| 
                        APR-DRG 42.00: FRACTURE OF PELVIS OR DISLOCATION OF HIP
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $9,544.34
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 3413 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $9,089.85 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $9,544.34 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $9,544.34
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $9,089.85
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $9,544.34
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $9,089.85
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $9,089.85
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: FRACTURE OF PELVIS OR DISLOCATION OF HIP
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $3,181.45
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 3411 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $3,029.95 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $3,181.45 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $3,181.45
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $3,029.95
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $3,181.45
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $3,029.95
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $3,029.95
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: FRACTURE OF PELVIS OR DISLOCATION OF HIP
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $4,511.87
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 3412 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $4,297.02 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $4,511.87 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $4,511.87
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $4,297.02
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $4,511.87
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $4,297.02
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $4,297.02
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: FRACTURE OF PELVIS OR DISLOCATION OF HIP
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $16,427.84
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 3414 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $15,645.56 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $16,427.84 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $16,427.84
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $15,645.56
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $16,427.84
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $15,645.56
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $15,645.56
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $13,246.39
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 3424 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $12,615.61 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $13,246.39 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $13,246.39
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $12,615.61
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $13,246.39
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $12,615.61
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $12,615.61
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $5,437.38
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 3422 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $5,178.46 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $5,437.38 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $5,437.38
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $5,178.46
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $5,437.38
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $5,178.46
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $5,178.46
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $7,404.10
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 3423 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $7,051.52 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $7,404.10 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $7,404.10
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $7,051.52
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $7,404.10
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $7,051.52
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $7,051.52
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $4,569.72
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 3421 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $4,352.11 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $4,569.72 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $4,569.72
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $4,352.11
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $4,569.72
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $4,352.11
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $4,352.11
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: GASTRIC FUNDOPLICATION
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $7,635.47
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 2321 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $7,271.88 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $7,635.47 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $7,635.47
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $7,271.88
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $7,635.47
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $7,271.88
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $7,271.88
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: GASTRIC FUNDOPLICATION
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $9,544.34
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 2322 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $9,089.85 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $9,544.34 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $9,544.34
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $9,089.85
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $9,544.34
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $9,089.85
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $9,089.85
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: GASTRIC FUNDOPLICATION
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $24,352.53
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 2324 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $23,192.89 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $24,352.53 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $24,352.53
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $23,192.89
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $24,352.53
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $23,192.89
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $23,192.89
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: GASTRIC FUNDOPLICATION
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $15,155.26
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 2323 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $14,433.58 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $15,155.26 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $15,155.26
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $14,433.58
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $15,155.26
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $14,433.58
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $14,433.58
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: GASTROINTESTINAL VASCULAR INSUFFICIENCY
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $8,445.30
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 2463 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $8,043.14 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $8,445.30 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $8,445.30
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $8,043.14
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $8,445.30
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $8,043.14
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $8,043.14
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: GASTROINTESTINAL VASCULAR INSUFFICIENCY
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $4,396.18
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 2461 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $4,186.84 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $4,396.18 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $4,396.18
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $4,186.84
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $4,396.18
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $4,186.84
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $4,186.84
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: GASTROINTESTINAL VASCULAR INSUFFICIENCY
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $15,444.48
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 2464 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $14,709.03 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $15,444.48 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $15,444.48
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $14,709.03
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $15,444.48
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $14,709.03
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $14,709.03
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: GASTROINTESTINAL VASCULAR INSUFFICIENCY
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $5,784.45
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 2462 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $5,509.00 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $5,784.45 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $5,784.45
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $5,509.00
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $5,784.45
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $5,509.00
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $5,509.00
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: GENDER RELATED PROCEDURES
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $54,315.99
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 8513 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $51,729.51 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $54,315.99 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $54,315.99
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $51,729.51
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $54,315.99
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $51,729.51
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $51,729.51
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: GENDER RELATED PROCEDURES
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $9,833.56
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 8511 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $9,365.30 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $9,833.56 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $9,833.56
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $9,365.30
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $9,833.56
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $9,365.30
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $9,365.30
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: GENDER RELATED PROCEDURES
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $16,774.90
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 8512 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $15,976.10 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $16,774.90 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $16,774.90
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $15,976.10
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $16,774.90
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $15,976.10
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $15,976.10
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: GENDER RELATED PROCEDURES
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $54,315.99
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 8514 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $51,729.51 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $54,315.99 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $54,315.99
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $51,729.51
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $54,315.99
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $51,729.51
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $51,729.51
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: GENETIC DISORDERS
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $15,849.39
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 4283 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $15,094.66 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $15,849.39 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $15,849.39
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $15,094.66
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $15,849.39
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $15,094.66
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $15,094.66
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: GENETIC DISORDERS
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $3,702.05
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 4281 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $3,525.76 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $3,702.05 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $3,702.05
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $3,525.76
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $3,702.05
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $3,525.76
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $3,525.76
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: GENETIC DISORDERS
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $26,839.85
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 4284 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $25,561.76 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $26,839.85 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $26,839.85
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $25,561.76
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $26,839.85
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $25,561.76
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $25,561.76
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: GENETIC DISORDERS
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $5,726.61
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 4282 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $5,453.91 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $5,726.61 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $5,726.61
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $5,453.91
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $5,726.61
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $5,453.91
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $5,453.91
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: HAND AND WRIST PROCEDURES
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $7,924.70
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 3162 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $7,547.33 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $7,924.70 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $7,924.70
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $7,547.33
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $7,924.70
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $7,547.33
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $7,547.33
                                             | 
                                         
                                    
                                
                             
                         
                     |