INPATIENT APRDRG 2841: DISORDERS OF GALLBLADDER & BILIARY TRACT
|
Facility
|
IP
|
$3,935.45
|
|
Service Code
|
APR-DRG 2841
|
Hospital Charge Code |
APRDRG 2841
|
Min. Negotiated Rate |
$3,748.05 |
Max. Negotiated Rate |
$3,935.45 |
Rate for Payer: BCBS Complete |
$3,935.45
|
Rate for Payer: Mclaren Medicaid |
$3,748.05
|
Rate for Payer: Meridian Medicaid |
$3,935.45
|
Rate for Payer: PHP Medicaid |
$3,748.05
|
Rate for Payer: Priority Health Choice Medicaid |
$3,748.05
|
|
INPATIENT APRDRG 2842: DISORDERS OF GALLBLADDER & BILIARY TRACT
|
Facility
|
IP
|
$4,763.83
|
|
Service Code
|
APR-DRG 2842
|
Hospital Charge Code |
APRDRG 2842
|
Min. Negotiated Rate |
$4,536.98 |
Max. Negotiated Rate |
$4,763.83 |
Rate for Payer: BCBS Complete |
$4,763.83
|
Rate for Payer: Mclaren Medicaid |
$4,536.98
|
Rate for Payer: Meridian Medicaid |
$4,763.83
|
Rate for Payer: PHP Medicaid |
$4,536.98
|
Rate for Payer: Priority Health Choice Medicaid |
$4,536.98
|
|
INPATIENT APRDRG 2843: DISORDERS OF GALLBLADDER & BILIARY TRACT
|
Facility
|
IP
|
$6,195.69
|
|
Service Code
|
APR-DRG 2843
|
Hospital Charge Code |
APRDRG 2843
|
Min. Negotiated Rate |
$5,900.66 |
Max. Negotiated Rate |
$6,195.69 |
Rate for Payer: BCBS Complete |
$6,195.69
|
Rate for Payer: Mclaren Medicaid |
$5,900.66
|
Rate for Payer: Meridian Medicaid |
$6,195.69
|
Rate for Payer: PHP Medicaid |
$5,900.66
|
Rate for Payer: Priority Health Choice Medicaid |
$5,900.66
|
|
INPATIENT APRDRG 2844: DISORDERS OF GALLBLADDER & BILIARY TRACT
|
Facility
|
IP
|
$8,778.68
|
|
Service Code
|
APR-DRG 2844
|
Hospital Charge Code |
APRDRG 2844
|
Min. Negotiated Rate |
$8,360.65 |
Max. Negotiated Rate |
$8,778.68 |
Rate for Payer: BCBS Complete |
$8,778.68
|
Rate for Payer: Mclaren Medicaid |
$8,360.65
|
Rate for Payer: Meridian Medicaid |
$8,778.68
|
Rate for Payer: PHP Medicaid |
$8,360.65
|
Rate for Payer: Priority Health Choice Medicaid |
$8,360.65
|
|
INPATIENT APRDRG 3031: DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK
|
Facility
|
IP
|
$24,148.56
|
|
Service Code
|
APR-DRG 3031
|
Hospital Charge Code |
APRDRG 3031
|
Min. Negotiated Rate |
$22,998.63 |
Max. Negotiated Rate |
$24,148.56 |
Rate for Payer: BCBS Complete |
$24,148.56
|
Rate for Payer: Mclaren Medicaid |
$22,998.63
|
Rate for Payer: Meridian Medicaid |
$24,148.56
|
Rate for Payer: PHP Medicaid |
$22,998.63
|
Rate for Payer: Priority Health Choice Medicaid |
$22,998.63
|
|
INPATIENT APRDRG 3032: DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK
|
Facility
|
IP
|
$26,222.85
|
|
Service Code
|
APR-DRG 3032
|
Hospital Charge Code |
APRDRG 3032
|
Min. Negotiated Rate |
$24,974.14 |
Max. Negotiated Rate |
$26,222.85 |
Rate for Payer: BCBS Complete |
$26,222.85
|
Rate for Payer: Mclaren Medicaid |
$24,974.14
|
Rate for Payer: Meridian Medicaid |
$26,222.85
|
Rate for Payer: PHP Medicaid |
$24,974.14
|
Rate for Payer: Priority Health Choice Medicaid |
$24,974.14
|
|
INPATIENT APRDRG 3033: DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK
|
Facility
|
IP
|
$40,657.27
|
|
