Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE

Facility

$4,491.81

Service Code	APR-DRG 0551
Min. Negotiated Rate	$4,277.91
Max. Negotiated Rate	$4,491.81
Rate for Payer: BCBS Complete	$4,491.81
Rate for Payer: Mclaren Medicaid	$4,277.91
Rate for Payer: Meridian Medicaid	$4,491.81
Rate for Payer: Priority Health Choice Medicaid	$4,277.91
Rate for Payer: UHC Medicaid	$4,277.91
Rate for Payer: UHCCP Medicaid	$4,277.91

HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE

Facility

$10,666.25

Service Code	APR-DRG 0553
Min. Negotiated Rate	$10,158.33
Max. Negotiated Rate	$10,666.25
Rate for Payer: BCBS Complete	$10,666.25
Rate for Payer: Mclaren Medicaid	$10,158.33
Rate for Payer: Meridian Medicaid	$10,666.25
Rate for Payer: Priority Health Choice Medicaid	$10,158.33
Rate for Payer: UHC Medicaid	$10,158.33
Rate for Payer: UHCCP Medicaid	$10,158.33

HEARING AID RESTOCKING FEE

Professional

Both

$137.00

Hospital Revenue Code	990
Min. Negotiated Rate	$54.80
Max. Negotiated Rate	$102.75
Rate for Payer: Aetna Medicare	$68.50
Rate for Payer: BCBS Complete	$54.80
Rate for Payer: Cash Price	$109.60
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$89.05
Rate for Payer: Opus (Opus Packaging Group) HMA	$102.75

HEART FAILURE

Facility

$5,948.56

Service Code	APR-DRG 1943
Min. Negotiated Rate	$5,665.30
Max. Negotiated Rate	$5,948.56
Rate for Payer: BCBS Complete	$5,948.56
Rate for Payer: Mclaren Medicaid	$5,665.30
Rate for Payer: Meridian Medicaid	$5,948.56
Rate for Payer: Priority Health Choice Medicaid	$5,665.30
Rate for Payer: UHC Medicaid	$5,665.30
Rate for Payer: UHCCP Medicaid	$5,665.30

HEART FAILURE

Facility

$13,931.76

Service Code	APR-DRG 1944
Min. Negotiated Rate	$13,268.35
Max. Negotiated Rate	$13,931.76
Rate for Payer: BCBS Complete	$13,931.76
Rate for Payer: Mclaren Medicaid	$13,268.35
Rate for Payer: Meridian Medicaid	$13,931.76
Rate for Payer: Priority Health Choice Medicaid	$13,268.35
Rate for Payer: UHC Medicaid	$13,268.35
Rate for Payer: UHCCP Medicaid	$13,268.35

HEART FAILURE

Facility

$3,234.56

Service Code	APR-DRG 1941
Min. Negotiated Rate	$3,080.53
Max. Negotiated Rate	$3,234.56
Rate for Payer: BCBS Complete	$3,234.56
Rate for Payer: Mclaren Medicaid	$3,080.53
Rate for Payer: Meridian Medicaid	$3,234.56
Rate for Payer: Priority Health Choice Medicaid	$3,080.53
Rate for Payer: UHC Medicaid	$3,080.53
Rate for Payer: UHCCP Medicaid	$3,080.53

HEART FAILURE

Facility

$4,385.17

Service Code	APR-DRG 1942
Min. Negotiated Rate	$4,176.35
Max. Negotiated Rate	$4,385.17
Rate for Payer: BCBS Complete	$4,385.17
Rate for Payer: Mclaren Medicaid	$4,176.35
Rate for Payer: Meridian Medicaid	$4,385.17
Rate for Payer: Priority Health Choice Medicaid	$4,176.35
Rate for Payer: UHC Medicaid	$4,176.35
Rate for Payer: UHCCP Medicaid	$4,176.35

