INPATIENT APRDRG 6212: NEONATE BWT 2000-2499G W MAJOR ANOMALY
|
Facility
|
IP
|
$8,007.75
|
|
Service Code
|
APR-DRG 6212
|
Hospital Charge Code |
APRDRG 6212
|
Min. Negotiated Rate |
$7,626.43 |
Max. Negotiated Rate |
$8,007.75 |
Rate for Payer: BCBS Complete |
$8,007.75
|
Rate for Payer: Mclaren Medicaid |
$7,626.43
|
Rate for Payer: Meridian Medicaid |
$8,007.75
|
Rate for Payer: Priority Health Choice Medicaid |
$7,626.43
|
|
INPATIENT APRDRG 6213: NEONATE BWT 2000-2499G W MAJOR ANOMALY
|
Facility
|
IP
|
$9,690.71
|
|
Service Code
|
APR-DRG 6213
|
Hospital Charge Code |
APRDRG 6213
|
Min. Negotiated Rate |
$9,229.25 |
Max. Negotiated Rate |
$9,690.71 |
Rate for Payer: BCBS Complete |
$9,690.71
|
Rate for Payer: Mclaren Medicaid |
$9,229.25
|
Rate for Payer: Meridian Medicaid |
$9,690.71
|
Rate for Payer: Priority Health Choice Medicaid |
$9,229.25
|
|
INPATIENT APRDRG 6214: NEONATE BWT 2000-2499G W MAJOR ANOMALY
|
Facility
|
IP
|
$19,695.36
|
|
Service Code
|
APR-DRG 6214
|
Hospital Charge Code |
APRDRG 6214
|
Min. Negotiated Rate |
$18,757.49 |
Max. Negotiated Rate |
$19,695.36 |
Rate for Payer: BCBS Complete |
$19,695.36
|
Rate for Payer: Mclaren Medicaid |
$18,757.49
|
Rate for Payer: Meridian Medicaid |
$19,695.36
|
Rate for Payer: Priority Health Choice Medicaid |
$18,757.49
|
|
INPATIENT APRDRG 6221: NEONATE BWT 2000-2499G W RESP DIST SYND/OTH MAJ RESP COND
|
Facility
|
IP
|
$7,013.03
|
|
Service Code
|
APR-DRG 6221
|
Hospital Charge Code |
APRDRG 6221
|
Min. Negotiated Rate |
$6,679.08 |
Max. Negotiated Rate |
$7,013.03 |
Rate for Payer: BCBS Complete |
$7,013.03
|
Rate for Payer: Mclaren Medicaid |
$6,679.08
|
Rate for Payer: Meridian Medicaid |
$7,013.03
|
Rate for Payer: Priority Health Choice Medicaid |
$6,679.08
|
|
INPATIENT APRDRG 6222: NEONATE BWT 2000-2499G W RESP DIST SYND/OTH MAJ RESP COND
|
Facility
|
IP
|
$9,153.10
|
|
Service Code
|
APR-DRG 6222
|
Hospital Charge Code |
APRDRG 6222
|
Min. Negotiated Rate |
$8,717.24 |
Max. Negotiated Rate |
$9,153.10 |
Rate for Payer: BCBS Complete |
$9,153.10
|
Rate for Payer: Mclaren Medicaid |
$8,717.24
|
Rate for Payer: Meridian Medicaid |
$9,153.10
|
Rate for Payer: Priority Health Choice Medicaid |
$8,717.24
|
|
INPATIENT APRDRG 6223: NEONATE BWT 2000-2499G W RESP DIST SYND/OTH MAJ RESP COND
|
Facility
|
IP
|
$17,796.21
|
|
Service Code
|
APR-DRG 6223
|
Hospital Charge Code |
APRDRG 6223
|
Min. Negotiated Rate |
$16,948.77 |
Max. Negotiated Rate |
$17,796.21 |
Rate for Payer: BCBS Complete |
$17,796.21
|
Rate for Payer: Mclaren Medicaid |
$16,948.77
|
Rate for Payer: Meridian Medicaid |
$17,796.21
|
Rate for Payer: Priority Health Choice Medicaid |
$16,948.77
|
|
INPATIENT APRDRG 6224: NEONATE BWT 2000-2499G W RESP DIST SYND/OTH MAJ RESP COND
|
Facility
|
IP
|
$30,109.98
|
|
Service Code
|
APR-DRG 6224
|
Hospital Charge Code |
