INPATIENT APRDRG 1794: DEFIBRILLATOR IMPLANTS
|
Facility
|
IP
|
$29,744.36
|
|
Service Code
|
APR-DRG 1794
|
Hospital Charge Code |
APRDRG 1794
|
Min. Negotiated Rate |
$28,327.96 |
Max. Negotiated Rate |
$29,744.36 |
Rate for Payer: BCBS Complete |
$29,744.36
|
Rate for Payer: Mclaren Medicaid |
$28,327.96
|
Rate for Payer: Meridian Medicaid |
$29,744.36
|
Rate for Payer: PHP Medicaid |
$28,327.96
|
Rate for Payer: Priority Health Choice Medicaid |
$28,327.96
|
|
INPATIENT APRDRG 1801: OTHER CIRCULATORY SYSTEM PROCEDURES
|
Facility
|
IP
|
$6,990.27
|
|
Service Code
|
APR-DRG 1801
|
Hospital Charge Code |
APRDRG 1801
|
Min. Negotiated Rate |
$6,657.40 |
Max. Negotiated Rate |
$6,990.27 |
Rate for Payer: BCBS Complete |
$6,990.27
|
Rate for Payer: Mclaren Medicaid |
$6,657.40
|
Rate for Payer: Meridian Medicaid |
$6,990.27
|
Rate for Payer: PHP Medicaid |
$6,657.40
|
Rate for Payer: Priority Health Choice Medicaid |
$6,657.40
|
|
INPATIENT APRDRG 1802: OTHER CIRCULATORY SYSTEM PROCEDURES
|
Facility
|
IP
|
$7,971.82
|
|
Service Code
|
APR-DRG 1802
|
Hospital Charge Code |
APRDRG 1802
|
Min. Negotiated Rate |
$7,592.21 |
Max. Negotiated Rate |
$7,971.82 |
Rate for Payer: BCBS Complete |
$7,971.82
|
Rate for Payer: Mclaren Medicaid |
$7,592.21
|
Rate for Payer: Meridian Medicaid |
$7,971.82
|
Rate for Payer: PHP Medicaid |
$7,592.21
|
Rate for Payer: Priority Health Choice Medicaid |
$7,592.21
|
|
INPATIENT APRDRG 1803: OTHER CIRCULATORY SYSTEM PROCEDURES
|
Facility
|
IP
|
$10,962.08
|
|
Service Code
|
APR-DRG 1803
|
Hospital Charge Code |
APRDRG 1803
|
Min. Negotiated Rate |
$10,440.08 |
Max. Negotiated Rate |
$10,962.08 |
Rate for Payer: BCBS Complete |
$10,962.08
|
Rate for Payer: Mclaren Medicaid |
$10,440.08
|
Rate for Payer: Meridian Medicaid |
$10,962.08
|
Rate for Payer: PHP Medicaid |
$10,440.08
|
Rate for Payer: Priority Health Choice Medicaid |
$10,440.08
|
|
INPATIENT APRDRG 1804: OTHER CIRCULATORY SYSTEM PROCEDURES
|
Facility
|
IP
|
$18,617.31
|
|
Service Code
|
APR-DRG 1804
|
Hospital Charge Code |
APRDRG 1804
|
Min. Negotiated Rate |
$17,730.77 |
Max. Negotiated Rate |
$18,617.31 |
Rate for Payer: BCBS Complete |
$18,617.31
|
Rate for Payer: Mclaren Medicaid |
$17,730.77
|
Rate for Payer: Meridian Medicaid |
$18,617.31
|
Rate for Payer: PHP Medicaid |
$17,730.77
|
Rate for Payer: Priority Health Choice Medicaid |
$17,730.77
|
|
INPATIENT APRDRG 1811: LOWER EXTREMITY ARTERIAL PROCEDURES
|
Facility
|
IP
|
$8,181.86
|
|
Service Code
|
APR-DRG 1811
|
Hospital Charge Code |
APRDRG 1811
|
Min. Negotiated Rate |
$7,792.25 |
Max. Negotiated Rate |
$8,181.86 |
Rate for Payer: BCBS Complete |
$8,181.86
|
Rate for Payer: Mclaren Medicaid |
$7,792.25
|
Rate for Payer: Meridian Medicaid |
$8,181.86
|
Rate for Payer: PHP Medicaid |
$7,792.25
|
Rate for Payer: Priority Health Choice Medicaid |
$7,792.25
|
|
INPATIENT APRDRG 1812: LOWER EXTREMITY ARTERIAL PROCEDURES
|
Facility
|
IP
|
$11,888.32
|
|
Service Code
|
APR-DRG 1812
|
Hospital Charge Code |
APRDRG 1812
|
Min. Negotiated Rate |
