INPATIENT APRDRG 5303: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY
|
Facility
|
IP
|
$7,127.19
|
|
Service Code
|
APR-DRG 5303
|
Hospital Charge Code |
APRDRG 5303
|
Min. Negotiated Rate |
$6,787.80 |
Max. Negotiated Rate |
$7,127.19 |
Rate for Payer: BCBS Complete |
$7,127.19
|
Rate for Payer: Mclaren Medicaid |
$6,787.80
|
Rate for Payer: Meridian Medicaid |
$7,127.19
|
Rate for Payer: Priority Health Choice Medicaid |
$6,787.80
|
|
INPATIENT APRDRG 5304: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY
|
Facility
|
IP
|
$13,444.45
|
|
Service Code
|
APR-DRG 5304
|
Hospital Charge Code |
APRDRG 5304
|
Min. Negotiated Rate |
$12,804.24 |
Max. Negotiated Rate |
$13,444.45 |
Rate for Payer: BCBS Complete |
$13,444.45
|
Rate for Payer: Mclaren Medicaid |
$12,804.24
|
Rate for Payer: Meridian Medicaid |
$13,444.45
|
Rate for Payer: Priority Health Choice Medicaid |
$12,804.24
|
|
INPATIENT APRDRG 5311: FEMALE REPRODUCTIVE SYSTEM INFECTIONS
|
Facility
|
IP
|
$3,010.91
|
|
Service Code
|
APR-DRG 5311
|
Hospital Charge Code |
APRDRG 5311
|
Min. Negotiated Rate |
$2,867.53 |
Max. Negotiated Rate |
$3,010.91 |
Rate for Payer: BCBS Complete |
$3,010.91
|
Rate for Payer: Mclaren Medicaid |
$2,867.53
|
Rate for Payer: Meridian Medicaid |
$3,010.91
|
Rate for Payer: Priority Health Choice Medicaid |
$2,867.53
|
|
INPATIENT APRDRG 5312: FEMALE REPRODUCTIVE SYSTEM INFECTIONS
|
Facility
|
IP
|
$3,795.89
|
|
Service Code
|
APR-DRG 5312
|
Hospital Charge Code |
APRDRG 5312
|
Min. Negotiated Rate |
$3,615.13 |
Max. Negotiated Rate |
$3,795.89 |
Rate for Payer: BCBS Complete |
$3,795.89
|
Rate for Payer: Mclaren Medicaid |
$3,615.13
|
Rate for Payer: Meridian Medicaid |
$3,795.89
|
Rate for Payer: Priority Health Choice Medicaid |
$3,615.13
|
|
INPATIENT APRDRG 5313: FEMALE REPRODUCTIVE SYSTEM INFECTIONS
|
Facility
|
IP
|
$4,957.64
|
|
Service Code
|
APR-DRG 5313
|
Hospital Charge Code |
APRDRG 5313
|
Min. Negotiated Rate |
$4,721.56 |
Max. Negotiated Rate |
$4,957.64 |
Rate for Payer: BCBS Complete |
$4,957.64
|
Rate for Payer: Mclaren Medicaid |
$4,721.56
|
Rate for Payer: Meridian Medicaid |
$4,957.64
|
Rate for Payer: Priority Health Choice Medicaid |
$4,721.56
|
|
INPATIENT APRDRG 5314: FEMALE REPRODUCTIVE SYSTEM INFECTIONS
|
Facility
|
IP
|
$8,536.69
|
|
Service Code
|
APR-DRG 5314
|
Hospital Charge Code |
APRDRG 5314
|
Min. Negotiated Rate |
$8,130.18 |
Max. Negotiated Rate |
$8,536.69 |
Rate for Payer: BCBS Complete |
$8,536.69
|
Rate for Payer: Mclaren Medicaid |
$8,130.18
|
Rate for Payer: Meridian Medicaid |
$8,536.69
|
Rate for Payer: Priority Health Choice Medicaid |
$8,130.18
|
|
INPATIENT APRDRG 5321: MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS
|
Facility
|
IP
|
$2,056.25
|
|
Service Code
