INPATIENT APRDRG 4803: MAJOR MALE PELVIC PROCEDURES
|
Facility
|
IP
|
$16,299.53
|
|
Service Code
|
APR-DRG 4803
|
Hospital Charge Code |
APRDRG 4803
|
Min. Negotiated Rate |
$15,523.36 |
Max. Negotiated Rate |
$16,299.53 |
Rate for Payer: BCBS Complete |
$16,299.53
|
Rate for Payer: Mclaren Medicaid |
$15,523.36
|
Rate for Payer: Meridian Medicaid |
$16,299.53
|
Rate for Payer: Priority Health Choice Medicaid |
$15,523.36
|
|
INPATIENT APRDRG 4804: MAJOR MALE PELVIC PROCEDURES
|
Facility
|
IP
|
$27,240.83
|
|
Service Code
|
APR-DRG 4804
|
Hospital Charge Code |
APRDRG 4804
|
Min. Negotiated Rate |
$25,943.65 |
Max. Negotiated Rate |
$27,240.83 |
Rate for Payer: BCBS Complete |
$27,240.83
|
Rate for Payer: Mclaren Medicaid |
$25,943.65
|
Rate for Payer: Meridian Medicaid |
$27,240.83
|
Rate for Payer: Priority Health Choice Medicaid |
$25,943.65
|
|
INPATIENT APRDRG 4821: TRANSURETHRAL PROSTATECTOMY
|
Facility
|
IP
|
$4,976.45
|
|
Service Code
|
APR-DRG 4821
|
Hospital Charge Code |
APRDRG 4821
|
Min. Negotiated Rate |
$4,739.48 |
Max. Negotiated Rate |
$4,976.45 |
Rate for Payer: BCBS Complete |
$4,976.45
|
Rate for Payer: Mclaren Medicaid |
$4,739.48
|
Rate for Payer: Meridian Medicaid |
$4,976.45
|
Rate for Payer: Priority Health Choice Medicaid |
$4,739.48
|
|
INPATIENT APRDRG 4822: TRANSURETHRAL PROSTATECTOMY
|
Facility
|
IP
|
$6,115.48
|
|
Service Code
|
APR-DRG 4822
|
Hospital Charge Code |
APRDRG 4822
|
Min. Negotiated Rate |
$5,824.27 |
Max. Negotiated Rate |
$6,115.48 |
Rate for Payer: BCBS Complete |
$6,115.48
|
Rate for Payer: Mclaren Medicaid |
$5,824.27
|
Rate for Payer: Meridian Medicaid |
$6,115.48
|
Rate for Payer: Priority Health Choice Medicaid |
$5,824.27
|
|
INPATIENT APRDRG 4823: TRANSURETHRAL PROSTATECTOMY
|
Facility
|
IP
|
$11,338.60
|
|
Service Code
|
APR-DRG 4823
|
Hospital Charge Code |
APRDRG 4823
|
Min. Negotiated Rate |
$10,798.67 |
Max. Negotiated Rate |
$11,338.60 |
Rate for Payer: BCBS Complete |
$11,338.60
|
Rate for Payer: Mclaren Medicaid |
$10,798.67
|
Rate for Payer: Meridian Medicaid |
$11,338.60
|
Rate for Payer: Priority Health Choice Medicaid |
$10,798.67
|
|
INPATIENT APRDRG 4824: TRANSURETHRAL PROSTATECTOMY
|
Facility
|
IP
|
$19,726.41
|
|
Service Code
|
APR-DRG 4824
|
Hospital Charge Code |
APRDRG 4824
|
Min. Negotiated Rate |
$18,787.06 |
Max. Negotiated Rate |
$19,726.41 |
Rate for Payer: BCBS Complete |
$19,726.41
|
Rate for Payer: Mclaren Medicaid |
$18,787.06
|
Rate for Payer: Meridian Medicaid |
$19,726.41
|
Rate for Payer: Priority Health Choice Medicaid |
$18,787.06
|
|
INPATIENT APRDRG 4831: PENIS, TESTES & SCROTAL PROCEDURES
|
Facility
|
IP
|
$6,853.18
|
|
Service Code
|
APR-DRG 4831
|
Hospital Charge Code |
APRDRG 4831
|
Min. Negotiated Rate |
$6,526.84 |