$11,322.21 |
Max. Negotiated Rate |
$11,888.32 |
Rate for Payer: BCBS Complete |
$11,888.32
|
Rate for Payer: Mclaren Medicaid |
$11,322.21
|
Rate for Payer: Meridian Medicaid |
$11,888.32
|
Rate for Payer: PHP Medicaid |
$11,322.21
|
Rate for Payer: Priority Health Choice Medicaid |
$11,322.21
|
|
INPATIENT APRDRG 1813: LOWER EXTREMITY ARTERIAL PROCEDURES
|
Facility
|
IP
|
$18,762.81
|
|
Service Code
|
APR-DRG 1813
|
Hospital Charge Code |
APRDRG 1813
|
Min. Negotiated Rate |
$17,869.34 |
Max. Negotiated Rate |
$18,762.81 |
Rate for Payer: BCBS Complete |
$18,762.81
|
Rate for Payer: Mclaren Medicaid |
$17,869.34
|
Rate for Payer: Meridian Medicaid |
$18,762.81
|
Rate for Payer: PHP Medicaid |
$17,869.34
|
Rate for Payer: Priority Health Choice Medicaid |
$17,869.34
|
|
INPATIENT APRDRG 1814: LOWER EXTREMITY ARTERIAL PROCEDURES
|
Facility
|
IP
|
$29,340.68
|
|
Service Code
|
APR-DRG 1814
|
Hospital Charge Code |
APRDRG 1814
|
Min. Negotiated Rate |
$27,943.50 |
Max. Negotiated Rate |
$29,340.68 |
Rate for Payer: BCBS Complete |
$29,340.68
|
Rate for Payer: Mclaren Medicaid |
$27,943.50
|
Rate for Payer: Meridian Medicaid |
$29,340.68
|
Rate for Payer: PHP Medicaid |
$27,943.50
|
Rate for Payer: Priority Health Choice Medicaid |
$27,943.50
|
|
INPATIENT APRDRG 1821: OTHER PERIPHERAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$10,971.82
|
|
Service Code
|
APR-DRG 1821
|
Hospital Charge Code |
APRDRG 1821
|
Min. Negotiated Rate |
$10,449.35 |
Max. Negotiated Rate |
$10,971.82 |
Rate for Payer: BCBS Complete |
$10,971.82
|
Rate for Payer: Mclaren Medicaid |
$10,449.35
|
Rate for Payer: Meridian Medicaid |
$10,971.82
|
Rate for Payer: PHP Medicaid |
$10,449.35
|
Rate for Payer: Priority Health Choice Medicaid |
$10,449.35
|
|
INPATIENT APRDRG 1822: OTHER PERIPHERAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$12,309.94
|
|
Service Code
|
APR-DRG 1822
|
Hospital Charge Code |
APRDRG 1822
|
Min. Negotiated Rate |
$11,723.75 |
Max. Negotiated Rate |
$12,309.94 |
Rate for Payer: BCBS Complete |
$12,309.94
|
Rate for Payer: Mclaren Medicaid |
$11,723.75
|
Rate for Payer: Meridian Medicaid |
$12,309.94
|
Rate for Payer: PHP Medicaid |
$11,723.75
|
Rate for Payer: Priority Health Choice Medicaid |
$11,723.75
|
|
INPATIENT APRDRG 1823: OTHER PERIPHERAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$15,078.38
|
|
Service Code
|
APR-DRG 1823
|
Hospital Charge Code |
APRDRG 1823
|
Min. Negotiated Rate |
$14,360.36 |
Max. Negotiated Rate |
$15,078.38 |
Rate for Payer: BCBS Complete |
$15,078.38
|
Rate for Payer: Mclaren Medicaid |
$14,360.36
|
Rate for Payer: Meridian Medicaid |
$15,078.38
|
Rate for Payer: PHP Medicaid |
$14,360.36
|
Rate for Payer: Priority Health Choice Medicaid |
$14,360.36
|
|
INPATIENT APRDRG 1824: OTHER PERIPHERAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$26,784.32
|
|
Service Code
|
APR-DRG 1824
|
Hospital Charge Code |
APRDRG 1824
|
Min. Negotiated Rate |
$25,508.88 |
Max. Negotiated Rate |
$26,784.32 |
Rate for Payer: BCBS Complete |
