INPATIENT APRDRG 2442: DIVERTICULITIS & DIVERTICULOSIS
|
Facility
|
IP
|
$3,744.88
|
|
Service Code
|
APR-DRG 2442
|
Hospital Charge Code |
APRDRG 2442
|
Min. Negotiated Rate |
$3,566.55 |
Max. Negotiated Rate |
$3,744.88 |
Rate for Payer: BCBS Complete |
$3,744.88
|
Rate for Payer: Mclaren Medicaid |
$3,566.55
|
Rate for Payer: Meridian Medicaid |
$3,744.88
|
Rate for Payer: PHP Medicaid |
$3,566.55
|
Rate for Payer: Priority Health Choice Medicaid |
$3,566.55
|
|
INPATIENT APRDRG 2443: DIVERTICULITIS & DIVERTICULOSIS
|
Facility
|
IP
|
$6,146.51
|
|
Service Code
|
APR-DRG 2443
|
Hospital Charge Code |
APRDRG 2443
|
Min. Negotiated Rate |
$5,853.82 |
Max. Negotiated Rate |
$6,146.51 |
Rate for Payer: BCBS Complete |
$6,146.51
|
Rate for Payer: Mclaren Medicaid |
$5,853.82
|
Rate for Payer: Meridian Medicaid |
$6,146.51
|
Rate for Payer: PHP Medicaid |
$5,853.82
|
Rate for Payer: Priority Health Choice Medicaid |
$5,853.82
|
|
INPATIENT APRDRG 2444: DIVERTICULITIS & DIVERTICULOSIS
|
Facility
|
IP
|
$10,531.25
|
|
Service Code
|
APR-DRG 2444
|
Hospital Charge Code |
APRDRG 2444
|
Min. Negotiated Rate |
$10,029.76 |
Max. Negotiated Rate |
$10,531.25 |
Rate for Payer: BCBS Complete |
$10,531.25
|
Rate for Payer: Mclaren Medicaid |
$10,029.76
|
Rate for Payer: Meridian Medicaid |
$10,531.25
|
Rate for Payer: PHP Medicaid |
$10,029.76
|
Rate for Payer: Priority Health Choice Medicaid |
$10,029.76
|
|
INPATIENT APRDRG 2451: INFLAMMATORY BOWEL DISEASE
|
Facility
|
IP
|
$3,021.51
|
|
Service Code
|
APR-DRG 2451
|
Hospital Charge Code |
APRDRG 2451
|
Min. Negotiated Rate |
$2,877.63 |
Max. Negotiated Rate |
$3,021.51 |
Rate for Payer: BCBS Complete |
$3,021.51
|
Rate for Payer: Mclaren Medicaid |
$2,877.63
|
Rate for Payer: Meridian Medicaid |
$3,021.51
|
Rate for Payer: PHP Medicaid |
$2,877.63
|
Rate for Payer: Priority Health Choice Medicaid |
$2,877.63
|
|
INPATIENT APRDRG 2452: INFLAMMATORY BOWEL DISEASE
|
Facility
|
IP
|
$4,216.70
|
|
Service Code
|
APR-DRG 2452
|
Hospital Charge Code |
APRDRG 2452
|
Min. Negotiated Rate |
$4,015.90 |
Max. Negotiated Rate |
$4,216.70 |
Rate for Payer: BCBS Complete |
$4,216.70
|
Rate for Payer: Mclaren Medicaid |
$4,015.90
|
Rate for Payer: Meridian Medicaid |
$4,216.70
|
Rate for Payer: PHP Medicaid |
$4,015.90
|
Rate for Payer: Priority Health Choice Medicaid |
$4,015.90
|
|
INPATIENT APRDRG 2453: INFLAMMATORY BOWEL DISEASE
|
Facility
|
IP
|
$6,286.37
|
|
Service Code
|
APR-DRG 2453
|
Hospital Charge Code |
APRDRG 2453
|
Min. Negotiated Rate |
$5,987.02 |
Max. Negotiated Rate |
$6,286.37 |
Rate for Payer: BCBS Complete |
$6,286.37
|
Rate for Payer: Mclaren Medicaid |
$5,987.02
|
Rate for Payer: Meridian Medicaid |
$6,286.37
|
Rate for Payer: PHP Medicaid |
$5,987.02
|
Rate for Payer: Priority Health Choice Medicaid |
$5,987.02
|
|
INPATIENT APRDRG 2454: INFLAMMATORY BOWEL DISEASE
|
Facility
|
IP
|
$9,960.55
|
|
Service Code
|
APR-DRG 2454
|
Hospital Charge Code |
APRDRG 2454
