INPATIENT APRDRG 1921: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS
|
Facility
|
IP
|
$5,927.25
|
|
Service Code
|
APR-DRG 1921
|
Hospital Charge Code |
APRDRG 1921
|
Min. Negotiated Rate |
$5,645.00 |
Max. Negotiated Rate |
$5,927.25 |
Rate for Payer: BCBS Complete |
$5,927.25
|
Rate for Payer: Mclaren Medicaid |
$5,645.00
|
Rate for Payer: Meridian Medicaid |
$5,927.25
|
Rate for Payer: PHP Medicaid |
$5,645.00
|
Rate for Payer: Priority Health Choice Medicaid |
$5,645.00
|
|
INPATIENT APRDRG 1922: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS
|
Facility
|
IP
|
$7,041.50
|
|
Service Code
|
APR-DRG 1922
|
Hospital Charge Code |
APRDRG 1922
|
Min. Negotiated Rate |
$6,706.19 |
Max. Negotiated Rate |
$7,041.50 |
Rate for Payer: BCBS Complete |
$7,041.50
|
Rate for Payer: Mclaren Medicaid |
$6,706.19
|
Rate for Payer: Meridian Medicaid |
$7,041.50
|
Rate for Payer: PHP Medicaid |
$6,706.19
|
Rate for Payer: Priority Health Choice Medicaid |
$6,706.19
|
|
INPATIENT APRDRG 1923: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS
|
Facility
|
IP
|
$8,927.26
|
|
Service Code
|
APR-DRG 1923
|
Hospital Charge Code |
APRDRG 1923
|
Min. Negotiated Rate |
$8,502.15 |
Max. Negotiated Rate |
$8,927.26 |
Rate for Payer: BCBS Complete |
$8,927.26
|
Rate for Payer: Mclaren Medicaid |
$8,502.15
|
Rate for Payer: Meridian Medicaid |
$8,927.26
|
Rate for Payer: PHP Medicaid |
$8,502.15
|
Rate for Payer: Priority Health Choice Medicaid |
$8,502.15
|
|
INPATIENT APRDRG 1924: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS
|
Facility
|
IP
|
$16,030.22
|
|
Service Code
|
APR-DRG 1924
|
Hospital Charge Code |
APRDRG 1924
|
Min. Negotiated Rate |
$15,266.88 |
Max. Negotiated Rate |
$16,030.22 |
Rate for Payer: BCBS Complete |
$16,030.22
|
Rate for Payer: Mclaren Medicaid |
$15,266.88
|
Rate for Payer: Meridian Medicaid |
$16,030.22
|
Rate for Payer: PHP Medicaid |
$15,266.88
|
Rate for Payer: Priority Health Choice Medicaid |
$15,266.88
|
|
INPATIENT APRDRG 1931: ACUTE & SUBACUTE ENDOCARDITIS
|
Facility
|
IP
|
$5,285.34
|
|
Service Code
|
APR-DRG 1931
|
Hospital Charge Code |
APRDRG 1931
|
Min. Negotiated Rate |
$5,033.66 |
Max. Negotiated Rate |
$5,285.34 |
Rate for Payer: BCBS Complete |
$5,285.34
|
Rate for Payer: Mclaren Medicaid |
$5,033.66
|
Rate for Payer: Meridian Medicaid |
$5,285.34
|
Rate for Payer: PHP Medicaid |
$5,033.66
|
Rate for Payer: Priority Health Choice Medicaid |
$5,033.66
|
|
INPATIENT APRDRG 1932: ACUTE & SUBACUTE ENDOCARDITIS
|
Facility
|
IP
|
$6,218.24
|
|
Service Code
|
APR-DRG 1932
|
Hospital Charge Code |
APRDRG 1932
|
Min. Negotiated Rate |
$5,922.13 |
Max. Negotiated Rate |
$6,218.24 |
Rate for Payer: BCBS Complete |
$6,218.24
|
Rate for Payer: Mclaren Medicaid |
$5,922.13
|
Rate for Payer: Meridian Medicaid |
$6,218.24
|
Rate for Payer: PHP Medicaid |
$5,922.13
|
Rate for Payer: Priority Health Choice Medicaid |
$5,922.13
|
|
INPATIENT APRDRG 1933: ACUTE & SUBACUTE ENDOCARDITIS