$26,784.32
|
Rate for Payer: Mclaren Medicaid |
$25,508.88
|
Rate for Payer: Meridian Medicaid |
$26,784.32
|
Rate for Payer: PHP Medicaid |
$25,508.88
|
Rate for Payer: Priority Health Choice Medicaid |
$25,508.88
|
|
INPATIENT APRDRG 1831: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES
|
Facility
|
IP
|
$16,818.65
|
|
Service Code
|
APR-DRG 1831
|
Hospital Charge Code |
APRDRG 1831
|
Min. Negotiated Rate |
$16,017.76 |
Max. Negotiated Rate |
$16,818.65 |
Rate for Payer: BCBS Complete |
$16,818.65
|
Rate for Payer: Mclaren Medicaid |
$16,017.76
|
Rate for Payer: Meridian Medicaid |
$16,818.65
|
Rate for Payer: PHP Medicaid |
$16,017.76
|
Rate for Payer: Priority Health Choice Medicaid |
$16,017.76
|
|
INPATIENT APRDRG 1832: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES
|
Facility
|
IP
|
$17,636.78
|
|
Service Code
|
APR-DRG 1832
|
Hospital Charge Code |
APRDRG 1832
|
Min. Negotiated Rate |
$16,796.93 |
Max. Negotiated Rate |
$17,636.78 |
Rate for Payer: BCBS Complete |
$17,636.78
|
Rate for Payer: Mclaren Medicaid |
$16,796.93
|
Rate for Payer: Meridian Medicaid |
$17,636.78
|
Rate for Payer: PHP Medicaid |
$16,796.93
|
Rate for Payer: Priority Health Choice Medicaid |
$16,796.93
|
|
INPATIENT APRDRG 1833: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES
|
Facility
|
IP
|
$21,421.10
|
|
Service Code
|
APR-DRG 1833
|
Hospital Charge Code |
APRDRG 1833
|
Min. Negotiated Rate |
$20,401.05 |
Max. Negotiated Rate |
$21,421.10 |
Rate for Payer: BCBS Complete |
$21,421.10
|
Rate for Payer: Mclaren Medicaid |
$20,401.05
|
Rate for Payer: Meridian Medicaid |
$21,421.10
|
Rate for Payer: PHP Medicaid |
$20,401.05
|
Rate for Payer: Priority Health Choice Medicaid |
$20,401.05
|
|
INPATIENT APRDRG 1834: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES
|
Facility
|
IP
|
$31,985.65
|
|
Service Code
|
APR-DRG 1834
|
Hospital Charge Code |
APRDRG 1834
|
Min. Negotiated Rate |
$30,462.52 |
Max. Negotiated Rate |
$31,985.65 |
Rate for Payer: BCBS Complete |
$31,985.65
|
Rate for Payer: Mclaren Medicaid |
$30,462.52
|
Rate for Payer: Meridian Medicaid |
$31,985.65
|
Rate for Payer: PHP Medicaid |
$30,462.52
|
Rate for Payer: Priority Health Choice Medicaid |
$30,462.52
|
|
INPATIENT APRDRG 1901: ACUTE MYOCARDIAL INFARCTION
|
Facility
|
IP
|
$3,682.89
|
|
Service Code
|
APR-DRG 1901
|
Hospital Charge Code |
APRDRG 1901
|
Min. Negotiated Rate |
$3,507.51 |
Max. Negotiated Rate |
$3,682.89 |
Rate for Payer: BCBS Complete |
$3,682.89
|
Rate for Payer: Mclaren Medicaid |
$3,507.51
|
Rate for Payer: Meridian Medicaid |
$3,682.89
|
Rate for Payer: PHP Medicaid |
$3,507.51
|
Rate for Payer: Priority Health Choice Medicaid |
$3,507.51
|
|
INPATIENT APRDRG 1902: ACUTE MYOCARDIAL INFARCTION
|
Facility
|
IP
|
$4,084.02
|
|
Service Code
|
APR-DRG 1902
|
Hospital Charge Code |
APRDRG 1902
|
Min. Negotiated Rate |
$3,889.54 |
Max. Negotiated Rate |
$4,084.02 |
Rate for Payer: BCBS Complete |
$4,084.02
|
Rate for Payer: Mclaren Medicaid |
$3,889.54
|
Rate for Payer: Meridian Medicaid |
