INPATIENT APRDRG 5104: PELVIC EVISCERATION, RADICAL HYSTERECTOMY & OTHER RADICAL GYN PROCS
|
Facility
|
IP
|
$33,918.64
|
|
Service Code
|
APR-DRG 5104
|
Hospital Charge Code |
APRDRG 5104
|
Min. Negotiated Rate |
$32,303.47 |
Max. Negotiated Rate |
$33,918.64 |
Rate for Payer: BCBS Complete |
$33,918.64
|
Rate for Payer: Mclaren Medicaid |
$32,303.47
|
Rate for Payer: Meridian Medicaid |
$33,918.64
|
Rate for Payer: Priority Health Choice Medicaid |
$32,303.47
|
|
INPATIENT APRDRG 5111: UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY
|
Facility
|
IP
|
$7,980.72
|
|
Service Code
|
APR-DRG 5111
|
Hospital Charge Code |
APRDRG 5111
|
Min. Negotiated Rate |
$7,600.69 |
Max. Negotiated Rate |
$7,980.72 |
Rate for Payer: BCBS Complete |
$7,980.72
|
Rate for Payer: Mclaren Medicaid |
$7,600.69
|
Rate for Payer: Meridian Medicaid |
$7,980.72
|
Rate for Payer: Priority Health Choice Medicaid |
$7,600.69
|
|
INPATIENT APRDRG 5112: UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY
|
Facility
|
IP
|
$10,793.53
|
|
Service Code
|
APR-DRG 5112
|
Hospital Charge Code |
APRDRG 5112
|
Min. Negotiated Rate |
$10,279.55 |
Max. Negotiated Rate |
$10,793.53 |
Rate for Payer: BCBS Complete |
$10,793.53
|
Rate for Payer: Mclaren Medicaid |
$10,279.55
|
Rate for Payer: Meridian Medicaid |
$10,793.53
|
Rate for Payer: Priority Health Choice Medicaid |
$10,279.55
|
|
INPATIENT APRDRG 5113: UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY
|
Facility
|
IP
|
$14,493.52
|
|
Service Code
|
APR-DRG 5113
|
Hospital Charge Code |
APRDRG 5113
|
Min. Negotiated Rate |
$13,803.35 |
Max. Negotiated Rate |
$14,493.52 |
Rate for Payer: BCBS Complete |
$14,493.52
|
Rate for Payer: Mclaren Medicaid |
$13,803.35
|
Rate for Payer: Meridian Medicaid |
$14,493.52
|
Rate for Payer: Priority Health Choice Medicaid |
$13,803.35
|
|
INPATIENT APRDRG 5114: UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY
|
Facility
|
IP
|
$28,776.59
|
|
Service Code
|
APR-DRG 5114
|
Hospital Charge Code |
APRDRG 5114
|
Min. Negotiated Rate |
$27,406.28 |
Max. Negotiated Rate |
$28,776.59 |
Rate for Payer: BCBS Complete |
$28,776.59
|
Rate for Payer: Mclaren Medicaid |
$27,406.28
|
Rate for Payer: Meridian Medicaid |
$28,776.59
|
Rate for Payer: Priority Health Choice Medicaid |
$27,406.28
|
|
INPATIENT APRDRG 5121: UTERINE & ADNEXA PROCEDURES FOR NON-OVARIAN & NON-ADNEXAL MALIG
|
Facility
|
IP
|
$9,229.58
|
|
Service Code
|
APR-DRG 5121
|
Hospital Charge Code |
APRDRG 5121
|
Min. Negotiated Rate |
$8,790.08 |
Max. Negotiated Rate |
$9,229.58 |
Rate for Payer: BCBS Complete |
$9,229.58
|
Rate for Payer: Mclaren Medicaid |
$8,790.08
|
Rate for Payer: Meridian Medicaid |
$9,229.58
|
Rate for Payer: Priority Health Choice Medicaid |
$8,790.08
|
|
INPATIENT APRDRG 5122: UTERINE & ADNEXA PROCEDURES FOR NON-OVARIAN & NON-ADNEXAL MALIG
|
Facility
|
