Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK

Facility

$7,545.20

Service Code	APR-DRG 3423
Min. Negotiated Rate	$7,185.91
Max. Negotiated Rate	$7,545.20
Rate for Payer: BCBS Complete	$7,545.20
Rate for Payer: Mclaren Medicaid	$7,185.91
Rate for Payer: Meridian Medicaid	$7,545.20
Rate for Payer: Priority Health Choice Medicaid	$7,185.91
Rate for Payer: UHC Medicaid	$7,185.91
Rate for Payer: UHCCP Medicaid	$7,185.91

FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK

Facility

$13,510.96

Service Code	APR-DRG 3424
Min. Negotiated Rate	$12,867.58
Max. Negotiated Rate	$13,510.96
Rate for Payer: BCBS Complete	$13,510.96
Rate for Payer: Mclaren Medicaid	$12,867.58
Rate for Payer: Meridian Medicaid	$13,510.96
Rate for Payer: Priority Health Choice Medicaid	$12,867.58
Rate for Payer: UHC Medicaid	$12,867.58
Rate for Payer: UHCCP Medicaid	$12,867.58

FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK

Facility

$5,578.21

Service Code	APR-DRG 3422
Min. Negotiated Rate	$5,312.58
Max. Negotiated Rate	$5,578.21
Rate for Payer: BCBS Complete	$5,578.21
Rate for Payer: Mclaren Medicaid	$5,312.58
Rate for Payer: Meridian Medicaid	$5,578.21
Rate for Payer: Priority Health Choice Medicaid	$5,312.58
Rate for Payer: UHC Medicaid	$5,312.58
Rate for Payer: UHCCP Medicaid	$5,312.58

FRACTURES OF FEMUR WITH MCC

Facility

$25,553.51

Service Code	MSDRG 533
Min. Negotiated Rate	$12,059.82
Max. Negotiated Rate	$25,553.51
Rate for Payer: Aetna Medicare	$13,202.33
Rate for Payer: Allen County Amish Medical Aid Commercial	$15,868.19
Rate for Payer: Amish Plain Church Group Commercial	$15,868.19
Rate for Payer: BCBS MAPPO	$12,694.55
Rate for Payer: BCBS Trust/PPO	$24,920.16
Rate for Payer: BCN Commercial	$24,920.16
Rate for Payer: BCN Medicare Advantage	$12,694.55
Rate for Payer: Health Alliance Plan Medicare Advantage	$12,694.55
Rate for Payer: Mclaren Medicare	$12,694.55
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$13,329.28
Rate for Payer: MI Amish Medical Board Commercial	$14,598.73
Rate for Payer: Molina Medicare/Medicaid	$13,964.00
Rate for Payer: Nomi Health Commercial	$20,223.33
Rate for Payer: PACE Medicare	$12,059.82
Rate for Payer: PACE SWMI	$12,694.55
Rate for Payer: PHP Medicare Advantage	$12,694.55
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$25,274.68
Rate for Payer: Priority Health Medicare	$12,694.55
Rate for Payer: Priority Health Tiered Network	$20,219.74
Rate for Payer: Railroad Medicare Medicare	$12,694.55
Rate for Payer: UHC All Payor (Choice/PPO)	$25,553.51
Rate for Payer: UHC Core	$21,378.72
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$12,694.55
Rate for Payer: UHC Exchange	$17,459.47
Rate for Payer: VA VA	$12,694.55

FRACTURES OF FEMUR WITHOUT MCC

Facility

$13,927.76

Service Code	MSDRG 534
Min. Negotiated Rate	$6,468.28
Max. Negotiated Rate	$13,927.76
Rate for Payer: Aetna Medicare	$7,081.07
Rate for Payer: Allen County Amish Medical Aid Commercial	$8,510.90
Rate for Payer: Amish Plain Church Group Commercial	$8,510.90
Rate for Payer: BCBS MAPPO	$6,808.72
Rate for Payer: BCBS Trust/PPO	$13,927.76
Rate for Payer: BCN Commercial	$13,927.76
Rate for Payer: BCN Medicare Advantage	$6,808.72
Rate for Payer: Health Alliance Plan Medicare Advantage	$6,808.72
Rate for Payer: Mclaren Medicare	$6,808.72
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$7,149.16
Rate for Payer: MI Amish Medical Board Commercial	$7,830.03
Rate for Payer: Molina Medicare/Medicaid	$7,489.59
Rate for Payer: Nomi Health Commercial	$10,398.69
Rate for Payer: PACE Medicare	$6,468.28
Rate for Payer: PACE SWMI	$6,808.72
Rate for Payer: PHP Medicare Advantage	$6,808.72
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$12,996.06
Rate for Payer: Priority Health Medicare	$6,808.72
Rate for Payer: Priority Health Tiered Network	$10,396.84
Rate for Payer: Railroad Medicare Medicare	$6,808.72
Rate for Payer: UHC All Payor (Choice/PPO)	$13,139.43
Rate for Payer: UHC Core	$10,992.79
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$6,808.72
Rate for Payer: UHC Exchange	$8,977.54
Rate for Payer: VA VA	$6,808.72

