Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$11,945.28

Service Code	APR-DRG 7922
Min. Negotiated Rate	$11,376.46
Max. Negotiated Rate	$11,945.28
Rate for Payer: BCBS Complete	$11,945.28
Rate for Payer: Mclaren Medicaid	$11,376.46
Rate for Payer: Meridian Medicaid	$11,945.28
Rate for Payer: Priority Health Choice Medicaid	$11,376.46
Rate for Payer: UHC Medicaid	$11,376.46
Rate for Payer: UHCCP Medicaid	$11,376.46

EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$9,459.45

Service Code	APR-DRG 7921
Min. Negotiated Rate	$9,009.00
Max. Negotiated Rate	$9,459.45
Rate for Payer: BCBS Complete	$9,459.45
Rate for Payer: Mclaren Medicaid	$9,009.00
Rate for Payer: Meridian Medicaid	$9,459.45
Rate for Payer: Priority Health Choice Medicaid	$9,009.00
Rate for Payer: UHC Medicaid	$9,009.00
Rate for Payer: UHCCP Medicaid	$9,009.00

EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC

Facility

$43,346.93

Service Code	MSDRG 982
Min. Negotiated Rate	$18,599.91
Max. Negotiated Rate	$43,346.93
Rate for Payer: Aetna Medicare	$20,362.00
Rate for Payer: Allen County Amish Medical Aid Commercial	$24,473.56
Rate for Payer: Amish Plain Church Group Commercial	$24,473.56
Rate for Payer: BCBS MAPPO	$19,578.85
Rate for Payer: BCBS Trust/PPO	$43,346.93
Rate for Payer: BCN Commercial	$43,346.93
Rate for Payer: BCN Medicare Advantage	$19,578.85
Rate for Payer: Health Alliance Plan Medicare Advantage	$19,578.85
Rate for Payer: Mclaren Medicare	$19,578.85
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$20,557.79
Rate for Payer: MI Amish Medical Board Commercial	$22,515.68
Rate for Payer: Molina Medicare/Medicaid	$21,536.74
Rate for Payer: Nomi Health Commercial	$31,714.65
Rate for Payer: PACE Medicare	$18,599.91
Rate for Payer: PACE SWMI	$19,578.85
Rate for Payer: PHP Medicare Advantage	$19,578.85
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$39,636.28
Rate for Payer: Priority Health Medicare	$19,578.85
Rate for Payer: Priority Health Tiered Network	$31,709.02
Rate for Payer: Railroad Medicare Medicare	$19,578.85
Rate for Payer: UHC All Payor (Choice/PPO)	$40,073.55
Rate for Payer: UHC Core	$33,526.56
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$19,578.85
Rate for Payer: UHC Exchange	$27,380.31
Rate for Payer: VA VA	$19,578.85

EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC

Facility

$103,945.56

Service Code	MSDRG 981
Min. Negotiated Rate	$34,996.39
Max. Negotiated Rate	$103,945.56
Rate for Payer: Aetna Medicare	$38,311.84
Rate for Payer: Allen County Amish Medical Aid Commercial	$46,047.89
Rate for Payer: Amish Plain Church Group Commercial	$46,047.89
Rate for Payer: BCBS MAPPO	$36,838.31
Rate for Payer: BCBS Trust/PPO	$103,945.56
Rate for Payer: BCN Commercial	$103,945.56
Rate for Payer: BCN Medicare Advantage	$36,838.31
Rate for Payer: Health Alliance Plan Medicare Advantage	$36,838.31
Rate for Payer: Mclaren Medicare	$36,838.31
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$38,680.23
Rate for Payer: MI Amish Medical Board Commercial	$42,364.06
Rate for Payer: Molina Medicare/Medicaid	$40,522.14
Rate for Payer: Nomi Health Commercial	$60,524.22
Rate for Payer: PACE Medicare	$34,996.39
Rate for Payer: PACE SWMI	$36,838.31
Rate for Payer: PHP Medicare Advantage	$36,838.31
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$75,641.86
Rate for Payer: Priority Health Medicare	$36,838.31
Rate for Payer: Priority Health Tiered Network	$60,513.48
Rate for Payer: Railroad Medicare Medicare	$36,838.31
Rate for Payer: UHC All Payor (Choice/PPO)	$76,476.34
Rate for Payer: UHC Core	$63,982.08
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$36,838.31
Rate for Payer: UHC Exchange	$52,252.58
Rate for Payer: VA VA	$36,838.31

EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC

Facility

$32,825.04

Service Code	MSDRG 983
Min. Negotiated Rate	$13,133.93
Max. Negotiated Rate	$32,825.04
Rate for Payer: Aetna Medicare	$14,378.20
Rate for Payer: Allen County Amish Medical Aid Commercial	$17,281.49
Rate for Payer: Amish Plain Church Group Commercial	$17,281.49
Rate for Payer: BCBS MAPPO	$13,825.19
Rate for Payer: BCBS Trust/PPO	$32,825.04
Rate for Payer: BCN Commercial	$32,825.04
Rate for Payer: BCN Medicare Advantage	$13,825.19
Rate for Payer: Health Alliance Plan Medicare Advantage	$13,825.19
Rate for Payer: Mclaren Medicare	$13,825.19
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$14,516.45
Rate for Payer: MI Amish Medical Board Commercial	$15,898.97
Rate for Payer: Molina Medicare/Medicaid	$15,207.71
Rate for Payer: Nomi Health Commercial	$22,110.60
Rate for Payer: PACE Medicare	$13,133.93
Rate for Payer: PACE SWMI	$13,825.19
Rate for Payer: PHP Medicare Advantage	$13,825.19
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$27,633.35
Rate for Payer: Priority Health Medicare	$13,825.19
Rate for Payer: Priority Health Tiered Network	$22,106.67
Rate for Payer: Railroad Medicare Medicare	$13,825.19
Rate for Payer: UHC All Payor (Choice/PPO)	$27,938.20
Rate for Payer: UHC Core	$23,373.82
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$13,825.19
Rate for Payer: UHC Exchange	$19,088.82
Rate for Payer: VA VA	$13,825.19

EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$9,058.14

Service Code	APR-DRG 9501
Min. Negotiated Rate	$8,626.80
Max. Negotiated Rate	$9,058.14
Rate for Payer: BCBS Complete	$9,058.14
Rate for Payer: Mclaren Medicaid	$8,626.80
Rate for Payer: Meridian Medicaid	$9,058.14
Rate for Payer: Priority Health Choice Medicaid	$8,626.80
Rate for Payer: UHC Medicaid	$8,626.80
Rate for Payer: UHCCP Medicaid	$8,626.80

EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$12,797.20

Service Code	APR-DRG 9502
Min. Negotiated Rate	$12,187.81
Max. Negotiated Rate	$12,797.20
Rate for Payer: BCBS Complete	$12,797.20
Rate for Payer: Mclaren Medicaid	$12,187.81
Rate for Payer: Meridian Medicaid	$12,797.20
Rate for Payer: Priority Health Choice Medicaid	$12,187.81
Rate for Payer: UHC Medicaid	$12,187.81
Rate for Payer: UHCCP Medicaid	$12,187.81

EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$29,246.33

Service Code	APR-DRG 9504
Min. Negotiated Rate	$27,853.64
Max. Negotiated Rate	$29,246.33
Rate for Payer: BCBS Complete	$29,246.33
Rate for Payer: Mclaren Medicaid	$27,853.64
Rate for Payer: Meridian Medicaid	$29,246.33
Rate for Payer: Priority Health Choice Medicaid	$27,853.64
Rate for Payer: UHC Medicaid	$27,853.64
Rate for Payer: UHCCP Medicaid	$27,853.64

EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$18,444.78

Service Code	APR-DRG 9503
Min. Negotiated Rate	$17,566.46
Max. Negotiated Rate	$18,444.78
Rate for Payer: BCBS Complete	$18,444.78
Rate for Payer: Mclaren Medicaid	$17,566.46
Rate for Payer: Meridian Medicaid	$18,444.78
Rate for Payer: Priority Health Choice Medicaid	$17,566.46
Rate for Payer: UHC Medicaid	$17,566.46
Rate for Payer: UHCCP Medicaid	$17,566.46

EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT

Facility

$3,880.09

Service Code	APR-DRG 8431
Min. Negotiated Rate	$3,695.33
Max. Negotiated Rate	$3,880.09
Rate for Payer: BCBS Complete	$3,880.09
Rate for Payer: Mclaren Medicaid	$3,695.33
Rate for Payer: Meridian Medicaid	$3,880.09
Rate for Payer: Priority Health Choice Medicaid	$3,695.33
Rate for Payer: UHC Medicaid	$3,695.33
Rate for Payer: UHCCP Medicaid	$3,695.33

EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT

Facility

$17,856.00

Service Code	APR-DRG 8433
Min. Negotiated Rate	$17,005.72
Max. Negotiated Rate	$17,856.00
Rate for Payer: BCBS Complete	$17,856.00
Rate for Payer: Mclaren Medicaid	$17,005.72
Rate for Payer: Meridian Medicaid	$17,856.00
Rate for Payer: Priority Health Choice Medicaid	$17,005.72
Rate for Payer: UHC Medicaid	$17,005.72
Rate for Payer: UHCCP Medicaid	$17,005.72

EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT

Facility

$26,769.67

Service Code	APR-DRG 8434
Min. Negotiated Rate	$25,494.92
Max. Negotiated Rate	$26,769.67
Rate for Payer: BCBS Complete	$26,769.67
Rate for Payer: Mclaren Medicaid	$25,494.92
Rate for Payer: Meridian Medicaid	$26,769.67
Rate for Payer: Priority Health Choice Medicaid	$25,494.92
Rate for Payer: UHC Medicaid	$25,494.92
Rate for Payer: UHCCP Medicaid	$25,494.92

EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT

Facility

$5,949.71

Service Code	APR-DRG 8432
Min. Negotiated Rate	$5,666.39
Max. Negotiated Rate	$5,949.71
Rate for Payer: BCBS Complete	$5,949.71
Rate for Payer: Mclaren Medicaid	$5,666.39
Rate for Payer: Meridian Medicaid	$5,949.71
Rate for Payer: Priority Health Choice Medicaid	$5,666.39
Rate for Payer: UHC Medicaid	$5,666.39
Rate for Payer: UHCCP Medicaid	$5,666.39

EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT

Facility

$32,879.33

Service Code	APR-DRG 8411
Min. Negotiated Rate	$31,313.65
Max. Negotiated Rate	$32,879.33
Rate for Payer: BCBS Complete	$32,879.33
Rate for Payer: Mclaren Medicaid	$31,313.65
Rate for Payer: Meridian Medicaid	$32,879.33
Rate for Payer: Priority Health Choice Medicaid	$31,313.65
Rate for Payer: UHC Medicaid	$31,313.65
Rate for Payer: UHCCP Medicaid	$31,313.65

EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT

Facility

$53,367.92

Service Code	APR-DRG 8413
Min. Negotiated Rate	$50,826.59
Max. Negotiated Rate	$53,367.92
Rate for Payer: BCBS Complete	$53,367.92
Rate for Payer: Mclaren Medicaid	$50,826.59
Rate for Payer: Meridian Medicaid	$53,367.92
Rate for Payer: Priority Health Choice Medicaid	$50,826.59
Rate for Payer: UHC Medicaid	$50,826.59
Rate for Payer: UHCCP Medicaid	$50,826.59

EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT

Facility

$35,078.51

Service Code	APR-DRG 8412
Min. Negotiated Rate	$33,408.10
Max. Negotiated Rate	$35,078.51
Rate for Payer: BCBS Complete	$35,078.51
Rate for Payer: Mclaren Medicaid	$33,408.10
Rate for Payer: Meridian Medicaid	$35,078.51
Rate for Payer: Priority Health Choice Medicaid	$33,408.10
Rate for Payer: UHC Medicaid	$33,408.10
Rate for Payer: UHCCP Medicaid	$33,408.10

EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT

Facility

$147,210.83

Service Code	APR-DRG 8414
Min. Negotiated Rate	$140,200.79
Max. Negotiated Rate	$147,210.83
Rate for Payer: BCBS Complete	$147,210.83
Rate for Payer: Mclaren Medicaid	$140,200.79
Rate for Payer: Meridian Medicaid	$147,210.83
Rate for Payer: Priority Health Choice Medicaid	$140,200.79
Rate for Payer: UHC Medicaid	$140,200.79
Rate for Payer: UHCCP Medicaid	$140,200.79

EXTERNAL HEART ASSIST DEVICES

Facility

$31,521.75

Service Code	APR-DRG 1783
Min. Negotiated Rate	$30,020.72
Max. Negotiated Rate	$31,521.75
Rate for Payer: BCBS Complete	$31,521.75
Rate for Payer: Mclaren Medicaid	$30,020.72
Rate for Payer: Meridian Medicaid	$31,521.75
Rate for Payer: Priority Health Choice Medicaid	$30,020.72
Rate for Payer: UHC Medicaid	$30,020.72
Rate for Payer: UHCCP Medicaid	$30,020.72