|
APR-DRG 5321
|
Hospital Charge Code |
APRDRG 5321
|
Min. Negotiated Rate |
$1,958.33 |
Max. Negotiated Rate |
$2,056.25 |
Rate for Payer: BCBS Complete |
$2,056.25
|
Rate for Payer: Mclaren Medicaid |
$1,958.33
|
Rate for Payer: Meridian Medicaid |
$2,056.25
|
Rate for Payer: Priority Health Choice Medicaid |
$1,958.33
|
|
INPATIENT APRDRG 5322: MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS
|
Facility
|
IP
|
$2,574.51
|
|
Service Code
|
APR-DRG 5322
|
Hospital Charge Code |
APRDRG 5322
|
Min. Negotiated Rate |
$2,451.91 |
Max. Negotiated Rate |
$2,574.51 |
Rate for Payer: BCBS Complete |
$2,574.51
|
Rate for Payer: Mclaren Medicaid |
$2,451.91
|
Rate for Payer: Meridian Medicaid |
$2,574.51
|
Rate for Payer: Priority Health Choice Medicaid |
$2,451.91
|
|
INPATIENT APRDRG 5323: MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS
|
Facility
|
IP
|
$5,487.82
|
|
Service Code
|
APR-DRG 5323
|
Hospital Charge Code |
APRDRG 5323
|
Min. Negotiated Rate |
$5,226.50 |
Max. Negotiated Rate |
$5,487.82 |
Rate for Payer: BCBS Complete |
$5,487.82
|
Rate for Payer: Mclaren Medicaid |
$5,226.50
|
Rate for Payer: Meridian Medicaid |
$5,487.82
|
Rate for Payer: Priority Health Choice Medicaid |
$5,226.50
|
|
INPATIENT APRDRG 5324: MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS
|
Facility
|
IP
|
$11,312.31
|
|
Service Code
|
APR-DRG 5324
|
Hospital Charge Code |
APRDRG 5324
|
Min. Negotiated Rate |
$10,773.63 |
Max. Negotiated Rate |
$11,312.31 |
Rate for Payer: BCBS Complete |
$11,312.31
|
Rate for Payer: Mclaren Medicaid |
$10,773.63
|
Rate for Payer: Meridian Medicaid |
$11,312.31
|
Rate for Payer: Priority Health Choice Medicaid |
$10,773.63
|
|
INPATIENT APRDRG 5391: CESAREAN SECTION W STERILIZATION
|
Facility
|
IP
|
$2,776.17
|
|
Service Code
|
APR-DRG 5391
|
Hospital Charge Code |
APRDRG 5391
|
Min. Negotiated Rate |
$2,643.97 |
Max. Negotiated Rate |
$2,776.17 |
Rate for Payer: BCBS Complete |
$2,776.17
|
Rate for Payer: Mclaren Medicaid |
$2,643.97
|
Rate for Payer: Meridian Medicaid |
$2,776.17
|
Rate for Payer: Priority Health Choice Medicaid |
$2,643.97
|
|
INPATIENT APRDRG 5392: CESAREAN SECTION W STERILIZATION
|
Facility
|
IP
|
$3,329.13
|
|
Service Code
|
APR-DRG 5392
|
Hospital Charge Code |
APRDRG 5392
|
Min. Negotiated Rate |
$3,170.60 |
Max. Negotiated Rate |
$3,329.13 |
Rate for Payer: BCBS Complete |
$3,329.13
|
Rate for Payer: Mclaren Medicaid |
$3,170.60
|
Rate for Payer: Meridian Medicaid |
$3,329.13
|
Rate for Payer: Priority Health Choice Medicaid |
$3,170.60
|
|
INPATIENT APRDRG 5393: CESAREAN SECTION W STERILIZATION
|
Facility
|
IP
|
$5,346.88
|
|
Service Code
|
APR-DRG 5393
|
Hospital Charge Code |
APRDRG 5393
|
Min. Negotiated Rate |
$5,092.27 |
Max. Negotiated Rate |