|
Facility
|
IP
|
$9,836.06
|
|
Service Code
|
APR-DRG 1933
|
Hospital Charge Code |
APRDRG 1933
|
Min. Negotiated Rate |
$9,367.68 |
Max. Negotiated Rate |
$9,836.06 |
Rate for Payer: BCBS Complete |
$9,836.06
|
Rate for Payer: Mclaren Medicaid |
$9,367.68
|
Rate for Payer: Meridian Medicaid |
$9,836.06
|
Rate for Payer: PHP Medicaid |
$9,367.68
|
Rate for Payer: Priority Health Choice Medicaid |
$9,367.68
|
|
INPATIENT APRDRG 1934: ACUTE & SUBACUTE ENDOCARDITIS
|
Facility
|
IP
|
$11,326.84
|
|
Service Code
|
APR-DRG 1934
|
Hospital Charge Code |
APRDRG 1934
|
Min. Negotiated Rate |
$10,787.47 |
Max. Negotiated Rate |
$11,326.84 |
Rate for Payer: BCBS Complete |
$11,326.84
|
Rate for Payer: Mclaren Medicaid |
$10,787.47
|
Rate for Payer: Meridian Medicaid |
$11,326.84
|
Rate for Payer: PHP Medicaid |
$10,787.47
|
Rate for Payer: Priority Health Choice Medicaid |
$10,787.47
|
|
INPATIENT APRDRG 1941: HEART FAILURE
|
Facility
|
IP
|
$2,803.28
|
|
Service Code
|
APR-DRG 1941
|
Hospital Charge Code |
APRDRG 1941
|
Min. Negotiated Rate |
$2,669.79 |
Max. Negotiated Rate |
$2,803.28 |
Rate for Payer: BCBS Complete |
$2,803.28
|
Rate for Payer: Mclaren Medicaid |
$2,669.79
|
Rate for Payer: Meridian Medicaid |
$2,803.28
|
Rate for Payer: PHP Medicaid |
$2,669.79
|
Rate for Payer: Priority Health Choice Medicaid |
$2,669.79
|
|
INPATIENT APRDRG 1942: HEART FAILURE
|
Facility
|
IP
|
$3,744.36
|
|
Service Code
|
APR-DRG 1942
|
Hospital Charge Code |
APRDRG 1942
|
Min. Negotiated Rate |
$3,566.06 |
Max. Negotiated Rate |
$3,744.36 |
Rate for Payer: BCBS Complete |
$3,744.36
|
Rate for Payer: Mclaren Medicaid |
$3,566.06
|
Rate for Payer: Meridian Medicaid |
$3,744.36
|
Rate for Payer: PHP Medicaid |
$3,566.06
|
Rate for Payer: Priority Health Choice Medicaid |
$3,566.06
|
|
INPATIENT APRDRG 1943: HEART FAILURE
|
Facility
|
IP
|
$5,517.93
|
|
Service Code
|
APR-DRG 1943
|
Hospital Charge Code |
APRDRG 1943
|
Min. Negotiated Rate |
$5,255.17 |
Max. Negotiated Rate |
$5,517.93 |
Rate for Payer: BCBS Complete |
$5,517.93
|
Rate for Payer: Mclaren Medicaid |
$5,255.17
|
Rate for Payer: Meridian Medicaid |
$5,517.93
|
Rate for Payer: PHP Medicaid |
$5,255.17
|
Rate for Payer: Priority Health Choice Medicaid |
$5,255.17
|
|
INPATIENT APRDRG 1944: HEART FAILURE
|
Facility
|
IP
|
$10,014.86
|
|
Service Code
|
APR-DRG 1944
|
Hospital Charge Code |
APRDRG 1944
|
Min. Negotiated Rate |
$9,537.96 |
Max. Negotiated Rate |
$10,014.86 |
Rate for Payer: BCBS Complete |
$10,014.86
|
Rate for Payer: Mclaren Medicaid |
$9,537.96
|
Rate for Payer: Meridian Medicaid |
$10,014.86
|
Rate for Payer: PHP Medicaid |
$9,537.96
|
Rate for Payer: Priority Health Choice Medicaid |
$9,537.96
|
|
INPATIENT APRDRG 1961: CARDIAC ARREST & SHOCK
|
Facility
|
IP
|
$1,669.57
|
|
Service Code
|
APR-DRG 1961
|
Hospital Charge Code |
APRDRG 1961
|
Min. Negotiated Rate |
$1,590.07 |
Max. Negotiated Rate |
$1,669.57 |
Rate for Payer: BCBS Complete |
$1,669.57
