INPATIENT APRDRG 4271: THYROID DISORDERS
|
Facility
|
IP
|
$3,029.20
|
|
Service Code
|
APR-DRG 4271
|
Hospital Charge Code |
APRDRG 4271
|
Min. Negotiated Rate |
$2,884.95 |
Max. Negotiated Rate |
$3,029.20 |
Rate for Payer: BCBS Complete |
$3,029.20
|
Rate for Payer: Mclaren Medicaid |
$2,884.95
|
Rate for Payer: Meridian Medicaid |
$3,029.20
|
Rate for Payer: PHP Medicaid |
$2,884.95
|
Rate for Payer: Priority Health Choice Medicaid |
$2,884.95
|
|
INPATIENT APRDRG 4272: THYROID DISORDERS
|
Facility
|
IP
|
$3,896.52
|
|
Service Code
|
APR-DRG 4272
|
Hospital Charge Code |
APRDRG 4272
|
Min. Negotiated Rate |
$3,710.97 |
Max. Negotiated Rate |
$3,896.52 |
Rate for Payer: BCBS Complete |
$3,896.52
|
Rate for Payer: Mclaren Medicaid |
$3,710.97
|
Rate for Payer: Meridian Medicaid |
$3,896.52
|
Rate for Payer: PHP Medicaid |
$3,710.97
|
Rate for Payer: Priority Health Choice Medicaid |
$3,710.97
|
|
INPATIENT APRDRG 4273: THYROID DISORDERS
|
Facility
|
IP
|
$6,099.90
|
|
Service Code
|
APR-DRG 4273
|
Hospital Charge Code |
APRDRG 4273
|
Min. Negotiated Rate |
$5,809.43 |
Max. Negotiated Rate |
$6,099.90 |
Rate for Payer: BCBS Complete |
$6,099.90
|
Rate for Payer: Mclaren Medicaid |
$5,809.43
|
Rate for Payer: Meridian Medicaid |
$6,099.90
|
Rate for Payer: PHP Medicaid |
$5,809.43
|
Rate for Payer: Priority Health Choice Medicaid |
$5,809.43
|
|
INPATIENT APRDRG 4274: THYROID DISORDERS
|
Facility
|
IP
|
$12,676.74
|
|
Service Code
|
APR-DRG 4274
|
Hospital Charge Code |
APRDRG 4274
|
Min. Negotiated Rate |
$12,073.09 |
Max. Negotiated Rate |
$12,676.74 |
Rate for Payer: BCBS Complete |
$12,676.74
|
Rate for Payer: Mclaren Medicaid |
$12,073.09
|
Rate for Payer: Meridian Medicaid |
$12,676.74
|
Rate for Payer: PHP Medicaid |
$12,073.09
|
Rate for Payer: Priority Health Choice Medicaid |
$12,073.09
|
|
INPATIENT APRDRG 4411: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$7,768.45
|
|
Service Code
|
APR-DRG 4411
|
Hospital Charge Code |
APRDRG 4411
|
Min. Negotiated Rate |
$7,398.52 |
Max. Negotiated Rate |
$7,768.45 |
Rate for Payer: BCBS Complete |
$7,768.45
|
Rate for Payer: Mclaren Medicaid |
$7,398.52
|
Rate for Payer: Meridian Medicaid |
$7,768.45
|
Rate for Payer: PHP Medicaid |
$7,398.52
|
Rate for Payer: Priority Health Choice Medicaid |
$7,398.52
|
|
INPATIENT APRDRG 4412: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$12,609.11
|
|
Service Code
|
APR-DRG 4412
|
Hospital Charge Code |
APRDRG 4412
|
Min. Negotiated Rate |
$12,008.68 |
Max. Negotiated Rate |
$12,609.11 |
Rate for Payer: BCBS Complete |
$12,609.11
|
Rate for Payer: Mclaren Medicaid |
$12,008.68
|
Rate for Payer: Meridian Medicaid |
$12,609.11
|
Rate for Payer: PHP Medicaid |
$12,008.68
|
Rate for Payer: Priority Health Choice Medicaid |
$12,008.68
|
|
INPATIENT APRDRG 4413: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$17,117.31
|
|
Service Code
|
APR-DRG 4413
|
Hospital Charge Code |
APRDRG 4413
|
Min. Negotiated Rate |
$16,302.20 |
