INPATIENT APRDRG 4831: PENIS, TESTES & SCROTAL PROCEDURES
|
Facility
|
IP
|
$6,461.47
|
|
Service Code
|
APR-DRG 4831
|
Hospital Charge Code |
APRDRG 4831
|
Min. Negotiated Rate |
$6,153.78 |
Max. Negotiated Rate |
$6,461.47 |
Rate for Payer: BCBS Complete |
$6,461.47
|
Rate for Payer: Mclaren Medicaid |
$6,153.78
|
Rate for Payer: Meridian Medicaid |
$6,461.47
|
Rate for Payer: Priority Health Choice Medicaid |
$6,153.78
|
|
INPATIENT APRDRG 4832: PENIS, TESTES & SCROTAL PROCEDURES
|
Facility
|
IP
|
$8,211.96
|
|
Service Code
|
APR-DRG 4832
|
Hospital Charge Code |
APRDRG 4832
|
Min. Negotiated Rate |
$7,820.91 |
Max. Negotiated Rate |
$8,211.96 |
Rate for Payer: BCBS Complete |
$8,211.96
|
Rate for Payer: Mclaren Medicaid |
$7,820.91
|
Rate for Payer: Meridian Medicaid |
$8,211.96
|
Rate for Payer: Priority Health Choice Medicaid |
$7,820.91
|
|
INPATIENT APRDRG 4833: PENIS, TESTES & SCROTAL PROCEDURES
|
Facility
|
IP
|
$12,322.82
|
|
Service Code
|
APR-DRG 4833
|
Hospital Charge Code |
APRDRG 4833
|
Min. Negotiated Rate |
$11,736.02 |
Max. Negotiated Rate |
$12,322.82 |
Rate for Payer: BCBS Complete |
$12,322.82
|
Rate for Payer: Mclaren Medicaid |
$11,736.02
|
Rate for Payer: Meridian Medicaid |
$12,322.82
|
Rate for Payer: Priority Health Choice Medicaid |
$11,736.02
|
|
INPATIENT APRDRG 4834: PENIS, TESTES & SCROTAL PROCEDURES
|
Facility
|
IP
|
$22,665.82
|
|
Service Code
|
APR-DRG 4834
|
Hospital Charge Code |
APRDRG 4834
|
Min. Negotiated Rate |
$21,586.50 |
Max. Negotiated Rate |
$22,665.82 |
Rate for Payer: BCBS Complete |
$22,665.82
|
Rate for Payer: Mclaren Medicaid |
$21,586.50
|
Rate for Payer: Meridian Medicaid |
$22,665.82
|
Rate for Payer: Priority Health Choice Medicaid |
$21,586.50
|
|
INPATIENT APRDRG 4841: OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES
|
Facility
|
IP
|
$8,696.60
|
|
Service Code
|
APR-DRG 4841
|
Hospital Charge Code |
APRDRG 4841
|
Min. Negotiated Rate |
$8,282.48 |
Max. Negotiated Rate |
$8,696.60 |
Rate for Payer: BCBS Complete |
$8,696.60
|
Rate for Payer: Mclaren Medicaid |
$8,282.48
|
Rate for Payer: Meridian Medicaid |
$8,696.60
|
Rate for Payer: Priority Health Choice Medicaid |
$8,282.48
|
|
INPATIENT APRDRG 4842: OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES
|
Facility
|
IP
|
$10,073.58
|
|
Service Code
|
APR-DRG 4842
|
Hospital Charge Code |
APRDRG 4842
|
Min. Negotiated Rate |
$9,593.89 |
Max. Negotiated Rate |
$10,073.58 |
Rate for Payer: BCBS Complete |
$10,073.58
|
Rate for Payer: Mclaren Medicaid |
$9,593.89
|
Rate for Payer: Meridian Medicaid |
$10,073.58
|
Rate for Payer: Priority Health Choice Medicaid |
$9,593.89
|
|
INPATIENT APRDRG 4843: OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES
|
Facility
|
IP
|
$10,818.44
|
|
Service Code
|
APR-DRG 4843
|
Hospital Charge Code |
