INPATIENT APRDRG 2063: MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$5,805.32
|
|
Service Code
|
APR-DRG 2063
|
Hospital Charge Code |
APRDRG 2063
|
Min. Negotiated Rate |
$5,528.88 |
Max. Negotiated Rate |
$5,805.32 |
Rate for Payer: BCBS Complete |
$5,805.32
|
Rate for Payer: Mclaren Medicaid |
$5,528.88
|
Rate for Payer: Meridian Medicaid |
$5,805.32
|
Rate for Payer: PHP Medicaid |
$5,528.88
|
Rate for Payer: Priority Health Choice Medicaid |
$5,528.88
|
|
INPATIENT APRDRG 2064: MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE
|
Facility
|
IP
|
$11,670.08
|
|
Service Code
|
APR-DRG 2064
|
Hospital Charge Code |
APRDRG 2064
|
Min. Negotiated Rate |
$11,114.36 |
Max. Negotiated Rate |
$11,670.08 |
Rate for Payer: BCBS Complete |
$11,670.08
|
Rate for Payer: Mclaren Medicaid |
$11,114.36
|
Rate for Payer: Meridian Medicaid |
$11,670.08
|
Rate for Payer: PHP Medicaid |
$11,114.36
|
Rate for Payer: Priority Health Choice Medicaid |
$11,114.36
|
|
INPATIENT APRDRG 2071: OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
|
IP
|
$2,934.94
|
|
Service Code
|
APR-DRG 2071
|
Hospital Charge Code |
APRDRG 2071
|
Min. Negotiated Rate |
$2,795.18 |
Max. Negotiated Rate |
$2,934.94 |
Rate for Payer: BCBS Complete |
$2,934.94
|
Rate for Payer: Mclaren Medicaid |
$2,795.18
|
Rate for Payer: Meridian Medicaid |
$2,934.94
|
Rate for Payer: PHP Medicaid |
$2,795.18
|
Rate for Payer: Priority Health Choice Medicaid |
$2,795.18
|
|
INPATIENT APRDRG 2072: OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
|
IP
|
$3,861.16
|
|
Service Code
|
APR-DRG 2072
|
Hospital Charge Code |
APRDRG 2072
|
Min. Negotiated Rate |
$3,677.30 |
Max. Negotiated Rate |
$3,861.16 |
Rate for Payer: BCBS Complete |
$3,861.16
|
Rate for Payer: Mclaren Medicaid |
$3,677.30
|
Rate for Payer: Meridian Medicaid |
$3,861.16
|
Rate for Payer: PHP Medicaid |
$3,677.30
|
Rate for Payer: Priority Health Choice Medicaid |
$3,677.30
|
|
INPATIENT APRDRG 2073: OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
|
IP
|
$6,323.77
|
|
Service Code
|
APR-DRG 2073
|
Hospital Charge Code |
APRDRG 2073
|
Min. Negotiated Rate |
$6,022.64 |
Max. Negotiated Rate |
$6,323.77 |
Rate for Payer: BCBS Complete |
$6,323.77
|
Rate for Payer: Mclaren Medicaid |
$6,022.64
|
Rate for Payer: Meridian Medicaid |
$6,323.77
|
Rate for Payer: PHP Medicaid |
$6,022.64
|
Rate for Payer: Priority Health Choice Medicaid |
$6,022.64
|
|
INPATIENT APRDRG 2074: OTHER CIRCULATORY SYSTEM DIAGNOSES
|
Facility
|
IP
|
$10,588.63
|
|
Service Code
|
APR-DRG 2074
|
Hospital Charge Code |
APRDRG 2074
|
Min. Negotiated Rate |
$10,084.41 |
Max. Negotiated Rate |
$10,588.63 |
Rate for Payer: BCBS Complete |
$10,588.63
|
Rate for Payer: Mclaren Medicaid |
$10,084.41
|
Rate for Payer: Meridian Medicaid |
$10,588.63
|
Rate for Payer: PHP Medicaid |
$10,084.41
|
Rate for Payer: Priority Health Choice Medicaid |
$10,084.41
|
|
INPATIENT APRDRG 2201: MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES
|
Facility
|
IP
|
$8,782.79
|
|
Service Code
