INPATIENT APRDRG 5412: VAGINAL DELIVERY W STERILIZATION &/OR D&C
|
Facility
|
IP
|
$4,159.98
|
|
Service Code
|
APR-DRG 5412
|
Hospital Charge Code |
APRDRG 5412
|
Min. Negotiated Rate |
$3,961.89 |
Max. Negotiated Rate |
$4,159.98 |
Rate for Payer: BCBS Complete |
$4,159.98
|
Rate for Payer: Mclaren Medicaid |
$3,961.89
|
Rate for Payer: Meridian Medicaid |
$4,159.98
|
Rate for Payer: Priority Health Choice Medicaid |
$3,961.89
|
|
INPATIENT APRDRG 5413: VAGINAL DELIVERY W STERILIZATION &/OR D&C
|
Facility
|
IP
|
$5,267.39
|
|
Service Code
|
APR-DRG 5413
|
Hospital Charge Code |
APRDRG 5413
|
Min. Negotiated Rate |
$5,016.56 |
Max. Negotiated Rate |
$5,267.39 |
Rate for Payer: BCBS Complete |
$5,267.39
|
Rate for Payer: Mclaren Medicaid |
$5,016.56
|
Rate for Payer: Meridian Medicaid |
$5,267.39
|
Rate for Payer: Priority Health Choice Medicaid |
$5,016.56
|
|
INPATIENT APRDRG 5414: VAGINAL DELIVERY W STERILIZATION &/OR D&C
|
Facility
|
IP
|
$4,424.47
|
|
Service Code
|
APR-DRG 5414
|
Hospital Charge Code |
APRDRG 5414
|
Min. Negotiated Rate |
$4,213.78 |
Max. Negotiated Rate |
$4,424.47 |
Rate for Payer: BCBS Complete |
$4,424.47
|
Rate for Payer: Mclaren Medicaid |
$4,213.78
|
Rate for Payer: Meridian Medicaid |
$4,424.47
|
Rate for Payer: Priority Health Choice Medicaid |
$4,213.78
|
|
INPATIENT APRDRG 5421: VAGINAL DELIVERY W COMPLICATING PROCEDURES EXC STERILIZATION &/OR D&C
|
Facility
|
IP
|
$2,847.87
|
|
Service Code
|
APR-DRG 5421
|
Hospital Charge Code |
APRDRG 5421
|
Min. Negotiated Rate |
$2,712.26 |
Max. Negotiated Rate |
$2,847.87 |
Rate for Payer: BCBS Complete |
$2,847.87
|
Rate for Payer: Mclaren Medicaid |
$2,712.26
|
Rate for Payer: Meridian Medicaid |
$2,847.87
|
Rate for Payer: Priority Health Choice Medicaid |
$2,712.26
|
|
INPATIENT APRDRG 5422: VAGINAL DELIVERY W COMPLICATING PROCEDURES EXC STERILIZATION &/OR D&C
|
Facility
|
IP
|
$3,379.16
|
|
Service Code
|
APR-DRG 5422
|
Hospital Charge Code |
APRDRG 5422
|
Min. Negotiated Rate |
$3,218.25 |
Max. Negotiated Rate |
$3,379.16 |
Rate for Payer: BCBS Complete |
$3,379.16
|
Rate for Payer: Mclaren Medicaid |
$3,218.25
|
Rate for Payer: Meridian Medicaid |
$3,379.16
|
Rate for Payer: Priority Health Choice Medicaid |
$3,218.25
|
|
INPATIENT APRDRG 5423: VAGINAL DELIVERY W COMPLICATING PROCEDURES EXC STERILIZATION &/OR D&C
|
Facility
|
IP
|
$4,065.68
|
|
Service Code
|
APR-DRG 5423
|
Hospital Charge Code |
APRDRG 5423
|
Min. Negotiated Rate |
$3,872.08 |
Max. Negotiated Rate |
$4,065.68 |
Rate for Payer: BCBS Complete |
$4,065.68
|
Rate for Payer: Mclaren Medicaid |
$3,872.08
|
Rate for Payer: Meridian Medicaid |
$4,065.68
|
Rate for Payer: Priority Health Choice Medicaid |
$3,872.08
|
|
INPATIENT APRDRG 5424: VAGINAL DELIVERY W COMPLICATING PROCEDURES EXC STERILIZATION &/OR D&C