APRDRG 4843
|
Min. Negotiated Rate |
$10,303.28 |
Max. Negotiated Rate |
$10,818.44 |
Rate for Payer: BCBS Complete |
$10,818.44
|
Rate for Payer: Mclaren Medicaid |
$10,303.28
|
Rate for Payer: Meridian Medicaid |
$10,818.44
|
Rate for Payer: Priority Health Choice Medicaid |
$10,303.28
|
|
INPATIENT APRDRG 4844: OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES
|
Facility
|
IP
|
$23,894.81
|
|
Service Code
|
APR-DRG 4844
|
Hospital Charge Code |
APRDRG 4844
|
Min. Negotiated Rate |
$22,756.96 |
Max. Negotiated Rate |
$23,894.81 |
Rate for Payer: BCBS Complete |
$23,894.81
|
Rate for Payer: Mclaren Medicaid |
$22,756.96
|
Rate for Payer: Meridian Medicaid |
$23,894.81
|
Rate for Payer: Priority Health Choice Medicaid |
$22,756.96
|
|
INPATIENT APRDRG 5001: MALIGNANCY, MALE REPRODUCTIVE SYSTEM
|
Facility
|
IP
|
$4,565.15
|
|
Service Code
|
APR-DRG 5001
|
Hospital Charge Code |
APRDRG 5001
|
Min. Negotiated Rate |
$4,347.76 |
Max. Negotiated Rate |
$4,565.15 |
Rate for Payer: BCBS Complete |
$4,565.15
|
Rate for Payer: Mclaren Medicaid |
$4,347.76
|
Rate for Payer: Meridian Medicaid |
$4,565.15
|
Rate for Payer: Priority Health Choice Medicaid |
$4,347.76
|
|
INPATIENT APRDRG 5002: MALIGNANCY, MALE REPRODUCTIVE SYSTEM
|
Facility
|
IP
|
$6,704.88
|
|
Service Code
|
APR-DRG 5002
|
Hospital Charge Code |
APRDRG 5002
|
Min. Negotiated Rate |
$6,385.60 |
Max. Negotiated Rate |
$6,704.88 |
Rate for Payer: BCBS Complete |
$6,704.88
|
Rate for Payer: Mclaren Medicaid |
$6,385.60
|
Rate for Payer: Meridian Medicaid |
$6,704.88
|
Rate for Payer: Priority Health Choice Medicaid |
$6,385.60
|
|
INPATIENT APRDRG 5003: MALIGNANCY, MALE REPRODUCTIVE SYSTEM
|
Facility
|
IP
|
$9,976.00
|
|
Service Code
|
APR-DRG 5003
|
Hospital Charge Code |
APRDRG 5003
|
Min. Negotiated Rate |
$9,500.95 |
Max. Negotiated Rate |
$9,976.00 |
Rate for Payer: BCBS Complete |
$9,976.00
|
Rate for Payer: Mclaren Medicaid |
$9,500.95
|
Rate for Payer: Meridian Medicaid |
$9,976.00
|
Rate for Payer: Priority Health Choice Medicaid |
$9,500.95
|
|
INPATIENT APRDRG 5004: MALIGNANCY, MALE REPRODUCTIVE SYSTEM
|
Facility
|
IP
|
$20,089.16
|
|
Service Code
|
APR-DRG 5004
|
Hospital Charge Code |
APRDRG 5004
|
Min. Negotiated Rate |
$19,132.53 |
Max. Negotiated Rate |
$20,089.16 |
Rate for Payer: BCBS Complete |
$20,089.16
|
Rate for Payer: Mclaren Medicaid |
$19,132.53
|
Rate for Payer: Meridian Medicaid |
$20,089.16
|
Rate for Payer: Priority Health Choice Medicaid |
$19,132.53
|
|
INPATIENT APRDRG 5011: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY
|
Facility
|
IP
|
$3,343.22
|
|
Service Code
|
APR-DRG 5011
|
Hospital Charge Code |
APRDRG 5011
|
Min. Negotiated Rate |
$3,184.02 |
Max. Negotiated Rate |
$3,343.22 |
Rate for Payer: BCBS Complete |
$3,343.22
|
Rate for Payer: Mclaren Medicaid |
