INPATIENT APRDRG 5122: UTERINE & ADNEXA PROCEDURES FOR NON-OVARIAN & NON-ADNEXAL MALIG
|
Facility
|
IP
|
$10,045.39
|
|
Service Code
|
APR-DRG 5122
|
Hospital Charge Code |
APRDRG 5122
|
Min. Negotiated Rate |
$9,567.04 |
Max. Negotiated Rate |
$10,045.39 |
Rate for Payer: BCBS Complete |
$10,045.39
|
Rate for Payer: Mclaren Medicaid |
$9,567.04
|
Rate for Payer: Meridian Medicaid |
$10,045.39
|
Rate for Payer: Priority Health Choice Medicaid |
$9,567.04
|
|
INPATIENT APRDRG 5123: UTERINE & ADNEXA PROCEDURES FOR NON-OVARIAN & NON-ADNEXAL MALIG
|
Facility
|
IP
|
$14,544.40
|
|
Service Code
|
APR-DRG 5123
|
Hospital Charge Code |
APRDRG 5123
|
Min. Negotiated Rate |
$13,851.81 |
Max. Negotiated Rate |
$14,544.40 |
Rate for Payer: BCBS Complete |
$14,544.40
|
Rate for Payer: Mclaren Medicaid |
$13,851.81
|
Rate for Payer: Meridian Medicaid |
$14,544.40
|
Rate for Payer: Priority Health Choice Medicaid |
$13,851.81
|
|
INPATIENT APRDRG 5124: UTERINE & ADNEXA PROCEDURES FOR NON-OVARIAN & NON-ADNEXAL MALIG
|
Facility
|
IP
|
$24,747.56
|
|
Service Code
|
APR-DRG 5124
|
Hospital Charge Code |
APRDRG 5124
|
Min. Negotiated Rate |
$23,569.10 |
Max. Negotiated Rate |
$24,747.56 |
Rate for Payer: BCBS Complete |
$24,747.56
|
Rate for Payer: Mclaren Medicaid |
$23,569.10
|
Rate for Payer: Meridian Medicaid |
$24,747.56
|
Rate for Payer: Priority Health Choice Medicaid |
$23,569.10
|
|
INPATIENT APRDRG 5131: UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA
|
Facility
|
IP
|
$6,959.67
|
|
Service Code
|
APR-DRG 5131
|
Hospital Charge Code |
APRDRG 5131
|
Min. Negotiated Rate |
$6,628.26 |
Max. Negotiated Rate |
$6,959.67 |
Rate for Payer: BCBS Complete |
$6,959.67
|
Rate for Payer: Mclaren Medicaid |
$6,628.26
|
Rate for Payer: Meridian Medicaid |
$6,959.67
|
Rate for Payer: Priority Health Choice Medicaid |
$6,628.26
|
|
INPATIENT APRDRG 5132: UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA
|
Facility
|
IP
|
$8,421.76
|
|
Service Code
|
APR-DRG 5132
|
Hospital Charge Code |
APRDRG 5132
|
Min. Negotiated Rate |
$8,020.72 |
Max. Negotiated Rate |
$8,421.76 |
Rate for Payer: BCBS Complete |
$8,421.76
|
Rate for Payer: Mclaren Medicaid |
$8,020.72
|
Rate for Payer: Meridian Medicaid |
$8,421.76
|
Rate for Payer: Priority Health Choice Medicaid |
$8,020.72
|
|
INPATIENT APRDRG 5133: UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA
|
Facility
|
IP
|
$13,404.88
|
|
Service Code
|
APR-DRG 5133
|
Hospital Charge Code |
APRDRG 5133
|
Min. Negotiated Rate |
$12,766.55 |
Max. Negotiated Rate |
$13,404.88 |
Rate for Payer: BCBS Complete |
$13,404.88
|
Rate for Payer: Mclaren Medicaid |
$12,766.55
|
Rate for Payer: Meridian Medicaid |
$13,404.88
|
Rate for Payer: Priority Health Choice Medicaid |
$12,766.55
|
|
INPATIENT APRDRG 5134: UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA
|
Facility
