INPATIENT APRDRG 1431: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES
|
Facility
|
IP
|
$3,233.10
|
|
Service Code
|
APR-DRG 1431
|
Hospital Charge Code |
APRDRG 1431
|
Min. Negotiated Rate |
$3,079.14 |
Max. Negotiated Rate |
$3,233.10 |
Rate for Payer: BCBS Complete |
$3,233.10
|
Rate for Payer: Mclaren Medicaid |
$3,079.14
|
Rate for Payer: Meridian Medicaid |
$3,233.10
|
Rate for Payer: PHP Medicaid |
$3,079.14
|
Rate for Payer: Priority Health Choice Medicaid |
$3,079.14
|
|
INPATIENT APRDRG 1432: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES
|
Facility
|
IP
|
$4,751.53
|
|
Service Code
|
APR-DRG 1432
|
Hospital Charge Code |
APRDRG 1432
|
Min. Negotiated Rate |
$4,525.27 |
Max. Negotiated Rate |
$4,751.53 |
Rate for Payer: BCBS Complete |
$4,751.53
|
Rate for Payer: Mclaren Medicaid |
$4,525.27
|
Rate for Payer: Meridian Medicaid |
$4,751.53
|
Rate for Payer: PHP Medicaid |
$4,525.27
|
Rate for Payer: Priority Health Choice Medicaid |
$4,525.27
|
|
INPATIENT APRDRG 1433: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES
|
Facility
|
IP
|
$6,704.92
|
|
Service Code
|
APR-DRG 1433
|
Hospital Charge Code |
APRDRG 1433
|
Min. Negotiated Rate |
$6,385.64 |
Max. Negotiated Rate |
$6,704.92 |
Rate for Payer: BCBS Complete |
$6,704.92
|
Rate for Payer: Mclaren Medicaid |
$6,385.64
|
Rate for Payer: Meridian Medicaid |
$6,704.92
|
Rate for Payer: PHP Medicaid |
$6,385.64
|
Rate for Payer: Priority Health Choice Medicaid |
$6,385.64
|
|
INPATIENT APRDRG 1434: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES
|
Facility
|
IP
|
$9,594.26
|
|
Service Code
|
APR-DRG 1434
|
Hospital Charge Code |
APRDRG 1434
|
Min. Negotiated Rate |
$9,137.39 |
Max. Negotiated Rate |
$9,594.26 |
Rate for Payer: BCBS Complete |
$9,594.26
|
Rate for Payer: Mclaren Medicaid |
$9,137.39
|
Rate for Payer: Meridian Medicaid |
$9,594.26
|
Rate for Payer: PHP Medicaid |
$9,137.39
|
Rate for Payer: Priority Health Choice Medicaid |
$9,137.39
|
|
INPATIENT APRDRG 1441: RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES
|
Facility
|
IP
|
$2,834.53
|
|
Service Code
|
APR-DRG 1441
|
Hospital Charge Code |
APRDRG 1441
|
Min. Negotiated Rate |
$2,699.55 |
Max. Negotiated Rate |
$2,834.53 |
Rate for Payer: BCBS Complete |
$2,834.53
|
Rate for Payer: Mclaren Medicaid |
$2,699.55
|
Rate for Payer: Meridian Medicaid |
$2,834.53
|
Rate for Payer: PHP Medicaid |
$2,699.55
|
Rate for Payer: Priority Health Choice Medicaid |
$2,699.55
|
|
INPATIENT APRDRG 1442: RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES
|
Facility
|
IP
|
$4,332.99
|
|
Service Code
|
APR-DRG 1442
|
Hospital Charge Code |
APRDRG 1442
|
Min. Negotiated Rate |
$4,126.66 |
Max. Negotiated Rate |
$4,332.99 |
Rate for Payer: BCBS Complete |
$4,332.99
|
Rate for Payer: Mclaren Medicaid |
$4,126.66
|
Rate for Payer: Meridian Medicaid |
$4,332.99
|
Rate for Payer: PHP Medicaid |
$4,126.66
|
Rate for Payer: Priority Health Choice Medicaid |
$4,126.66
|
|
INPATIENT APRDRG 1443: RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES
|
Facility
|
IP
