Beloit Memorial Hospital

All Charges

Charge

Type

Setting

Price

NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$43,578.50

Service Code	APR-DRG 6032
Min. Negotiated Rate	$38,709.14
Max. Negotiated Rate	$43,578.50
Rate for Payer: Anthem Medicaid	$41,728.82
Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO	$41,728.82
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid	$41,728.82
Rate for Payer: Dean Health Medicaid	$41,728.82
Rate for Payer: Independent Care Health Plan Medicaid	$38,709.14
Rate for Payer: Managed Health Services Medicaid	$43,578.50
Rate for Payer: Molina Healthcare Medicaid	$41,728.82
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP	$41,728.82
Rate for Payer: United Healthcare Medicaid	$41,728.82

NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$53,399.01

Service Code	APR-DRG 6033
Min. Negotiated Rate	$47,432.33
Max. Negotiated Rate	$53,399.01
Rate for Payer: Anthem Medicaid	$51,132.49
Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO	$51,132.49
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid	$51,132.49
Rate for Payer: Dean Health Medicaid	$51,132.49
Rate for Payer: Independent Care Health Plan Medicaid	$47,432.33
Rate for Payer: Managed Health Services Medicaid	$53,399.01
Rate for Payer: Molina Healthcare Medicaid	$51,132.49
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP	$51,132.49
Rate for Payer: United Healthcare Medicaid	$51,132.49

NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$53,311.32

Service Code	APR-DRG 6021
Min. Negotiated Rate	$47,354.44
Max. Negotiated Rate	$53,311.32
Rate for Payer: Anthem Medicaid	$51,048.53
Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO	$51,048.53
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid	$51,048.53
Rate for Payer: Dean Health Medicaid	$51,048.53
Rate for Payer: Independent Care Health Plan Medicaid	$47,354.44
Rate for Payer: Managed Health Services Medicaid	$53,311.32
Rate for Payer: Molina Healthcare Medicaid	$51,048.53
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP	$51,048.53
Rate for Payer: United Healthcare Medicaid	$51,048.53

NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$89,524.45

Service Code	APR-DRG 6023
Min. Negotiated Rate	$79,521.20
Max. Negotiated Rate	$89,524.45
Rate for Payer: Anthem Medicaid	$85,724.59
Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO	$85,724.59
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid	$85,724.59
Rate for Payer: Dean Health Medicaid	$85,724.59
Rate for Payer: Independent Care Health Plan Medicaid	$79,521.20
Rate for Payer: Managed Health Services Medicaid	$89,524.45
Rate for Payer: Molina Healthcare Medicaid	$85,724.59
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP	$85,724.59
Rate for Payer: United Healthcare Medicaid	$85,724.59

NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$71,549.41

Service Code	APR-DRG 6022
Min. Negotiated Rate	$63,554.65
Max. Negotiated Rate	$71,549.41
Rate for Payer: Anthem Medicaid	$68,512.50
Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO	$68,512.50
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid	$68,512.50
Rate for Payer: Dean Health Medicaid	$68,512.50
Rate for Payer: Independent Care Health Plan Medicaid	$63,554.65
Rate for Payer: Managed Health Services Medicaid	$71,549.41
Rate for Payer: Molina Healthcare Medicaid	$68,512.50
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP	$68,512.50
Rate for Payer: United Healthcare Medicaid	$68,512.50

NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$128,894.16

Service Code	APR-DRG 6024
Min. Negotiated Rate	$114,491.83
Max. Negotiated Rate	$128,894.16
Rate for Payer: Anthem Medicaid	$123,423.26
Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO	$123,423.26
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid	$123,423.26
Rate for Payer: Dean Health Medicaid	$123,423.26
Rate for Payer: Independent Care Health Plan Medicaid	$114,491.83
Rate for Payer: Managed Health Services Medicaid	$128,894.16
Rate for Payer: Molina Healthcare Medicaid	$123,423.26
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP	$123,423.26
Rate for Payer: United Healthcare Medicaid	$123,423.26

NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$56,818.65

Service Code	APR-DRG 6084
Min. Negotiated Rate	$50,469.87
Max. Negotiated Rate	$56,818.65
Rate for Payer: Anthem Medicaid	$54,406.99
Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO	$54,406.99
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid	$54,406.99
Rate for Payer: Dean Health Medicaid	$54,406.99
Rate for Payer: Independent Care Health Plan Medicaid	$50,469.87
Rate for Payer: Managed Health Services Medicaid	$56,818.65
Rate for Payer: Molina Healthcare Medicaid	$54,406.99
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP	$54,406.99
Rate for Payer: United Healthcare Medicaid	$54,406.99

NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$19,553.33

Service Code	APR-DRG 6081
Min. Negotiated Rate	$17,368.49
Max. Negotiated Rate	$19,553.33
Rate for Payer: Anthem Medicaid	$18,723.39
Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO	$18,723.39
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid	$18,723.39
Rate for Payer: Dean Health Medicaid	$18,723.39
Rate for Payer: Independent Care Health Plan Medicaid	$17,368.49
Rate for Payer: Managed Health Services Medicaid	$19,553.33
Rate for Payer: Molina Healthcare Medicaid	$18,723.39
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP	$18,723.39
Rate for Payer: United Healthcare Medicaid	$18,723.39

NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$49,014.85

Service Code	APR-DRG 6083
Min. Negotiated Rate	$43,538.05
Max. Negotiated Rate	$49,014.85
Rate for Payer: Anthem Medicaid	$46,934.42
Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO	$46,934.42
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid	$46,934.42
Rate for Payer: Dean Health Medicaid	$46,934.42
Rate for Payer: Independent Care Health Plan Medicaid	$43,538.05
Rate for Payer: Managed Health Services Medicaid	$49,014.85
Rate for Payer: Molina Healthcare Medicaid	$46,934.42
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP	$46,934.42
Rate for Payer: United Healthcare Medicaid	$46,934.42

NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$33,933.36

Service Code	APR-DRG 6082
Min. Negotiated Rate	$30,141.73
Max. Negotiated Rate	$33,933.36
Rate for Payer: Anthem Medicaid	$32,493.06
Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO	$32,493.06
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid	$32,493.06
Rate for Payer: Dean Health Medicaid	$32,493.06
Rate for Payer: Independent Care Health Plan Medicaid	$30,141.73
Rate for Payer: Managed Health Services Medicaid	$33,933.36
Rate for Payer: Molina Healthcare Medicaid	$32,493.06
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP	$32,493.06
Rate for Payer: United Healthcare Medicaid	$32,493.06

NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$99,608.00

Service Code	APR-DRG 6074
Min. Negotiated Rate	$88,478.04
Max. Negotiated Rate	$99,608.00
Rate for Payer: Anthem Medicaid	$95,380.15
Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO	$95,380.15
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid	$95,380.15
Rate for Payer: Dean Health Medicaid	$95,380.15
Rate for Payer: Independent Care Health Plan Medicaid	$88,478.04
Rate for Payer: Managed Health Services Medicaid	$99,608.00
Rate for Payer: Molina Healthcare Medicaid	$95,380.15
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP	$95,380.15
Rate for Payer: United Healthcare Medicaid	$95,380.15

NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$68,305.13

Service Code	APR-DRG 6073
Min. Negotiated Rate	$60,672.88
Max. Negotiated Rate	$68,305.13
Rate for Payer: Anthem Medicaid	$65,405.93
Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO	$65,405.93
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid	$65,405.93
Rate for Payer: Dean Health Medicaid	$65,405.93
Rate for Payer: Independent Care Health Plan Medicaid	$60,672.88
Rate for Payer: Managed Health Services Medicaid	$68,305.13
Rate for Payer: Molina Healthcare Medicaid	$65,405.93
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP	$65,405.93
Rate for Payer: United Healthcare Medicaid	$65,405.93

NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$36,476.17

Service Code	APR-DRG 6071
Min. Negotiated Rate	$32,400.41
Max. Negotiated Rate	$36,476.17
Rate for Payer: Anthem Medicaid	$34,927.94
Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO	$34,927.94
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid	$34,927.94
Rate for Payer: Dean Health Medicaid	$34,927.94
Rate for Payer: Independent Care Health Plan Medicaid	$32,400.41
Rate for Payer: Managed Health Services Medicaid	$36,476.17
Rate for Payer: Molina Healthcare Medicaid	$34,927.94
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP	$34,927.94
Rate for Payer: United Healthcare Medicaid	$34,927.94

NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$51,031.56

Service Code	APR-DRG 6072
Min. Negotiated Rate	$45,329.42
Max. Negotiated Rate	$51,031.56
Rate for Payer: Anthem Medicaid	$48,865.53
Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO	$48,865.53
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid	$48,865.53
Rate for Payer: Dean Health Medicaid	$48,865.53
Rate for Payer: Independent Care Health Plan Medicaid	$45,329.42
Rate for Payer: Managed Health Services Medicaid	$51,031.56
Rate for Payer: Molina Healthcare Medicaid	$48,865.53
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP	$48,865.53
Rate for Payer: United Healthcare Medicaid	$48,865.53

NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$82,071.38

Service Code	APR-DRG 6134
Min. Negotiated Rate	$72,900.92
Max. Negotiated Rate	$82,071.38
Rate for Payer: Anthem Medicaid	$78,587.87
Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO	$78,587.87
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid	$78,587.87
Rate for Payer: Dean Health Medicaid	$78,587.87
Rate for Payer: Independent Care Health Plan Medicaid	$72,900.92
Rate for Payer: Managed Health Services Medicaid	$82,071.38
Rate for Payer: Molina Healthcare Medicaid	$78,587.87
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP	$78,587.87
Rate for Payer: United Healthcare Medicaid	$78,587.87

NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$44,367.65

Service Code	APR-DRG 6133
Min. Negotiated Rate	$39,410.11
Max. Negotiated Rate	$44,367.65
Rate for Payer: Anthem Medicaid	$42,484.47
Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO	$42,484.47
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid	$42,484.47
Rate for Payer: Dean Health Medicaid	$42,484.47
Rate for Payer: Independent Care Health Plan Medicaid	$39,410.11
Rate for Payer: Managed Health Services Medicaid	$44,367.65
Rate for Payer: Molina Healthcare Medicaid	$42,484.47
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP	$42,484.47
Rate for Payer: United Healthcare Medicaid	$42,484.47

NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$16,747.47

Service Code	APR-DRG 6131
Min. Negotiated Rate	$14,876.15
Max. Negotiated Rate	$16,747.47
Rate for Payer: Anthem Medicaid	$16,036.63
Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO	$16,036.63
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid	$16,036.63
Rate for Payer: Dean Health Medicaid	$16,036.63
Rate for Payer: Independent Care Health Plan Medicaid	$14,876.15
Rate for Payer: Managed Health Services Medicaid	$16,747.47
Rate for Payer: Molina Healthcare Medicaid	$16,036.63
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP	$16,036.63
Rate for Payer: United Healthcare Medicaid	$16,036.63

NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$26,129.56

Service Code	APR-DRG 6132
Min. Negotiated Rate	$23,209.91
Max. Negotiated Rate	$26,129.56
Rate for Payer: Anthem Medicaid	$25,020.50
Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO	$25,020.50
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid	$25,020.50
Rate for Payer: Dean Health Medicaid	$25,020.50
Rate for Payer: Independent Care Health Plan Medicaid	$23,209.91
Rate for Payer: Managed Health Services Medicaid	$26,129.56
Rate for Payer: Molina Healthcare Medicaid	$25,020.50
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP	$25,020.50
Rate for Payer: United Healthcare Medicaid	$25,020.50

NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY

Facility

$82,860.53

Service Code	APR-DRG 6114
Min. Negotiated Rate	$73,601.89
Max. Negotiated Rate	$82,860.53
Rate for Payer: Anthem Medicaid	$79,343.52
Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO	$79,343.52
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid	$79,343.52
Rate for Payer: Dean Health Medicaid	$79,343.52
Rate for Payer: Independent Care Health Plan Medicaid	$73,601.89
Rate for Payer: Managed Health Services Medicaid	$82,860.53
Rate for Payer: Molina Healthcare Medicaid	$79,343.52
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP	$79,343.52
Rate for Payer: United Healthcare Medicaid	$79,343.52

NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY

Facility

$44,192.28

Service Code	APR-DRG 6113
Min. Negotiated Rate	$39,254.34
Max. Negotiated Rate	$44,192.28
Rate for Payer: Anthem Medicaid	$42,316.55
Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO	$42,316.55
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid	$42,316.55
Rate for Payer: Dean Health Medicaid	$42,316.55
Rate for Payer: Independent Care Health Plan Medicaid	$39,254.34
Rate for Payer: Managed Health Services Medicaid	$44,192.28
Rate for Payer: Molina Healthcare Medicaid	$42,316.55
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP	$42,316.55
Rate for Payer: United Healthcare Medicaid	$42,316.55

NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY

Facility

$14,204.66

Service Code	APR-DRG 6111
Min. Negotiated Rate	$12,617.47
Max. Negotiated Rate	$14,204.66
Rate for Payer: Anthem Medicaid	$13,601.75
Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO	$13,601.75
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid	$13,601.75
Rate for Payer: Dean Health Medicaid	$13,601.75
Rate for Payer: Independent Care Health Plan Medicaid	$12,617.47
Rate for Payer: Managed Health Services Medicaid	$14,204.66
Rate for Payer: Molina Healthcare Medicaid	$13,601.75
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP	$13,601.75
Rate for Payer: United Healthcare Medicaid	$13,601.75

NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY

Facility

$27,181.76

Service Code	APR-DRG 6112
Min. Negotiated Rate	$24,144.54
Max. Negotiated Rate	$27,181.76
Rate for Payer: Anthem Medicaid	$26,028.03
Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO	$26,028.03
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid	$26,028.03
Rate for Payer: Dean Health Medicaid	$26,028.03
Rate for Payer: Independent Care Health Plan Medicaid	$24,144.54
Rate for Payer: Managed Health Services Medicaid	$27,181.76
Rate for Payer: Molina Healthcare Medicaid	$26,028.03
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP	$26,028.03
Rate for Payer: United Healthcare Medicaid	$26,028.03

NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION

Facility

$21,394.68

Service Code	APR-DRG 6142
Min. Negotiated Rate	$19,004.09
Max. Negotiated Rate	$21,394.68
Rate for Payer: Anthem Medicaid	$20,486.58
Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO	$20,486.58
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid	$20,486.58
Rate for Payer: Dean Health Medicaid	$20,486.58
Rate for Payer: Independent Care Health Plan Medicaid	$19,004.09
Rate for Payer: Managed Health Services Medicaid	$21,394.68
Rate for Payer: Molina Healthcare Medicaid	$20,486.58
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP	$20,486.58
Rate for Payer: United Healthcare Medicaid	$20,486.58

NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION

Facility

$54,801.94

Service Code	APR-DRG 6144
Min. Negotiated Rate	$48,678.50
Max. Negotiated Rate	$54,801.94
Rate for Payer: Anthem Medicaid	$52,475.88
Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO	$52,475.88
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid	$52,475.88
Rate for Payer: Dean Health Medicaid	$52,475.88
Rate for Payer: Independent Care Health Plan Medicaid	$48,678.50
Rate for Payer: Managed Health Services Medicaid	$54,801.94
Rate for Payer: Molina Healthcare Medicaid	$52,475.88
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP	$52,475.88
Rate for Payer: United Healthcare Medicaid	$52,475.88

NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION

Facility

$37,002.27

Service Code	APR-DRG 6143
Min. Negotiated Rate	$32,867.72
Max. Negotiated Rate	$37,002.27
Rate for Payer: Anthem Medicaid	$35,431.71
Rate for Payer: Blue Cross Blue Shield of Illinois Medicaid HMO	$35,431.71
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid	$35,431.71
Rate for Payer: Dean Health Medicaid	$35,431.71
Rate for Payer: Independent Care Health Plan Medicaid	$32,867.72
Rate for Payer: Managed Health Services Medicaid	$37,002.27
Rate for Payer: Molina Healthcare Medicaid	$35,431.71
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP	$35,431.71
Rate for Payer: United Healthcare Medicaid	$35,431.71

Know your out-of-pocket cost for care.

All Charges