$5,346.88 |
Rate for Payer: BCBS Complete |
$5,346.88
|
Rate for Payer: Mclaren Medicaid |
$5,092.27
|
Rate for Payer: Meridian Medicaid |
$5,346.88
|
Rate for Payer: Priority Health Choice Medicaid |
$5,092.27
|
|
INPATIENT APRDRG 5394: CESAREAN SECTION W STERILIZATION
|
Facility
|
IP
|
$13,510.59
|
|
Service Code
|
APR-DRG 5394
|
Hospital Charge Code |
APRDRG 5394
|
Min. Negotiated Rate |
$12,867.23 |
Max. Negotiated Rate |
$13,510.59 |
Rate for Payer: BCBS Complete |
$13,510.59
|
Rate for Payer: Mclaren Medicaid |
$12,867.23
|
Rate for Payer: Meridian Medicaid |
$13,510.59
|
Rate for Payer: Priority Health Choice Medicaid |
$12,867.23
|
|
INPATIENT APRDRG 5401: CESAREAN SECTION W/O STERILIZATION
|
Facility
|
IP
|
$4,307.10
|
|
Service Code
|
APR-DRG 5401
|
Hospital Charge Code |
APRDRG 5401
|
Min. Negotiated Rate |
$4,102.00 |
Max. Negotiated Rate |
$4,307.10 |
Rate for Payer: BCBS Complete |
$4,307.10
|
Rate for Payer: Mclaren Medicaid |
$4,102.00
|
Rate for Payer: Meridian Medicaid |
$4,307.10
|
Rate for Payer: Priority Health Choice Medicaid |
$4,102.00
|
|
INPATIENT APRDRG 5402: CESAREAN SECTION W/O STERILIZATION
|
Facility
|
IP
|
$5,424.94
|
|
Service Code
|
APR-DRG 5402
|
Hospital Charge Code |
APRDRG 5402
|
Min. Negotiated Rate |
$5,166.61 |
Max. Negotiated Rate |
$5,424.94 |
Rate for Payer: BCBS Complete |
$5,424.94
|
Rate for Payer: Mclaren Medicaid |
$5,166.61
|
Rate for Payer: Meridian Medicaid |
$5,424.94
|
Rate for Payer: Priority Health Choice Medicaid |
$5,166.61
|
|
INPATIENT APRDRG 5403: CESAREAN SECTION W/O STERILIZATION
|
Facility
|
IP
|
$6,627.89
|
|
Service Code
|
APR-DRG 5403
|
Hospital Charge Code |
APRDRG 5403
|
Min. Negotiated Rate |
$6,312.28 |
Max. Negotiated Rate |
$6,627.89 |
Rate for Payer: BCBS Complete |
$6,627.89
|
Rate for Payer: Mclaren Medicaid |
$6,312.28
|
Rate for Payer: Meridian Medicaid |
$6,627.89
|
Rate for Payer: Priority Health Choice Medicaid |
$6,312.28
|
|
INPATIENT APRDRG 5404: CESAREAN SECTION W/O STERILIZATION
|
Facility
|
IP
|
$13,005.88
|
|
Service Code
|
APR-DRG 5404
|
Hospital Charge Code |
APRDRG 5404
|
Min. Negotiated Rate |
$12,386.55 |
Max. Negotiated Rate |
$13,005.88 |
Rate for Payer: BCBS Complete |
$13,005.88
|
Rate for Payer: Mclaren Medicaid |
$12,386.55
|
Rate for Payer: Meridian Medicaid |
$13,005.88
|
Rate for Payer: Priority Health Choice Medicaid |
$12,386.55
|
|
INPATIENT APRDRG 5411: VAGINAL DELIVERY W STERILIZATION &/OR D&C
|
Facility
|
IP
|
$3,254.86
|
|
Service Code
|
APR-DRG 5411
|
Hospital Charge Code |
APRDRG 5411
|
Min. Negotiated Rate |
$3,099.87 |
Max. Negotiated Rate |
$3,254.86 |
Rate for Payer: BCBS Complete |
$3,254.86
|
Rate for Payer: Mclaren Medicaid |
$3,099.87
|
Rate for Payer: Meridian Medicaid |
$3,254.86
|
