INPATIENT APRDRG 1632: CARDIAC VALVE PROCEDURES W/O AMI OR COMPLEX PDX
|
Facility
|
IP
|
$21,003.58
|
|
Service Code
|
APR-DRG 1632
|
Hospital Charge Code |
APRDRG 1632
|
Min. Negotiated Rate |
$20,003.41 |
Max. Negotiated Rate |
$21,003.58 |
Rate for Payer: BCBS Complete |
$21,003.58
|
Rate for Payer: Mclaren Medicaid |
$20,003.41
|
Rate for Payer: Meridian Medicaid |
$21,003.58
|
Rate for Payer: PHP Medicaid |
$20,003.41
|
Rate for Payer: Priority Health Choice Medicaid |
$20,003.41
|
|
INPATIENT APRDRG 1633: CARDIAC VALVE PROCEDURES W/O AMI OR COMPLEX PDX
|
Facility
|
IP
|
$27,716.19
|
|
Service Code
|
APR-DRG 1633
|
Hospital Charge Code |
APRDRG 1633
|
Min. Negotiated Rate |
$26,396.37 |
Max. Negotiated Rate |
$27,716.19 |
Rate for Payer: BCBS Complete |
$27,716.19
|
Rate for Payer: Mclaren Medicaid |
$26,396.37
|
Rate for Payer: Meridian Medicaid |
$27,716.19
|
Rate for Payer: PHP Medicaid |
$26,396.37
|
Rate for Payer: Priority Health Choice Medicaid |
$26,396.37
|
|
INPATIENT APRDRG 1634: CARDIAC VALVE PROCEDURES W/O AMI OR COMPLEX PDX
|
Facility
|
IP
|
$46,213.62
|
|
Service Code
|
APR-DRG 1634
|
Hospital Charge Code |
APRDRG 1634
|
Min. Negotiated Rate |
$44,012.97 |
Max. Negotiated Rate |
$46,213.62 |
Rate for Payer: BCBS Complete |
$46,213.62
|
Rate for Payer: Mclaren Medicaid |
$44,012.97
|
Rate for Payer: Meridian Medicaid |
$46,213.62
|
Rate for Payer: PHP Medicaid |
$44,012.97
|
Rate for Payer: Priority Health Choice Medicaid |
$44,012.97
|
|
INPATIENT APRDRG 1651: CORONARY BYPASS W AMI OR COMPLEX PDX
|
Facility
|
IP
|
$19,893.44
|
|
Service Code
|
APR-DRG 1651
|
Hospital Charge Code |
APRDRG 1651
|
Min. Negotiated Rate |
$18,946.13 |
Max. Negotiated Rate |
$19,893.44 |
Rate for Payer: BCBS Complete |
$19,893.44
|
Rate for Payer: Mclaren Medicaid |
$18,946.13
|
Rate for Payer: Meridian Medicaid |
$19,893.44
|
Rate for Payer: PHP Medicaid |
$18,946.13
|
Rate for Payer: Priority Health Choice Medicaid |
$18,946.13
|
|
INPATIENT APRDRG 1652: CORONARY BYPASS W AMI OR COMPLEX PDX
|
Facility
|
IP
|
$22,512.29
|
|
Service Code
|
APR-DRG 1652
|
Hospital Charge Code |
APRDRG 1652
|
Min. Negotiated Rate |
$21,440.28 |
Max. Negotiated Rate |
$22,512.29 |
Rate for Payer: BCBS Complete |
$22,512.29
|
Rate for Payer: Mclaren Medicaid |
$21,440.28
|
Rate for Payer: Meridian Medicaid |
$22,512.29
|
Rate for Payer: PHP Medicaid |
$21,440.28
|
Rate for Payer: Priority Health Choice Medicaid |
$21,440.28
|
|
INPATIENT APRDRG 1653: CORONARY BYPASS W AMI OR COMPLEX PDX
|
Facility
|
IP
|
$27,990.26
|
|
Service Code
|
APR-DRG 1653
|
Hospital Charge Code |
APRDRG 1653
|
Min. Negotiated Rate |
$26,657.39 |
Max. Negotiated Rate |
$27,990.26 |
Rate for Payer: BCBS Complete |
$27,990.26
|
Rate for Payer: Mclaren Medicaid |
$26,657.39
|
Rate for Payer: Meridian Medicaid |
$27,990.26
|
Rate for Payer: PHP Medicaid |
$26,657.39
|
Rate for Payer: Priority Health Choice Medicaid |
$26,657.39
|
|
INPATIENT APRDRG 1654: CORONARY BYPASS W AMI OR COMPLEX PDX
|
Facility
|
IP
|
$34,620.89
|
|
Service Code
|
APR-DRG 1654