Service Code
|
APR-DRG 3033
|
Hospital Charge Code |
APRDRG 3033
|
Min. Negotiated Rate |
$38,721.21 |
Max. Negotiated Rate |
$40,657.27 |
Rate for Payer: BCBS Complete |
$40,657.27
|
Rate for Payer: Mclaren Medicaid |
$38,721.21
|
Rate for Payer: Meridian Medicaid |
$40,657.27
|
Rate for Payer: PHP Medicaid |
$38,721.21
|
Rate for Payer: Priority Health Choice Medicaid |
$38,721.21
|
|
INPATIENT APRDRG 3034: DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK
|
Facility
|
IP
|
$59,723.86
|
|
Service Code
|
APR-DRG 3034
|
Hospital Charge Code |
APRDRG 3034
|
Min. Negotiated Rate |
$56,879.87 |
Max. Negotiated Rate |
$59,723.86 |
Rate for Payer: BCBS Complete |
$59,723.86
|
Rate for Payer: Mclaren Medicaid |
$56,879.87
|
Rate for Payer: Meridian Medicaid |
$59,723.86
|
Rate for Payer: PHP Medicaid |
$56,879.87
|
Rate for Payer: Priority Health Choice Medicaid |
$56,879.87
|
|
INPATIENT APRDRG 3041: DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK
|
Facility
|
IP
|
$13,008.70
|
|
Service Code
|
APR-DRG 3041
|
Hospital Charge Code |
APRDRG 3041
|
Min. Negotiated Rate |
$12,389.24 |
Max. Negotiated Rate |
$13,008.70 |
Rate for Payer: BCBS Complete |
$13,008.70
|
Rate for Payer: Mclaren Medicaid |
$12,389.24
|
Rate for Payer: Meridian Medicaid |
$13,008.70
|
Rate for Payer: PHP Medicaid |
$12,389.24
|
Rate for Payer: Priority Health Choice Medicaid |
$12,389.24
|
|
INPATIENT APRDRG 3042: DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK
|
Facility
|
IP
|
$15,116.29
|
|
Service Code
|
APR-DRG 3042
|
Hospital Charge Code |
APRDRG 3042
|
Min. Negotiated Rate |
$14,396.47 |
Max. Negotiated Rate |
$15,116.29 |
Rate for Payer: BCBS Complete |
$15,116.29
|
Rate for Payer: Mclaren Medicaid |
$14,396.47
|
Rate for Payer: Meridian Medicaid |
$15,116.29
|
Rate for Payer: PHP Medicaid |
$14,396.47
|
Rate for Payer: Priority Health Choice Medicaid |
$14,396.47
|
|
INPATIENT APRDRG 3043: DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK
|
Facility
|
IP
|
$23,142.41
|
|
Service Code
|
APR-DRG 3043
|
Hospital Charge Code |
APRDRG 3043
|
Min. Negotiated Rate |
$22,040.39 |
Max. Negotiated Rate |
$23,142.41 |
Rate for Payer: BCBS Complete |
$23,142.41
|
Rate for Payer: Mclaren Medicaid |
$22,040.39
|
Rate for Payer: Meridian Medicaid |
$23,142.41
|
Rate for Payer: PHP Medicaid |
$22,040.39
|
Rate for Payer: Priority Health Choice Medicaid |
$22,040.39
|
|
INPATIENT APRDRG 3044: DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK
|
Facility
|
IP
|
$32,953.89
|
|
Service Code
|
APR-DRG 3044
|
Hospital Charge Code |
APRDRG 3044
|
Min. Negotiated Rate |
$31,384.66 |
Max. Negotiated Rate |
$32,953.89 |
Rate for Payer: BCBS Complete |
$32,953.89
|
Rate for Payer: Mclaren Medicaid |
$31,384.66
|
Rate for Payer: Meridian Medicaid |
$32,953.89
|
Rate for Payer: PHP Medicaid |
$31,384.66
|
Rate for Payer: Priority Health Choice Medicaid |
$31,384.66
|
|
INPATIENT APRDRG 3051: AMPUTATION OF LOWER LIMB EXCEPT TOES
|
Facility
|
IP
|
$7,463.63
|
|
Service Code
|
APR-DRG 3051
|
Hospital Charge Code |
