INPATIENT APRDRG 5884: NEONATE BWT <1500G W MAJOR PROCEDURE
|
Facility
|
IP
|
$210,732.47
|
|
Service Code
|
APR-DRG 5884
|
Hospital Charge Code |
APRDRG 5884
|
Min. Negotiated Rate |
$200,697.59 |
Max. Negotiated Rate |
$210,732.47 |
Rate for Payer: BCBS Complete |
$210,732.47
|
Rate for Payer: Mclaren Medicaid |
$200,697.59
|
Rate for Payer: Meridian Medicaid |
$210,732.47
|
Rate for Payer: Priority Health Choice Medicaid |
$200,697.59
|
|
INPATIENT APRDRG 5891: NEONATE BWT <500G OR GA <24 WEEKS
|
Facility
|
IP
|
$82,388.31
|
|
Service Code
|
APR-DRG 5891
|
Hospital Charge Code |
APRDRG 5891
|
Min. Negotiated Rate |
$78,465.06 |
Max. Negotiated Rate |
$82,388.31 |
Rate for Payer: BCBS Complete |
$82,388.31
|
Rate for Payer: Mclaren Medicaid |
$78,465.06
|
Rate for Payer: Meridian Medicaid |
$82,388.31
|
Rate for Payer: Priority Health Choice Medicaid |
$78,465.06
|
|
INPATIENT APRDRG 5892: NEONATE BWT <500G OR GA <24 WEEKS
|
Facility
|
IP
|
$81,062.98
|
|
Service Code
|
APR-DRG 5892
|
Hospital Charge Code |
APRDRG 5892
|
Min. Negotiated Rate |
$77,202.84 |
Max. Negotiated Rate |
$81,062.98 |
Rate for Payer: BCBS Complete |
$81,062.98
|
Rate for Payer: Mclaren Medicaid |
$77,202.84
|
Rate for Payer: Meridian Medicaid |
$81,062.98
|
Rate for Payer: Priority Health Choice Medicaid |
$77,202.84
|
|
INPATIENT APRDRG 5893: NEONATE BWT <500G OR GA <24 WEEKS
|
Facility
|
IP
|
$79,335.74
|
|
Service Code
|
APR-DRG 5893
|
Hospital Charge Code |
APRDRG 5893
|
Min. Negotiated Rate |
$75,557.85 |
Max. Negotiated Rate |
$79,335.74 |
Rate for Payer: BCBS Complete |
$79,335.74
|
Rate for Payer: Mclaren Medicaid |
$75,557.85
|
Rate for Payer: Meridian Medicaid |
$79,335.74
|
Rate for Payer: Priority Health Choice Medicaid |
$75,557.85
|
|
INPATIENT APRDRG 5894: NEONATE BWT <500G OR GA <24 WEEKS
|
Facility
|
IP
|
$2,431.59
|
|
Service Code
|
APR-DRG 5894
|
Hospital Charge Code |
APRDRG 5894
|
Min. Negotiated Rate |
$2,315.80 |
Max. Negotiated Rate |
$2,431.59 |
Rate for Payer: BCBS Complete |
$2,431.59
|
Rate for Payer: Mclaren Medicaid |
$2,315.80
|
Rate for Payer: Meridian Medicaid |
$2,431.59
|
Rate for Payer: Priority Health Choice Medicaid |
$2,315.80
|
|
INPATIENT APRDRG 5911: NEONATE BIRTHWT 500-749G W/O MAJOR PROCEDURE
|
Facility
|
IP
|
$39,449.95
|
|
Service Code
|
APR-DRG 5911
|
Hospital Charge Code |
APRDRG 5911
|
Min. Negotiated Rate |
$37,571.38 |
Max. Negotiated Rate |
$39,449.95 |
Rate for Payer: BCBS Complete |
$39,449.95
|
Rate for Payer: Mclaren Medicaid |
$37,571.38
|
Rate for Payer: Meridian Medicaid |
$39,449.95
|
Rate for Payer: Priority Health Choice Medicaid |
$37,571.38
|
|
INPATIENT APRDRG 5912: NEONATE BIRTHWT 500-749G W/O MAJOR PROCEDURE
|
Facility
|
IP
|
$70,904.81
|
|
Service Code
|
APR-DRG 5912
|
Hospital Charge Code |
APRDRG 5912
|
Min. Negotiated Rate |
$67,528.39 |
Max. Negotiated Rate |
