INPATIENT APRDRG 5304: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY
|
Facility
|
IP
|
$12,369.00
|
|
Service Code
|
APR-DRG 5304
|
Hospital Charge Code |
APRDRG 5304
|
Min. Negotiated Rate |
$11,780.00 |
Max. Negotiated Rate |
$12,369.00 |
Rate for Payer: BCBS Complete |
$12,369.00
|
Rate for Payer: Mclaren Medicaid |
$11,780.00
|
Rate for Payer: Meridian Medicaid |
$12,369.00
|
Rate for Payer: Priority Health Choice Medicaid |
$11,780.00
|
|
INPATIENT APRDRG 5311: FEMALE REPRODUCTIVE SYSTEM INFECTIONS
|
Facility
|
IP
|
$2,770.06
|
|
Service Code
|
APR-DRG 5311
|
Hospital Charge Code |
APRDRG 5311
|
Min. Negotiated Rate |
$2,638.15 |
Max. Negotiated Rate |
$2,770.06 |
Rate for Payer: BCBS Complete |
$2,770.06
|
Rate for Payer: Mclaren Medicaid |
$2,638.15
|
Rate for Payer: Meridian Medicaid |
$2,770.06
|
Rate for Payer: Priority Health Choice Medicaid |
$2,638.15
|
|
INPATIENT APRDRG 5312: FEMALE REPRODUCTIVE SYSTEM INFECTIONS
|
Facility
|
IP
|
$3,492.25
|
|
Service Code
|
APR-DRG 5312
|
Hospital Charge Code |
APRDRG 5312
|
Min. Negotiated Rate |
$3,325.95 |
Max. Negotiated Rate |
$3,492.25 |
Rate for Payer: BCBS Complete |
$3,492.25
|
Rate for Payer: Mclaren Medicaid |
$3,325.95
|
Rate for Payer: Meridian Medicaid |
$3,492.25
|
Rate for Payer: Priority Health Choice Medicaid |
$3,325.95
|
|
INPATIENT APRDRG 5313: FEMALE REPRODUCTIVE SYSTEM INFECTIONS
|
Facility
|
IP
|
$4,561.07
|
|
Service Code
|
APR-DRG 5313
|
Hospital Charge Code |
APRDRG 5313
|
Min. Negotiated Rate |
$4,343.88 |
Max. Negotiated Rate |
$4,561.07 |
Rate for Payer: BCBS Complete |
$4,561.07
|
Rate for Payer: Mclaren Medicaid |
$4,343.88
|
Rate for Payer: Meridian Medicaid |
$4,561.07
|
Rate for Payer: Priority Health Choice Medicaid |
$4,343.88
|
|
INPATIENT APRDRG 5314: FEMALE REPRODUCTIVE SYSTEM INFECTIONS
|
Facility
|
IP
|
$7,853.82
|
|
Service Code
|
APR-DRG 5314
|
Hospital Charge Code |
APRDRG 5314
|
Min. Negotiated Rate |
$7,479.83 |
Max. Negotiated Rate |
$7,853.82 |
Rate for Payer: BCBS Complete |
$7,853.82
|
Rate for Payer: Mclaren Medicaid |
$7,479.83
|
Rate for Payer: Meridian Medicaid |
$7,853.82
|
Rate for Payer: Priority Health Choice Medicaid |
$7,479.83
|
|
INPATIENT APRDRG 5321: MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS
|
Facility
|
IP
|
$1,891.76
|
|
Service Code
|
APR-DRG 5321
|
Hospital Charge Code |
APRDRG 5321
|
Min. Negotiated Rate |
$1,801.68 |
Max. Negotiated Rate |
$1,891.76 |
Rate for Payer: BCBS Complete |
$1,891.76
|
Rate for Payer: Mclaren Medicaid |
$1,801.68
|
Rate for Payer: Meridian Medicaid |
$1,891.76
|
Rate for Payer: Priority Health Choice Medicaid |
$1,801.68
|
|
INPATIENT APRDRG 5322: MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS
|
Facility
|
IP
|
$2,368.57
|
|
Service Code