IP
|
$10,654.38
|
|
Service Code
|
APR-DRG 5122
|
Hospital Charge Code |
APRDRG 5122
|
Min. Negotiated Rate |
$10,147.03 |
Max. Negotiated Rate |
$10,654.38 |
Rate for Payer: BCBS Complete |
$10,654.38
|
Rate for Payer: Mclaren Medicaid |
$10,147.03
|
Rate for Payer: Meridian Medicaid |
$10,654.38
|
Rate for Payer: Priority Health Choice Medicaid |
$10,147.03
|
|
INPATIENT APRDRG 5123: UTERINE & ADNEXA PROCEDURES FOR NON-OVARIAN & NON-ADNEXAL MALIG
|
Facility
|
IP
|
$15,426.14
|
|
Service Code
|
APR-DRG 5123
|
Hospital Charge Code |
APRDRG 5123
|
Min. Negotiated Rate |
$14,691.56 |
Max. Negotiated Rate |
$15,426.14 |
Rate for Payer: BCBS Complete |
$15,426.14
|
Rate for Payer: Mclaren Medicaid |
$14,691.56
|
Rate for Payer: Meridian Medicaid |
$15,426.14
|
Rate for Payer: Priority Health Choice Medicaid |
$14,691.56
|
|
INPATIENT APRDRG 5124: UTERINE & ADNEXA PROCEDURES FOR NON-OVARIAN & NON-ADNEXAL MALIG
|
Facility
|
IP
|
$26,247.84
|
|
Service Code
|
APR-DRG 5124
|
Hospital Charge Code |
APRDRG 5124
|
Min. Negotiated Rate |
$24,997.94 |
Max. Negotiated Rate |
$26,247.84 |
Rate for Payer: BCBS Complete |
$26,247.84
|
Rate for Payer: Mclaren Medicaid |
$24,997.94
|
Rate for Payer: Meridian Medicaid |
$26,247.84
|
Rate for Payer: Priority Health Choice Medicaid |
$24,997.94
|
|
INPATIENT APRDRG 5131: UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA
|
Facility
|
IP
|
$7,381.59
|
|
Service Code
|
APR-DRG 5131
|
Hospital Charge Code |
APRDRG 5131
|
Min. Negotiated Rate |
$7,030.09 |
Max. Negotiated Rate |
$7,381.59 |
Rate for Payer: BCBS Complete |
$7,381.59
|
Rate for Payer: Mclaren Medicaid |
$7,030.09
|
Rate for Payer: Meridian Medicaid |
$7,381.59
|
Rate for Payer: Priority Health Choice Medicaid |
$7,030.09
|
|
INPATIENT APRDRG 5132: UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA
|
Facility
|
IP
|
$8,932.32
|
|
Service Code
|
APR-DRG 5132
|
Hospital Charge Code |
APRDRG 5132
|
Min. Negotiated Rate |
$8,506.97 |
Max. Negotiated Rate |
$8,932.32 |
Rate for Payer: BCBS Complete |
$8,932.32
|
Rate for Payer: Mclaren Medicaid |
$8,506.97
|
Rate for Payer: Meridian Medicaid |
$8,932.32
|
Rate for Payer: Priority Health Choice Medicaid |
$8,506.97
|
|
INPATIENT APRDRG 5133: UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA
|
Facility
|
IP
|
$14,217.54
|
|
Service Code
|
APR-DRG 5133
|
Hospital Charge Code |
APRDRG 5133
|
Min. Negotiated Rate |
$13,540.51 |
Max. Negotiated Rate |
$14,217.54 |
Rate for Payer: BCBS Complete |
$14,217.54
|
Rate for Payer: Mclaren Medicaid |
$13,540.51
|
Rate for Payer: Meridian Medicaid |
$14,217.54
|
Rate for Payer: Priority Health Choice Medicaid |
$13,540.51
|
|
INPATIENT APRDRG 5134: UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA
|
Facility
|
IP
|
$24,719.54
|
|
Service Code
|
APR-DRG 5134
|
Hospital Charge Code |
APRDRG 5134
|
Min. Negotiated Rate |
