INPATIENT APRDRG 1713: PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$15,067.11
|
|
Service Code
|
APR-DRG 1713
|
Hospital Charge Code |
APRDRG 1713
|
Min. Negotiated Rate |
$14,349.63 |
Max. Negotiated Rate |
$15,067.11 |
Rate for Payer: BCBS Complete |
$15,067.11
|
Rate for Payer: Mclaren Medicaid |
$14,349.63
|
Rate for Payer: Meridian Medicaid |
$15,067.11
|
Rate for Payer: PHP Medicaid |
$14,349.63
|
Rate for Payer: Priority Health Choice Medicaid |
$14,349.63
|
|
INPATIENT APRDRG 1714: PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK
|
Facility
|
IP
|
$22,000.51
|
|
Service Code
|
APR-DRG 1714
|
Hospital Charge Code |
APRDRG 1714
|
Min. Negotiated Rate |
$20,952.87 |
Max. Negotiated Rate |
$22,000.51 |
Rate for Payer: BCBS Complete |
$22,000.51
|
Rate for Payer: Mclaren Medicaid |
$20,952.87
|
Rate for Payer: Meridian Medicaid |
$22,000.51
|
Rate for Payer: PHP Medicaid |
$20,952.87
|
Rate for Payer: Priority Health Choice Medicaid |
$20,952.87
|
|
INPATIENT APRDRG 1741: PERCUTANEOUS CORONARY INTERVENTION W AMI
|
Facility
|
IP
|
$10,039.95
|
|
Service Code
|
APR-DRG 1741
|
Hospital Charge Code |
APRDRG 1741
|
Min. Negotiated Rate |
$9,561.86 |
Max. Negotiated Rate |
$10,039.95 |
Rate for Payer: BCBS Complete |
$10,039.95
|
Rate for Payer: Mclaren Medicaid |
$9,561.86
|
Rate for Payer: Meridian Medicaid |
$10,039.95
|
Rate for Payer: PHP Medicaid |
$9,561.86
|
Rate for Payer: Priority Health Choice Medicaid |
$9,561.86
|
|
INPATIENT APRDRG 1742: PERCUTANEOUS CORONARY INTERVENTION W AMI
|
Facility
|
IP
|
$10,939.04
|
|
Service Code
|
APR-DRG 1742
|
Hospital Charge Code |
APRDRG 1742
|
Min. Negotiated Rate |
$10,418.13 |
Max. Negotiated Rate |
$10,939.04 |
Rate for Payer: BCBS Complete |
$10,939.04
|
Rate for Payer: Mclaren Medicaid |
$10,418.13
|
Rate for Payer: Meridian Medicaid |
$10,939.04
|
Rate for Payer: PHP Medicaid |
$10,418.13
|
Rate for Payer: Priority Health Choice Medicaid |
$10,418.13
|
|
INPATIENT APRDRG 1743: PERCUTANEOUS CORONARY INTERVENTION W AMI
|
Facility
|
IP
|
$13,304.81
|
|
Service Code
|
APR-DRG 1743
|
Hospital Charge Code |
APRDRG 1743
|
Min. Negotiated Rate |
$12,671.25 |
Max. Negotiated Rate |
$13,304.81 |
Rate for Payer: BCBS Complete |
$13,304.81
|
Rate for Payer: Mclaren Medicaid |
$12,671.25
|
Rate for Payer: Meridian Medicaid |
$13,304.81
|
Rate for Payer: PHP Medicaid |
$12,671.25
|
Rate for Payer: Priority Health Choice Medicaid |
$12,671.25
|
|
INPATIENT APRDRG 1744: PERCUTANEOUS CORONARY INTERVENTION W AMI
|
Facility
|
IP
|
$20,128.07
|
|
Service Code
|
APR-DRG 1744
|
Hospital Charge Code |
APRDRG 1744
|
Min. Negotiated Rate |
$19,169.59 |
Max. Negotiated Rate |
$20,128.07 |
Rate for Payer: BCBS Complete |
$20,128.07
|
Rate for Payer: Mclaren Medicaid |
$19,169.59
|
Rate for Payer: Meridian Medicaid |
$20,128.07
|
Rate for Payer: PHP Medicaid |
$19,169.59
|
Rate for Payer: Priority Health Choice Medicaid |
$19,169.59
|
|
INPATIENT APRDRG 1751: PERCUTANEOUS CORONARY INTERVENTION W/O AMI
|
Facility
|
IP
|
$8,951.33
|
|
