INPATIENT APRDRG 5424: VAGINAL DELIVERY W COMPLICATING PROCEDURES EXC STERILIZATION &/OR D&C
|
Facility
|
IP
|
$11,199.55
|
|
Service Code
|
APR-DRG 5424
|
Hospital Charge Code |
APRDRG 5424
|
Min. Negotiated Rate |
$10,666.24 |
Max. Negotiated Rate |
$11,199.55 |
Rate for Payer: BCBS Complete |
$11,199.55
|
Rate for Payer: Mclaren Medicaid |
$10,666.24
|
Rate for Payer: Meridian Medicaid |
$11,199.55
|
Rate for Payer: Priority Health Choice Medicaid |
$10,666.24
|
|
INPATIENT APRDRG 5431: ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
|
Facility
|
IP
|
$2,590.77
|
|
Service Code
|
APR-DRG 5431
|
Hospital Charge Code |
APRDRG 5431
|
Min. Negotiated Rate |
$2,467.40 |
Max. Negotiated Rate |
$2,590.77 |
Rate for Payer: BCBS Complete |
$2,590.77
|
Rate for Payer: Mclaren Medicaid |
$2,467.40
|
Rate for Payer: Meridian Medicaid |
$2,590.77
|
Rate for Payer: Priority Health Choice Medicaid |
$2,467.40
|
|
INPATIENT APRDRG 5432: ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
|
Facility
|
IP
|
$3,272.74
|
|
Service Code
|
APR-DRG 5432
|
Hospital Charge Code |
APRDRG 5432
|
Min. Negotiated Rate |
$3,116.90 |
Max. Negotiated Rate |
$3,272.74 |
Rate for Payer: BCBS Complete |
$3,272.74
|
Rate for Payer: Mclaren Medicaid |
$3,116.90
|
Rate for Payer: Meridian Medicaid |
$3,272.74
|
Rate for Payer: Priority Health Choice Medicaid |
$3,116.90
|
|
INPATIENT APRDRG 5433: ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
|
Facility
|
IP
|
$4,940.29
|
|
Service Code
|
APR-DRG 5433
|
Hospital Charge Code |
APRDRG 5433
|
Min. Negotiated Rate |
$4,705.04 |
Max. Negotiated Rate |
$4,940.29 |
Rate for Payer: BCBS Complete |
$4,940.29
|
Rate for Payer: Mclaren Medicaid |
$4,705.04
|
Rate for Payer: Meridian Medicaid |
$4,940.29
|
Rate for Payer: Priority Health Choice Medicaid |
$4,705.04
|
|
INPATIENT APRDRG 5434: ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
|
Facility
|
IP
|
$12,096.21
|
|
Service Code
|
APR-DRG 5434
|
Hospital Charge Code |
APRDRG 5434
|
Min. Negotiated Rate |
$11,520.20 |
Max. Negotiated Rate |
$12,096.21 |
Rate for Payer: BCBS Complete |
$12,096.21
|
Rate for Payer: Mclaren Medicaid |
$11,520.20
|
Rate for Payer: Meridian Medicaid |
$12,096.21
|
Rate for Payer: Priority Health Choice Medicaid |
$11,520.20
|
|
INPATIENT APRDRG 5471: ANTEPARTUM W O.R. PROCEDURE
|
Facility
|
IP
|
$3,439.18
|
|
Service Code
|
APR-DRG 5471
|
Hospital Charge Code |
APRDRG 5471
|
Min. Negotiated Rate |
$3,275.41 |
Max. Negotiated Rate |
$3,439.18 |
Rate for Payer: BCBS Complete |
$3,439.18
|
Rate for Payer: Mclaren Medicaid |
$3,275.41
|
Rate for Payer: Meridian Medicaid |
$3,439.18
|
Rate for Payer: Priority Health Choice Medicaid |
$3,275.41
|
|
INPATIENT APRDRG 5472: ANTEPARTUM W O.R. PROCEDURE
|
Facility
|
IP
|
