INPATIENT APRDRG 5431: ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
|
Facility
|
IP
|
$2,383.53
|
|
Service Code
|
APR-DRG 5431
|
Hospital Charge Code |
APRDRG 5431
|
Min. Negotiated Rate |
$2,270.03 |
Max. Negotiated Rate |
$2,383.53 |
Rate for Payer: BCBS Complete |
$2,383.53
|
Rate for Payer: Mclaren Medicaid |
$2,270.03
|
Rate for Payer: Meridian Medicaid |
$2,383.53
|
Rate for Payer: Priority Health Choice Medicaid |
$2,270.03
|
|
INPATIENT APRDRG 5432: ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
|
Facility
|
IP
|
$3,010.96
|
|
Service Code
|
APR-DRG 5432
|
Hospital Charge Code |
APRDRG 5432
|
Min. Negotiated Rate |
$2,867.58 |
Max. Negotiated Rate |
$3,010.96 |
Rate for Payer: BCBS Complete |
$3,010.96
|
Rate for Payer: Mclaren Medicaid |
$2,867.58
|
Rate for Payer: Meridian Medicaid |
$3,010.96
|
Rate for Payer: Priority Health Choice Medicaid |
$2,867.58
|
|
INPATIENT APRDRG 5433: ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
|
Facility
|
IP
|
$4,545.11
|
|
Service Code
|
APR-DRG 5433
|
Hospital Charge Code |
APRDRG 5433
|
Min. Negotiated Rate |
$4,328.68 |
Max. Negotiated Rate |
$4,545.11 |
Rate for Payer: BCBS Complete |
$4,545.11
|
Rate for Payer: Mclaren Medicaid |
$4,328.68
|
Rate for Payer: Meridian Medicaid |
$4,545.11
|
Rate for Payer: Priority Health Choice Medicaid |
$4,328.68
|
|
INPATIENT APRDRG 5434: ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
|
Facility
|
IP
|
$11,128.61
|
|
Service Code
|
APR-DRG 5434
|
Hospital Charge Code |
APRDRG 5434
|
Min. Negotiated Rate |
$10,598.68 |
Max. Negotiated Rate |
$11,128.61 |
Rate for Payer: BCBS Complete |
$11,128.61
|
Rate for Payer: Mclaren Medicaid |
$10,598.68
|
Rate for Payer: Meridian Medicaid |
$11,128.61
|
Rate for Payer: Priority Health Choice Medicaid |
$10,598.68
|
|
INPATIENT APRDRG 5471: ANTEPARTUM W O.R. PROCEDURE
|
Facility
|
IP
|
$3,164.07
|
|
Service Code
|
APR-DRG 5471
|
Hospital Charge Code |
APRDRG 5471
|
Min. Negotiated Rate |
$3,013.40 |
Max. Negotiated Rate |
$3,164.07 |
Rate for Payer: BCBS Complete |
$3,164.07
|
Rate for Payer: Mclaren Medicaid |
$3,013.40
|
Rate for Payer: Meridian Medicaid |
$3,164.07
|
Rate for Payer: Priority Health Choice Medicaid |
$3,013.40
|
|
INPATIENT APRDRG 5472: ANTEPARTUM W O.R. PROCEDURE
|
Facility
|
IP
|
$4,323.67
|
|
Service Code
|
APR-DRG 5472
|
Hospital Charge Code |
APRDRG 5472
|
Min. Negotiated Rate |
$4,117.78 |
Max. Negotiated Rate |
$4,323.67 |
Rate for Payer: BCBS Complete |
$4,323.67
|
Rate for Payer: Mclaren Medicaid |
$4,117.78
|
Rate for Payer: Meridian Medicaid |
$4,323.67
|
Rate for Payer: Priority Health Choice Medicaid |
$4,117.78
|
|
INPATIENT APRDRG 5473: ANTEPARTUM W O.R. PROCEDURE
|
Facility
|
IP
|
$7,074.27
|
|
Service Code
|
APR-DRG 5473