Max. Negotiated Rate |
$17,117.31 |
Rate for Payer: BCBS Complete |
$17,117.31
|
Rate for Payer: Mclaren Medicaid |
$16,302.20
|
Rate for Payer: Meridian Medicaid |
$17,117.31
|
Rate for Payer: PHP Medicaid |
$16,302.20
|
Rate for Payer: Priority Health Choice Medicaid |
$16,302.20
|
|
INPATIENT APRDRG 4414: MAJOR BLADDER PROCEDURES
|
Facility
|
IP
|
$31,745.90
|
|
Service Code
|
APR-DRG 4414
|
Hospital Charge Code |
APRDRG 4414
|
Min. Negotiated Rate |
$30,234.19 |
Max. Negotiated Rate |
$31,745.90 |
Rate for Payer: BCBS Complete |
$31,745.90
|
Rate for Payer: Mclaren Medicaid |
$30,234.19
|
Rate for Payer: Meridian Medicaid |
$31,745.90
|
Rate for Payer: PHP Medicaid |
$30,234.19
|
Rate for Payer: Priority Health Choice Medicaid |
$30,234.19
|
|
INPATIENT APRDRG 4421: KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$8,327.35
|
|
Service Code
|
APR-DRG 4421
|
Hospital Charge Code |
APRDRG 4421
|
Min. Negotiated Rate |
$7,930.81 |
Max. Negotiated Rate |
$8,327.35 |
Rate for Payer: BCBS Complete |
$8,327.35
|
Rate for Payer: Mclaren Medicaid |
$7,930.81
|
Rate for Payer: Meridian Medicaid |
$8,327.35
|
Rate for Payer: PHP Medicaid |
$7,930.81
|
Rate for Payer: Priority Health Choice Medicaid |
$7,930.81
|
|
INPATIENT APRDRG 4422: KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$9,602.46
|
|
Service Code
|
APR-DRG 4422
|
Hospital Charge Code |
APRDRG 4422
|
Min. Negotiated Rate |
$9,145.20 |
Max. Negotiated Rate |
$9,602.46 |
Rate for Payer: BCBS Complete |
$9,602.46
|
Rate for Payer: Mclaren Medicaid |
$9,145.20
|
Rate for Payer: Meridian Medicaid |
$9,602.46
|
Rate for Payer: PHP Medicaid |
$9,145.20
|
Rate for Payer: Priority Health Choice Medicaid |
$9,145.20
|
|
INPATIENT APRDRG 4423: KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$14,487.70
|
|
Service Code
|
APR-DRG 4423
|
Hospital Charge Code |
APRDRG 4423
|
Min. Negotiated Rate |
$13,797.81 |
Max. Negotiated Rate |
$14,487.70 |
Rate for Payer: BCBS Complete |
$14,487.70
|
Rate for Payer: Mclaren Medicaid |
$13,797.81
|
Rate for Payer: Meridian Medicaid |
$14,487.70
|
Rate for Payer: PHP Medicaid |
$13,797.81
|
Rate for Payer: Priority Health Choice Medicaid |
$13,797.81
|
|
INPATIENT APRDRG 4424: KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY
|
Facility
|
IP
|
$25,688.01
|
|
Service Code
|
APR-DRG 4424
|
Hospital Charge Code |
APRDRG 4424
|
Min. Negotiated Rate |
$24,464.77 |
Max. Negotiated Rate |
$25,688.01 |
Rate for Payer: BCBS Complete |
$25,688.01
|
Rate for Payer: Mclaren Medicaid |
$24,464.77
|
Rate for Payer: Meridian Medicaid |
$25,688.01
|
Rate for Payer: PHP Medicaid |
$24,464.77
|
Rate for Payer: Priority Health Choice Medicaid |
$24,464.77
|
|
INPATIENT APRDRG 4431: KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY
|
Facility
|
IP
|
$7,717.22
|
|
Service Code
|
APR-DRG 4431
|
Hospital Charge Code |
APRDRG 4431
|
Min. Negotiated Rate |
$7,349.73 |
Max. Negotiated Rate |
$7,717.22 |
Rate for Payer: BCBS Complete |
$7,717.22
|
