INPATIENT APRDRG 5191: UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA
|
Facility
|
IP
|
$6,743.94
|
|
Service Code
|
APR-DRG 5191
|
Hospital Charge Code |
APRDRG 5191
|
Min. Negotiated Rate |
$6,422.80 |
Max. Negotiated Rate |
$6,743.94 |
Rate for Payer: BCBS Complete |
$6,743.94
|
Rate for Payer: Mclaren Medicaid |
$6,422.80
|
Rate for Payer: Meridian Medicaid |
$6,743.94
|
Rate for Payer: Priority Health Choice Medicaid |
$6,422.80
|
|
INPATIENT APRDRG 5192: UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA
|
Facility
|
IP
|
$9,169.78
|
|
Service Code
|
APR-DRG 5192
|
Hospital Charge Code |
APRDRG 5192
|
Min. Negotiated Rate |
$8,733.12 |
Max. Negotiated Rate |
$9,169.78 |
Rate for Payer: BCBS Complete |
$9,169.78
|
Rate for Payer: Mclaren Medicaid |
$8,733.12
|
Rate for Payer: Meridian Medicaid |
$9,169.78
|
Rate for Payer: Priority Health Choice Medicaid |
$8,733.12
|
|
INPATIENT APRDRG 5193: UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA
|
Facility
|
IP
|
$13,481.56
|
|
Service Code
|
APR-DRG 5193
|
Hospital Charge Code |
APRDRG 5193
|
Min. Negotiated Rate |
$12,839.58 |
Max. Negotiated Rate |
$13,481.56 |
Rate for Payer: BCBS Complete |
$13,481.56
|
Rate for Payer: Mclaren Medicaid |
$12,839.58
|
Rate for Payer: Meridian Medicaid |
$13,481.56
|
Rate for Payer: Priority Health Choice Medicaid |
$12,839.58
|
|
INPATIENT APRDRG 5194: UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA
|
Facility
|
IP
|
$26,472.65
|
|
Service Code
|
APR-DRG 5194
|
Hospital Charge Code |
APRDRG 5194
|
Min. Negotiated Rate |
$25,212.05 |
Max. Negotiated Rate |
$26,472.65 |
Rate for Payer: BCBS Complete |
$26,472.65
|
Rate for Payer: Mclaren Medicaid |
$25,212.05
|
Rate for Payer: Meridian Medicaid |
$26,472.65
|
Rate for Payer: Priority Health Choice Medicaid |
$25,212.05
|
|
INPATIENT APRDRG 5301: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY
|
Facility
|
IP
|
$4,756.24
|
|
Service Code
|
APR-DRG 5301
|
Hospital Charge Code |
APRDRG 5301
|
Min. Negotiated Rate |
$4,529.75 |
Max. Negotiated Rate |
$4,756.24 |
Rate for Payer: BCBS Complete |
$4,756.24
|
Rate for Payer: Mclaren Medicaid |
$4,529.75
|
Rate for Payer: Meridian Medicaid |
$4,756.24
|
Rate for Payer: Priority Health Choice Medicaid |
$4,529.75
|
|
INPATIENT APRDRG 5302: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY
|
Facility
|
IP
|
$5,808.45
|
|
Service Code
|
APR-DRG 5302
|
Hospital Charge Code |
APRDRG 5302
|
Min. Negotiated Rate |
$5,531.86 |
Max. Negotiated Rate |
$5,808.45 |
Rate for Payer: BCBS Complete |
$5,808.45
|
Rate for Payer: Mclaren Medicaid |
$5,531.86
|
Rate for Payer: Meridian Medicaid |
$5,808.45
|
Rate for Payer: Priority Health Choice Medicaid |
$5,531.86
|
|
INPATIENT APRDRG 5303: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY
|
Facility
|
IP
|
$7,559.26
|
|
Service Code
|
APR-DRG 5303
|
Hospital Charge Code |
APRDRG 5303
|
Min. Negotiated Rate |
$7,199.30 |
Max. Negotiated Rate |
$7,559.26 |
Rate for Payer: BCBS Complete |
$7,559.26
|
Rate for Payer: Mclaren Medicaid |
$7,199.30
|
Rate for Payer: Meridian Medicaid |
$7,559.26
|
Rate for Payer: Priority Health Choice Medicaid |
$7,199.30
|
|
INPATIENT APRDRG 5304: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY
|
Facility
|
IP
|
$14,259.50
|
|
Service Code
|
APR-DRG 5304
|
Hospital Charge Code |
APRDRG 5304
|
Min. Negotiated Rate |
$13,580.48 |
Max. Negotiated Rate |
$14,259.50 |
Rate for Payer: BCBS Complete |
$14,259.50
|
Rate for Payer: Mclaren Medicaid |
$13,580.48
|
Rate for Payer: Meridian Medicaid |
$14,259.50
|
Rate for Payer: Priority Health Choice Medicaid |
$13,580.48
|
|
INPATIENT APRDRG 5311: FEMALE REPRODUCTIVE SYSTEM INFECTIONS
|
Facility
|
IP
|
$3,193.44
|
|
Service Code
|
APR-DRG 5311
|
Hospital Charge Code |
APRDRG 5311
|
Min. Negotiated Rate |
$3,041.37 |
Max. Negotiated Rate |
$3,193.44 |
Rate for Payer: BCBS Complete |
$3,193.44
|
Rate for Payer: Mclaren Medicaid |
$3,041.37
|
Rate for Payer: Meridian Medicaid |
$3,193.44
|
Rate for Payer: Priority Health Choice Medicaid |
$3,041.37
|
|
INPATIENT APRDRG 5312: FEMALE REPRODUCTIVE SYSTEM INFECTIONS
|
Facility
|
IP
|
$4,026.02
|
|
Service Code
|
APR-DRG 5312
|
Hospital Charge Code |
APRDRG 5312
|
Min. Negotiated Rate |
$3,834.30 |
Max. Negotiated Rate |
$4,026.02 |
Rate for Payer: BCBS Complete |
$4,026.02
|
Rate for Payer: Mclaren Medicaid |
$3,834.30
|
Rate for Payer: Meridian Medicaid |
$4,026.02
|
Rate for Payer: Priority Health Choice Medicaid |
$3,834.30
|
|
INPATIENT APRDRG 5313: FEMALE REPRODUCTIVE SYSTEM INFECTIONS
|
Facility
|
IP
|
$5,258.19
|
|
Service Code
|
APR-DRG 5313
|
Hospital Charge Code |
APRDRG 5313
|
Min. Negotiated Rate |
$5,007.80 |
Max. Negotiated Rate |
$5,258.19 |
Rate for Payer: BCBS Complete |
$5,258.19
|
Rate for Payer: Mclaren Medicaid |
$5,007.80
|
Rate for Payer: Meridian Medicaid |
$5,258.19
|
Rate for Payer: Priority Health Choice Medicaid |
$5,007.80
|
|
INPATIENT APRDRG 5314: FEMALE REPRODUCTIVE SYSTEM INFECTIONS
|
Facility
|
IP
|
$9,054.21
|
|
Service Code
|
APR-DRG 5314
|
Hospital Charge Code |
APRDRG 5314
|
Min. Negotiated Rate |
$8,623.06 |
Max. Negotiated Rate |
$9,054.21 |
Rate for Payer: BCBS Complete |
$9,054.21
|
Rate for Payer: Mclaren Medicaid |
$8,623.06
|
Rate for Payer: Meridian Medicaid |
$9,054.21
|
Rate for Payer: Priority Health Choice Medicaid |
$8,623.06
|
|
INPATIENT APRDRG 5321: MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS
|
Facility
|
IP
|
$2,180.90
|
|
Service Code
|
APR-DRG 5321
|
Hospital Charge Code |
