INPATIENT APRDRG 2513: ABDOMINAL PAIN
|
Facility
|
IP
|
$4,924.17
|
|
Service Code
|
APR-DRG 2513
|
Hospital Charge Code |
APRDRG 2513
|
Min. Negotiated Rate |
$4,689.69 |
Max. Negotiated Rate |
$4,924.17 |
Rate for Payer: BCBS Complete |
$4,924.17
|
Rate for Payer: Mclaren Medicaid |
$4,689.69
|
Rate for Payer: Meridian Medicaid |
$4,924.17
|
Rate for Payer: PHP Medicaid |
$4,689.69
|
Rate for Payer: Priority Health Choice Medicaid |
$4,689.69
|
|
INPATIENT APRDRG 2514: ABDOMINAL PAIN
|
Facility
|
IP
|
$8,097.85
|
|
Service Code
|
APR-DRG 2514
|
Hospital Charge Code |
APRDRG 2514
|
Min. Negotiated Rate |
$7,712.24 |
Max. Negotiated Rate |
$8,097.85 |
Rate for Payer: BCBS Complete |
$8,097.85
|
Rate for Payer: Mclaren Medicaid |
$7,712.24
|
Rate for Payer: Meridian Medicaid |
$8,097.85
|
Rate for Payer: PHP Medicaid |
$7,712.24
|
Rate for Payer: Priority Health Choice Medicaid |
$7,712.24
|
|
INPATIENT APRDRG 2521: MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE
|
Facility
|
IP
|
$4,021.01
|
|
Service Code
|
APR-DRG 2521
|
Hospital Charge Code |
APRDRG 2521
|
Min. Negotiated Rate |
$3,829.53 |
Max. Negotiated Rate |
$4,021.01 |
Rate for Payer: BCBS Complete |
$4,021.01
|
Rate for Payer: Mclaren Medicaid |
$3,829.53
|
Rate for Payer: Meridian Medicaid |
$4,021.01
|
Rate for Payer: PHP Medicaid |
$3,829.53
|
Rate for Payer: Priority Health Choice Medicaid |
$3,829.53
|
|
INPATIENT APRDRG 2522: MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE
|
Facility
|
IP
|
$5,077.86
|
|
Service Code
|
APR-DRG 2522
|
Hospital Charge Code |
APRDRG 2522
|
Min. Negotiated Rate |
$4,836.06 |
Max. Negotiated Rate |
$5,077.86 |
Rate for Payer: BCBS Complete |
$5,077.86
|
Rate for Payer: Mclaren Medicaid |
$4,836.06
|
Rate for Payer: Meridian Medicaid |
$5,077.86
|
Rate for Payer: PHP Medicaid |
$4,836.06
|
Rate for Payer: Priority Health Choice Medicaid |
$4,836.06
|
|
INPATIENT APRDRG 2523: MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE
|
Facility
|
IP
|
$5,883.19
|
|
Service Code
|
APR-DRG 2523
|
Hospital Charge Code |
APRDRG 2523
|
Min. Negotiated Rate |
$5,603.04 |
Max. Negotiated Rate |
$5,883.19 |
Rate for Payer: BCBS Complete |
$5,883.19
|
Rate for Payer: Mclaren Medicaid |
$5,603.04
|
Rate for Payer: Meridian Medicaid |
$5,883.19
|
Rate for Payer: PHP Medicaid |
$5,603.04
|
Rate for Payer: Priority Health Choice Medicaid |
$5,603.04
|
|
INPATIENT APRDRG 2524: MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE
|
Facility
|
IP
|
$10,721.82
|
|
Service Code
|
APR-DRG 2524
|
Hospital Charge Code |
APRDRG 2524
|
Min. Negotiated Rate |
$10,211.26 |
Max. Negotiated Rate |
$10,721.82 |
Rate for Payer: BCBS Complete |
$10,721.82
|
Rate for Payer: Mclaren Medicaid |
$10,211.26
|
Rate for Payer: Meridian Medicaid |
$10,721.82
|
Rate for Payer: PHP Medicaid |
$10,211.26
|
Rate for Payer: Priority Health Choice Medicaid |
$10,211.26
|
|
INPATIENT APRDRG 2531: OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE
|
Facility
|
IP
|
