INPATIENT APRDRG 7742: COCAINE ABUSE & DEPENDENCE
|
Facility
|
IP
|
$3,129.09
|
|
Service Code
|
APR-DRG 7742
|
Hospital Charge Code |
APRDRG 7742
|
Min. Negotiated Rate |
$2,980.09 |
Max. Negotiated Rate |
$3,129.09 |
Rate for Payer: BCBS Complete |
$3,129.09
|
Rate for Payer: Mclaren Medicaid |
$2,980.09
|
Rate for Payer: Meridian Medicaid |
$3,129.09
|
Rate for Payer: PHP Medicaid |
$2,980.09
|
Rate for Payer: Priority Health Choice Medicaid |
$2,980.09
|
|
INPATIENT APRDRG 7743: COCAINE ABUSE & DEPENDENCE
|
Facility
|
IP
|
$4,396.52
|
|
Service Code
|
APR-DRG 7743
|
Hospital Charge Code |
APRDRG 7743
|
Min. Negotiated Rate |
$4,187.16 |
Max. Negotiated Rate |
$4,396.52 |
Rate for Payer: BCBS Complete |
$4,396.52
|
Rate for Payer: Mclaren Medicaid |
$4,187.16
|
Rate for Payer: Meridian Medicaid |
$4,396.52
|
Rate for Payer: PHP Medicaid |
$4,187.16
|
Rate for Payer: Priority Health Choice Medicaid |
$4,187.16
|
|
INPATIENT APRDRG 7744: COCAINE ABUSE & DEPENDENCE
|
Facility
|
IP
|
$10,380.12
|
|
Service Code
|
APR-DRG 7744
|
Hospital Charge Code |
APRDRG 7744
|
Min. Negotiated Rate |
$9,885.83 |
Max. Negotiated Rate |
$10,380.12 |
Rate for Payer: BCBS Complete |
$10,380.12
|
Rate for Payer: Mclaren Medicaid |
$9,885.83
|
Rate for Payer: Meridian Medicaid |
$10,380.12
|
Rate for Payer: PHP Medicaid |
$9,885.83
|
Rate for Payer: Priority Health Choice Medicaid |
$9,885.83
|
|
INPATIENT APRDRG 7751: ALCOHOL ABUSE & DEPENDENCE
|
Facility
|
IP
|
$2,912.91
|
|
Service Code
|
APR-DRG 7751
|
Hospital Charge Code |
APRDRG 7751
|
Min. Negotiated Rate |
$2,774.20 |
Max. Negotiated Rate |
$2,912.91 |
Rate for Payer: BCBS Complete |
$2,912.91
|
Rate for Payer: Mclaren Medicaid |
$2,774.20
|
Rate for Payer: Meridian Medicaid |
$2,912.91
|
Rate for Payer: PHP Medicaid |
$2,774.20
|
Rate for Payer: Priority Health Choice Medicaid |
$2,774.20
|
|
INPATIENT APRDRG 7752: ALCOHOL ABUSE & DEPENDENCE
|
Facility
|
IP
|
$3,541.49
|
|
Service Code
|
APR-DRG 7752
|
Hospital Charge Code |
APRDRG 7752
|
Min. Negotiated Rate |
$3,372.85 |
Max. Negotiated Rate |
$3,541.49 |
Rate for Payer: BCBS Complete |
$3,541.49
|
Rate for Payer: Mclaren Medicaid |
$3,372.85
|
Rate for Payer: Meridian Medicaid |
$3,541.49
|
Rate for Payer: PHP Medicaid |
$3,372.85
|
Rate for Payer: Priority Health Choice Medicaid |
$3,372.85
|
|
INPATIENT APRDRG 7753: ALCOHOL ABUSE & DEPENDENCE
|
Facility
|
IP
|
$5,188.01
|
|
Service Code
|
APR-DRG 7753
|
Hospital Charge Code |
APRDRG 7753
|
Min. Negotiated Rate |
$4,940.96 |
Max. Negotiated Rate |
$5,188.01 |
Rate for Payer: BCBS Complete |
$5,188.01
|
Rate for Payer: Mclaren Medicaid |
$4,940.96
|
Rate for Payer: Meridian Medicaid |
$5,188.01
|
Rate for Payer: PHP Medicaid |
$4,940.96
|
Rate for Payer: Priority Health Choice Medicaid |
$4,940.96
|
|
INPATIENT APRDRG 7754: ALCOHOL ABUSE & DEPENDENCE
|
Facility
|
IP
|
$10,559.42
|
|
Service Code
|
APR-DRG 7754
|
Hospital Charge Code |
APRDRG 7754
|
Min. Negotiated Rate |
