| 
                        APR-DRG 42.00: KIDNEY AND URINARY TRACT INFECTIONS
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $7,346.16
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 4634 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $6,996.34 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $7,346.16 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $7,346.16
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $6,996.34
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $7,346.16
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: PHP Medicaid | 
                                            
                                                $6,996.34
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $6,996.34
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $6,996.34
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: KIDNEY AND URINARY TRACT INFECTIONS
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $3,517.88
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 4632 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $3,350.36 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $3,517.88 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $3,517.88
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $3,350.36
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $3,517.88
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: PHP Medicaid | 
                                            
                                                $3,350.36
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $3,350.36
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $3,350.36
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: KIDNEY AND URINARY TRACT INFECTIONS
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $4,862.95
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 4633 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $4,631.38 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $4,862.95 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $4,862.95
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $4,631.38
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $4,862.95
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: PHP Medicaid | 
                                            
                                                $4,631.38
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $4,631.38
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $4,631.38
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: KIDNEY AND URINARY TRACT INFECTIONS
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $2,793.61
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 4631 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $2,660.58 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $2,793.61 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $2,793.61
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $2,660.58
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $2,793.61
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: PHP Medicaid | 
                                            
                                                $2,660.58
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $2,660.58
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $2,660.58
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: KIDNEY AND URINARY TRACT MALIGNANCY
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $7,501.36
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 4613 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $7,144.15 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $7,501.36 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $7,501.36
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $7,144.15
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $7,501.36
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: PHP Medicaid | 
                                            
                                                $7,144.15
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $7,144.15
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $7,144.15
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: KIDNEY AND URINARY TRACT MALIGNANCY
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $13,398.98
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 4614 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $12,760.93 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $13,398.98 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $13,398.98
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $12,760.93
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $13,398.98
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: PHP Medicaid | 
                                            
                                                $12,760.93
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $12,760.93
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $12,760.93
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: KIDNEY AND URINARY TRACT MALIGNANCY
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $4,811.22
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 4611 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $4,582.11 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $4,811.22 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $4,811.22
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $4,582.11
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $4,811.22
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: PHP Medicaid | 
                                            
                                                $4,582.11
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $4,582.11
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $4,582.11
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: KIDNEY AND URINARY TRACT MALIGNANCY
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $5,638.95
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 4612 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $5,370.43 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $5,638.95 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $5,638.95
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $5,370.43
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $5,638.95
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: PHP Medicaid | 
                                            
                                                $5,370.43
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $5,370.43
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $5,370.43
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $10,088.03
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 4422 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $9,607.65 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $10,088.03 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $10,088.03
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $9,607.65
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $10,088.03
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: PHP Medicaid | 
                                            
                                                $9,607.65
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $9,607.65
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $9,607.65
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $8,691.23
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 4421 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $8,277.36 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $8,691.23 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $8,691.23
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $8,277.36
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $8,691.23
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: PHP Medicaid | 
                                            
                                                $8,277.36
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $8,277.36
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $8,277.36
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $24,780.35
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 4424 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $23,600.33 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $24,780.35 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $24,780.35
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $23,600.33
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $24,780.35
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: PHP Medicaid | 
                                            
                                                $23,600.33
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $23,600.33
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $23,600.33
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $15,364.85
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 4423 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $14,633.19 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $15,364.85 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $15,364.85
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $14,633.19
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $15,364.85
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: PHP Medicaid | 
                                            
                                                $14,633.19
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $14,633.19
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $14,633.19
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $8,380.83
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 4431 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $7,981.74 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $8,380.83 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $8,380.83
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $7,981.74
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $8,380.83
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: PHP Medicaid | 
                                            
                                                $7,981.74
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $7,981.74
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $7,981.74
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $9,570.70
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 4432 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $9,114.95 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $9,570.70 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $9,570.70
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $9,114.95
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $9,570.70
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: PHP Medicaid | 
                                            