|
$6,186.47
|
|
Service Code
|
APR-DRG 1443
|
Hospital Charge Code |
APRDRG 1443
|
Min. Negotiated Rate |
$5,891.88 |
Max. Negotiated Rate |
$6,186.47 |
Rate for Payer: BCBS Complete |
$6,186.47
|
Rate for Payer: Mclaren Medicaid |
$5,891.88
|
Rate for Payer: Meridian Medicaid |
$6,186.47
|
Rate for Payer: PHP Medicaid |
$5,891.88
|
Rate for Payer: Priority Health Choice Medicaid |
$5,891.88
|
|
INPATIENT APRDRG 1444: RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES
|
Facility
|
IP
|
$9,918.54
|
|
Service Code
|
APR-DRG 1444
|
Hospital Charge Code |
APRDRG 1444
|
Min. Negotiated Rate |
$9,446.23 |
Max. Negotiated Rate |
$9,918.54 |
Rate for Payer: BCBS Complete |
$9,918.54
|
Rate for Payer: Mclaren Medicaid |
$9,446.23
|
Rate for Payer: Meridian Medicaid |
$9,918.54
|
Rate for Payer: PHP Medicaid |
$9,446.23
|
Rate for Payer: Priority Health Choice Medicaid |
$9,446.23
|
|
INPATIENT APRDRG 1451: ACUTE BRONCHITIS AND RELATED SYMPTOMS
|
Facility
|
IP
|
$2,932.38
|
|
Service Code
|
APR-DRG 1451
|
Hospital Charge Code |
APRDRG 1451
|
Min. Negotiated Rate |
$2,792.74 |
Max. Negotiated Rate |
$2,932.38 |
Rate for Payer: BCBS Complete |
$2,932.38
|
Rate for Payer: Mclaren Medicaid |
$2,792.74
|
Rate for Payer: Meridian Medicaid |
$2,932.38
|
Rate for Payer: PHP Medicaid |
$2,792.74
|
Rate for Payer: Priority Health Choice Medicaid |
$2,792.74
|
|
INPATIENT APRDRG 1452: ACUTE BRONCHITIS AND RELATED SYMPTOMS
|
Facility
|
IP
|
$3,642.93
|
|
Service Code
|
APR-DRG 1452
|
Hospital Charge Code |
APRDRG 1452
|
Min. Negotiated Rate |
$3,469.46 |
Max. Negotiated Rate |
$3,642.93 |
Rate for Payer: BCBS Complete |
$3,642.93
|
Rate for Payer: Mclaren Medicaid |
$3,469.46
|
Rate for Payer: Meridian Medicaid |
$3,642.93
|
Rate for Payer: PHP Medicaid |
$3,469.46
|
Rate for Payer: Priority Health Choice Medicaid |
$3,469.46
|
|
INPATIENT APRDRG 1453: ACUTE BRONCHITIS AND RELATED SYMPTOMS
|
Facility
|
IP
|
$4,748.97
|
|
Service Code
|
APR-DRG 1453
|
Hospital Charge Code |
APRDRG 1453
|
Min. Negotiated Rate |
$4,522.83 |
Max. Negotiated Rate |
$4,748.97 |
Rate for Payer: BCBS Complete |
$4,748.97
|
Rate for Payer: Mclaren Medicaid |
$4,522.83
|
Rate for Payer: Meridian Medicaid |
$4,748.97
|
Rate for Payer: PHP Medicaid |
$4,522.83
|
Rate for Payer: Priority Health Choice Medicaid |
$4,522.83
|
|
INPATIENT APRDRG 1454: ACUTE BRONCHITIS AND RELATED SYMPTOMS
|
Facility
|
IP
|
$8,546.62
|
|
Service Code
|
APR-DRG 1454
|
Hospital Charge Code |
APRDRG 1454
|
Min. Negotiated Rate |
$8,139.64 |
Max. Negotiated Rate |
$8,546.62 |
Rate for Payer: BCBS Complete |
$8,546.62
|
Rate for Payer: Mclaren Medicaid |
$8,139.64
|
Rate for Payer: Meridian Medicaid |
$8,546.62
|
Rate for Payer: PHP Medicaid |
$8,139.64
|
Rate for Payer: Priority Health Choice Medicaid |
$8,139.64
|
|
INPATIENT APRDRG 1601: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$23,061.48
|
|
Service Code
|
APR-DRG 1601
|
Hospital Charge Code |
APRDRG 1601
|
Min. Negotiated Rate |
$21,963.31 |
Max. Negotiated Rate |
$23,061.48 |
Rate for Payer: BCBS Complete |