|
Facility
|
IP
|
$11,878.51
|
|
Service Code
|
APR-DRG 5424
|
Hospital Charge Code |
APRDRG 5424
|
Min. Negotiated Rate |
$11,312.87 |
Max. Negotiated Rate |
$11,878.51 |
Rate for Payer: BCBS Complete |
$11,878.51
|
Rate for Payer: Mclaren Medicaid |
$11,312.87
|
Rate for Payer: Meridian Medicaid |
$11,878.51
|
Rate for Payer: Priority Health Choice Medicaid |
$11,312.87
|
|
INPATIENT APRDRG 5431: ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
|
Facility
|
IP
|
$2,747.83
|
|
Service Code
|
APR-DRG 5431
|
Hospital Charge Code |
APRDRG 5431
|
Min. Negotiated Rate |
$2,616.98 |
Max. Negotiated Rate |
$2,747.83 |
Rate for Payer: BCBS Complete |
$2,747.83
|
Rate for Payer: Mclaren Medicaid |
$2,616.98
|
Rate for Payer: Meridian Medicaid |
$2,747.83
|
Rate for Payer: Priority Health Choice Medicaid |
$2,616.98
|
|
INPATIENT APRDRG 5432: ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
|
Facility
|
IP
|
$3,471.15
|
|
Service Code
|
APR-DRG 5432
|
Hospital Charge Code |
APRDRG 5432
|
Min. Negotiated Rate |
$3,305.86 |
Max. Negotiated Rate |
$3,471.15 |
Rate for Payer: BCBS Complete |
$3,471.15
|
Rate for Payer: Mclaren Medicaid |
$3,305.86
|
Rate for Payer: Meridian Medicaid |
$3,471.15
|
Rate for Payer: Priority Health Choice Medicaid |
$3,305.86
|
|
INPATIENT APRDRG 5433: ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
|
Facility
|
IP
|
$5,239.79
|
|
Service Code
|
APR-DRG 5433
|
Hospital Charge Code |
APRDRG 5433
|
Min. Negotiated Rate |
$4,990.28 |
Max. Negotiated Rate |
$5,239.79 |
Rate for Payer: BCBS Complete |
$5,239.79
|
Rate for Payer: Mclaren Medicaid |
$4,990.28
|
Rate for Payer: Meridian Medicaid |
$5,239.79
|
Rate for Payer: Priority Health Choice Medicaid |
$4,990.28
|
|
INPATIENT APRDRG 5434: ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
|
Facility
|
IP
|
$12,829.53
|
|
Service Code
|
APR-DRG 5434
|
Hospital Charge Code |
APRDRG 5434
|
Min. Negotiated Rate |
$12,218.60 |
Max. Negotiated Rate |
$12,829.53 |
Rate for Payer: BCBS Complete |
$12,829.53
|
Rate for Payer: Mclaren Medicaid |
$12,218.60
|
Rate for Payer: Meridian Medicaid |
$12,829.53
|
Rate for Payer: Priority Health Choice Medicaid |
$12,218.60
|
|
INPATIENT APRDRG 5471: ANTEPARTUM W O.R. PROCEDURE
|
Facility
|
IP
|
$3,647.67
|
|
Service Code
|
APR-DRG 5471
|
Hospital Charge Code |
APRDRG 5471
|
Min. Negotiated Rate |
$3,473.97 |
Max. Negotiated Rate |
$3,647.67 |
Rate for Payer: BCBS Complete |
$3,647.67
|
Rate for Payer: Mclaren Medicaid |
$3,473.97
|
Rate for Payer: Meridian Medicaid |
$3,647.67
|
Rate for Payer: Priority Health Choice Medicaid |
$3,473.97
|
|
INPATIENT APRDRG 5472: ANTEPARTUM W O.R. PROCEDURE
|
Facility
|
IP
|
$4,984.50
|
|
Service Code
|
APR-DRG 5472
