INPATIENT APRDRG 2264: ANAL PROCEDURES
|
Facility
|
IP
|
$19,936.48
|
|
Service Code
|
APR-DRG 2264
|
Hospital Charge Code |
APRDRG 2264
|
Min. Negotiated Rate |
$18,987.12 |
Max. Negotiated Rate |
$19,936.48 |
Rate for Payer: BCBS Complete |
$19,936.48
|
Rate for Payer: Mclaren Medicaid |
$18,987.12
|
Rate for Payer: Meridian Medicaid |
$19,936.48
|
Rate for Payer: PHP Medicaid |
$18,987.12
|
Rate for Payer: Priority Health Choice Medicaid |
$18,987.12
|
|
INPATIENT APRDRG 2271: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL
|
Facility
|
IP
|
$7,565.58
|
|
Service Code
|
APR-DRG 2271
|
Hospital Charge Code |
APRDRG 2271
|
Min. Negotiated Rate |
$7,205.31 |
Max. Negotiated Rate |
$7,565.58 |
Rate for Payer: BCBS Complete |
$7,565.58
|
Rate for Payer: Mclaren Medicaid |
$7,205.31
|
Rate for Payer: Meridian Medicaid |
$7,565.58
|
Rate for Payer: PHP Medicaid |
$7,205.31
|
Rate for Payer: Priority Health Choice Medicaid |
$7,205.31
|
|
INPATIENT APRDRG 2272: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL
|
Facility
|
IP
|
$9,204.92
|
|
Service Code
|
APR-DRG 2272
|
Hospital Charge Code |
APRDRG 2272
|
Min. Negotiated Rate |
$8,766.59 |
Max. Negotiated Rate |
$9,204.92 |
Rate for Payer: BCBS Complete |
$9,204.92
|
Rate for Payer: Mclaren Medicaid |
$8,766.59
|
Rate for Payer: Meridian Medicaid |
$9,204.92
|
Rate for Payer: PHP Medicaid |
$8,766.59
|
Rate for Payer: Priority Health Choice Medicaid |
$8,766.59
|
|
INPATIENT APRDRG 2273: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL
|
Facility
|
IP
|
$10,516.39
|
|
Service Code
|
APR-DRG 2273
|
Hospital Charge Code |
APRDRG 2273
|
Min. Negotiated Rate |
$10,015.61 |
Max. Negotiated Rate |
$10,516.39 |
Rate for Payer: BCBS Complete |
$10,516.39
|
Rate for Payer: Mclaren Medicaid |
$10,015.61
|
Rate for Payer: Meridian Medicaid |
$10,516.39
|
Rate for Payer: PHP Medicaid |
$10,015.61
|
Rate for Payer: Priority Health Choice Medicaid |
$10,015.61
|
|
INPATIENT APRDRG 2274: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL
|
Facility
|
IP
|
$18,866.80
|
|
Service Code
|
APR-DRG 2274
|
Hospital Charge Code |
APRDRG 2274
|
Min. Negotiated Rate |
$17,968.38 |
Max. Negotiated Rate |
$18,866.80 |
Rate for Payer: BCBS Complete |
$18,866.80
|
Rate for Payer: Mclaren Medicaid |
$17,968.38
|
Rate for Payer: Meridian Medicaid |
$18,866.80
|
Rate for Payer: PHP Medicaid |
$17,968.38
|
Rate for Payer: Priority Health Choice Medicaid |
$17,968.38
|
|
INPATIENT APRDRG 2281: INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES
|
Facility
|
IP
|
$5,803.28
|
|
Service Code
|
APR-DRG 2281
|
Hospital Charge Code |
APRDRG 2281
|
Min. Negotiated Rate |
$5,526.93 |
Max. Negotiated Rate |
$5,803.28 |
Rate for Payer: BCBS Complete |
$5,803.28
|
Rate for Payer: Mclaren Medicaid |
$5,526.93
|
Rate for Payer: Meridian Medicaid |
$5,803.28
|
Rate for Payer: PHP Medicaid |
$5,526.93
|
Rate for Payer: Priority Health Choice Medicaid |
$5,526.93
|
|
INPATIENT APRDRG 2282: INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES
|
Facility
|
IP
|
$8,131.15
|
|
Service Code
|
APR-DRG 2282
|
Hospital Charge Code |
APRDRG 2282
|
Min. Negotiated Rate |
$7,743.95 |
Max. Negotiated Rate |
$8,131.15 |
Rate for Payer: BCBS Complete |
$8,131.15
|
Rate for Payer: Mclaren Medicaid |
$7,743.95
|
Rate for Payer: Meridian Medicaid |
$8,131.15
|
Rate for Payer: PHP Medicaid |
$7,743.95
|
Rate for Payer: Priority Health Choice Medicaid |
$7,743.95
|
|
INPATIENT APRDRG 2283: INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES
|
Facility
|
IP
|
$9,401.12
|
|
Service Code
|
APR-DRG 2283
|
Hospital Charge Code |
APRDRG 2283
|
Min. Negotiated Rate |
$8,953.45 |
Max. Negotiated Rate |
$9,401.12 |
Rate for Payer: BCBS Complete |
$9,401.12
|
Rate for Payer: Mclaren Medicaid |
$8,953.45
|
Rate for Payer: Meridian Medicaid |
$9,401.12
|
Rate for Payer: PHP Medicaid |
$8,953.45
|
Rate for Payer: Priority Health Choice Medicaid |
$8,953.45
|
|
INPATIENT APRDRG 2284: INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES
|
Facility
|
IP
|
$18,075.31
|
|
Service Code
|
APR-DRG 2284
|
Hospital Charge Code |
APRDRG 2284
|
Min. Negotiated Rate |
$17,214.58 |
Max. Negotiated Rate |
$18,075.31 |
Rate for Payer: BCBS Complete |
$18,075.31
|
Rate for Payer: Mclaren Medicaid |
$17,214.58
|
Rate for Payer: Meridian Medicaid |
$18,075.31
|
Rate for Payer: PHP Medicaid |
$17,214.58
|
Rate for Payer: Priority Health Choice Medicaid |
$17,214.58
|
|
INPATIENT APRDRG 2291: OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$7,119.37
|
|
Service Code
|
APR-DRG 2291
|
Hospital Charge Code |
APRDRG 2291
|
Min. Negotiated Rate |
$6,780.35 |
Max. Negotiated Rate |
$7,119.37 |
Rate for Payer: BCBS Complete |
$7,119.37
|
Rate for Payer: Mclaren Medicaid |
$6,780.35
|
Rate for Payer: Meridian Medicaid |
$7,119.37
|
Rate for Payer: PHP Medicaid |
$6,780.35
|
Rate for Payer: Priority Health Choice Medicaid |
$6,780.35
|
|
INPATIENT APRDRG 2292: OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$8,941.60
|
|
Service Code
|
APR-DRG 2292
|
Hospital Charge Code |
APRDRG 2292
|
Min. Negotiated Rate |
$8,515.81 |
Max. Negotiated Rate |
$8,941.60 |
Rate for Payer: BCBS Complete |
$8,941.60
|
Rate for Payer: Mclaren Medicaid |
$8,515.81
|
Rate for Payer: Meridian Medicaid |
$8,941.60
|
Rate for Payer: PHP Medicaid |
$8,515.81
|
Rate for Payer: Priority Health Choice Medicaid |
$8,515.81
|
|
INPATIENT APRDRG 2293: OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$12,804.30
|
|
Service Code
|
APR-DRG 2293
|
Hospital Charge Code |
APRDRG 2293
|
Min. Negotiated Rate |
$12,194.57 |
Max. Negotiated Rate |
$12,804.30 |
Rate for Payer: BCBS Complete |
$12,804.30
|
Rate for Payer: Mclaren Medicaid |
$12,194.57
|
Rate for Payer: Meridian Medicaid |
$12,804.30
|
Rate for Payer: PHP Medicaid |
$12,194.57
|
Rate for Payer: Priority Health Choice Medicaid |
$12,194.57
|
|
INPATIENT APRDRG 2294: OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$17,746.92
|
|
Service Code
|
APR-DRG 2294
|
Hospital Charge Code |
