INPATIENT APRDRG 5913: NEONATE BIRTHWT 500-749G W/O MAJOR PROCEDURE
|
Facility
|
IP
|
$81,567.57
|
|
Service Code
|
APR-DRG 5913
|
Hospital Charge Code |
APRDRG 5913
|
Min. Negotiated Rate |
$77,683.40 |
Max. Negotiated Rate |
$81,567.57 |
Rate for Payer: BCBS Complete |
$81,567.57
|
Rate for Payer: Mclaren Medicaid |
$77,683.40
|
Rate for Payer: Meridian Medicaid |
$81,567.57
|
Rate for Payer: Priority Health Choice Medicaid |
$77,683.40
|
|
INPATIENT APRDRG 5914: NEONATE BIRTHWT 500-749G W/O MAJOR PROCEDURE
|
Facility
|
IP
|
$106,091.11
|
|
Service Code
|
APR-DRG 5914
|
Hospital Charge Code |
APRDRG 5914
|
Min. Negotiated Rate |
$101,039.15 |
Max. Negotiated Rate |
$106,091.11 |
Rate for Payer: BCBS Complete |
$106,091.11
|
Rate for Payer: Mclaren Medicaid |
$101,039.15
|
Rate for Payer: Meridian Medicaid |
$106,091.11
|
Rate for Payer: Priority Health Choice Medicaid |
$101,039.15
|
|
INPATIENT APRDRG 5931: NEONATE BIRTHWT 750-999G W/O MAJOR PROCEDURE
|
Facility
|
IP
|
$8,061.30
|
|
Service Code
|
APR-DRG 5931
|
Hospital Charge Code |
APRDRG 5931
|
Min. Negotiated Rate |
$7,677.43 |
Max. Negotiated Rate |
$8,061.30 |
Rate for Payer: BCBS Complete |
$8,061.30
|
Rate for Payer: Mclaren Medicaid |
$7,677.43
|
Rate for Payer: Meridian Medicaid |
$8,061.30
|
Rate for Payer: Priority Health Choice Medicaid |
$7,677.43
|
|
INPATIENT APRDRG 5932: NEONATE BIRTHWT 750-999G W/O MAJOR PROCEDURE
|
Facility
|
IP
|
$48,401.69
|
|
Service Code
|
APR-DRG 5932
|
Hospital Charge Code |
APRDRG 5932
|
Min. Negotiated Rate |
$46,096.85 |
Max. Negotiated Rate |
$48,401.69 |
Rate for Payer: BCBS Complete |
$48,401.69
|
Rate for Payer: Mclaren Medicaid |
$46,096.85
|
Rate for Payer: Meridian Medicaid |
$48,401.69
|
Rate for Payer: Priority Health Choice Medicaid |
$46,096.85
|
|
INPATIENT APRDRG 5933: NEONATE BIRTHWT 750-999G W/O MAJOR PROCEDURE
|
Facility
|
IP
|
$73,815.50
|
|
Service Code
|
APR-DRG 5933
|
Hospital Charge Code |
APRDRG 5933
|
Min. Negotiated Rate |
$70,300.48 |
Max. Negotiated Rate |
$73,815.50 |
Rate for Payer: BCBS Complete |
$73,815.50
|
Rate for Payer: Mclaren Medicaid |
$70,300.48
|
Rate for Payer: Meridian Medicaid |
$73,815.50
|
Rate for Payer: Priority Health Choice Medicaid |
$70,300.48
|
|
INPATIENT APRDRG 5934: NEONATE BIRTHWT 750-999G W/O MAJOR PROCEDURE
|
Facility
|
IP
|
$107,142.47
|
|
Service Code
|
APR-DRG 5934
|
Hospital Charge Code |
APRDRG 5934
|
Min. Negotiated Rate |
$102,040.45 |
Max. Negotiated Rate |
$107,142.47 |
Rate for Payer: BCBS Complete |
$107,142.47
|
Rate for Payer: Mclaren Medicaid |
$102,040.45
|
Rate for Payer: Meridian Medicaid |
$107,142.47
|
Rate for Payer: Priority Health Choice Medicaid |
$102,040.45
|
|
INPATIENT APRDRG 6021: NEONATE BWT 1000-1249G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM
|
Facility
|
IP
|
$10,091.71
|
|
Service Code
|
APR-DRG 6021
|
Hospital Charge Code |