$23,542.42 |
Max. Negotiated Rate |
$24,719.54 |
Rate for Payer: BCBS Complete |
$24,719.54
|
Rate for Payer: Mclaren Medicaid |
$23,542.42
|
Rate for Payer: Meridian Medicaid |
$24,719.54
|
Rate for Payer: Priority Health Choice Medicaid |
$23,542.42
|
|
INPATIENT APRDRG 5141: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES
|
Facility
|
IP
|
$5,948.17
|
|
Service Code
|
APR-DRG 5141
|
Hospital Charge Code |
APRDRG 5141
|
Min. Negotiated Rate |
$5,664.92 |
Max. Negotiated Rate |
$5,948.17 |
Rate for Payer: BCBS Complete |
$5,948.17
|
Rate for Payer: Mclaren Medicaid |
$5,664.92
|
Rate for Payer: Meridian Medicaid |
$5,948.17
|
Rate for Payer: Priority Health Choice Medicaid |
$5,664.92
|
|
INPATIENT APRDRG 5142: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES
|
Facility
|
IP
|
$9,196.23
|
|
Service Code
|
APR-DRG 5142
|
Hospital Charge Code |
APRDRG 5142
|
Min. Negotiated Rate |
$8,758.31 |
Max. Negotiated Rate |
$9,196.23 |
Rate for Payer: BCBS Complete |
$9,196.23
|
Rate for Payer: Mclaren Medicaid |
$8,758.31
|
Rate for Payer: Meridian Medicaid |
$9,196.23
|
Rate for Payer: Priority Health Choice Medicaid |
$8,758.31
|
|
INPATIENT APRDRG 5143: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES
|
Facility
|
IP
|
$12,456.37
|
|
Service Code
|
APR-DRG 5143
|
Hospital Charge Code |
APRDRG 5143
|
Min. Negotiated Rate |
$11,863.21 |
Max. Negotiated Rate |
$12,456.37 |
Rate for Payer: BCBS Complete |
$12,456.37
|
Rate for Payer: Mclaren Medicaid |
$11,863.21
|
Rate for Payer: Meridian Medicaid |
$12,456.37
|
Rate for Payer: Priority Health Choice Medicaid |
$11,863.21
|
|
INPATIENT APRDRG 5144: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES
|
Facility
|
IP
|
$33,560.44
|
|
Service Code
|
APR-DRG 5144
|
Hospital Charge Code |
APRDRG 5144
|
Min. Negotiated Rate |
$31,962.32 |
Max. Negotiated Rate |
$33,560.44 |
Rate for Payer: BCBS Complete |
$33,560.44
|
Rate for Payer: Mclaren Medicaid |
$31,962.32
|
Rate for Payer: Meridian Medicaid |
$33,560.44
|
Rate for Payer: Priority Health Choice Medicaid |
$31,962.32
|
|
INPATIENT APRDRG 5171: DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES
|
Facility
|
IP
|
$4,915.50
|
|
Service Code
|
APR-DRG 5171
|
Hospital Charge Code |
APRDRG 5171
|
Min. Negotiated Rate |
$4,681.43 |
Max. Negotiated Rate |
$4,915.50 |
Rate for Payer: BCBS Complete |
$4,915.50
|
Rate for Payer: Mclaren Medicaid |
$4,681.43
|
Rate for Payer: Meridian Medicaid |
$4,915.50
|
Rate for Payer: Priority Health Choice Medicaid |
$4,681.43
|
|
INPATIENT APRDRG 5172: DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES
|
Facility
|
IP
|
$5,711.28
|
|
Service Code
|
APR-DRG 5172
|
Hospital Charge Code |
APRDRG 5172
|
Min. Negotiated Rate |
$5,439.31 |
Max. Negotiated Rate |
$5,711.28 |
Rate for Payer: BCBS Complete |
$5,711.28
|
Rate for Payer: Mclaren Medicaid |
