INPATIENT APRDRG 5433: ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
|
Facility
|
IP
|
$4,668.54
|
|
Service Code
|
APR-DRG 5433
|
Hospital Charge Code |
APRDRG 5433
|
Min. Negotiated Rate |
$4,446.23 |
Max. Negotiated Rate |
$4,668.54 |
Rate for Payer: BCBS Complete |
$4,668.54
|
Rate for Payer: Mclaren Medicaid |
$4,446.23
|
Rate for Payer: Meridian Medicaid |
$4,668.54
|
Rate for Payer: PHP Medicaid |
$4,446.23
|
Rate for Payer: Priority Health Choice Medicaid |
$4,446.23
|
|
INPATIENT APRDRG 5434: ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
|
Facility
|
IP
|
$11,430.84
|
|
Service Code
|
APR-DRG 5434
|
Hospital Charge Code |
APRDRG 5434
|
Min. Negotiated Rate |
$10,886.51 |
Max. Negotiated Rate |
$11,430.84 |
Rate for Payer: BCBS Complete |
$11,430.84
|
Rate for Payer: Mclaren Medicaid |
$10,886.51
|
Rate for Payer: Meridian Medicaid |
$11,430.84
|
Rate for Payer: PHP Medicaid |
$10,886.51
|
Rate for Payer: Priority Health Choice Medicaid |
$10,886.51
|
|
INPATIENT APRDRG 5471: ANTEPARTUM W O.R. PROCEDURE
|
Facility
|
IP
|
$3,250.00
|
|
Service Code
|
APR-DRG 5471
|
Hospital Charge Code |
APRDRG 5471
|
Min. Negotiated Rate |
$3,095.24 |
Max. Negotiated Rate |
$3,250.00 |
Rate for Payer: BCBS Complete |
$3,250.00
|
Rate for Payer: Mclaren Medicaid |
$3,095.24
|
Rate for Payer: Meridian Medicaid |
$3,250.00
|
Rate for Payer: PHP Medicaid |
$3,095.24
|
Rate for Payer: Priority Health Choice Medicaid |
$3,095.24
|
|
INPATIENT APRDRG 5472: ANTEPARTUM W O.R. PROCEDURE
|
Facility
|
IP
|
$4,441.09
|
|
Service Code
|
APR-DRG 5472
|
Hospital Charge Code |
APRDRG 5472
|
Min. Negotiated Rate |
$4,229.61 |
Max. Negotiated Rate |
$4,441.09 |
Rate for Payer: BCBS Complete |
$4,441.09
|
Rate for Payer: Mclaren Medicaid |
$4,229.61
|
Rate for Payer: Meridian Medicaid |
$4,441.09
|
Rate for Payer: PHP Medicaid |
$4,229.61
|
Rate for Payer: Priority Health Choice Medicaid |
$4,229.61
|
|
INPATIENT APRDRG 5473: ANTEPARTUM W O.R. PROCEDURE
|
Facility
|
IP
|
$7,266.39
|
|
Service Code
|
APR-DRG 5473
|
Hospital Charge Code |
APRDRG 5473
|
Min. Negotiated Rate |
$6,920.37 |
Max. Negotiated Rate |
$7,266.39 |
Rate for Payer: BCBS Complete |
$7,266.39
|
Rate for Payer: Mclaren Medicaid |
$6,920.37
|
Rate for Payer: Meridian Medicaid |
$7,266.39
|
Rate for Payer: PHP Medicaid |
$6,920.37
|
Rate for Payer: Priority Health Choice Medicaid |
$6,920.37
|
|
INPATIENT APRDRG 5474: ANTEPARTUM W O.R. PROCEDURE
|
Facility
|
IP
|
$12,917.01
|
|
Service Code
|
APR-DRG 5474
|
Hospital Charge Code |
APRDRG 5474
|
Min. Negotiated Rate |
$12,301.91 |
Max. Negotiated Rate |
$12,917.01 |
Rate for Payer: BCBS Complete |
$12,917.01
|
Rate for Payer: Mclaren Medicaid |
$12,301.91
|
Rate for Payer: Meridian Medicaid |
$12,917.01
|
Rate for Payer: PHP Medicaid |
$12,301.91
|
Rate for Payer: Priority Health Choice Medicaid |
$12,301.91
|
|
INPATIENT APRDRG 5481: POSTPARTUM & POST ABORTION DIAGNOSIS W O.R. PROCEDURE
|
Facility
|
IP
|
$2,222.85
|
|
Service Code
|
APR-DRG 5481
|
