INPATIENT APRDRG 4204: DIABETES
|
Facility
|
IP
|
$8,551.74
|
|
Service Code
|
APR-DRG 4204
|
Hospital Charge Code |
APRDRG 4204
|
Min. Negotiated Rate |
$8,144.51 |
Max. Negotiated Rate |
$8,551.74 |
Rate for Payer: BCBS Complete |
$8,551.74
|
Rate for Payer: Mclaren Medicaid |
$8,144.51
|
Rate for Payer: Meridian Medicaid |
$8,551.74
|
Rate for Payer: PHP Medicaid |
$8,144.51
|
Rate for Payer: Priority Health Choice Medicaid |
$8,144.51
|
|
INPATIENT APRDRG 4211: MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS
|
Facility
|
IP
|
$2,641.90
|
|
Service Code
|
APR-DRG 4211
|
Hospital Charge Code |
APRDRG 4211
|
Min. Negotiated Rate |
$2,516.10 |
Max. Negotiated Rate |
$2,641.90 |
Rate for Payer: BCBS Complete |
$2,641.90
|
Rate for Payer: Mclaren Medicaid |
$2,516.10
|
Rate for Payer: Meridian Medicaid |
$2,641.90
|
Rate for Payer: PHP Medicaid |
$2,516.10
|
Rate for Payer: Priority Health Choice Medicaid |
$2,516.10
|
|
INPATIENT APRDRG 4212: MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS
|
Facility
|
IP
|
$4,570.19
|
|
Service Code
|
APR-DRG 4212
|
Hospital Charge Code |
APRDRG 4212
|
Min. Negotiated Rate |
$4,352.56 |
Max. Negotiated Rate |
$4,570.19 |
Rate for Payer: BCBS Complete |
$4,570.19
|
Rate for Payer: Mclaren Medicaid |
$4,352.56
|
Rate for Payer: Meridian Medicaid |
$4,570.19
|
Rate for Payer: PHP Medicaid |
$4,352.56
|
Rate for Payer: Priority Health Choice Medicaid |
$4,352.56
|
|
INPATIENT APRDRG 4213: MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS
|
Facility
|
IP
|
$7,126.02
|
|
Service Code
|
APR-DRG 4213
|
Hospital Charge Code |
APRDRG 4213
|
Min. Negotiated Rate |
$6,786.69 |
Max. Negotiated Rate |
$7,126.02 |
Rate for Payer: BCBS Complete |
$7,126.02
|
Rate for Payer: Mclaren Medicaid |
$6,786.69
|
Rate for Payer: Meridian Medicaid |
$7,126.02
|
Rate for Payer: PHP Medicaid |
$6,786.69
|
Rate for Payer: Priority Health Choice Medicaid |
$6,786.69
|
|
INPATIENT APRDRG 4214: MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS
|
Facility
|
IP
|
$10,464.65
|
|
Service Code
|
APR-DRG 4214
|
Hospital Charge Code |
APRDRG 4214
|
Min. Negotiated Rate |
$9,966.33 |
Max. Negotiated Rate |
$10,464.65 |
Rate for Payer: BCBS Complete |
$10,464.65
|
Rate for Payer: Mclaren Medicaid |
$9,966.33
|
Rate for Payer: Meridian Medicaid |
$10,464.65
|
Rate for Payer: PHP Medicaid |
$9,966.33
|
Rate for Payer: Priority Health Choice Medicaid |
$9,966.33
|
|
INPATIENT APRDRG 4221: HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$1,922.64
|
|
Service Code
|
APR-DRG 4221
|
Hospital Charge Code |
APRDRG 4221
|
Min. Negotiated Rate |
$1,831.09 |
Max. Negotiated Rate |
$1,922.64 |
Rate for Payer: BCBS Complete |
$1,922.64
|
Rate for Payer: Mclaren Medicaid |
$1,831.09
|
Rate for Payer: Meridian Medicaid |
$1,922.64
|
Rate for Payer: PHP Medicaid |
$1,831.09
|
Rate for Payer: Priority Health Choice Medicaid |
$1,831.09