EXTERNAL HEART ASSIST DEVICES

Facility

$23,273.69

Service Code	APR-DRG 1781
Min. Negotiated Rate	$22,165.42
Max. Negotiated Rate	$23,273.69
Rate for Payer: BCBS Complete	$23,273.69
Rate for Payer: Mclaren Medicaid	$22,165.42
Rate for Payer: Meridian Medicaid	$23,273.69
Rate for Payer: Priority Health Choice Medicaid	$22,165.42
Rate for Payer: UHC Medicaid	$22,165.42
Rate for Payer: UHCCP Medicaid	$22,165.42

EXTERNAL HEART ASSIST DEVICES

Facility

$25,817.42

Service Code	APR-DRG 1782
Min. Negotiated Rate	$24,588.02
Max. Negotiated Rate	$25,817.42
Rate for Payer: BCBS Complete	$25,817.42
Rate for Payer: Mclaren Medicaid	$24,588.02
Rate for Payer: Meridian Medicaid	$25,817.42
Rate for Payer: Priority Health Choice Medicaid	$24,588.02
Rate for Payer: UHC Medicaid	$24,588.02
Rate for Payer: UHCCP Medicaid	$24,588.02

EXTERNAL HEART ASSIST DEVICES

Facility

$40,942.79

Service Code	APR-DRG 1784
Min. Negotiated Rate	$38,993.14
Max. Negotiated Rate	$40,942.79
Rate for Payer: BCBS Complete	$40,942.79
Rate for Payer: Mclaren Medicaid	$38,993.14
Rate for Payer: Meridian Medicaid	$40,942.79
Rate for Payer: Priority Health Choice Medicaid	$38,993.14
Rate for Payer: UHC Medicaid	$38,993.14
Rate for Payer: UHCCP Medicaid	$38,993.14

EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)

Facility

$35,298.65

Service Code	APR-DRG 0091
Min. Negotiated Rate	$33,617.77
Max. Negotiated Rate	$35,298.65
Rate for Payer: BCBS Complete	$35,298.65
Rate for Payer: Mclaren Medicaid	$33,617.77
Rate for Payer: Meridian Medicaid	$35,298.65
Rate for Payer: Priority Health Choice Medicaid	$33,617.77
Rate for Payer: UHC Medicaid	$33,617.77
Rate for Payer: UHCCP Medicaid	$33,617.77

EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)

Facility

$38,025.84

Service Code	APR-DRG 0092
Min. Negotiated Rate	$36,215.09
Max. Negotiated Rate	$38,025.84
Rate for Payer: BCBS Complete	$38,025.84
Rate for Payer: Mclaren Medicaid	$36,215.09
Rate for Payer: Meridian Medicaid	$38,025.84
Rate for Payer: Priority Health Choice Medicaid	$36,215.09
Rate for Payer: UHC Medicaid	$36,215.09
Rate for Payer: UHCCP Medicaid	$36,215.09

EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)

Facility

$127,101.76

Service Code	APR-DRG 0094
Min. Negotiated Rate	$121,049.29
Max. Negotiated Rate	$127,101.76
Rate for Payer: BCBS Complete	$127,101.76
Rate for Payer: Mclaren Medicaid	$121,049.29
Rate for Payer: Meridian Medicaid	$127,101.76
Rate for Payer: Priority Health Choice Medicaid	$121,049.29
Rate for Payer: UHC Medicaid	$121,049.29
Rate for Payer: UHCCP Medicaid	$121,049.29

EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)

Facility

$76,442.68

Service Code	APR-DRG 0093
Min. Negotiated Rate	$72,802.55
Max. Negotiated Rate	$76,442.68
Rate for Payer: BCBS Complete	$76,442.68
Rate for Payer: Mclaren Medicaid	$72,802.55
Rate for Payer: Meridian Medicaid	$76,442.68
Rate for Payer: Priority Health Choice Medicaid	$72,802.55
Rate for Payer: UHC Medicaid	$72,802.55
Rate for Payer: UHCCP Medicaid	$72,802.55

Know your out-of-pocket cost for care.

All Charges