|
Hospital Charge Code |
APRDRG 5472
|
Min. Negotiated Rate |
$4,747.14 |
Max. Negotiated Rate |
$4,984.50 |
Rate for Payer: BCBS Complete |
$4,984.50
|
Rate for Payer: Mclaren Medicaid |
$4,747.14
|
Rate for Payer: Meridian Medicaid |
$4,984.50
|
Rate for Payer: Priority Health Choice Medicaid |
$4,747.14
|
|
INPATIENT APRDRG 5473: ANTEPARTUM W O.R. PROCEDURE
|
Facility
|
IP
|
$8,155.52
|
|
Service Code
|
APR-DRG 5473
|
Hospital Charge Code |
APRDRG 5473
|
Min. Negotiated Rate |
$7,767.16 |
Max. Negotiated Rate |
$8,155.52 |
Rate for Payer: BCBS Complete |
$8,155.52
|
Rate for Payer: Mclaren Medicaid |
$7,767.16
|
Rate for Payer: Meridian Medicaid |
$8,155.52
|
Rate for Payer: Priority Health Choice Medicaid |
$7,767.16
|
|
INPATIENT APRDRG 5474: ANTEPARTUM W O.R. PROCEDURE
|
Facility
|
IP
|
$14,497.55
|
|
Service Code
|
APR-DRG 5474
|
Hospital Charge Code |
APRDRG 5474
|
Min. Negotiated Rate |
$13,807.19 |
Max. Negotiated Rate |
$14,497.55 |
Rate for Payer: BCBS Complete |
$14,497.55
|
Rate for Payer: Mclaren Medicaid |
$13,807.19
|
Rate for Payer: Meridian Medicaid |
$14,497.55
|
Rate for Payer: Priority Health Choice Medicaid |
$13,807.19
|
|
INPATIENT APRDRG 5481: POSTPARTUM & POST ABORTION DIAGNOSIS W O.R. PROCEDURE
|
Facility
|
IP
|
$2,494.84
|
|
Service Code
|
APR-DRG 5481
|
Hospital Charge Code |
APRDRG 5481
|
Min. Negotiated Rate |
$2,376.04 |
Max. Negotiated Rate |
$2,494.84 |
Rate for Payer: BCBS Complete |
$2,494.84
|
Rate for Payer: Mclaren Medicaid |
$2,376.04
|
Rate for Payer: Meridian Medicaid |
$2,494.84
|
Rate for Payer: Priority Health Choice Medicaid |
$2,376.04
|
|
INPATIENT APRDRG 5482: POSTPARTUM & POST ABORTION DIAGNOSIS W O.R. PROCEDURE
|
Facility
|
IP
|
$4,837.31
|
|
Service Code
|
APR-DRG 5482
|
Hospital Charge Code |
APRDRG 5482
|
Min. Negotiated Rate |
$4,606.96 |
Max. Negotiated Rate |
$4,837.31 |
Rate for Payer: BCBS Complete |
$4,837.31
|
Rate for Payer: Mclaren Medicaid |
$4,606.96
|
Rate for Payer: Meridian Medicaid |
$4,837.31
|
Rate for Payer: Priority Health Choice Medicaid |
$4,606.96
|
|
INPATIENT APRDRG 5483: POSTPARTUM & POST ABORTION DIAGNOSIS W O.R. PROCEDURE
|
Facility
|
IP
|
$8,214.74
|
|
Service Code
|
APR-DRG 5483
|
Hospital Charge Code |
APRDRG 5483
|
Min. Negotiated Rate |
$7,823.56 |
Max. Negotiated Rate |
$8,214.74 |
Rate for Payer: BCBS Complete |
$8,214.74
|
Rate for Payer: Mclaren Medicaid |
$7,823.56
|
Rate for Payer: Meridian Medicaid |
$8,214.74
|
Rate for Payer: Priority Health Choice Medicaid |
$7,823.56
|
|
INPATIENT APRDRG 5484: POSTPARTUM & POST ABORTION DIAGNOSIS W O.R. PROCEDURE
|
Facility
|
IP
|
$18,511.48
|
|
Service Code
|
APR-DRG 5484
|
Hospital Charge Code |
APRDRG 5484
|
Min. Negotiated Rate |
$17,629.98 |
Max. Negotiated Rate |