Max. Negotiated Rate |
$6,853.18 |
Rate for Payer: BCBS Complete |
$6,853.18
|
Rate for Payer: Mclaren Medicaid |
$6,526.84
|
Rate for Payer: Meridian Medicaid |
$6,853.18
|
Rate for Payer: Priority Health Choice Medicaid |
$6,526.84
|
|
INPATIENT APRDRG 4832: PENIS, TESTES & SCROTAL PROCEDURES
|
Facility
|
IP
|
$8,709.79
|
|
Service Code
|
APR-DRG 4832
|
Hospital Charge Code |
APRDRG 4832
|
Min. Negotiated Rate |
$8,295.04 |
Max. Negotiated Rate |
$8,709.79 |
Rate for Payer: BCBS Complete |
$8,709.79
|
Rate for Payer: Mclaren Medicaid |
$8,295.04
|
Rate for Payer: Meridian Medicaid |
$8,709.79
|
Rate for Payer: Priority Health Choice Medicaid |
$8,295.04
|
|
INPATIENT APRDRG 4833: PENIS, TESTES & SCROTAL PROCEDURES
|
Facility
|
IP
|
$13,069.88
|
|
Service Code
|
APR-DRG 4833
|
Hospital Charge Code |
APRDRG 4833
|
Min. Negotiated Rate |
$12,447.50 |
Max. Negotiated Rate |
$13,069.88 |
Rate for Payer: BCBS Complete |
$13,069.88
|
Rate for Payer: Mclaren Medicaid |
$12,447.50
|
Rate for Payer: Meridian Medicaid |
$13,069.88
|
Rate for Payer: Priority Health Choice Medicaid |
$12,447.50
|
|
INPATIENT APRDRG 4834: PENIS, TESTES & SCROTAL PROCEDURES
|
Facility
|
IP
|
$24,039.92
|
|
Service Code
|
APR-DRG 4834
|
Hospital Charge Code |
APRDRG 4834
|
Min. Negotiated Rate |
$22,895.16 |
Max. Negotiated Rate |
$24,039.92 |
Rate for Payer: BCBS Complete |
$24,039.92
|
Rate for Payer: Mclaren Medicaid |
$22,895.16
|
Rate for Payer: Meridian Medicaid |
$24,039.92
|
Rate for Payer: Priority Health Choice Medicaid |
$22,895.16
|
|
INPATIENT APRDRG 4841: OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES
|
Facility
|
IP
|
$9,223.83
|
|
Service Code
|
APR-DRG 4841
|
Hospital Charge Code |
APRDRG 4841
|
Min. Negotiated Rate |
$8,784.60 |
Max. Negotiated Rate |
$9,223.83 |
Rate for Payer: BCBS Complete |
$9,223.83
|
Rate for Payer: Mclaren Medicaid |
$8,784.60
|
Rate for Payer: Meridian Medicaid |
$9,223.83
|
Rate for Payer: Priority Health Choice Medicaid |
$8,784.60
|
|
INPATIENT APRDRG 4842: OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES
|
Facility
|
IP
|
$10,684.28
|
|
Service Code
|
APR-DRG 4842
|
Hospital Charge Code |
APRDRG 4842
|
Min. Negotiated Rate |
$10,175.50 |
Max. Negotiated Rate |
$10,684.28 |
Rate for Payer: BCBS Complete |
$10,684.28
|
Rate for Payer: Mclaren Medicaid |
$10,175.50
|
Rate for Payer: Meridian Medicaid |
$10,684.28
|
Rate for Payer: Priority Health Choice Medicaid |
$10,175.50
|
|
INPATIENT APRDRG 4843: OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES
|
Facility
|
IP
|
$11,474.31
|
|
Service Code
|
APR-DRG 4843
|
Hospital Charge Code |
APRDRG 4843
|
Min. Negotiated Rate |
$10,927.91 |
Max. Negotiated Rate |
$11,474.31 |
Rate for Payer: BCBS Complete |
$11,474.31
|
Rate for Payer: Mclaren Medicaid |