HEART FAILURE AND SHOCK WITH CC

Facility

$14,159.50

Service Code	MSDRG 292
Min. Negotiated Rate	$6,783.25
Max. Negotiated Rate	$14,159.50
Rate for Payer: Aetna Medicare	$7,425.87
Rate for Payer: Allen County Amish Medical Aid Commercial	$8,925.33
Rate for Payer: Amish Plain Church Group Commercial	$8,925.33
Rate for Payer: BCBS MAPPO	$7,140.26
Rate for Payer: BCBS Trust/PPO	$14,159.50
Rate for Payer: BCN Commercial	$14,159.50
Rate for Payer: BCN Medicare Advantage	$7,140.26
Rate for Payer: Health Alliance Plan Medicare Advantage	$7,140.26
Rate for Payer: Mclaren Medicare	$7,140.26
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$7,497.27
Rate for Payer: MI Amish Medical Board Commercial	$8,211.30
Rate for Payer: Molina Medicare/Medicaid	$7,854.29
Rate for Payer: Nomi Health Commercial	$10,952.10
Rate for Payer: PACE Medicare	$6,783.25
Rate for Payer: PACE SWMI	$7,140.26
Rate for Payer: PHP Medicare Advantage	$7,140.26
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$13,687.70
Rate for Payer: Priority Health Medicare	$7,140.26
Rate for Payer: Priority Health Tiered Network	$10,950.16
Rate for Payer: Railroad Medicare Medicare	$7,140.26
Rate for Payer: UHC All Payor (Choice/PPO)	$13,838.70
Rate for Payer: UHC Core	$11,577.81
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$7,140.26
Rate for Payer: UHC Exchange	$9,455.31
Rate for Payer: VA VA	$7,140.26

HEART FAILURE AND SHOCK WITH MCC

Facility

$21,053.16

Service Code	MSDRG 291
Min. Negotiated Rate	$9,975.48
Max. Negotiated Rate	$21,053.16
Rate for Payer: Aetna Medicare	$10,920.52
Rate for Payer: Allen County Amish Medical Aid Commercial	$13,125.62
Rate for Payer: Amish Plain Church Group Commercial	$13,125.62
Rate for Payer: BCBS MAPPO	$10,500.50
Rate for Payer: BCBS Trust/PPO	$21,053.16
Rate for Payer: BCN Commercial	$21,053.16
Rate for Payer: BCN Medicare Advantage	$10,500.50
Rate for Payer: Health Alliance Plan Medicare Advantage	$10,500.50
Rate for Payer: Mclaren Medicare	$10,500.50
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$11,025.52
Rate for Payer: MI Amish Medical Board Commercial	$12,075.58
Rate for Payer: Molina Medicare/Medicaid	$11,550.55
Rate for Payer: Nomi Health Commercial	$16,561.02
Rate for Payer: PACE Medicare	$9,975.48
Rate for Payer: PACE SWMI	$10,500.50
Rate for Payer: PHP Medicare Advantage	$10,500.50
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$20,697.60
Rate for Payer: Priority Health Medicare	$10,500.50
Rate for Payer: Priority Health Tiered Network	$16,558.08
Rate for Payer: Railroad Medicare Medicare	$10,500.50
Rate for Payer: UHC All Payor (Choice/PPO)	$20,925.94
Rate for Payer: UHC Core	$17,507.18
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$10,500.50
Rate for Payer: UHC Exchange	$14,297.68
Rate for Payer: VA VA	$10,500.50

HEART FAILURE AND SHOCK WITHOUT CC/MCC

Facility

$9,283.61

Service Code	MSDRG 293
Min. Negotiated Rate	$4,705.51
Max. Negotiated Rate	$9,283.61
Rate for Payer: Aetna Medicare	$5,151.30
Rate for Payer: Allen County Amish Medical Aid Commercial	$6,191.46
Rate for Payer: Amish Plain Church Group Commercial	$6,191.46
Rate for Payer: BCBS MAPPO	$4,953.17
Rate for Payer: BCBS Trust/PPO	$9,283.61
Rate for Payer: BCN Commercial	$9,283.61
Rate for Payer: BCN Medicare Advantage	$4,953.17
Rate for Payer: Health Alliance Plan Medicare Advantage	$4,953.17
Rate for Payer: Mclaren Medicare	$4,953.17
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$5,200.83
Rate for Payer: MI Amish Medical Board Commercial	$5,696.15
Rate for Payer: Molina Medicare/Medicaid	$5,448.49
Rate for Payer: Nomi Health Commercial	$7,301.40
Rate for Payer: PACE Medicare	$4,705.51
Rate for Payer: PACE SWMI	$4,953.17
Rate for Payer: PHP Medicare Advantage	$4,953.17
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$9,125.13
Rate for Payer: Priority Health Medicare	$4,953.17
Rate for Payer: Priority Health Tiered Network	$7,300.10
Rate for Payer: Railroad Medicare Medicare	$4,953.17
Rate for Payer: UHC All Payor (Choice/PPO)	$9,225.80
Rate for Payer: UHC Core	$7,718.54
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$4,953.17
Rate for Payer: UHC Exchange	$6,303.54
Rate for Payer: VA VA	$4,953.17

HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC

Facility

$573,659.86

Service Code	MSDRG 001
Min. Negotiated Rate	$206,296.37
Max. Negotiated Rate	$573,659.86
Rate for Payer: Aetna Medicare	$225,840.23
Rate for Payer: Allen County Amish Medical Aid Commercial	$271,442.59
Rate for Payer: Amish Plain Church Group Commercial	$271,442.59
Rate for Payer: BCBS MAPPO	$217,154.07
Rate for Payer: BCBS Trust/PPO	$573,659.86
Rate for Payer: BCN Commercial	$573,659.86
Rate for Payer: BCN Medicare Advantage	$217,154.07
Rate for Payer: Health Alliance Plan Medicare Advantage	$217,154.07
Rate for Payer: Mclaren Medicare	$217,154.07
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$228,011.77
Rate for Payer: MI Amish Medical Board Commercial	$249,727.18
Rate for Payer: Molina Medicare/Medicaid	$238,869.48
Rate for Payer: Nomi Health Commercial	$361,508.31
Rate for Payer: PACE Medicare	$206,296.37
Rate for Payer: PACE SWMI	$217,154.07
Rate for Payer: PHP Medicare Advantage	$217,154.07
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$451,805.24
Rate for Payer: Priority Health Medicare	$217,154.07
Rate for Payer: Priority Health Tiered Network	$361,444.14
Rate for Payer: Railroad Medicare Medicare	$217,154.07
Rate for Payer: VA VA	$217,154.07

HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC

Facility

$211,226.77

Service Code	MSDRG 002
Min. Negotiated Rate	$83,746.03
Max. Negotiated Rate	$211,226.77
Rate for Payer: Aetna Medicare	$91,679.87
Rate for Payer: Allen County Amish Medical Aid Commercial	$110,192.15
Rate for Payer: Amish Plain Church Group Commercial	$110,192.15
Rate for Payer: BCBS MAPPO	$88,153.72
Rate for Payer: BCBS Trust/PPO	$211,226.77
Rate for Payer: BCN Commercial	$211,226.77
Rate for Payer: BCN Medicare Advantage	$88,153.72
Rate for Payer: Health Alliance Plan Medicare Advantage	$88,153.72
Rate for Payer: Mclaren Medicare	$88,153.72
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$92,561.41
Rate for Payer: MI Amish Medical Board Commercial	$101,376.78
Rate for Payer: Molina Medicare/Medicaid	$96,969.09
Rate for Payer: Nomi Health Commercial	$146,180.22
Rate for Payer: PACE Medicare	$83,746.03
Rate for Payer: PACE SWMI	$88,153.72
Rate for Payer: PHP Medicare Advantage	$88,153.72
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$182,692.87
Rate for Payer: Priority Health Medicare	$88,153.72
Rate for Payer: Priority Health Tiered Network	$146,154.27
Rate for Payer: Railroad Medicare Medicare	$88,153.72
Rate for Payer: VA VA	$88,153.72

HEMIN 350 MG INTRAVENOUS POWDER FOR SOLUTION

Facility

$29,710.62

Service Code	HCPCS J1640
Hospital Charge Code	183624
Hospital Revenue Code	636
Min. Negotiated Rate	$18,717.69
Max. Negotiated Rate	$26,739.56
Rate for Payer: Aetna Commercial	$25,254.03
Rate for Payer: Aetna New Business (MI Preferred)	$19,311.90
Rate for Payer: Cash Price	$23,768.50
Rate for Payer: Cofinity Advantage	$20,797.43
Rate for Payer: Cofinity Commercial	$25,551.13
Rate for Payer: Encore Health Key Benefits Commercial	$23,768.50
Rate for Payer: Healthscope Commercial	$26,739.56
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$25,254.03
Rate for Payer: Opus (Opus Packaging Group) HMA	$22,282.97
Rate for Payer: PHP Commercial	$25,254.03
Rate for Payer: Priority Health SBD	$18,717.69