$3,900.61
|
|
Service Code
|
APR-DRG 2531
|
Hospital Charge Code |
APRDRG 2531
|
Min. Negotiated Rate |
$3,714.87 |
Max. Negotiated Rate |
$3,900.61 |
Rate for Payer: BCBS Complete |
$3,900.61
|
Rate for Payer: Mclaren Medicaid |
$3,714.87
|
Rate for Payer: Meridian Medicaid |
$3,900.61
|
Rate for Payer: PHP Medicaid |
$3,714.87
|
Rate for Payer: Priority Health Choice Medicaid |
$3,714.87
|
|
INPATIENT APRDRG 2532: OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE
|
Facility
|
IP
|
$4,274.59
|
|
Service Code
|
APR-DRG 2532
|
Hospital Charge Code |
APRDRG 2532
|
Min. Negotiated Rate |
$4,071.04 |
Max. Negotiated Rate |
$4,274.59 |
Rate for Payer: BCBS Complete |
$4,274.59
|
Rate for Payer: Mclaren Medicaid |
$4,071.04
|
Rate for Payer: Meridian Medicaid |
$4,274.59
|
Rate for Payer: PHP Medicaid |
$4,071.04
|
Rate for Payer: Priority Health Choice Medicaid |
$4,071.04
|
|
INPATIENT APRDRG 2533: OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE
|
Facility
|
IP
|
$6,092.22
|
|
Service Code
|
APR-DRG 2533
|
Hospital Charge Code |
APRDRG 2533
|
Min. Negotiated Rate |
$5,802.11 |
Max. Negotiated Rate |
$6,092.22 |
Rate for Payer: BCBS Complete |
$6,092.22
|
Rate for Payer: Mclaren Medicaid |
$5,802.11
|
Rate for Payer: Meridian Medicaid |
$6,092.22
|
Rate for Payer: PHP Medicaid |
$5,802.11
|
Rate for Payer: Priority Health Choice Medicaid |
$5,802.11
|
|
INPATIENT APRDRG 2534: OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE
|
Facility
|
IP
|
$8,651.13
|
|
Service Code
|
APR-DRG 2534
|
Hospital Charge Code |
APRDRG 2534
|
Min. Negotiated Rate |
$8,239.17 |
Max. Negotiated Rate |
$8,651.13 |
Rate for Payer: BCBS Complete |
$8,651.13
|
Rate for Payer: Mclaren Medicaid |
$8,239.17
|
Rate for Payer: Meridian Medicaid |
$8,651.13
|
Rate for Payer: PHP Medicaid |
$8,239.17
|
Rate for Payer: Priority Health Choice Medicaid |
$8,239.17
|
|
INPATIENT APRDRG 2541: OTHER DIGESTIVE SYSTEM DIAGNOSES
|
Facility
|
IP
|
$3,466.19
|
|
Service Code
|
APR-DRG 2541
|
Hospital Charge Code |
APRDRG 2541
|
Min. Negotiated Rate |
$3,301.13 |
Max. Negotiated Rate |
$3,466.19 |
Rate for Payer: BCBS Complete |
$3,466.19
|
Rate for Payer: Mclaren Medicaid |
$3,301.13
|
Rate for Payer: Meridian Medicaid |
$3,466.19
|
Rate for Payer: PHP Medicaid |
$3,301.13
|
Rate for Payer: Priority Health Choice Medicaid |
$3,301.13
|
|
INPATIENT APRDRG 2542: OTHER DIGESTIVE SYSTEM DIAGNOSES
|
Facility
|
IP
|
$4,093.24
|
|
Service Code
|
APR-DRG 2542
|
Hospital Charge Code |
APRDRG 2542
|
Min. Negotiated Rate |
$3,898.32 |
Max. Negotiated Rate |
$4,093.24 |
Rate for Payer: BCBS Complete |
$4,093.24
|
Rate for Payer: Mclaren Medicaid |
$3,898.32
|
Rate for Payer: Meridian Medicaid |
$4,093.24
|
Rate for Payer: PHP Medicaid |
$3,898.32
|
Rate for Payer: Priority Health Choice Medicaid |
$3,898.32
|
|
INPATIENT APRDRG 2543: OTHER DIGESTIVE SYSTEM DIAGNOSES
|
Facility
|
IP
|
$6,191.08
|
|
Service Code
|
APR-DRG 2543
|
Hospital Charge Code |
APRDRG 2543
|