$10,927.91
|
Rate for Payer: Meridian Medicaid |
$11,474.31
|
Rate for Payer: Priority Health Choice Medicaid |
$10,927.91
|
|
INPATIENT APRDRG 4844: OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES
|
Facility
|
IP
|
$25,343.40
|
|
Service Code
|
APR-DRG 4844
|
Hospital Charge Code |
APRDRG 4844
|
Min. Negotiated Rate |
$24,136.57 |
Max. Negotiated Rate |
$25,343.40 |
Rate for Payer: BCBS Complete |
$25,343.40
|
Rate for Payer: Mclaren Medicaid |
$24,136.57
|
Rate for Payer: Meridian Medicaid |
$25,343.40
|
Rate for Payer: Priority Health Choice Medicaid |
$24,136.57
|
|
INPATIENT APRDRG 5001: MALIGNANCY, MALE REPRODUCTIVE SYSTEM
|
Facility
|
IP
|
$4,841.91
|
|
Service Code
|
APR-DRG 5001
|
Hospital Charge Code |
APRDRG 5001
|
Min. Negotiated Rate |
$4,611.34 |
Max. Negotiated Rate |
$4,841.91 |
Rate for Payer: BCBS Complete |
$4,841.91
|
Rate for Payer: Mclaren Medicaid |
$4,611.34
|
Rate for Payer: Meridian Medicaid |
$4,841.91
|
Rate for Payer: Priority Health Choice Medicaid |
$4,611.34
|
|
INPATIENT APRDRG 5002: MALIGNANCY, MALE REPRODUCTIVE SYSTEM
|
Facility
|
IP
|
$7,111.36
|
|
Service Code
|
APR-DRG 5002
|
Hospital Charge Code |
APRDRG 5002
|
Min. Negotiated Rate |
$6,772.72 |
Max. Negotiated Rate |
$7,111.36 |
Rate for Payer: BCBS Complete |
$7,111.36
|
Rate for Payer: Mclaren Medicaid |
$6,772.72
|
Rate for Payer: Meridian Medicaid |
$7,111.36
|
Rate for Payer: Priority Health Choice Medicaid |
$6,772.72
|
|
INPATIENT APRDRG 5003: MALIGNANCY, MALE REPRODUCTIVE SYSTEM
|
Facility
|
IP
|
$10,580.79
|
|
Service Code
|
APR-DRG 5003
|
Hospital Charge Code |
APRDRG 5003
|
Min. Negotiated Rate |
$10,076.94 |
Max. Negotiated Rate |
$10,580.79 |
Rate for Payer: BCBS Complete |
$10,580.79
|
Rate for Payer: Mclaren Medicaid |
$10,076.94
|
Rate for Payer: Meridian Medicaid |
$10,580.79
|
Rate for Payer: Priority Health Choice Medicaid |
$10,076.94
|
|
INPATIENT APRDRG 5004: MALIGNANCY, MALE REPRODUCTIVE SYSTEM
|
Facility
|
IP
|
$21,307.03
|
|
Service Code
|
APR-DRG 5004
|
Hospital Charge Code |
APRDRG 5004
|
Min. Negotiated Rate |
$20,292.41 |
Max. Negotiated Rate |
$21,307.03 |
Rate for Payer: BCBS Complete |
$21,307.03
|
Rate for Payer: Mclaren Medicaid |
$20,292.41
|
Rate for Payer: Meridian Medicaid |
$21,307.03
|
Rate for Payer: Priority Health Choice Medicaid |
$20,292.41
|
|
INPATIENT APRDRG 5011: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY
|
Facility
|
IP
|
$3,545.90
|
|
Service Code
|
APR-DRG 5011
|
Hospital Charge Code |
APRDRG 5011
|
Min. Negotiated Rate |
$3,377.05 |
Max. Negotiated Rate |
$3,545.90 |
Rate for Payer: BCBS Complete |
$3,545.90
|
Rate for Payer: Mclaren Medicaid |
$3,377.05
|
Rate for Payer: Meridian Medicaid |
$3,545.90
|
Rate for Payer: Priority Health Choice Medicaid |