APRDRG 6021
|
Min. Negotiated Rate |
$9,611.15 |
Max. Negotiated Rate |
$10,091.71 |
Rate for Payer: BCBS Complete |
$10,091.71
|
Rate for Payer: Mclaren Medicaid |
$9,611.15
|
Rate for Payer: Meridian Medicaid |
$10,091.71
|
Rate for Payer: Priority Health Choice Medicaid |
$9,611.15
|
|
INPATIENT APRDRG 6022: NEONATE BWT 1000-1249G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM
|
Facility
|
IP
|
$28,835.24
|
|
Service Code
|
APR-DRG 6022
|
Hospital Charge Code |
APRDRG 6022
|
Min. Negotiated Rate |
$27,462.13 |
Max. Negotiated Rate |
$28,835.24 |
Rate for Payer: BCBS Complete |
$28,835.24
|
Rate for Payer: Mclaren Medicaid |
$27,462.13
|
Rate for Payer: Meridian Medicaid |
$28,835.24
|
Rate for Payer: Priority Health Choice Medicaid |
$27,462.13
|
|
INPATIENT APRDRG 6023: NEONATE BWT 1000-1249G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM
|
Facility
|
IP
|
$35,963.37
|
|
Service Code
|
APR-DRG 6023
|
Hospital Charge Code |
APRDRG 6023
|
Min. Negotiated Rate |
$34,250.83 |
Max. Negotiated Rate |
$35,963.37 |
Rate for Payer: BCBS Complete |
$35,963.37
|
Rate for Payer: Mclaren Medicaid |
$34,250.83
|
Rate for Payer: Meridian Medicaid |
$35,963.37
|
Rate for Payer: Priority Health Choice Medicaid |
$34,250.83
|
|
INPATIENT APRDRG 6024: NEONATE BWT 1000-1249G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM
|
Facility
|
IP
|
$51,019.13
|
|
Service Code
|
APR-DRG 6024
|
Hospital Charge Code |
APRDRG 6024
|
Min. Negotiated Rate |
$48,589.65 |
Max. Negotiated Rate |
$51,019.13 |
Rate for Payer: BCBS Complete |
$51,019.13
|
Rate for Payer: Mclaren Medicaid |
$48,589.65
|
Rate for Payer: Meridian Medicaid |
$51,019.13
|
Rate for Payer: Priority Health Choice Medicaid |
$48,589.65
|
|
INPATIENT APRDRG 6031: NEONATE BIRTHWT 1000-1249G W OR W/O OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$9,522.64
|
|
Service Code
|
APR-DRG 6031
|
Hospital Charge Code |
APRDRG 6031
|
Min. Negotiated Rate |
$9,069.18 |
Max. Negotiated Rate |
$9,522.64 |
Rate for Payer: BCBS Complete |
$9,522.64
|
Rate for Payer: Mclaren Medicaid |
$9,069.18
|
Rate for Payer: Meridian Medicaid |
$9,522.64
|
Rate for Payer: Priority Health Choice Medicaid |
$9,069.18
|
|
INPATIENT APRDRG 6032: NEONATE BIRTHWT 1000-1249G W OR W/O OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$22,063.21
|
|
Service Code
|
APR-DRG 6032
|
Hospital Charge Code |
APRDRG 6032
|
Min. Negotiated Rate |
$21,012.58 |
Max. Negotiated Rate |
$22,063.21 |
Rate for Payer: BCBS Complete |
$22,063.21
|
Rate for Payer: Mclaren Medicaid |
$21,012.58
|
Rate for Payer: Meridian Medicaid |
$22,063.21
|
Rate for Payer: Priority Health Choice Medicaid |
$21,012.58
|
|
INPATIENT APRDRG 6033: NEONATE BIRTHWT 1000-1249G W OR W/O OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$43,640.13
|
|
Service Code
|
APR-DRG 6033
|
Hospital Charge Code |
APRDRG 6033
|
Min. Negotiated Rate |
