INPATIENT APRDRG 2634: CHOLECYSTECTOMY
|
Facility
|
IP
|
$20,081.96
|
|
Service Code
|
APR-DRG 2634
|
Hospital Charge Code |
APRDRG 2634
|
Min. Negotiated Rate |
$19,125.68 |
Max. Negotiated Rate |
$20,081.96 |
Rate for Payer: BCBS Complete |
$20,081.96
|
Rate for Payer: Mclaren Medicaid |
$19,125.68
|
Rate for Payer: Meridian Medicaid |
$20,081.96
|
Rate for Payer: PHP Medicaid |
$19,125.68
|
Rate for Payer: Priority Health Choice Medicaid |
$19,125.68
|
|
INPATIENT APRDRG 2641: OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$4,944.67
|
|
Service Code
|
APR-DRG 2641
|
Hospital Charge Code |
APRDRG 2641
|
Min. Negotiated Rate |
$4,709.21 |
Max. Negotiated Rate |
$4,944.67 |
Rate for Payer: BCBS Complete |
$4,944.67
|
Rate for Payer: Mclaren Medicaid |
$4,709.21
|
Rate for Payer: Meridian Medicaid |
$4,944.67
|
Rate for Payer: PHP Medicaid |
$4,709.21
|
Rate for Payer: Priority Health Choice Medicaid |
$4,709.21
|
|
INPATIENT APRDRG 2642: OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$5,895.49
|
|
Service Code
|
APR-DRG 2642
|
Hospital Charge Code |
APRDRG 2642
|
Min. Negotiated Rate |
$5,614.75 |
Max. Negotiated Rate |
$5,895.49 |
Rate for Payer: BCBS Complete |
$5,895.49
|
Rate for Payer: Mclaren Medicaid |
$5,614.75
|
Rate for Payer: Meridian Medicaid |
$5,895.49
|
Rate for Payer: PHP Medicaid |
$5,614.75
|
Rate for Payer: Priority Health Choice Medicaid |
$5,614.75
|
|
INPATIENT APRDRG 2643: OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$11,663.42
|
|
Service Code
|
APR-DRG 2643
|
Hospital Charge Code |
APRDRG 2643
|
Min. Negotiated Rate |
$11,108.02 |
Max. Negotiated Rate |
$11,663.42 |
Rate for Payer: BCBS Complete |
$11,663.42
|
Rate for Payer: Mclaren Medicaid |
$11,108.02
|
Rate for Payer: Meridian Medicaid |
$11,663.42
|
Rate for Payer: PHP Medicaid |
$11,108.02
|
Rate for Payer: Priority Health Choice Medicaid |
$11,108.02
|
|
INPATIENT APRDRG 2644: OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES
|
Facility
|
IP
|
$26,201.33
|
|
Service Code
|
APR-DRG 2644
|
Hospital Charge Code |
APRDRG 2644
|
Min. Negotiated Rate |
$24,953.65 |
Max. Negotiated Rate |
$26,201.33 |
Rate for Payer: BCBS Complete |
$26,201.33
|
Rate for Payer: Mclaren Medicaid |
$24,953.65
|
Rate for Payer: Meridian Medicaid |
$26,201.33
|
Rate for Payer: PHP Medicaid |
$24,953.65
|
Rate for Payer: Priority Health Choice Medicaid |
$24,953.65
|
|
INPATIENT APRDRG 2791: HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS
|
Facility
|
IP
|
$2,829.40
|
|
Service Code
|
APR-DRG 2791
|
Hospital Charge Code |
APRDRG 2791
|
Min. Negotiated Rate |
$2,694.67 |
Max. Negotiated Rate |
$2,829.40 |
Rate for Payer: BCBS Complete |
$2,829.40
|
Rate for Payer: Mclaren Medicaid |
$2,694.67
|
Rate for Payer: Meridian Medicaid |
$2,829.40
|
Rate for Payer: PHP Medicaid |
$2,694.67
|
Rate for Payer: Priority Health Choice Medicaid |
$2,694.67
|
|
INPATIENT APRDRG 2792: HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS
|
Facility
|
IP
|
$3,713.12
|
|
