INPATIENT APRDRG 3254: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$25,279.20
|
|
Service Code
|
APR-DRG 3254
|
Hospital Charge Code |
APRDRG 3254
|
Min. Negotiated Rate |
$24,075.43 |
Max. Negotiated Rate |
$25,279.20 |
Rate for Payer: BCBS Complete |
$25,279.20
|
Rate for Payer: Mclaren Medicaid |
$24,075.43
|
Rate for Payer: Meridian Medicaid |
$25,279.20
|
Rate for Payer: PHP Medicaid |
$24,075.43
|
Rate for Payer: Priority Health Choice Medicaid |
$24,075.43
|
|
INPATIENT APRDRG 3261: ELECTIVE KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$7,022.54
|
|
Service Code
|
APR-DRG 3261
|
Hospital Charge Code |
APRDRG 3261
|
Min. Negotiated Rate |
$6,688.13 |
Max. Negotiated Rate |
$7,022.54 |
Rate for Payer: BCBS Complete |
$7,022.54
|
Rate for Payer: Mclaren Medicaid |
$6,688.13
|
Rate for Payer: Meridian Medicaid |
$7,022.54
|
Rate for Payer: PHP Medicaid |
$6,688.13
|
Rate for Payer: Priority Health Choice Medicaid |
$6,688.13
|
|
INPATIENT APRDRG 3262: ELECTIVE KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$7,824.79
|
|
Service Code
|
APR-DRG 3262
|
Hospital Charge Code |
APRDRG 3262
|
Min. Negotiated Rate |
$7,452.18 |
Max. Negotiated Rate |
$7,824.79 |
Rate for Payer: BCBS Complete |
$7,824.79
|
Rate for Payer: Mclaren Medicaid |
$7,452.18
|
Rate for Payer: Meridian Medicaid |
$7,824.79
|
Rate for Payer: PHP Medicaid |
$7,452.18
|
Rate for Payer: Priority Health Choice Medicaid |
$7,452.18
|
|
INPATIENT APRDRG 3263: ELECTIVE KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$11,178.28
|
|
Service Code
|
APR-DRG 3263
|
Hospital Charge Code |
APRDRG 3263
|
Min. Negotiated Rate |
$10,645.98 |
Max. Negotiated Rate |
$11,178.28 |
Rate for Payer: BCBS Complete |
$11,178.28
|
Rate for Payer: Mclaren Medicaid |
$10,645.98
|
Rate for Payer: Meridian Medicaid |
$11,178.28
|
Rate for Payer: PHP Medicaid |
$10,645.98
|
Rate for Payer: Priority Health Choice Medicaid |
$10,645.98
|
|
INPATIENT APRDRG 3264: ELECTIVE KNEE JOINT REPLACEMENT
|
Facility
|
IP
|
$17,058.91
|
|
Service Code
|
APR-DRG 3264
|
Hospital Charge Code |
APRDRG 3264
|
Min. Negotiated Rate |
$16,246.58 |
Max. Negotiated Rate |
$17,058.91 |
Rate for Payer: BCBS Complete |
$17,058.91
|
Rate for Payer: Mclaren Medicaid |
$16,246.58
|
Rate for Payer: Meridian Medicaid |
$17,058.91
|
Rate for Payer: PHP Medicaid |
$16,246.58
|
Rate for Payer: Priority Health Choice Medicaid |
$16,246.58
|
|
INPATIENT APRDRG 3401: FRACTURE OF FEMUR
|
Facility
|
IP
|
$2,903.69
|
|
Service Code
|
APR-DRG 3401
|
Hospital Charge Code |
APRDRG 3401
|
Min. Negotiated Rate |
$2,765.42 |
Max. Negotiated Rate |
$2,903.69 |
Rate for Payer: BCBS Complete |
$2,903.69
|
Rate for Payer: Mclaren Medicaid |
$2,765.42
|
Rate for Payer: Meridian Medicaid |
$2,903.69
|
Rate for Payer: PHP Medicaid |
$2,765.42
|
Rate for Payer: Priority Health Choice Medicaid |
$2,765.42
|
|
INPATIENT APRDRG 3402: FRACTURE OF FEMUR
|
Facility
|
IP
|
$3,623.97
|
|
Service Code
|
APR-DRG 3402
|
Hospital Charge Code |
APRDRG 3402
|
Min. Negotiated Rate |
