INPATIENT APRDRG 5662: OTHER ANTEPARTUM DIAGNOSES
|
Facility
|
IP
|
$2,221.94
|
|
Service Code
|
APR-DRG 5662
|
Hospital Charge Code |
APRDRG 5662
|
Min. Negotiated Rate |
$2,116.13 |
Max. Negotiated Rate |
$2,221.94 |
Rate for Payer: BCBS Complete |
$2,221.94
|
Rate for Payer: Mclaren Medicaid |
$2,116.13
|
Rate for Payer: Meridian Medicaid |
$2,221.94
|
Rate for Payer: Priority Health Choice Medicaid |
$2,116.13
|
|
INPATIENT APRDRG 5663: OTHER ANTEPARTUM DIAGNOSES
|
Facility
|
IP
|
$3,412.95
|
|
Service Code
|
APR-DRG 5663
|
Hospital Charge Code |
APRDRG 5663
|
Min. Negotiated Rate |
$3,250.43 |
Max. Negotiated Rate |
$3,412.95 |
Rate for Payer: BCBS Complete |
$3,412.95
|
Rate for Payer: Mclaren Medicaid |
$3,250.43
|
Rate for Payer: Meridian Medicaid |
$3,412.95
|
Rate for Payer: Priority Health Choice Medicaid |
$3,250.43
|
|
INPATIENT APRDRG 5664: OTHER ANTEPARTUM DIAGNOSES
|
Facility
|
IP
|
$6,000.47
|
|
Service Code
|
APR-DRG 5664
|
Hospital Charge Code |
APRDRG 5664
|
Min. Negotiated Rate |
$5,714.73 |
Max. Negotiated Rate |
$6,000.47 |
Rate for Payer: BCBS Complete |
$6,000.47
|
Rate for Payer: Mclaren Medicaid |
$5,714.73
|
Rate for Payer: Meridian Medicaid |
$6,000.47
|
Rate for Payer: Priority Health Choice Medicaid |
$5,714.73
|
|
INPATIENT APRDRG 5801: NEONATE, TRANSFERRED <5 DAYS OLD, NOT BORN HERE
|
Facility
|
IP
|
$1,669.82
|
|
Service Code
|
APR-DRG 5801
|
Hospital Charge Code |
APRDRG 5801
|
Min. Negotiated Rate |
$1,590.30 |
Max. Negotiated Rate |
$1,669.82 |
Rate for Payer: BCBS Complete |
$1,669.82
|
Rate for Payer: Mclaren Medicaid |
$1,590.30
|
Rate for Payer: Meridian Medicaid |
$1,669.82
|
Rate for Payer: Priority Health Choice Medicaid |
$1,590.30
|
|
INPATIENT APRDRG 5802: NEONATE, TRANSFERRED <5 DAYS OLD, NOT BORN HERE
|
Facility
|
IP
|
$2,388.02
|
|
Service Code
|
APR-DRG 5802
|
Hospital Charge Code |
APRDRG 5802
|
Min. Negotiated Rate |
$2,274.30 |
Max. Negotiated Rate |
$2,388.02 |
Rate for Payer: BCBS Complete |
$2,388.02
|
Rate for Payer: Mclaren Medicaid |
$2,274.30
|
Rate for Payer: Meridian Medicaid |
$2,388.02
|
Rate for Payer: Priority Health Choice Medicaid |
$2,274.30
|
|
INPATIENT APRDRG 5803: NEONATE, TRANSFERRED <5 DAYS OLD, NOT BORN HERE
|
Facility
|
IP
|
$3,805.46
|
|
Service Code
|
APR-DRG 5803
|
Hospital Charge Code |
APRDRG 5803
|
Min. Negotiated Rate |
$3,624.25 |
Max. Negotiated Rate |
$3,805.46 |
Rate for Payer: BCBS Complete |
$3,805.46
|
Rate for Payer: Mclaren Medicaid |
$3,624.25
|
Rate for Payer: Meridian Medicaid |
$3,805.46
|
Rate for Payer: Priority Health Choice Medicaid |
$3,624.25
|
|
INPATIENT APRDRG 5804: NEONATE, TRANSFERRED <5 DAYS OLD, NOT BORN HERE
|
Facility
|
IP
|
$6,171.04
|
|
Service Code
|
APR-DRG 5804
