INPATIENT APRDRG 3632: BREAST PROCEDURES EXCEPT MASTECTOMY
|
Facility
|
IP
|
$10,710.56
|
|
Service Code
|
APR-DRG 3632
|
Hospital Charge Code |
APRDRG 3632
|
Min. Negotiated Rate |
$10,200.53 |
Max. Negotiated Rate |
$10,710.56 |
Rate for Payer: BCBS Complete |
$10,710.56
|
Rate for Payer: Mclaren Medicaid |
$10,200.53
|
Rate for Payer: Meridian Medicaid |
$10,710.56
|
Rate for Payer: PHP Medicaid |
$10,200.53
|
Rate for Payer: Priority Health Choice Medicaid |
$10,200.53
|
|
INPATIENT APRDRG 3633: BREAST PROCEDURES EXCEPT MASTECTOMY
|
Facility
|
IP
|
$14,188.52
|
|
Service Code
|
APR-DRG 3633
|
Hospital Charge Code |
APRDRG 3633
|
Min. Negotiated Rate |
$13,512.88 |
Max. Negotiated Rate |
$14,188.52 |
Rate for Payer: BCBS Complete |
$14,188.52
|
Rate for Payer: Mclaren Medicaid |
$13,512.88
|
Rate for Payer: Meridian Medicaid |
$14,188.52
|
Rate for Payer: PHP Medicaid |
$13,512.88
|
Rate for Payer: Priority Health Choice Medicaid |
$13,512.88
|
|
INPATIENT APRDRG 3634: BREAST PROCEDURES EXCEPT MASTECTOMY
|
Facility
|
IP
|
$27,232.06
|
|
Service Code
|
APR-DRG 3634
|
Hospital Charge Code |
APRDRG 3634
|
Min. Negotiated Rate |
$25,935.30 |
Max. Negotiated Rate |
$27,232.06 |
Rate for Payer: BCBS Complete |
$27,232.06
|
Rate for Payer: Mclaren Medicaid |
$25,935.30
|
Rate for Payer: Meridian Medicaid |
$27,232.06
|
Rate for Payer: PHP Medicaid |
$25,935.30
|
Rate for Payer: Priority Health Choice Medicaid |
$25,935.30
|
|
INPATIENT APRDRG 3641: OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES
|
Facility
|
IP
|
$4,846.82
|
|
Service Code
|
APR-DRG 3641
|
Hospital Charge Code |
APRDRG 3641
|
Min. Negotiated Rate |
$4,616.02 |
Max. Negotiated Rate |
$4,846.82 |
Rate for Payer: BCBS Complete |
$4,846.82
|
Rate for Payer: Mclaren Medicaid |
$4,616.02
|
Rate for Payer: Meridian Medicaid |
$4,846.82
|
Rate for Payer: PHP Medicaid |
$4,616.02
|
Rate for Payer: Priority Health Choice Medicaid |
$4,616.02
|
|
INPATIENT APRDRG 3642: OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES
|
Facility
|
IP
|
$5,862.19
|
|
Service Code
|
APR-DRG 3642
|
Hospital Charge Code |
APRDRG 3642
|
Min. Negotiated Rate |
$5,583.04 |
Max. Negotiated Rate |
$5,862.19 |
Rate for Payer: BCBS Complete |
$5,862.19
|
Rate for Payer: Mclaren Medicaid |
$5,583.04
|
Rate for Payer: Meridian Medicaid |
$5,862.19
|
Rate for Payer: PHP Medicaid |
$5,583.04
|
Rate for Payer: Priority Health Choice Medicaid |
$5,583.04
|
|
INPATIENT APRDRG 3643: OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES
|
Facility
|
IP
|
$9,042.52
|
|
Service Code
|
APR-DRG 3643
|
Hospital Charge Code |
APRDRG 3643
|
Min. Negotiated Rate |
$8,611.92 |
Max. Negotiated Rate |
$9,042.52 |
Rate for Payer: BCBS Complete |
$9,042.52
|
Rate for Payer: Mclaren Medicaid |
$8,611.92
|
Rate for Payer: Meridian Medicaid |
$9,042.52
|
Rate for Payer: PHP Medicaid |
$8,611.92
|
Rate for Payer: Priority Health Choice Medicaid |
$8,611.92
|
|