$3,451.40 |
Max. Negotiated Rate |
$3,623.97 |
Rate for Payer: BCBS Complete |
$3,623.97
|
Rate for Payer: Mclaren Medicaid |
$3,451.40
|
Rate for Payer: Meridian Medicaid |
$3,623.97
|
Rate for Payer: PHP Medicaid |
$3,451.40
|
Rate for Payer: Priority Health Choice Medicaid |
$3,451.40
|
|
INPATIENT APRDRG 3403: FRACTURE OF FEMUR
|
Facility
|
IP
|
$6,525.10
|
|
Service Code
|
APR-DRG 3403
|
Hospital Charge Code |
APRDRG 3403
|
Min. Negotiated Rate |
$6,214.38 |
Max. Negotiated Rate |
$6,525.10 |
Rate for Payer: BCBS Complete |
$6,525.10
|
Rate for Payer: Mclaren Medicaid |
$6,214.38
|
Rate for Payer: Meridian Medicaid |
$6,525.10
|
Rate for Payer: PHP Medicaid |
$6,214.38
|
Rate for Payer: Priority Health Choice Medicaid |
$6,214.38
|
|
INPATIENT APRDRG 3404: FRACTURE OF FEMUR
|
Facility
|
IP
|
$10,534.84
|
|
Service Code
|
APR-DRG 3404
|
Hospital Charge Code |
APRDRG 3404
|
Min. Negotiated Rate |
$10,033.18 |
Max. Negotiated Rate |
$10,534.84 |
Rate for Payer: BCBS Complete |
$10,534.84
|
Rate for Payer: Mclaren Medicaid |
$10,033.18
|
Rate for Payer: Meridian Medicaid |
$10,534.84
|
Rate for Payer: PHP Medicaid |
$10,033.18
|
Rate for Payer: Priority Health Choice Medicaid |
$10,033.18
|
|
INPATIENT APRDRG 3411: FRACTURE OF PELVIS OR DISLOCATION OF HIP
|
Facility
|
IP
|
$2,705.94
|
|
Service Code
|
APR-DRG 3411
|
Hospital Charge Code |
APRDRG 3411
|
Min. Negotiated Rate |
$2,577.09 |
Max. Negotiated Rate |
$2,705.94 |
Rate for Payer: BCBS Complete |
$2,705.94
|
Rate for Payer: Mclaren Medicaid |
$2,577.09
|
Rate for Payer: Meridian Medicaid |
$2,705.94
|
Rate for Payer: PHP Medicaid |
$2,577.09
|
Rate for Payer: Priority Health Choice Medicaid |
$2,577.09
|
|
INPATIENT APRDRG 3412: FRACTURE OF PELVIS OR DISLOCATION OF HIP
|
Facility
|
IP
|
$3,620.39
|
|
Service Code
|
APR-DRG 3412
|
Hospital Charge Code |
APRDRG 3412
|
Min. Negotiated Rate |
$3,447.99 |
Max. Negotiated Rate |
$3,620.39 |
Rate for Payer: BCBS Complete |
$3,620.39
|
Rate for Payer: Mclaren Medicaid |
$3,447.99
|
Rate for Payer: Meridian Medicaid |
$3,620.39
|
Rate for Payer: PHP Medicaid |
$3,447.99
|
Rate for Payer: Priority Health Choice Medicaid |
$3,447.99
|
|
INPATIENT APRDRG 3413: FRACTURE OF PELVIS OR DISLOCATION OF HIP
|
Facility
|
IP
|
$6,986.16
|
|
Service Code
|
APR-DRG 3413
|
Hospital Charge Code |
APRDRG 3413
|
Min. Negotiated Rate |
$6,653.49 |
Max. Negotiated Rate |
$6,986.16 |
Rate for Payer: BCBS Complete |
$6,986.16
|
Rate for Payer: Mclaren Medicaid |
$6,653.49
|
Rate for Payer: Meridian Medicaid |
$6,986.16
|
Rate for Payer: PHP Medicaid |
$6,653.49
|
Rate for Payer: Priority Health Choice Medicaid |
$6,653.49
|
|
INPATIENT APRDRG 3414: FRACTURE OF PELVIS OR DISLOCATION OF HIP
|
Facility
|
IP
|
$12,079.40
|
|
Service Code
|
APR-DRG 3414
|
Hospital Charge Code |
APRDRG 3414
|
Min. Negotiated Rate |
$11,504.19 |
Max. Negotiated Rate |
$12,079.40 |
Rate for Payer: BCBS Complete |
$12,079.40
|
Rate for Payer: Mclaren Medicaid |
$11,504.19
|
Rate for Payer: Meridian Medicaid |
$12,079.40