$3,377.05
|
|
INPATIENT APRDRG 5012: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY
|
Facility
|
IP
|
$3,955.86
|
|
Service Code
|
APR-DRG 5012
|
Hospital Charge Code |
APRDRG 5012
|
Min. Negotiated Rate |
$3,767.49 |
Max. Negotiated Rate |
$3,955.86 |
Rate for Payer: BCBS Complete |
$3,955.86
|
Rate for Payer: Mclaren Medicaid |
$3,767.49
|
Rate for Payer: Meridian Medicaid |
$3,955.86
|
Rate for Payer: Priority Health Choice Medicaid |
$3,767.49
|
|
INPATIENT APRDRG 5013: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY
|
Facility
|
IP
|
$5,736.58
|
|
Service Code
|
APR-DRG 5013
|
Hospital Charge Code |
APRDRG 5013
|
Min. Negotiated Rate |
$5,463.41 |
Max. Negotiated Rate |
$5,736.58 |
Rate for Payer: BCBS Complete |
$5,736.58
|
Rate for Payer: Mclaren Medicaid |
$5,463.41
|
Rate for Payer: Meridian Medicaid |
$5,736.58
|
Rate for Payer: Priority Health Choice Medicaid |
$5,463.41
|
|
INPATIENT APRDRG 5014: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY
|
Facility
|
IP
|
$11,316.19
|
|
Service Code
|
APR-DRG 5014
|
Hospital Charge Code |
APRDRG 5014
|
Min. Negotiated Rate |
$10,777.32 |
Max. Negotiated Rate |
$11,316.19 |
Rate for Payer: BCBS Complete |
$11,316.19
|
Rate for Payer: Mclaren Medicaid |
$10,777.32
|
Rate for Payer: Meridian Medicaid |
$11,316.19
|
Rate for Payer: Priority Health Choice Medicaid |
$10,777.32
|
|
INPATIENT APRDRG 5101: PELVIC EVISCERATION, RADICAL HYSTERECTOMY & OTHER RADICAL GYN PROCS
|
Facility
|
IP
|
$8,712.10
|
|
Service Code
|
APR-DRG 5101
|
Hospital Charge Code |
APRDRG 5101
|
Min. Negotiated Rate |
$8,297.24 |
Max. Negotiated Rate |
$8,712.10 |
Rate for Payer: BCBS Complete |
$8,712.10
|
Rate for Payer: Mclaren Medicaid |
$8,297.24
|
Rate for Payer: Meridian Medicaid |
$8,712.10
|
Rate for Payer: Priority Health Choice Medicaid |
$8,297.24
|
|
INPATIENT APRDRG 5102: PELVIC EVISCERATION, RADICAL HYSTERECTOMY & OTHER RADICAL GYN PROCS
|
Facility
|
IP
|
$10,033.98
|
|
Service Code
|
APR-DRG 5102
|
Hospital Charge Code |
APRDRG 5102
|
Min. Negotiated Rate |
$9,556.17 |
Max. Negotiated Rate |
$10,033.98 |
Rate for Payer: BCBS Complete |
$10,033.98
|
Rate for Payer: Mclaren Medicaid |
$9,556.17
|
Rate for Payer: Meridian Medicaid |
$10,033.98
|
Rate for Payer: Priority Health Choice Medicaid |
$9,556.17
|
|
INPATIENT APRDRG 5103: PELVIC EVISCERATION, RADICAL HYSTERECTOMY & OTHER RADICAL GYN PROCS
|
Facility
|
IP
|
$18,041.15
|
|
Service Code
|
APR-DRG 5103
|
Hospital Charge Code |
APRDRG 5103
|
Min. Negotiated Rate |
$17,182.05 |
Max. Negotiated Rate |
$18,041.15 |
Rate for Payer: BCBS Complete |
$18,041.15
|
Rate for Payer: Mclaren Medicaid |
$17,182.05
|
Rate for Payer: Meridian Medicaid |
$18,041.15
|
Rate for Payer: Priority Health Choice Medicaid |
$17,182.05
|
|