APRDRG 6224
|
Min. Negotiated Rate |
$28,676.17 |
Max. Negotiated Rate |
$30,109.98 |
Rate for Payer: BCBS Complete |
$30,109.98
|
Rate for Payer: Mclaren Medicaid |
$28,676.17
|
Rate for Payer: Meridian Medicaid |
$30,109.98
|
Rate for Payer: Priority Health Choice Medicaid |
$28,676.17
|
|
INPATIENT APRDRG 6231: NEONATE BWT 2000-2499G W CONGENITAL/PERINATAL INFECTION
|
Facility
|
IP
|
$4,149.63
|
|
Service Code
|
APR-DRG 6231
|
Hospital Charge Code |
APRDRG 6231
|
Min. Negotiated Rate |
$3,952.03 |
Max. Negotiated Rate |
$4,149.63 |
Rate for Payer: BCBS Complete |
$4,149.63
|
Rate for Payer: Mclaren Medicaid |
$3,952.03
|
Rate for Payer: Meridian Medicaid |
$4,149.63
|
Rate for Payer: Priority Health Choice Medicaid |
$3,952.03
|
|
INPATIENT APRDRG 6232: NEONATE BWT 2000-2499G W CONGENITAL/PERINATAL INFECTION
|
Facility
|
IP
|
$7,095.83
|
|
Service Code
|
APR-DRG 6232
|
Hospital Charge Code |
APRDRG 6232
|
Min. Negotiated Rate |
$6,757.93 |
Max. Negotiated Rate |
$7,095.83 |
Rate for Payer: BCBS Complete |
$7,095.83
|
Rate for Payer: Mclaren Medicaid |
$6,757.93
|
Rate for Payer: Meridian Medicaid |
$7,095.83
|
Rate for Payer: Priority Health Choice Medicaid |
$6,757.93
|
|
INPATIENT APRDRG 6233: NEONATE BWT 2000-2499G W CONGENITAL/PERINATAL INFECTION
|
Facility
|
IP
|
$25,975.88
|
|
Service Code
|
APR-DRG 6233
|
Hospital Charge Code |
APRDRG 6233
|
Min. Negotiated Rate |
$24,738.93 |
Max. Negotiated Rate |
$25,975.88 |
Rate for Payer: BCBS Complete |
$25,975.88
|
Rate for Payer: Mclaren Medicaid |
$24,738.93
|
Rate for Payer: Meridian Medicaid |
$25,975.88
|
Rate for Payer: Priority Health Choice Medicaid |
$24,738.93
|
|
INPATIENT APRDRG 6234: NEONATE BWT 2000-2499G W CONGENITAL/PERINATAL INFECTION
|
Facility
|
IP
|
$32,292.60
|
|
Service Code
|
APR-DRG 6234
|
Hospital Charge Code |
APRDRG 6234
|
Min. Negotiated Rate |
$30,754.86 |
Max. Negotiated Rate |
$32,292.60 |
Rate for Payer: BCBS Complete |
$32,292.60
|
Rate for Payer: Mclaren Medicaid |
$30,754.86
|
Rate for Payer: Meridian Medicaid |
$32,292.60
|
Rate for Payer: Priority Health Choice Medicaid |
$30,754.86
|
|
INPATIENT APRDRG 6251: NEONATE BWT 2000-2499G W OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$5,612.38
|
|
Service Code
|
APR-DRG 6251
|
Hospital Charge Code |
APRDRG 6251
|
Min. Negotiated Rate |
$5,345.12 |
Max. Negotiated Rate |
$5,612.38 |
Rate for Payer: BCBS Complete |
$5,612.38
|
Rate for Payer: Mclaren Medicaid |
$5,345.12
|
Rate for Payer: Meridian Medicaid |
$5,612.38
|
Rate for Payer: Priority Health Choice Medicaid |
$5,345.12
|
|
INPATIENT APRDRG 6252: NEONATE BWT 2000-2499G W OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$9,135.86
|
|
Service Code
|
APR-DRG 6252
|
Hospital Charge Code |
APRDRG 6252
|
Min. Negotiated Rate |
$8,700.82 |
Max. Negotiated Rate |
$9,135.86 |