|
Hospital Charge Code |
APRDRG 5804
|
Min. Negotiated Rate |
$5,877.18 |
Max. Negotiated Rate |
$6,171.04 |
Rate for Payer: BCBS Complete |
$6,171.04
|
Rate for Payer: Mclaren Medicaid |
$5,877.18
|
Rate for Payer: Meridian Medicaid |
$6,171.04
|
Rate for Payer: Priority Health Choice Medicaid |
$5,877.18
|
|
INPATIENT APRDRG 5811: NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE
|
Facility
|
IP
|
$616.96
|
|
Service Code
|
APR-DRG 5811
|
Hospital Charge Code |
APRDRG 5811
|
Min. Negotiated Rate |
$587.58 |
Max. Negotiated Rate |
$616.96 |
Rate for Payer: BCBS Complete |
$616.96
|
Rate for Payer: Mclaren Medicaid |
$587.58
|
Rate for Payer: Meridian Medicaid |
$616.96
|
Rate for Payer: Priority Health Choice Medicaid |
$587.58
|
|
INPATIENT APRDRG 5812: NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE
|
Facility
|
IP
|
$958.10
|
|
Service Code
|
APR-DRG 5812
|
Hospital Charge Code |
APRDRG 5812
|
Min. Negotiated Rate |
$912.48 |
Max. Negotiated Rate |
$958.10 |
Rate for Payer: BCBS Complete |
$958.10
|
Rate for Payer: Mclaren Medicaid |
$912.48
|
Rate for Payer: Meridian Medicaid |
$958.10
|
Rate for Payer: Priority Health Choice Medicaid |
$912.48
|
|
INPATIENT APRDRG 5813: NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE
|
Facility
|
IP
|
$1,904.73
|
|
Service Code
|
APR-DRG 5813
|
Hospital Charge Code |
APRDRG 5813
|
Min. Negotiated Rate |
$1,814.03 |
Max. Negotiated Rate |
$1,904.73 |
Rate for Payer: BCBS Complete |
$1,904.73
|
Rate for Payer: Mclaren Medicaid |
$1,814.03
|
Rate for Payer: Meridian Medicaid |
$1,904.73
|
Rate for Payer: Priority Health Choice Medicaid |
$1,814.03
|
|
INPATIENT APRDRG 5814: NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE
|
Facility
|
IP
|
$9,309.67
|
|
Service Code
|
APR-DRG 5814
|
Hospital Charge Code |
APRDRG 5814
|
Min. Negotiated Rate |
$8,866.35 |
Max. Negotiated Rate |
$9,309.67 |
Rate for Payer: BCBS Complete |
$9,309.67
|
Rate for Payer: Mclaren Medicaid |
$8,866.35
|
Rate for Payer: Meridian Medicaid |
$9,309.67
|
Rate for Payer: Priority Health Choice Medicaid |
$8,866.35
|
|
INPATIENT APRDRG 5831: NEONATE W ECMO
|
Facility
|
IP
|
$73,078.84
|
|
Service Code
|
APR-DRG 5831
|
Hospital Charge Code |
APRDRG 5831
|
Min. Negotiated Rate |
$69,598.90 |
Max. Negotiated Rate |
$73,078.84 |
Rate for Payer: BCBS Complete |
$73,078.84
|
Rate for Payer: Mclaren Medicaid |
$69,598.90
|
Rate for Payer: Meridian Medicaid |
$73,078.84
|
Rate for Payer: Priority Health Choice Medicaid |
$69,598.90
|
|
INPATIENT APRDRG 5832: NEONATE W ECMO
|
Facility
|
IP
|
$100,538.02
|
|
Service Code
|
APR-DRG 5832
|
Hospital Charge Code |
APRDRG 5832
|
Min. Negotiated Rate |
$95,750.50 |
Max. Negotiated Rate |
$100,538.02 |
