INPATIENT APRDRG 6313: NEONATE BIRTHWT >2499G W OTHER MAJOR PROCEDURE
|
Facility
|
IP
|
$44,205.04
|
|
Service Code
|
APR-DRG 6313
|
Hospital Charge Code |
APRDRG 6313
|
Min. Negotiated Rate |
$42,100.04 |
Max. Negotiated Rate |
$44,205.04 |
Rate for Payer: BCBS Complete |
$44,205.04
|
Rate for Payer: Mclaren Medicaid |
$42,100.04
|
Rate for Payer: Meridian Medicaid |
$44,205.04
|
Rate for Payer: Priority Health Choice Medicaid |
$42,100.04
|
|
INPATIENT APRDRG 6314: NEONATE BIRTHWT >2499G W OTHER MAJOR PROCEDURE
|
Facility
|
IP
|
$171,671.78
|
|
Service Code
|
APR-DRG 6314
|
Hospital Charge Code |
APRDRG 6314
|
Min. Negotiated Rate |
$163,496.93 |
Max. Negotiated Rate |
$171,671.78 |
Rate for Payer: BCBS Complete |
$171,671.78
|
Rate for Payer: Mclaren Medicaid |
$163,496.93
|
Rate for Payer: Meridian Medicaid |
$171,671.78
|
Rate for Payer: Priority Health Choice Medicaid |
$163,496.93
|
|
INPATIENT APRDRG 6331: NEONATE BIRTHWT >2499G W MAJOR ANOMALY
|
Facility
|
IP
|
$1,148.80
|
|
Service Code
|
APR-DRG 6331
|
Hospital Charge Code |
APRDRG 6331
|
Min. Negotiated Rate |
$1,094.10 |
Max. Negotiated Rate |
$1,148.80 |
Rate for Payer: BCBS Complete |
$1,148.80
|
Rate for Payer: Mclaren Medicaid |
$1,094.10
|
Rate for Payer: Meridian Medicaid |
$1,148.80
|
Rate for Payer: Priority Health Choice Medicaid |
$1,094.10
|
|
INPATIENT APRDRG 6332: NEONATE BIRTHWT >2499G W MAJOR ANOMALY
|
Facility
|
IP
|
$3,324.53
|
|
Service Code
|
APR-DRG 6332
|
Hospital Charge Code |
APRDRG 6332
|
Min. Negotiated Rate |
$3,166.22 |
Max. Negotiated Rate |
$3,324.53 |
Rate for Payer: BCBS Complete |
$3,324.53
|
Rate for Payer: Mclaren Medicaid |
$3,166.22
|
Rate for Payer: Meridian Medicaid |
$3,324.53
|
Rate for Payer: Priority Health Choice Medicaid |
$3,166.22
|
|
INPATIENT APRDRG 6333: NEONATE BIRTHWT >2499G W MAJOR ANOMALY
|
Facility
|
IP
|
$9,513.04
|
|
Service Code
|
APR-DRG 6333
|
Hospital Charge Code |
APRDRG 6333
|
Min. Negotiated Rate |
$9,060.04 |
Max. Negotiated Rate |
$9,513.04 |
Rate for Payer: BCBS Complete |
$9,513.04
|
Rate for Payer: Mclaren Medicaid |
$9,060.04
|
Rate for Payer: Meridian Medicaid |
$9,513.04
|
Rate for Payer: Priority Health Choice Medicaid |
$9,060.04
|
|
INPATIENT APRDRG 6334: NEONATE BIRTHWT >2499G W MAJOR ANOMALY
|
Facility
|
IP
|
$25,067.97
|
|
Service Code
|
APR-DRG 6334
|
Hospital Charge Code |
APRDRG 6334
|
Min. Negotiated Rate |
$23,874.26 |
Max. Negotiated Rate |
$25,067.97 |
Rate for Payer: BCBS Complete |
$25,067.97
|
Rate for Payer: Mclaren Medicaid |
$23,874.26
|
Rate for Payer: Meridian Medicaid |
$25,067.97
|
Rate for Payer: Priority Health Choice Medicaid |
$23,874.26
|
|
INPATIENT APRDRG 6341: NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND
|
Facility
|
IP
|
$3,606.84
|
|