APRDRG 2294
|
Min. Negotiated Rate |
$16,901.83 |
Max. Negotiated Rate |
$17,746.92 |
Rate for Payer: BCBS Complete |
$17,746.92
|
Rate for Payer: Mclaren Medicaid |
$16,901.83
|
Rate for Payer: Meridian Medicaid |
$17,746.92
|
Rate for Payer: PHP Medicaid |
$16,901.83
|
Rate for Payer: Priority Health Choice Medicaid |
$16,901.83
|
|
INPATIENT APRDRG 2301: MAJOR SMALL BOWEL PROCEDURES
|
Facility
|
IP
|
$7,392.42
|
|
Service Code
|
APR-DRG 2301
|
Hospital Charge Code |
APRDRG 2301
|
Min. Negotiated Rate |
$7,040.40 |
Max. Negotiated Rate |
$7,392.42 |
Rate for Payer: BCBS Complete |
$7,392.42
|
Rate for Payer: Mclaren Medicaid |
$7,040.40
|
Rate for Payer: Meridian Medicaid |
$7,392.42
|
Rate for Payer: PHP Medicaid |
$7,040.40
|
Rate for Payer: Priority Health Choice Medicaid |
$7,040.40
|
|
INPATIENT APRDRG 2302: MAJOR SMALL BOWEL PROCEDURES
|
Facility
|
IP
|
$10,280.22
|
|
Service Code
|
APR-DRG 2302
|
Hospital Charge Code |
APRDRG 2302
|
Min. Negotiated Rate |
$9,790.69 |
Max. Negotiated Rate |
$10,280.22 |
Rate for Payer: BCBS Complete |
$10,280.22
|
Rate for Payer: Mclaren Medicaid |
$9,790.69
|
Rate for Payer: Meridian Medicaid |
$10,280.22
|
Rate for Payer: PHP Medicaid |
$9,790.69
|
Rate for Payer: Priority Health Choice Medicaid |
$9,790.69
|
|
INPATIENT APRDRG 2303: MAJOR SMALL BOWEL PROCEDURES
|
Facility
|
IP
|
$15,182.88
|
|
Service Code
|
APR-DRG 2303
|
Hospital Charge Code |
APRDRG 2303
|
Min. Negotiated Rate |
$14,459.89 |
Max. Negotiated Rate |
$15,182.88 |
Rate for Payer: BCBS Complete |
$15,182.88
|
Rate for Payer: Mclaren Medicaid |
$14,459.89
|
Rate for Payer: Meridian Medicaid |
$15,182.88
|
Rate for Payer: PHP Medicaid |
$14,459.89
|
Rate for Payer: Priority Health Choice Medicaid |
$14,459.89
|
|
INPATIENT APRDRG 2304: MAJOR SMALL BOWEL PROCEDURES
|
Facility
|
IP
|
$27,969.26
|
|
Service Code
|
APR-DRG 2304
|
Hospital Charge Code |
APRDRG 2304
|
Min. Negotiated Rate |
$26,637.39 |
Max. Negotiated Rate |
$27,969.26 |
Rate for Payer: BCBS Complete |
$27,969.26
|
Rate for Payer: Mclaren Medicaid |
$26,637.39
|
Rate for Payer: Meridian Medicaid |
$27,969.26
|
Rate for Payer: PHP Medicaid |
$26,637.39
|
Rate for Payer: Priority Health Choice Medicaid |
$26,637.39
|
|
INPATIENT APRDRG 2311: MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$8,001.54
|
|
Service Code
|
APR-DRG 2311
|
Hospital Charge Code |
APRDRG 2311
|
Min. Negotiated Rate |
$7,620.51 |
Max. Negotiated Rate |
$8,001.54 |
Rate for Payer: BCBS Complete |
$8,001.54
|
Rate for Payer: Mclaren Medicaid |
$7,620.51
|
Rate for Payer: Meridian Medicaid |
$8,001.54
|
Rate for Payer: PHP Medicaid |
$7,620.51
|
Rate for Payer: Priority Health Choice Medicaid |
$7,620.51
|
|
INPATIENT APRDRG 2312: MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$10,129.61
|
|
Service Code
|
APR-DRG 2312
|
Hospital Charge Code |
APRDRG 2312
|
Min. Negotiated Rate |
$9,647.25 |
Max. Negotiated Rate |
$10,129.61 |
Rate for Payer: BCBS Complete |
$10,129.61
|