|
|
INPATIENT APRDRG 4222: HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$2,485.14
|
|
Service Code
|
APR-DRG 4222
|
Hospital Charge Code |
APRDRG 4222
|
Min. Negotiated Rate |
$2,366.80 |
Max. Negotiated Rate |
$2,485.14 |
Rate for Payer: BCBS Complete |
$2,485.14
|
Rate for Payer: Mclaren Medicaid |
$2,366.80
|
Rate for Payer: Meridian Medicaid |
$2,485.14
|
Rate for Payer: PHP Medicaid |
$2,366.80
|
Rate for Payer: Priority Health Choice Medicaid |
$2,366.80
|
|
INPATIENT APRDRG 4223: HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$3,498.46
|
|
Service Code
|
APR-DRG 4223
|
Hospital Charge Code |
APRDRG 4223
|
Min. Negotiated Rate |
$3,331.87 |
Max. Negotiated Rate |
$3,498.46 |
Rate for Payer: BCBS Complete |
$3,498.46
|
Rate for Payer: Mclaren Medicaid |
$3,331.87
|
Rate for Payer: Meridian Medicaid |
$3,498.46
|
Rate for Payer: PHP Medicaid |
$3,331.87
|
Rate for Payer: Priority Health Choice Medicaid |
$3,331.87
|
|
INPATIENT APRDRG 4224: HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$7,220.80
|
|
Service Code
|
APR-DRG 4224
|
Hospital Charge Code |
APRDRG 4224
|
Min. Negotiated Rate |
$6,876.95 |
Max. Negotiated Rate |
$7,220.80 |
Rate for Payer: BCBS Complete |
$7,220.80
|
Rate for Payer: Mclaren Medicaid |
$6,876.95
|
Rate for Payer: Meridian Medicaid |
$7,220.80
|
Rate for Payer: PHP Medicaid |
$6,876.95
|
Rate for Payer: Priority Health Choice Medicaid |
$6,876.95
|
|
INPATIENT APRDRG 4231: INBORN ERRORS OF METABOLISM
|
Facility
|
IP
|
$3,181.35
|
|
Service Code
|
APR-DRG 4231
|
Hospital Charge Code |
APRDRG 4231
|
Min. Negotiated Rate |
$3,029.86 |
Max. Negotiated Rate |
$3,181.35 |
Rate for Payer: BCBS Complete |
$3,181.35
|
Rate for Payer: Mclaren Medicaid |
$3,029.86
|
Rate for Payer: Meridian Medicaid |
$3,181.35
|
Rate for Payer: PHP Medicaid |
$3,029.86
|
Rate for Payer: Priority Health Choice Medicaid |
$3,029.86
|
|
INPATIENT APRDRG 4232: INBORN ERRORS OF METABOLISM
|
Facility
|
IP
|
$5,730.02
|
|
Service Code
|
APR-DRG 4232
|
Hospital Charge Code |
APRDRG 4232
|
Min. Negotiated Rate |
$5,457.16 |
Max. Negotiated Rate |
$5,730.02 |
Rate for Payer: BCBS Complete |
$5,730.02
|
Rate for Payer: Mclaren Medicaid |
$5,457.16
|
Rate for Payer: Meridian Medicaid |
$5,730.02
|
Rate for Payer: PHP Medicaid |
$5,457.16
|
Rate for Payer: Priority Health Choice Medicaid |
$5,457.16
|
|
INPATIENT APRDRG 4233: INBORN ERRORS OF METABOLISM
|
Facility
|
IP
|
$9,648.57
|
|
Service Code
|
APR-DRG 4233
|
Hospital Charge Code |
APRDRG 4233
|
Min. Negotiated Rate |
$9,189.11 |
Max. Negotiated Rate |
$9,648.57 |
Rate for Payer: BCBS Complete |
$9,648.57
|
Rate for Payer: Mclaren Medicaid |
$9,189.11
|
Rate for Payer: Meridian Medicaid |
$9,648.57
|
Rate for Payer: PHP Medicaid |
$9,189.11
|
Rate for Payer: Priority Health Choice Medicaid |
$9,189.11
|
|
INPATIENT APRDRG 4234: INBORN ERRORS OF METABOLISM
|
Facility
|