|
APR-DRG 2201
|
Hospital Charge Code |
APRDRG 2201
|
Min. Negotiated Rate |
$8,364.56 |
Max. Negotiated Rate |
$8,782.79 |
Rate for Payer: BCBS Complete |
$8,782.79
|
Rate for Payer: Mclaren Medicaid |
$8,364.56
|
Rate for Payer: Meridian Medicaid |
$8,782.79
|
Rate for Payer: PHP Medicaid |
$8,364.56
|
Rate for Payer: Priority Health Choice Medicaid |
$8,364.56
|
|
INPATIENT APRDRG 2202: MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES
|
Facility
|
IP
|
$10,253.59
|
|
Service Code
|
APR-DRG 2202
|
Hospital Charge Code |
APRDRG 2202
|
Min. Negotiated Rate |
$9,765.32 |
Max. Negotiated Rate |
$10,253.59 |
Rate for Payer: BCBS Complete |
$10,253.59
|
Rate for Payer: Mclaren Medicaid |
$9,765.32
|
Rate for Payer: Meridian Medicaid |
$10,253.59
|
Rate for Payer: PHP Medicaid |
$9,765.32
|
Rate for Payer: Priority Health Choice Medicaid |
$9,765.32
|
|
INPATIENT APRDRG 2203: MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES
|
Facility
|
IP
|
$15,439.03
|
|
Service Code
|
APR-DRG 2203
|
Hospital Charge Code |
APRDRG 2203
|
Min. Negotiated Rate |
$14,703.84 |
Max. Negotiated Rate |
$15,439.03 |
Rate for Payer: BCBS Complete |
$15,439.03
|
Rate for Payer: Mclaren Medicaid |
$14,703.84
|
Rate for Payer: Meridian Medicaid |
$15,439.03
|
Rate for Payer: PHP Medicaid |
$14,703.84
|
Rate for Payer: Priority Health Choice Medicaid |
$14,703.84
|
|
INPATIENT APRDRG 2204: MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES
|
Facility
|
IP
|
$28,422.64
|
|
Service Code
|
APR-DRG 2204
|
Hospital Charge Code |
APRDRG 2204
|
Min. Negotiated Rate |
$27,069.18 |
Max. Negotiated Rate |
$28,422.64 |
Rate for Payer: BCBS Complete |
$28,422.64
|
Rate for Payer: Mclaren Medicaid |
$27,069.18
|
Rate for Payer: Meridian Medicaid |
$28,422.64
|
Rate for Payer: PHP Medicaid |
$27,069.18
|
Rate for Payer: Priority Health Choice Medicaid |
$27,069.18
|
|
INPATIENT APRDRG 2221: OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES
|
Facility
|
IP
|
$4,528.69
|
|
Service Code
|
APR-DRG 2221
|
Hospital Charge Code |
APRDRG 2221
|
Min. Negotiated Rate |
$4,313.04 |
Max. Negotiated Rate |
$4,528.69 |
Rate for Payer: BCBS Complete |
$4,528.69
|
Rate for Payer: Mclaren Medicaid |
$4,313.04
|
Rate for Payer: Meridian Medicaid |
$4,528.69
|
Rate for Payer: PHP Medicaid |
$4,313.04
|
Rate for Payer: Priority Health Choice Medicaid |
$4,313.04
|
|
INPATIENT APRDRG 2222: OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES
|
Facility
|
IP
|
$7,942.11
|
|
Service Code
|
APR-DRG 2222
|
Hospital Charge Code |
APRDRG 2222
|
Min. Negotiated Rate |
$7,563.91 |
Max. Negotiated Rate |
$7,942.11 |
Rate for Payer: BCBS Complete |
$7,942.11
|
Rate for Payer: Mclaren Medicaid |
$7,563.91
|
Rate for Payer: Meridian Medicaid |
$7,942.11
|
Rate for Payer: PHP Medicaid |
$7,563.91
|
Rate for Payer: Priority Health Choice Medicaid |
$7,563.91
|
|
INPATIENT APRDRG 2223: OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES
|
Facility
|
IP
|
$12,027.15
|
|
Service Code
|
APR-DRG 2223
|