Hospital Charge Code |
APRDRG 5481
|
Min. Negotiated Rate |
$2,117.00 |
Max. Negotiated Rate |
$2,222.85 |
Rate for Payer: BCBS Complete |
$2,222.85
|
Rate for Payer: Mclaren Medicaid |
$2,117.00
|
Rate for Payer: Meridian Medicaid |
$2,222.85
|
Rate for Payer: PHP Medicaid |
$2,117.00
|
Rate for Payer: Priority Health Choice Medicaid |
$2,117.00
|
|
INPATIENT APRDRG 5482: POSTPARTUM & POST ABORTION DIAGNOSIS W O.R. PROCEDURE
|
Facility
|
IP
|
$4,309.94
|
|
Service Code
|
APR-DRG 5482
|
Hospital Charge Code |
APRDRG 5482
|
Min. Negotiated Rate |
$4,104.70 |
Max. Negotiated Rate |
$4,309.94 |
Rate for Payer: BCBS Complete |
$4,309.94
|
Rate for Payer: Mclaren Medicaid |
$4,104.70
|
Rate for Payer: Meridian Medicaid |
$4,309.94
|
Rate for Payer: PHP Medicaid |
$4,104.70
|
Rate for Payer: Priority Health Choice Medicaid |
$4,104.70
|
|
INPATIENT APRDRG 5483: POSTPARTUM & POST ABORTION DIAGNOSIS W O.R. PROCEDURE
|
Facility
|
IP
|
$7,319.16
|
|
Service Code
|
APR-DRG 5483
|
Hospital Charge Code |
APRDRG 5483
|
Min. Negotiated Rate |
$6,970.63 |
Max. Negotiated Rate |
$7,319.16 |
Rate for Payer: BCBS Complete |
$7,319.16
|
Rate for Payer: Mclaren Medicaid |
$6,970.63
|
Rate for Payer: Meridian Medicaid |
$7,319.16
|
Rate for Payer: PHP Medicaid |
$6,970.63
|
Rate for Payer: Priority Health Choice Medicaid |
$6,970.63
|
|
INPATIENT APRDRG 5484: POSTPARTUM & POST ABORTION DIAGNOSIS W O.R. PROCEDURE
|
Facility
|
IP
|
$16,493.34
|
|
Service Code
|
APR-DRG 5484
|
Hospital Charge Code |
APRDRG 5484
|
Min. Negotiated Rate |
$15,707.94 |
Max. Negotiated Rate |
$16,493.34 |
Rate for Payer: BCBS Complete |
$16,493.34
|
Rate for Payer: Mclaren Medicaid |
$15,707.94
|
Rate for Payer: Meridian Medicaid |
$16,493.34
|
Rate for Payer: PHP Medicaid |
$15,707.94
|
Rate for Payer: Priority Health Choice Medicaid |
$15,707.94
|
|
INPATIENT APRDRG 5601: VAGINAL DELIVERY
|
Facility
|
IP
|
$2,135.25
|
|
Service Code
|
APR-DRG 5601
|
Hospital Charge Code |
APRDRG 5601
|
Min. Negotiated Rate |
$2,033.57 |
Max. Negotiated Rate |
$2,135.25 |
Rate for Payer: BCBS Complete |
$2,135.25
|
Rate for Payer: Mclaren Medicaid |
$2,033.57
|
Rate for Payer: Meridian Medicaid |
$2,135.25
|
Rate for Payer: PHP Medicaid |
$2,033.57
|
Rate for Payer: Priority Health Choice Medicaid |
$2,033.57
|
|
INPATIENT APRDRG 5602: VAGINAL DELIVERY
|
Facility
|
IP
|
$2,475.41
|
|
Service Code
|
APR-DRG 5602
|
Hospital Charge Code |
APRDRG 5602
|
Min. Negotiated Rate |
$2,357.53 |
Max. Negotiated Rate |
$2,475.41 |
Rate for Payer: BCBS Complete |
$2,475.41
|
Rate for Payer: Mclaren Medicaid |
$2,357.53
|
Rate for Payer: Meridian Medicaid |
$2,475.41
|
Rate for Payer: PHP Medicaid |
$2,357.53
|
Rate for Payer: Priority Health Choice Medicaid |
$2,357.53
|
|
INPATIENT APRDRG 5603: VAGINAL DELIVERY
|
Facility
|
IP
|
$3,234.12
|
|
Service Code
|
APR-DRG 5603
|
Hospital Charge Code |
APRDRG 5603
|
Min. Negotiated Rate |
$3,080.11 |
Max. Negotiated Rate |
$3,234.12 |
Rate for Payer: BCBS Complete |
$3,234.12
|
Rate for Payer: Mclaren Medicaid |
