INPATIENT APRDRG 5912: NEONATE BIRTHWT 500-749G W/O MAJOR PROCEDURE
|
Facility
|
IP
|
$66,852.00
|
|
Service Code
|
APR-DRG 5912
|
Hospital Charge Code |
APRDRG 5912
|
Min. Negotiated Rate |
$63,668.57 |
Max. Negotiated Rate |
$66,852.00 |
Rate for Payer: BCBS Complete |
$66,852.00
|
Rate for Payer: Mclaren Medicaid |
$63,668.57
|
Rate for Payer: Meridian Medicaid |
$66,852.00
|
Rate for Payer: Priority Health Choice Medicaid |
$63,668.57
|
|
INPATIENT APRDRG 5913: NEONATE BIRTHWT 500-749G W/O MAJOR PROCEDURE
|
Facility
|
IP
|
$88,659.66
|
|
Service Code
|
APR-DRG 5913
|
Hospital Charge Code |
APRDRG 5913
|
Min. Negotiated Rate |
$84,437.77 |
Max. Negotiated Rate |
$88,659.66 |
Rate for Payer: BCBS Complete |
$88,659.66
|
Rate for Payer: Mclaren Medicaid |
$84,437.77
|
Rate for Payer: Meridian Medicaid |
$88,659.66
|
Rate for Payer: Priority Health Choice Medicaid |
$84,437.77
|
|
INPATIENT APRDRG 5914: NEONATE BIRTHWT 500-749G W/O MAJOR PROCEDURE
|
Facility
|
IP
|
$115,315.45
|
|
Service Code
|
APR-DRG 5914
|
Hospital Charge Code |
APRDRG 5914
|
Min. Negotiated Rate |
$109,824.24 |
Max. Negotiated Rate |
$115,315.45 |
Rate for Payer: BCBS Complete |
$115,315.45
|
Rate for Payer: Mclaren Medicaid |
$109,824.24
|
Rate for Payer: Meridian Medicaid |
$115,315.45
|
Rate for Payer: Priority Health Choice Medicaid |
$109,824.24
|
|
INPATIENT APRDRG 5931: NEONATE BIRTHWT 750-999G W/O MAJOR PROCEDURE
|
Facility
|
IP
|
$8,762.21
|
|
Service Code
|
APR-DRG 5931
|
Hospital Charge Code |
APRDRG 5931
|
Min. Negotiated Rate |
$8,344.96 |
Max. Negotiated Rate |
$8,762.21 |
Rate for Payer: BCBS Complete |
$8,762.21
|
Rate for Payer: Mclaren Medicaid |
$8,344.96
|
Rate for Payer: Meridian Medicaid |
$8,762.21
|
Rate for Payer: Priority Health Choice Medicaid |
$8,344.96
|
|
INPATIENT APRDRG 5932: NEONATE BIRTHWT 750-999G W/O MAJOR PROCEDURE
|
Facility
|
IP
|
$52,610.09
|
|
Service Code
|
APR-DRG 5932
|
Hospital Charge Code |
APRDRG 5932
|
Min. Negotiated Rate |
$50,104.85 |
Max. Negotiated Rate |
$52,610.09 |
Rate for Payer: BCBS Complete |
$52,610.09
|
Rate for Payer: Mclaren Medicaid |
$50,104.85
|
Rate for Payer: Meridian Medicaid |
$52,610.09
|
Rate for Payer: Priority Health Choice Medicaid |
$50,104.85
|
|
INPATIENT APRDRG 5933: NEONATE BIRTHWT 750-999G W/O MAJOR PROCEDURE
|
Facility
|
IP
|
$80,233.57
|
|
Service Code
|
APR-DRG 5933
|
Hospital Charge Code |
APRDRG 5933
|
Min. Negotiated Rate |
$76,412.92 |
Max. Negotiated Rate |
$80,233.57 |
Rate for Payer: BCBS Complete |
$80,233.57
|
Rate for Payer: Mclaren Medicaid |
$76,412.92
|
Rate for Payer: Meridian Medicaid |
$80,233.57
|
Rate for Payer: Priority Health Choice Medicaid |
$76,412.92
|
|
INPATIENT APRDRG 5934: NEONATE BIRTHWT 750-999G W/O MAJOR PROCEDURE
|
Facility
|
IP
|
$116,458.23
|
|
Service Code
|
APR-DRG 5934
|
Hospital Charge Code |
APRDRG 5934
|
Min. Negotiated Rate |
$110,912.60 |