$4,699.59
|
|
Service Code
|
APR-DRG 5472
|
Hospital Charge Code |
APRDRG 5472
|
Min. Negotiated Rate |
$4,475.80 |
Max. Negotiated Rate |
$4,699.59 |
Rate for Payer: BCBS Complete |
$4,699.59
|
Rate for Payer: Mclaren Medicaid |
$4,475.80
|
Rate for Payer: Meridian Medicaid |
$4,699.59
|
Rate for Payer: Priority Health Choice Medicaid |
$4,475.80
|
|
INPATIENT APRDRG 5473: ANTEPARTUM W O.R. PROCEDURE
|
Facility
|
IP
|
$7,689.36
|
|
Service Code
|
APR-DRG 5473
|
Hospital Charge Code |
APRDRG 5473
|
Min. Negotiated Rate |
$7,323.20 |
Max. Negotiated Rate |
$7,689.36 |
Rate for Payer: BCBS Complete |
$7,689.36
|
Rate for Payer: Mclaren Medicaid |
$7,323.20
|
Rate for Payer: Meridian Medicaid |
$7,689.36
|
Rate for Payer: Priority Health Choice Medicaid |
$7,323.20
|
|
INPATIENT APRDRG 5474: ANTEPARTUM W O.R. PROCEDURE
|
Facility
|
IP
|
$13,668.89
|
|
Service Code
|
APR-DRG 5474
|
Hospital Charge Code |
APRDRG 5474
|
Min. Negotiated Rate |
$13,017.99 |
Max. Negotiated Rate |
$13,668.89 |
Rate for Payer: BCBS Complete |
$13,668.89
|
Rate for Payer: Mclaren Medicaid |
$13,017.99
|
Rate for Payer: Meridian Medicaid |
$13,668.89
|
Rate for Payer: Priority Health Choice Medicaid |
$13,017.99
|
|
INPATIENT APRDRG 5481: POSTPARTUM & POST ABORTION DIAGNOSIS W O.R. PROCEDURE
|
Facility
|
IP
|
$2,352.24
|
|
Service Code
|
APR-DRG 5481
|
Hospital Charge Code |
APRDRG 5481
|
Min. Negotiated Rate |
$2,240.23 |
Max. Negotiated Rate |
$2,352.24 |
Rate for Payer: BCBS Complete |
$2,352.24
|
Rate for Payer: Mclaren Medicaid |
$2,240.23
|
Rate for Payer: Meridian Medicaid |
$2,352.24
|
Rate for Payer: Priority Health Choice Medicaid |
$2,240.23
|
|
INPATIENT APRDRG 5482: POSTPARTUM & POST ABORTION DIAGNOSIS W O.R. PROCEDURE
|
Facility
|
IP
|
$4,560.81
|
|
Service Code
|
APR-DRG 5482
|
Hospital Charge Code |
APRDRG 5482
|
Min. Negotiated Rate |
$4,343.63 |
Max. Negotiated Rate |
$4,560.81 |
Rate for Payer: BCBS Complete |
$4,560.81
|
Rate for Payer: Mclaren Medicaid |
$4,343.63
|
Rate for Payer: Meridian Medicaid |
$4,560.81
|
Rate for Payer: Priority Health Choice Medicaid |
$4,343.63
|
|
INPATIENT APRDRG 5483: POSTPARTUM & POST ABORTION DIAGNOSIS W O.R. PROCEDURE
|
Facility
|
IP
|
$7,745.20
|
|
Service Code
|
APR-DRG 5483
|
Hospital Charge Code |
APRDRG 5483
|
Min. Negotiated Rate |
$7,376.38 |
Max. Negotiated Rate |
$7,745.20 |
Rate for Payer: BCBS Complete |
$7,745.20
|
Rate for Payer: Mclaren Medicaid |
$7,376.38
|
Rate for Payer: Meridian Medicaid |
$7,745.20
|
Rate for Payer: Priority Health Choice Medicaid |
$7,376.38
|
|
INPATIENT APRDRG 5484: POSTPARTUM & POST ABORTION DIAGNOSIS W O.R. PROCEDURE
|
Facility
|
IP
|
$17,453.39
|
|
Service Code
|
APR-DRG 5484
|
Hospital Charge Code |
APRDRG 5484
|
Min. Negotiated Rate |
$16,622.28 |
