2333 BIDDLE, WYANDOTTE, MI, 48192
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| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 20 | — | — | $4,349.1 | $10,534 | $20,806 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 20 | — | — | $13,955 | $14,689 | $38,727 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 20 | — | — | $7,332.43 | $7,718.35 | $24,173 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 20 | — | — | $5,094.38 | $5,362.51 | $18,333 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 20 | — | — | $10,414 | $12,017 | $25,803 |
| COPD w MCC | MS-DRG | 190 | 20 | — | — | $7,382.02 | $8,479.01 | $19,297 |
| COPD w CC | MS-DRG | 191 | 20 | — | — | $6,257.68 | $6,587.03 | $17,172 |
| COPD w/o CC/MCC | MS-DRG | 192 | 20 | — | — | $4,093.22 | $5,067.85 | $12,600 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 20 | — | — | $5,738.84 | $6,306.71 | $12,688 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 20 | — | — | $4,571.46 | $4,892.2 | $9,191.05 |
| AMI discharged alive w MCC | MS-DRG | 280 | 20 | — | — | $11,586 | $12,196 | $29,349 |
| AMI discharged alive w CC | MS-DRG | 281 | 20 | — | — | $6,684.71 | $7,036.54 | $20,412 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 20 | — | — | $5,345.02 | $5,626.34 | $17,711 |
| Heart failure & shock w MCC | MS-DRG | 291 | 20 | — | — | $8,820.82 | $9,782.4 | $23,312 |
| Heart failure & shock w CC | MS-DRG | 292 | 20 | — | — | $6,271.98 | $6,602.08 | $15,679 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 20 | — | — | $4,143.59 | $4,361.67 | $10,280 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 20 | — | — | $7,840.63 | $9,073.35 | $21,946 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 20 | — | — | $4,340.1 | $5,728.14 | $14,409 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 20 | — | — | $3,686.92 | $4,439.1 | $11,078 |
| GI hemorrhage w CC | MS-DRG | 378 | 20 | — | — | $7,121.3 | $7,496.1 | $20,604 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 20 | — | — | $4,742.94 | $4,992.57 | $15,192 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 20 | — | — | $5,272.05 | $6,022.08 | $13,639 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 20 | — | — | $10,792 | $11,360 | $27,594 |
| Kidney/UTI w MCC | MS-DRG | 689 | 20 | — | — | $8,377.21 | $8,818.12 | $18,958 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 20 | — | — | $5,140.43 | $6,181.96 | $11,978 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 20 | — | — | $13,387 | $14,495 | $34,362 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 20 | — | — | $6,150.86 | $7,819.43 | $15,897 |
| surgery | ||||||||
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 20 | — | — | $31,681 | $33,349 | $74,261 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 20 | — | — | $16,505 | $17,374 | $45,018 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 20 | — | — | $11,651 | $12,264 | $32,994 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 20 | — | — | $11,702 | $12,317 | $34,969 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 20 | — | — | $9,380.45 | $9,874.16 | $31,182 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 20 | — | — | $24,445 | $25,732 | $86,754 |
| Major joint replacement w MCC | MS-DRG | 469 | 20 | — | — | $22,669 | $23,862 | $73,315 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 20 | — | — | $13,248 | $13,946 | $39,761 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 20 | — | — | $20,437 | $21,513 | $71,386 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 20 | — | — | $14,538 | $15,304 | $47,211 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 20 | — | — | $11,211 | $11,801 | $33,064 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 20 | — | — | $18,976 | $19,975 | $45,132 |
| OR procedure for obesity w CC | MS-DRG | 620 | 20 | — | — | $11,283 | $11,877 | $32,568 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 20 | — | — | $10,363 | $10,908 | $29,632 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 20 | — | — | $8,570.64 | $9,021.73 | $24,396 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 20 | — | — | $12,462 | $14,437 | $33,380 |
| Payer | Codes covered | Median rate |
|---|---|---|
| Aetna | 43 | $11,636 |
| amerihealth michigan | 43 | $9,586.75 |
| bcbsm | 43 | $14,466 |
| bcbsm/bcn | 43 | $24,173 |
| bcn | 43 | $9,782.4 |
| CareSource | 43 | $9,782.4 |
| cca health michigan | 43 | $9,782.4 |
| cofinity group health | 43 | $18,520 |
| erickson | 43 | $9,782.4 |
| hap | 43 | $12,680 |
| Humana | 43 | $9,616.44 |
| mclaren health | 43 | $9,782.4 |
| meridian health plan of mi | 43 | $13,206 |
| Molina | 43 | $11,404 |
| mount carmel health plan | 43 | $9,782.4 |
| pace of se mi | 43 | $9,293.28 |
| priority health | 43 | $12,106 |
| UnitedHealthcare | 43 | $11,927 |
| vitalcore physicians group of mi | 43 | $18,097 |
| WellCare | 43 | $9,782.4 |