|
Hospital Charge Code |
APRDRG 1654
|
Min. Negotiated Rate |
$32,972.28 |
Max. Negotiated Rate |
$34,620.89 |
Rate for Payer: BCBS Complete |
$34,620.89
|
Rate for Payer: Mclaren Medicaid |
$32,972.28
|
Rate for Payer: Meridian Medicaid |
$34,620.89
|
Rate for Payer: PHP Medicaid |
$32,972.28
|
Rate for Payer: Priority Health Choice Medicaid |
$32,972.28
|
|
INPATIENT APRDRG 1661: CORONARY BYPASS W/O AMI OR COMPLEX PDX
|
Facility
|
IP
|
$15,848.87
|
|
Service Code
|
APR-DRG 1661
|
Hospital Charge Code |
APRDRG 1661
|
Min. Negotiated Rate |
$15,094.16 |
Max. Negotiated Rate |
$15,848.87 |
Rate for Payer: BCBS Complete |
$15,848.87
|
Rate for Payer: Mclaren Medicaid |
$15,094.16
|
Rate for Payer: Meridian Medicaid |
$15,848.87
|
Rate for Payer: PHP Medicaid |
$15,094.16
|
Rate for Payer: Priority Health Choice Medicaid |
$15,094.16
|
|
INPATIENT APRDRG 1662: CORONARY BYPASS W/O AMI OR COMPLEX PDX
|
Facility
|
IP
|
$18,857.58
|
|
Service Code
|
APR-DRG 1662
|
Hospital Charge Code |
APRDRG 1662
|
Min. Negotiated Rate |
$17,959.60 |
Max. Negotiated Rate |
$18,857.58 |
Rate for Payer: BCBS Complete |
$18,857.58
|
Rate for Payer: Mclaren Medicaid |
$17,959.60
|
Rate for Payer: Meridian Medicaid |
$18,857.58
|
Rate for Payer: PHP Medicaid |
$17,959.60
|
Rate for Payer: Priority Health Choice Medicaid |
$17,959.60
|
|
INPATIENT APRDRG 1663: CORONARY BYPASS W/O AMI OR COMPLEX PDX
|
Facility
|
IP
|
$20,235.65
|
|
Service Code
|
APR-DRG 1663
|
Hospital Charge Code |
APRDRG 1663
|
Min. Negotiated Rate |
$19,272.05 |
Max. Negotiated Rate |
$20,235.65 |
Rate for Payer: BCBS Complete |
$20,235.65
|
Rate for Payer: Mclaren Medicaid |
$19,272.05
|
Rate for Payer: Meridian Medicaid |
$20,235.65
|
Rate for Payer: PHP Medicaid |
$19,272.05
|
Rate for Payer: Priority Health Choice Medicaid |
$19,272.05
|
|
INPATIENT APRDRG 1664: CORONARY BYPASS W/O AMI OR COMPLEX PDX
|
Facility
|
IP
|
$34,826.84
|
|
Service Code
|
APR-DRG 1664
|
Hospital Charge Code |
APRDRG 1664
|
Min. Negotiated Rate |
$33,168.42 |
Max. Negotiated Rate |
$34,826.84 |
Rate for Payer: BCBS Complete |
$34,826.84
|
Rate for Payer: Mclaren Medicaid |
$33,168.42
|
Rate for Payer: Meridian Medicaid |
$34,826.84
|
Rate for Payer: PHP Medicaid |
$33,168.42
|
Rate for Payer: Priority Health Choice Medicaid |
$33,168.42
|
|
INPATIENT APRDRG 1671: OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES
|
Facility
|
IP
|
$12,109.11
|
|
Service Code
|
APR-DRG 1671
|
Hospital Charge Code |
APRDRG 1671
|
Min. Negotiated Rate |
$11,532.49 |
Max. Negotiated Rate |
$12,109.11 |
Rate for Payer: BCBS Complete |
$12,109.11
|
Rate for Payer: Mclaren Medicaid |
$11,532.49
|
Rate for Payer: Meridian Medicaid |
$12,109.11
|
Rate for Payer: PHP Medicaid |
$11,532.49
|
Rate for Payer: Priority Health Choice Medicaid |
$11,532.49
|
|
INPATIENT APRDRG 1672: OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES
|
Facility
|
IP
|
$13,979.51
|
|
Service Code
|
APR-DRG 1672
|
Hospital Charge Code |
APRDRG 1672
|
Min. Negotiated Rate |
$13,313.82 |
Max. Negotiated Rate |
