INPATIENT APRDRG 5613: POSTPARTUM & POST ABORTION DIAGNOSES W/O PROCEDURE
|
Facility
|
IP
|
$4,214.61
|
|
Service Code
|
APR-DRG 5613
|
Hospital Charge Code |
APRDRG 5613
|
Min. Negotiated Rate |
$4,013.91 |
Max. Negotiated Rate |
$4,214.61 |
Rate for Payer: BCBS Complete |
$4,214.61
|
Rate for Payer: Mclaren Medicaid |
$4,013.91
|
Rate for Payer: Meridian Medicaid |
$4,214.61
|
Rate for Payer: Priority Health Choice Medicaid |
$4,013.91
|
|
INPATIENT APRDRG 5614: POSTPARTUM & POST ABORTION DIAGNOSES W/O PROCEDURE
|
Facility
|
IP
|
$9,599.29
|
|
Service Code
|
APR-DRG 5614
|
Hospital Charge Code |
APRDRG 5614
|
Min. Negotiated Rate |
$9,142.18 |
Max. Negotiated Rate |
$9,599.29 |
Rate for Payer: BCBS Complete |
$9,599.29
|
Rate for Payer: Mclaren Medicaid |
$9,142.18
|
Rate for Payer: Meridian Medicaid |
$9,599.29
|
Rate for Payer: Priority Health Choice Medicaid |
$9,142.18
|
|
INPATIENT APRDRG 5641: ABORTION W/O D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
|
Facility
|
IP
|
$2,093.50
|
|
Service Code
|
APR-DRG 5641
|
Hospital Charge Code |
APRDRG 5641
|
Min. Negotiated Rate |
$1,993.81 |
Max. Negotiated Rate |
$2,093.50 |
Rate for Payer: BCBS Complete |
$2,093.50
|
Rate for Payer: Mclaren Medicaid |
$1,993.81
|
Rate for Payer: Meridian Medicaid |
$2,093.50
|
Rate for Payer: Priority Health Choice Medicaid |
$1,993.81
|
|
INPATIENT APRDRG 5642: ABORTION W/O D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
|
Facility
|
IP
|
$3,076.72
|
|
Service Code
|
APR-DRG 5642
|
Hospital Charge Code |
APRDRG 5642
|
Min. Negotiated Rate |
$2,930.21 |
Max. Negotiated Rate |
$3,076.72 |
Rate for Payer: BCBS Complete |
$3,076.72
|
Rate for Payer: Mclaren Medicaid |
$2,930.21
|
Rate for Payer: Meridian Medicaid |
$3,076.72
|
Rate for Payer: Priority Health Choice Medicaid |
$2,930.21
|
|
INPATIENT APRDRG 5643: ABORTION W/O D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
|
Facility
|
IP
|
$4,204.25
|
|
Service Code
|
APR-DRG 5643
|
Hospital Charge Code |
APRDRG 5643
|
Min. Negotiated Rate |
$4,004.05 |
Max. Negotiated Rate |
$4,204.25 |
Rate for Payer: BCBS Complete |
$4,204.25
|
Rate for Payer: Mclaren Medicaid |
$4,004.05
|
Rate for Payer: Meridian Medicaid |
$4,204.25
|
Rate for Payer: Priority Health Choice Medicaid |
$4,004.05
|
|
INPATIENT APRDRG 5644: ABORTION W/O D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
|
Facility
|
IP
|
$13,885.77
|
|
Service Code
|
APR-DRG 5644
|
Hospital Charge Code |
APRDRG 5644
|
Min. Negotiated Rate |
$13,224.54 |
Max. Negotiated Rate |
$13,885.77 |
Rate for Payer: BCBS Complete |
$13,885.77
|
Rate for Payer: Mclaren Medicaid |
$13,224.54
|
Rate for Payer: Meridian Medicaid |
$13,885.77
|
Rate for Payer: Priority Health Choice Medicaid |
$13,224.54
|
|