Max. Negotiated Rate |
$116,458.23 |
Rate for Payer: BCBS Complete |
$116,458.23
|
Rate for Payer: Mclaren Medicaid |
$110,912.60
|
Rate for Payer: Meridian Medicaid |
$116,458.23
|
Rate for Payer: Priority Health Choice Medicaid |
$110,912.60
|
|
INPATIENT APRDRG 6021: NEONATE BWT 1000-1249G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM
|
Facility
|
IP
|
$10,969.15
|
|
Service Code
|
APR-DRG 6021
|
Hospital Charge Code |
APRDRG 6021
|
Min. Negotiated Rate |
$10,446.81 |
Max. Negotiated Rate |
$10,969.15 |
Rate for Payer: BCBS Complete |
$10,969.15
|
Rate for Payer: Mclaren Medicaid |
$10,446.81
|
Rate for Payer: Meridian Medicaid |
$10,969.15
|
Rate for Payer: Priority Health Choice Medicaid |
$10,446.81
|
|
INPATIENT APRDRG 6022: NEONATE BWT 1000-1249G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM
|
Facility
|
IP
|
$31,342.37
|
|
Service Code
|
APR-DRG 6022
|
Hospital Charge Code |
APRDRG 6022
|
Min. Negotiated Rate |
$29,849.88 |
Max. Negotiated Rate |
$31,342.37 |
Rate for Payer: BCBS Complete |
$31,342.37
|
Rate for Payer: Mclaren Medicaid |
$29,849.88
|
Rate for Payer: Meridian Medicaid |
$31,342.37
|
Rate for Payer: Priority Health Choice Medicaid |
$29,849.88
|
|
INPATIENT APRDRG 6023: NEONATE BWT 1000-1249G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM
|
Facility
|
IP
|
$39,090.28
|
|
Service Code
|
APR-DRG 6023
|
Hospital Charge Code |
APRDRG 6023
|
Min. Negotiated Rate |
$37,228.84 |
Max. Negotiated Rate |
$39,090.28 |
Rate for Payer: BCBS Complete |
$39,090.28
|
Rate for Payer: Mclaren Medicaid |
$37,228.84
|
Rate for Payer: Meridian Medicaid |
$39,090.28
|
Rate for Payer: Priority Health Choice Medicaid |
$37,228.84
|
|
INPATIENT APRDRG 6024: NEONATE BWT 1000-1249G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM
|
Facility
|
IP
|
$55,455.11
|
|
Service Code
|
APR-DRG 6024
|
Hospital Charge Code |
APRDRG 6024
|
Min. Negotiated Rate |
$52,814.39 |
Max. Negotiated Rate |
$55,455.11 |
Rate for Payer: BCBS Complete |
$55,455.11
|
Rate for Payer: Mclaren Medicaid |
$52,814.39
|
Rate for Payer: Meridian Medicaid |
$55,455.11
|
Rate for Payer: Priority Health Choice Medicaid |
$52,814.39
|
|
INPATIENT APRDRG 6031: NEONATE BIRTHWT 1000-1249G W OR W/O OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$10,350.61
|
|
Service Code
|
APR-DRG 6031
|
Hospital Charge Code |
APRDRG 6031
|
Min. Negotiated Rate |
$9,857.72 |
Max. Negotiated Rate |
$10,350.61 |
Rate for Payer: BCBS Complete |
$10,350.61
|
Rate for Payer: Mclaren Medicaid |
$9,857.72
|
Rate for Payer: Meridian Medicaid |
$10,350.61
|
Rate for Payer: Priority Health Choice Medicaid |
$9,857.72
|
|
INPATIENT APRDRG 6032: NEONATE BIRTHWT 1000-1249G W OR W/O OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$23,981.54
|
|
Service Code
|
APR-DRG 6032
|
Hospital Charge Code |
APRDRG 6032
|
Min. Negotiated Rate |
$22,839.56 |
Max. Negotiated Rate |