|
APR-DRG 5322
|
Hospital Charge Code |
APRDRG 5322
|
Min. Negotiated Rate |
$2,255.78 |
Max. Negotiated Rate |
$2,368.57 |
Rate for Payer: BCBS Complete |
$2,368.57
|
Rate for Payer: Mclaren Medicaid |
$2,255.78
|
Rate for Payer: Meridian Medicaid |
$2,368.57
|
Rate for Payer: Priority Health Choice Medicaid |
$2,255.78
|
|
INPATIENT APRDRG 5323: MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS
|
Facility
|
IP
|
$5,048.85
|
|
Service Code
|
APR-DRG 5323
|
Hospital Charge Code |
APRDRG 5323
|
Min. Negotiated Rate |
$4,808.43 |
Max. Negotiated Rate |
$5,048.85 |
Rate for Payer: BCBS Complete |
$5,048.85
|
Rate for Payer: Mclaren Medicaid |
$4,808.43
|
Rate for Payer: Meridian Medicaid |
$5,048.85
|
Rate for Payer: Priority Health Choice Medicaid |
$4,808.43
|
|
INPATIENT APRDRG 5324: MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS
|
Facility
|
IP
|
$10,407.42
|
|
Service Code
|
APR-DRG 5324
|
Hospital Charge Code |
APRDRG 5324
|
Min. Negotiated Rate |
$9,911.83 |
Max. Negotiated Rate |
$10,407.42 |
Rate for Payer: BCBS Complete |
$10,407.42
|
Rate for Payer: Mclaren Medicaid |
$9,911.83
|
Rate for Payer: Meridian Medicaid |
$10,407.42
|
Rate for Payer: Priority Health Choice Medicaid |
$9,911.83
|
|
INPATIENT APRDRG 5391: CESAREAN SECTION W STERILIZATION
|
Facility
|
IP
|
$2,554.10
|
|
Service Code
|
APR-DRG 5391
|
Hospital Charge Code |
APRDRG 5391
|
Min. Negotiated Rate |
$2,432.48 |
Max. Negotiated Rate |
$2,554.10 |
Rate for Payer: BCBS Complete |
$2,554.10
|
Rate for Payer: Mclaren Medicaid |
$2,432.48
|
Rate for Payer: Meridian Medicaid |
$2,554.10
|
Rate for Payer: Priority Health Choice Medicaid |
$2,432.48
|
|
INPATIENT APRDRG 5392: CESAREAN SECTION W STERILIZATION
|
Facility
|
IP
|
$3,062.83
|
|
Service Code
|
APR-DRG 5392
|
Hospital Charge Code |
APRDRG 5392
|
Min. Negotiated Rate |
$2,916.98 |
Max. Negotiated Rate |
$3,062.83 |
Rate for Payer: BCBS Complete |
$3,062.83
|
Rate for Payer: Mclaren Medicaid |
$2,916.98
|
Rate for Payer: Meridian Medicaid |
$3,062.83
|
Rate for Payer: Priority Health Choice Medicaid |
$2,916.98
|
|
INPATIENT APRDRG 5393: CESAREAN SECTION W STERILIZATION
|
Facility
|
IP
|
$4,919.18
|
|
Service Code
|
APR-DRG 5393
|
Hospital Charge Code |
APRDRG 5393
|
Min. Negotiated Rate |
$4,684.93 |
Max. Negotiated Rate |
$4,919.18 |
Rate for Payer: BCBS Complete |
$4,919.18
|
Rate for Payer: Mclaren Medicaid |
$4,684.93
|
Rate for Payer: Meridian Medicaid |
$4,919.18
|
Rate for Payer: Priority Health Choice Medicaid |
$4,684.93
|
|
INPATIENT APRDRG 5394: CESAREAN SECTION W STERILIZATION
|
Facility
|
IP
|
$12,429.85
|
|
Service Code
|
APR-DRG 5394
|
Hospital Charge Code |
APRDRG 5394
|
Min. Negotiated Rate |
$11,837.95 |
Max. Negotiated Rate |
$12,429.85 |
Rate for Payer: BCBS Complete |