$13,979.51 |
Rate for Payer: BCBS Complete |
$13,979.51
|
Rate for Payer: Mclaren Medicaid |
$13,313.82
|
Rate for Payer: Meridian Medicaid |
$13,979.51
|
Rate for Payer: PHP Medicaid |
$13,313.82
|
Rate for Payer: Priority Health Choice Medicaid |
$13,313.82
|
|
INPATIENT APRDRG 1673: OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES
|
Facility
|
IP
|
$23,549.18
|
|
Service Code
|
APR-DRG 1673
|
Hospital Charge Code |
APRDRG 1673
|
Min. Negotiated Rate |
$22,427.79 |
Max. Negotiated Rate |
$23,549.18 |
Rate for Payer: BCBS Complete |
$23,549.18
|
Rate for Payer: Mclaren Medicaid |
$22,427.79
|
Rate for Payer: Meridian Medicaid |
$23,549.18
|
Rate for Payer: PHP Medicaid |
$22,427.79
|
Rate for Payer: Priority Health Choice Medicaid |
$22,427.79
|
|
INPATIENT APRDRG 1674: OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES
|
Facility
|
IP
|
$47,403.68
|
|
Service Code
|
APR-DRG 1674
|
Hospital Charge Code |
APRDRG 1674
|
Min. Negotiated Rate |
$45,146.36 |
Max. Negotiated Rate |
$47,403.68 |
Rate for Payer: BCBS Complete |
$47,403.68
|
Rate for Payer: Mclaren Medicaid |
$45,146.36
|
Rate for Payer: Meridian Medicaid |
$47,403.68
|
Rate for Payer: PHP Medicaid |
$45,146.36
|
Rate for Payer: Priority Health Choice Medicaid |
$45,146.36
|
|
INPATIENT APRDRG 1691: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$16,302.25
|
|
Service Code
|
APR-DRG 1691
|
Hospital Charge Code |
APRDRG 1691
|
Min. Negotiated Rate |
$15,525.95 |
Max. Negotiated Rate |
$16,302.25 |
Rate for Payer: BCBS Complete |
$16,302.25
|
Rate for Payer: Mclaren Medicaid |
$15,525.95
|
Rate for Payer: Meridian Medicaid |
$16,302.25
|
Rate for Payer: PHP Medicaid |
$15,525.95
|
Rate for Payer: Priority Health Choice Medicaid |
$15,525.95
|
|
INPATIENT APRDRG 1692: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$16,128.59
|
|
Service Code
|
APR-DRG 1692
|
Hospital Charge Code |
APRDRG 1692
|
Min. Negotiated Rate |
$15,360.56 |
Max. Negotiated Rate |
$16,128.59 |
Rate for Payer: BCBS Complete |
$16,128.59
|
Rate for Payer: Mclaren Medicaid |
$15,360.56
|
Rate for Payer: Meridian Medicaid |
$16,128.59
|
Rate for Payer: PHP Medicaid |
$15,360.56
|
Rate for Payer: Priority Health Choice Medicaid |
$15,360.56
|
|
INPATIENT APRDRG 1693: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$22,777.66
|
|
Service Code
|
APR-DRG 1693
|
Hospital Charge Code |
APRDRG 1693
|
Min. Negotiated Rate |
$21,693.01 |
Max. Negotiated Rate |
$22,777.66 |
Rate for Payer: BCBS Complete |
$22,777.66
|
Rate for Payer: Mclaren Medicaid |
$21,693.01
|
Rate for Payer: Meridian Medicaid |
$22,777.66
|
Rate for Payer: PHP Medicaid |
$21,693.01
|
Rate for Payer: Priority Health Choice Medicaid |
$21,693.01
|
|
INPATIENT APRDRG 1694: MAJOR ABDOMINAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$31,549.69
|
|
Service Code
|
APR-DRG 1694
|
Hospital Charge Code |
APRDRG 1694
|
Min. Negotiated Rate |
$30,047.32 |
Max. Negotiated Rate |
$31,549.69 |
Rate for Payer: BCBS Complete |
$31,549.69
|
Rate for Payer: Mclaren Medicaid |
$30,047.32