$23,981.54 |
Rate for Payer: BCBS Complete |
$23,981.54
|
Rate for Payer: Mclaren Medicaid |
$22,839.56
|
Rate for Payer: Meridian Medicaid |
$23,981.54
|
Rate for Payer: Priority Health Choice Medicaid |
$22,839.56
|
|
INPATIENT APRDRG 6033: NEONATE BIRTHWT 1000-1249G W OR W/O OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$47,434.52
|
|
Service Code
|
APR-DRG 6033
|
Hospital Charge Code |
APRDRG 6033
|
Min. Negotiated Rate |
$45,175.73 |
Max. Negotiated Rate |
$47,434.52 |
Rate for Payer: BCBS Complete |
$47,434.52
|
Rate for Payer: Mclaren Medicaid |
$45,175.73
|
Rate for Payer: Meridian Medicaid |
$47,434.52
|
Rate for Payer: Priority Health Choice Medicaid |
$45,175.73
|
|
INPATIENT APRDRG 6034: NEONATE BIRTHWT 1000-1249G W OR W/O OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$106,167.26
|
|
Service Code
|
APR-DRG 6034
|
Hospital Charge Code |
APRDRG 6034
|
Min. Negotiated Rate |
$101,111.68 |
Max. Negotiated Rate |
$106,167.26 |
Rate for Payer: BCBS Complete |
$106,167.26
|
Rate for Payer: Mclaren Medicaid |
$101,111.68
|
Rate for Payer: Meridian Medicaid |
$106,167.26
|
Rate for Payer: Priority Health Choice Medicaid |
$101,111.68
|
|
INPATIENT APRDRG 6071: NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM
|
Facility
|
IP
|
$11,534.59
|
|
Service Code
|
APR-DRG 6071
|
Hospital Charge Code |
APRDRG 6071
|
Min. Negotiated Rate |
$10,985.32 |
Max. Negotiated Rate |
$11,534.59 |
Rate for Payer: BCBS Complete |
$11,534.59
|
Rate for Payer: Mclaren Medicaid |
$10,985.32
|
Rate for Payer: Meridian Medicaid |
$11,534.59
|
Rate for Payer: Priority Health Choice Medicaid |
$10,985.32
|
|
INPATIENT APRDRG 6072: NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM
|
Facility
|
IP
|
$21,031.35
|
|
Service Code
|
APR-DRG 6072
|
Hospital Charge Code |
APRDRG 6072
|
Min. Negotiated Rate |
$20,029.86 |
Max. Negotiated Rate |
$21,031.35 |
Rate for Payer: BCBS Complete |
$21,031.35
|
Rate for Payer: Mclaren Medicaid |
$20,029.86
|
Rate for Payer: Meridian Medicaid |
$21,031.35
|
Rate for Payer: Priority Health Choice Medicaid |
$20,029.86
|
|
INPATIENT APRDRG 6073: NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM
|
Facility
|
IP
|
$28,150.41
|
|
Service Code
|
APR-DRG 6073
|
Hospital Charge Code |
APRDRG 6073
|
Min. Negotiated Rate |
$26,809.91 |
Max. Negotiated Rate |
$28,150.41 |
Rate for Payer: BCBS Complete |
$28,150.41
|
Rate for Payer: Mclaren Medicaid |
$26,809.91
|
Rate for Payer: Meridian Medicaid |
$28,150.41
|
Rate for Payer: Priority Health Choice Medicaid |
$26,809.91
|
|
INPATIENT APRDRG 6074: NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM
|
Facility
|
IP
|
$41,207.25
|
|
Service Code
|
APR-DRG 6074
|
Hospital Charge Code |
APRDRG 6074
|
Min. Negotiated Rate |
$39,245.00 |
Max. Negotiated Rate |
$41,207.25 |
Rate for Payer: BCBS Complete |
$41,207.25
|
Rate for Payer: Mclaren Medicaid |