$10,056.59 |
Max. Negotiated Rate |
$10,559.42 |
Rate for Payer: BCBS Complete |
$10,559.42
|
Rate for Payer: Mclaren Medicaid |
$10,056.59
|
Rate for Payer: Meridian Medicaid |
$10,559.42
|
Rate for Payer: PHP Medicaid |
$10,056.59
|
Rate for Payer: Priority Health Choice Medicaid |
$10,056.59
|
|
INPATIENT APRDRG 7761: OTHER DRUG ABUSE & DEPENDENCE
|
Facility
|
IP
|
$3,944.67
|
|
Service Code
|
APR-DRG 7761
|
Hospital Charge Code |
APRDRG 7761
|
Min. Negotiated Rate |
$3,756.83 |
Max. Negotiated Rate |
$3,944.67 |
Rate for Payer: BCBS Complete |
$3,944.67
|
Rate for Payer: Mclaren Medicaid |
$3,756.83
|
Rate for Payer: Meridian Medicaid |
$3,944.67
|
Rate for Payer: PHP Medicaid |
$3,756.83
|
Rate for Payer: Priority Health Choice Medicaid |
$3,756.83
|
|
INPATIENT APRDRG 7762: OTHER DRUG ABUSE & DEPENDENCE
|
Facility
|
IP
|
$3,902.15
|
|
Service Code
|
APR-DRG 7762
|
Hospital Charge Code |
APRDRG 7762
|
Min. Negotiated Rate |
$3,716.33 |
Max. Negotiated Rate |
$3,902.15 |
Rate for Payer: BCBS Complete |
$3,902.15
|
Rate for Payer: Mclaren Medicaid |
$3,716.33
|
Rate for Payer: Meridian Medicaid |
$3,902.15
|
Rate for Payer: PHP Medicaid |
$3,716.33
|
Rate for Payer: Priority Health Choice Medicaid |
$3,716.33
|
|
INPATIENT APRDRG 7763: OTHER DRUG ABUSE & DEPENDENCE
|
Facility
|
IP
|
$5,304.31
|
|
Service Code
|
APR-DRG 7763
|
Hospital Charge Code |
APRDRG 7763
|
Min. Negotiated Rate |
$5,051.72 |
Max. Negotiated Rate |
$5,304.31 |
Rate for Payer: BCBS Complete |
$5,304.31
|
Rate for Payer: Mclaren Medicaid |
$5,051.72
|
Rate for Payer: Meridian Medicaid |
$5,304.31
|
Rate for Payer: PHP Medicaid |
$5,051.72
|
Rate for Payer: Priority Health Choice Medicaid |
$5,051.72
|
|
INPATIENT APRDRG 7764: OTHER DRUG ABUSE & DEPENDENCE
|
Facility
|
IP
|
$10,114.76
|
|
Service Code
|
APR-DRG 7764
|
Hospital Charge Code |
APRDRG 7764
|
Min. Negotiated Rate |
$9,633.10 |
Max. Negotiated Rate |
$10,114.76 |
Rate for Payer: BCBS Complete |
$10,114.76
|
Rate for Payer: Mclaren Medicaid |
$9,633.10
|
Rate for Payer: Meridian Medicaid |
$10,114.76
|
Rate for Payer: PHP Medicaid |
$9,633.10
|
Rate for Payer: Priority Health Choice Medicaid |
$9,633.10
|
|
INPATIENT APRDRG 7921: EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$7,836.58
|
|
Service Code
|
APR-DRG 7921
|
Hospital Charge Code |
APRDRG 7921
|
Min. Negotiated Rate |
$7,463.41 |
Max. Negotiated Rate |
$7,836.58 |
Rate for Payer: BCBS Complete |
$7,836.58
|
Rate for Payer: Mclaren Medicaid |
$7,463.41
|
Rate for Payer: Meridian Medicaid |
$7,836.58
|
Rate for Payer: PHP Medicaid |
$7,463.41
|
Rate for Payer: Priority Health Choice Medicaid |
$7,463.41
|
|
INPATIENT APRDRG 7922: EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$10,017.42
|
|
Service Code
|
APR-DRG 7922
|
Hospital Charge Code |
APRDRG 7922
|
Min. Negotiated Rate |
$9,540.40 |
Max. Negotiated Rate |
$10,017.42 |
Rate for Payer: BCBS Complete |
$10,017.42
|
Rate for Payer: Mclaren Medicaid |
$9,540.40
|