$3,080.11
|
Rate for Payer: Meridian Medicaid |
$3,234.12
|
Rate for Payer: PHP Medicaid |
$3,080.11
|
Rate for Payer: Priority Health Choice Medicaid |
$3,080.11
|
|
INPATIENT APRDRG 5604: VAGINAL DELIVERY
|
Facility
|
IP
|
$6,831.96
|
|
Service Code
|
APR-DRG 5604
|
Hospital Charge Code |
APRDRG 5604
|
Min. Negotiated Rate |
$6,506.63 |
Max. Negotiated Rate |
$6,831.96 |
Rate for Payer: BCBS Complete |
$6,831.96
|
Rate for Payer: Mclaren Medicaid |
$6,506.63
|
Rate for Payer: Meridian Medicaid |
$6,831.96
|
Rate for Payer: PHP Medicaid |
$6,506.63
|
Rate for Payer: Priority Health Choice Medicaid |
$6,506.63
|
|
INPATIENT APRDRG 5611: POSTPARTUM & POST ABORTION DIAGNOSES W/O PROCEDURE
|
Facility
|
IP
|
$1,550.71
|
|
Service Code
|
APR-DRG 5611
|
Hospital Charge Code |
APRDRG 5611
|
Min. Negotiated Rate |
$1,476.87 |
Max. Negotiated Rate |
$1,550.71 |
Rate for Payer: BCBS Complete |
$1,550.71
|
Rate for Payer: Mclaren Medicaid |
$1,476.87
|
Rate for Payer: Meridian Medicaid |
$1,550.71
|
Rate for Payer: PHP Medicaid |
$1,476.87
|
Rate for Payer: Priority Health Choice Medicaid |
$1,476.87
|
|
INPATIENT APRDRG 5612: POSTPARTUM & POST ABORTION DIAGNOSES W/O PROCEDURE
|
Facility
|
IP
|
$2,331.45
|
|
Service Code
|
APR-DRG 5612
|
Hospital Charge Code |
APRDRG 5612
|
Min. Negotiated Rate |
$2,220.43 |
Max. Negotiated Rate |
$2,331.45 |
Rate for Payer: BCBS Complete |
$2,331.45
|
Rate for Payer: Mclaren Medicaid |
$2,220.43
|
Rate for Payer: Meridian Medicaid |
$2,331.45
|
Rate for Payer: PHP Medicaid |
$2,220.43
|
Rate for Payer: Priority Health Choice Medicaid |
$2,220.43
|
|
INPATIENT APRDRG 5613: POSTPARTUM & POST ABORTION DIAGNOSES W/O PROCEDURE
|
Facility
|
IP
|
$3,755.13
|
|
Service Code
|
APR-DRG 5613
|
Hospital Charge Code |
APRDRG 5613
|
Min. Negotiated Rate |
$3,576.31 |
Max. Negotiated Rate |
$3,755.13 |
Rate for Payer: BCBS Complete |
$3,755.13
|
Rate for Payer: Mclaren Medicaid |
$3,576.31
|
Rate for Payer: Meridian Medicaid |
$3,755.13
|
Rate for Payer: PHP Medicaid |
$3,576.31
|
Rate for Payer: Priority Health Choice Medicaid |
$3,576.31
|
|
INPATIENT APRDRG 5614: POSTPARTUM & POST ABORTION DIAGNOSES W/O PROCEDURE
|
Facility
|
IP
|
$8,552.76
|
|
Service Code
|
APR-DRG 5614
|
Hospital Charge Code |
APRDRG 5614
|
Min. Negotiated Rate |
$8,145.49 |
Max. Negotiated Rate |
$8,552.76 |
Rate for Payer: BCBS Complete |
$8,552.76
|
Rate for Payer: Mclaren Medicaid |
$8,145.49
|
Rate for Payer: Meridian Medicaid |
$8,552.76
|
Rate for Payer: PHP Medicaid |
$8,145.49
|
Rate for Payer: Priority Health Choice Medicaid |
$8,145.49
|
|
INPATIENT APRDRG 5641: ABORTION W/O D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
|
Facility
|
IP
|
$1,865.26
|
|
Service Code
|
APR-DRG 5641
|
Hospital Charge Code |
APRDRG 5641
|
Min. Negotiated Rate |
$1,776.44 |
Max. Negotiated Rate |
$1,865.26 |
Rate for Payer: BCBS Complete |
$1,865.26
|
Rate for Payer: Mclaren Medicaid |
$1,776.44
|
Rate for Payer: Meridian Medicaid |
$1,865.26
|
Rate for Payer: PHP Medicaid |