IP
|
$19,042.52
|
|
Service Code
|
APR-DRG 4234
|
Hospital Charge Code |
APRDRG 4234
|
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 4241: OTHER ENDOCRINE DISORDERS
|
Facility
|
IP
|
$3,478.48
|
|
Service Code
|
APR-DRG 4241
|
Hospital Charge Code |
APRDRG 4241
|
Min. Negotiated Rate |
$3,312.84 |
Max. Negotiated Rate |
$3,478.48 |
Rate for Payer: BCBS Complete |
$3,478.48
|
Rate for Payer: Mclaren Medicaid |
$3,312.84
|
Rate for Payer: Meridian Medicaid |
$3,478.48
|
Rate for Payer: PHP Medicaid |
$3,312.84
|
Rate for Payer: Priority Health Choice Medicaid |
$3,312.84
|
|
INPATIENT APRDRG 4242: OTHER ENDOCRINE DISORDERS
|
Facility
|
IP
|
$4,078.89
|
|
Service Code
|
APR-DRG 4242
|
Hospital Charge Code |
APRDRG 4242
|
Min. Negotiated Rate |
$3,884.66 |
Max. Negotiated Rate |
$4,078.89 |
Rate for Payer: BCBS Complete |
$4,078.89
|
Rate for Payer: Mclaren Medicaid |
$3,884.66
|
Rate for Payer: Meridian Medicaid |
$4,078.89
|
Rate for Payer: PHP Medicaid |
$3,884.66
|
Rate for Payer: Priority Health Choice Medicaid |
$3,884.66
|
|
INPATIENT APRDRG 4243: OTHER ENDOCRINE DISORDERS
|
Facility
|
IP
|
$6,681.86
|
|
Service Code
|
APR-DRG 4243
|
Hospital Charge Code |
APRDRG 4243
|
Min. Negotiated Rate |
$6,363.68 |
Max. Negotiated Rate |
$6,681.86 |
Rate for Payer: BCBS Complete |
$6,681.86
|
Rate for Payer: Mclaren Medicaid |
$6,363.68
|
Rate for Payer: Meridian Medicaid |
$6,681.86
|
Rate for Payer: PHP Medicaid |
$6,363.68
|
Rate for Payer: Priority Health Choice Medicaid |
$6,363.68
|
|
INPATIENT APRDRG 4244: OTHER ENDOCRINE DISORDERS
|
Facility
|
IP
|
$12,748.46
|
|
Service Code
|
APR-DRG 4244
|
Hospital Charge Code |
APRDRG 4244
|
Min. Negotiated Rate |
$12,141.39 |
Max. Negotiated Rate |
$12,748.46 |
Rate for Payer: BCBS Complete |
$12,748.46
|
Rate for Payer: Mclaren Medicaid |
$12,141.39
|
Rate for Payer: Meridian Medicaid |
$12,748.46
|
Rate for Payer: PHP Medicaid |
$12,141.39
|
Rate for Payer: Priority Health Choice Medicaid |
$12,141.39
|
|
INPATIENT APRDRG 4251: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$2,460.04
|
|
Service Code
|
APR-DRG 4251
|
Hospital Charge Code |
APRDRG 4251
|
Min. Negotiated Rate |
$2,342.90 |
Max. Negotiated Rate |
$2,460.04 |
Rate for Payer: BCBS Complete |
$2,460.04
|
Rate for Payer: Mclaren Medicaid |
$2,342.90
|
Rate for Payer: Meridian Medicaid |
$2,460.04
|
Rate for Payer: PHP Medicaid |
$2,342.90
|
Rate for Payer: Priority Health Choice Medicaid |
$2,342.90
|
|
INPATIENT APRDRG 4252: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$3,306.86
|
|
Service Code
|
APR-DRG 4252
|
Hospital Charge Code |
APRDRG 4252
|
Min. Negotiated Rate |
$3,149.39 |
Max. Negotiated Rate |
$3,306.86 |
Rate for Payer: BCBS Complete |
$3,306.86
|
Rate for Payer: Mclaren Medicaid |
$3,149.39
|
Rate for Payer: Meridian Medicaid |
$3,306.86
|
Rate for Payer: PHP Medicaid |
$3,149.39
|
Rate for Payer: Priority Health Choice Medicaid |