Service Code
|
APR-DRG 1751
|
Hospital Charge Code |
APRDRG 1751
|
Min. Negotiated Rate |
$8,525.08 |
Max. Negotiated Rate |
$8,951.33 |
Rate for Payer: BCBS Complete |
$8,951.33
|
Rate for Payer: Mclaren Medicaid |
$8,525.08
|
Rate for Payer: Meridian Medicaid |
$8,951.33
|
Rate for Payer: PHP Medicaid |
$8,525.08
|
Rate for Payer: Priority Health Choice Medicaid |
$8,525.08
|
|
INPATIENT APRDRG 1752: PERCUTANEOUS CORONARY INTERVENTION W/O AMI
|
Facility
|
IP
|
$10,053.28
|
|
Service Code
|
APR-DRG 1752
|
Hospital Charge Code |
APRDRG 1752
|
Min. Negotiated Rate |
$9,574.55 |
Max. Negotiated Rate |
$10,053.28 |
Rate for Payer: BCBS Complete |
$10,053.28
|
Rate for Payer: Mclaren Medicaid |
$9,574.55
|
Rate for Payer: Meridian Medicaid |
$10,053.28
|
Rate for Payer: PHP Medicaid |
$9,574.55
|
Rate for Payer: Priority Health Choice Medicaid |
$9,574.55
|
|
INPATIENT APRDRG 1753: PERCUTANEOUS CORONARY INTERVENTION W/O AMI
|
Facility
|
IP
|
$13,272.03
|
|
Service Code
|
APR-DRG 1753
|
Hospital Charge Code |
APRDRG 1753
|
Min. Negotiated Rate |
$12,640.03 |
Max. Negotiated Rate |
$13,272.03 |
Rate for Payer: BCBS Complete |
$13,272.03
|
Rate for Payer: Mclaren Medicaid |
$12,640.03
|
Rate for Payer: Meridian Medicaid |
$13,272.03
|
Rate for Payer: PHP Medicaid |
$12,640.03
|
Rate for Payer: Priority Health Choice Medicaid |
$12,640.03
|
|
INPATIENT APRDRG 1754: PERCUTANEOUS CORONARY INTERVENTION W/O AMI
|
Facility
|
IP
|
$22,520.48
|
|
Service Code
|
APR-DRG 1754
|
Hospital Charge Code |
APRDRG 1754
|
Min. Negotiated Rate |
$21,448.08 |
Max. Negotiated Rate |
$22,520.48 |
Rate for Payer: BCBS Complete |
$22,520.48
|
Rate for Payer: Mclaren Medicaid |
$21,448.08
|
Rate for Payer: Meridian Medicaid |
$22,520.48
|
Rate for Payer: PHP Medicaid |
$21,448.08
|
Rate for Payer: Priority Health Choice Medicaid |
$21,448.08
|
|
INPATIENT APRDRG 1761: CARDIAC PACEMAKER & DEFIBRILLATOR DEVICE REPLACEMENT
|
Facility
|
IP
|
$8,990.27
|
|
Service Code
|
APR-DRG 1761
|
Hospital Charge Code |
APRDRG 1761
|
Min. Negotiated Rate |
$8,562.16 |
Max. Negotiated Rate |
$8,990.27 |
Rate for Payer: BCBS Complete |
$8,990.27
|
Rate for Payer: Mclaren Medicaid |
$8,562.16
|
Rate for Payer: Meridian Medicaid |
$8,990.27
|
Rate for Payer: PHP Medicaid |
$8,562.16
|
Rate for Payer: Priority Health Choice Medicaid |
$8,562.16
|
|
INPATIENT APRDRG 1762: CARDIAC PACEMAKER & DEFIBRILLATOR DEVICE REPLACEMENT
|
Facility
|
IP
|
$17,229.50
|
|
Service Code
|
APR-DRG 1762
|
Hospital Charge Code |
APRDRG 1762
|
Min. Negotiated Rate |
$16,409.05 |
Max. Negotiated Rate |
$17,229.50 |
Rate for Payer: BCBS Complete |
$17,229.50
|
Rate for Payer: Mclaren Medicaid |
$16,409.05
|
Rate for Payer: Meridian Medicaid |
$17,229.50
|
Rate for Payer: PHP Medicaid |
$16,409.05
|
Rate for Payer: Priority Health Choice Medicaid |
$16,409.05
|
|
INPATIENT APRDRG 1763: CARDIAC PACEMAKER & DEFIBRILLATOR DEVICE REPLACEMENT
|
Facility
|
IP
|
$23,736.68
|
|
Service Code
|
APR-DRG 1763
|
Hospital Charge Code |
APRDRG 1763
|
Min. Negotiated Rate |