$1,776.44
|
Rate for Payer: Priority Health Choice Medicaid |
$1,776.44
|
|
INPATIENT APRDRG 5642: ABORTION W/O D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
|
Facility
|
IP
|
$2,741.29
|
|
Service Code
|
APR-DRG 5642
|
Hospital Charge Code |
APRDRG 5642
|
Min. Negotiated Rate |
$2,610.75 |
Max. Negotiated Rate |
$2,741.29 |
Rate for Payer: BCBS Complete |
$2,741.29
|
Rate for Payer: Mclaren Medicaid |
$2,610.75
|
Rate for Payer: Meridian Medicaid |
$2,741.29
|
Rate for Payer: PHP Medicaid |
$2,610.75
|
Rate for Payer: Priority Health Choice Medicaid |
$2,610.75
|
|
INPATIENT APRDRG 5643: ABORTION W/O D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
|
Facility
|
IP
|
$3,745.90
|
|
Service Code
|
APR-DRG 5643
|
Hospital Charge Code |
APRDRG 5643
|
Min. Negotiated Rate |
$3,567.52 |
Max. Negotiated Rate |
$3,745.90 |
Rate for Payer: BCBS Complete |
$3,745.90
|
Rate for Payer: Mclaren Medicaid |
$3,567.52
|
Rate for Payer: Meridian Medicaid |
$3,745.90
|
Rate for Payer: PHP Medicaid |
$3,567.52
|
Rate for Payer: Priority Health Choice Medicaid |
$3,567.52
|
|
INPATIENT APRDRG 5644: ABORTION W/O D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
|
Facility
|
IP
|
$12,371.93
|
|
Service Code
|
APR-DRG 5644
|
Hospital Charge Code |
APRDRG 5644
|
Min. Negotiated Rate |
$11,782.79 |
Max. Negotiated Rate |
$12,371.93 |
Rate for Payer: BCBS Complete |
$12,371.93
|
Rate for Payer: Mclaren Medicaid |
$11,782.79
|
Rate for Payer: Meridian Medicaid |
$12,371.93
|
Rate for Payer: PHP Medicaid |
$11,782.79
|
Rate for Payer: Priority Health Choice Medicaid |
$11,782.79
|
|
INPATIENT APRDRG 5661: OTHER ANTEPARTUM DIAGNOSES
|
Facility
|
IP
|
$1,757.18
|
|
Service Code
|
APR-DRG 5661
|
Hospital Charge Code |
APRDRG 5661
|
Min. Negotiated Rate |
$1,673.50 |
Max. Negotiated Rate |
$1,757.18 |
Rate for Payer: BCBS Complete |
$1,757.18
|
Rate for Payer: Mclaren Medicaid |
$1,673.50
|
Rate for Payer: Meridian Medicaid |
$1,757.18
|
Rate for Payer: PHP Medicaid |
$1,673.50
|
Rate for Payer: Priority Health Choice Medicaid |
$1,673.50
|
|
INPATIENT APRDRG 5662: OTHER ANTEPARTUM DIAGNOSES
|
Facility
|
IP
|
$2,282.27
|
|
Service Code
|
APR-DRG 5662
|
Hospital Charge Code |
APRDRG 5662
|
Min. Negotiated Rate |
$2,173.59 |
Max. Negotiated Rate |
$2,282.27 |
Rate for Payer: BCBS Complete |
$2,282.27
|
Rate for Payer: Mclaren Medicaid |
$2,173.59
|
Rate for Payer: Meridian Medicaid |
$2,282.27
|
Rate for Payer: PHP Medicaid |
$2,173.59
|
Rate for Payer: Priority Health Choice Medicaid |
$2,173.59
|
|
INPATIENT APRDRG 5663: OTHER ANTEPARTUM DIAGNOSES
|
Facility
|
IP
|
$3,505.64
|
|
Service Code
|
APR-DRG 5663
|
Hospital Charge Code |
APRDRG 5663
|
Min. Negotiated Rate |
$3,338.70 |
Max. Negotiated Rate |
$3,505.64 |
Rate for Payer: BCBS Complete |
$3,505.64
|
Rate for Payer: Mclaren Medicaid |
$3,338.70
|
Rate for Payer: Meridian Medicaid |
$3,505.64
|
Rate for Payer: PHP Medicaid |
$3,338.70
|
Rate for Payer: Priority Health Choice Medicaid |
$3,338.70
|
|