|
Min. Negotiated Rate |
$9,486.24 |
Max. Negotiated Rate |
$9,960.55 |
Rate for Payer: BCBS Complete |
$9,960.55
|
Rate for Payer: Mclaren Medicaid |
$9,486.24
|
Rate for Payer: Meridian Medicaid |
$9,960.55
|
Rate for Payer: PHP Medicaid |
$9,486.24
|
Rate for Payer: Priority Health Choice Medicaid |
$9,486.24
|
|
INPATIENT APRDRG 2461: GASTROINTESTINAL VASCULAR INSUFFICIENCY
|
Facility
|
IP
|
$3,757.69
|
|
Service Code
|
APR-DRG 2461
|
Hospital Charge Code |
APRDRG 2461
|
Min. Negotiated Rate |
$3,578.75 |
Max. Negotiated Rate |
$3,757.69 |
Rate for Payer: BCBS Complete |
$3,757.69
|
Rate for Payer: Mclaren Medicaid |
$3,578.75
|
Rate for Payer: Meridian Medicaid |
$3,757.69
|
Rate for Payer: PHP Medicaid |
$3,578.75
|
Rate for Payer: Priority Health Choice Medicaid |
$3,578.75
|
|
INPATIENT APRDRG 2462: GASTROINTESTINAL VASCULAR INSUFFICIENCY
|
Facility
|
IP
|
$4,888.32
|
|
Service Code
|
APR-DRG 2462
|
Hospital Charge Code |
APRDRG 2462
|
Min. Negotiated Rate |
$4,655.54 |
Max. Negotiated Rate |
$4,888.32 |
Rate for Payer: BCBS Complete |
$4,888.32
|
Rate for Payer: Mclaren Medicaid |
$4,655.54
|
Rate for Payer: Meridian Medicaid |
$4,888.32
|
Rate for Payer: PHP Medicaid |
$4,655.54
|
Rate for Payer: Priority Health Choice Medicaid |
$4,655.54
|
|
INPATIENT APRDRG 2463: GASTROINTESTINAL VASCULAR INSUFFICIENCY
|
Facility
|
IP
|
$7,014.35
|
|
Service Code
|
APR-DRG 2463
|
Hospital Charge Code |
APRDRG 2463
|
Min. Negotiated Rate |
$6,680.33 |
Max. Negotiated Rate |
$7,014.35 |
Rate for Payer: BCBS Complete |
$7,014.35
|
Rate for Payer: Mclaren Medicaid |
$6,680.33
|
Rate for Payer: Meridian Medicaid |
$7,014.35
|
Rate for Payer: PHP Medicaid |
$6,680.33
|
Rate for Payer: Priority Health Choice Medicaid |
$6,680.33
|
|
INPATIENT APRDRG 2464: GASTROINTESTINAL VASCULAR INSUFFICIENCY
|
Facility
|
IP
|
$13,126.02
|
|
Service Code
|
APR-DRG 2464
|
Hospital Charge Code |
APRDRG 2464
|
Min. Negotiated Rate |
$12,500.97 |
Max. Negotiated Rate |
$13,126.02 |
Rate for Payer: BCBS Complete |
$13,126.02
|
Rate for Payer: Mclaren Medicaid |
$12,500.97
|
Rate for Payer: Meridian Medicaid |
$13,126.02
|
Rate for Payer: PHP Medicaid |
$12,500.97
|
Rate for Payer: Priority Health Choice Medicaid |
$12,500.97
|
|
INPATIENT APRDRG 2471: INTESTINAL OBSTRUCTION
|
Facility
|
IP
|
$2,703.90
|
|
Service Code
|
APR-DRG 2471
|
Hospital Charge Code |
APRDRG 2471
|
Min. Negotiated Rate |
$2,575.14 |
Max. Negotiated Rate |
$2,703.90 |
Rate for Payer: BCBS Complete |
$2,703.90
|
Rate for Payer: Mclaren Medicaid |
$2,575.14
|
Rate for Payer: Meridian Medicaid |
$2,703.90
|
Rate for Payer: PHP Medicaid |
$2,575.14
|
Rate for Payer: Priority Health Choice Medicaid |
$2,575.14
|
|
INPATIENT APRDRG 2472: INTESTINAL OBSTRUCTION
|
Facility
|
IP
|
$3,451.33
|
|
Service Code
|
APR-DRG 2472
|
Hospital Charge Code |
APRDRG 2472
|
Min. Negotiated Rate |
$3,286.98 |
Max. Negotiated Rate |
$3,451.33 |
Rate for Payer: BCBS Complete |
$3,451.33
|
