INPATIENT APRDRG 8174: OVERDOSE
|
Facility
|
IP
|
$10,218.23
|
|
Service Code
|
APR-DRG 8174
|
Hospital Charge Code |
APRDRG 8174
|
Min. Negotiated Rate |
$9,731.65 |
Max. Negotiated Rate |
$10,218.23 |
Rate for Payer: BCBS Complete |
$10,218.23
|
Rate for Payer: Mclaren Medicaid |
$9,731.65
|
Rate for Payer: Meridian Medicaid |
$10,218.23
|
Rate for Payer: PHP Medicaid |
$9,731.65
|
Rate for Payer: Priority Health Choice Medicaid |
$9,731.65
|
|
INPATIENT APRDRG 8411: EXTENSIVE 3RD DEGREE BURNS W SKIN GRAFT
|
Facility
|
IP
|
$29,118.85
|
|
Service Code
|
APR-DRG 8411
|
Hospital Charge Code |
APRDRG 8411
|
Min. Negotiated Rate |
$27,732.24 |
Max. Negotiated Rate |
$29,118.85 |
Rate for Payer: BCBS Complete |
$29,118.85
|
Rate for Payer: Mclaren Medicaid |
$27,732.24
|
Rate for Payer: Meridian Medicaid |
$29,118.85
|
Rate for Payer: PHP Medicaid |
$27,732.24
|
Rate for Payer: Priority Health Choice Medicaid |
$27,732.24
|
|
INPATIENT APRDRG 8412: EXTENSIVE 3RD DEGREE BURNS W SKIN GRAFT
|
Facility
|
IP
|
$29,116.79
|
|
Service Code
|
APR-DRG 8412
|
Hospital Charge Code |
APRDRG 8412
|
Min. Negotiated Rate |
$27,730.28 |
Max. Negotiated Rate |
$29,116.79 |
Rate for Payer: BCBS Complete |
$29,116.79
|
Rate for Payer: Mclaren Medicaid |
$27,730.28
|
Rate for Payer: Meridian Medicaid |
$29,116.79
|
Rate for Payer: PHP Medicaid |
$27,730.28
|
Rate for Payer: Priority Health Choice Medicaid |
$27,730.28
|
|
INPATIENT APRDRG 8413: EXTENSIVE 3RD DEGREE BURNS W SKIN GRAFT
|
Facility
|
IP
|
$41,503.58
|
|
Service Code
|
APR-DRG 8413
|
Hospital Charge Code |
APRDRG 8413
|
Min. Negotiated Rate |
$39,527.22 |
Max. Negotiated Rate |
$41,503.58 |
Rate for Payer: BCBS Complete |
$41,503.58
|
Rate for Payer: Mclaren Medicaid |
$39,527.22
|
Rate for Payer: Meridian Medicaid |
$41,503.58
|
Rate for Payer: PHP Medicaid |
$39,527.22
|
Rate for Payer: Priority Health Choice Medicaid |
$39,527.22
|
|
INPATIENT APRDRG 8414: EXTENSIVE 3RD DEGREE BURNS W SKIN GRAFT
|
Facility
|
IP
|
$134,221.80
|
|
Service Code
|
APR-DRG 8414
|
Hospital Charge Code |
APRDRG 8414
|
Min. Negotiated Rate |
$127,830.29 |
Max. Negotiated Rate |
$134,221.80 |
Rate for Payer: BCBS Complete |
$134,221.80
|
Rate for Payer: Mclaren Medicaid |
$127,830.29
|
Rate for Payer: Meridian Medicaid |
$134,221.80
|
Rate for Payer: PHP Medicaid |
$127,830.29
|
Rate for Payer: Priority Health Choice Medicaid |
$127,830.29
|
|
INPATIENT APRDRG 8421: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS
|
Facility
|
IP
|
$8,734.64
|
|
Service Code
|
APR-DRG 8421
|
Hospital Charge Code |
APRDRG 8421
|
Min. Negotiated Rate |
$8,318.70 |
Max. Negotiated Rate |
$8,734.64 |
Rate for Payer: BCBS Complete |
$8,734.64
|
Rate for Payer: Mclaren Medicaid |
$8,318.70
|
Rate for Payer: Meridian Medicaid |
$8,734.64
|
Rate for Payer: PHP Medicaid |
$8,318.70
|
Rate for Payer: Priority Health Choice Medicaid |
$8,318.70
|
|
INPATIENT APRDRG 8422: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS
|
Facility
|
IP
|
$16,387.80
|
|
Service Code
|
APR-DRG 8422
|