INPATIENT APRDRG 5661: OTHER ANTEPARTUM DIAGNOSES
|
Facility
|
IP
|
$1,972.18
|
|
Service Code
|
APR-DRG 5661
|
Hospital Charge Code |
APRDRG 5661
|
Min. Negotiated Rate |
$1,878.27 |
Max. Negotiated Rate |
$1,972.18 |
Rate for Payer: BCBS Complete |
$1,972.18
|
Rate for Payer: Mclaren Medicaid |
$1,878.27
|
Rate for Payer: Meridian Medicaid |
$1,972.18
|
Rate for Payer: Priority Health Choice Medicaid |
$1,878.27
|
|
INPATIENT APRDRG 5662: OTHER ANTEPARTUM DIAGNOSES
|
Facility
|
IP
|
$2,561.54
|
|
Service Code
|
APR-DRG 5662
|
Hospital Charge Code |
APRDRG 5662
|
Min. Negotiated Rate |
$2,439.56 |
Max. Negotiated Rate |
$2,561.54 |
Rate for Payer: BCBS Complete |
$2,561.54
|
Rate for Payer: Mclaren Medicaid |
$2,439.56
|
Rate for Payer: Meridian Medicaid |
$2,561.54
|
Rate for Payer: Priority Health Choice Medicaid |
$2,439.56
|
|
INPATIENT APRDRG 5663: OTHER ANTEPARTUM DIAGNOSES
|
Facility
|
IP
|
$3,934.59
|
|
Service Code
|
APR-DRG 5663
|
Hospital Charge Code |
APRDRG 5663
|
Min. Negotiated Rate |
$3,747.23 |
Max. Negotiated Rate |
$3,934.59 |
Rate for Payer: BCBS Complete |
$3,934.59
|
Rate for Payer: Mclaren Medicaid |
$3,747.23
|
Rate for Payer: Meridian Medicaid |
$3,934.59
|
Rate for Payer: Priority Health Choice Medicaid |
$3,747.23
|
|
INPATIENT APRDRG 5664: OTHER ANTEPARTUM DIAGNOSES
|
Facility
|
IP
|
$6,917.59
|
|
Service Code
|
APR-DRG 5664
|
Hospital Charge Code |
APRDRG 5664
|
Min. Negotiated Rate |
$6,588.18 |
Max. Negotiated Rate |
$6,917.59 |
Rate for Payer: BCBS Complete |
$6,917.59
|
Rate for Payer: Mclaren Medicaid |
$6,588.18
|
Rate for Payer: Meridian Medicaid |
$6,917.59
|
Rate for Payer: Priority Health Choice Medicaid |
$6,588.18
|
|
INPATIENT APRDRG 5801: NEONATE, TRANSFERRED <5 DAYS OLD, NOT BORN HERE
|
Facility
|
IP
|
$1,925.03
|
|
Service Code
|
APR-DRG 5801
|
Hospital Charge Code |
APRDRG 5801
|
Min. Negotiated Rate |
$1,833.36 |
Max. Negotiated Rate |
$1,925.03 |
Rate for Payer: BCBS Complete |
$1,925.03
|
Rate for Payer: Mclaren Medicaid |
$1,833.36
|
Rate for Payer: Meridian Medicaid |
$1,925.03
|
Rate for Payer: Priority Health Choice Medicaid |
$1,833.36
|
|
INPATIENT APRDRG 5802: NEONATE, TRANSFERRED <5 DAYS OLD, NOT BORN HERE
|
Facility
|
IP
|
$2,753.01
|
|
Service Code
|
APR-DRG 5802
|
Hospital Charge Code |
APRDRG 5802
|
Min. Negotiated Rate |
$2,621.91 |
Max. Negotiated Rate |
$2,753.01 |
Rate for Payer: BCBS Complete |
$2,753.01
|
Rate for Payer: Mclaren Medicaid |
$2,621.91
|
Rate for Payer: Meridian Medicaid |
$2,753.01
|
Rate for Payer: Priority Health Choice Medicaid |
$2,621.91
|
|
INPATIENT APRDRG 5803: NEONATE, TRANSFERRED <5 DAYS OLD, NOT BORN HERE
|
Facility
|
IP
|
$4,387.10
|
|
Service Code
|
APR-DRG 5803
|
Hospital Charge Code |
APRDRG 5803
|
Min. Negotiated Rate |