|
Rate for Payer: PHP Medicaid |
$11,504.19
|
Rate for Payer: Priority Health Choice Medicaid |
$11,504.19
|
|
INPATIENT APRDRG 3421: FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK
|
Facility
|
IP
|
$4,003.07
|
|
Service Code
|
APR-DRG 3421
|
Hospital Charge Code |
APRDRG 3421
|
Min. Negotiated Rate |
$3,812.45 |
Max. Negotiated Rate |
$4,003.07 |
Rate for Payer: BCBS Complete |
$4,003.07
|
Rate for Payer: Mclaren Medicaid |
$3,812.45
|
Rate for Payer: Meridian Medicaid |
$4,003.07
|
Rate for Payer: PHP Medicaid |
$3,812.45
|
Rate for Payer: Priority Health Choice Medicaid |
$3,812.45
|
|
INPATIENT APRDRG 3422: FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK
|
Facility
|
IP
|
$4,553.28
|
|
Service Code
|
APR-DRG 3422
|
Hospital Charge Code |
APRDRG 3422
|
Min. Negotiated Rate |
$4,336.46 |
Max. Negotiated Rate |
$4,553.28 |
Rate for Payer: BCBS Complete |
$4,553.28
|
Rate for Payer: Mclaren Medicaid |
$4,336.46
|
Rate for Payer: Meridian Medicaid |
$4,553.28
|
Rate for Payer: PHP Medicaid |
$4,336.46
|
Rate for Payer: Priority Health Choice Medicaid |
$4,336.46
|
|
INPATIENT APRDRG 3423: FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK
|
Facility
|
IP
|
$6,177.26
|
|
Service Code
|
APR-DRG 3423
|
Hospital Charge Code |
APRDRG 3423
|
Min. Negotiated Rate |
$5,883.10 |
Max. Negotiated Rate |
$6,177.26 |
Rate for Payer: BCBS Complete |
$6,177.26
|
Rate for Payer: Mclaren Medicaid |
$5,883.10
|
Rate for Payer: Meridian Medicaid |
$6,177.26
|
Rate for Payer: PHP Medicaid |
$5,883.10
|
Rate for Payer: Priority Health Choice Medicaid |
$5,883.10
|
|
INPATIENT APRDRG 3424: FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK
|
Facility
|
IP
|
$10,966.70
|
|
Service Code
|
APR-DRG 3424
|
Hospital Charge Code |
APRDRG 3424
|
Min. Negotiated Rate |
$10,444.48 |
Max. Negotiated Rate |
$10,966.70 |
Rate for Payer: BCBS Complete |
$10,966.70
|
Rate for Payer: Mclaren Medicaid |
$10,444.48
|
Rate for Payer: Meridian Medicaid |
$10,966.70
|
Rate for Payer: PHP Medicaid |
$10,444.48
|
Rate for Payer: Priority Health Choice Medicaid |
$10,444.48
|
|
INPATIENT APRDRG 3431: MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG
|
Facility
|
IP
|
$5,148.57
|
|
Service Code
|
APR-DRG 3431
|
Hospital Charge Code |
APRDRG 3431
|
Min. Negotiated Rate |
$4,903.40 |
Max. Negotiated Rate |
$5,148.57 |
Rate for Payer: BCBS Complete |
$5,148.57
|
Rate for Payer: Mclaren Medicaid |
$4,903.40
|
Rate for Payer: Meridian Medicaid |
$5,148.57
|
Rate for Payer: PHP Medicaid |
$4,903.40
|
Rate for Payer: Priority Health Choice Medicaid |
$4,903.40
|
|
INPATIENT APRDRG 3432: MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG
|
Facility
|
IP
|
$6,037.91
|
|
Service Code
|
APR-DRG 3432
|
Hospital Charge Code |
APRDRG 3432
|
Min. Negotiated Rate |
$5,750.39 |
Max. Negotiated Rate |
$6,037.91 |
Rate for Payer: BCBS Complete |
$6,037.91
|
Rate for Payer: Mclaren Medicaid |
$5,750.39
|
Rate for Payer: Meridian Medicaid |
$6,037.91
|
Rate for Payer: PHP Medicaid |
$5,750.39
|