Rate for Payer: BCBS Complete |
$9,135.86
|
Rate for Payer: Mclaren Medicaid |
$8,700.82
|
Rate for Payer: Meridian Medicaid |
$9,135.86
|
Rate for Payer: Priority Health Choice Medicaid |
$8,700.82
|
|
INPATIENT APRDRG 6253: NEONATE BWT 2000-2499G W OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$19,482.62
|
|
Service Code
|
APR-DRG 6253
|
Hospital Charge Code |
APRDRG 6253
|
Min. Negotiated Rate |
$18,554.88 |
Max. Negotiated Rate |
$19,482.62 |
Rate for Payer: BCBS Complete |
$19,482.62
|
Rate for Payer: Mclaren Medicaid |
$18,554.88
|
Rate for Payer: Meridian Medicaid |
$19,482.62
|
Rate for Payer: Priority Health Choice Medicaid |
$18,554.88
|
|
INPATIENT APRDRG 6254: NEONATE BWT 2000-2499G W OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$39,866.81
|
|
Service Code
|
APR-DRG 6254
|
Hospital Charge Code |
APRDRG 6254
|
Min. Negotiated Rate |
$37,968.39 |
Max. Negotiated Rate |
$39,866.81 |
Rate for Payer: BCBS Complete |
$39,866.81
|
Rate for Payer: Mclaren Medicaid |
$37,968.39
|
Rate for Payer: Meridian Medicaid |
$39,866.81
|
Rate for Payer: Priority Health Choice Medicaid |
$37,968.39
|
|
INPATIENT APRDRG 6261: NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM
|
Facility
|
IP
|
$1,127.53
|
|
Service Code
|
APR-DRG 6261
|
Hospital Charge Code |
APRDRG 6261
|
Min. Negotiated Rate |
$1,073.84 |
Max. Negotiated Rate |
$1,127.53 |
Rate for Payer: BCBS Complete |
$1,127.53
|
Rate for Payer: Mclaren Medicaid |
$1,073.84
|
Rate for Payer: Meridian Medicaid |
$1,127.53
|
Rate for Payer: Priority Health Choice Medicaid |
$1,073.84
|
|
INPATIENT APRDRG 6262: NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM
|
Facility
|
IP
|
$1,082.69
|
|
Service Code
|
APR-DRG 6262
|
Hospital Charge Code |
APRDRG 6262
|
Min. Negotiated Rate |
$1,031.13 |
Max. Negotiated Rate |
$1,082.69 |
Rate for Payer: BCBS Complete |
$1,082.69
|
Rate for Payer: Mclaren Medicaid |
$1,031.13
|
Rate for Payer: Meridian Medicaid |
$1,082.69
|
Rate for Payer: Priority Health Choice Medicaid |
$1,031.13
|
|
INPATIENT APRDRG 6263: NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM
|
Facility
|
IP
|
$2,662.74
|
|
Service Code
|
APR-DRG 6263
|
Hospital Charge Code |
APRDRG 6263
|
Min. Negotiated Rate |
$2,535.94 |
Max. Negotiated Rate |
$2,662.74 |
Rate for Payer: BCBS Complete |
$2,662.74
|
Rate for Payer: Mclaren Medicaid |
$2,535.94
|
Rate for Payer: Meridian Medicaid |
$2,662.74
|
Rate for Payer: Priority Health Choice Medicaid |
$2,535.94
|
|
INPATIENT APRDRG 6264: NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM
|
Facility
|
IP
|
$8,138.27
|
|
Service Code
|
APR-DRG 6264
|
Hospital Charge Code |
APRDRG 6264
|
Min. Negotiated Rate |
$7,750.73 |
Max. Negotiated Rate |
$8,138.27 |
Rate for Payer: BCBS Complete |
$8,138.27
|
Rate for Payer: Mclaren Medicaid |
$7,750.73
|
