Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

INSULIN SUBCUTANEOUS BASAL PUMP - REGULAR HUMAN (U-500)

Facility

$5,065.60

Service Code	NDC 00002850101
Hospital Charge Code	180916
Hospital Revenue Code	637
Min. Negotiated Rate	$3,191.33
Max. Negotiated Rate	$4,559.04
Rate for Payer: Aetna Commercial	$4,305.76
Rate for Payer: Aetna New Business (MI Preferred)	$3,292.64
Rate for Payer: Cash Price	$4,052.48
Rate for Payer: Cofinity Advantage	$3,545.92
Rate for Payer: Cofinity Commercial	$4,356.42
Rate for Payer: Encore Health Key Benefits Commercial	$4,052.48
Rate for Payer: Healthscope Commercial	$4,559.04
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$4,305.76
Rate for Payer: Opus (Opus Packaging Group) HMA	$3,799.20
Rate for Payer: PHP Commercial	$4,305.76
Rate for Payer: Priority Health SBD	$3,191.33

INSULIN SUBCUTANEOUS CONTINUOUS BASAL PUMP - ASPARTATE (NOVOLOG)

Facility

$137.64

Service Code	NDC 00169750111
Hospital Charge Code	180912
Hospital Revenue Code	637
Min. Negotiated Rate	$54.09
Max. Negotiated Rate	$123.88
Rate for Payer: Aetna Commercial	$116.99
Rate for Payer: Aetna Medicare	$68.82
Rate for Payer: Aetna New Business (MI Preferred)	$89.47
Rate for Payer: BCBS Complete	$55.06
Rate for Payer: Cash Price	$110.11
Rate for Payer: Cofinity Advantage	$96.35
Rate for Payer: Cofinity Commercial	$118.37
Rate for Payer: Encore Health Key Benefits Commercial	$110.11
Rate for Payer: Healthscope Commercial	$123.88
Rate for Payer: MI Amish Medical Board Commercial	$110.11
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$116.99
Rate for Payer: Opus (Opus Packaging Group) HMA	$103.23
Rate for Payer: PHP Commercial	$116.99
Rate for Payer: Priority Health SBD	$86.71
Rate for Payer: UHC All Payor (Choice/PPO)	$89.47
Rate for Payer: UHC Core	$71.71
Rate for Payer: UHC Exchange	$54.09

INSULIN SUBCUTANEOUS CONTINUOUS BASAL PUMP - ASPARTATE (NOVOLOG)

Facility

$137.64

Service Code	NDC 00169750111
Hospital Charge Code	180912
Hospital Revenue Code	637
Min. Negotiated Rate	$86.71
Max. Negotiated Rate	$123.88
Rate for Payer: Aetna Commercial	$116.99
Rate for Payer: Aetna New Business (MI Preferred)	$89.47
Rate for Payer: Cash Price	$110.11
Rate for Payer: Cofinity Advantage	$96.35
Rate for Payer: Cofinity Commercial	$118.37
Rate for Payer: Encore Health Key Benefits Commercial	$110.11
Rate for Payer: Healthscope Commercial	$123.88
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$116.99
Rate for Payer: Opus (Opus Packaging Group) HMA	$103.23
Rate for Payer: PHP Commercial	$116.99
Rate for Payer: Priority Health SBD	$86.71

INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION

Facility

$141.16

Service Code	NDC 00169183311
Hospital Charge Code	10289
Hospital Revenue Code	637
Min. Negotiated Rate	$88.93
Max. Negotiated Rate	$127.04
Rate for Payer: Aetna Commercial	$119.99
Rate for Payer: Aetna New Business (MI Preferred)	$91.75
Rate for Payer: Cash Price	$112.93
Rate for Payer: Cofinity Advantage	$98.81
Rate for Payer: Cofinity Commercial	$121.40
Rate for Payer: Encore Health Key Benefits Commercial	$112.93
Rate for Payer: Healthscope Commercial	$127.04
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$119.99
Rate for Payer: Opus (Opus Packaging Group) HMA	$105.87
Rate for Payer: PHP Commercial	$119.99
Rate for Payer: Priority Health SBD	$88.93

INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION

Facility

$81.55

Service Code	NDC 00002821501
Hospital Charge Code	10289
Hospital Revenue Code	637
Min. Negotiated Rate	$51.38
Max. Negotiated Rate	$73.39
Rate for Payer: Aetna Commercial	$69.32
Rate for Payer: Aetna New Business (MI Preferred)	$53.01
Rate for Payer: Cash Price	$65.24
Rate for Payer: Cofinity Advantage	$57.09
Rate for Payer: Cofinity Commercial	$70.13
Rate for Payer: Encore Health Key Benefits Commercial	$65.24
Rate for Payer: Healthscope Commercial	$73.39
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$69.32
Rate for Payer: Opus (Opus Packaging Group) HMA	$61.16
Rate for Payer: PHP Commercial	$69.32
Rate for Payer: Priority Health SBD	$51.38

INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION

Facility

$81.55

Service Code	NDC 00002821501
Hospital Charge Code	10289
Hospital Revenue Code	637
Min. Negotiated Rate	$32.05
Max. Negotiated Rate	$73.39
Rate for Payer: Aetna Commercial	$69.32
Rate for Payer: Aetna Medicare	$40.77
Rate for Payer: Aetna New Business (MI Preferred)	$53.01
Rate for Payer: BCBS Complete	$32.62
Rate for Payer: Cash Price	$65.24
Rate for Payer: Cofinity Advantage	$57.09
Rate for Payer: Cofinity Commercial	$70.13
Rate for Payer: Encore Health Key Benefits Commercial	$65.24
Rate for Payer: Healthscope Commercial	$73.39
Rate for Payer: MI Amish Medical Board Commercial	$65.24
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$69.32
Rate for Payer: Opus (Opus Packaging Group) HMA	$61.16
Rate for Payer: PHP Commercial	$69.32
Rate for Payer: Priority Health SBD	$51.38
Rate for Payer: UHC All Payor (Choice/PPO)	$53.01
Rate for Payer: UHC Core	$42.49
Rate for Payer: UHC Exchange	$32.05

INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION

Facility

$81.55

Service Code	NDC 09900000758
Hospital Charge Code	10289
Hospital Revenue Code	637
Min. Negotiated Rate	$51.38
Max. Negotiated Rate	$73.39
Rate for Payer: Aetna Commercial	$69.32
Rate for Payer: Aetna New Business (MI Preferred)	$53.01
Rate for Payer: Cash Price	$65.24
Rate for Payer: Cofinity Advantage	$57.09
Rate for Payer: Cofinity Commercial	$70.13
Rate for Payer: Encore Health Key Benefits Commercial	$65.24
Rate for Payer: Healthscope Commercial	$73.39
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$69.32
Rate for Payer: Opus (Opus Packaging Group) HMA	$61.16
Rate for Payer: PHP Commercial	$69.32
Rate for Payer: Priority Health SBD	$51.38

INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION

Facility

$141.16

Service Code	NDC 00169183311
Hospital Charge Code	10289
Hospital Revenue Code	637
Min. Negotiated Rate	$55.48
Max. Negotiated Rate	$127.04
Rate for Payer: Aetna Commercial	$119.99
Rate for Payer: Aetna Medicare	$70.58
Rate for Payer: Aetna New Business (MI Preferred)	$91.75
Rate for Payer: BCBS Complete	$56.46
Rate for Payer: Cash Price	$112.93
Rate for Payer: Cofinity Advantage	$98.81
Rate for Payer: Cofinity Commercial	$121.40
Rate for Payer: Encore Health Key Benefits Commercial	$112.93
Rate for Payer: Healthscope Commercial	$127.04
Rate for Payer: MI Amish Medical Board Commercial	$112.93
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$119.99
Rate for Payer: Opus (Opus Packaging Group) HMA	$105.87
Rate for Payer: PHP Commercial	$119.99
Rate for Payer: Priority Health SBD	$88.93
Rate for Payer: UHC All Payor (Choice/PPO)	$91.75
Rate for Payer: UHC Core	$73.54
Rate for Payer: UHC Exchange	$55.48

INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION

Facility

$81.55

Service Code	NDC 09900000758
Hospital Charge Code	10289
Hospital Revenue Code	637
Min. Negotiated Rate	$32.05
Max. Negotiated Rate	$73.39
Rate for Payer: Aetna Commercial	$69.32
Rate for Payer: Aetna Medicare	$40.77
Rate for Payer: Aetna New Business (MI Preferred)	$53.01
Rate for Payer: BCBS Complete	$32.62
Rate for Payer: Cash Price	$65.24
Rate for Payer: Cofinity Advantage	$57.09
Rate for Payer: Cofinity Commercial	$70.13
Rate for Payer: Encore Health Key Benefits Commercial	$65.24
Rate for Payer: Healthscope Commercial	$73.39
Rate for Payer: MI Amish Medical Board Commercial	$65.24
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$69.32
Rate for Payer: Opus (Opus Packaging Group) HMA	$61.16
Rate for Payer: PHP Commercial	$69.32
Rate for Payer: Priority Health SBD	$51.38
Rate for Payer: UHC All Payor (Choice/PPO)	$53.01
Rate for Payer: UHC Core	$42.49
Rate for Payer: UHC Exchange	$32.05