Hospital Charge Code |
APRDRG 2223
|
Min. Negotiated Rate |
$11,454.43 |
Max. Negotiated Rate |
$12,027.15 |
Rate for Payer: BCBS Complete |
$12,027.15
|
Rate for Payer: Mclaren Medicaid |
$11,454.43
|
Rate for Payer: Meridian Medicaid |
$12,027.15
|
Rate for Payer: PHP Medicaid |
$11,454.43
|
Rate for Payer: Priority Health Choice Medicaid |
$11,454.43
|
|
INPATIENT APRDRG 2224: OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES
|
Facility
|
IP
|
$23,276.63
|
|
Service Code
|
APR-DRG 2224
|
Hospital Charge Code |
APRDRG 2224
|
Min. Negotiated Rate |
$22,168.22 |
Max. Negotiated Rate |
$23,276.63 |
Rate for Payer: BCBS Complete |
$23,276.63
|
Rate for Payer: Mclaren Medicaid |
$22,168.22
|
Rate for Payer: Meridian Medicaid |
$23,276.63
|
Rate for Payer: PHP Medicaid |
$22,168.22
|
Rate for Payer: Priority Health Choice Medicaid |
$22,168.22
|
|
INPATIENT APRDRG 2231: OTHER SMALL & LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$6,915.98
|
|
Service Code
|
APR-DRG 2231
|
Hospital Charge Code |
APRDRG 2231
|
Min. Negotiated Rate |
$6,586.65 |
Max. Negotiated Rate |
$6,915.98 |
Rate for Payer: BCBS Complete |
$6,915.98
|
Rate for Payer: Mclaren Medicaid |
$6,586.65
|
Rate for Payer: Meridian Medicaid |
$6,915.98
|
Rate for Payer: PHP Medicaid |
$6,586.65
|
Rate for Payer: Priority Health Choice Medicaid |
$6,586.65
|
|
INPATIENT APRDRG 2232: OTHER SMALL & LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$9,780.74
|
|
Service Code
|
APR-DRG 2232
|
Hospital Charge Code |
APRDRG 2232
|
Min. Negotiated Rate |
$9,314.99 |
Max. Negotiated Rate |
$9,780.74 |
Rate for Payer: BCBS Complete |
$9,780.74
|
Rate for Payer: Mclaren Medicaid |
$9,314.99
|
Rate for Payer: Meridian Medicaid |
$9,780.74
|
Rate for Payer: PHP Medicaid |
$9,314.99
|
Rate for Payer: Priority Health Choice Medicaid |
$9,314.99
|
|
INPATIENT APRDRG 2233: OTHER SMALL & LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$10,113.21
|
|
Service Code
|
APR-DRG 2233
|
Hospital Charge Code |
APRDRG 2233
|
Min. Negotiated Rate |
$9,631.63 |
Max. Negotiated Rate |
$10,113.21 |
Rate for Payer: BCBS Complete |
$10,113.21
|
Rate for Payer: Mclaren Medicaid |
$9,631.63
|
Rate for Payer: Meridian Medicaid |
$10,113.21
|
Rate for Payer: PHP Medicaid |
$9,631.63
|
Rate for Payer: Priority Health Choice Medicaid |
$9,631.63
|
|
INPATIENT APRDRG 2234: OTHER SMALL & LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$20,622.43
|
|
Service Code
|
APR-DRG 2234
|
Hospital Charge Code |
APRDRG 2234
|
Min. Negotiated Rate |
$19,640.41 |
Max. Negotiated Rate |
$20,622.43 |
Rate for Payer: BCBS Complete |
$20,622.43
|
Rate for Payer: Mclaren Medicaid |
$19,640.41
|
Rate for Payer: Meridian Medicaid |
$20,622.43
|
Rate for Payer: PHP Medicaid |
$19,640.41
|
Rate for Payer: Priority Health Choice Medicaid |
$19,640.41
|
|
INPATIENT APRDRG 2241: PERITONEAL ADHESIOLYSIS
|
Facility
|
IP
|
$8,320.18
|
|
Service Code
|
APR-DRG 2241
|
Hospital Charge Code |
APRDRG 2241
|
Min. Negotiated Rate |
$7,923.98 |
Max. Negotiated Rate |