$4,178.19 |
Max. Negotiated Rate |
$4,387.10 |
Rate for Payer: BCBS Complete |
$4,387.10
|
Rate for Payer: Mclaren Medicaid |
$4,178.19
|
Rate for Payer: Meridian Medicaid |
$4,387.10
|
Rate for Payer: Priority Health Choice Medicaid |
$4,178.19
|
|
INPATIENT APRDRG 5804: NEONATE, TRANSFERRED <5 DAYS OLD, NOT BORN HERE
|
Facility
|
IP
|
$7,114.22
|
|
Service Code
|
APR-DRG 5804
|
Hospital Charge Code |
APRDRG 5804
|
Min. Negotiated Rate |
$6,775.45 |
Max. Negotiated Rate |
$7,114.22 |
Rate for Payer: BCBS Complete |
$7,114.22
|
Rate for Payer: Mclaren Medicaid |
$6,775.45
|
Rate for Payer: Meridian Medicaid |
$7,114.22
|
Rate for Payer: Priority Health Choice Medicaid |
$6,775.45
|
|
INPATIENT APRDRG 5811: NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE
|
Facility
|
IP
|
$711.25
|
|
Service Code
|
APR-DRG 5811
|
Hospital Charge Code |
APRDRG 5811
|
Min. Negotiated Rate |
$677.38 |
Max. Negotiated Rate |
$711.25 |
Rate for Payer: BCBS Complete |
$711.25
|
Rate for Payer: Mclaren Medicaid |
$677.38
|
Rate for Payer: Meridian Medicaid |
$711.25
|
Rate for Payer: Priority Health Choice Medicaid |
$677.38
|
|
INPATIENT APRDRG 5812: NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE
|
Facility
|
IP
|
$1,104.54
|
|
Service Code
|
APR-DRG 5812
|
Hospital Charge Code |
APRDRG 5812
|
Min. Negotiated Rate |
$1,051.94 |
Max. Negotiated Rate |
$1,104.54 |
Rate for Payer: BCBS Complete |
$1,104.54
|
Rate for Payer: Mclaren Medicaid |
$1,051.94
|
Rate for Payer: Meridian Medicaid |
$1,104.54
|
Rate for Payer: Priority Health Choice Medicaid |
$1,051.94
|
|
INPATIENT APRDRG 5813: NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE
|
Facility
|
IP
|
$2,195.84
|
|
Service Code
|
APR-DRG 5813
|
Hospital Charge Code |
APRDRG 5813
|
Min. Negotiated Rate |
$2,091.28 |
Max. Negotiated Rate |
$2,195.84 |
Rate for Payer: BCBS Complete |
$2,195.84
|
Rate for Payer: Mclaren Medicaid |
$2,091.28
|
Rate for Payer: Meridian Medicaid |
$2,195.84
|
Rate for Payer: Priority Health Choice Medicaid |
$2,091.28
|
|
INPATIENT APRDRG 5814: NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE
|
Facility
|
IP
|
$10,732.58
|
|
Service Code
|
APR-DRG 5814
|
Hospital Charge Code |
APRDRG 5814
|
Min. Negotiated Rate |
$10,221.50 |
Max. Negotiated Rate |
$10,732.58 |
Rate for Payer: BCBS Complete |
$10,732.58
|
Rate for Payer: Mclaren Medicaid |
$10,221.50
|
Rate for Payer: Meridian Medicaid |
$10,732.58
|
Rate for Payer: Priority Health Choice Medicaid |
$10,221.50
|
|
INPATIENT APRDRG 5831: NEONATE W ECMO
|
Facility
|
IP
|
$84,248.37
|
|
Service Code
|
APR-DRG 5831
|
Hospital Charge Code |
APRDRG 5831
|
Min. Negotiated Rate |
$80,236.54 |
Max. Negotiated Rate |
$84,248.37 |
Rate for Payer: BCBS Complete |
$84,248.37
|