Rate for Payer: Mclaren Medicaid |
$9,647.25
|
Rate for Payer: Meridian Medicaid |
$10,129.61
|
Rate for Payer: PHP Medicaid |
$9,647.25
|
Rate for Payer: Priority Health Choice Medicaid |
$9,647.25
|
|
INPATIENT APRDRG 2313: MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$14,716.19
|
|
Service Code
|
APR-DRG 2313
|
Hospital Charge Code |
APRDRG 2313
|
Min. Negotiated Rate |
$14,015.42 |
Max. Negotiated Rate |
$14,716.19 |
Rate for Payer: BCBS Complete |
$14,716.19
|
Rate for Payer: Mclaren Medicaid |
$14,015.42
|
Rate for Payer: Meridian Medicaid |
$14,716.19
|
Rate for Payer: PHP Medicaid |
$14,015.42
|
Rate for Payer: Priority Health Choice Medicaid |
$14,015.42
|
|
INPATIENT APRDRG 2314: MAJOR LARGE BOWEL PROCEDURES
|
Facility
|
IP
|
$24,122.44
|
|
Service Code
|
APR-DRG 2314
|
Hospital Charge Code |
APRDRG 2314
|
Min. Negotiated Rate |
$22,973.75 |
Max. Negotiated Rate |
$24,122.44 |
Rate for Payer: BCBS Complete |
$24,122.44
|
Rate for Payer: Mclaren Medicaid |
$22,973.75
|
Rate for Payer: Meridian Medicaid |
$24,122.44
|
Rate for Payer: PHP Medicaid |
$22,973.75
|
Rate for Payer: Priority Health Choice Medicaid |
$22,973.75
|
|
INPATIENT APRDRG 2321: GASTRIC FUNDOPLICATION
|
Facility
|
IP
|
$6,239.75
|
|
Service Code
|
APR-DRG 2321
|
Hospital Charge Code |
APRDRG 2321
|
Min. Negotiated Rate |
$5,942.62 |
Max. Negotiated Rate |
$6,239.75 |
Rate for Payer: BCBS Complete |
$6,239.75
|
Rate for Payer: Mclaren Medicaid |
$5,942.62
|
Rate for Payer: Meridian Medicaid |
$6,239.75
|
Rate for Payer: PHP Medicaid |
$5,942.62
|
Rate for Payer: Priority Health Choice Medicaid |
$5,942.62
|
|
INPATIENT APRDRG 2322: GASTRIC FUNDOPLICATION
|
Facility
|
IP
|
$7,668.03
|
|
Service Code
|
APR-DRG 2322
|
Hospital Charge Code |
APRDRG 2322
|
Min. Negotiated Rate |
$7,302.89 |
Max. Negotiated Rate |
$7,668.03 |
Rate for Payer: BCBS Complete |
$7,668.03
|
Rate for Payer: Mclaren Medicaid |
$7,302.89
|
Rate for Payer: Meridian Medicaid |
$7,668.03
|
Rate for Payer: PHP Medicaid |
$7,302.89
|
Rate for Payer: Priority Health Choice Medicaid |
$7,302.89
|
|
INPATIENT APRDRG 2323: GASTRIC FUNDOPLICATION
|
Facility
|
IP
|
$11,540.47
|
|
Service Code
|
APR-DRG 2323
|
Hospital Charge Code |
APRDRG 2323
|
Min. Negotiated Rate |
$10,990.92 |
Max. Negotiated Rate |
$11,540.47 |
Rate for Payer: BCBS Complete |
$11,540.47
|
Rate for Payer: Mclaren Medicaid |
$10,990.92
|
Rate for Payer: Meridian Medicaid |
$11,540.47
|
Rate for Payer: PHP Medicaid |
$10,990.92
|
Rate for Payer: Priority Health Choice Medicaid |
$10,990.92
|
|
INPATIENT APRDRG 2324: GASTRIC FUNDOPLICATION
|
Facility
|
IP
|
$34,307.37
|
|
Service Code
|
APR-DRG 2324
|
Hospital Charge Code |
APRDRG 2324
|
Min. Negotiated Rate |
$32,673.69 |
Max. Negotiated Rate |
$34,307.37 |
Rate for Payer: BCBS Complete |
$34,307.37
|
Rate for Payer: Mclaren Medicaid |
$32,673.69
|
Rate for Payer: Meridian Medicaid |
$34,307.37
|
Rate for Payer: PHP Medicaid |
$32,673.69
|
Rate for Payer: Priority Health Choice Medicaid |
$32,673.69
|
|