$23,061.48
|
Rate for Payer: Mclaren Medicaid |
$21,963.31
|
Rate for Payer: Meridian Medicaid |
$23,061.48
|
Rate for Payer: PHP Medicaid |
$21,963.31
|
Rate for Payer: Priority Health Choice Medicaid |
$21,963.31
|
|
INPATIENT APRDRG 1602: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$29,410.86
|
|
Service Code
|
APR-DRG 1602
|
Hospital Charge Code |
APRDRG 1602
|
Min. Negotiated Rate |
$28,010.34 |
Max. Negotiated Rate |
$29,410.86 |
Rate for Payer: BCBS Complete |
$29,410.86
|
Rate for Payer: Mclaren Medicaid |
$28,010.34
|
Rate for Payer: Meridian Medicaid |
$29,410.86
|
Rate for Payer: PHP Medicaid |
$28,010.34
|
Rate for Payer: Priority Health Choice Medicaid |
$28,010.34
|
|
INPATIENT APRDRG 1603: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$44,466.69
|
|
Service Code
|
APR-DRG 1603
|
Hospital Charge Code |
APRDRG 1603
|
Min. Negotiated Rate |
$42,349.23 |
Max. Negotiated Rate |
$44,466.69 |
Rate for Payer: BCBS Complete |
$44,466.69
|
Rate for Payer: Mclaren Medicaid |
$42,349.23
|
Rate for Payer: Meridian Medicaid |
$44,466.69
|
Rate for Payer: PHP Medicaid |
$42,349.23
|
Rate for Payer: Priority Health Choice Medicaid |
$42,349.23
|
|
INPATIENT APRDRG 1604: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY
|
Facility
|
IP
|
$85,438.00
|
|
Service Code
|
APR-DRG 1604
|
Hospital Charge Code |
APRDRG 1604
|
Min. Negotiated Rate |
$81,369.52 |
Max. Negotiated Rate |
$85,438.00 |
Rate for Payer: BCBS Complete |
$85,438.00
|
Rate for Payer: Mclaren Medicaid |
$81,369.52
|
Rate for Payer: Meridian Medicaid |
$85,438.00
|
Rate for Payer: PHP Medicaid |
$81,369.52
|
Rate for Payer: Priority Health Choice Medicaid |
$81,369.52
|
|
INPATIENT APRDRG 1611: CARDIAC DEFIBRILLATOR & HEART ASSIST IMPLANT
|
Facility
|
IP
|
$63,896.00
|
|
Service Code
|
APR-DRG 1611
|
Hospital Charge Code |
APRDRG 1611
|
Min. Negotiated Rate |
$60,853.33 |
Max. Negotiated Rate |
$63,896.00 |
Rate for Payer: BCBS Complete |
$63,896.00
|
Rate for Payer: Mclaren Medicaid |
$60,853.33
|
Rate for Payer: Meridian Medicaid |
$63,896.00
|
Rate for Payer: PHP Medicaid |
$60,853.33
|
Rate for Payer: Priority Health Choice Medicaid |
$60,853.33
|
|
INPATIENT APRDRG 1612: CARDIAC DEFIBRILLATOR & HEART ASSIST IMPLANT
|
Facility
|
IP
|
$77,094.76
|
|
Service Code
|
APR-DRG 1612
|
Hospital Charge Code |
APRDRG 1612
|
Min. Negotiated Rate |
$73,423.58 |
Max. Negotiated Rate |
$77,094.76 |
Rate for Payer: BCBS Complete |
$77,094.76
|
Rate for Payer: Mclaren Medicaid |
$73,423.58
|
Rate for Payer: Meridian Medicaid |
$77,094.76
|
Rate for Payer: PHP Medicaid |
$73,423.58
|
Rate for Payer: Priority Health Choice Medicaid |
$73,423.58
|
|
INPATIENT APRDRG 1613: CARDIAC DEFIBRILLATOR & HEART ASSIST IMPLANT
|
Facility
|
IP
|
$80,311.47
|
|
Service Code
|
APR-DRG 1613
|
Hospital Charge Code |
APRDRG 1613
|
Min. Negotiated Rate |
$76,487.11 |
Max. Negotiated Rate |
$80,311.47 |
Rate for Payer: BCBS Complete |
$80,311.47
|
Rate for Payer: Mclaren Medicaid |
$76,487.11
|
Rate for Payer: Meridian Medicaid |
$80,311.47
|