Rate for Payer: Meridian Medicaid |
$8,138.27
|
Rate for Payer: Priority Health Choice Medicaid |
$7,750.73
|
|
INPATIENT APRDRG 6301: NEONATE BIRTHWT >2499G W MAJOR CARDIOVASCULAR PROCEDURE
|
Facility
|
IP
|
$19,804.04
|
|
Service Code
|
APR-DRG 6301
|
Hospital Charge Code |
APRDRG 6301
|
Min. Negotiated Rate |
$18,860.99 |
Max. Negotiated Rate |
$19,804.04 |
Rate for Payer: BCBS Complete |
$19,804.04
|
Rate for Payer: Mclaren Medicaid |
$18,860.99
|
Rate for Payer: Meridian Medicaid |
$19,804.04
|
Rate for Payer: Priority Health Choice Medicaid |
$18,860.99
|
|
INPATIENT APRDRG 6302: NEONATE BIRTHWT >2499G W MAJOR CARDIOVASCULAR PROCEDURE
|
Facility
|
IP
|
$41,899.95
|
|
Service Code
|
APR-DRG 6302
|
Hospital Charge Code |
APRDRG 6302
|
Min. Negotiated Rate |
$39,904.71 |
Max. Negotiated Rate |
$41,899.95 |
Rate for Payer: BCBS Complete |
$41,899.95
|
Rate for Payer: Mclaren Medicaid |
$39,904.71
|
Rate for Payer: Meridian Medicaid |
$41,899.95
|
Rate for Payer: Priority Health Choice Medicaid |
$39,904.71
|
|
INPATIENT APRDRG 6303: NEONATE BIRTHWT >2499G W MAJOR CARDIOVASCULAR PROCEDURE
|
Facility
|
IP
|
$75,594.34
|
|
Service Code
|
APR-DRG 6303
|
Hospital Charge Code |
APRDRG 6303
|
Min. Negotiated Rate |
$71,994.61 |
Max. Negotiated Rate |
$75,594.34 |
Rate for Payer: BCBS Complete |
$75,594.34
|
Rate for Payer: Mclaren Medicaid |
$71,994.61
|
Rate for Payer: Meridian Medicaid |
$75,594.34
|
Rate for Payer: Priority Health Choice Medicaid |
$71,994.61
|
|
INPATIENT APRDRG 6304: NEONATE BIRTHWT >2499G W MAJOR CARDIOVASCULAR PROCEDURE
|
Facility
|
IP
|
$157,702.64
|
|
Service Code
|
APR-DRG 6304
|
Hospital Charge Code |
APRDRG 6304
|
Min. Negotiated Rate |
$150,192.99 |
Max. Negotiated Rate |
$157,702.64 |
Rate for Payer: BCBS Complete |
$157,702.64
|
Rate for Payer: Mclaren Medicaid |
$150,192.99
|
Rate for Payer: Meridian Medicaid |
$157,702.64
|
Rate for Payer: Priority Health Choice Medicaid |
$150,192.99
|
|
INPATIENT APRDRG 6311: NEONATE BIRTHWT >2499G W OTHER MAJOR PROCEDURE
|
Facility
|
IP
|
$5,355.93
|
|
Service Code
|
APR-DRG 6311
|
Hospital Charge Code |
APRDRG 6311
|
Min. Negotiated Rate |
$5,100.89 |
Max. Negotiated Rate |
$5,355.93 |
Rate for Payer: BCBS Complete |
$5,355.93
|
Rate for Payer: Mclaren Medicaid |
$5,100.89
|
Rate for Payer: Meridian Medicaid |
$5,355.93
|
Rate for Payer: Priority Health Choice Medicaid |
$5,100.89
|
|
INPATIENT APRDRG 6312: NEONATE BIRTHWT >2499G W OTHER MAJOR PROCEDURE
|
Facility
|
IP
|
$12,969.82
|
|
Service Code
|
APR-DRG 6312
|
Hospital Charge Code |
APRDRG 6312
|
Min. Negotiated Rate |
$12,352.21 |
Max. Negotiated Rate |
$12,969.82 |
Rate for Payer: BCBS Complete |
$12,969.82
|
Rate for Payer: Mclaren Medicaid |
$12,352.21
|
Rate for Payer: Meridian Medicaid |
$12,969.82
|
Rate for Payer: Priority Health Choice Medicaid |
$12,352.21
|
|