APRDRG 3051
|
Min. Negotiated Rate |
$7,108.22 |
Max. Negotiated Rate |
$7,463.63 |
Rate for Payer: BCBS Complete |
$7,463.63
|
Rate for Payer: Mclaren Medicaid |
$7,108.22
|
Rate for Payer: Meridian Medicaid |
$7,463.63
|
Rate for Payer: PHP Medicaid |
$7,108.22
|
Rate for Payer: Priority Health Choice Medicaid |
$7,108.22
|
|
INPATIENT APRDRG 3052: AMPUTATION OF LOWER LIMB EXCEPT TOES
|
Facility
|
IP
|
$8,314.04
|
|
Service Code
|
APR-DRG 3052
|
Hospital Charge Code |
APRDRG 3052
|
Min. Negotiated Rate |
$7,918.13 |
Max. Negotiated Rate |
$8,314.04 |
Rate for Payer: BCBS Complete |
$8,314.04
|
Rate for Payer: Mclaren Medicaid |
$7,918.13
|
Rate for Payer: Meridian Medicaid |
$8,314.04
|
Rate for Payer: PHP Medicaid |
$7,918.13
|
Rate for Payer: Priority Health Choice Medicaid |
$7,918.13
|
|
INPATIENT APRDRG 3053: AMPUTATION OF LOWER LIMB EXCEPT TOES
|
Facility
|
IP
|
$12,671.11
|
|
Service Code
|
APR-DRG 3053
|
Hospital Charge Code |
APRDRG 3053
|
Min. Negotiated Rate |
$12,067.72 |
Max. Negotiated Rate |
$12,671.11 |
Rate for Payer: BCBS Complete |
$12,671.11
|
Rate for Payer: Mclaren Medicaid |
$12,067.72
|
Rate for Payer: Meridian Medicaid |
$12,671.11
|
Rate for Payer: PHP Medicaid |
$12,067.72
|
Rate for Payer: Priority Health Choice Medicaid |
$12,067.72
|
|
INPATIENT APRDRG 3054: AMPUTATION OF LOWER LIMB EXCEPT TOES
|
Facility
|
IP
|
$19,042.52
|
|
Service Code
|
APR-DRG 3054
|
Hospital Charge Code |
APRDRG 3054
|
Min. Negotiated Rate |
$18,135.73 |
Max. Negotiated Rate |
$19,042.52 |
Rate for Payer: BCBS Complete |
$19,042.52
|
Rate for Payer: Mclaren Medicaid |
$18,135.73
|
Rate for Payer: Meridian Medicaid |
$19,042.52
|
Rate for Payer: PHP Medicaid |
$18,135.73
|
Rate for Payer: Priority Health Choice Medicaid |
$18,135.73
|
|
INPATIENT APRDRG 3081: HIP & FEMUR FRACTURE REPAIR
|
Facility
|
IP
|
$7,574.79
|
|
Service Code
|
APR-DRG 3081
|
Hospital Charge Code |
APRDRG 3081
|
Min. Negotiated Rate |
$7,214.09 |
Max. Negotiated Rate |
$7,574.79 |
Rate for Payer: BCBS Complete |
$7,574.79
|
Rate for Payer: Mclaren Medicaid |
$7,214.09
|
Rate for Payer: Meridian Medicaid |
$7,574.79
|
Rate for Payer: PHP Medicaid |
$7,214.09
|
Rate for Payer: Priority Health Choice Medicaid |
$7,214.09
|
|
INPATIENT APRDRG 3082: HIP & FEMUR FRACTURE REPAIR
|
Facility
|
IP
|
$8,907.79
|
|
Service Code
|
APR-DRG 3082
|
Hospital Charge Code |
APRDRG 3082
|
Min. Negotiated Rate |
$8,483.61 |
Max. Negotiated Rate |
$8,907.79 |
Rate for Payer: BCBS Complete |
$8,907.79
|
Rate for Payer: Mclaren Medicaid |
$8,483.61
|
Rate for Payer: Meridian Medicaid |
$8,907.79
|
Rate for Payer: PHP Medicaid |
$8,483.61
|
Rate for Payer: Priority Health Choice Medicaid |
$8,483.61
|
|
INPATIENT APRDRG 3083: HIP & FEMUR FRACTURE REPAIR
|
Facility
|
IP
|
$11,709.53
|
|
Service Code
|
APR-DRG 3083
|
Hospital Charge Code |
APRDRG 3083
|
Min. Negotiated Rate |
$11,151.93 |
Max. Negotiated Rate |
$11,709.53 |
Rate for Payer: BCBS Complete |
$11,709.53
|
Rate for Payer: Mclaren Medicaid |
$11,151.93
|