Rate for Payer: PHP Medicaid |
$76,487.11
|
Rate for Payer: Priority Health Choice Medicaid |
$76,487.11
|
|
INPATIENT APRDRG 1614: CARDIAC DEFIBRILLATOR & HEART ASSIST IMPLANT
|
Facility
|
IP
|
$154,473.85
|
|
Service Code
|
APR-DRG 1614
|
Hospital Charge Code |
APRDRG 1614
|
Min. Negotiated Rate |
$147,117.95 |
Max. Negotiated Rate |
$154,473.85 |
Rate for Payer: BCBS Complete |
$154,473.85
|
Rate for Payer: Mclaren Medicaid |
$147,117.95
|
Rate for Payer: Meridian Medicaid |
$154,473.85
|
Rate for Payer: PHP Medicaid |
$147,117.95
|
Rate for Payer: Priority Health Choice Medicaid |
$147,117.95
|
|
INPATIENT APRDRG 1621: CARDIAC VALVE PROCEDURES W AMI OR COMPLEX PDX
|
Facility
|
IP
|
$24,366.80
|
|
Service Code
|
APR-DRG 1621
|
Hospital Charge Code |
APRDRG 1621
|
Min. Negotiated Rate |
$23,206.48 |
Max. Negotiated Rate |
$24,366.80 |
Rate for Payer: BCBS Complete |
$24,366.80
|
Rate for Payer: Mclaren Medicaid |
$23,206.48
|
Rate for Payer: Meridian Medicaid |
$24,366.80
|
Rate for Payer: PHP Medicaid |
$23,206.48
|
Rate for Payer: Priority Health Choice Medicaid |
$23,206.48
|
|
INPATIENT APRDRG 1622: CARDIAC VALVE PROCEDURES W AMI OR COMPLEX PDX
|
Facility
|
IP
|
$28,390.36
|
|
Service Code
|
APR-DRG 1622
|
Hospital Charge Code |
APRDRG 1622
|
Min. Negotiated Rate |
$27,038.44 |
Max. Negotiated Rate |
$28,390.36 |
Rate for Payer: BCBS Complete |
$28,390.36
|
Rate for Payer: Mclaren Medicaid |
$27,038.44
|
Rate for Payer: Meridian Medicaid |
$28,390.36
|
Rate for Payer: PHP Medicaid |
$27,038.44
|
Rate for Payer: Priority Health Choice Medicaid |
$27,038.44
|
|
INPATIENT APRDRG 1623: CARDIAC VALVE PROCEDURES W AMI OR COMPLEX PDX
|
Facility
|
IP
|
$34,741.29
|
|
Service Code
|
APR-DRG 1623
|
Hospital Charge Code |
APRDRG 1623
|
Min. Negotiated Rate |
$33,086.94 |
Max. Negotiated Rate |
$34,741.29 |
Rate for Payer: BCBS Complete |
$34,741.29
|
Rate for Payer: Mclaren Medicaid |
$33,086.94
|
Rate for Payer: Meridian Medicaid |
$34,741.29
|
Rate for Payer: PHP Medicaid |
$33,086.94
|
Rate for Payer: Priority Health Choice Medicaid |
$33,086.94
|
|
INPATIENT APRDRG 1624: CARDIAC VALVE PROCEDURES W AMI OR COMPLEX PDX
|
Facility
|
IP
|
$50,886.77
|
|
Service Code
|
APR-DRG 1624
|
Hospital Charge Code |
APRDRG 1624
|
Min. Negotiated Rate |
$48,463.59 |
Max. Negotiated Rate |
$50,886.77 |
Rate for Payer: BCBS Complete |
$50,886.77
|
Rate for Payer: Mclaren Medicaid |
$48,463.59
|
Rate for Payer: Meridian Medicaid |
$50,886.77
|
Rate for Payer: PHP Medicaid |
$48,463.59
|
Rate for Payer: Priority Health Choice Medicaid |
$48,463.59
|
|
INPATIENT APRDRG 1631: CARDIAC VALVE PROCEDURES W/O AMI OR COMPLEX PDX
|
Facility
|
IP
|
$20,180.83
|
|
Service Code
|
APR-DRG 1631
|
Hospital Charge Code |
APRDRG 1631
|
Min. Negotiated Rate |
$19,219.84 |
Max. Negotiated Rate |
$20,180.83 |
Rate for Payer: BCBS Complete |
$20,180.83
|
Rate for Payer: Mclaren Medicaid |
$19,219.84
|
Rate for Payer: Meridian Medicaid |
$20,180.83
|
Rate for Payer: PHP Medicaid |
$19,219.84
|
Rate for Payer: Priority Health Choice Medicaid |
$19,219.84
|
|