Rate for Payer: Priority Health Choice Medicaid |
$3,099.87
|
|
INPATIENT APRDRG 5412: VAGINAL DELIVERY W STERILIZATION &/OR D&C
|
Facility
|
IP
|
$3,922.20
|
|
Service Code
|
APR-DRG 5412
|
Hospital Charge Code |
APRDRG 5412
|
Min. Negotiated Rate |
$3,735.43 |
Max. Negotiated Rate |
$3,922.20 |
Rate for Payer: BCBS Complete |
$3,922.20
|
Rate for Payer: Mclaren Medicaid |
$3,735.43
|
Rate for Payer: Meridian Medicaid |
$3,922.20
|
Rate for Payer: Priority Health Choice Medicaid |
$3,735.43
|
|
INPATIENT APRDRG 5413: VAGINAL DELIVERY W STERILIZATION &/OR D&C
|
Facility
|
IP
|
$4,966.31
|
|
Service Code
|
APR-DRG 5413
|
Hospital Charge Code |
APRDRG 5413
|
Min. Negotiated Rate |
$4,729.82 |
Max. Negotiated Rate |
$4,966.31 |
Rate for Payer: BCBS Complete |
$4,966.31
|
Rate for Payer: Mclaren Medicaid |
$4,729.82
|
Rate for Payer: Meridian Medicaid |
$4,966.31
|
Rate for Payer: Priority Health Choice Medicaid |
$4,729.82
|
|
INPATIENT APRDRG 5414: VAGINAL DELIVERY W STERILIZATION &/OR D&C
|
Facility
|
IP
|
$4,171.58
|
|
Service Code
|
APR-DRG 5414
|
Hospital Charge Code |
APRDRG 5414
|
Min. Negotiated Rate |
$3,972.93 |
Max. Negotiated Rate |
$4,171.58 |
Rate for Payer: BCBS Complete |
$4,171.58
|
Rate for Payer: Mclaren Medicaid |
$3,972.93
|
Rate for Payer: Meridian Medicaid |
$4,171.58
|
Rate for Payer: Priority Health Choice Medicaid |
$3,972.93
|
|
INPATIENT APRDRG 5421: VAGINAL DELIVERY W COMPLICATING PROCEDURES EXC STERILIZATION &/OR D&C
|
Facility
|
IP
|
$2,685.09
|
|
Service Code
|
APR-DRG 5421
|
Hospital Charge Code |
APRDRG 5421
|
Min. Negotiated Rate |
$2,557.23 |
Max. Negotiated Rate |
$2,685.09 |
Rate for Payer: BCBS Complete |
$2,685.09
|
Rate for Payer: Mclaren Medicaid |
$2,557.23
|
Rate for Payer: Meridian Medicaid |
$2,685.09
|
Rate for Payer: Priority Health Choice Medicaid |
$2,557.23
|
|
INPATIENT APRDRG 5422: VAGINAL DELIVERY W COMPLICATING PROCEDURES EXC STERILIZATION &/OR D&C
|
Facility
|
IP
|
$3,186.02
|
|
Service Code
|
APR-DRG 5422
|
Hospital Charge Code |
APRDRG 5422
|
Min. Negotiated Rate |
$3,034.30 |
Max. Negotiated Rate |
$3,186.02 |
Rate for Payer: BCBS Complete |
$3,186.02
|
Rate for Payer: Mclaren Medicaid |
$3,034.30
|
Rate for Payer: Meridian Medicaid |
$3,186.02
|
Rate for Payer: Priority Health Choice Medicaid |
$3,034.30
|
|
INPATIENT APRDRG 5423: VAGINAL DELIVERY W COMPLICATING PROCEDURES EXC STERILIZATION &/OR D&C
|
Facility
|
IP
|
$3,833.30
|
|
Service Code
|
APR-DRG 5423
|
Hospital Charge Code |
APRDRG 5423
|
Min. Negotiated Rate |
$3,650.76 |
Max. Negotiated Rate |
$3,833.30 |
Rate for Payer: BCBS Complete |
$3,833.30
|
Rate for Payer: Mclaren Medicaid |
$3,650.76
|
Rate for Payer: Meridian Medicaid |
$3,833.30
|
Rate for Payer: Priority Health Choice Medicaid |
$3,650.76
|
|