INPATIENT APRDRG 3644: OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES
|
Facility
|
IP
|
$12,101.94
|
|
Service Code
|
APR-DRG 3644
|
Hospital Charge Code |
APRDRG 3644
|
Min. Negotiated Rate |
$11,525.66 |
Max. Negotiated Rate |
$12,101.94 |
Rate for Payer: BCBS Complete |
$12,101.94
|
Rate for Payer: Mclaren Medicaid |
$11,525.66
|
Rate for Payer: Meridian Medicaid |
$12,101.94
|
Rate for Payer: PHP Medicaid |
$11,525.66
|
Rate for Payer: Priority Health Choice Medicaid |
$11,525.66
|
|
INPATIENT APRDRG 3801: SKIN ULCERS
|
Facility
|
IP
|
$3,132.69
|
|
Service Code
|
APR-DRG 3801
|
Hospital Charge Code |
APRDRG 3801
|
Min. Negotiated Rate |
$2,983.51 |
Max. Negotiated Rate |
$3,132.69 |
Rate for Payer: BCBS Complete |
$3,132.69
|
Rate for Payer: Mclaren Medicaid |
$2,983.51
|
Rate for Payer: Meridian Medicaid |
$3,132.69
|
Rate for Payer: PHP Medicaid |
$2,983.51
|
Rate for Payer: Priority Health Choice Medicaid |
$2,983.51
|
|
INPATIENT APRDRG 3802: SKIN ULCERS
|
Facility
|
IP
|
$4,099.89
|
|
Service Code
|
APR-DRG 3802
|
Hospital Charge Code |
APRDRG 3802
|
Min. Negotiated Rate |
$3,904.66 |
Max. Negotiated Rate |
$4,099.89 |
Rate for Payer: BCBS Complete |
$4,099.89
|
Rate for Payer: Mclaren Medicaid |
$3,904.66
|
Rate for Payer: Meridian Medicaid |
$4,099.89
|
Rate for Payer: PHP Medicaid |
$3,904.66
|
Rate for Payer: Priority Health Choice Medicaid |
$3,904.66
|
|
INPATIENT APRDRG 3803: SKIN ULCERS
|
Facility
|
IP
|
$5,113.73
|
|
Service Code
|
APR-DRG 3803
|
Hospital Charge Code |
APRDRG 3803
|
Min. Negotiated Rate |
$4,870.22 |
Max. Negotiated Rate |
$5,113.73 |
Rate for Payer: BCBS Complete |
$5,113.73
|
Rate for Payer: Mclaren Medicaid |
$4,870.22
|
Rate for Payer: Meridian Medicaid |
$5,113.73
|
Rate for Payer: PHP Medicaid |
$4,870.22
|
Rate for Payer: Priority Health Choice Medicaid |
$4,870.22
|
|
INPATIENT APRDRG 3804: SKIN ULCERS
|
Facility
|
IP
|
$7,326.33
|
|
Service Code
|
APR-DRG 3804
|
Hospital Charge Code |
APRDRG 3804
|
Min. Negotiated Rate |
$6,977.46 |
Max. Negotiated Rate |
$7,326.33 |
Rate for Payer: BCBS Complete |
$7,326.33
|
Rate for Payer: Mclaren Medicaid |
$6,977.46
|
Rate for Payer: Meridian Medicaid |
$7,326.33
|
Rate for Payer: PHP Medicaid |
$6,977.46
|
Rate for Payer: Priority Health Choice Medicaid |
$6,977.46
|
|
INPATIENT APRDRG 3811: MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$2,159.84
|
|
Service Code
|
APR-DRG 3811
|
Hospital Charge Code |
APRDRG 3811
|
Min. Negotiated Rate |
$2,056.99 |
Max. Negotiated Rate |
$2,159.84 |
Rate for Payer: BCBS Complete |
$2,159.84
|
Rate for Payer: Mclaren Medicaid |
$2,056.99
|
Rate for Payer: Meridian Medicaid |
$2,159.84
|
Rate for Payer: PHP Medicaid |
$2,056.99
|
Rate for Payer: Priority Health Choice Medicaid |
$2,056.99
|
|
INPATIENT APRDRG 3812: MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$4,594.78
|
|
Service Code
|
APR-DRG 3812
|
Hospital Charge Code |
APRDRG 3812
|
Min. Negotiated Rate |
$4,375.98 |
Max. Negotiated Rate |
$4,594.78 |