                                                $9,114.95
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $9,114.95
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $9,114.95
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $18,054.99
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 4434 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $17,195.23 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $18,054.99 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $18,054.99
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $17,195.23
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $18,054.99
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: PHP Medicaid | 
                                            
                                                $17,195.23
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $17,195.23
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $17,195.23
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $10,915.77
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 4433 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $10,395.97 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $10,915.77 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $10,915.77
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $10,395.97
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $10,915.77
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: PHP Medicaid | 
                                            
                                                $10,395.97
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $10,395.97
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $10,395.97
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $10,915.77
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 3132 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $10,395.97 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $10,915.77 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $10,915.77
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $10,395.97
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $10,915.77
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: PHP Medicaid | 
                                            
                                                $10,395.97
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $10,395.97
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $10,395.97
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $13,243.78
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 3133 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $12,613.12 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $13,243.78 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $13,243.78
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $12,613.12
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $13,243.78
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: PHP Medicaid | 
                                            
                                                $12,613.12
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $12,613.12
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $12,613.12
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $21,831.54
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 3134 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $20,791.94 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $21,831.54 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $21,831.54
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $20,791.94
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $21,831.54
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: PHP Medicaid | 
                                            
                                                $20,791.94
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $20,791.94
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $20,791.94
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $8,742.96
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 3131 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $8,326.63 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $8,742.96 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $8,742.96
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $8,326.63
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $8,742.96
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: PHP Medicaid | 
                                            
                                                $8,326.63
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $8,326.63
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $8,326.63
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: LOWER EXTREMITY VASCULAR PROCEDURES
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $13,502.44
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 1812 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $12,859.47 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $13,502.44 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $13,502.44
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $12,859.47
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $13,502.44
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: PHP Medicaid | 
                                            
                                                $12,859.47
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $12,859.47
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $12,859.47
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: LOWER EXTREMITY VASCULAR PROCEDURES
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $18,054.99
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 1813 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $17,195.23 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $18,054.99 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $18,054.99
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $17,195.23
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $18,054.99
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: PHP Medicaid | 
                                            
                                                $17,195.23
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $17,195.23
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $17,195.23
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: LOWER EXTREMITY VASCULAR PROCEDURES
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $26,280.62
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 1814 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $25,029.16 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $26,280.62 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $26,280.62
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $25,029.16
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $26,280.62
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: PHP Medicaid | 
                                            
                                                $25,029.16
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $25,029.16
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $25,029.16
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: LOWER EXTREMITY VASCULAR PROCEDURES
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $9,829.36
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 1811 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $9,361.30 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $9,829.36 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $9,829.36
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $9,361.30
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $9,829.36
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: PHP Medicaid | 
                                            
                                                $9,361.30
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $9,361.30
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $9,361.30
                                             | 
                                         
                                    
                                
                             
                         
                     | 
                
            
                
                    | 
                        APR-DRG 42.00: LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR
                     | 
                    
                        Facility
                     | 
                    
                        IP
                     | 
                    
                        $10,501.90
                     | 
                    
                        
                     | 
                
                
                    
                        
                            
                                
                                    
                                        
                                            | 
                                                Service Code
                                             | 
                                            
                                                APR-DRG 6944 
                                             | 
                                         
                                    
                                    
                                    
                                    
                                        
                                            | Min. Negotiated Rate | 
                                            $10,001.81 | 
                                         
                                    
                                    
                                        
                                            | Max. Negotiated Rate | 
                                            $10,501.90 | 
                                         
                                    
                                    
                                        
                                            | Rate for Payer: BCBS Complete | 
                                            
                                                $10,501.90
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Mclaren Medicaid | 
                                            
                                                $10,001.81
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Meridian Medicaid | 
                                            
                                                $10,501.90
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: PHP Medicaid | 
                                            
                                                $10,001.81
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: Priority Health Choice Medicaid | 
                                            
                                                $10,001.81
                                             | 
                                         
                                    
                                        
                                            | Rate for Payer: UHCCP Medicaid | 
                                            
                                                $10,001.81
                                             | 
                                         
                                    
                                
                             
                         
                     |