HEMIN 350 MG INTRAVENOUS POWDER FOR SOLUTION

Facility

$29,710.62

Service Code	HCPCS J1640
Hospital Charge Code	183624
Hospital Revenue Code	636
Min. Negotiated Rate	$18.47
Max. Negotiated Rate	$26,739.56
Rate for Payer: Aetna Commercial	$25,254.03
Rate for Payer: Aetna Medicare	$36.72
Rate for Payer: Aetna New Business (MI Preferred)	$19,311.90
Rate for Payer: Allen County Amish Medical Aid Commercial	$44.14
Rate for Payer: Amish Plain Church Group Commercial	$44.14
Rate for Payer: BCBS Complete	$19.39
Rate for Payer: BCBS MAPPO	$35.31
Rate for Payer: BCBS Trust/PPO	$88.57
Rate for Payer: BCN Commercial	$88.57
Rate for Payer: BCN Medicare Advantage	$35.31
Rate for Payer: Cash Price	$23,768.50
Rate for Payer: Cash Price	$23,768.50
Rate for Payer: Cofinity Advantage	$20,797.43
Rate for Payer: Cofinity Commercial	$25,551.13
Rate for Payer: Encore Health Key Benefits Commercial	$23,768.50
Rate for Payer: Health Alliance Plan Medicare Advantage	$35.31
Rate for Payer: Healthscope Commercial	$26,739.56
Rate for Payer: Mclaren Medicaid	$18.47
Rate for Payer: Mclaren Medicare	$35.31
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$37.08
Rate for Payer: Meridian Medicaid	$37.08
Rate for Payer: MI Amish Medical Board Commercial	$40.61
Rate for Payer: Molina Medicare/Medicaid	$38.84
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$25,254.03
Rate for Payer: Nomi Health Commercial	$105.93
Rate for Payer: Opus (Opus Packaging Group) HMA	$22,282.97
Rate for Payer: PACE Medicare	$33.54
Rate for Payer: PACE SWMI	$35.31
Rate for Payer: PHP Commercial	$25,254.03
Rate for Payer: PHP Medicare Advantage	$35.31
Rate for Payer: Priority Health Choice Medicaid	$18.47
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$107.80
Rate for Payer: Priority Health Medicare	$35.31
Rate for Payer: Priority Health SBD	$18,717.69
Rate for Payer: Priority Health Tiered Network	$86.24
Rate for Payer: Railroad Medicare Medicare	$35.31
Rate for Payer: UHC All Payor (Choice/PPO)	$58.26
Rate for Payer: UHC Core	$58.26
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$35.31
Rate for Payer: UHC Exchange	$58.26
Rate for Payer: UHC Medicaid	$18.47
Rate for Payer: UHCCP Medicaid	$18.47
Rate for Payer: VA VA	$35.31

HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION

Facility

$4,632.84

Service Code	APR-DRG 8102
Min. Negotiated Rate	$4,412.23
Max. Negotiated Rate	$4,632.84
Rate for Payer: BCBS Complete	$4,632.84
Rate for Payer: Mclaren Medicaid	$4,412.23
Rate for Payer: Meridian Medicaid	$4,632.84
Rate for Payer: Priority Health Choice Medicaid	$4,412.23
Rate for Payer: UHC Medicaid	$4,412.23
Rate for Payer: UHCCP Medicaid	$4,412.23

HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION

Facility

$3,330.30

Service Code	APR-DRG 8101
Min. Negotiated Rate	$3,171.71
Max. Negotiated Rate	$3,330.30
Rate for Payer: BCBS Complete	$3,330.30
Rate for Payer: Mclaren Medicaid	$3,171.71
Rate for Payer: Meridian Medicaid	$3,330.30
Rate for Payer: Priority Health Choice Medicaid	$3,171.71
Rate for Payer: UHC Medicaid	$3,171.71
Rate for Payer: UHCCP Medicaid	$3,171.71

HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION

Facility

$13,654.86

Service Code	APR-DRG 8104
Min. Negotiated Rate	$13,004.63
Max. Negotiated Rate	$13,654.86
Rate for Payer: BCBS Complete	$13,654.86
Rate for Payer: Mclaren Medicaid	$13,004.63
Rate for Payer: Meridian Medicaid	$13,654.86
Rate for Payer: Priority Health Choice Medicaid	$13,004.63
Rate for Payer: UHC Medicaid	$13,004.63
Rate for Payer: UHCCP Medicaid	$13,004.63

HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION

Facility

$7,206.95

Service Code	APR-DRG 8103
Min. Negotiated Rate	$6,863.77
Max. Negotiated Rate	$7,206.95
Rate for Payer: BCBS Complete	$7,206.95
Rate for Payer: Mclaren Medicaid	$6,863.77
Rate for Payer: Meridian Medicaid	$7,206.95
Rate for Payer: Priority Health Choice Medicaid	$6,863.77
Rate for Payer: UHC Medicaid	$6,863.77
Rate for Payer: UHCCP Medicaid	$6,863.77

HEMORRHOIDECTOMY, EXTERNAL, 2 OR MORE COLUMNS/GROUPS

Facility

$8,943.95

Service Code	CPT 46250
Hospital Revenue Code	360
Min. Negotiated Rate	$1,446.45
Max. Negotiated Rate	$8,943.95
Rate for Payer: Aetna Medicare	$2,876.31
Rate for Payer: Allen County Amish Medical Aid Commercial	$3,457.10
Rate for Payer: Amish Plain Church Group Commercial	$3,457.10
Rate for Payer: BCBS Complete	$1,518.91
Rate for Payer: BCBS MAPPO	$2,765.68
Rate for Payer: BCBS Trust/PPO	$2,199.69
Rate for Payer: BCN Commercial	$2,199.69
Rate for Payer: BCN Medicare Advantage	$2,765.68
Rate for Payer: Health Alliance Plan Medicare Advantage	$2,765.68
Rate for Payer: Mclaren Medicaid	$1,446.45
Rate for Payer: Mclaren Medicare	$2,765.68
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$2,903.96
Rate for Payer: Meridian Medicaid	$2,903.96
Rate for Payer: MI Amish Medical Board Commercial	$3,180.53
Rate for Payer: Molina Medicare/Medicaid	$3,042.25
Rate for Payer: Nomi Health Commercial	$8,297.04
Rate for Payer: PACE Medicare	$2,627.40
Rate for Payer: PACE SWMI	$2,765.68
Rate for Payer: PHP Medicare Advantage	$2,765.68
Rate for Payer: Priority Health Choice Medicaid	$1,446.45
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$8,943.95
Rate for Payer: Priority Health Medicare	$2,765.68
Rate for Payer: Priority Health Tiered Network	$7,155.16
Rate for Payer: Railroad Medicare Medicare	$2,765.68
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$2,765.68
Rate for Payer: UHC Medicaid	$1,446.45
Rate for Payer: UHCCP Medicaid	$1,446.45
Rate for Payer: VA VA	$2,765.68

HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL, 2 OR MORE COLUMNS/GROUPS;

Facility

$8,943.95

Service Code	CPT 46260
Hospital Revenue Code	360
Min. Negotiated Rate	$1,446.45
Max. Negotiated Rate	$8,943.95
Rate for Payer: Aetna Medicare	$2,876.31
Rate for Payer: Allen County Amish Medical Aid Commercial	$3,457.10
Rate for Payer: Amish Plain Church Group Commercial	$3,457.10
Rate for Payer: BCBS Complete	$1,518.91
Rate for Payer: BCBS MAPPO	$2,765.68
Rate for Payer: BCBS Trust/PPO	$2,124.41
Rate for Payer: BCN Commercial	$2,124.41
Rate for Payer: BCN Medicare Advantage	$2,765.68
Rate for Payer: Health Alliance Plan Medicare Advantage	$2,765.68
Rate for Payer: Mclaren Medicaid	$1,446.45
Rate for Payer: Mclaren Medicare	$2,765.68
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$2,903.96
Rate for Payer: Meridian Medicaid	$2,903.96
Rate for Payer: MI Amish Medical Board Commercial	$3,180.53
Rate for Payer: Molina Medicare/Medicaid	$3,042.25
Rate for Payer: Nomi Health Commercial	$8,297.04
Rate for Payer: PACE Medicare	$2,627.40
Rate for Payer: PACE SWMI	$2,765.68
Rate for Payer: PHP Medicare Advantage	$2,765.68
Rate for Payer: Priority Health Choice Medicaid	$1,446.45
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$8,943.95
Rate for Payer: Priority Health Medicare	$2,765.68
Rate for Payer: Priority Health Tiered Network	$7,155.16
Rate for Payer: Railroad Medicare Medicare	$2,765.68
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$2,765.68
Rate for Payer: UHC Medicaid	$1,446.45
Rate for Payer: UHCCP Medicaid	$1,446.45
Rate for Payer: VA VA	$2,765.68

HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL, 2 OR MORE COLUMNS/GROUPS; WITH FISSURECTOMY

Facility

$8,943.95

Service Code	CPT 46261
Hospital Revenue Code	360
Min. Negotiated Rate	$1,275.55
Max. Negotiated Rate	$8,943.95
Rate for Payer: Aetna Medicare	$2,876.31
Rate for Payer: Allen County Amish Medical Aid Commercial	$3,457.10
Rate for Payer: Amish Plain Church Group Commercial	$3,457.10
Rate for Payer: BCBS Complete	$1,518.91
Rate for Payer: BCBS MAPPO	$2,765.68
Rate for Payer: BCBS Trust/PPO	$1,275.55
Rate for Payer: BCN Commercial	$1,275.55
Rate for Payer: BCN Medicare Advantage	$2,765.68
Rate for Payer: Health Alliance Plan Medicare Advantage	$2,765.68
Rate for Payer: Mclaren Medicaid	$1,446.45
Rate for Payer: Mclaren Medicare	$2,765.68
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$2,903.96
Rate for Payer: Meridian Medicaid	$2,903.96
Rate for Payer: MI Amish Medical Board Commercial	$3,180.53
Rate for Payer: Molina Medicare/Medicaid	$3,042.25
Rate for Payer: Nomi Health Commercial	$8,297.04
Rate for Payer: PACE Medicare	$2,627.40
Rate for Payer: PACE SWMI	$2,765.68
Rate for Payer: PHP Medicare Advantage	$2,765.68
Rate for Payer: Priority Health Choice Medicaid	$1,446.45
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$8,943.95
Rate for Payer: Priority Health Medicare	$2,765.68
Rate for Payer: Priority Health Tiered Network	$7,155.16
Rate for Payer: Railroad Medicare Medicare	$2,765.68
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$2,765.68
Rate for Payer: UHC Medicaid	$1,446.45
Rate for Payer: UHCCP Medicaid	$1,446.45
Rate for Payer: VA VA	$2,765.68

HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL, 2 OR MORE COLUMNS/GROUPS; WITH FISTULECTOMY, INCLUDING FISSURECTOMY, WHEN PERFORMED

Facility

$8,943.95

Service Code	CPT 46262
Hospital Revenue Code	360
Min. Negotiated Rate	$1,446.45
Max. Negotiated Rate	$8,943.95
Rate for Payer: Aetna Medicare	$2,876.31
Rate for Payer: Allen County Amish Medical Aid Commercial	$3,457.10
Rate for Payer: Amish Plain Church Group Commercial	$3,457.10
Rate for Payer: BCBS Complete	$1,518.91
Rate for Payer: BCBS MAPPO	$2,765.68
Rate for Payer: BCBS Trust/PPO	$1,488.14
Rate for Payer: BCN Commercial	$1,488.14
Rate for Payer: BCN Medicare Advantage	$2,765.68
Rate for Payer: Health Alliance Plan Medicare Advantage	$2,765.68
Rate for Payer: Mclaren Medicaid	$1,446.45
Rate for Payer: Mclaren Medicare	$2,765.68
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$2,903.96
Rate for Payer: Meridian Medicaid	$2,903.96
Rate for Payer: MI Amish Medical Board Commercial	$3,180.53
Rate for Payer: Molina Medicare/Medicaid	$3,042.25
Rate for Payer: Nomi Health Commercial	$8,297.04
Rate for Payer: PACE Medicare	$2,627.40
Rate for Payer: PACE SWMI	$2,765.68
Rate for Payer: PHP Medicare Advantage	$2,765.68
Rate for Payer: Priority Health Choice Medicaid	$1,446.45
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$8,943.95
Rate for Payer: Priority Health Medicare	$2,765.68
Rate for Payer: Priority Health Tiered Network	$7,155.16
Rate for Payer: Railroad Medicare Medicare	$2,765.68
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$2,765.68
Rate for Payer: UHC Medicaid	$1,446.45
Rate for Payer: UHCCP Medicaid	$1,446.45
Rate for Payer: VA VA	$2,765.68

HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL, SINGLE COLUMN/GROUP;

