate for Payer: Priority Health Choice Medicaid |
$9,154.47
|
|