|
Rate for Payer: Mclaren Medicaid |
$1,590.07
|
Rate for Payer: Meridian Medicaid |
$1,669.57
|
Rate for Payer: PHP Medicaid |
$1,590.07
|
Rate for Payer: Priority Health Choice Medicaid |
$1,590.07
|
|
INPATIENT APRDRG 1962: CARDIAC ARREST & SHOCK
|
Facility
|
IP
|
$3,178.28
|
|
Service Code
|
APR-DRG 1962
|
Hospital Charge Code |
APRDRG 1962
|
Min. Negotiated Rate |
$3,026.93 |
Max. Negotiated Rate |
$3,178.28 |
Rate for Payer: BCBS Complete |
$3,178.28
|
Rate for Payer: Mclaren Medicaid |
$3,026.93
|
Rate for Payer: Meridian Medicaid |
$3,178.28
|
Rate for Payer: PHP Medicaid |
$3,026.93
|
Rate for Payer: Priority Health Choice Medicaid |
$3,026.93
|
|
INPATIENT APRDRG 1963: CARDIAC ARREST & SHOCK
|
Facility
|
IP
|
$7,116.81
|
|
Service Code
|
APR-DRG 1963
|
Hospital Charge Code |
APRDRG 1963
|
Min. Negotiated Rate |
$6,777.91 |
Max. Negotiated Rate |
$7,116.81 |
Rate for Payer: BCBS Complete |
$7,116.81
|
Rate for Payer: Mclaren Medicaid |
$6,777.91
|
Rate for Payer: Meridian Medicaid |
$7,116.81
|
Rate for Payer: PHP Medicaid |
$6,777.91
|
Rate for Payer: Priority Health Choice Medicaid |
$6,777.91
|
|
INPATIENT APRDRG 1964: CARDIAC ARREST & SHOCK
|
Facility
|
IP
|
$12,843.75
|
|
Service Code
|
APR-DRG 1964
|
Hospital Charge Code |
APRDRG 1964
|
Min. Negotiated Rate |
$12,232.14 |
Max. Negotiated Rate |
$12,843.75 |
Rate for Payer: BCBS Complete |
$12,843.75
|
Rate for Payer: Mclaren Medicaid |
$12,232.14
|
Rate for Payer: Meridian Medicaid |
$12,843.75
|
Rate for Payer: PHP Medicaid |
$12,232.14
|
Rate for Payer: Priority Health Choice Medicaid |
$12,232.14
|
|
INPATIENT APRDRG 1971: PERIPHERAL & OTHER VASCULAR DISORDERS
|
Facility
|
IP
|
$3,287.39
|
|
Service Code
|
APR-DRG 1971
|
Hospital Charge Code |
APRDRG 1971
|
Min. Negotiated Rate |
$3,130.85 |
Max. Negotiated Rate |
$3,287.39 |
Rate for Payer: BCBS Complete |
$3,287.39
|
Rate for Payer: Mclaren Medicaid |
$3,130.85
|
Rate for Payer: Meridian Medicaid |
$3,287.39
|
Rate for Payer: PHP Medicaid |
$3,130.85
|
Rate for Payer: Priority Health Choice Medicaid |
$3,130.85
|
|
INPATIENT APRDRG 1972: PERIPHERAL & OTHER VASCULAR DISORDERS
|
Facility
|
IP
|
$4,234.63
|
|
Service Code
|
APR-DRG 1972
|
Hospital Charge Code |
APRDRG 1972
|
Min. Negotiated Rate |
$4,032.98 |
Max. Negotiated Rate |
$4,234.63 |
Rate for Payer: BCBS Complete |
$4,234.63
|
Rate for Payer: Mclaren Medicaid |
$4,032.98
|
Rate for Payer: Meridian Medicaid |
$4,234.63
|
Rate for Payer: PHP Medicaid |
$4,032.98
|
Rate for Payer: Priority Health Choice Medicaid |
$4,032.98
|
|
INPATIENT APRDRG 1973: PERIPHERAL & OTHER VASCULAR DISORDERS
|
Facility
|
IP
|
$5,869.88
|
|
Service Code
|
APR-DRG 1973
|
Hospital Charge Code |
APRDRG 1973
|
Min. Negotiated Rate |
$5,590.36 |
Max. Negotiated Rate |
$5,869.88 |
Rate for Payer: BCBS Complete |
$5,869.88
|
Rate for Payer: Mclaren Medicaid |
$5,590.36
|
Rate for Payer: Meridian Medicaid |
$5,869.88
|
Rate for Payer: PHP Medicaid |
$5,590.36
|