$3,184.02
|
Rate for Payer: Meridian Medicaid |
$3,343.22
|
Rate for Payer: Priority Health Choice Medicaid |
$3,184.02
|
|
INPATIENT APRDRG 5012: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY
|
Facility
|
IP
|
$3,729.75
|
|
Service Code
|
APR-DRG 5012
|
Hospital Charge Code |
APRDRG 5012
|
Min. Negotiated Rate |
$3,552.14 |
Max. Negotiated Rate |
$3,729.75 |
Rate for Payer: BCBS Complete |
$3,729.75
|
Rate for Payer: Mclaren Medicaid |
$3,552.14
|
Rate for Payer: Meridian Medicaid |
$3,729.75
|
Rate for Payer: Priority Health Choice Medicaid |
$3,552.14
|
|
INPATIENT APRDRG 5013: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY
|
Facility
|
IP
|
$5,408.69
|
|
Service Code
|
APR-DRG 5013
|
Hospital Charge Code |
APRDRG 5013
|
Min. Negotiated Rate |
$5,151.13 |
Max. Negotiated Rate |
$5,408.69 |
Rate for Payer: BCBS Complete |
$5,408.69
|
Rate for Payer: Mclaren Medicaid |
$5,151.13
|
Rate for Payer: Meridian Medicaid |
$5,408.69
|
Rate for Payer: Priority Health Choice Medicaid |
$5,151.13
|
|
INPATIENT APRDRG 5014: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY
|
Facility
|
IP
|
$10,669.36
|
|
Service Code
|
APR-DRG 5014
|
Hospital Charge Code |
APRDRG 5014
|
Min. Negotiated Rate |
$10,161.30 |
Max. Negotiated Rate |
$10,669.36 |
Rate for Payer: BCBS Complete |
$10,669.36
|
Rate for Payer: Mclaren Medicaid |
$10,161.30
|
Rate for Payer: Meridian Medicaid |
$10,669.36
|
Rate for Payer: Priority Health Choice Medicaid |
$10,161.30
|
|
INPATIENT APRDRG 5101: PELVIC EVISCERATION, RADICAL HYSTERECTOMY & OTHER RADICAL GYN PROCS
|
Facility
|
IP
|
$8,214.13
|
|
Service Code
|
APR-DRG 5101
|
Hospital Charge Code |
APRDRG 5101
|
Min. Negotiated Rate |
$7,822.98 |
Max. Negotiated Rate |
$8,214.13 |
Rate for Payer: BCBS Complete |
$8,214.13
|
Rate for Payer: Mclaren Medicaid |
$7,822.98
|
Rate for Payer: Meridian Medicaid |
$8,214.13
|
Rate for Payer: Priority Health Choice Medicaid |
$7,822.98
|
|
INPATIENT APRDRG 5102: PELVIC EVISCERATION, RADICAL HYSTERECTOMY & OTHER RADICAL GYN PROCS
|
Facility
|
IP
|
$9,460.45
|
|
Service Code
|
APR-DRG 5102
|
Hospital Charge Code |
APRDRG 5102
|
Min. Negotiated Rate |
$9,009.95 |
Max. Negotiated Rate |
$9,460.45 |
Rate for Payer: BCBS Complete |
$9,460.45
|
Rate for Payer: Mclaren Medicaid |
$9,009.95
|
Rate for Payer: Meridian Medicaid |
$9,460.45
|
Rate for Payer: Priority Health Choice Medicaid |
$9,009.95
|
|
INPATIENT APRDRG 5103: PELVIC EVISCERATION, RADICAL HYSTERECTOMY & OTHER RADICAL GYN PROCS
|
Facility
|
IP
|
$17,009.95
|
|
Service Code
|
APR-DRG 5103
|
Hospital Charge Code |
APRDRG 5103
|
Min. Negotiated Rate |
$16,199.95 |
Max. Negotiated Rate |
$17,009.95 |
Rate for Payer: BCBS Complete |
$17,009.95
|
Rate for Payer: Mclaren Medicaid |
$16,199.95
|
Rate for Payer: Meridian Medicaid |
$17,009.95
|