Rate for Payer: BCBS Complete |
$4,594.78
|
Rate for Payer: Mclaren Medicaid |
$4,375.98
|
Rate for Payer: Meridian Medicaid |
$4,594.78
|
Rate for Payer: PHP Medicaid |
$4,375.98
|
Rate for Payer: Priority Health Choice Medicaid |
$4,375.98
|
|
INPATIENT APRDRG 3813: MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$8,919.06
|
|
Service Code
|
APR-DRG 3813
|
Hospital Charge Code |
APRDRG 3813
|
Min. Negotiated Rate |
$8,494.34 |
Max. Negotiated Rate |
$8,919.06 |
Rate for Payer: BCBS Complete |
$8,919.06
|
Rate for Payer: Mclaren Medicaid |
$8,494.34
|
Rate for Payer: Meridian Medicaid |
$8,919.06
|
Rate for Payer: PHP Medicaid |
$8,494.34
|
Rate for Payer: Priority Health Choice Medicaid |
$8,494.34
|
|
INPATIENT APRDRG 3814: MAJOR SKIN DISORDERS
|
Facility
|
IP
|
$19,318.65
|
|
Service Code
|
APR-DRG 3814
|
Hospital Charge Code |
APRDRG 3814
|
Min. Negotiated Rate |
$18,398.71 |
Max. Negotiated Rate |
$19,318.65 |
Rate for Payer: BCBS Complete |
$19,318.65
|
Rate for Payer: Mclaren Medicaid |
$18,398.71
|
Rate for Payer: Meridian Medicaid |
$19,318.65
|
Rate for Payer: PHP Medicaid |
$18,398.71
|
Rate for Payer: Priority Health Choice Medicaid |
$18,398.71
|
|
INPATIENT APRDRG 3821: MALIGNANT BREAST DISORDERS
|
Facility
|
IP
|
$3,795.59
|
|
Service Code
|
APR-DRG 3821
|
Hospital Charge Code |
APRDRG 3821
|
Min. Negotiated Rate |
$3,614.85 |
Max. Negotiated Rate |
$3,795.59 |
Rate for Payer: BCBS Complete |
$3,795.59
|
Rate for Payer: Mclaren Medicaid |
$3,614.85
|
Rate for Payer: Meridian Medicaid |
$3,795.59
|
Rate for Payer: PHP Medicaid |
$3,614.85
|
Rate for Payer: Priority Health Choice Medicaid |
$3,614.85
|
|
INPATIENT APRDRG 3822: MALIGNANT BREAST DISORDERS
|
Facility
|
IP
|
$4,599.89
|
|
Service Code
|
APR-DRG 3822
|
Hospital Charge Code |
APRDRG 3822
|
Min. Negotiated Rate |
$4,380.85 |
Max. Negotiated Rate |
$4,599.89 |
Rate for Payer: BCBS Complete |
$4,599.89
|
Rate for Payer: Mclaren Medicaid |
$4,380.85
|
Rate for Payer: Meridian Medicaid |
$4,599.89
|
Rate for Payer: PHP Medicaid |
$4,380.85
|
Rate for Payer: Priority Health Choice Medicaid |
$4,380.85
|
|
INPATIENT APRDRG 3823: MALIGNANT BREAST DISORDERS
|
Facility
|
IP
|
$8,063.53
|
|
Service Code
|
APR-DRG 3823
|
Hospital Charge Code |
APRDRG 3823
|
Min. Negotiated Rate |
$7,679.55 |
Max. Negotiated Rate |
$8,063.53 |
Rate for Payer: BCBS Complete |
$8,063.53
|
Rate for Payer: Mclaren Medicaid |
$7,679.55
|
Rate for Payer: Meridian Medicaid |
$8,063.53
|
Rate for Payer: PHP Medicaid |
$7,679.55
|
Rate for Payer: Priority Health Choice Medicaid |
$7,679.55
|
|
INPATIENT APRDRG 3824: MALIGNANT BREAST DISORDERS
|
Facility
|
IP
|
$11,976.94
|
|
Service Code
|
APR-DRG 3824
|
Hospital Charge Code |
APRDRG 3824
|
Min. Negotiated Rate |
$11,406.61 |
Max. Negotiated Rate |
$11,976.94 |
Rate for Payer: BCBS Complete |
$11,976.94
|
Rate for Payer: Mclaren Medicaid |
$11,406.61
|
Rate for Payer: Meridian Medicaid |
$11,976.94
|
Rate for Payer: PHP Medicaid |