$41,562.03 |
Max. Negotiated Rate |
$43,640.13 |
Rate for Payer: BCBS Complete |
$43,640.13
|
Rate for Payer: Mclaren Medicaid |
$41,562.03
|
Rate for Payer: Meridian Medicaid |
$43,640.13
|
Rate for Payer: Priority Health Choice Medicaid |
$41,562.03
|
|
INPATIENT APRDRG 6034: NEONATE BIRTHWT 1000-1249G W OR W/O OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$97,674.71
|
|
Service Code
|
APR-DRG 6034
|
Hospital Charge Code |
APRDRG 6034
|
Min. Negotiated Rate |
$93,023.53 |
Max. Negotiated Rate |
$97,674.71 |
Rate for Payer: BCBS Complete |
$97,674.71
|
Rate for Payer: Mclaren Medicaid |
$93,023.53
|
Rate for Payer: Meridian Medicaid |
$97,674.71
|
Rate for Payer: Priority Health Choice Medicaid |
$93,023.53
|
|
INPATIENT APRDRG 6071: NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM
|
Facility
|
IP
|
$10,611.91
|
|
Service Code
|
APR-DRG 6071
|
Hospital Charge Code |
APRDRG 6071
|
Min. Negotiated Rate |
$10,106.58 |
Max. Negotiated Rate |
$10,611.91 |
Rate for Payer: BCBS Complete |
$10,611.91
|
Rate for Payer: Mclaren Medicaid |
$10,106.58
|
Rate for Payer: Meridian Medicaid |
$10,611.91
|
Rate for Payer: Priority Health Choice Medicaid |
$10,106.58
|
|
INPATIENT APRDRG 6072: NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM
|
Facility
|
IP
|
$19,349.01
|
|
Service Code
|
APR-DRG 6072
|
Hospital Charge Code |
APRDRG 6072
|
Min. Negotiated Rate |
$18,427.63 |
Max. Negotiated Rate |
$19,349.01 |
Rate for Payer: BCBS Complete |
$19,349.01
|
Rate for Payer: Mclaren Medicaid |
$18,427.63
|
Rate for Payer: Meridian Medicaid |
$19,349.01
|
Rate for Payer: Priority Health Choice Medicaid |
$18,427.63
|
|
INPATIENT APRDRG 6073: NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM
|
Facility
|
IP
|
$25,898.60
|
|
Service Code
|
APR-DRG 6073
|
Hospital Charge Code |
APRDRG 6073
|
Min. Negotiated Rate |
$24,665.33 |
Max. Negotiated Rate |
$25,898.60 |
Rate for Payer: BCBS Complete |
$25,898.60
|
Rate for Payer: Mclaren Medicaid |
$24,665.33
|
Rate for Payer: Meridian Medicaid |
$25,898.60
|
Rate for Payer: Priority Health Choice Medicaid |
$24,665.33
|
|
INPATIENT APRDRG 6074: NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM
|
Facility
|
IP
|
$37,910.98
|
|
Service Code
|
APR-DRG 6074
|
Hospital Charge Code |
APRDRG 6074
|
Min. Negotiated Rate |
$36,105.70 |
Max. Negotiated Rate |
$37,910.98 |
Rate for Payer: BCBS Complete |
$37,910.98
|
Rate for Payer: Mclaren Medicaid |
$36,105.70
|
Rate for Payer: Meridian Medicaid |
$37,910.98
|
Rate for Payer: Priority Health Choice Medicaid |
$36,105.70
|
|
INPATIENT APRDRG 6081: NEONATE BWT 1250-1499G W OR W/O OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$6,728.14
|
|
Service Code
|
APR-DRG 6081
|
Hospital Charge Code |
APRDRG 6081
|
Min. Negotiated Rate |
$6,407.75 |
Max. Negotiated Rate |
$6,728.14 |
Rate for Payer: BCBS Complete |
$6,728.14
|