Max. Negotiated Rate |
$17,453.39 |
Rate for Payer: BCBS Complete |
$17,453.39
|
Rate for Payer: Mclaren Medicaid |
$16,622.28
|
Rate for Payer: Meridian Medicaid |
$17,453.39
|
Rate for Payer: Priority Health Choice Medicaid |
$16,622.28
|
|
INPATIENT APRDRG 5601: VAGINAL DELIVERY
|
Facility
|
IP
|
$2,259.54
|
|
Service Code
|
APR-DRG 5601
|
Hospital Charge Code |
APRDRG 5601
|
Min. Negotiated Rate |
$2,151.94 |
Max. Negotiated Rate |
$2,259.54 |
Rate for Payer: BCBS Complete |
$2,259.54
|
Rate for Payer: Mclaren Medicaid |
$2,151.94
|
Rate for Payer: Meridian Medicaid |
$2,259.54
|
Rate for Payer: Priority Health Choice Medicaid |
$2,151.94
|
|
INPATIENT APRDRG 5602: VAGINAL DELIVERY
|
Facility
|
IP
|
$2,619.50
|
|
Service Code
|
APR-DRG 5602
|
Hospital Charge Code |
APRDRG 5602
|
Min. Negotiated Rate |
$2,494.76 |
Max. Negotiated Rate |
$2,619.50 |
Rate for Payer: BCBS Complete |
$2,619.50
|
Rate for Payer: Mclaren Medicaid |
$2,494.76
|
Rate for Payer: Meridian Medicaid |
$2,619.50
|
Rate for Payer: Priority Health Choice Medicaid |
$2,494.76
|
|
INPATIENT APRDRG 5603: VAGINAL DELIVERY
|
Facility
|
IP
|
$3,422.37
|
|
Service Code
|
APR-DRG 5603
|
Hospital Charge Code |
APRDRG 5603
|
Min. Negotiated Rate |
$3,259.40 |
Max. Negotiated Rate |
$3,422.37 |
Rate for Payer: BCBS Complete |
$3,422.37
|
Rate for Payer: Mclaren Medicaid |
$3,259.40
|
Rate for Payer: Meridian Medicaid |
$3,422.37
|
Rate for Payer: Priority Health Choice Medicaid |
$3,259.40
|
|
INPATIENT APRDRG 5604: VAGINAL DELIVERY
|
Facility
|
IP
|
$7,229.65
|
|
Service Code
|
APR-DRG 5604
|
Hospital Charge Code |
APRDRG 5604
|
Min. Negotiated Rate |
$6,885.38 |
Max. Negotiated Rate |
$7,229.65 |
Rate for Payer: BCBS Complete |
$7,229.65
|
Rate for Payer: Mclaren Medicaid |
$6,885.38
|
Rate for Payer: Meridian Medicaid |
$7,229.65
|
Rate for Payer: Priority Health Choice Medicaid |
$6,885.38
|
|
INPATIENT APRDRG 5611: POSTPARTUM & POST ABORTION DIAGNOSES W/O PROCEDURE
|
Facility
|
IP
|
$1,640.98
|
|
Service Code
|
APR-DRG 5611
|
Hospital Charge Code |
APRDRG 5611
|
Min. Negotiated Rate |
$1,562.84 |
Max. Negotiated Rate |
$1,640.98 |
Rate for Payer: BCBS Complete |
$1,640.98
|
Rate for Payer: Mclaren Medicaid |
$1,562.84
|
Rate for Payer: Meridian Medicaid |
$1,640.98
|
Rate for Payer: Priority Health Choice Medicaid |
$1,562.84
|
|
INPATIENT APRDRG 5612: POSTPARTUM & POST ABORTION DIAGNOSES W/O PROCEDURE
|
Facility
|
IP
|
$2,467.16
|
|
Service Code
|
APR-DRG 5612
|
Hospital Charge Code |
APRDRG 5612
|
Min. Negotiated Rate |
$2,349.68 |
Max. Negotiated Rate |
$2,467.16 |
Rate for Payer: BCBS Complete |
$2,467.16
|
Rate for Payer: Mclaren Medicaid |
$2,349.68
|
Rate for Payer: Meridian Medicaid |
$2,467.16
|
Rate for Payer: Priority Health Choice Medicaid |