|
Hospital Charge Code |
APRDRG 5473
|
Min. Negotiated Rate |
$6,737.40 |
Max. Negotiated Rate |
$7,074.27 |
Rate for Payer: BCBS Complete |
$7,074.27
|
Rate for Payer: Mclaren Medicaid |
$6,737.40
|
Rate for Payer: Meridian Medicaid |
$7,074.27
|
Rate for Payer: Priority Health Choice Medicaid |
$6,737.40
|
|
INPATIENT APRDRG 5474: ANTEPARTUM W O.R. PROCEDURE
|
Facility
|
IP
|
$12,575.48
|
|
Service Code
|
APR-DRG 5474
|
Hospital Charge Code |
APRDRG 5474
|
Min. Negotiated Rate |
$11,976.65 |
Max. Negotiated Rate |
$12,575.48 |
Rate for Payer: BCBS Complete |
$12,575.48
|
Rate for Payer: Mclaren Medicaid |
$11,976.65
|
Rate for Payer: Meridian Medicaid |
$12,575.48
|
Rate for Payer: Priority Health Choice Medicaid |
$11,976.65
|
|
INPATIENT APRDRG 5481: POSTPARTUM & POST ABORTION DIAGNOSIS W O.R. PROCEDURE
|
Facility
|
IP
|
$2,164.08
|
|
Service Code
|
APR-DRG 5481
|
Hospital Charge Code |
APRDRG 5481
|
Min. Negotiated Rate |
$2,061.03 |
Max. Negotiated Rate |
$2,164.08 |
Rate for Payer: BCBS Complete |
$2,164.08
|
Rate for Payer: Mclaren Medicaid |
$2,061.03
|
Rate for Payer: Meridian Medicaid |
$2,164.08
|
Rate for Payer: Priority Health Choice Medicaid |
$2,061.03
|
|
INPATIENT APRDRG 5482: POSTPARTUM & POST ABORTION DIAGNOSIS W O.R. PROCEDURE
|
Facility
|
IP
|
$4,195.99
|
|
Service Code
|
APR-DRG 5482
|
Hospital Charge Code |
APRDRG 5482
|
Min. Negotiated Rate |
$3,996.18 |
Max. Negotiated Rate |
$4,195.99 |
Rate for Payer: BCBS Complete |
$4,195.99
|
Rate for Payer: Mclaren Medicaid |
$3,996.18
|
Rate for Payer: Meridian Medicaid |
$4,195.99
|
Rate for Payer: Priority Health Choice Medicaid |
$3,996.18
|
|
INPATIENT APRDRG 5483: POSTPARTUM & POST ABORTION DIAGNOSIS W O.R. PROCEDURE
|
Facility
|
IP
|
$7,125.65
|
|
Service Code
|
APR-DRG 5483
|
Hospital Charge Code |
APRDRG 5483
|
Min. Negotiated Rate |
$6,786.33 |
Max. Negotiated Rate |
$7,125.65 |
Rate for Payer: BCBS Complete |
$7,125.65
|
Rate for Payer: Mclaren Medicaid |
$6,786.33
|
Rate for Payer: Meridian Medicaid |
$7,125.65
|
Rate for Payer: Priority Health Choice Medicaid |
$6,786.33
|
|
INPATIENT APRDRG 5484: POSTPARTUM & POST ABORTION DIAGNOSIS W O.R. PROCEDURE
|
Facility
|
IP
|
$16,057.26
|
|
Service Code
|
APR-DRG 5484
|
Hospital Charge Code |
APRDRG 5484
|
Min. Negotiated Rate |
$15,292.63 |
Max. Negotiated Rate |
$16,057.26 |
Rate for Payer: BCBS Complete |
$16,057.26
|
Rate for Payer: Mclaren Medicaid |
$15,292.63
|
Rate for Payer: Meridian Medicaid |
$16,057.26
|
Rate for Payer: Priority Health Choice Medicaid |
$15,292.63
|
|
INPATIENT APRDRG 5601: VAGINAL DELIVERY
|
Facility
|
IP
|
$2,078.79
|
|
Service Code
|
APR-DRG 5601
|
Hospital Charge Code |
APRDRG 5601
|
Min. Negotiated Rate |
$1,979.80 |
Max. Negotiated Rate |
$2,078.79 |