Rate for Payer: Mclaren Medicaid |
$7,349.73
|
Rate for Payer: Meridian Medicaid |
$7,717.22
|
Rate for Payer: PHP Medicaid |
$7,349.73
|
Rate for Payer: Priority Health Choice Medicaid |
$7,349.73
|
|
INPATIENT APRDRG 4432: KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY
|
Facility
|
IP
|
$8,533.30
|
|
Service Code
|
APR-DRG 4432
|
Hospital Charge Code |
APRDRG 4432
|
Min. Negotiated Rate |
$8,126.95 |
Max. Negotiated Rate |
$8,533.30 |
Rate for Payer: BCBS Complete |
$8,533.30
|
Rate for Payer: Mclaren Medicaid |
$8,126.95
|
Rate for Payer: Meridian Medicaid |
$8,533.30
|
Rate for Payer: PHP Medicaid |
$8,126.95
|
Rate for Payer: Priority Health Choice Medicaid |
$8,126.95
|
|
INPATIENT APRDRG 4433: KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY
|
Facility
|
IP
|
$10,496.92
|
|
Service Code
|
APR-DRG 4433
|
Hospital Charge Code |
APRDRG 4433
|
Min. Negotiated Rate |
$9,997.07 |
Max. Negotiated Rate |
$10,496.92 |
Rate for Payer: BCBS Complete |
$10,496.92
|
Rate for Payer: Mclaren Medicaid |
$9,997.07
|
Rate for Payer: Meridian Medicaid |
$10,496.92
|
Rate for Payer: PHP Medicaid |
$9,997.07
|
Rate for Payer: Priority Health Choice Medicaid |
$9,997.07
|
|
INPATIENT APRDRG 4434: KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY
|
Facility
|
IP
|
$19,496.41
|
|
Service Code
|
APR-DRG 4434
|
Hospital Charge Code |
APRDRG 4434
|
Min. Negotiated Rate |
$18,568.01 |
Max. Negotiated Rate |
$19,496.41 |
Rate for Payer: BCBS Complete |
$19,496.41
|
Rate for Payer: Mclaren Medicaid |
$18,568.01
|
Rate for Payer: Meridian Medicaid |
$19,496.41
|
Rate for Payer: PHP Medicaid |
$18,568.01
|
Rate for Payer: Priority Health Choice Medicaid |
$18,568.01
|
|
INPATIENT APRDRG 4441: RENAL DIALYSIS ACCESS DEVICE AND VESSEL REPAIR
|
Facility
|
IP
|
$5,560.45
|
|
Service Code
|
APR-DRG 4441
|
Hospital Charge Code |
APRDRG 4441
|
Min. Negotiated Rate |
$5,295.67 |
Max. Negotiated Rate |
$5,560.45 |
Rate for Payer: BCBS Complete |
$5,560.45
|
Rate for Payer: Mclaren Medicaid |
$5,295.67
|
Rate for Payer: Meridian Medicaid |
$5,560.45
|
Rate for Payer: PHP Medicaid |
$5,295.67
|
Rate for Payer: Priority Health Choice Medicaid |
$5,295.67
|
|
INPATIENT APRDRG 4442: RENAL DIALYSIS ACCESS DEVICE AND VESSEL REPAIR
|
Facility
|
IP
|
$8,004.61
|
|
Service Code
|
APR-DRG 4442
|
Hospital Charge Code |
APRDRG 4442
|
Min. Negotiated Rate |
$7,623.44 |
Max. Negotiated Rate |
$8,004.61 |
Rate for Payer: BCBS Complete |
$8,004.61
|
Rate for Payer: Mclaren Medicaid |
$7,623.44
|
Rate for Payer: Meridian Medicaid |
$8,004.61
|
Rate for Payer: PHP Medicaid |
$7,623.44
|
Rate for Payer: Priority Health Choice Medicaid |
$7,623.44
|
|
INPATIENT APRDRG 4443: RENAL DIALYSIS ACCESS DEVICE AND VESSEL REPAIR
|
Facility
|
IP
|
$10,356.56
|
|
Service Code
|
APR-DRG 4443
|
Hospital Charge Code |
APRDRG 4443
|
Min. Negotiated Rate |
$9,863.39 |
Max. Negotiated Rate |
$10,356.56 |
Rate for Payer: BCBS Complete |
$10,356.56
|
Rate for Payer: Mclaren Medicaid |
$9,863.39