Rate for Payer: Priority Health Choice Medicaid |
$5,590.36
|
|
INPATIENT APRDRG 1974: PERIPHERAL & OTHER VASCULAR DISORDERS
|
Facility
|
IP
|
$9,115.26
|
|
Service Code
|
APR-DRG 1974
|
Hospital Charge Code |
APRDRG 1974
|
Min. Negotiated Rate |
$8,681.20 |
Max. Negotiated Rate |
$9,115.26 |
Rate for Payer: BCBS Complete |
$9,115.26
|
Rate for Payer: Mclaren Medicaid |
$8,681.20
|
Rate for Payer: Meridian Medicaid |
$9,115.26
|
Rate for Payer: PHP Medicaid |
$8,681.20
|
Rate for Payer: Priority Health Choice Medicaid |
$8,681.20
|
|
INPATIENT APRDRG 1981: ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS
|
Facility
|
IP
|
$2,551.23
|
|
Service Code
|
APR-DRG 1981
|
Hospital Charge Code |
APRDRG 1981
|
Min. Negotiated Rate |
$2,429.74 |
Max. Negotiated Rate |
$2,551.23 |
Rate for Payer: BCBS Complete |
$2,551.23
|
Rate for Payer: Mclaren Medicaid |
$2,429.74
|
Rate for Payer: Meridian Medicaid |
$2,551.23
|
Rate for Payer: PHP Medicaid |
$2,429.74
|
Rate for Payer: Priority Health Choice Medicaid |
$2,429.74
|
|
INPATIENT APRDRG 1982: ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS
|
Facility
|
IP
|
$2,929.30
|
|
Service Code
|
APR-DRG 1982
|
Hospital Charge Code |
APRDRG 1982
|
Min. Negotiated Rate |
$2,789.81 |
Max. Negotiated Rate |
$2,929.30 |
Rate for Payer: BCBS Complete |
$2,929.30
|
Rate for Payer: Mclaren Medicaid |
$2,789.81
|
Rate for Payer: Meridian Medicaid |
$2,929.30
|
Rate for Payer: PHP Medicaid |
$2,789.81
|
Rate for Payer: Priority Health Choice Medicaid |
$2,789.81
|
|
INPATIENT APRDRG 1983: ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS
|
Facility
|
IP
|
$3,903.69
|
|
Service Code
|
APR-DRG 1983
|
Hospital Charge Code |
APRDRG 1983
|
Min. Negotiated Rate |
$3,717.80 |
Max. Negotiated Rate |
$3,903.69 |
Rate for Payer: BCBS Complete |
$3,903.69
|
Rate for Payer: Mclaren Medicaid |
$3,717.80
|
Rate for Payer: Meridian Medicaid |
$3,903.69
|
Rate for Payer: PHP Medicaid |
$3,717.80
|
Rate for Payer: Priority Health Choice Medicaid |
$3,717.80
|
|
INPATIENT APRDRG 1984: ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS
|
Facility
|
IP
|
$7,829.41
|
|
Service Code
|
APR-DRG 1984
|
Hospital Charge Code |
APRDRG 1984
|
Min. Negotiated Rate |
$7,456.58 |
Max. Negotiated Rate |
$7,829.41 |
Rate for Payer: BCBS Complete |
$7,829.41
|
Rate for Payer: Mclaren Medicaid |
$7,456.58
|
Rate for Payer: Meridian Medicaid |
$7,829.41
|
Rate for Payer: PHP Medicaid |
$7,456.58
|
Rate for Payer: Priority Health Choice Medicaid |
$7,456.58
|
|
INPATIENT APRDRG 1991: HYPERTENSION
|
Facility
|
IP
|
$3,604.00
|
|
Service Code
|
APR-DRG 1991
|
Hospital Charge Code |
APRDRG 1991
|
Min. Negotiated Rate |
$3,432.38 |
Max. Negotiated Rate |
$3,604.00 |
Rate for Payer: BCBS Complete |
$3,604.00
|
Rate for Payer: Mclaren Medicaid |
$3,432.38
|
Rate for Payer: Meridian Medicaid |
$3,604.00
|
Rate for Payer: PHP Medicaid |
$3,432.38
|
Rate for Payer: Priority Health Choice Medicaid |
$3,432.38
|
|