$22,606.36 |
Max. Negotiated Rate |
$23,736.68 |
Rate for Payer: BCBS Complete |
$23,736.68
|
Rate for Payer: Mclaren Medicaid |
$22,606.36
|
Rate for Payer: Meridian Medicaid |
$23,736.68
|
Rate for Payer: PHP Medicaid |
$22,606.36
|
Rate for Payer: Priority Health Choice Medicaid |
$22,606.36
|
|
INPATIENT APRDRG 1764: CARDIAC PACEMAKER & DEFIBRILLATOR DEVICE REPLACEMENT
|
Facility
|
IP
|
$41,866.80
|
|
Service Code
|
APR-DRG 1764
|
Hospital Charge Code |
APRDRG 1764
|
Min. Negotiated Rate |
$39,873.14 |
Max. Negotiated Rate |
$41,866.80 |
Rate for Payer: BCBS Complete |
$41,866.80
|
Rate for Payer: Mclaren Medicaid |
$39,873.14
|
Rate for Payer: Meridian Medicaid |
$41,866.80
|
Rate for Payer: PHP Medicaid |
$39,873.14
|
Rate for Payer: Priority Health Choice Medicaid |
$39,873.14
|
|
INPATIENT APRDRG 1771: CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$7,881.66
|
|
Service Code
|
APR-DRG 1771
|
Hospital Charge Code |
APRDRG 1771
|
Min. Negotiated Rate |
$7,506.34 |
Max. Negotiated Rate |
$7,881.66 |
Rate for Payer: BCBS Complete |
$7,881.66
|
Rate for Payer: Mclaren Medicaid |
$7,506.34
|
Rate for Payer: Meridian Medicaid |
$7,881.66
|
Rate for Payer: PHP Medicaid |
$7,506.34
|
Rate for Payer: Priority Health Choice Medicaid |
$7,506.34
|
|
INPATIENT APRDRG 1772: CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$10,191.59
|
|
Service Code
|
APR-DRG 1772
|
Hospital Charge Code |
APRDRG 1772
|
Min. Negotiated Rate |
$9,706.28 |
Max. Negotiated Rate |
$10,191.59 |
Rate for Payer: BCBS Complete |
$10,191.59
|
Rate for Payer: Mclaren Medicaid |
$9,706.28
|
Rate for Payer: Meridian Medicaid |
$10,191.59
|
Rate for Payer: PHP Medicaid |
$9,706.28
|
Rate for Payer: Priority Health Choice Medicaid |
$9,706.28
|
|
INPATIENT APRDRG 1773: CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$16,784.84
|
|
Service Code
|
APR-DRG 1773
|
Hospital Charge Code |
APRDRG 1773
|
Min. Negotiated Rate |
$15,985.56 |
Max. Negotiated Rate |
$16,784.84 |
Rate for Payer: BCBS Complete |
$16,784.84
|
Rate for Payer: Mclaren Medicaid |
$15,985.56
|
Rate for Payer: Meridian Medicaid |
$16,784.84
|
Rate for Payer: PHP Medicaid |
$15,985.56
|
Rate for Payer: Priority Health Choice Medicaid |
$15,985.56
|
|
INPATIENT APRDRG 1774: CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT
|
Facility
|
IP
|
$19,123.98
|
|
Service Code
|
APR-DRG 1774
|
Hospital Charge Code |
APRDRG 1774
|
Min. Negotiated Rate |
$18,213.31 |
Max. Negotiated Rate |
$19,123.98 |
Rate for Payer: BCBS Complete |
$19,123.98
|
Rate for Payer: Mclaren Medicaid |
$18,213.31
|
Rate for Payer: Meridian Medicaid |
$19,123.98
|
Rate for Payer: PHP Medicaid |
$18,213.31
|
Rate for Payer: Priority Health Choice Medicaid |
$18,213.31
|
|
INPATIENT APRDRG 1781: EXTERNAL HEART ASSIST SYSTEMS
|
Facility
|
IP
|
$22,048.15
|
|
Service Code
|
APR-DRG 1781
|
Hospital Charge Code |
APRDRG 1781
|
Min. Negotiated Rate |
$20,998.24 |
Max. Negotiated Rate |
$22,048.15 |
Rate for Payer: BCBS Complete |
$22,048.15
|