Service Code
|
APR-DRG 6341
|
Hospital Charge Code |
APRDRG 6341
|
Min. Negotiated Rate |
$3,435.09 |
Max. Negotiated Rate |
$3,606.84 |
Rate for Payer: BCBS Complete |
$3,606.84
|
Rate for Payer: Mclaren Medicaid |
$3,435.09
|
Rate for Payer: Meridian Medicaid |
$3,606.84
|
Rate for Payer: Priority Health Choice Medicaid |
$3,435.09
|
|
INPATIENT APRDRG 6342: NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND
|
Facility
|
IP
|
$5,368.59
|
|
Service Code
|
APR-DRG 6342
|
Hospital Charge Code |
APRDRG 6342
|
Min. Negotiated Rate |
$5,112.94 |
Max. Negotiated Rate |
$5,368.59 |
Rate for Payer: BCBS Complete |
$5,368.59
|
Rate for Payer: Mclaren Medicaid |
$5,112.94
|
Rate for Payer: Meridian Medicaid |
$5,368.59
|
Rate for Payer: Priority Health Choice Medicaid |
$5,112.94
|
|
INPATIENT APRDRG 6343: NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND
|
Facility
|
IP
|
$5,646.30
|
|
Service Code
|
APR-DRG 6343
|
Hospital Charge Code |
APRDRG 6343
|
Min. Negotiated Rate |
$5,377.43 |
Max. Negotiated Rate |
$5,646.30 |
Rate for Payer: BCBS Complete |
$5,646.30
|
Rate for Payer: Mclaren Medicaid |
$5,377.43
|
Rate for Payer: Meridian Medicaid |
$5,646.30
|
Rate for Payer: Priority Health Choice Medicaid |
$5,377.43
|
|
INPATIENT APRDRG 6344: NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND
|
Facility
|
IP
|
$15,982.14
|
|
Service Code
|
APR-DRG 6344
|
Hospital Charge Code |
APRDRG 6344
|
Min. Negotiated Rate |
$15,221.09 |
Max. Negotiated Rate |
$15,982.14 |
Rate for Payer: BCBS Complete |
$15,982.14
|
Rate for Payer: Mclaren Medicaid |
$15,221.09
|
Rate for Payer: Meridian Medicaid |
$15,982.14
|
Rate for Payer: Priority Health Choice Medicaid |
$15,221.09
|
|
INPATIENT APRDRG 6361: NEONATE BIRTHWT >2499G W CONGENITAL/PERINATAL INFECTION
|
Facility
|
IP
|
$3,341.20
|
|
Service Code
|
APR-DRG 6361
|
Hospital Charge Code |
APRDRG 6361
|
Min. Negotiated Rate |
$3,182.10 |
Max. Negotiated Rate |
$3,341.20 |
Rate for Payer: BCBS Complete |
$3,341.20
|
Rate for Payer: Mclaren Medicaid |
$3,182.10
|
Rate for Payer: Meridian Medicaid |
$3,341.20
|
Rate for Payer: Priority Health Choice Medicaid |
$3,182.10
|
|
INPATIENT APRDRG 6362: NEONATE BIRTHWT >2499G W CONGENITAL/PERINATAL INFECTION
|
Facility
|
IP
|
$6,612.85
|
|
Service Code
|
APR-DRG 6362
|
Hospital Charge Code |
APRDRG 6362
|
Min. Negotiated Rate |
$6,297.95 |
Max. Negotiated Rate |
$6,612.85 |
Rate for Payer: BCBS Complete |
$6,612.85
|
Rate for Payer: Mclaren Medicaid |
$6,297.95
|
Rate for Payer: Meridian Medicaid |
$6,612.85
|
Rate for Payer: Priority Health Choice Medicaid |
$6,297.95
|
|
INPATIENT APRDRG 6363: NEONATE BIRTHWT >2499G W CONGENITAL/PERINATAL INFECTION
|
Facility
|
IP
|
$10,592.28
|
|
Service Code
|
APR-DRG 6363
|
Hospital Charge Code |