Service Code
|
APR-DRG 2792
|
Hospital Charge Code |
APRDRG 2792
|
Min. Negotiated Rate |
$3,536.30 |
Max. Negotiated Rate |
$3,713.12 |
Rate for Payer: BCBS Complete |
$3,713.12
|
Rate for Payer: Mclaren Medicaid |
$3,536.30
|
Rate for Payer: Meridian Medicaid |
$3,713.12
|
Rate for Payer: PHP Medicaid |
$3,536.30
|
Rate for Payer: Priority Health Choice Medicaid |
$3,536.30
|
|
INPATIENT APRDRG 2793: HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS
|
Facility
|
IP
|
$5,263.31
|
|
Service Code
|
APR-DRG 2793
|
Hospital Charge Code |
APRDRG 2793
|
Min. Negotiated Rate |
$5,012.68 |
Max. Negotiated Rate |
$5,263.31 |
Rate for Payer: BCBS Complete |
$5,263.31
|
Rate for Payer: Mclaren Medicaid |
$5,012.68
|
Rate for Payer: Meridian Medicaid |
$5,263.31
|
Rate for Payer: PHP Medicaid |
$5,012.68
|
Rate for Payer: Priority Health Choice Medicaid |
$5,012.68
|
|
INPATIENT APRDRG 2794: HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS
|
Facility
|
IP
|
$14,148.56
|
|
Service Code
|
APR-DRG 2794
|
Hospital Charge Code |
APRDRG 2794
|
Min. Negotiated Rate |
$13,474.82 |
Max. Negotiated Rate |
$14,148.56 |
Rate for Payer: BCBS Complete |
$14,148.56
|
Rate for Payer: Mclaren Medicaid |
$13,474.82
|
Rate for Payer: Meridian Medicaid |
$14,148.56
|
Rate for Payer: PHP Medicaid |
$13,474.82
|
Rate for Payer: Priority Health Choice Medicaid |
$13,474.82
|
|
INPATIENT APRDRG 2801: ALCOHOLIC LIVER DISEASE
|
Facility
|
IP
|
$2,697.23
|
|
Service Code
|
APR-DRG 2801
|
Hospital Charge Code |
APRDRG 2801
|
Min. Negotiated Rate |
$2,568.79 |
Max. Negotiated Rate |
$2,697.23 |
Rate for Payer: BCBS Complete |
$2,697.23
|
Rate for Payer: Mclaren Medicaid |
$2,568.79
|
Rate for Payer: Meridian Medicaid |
$2,697.23
|
Rate for Payer: PHP Medicaid |
$2,568.79
|
Rate for Payer: Priority Health Choice Medicaid |
$2,568.79
|
|
INPATIENT APRDRG 2802: ALCOHOLIC LIVER DISEASE
|
Facility
|
IP
|
$3,447.23
|
|
Service Code
|
APR-DRG 2802
|
Hospital Charge Code |
APRDRG 2802
|
Min. Negotiated Rate |
$3,283.08 |
Max. Negotiated Rate |
$3,447.23 |
Rate for Payer: BCBS Complete |
$3,447.23
|
Rate for Payer: Mclaren Medicaid |
$3,283.08
|
Rate for Payer: Meridian Medicaid |
$3,447.23
|
Rate for Payer: PHP Medicaid |
$3,283.08
|
Rate for Payer: Priority Health Choice Medicaid |
$3,283.08
|
|
INPATIENT APRDRG 2803: ALCOHOLIC LIVER DISEASE
|
Facility
|
IP
|
$5,593.75
|
|
Service Code
|
APR-DRG 2803
|
Hospital Charge Code |
APRDRG 2803
|
Min. Negotiated Rate |
$5,327.38 |
Max. Negotiated Rate |
$5,593.75 |
Rate for Payer: BCBS Complete |
$5,593.75
|
Rate for Payer: Mclaren Medicaid |
$5,327.38
|
Rate for Payer: Meridian Medicaid |
$5,593.75
|
Rate for Payer: PHP Medicaid |
$5,327.38
|
Rate for Payer: Priority Health Choice Medicaid |
$5,327.38
|
|
INPATIENT APRDRG 2804: ALCOHOLIC LIVER DISEASE
|
Facility
|
IP
|
$12,335.55
|
|
Service Code
|
APR-DRG 2804
|
Hospital Charge Code |
APRDRG 2804
|
Min. Negotiated Rate |
$11,748.14 |
Max. Negotiated Rate |
$12,335.55 |