Rate for Payer: Mclaren Medicaid |
$20,998.24
|
Rate for Payer: Meridian Medicaid |
$22,048.15
|
Rate for Payer: PHP Medicaid |
$20,998.24
|
Rate for Payer: Priority Health Choice Medicaid |
$20,998.24
|
|
INPATIENT APRDRG 1782: EXTERNAL HEART ASSIST SYSTEMS
|
Facility
|
IP
|
$25,988.73
|
|
Service Code
|
APR-DRG 1782
|
Hospital Charge Code |
APRDRG 1782
|
Min. Negotiated Rate |
$24,751.17 |
Max. Negotiated Rate |
$25,988.73 |
Rate for Payer: BCBS Complete |
$25,988.73
|
Rate for Payer: Mclaren Medicaid |
$24,751.17
|
Rate for Payer: Meridian Medicaid |
$25,988.73
|
Rate for Payer: PHP Medicaid |
$24,751.17
|
Rate for Payer: Priority Health Choice Medicaid |
$24,751.17
|
|
INPATIENT APRDRG 1783: EXTERNAL HEART ASSIST SYSTEMS
|
Facility
|
IP
|
$27,034.32
|
|
Service Code
|
APR-DRG 1783
|
Hospital Charge Code |
APRDRG 1783
|
Min. Negotiated Rate |
$25,746.97 |
Max. Negotiated Rate |
$27,034.32 |
Rate for Payer: BCBS Complete |
$27,034.32
|
Rate for Payer: Mclaren Medicaid |
$25,746.97
|
Rate for Payer: Meridian Medicaid |
$27,034.32
|
Rate for Payer: PHP Medicaid |
$25,746.97
|
Rate for Payer: Priority Health Choice Medicaid |
$25,746.97
|
|
INPATIENT APRDRG 1784: EXTERNAL HEART ASSIST SYSTEMS
|
Facility
|
IP
|
$36,702.35
|
|
Service Code
|
APR-DRG 1784
|
Hospital Charge Code |
APRDRG 1784
|
Min. Negotiated Rate |
$34,954.62 |
Max. Negotiated Rate |
$36,702.35 |
Rate for Payer: BCBS Complete |
$36,702.35
|
Rate for Payer: Mclaren Medicaid |
$34,954.62
|
Rate for Payer: Meridian Medicaid |
$36,702.35
|
Rate for Payer: PHP Medicaid |
$34,954.62
|
Rate for Payer: Priority Health Choice Medicaid |
$34,954.62
|
|
INPATIENT APRDRG 1791: DEFIBRILLATOR IMPLANTS
|
Facility
|
IP
|
$15,419.05
|
|
Service Code
|
APR-DRG 1791
|
Hospital Charge Code |
APRDRG 1791
|
Min. Negotiated Rate |
$14,684.81 |
Max. Negotiated Rate |
$15,419.05 |
Rate for Payer: BCBS Complete |
$15,419.05
|
Rate for Payer: Mclaren Medicaid |
$14,684.81
|
Rate for Payer: Meridian Medicaid |
$15,419.05
|
Rate for Payer: PHP Medicaid |
$14,684.81
|
Rate for Payer: Priority Health Choice Medicaid |
$14,684.81
|
|
INPATIENT APRDRG 1792: DEFIBRILLATOR IMPLANTS
|
Facility
|
IP
|
$17,546.61
|
|
Service Code
|
APR-DRG 1792
|
Hospital Charge Code |
APRDRG 1792
|
Min. Negotiated Rate |
$16,711.06 |
Max. Negotiated Rate |
$17,546.61 |
Rate for Payer: BCBS Complete |
$17,546.61
|
Rate for Payer: Mclaren Medicaid |
$16,711.06
|
Rate for Payer: Meridian Medicaid |
$17,546.61
|
Rate for Payer: PHP Medicaid |
$16,711.06
|
Rate for Payer: Priority Health Choice Medicaid |
$16,711.06
|
|
INPATIENT APRDRG 1793: DEFIBRILLATOR IMPLANTS
|
Facility
|
IP
|
$21,528.17
|
|
Service Code
|
APR-DRG 1793
|
Hospital Charge Code |
APRDRG 1793
|
Min. Negotiated Rate |
$20,503.02 |
Max. Negotiated Rate |
$21,528.17 |
Rate for Payer: BCBS Complete |
$21,528.17
|
Rate for Payer: Mclaren Medicaid |
$20,503.02
|
Rate for Payer: Meridian Medicaid |
$21,528.17
|
Rate for Payer: PHP Medicaid |
$20,503.02
|
Rate for Payer: Priority Health Choice Medicaid |
$20,503.02
|
|