$70,904.81 |
Rate for Payer: BCBS Complete |
$70,904.81
|
Rate for Payer: Mclaren Medicaid |
$67,528.39
|
Rate for Payer: Meridian Medicaid |
$70,904.81
|
Rate for Payer: Priority Health Choice Medicaid |
$67,528.39
|
|
INPATIENT APRDRG 5913: NEONATE BIRTHWT 500-749G W/O MAJOR PROCEDURE
|
Facility
|
IP
|
$94,034.52
|
|
Service Code
|
APR-DRG 5913
|
Hospital Charge Code |
APRDRG 5913
|
Min. Negotiated Rate |
$89,556.69 |
Max. Negotiated Rate |
$94,034.52 |
Rate for Payer: BCBS Complete |
$94,034.52
|
Rate for Payer: Mclaren Medicaid |
$89,556.69
|
Rate for Payer: Meridian Medicaid |
$94,034.52
|
Rate for Payer: Priority Health Choice Medicaid |
$89,556.69
|
|
INPATIENT APRDRG 5914: NEONATE BIRTHWT 500-749G W/O MAJOR PROCEDURE
|
Facility
|
IP
|
$122,306.30
|
|
Service Code
|
APR-DRG 5914
|
Hospital Charge Code |
APRDRG 5914
|
Min. Negotiated Rate |
$116,482.19 |
Max. Negotiated Rate |
$122,306.30 |
Rate for Payer: BCBS Complete |
$122,306.30
|
Rate for Payer: Mclaren Medicaid |
$116,482.19
|
Rate for Payer: Meridian Medicaid |
$122,306.30
|
Rate for Payer: Priority Health Choice Medicaid |
$116,482.19
|
|
INPATIENT APRDRG 5931: NEONATE BIRTHWT 750-999G W/O MAJOR PROCEDURE
|
Facility
|
IP
|
$9,293.40
|
|
Service Code
|
APR-DRG 5931
|
Hospital Charge Code |
APRDRG 5931
|
Min. Negotiated Rate |
$8,850.86 |
Max. Negotiated Rate |
$9,293.40 |
Rate for Payer: BCBS Complete |
$9,293.40
|
Rate for Payer: Mclaren Medicaid |
$8,850.86
|
Rate for Payer: Meridian Medicaid |
$9,293.40
|
Rate for Payer: Priority Health Choice Medicaid |
$8,850.86
|
|
INPATIENT APRDRG 5932: NEONATE BIRTHWT 750-999G W/O MAJOR PROCEDURE
|
Facility
|
IP
|
$55,799.51
|
|
Service Code
|
APR-DRG 5932
|
Hospital Charge Code |
APRDRG 5932
|
Min. Negotiated Rate |
$53,142.39 |
Max. Negotiated Rate |
$55,799.51 |
Rate for Payer: BCBS Complete |
$55,799.51
|
Rate for Payer: Mclaren Medicaid |
$53,142.39
|
Rate for Payer: Meridian Medicaid |
$55,799.51
|
Rate for Payer: Priority Health Choice Medicaid |
$53,142.39
|
|
INPATIENT APRDRG 5933: NEONATE BIRTHWT 750-999G W/O MAJOR PROCEDURE
|
Facility
|
IP
|
$85,097.62
|
|
Service Code
|
APR-DRG 5933
|
Hospital Charge Code |
APRDRG 5933
|
Min. Negotiated Rate |
$81,045.35 |
Max. Negotiated Rate |
$85,097.62 |
Rate for Payer: BCBS Complete |
$85,097.62
|
Rate for Payer: Mclaren Medicaid |
$81,045.35
|
Rate for Payer: Meridian Medicaid |
$85,097.62
|
Rate for Payer: Priority Health Choice Medicaid |
$81,045.35
|
|
INPATIENT APRDRG 5934: NEONATE BIRTHWT 750-999G W/O MAJOR PROCEDURE
|
Facility
|
IP
|
$123,518.36
|
|
Service Code
|
APR-DRG 5934
|
Hospital Charge Code |
APRDRG 5934
|
Min. Negotiated Rate |
$117,636.53 |
Max. Negotiated Rate |
$123,518.36 |
Rate for Payer: BCBS Complete |
$123,518.36
|
Rate for Payer: Mclaren Medicaid |
$117,636.53
|
Rate for Payer: Meridian Medicaid |
$123,518.36
|