Rate for Payer: Priority Health Choice Medicaid |
$5,750.39
|
|
INPATIENT APRDRG 3433: MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG
|
Facility
|
IP
|
$8,978.99
|
|
Service Code
|
APR-DRG 3433
|
Hospital Charge Code |
APRDRG 3433
|
Min. Negotiated Rate |
$8,551.42 |
Max. Negotiated Rate |
$8,978.99 |
Rate for Payer: BCBS Complete |
$8,978.99
|
Rate for Payer: Mclaren Medicaid |
$8,551.42
|
Rate for Payer: Meridian Medicaid |
$8,978.99
|
Rate for Payer: PHP Medicaid |
$8,551.42
|
Rate for Payer: Priority Health Choice Medicaid |
$8,551.42
|
|
INPATIENT APRDRG 3434: MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG
|
Facility
|
IP
|
$15,511.27
|
|
Service Code
|
APR-DRG 3434
|
Hospital Charge Code |
APRDRG 3434
|
Min. Negotiated Rate |
$14,772.64 |
Max. Negotiated Rate |
$15,511.27 |
Rate for Payer: BCBS Complete |
$15,511.27
|
Rate for Payer: Mclaren Medicaid |
$14,772.64
|
Rate for Payer: Meridian Medicaid |
$15,511.27
|
Rate for Payer: PHP Medicaid |
$14,772.64
|
Rate for Payer: Priority Health Choice Medicaid |
$14,772.64
|
|
INPATIENT APRDRG 3441: OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS
|
Facility
|
IP
|
$3,335.04
|
|
Service Code
|
APR-DRG 3441
|
Hospital Charge Code |
APRDRG 3441
|
Min. Negotiated Rate |
$3,176.23 |
Max. Negotiated Rate |
$3,335.04 |
Rate for Payer: BCBS Complete |
$3,335.04
|
Rate for Payer: Mclaren Medicaid |
$3,176.23
|
Rate for Payer: Meridian Medicaid |
$3,335.04
|
Rate for Payer: PHP Medicaid |
$3,176.23
|
Rate for Payer: Priority Health Choice Medicaid |
$3,176.23
|
|
INPATIENT APRDRG 3442: OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS
|
Facility
|
IP
|
$4,769.98
|
|
Service Code
|
APR-DRG 3442
|
Hospital Charge Code |
APRDRG 3442
|
Min. Negotiated Rate |
$4,542.84 |
Max. Negotiated Rate |
$4,769.98 |
Rate for Payer: BCBS Complete |
$4,769.98
|
Rate for Payer: Mclaren Medicaid |
$4,542.84
|
Rate for Payer: Meridian Medicaid |
$4,769.98
|
Rate for Payer: PHP Medicaid |
$4,542.84
|
Rate for Payer: Priority Health Choice Medicaid |
$4,542.84
|
|
INPATIENT APRDRG 3443: OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS
|
Facility
|
IP
|
$6,381.66
|
|
Service Code
|
APR-DRG 3443
|
Hospital Charge Code |
APRDRG 3443
|
Min. Negotiated Rate |
$6,077.77 |
Max. Negotiated Rate |
$6,381.66 |
Rate for Payer: BCBS Complete |
$6,381.66
|
Rate for Payer: Mclaren Medicaid |
$6,077.77
|
Rate for Payer: Meridian Medicaid |
$6,381.66
|
Rate for Payer: PHP Medicaid |
$6,077.77
|
Rate for Payer: Priority Health Choice Medicaid |
$6,077.77
|
|
INPATIENT APRDRG 3444: OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS
|
Facility
|
IP
|
$7,922.13
|
|
Service Code
|
APR-DRG 3444
|
Hospital Charge Code |
APRDRG 3444
|
Min. Negotiated Rate |
$7,544.89 |
Max. Negotiated Rate |
$7,922.13 |
Rate for Payer: BCBS Complete |
$7,922.13
|
Rate for Payer: Mclaren Medicaid |
$7,544.89
|
Rate for Payer: Meridian Medicaid |
$7,922.13
|
Rate for Payer: PHP Medicaid |
$7,544.89
|
Rate for Payer: Priority Health Choice Medicaid |
$7,544.89
|
|