$3,149.39
|
|
INPATIENT APRDRG 4253: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$4,728.49
|
|
Service Code
|
APR-DRG 4253
|
Hospital Charge Code |
APRDRG 4253
|
Min. Negotiated Rate |
$4,503.32 |
Max. Negotiated Rate |
$4,728.49 |
Rate for Payer: BCBS Complete |
$4,728.49
|
Rate for Payer: Mclaren Medicaid |
$4,503.32
|
Rate for Payer: Meridian Medicaid |
$4,728.49
|
Rate for Payer: PHP Medicaid |
$4,503.32
|
Rate for Payer: Priority Health Choice Medicaid |
$4,503.32
|
|
INPATIENT APRDRG 4254: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS
|
Facility
|
IP
|
$10,427.76
|
|
Service Code
|
APR-DRG 4254
|
Hospital Charge Code |
APRDRG 4254
|
Min. Negotiated Rate |
$9,931.20 |
Max. Negotiated Rate |
$10,427.76 |
Rate for Payer: BCBS Complete |
$10,427.76
|
Rate for Payer: Mclaren Medicaid |
$9,931.20
|
Rate for Payer: Meridian Medicaid |
$10,427.76
|
Rate for Payer: PHP Medicaid |
$9,931.20
|
Rate for Payer: Priority Health Choice Medicaid |
$9,931.20
|
|
INPATIENT APRDRG 4261: NON-HYPOVOLEMIC SODIUM DISORDERS
|
Facility
|
IP
|
$2,669.06
|
|
Service Code
|
APR-DRG 4261
|
Hospital Charge Code |
APRDRG 4261
|
Min. Negotiated Rate |
$2,541.96 |
Max. Negotiated Rate |
$2,669.06 |
Rate for Payer: BCBS Complete |
$2,669.06
|
Rate for Payer: Mclaren Medicaid |
$2,541.96
|
Rate for Payer: Meridian Medicaid |
$2,669.06
|
Rate for Payer: PHP Medicaid |
$2,541.96
|
Rate for Payer: Priority Health Choice Medicaid |
$2,541.96
|
|
INPATIENT APRDRG 4262: NON-HYPOVOLEMIC SODIUM DISORDERS
|
Facility
|
IP
|
$3,547.65
|
|
Service Code
|
APR-DRG 4262
|
Hospital Charge Code |
APRDRG 4262
|
Min. Negotiated Rate |
$3,378.71 |
Max. Negotiated Rate |
$3,547.65 |
Rate for Payer: BCBS Complete |
$3,547.65
|
Rate for Payer: Mclaren Medicaid |
$3,378.71
|
Rate for Payer: Meridian Medicaid |
$3,547.65
|
Rate for Payer: PHP Medicaid |
$3,378.71
|
Rate for Payer: Priority Health Choice Medicaid |
$3,378.71
|
|
INPATIENT APRDRG 4263: NON-HYPOVOLEMIC SODIUM DISORDERS
|
Facility
|
IP
|
$5,502.56
|
|
Service Code
|
APR-DRG 4263
|
Hospital Charge Code |
APRDRG 4263
|
Min. Negotiated Rate |
$5,240.53 |
Max. Negotiated Rate |
$5,502.56 |
Rate for Payer: BCBS Complete |
$5,502.56
|
Rate for Payer: Mclaren Medicaid |
$5,240.53
|
Rate for Payer: Meridian Medicaid |
$5,502.56
|
Rate for Payer: PHP Medicaid |
$5,240.53
|
Rate for Payer: Priority Health Choice Medicaid |
$5,240.53
|
|
INPATIENT APRDRG 4264: NON-HYPOVOLEMIC SODIUM DISORDERS
|
Facility
|
IP
|
$10,240.78
|
|
Service Code
|
APR-DRG 4264
|
Hospital Charge Code |
APRDRG 4264
|
Min. Negotiated Rate |
$9,753.12 |
Max. Negotiated Rate |
$10,240.78 |
Rate for Payer: BCBS Complete |
$10,240.78
|
Rate for Payer: Mclaren Medicaid |
$9,753.12
|
Rate for Payer: Meridian Medicaid |
$10,240.78
|
Rate for Payer: PHP Medicaid |
$9,753.12
|
Rate for Payer: Priority Health Choice Medicaid |
$9,753.12
|
|