APRDRG 6363
|
Min. Negotiated Rate |
$10,087.89 |
Max. Negotiated Rate |
$10,592.28 |
Rate for Payer: BCBS Complete |
$10,592.28
|
Rate for Payer: Mclaren Medicaid |
$10,087.89
|
Rate for Payer: Meridian Medicaid |
$10,592.28
|
Rate for Payer: Priority Health Choice Medicaid |
$10,087.89
|
|
INPATIENT APRDRG 6364: NEONATE BIRTHWT >2499G W CONGENITAL/PERINATAL INFECTION
|
Facility
|
IP
|
$13,863.34
|
|
Service Code
|
APR-DRG 6364
|
Hospital Charge Code |
APRDRG 6364
|
Min. Negotiated Rate |
$13,203.18 |
Max. Negotiated Rate |
$13,863.34 |
Rate for Payer: BCBS Complete |
$13,863.34
|
Rate for Payer: Mclaren Medicaid |
$13,203.18
|
Rate for Payer: Meridian Medicaid |
$13,863.34
|
Rate for Payer: Priority Health Choice Medicaid |
$13,203.18
|
|
INPATIENT APRDRG 6391: NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$1,869.26
|
|
Service Code
|
APR-DRG 6391
|
Hospital Charge Code |
APRDRG 6391
|
Min. Negotiated Rate |
$1,780.25 |
Max. Negotiated Rate |
$1,869.26 |
Rate for Payer: BCBS Complete |
$1,869.26
|
Rate for Payer: Mclaren Medicaid |
$1,780.25
|
Rate for Payer: Meridian Medicaid |
$1,869.26
|
Rate for Payer: Priority Health Choice Medicaid |
$1,780.25
|
|
INPATIENT APRDRG 6392: NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$3,411.36
|
|
Service Code
|
APR-DRG 6392
|
Hospital Charge Code |
APRDRG 6392
|
Min. Negotiated Rate |
$3,248.91 |
Max. Negotiated Rate |
$3,411.36 |
Rate for Payer: BCBS Complete |
$3,411.36
|
Rate for Payer: Mclaren Medicaid |
$3,248.91
|
Rate for Payer: Meridian Medicaid |
$3,411.36
|
Rate for Payer: Priority Health Choice Medicaid |
$3,248.91
|
|
INPATIENT APRDRG 6393: NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$11,039.62
|
|
Service Code
|
APR-DRG 6393
|
Hospital Charge Code |
APRDRG 6393
|
Min. Negotiated Rate |
$10,513.92 |
Max. Negotiated Rate |
$11,039.62 |
Rate for Payer: BCBS Complete |
$11,039.62
|
Rate for Payer: Mclaren Medicaid |
$10,513.92
|
Rate for Payer: Meridian Medicaid |
$11,039.62
|
Rate for Payer: Priority Health Choice Medicaid |
$10,513.92
|
|
INPATIENT APRDRG 6394: NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION
|
Facility
|
IP
|
$17,320.12
|
|
Service Code
|
APR-DRG 6394
|
Hospital Charge Code |
APRDRG 6394
|
Min. Negotiated Rate |
$16,495.35 |
Max. Negotiated Rate |
$17,320.12 |
Rate for Payer: BCBS Complete |
$17,320.12
|
Rate for Payer: Mclaren Medicaid |
$16,495.35
|
Rate for Payer: Meridian Medicaid |
$17,320.12
|
Rate for Payer: Priority Health Choice Medicaid |
$16,495.35
|
|
INPATIENT APRDRG 6401: NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM
|
Facility
|
IP
|
$807.27
|
|
Service Code
|
APR-DRG 6401
|
Hospital Charge Code |
APRDRG 6401
|
Min. Negotiated Rate |
$768.83 |
Max. Negotiated Rate |
$807.27 |