Rate for Payer: Priority Health Choice Medicaid |
$16,199.95
|
|
INPATIENT APRDRG 5104: PELVIC EVISCERATION, RADICAL HYSTERECTOMY & OTHER RADICAL GYN PROCS
|
Facility
|
IP
|
$31,979.90
|
|
Service Code
|
APR-DRG 5104
|
Hospital Charge Code |
APRDRG 5104
|
Min. Negotiated Rate |
$30,457.05 |
Max. Negotiated Rate |
$31,979.90 |
Rate for Payer: BCBS Complete |
$31,979.90
|
Rate for Payer: Mclaren Medicaid |
$30,457.05
|
Rate for Payer: Meridian Medicaid |
$31,979.90
|
Rate for Payer: Priority Health Choice Medicaid |
$30,457.05
|
|
INPATIENT APRDRG 5111: UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY
|
Facility
|
IP
|
$7,524.55
|
|
Service Code
|
APR-DRG 5111
|
Hospital Charge Code |
APRDRG 5111
|
Min. Negotiated Rate |
$7,166.24 |
Max. Negotiated Rate |
$7,524.55 |
Rate for Payer: BCBS Complete |
$7,524.55
|
Rate for Payer: Mclaren Medicaid |
$7,166.24
|
Rate for Payer: Meridian Medicaid |
$7,524.55
|
Rate for Payer: Priority Health Choice Medicaid |
$7,166.24
|
|
INPATIENT APRDRG 5112: UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY
|
Facility
|
IP
|
$10,176.58
|
|
Service Code
|
APR-DRG 5112
|
Hospital Charge Code |
APRDRG 5112
|
Min. Negotiated Rate |
$9,691.98 |
Max. Negotiated Rate |
$10,176.58 |
Rate for Payer: BCBS Complete |
$10,176.58
|
Rate for Payer: Mclaren Medicaid |
$9,691.98
|
Rate for Payer: Meridian Medicaid |
$10,176.58
|
Rate for Payer: Priority Health Choice Medicaid |
$9,691.98
|
|
INPATIENT APRDRG 5113: UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY
|
Facility
|
IP
|
$13,665.09
|
|
Service Code
|
APR-DRG 5113
|
Hospital Charge Code |
APRDRG 5113
|
Min. Negotiated Rate |
$13,014.37 |
Max. Negotiated Rate |
$13,665.09 |
Rate for Payer: BCBS Complete |
$13,665.09
|
Rate for Payer: Mclaren Medicaid |
$13,014.37
|
Rate for Payer: Meridian Medicaid |
$13,665.09
|
Rate for Payer: Priority Health Choice Medicaid |
$13,014.37
|
|
INPATIENT APRDRG 5114: UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY
|
Facility
|
IP
|
$27,131.77
|
|
Service Code
|
APR-DRG 5114
|
Hospital Charge Code |
APRDRG 5114
|
Min. Negotiated Rate |
$25,839.78 |
Max. Negotiated Rate |
$27,131.77 |
Rate for Payer: BCBS Complete |
$27,131.77
|
Rate for Payer: Mclaren Medicaid |
$25,839.78
|
Rate for Payer: Meridian Medicaid |
$27,131.77
|
Rate for Payer: Priority Health Choice Medicaid |
$25,839.78
|
|
INPATIENT APRDRG 5121: UTERINE & ADNEXA PROCEDURES FOR NON-OVARIAN & NON-ADNEXAL MALIG
|
Facility
|
IP
|
$8,702.03
|
|
Service Code
|
APR-DRG 5121
|
Hospital Charge Code |
APRDRG 5121
|
Min. Negotiated Rate |
$8,287.65 |
Max. Negotiated Rate |
$8,702.03 |
Rate for Payer: BCBS Complete |
$8,702.03
|
Rate for Payer: Mclaren Medicaid |
$8,287.65
|
Rate for Payer: Meridian Medicaid |
$8,702.03
|
Rate for Payer: Priority Health Choice Medicaid |
$8,287.65
|
|