| 
                        APR-DRG 42.00: DIGESTIVE MALIGNANCY
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $8,173.89
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 2403 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $7,784.66 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $8,173.89 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $8,173.89
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $7,784.66
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $8,173.89
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: PHP Medicaid | 
                                            
                                                $7,784.66
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $7,784.66
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $7,784.66
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $13,036.84
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 5174 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $12,416.04 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $13,036.84 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $13,036.84
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $12,416.04
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $13,036.84
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: PHP Medicaid | 
                                            
                                                $12,416.04
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $12,416.04
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $12,416.04
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $4,707.75
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 5171 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $4,483.57 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $4,707.75 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $4,707.75
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $4,483.57
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $4,707.75
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: PHP Medicaid | 
                                            
                                                $4,483.57
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $4,483.57
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $4,483.57
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $9,053.36
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 5173 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $8,622.25 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $9,053.36 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $9,053.36
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $8,622.25
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $9,053.36
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: PHP Medicaid | 
                                            
                                                $8,622.25
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $8,622.25
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $8,622.25
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $6,052.82
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 5172 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $5,764.59 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $6,052.82 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $6,052.82
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $5,764.59
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $6,052.82
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: PHP Medicaid | 
                                            
                                                $5,764.59
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $5,764.59
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $5,764.59
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: DISORDERS OF GALLBLADDER AND BILIARY TRACT
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $6,466.69
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 2843 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $6,158.75 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $6,466.69 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $6,466.69
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $6,158.75
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $6,466.69
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: PHP Medicaid | 
                                            
                                                $6,158.75
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $6,158.75
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $6,158.75
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: DISORDERS OF GALLBLADDER AND BILIARY TRACT
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $5,121.62
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 2842 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $4,877.73 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $5,121.62 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $5,121.62
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $4,877.73
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $5,121.62
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: PHP Medicaid | 
                                            
                                                $4,877.73
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $4,877.73
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $4,877.73
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: DISORDERS OF GALLBLADDER AND BILIARY TRACT
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $8,639.49
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 2844 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $8,228.09 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $8,639.49 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $8,639.49
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $8,228.09
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $8,639.49
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: PHP Medicaid | 
                                            
                                                $8,228.09
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $8,228.09
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $8,228.09
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: DISORDERS OF GALLBLADDER AND BILIARY TRACT
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $3,983.48
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 2841 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $3,793.79 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $3,983.48 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $3,983.48
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $3,793.79
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $3,983.48
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: PHP Medicaid | 
                                            
                                                $3,793.79
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $3,793.79
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $3,793.79
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $3,000.54
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 2821 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $2,857.66 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $3,000.54 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $3,000.54
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $2,857.66
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $3,000.54
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: PHP Medicaid | 
                                            
                                                $2,857.66
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $2,857.66
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $2,857.66
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $12,364.31
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 2824 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $11,775.53 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $12,364.31 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $12,364.31
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $11,775.53
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $12,364.31
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: PHP Medicaid | 
                                            
                                                $11,775.53
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $11,775.53
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $11,775.53
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $6,001.09
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 2823 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $5,715.32 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $6,001.09 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $6,001.09
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $5,715.32
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $6,001.09
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: PHP Medicaid | 
                                            
                                                $5,715.32
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $5,715.32
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $5,715.32
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $4,138.68
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 2822 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $3,941.60 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $4,138.68 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $4,138.68
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $3,941.60
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $4,138.68
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: PHP Medicaid | 
                                            
                                                $3,941.60
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $3,941.60
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $3,941.60
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: DIVERTICULITIS AND DIVERTICULOSIS
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $3,000.54
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 2441 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $2,857.66 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $3,000.54 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $3,000.54
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $2,857.66
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $3,000.54
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: PHP Medicaid | 
                                            
                                                $2,857.66
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $2,857.66
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $2,857.66
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: DIVERTICULITIS AND DIVERTICULOSIS
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $3,931.75
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 2442 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $3,744.52 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $3,931.75 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $3,931.75
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $3,744.52
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $3,931.75
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: PHP Medicaid | 
                                            
                                                $3,744.52
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $3,744.52
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $3,744.52
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: DIVERTICULITIS AND DIVERTICULOSIS
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $10,812.30
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 2444 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $10,297.43 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $10,812.30 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $10,812.30
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $10,297.43
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $10,812.30
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: PHP Medicaid | 
                                            
                                                $10,297.43
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $10,297.43
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $10,297.43
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: DIVERTICULITIS AND DIVERTICULOSIS
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $6,466.69
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 2443 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $6,158.75 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $6,466.69 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $6,466.69
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $6,158.75
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $6,466.69
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: PHP Medicaid | 
                                            
                                                $6,158.75
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $6,158.75
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $6,158.75
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $22,969.67
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 3043 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $21,875.88 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $22,969.67 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $22,969.67
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $21,875.88
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $22,969.67
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: PHP Medicaid | 
                                            
                                                $21,875.88
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $21,875.88
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $21,875.88
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $28,556.89
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 3044 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $27,197.04 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $28,556.89 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $28,556.89
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $27,197.04
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $28,556.89
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: PHP Medicaid | 
                                            
                                                $27,197.04
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $27,197.04
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $27,197.04
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $12,312.57
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 3041 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $11,726.26 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $12,312.57 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $12,312.57
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $11,726.26
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $12,312.57
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: PHP Medicaid | 
                                            
                                                $11,726.26
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $11,726.26
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $11,726.26
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $15,778.72
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 3042 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $15,027.35 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $15,778.72 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $15,778.72
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $15,027.35
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $15,778.72
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: PHP Medicaid | 
                                            
                                                $15,027.35
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $15,027.35
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $15,027.35
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $51,423.10
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 3034 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $48,974.38 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $51,423.10 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $51,423.10
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $48,974.38
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $51,423.10
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: PHP Medicaid | 
                                            
                                                $48,974.38
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $48,974.38
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $48,974.38
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $35,644.38
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 3033 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $33,947.03 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $35,644.38 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $35,644.38
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $33,947.03
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $35,644.38
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: PHP Medicaid | 
                                            
                                                $33,947.03
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $33,947.03
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $33,947.03
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $21,935.00
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 3031 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $20,890.48 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $21,935.00 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $21,935.00
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $20,890.48
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $21,935.00
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: PHP Medicaid | 
                                            
                                                $20,890.48
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $20,890.48
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $20,890.48
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $23,849.14
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 3032 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $22,713.47 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $23,849.14 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $23,849.14
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $22,713.47
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $23,849.14
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: PHP Medicaid | 
                                            
                                                $22,713.47
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $22,713.47
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $22,713.47
                                             | 
                                         
                                    
                                
                             
                         
                     |