Min. Negotiated Rate |
$5,896.27 |
Max. Negotiated Rate |
$6,191.08 |
Rate for Payer: BCBS Complete |
$6,191.08
|
Rate for Payer: Mclaren Medicaid |
$5,896.27
|
Rate for Payer: Meridian Medicaid |
$6,191.08
|
Rate for Payer: PHP Medicaid |
$5,896.27
|
Rate for Payer: Priority Health Choice Medicaid |
$5,896.27
|
|
INPATIENT APRDRG 2544: OTHER DIGESTIVE SYSTEM DIAGNOSES
|
Facility
|
IP
|
$9,421.62
|
|
Service Code
|
APR-DRG 2544
|
Hospital Charge Code |
APRDRG 2544
|
Min. Negotiated Rate |
$8,972.97 |
Max. Negotiated Rate |
$9,421.62 |
Rate for Payer: BCBS Complete |
$9,421.62
|
Rate for Payer: Mclaren Medicaid |
$8,972.97
|
Rate for Payer: Meridian Medicaid |
$9,421.62
|
Rate for Payer: PHP Medicaid |
$8,972.97
|
Rate for Payer: Priority Health Choice Medicaid |
$8,972.97
|
|
INPATIENT APRDRG 2601: MAJOR PANCREAS, LIVER & SHUNT PROCEDURES
|
Facility
|
IP
|
$9,178.28
|
|
Service Code
|
APR-DRG 2601
|
Hospital Charge Code |
APRDRG 2601
|
Min. Negotiated Rate |
$8,741.22 |
Max. Negotiated Rate |
$9,178.28 |
Rate for Payer: BCBS Complete |
$9,178.28
|
Rate for Payer: Mclaren Medicaid |
$8,741.22
|
Rate for Payer: Meridian Medicaid |
$9,178.28
|
Rate for Payer: PHP Medicaid |
$8,741.22
|
Rate for Payer: Priority Health Choice Medicaid |
$8,741.22
|
|
INPATIENT APRDRG 2602: MAJOR PANCREAS, LIVER & SHUNT PROCEDURES
|
Facility
|
IP
|
$11,036.89
|
|
Service Code
|
APR-DRG 2602
|
Hospital Charge Code |
APRDRG 2602
|
Min. Negotiated Rate |
$10,511.32 |
Max. Negotiated Rate |
$11,036.89 |
Rate for Payer: BCBS Complete |
$11,036.89
|
Rate for Payer: Mclaren Medicaid |
$10,511.32
|
Rate for Payer: Meridian Medicaid |
$11,036.89
|
Rate for Payer: PHP Medicaid |
$10,511.32
|
Rate for Payer: Priority Health Choice Medicaid |
$10,511.32
|
|
INPATIENT APRDRG 2603: MAJOR PANCREAS, LIVER & SHUNT PROCEDURES
|
Facility
|
IP
|
$16,672.65
|
|
Service Code
|
APR-DRG 2603
|
Hospital Charge Code |
APRDRG 2603
|
Min. Negotiated Rate |
$15,878.71 |
Max. Negotiated Rate |
$16,672.65 |
Rate for Payer: BCBS Complete |
$16,672.65
|
Rate for Payer: Mclaren Medicaid |
$15,878.71
|
Rate for Payer: Meridian Medicaid |
$16,672.65
|
Rate for Payer: PHP Medicaid |
$15,878.71
|
Rate for Payer: Priority Health Choice Medicaid |
$15,878.71
|
|
INPATIENT APRDRG 2604: MAJOR PANCREAS, LIVER & SHUNT PROCEDURES
|
Facility
|
IP
|
$22,907.79
|
|
Service Code
|
APR-DRG 2604
|
Hospital Charge Code |
APRDRG 2604
|
Min. Negotiated Rate |
$21,816.94 |
Max. Negotiated Rate |
$22,907.79 |
Rate for Payer: BCBS Complete |
$22,907.79
|
Rate for Payer: Mclaren Medicaid |
$21,816.94
|
Rate for Payer: Meridian Medicaid |
$22,907.79
|
Rate for Payer: PHP Medicaid |
$21,816.94
|
Rate for Payer: Priority Health Choice Medicaid |
$21,816.94
|
|
INPATIENT APRDRG 2611: MAJOR BILIARY TRACT PROCEDURES
|
Facility
|
IP
|
$7,593.23
|
|
Service Code
|
APR-DRG 2611
|
Hospital Charge Code |
APRDRG 2611
|
Min. Negotiated Rate |
$7,231.65 |
Max. Negotiated Rate |
$7,593.23 |
Rate for Payer: BCBS Complete |
$7,593.23
|