Hospital Charge Code |
APRDRG 8422
|
Min. Negotiated Rate |
$15,607.43 |
Max. Negotiated Rate |
$16,387.80 |
Rate for Payer: BCBS Complete |
$16,387.80
|
Rate for Payer: Mclaren Medicaid |
$15,607.43
|
Rate for Payer: Meridian Medicaid |
$16,387.80
|
Rate for Payer: PHP Medicaid |
$15,607.43
|
Rate for Payer: Priority Health Choice Medicaid |
$15,607.43
|
|
INPATIENT APRDRG 8423: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS
|
Facility
|
IP
|
$21,305.83
|
|
Service Code
|
APR-DRG 8423
|
Hospital Charge Code |
APRDRG 8423
|
Min. Negotiated Rate |
$20,291.27 |
Max. Negotiated Rate |
$21,305.83 |
Rate for Payer: BCBS Complete |
$21,305.83
|
Rate for Payer: Mclaren Medicaid |
$20,291.27
|
Rate for Payer: Meridian Medicaid |
$21,305.83
|
Rate for Payer: PHP Medicaid |
$20,291.27
|
Rate for Payer: Priority Health Choice Medicaid |
$20,291.27
|
|
INPATIENT APRDRG 8424: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS
|
Facility
|
IP
|
$86,331.96
|
|
Service Code
|
APR-DRG 8424
|
Hospital Charge Code |
APRDRG 8424
|
Min. Negotiated Rate |
$82,220.91 |
Max. Negotiated Rate |
$86,331.96 |
Rate for Payer: BCBS Complete |
$86,331.96
|
Rate for Payer: Mclaren Medicaid |
$82,220.91
|
Rate for Payer: Meridian Medicaid |
$86,331.96
|
Rate for Payer: PHP Medicaid |
$82,220.91
|
Rate for Payer: Priority Health Choice Medicaid |
$82,220.91
|
|
INPATIENT APRDRG 8431: EXTENSIVE 3RD DEGREE OR FULL THICKNESS BURNS W/O SKIN GRAFT
|
Facility
|
IP
|
$2,728.99
|
|
Service Code
|
APR-DRG 8431
|
Hospital Charge Code |
APRDRG 8431
|
Min. Negotiated Rate |
$2,599.04 |
Max. Negotiated Rate |
$2,728.99 |
Rate for Payer: BCBS Complete |
$2,728.99
|
Rate for Payer: Mclaren Medicaid |
$2,599.04
|
Rate for Payer: Meridian Medicaid |
$2,728.99
|
Rate for Payer: PHP Medicaid |
$2,599.04
|
Rate for Payer: Priority Health Choice Medicaid |
$2,599.04
|
|
INPATIENT APRDRG 8432: EXTENSIVE 3RD DEGREE OR FULL THICKNESS BURNS W/O SKIN GRAFT
|
Facility
|
IP
|
$4,780.73
|
|
Service Code
|
APR-DRG 8432
|
Hospital Charge Code |
APRDRG 8432
|
Min. Negotiated Rate |
$4,553.08 |
Max. Negotiated Rate |
$4,780.73 |
Rate for Payer: BCBS Complete |
$4,780.73
|
Rate for Payer: Mclaren Medicaid |
$4,553.08
|
Rate for Payer: Meridian Medicaid |
$4,780.73
|
Rate for Payer: PHP Medicaid |
$4,553.08
|
Rate for Payer: Priority Health Choice Medicaid |
$4,553.08
|
|
INPATIENT APRDRG 8433: EXTENSIVE 3RD DEGREE OR FULL THICKNESS BURNS W/O SKIN GRAFT
|
Facility
|
IP
|
$11,818.14
|
|
Service Code
|
APR-DRG 8433
|
Hospital Charge Code |
APRDRG 8433
|
Min. Negotiated Rate |
$11,255.37 |
Max. Negotiated Rate |
$11,818.14 |
Rate for Payer: BCBS Complete |
$11,818.14
|
Rate for Payer: Mclaren Medicaid |
$11,255.37
|
Rate for Payer: Meridian Medicaid |
$11,818.14
|
Rate for Payer: PHP Medicaid |
$11,255.37
|
Rate for Payer: Priority Health Choice Medicaid |
$11,255.37
|
|
INPATIENT APRDRG 8434: EXTENSIVE 3RD DEGREE OR FULL THICKNESS BURNS W/O SKIN GRAFT
|
Facility
|
IP
|
$23,213.11
|
|
Service Code
|
APR-DRG 8434
|
Hospital Charge Code |
APRDRG 8434
