INPATIENT APRDRG 5312: FEMALE REPRODUCTIVE SYSTEM INFECTIONS
|
Facility
|
IP
|
$3,587.09
|
|
Service Code
|
APR-DRG 5312
|
Hospital Charge Code |
APRDRG 5312
|
Min. Negotiated Rate |
$3,416.28 |
Max. Negotiated Rate |
$3,587.09 |
Rate for Payer: BCBS Complete |
$3,587.09
|
Rate for Payer: Mclaren Medicaid |
$3,416.28
|
Rate for Payer: Meridian Medicaid |
$3,587.09
|
Rate for Payer: PHP Medicaid |
$3,416.28
|
Rate for Payer: Priority Health Choice Medicaid |
$3,416.28
|
|
INPATIENT APRDRG 5313: FEMALE REPRODUCTIVE SYSTEM INFECTIONS
|
Facility
|
IP
|
$4,684.94
|
|
Service Code
|
APR-DRG 5313
|
Hospital Charge Code |
APRDRG 5313
|
Min. Negotiated Rate |
$4,461.85 |
Max. Negotiated Rate |
$4,684.94 |
Rate for Payer: BCBS Complete |
$4,684.94
|
Rate for Payer: Mclaren Medicaid |
$4,461.85
|
Rate for Payer: Meridian Medicaid |
$4,684.94
|
Rate for Payer: PHP Medicaid |
$4,461.85
|
Rate for Payer: Priority Health Choice Medicaid |
$4,461.85
|
|
INPATIENT APRDRG 5314: FEMALE REPRODUCTIVE SYSTEM INFECTIONS
|
Facility
|
IP
|
$8,067.11
|
|
Service Code
|
APR-DRG 5314
|
Hospital Charge Code |
APRDRG 5314
|
Min. Negotiated Rate |
$7,682.96 |
Max. Negotiated Rate |
$8,067.11 |
Rate for Payer: BCBS Complete |
$8,067.11
|
Rate for Payer: Mclaren Medicaid |
$7,682.96
|
Rate for Payer: Meridian Medicaid |
$8,067.11
|
Rate for Payer: PHP Medicaid |
$7,682.96
|
Rate for Payer: Priority Health Choice Medicaid |
$7,682.96
|
|
INPATIENT APRDRG 5321: MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS
|
Facility
|
IP
|
$1,943.13
|
|
Service Code
|
APR-DRG 5321
|
Hospital Charge Code |
APRDRG 5321
|
Min. Negotiated Rate |
$1,850.60 |
Max. Negotiated Rate |
$1,943.13 |
Rate for Payer: BCBS Complete |
$1,943.13
|
Rate for Payer: Mclaren Medicaid |
$1,850.60
|
Rate for Payer: Meridian Medicaid |
$1,943.13
|
Rate for Payer: PHP Medicaid |
$1,850.60
|
Rate for Payer: Priority Health Choice Medicaid |
$1,850.60
|
|
INPATIENT APRDRG 5322: MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS
|
Facility
|
IP
|
$2,432.89
|
|
Service Code
|
APR-DRG 5322
|
Hospital Charge Code |
APRDRG 5322
|
Min. Negotiated Rate |
$2,317.04 |
Max. Negotiated Rate |
$2,432.89 |
Rate for Payer: BCBS Complete |
$2,432.89
|
Rate for Payer: Mclaren Medicaid |
$2,317.04
|
Rate for Payer: Meridian Medicaid |
$2,432.89
|
Rate for Payer: PHP Medicaid |
$2,317.04
|
Rate for Payer: Priority Health Choice Medicaid |
$2,317.04
|
|
INPATIENT APRDRG 5323: MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS
|
Facility
|
IP
|
$5,185.96
|
|
Service Code
|
APR-DRG 5323
|
Hospital Charge Code |
APRDRG 5323
|
Min. Negotiated Rate |
$4,939.01 |
Max. Negotiated Rate |
$5,185.96 |
Rate for Payer: BCBS Complete |
$5,185.96
|
Rate for Payer: Mclaren Medicaid |
$4,939.01
|
Rate for Payer: Meridian Medicaid |
$5,185.96
|
Rate for Payer: PHP Medicaid |
$4,939.01
|
Rate for Payer: Priority Health Choice Medicaid |
$4,939.01
|
|
INPATIENT APRDRG 5324: MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS
|
Facility
|
IP
|
$10,690.06
|
|
Service Code
|