Facility

$8,943.95

Service Code	CPT 46255
Hospital Revenue Code	360
Min. Negotiated Rate	$1,446.45
Max. Negotiated Rate	$8,943.95
Rate for Payer: Aetna Medicare	$2,876.31
Rate for Payer: Allen County Amish Medical Aid Commercial	$3,457.10
Rate for Payer: Amish Plain Church Group Commercial	$3,457.10
Rate for Payer: BCBS Complete	$1,518.91
Rate for Payer: BCBS MAPPO	$2,765.68
Rate for Payer: BCBS Trust/PPO	$2,091.48
Rate for Payer: BCN Commercial	$2,091.48
Rate for Payer: BCN Medicare Advantage	$2,765.68
Rate for Payer: Health Alliance Plan Medicare Advantage	$2,765.68
Rate for Payer: Mclaren Medicaid	$1,446.45
Rate for Payer: Mclaren Medicare	$2,765.68
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$2,903.96
Rate for Payer: Meridian Medicaid	$2,903.96
Rate for Payer: MI Amish Medical Board Commercial	$3,180.53
Rate for Payer: Molina Medicare/Medicaid	$3,042.25
Rate for Payer: Nomi Health Commercial	$8,297.04
Rate for Payer: PACE Medicare	$2,627.40
Rate for Payer: PACE SWMI	$2,765.68
Rate for Payer: PHP Medicare Advantage	$2,765.68
Rate for Payer: Priority Health Choice Medicaid	$1,446.45
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$8,943.95
Rate for Payer: Priority Health Medicare	$2,765.68
Rate for Payer: Priority Health Tiered Network	$7,155.16
Rate for Payer: Railroad Medicare Medicare	$2,765.68
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$2,765.68
Rate for Payer: UHC Medicaid	$1,446.45
Rate for Payer: UHCCP Medicaid	$1,446.45
Rate for Payer: VA VA	$2,765.68

HEMORRHOIDECTOMY, INTERNAL, BY RUBBER BAND LIGATION(S)

Facility

$2,996.60

Service Code	CPT 46221
Hospital Revenue Code	360
Min. Negotiated Rate	$468.60
Max. Negotiated Rate	$2,996.60
Rate for Payer: Aetna Medicare	$963.67
Rate for Payer: Allen County Amish Medical Aid Commercial	$1,158.26
Rate for Payer: Amish Plain Church Group Commercial	$1,158.26
Rate for Payer: BCBS Complete	$508.89
Rate for Payer: BCBS MAPPO	$926.61
Rate for Payer: BCBS Trust/PPO	$468.60
Rate for Payer: BCN Commercial	$468.60
Rate for Payer: BCN Medicare Advantage	$926.61
Rate for Payer: Health Alliance Plan Medicare Advantage	$926.61
Rate for Payer: Mclaren Medicaid	$484.62
Rate for Payer: Mclaren Medicare	$926.61
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$972.94
Rate for Payer: Meridian Medicaid	$972.94
Rate for Payer: MI Amish Medical Board Commercial	$1,065.60
Rate for Payer: Molina Medicare/Medicaid	$1,019.27
Rate for Payer: Nomi Health Commercial	$2,779.83
Rate for Payer: PACE Medicare	$880.28
Rate for Payer: PACE SWMI	$926.61
Rate for Payer: PHP Medicare Advantage	$926.61
Rate for Payer: Priority Health Choice Medicaid	$484.62
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$2,996.60
Rate for Payer: Priority Health Medicare	$926.61
Rate for Payer: Priority Health Tiered Network	$2,397.28
Rate for Payer: Railroad Medicare Medicare	$926.61
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$926.61
Rate for Payer: UHC Medicaid	$484.62
Rate for Payer: UHCCP Medicaid	$484.62
Rate for Payer: VA VA	$926.61

HEPARIN 1,000 UNIT/ML FOR FLUSH MIXTURES

Facility

$20.16

Service Code	HCPCS J1644
Hospital Charge Code	168888
Hospital Revenue Code	636
Min. Negotiated Rate	$12.70
Max. Negotiated Rate	$18.14
Rate for Payer: Aetna Commercial	$17.14
Rate for Payer: Aetna New Business (MI Preferred)	$13.10
Rate for Payer: Cash Price	$16.13
Rate for Payer: Cofinity Advantage	$14.11
Rate for Payer: Cofinity Commercial	$17.34
Rate for Payer: Encore Health Key Benefits Commercial	$16.13
Rate for Payer: Healthscope Commercial	$18.14
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$17.14
Rate for Payer: Opus (Opus Packaging Group) HMA	$15.12
Rate for Payer: PHP Commercial	$17.14
Rate for Payer: Priority Health SBD	$12.70

Know your out-of-pocket cost for care.

All Charges