Rate for Payer: Mclaren Medicaid |
$3,286.98
|
Rate for Payer: Meridian Medicaid |
$3,451.33
|
Rate for Payer: PHP Medicaid |
$3,286.98
|
Rate for Payer: Priority Health Choice Medicaid |
$3,286.98
|
|
INPATIENT APRDRG 2473: INTESTINAL OBSTRUCTION
|
Facility
|
IP
|
$4,906.77
|
|
Service Code
|
APR-DRG 2473
|
Hospital Charge Code |
APRDRG 2473
|
Min. Negotiated Rate |
$4,673.11 |
Max. Negotiated Rate |
$4,906.77 |
Rate for Payer: BCBS Complete |
$4,906.77
|
Rate for Payer: Mclaren Medicaid |
$4,673.11
|
Rate for Payer: Meridian Medicaid |
$4,906.77
|
Rate for Payer: PHP Medicaid |
$4,673.11
|
Rate for Payer: Priority Health Choice Medicaid |
$4,673.11
|
|
INPATIENT APRDRG 2474: INTESTINAL OBSTRUCTION
|
Facility
|
IP
|
$10,381.65
|
|
Service Code
|
APR-DRG 2474
|
Hospital Charge Code |
APRDRG 2474
|
Min. Negotiated Rate |
$9,887.29 |
Max. Negotiated Rate |
$10,381.65 |
Rate for Payer: BCBS Complete |
$10,381.65
|
Rate for Payer: Mclaren Medicaid |
$9,887.29
|
Rate for Payer: Meridian Medicaid |
$10,381.65
|
Rate for Payer: PHP Medicaid |
$9,887.29
|
Rate for Payer: Priority Health Choice Medicaid |
$9,887.29
|
|
INPATIENT APRDRG 2481: MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS
|
Facility
|
IP
|
$3,261.78
|
|
Service Code
|
APR-DRG 2481
|
Hospital Charge Code |
APRDRG 2481
|
Min. Negotiated Rate |
$3,106.46 |
Max. Negotiated Rate |
$3,261.78 |
Rate for Payer: BCBS Complete |
$3,261.78
|
Rate for Payer: Mclaren Medicaid |
$3,106.46
|
Rate for Payer: Meridian Medicaid |
$3,261.78
|
Rate for Payer: PHP Medicaid |
$3,106.46
|
Rate for Payer: Priority Health Choice Medicaid |
$3,106.46
|
|
INPATIENT APRDRG 2482: MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS
|
Facility
|
IP
|
$4,206.46
|
|
Service Code
|
APR-DRG 2482
|
Hospital Charge Code |
APRDRG 2482
|
Min. Negotiated Rate |
$4,006.15 |
Max. Negotiated Rate |
$4,206.46 |
Rate for Payer: BCBS Complete |
$4,206.46
|
Rate for Payer: Mclaren Medicaid |
$4,006.15
|
Rate for Payer: Meridian Medicaid |
$4,206.46
|
Rate for Payer: PHP Medicaid |
$4,006.15
|
Rate for Payer: Priority Health Choice Medicaid |
$4,006.15
|
|
INPATIENT APRDRG 2483: MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS
|
Facility
|
IP
|
$5,488.21
|
|
Service Code
|
APR-DRG 2483
|
Hospital Charge Code |
APRDRG 2483
|
Min. Negotiated Rate |
$5,226.87 |
Max. Negotiated Rate |
$5,488.21 |
Rate for Payer: BCBS Complete |
$5,488.21
|
Rate for Payer: Mclaren Medicaid |
$5,226.87
|
Rate for Payer: Meridian Medicaid |
$5,488.21
|
Rate for Payer: PHP Medicaid |
$5,226.87
|
Rate for Payer: Priority Health Choice Medicaid |
$5,226.87
|
|
INPATIENT APRDRG 2484: MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS
|
Facility
|
IP
|
$9,773.05
|
|
Service Code
|
APR-DRG 2484
|
Hospital Charge Code |
APRDRG 2484
|
Min. Negotiated Rate |
$9,307.67 |
Max. Negotiated Rate |
$9,773.05 |
Rate for Payer: BCBS Complete |
$9,773.05
|
Rate for Payer: Mclaren Medicaid |
$9,307.67
|