Rate for Payer: BCBS Complete |
$2,078.79
|
Rate for Payer: Mclaren Medicaid |
$1,979.80
|
Rate for Payer: Meridian Medicaid |
$2,078.79
|
Rate for Payer: Priority Health Choice Medicaid |
$1,979.80
|
|
INPATIENT APRDRG 5602: VAGINAL DELIVERY
|
Facility
|
IP
|
$2,409.96
|
|
Service Code
|
APR-DRG 5602
|
Hospital Charge Code |
APRDRG 5602
|
Min. Negotiated Rate |
$2,295.20 |
Max. Negotiated Rate |
$2,409.96 |
Rate for Payer: BCBS Complete |
$2,409.96
|
Rate for Payer: Mclaren Medicaid |
$2,295.20
|
Rate for Payer: Meridian Medicaid |
$2,409.96
|
Rate for Payer: Priority Health Choice Medicaid |
$2,295.20
|
|
INPATIENT APRDRG 5603: VAGINAL DELIVERY
|
Facility
|
IP
|
$3,148.61
|
|
Service Code
|
APR-DRG 5603
|
Hospital Charge Code |
APRDRG 5603
|
Min. Negotiated Rate |
$2,998.68 |
Max. Negotiated Rate |
$3,148.61 |
Rate for Payer: BCBS Complete |
$3,148.61
|
Rate for Payer: Mclaren Medicaid |
$2,998.68
|
Rate for Payer: Meridian Medicaid |
$3,148.61
|
Rate for Payer: Priority Health Choice Medicaid |
$2,998.68
|
|
INPATIENT APRDRG 5604: VAGINAL DELIVERY
|
Facility
|
IP
|
$6,651.33
|
|
Service Code
|
APR-DRG 5604
|
Hospital Charge Code |
APRDRG 5604
|
Min. Negotiated Rate |
$6,334.60 |
Max. Negotiated Rate |
$6,651.33 |
Rate for Payer: BCBS Complete |
$6,651.33
|
Rate for Payer: Mclaren Medicaid |
$6,334.60
|
Rate for Payer: Meridian Medicaid |
$6,651.33
|
Rate for Payer: Priority Health Choice Medicaid |
$6,334.60
|
|
INPATIENT APRDRG 5611: POSTPARTUM & POST ABORTION DIAGNOSES W/O PROCEDURE
|
Facility
|
IP
|
$1,509.72
|
|
Service Code
|
APR-DRG 5611
|
Hospital Charge Code |
APRDRG 5611
|
Min. Negotiated Rate |
$1,437.83 |
Max. Negotiated Rate |
$1,509.72 |
Rate for Payer: BCBS Complete |
$1,509.72
|
Rate for Payer: Mclaren Medicaid |
$1,437.83
|
Rate for Payer: Meridian Medicaid |
$1,509.72
|
Rate for Payer: Priority Health Choice Medicaid |
$1,437.83
|
|
INPATIENT APRDRG 5612: POSTPARTUM & POST ABORTION DIAGNOSES W/O PROCEDURE
|
Facility
|
IP
|
$2,269.82
|
|
Service Code
|
APR-DRG 5612
|
Hospital Charge Code |
APRDRG 5612
|
Min. Negotiated Rate |
$2,161.73 |
Max. Negotiated Rate |
$2,269.82 |
Rate for Payer: BCBS Complete |
$2,269.82
|
Rate for Payer: Mclaren Medicaid |
$2,161.73
|
Rate for Payer: Meridian Medicaid |
$2,269.82
|
Rate for Payer: Priority Health Choice Medicaid |
$2,161.73
|
|
INPATIENT APRDRG 5613: POSTPARTUM & POST ABORTION DIAGNOSES W/O PROCEDURE
|
Facility
|
IP
|
$3,655.84
|
|
Service Code
|
APR-DRG 5613
|
Hospital Charge Code |
APRDRG 5613
|
Min. Negotiated Rate |
$3,481.75 |
Max. Negotiated Rate |
$3,655.84 |
Rate for Payer: BCBS Complete |
$3,655.84
|
Rate for Payer: Mclaren Medicaid |
$3,481.75
|
Rate for Payer: Meridian Medicaid |
$3,655.84
|
Rate for Payer: Priority Health Choice Medicaid |