Rate for Payer: Mclaren Medicaid |
$7,231.65
|
Rate for Payer: Meridian Medicaid |
$7,593.23
|
Rate for Payer: PHP Medicaid |
$7,231.65
|
Rate for Payer: Priority Health Choice Medicaid |
$7,231.65
|
|
INPATIENT APRDRG 2612: MAJOR BILIARY TRACT PROCEDURES
|
Facility
|
IP
|
$10,362.19
|
|
Service Code
|
APR-DRG 2612
|
Hospital Charge Code |
APRDRG 2612
|
Min. Negotiated Rate |
$9,868.75 |
Max. Negotiated Rate |
$10,362.19 |
Rate for Payer: BCBS Complete |
$10,362.19
|
Rate for Payer: Mclaren Medicaid |
$9,868.75
|
Rate for Payer: Meridian Medicaid |
$10,362.19
|
Rate for Payer: PHP Medicaid |
$9,868.75
|
Rate for Payer: Priority Health Choice Medicaid |
$9,868.75
|
|
INPATIENT APRDRG 2613: MAJOR BILIARY TRACT PROCEDURES
|
Facility
|
IP
|
$15,151.12
|
|
Service Code
|
APR-DRG 2613
|
Hospital Charge Code |
APRDRG 2613
|
Min. Negotiated Rate |
$14,429.64 |
Max. Negotiated Rate |
$15,151.12 |
Rate for Payer: BCBS Complete |
$15,151.12
|
Rate for Payer: Mclaren Medicaid |
$14,429.64
|
Rate for Payer: Meridian Medicaid |
$15,151.12
|
Rate for Payer: PHP Medicaid |
$14,429.64
|
Rate for Payer: Priority Health Choice Medicaid |
$14,429.64
|
|
INPATIENT APRDRG 2614: MAJOR BILIARY TRACT PROCEDURES
|
Facility
|
IP
|
$29,121.41
|
|
Service Code
|
APR-DRG 2614
|
Hospital Charge Code |
APRDRG 2614
|
Min. Negotiated Rate |
$27,734.68 |
Max. Negotiated Rate |
$29,121.41 |
Rate for Payer: BCBS Complete |
$29,121.41
|
Rate for Payer: Mclaren Medicaid |
$27,734.68
|
Rate for Payer: Meridian Medicaid |
$29,121.41
|
Rate for Payer: PHP Medicaid |
$27,734.68
|
Rate for Payer: Priority Health Choice Medicaid |
$27,734.68
|
|
INPATIENT APRDRG 2631: CHOLECYSTECTOMY
|
Facility
|
IP
|
$6,381.14
|
|
Service Code
|
APR-DRG 2631
|
Hospital Charge Code |
APRDRG 2631
|
Min. Negotiated Rate |
$6,077.28 |
Max. Negotiated Rate |
$6,381.14 |
Rate for Payer: BCBS Complete |
$6,381.14
|
Rate for Payer: Mclaren Medicaid |
$6,077.28
|
Rate for Payer: Meridian Medicaid |
$6,381.14
|
Rate for Payer: PHP Medicaid |
$6,077.28
|
Rate for Payer: Priority Health Choice Medicaid |
$6,077.28
|
|
INPATIENT APRDRG 2632: CHOLECYSTECTOMY
|
Facility
|
IP
|
$7,758.20
|
|
Service Code
|
APR-DRG 2632
|
Hospital Charge Code |
APRDRG 2632
|
Min. Negotiated Rate |
$7,388.76 |
Max. Negotiated Rate |
$7,758.20 |
Rate for Payer: BCBS Complete |
$7,758.20
|
Rate for Payer: Mclaren Medicaid |
$7,388.76
|
Rate for Payer: Meridian Medicaid |
$7,758.20
|
Rate for Payer: PHP Medicaid |
$7,388.76
|
Rate for Payer: Priority Health Choice Medicaid |
$7,388.76
|
|
INPATIENT APRDRG 2633: CHOLECYSTECTOMY
|
Facility
|
IP
|
$9,813.01
|
|
Service Code
|
APR-DRG 2633
|
Hospital Charge Code |
APRDRG 2633
|
Min. Negotiated Rate |
$9,345.72 |
Max. Negotiated Rate |
$9,813.01 |
Rate for Payer: BCBS Complete |
$9,813.01
|
Rate for Payer: Mclaren Medicaid |
$9,345.72
|
Rate for Payer: Meridian Medicaid |
$9,813.01
|
Rate for Payer: PHP Medicaid |
$9,345.72
|
Rate for Payer: Priority Health Choice Medicaid |
$9,345.72
|
|