APR-DRG 5324
|
Hospital Charge Code |
APRDRG 5324
|
Min. Negotiated Rate |
$10,181.01 |
Max. Negotiated Rate |
$10,690.06 |
Rate for Payer: BCBS Complete |
$10,690.06
|
Rate for Payer: Mclaren Medicaid |
$10,181.01
|
Rate for Payer: Meridian Medicaid |
$10,690.06
|
Rate for Payer: PHP Medicaid |
$10,181.01
|
Rate for Payer: Priority Health Choice Medicaid |
$10,181.01
|
|
INPATIENT APRDRG 5391: CESAREAN SECTION W STERILIZATION
|
Facility
|
IP
|
$2,623.47
|
|
Service Code
|
APR-DRG 5391
|
Hospital Charge Code |
APRDRG 5391
|
Min. Negotiated Rate |
$2,498.54 |
Max. Negotiated Rate |
$2,623.47 |
Rate for Payer: BCBS Complete |
$2,623.47
|
Rate for Payer: Mclaren Medicaid |
$2,498.54
|
Rate for Payer: Meridian Medicaid |
$2,623.47
|
Rate for Payer: PHP Medicaid |
$2,498.54
|
Rate for Payer: Priority Health Choice Medicaid |
$2,498.54
|
|
INPATIENT APRDRG 5392: CESAREAN SECTION W STERILIZATION
|
Facility
|
IP
|
$3,146.00
|
|
Service Code
|
APR-DRG 5392
|
Hospital Charge Code |
APRDRG 5392
|
Min. Negotiated Rate |
$2,996.19 |
Max. Negotiated Rate |
$3,146.00 |
Rate for Payer: BCBS Complete |
$3,146.00
|
Rate for Payer: Mclaren Medicaid |
$2,996.19
|
Rate for Payer: Meridian Medicaid |
$3,146.00
|
Rate for Payer: PHP Medicaid |
$2,996.19
|
Rate for Payer: Priority Health Choice Medicaid |
$2,996.19
|
|
INPATIENT APRDRG 5393: CESAREAN SECTION W STERILIZATION
|
Facility
|
IP
|
$5,052.77
|
|
Service Code
|
APR-DRG 5393
|
Hospital Charge Code |
APRDRG 5393
|
Min. Negotiated Rate |
$4,812.16 |
Max. Negotiated Rate |
$5,052.77 |
Rate for Payer: BCBS Complete |
$5,052.77
|
Rate for Payer: Mclaren Medicaid |
$4,812.16
|
Rate for Payer: Meridian Medicaid |
$5,052.77
|
Rate for Payer: PHP Medicaid |
$4,812.16
|
Rate for Payer: Priority Health Choice Medicaid |
$4,812.16
|
|
INPATIENT APRDRG 5394: CESAREAN SECTION W STERILIZATION
|
Facility
|
IP
|
$12,767.41
|
|
Service Code
|
APR-DRG 5394
|
Hospital Charge Code |
APRDRG 5394
|
Min. Negotiated Rate |
$12,159.44 |
Max. Negotiated Rate |
$12,767.41 |
Rate for Payer: BCBS Complete |
$12,767.41
|
Rate for Payer: Mclaren Medicaid |
$12,159.44
|
Rate for Payer: Meridian Medicaid |
$12,767.41
|
Rate for Payer: PHP Medicaid |
$12,159.44
|
Rate for Payer: Priority Health Choice Medicaid |
$12,159.44
|
|
INPATIENT APRDRG 5401: CESAREAN SECTION W/O STERILIZATION
|
Facility
|
IP
|
$4,070.19
|
|
Service Code
|
APR-DRG 5401
|
Hospital Charge Code |
APRDRG 5401
|
Min. Negotiated Rate |
$3,876.37 |
Max. Negotiated Rate |
$4,070.19 |
Rate for Payer: BCBS Complete |
$4,070.19
|
Rate for Payer: Mclaren Medicaid |
$3,876.37
|
Rate for Payer: Meridian Medicaid |
$4,070.19
|
Rate for Payer: PHP Medicaid |
$3,876.37
|
Rate for Payer: Priority Health Choice Medicaid |
$3,876.37
|
|
INPATIENT APRDRG 5402: CESAREAN SECTION W/O STERILIZATION
|
Facility
|
IP
|
$5,126.54
|
|
Service Code
|
APR-DRG 5402
|
Hospital Charge Code |
APRDRG 5402
|
Min. Negotiated Rate |
$4,882.42 |
Max. Negotiated Rate |
$5,126.54 |
Rate for Payer: BCBS Complete |
$5,126.54
|
Rate for Payer: Mclaren Medicaid |