Rate for Payer: Priority Health Choice Medicaid |
$117,636.53
|
|
INPATIENT APRDRG 6021: NEONATE BWT 1000-1249G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM
|
Facility
|
IP
|
$11,634.15
|
|
Service Code
|
APR-DRG 6021
|
Hospital Charge Code |
APRDRG 6021
|
Min. Negotiated Rate |
$11,080.14 |
Max. Negotiated Rate |
$11,634.15 |
Rate for Payer: BCBS Complete |
$11,634.15
|
Rate for Payer: Mclaren Medicaid |
$11,080.14
|
Rate for Payer: Meridian Medicaid |
$11,634.15
|
Rate for Payer: Priority Health Choice Medicaid |
$11,080.14
|
|
INPATIENT APRDRG 6022: NEONATE BWT 1000-1249G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM
|
Facility
|
IP
|
$33,242.46
|
|
Service Code
|
APR-DRG 6022
|
Hospital Charge Code |
APRDRG 6022
|
Min. Negotiated Rate |
$31,659.49 |
Max. Negotiated Rate |
$33,242.46 |
Rate for Payer: BCBS Complete |
$33,242.46
|
Rate for Payer: Mclaren Medicaid |
$31,659.49
|
Rate for Payer: Meridian Medicaid |
$33,242.46
|
Rate for Payer: Priority Health Choice Medicaid |
$31,659.49
|
|
INPATIENT APRDRG 6023: NEONATE BWT 1000-1249G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM
|
Facility
|
IP
|
$41,460.08
|
|
Service Code
|
APR-DRG 6023
|
Hospital Charge Code |
APRDRG 6023
|
Min. Negotiated Rate |
$39,485.79 |
Max. Negotiated Rate |
$41,460.08 |
Rate for Payer: BCBS Complete |
$41,460.08
|
Rate for Payer: Mclaren Medicaid |
$39,485.79
|
Rate for Payer: Meridian Medicaid |
$41,460.08
|
Rate for Payer: Priority Health Choice Medicaid |
$39,485.79
|
|
INPATIENT APRDRG 6024: NEONATE BWT 1000-1249G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM
|
Facility
|
IP
|
$58,817.00
|
|
Service Code
|
APR-DRG 6024
|
Hospital Charge Code |
APRDRG 6024
|
Min. Negotiated Rate |
$56,016.19 |
Max. Negotiated Rate |
$58,817.00 |
Rate for Payer: BCBS Complete |
$58,817.00
|
Rate for Payer: Mclaren Medicaid |
$56,016.19
|
Rate for Payer: Meridian Medicaid |
$58,817.00
|
Rate for Payer: Priority Health Choice Medicaid |
$56,016.19
|
|
INPATIENT APRDRG 6031: NEONATE BIRTHWT 1000-1249G W OR W/O OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$10,978.10
|
|
Service Code
|
APR-DRG 6031
|
Hospital Charge Code |
APRDRG 6031
|
Min. Negotiated Rate |
$10,455.33 |
Max. Negotiated Rate |
$10,978.10 |
Rate for Payer: BCBS Complete |
$10,978.10
|
Rate for Payer: Mclaren Medicaid |
$10,455.33
|
Rate for Payer: Meridian Medicaid |
$10,978.10
|
Rate for Payer: Priority Health Choice Medicaid |
$10,455.33
|
|
INPATIENT APRDRG 6032: NEONATE BIRTHWT 1000-1249G W OR W/O OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$25,435.39
|
|
Service Code
|
APR-DRG 6032
|
Hospital Charge Code |
APRDRG 6032
|
Min. Negotiated Rate |
$24,224.18 |
Max. Negotiated Rate |
$25,435.39 |
Rate for Payer: BCBS Complete |
$25,435.39
|
Rate for Payer: Mclaren Medicaid |
$24,224.18
|
Rate for Payer: Meridian Medicaid |
$25,435.39