$5,439.31
|
Rate for Payer: Meridian Medicaid |
$5,711.28
|
Rate for Payer: Priority Health Choice Medicaid |
$5,439.31
|
|
INPATIENT APRDRG 5173: DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES
|
Facility
|
IP
|
$9,062.83
|
|
Service Code
|
APR-DRG 5173
|
Hospital Charge Code |
APRDRG 5173
|
Min. Negotiated Rate |
$8,631.27 |
Max. Negotiated Rate |
$9,062.83 |
Rate for Payer: BCBS Complete |
$9,062.83
|
Rate for Payer: Mclaren Medicaid |
$8,631.27
|
Rate for Payer: Meridian Medicaid |
$9,062.83
|
Rate for Payer: Priority Health Choice Medicaid |
$8,631.27
|
|
INPATIENT APRDRG 5174: DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES
|
Facility
|
IP
|
$15,020.78
|
|
Service Code
|
APR-DRG 5174
|
Hospital Charge Code |
APRDRG 5174
|
Min. Negotiated Rate |
$14,305.50 |
Max. Negotiated Rate |
$15,020.78 |
Rate for Payer: BCBS Complete |
$15,020.78
|
Rate for Payer: Mclaren Medicaid |
$14,305.50
|
Rate for Payer: Meridian Medicaid |
$15,020.78
|
Rate for Payer: Priority Health Choice Medicaid |
$14,305.50
|
|
INPATIENT APRDRG 5181: OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES
|
Facility
|
IP
|
$6,167.24
|
|
Service Code
|
APR-DRG 5181
|
Hospital Charge Code |
APRDRG 5181
|
Min. Negotiated Rate |
$5,873.56 |
Max. Negotiated Rate |
$6,167.24 |
Rate for Payer: BCBS Complete |
$6,167.24
|
Rate for Payer: Mclaren Medicaid |
$5,873.56
|
Rate for Payer: Meridian Medicaid |
$6,167.24
|
Rate for Payer: Priority Health Choice Medicaid |
$5,873.56
|
|
INPATIENT APRDRG 5182: OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES
|
Facility
|
IP
|
$7,249.92
|
|
Service Code
|
APR-DRG 5182
|
Hospital Charge Code |
APRDRG 5182
|
Min. Negotiated Rate |
$6,904.69 |
Max. Negotiated Rate |
$7,249.92 |
Rate for Payer: BCBS Complete |
$7,249.92
|
Rate for Payer: Mclaren Medicaid |
$6,904.69
|
Rate for Payer: Meridian Medicaid |
$7,249.92
|
Rate for Payer: Priority Health Choice Medicaid |
$6,904.69
|
|
INPATIENT APRDRG 5183: OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES
|
Facility
|
IP
|
$11,424.85
|
|
Service Code
|
APR-DRG 5183
|
Hospital Charge Code |
APRDRG 5183
|
Min. Negotiated Rate |
$10,880.81 |
Max. Negotiated Rate |
$11,424.85 |
Rate for Payer: BCBS Complete |
$11,424.85
|
Rate for Payer: Mclaren Medicaid |
$10,880.81
|
Rate for Payer: Meridian Medicaid |
$11,424.85
|
Rate for Payer: Priority Health Choice Medicaid |
$10,880.81
|
|
INPATIENT APRDRG 5184: OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES
|
Facility
|
IP
|
$24,007.71
|
|
Service Code
|
APR-DRG 5184
|
Hospital Charge Code |
APRDRG 5184
|
Min. Negotiated Rate |
$22,864.49 |
Max. Negotiated Rate |
$24,007.71 |
Rate for Payer: BCBS Complete |
$24,007.71
|
Rate for Payer: Mclaren Medicaid |
$22,864.49
|
Rate for Payer: Meridian Medicaid |
$24,007.71
|
Rate for Payer: Priority Health Choice Medicaid |
$22,864.49
|
|