Rate for Payer: BCBS Complete |
$12,335.55
|
Rate for Payer: Mclaren Medicaid |
$11,748.14
|
Rate for Payer: Meridian Medicaid |
$12,335.55
|
Rate for Payer: PHP Medicaid |
$11,748.14
|
Rate for Payer: Priority Health Choice Medicaid |
$11,748.14
|
|
INPATIENT APRDRG 2811: MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS
|
Facility
|
IP
|
$4,556.86
|
|
Service Code
|
APR-DRG 2811
|
Hospital Charge Code |
APRDRG 2811
|
Min. Negotiated Rate |
$4,339.87 |
Max. Negotiated Rate |
$4,556.86 |
Rate for Payer: BCBS Complete |
$4,556.86
|
Rate for Payer: Mclaren Medicaid |
$4,339.87
|
Rate for Payer: Meridian Medicaid |
$4,556.86
|
Rate for Payer: PHP Medicaid |
$4,339.87
|
Rate for Payer: Priority Health Choice Medicaid |
$4,339.87
|
|
INPATIENT APRDRG 2812: MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS
|
Facility
|
IP
|
$4,881.15
|
|
Service Code
|
APR-DRG 2812
|
Hospital Charge Code |
APRDRG 2812
|
Min. Negotiated Rate |
$4,648.71 |
Max. Negotiated Rate |
$4,881.15 |
Rate for Payer: BCBS Complete |
$4,881.15
|
Rate for Payer: Mclaren Medicaid |
$4,648.71
|
Rate for Payer: Meridian Medicaid |
$4,881.15
|
Rate for Payer: PHP Medicaid |
$4,648.71
|
Rate for Payer: Priority Health Choice Medicaid |
$4,648.71
|
|
INPATIENT APRDRG 2813: MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS
|
Facility
|
IP
|
$6,282.79
|
|
Service Code
|
APR-DRG 2813
|
Hospital Charge Code |
APRDRG 2813
|
Min. Negotiated Rate |
$5,983.61 |
Max. Negotiated Rate |
$6,282.79 |
Rate for Payer: BCBS Complete |
$6,282.79
|
Rate for Payer: Mclaren Medicaid |
$5,983.61
|
Rate for Payer: Meridian Medicaid |
$6,282.79
|
Rate for Payer: PHP Medicaid |
$5,983.61
|
Rate for Payer: Priority Health Choice Medicaid |
$5,983.61
|
|
INPATIENT APRDRG 2814: MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS
|
Facility
|
IP
|
$9,481.05
|
|
Service Code
|
APR-DRG 2814
|
Hospital Charge Code |
APRDRG 2814
|
Min. Negotiated Rate |
$9,029.57 |
Max. Negotiated Rate |
$9,481.05 |
Rate for Payer: BCBS Complete |
$9,481.05
|
Rate for Payer: Mclaren Medicaid |
$9,029.57
|
Rate for Payer: Meridian Medicaid |
$9,481.05
|
Rate for Payer: PHP Medicaid |
$9,029.57
|
Rate for Payer: Priority Health Choice Medicaid |
$9,029.57
|
|
INPATIENT APRDRG 2821: DISORDERS OF PANCREAS EXCEPT MALIGNANCY
|
Facility
|
IP
|
$2,907.27
|
|
Service Code
|
APR-DRG 2821
|
Hospital Charge Code |
APRDRG 2821
|
Min. Negotiated Rate |
$2,768.83 |
Max. Negotiated Rate |
$2,907.27 |
Rate for Payer: BCBS Complete |
$2,907.27
|
Rate for Payer: Mclaren Medicaid |
$2,768.83
|
Rate for Payer: Meridian Medicaid |
$2,907.27
|
Rate for Payer: PHP Medicaid |
$2,768.83
|
Rate for Payer: Priority Health Choice Medicaid |
$2,768.83
|
|
INPATIENT APRDRG 2822: DISORDERS OF PANCREAS EXCEPT MALIGNANCY
|
Facility
|
IP
|
$3,811.48
|
|
Service Code
|
APR-DRG 2822
|
Hospital Charge Code |
APRDRG 2822
|
Min. Negotiated Rate |
$3,629.98 |
Max. Negotiated Rate |
$3,811.48 |
Rate for Payer: BCBS Complete |
$3,811.48
|
Rate for Payer: Mclaren Medicaid |