Rate for Payer: Meridian Medicaid |
$10,017.42
|
Rate for Payer: PHP Medicaid |
$9,540.40
|
Rate for Payer: Priority Health Choice Medicaid |
$9,540.40
|
|
INPATIENT APRDRG 7923: EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$15,109.63
|
|
Service Code
|
APR-DRG 7923
|
Hospital Charge Code |
APRDRG 7923
|
Min. Negotiated Rate |
$14,390.12 |
Max. Negotiated Rate |
$15,109.63 |
Rate for Payer: BCBS Complete |
$15,109.63
|
Rate for Payer: Mclaren Medicaid |
$14,390.12
|
Rate for Payer: Meridian Medicaid |
$15,109.63
|
Rate for Payer: PHP Medicaid |
$14,390.12
|
Rate for Payer: Priority Health Choice Medicaid |
$14,390.12
|
|
INPATIENT APRDRG 7924: EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$29,501.54
|
|
Service Code
|
APR-DRG 7924
|
Hospital Charge Code |
APRDRG 7924
|
Min. Negotiated Rate |
$28,096.70 |
Max. Negotiated Rate |
$29,501.54 |
Rate for Payer: BCBS Complete |
$29,501.54
|
Rate for Payer: Mclaren Medicaid |
$28,096.70
|
Rate for Payer: Meridian Medicaid |
$29,501.54
|
Rate for Payer: PHP Medicaid |
$28,096.70
|
Rate for Payer: Priority Health Choice Medicaid |
$28,096.70
|
|
INPATIENT APRDRG 7931: MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$6,012.80
|
|
Service Code
|
APR-DRG 7931
|
Hospital Charge Code |
APRDRG 7931
|
Min. Negotiated Rate |
$5,726.48 |
Max. Negotiated Rate |
$6,012.80 |
Rate for Payer: BCBS Complete |
$6,012.80
|
Rate for Payer: Mclaren Medicaid |
$5,726.48
|
Rate for Payer: Meridian Medicaid |
$6,012.80
|
Rate for Payer: PHP Medicaid |
$5,726.48
|
Rate for Payer: Priority Health Choice Medicaid |
$5,726.48
|
|
INPATIENT APRDRG 7932: MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$8,103.48
|
|
Service Code
|
APR-DRG 7932
|
Hospital Charge Code |
APRDRG 7932
|
Min. Negotiated Rate |
$7,717.60 |
Max. Negotiated Rate |
$8,103.48 |
Rate for Payer: BCBS Complete |
$8,103.48
|
Rate for Payer: Mclaren Medicaid |
$7,717.60
|
Rate for Payer: Meridian Medicaid |
$8,103.48
|
Rate for Payer: PHP Medicaid |
$7,717.60
|
Rate for Payer: Priority Health Choice Medicaid |
$7,717.60
|
|
INPATIENT APRDRG 7933: MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$12,393.44
|
|
Service Code
|
APR-DRG 7933
|
Hospital Charge Code |
APRDRG 7933
|
Min. Negotiated Rate |
$11,803.28 |
Max. Negotiated Rate |
$12,393.44 |
Rate for Payer: BCBS Complete |
$12,393.44
|
Rate for Payer: Mclaren Medicaid |
$11,803.28
|
Rate for Payer: Meridian Medicaid |
$12,393.44
|
Rate for Payer: PHP Medicaid |
$11,803.28
|
Rate for Payer: Priority Health Choice Medicaid |
$11,803.28
|
|
INPATIENT APRDRG 7934: MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$24,367.31
|
|
Service Code
|
APR-DRG 7934
|
Hospital Charge Code |
APRDRG 7934
|
Min. Negotiated Rate |
$23,206.96 |
Max. Negotiated Rate |
$24,367.31 |
Rate for Payer: BCBS Complete |
$24,367.31
|
Rate for Payer: Mclaren Medicaid |
$23,206.96
|
Rate for Payer: Meridian Medicaid |
$24,367.31
|
Rate for Payer: PHP Medicaid |
$23,206.96
|