|
Rate for Payer: Meridian Medicaid |
$31,549.69
|
Rate for Payer: PHP Medicaid |
$30,047.32
|
Rate for Payer: Priority Health Choice Medicaid |
$30,047.32
|
|
INPATIENT APRDRG 1701: PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$11,214.14
|
|
Service Code
|
APR-DRG 1701
|
Hospital Charge Code |
APRDRG 1701
|
Min. Negotiated Rate |
$10,680.13 |
Max. Negotiated Rate |
$11,214.14 |
Rate for Payer: BCBS Complete |
$11,214.14
|
Rate for Payer: Mclaren Medicaid |
$10,680.13
|
Rate for Payer: Meridian Medicaid |
$11,214.14
|
Rate for Payer: PHP Medicaid |
$10,680.13
|
Rate for Payer: Priority Health Choice Medicaid |
$10,680.13
|
|
INPATIENT APRDRG 1702: PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$13,959.02
|
|
Service Code
|
APR-DRG 1702
|
Hospital Charge Code |
APRDRG 1702
|
Min. Negotiated Rate |
$13,294.30 |
Max. Negotiated Rate |
$13,959.02 |
Rate for Payer: BCBS Complete |
$13,959.02
|
Rate for Payer: Mclaren Medicaid |
$13,294.30
|
Rate for Payer: Meridian Medicaid |
$13,959.02
|
Rate for Payer: PHP Medicaid |
$13,294.30
|
Rate for Payer: Priority Health Choice Medicaid |
$13,294.30
|
|
INPATIENT APRDRG 1703: PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$20,310.44
|
|
Service Code
|
APR-DRG 1703
|
Hospital Charge Code |
APRDRG 1703
|
Min. Negotiated Rate |
$19,343.28 |
Max. Negotiated Rate |
$20,310.44 |
Rate for Payer: BCBS Complete |
$20,310.44
|
Rate for Payer: Mclaren Medicaid |
$19,343.28
|
Rate for Payer: Meridian Medicaid |
$20,310.44
|
Rate for Payer: PHP Medicaid |
$19,343.28
|
Rate for Payer: Priority Health Choice Medicaid |
$19,343.28
|
|
INPATIENT APRDRG 1704: PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$28,707.99
|
|
Service Code
|
APR-DRG 1704
|
Hospital Charge Code |
APRDRG 1704
|
Min. Negotiated Rate |
$27,340.94 |
Max. Negotiated Rate |
$28,707.99 |
Rate for Payer: BCBS Complete |
$28,707.99
|
Rate for Payer: Mclaren Medicaid |
$27,340.94
|
Rate for Payer: Meridian Medicaid |
$28,707.99
|
Rate for Payer: PHP Medicaid |
$27,340.94
|
Rate for Payer: Priority Health Choice Medicaid |
$27,340.94
|
|
INPATIENT APRDRG 1711: PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$9,382.68
|
|
Service Code
|
APR-DRG 1711
|
Hospital Charge Code |
APRDRG 1711
|
Min. Negotiated Rate |
$8,935.89 |
Max. Negotiated Rate |
$9,382.68 |
Rate for Payer: BCBS Complete |
$9,382.68
|
Rate for Payer: Mclaren Medicaid |
$8,935.89
|
Rate for Payer: Meridian Medicaid |
$9,382.68
|
Rate for Payer: PHP Medicaid |
$8,935.89
|
Rate for Payer: Priority Health Choice Medicaid |
$8,935.89
|
|
INPATIENT APRDRG 1712: PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$11,143.44
|
|
Service Code
|
APR-DRG 1712
|
Hospital Charge Code |
APRDRG 1712
|
Min. Negotiated Rate |
$10,612.80 |
Max. Negotiated Rate |
$11,143.44 |
Rate for Payer: BCBS Complete |
$11,143.44
|
Rate for Payer: Mclaren Medicaid |
$10,612.80
|
Rate for Payer: Meridian Medicaid |
$11,143.44
|
Rate for Payer: PHP Medicaid |
$10,612.80
|
Rate for Payer: Priority Health Choice Medicaid |
$10,612.80
|
|