|
IP
|
$23,306.61
|
|
Service Code
|
APR-DRG 5134
|
Hospital Charge Code |
APRDRG 5134
|
Min. Negotiated Rate |
$22,196.77 |
Max. Negotiated Rate |
$23,306.61 |
Rate for Payer: BCBS Complete |
$23,306.61
|
Rate for Payer: Mclaren Medicaid |
$22,196.77
|
Rate for Payer: Meridian Medicaid |
$23,306.61
|
Rate for Payer: Priority Health Choice Medicaid |
$22,196.77
|
|
INPATIENT APRDRG 5141: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES
|
Facility
|
IP
|
$5,608.18
|
|
Service Code
|
APR-DRG 5141
|
Hospital Charge Code |
APRDRG 5141
|
Min. Negotiated Rate |
$5,341.12 |
Max. Negotiated Rate |
$5,608.18 |
Rate for Payer: BCBS Complete |
$5,608.18
|
Rate for Payer: Mclaren Medicaid |
$5,341.12
|
Rate for Payer: Meridian Medicaid |
$5,608.18
|
Rate for Payer: Priority Health Choice Medicaid |
$5,341.12
|
|
INPATIENT APRDRG 5142: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES
|
Facility
|
IP
|
$8,670.58
|
|
Service Code
|
APR-DRG 5142
|
Hospital Charge Code |
APRDRG 5142
|
Min. Negotiated Rate |
$8,257.70 |
Max. Negotiated Rate |
$8,670.58 |
Rate for Payer: BCBS Complete |
$8,670.58
|
Rate for Payer: Mclaren Medicaid |
$8,257.70
|
Rate for Payer: Meridian Medicaid |
$8,670.58
|
Rate for Payer: Priority Health Choice Medicaid |
$8,257.70
|
|
INPATIENT APRDRG 5143: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES
|
Facility
|
IP
|
$11,744.38
|
|
Service Code
|
APR-DRG 5143
|
Hospital Charge Code |
APRDRG 5143
|
Min. Negotiated Rate |
$11,185.12 |
Max. Negotiated Rate |
$11,744.38 |
Rate for Payer: BCBS Complete |
$11,744.38
|
Rate for Payer: Mclaren Medicaid |
$11,185.12
|
Rate for Payer: Meridian Medicaid |
$11,744.38
|
Rate for Payer: Priority Health Choice Medicaid |
$11,185.12
|
|
INPATIENT APRDRG 5144: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES
|
Facility
|
IP
|
$31,642.17
|
|
Service Code
|
APR-DRG 5144
|
Hospital Charge Code |
APRDRG 5144
|
Min. Negotiated Rate |
$30,135.40 |
Max. Negotiated Rate |
$31,642.17 |
Rate for Payer: BCBS Complete |
$31,642.17
|
Rate for Payer: Mclaren Medicaid |
$30,135.40
|
Rate for Payer: Meridian Medicaid |
$31,642.17
|
Rate for Payer: Priority Health Choice Medicaid |
$30,135.40
|
|
INPATIENT APRDRG 5171: DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES
|
Facility
|
IP
|
$4,634.54
|
|
Service Code
|
APR-DRG 5171
|
Hospital Charge Code |
APRDRG 5171
|
Min. Negotiated Rate |
$4,413.85 |
Max. Negotiated Rate |
$4,634.54 |
Rate for Payer: BCBS Complete |
$4,634.54
|
Rate for Payer: Mclaren Medicaid |
$4,413.85
|
Rate for Payer: Meridian Medicaid |
$4,634.54
|
Rate for Payer: Priority Health Choice Medicaid |
$4,413.85
|
|
INPATIENT APRDRG 5172: DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES
|
Facility
|
IP
|
$5,384.83
|
|
Service Code
|
APR-DRG 5172
|
Hospital Charge Code |
APRDRG 5172
|
Min. Negotiated Rate |
$5,128.41 |