$4,882.42
|
Rate for Payer: Meridian Medicaid |
$5,126.54
|
Rate for Payer: PHP Medicaid |
$4,882.42
|
Rate for Payer: Priority Health Choice Medicaid |
$4,882.42
|
|
INPATIENT APRDRG 5403: CESAREAN SECTION W/O STERILIZATION
|
Facility
|
IP
|
$6,263.32
|
|
Service Code
|
APR-DRG 5403
|
Hospital Charge Code |
APRDRG 5403
|
Min. Negotiated Rate |
$5,965.07 |
Max. Negotiated Rate |
$6,263.32 |
Rate for Payer: BCBS Complete |
$6,263.32
|
Rate for Payer: Mclaren Medicaid |
$5,965.07
|
Rate for Payer: Meridian Medicaid |
$6,263.32
|
Rate for Payer: PHP Medicaid |
$5,965.07
|
Rate for Payer: Priority Health Choice Medicaid |
$5,965.07
|
|
INPATIENT APRDRG 5404: CESAREAN SECTION W/O STERILIZATION
|
Facility
|
IP
|
$12,290.47
|
|
Service Code
|
APR-DRG 5404
|
Hospital Charge Code |
APRDRG 5404
|
Min. Negotiated Rate |
$11,705.21 |
Max. Negotiated Rate |
$12,290.47 |
Rate for Payer: BCBS Complete |
$12,290.47
|
Rate for Payer: Mclaren Medicaid |
$11,705.21
|
Rate for Payer: Meridian Medicaid |
$12,290.47
|
Rate for Payer: PHP Medicaid |
$11,705.21
|
Rate for Payer: Priority Health Choice Medicaid |
$11,705.21
|
|
INPATIENT APRDRG 5411: VAGINAL DELIVERY W STERILIZATION &/OR D&C
|
Facility
|
IP
|
$3,075.82
|
|
Service Code
|
APR-DRG 5411
|
Hospital Charge Code |
APRDRG 5411
|
Min. Negotiated Rate |
$2,929.35 |
Max. Negotiated Rate |
$3,075.82 |
Rate for Payer: BCBS Complete |
$3,075.82
|
Rate for Payer: Mclaren Medicaid |
$2,929.35
|
Rate for Payer: Meridian Medicaid |
$3,075.82
|
Rate for Payer: PHP Medicaid |
$2,929.35
|
Rate for Payer: Priority Health Choice Medicaid |
$2,929.35
|
|
INPATIENT APRDRG 5412: VAGINAL DELIVERY W STERILIZATION &/OR D&C
|
Facility
|
IP
|
$3,706.46
|
|
Service Code
|
APR-DRG 5412
|
Hospital Charge Code |
APRDRG 5412
|
Min. Negotiated Rate |
$3,529.96 |
Max. Negotiated Rate |
$3,706.46 |
Rate for Payer: BCBS Complete |
$3,706.46
|
Rate for Payer: Mclaren Medicaid |
$3,529.96
|
Rate for Payer: Meridian Medicaid |
$3,706.46
|
Rate for Payer: PHP Medicaid |
$3,529.96
|
Rate for Payer: Priority Health Choice Medicaid |
$3,529.96
|
|
INPATIENT APRDRG 5413: VAGINAL DELIVERY W STERILIZATION &/OR D&C
|
Facility
|
IP
|
$4,693.13
|
|
Service Code
|
APR-DRG 5413
|
Hospital Charge Code |
APRDRG 5413
|
Min. Negotiated Rate |
$4,469.65 |
Max. Negotiated Rate |
$4,693.13 |
Rate for Payer: BCBS Complete |
$4,693.13
|
Rate for Payer: Mclaren Medicaid |
$4,469.65
|
Rate for Payer: Meridian Medicaid |
$4,693.13
|
Rate for Payer: PHP Medicaid |
$4,469.65
|
Rate for Payer: Priority Health Choice Medicaid |
$4,469.65
|
|
INPATIENT APRDRG 5414: VAGINAL DELIVERY W STERILIZATION &/OR D&C
|
Facility
|
IP
|
$3,942.11
|
|
Service Code
|
APR-DRG 5414
|
Hospital Charge Code |
APRDRG 5414
|
Min. Negotiated Rate |
$3,754.39 |
Max. Negotiated Rate |
$3,942.11 |
Rate for Payer: BCBS Complete |
$3,942.11
|
Rate for Payer: Mclaren Medicaid |
$3,754.39
|
Rate for Payer: Meridian Medicaid |
$3,942.11
|
Rate for Payer: PHP Medicaid |
$3,754.39
|
Rate for Payer: Priority Health Choice Medicaid |