$12,429.85
|
Rate for Payer: Mclaren Medicaid |
$11,837.95
|
Rate for Payer: Meridian Medicaid |
$12,429.85
|
Rate for Payer: Priority Health Choice Medicaid |
$11,837.95
|
|
INPATIENT APRDRG 5401: CESAREAN SECTION W/O STERILIZATION
|
Facility
|
IP
|
$3,962.57
|
|
Service Code
|
APR-DRG 5401
|
Hospital Charge Code |
APRDRG 5401
|
Min. Negotiated Rate |
$3,773.88 |
Max. Negotiated Rate |
$3,962.57 |
Rate for Payer: BCBS Complete |
$3,962.57
|
Rate for Payer: Mclaren Medicaid |
$3,773.88
|
Rate for Payer: Meridian Medicaid |
$3,962.57
|
Rate for Payer: Priority Health Choice Medicaid |
$3,773.88
|
|
INPATIENT APRDRG 5402: CESAREAN SECTION W/O STERILIZATION
|
Facility
|
IP
|
$4,991.00
|
|
Service Code
|
APR-DRG 5402
|
Hospital Charge Code |
APRDRG 5402
|
Min. Negotiated Rate |
$4,753.33 |
Max. Negotiated Rate |
$4,991.00 |
Rate for Payer: BCBS Complete |
$4,991.00
|
Rate for Payer: Mclaren Medicaid |
$4,753.33
|
Rate for Payer: Meridian Medicaid |
$4,991.00
|
Rate for Payer: Priority Health Choice Medicaid |
$4,753.33
|
|
INPATIENT APRDRG 5403: CESAREAN SECTION W/O STERILIZATION
|
Facility
|
IP
|
$6,097.72
|
|
Service Code
|
APR-DRG 5403
|
Hospital Charge Code |
APRDRG 5403
|
Min. Negotiated Rate |
$5,807.35 |
Max. Negotiated Rate |
$6,097.72 |
Rate for Payer: BCBS Complete |
$6,097.72
|
Rate for Payer: Mclaren Medicaid |
$5,807.35
|
Rate for Payer: Meridian Medicaid |
$6,097.72
|
Rate for Payer: Priority Health Choice Medicaid |
$5,807.35
|
|
INPATIENT APRDRG 5404: CESAREAN SECTION W/O STERILIZATION
|
Facility
|
IP
|
$11,965.52
|
|
Service Code
|
APR-DRG 5404
|
Hospital Charge Code |
APRDRG 5404
|
Min. Negotiated Rate |
$11,395.73 |
Max. Negotiated Rate |
$11,965.52 |
Rate for Payer: BCBS Complete |
$11,965.52
|
Rate for Payer: Mclaren Medicaid |
$11,395.73
|
Rate for Payer: Meridian Medicaid |
$11,965.52
|
Rate for Payer: Priority Health Choice Medicaid |
$11,395.73
|
|
INPATIENT APRDRG 5411: VAGINAL DELIVERY W STERILIZATION &/OR D&C
|
Facility
|
IP
|
$2,994.50
|
|
Service Code
|
APR-DRG 5411
|
Hospital Charge Code |
APRDRG 5411
|
Min. Negotiated Rate |
$2,851.90 |
Max. Negotiated Rate |
$2,994.50 |
Rate for Payer: BCBS Complete |
$2,994.50
|
Rate for Payer: Mclaren Medicaid |
$2,851.90
|
Rate for Payer: Meridian Medicaid |
$2,994.50
|
Rate for Payer: Priority Health Choice Medicaid |
$2,851.90
|
|
INPATIENT APRDRG 5412: VAGINAL DELIVERY W STERILIZATION &/OR D&C
|
Facility
|
IP
|
$3,608.46
|
|
Service Code
|
APR-DRG 5412
|
Hospital Charge Code |
APRDRG 5412
|
Min. Negotiated Rate |
$3,436.63 |
Max. Negotiated Rate |
$3,608.46 |
Rate for Payer: BCBS Complete |
$3,608.46
|
Rate for Payer: Mclaren Medicaid |
$3,436.63
|
Rate for Payer: Meridian Medicaid |
$3,608.46
|
Rate for Payer: Priority Health Choice Medicaid |