$3,629.98
|
Rate for Payer: Meridian Medicaid |
$3,811.48
|
Rate for Payer: PHP Medicaid |
$3,629.98
|
Rate for Payer: Priority Health Choice Medicaid |
$3,629.98
|
|
INPATIENT APRDRG 2823: DISORDERS OF PANCREAS EXCEPT MALIGNANCY
|
Facility
|
IP
|
$5,514.85
|
|
Service Code
|
APR-DRG 2823
|
Hospital Charge Code |
APRDRG 2823
|
Min. Negotiated Rate |
$5,252.24 |
Max. Negotiated Rate |
$5,514.85 |
Rate for Payer: BCBS Complete |
$5,514.85
|
Rate for Payer: Mclaren Medicaid |
$5,252.24
|
Rate for Payer: Meridian Medicaid |
$5,514.85
|
Rate for Payer: PHP Medicaid |
$5,252.24
|
Rate for Payer: Priority Health Choice Medicaid |
$5,252.24
|
|
INPATIENT APRDRG 2824: DISORDERS OF PANCREAS EXCEPT MALIGNANCY
|
Facility
|
IP
|
$12,289.44
|
|
Service Code
|
APR-DRG 2824
|
Hospital Charge Code |
APRDRG 2824
|
Min. Negotiated Rate |
$11,704.23 |
Max. Negotiated Rate |
$12,289.44 |
Rate for Payer: BCBS Complete |
$12,289.44
|
Rate for Payer: Mclaren Medicaid |
$11,704.23
|
Rate for Payer: Meridian Medicaid |
$12,289.44
|
Rate for Payer: PHP Medicaid |
$11,704.23
|
Rate for Payer: Priority Health Choice Medicaid |
$11,704.23
|
|
INPATIENT APRDRG 2831: OTHER DISORDERS OF THE LIVER
|
Facility
|
IP
|
$2,544.06
|
|
Service Code
|
APR-DRG 2831
|
Hospital Charge Code |
APRDRG 2831
|
Min. Negotiated Rate |
$2,422.91 |
Max. Negotiated Rate |
$2,544.06 |
Rate for Payer: BCBS Complete |
$2,544.06
|
Rate for Payer: Mclaren Medicaid |
$2,422.91
|
Rate for Payer: Meridian Medicaid |
$2,544.06
|
Rate for Payer: PHP Medicaid |
$2,422.91
|
Rate for Payer: Priority Health Choice Medicaid |
$2,422.91
|
|
INPATIENT APRDRG 2832: OTHER DISORDERS OF THE LIVER
|
Facility
|
IP
|
$3,634.22
|
|
Service Code
|
APR-DRG 2832
|
Hospital Charge Code |
APRDRG 2832
|
Min. Negotiated Rate |
$3,461.16 |
Max. Negotiated Rate |
$3,634.22 |
Rate for Payer: BCBS Complete |
$3,634.22
|
Rate for Payer: Mclaren Medicaid |
$3,461.16
|
Rate for Payer: Meridian Medicaid |
$3,634.22
|
Rate for Payer: PHP Medicaid |
$3,461.16
|
Rate for Payer: Priority Health Choice Medicaid |
$3,461.16
|
|
INPATIENT APRDRG 2833: OTHER DISORDERS OF THE LIVER
|
Facility
|
IP
|
$5,404.20
|
|
Service Code
|
APR-DRG 2833
|
Hospital Charge Code |
APRDRG 2833
|
Min. Negotiated Rate |
$5,146.86 |
Max. Negotiated Rate |
$5,404.20 |
Rate for Payer: BCBS Complete |
$5,404.20
|
Rate for Payer: Mclaren Medicaid |
$5,146.86
|
Rate for Payer: Meridian Medicaid |
$5,404.20
|
Rate for Payer: PHP Medicaid |
$5,146.86
|
Rate for Payer: Priority Health Choice Medicaid |
$5,146.86
|
|
INPATIENT APRDRG 2834: OTHER DISORDERS OF THE LIVER
|
Facility
|
IP
|
$9,259.22
|
|
Service Code
|
APR-DRG 2834
|
Hospital Charge Code |
APRDRG 2834
|
Min. Negotiated Rate |
$8,818.30 |
Max. Negotiated Rate |
$9,259.22 |
Rate for Payer: BCBS Complete |
$9,259.22
|
Rate for Payer: Mclaren Medicaid |
$8,818.30
|
Rate for Payer: Meridian Medicaid |
$9,259.22
|
Rate for Payer: PHP Medicaid |
$8,818.30
|
Rate for Payer: Priority Health Choice Medicaid |
$8,818.30
|
|