Rate for Payer: BCBS Complete |
$807.27
|
Rate for Payer: Mclaren Medicaid |
$768.83
|
Rate for Payer: Meridian Medicaid |
$807.27
|
Rate for Payer: Priority Health Choice Medicaid |
$768.83
|
|
INPATIENT APRDRG 6402: NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM
|
Facility
|
IP
|
$1,062.56
|
|
Service Code
|
APR-DRG 6402
|
Hospital Charge Code |
APRDRG 6402
|
Min. Negotiated Rate |
$1,011.96 |
Max. Negotiated Rate |
$1,062.56 |
Rate for Payer: BCBS Complete |
$1,062.56
|
Rate for Payer: Mclaren Medicaid |
$1,011.96
|
Rate for Payer: Meridian Medicaid |
$1,062.56
|
Rate for Payer: Priority Health Choice Medicaid |
$1,011.96
|
|
INPATIENT APRDRG 6403: NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM
|
Facility
|
IP
|
$1,750.81
|
|
Service Code
|
APR-DRG 6403
|
Hospital Charge Code |
APRDRG 6403
|
Min. Negotiated Rate |
$1,667.44 |
Max. Negotiated Rate |
$1,750.81 |
Rate for Payer: BCBS Complete |
$1,750.81
|
Rate for Payer: Mclaren Medicaid |
$1,667.44
|
Rate for Payer: Meridian Medicaid |
$1,750.81
|
Rate for Payer: Priority Health Choice Medicaid |
$1,667.44
|
|
INPATIENT APRDRG 6404: NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM
|
Facility
|
IP
|
$9,937.96
|
|
Service Code
|
APR-DRG 6404
|
Hospital Charge Code |
APRDRG 6404
|
Min. Negotiated Rate |
$9,464.72 |
Max. Negotiated Rate |
$9,937.96 |
Rate for Payer: BCBS Complete |
$9,937.96
|
Rate for Payer: Mclaren Medicaid |
$9,464.72
|
Rate for Payer: Meridian Medicaid |
$9,937.96
|
Rate for Payer: Priority Health Choice Medicaid |
$9,464.72
|
|
INPATIENT APRDRG 6501: SPLENECTOMY
|
Facility
|
IP
|
$8,954.74
|
|
Service Code
|
APR-DRG 6501
|
Hospital Charge Code |
APRDRG 6501
|
Min. Negotiated Rate |
$8,528.32 |
Max. Negotiated Rate |
$8,954.74 |
Rate for Payer: BCBS Complete |
$8,954.74
|
Rate for Payer: Mclaren Medicaid |
$8,528.32
|
Rate for Payer: Meridian Medicaid |
$8,954.74
|
Rate for Payer: Priority Health Choice Medicaid |
$8,528.32
|
|
INPATIENT APRDRG 6502: SPLENECTOMY
|
Facility
|
IP
|
$11,611.14
|
|
Service Code
|
APR-DRG 6502
|
Hospital Charge Code |
APRDRG 6502
|
Min. Negotiated Rate |
$11,058.23 |
Max. Negotiated Rate |
$11,611.14 |
Rate for Payer: BCBS Complete |
$11,611.14
|
Rate for Payer: Mclaren Medicaid |
$11,058.23
|
Rate for Payer: Meridian Medicaid |
$11,611.14
|
Rate for Payer: Priority Health Choice Medicaid |
$11,058.23
|
|
INPATIENT APRDRG 6503: SPLENECTOMY
|
Facility
|
IP
|
$15,630.84
|
|
Service Code
|
APR-DRG 6503
|
Hospital Charge Code |
APRDRG 6503
|
Min. Negotiated Rate |
$14,886.51 |
Max. Negotiated Rate |
$15,630.84 |
Rate for Payer: BCBS Complete |
$15,630.84
|
Rate for Payer: Mclaren Medicaid |
$14,886.51
|
Rate for Payer: Meridian Medicaid |
$15,630.84
|
Rate for Payer: Priority Health Choice Medicaid |
$14,886.51
|
|