|
Rate for Payer: Priority Health Choice Medicaid |
$24,224.18
|
|
INPATIENT APRDRG 6033: NEONATE BIRTHWT 1000-1249G W OR W/O OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$50,310.17
|
|
Service Code
|
APR-DRG 6033
|
Hospital Charge Code |
APRDRG 6033
|
Min. Negotiated Rate |
$47,914.45 |
Max. Negotiated Rate |
$50,310.17 |
Rate for Payer: BCBS Complete |
$50,310.17
|
Rate for Payer: Mclaren Medicaid |
$47,914.45
|
Rate for Payer: Meridian Medicaid |
$50,310.17
|
Rate for Payer: Priority Health Choice Medicaid |
$47,914.45
|
|
INPATIENT APRDRG 6034: NEONATE BIRTHWT 1000-1249G W OR W/O OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$112,603.51
|
|
Service Code
|
APR-DRG 6034
|
Hospital Charge Code |
APRDRG 6034
|
Min. Negotiated Rate |
$107,241.44 |
Max. Negotiated Rate |
$112,603.51 |
Rate for Payer: BCBS Complete |
$112,603.51
|
Rate for Payer: Mclaren Medicaid |
$107,241.44
|
Rate for Payer: Meridian Medicaid |
$112,603.51
|
Rate for Payer: Priority Health Choice Medicaid |
$107,241.44
|
|
INPATIENT APRDRG 6071: NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM
|
Facility
|
IP
|
$12,233.85
|
|
Service Code
|
APR-DRG 6071
|
Hospital Charge Code |
APRDRG 6071
|
Min. Negotiated Rate |
$11,651.29 |
Max. Negotiated Rate |
$12,233.85 |
Rate for Payer: BCBS Complete |
$12,233.85
|
Rate for Payer: Mclaren Medicaid |
$11,651.29
|
Rate for Payer: Meridian Medicaid |
$12,233.85
|
Rate for Payer: Priority Health Choice Medicaid |
$11,651.29
|
|
INPATIENT APRDRG 6072: NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM
|
Facility
|
IP
|
$22,306.35
|
|
Service Code
|
APR-DRG 6072
|
Hospital Charge Code |
APRDRG 6072
|
Min. Negotiated Rate |
$21,244.14 |
Max. Negotiated Rate |
$22,306.35 |
Rate for Payer: BCBS Complete |
$22,306.35
|
Rate for Payer: Mclaren Medicaid |
$21,244.14
|
Rate for Payer: Meridian Medicaid |
$22,306.35
|
Rate for Payer: Priority Health Choice Medicaid |
$21,244.14
|
|
INPATIENT APRDRG 6073: NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM
|
Facility
|
IP
|
$29,856.99
|
|
Service Code
|
APR-DRG 6073
|
Hospital Charge Code |
APRDRG 6073
|
Min. Negotiated Rate |
$28,435.23 |
Max. Negotiated Rate |
$29,856.99 |
Rate for Payer: BCBS Complete |
$29,856.99
|
Rate for Payer: Mclaren Medicaid |
$28,435.23
|
Rate for Payer: Meridian Medicaid |
$29,856.99
|
Rate for Payer: Priority Health Choice Medicaid |
$28,435.23
|
|
INPATIENT APRDRG 6074: NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM
|
Facility
|
IP
|
$43,705.38
|
|
Service Code
|
APR-DRG 6074
|
Hospital Charge Code |
APRDRG 6074
|
Min. Negotiated Rate |
$41,624.17 |
Max. Negotiated Rate |
$43,705.38 |
Rate for Payer: BCBS Complete |
$43,705.38
|
Rate for Payer: Mclaren Medicaid |
$41,624.17
|
Rate for Payer: Meridian Medicaid |
$43,705.38
|
Rate for Payer: Priority Health Choice Medicaid |
$41,624.17
|
|