Max. Negotiated Rate |
$5,384.83 |
Rate for Payer: BCBS Complete |
$5,384.83
|
Rate for Payer: Mclaren Medicaid |
$5,128.41
|
Rate for Payer: Meridian Medicaid |
$5,384.83
|
Rate for Payer: Priority Health Choice Medicaid |
$5,128.41
|
|
INPATIENT APRDRG 5173: DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES
|
Facility
|
IP
|
$8,544.82
|
|
Service Code
|
APR-DRG 5173
|
Hospital Charge Code |
APRDRG 5173
|
Min. Negotiated Rate |
$8,137.92 |
Max. Negotiated Rate |
$8,544.82 |
Rate for Payer: BCBS Complete |
$8,544.82
|
Rate for Payer: Mclaren Medicaid |
$8,137.92
|
Rate for Payer: Meridian Medicaid |
$8,544.82
|
Rate for Payer: Priority Health Choice Medicaid |
$8,137.92
|
|
INPATIENT APRDRG 5174: DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES
|
Facility
|
IP
|
$14,162.21
|
|
Service Code
|
APR-DRG 5174
|
Hospital Charge Code |
APRDRG 5174
|
Min. Negotiated Rate |
$13,487.82 |
Max. Negotiated Rate |
$14,162.21 |
Rate for Payer: BCBS Complete |
$14,162.21
|
Rate for Payer: Mclaren Medicaid |
$13,487.82
|
Rate for Payer: Meridian Medicaid |
$14,162.21
|
Rate for Payer: Priority Health Choice Medicaid |
$13,487.82
|
|
INPATIENT APRDRG 5181: OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES
|
Facility
|
IP
|
$5,814.72
|
|
Service Code
|
APR-DRG 5181
|
Hospital Charge Code |
APRDRG 5181
|
Min. Negotiated Rate |
$5,537.83 |
Max. Negotiated Rate |
$5,814.72 |
Rate for Payer: BCBS Complete |
$5,814.72
|
Rate for Payer: Mclaren Medicaid |
$5,537.83
|
Rate for Payer: Meridian Medicaid |
$5,814.72
|
Rate for Payer: Priority Health Choice Medicaid |
$5,537.83
|
|
INPATIENT APRDRG 5182: OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES
|
Facility
|
IP
|
$6,835.53
|
|
Service Code
|
APR-DRG 5182
|
Hospital Charge Code |
APRDRG 5182
|
Min. Negotiated Rate |
$6,510.03 |
Max. Negotiated Rate |
$6,835.53 |
Rate for Payer: BCBS Complete |
$6,835.53
|
Rate for Payer: Mclaren Medicaid |
$6,510.03
|
Rate for Payer: Meridian Medicaid |
$6,835.53
|
Rate for Payer: Priority Health Choice Medicaid |
$6,510.03
|
|
INPATIENT APRDRG 5183: OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES
|
Facility
|
IP
|
$10,771.82
|
|
Service Code
|
APR-DRG 5183
|
Hospital Charge Code |
APRDRG 5183
|
Min. Negotiated Rate |
$10,258.88 |
Max. Negotiated Rate |
$10,771.82 |
Rate for Payer: BCBS Complete |
$10,771.82
|
Rate for Payer: Mclaren Medicaid |
$10,258.88
|
Rate for Payer: Meridian Medicaid |
$10,771.82
|
Rate for Payer: Priority Health Choice Medicaid |
$10,258.88
|
|
INPATIENT APRDRG 5184: OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES
|
Facility
|
IP
|
$22,635.47
|
|
Service Code
|
APR-DRG 5184
|
Hospital Charge Code |
APRDRG 5184
|
Min. Negotiated Rate |
$21,557.59 |
Max. Negotiated Rate |
$22,635.47 |
Rate for Payer: BCBS Complete |
$22,635.47
|
Rate for Payer: Mclaren Medicaid |