$4,084.02
|
Rate for Payer: PHP Medicaid |
$3,889.54
|
Rate for Payer: Priority Health Choice Medicaid |
$3,889.54
|
|
INPATIENT APRDRG 1903: ACUTE MYOCARDIAL INFARCTION
|
Facility
|
IP
|
$5,557.38
|
|
Service Code
|
APR-DRG 1903
|
Hospital Charge Code |
APRDRG 1903
|
Min. Negotiated Rate |
$5,292.74 |
Max. Negotiated Rate |
$5,557.38 |
Rate for Payer: BCBS Complete |
$5,557.38
|
Rate for Payer: Mclaren Medicaid |
$5,292.74
|
Rate for Payer: Meridian Medicaid |
$5,557.38
|
Rate for Payer: PHP Medicaid |
$5,292.74
|
Rate for Payer: Priority Health Choice Medicaid |
$5,292.74
|
|
INPATIENT APRDRG 1904: ACUTE MYOCARDIAL INFARCTION
|
Facility
|
IP
|
$11,749.49
|
|
Service Code
|
APR-DRG 1904
|
Hospital Charge Code |
APRDRG 1904
|
Min. Negotiated Rate |
$11,189.99 |
Max. Negotiated Rate |
$11,749.49 |
Rate for Payer: BCBS Complete |
$11,749.49
|
Rate for Payer: Mclaren Medicaid |
$11,189.99
|
Rate for Payer: Meridian Medicaid |
$11,749.49
|
Rate for Payer: PHP Medicaid |
$11,189.99
|
Rate for Payer: Priority Health Choice Medicaid |
$11,189.99
|
|
INPATIENT APRDRG 1911: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE
|
Facility
|
IP
|
$4,592.72
|
|
Service Code
|
APR-DRG 1911
|
Hospital Charge Code |
APRDRG 1911
|
Min. Negotiated Rate |
$4,374.02 |
Max. Negotiated Rate |
$4,592.72 |
Rate for Payer: BCBS Complete |
$4,592.72
|
Rate for Payer: Mclaren Medicaid |
$4,374.02
|
Rate for Payer: Meridian Medicaid |
$4,592.72
|
Rate for Payer: PHP Medicaid |
$4,374.02
|
Rate for Payer: Priority Health Choice Medicaid |
$4,374.02
|
|
INPATIENT APRDRG 1912: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE
|
Facility
|
IP
|
$5,493.85
|
|
Service Code
|
APR-DRG 1912
|
Hospital Charge Code |
APRDRG 1912
|
Min. Negotiated Rate |
$5,232.24 |
Max. Negotiated Rate |
$5,493.85 |
Rate for Payer: BCBS Complete |
$5,493.85
|
Rate for Payer: Mclaren Medicaid |
$5,232.24
|
Rate for Payer: Meridian Medicaid |
$5,493.85
|
Rate for Payer: PHP Medicaid |
$5,232.24
|
Rate for Payer: Priority Health Choice Medicaid |
$5,232.24
|
|
INPATIENT APRDRG 1913: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE
|
Facility
|
IP
|
$7,746.42
|
|
Service Code
|
APR-DRG 1913
|
Hospital Charge Code |
APRDRG 1913
|
Min. Negotiated Rate |
$7,377.54 |
Max. Negotiated Rate |
$7,746.42 |
Rate for Payer: BCBS Complete |
$7,746.42
|
Rate for Payer: Mclaren Medicaid |
$7,377.54
|
Rate for Payer: Meridian Medicaid |
$7,746.42
|
Rate for Payer: PHP Medicaid |
$7,377.54
|
Rate for Payer: Priority Health Choice Medicaid |
$7,377.54
|
|
INPATIENT APRDRG 1914: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE
|
Facility
|
IP
|
$11,836.58
|
|
Service Code
|
APR-DRG 1914
|
Hospital Charge Code |
APRDRG 1914
|
Min. Negotiated Rate |
$11,272.93 |
Max. Negotiated Rate |
$11,836.58 |
Rate for Payer: BCBS Complete |
$11,836.58
|
Rate for Payer: Mclaren Medicaid |
$11,272.93
|
Rate for Payer: Meridian Medicaid |
$11,836.58
|
Rate for Payer: PHP Medicaid |
$11,272.93
|
Rate for Payer: Priority Health Choice Medicaid |
$11,272.93
|
|