Rate for Payer: Priority Health Choice Medicaid |
$23,206.96
|
|
INPATIENT APRDRG 7941: NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$4,877.56
|
|
Service Code
|
APR-DRG 7941
|
Hospital Charge Code |
APRDRG 7941
|
Min. Negotiated Rate |
$4,645.30 |
Max. Negotiated Rate |
$4,877.56 |
Rate for Payer: BCBS Complete |
$4,877.56
|
Rate for Payer: Mclaren Medicaid |
$4,645.30
|
Rate for Payer: Meridian Medicaid |
$4,877.56
|
Rate for Payer: PHP Medicaid |
$4,645.30
|
Rate for Payer: Priority Health Choice Medicaid |
$4,645.30
|
|
INPATIENT APRDRG 7942: NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$6,428.79
|
|
Service Code
|
APR-DRG 7942
|
Hospital Charge Code |
APRDRG 7942
|
Min. Negotiated Rate |
$6,122.66 |
Max. Negotiated Rate |
$6,428.79 |
Rate for Payer: BCBS Complete |
$6,428.79
|
Rate for Payer: Mclaren Medicaid |
$6,122.66
|
Rate for Payer: Meridian Medicaid |
$6,428.79
|
Rate for Payer: PHP Medicaid |
$6,122.66
|
Rate for Payer: Priority Health Choice Medicaid |
$6,122.66
|
|
INPATIENT APRDRG 7943: NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$9,661.88
|
|
Service Code
|
APR-DRG 7943
|
Hospital Charge Code |
APRDRG 7943
|
Min. Negotiated Rate |
$9,201.79 |
Max. Negotiated Rate |
$9,661.88 |
Rate for Payer: BCBS Complete |
$9,661.88
|
Rate for Payer: Mclaren Medicaid |
$9,201.79
|
Rate for Payer: Meridian Medicaid |
$9,661.88
|
Rate for Payer: PHP Medicaid |
$9,201.79
|
Rate for Payer: Priority Health Choice Medicaid |
$9,201.79
|
|
INPATIENT APRDRG 7944: NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT
|
Facility
|
IP
|
$18,232.06
|
|
Service Code
|
APR-DRG 7944
|
Hospital Charge Code |
APRDRG 7944
|
Min. Negotiated Rate |
$17,363.87 |
Max. Negotiated Rate |
$18,232.06 |
Rate for Payer: BCBS Complete |
$18,232.06
|
Rate for Payer: Mclaren Medicaid |
$17,363.87
|
Rate for Payer: Meridian Medicaid |
$18,232.06
|
Rate for Payer: PHP Medicaid |
$17,363.87
|
Rate for Payer: Priority Health Choice Medicaid |
$17,363.87
|
|
INPATIENT APRDRG 8101: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION
|
Facility
|
IP
|
$2,866.29
|
|
Service Code
|
APR-DRG 8101
|
Hospital Charge Code |
APRDRG 8101
|
Min. Negotiated Rate |
$2,729.80 |
Max. Negotiated Rate |
$2,866.29 |
Rate for Payer: BCBS Complete |
$2,866.29
|
Rate for Payer: Mclaren Medicaid |
$2,729.80
|
Rate for Payer: Meridian Medicaid |
$2,866.29
|
Rate for Payer: PHP Medicaid |
$2,729.80
|
Rate for Payer: Priority Health Choice Medicaid |
$2,729.80
|
|
INPATIENT APRDRG 8102: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION
|
Facility
|
IP
|
$3,830.95
|
|
Service Code
|
APR-DRG 8102
|
Hospital Charge Code |
APRDRG 8102
|
Min. Negotiated Rate |
$3,648.52 |
Max. Negotiated Rate |
$3,830.95 |
Rate for Payer: BCBS Complete |
$3,830.95
|
Rate for Payer: Mclaren Medicaid |
$3,648.52
|
Rate for Payer: Meridian Medicaid |
$3,830.95
|
Rate for Payer: PHP Medicaid |
$3,648.52
|
Rate for Payer: Priority Health Choice Medicaid |
$3,648.52
|
|