FRACTURES OF HIP AND PELVIS WITH MCC

Facility

$20,896.60

Service Code	MSDRG 535
Min. Negotiated Rate	$9,962.25
Max. Negotiated Rate	$20,896.60
Rate for Payer: Aetna Medicare	$10,906.04
Rate for Payer: Allen County Amish Medical Aid Commercial	$13,108.23
Rate for Payer: Amish Plain Church Group Commercial	$13,108.23
Rate for Payer: BCBS MAPPO	$10,486.58
Rate for Payer: BCBS Trust/PPO	$19,377.14
Rate for Payer: BCN Commercial	$19,377.14
Rate for Payer: BCN Medicare Advantage	$10,486.58
Rate for Payer: Health Alliance Plan Medicare Advantage	$10,486.58
Rate for Payer: Mclaren Medicare	$10,486.58
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$11,010.91
Rate for Payer: MI Amish Medical Board Commercial	$12,059.57
Rate for Payer: Molina Medicare/Medicaid	$11,535.24
Rate for Payer: Nomi Health Commercial	$16,537.80
Rate for Payer: PACE Medicare	$9,962.25
Rate for Payer: PACE SWMI	$10,486.58
Rate for Payer: PHP Medicare Advantage	$10,486.58
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$20,668.58
Rate for Payer: Priority Health Medicare	$10,486.58
Rate for Payer: Priority Health Tiered Network	$16,534.86
Rate for Payer: Railroad Medicare Medicare	$10,486.58
Rate for Payer: UHC All Payor (Choice/PPO)	$20,896.60
Rate for Payer: UHC Core	$17,482.63
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$10,486.58
Rate for Payer: UHC Exchange	$14,277.63
Rate for Payer: VA VA	$10,486.58

FRACTURES OF HIP AND PELVIS WITHOUT MCC

Facility

$13,163.88

Service Code	MSDRG 536
Min. Negotiated Rate	$6,479.31
Max. Negotiated Rate	$13,163.88
Rate for Payer: Aetna Medicare	$7,093.14
Rate for Payer: Allen County Amish Medical Aid Commercial	$8,525.41
Rate for Payer: Amish Plain Church Group Commercial	$8,525.41
Rate for Payer: BCBS MAPPO	$6,820.33
Rate for Payer: BCBS Trust/PPO	$11,762.52
Rate for Payer: BCN Commercial	$11,762.52
Rate for Payer: BCN Medicare Advantage	$6,820.33
Rate for Payer: Health Alliance Plan Medicare Advantage	$6,820.33
Rate for Payer: Mclaren Medicare	$6,820.33
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$7,161.35
Rate for Payer: MI Amish Medical Board Commercial	$7,843.38
Rate for Payer: Molina Medicare/Medicaid	$7,502.36
Rate for Payer: Nomi Health Commercial	$10,418.04
Rate for Payer: PACE Medicare	$6,479.31
Rate for Payer: PACE SWMI	$6,820.33
Rate for Payer: PHP Medicare Advantage	$6,820.33
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$13,020.24
Rate for Payer: Priority Health Medicare	$6,820.33
Rate for Payer: Priority Health Tiered Network	$10,416.19
Rate for Payer: Railroad Medicare Medicare	$6,820.33
Rate for Payer: UHC All Payor (Choice/PPO)	$13,163.88
Rate for Payer: UHC Core	$11,013.24
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$6,820.33
Rate for Payer: UHC Exchange	$8,994.24
Rate for Payer: VA VA	$6,820.33

FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC

Facility

$23,224.24

Service Code	MSDRG 562
Min. Negotiated Rate	$11,010.66
Max. Negotiated Rate	$23,224.24
Rate for Payer: Aetna Medicare	$12,053.78
Rate for Payer: Allen County Amish Medical Aid Commercial	$14,487.71
Rate for Payer: Amish Plain Church Group Commercial	$14,487.71
Rate for Payer: BCBS MAPPO	$11,590.17
Rate for Payer: BCBS Trust/PPO	$21,444.07
Rate for Payer: BCN Commercial	$21,444.07
Rate for Payer: BCN Medicare Advantage	$11,590.17
Rate for Payer: Health Alliance Plan Medicare Advantage	$11,590.17
Rate for Payer: Mclaren Medicare	$11,590.17
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$12,169.68
Rate for Payer: MI Amish Medical Board Commercial	$13,328.70
Rate for Payer: Molina Medicare/Medicaid	$12,749.19
Rate for Payer: Nomi Health Commercial	$18,379.92
Rate for Payer: PACE Medicare	$11,010.66
Rate for Payer: PACE SWMI	$11,590.17
Rate for Payer: PHP Medicare Advantage	$11,590.17
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$22,970.83
Rate for Payer: Priority Health Medicare	$11,590.17
Rate for Payer: Priority Health Tiered Network	$18,376.66
Rate for Payer: Railroad Medicare Medicare	$11,590.17
Rate for Payer: UHC All Payor (Choice/PPO)	$23,224.24
Rate for Payer: UHC Core	$19,430.00
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$11,590.17
Rate for Payer: UHC Exchange	$15,868.00
Rate for Payer: VA VA	$11,590.17

FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC

Facility

$16,303.67

Service Code	MSDRG 563
Min. Negotiated Rate	$7,124.65
Max. Negotiated Rate	$16,303.67
Rate for Payer: Aetna Medicare	$7,799.62
Rate for Payer: Allen County Amish Medical Aid Commercial	$9,374.54
Rate for Payer: Amish Plain Church Group Commercial	$9,374.54
Rate for Payer: BCBS MAPPO	$7,499.63
Rate for Payer: BCBS Trust/PPO	$16,303.67
Rate for Payer: BCN Commercial	$16,303.67
Rate for Payer: BCN Medicare Advantage	$7,499.63
Rate for Payer: Health Alliance Plan Medicare Advantage	$7,499.63
Rate for Payer: Mclaren Medicare	$7,499.63
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$7,874.61
Rate for Payer: MI Amish Medical Board Commercial	$8,624.57
Rate for Payer: Molina Medicare/Medicaid	$8,249.59
Rate for Payer: Nomi Health Commercial	$11,551.95
Rate for Payer: PACE Medicare	$7,124.65
Rate for Payer: PACE SWMI	$7,499.63
Rate for Payer: PHP Medicare Advantage	$7,499.63
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$14,437.38
Rate for Payer: Priority Health Medicare	$7,499.63
Rate for Payer: Priority Health Tiered Network	$11,549.90
Rate for Payer: Railroad Medicare Medicare	$7,499.63
Rate for Payer: UHC All Payor (Choice/PPO)	$14,596.65
Rate for Payer: UHC Core	$12,211.93
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$7,499.63
Rate for Payer: UHC Exchange	$9,973.18
Rate for Payer: VA VA	$7,499.63

FRAXEL ARMS - BILATERAL

Professional

Both

$1,051.00

Hospital Revenue Code	960
Min. Negotiated Rate	$420.40
Max. Negotiated Rate	$788.25
Rate for Payer: Aetna Medicare	$525.50
Rate for Payer: BCBS Complete	$420.40
Rate for Payer: Cash Price	$840.80
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$683.15
Rate for Payer: Opus (Opus Packaging Group) HMA	$788.25

FRAXEL CHEST

Professional

Both

$840.00

Hospital Revenue Code	960
Min. Negotiated Rate	$336.00
Max. Negotiated Rate	$630.00
Rate for Payer: Aetna Medicare	$420.00
Rate for Payer: BCBS Complete	$336.00
Rate for Payer: Cash Price	$672.00
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$546.00
Rate for Payer: Opus (Opus Packaging Group) HMA	$630.00

FRAXEL FACE & NECK

Professional

Both

$1,051.00

Hospital Revenue Code	960
Min. Negotiated Rate	$420.40
Max. Negotiated Rate	$788.25
Rate for Payer: Aetna Medicare	$525.50
Rate for Payer: BCBS Complete	$420.40
Rate for Payer: Cash Price	$840.80
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$683.15
Rate for Payer: Opus (Opus Packaging Group) HMA	$788.25

FRAXEL FULL FACE

Professional

Both

$630.00

Hospital Revenue Code	960
Min. Negotiated Rate	$252.00
Max. Negotiated Rate	$472.50
Rate for Payer: Aetna Medicare	$315.00
Rate for Payer: BCBS Complete	$252.00
Rate for Payer: Cash Price	$504.00
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$409.50
Rate for Payer: Opus (Opus Packaging Group) HMA	$472.50

FRAXEL HANDS

Professional

Both

$368.00

Hospital Revenue Code	960
Min. Negotiated Rate	$147.20
Max. Negotiated Rate	$276.00
Rate for Payer: Aetna Medicare	$184.00
Rate for Payer: BCBS Complete	$147.20
Rate for Payer: Cash Price	$294.40
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$239.20
Rate for Payer: Opus (Opus Packaging Group) HMA	$276.00