$3,754.39
|
|
INPATIENT APRDRG 5421: VAGINAL DELIVERY W COMPLICATING PROCEDURES EXC STERILIZATION &/OR D&C
|
Facility
|
IP
|
$2,537.40
|
|
Service Code
|
APR-DRG 5421
|
Hospital Charge Code |
APRDRG 5421
|
Min. Negotiated Rate |
$2,416.57 |
Max. Negotiated Rate |
$2,537.40 |
Rate for Payer: BCBS Complete |
$2,537.40
|
Rate for Payer: Mclaren Medicaid |
$2,416.57
|
Rate for Payer: Meridian Medicaid |
$2,537.40
|
Rate for Payer: PHP Medicaid |
$2,416.57
|
Rate for Payer: Priority Health Choice Medicaid |
$2,416.57
|
|
INPATIENT APRDRG 5422: VAGINAL DELIVERY W COMPLICATING PROCEDURES EXC STERILIZATION &/OR D&C
|
Facility
|
IP
|
$3,010.76
|
|
Service Code
|
APR-DRG 5422
|
Hospital Charge Code |
APRDRG 5422
|
Min. Negotiated Rate |
$2,867.39 |
Max. Negotiated Rate |
$3,010.76 |
Rate for Payer: BCBS Complete |
$3,010.76
|
Rate for Payer: Mclaren Medicaid |
$2,867.39
|
Rate for Payer: Meridian Medicaid |
$3,010.76
|
Rate for Payer: PHP Medicaid |
$2,867.39
|
Rate for Payer: Priority Health Choice Medicaid |
$2,867.39
|
|
INPATIENT APRDRG 5423: VAGINAL DELIVERY W COMPLICATING PROCEDURES EXC STERILIZATION &/OR D&C
|
Facility
|
IP
|
$3,622.44
|
|
Service Code
|
APR-DRG 5423
|
Hospital Charge Code |
APRDRG 5423
|
Min. Negotiated Rate |
$3,449.94 |
Max. Negotiated Rate |
$3,622.44 |
Rate for Payer: BCBS Complete |
$3,622.44
|
Rate for Payer: Mclaren Medicaid |
$3,449.94
|
Rate for Payer: Meridian Medicaid |
$3,622.44
|
Rate for Payer: PHP Medicaid |
$3,449.94
|
Rate for Payer: Priority Health Choice Medicaid |
$3,449.94
|
|
INPATIENT APRDRG 5424: VAGINAL DELIVERY W COMPLICATING PROCEDURES EXC STERILIZATION &/OR D&C
|
Facility
|
IP
|
$10,583.51
|
|
Service Code
|
APR-DRG 5424
|
Hospital Charge Code |
APRDRG 5424
|
Min. Negotiated Rate |
$10,079.53 |
Max. Negotiated Rate |
$10,583.51 |
Rate for Payer: BCBS Complete |
$10,583.51
|
Rate for Payer: Mclaren Medicaid |
$10,079.53
|
Rate for Payer: Meridian Medicaid |
$10,583.51
|
Rate for Payer: PHP Medicaid |
$10,079.53
|
Rate for Payer: Priority Health Choice Medicaid |
$10,079.53
|
|
INPATIENT APRDRG 5431: ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
|
Facility
|
IP
|
$2,448.25
|
|
Service Code
|
APR-DRG 5431
|
Hospital Charge Code |
APRDRG 5431
|
Min. Negotiated Rate |
$2,331.67 |
Max. Negotiated Rate |
$2,448.25 |
Rate for Payer: BCBS Complete |
$2,448.25
|
Rate for Payer: Mclaren Medicaid |
$2,331.67
|
Rate for Payer: Meridian Medicaid |
$2,448.25
|
Rate for Payer: PHP Medicaid |
$2,331.67
|
Rate for Payer: Priority Health Choice Medicaid |
$2,331.67
|
|
INPATIENT APRDRG 5432: ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
|
Facility
|
IP
|
$3,092.72
|
|
Service Code
|
APR-DRG 5432
|
Hospital Charge Code |
APRDRG 5432
|
Min. Negotiated Rate |
$2,945.45 |
Max. Negotiated Rate |
$3,092.72 |
Rate for Payer: BCBS Complete |
$3,092.72
|
Rate for Payer: Mclaren Medicaid |
$2,945.45
|
Rate for Payer: Meridian Medicaid |
$3,092.72
|
Rate for Payer: PHP Medicaid |
$2,945.45
|
Rate for Payer: Priority Health Choice Medicaid |
$2,945.45
|
|