$11,406.61
|
Rate for Payer: Priority Health Choice Medicaid |
$11,406.61
|
|
INPATIENT APRDRG 3831: CELLULITIS & OTHER SKIN INFECTIONS
|
Facility
|
IP
|
$2,901.64
|
|
Service Code
|
APR-DRG 3831
|
Hospital Charge Code |
APRDRG 3831
|
Min. Negotiated Rate |
$2,763.47 |
Max. Negotiated Rate |
$2,901.64 |
Rate for Payer: BCBS Complete |
$2,901.64
|
Rate for Payer: Mclaren Medicaid |
$2,763.47
|
Rate for Payer: Meridian Medicaid |
$2,901.64
|
Rate for Payer: PHP Medicaid |
$2,763.47
|
Rate for Payer: Priority Health Choice Medicaid |
$2,763.47
|
|
INPATIENT APRDRG 3832: CELLULITIS & OTHER SKIN INFECTIONS
|
Facility
|
IP
|
$3,565.06
|
|
Service Code
|
APR-DRG 3832
|
Hospital Charge Code |
APRDRG 3832
|
Min. Negotiated Rate |
$3,395.30 |
Max. Negotiated Rate |
$3,565.06 |
Rate for Payer: BCBS Complete |
$3,565.06
|
Rate for Payer: Mclaren Medicaid |
$3,395.30
|
Rate for Payer: Meridian Medicaid |
$3,565.06
|
Rate for Payer: PHP Medicaid |
$3,395.30
|
Rate for Payer: Priority Health Choice Medicaid |
$3,395.30
|
|
INPATIENT APRDRG 3833: CELLULITIS & OTHER SKIN INFECTIONS
|
Facility
|
IP
|
$5,293.03
|
|
Service Code
|
APR-DRG 3833
|
Hospital Charge Code |
APRDRG 3833
|
Min. Negotiated Rate |
$5,040.98 |
Max. Negotiated Rate |
$5,293.03 |
Rate for Payer: BCBS Complete |
$5,293.03
|
Rate for Payer: Mclaren Medicaid |
$5,040.98
|
Rate for Payer: Meridian Medicaid |
$5,293.03
|
Rate for Payer: PHP Medicaid |
$5,040.98
|
Rate for Payer: Priority Health Choice Medicaid |
$5,040.98
|
|
INPATIENT APRDRG 3834: CELLULITIS & OTHER SKIN INFECTIONS
|
Facility
|
IP
|
$8,390.88
|
|
Service Code
|
APR-DRG 3834
|
Hospital Charge Code |
APRDRG 3834
|
Min. Negotiated Rate |
$7,991.31 |
Max. Negotiated Rate |
$8,390.88 |
Rate for Payer: BCBS Complete |
$8,390.88
|
Rate for Payer: Mclaren Medicaid |
$7,991.31
|
Rate for Payer: Meridian Medicaid |
$8,390.88
|
Rate for Payer: PHP Medicaid |
$7,991.31
|
Rate for Payer: Priority Health Choice Medicaid |
$7,991.31
|
|
INPATIENT APRDRG 3841: CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE
|
Facility
|
IP
|
$3,502.56
|
|
Service Code
|
APR-DRG 3841
|
Hospital Charge Code |
APRDRG 3841
|
Min. Negotiated Rate |
$3,335.77 |
Max. Negotiated Rate |
$3,502.56 |
Rate for Payer: BCBS Complete |
$3,502.56
|
Rate for Payer: Mclaren Medicaid |
$3,335.77
|
Rate for Payer: Meridian Medicaid |
$3,502.56
|
Rate for Payer: PHP Medicaid |
$3,335.77
|
Rate for Payer: Priority Health Choice Medicaid |
$3,335.77
|
|
INPATIENT APRDRG 3842: CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE
|
Facility
|
IP
|
$4,195.18
|
|
Service Code
|
APR-DRG 3842
|
Hospital Charge Code |
APRDRG 3842
|
Min. Negotiated Rate |
$3,995.41 |
Max. Negotiated Rate |
$4,195.18 |
Rate for Payer: BCBS Complete |
$4,195.18
|
Rate for Payer: Mclaren Medicaid |
$3,995.41
|
Rate for Payer: Meridian Medicaid |
$4,195.18
|
Rate for Payer: PHP Medicaid |
$3,995.41
|
Rate for Payer: Priority Health Choice Medicaid |
$3,995.41
|
|