$21,557.59
|
Rate for Payer: Meridian Medicaid |
$22,635.47
|
Rate for Payer: Priority Health Choice Medicaid |
$21,557.59
|
|
INPATIENT APRDRG 5191: UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA
|
Facility
|
IP
|
$6,358.46
|
|
Service Code
|
APR-DRG 5191
|
Hospital Charge Code |
APRDRG 5191
|
Min. Negotiated Rate |
$6,055.68 |
Max. Negotiated Rate |
$6,358.46 |
Rate for Payer: BCBS Complete |
$6,358.46
|
Rate for Payer: Mclaren Medicaid |
$6,055.68
|
Rate for Payer: Meridian Medicaid |
$6,358.46
|
Rate for Payer: Priority Health Choice Medicaid |
$6,055.68
|
|
INPATIENT APRDRG 5192: UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA
|
Facility
|
IP
|
$8,645.65
|
|
Service Code
|
APR-DRG 5192
|
Hospital Charge Code |
APRDRG 5192
|
Min. Negotiated Rate |
$8,233.95 |
Max. Negotiated Rate |
$8,645.65 |
Rate for Payer: BCBS Complete |
$8,645.65
|
Rate for Payer: Mclaren Medicaid |
$8,233.95
|
Rate for Payer: Meridian Medicaid |
$8,645.65
|
Rate for Payer: Priority Health Choice Medicaid |
$8,233.95
|
|
INPATIENT APRDRG 5193: UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA
|
Facility
|
IP
|
$12,710.97
|
|
Service Code
|
APR-DRG 5193
|
Hospital Charge Code |
APRDRG 5193
|
Min. Negotiated Rate |
$12,105.69 |
Max. Negotiated Rate |
$12,710.97 |
Rate for Payer: BCBS Complete |
$12,710.97
|
Rate for Payer: Mclaren Medicaid |
$12,105.69
|
Rate for Payer: Meridian Medicaid |
$12,710.97
|
Rate for Payer: Priority Health Choice Medicaid |
$12,105.69
|
|
INPATIENT APRDRG 5194: UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA
|
Facility
|
IP
|
$24,959.52
|
|
Service Code
|
APR-DRG 5194
|
Hospital Charge Code |
APRDRG 5194
|
Min. Negotiated Rate |
$23,770.97 |
Max. Negotiated Rate |
$24,959.52 |
Rate for Payer: BCBS Complete |
$24,959.52
|
Rate for Payer: Mclaren Medicaid |
$23,770.97
|
Rate for Payer: Meridian Medicaid |
$24,959.52
|
Rate for Payer: Priority Health Choice Medicaid |
$23,770.97
|
|
INPATIENT APRDRG 5301: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY
|
Facility
|
IP
|
$4,484.37
|
|
Service Code
|
APR-DRG 5301
|
Hospital Charge Code |
APRDRG 5301
|
Min. Negotiated Rate |
$4,270.83 |
Max. Negotiated Rate |
$4,484.37 |
Rate for Payer: BCBS Complete |
$4,484.37
|
Rate for Payer: Mclaren Medicaid |
$4,270.83
|
Rate for Payer: Meridian Medicaid |
$4,484.37
|
Rate for Payer: Priority Health Choice Medicaid |
$4,270.83
|
|
INPATIENT APRDRG 5302: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY
|
Facility
|
IP
|
$5,476.44
|
|
Service Code
|
APR-DRG 5302
|
Hospital Charge Code |
APRDRG 5302
|
Min. Negotiated Rate |
$5,215.66 |
Max. Negotiated Rate |
$5,476.44 |
Rate for Payer: BCBS Complete |
$5,476.44
|
Rate for Payer: Mclaren Medicaid |
$5,215.66
|
Rate for Payer: Meridian Medicaid |
$5,476.44
|
Rate for Payer: Priority Health Choice Medicaid |
$5,215.66
|
|