$39,245.00
|
Rate for Payer: Meridian Medicaid |
$41,207.25
|
Rate for Payer: Priority Health Choice Medicaid |
$39,245.00
|
|
INPATIENT APRDRG 6081: NEONATE BWT 1250-1499G W OR W/O OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$7,313.13
|
|
Service Code
|
APR-DRG 6081
|
Hospital Charge Code |
APRDRG 6081
|
Min. Negotiated Rate |
$6,964.89 |
Max. Negotiated Rate |
$7,313.13 |
Rate for Payer: BCBS Complete |
$7,313.13
|
Rate for Payer: Mclaren Medicaid |
$6,964.89
|
Rate for Payer: Meridian Medicaid |
$7,313.13
|
Rate for Payer: Priority Health Choice Medicaid |
$6,964.89
|
|
INPATIENT APRDRG 6082: NEONATE BWT 1250-1499G W OR W/O OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$16,997.47
|
|
Service Code
|
APR-DRG 6082
|
Hospital Charge Code |
APRDRG 6082
|
Min. Negotiated Rate |
$16,188.07 |
Max. Negotiated Rate |
$16,997.47 |
Rate for Payer: BCBS Complete |
$16,997.47
|
Rate for Payer: Mclaren Medicaid |
$16,188.07
|
Rate for Payer: Meridian Medicaid |
$16,997.47
|
Rate for Payer: Priority Health Choice Medicaid |
$16,188.07
|
|
INPATIENT APRDRG 6083: NEONATE BWT 1250-1499G W OR W/O OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$22,695.10
|
|
Service Code
|
APR-DRG 6083
|
Hospital Charge Code |
APRDRG 6083
|
Min. Negotiated Rate |
$21,614.38 |
Max. Negotiated Rate |
$22,695.10 |
Rate for Payer: BCBS Complete |
$22,695.10
|
Rate for Payer: Mclaren Medicaid |
$21,614.38
|
Rate for Payer: Meridian Medicaid |
$22,695.10
|
Rate for Payer: Priority Health Choice Medicaid |
$21,614.38
|
|
INPATIENT APRDRG 6084: NEONATE BWT 1250-1499G W OR W/O OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$28,502.79
|
|
Service Code
|
APR-DRG 6084
|
Hospital Charge Code |
APRDRG 6084
|
Min. Negotiated Rate |
$27,145.51 |
Max. Negotiated Rate |
$28,502.79 |
Rate for Payer: BCBS Complete |
$28,502.79
|
Rate for Payer: Mclaren Medicaid |
$27,145.51
|
Rate for Payer: Meridian Medicaid |
$28,502.79
|
Rate for Payer: Priority Health Choice Medicaid |
$27,145.51
|
|
INPATIENT APRDRG 6091: NEONATE BWT 1500-2499G W MAJOR PROCEDURE
|
Facility
|
IP
|
$25,323.82
|
|
Service Code
|
APR-DRG 6091
|
Hospital Charge Code |
APRDRG 6091
|
Min. Negotiated Rate |
$24,117.92 |
Max. Negotiated Rate |
$25,323.82 |
Rate for Payer: BCBS Complete |
$25,323.82
|
Rate for Payer: Mclaren Medicaid |
$24,117.92
|
Rate for Payer: Meridian Medicaid |
$25,323.82
|
Rate for Payer: Priority Health Choice Medicaid |
$24,117.92
|
|
INPATIENT APRDRG 6092: NEONATE BWT 1500-2499G W MAJOR PROCEDURE
|
Facility
|
IP
|
$25,846.96
|
|
Service Code
|
APR-DRG 6092
|
Hospital Charge Code |
APRDRG 6092
|
Min. Negotiated Rate |
$24,616.15 |
Max. Negotiated Rate |
$25,846.96 |
Rate for Payer: BCBS Complete |
$25,846.96
|
Rate for Payer: Mclaren Medicaid |
$24,616.15
|
Rate for Payer: Meridian Medicaid |
$25,846.96
|
Rate for Payer: Priority Health Choice Medicaid |
$24,616.15
|
|