|
Min. Negotiated Rate |
$22,107.72 |
Max. Negotiated Rate |
$23,213.11 |
Rate for Payer: BCBS Complete |
$23,213.11
|
Rate for Payer: Mclaren Medicaid |
$22,107.72
|
Rate for Payer: Meridian Medicaid |
$23,213.11
|
Rate for Payer: PHP Medicaid |
$22,107.72
|
Rate for Payer: Priority Health Choice Medicaid |
$22,107.72
|
|
INPATIENT APRDRG 8441: PARTIAL THICKNESS BURNS W/O SKIN GRAFT
|
Facility
|
IP
|
$2,883.71
|
|
Service Code
|
APR-DRG 8441
|
Hospital Charge Code |
APRDRG 8441
|
Min. Negotiated Rate |
$2,746.39 |
Max. Negotiated Rate |
$2,883.71 |
Rate for Payer: BCBS Complete |
$2,883.71
|
Rate for Payer: Mclaren Medicaid |
$2,746.39
|
Rate for Payer: Meridian Medicaid |
$2,883.71
|
Rate for Payer: PHP Medicaid |
$2,746.39
|
Rate for Payer: Priority Health Choice Medicaid |
$2,746.39
|
|
INPATIENT APRDRG 8442: PARTIAL THICKNESS BURNS W/O SKIN GRAFT
|
Facility
|
IP
|
$4,806.87
|
|
Service Code
|
APR-DRG 8442
|
Hospital Charge Code |
APRDRG 8442
|
Min. Negotiated Rate |
$4,577.97 |
Max. Negotiated Rate |
$4,806.87 |
Rate for Payer: BCBS Complete |
$4,806.87
|
Rate for Payer: Mclaren Medicaid |
$4,577.97
|
Rate for Payer: Meridian Medicaid |
$4,806.87
|
Rate for Payer: PHP Medicaid |
$4,577.97
|
Rate for Payer: Priority Health Choice Medicaid |
$4,577.97
|
|
INPATIENT APRDRG 8443: PARTIAL THICKNESS BURNS W/O SKIN GRAFT
|
Facility
|
IP
|
$6,010.24
|
|
Service Code
|
APR-DRG 8443
|
Hospital Charge Code |
APRDRG 8443
|
Min. Negotiated Rate |
$5,724.04 |
Max. Negotiated Rate |
$6,010.24 |
Rate for Payer: BCBS Complete |
$6,010.24
|
Rate for Payer: Mclaren Medicaid |
$5,724.04
|
Rate for Payer: Meridian Medicaid |
$6,010.24
|
Rate for Payer: PHP Medicaid |
$5,724.04
|
Rate for Payer: Priority Health Choice Medicaid |
$5,724.04
|
|
INPATIENT APRDRG 8444: PARTIAL THICKNESS BURNS W/O SKIN GRAFT
|
Facility
|
IP
|
$11,960.04
|
|
Service Code
|
APR-DRG 8444
|
Hospital Charge Code |
APRDRG 8444
|
Min. Negotiated Rate |
$11,390.51 |
Max. Negotiated Rate |
$11,960.04 |
Rate for Payer: BCBS Complete |
$11,960.04
|
Rate for Payer: Mclaren Medicaid |
$11,390.51
|
Rate for Payer: Meridian Medicaid |
$11,960.04
|
Rate for Payer: PHP Medicaid |
$11,390.51
|
Rate for Payer: Priority Health Choice Medicaid |
$11,390.51
|
|
INPATIENT APRDRG 8501: PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE
|
Facility
|
IP
|
$9,475.92
|
|
Service Code
|
APR-DRG 8501
|
Hospital Charge Code |
APRDRG 8501
|
Min. Negotiated Rate |
$9,024.69 |
Max. Negotiated Rate |
$9,475.92 |
Rate for Payer: BCBS Complete |
$9,475.92
|
Rate for Payer: Mclaren Medicaid |
$9,024.69
|
Rate for Payer: Meridian Medicaid |
$9,475.92
|
Rate for Payer: PHP Medicaid |
$9,024.69
|
Rate for Payer: Priority Health Choice Medicaid |
$9,024.69
|
|
INPATIENT APRDRG 8502: PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE
|
Facility
|
IP
|
$15,518.44
|
|
Service Code
|
APR-DRG 8502
|
Hospital Charge Code |
APRDRG 8502
|
Min. Negotiated Rate |
$14,779.47 |
Max. Negotiated Rate |
$15,518.44 |
Rate for Payer: BCBS Complete |
$15,518.44
|