Rate for Payer: Mclaren Medicaid |
$6,407.75
|
Rate for Payer: Meridian Medicaid |
$6,728.14
|
Rate for Payer: Priority Health Choice Medicaid |
$6,407.75
|
|
INPATIENT APRDRG 6082: NEONATE BWT 1250-1499G W OR W/O OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$15,637.81
|
|
Service Code
|
APR-DRG 6082
|
Hospital Charge Code |
APRDRG 6082
|
Min. Negotiated Rate |
$14,893.15 |
Max. Negotiated Rate |
$15,637.81 |
Rate for Payer: BCBS Complete |
$15,637.81
|
Rate for Payer: Mclaren Medicaid |
$14,893.15
|
Rate for Payer: Meridian Medicaid |
$15,637.81
|
Rate for Payer: Priority Health Choice Medicaid |
$14,893.15
|
|
INPATIENT APRDRG 6083: NEONATE BWT 1250-1499G W OR W/O OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$20,879.67
|
|
Service Code
|
APR-DRG 6083
|
Hospital Charge Code |
APRDRG 6083
|
Min. Negotiated Rate |
$19,885.40 |
Max. Negotiated Rate |
$20,879.67 |
Rate for Payer: BCBS Complete |
$20,879.67
|
Rate for Payer: Mclaren Medicaid |
$19,885.40
|
Rate for Payer: Meridian Medicaid |
$20,879.67
|
Rate for Payer: Priority Health Choice Medicaid |
$19,885.40
|
|
INPATIENT APRDRG 6084: NEONATE BWT 1250-1499G W OR W/O OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$26,222.78
|
|
Service Code
|
APR-DRG 6084
|
Hospital Charge Code |
APRDRG 6084
|
Min. Negotiated Rate |
$24,974.08 |
Max. Negotiated Rate |
$26,222.78 |
Rate for Payer: BCBS Complete |
$26,222.78
|
Rate for Payer: Mclaren Medicaid |
$24,974.08
|
Rate for Payer: Meridian Medicaid |
$26,222.78
|
Rate for Payer: Priority Health Choice Medicaid |
$24,974.08
|
|
INPATIENT APRDRG 6091: NEONATE BWT 1500-2499G W MAJOR PROCEDURE
|
Facility
|
IP
|
$23,298.11
|
|
Service Code
|
APR-DRG 6091
|
Hospital Charge Code |
APRDRG 6091
|
Min. Negotiated Rate |
$22,188.68 |
Max. Negotiated Rate |
$23,298.11 |
Rate for Payer: BCBS Complete |
$23,298.11
|
Rate for Payer: Mclaren Medicaid |
$22,188.68
|
Rate for Payer: Meridian Medicaid |
$23,298.11
|
Rate for Payer: Priority Health Choice Medicaid |
$22,188.68
|
|
INPATIENT APRDRG 6092: NEONATE BWT 1500-2499G W MAJOR PROCEDURE
|
Facility
|
IP
|
$23,779.40
|
|
Service Code
|
APR-DRG 6092
|
Hospital Charge Code |
APRDRG 6092
|
Min. Negotiated Rate |
$22,647.05 |
Max. Negotiated Rate |
$23,779.40 |
Rate for Payer: BCBS Complete |
$23,779.40
|
Rate for Payer: Mclaren Medicaid |
$22,647.05
|
Rate for Payer: Meridian Medicaid |
$23,779.40
|
Rate for Payer: Priority Health Choice Medicaid |
$22,647.05
|
|
INPATIENT APRDRG 6093: NEONATE BWT 1500-2499G W MAJOR PROCEDURE
|
Facility
|
IP
|
$44,281.52
|
|
Service Code
|
APR-DRG 6093
|
Hospital Charge Code |
APRDRG 6093
|
Min. Negotiated Rate |
$42,172.88 |
Max. Negotiated Rate |
$44,281.52 |
Rate for Payer: BCBS Complete |
$44,281.52
|
Rate for Payer: Mclaren Medicaid |
$42,172.88
|
Rate for Payer: Meridian Medicaid |
$44,281.52
|
Rate for Payer: Priority Health Choice Medicaid |
$42,172.88
|
|