FRAXEL LARGE SCAR

Professional

Both

$840.00

Hospital Revenue Code	960
Min. Negotiated Rate	$336.00
Max. Negotiated Rate	$630.00
Rate for Payer: Aetna Medicare	$420.00
Rate for Payer: BCBS Complete	$336.00
Rate for Payer: Cash Price	$672.00
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$546.00
Rate for Payer: Opus (Opus Packaging Group) HMA	$630.00

FRAXEL MEDIUM SCAR

Professional

Both

$315.00

Hospital Revenue Code	960
Min. Negotiated Rate	$126.00
Max. Negotiated Rate	$236.25
Rate for Payer: Aetna Medicare	$157.50
Rate for Payer: BCBS Complete	$126.00
Rate for Payer: Cash Price	$252.00
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$204.75
Rate for Payer: Opus (Opus Packaging Group) HMA	$236.25

FRAXEL NECK

Professional

Both

$420.00

Hospital Revenue Code	960
Min. Negotiated Rate	$168.00
Max. Negotiated Rate	$315.00
Rate for Payer: Aetna Medicare	$210.00
Rate for Payer: BCBS Complete	$168.00
Rate for Payer: Cash Price	$336.00
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$273.00
Rate for Payer: Opus (Opus Packaging Group) HMA	$315.00

FRAXEL NECK & CHEST

Professional

Both

$1,261.00

Hospital Revenue Code	960
Min. Negotiated Rate	$504.40
Max. Negotiated Rate	$945.75
Rate for Payer: Aetna Medicare	$630.50
Rate for Payer: BCBS Complete	$504.40
Rate for Payer: Cash Price	$1,008.80
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$819.65
Rate for Payer: Opus (Opus Packaging Group) HMA	$945.75

FRAXEL PARTIAL TREATMENT - BILATERAL EYES

Professional

Both

$315.00

Hospital Revenue Code	960
Min. Negotiated Rate	$126.00
Max. Negotiated Rate	$236.25
Rate for Payer: Aetna Medicare	$157.50
Rate for Payer: BCBS Complete	$126.00
Rate for Payer: Cash Price	$252.00
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$204.75
Rate for Payer: Opus (Opus Packaging Group) HMA	$236.25

FRAXEL PARTIAL TREATMENT - PERI-ORAL

Professional

Both

$525.00

Hospital Revenue Code	960
Min. Negotiated Rate	$210.00
Max. Negotiated Rate	$393.75
Rate for Payer: Aetna Medicare	$262.50
Rate for Payer: BCBS Complete	$210.00
Rate for Payer: Cash Price	$420.00
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$341.25
Rate for Payer: Opus (Opus Packaging Group) HMA	$393.75

FRAXEL PARTIAL TREATMENT - UPPER LIP

Professional

Both

$263.00

Hospital Revenue Code	960
Min. Negotiated Rate	$105.20
Max. Negotiated Rate	$197.25
Rate for Payer: Aetna Medicare	$131.50
Rate for Payer: BCBS Complete	$105.20
Rate for Payer: Cash Price	$210.40
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$170.95
Rate for Payer: Opus (Opus Packaging Group) HMA	$197.25

FRAXEL RESTORE

Professional

Both

$263.00

Hospital Revenue Code	960
Min. Negotiated Rate	$105.20
Max. Negotiated Rate	$197.25
Rate for Payer: Aetna Medicare	$131.50
Rate for Payer: BCBS Complete	$105.20
Rate for Payer: Cash Price	$210.40
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$170.95
Rate for Payer: Opus (Opus Packaging Group) HMA	$197.25

FRAXEL SMALL SCAR

Professional

Both

$132.00

Hospital Revenue Code	960
Min. Negotiated Rate	$52.80
Max. Negotiated Rate	$99.00
Rate for Payer: Aetna Medicare	$66.00
Rate for Payer: BCBS Complete	$52.80
Rate for Payer: Cash Price	$105.60
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$85.80
Rate for Payer: Opus (Opus Packaging Group) HMA	$99.00

FRAXEL STRETCH MARKS - ENTIRE ABDOMEN

Professional

Both

$840.00

Hospital Revenue Code	960
Min. Negotiated Rate	$336.00
Max. Negotiated Rate	$630.00
Rate for Payer: Aetna Medicare	$420.00
Rate for Payer: BCBS Complete	$336.00
Rate for Payer: Cash Price	$672.00
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$546.00
Rate for Payer: Opus (Opus Packaging Group) HMA	$630.00

FRAXEL STRETCH MARKS - PERI-UMBILICAL

Professional

Both

$630.00

Hospital Revenue Code	960
Min. Negotiated Rate	$252.00
Max. Negotiated Rate	$472.50
Rate for Payer: Aetna Medicare	$315.00
Rate for Payer: BCBS Complete	$252.00
Rate for Payer: Cash Price	$504.00
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$409.50
Rate for Payer: Opus (Opus Packaging Group) HMA	$472.50

Know your out-of-pocket cost for care.

All Charges