Rate for Payer: BCBS Complete |
$100,538.02
|
Rate for Payer: Mclaren Medicaid |
$95,750.50
|
Rate for Payer: Meridian Medicaid |
$100,538.02
|
Rate for Payer: Priority Health Choice Medicaid |
$95,750.50
|
|
INPATIENT APRDRG 5833: NEONATE W ECMO
|
Facility
|
IP
|
$181,340.02
|
|
Service Code
|
APR-DRG 5833
|
Hospital Charge Code |
APRDRG 5833
|
Min. Negotiated Rate |
$172,704.78 |
Max. Negotiated Rate |
$181,340.02 |
Rate for Payer: BCBS Complete |
$181,340.02
|
Rate for Payer: Mclaren Medicaid |
$172,704.78
|
Rate for Payer: Meridian Medicaid |
$181,340.02
|
Rate for Payer: Priority Health Choice Medicaid |
$172,704.78
|
|
INPATIENT APRDRG 5834: NEONATE W ECMO
|
Facility
|
IP
|
$279,964.34
|
|
Service Code
|
APR-DRG 5834
|
Hospital Charge Code |
APRDRG 5834
|
Min. Negotiated Rate |
$266,632.70 |
Max. Negotiated Rate |
$279,964.34 |
Rate for Payer: BCBS Complete |
$279,964.34
|
Rate for Payer: Mclaren Medicaid |
$266,632.70
|
Rate for Payer: Meridian Medicaid |
$279,964.34
|
Rate for Payer: Priority Health Choice Medicaid |
$266,632.70
|
|
INPATIENT APRDRG 5881: NEONATE BWT <1500G W MAJOR PROCEDURE
|
Facility
|
IP
|
$86,999.46
|
|
Service Code
|
APR-DRG 5881
|
Hospital Charge Code |
APRDRG 5881
|
Min. Negotiated Rate |
$82,856.63 |
Max. Negotiated Rate |
$86,999.46 |
Rate for Payer: BCBS Complete |
$86,999.46
|
Rate for Payer: Mclaren Medicaid |
$82,856.63
|
Rate for Payer: Meridian Medicaid |
$86,999.46
|
Rate for Payer: Priority Health Choice Medicaid |
$82,856.63
|
|
INPATIENT APRDRG 5882: NEONATE BWT <1500G W MAJOR PROCEDURE
|
Facility
|
IP
|
$101,500.61
|
|
Service Code
|
APR-DRG 5882
|
Hospital Charge Code |
APRDRG 5882
|
Min. Negotiated Rate |
$96,667.25 |
Max. Negotiated Rate |
$101,500.61 |
Rate for Payer: BCBS Complete |
$101,500.61
|
Rate for Payer: Mclaren Medicaid |
$96,667.25
|
Rate for Payer: Meridian Medicaid |
$101,500.61
|
Rate for Payer: Priority Health Choice Medicaid |
$96,667.25
|
|
INPATIENT APRDRG 5883: NEONATE BWT <1500G W MAJOR PROCEDURE
|
Facility
|
IP
|
$117,916.97
|
|
Service Code
|
APR-DRG 5883
|
Hospital Charge Code |
APRDRG 5883
|
Min. Negotiated Rate |
$112,301.88 |
Max. Negotiated Rate |
$117,916.97 |
Rate for Payer: BCBS Complete |
$117,916.97
|
Rate for Payer: Mclaren Medicaid |
$112,301.88
|
Rate for Payer: Meridian Medicaid |
$117,916.97
|
Rate for Payer: Priority Health Choice Medicaid |
$112,301.88
|
|
INPATIENT APRDRG 5884: NEONATE BWT <1500G W MAJOR PROCEDURE
|
Facility
|
IP
|
$182,793.87
|
|
Service Code
|
APR-DRG 5884
|
Hospital Charge Code |
APRDRG 5884
|
Min. Negotiated Rate |
$174,089.40 |
Max. Negotiated Rate |
$182,793.87 |
Rate for Payer: BCBS Complete |
$182,793.87
|
Rate for Payer: Mclaren Medicaid |
$174,089.40
|
Rate for Payer: Meridian Medicaid |