$8,320.18 |
Rate for Payer: BCBS Complete |
$8,320.18
|
Rate for Payer: Mclaren Medicaid |
$7,923.98
|
Rate for Payer: Meridian Medicaid |
$8,320.18
|
Rate for Payer: PHP Medicaid |
$7,923.98
|
Rate for Payer: Priority Health Choice Medicaid |
$7,923.98
|
|
INPATIENT APRDRG 2242: PERITONEAL ADHESIOLYSIS
|
Facility
|
IP
|
$9,951.33
|
|
Service Code
|
APR-DRG 2242
|
Hospital Charge Code |
APRDRG 2242
|
Min. Negotiated Rate |
$9,477.46 |
Max. Negotiated Rate |
$9,951.33 |
Rate for Payer: BCBS Complete |
$9,951.33
|
Rate for Payer: Mclaren Medicaid |
$9,477.46
|
Rate for Payer: Meridian Medicaid |
$9,951.33
|
Rate for Payer: PHP Medicaid |
$9,477.46
|
Rate for Payer: Priority Health Choice Medicaid |
$9,477.46
|
|
INPATIENT APRDRG 2243: PERITONEAL ADHESIOLYSIS
|
Facility
|
IP
|
$12,697.23
|
|
Service Code
|
APR-DRG 2243
|
Hospital Charge Code |
APRDRG 2243
|
Min. Negotiated Rate |
$12,092.60 |
Max. Negotiated Rate |
$12,697.23 |
Rate for Payer: BCBS Complete |
$12,697.23
|
Rate for Payer: Mclaren Medicaid |
$12,092.60
|
Rate for Payer: Meridian Medicaid |
$12,697.23
|
Rate for Payer: PHP Medicaid |
$12,092.60
|
Rate for Payer: Priority Health Choice Medicaid |
$12,092.60
|
|
INPATIENT APRDRG 2244: PERITONEAL ADHESIOLYSIS
|
Facility
|
IP
|
$25,841.70
|
|
Service Code
|
APR-DRG 2244
|
Hospital Charge Code |
APRDRG 2244
|
Min. Negotiated Rate |
$24,611.14 |
Max. Negotiated Rate |
$25,841.70 |
Rate for Payer: BCBS Complete |
$25,841.70
|
Rate for Payer: Mclaren Medicaid |
$24,611.14
|
Rate for Payer: Meridian Medicaid |
$25,841.70
|
Rate for Payer: PHP Medicaid |
$24,611.14
|
Rate for Payer: Priority Health Choice Medicaid |
$24,611.14
|
|
INPATIENT APRDRG 2261: ANAL PROCEDURES
|
Facility
|
IP
|
$5,048.66
|
|
Service Code
|
APR-DRG 2261
|
Hospital Charge Code |
APRDRG 2261
|
Min. Negotiated Rate |
$4,808.25 |
Max. Negotiated Rate |
$5,048.66 |
Rate for Payer: BCBS Complete |
$5,048.66
|
Rate for Payer: Mclaren Medicaid |
$4,808.25
|
Rate for Payer: Meridian Medicaid |
$5,048.66
|
Rate for Payer: PHP Medicaid |
$4,808.25
|
Rate for Payer: Priority Health Choice Medicaid |
$4,808.25
|
|
INPATIENT APRDRG 2262: ANAL PROCEDURES
|
Facility
|
IP
|
$5,675.21
|
|
Service Code
|
APR-DRG 2262
|
Hospital Charge Code |
APRDRG 2262
|
Min. Negotiated Rate |
$5,404.96 |
Max. Negotiated Rate |
$5,675.21 |
Rate for Payer: BCBS Complete |
$5,675.21
|
Rate for Payer: Mclaren Medicaid |
$5,404.96
|
Rate for Payer: Meridian Medicaid |
$5,675.21
|
Rate for Payer: PHP Medicaid |
$5,404.96
|
Rate for Payer: Priority Health Choice Medicaid |
$5,404.96
|
|
INPATIENT APRDRG 2263: ANAL PROCEDURES
|
Facility
|
IP
|
$10,459.02
|
|
Service Code
|
APR-DRG 2263
|
Hospital Charge Code |
APRDRG 2263
|
Min. Negotiated Rate |
$9,960.97 |
Max. Negotiated Rate |
$10,459.02 |
Rate for Payer: BCBS Complete |
$10,459.02
|
Rate for Payer: Mclaren Medicaid |
$9,960.97
|
Rate for Payer: Meridian Medicaid |
$10,459.02
|
Rate for Payer: PHP Medicaid |
$9,960.97
|
Rate for Payer: Priority Health Choice Medicaid |
$9,960.97
|
|