Rate for Payer: Mclaren Medicaid |
$80,236.54
|
Rate for Payer: Meridian Medicaid |
$84,248.37
|
Rate for Payer: Priority Health Choice Medicaid |
$80,236.54
|
|
INPATIENT APRDRG 5832: NEONATE W ECMO
|
Facility
|
IP
|
$115,904.47
|
|
Service Code
|
APR-DRG 5832
|
Hospital Charge Code |
APRDRG 5832
|
Min. Negotiated Rate |
$110,385.21 |
Max. Negotiated Rate |
$115,904.47 |
Rate for Payer: BCBS Complete |
$115,904.47
|
Rate for Payer: Mclaren Medicaid |
$110,385.21
|
Rate for Payer: Meridian Medicaid |
$115,904.47
|
Rate for Payer: Priority Health Choice Medicaid |
$110,385.21
|
|
INPATIENT APRDRG 5833: NEONATE W ECMO
|
Facility
|
IP
|
$209,056.41
|
|
Service Code
|
APR-DRG 5833
|
Hospital Charge Code |
APRDRG 5833
|
Min. Negotiated Rate |
$199,101.34 |
Max. Negotiated Rate |
$209,056.41 |
Rate for Payer: BCBS Complete |
$209,056.41
|
Rate for Payer: Mclaren Medicaid |
$199,101.34
|
Rate for Payer: Meridian Medicaid |
$209,056.41
|
Rate for Payer: Priority Health Choice Medicaid |
$199,101.34
|
|
INPATIENT APRDRG 5834: NEONATE W ECMO
|
Facility
|
IP
|
$322,754.67
|
|
Service Code
|
APR-DRG 5834
|
Hospital Charge Code |
APRDRG 5834
|
Min. Negotiated Rate |
$307,385.40 |
Max. Negotiated Rate |
$322,754.67 |
Rate for Payer: BCBS Complete |
$322,754.67
|
Rate for Payer: Mclaren Medicaid |
$307,385.40
|
Rate for Payer: Meridian Medicaid |
$322,754.67
|
Rate for Payer: Priority Health Choice Medicaid |
$307,385.40
|
|
INPATIENT APRDRG 5881: NEONATE BWT <1500G W MAJOR PROCEDURE
|
Facility
|
IP
|
$100,296.64
|
|
Service Code
|
APR-DRG 5881
|
Hospital Charge Code |
APRDRG 5881
|
Min. Negotiated Rate |
$95,520.61 |
Max. Negotiated Rate |
$100,296.64 |
Rate for Payer: BCBS Complete |
$100,296.64
|
Rate for Payer: Mclaren Medicaid |
$95,520.61
|
Rate for Payer: Meridian Medicaid |
$100,296.64
|
Rate for Payer: Priority Health Choice Medicaid |
$95,520.61
|
|
INPATIENT APRDRG 5882: NEONATE BWT <1500G W MAJOR PROCEDURE
|
Facility
|
IP
|
$117,014.18
|
|
Service Code
|
APR-DRG 5882
|
Hospital Charge Code |
APRDRG 5882
|
Min. Negotiated Rate |
$111,442.08 |
Max. Negotiated Rate |
$117,014.18 |
Rate for Payer: BCBS Complete |
$117,014.18
|
Rate for Payer: Mclaren Medicaid |
$111,442.08
|
Rate for Payer: Meridian Medicaid |
$117,014.18
|
Rate for Payer: Priority Health Choice Medicaid |
$111,442.08
|
|
INPATIENT APRDRG 5883: NEONATE BWT <1500G W MAJOR PROCEDURE
|
Facility
|
IP
|
$135,939.65
|
|
Service Code
|
APR-DRG 5883
|
Hospital Charge Code |
APRDRG 5883
|
Min. Negotiated Rate |
$129,466.33 |
Max. Negotiated Rate |
$135,939.65 |
Rate for Payer: BCBS Complete |
$135,939.65
|
Rate for Payer: Mclaren Medicaid |
$129,466.33
|
Rate for Payer: Meridian Medicaid |
$135,939.65
|
Rate for Payer: Priority Health Choice Medicaid |
$129,466.33
|
|