APRDRG 5321
|
Min. Negotiated Rate |
$2,077.05 |
Max. Negotiated Rate |
$2,180.90 |
Rate for Payer: BCBS Complete |
$2,180.90
|
Rate for Payer: Mclaren Medicaid |
$2,077.05
|
Rate for Payer: Meridian Medicaid |
$2,180.90
|
Rate for Payer: Priority Health Choice Medicaid |
$2,077.05
|
|
INPATIENT APRDRG 5322: MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS
|
Facility
|
IP
|
$2,730.58
|
|
Service Code
|
APR-DRG 5322
|
Hospital Charge Code |
APRDRG 5322
|
Min. Negotiated Rate |
$2,600.55 |
Max. Negotiated Rate |
$2,730.58 |
Rate for Payer: BCBS Complete |
$2,730.58
|
Rate for Payer: Mclaren Medicaid |
$2,600.55
|
Rate for Payer: Meridian Medicaid |
$2,730.58
|
Rate for Payer: Priority Health Choice Medicaid |
$2,600.55
|
|
INPATIENT APRDRG 5323: MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS
|
Facility
|
IP
|
$5,820.52
|
|
Service Code
|
APR-DRG 5323
|
Hospital Charge Code |
APRDRG 5323
|
Min. Negotiated Rate |
$5,543.35 |
Max. Negotiated Rate |
$5,820.52 |
Rate for Payer: BCBS Complete |
$5,820.52
|
Rate for Payer: Mclaren Medicaid |
$5,543.35
|
Rate for Payer: Meridian Medicaid |
$5,820.52
|
Rate for Payer: Priority Health Choice Medicaid |
$5,543.35
|
|
INPATIENT APRDRG 5324: MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS
|
Facility
|
IP
|
$11,998.11
|
|
Service Code
|
APR-DRG 5324
|
Hospital Charge Code |
APRDRG 5324
|
Min. Negotiated Rate |
$11,426.77 |
Max. Negotiated Rate |
$11,998.11 |
Rate for Payer: BCBS Complete |
$11,998.11
|
Rate for Payer: Mclaren Medicaid |
$11,426.77
|
Rate for Payer: Meridian Medicaid |
$11,998.11
|
Rate for Payer: Priority Health Choice Medicaid |
$11,426.77
|
|
INPATIENT APRDRG 5391: CESAREAN SECTION W STERILIZATION
|
Facility
|
IP
|
$2,944.47
|
|
Service Code
|
APR-DRG 5391
|
Hospital Charge Code |
APRDRG 5391
|
Min. Negotiated Rate |
$2,804.26 |
Max. Negotiated Rate |
$2,944.47 |
Rate for Payer: BCBS Complete |
$2,944.47
|
Rate for Payer: Mclaren Medicaid |
$2,804.26
|
Rate for Payer: Meridian Medicaid |
$2,944.47
|
Rate for Payer: Priority Health Choice Medicaid |
$2,804.26
|
|
INPATIENT APRDRG 5392: CESAREAN SECTION W STERILIZATION
|
Facility
|
IP
|
$3,530.95
|
|
Service Code
|
APR-DRG 5392
|
Hospital Charge Code |
APRDRG 5392
|
Min. Negotiated Rate |
$3,362.81 |
Max. Negotiated Rate |
$3,530.95 |
Rate for Payer: BCBS Complete |
$3,530.95
|
Rate for Payer: Mclaren Medicaid |
$3,362.81
|
Rate for Payer: Meridian Medicaid |
$3,530.95
|
Rate for Payer: Priority Health Choice Medicaid |
$3,362.81
|
|
INPATIENT APRDRG 5393: CESAREAN SECTION W STERILIZATION
|
Facility
|
IP
|
$5,671.03
|
|
Service Code
|
APR-DRG 5393
|
Hospital Charge Code |
APRDRG 5393
|
Min. Negotiated Rate |
$5,400.98 |
Max. Negotiated Rate |
$5,671.03 |
Rate for Payer: BCBS Complete |
$5,671.03