|
Rate for Payer: Meridian Medicaid |
$10,356.56
|
Rate for Payer: PHP Medicaid |
$9,863.39
|
Rate for Payer: Priority Health Choice Medicaid |
$9,863.39
|
|
INPATIENT APRDRG 4444: RENAL DIALYSIS ACCESS DEVICE AND VESSEL REPAIR
|
Facility
|
IP
|
$19,920.08
|
|
Service Code
|
APR-DRG 4444
|
Hospital Charge Code |
APRDRG 4444
|
Min. Negotiated Rate |
$18,971.50 |
Max. Negotiated Rate |
$19,920.08 |
Rate for Payer: BCBS Complete |
$19,920.08
|
Rate for Payer: Mclaren Medicaid |
$18,971.50
|
Rate for Payer: Meridian Medicaid |
$19,920.08
|
Rate for Payer: PHP Medicaid |
$18,971.50
|
Rate for Payer: Priority Health Choice Medicaid |
$18,971.50
|
|
INPATIENT APRDRG 4451: OTHER BLADDER PROCEDURES
|
Facility
|
IP
|
$7,405.22
|
|
Service Code
|
APR-DRG 4451
|
Hospital Charge Code |
APRDRG 4451
|
Min. Negotiated Rate |
$7,052.59 |
Max. Negotiated Rate |
$7,405.22 |
Rate for Payer: BCBS Complete |
$7,405.22
|
Rate for Payer: Mclaren Medicaid |
$7,052.59
|
Rate for Payer: Meridian Medicaid |
$7,405.22
|
Rate for Payer: PHP Medicaid |
$7,052.59
|
Rate for Payer: Priority Health Choice Medicaid |
$7,052.59
|
|
INPATIENT APRDRG 4452: OTHER BLADDER PROCEDURES
|
Facility
|
IP
|
$9,273.05
|
|
Service Code
|
APR-DRG 4452
|
Hospital Charge Code |
APRDRG 4452
|
Min. Negotiated Rate |
$8,831.48 |
Max. Negotiated Rate |
$9,273.05 |
Rate for Payer: BCBS Complete |
$9,273.05
|
Rate for Payer: Mclaren Medicaid |
$8,831.48
|
Rate for Payer: Meridian Medicaid |
$9,273.05
|
Rate for Payer: PHP Medicaid |
$8,831.48
|
Rate for Payer: Priority Health Choice Medicaid |
$8,831.48
|
|
INPATIENT APRDRG 4453: OTHER BLADDER PROCEDURES
|
Facility
|
IP
|
$9,696.20
|
|
Service Code
|
APR-DRG 4453
|
Hospital Charge Code |
APRDRG 4453
|
Min. Negotiated Rate |
$9,234.48 |
Max. Negotiated Rate |
$9,696.20 |
Rate for Payer: BCBS Complete |
$9,696.20
|
Rate for Payer: Mclaren Medicaid |
$9,234.48
|
Rate for Payer: Meridian Medicaid |
$9,696.20
|
Rate for Payer: PHP Medicaid |
$9,234.48
|
Rate for Payer: Priority Health Choice Medicaid |
$9,234.48
|
|
INPATIENT APRDRG 4454: OTHER BLADDER PROCEDURES
|
Facility
|
IP
|
$13,142.42
|
|
Service Code
|
APR-DRG 4454
|
Hospital Charge Code |
APRDRG 4454
|
Min. Negotiated Rate |
$12,516.59 |
Max. Negotiated Rate |
$13,142.42 |
Rate for Payer: BCBS Complete |
$13,142.42
|
Rate for Payer: Mclaren Medicaid |
$12,516.59
|
Rate for Payer: Meridian Medicaid |
$13,142.42
|
Rate for Payer: PHP Medicaid |
$12,516.59
|
Rate for Payer: Priority Health Choice Medicaid |
$12,516.59
|
|
INPATIENT APRDRG 4461: URETHRAL & TRANSURETHRAL PROCEDURES
|
Facility
|
IP
|
$5,721.83
|
|
Service Code
|
APR-DRG 4461
|
Hospital Charge Code |
APRDRG 4461
|
Min. Negotiated Rate |
$5,449.36 |
Max. Negotiated Rate |
$5,721.83 |
Rate for Payer: BCBS Complete |
$5,721.83
|
Rate for Payer: Mclaren Medicaid |
$5,449.36
|
Rate for Payer: Meridian Medicaid |
$5,721.83
|
Rate for Payer: PHP Medicaid |
$5,449.36
|
Rate for Payer: Priority Health Choice Medicaid |
$5,449.36
|
|