Rate for Payer: Mclaren Medicaid |
$14,779.47
|
Rate for Payer: Meridian Medicaid |
$15,518.44
|
Rate for Payer: PHP Medicaid |
$14,779.47
|
Rate for Payer: Priority Health Choice Medicaid |
$14,779.47
|
|
INPATIENT APRDRG 8503: PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE
|
Facility
|
IP
|
$23,482.06
|
|
Service Code
|
APR-DRG 8503
|
Hospital Charge Code |
APRDRG 8503
|
Min. Negotiated Rate |
$22,363.87 |
Max. Negotiated Rate |
$23,482.06 |
Rate for Payer: BCBS Complete |
$23,482.06
|
Rate for Payer: Mclaren Medicaid |
$22,363.87
|
Rate for Payer: Meridian Medicaid |
$23,482.06
|
Rate for Payer: PHP Medicaid |
$22,363.87
|
Rate for Payer: Priority Health Choice Medicaid |
$22,363.87
|
|
INPATIENT APRDRG 8504: PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE
|
Facility
|
IP
|
$55,567.62
|
|
Service Code
|
APR-DRG 8504
|
Hospital Charge Code |
APRDRG 8504
|
Min. Negotiated Rate |
$52,921.54 |
Max. Negotiated Rate |
$55,567.62 |
Rate for Payer: BCBS Complete |
$55,567.62
|
Rate for Payer: Mclaren Medicaid |
$52,921.54
|
Rate for Payer: Meridian Medicaid |
$55,567.62
|
Rate for Payer: PHP Medicaid |
$52,921.54
|
Rate for Payer: Priority Health Choice Medicaid |
$52,921.54
|
|
INPATIENT APRDRG 8601: REHABILITATION
|
Facility
|
IP
|
$8,762.29
|
|
Service Code
|
APR-DRG 8601
|
Hospital Charge Code |
APRDRG 8601
|
Min. Negotiated Rate |
$8,345.04 |
Max. Negotiated Rate |
$8,762.29 |
Rate for Payer: BCBS Complete |
$8,762.29
|
Rate for Payer: Mclaren Medicaid |
$8,345.04
|
Rate for Payer: Meridian Medicaid |
$8,762.29
|
Rate for Payer: PHP Medicaid |
$8,345.04
|
Rate for Payer: Priority Health Choice Medicaid |
$8,345.04
|
|
INPATIENT APRDRG 8602: REHABILITATION
|
Facility
|
IP
|
$11,138.32
|
|
Service Code
|
APR-DRG 8602
|
Hospital Charge Code |
APRDRG 8602
|
Min. Negotiated Rate |
$10,607.92 |
Max. Negotiated Rate |
$11,138.32 |
Rate for Payer: BCBS Complete |
$11,138.32
|
Rate for Payer: Mclaren Medicaid |
$10,607.92
|
Rate for Payer: Meridian Medicaid |
$11,138.32
|
Rate for Payer: PHP Medicaid |
$10,607.92
|
Rate for Payer: Priority Health Choice Medicaid |
$10,607.92
|
|
INPATIENT APRDRG 8603: REHABILITATION
|
Facility
|
IP
|
$10,747.43
|
|
Service Code
|
APR-DRG 8603
|
Hospital Charge Code |
APRDRG 8603
|
Min. Negotiated Rate |
$10,235.65 |
Max. Negotiated Rate |
$10,747.43 |
Rate for Payer: BCBS Complete |
$10,747.43
|
Rate for Payer: Mclaren Medicaid |
$10,235.65
|
Rate for Payer: Meridian Medicaid |
$10,747.43
|
Rate for Payer: PHP Medicaid |
$10,235.65
|
Rate for Payer: Priority Health Choice Medicaid |
$10,235.65
|
|
INPATIENT APRDRG 8604: REHABILITATION
|
Facility
|
IP
|
$12,704.92
|
|
Service Code
|
APR-DRG 8604
|
Hospital Charge Code |
APRDRG 8604
|
Min. Negotiated Rate |
$12,099.92 |
Max. Negotiated Rate |
$12,704.92 |
Rate for Payer: BCBS Complete |
$12,704.92
|
Rate for Payer: Mclaren Medicaid |
$12,099.92
|
Rate for Payer: Meridian Medicaid |
$12,704.92
|
Rate for Payer: PHP Medicaid |
$12,099.92
|
Rate for Payer: Priority Health Choice Medicaid |
$12,099.92
|
|