|
Rate for Payer: Mclaren Medicaid |
$5,400.98
|
Rate for Payer: Meridian Medicaid |
$5,671.03
|
Rate for Payer: Priority Health Choice Medicaid |
$5,400.98
|
|
INPATIENT APRDRG 5394: CESAREAN SECTION W STERILIZATION
|
Facility
|
IP
|
$14,329.65
|
|
Service Code
|
APR-DRG 5394
|
Hospital Charge Code |
APRDRG 5394
|
Min. Negotiated Rate |
$13,647.29 |
Max. Negotiated Rate |
$14,329.65 |
Rate for Payer: BCBS Complete |
$14,329.65
|
Rate for Payer: Mclaren Medicaid |
$13,647.29
|
Rate for Payer: Meridian Medicaid |
$14,329.65
|
Rate for Payer: Priority Health Choice Medicaid |
$13,647.29
|
|
INPATIENT APRDRG 5401: CESAREAN SECTION W/O STERILIZATION
|
Facility
|
IP
|
$4,568.21
|
|
Service Code
|
APR-DRG 5401
|
Hospital Charge Code |
APRDRG 5401
|
Min. Negotiated Rate |
$4,350.68 |
Max. Negotiated Rate |
$4,568.21 |
Rate for Payer: BCBS Complete |
$4,568.21
|
Rate for Payer: Mclaren Medicaid |
$4,350.68
|
Rate for Payer: Meridian Medicaid |
$4,568.21
|
Rate for Payer: Priority Health Choice Medicaid |
$4,350.68
|
|
INPATIENT APRDRG 5402: CESAREAN SECTION W/O STERILIZATION
|
Facility
|
IP
|
$5,753.82
|
|
Service Code
|
APR-DRG 5402
|
Hospital Charge Code |
APRDRG 5402
|
Min. Negotiated Rate |
$5,479.83 |
Max. Negotiated Rate |
$5,753.82 |
Rate for Payer: BCBS Complete |
$5,753.82
|
Rate for Payer: Mclaren Medicaid |
$5,479.83
|
Rate for Payer: Meridian Medicaid |
$5,753.82
|
Rate for Payer: Priority Health Choice Medicaid |
$5,479.83
|
|
INPATIENT APRDRG 5403: CESAREAN SECTION W/O STERILIZATION
|
Facility
|
IP
|
$7,029.71
|
|
Service Code
|
APR-DRG 5403
|
Hospital Charge Code |
APRDRG 5403
|
Min. Negotiated Rate |
$6,694.96 |
Max. Negotiated Rate |
$7,029.71 |
Rate for Payer: BCBS Complete |
$7,029.71
|
Rate for Payer: Mclaren Medicaid |
$6,694.96
|
Rate for Payer: Meridian Medicaid |
$7,029.71
|
Rate for Payer: Priority Health Choice Medicaid |
$6,694.96
|
|
INPATIENT APRDRG 5404: CESAREAN SECTION W/O STERILIZATION
|
Facility
|
IP
|
$13,794.34
|
|
Service Code
|
APR-DRG 5404
|
Hospital Charge Code |
APRDRG 5404
|
Min. Negotiated Rate |
$13,137.47 |
Max. Negotiated Rate |
$13,794.34 |
Rate for Payer: BCBS Complete |
$13,794.34
|
Rate for Payer: Mclaren Medicaid |
$13,137.47
|
Rate for Payer: Meridian Medicaid |
$13,794.34
|
Rate for Payer: Priority Health Choice Medicaid |
$13,137.47
|
|
INPATIENT APRDRG 5411: VAGINAL DELIVERY W STERILIZATION &/OR D&C
|
Facility
|
IP
|
$3,452.18
|
|
Service Code
|
APR-DRG 5411
|
Hospital Charge Code |
APRDRG 5411
|
Min. Negotiated Rate |
$3,287.79 |
Max. Negotiated Rate |
$3,452.18 |
Rate for Payer: BCBS Complete |
$3,452.18
|
Rate for Payer: Mclaren Medicaid |
$3,287.79
|
Rate for Payer: Meridian Medicaid |
$3,452.18
|
Rate for Payer: Priority Health Choice Medicaid |
$3,287.79
|
|