$3,481.75
|
|
INPATIENT APRDRG 5614: POSTPARTUM & POST ABORTION DIAGNOSES W/O PROCEDURE
|
Facility
|
IP
|
$8,326.64
|
|
Service Code
|
APR-DRG 5614
|
Hospital Charge Code |
APRDRG 5614
|
Min. Negotiated Rate |
$7,930.13 |
Max. Negotiated Rate |
$8,326.64 |
Rate for Payer: BCBS Complete |
$8,326.64
|
Rate for Payer: Mclaren Medicaid |
$7,930.13
|
Rate for Payer: Meridian Medicaid |
$8,326.64
|
Rate for Payer: Priority Health Choice Medicaid |
$7,930.13
|
|
INPATIENT APRDRG 5641: ABORTION W/O D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
|
Facility
|
IP
|
$1,815.95
|
|
Service Code
|
APR-DRG 5641
|
Hospital Charge Code |
APRDRG 5641
|
Min. Negotiated Rate |
$1,729.48 |
Max. Negotiated Rate |
$1,815.95 |
Rate for Payer: BCBS Complete |
$1,815.95
|
Rate for Payer: Mclaren Medicaid |
$1,729.48
|
Rate for Payer: Meridian Medicaid |
$1,815.95
|
Rate for Payer: Priority Health Choice Medicaid |
$1,729.48
|
|
INPATIENT APRDRG 5642: ABORTION W/O D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
|
Facility
|
IP
|
$2,668.82
|
|
Service Code
|
APR-DRG 5642
|
Hospital Charge Code |
APRDRG 5642
|
Min. Negotiated Rate |
$2,541.73 |
Max. Negotiated Rate |
$2,668.82 |
Rate for Payer: BCBS Complete |
$2,668.82
|
Rate for Payer: Mclaren Medicaid |
$2,541.73
|
Rate for Payer: Meridian Medicaid |
$2,668.82
|
Rate for Payer: Priority Health Choice Medicaid |
$2,541.73
|
|
INPATIENT APRDRG 5643: ABORTION W/O D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
|
Facility
|
IP
|
$3,646.86
|
|
Service Code
|
APR-DRG 5643
|
Hospital Charge Code |
APRDRG 5643
|
Min. Negotiated Rate |
$3,473.20 |
Max. Negotiated Rate |
$3,646.86 |
Rate for Payer: BCBS Complete |
$3,646.86
|
Rate for Payer: Mclaren Medicaid |
$3,473.20
|
Rate for Payer: Meridian Medicaid |
$3,646.86
|
Rate for Payer: Priority Health Choice Medicaid |
$3,473.20
|
|
INPATIENT APRDRG 5644: ABORTION W/O D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
|
Facility
|
IP
|
$12,044.81
|
|
Service Code
|
APR-DRG 5644
|
Hospital Charge Code |
APRDRG 5644
|
Min. Negotiated Rate |
$11,471.25 |
Max. Negotiated Rate |
$12,044.81 |
Rate for Payer: BCBS Complete |
$12,044.81
|
Rate for Payer: Mclaren Medicaid |
$11,471.25
|
Rate for Payer: Meridian Medicaid |
$12,044.81
|
Rate for Payer: Priority Health Choice Medicaid |
$11,471.25
|
|
INPATIENT APRDRG 5661: OTHER ANTEPARTUM DIAGNOSES
|
Facility
|
IP
|
$1,710.71
|
|
Service Code
|
APR-DRG 5661
|
Hospital Charge Code |
APRDRG 5661
|
Min. Negotiated Rate |
$1,629.25 |
Max. Negotiated Rate |
$1,710.71 |
Rate for Payer: BCBS Complete |
$1,710.71
|
Rate for Payer: Mclaren Medicaid |
$1,629.25
|
Rate for Payer: Meridian Medicaid |
$1,710.71
|
Rate for Payer: Priority Health Choice Medicaid |
$1,629.25
|
|