Rate for Payer: Meridian Medicaid |
$11,709.53
|
Rate for Payer: PHP Medicaid |
$11,151.93
|
Rate for Payer: Priority Health Choice Medicaid |
$11,151.93
|
|
INPATIENT APRDRG 3084: HIP & FEMUR FRACTURE REPAIR
|
Facility
|
IP
|
$21,442.62
|
|
Service Code
|
APR-DRG 3084
|
Hospital Charge Code |
APRDRG 3084
|
Min. Negotiated Rate |
$20,421.54 |
Max. Negotiated Rate |
$21,442.62 |
Rate for Payer: BCBS Complete |
$21,442.62
|
Rate for Payer: Mclaren Medicaid |
$20,421.54
|
Rate for Payer: Meridian Medicaid |
$21,442.62
|
Rate for Payer: PHP Medicaid |
$20,421.54
|
Rate for Payer: Priority Health Choice Medicaid |
$20,421.54
|
|
INPATIENT APRDRG 3091: OTHER SIGNIFICANT HIP & FEMUR SURGERY
|
Facility
|
IP
|
$8,144.98
|
|
Service Code
|
APR-DRG 3091
|
Hospital Charge Code |
APRDRG 3091
|
Min. Negotiated Rate |
$7,757.12 |
Max. Negotiated Rate |
$8,144.98 |
Rate for Payer: BCBS Complete |
$8,144.98
|
Rate for Payer: Mclaren Medicaid |
$7,757.12
|
Rate for Payer: Meridian Medicaid |
$8,144.98
|
Rate for Payer: PHP Medicaid |
$7,757.12
|
Rate for Payer: Priority Health Choice Medicaid |
$7,757.12
|
|
INPATIENT APRDRG 3092: OTHER SIGNIFICANT HIP & FEMUR SURGERY
|
Facility
|
IP
|
$10,810.45
|
|
Service Code
|
APR-DRG 3092
|
Hospital Charge Code |
APRDRG 3092
|
Min. Negotiated Rate |
$10,295.67 |
Max. Negotiated Rate |
$10,810.45 |
Rate for Payer: BCBS Complete |
$10,810.45
|
Rate for Payer: Mclaren Medicaid |
$10,295.67
|
Rate for Payer: Meridian Medicaid |
$10,810.45
|
Rate for Payer: PHP Medicaid |
$10,295.67
|
Rate for Payer: Priority Health Choice Medicaid |
$10,295.67
|
|
INPATIENT APRDRG 3093: OTHER SIGNIFICANT HIP & FEMUR SURGERY
|
Facility
|
IP
|
$13,676.74
|
|
Service Code
|
APR-DRG 3093
|
Hospital Charge Code |
APRDRG 3093
|
Min. Negotiated Rate |
$13,025.47 |
Max. Negotiated Rate |
$13,676.74 |
Rate for Payer: BCBS Complete |
$13,676.74
|
Rate for Payer: Mclaren Medicaid |
$13,025.47
|
Rate for Payer: Meridian Medicaid |
$13,676.74
|
Rate for Payer: PHP Medicaid |
$13,025.47
|
Rate for Payer: Priority Health Choice Medicaid |
$13,025.47
|
|
INPATIENT APRDRG 3094: OTHER SIGNIFICANT HIP & FEMUR SURGERY
|
Facility
|
IP
|
$19,191.08
|
|
Service Code
|
APR-DRG 3094
|
Hospital Charge Code |
APRDRG 3094
|
Min. Negotiated Rate |
$18,277.22 |
Max. Negotiated Rate |
$19,191.08 |
Rate for Payer: BCBS Complete |
$19,191.08
|
Rate for Payer: Mclaren Medicaid |
$18,277.22
|
Rate for Payer: Meridian Medicaid |
$19,191.08
|
Rate for Payer: PHP Medicaid |
$18,277.22
|
Rate for Payer: Priority Health Choice Medicaid |
$18,277.22
|
|
INPATIENT APRDRG 3101: INTERVERTEBRAL DISC EXCISION & DECOMPRESSION
|
Facility
|
IP
|
$7,207.99
|
|
Service Code
|
APR-DRG 3101
|
Hospital Charge Code |
APRDRG 3101
|
Min. Negotiated Rate |
$6,864.75 |
Max. Negotiated Rate |
$7,207.99 |
Rate for Payer: BCBS Complete |
$7,207.99
|
Rate for Payer: Mclaren Medicaid |
$6,864.75
|
Rate for Payer: Meridian Medicaid |
$7,207.99
|
Rate for Payer: PHP Medicaid |
$6,864.75
|
Rate for Payer: Priority Health Choice Medicaid |
$6,864.75
|
|