$2,349.68
|
|
INPATIENT APRDRG 5613: POSTPARTUM & POST ABORTION DIAGNOSES W/O PROCEDURE
|
Facility
|
IP
|
$3,973.70
|
|
Service Code
|
APR-DRG 5613
|
Hospital Charge Code |
APRDRG 5613
|
Min. Negotiated Rate |
$3,784.48 |
Max. Negotiated Rate |
$3,973.70 |
Rate for Payer: BCBS Complete |
$3,973.70
|
Rate for Payer: Mclaren Medicaid |
$3,784.48
|
Rate for Payer: Meridian Medicaid |
$3,973.70
|
Rate for Payer: Priority Health Choice Medicaid |
$3,784.48
|
|
INPATIENT APRDRG 5614: POSTPARTUM & POST ABORTION DIAGNOSES W/O PROCEDURE
|
Facility
|
IP
|
$9,050.61
|
|
Service Code
|
APR-DRG 5614
|
Hospital Charge Code |
APRDRG 5614
|
Min. Negotiated Rate |
$8,619.63 |
Max. Negotiated Rate |
$9,050.61 |
Rate for Payer: BCBS Complete |
$9,050.61
|
Rate for Payer: Mclaren Medicaid |
$8,619.63
|
Rate for Payer: Meridian Medicaid |
$9,050.61
|
Rate for Payer: Priority Health Choice Medicaid |
$8,619.63
|
|
INPATIENT APRDRG 5641: ABORTION W/O D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
|
Facility
|
IP
|
$1,973.84
|
|
Service Code
|
APR-DRG 5641
|
Hospital Charge Code |
APRDRG 5641
|
Min. Negotiated Rate |
$1,879.85 |
Max. Negotiated Rate |
$1,973.84 |
Rate for Payer: BCBS Complete |
$1,973.84
|
Rate for Payer: Mclaren Medicaid |
$1,879.85
|
Rate for Payer: Meridian Medicaid |
$1,973.84
|
Rate for Payer: Priority Health Choice Medicaid |
$1,879.85
|
|
INPATIENT APRDRG 5642: ABORTION W/O D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
|
Facility
|
IP
|
$2,900.86
|
|
Service Code
|
APR-DRG 5642
|
Hospital Charge Code |
APRDRG 5642
|
Min. Negotiated Rate |
$2,762.72 |
Max. Negotiated Rate |
$2,900.86 |
Rate for Payer: BCBS Complete |
$2,900.86
|
Rate for Payer: Mclaren Medicaid |
$2,762.72
|
Rate for Payer: Meridian Medicaid |
$2,900.86
|
Rate for Payer: Priority Health Choice Medicaid |
$2,762.72
|
|
INPATIENT APRDRG 5643: ABORTION W/O D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
|
Facility
|
IP
|
$3,963.95
|
|
Service Code
|
APR-DRG 5643
|
Hospital Charge Code |
APRDRG 5643
|
Min. Negotiated Rate |
$3,775.19 |
Max. Negotiated Rate |
$3,963.95 |
Rate for Payer: BCBS Complete |
$3,963.95
|
Rate for Payer: Mclaren Medicaid |
$3,775.19
|
Rate for Payer: Meridian Medicaid |
$3,963.95
|
Rate for Payer: Priority Health Choice Medicaid |
$3,775.19
|
|
INPATIENT APRDRG 5644: ABORTION W/O D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
|
Facility
|
IP
|
$13,092.08
|
|
Service Code
|
APR-DRG 5644
|
Hospital Charge Code |
APRDRG 5644
|
Min. Negotiated Rate |
$12,468.65 |
Max. Negotiated Rate |
$13,092.08 |
Rate for Payer: BCBS Complete |
$13,092.08
|
Rate for Payer: Mclaren Medicaid |
$12,468.65
|
Rate for Payer: Meridian Medicaid |
$13,092.08
|
Rate for Payer: Priority Health Choice Medicaid |
$12,468.65
|
|