$18,511.48 |
Rate for Payer: BCBS Complete |
$18,511.48
|
Rate for Payer: Mclaren Medicaid |
$17,629.98
|
Rate for Payer: Meridian Medicaid |
$18,511.48
|
Rate for Payer: Priority Health Choice Medicaid |
$17,629.98
|
|
INPATIENT APRDRG 5601: VAGINAL DELIVERY
|
Facility
|
IP
|
$2,396.52
|
|
Service Code
|
APR-DRG 5601
|
Hospital Charge Code |
APRDRG 5601
|
Min. Negotiated Rate |
$2,282.40 |
Max. Negotiated Rate |
$2,396.52 |
Rate for Payer: BCBS Complete |
$2,396.52
|
Rate for Payer: Mclaren Medicaid |
$2,282.40
|
Rate for Payer: Meridian Medicaid |
$2,396.52
|
Rate for Payer: Priority Health Choice Medicaid |
$2,282.40
|
|
INPATIENT APRDRG 5602: VAGINAL DELIVERY
|
Facility
|
IP
|
$2,778.30
|
|
Service Code
|
APR-DRG 5602
|
Hospital Charge Code |
APRDRG 5602
|
Min. Negotiated Rate |
$2,646.00 |
Max. Negotiated Rate |
$2,778.30 |
Rate for Payer: BCBS Complete |
$2,778.30
|
Rate for Payer: Mclaren Medicaid |
$2,646.00
|
Rate for Payer: Meridian Medicaid |
$2,778.30
|
Rate for Payer: Priority Health Choice Medicaid |
$2,646.00
|
|
INPATIENT APRDRG 5603: VAGINAL DELIVERY
|
Facility
|
IP
|
$3,629.85
|
|
Service Code
|
APR-DRG 5603
|
Hospital Charge Code |
APRDRG 5603
|
Min. Negotiated Rate |
$3,457.00 |
Max. Negotiated Rate |
$3,629.85 |
Rate for Payer: BCBS Complete |
$3,629.85
|
Rate for Payer: Mclaren Medicaid |
$3,457.00
|
Rate for Payer: Meridian Medicaid |
$3,629.85
|
Rate for Payer: Priority Health Choice Medicaid |
$3,457.00
|
|
INPATIENT APRDRG 5604: VAGINAL DELIVERY
|
Facility
|
IP
|
$7,667.93
|
|
Service Code
|
APR-DRG 5604
|
Hospital Charge Code |
APRDRG 5604
|
Min. Negotiated Rate |
$7,302.79 |
Max. Negotiated Rate |
$7,667.93 |
Rate for Payer: BCBS Complete |
$7,667.93
|
Rate for Payer: Mclaren Medicaid |
$7,302.79
|
Rate for Payer: Meridian Medicaid |
$7,667.93
|
Rate for Payer: Priority Health Choice Medicaid |
$7,302.79
|
|
INPATIENT APRDRG 5611: POSTPARTUM & POST ABORTION DIAGNOSES W/O PROCEDURE
|
Facility
|
IP
|
$1,740.47
|
|
Service Code
|
APR-DRG 5611
|
Hospital Charge Code |
APRDRG 5611
|
Min. Negotiated Rate |
$1,657.59 |
Max. Negotiated Rate |
$1,740.47 |
Rate for Payer: BCBS Complete |
$1,740.47
|
Rate for Payer: Mclaren Medicaid |
$1,657.59
|
Rate for Payer: Meridian Medicaid |
$1,740.47
|
Rate for Payer: Priority Health Choice Medicaid |
$1,657.59
|
|
INPATIENT APRDRG 5612: POSTPARTUM & POST ABORTION DIAGNOSES W/O PROCEDURE
|
Facility
|
IP
|
$2,616.74
|
|
Service Code
|
APR-DRG 5612
|
Hospital Charge Code |
APRDRG 5612
|
Min. Negotiated Rate |
$2,492.13 |
Max. Negotiated Rate |
$2,616.74 |
Rate for Payer: BCBS Complete |
$2,616.74
|
Rate for Payer: Mclaren Medicaid |
$2,492.13
|
Rate for Payer: Meridian Medicaid |
$2,616.74
|
Rate for Payer: Priority Health Choice Medicaid |
$2,492.13
|
|