$182,793.87
|
Rate for Payer: Priority Health Choice Medicaid |
$174,089.40
|
|
INPATIENT APRDRG 5891: NEONATE BWT <500G OR GA <24 WEEKS
|
Facility
|
IP
|
$71,465.39
|
|
Service Code
|
APR-DRG 5891
|
Hospital Charge Code |
APRDRG 5891
|
Min. Negotiated Rate |
$68,062.28 |
Max. Negotiated Rate |
$71,465.39 |
Rate for Payer: BCBS Complete |
$71,465.39
|
Rate for Payer: Mclaren Medicaid |
$68,062.28
|
Rate for Payer: Meridian Medicaid |
$71,465.39
|
Rate for Payer: Priority Health Choice Medicaid |
$68,062.28
|
|
INPATIENT APRDRG 5892: NEONATE BWT <500G OR GA <24 WEEKS
|
Facility
|
IP
|
$70,315.77
|
|
Service Code
|
APR-DRG 5892
|
Hospital Charge Code |
APRDRG 5892
|
Min. Negotiated Rate |
$66,967.40 |
Max. Negotiated Rate |
$70,315.77 |
Rate for Payer: BCBS Complete |
$70,315.77
|
Rate for Payer: Mclaren Medicaid |
$66,967.40
|
Rate for Payer: Meridian Medicaid |
$70,315.77
|
Rate for Payer: Priority Health Choice Medicaid |
$66,967.40
|
|
INPATIENT APRDRG 5893: NEONATE BWT <500G OR GA <24 WEEKS
|
Facility
|
IP
|
$68,817.52
|
|
Service Code
|
APR-DRG 5893
|
Hospital Charge Code |
APRDRG 5893
|
Min. Negotiated Rate |
$65,540.50 |
Max. Negotiated Rate |
$68,817.52 |
Rate for Payer: BCBS Complete |
$68,817.52
|
Rate for Payer: Mclaren Medicaid |
$65,540.50
|
Rate for Payer: Meridian Medicaid |
$68,817.52
|
Rate for Payer: Priority Health Choice Medicaid |
$65,540.50
|
|
INPATIENT APRDRG 5894: NEONATE BWT <500G OR GA <24 WEEKS
|
Facility
|
IP
|
$2,109.22
|
|
Service Code
|
APR-DRG 5894
|
Hospital Charge Code |
APRDRG 5894
|
Min. Negotiated Rate |
$2,008.78 |
Max. Negotiated Rate |
$2,109.22 |
Rate for Payer: BCBS Complete |
$2,109.22
|
Rate for Payer: Mclaren Medicaid |
$2,008.78
|
Rate for Payer: Meridian Medicaid |
$2,109.22
|
Rate for Payer: Priority Health Choice Medicaid |
$2,008.78
|
|
INPATIENT APRDRG 5911: NEONATE BIRTHWT 500-749G W/O MAJOR PROCEDURE
|
Facility
|
IP
|
$34,219.74
|
|
Service Code
|
APR-DRG 5911
|
Hospital Charge Code |
APRDRG 5911
|
Min. Negotiated Rate |
$32,590.23 |
Max. Negotiated Rate |
$34,219.74 |
Rate for Payer: BCBS Complete |
$34,219.74
|
Rate for Payer: Mclaren Medicaid |
$32,590.23
|
Rate for Payer: Meridian Medicaid |
$34,219.74
|
Rate for Payer: Priority Health Choice Medicaid |
$32,590.23
|
|
INPATIENT APRDRG 5912: NEONATE BIRTHWT 500-749G W/O MAJOR PROCEDURE
|
Facility
|
IP
|
$61,504.36
|
|
Service Code
|
APR-DRG 5912
|
Hospital Charge Code |
APRDRG 5912
|
Min. Negotiated Rate |
$58,575.58 |
Max. Negotiated Rate |
$61,504.36 |
Rate for Payer: BCBS Complete |
$61,504.36
|
Rate for Payer: Mclaren Medicaid |
$58,575.58
|
Rate for Payer: Meridian Medicaid |
$61,504.36
|
Rate for Payer: Priority Health Choice Medicaid |
$58,575.58
|
|