$3,436.63
|
|
INPATIENT APRDRG 5413: VAGINAL DELIVERY W STERILIZATION &/OR D&C
|
Facility
|
IP
|
$4,569.05
|
|
Service Code
|
APR-DRG 5413
|
Hospital Charge Code |
APRDRG 5413
|
Min. Negotiated Rate |
$4,351.48 |
Max. Negotiated Rate |
$4,569.05 |
Rate for Payer: BCBS Complete |
$4,569.05
|
Rate for Payer: Mclaren Medicaid |
$4,351.48
|
Rate for Payer: Meridian Medicaid |
$4,569.05
|
Rate for Payer: Priority Health Choice Medicaid |
$4,351.48
|
|
INPATIENT APRDRG 5414: VAGINAL DELIVERY W STERILIZATION &/OR D&C
|
Facility
|
IP
|
$3,837.89
|
|
Service Code
|
APR-DRG 5414
|
Hospital Charge Code |
APRDRG 5414
|
Min. Negotiated Rate |
$3,655.13 |
Max. Negotiated Rate |
$3,837.89 |
Rate for Payer: BCBS Complete |
$3,837.89
|
Rate for Payer: Mclaren Medicaid |
$3,655.13
|
Rate for Payer: Meridian Medicaid |
$3,837.89
|
Rate for Payer: Priority Health Choice Medicaid |
$3,655.13
|
|
INPATIENT APRDRG 5421: VAGINAL DELIVERY W COMPLICATING PROCEDURES EXC STERILIZATION &/OR D&C
|
Facility
|
IP
|
$2,470.31
|
|
Service Code
|
APR-DRG 5421
|
Hospital Charge Code |
APRDRG 5421
|
Min. Negotiated Rate |
$2,352.68 |
Max. Negotiated Rate |
$2,470.31 |
Rate for Payer: BCBS Complete |
$2,470.31
|
Rate for Payer: Mclaren Medicaid |
$2,352.68
|
Rate for Payer: Meridian Medicaid |
$2,470.31
|
Rate for Payer: Priority Health Choice Medicaid |
$2,352.68
|
|
INPATIENT APRDRG 5422: VAGINAL DELIVERY W COMPLICATING PROCEDURES EXC STERILIZATION &/OR D&C
|
Facility
|
IP
|
$2,931.16
|
|
Service Code
|
APR-DRG 5422
|
Hospital Charge Code |
APRDRG 5422
|
Min. Negotiated Rate |
$2,791.58 |
Max. Negotiated Rate |
$2,931.16 |
Rate for Payer: BCBS Complete |
$2,931.16
|
Rate for Payer: Mclaren Medicaid |
$2,791.58
|
Rate for Payer: Meridian Medicaid |
$2,931.16
|
Rate for Payer: Priority Health Choice Medicaid |
$2,791.58
|
|
INPATIENT APRDRG 5423: VAGINAL DELIVERY W COMPLICATING PROCEDURES EXC STERILIZATION &/OR D&C
|
Facility
|
IP
|
$3,526.67
|
|
Service Code
|
APR-DRG 5423
|
Hospital Charge Code |
APRDRG 5423
|
Min. Negotiated Rate |
$3,358.73 |
Max. Negotiated Rate |
$3,526.67 |
Rate for Payer: BCBS Complete |
$3,526.67
|
Rate for Payer: Mclaren Medicaid |
$3,358.73
|
Rate for Payer: Meridian Medicaid |
$3,526.67
|
Rate for Payer: Priority Health Choice Medicaid |
$3,358.73
|
|
INPATIENT APRDRG 5424: VAGINAL DELIVERY W COMPLICATING PROCEDURES EXC STERILIZATION &/OR D&C
|
Facility
|
IP
|
$10,303.68
|
|
Service Code
|
APR-DRG 5424
|
Hospital Charge Code |
APRDRG 5424
|
Min. Negotiated Rate |
$9,813.03 |
Max. Negotiated Rate |
$10,303.68 |
Rate for Payer: BCBS Complete |
$10,303.68
|
Rate for Payer: Mclaren Medicaid |
$9,813.03
|
Rate for Payer: Meridian Medicaid |
$10,303.68
|
Rate for Payer: Priority Health Choice Medicaid |
$9,813.03
|
|