Rate for Payer: Meridian Medicaid |
$9,773.05
|
Rate for Payer: PHP Medicaid |
$9,307.67
|
Rate for Payer: Priority Health Choice Medicaid |
$9,307.67
|
|
INPATIENT APRDRG 2491: OTHER GASTROENTERITIS, NAUSEA & VOMITING
|
Facility
|
IP
|
$3,155.23
|
|
Service Code
|
APR-DRG 2491
|
Hospital Charge Code |
APRDRG 2491
|
Min. Negotiated Rate |
$3,004.98 |
Max. Negotiated Rate |
$3,155.23 |
Rate for Payer: BCBS Complete |
$3,155.23
|
Rate for Payer: Mclaren Medicaid |
$3,004.98
|
Rate for Payer: Meridian Medicaid |
$3,155.23
|
Rate for Payer: PHP Medicaid |
$3,004.98
|
Rate for Payer: Priority Health Choice Medicaid |
$3,004.98
|
|
INPATIENT APRDRG 2492: OTHER GASTROENTERITIS, NAUSEA & VOMITING
|
Facility
|
IP
|
$3,827.36
|
|
Service Code
|
APR-DRG 2492
|
Hospital Charge Code |
APRDRG 2492
|
Min. Negotiated Rate |
$3,645.10 |
Max. Negotiated Rate |
$3,827.36 |
Rate for Payer: BCBS Complete |
$3,827.36
|
Rate for Payer: Mclaren Medicaid |
$3,645.10
|
Rate for Payer: Meridian Medicaid |
$3,827.36
|
Rate for Payer: PHP Medicaid |
$3,645.10
|
Rate for Payer: Priority Health Choice Medicaid |
$3,645.10
|
|
INPATIENT APRDRG 2493: OTHER GASTROENTERITIS, NAUSEA & VOMITING
|
Facility
|
IP
|
$5,153.68
|
|
Service Code
|
APR-DRG 2493
|
Hospital Charge Code |
APRDRG 2493
|
Min. Negotiated Rate |
$4,908.27 |
Max. Negotiated Rate |
$5,153.68 |
Rate for Payer: BCBS Complete |
$5,153.68
|
Rate for Payer: Mclaren Medicaid |
$4,908.27
|
Rate for Payer: Meridian Medicaid |
$5,153.68
|
Rate for Payer: PHP Medicaid |
$4,908.27
|
Rate for Payer: Priority Health Choice Medicaid |
$4,908.27
|
|
INPATIENT APRDRG 2494: OTHER GASTROENTERITIS, NAUSEA & VOMITING
|
Facility
|
IP
|
$7,216.19
|
|
Service Code
|
APR-DRG 2494
|
Hospital Charge Code |
APRDRG 2494
|
Min. Negotiated Rate |
$6,872.56 |
Max. Negotiated Rate |
$7,216.19 |
Rate for Payer: BCBS Complete |
$7,216.19
|
Rate for Payer: Mclaren Medicaid |
$6,872.56
|
Rate for Payer: Meridian Medicaid |
$7,216.19
|
Rate for Payer: PHP Medicaid |
$6,872.56
|
Rate for Payer: Priority Health Choice Medicaid |
$6,872.56
|
|
INPATIENT APRDRG 2511: ABDOMINAL PAIN
|
Facility
|
IP
|
$3,383.19
|
|
Service Code
|
APR-DRG 2511
|
Hospital Charge Code |
APRDRG 2511
|
Min. Negotiated Rate |
$3,222.09 |
Max. Negotiated Rate |
$3,383.19 |
Rate for Payer: BCBS Complete |
$3,383.19
|
Rate for Payer: Mclaren Medicaid |
$3,222.09
|
Rate for Payer: Meridian Medicaid |
$3,383.19
|
Rate for Payer: PHP Medicaid |
$3,222.09
|
Rate for Payer: Priority Health Choice Medicaid |
$3,222.09
|
|
INPATIENT APRDRG 2512: ABDOMINAL PAIN
|
Facility
|
IP
|
$3,936.99
|
|
Service Code
|
APR-DRG 2512
|
Hospital Charge Code |
APRDRG 2512
|
Min. Negotiated Rate |
$3,749.51 |
Max. Negotiated Rate |
$3,936.99 |
Rate for Payer: BCBS Complete |
$3,936.99
|
Rate for Payer: Mclaren Medicaid |
$3,749.51
|
Rate for Payer: Meridian Medicaid |
$3,936.99
|
Rate for Payer: PHP Medicaid |
$3,749.51
|
Rate for Payer: Priority Health Choice Medicaid |
$3,749.51
|
|