INSULIN U-100 REGULAR HUMAN 100 UNIT/ML SQ FOR INSULIN PUMP REFILL

Facility

$141.16

Service Code	NDC 00169183311
Hospital Charge Code	301806
Hospital Revenue Code	637
Min. Negotiated Rate	$88.93
Max. Negotiated Rate	$127.04
Rate for Payer: PHP Commercial	$119.99
Rate for Payer: Aetna Commercial	$119.99
Rate for Payer: Aetna New Business (MI Preferred)	$91.75
Rate for Payer: Cash Price	$112.93
Rate for Payer: Cofinity Advantage	$98.81
Rate for Payer: Cofinity Commercial	$121.40
Rate for Payer: Encore Health Key Benefits Commercial	$112.93
Rate for Payer: Healthscope Commercial	$127.04
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$119.99
Rate for Payer: Opus (Opus Packaging Group) HMA	$105.87
Rate for Payer: Priority Health SBD	$88.93

INSULIN U-100 REGULAR HUMAN 100 UNIT/ML SQ FOR INSULIN PUMP REFILL

Facility

$141.16

Service Code	NDC 00169183311
Hospital Charge Code	301806
Hospital Revenue Code	637
Min. Negotiated Rate	$55.48
Max. Negotiated Rate	$127.04
Rate for Payer: Aetna Commercial	$119.99
Rate for Payer: Aetna Medicare	$70.58
Rate for Payer: Aetna New Business (MI Preferred)	$91.75
Rate for Payer: BCBS Complete	$56.46
Rate for Payer: Cash Price	$112.93
Rate for Payer: Cofinity Advantage	$98.81
Rate for Payer: Cofinity Commercial	$121.40
Rate for Payer: Encore Health Key Benefits Commercial	$112.93
Rate for Payer: Healthscope Commercial	$127.04
Rate for Payer: MI Amish Medical Board Commercial	$112.93
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$119.99
Rate for Payer: Opus (Opus Packaging Group) HMA	$105.87
Rate for Payer: PHP Commercial	$119.99
Rate for Payer: Priority Health SBD	$88.93
Rate for Payer: UHC All Payor (Choice/PPO)	$91.75
Rate for Payer: UHC Core	$73.54
Rate for Payer: UHC Exchange	$55.48

INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE

Facility

$2,581.00

Service Code	APR-DRG 8171
Min. Negotiated Rate	$2,458.09
Max. Negotiated Rate	$2,581.00
Rate for Payer: BCBS Complete	$2,581.00
Rate for Payer: Mclaren Medicaid	$2,458.09
Rate for Payer: Meridian Medicaid	$2,581.00
Rate for Payer: Priority Health Choice Medicaid	$2,458.09
Rate for Payer: UHC Medicaid	$2,458.09
Rate for Payer: UHCCP Medicaid	$2,458.09

INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE

Facility

$3,729.32

Service Code	APR-DRG 8172
Min. Negotiated Rate	$3,551.73
Max. Negotiated Rate	$3,729.32
Rate for Payer: BCBS Complete	$3,729.32
Rate for Payer: Mclaren Medicaid	$3,551.73
Rate for Payer: Meridian Medicaid	$3,729.32
Rate for Payer: Priority Health Choice Medicaid	$3,551.73
Rate for Payer: UHC Medicaid	$3,551.73
Rate for Payer: UHCCP Medicaid	$3,551.73

INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE

Facility

$6,703.60

Service Code	APR-DRG 8173
Min. Negotiated Rate	$6,384.38
Max. Negotiated Rate	$6,703.60
Rate for Payer: BCBS Complete	$6,703.60
Rate for Payer: Mclaren Medicaid	$6,384.38
Rate for Payer: Meridian Medicaid	$6,703.60
Rate for Payer: Priority Health Choice Medicaid	$6,384.38
Rate for Payer: UHC Medicaid	$6,384.38
Rate for Payer: UHCCP Medicaid	$6,384.38

INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE

Facility

$11,450.52

Service Code	APR-DRG 8174
Min. Negotiated Rate	$10,905.26
Max. Negotiated Rate	$11,450.52
Rate for Payer: BCBS Complete	$11,450.52
Rate for Payer: Mclaren Medicaid	$10,905.26
Rate for Payer: Meridian Medicaid	$11,450.52
Rate for Payer: Priority Health Choice Medicaid	$10,905.26
Rate for Payer: UHC Medicaid	$10,905.26
Rate for Payer: UHCCP Medicaid	$10,905.26

INTERFERON BETA-1A (ALBUMIN) 44 MCG/0.5 ML SUBCUTANEOUS SYRINGE

Facility

$2,971.24

Service Code	NDC 44087004403
Hospital Charge Code	22532
Hospital Revenue Code	250
Min. Negotiated Rate	$1,167.70
Max. Negotiated Rate	$2,674.12
Rate for Payer: Aetna Commercial	$2,525.55
Rate for Payer: Aetna Medicare	$1,485.62
Rate for Payer: Aetna New Business (MI Preferred)	$1,931.31
Rate for Payer: BCBS Complete	$1,188.50
Rate for Payer: Cash Price	$2,376.99
Rate for Payer: Cofinity Advantage	$2,079.87
Rate for Payer: Cofinity Commercial	$2,555.27
Rate for Payer: Encore Health Key Benefits Commercial	$2,376.99
Rate for Payer: Healthscope Commercial	$2,674.12
Rate for Payer: MI Amish Medical Board Commercial	$2,376.99
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$2,525.55
Rate for Payer: Opus (Opus Packaging Group) HMA	$2,228.43
Rate for Payer: PHP Commercial	$2,525.55
Rate for Payer: Priority Health SBD	$1,871.88
Rate for Payer: UHC All Payor (Choice/PPO)	$1,931.31
Rate for Payer: UHC Core	$1,548.02
Rate for Payer: UHC Exchange	$1,167.70

INTERFERON BETA-1A (ALBUMIN) 44 MCG/0.5 ML SUBCUTANEOUS SYRINGE

Facility

$2,971.24

Service Code	NDC 44087004403
Hospital Charge Code	22532
Hospital Revenue Code	250
Min. Negotiated Rate	$1,871.88
Max. Negotiated Rate	$2,674.12
Rate for Payer: Aetna Commercial	$2,525.55
Rate for Payer: Aetna New Business (MI Preferred)	$1,931.31
Rate for Payer: Cash Price	$2,376.99
Rate for Payer: Cofinity Advantage	$2,079.87
Rate for Payer: Cofinity Commercial	$2,555.27
Rate for Payer: Encore Health Key Benefits Commercial	$2,376.99
Rate for Payer: Healthscope Commercial	$2,674.12
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$2,525.55
Rate for Payer: Opus (Opus Packaging Group) HMA	$2,228.43
Rate for Payer: PHP Commercial	$2,525.55
Rate for Payer: Priority Health SBD	$1,871.88

INTERSTITIAL AND ALVEOLAR LUNG DISEASES

Facility

$5,358.06

Service Code	APR-DRG 1422
Min. Negotiated Rate	$5,102.92
Max. Negotiated Rate	$5,358.06
Rate for Payer: BCBS Complete	$5,358.06
Rate for Payer: Mclaren Medicaid	$5,102.92
Rate for Payer: Meridian Medicaid	$5,358.06
Rate for Payer: Priority Health Choice Medicaid	$5,102.92
Rate for Payer: UHC Medicaid	$5,102.92
Rate for Payer: UHCCP Medicaid	$5,102.92

INTERSTITIAL AND ALVEOLAR LUNG DISEASES

Facility

$10,753.96

Service Code	APR-DRG 1424
Min. Negotiated Rate	$10,241.87
Max. Negotiated Rate	$10,753.96
Rate for Payer: BCBS Complete	$10,753.96
Rate for Payer: Mclaren Medicaid	$10,241.87
Rate for Payer: Meridian Medicaid	$10,753.96
Rate for Payer: Priority Health Choice Medicaid	$10,241.87
Rate for Payer: UHC Medicaid	$10,241.87
Rate for Payer: UHCCP Medicaid	$10,241.87

INTERSTITIAL AND ALVEOLAR LUNG DISEASES

Facility

$3,509.17

Service Code	APR-DRG 1421
Min. Negotiated Rate	$3,342.07
Max. Negotiated Rate	$3,509.17
Rate for Payer: BCBS Complete	$3,509.17
Rate for Payer: Mclaren Medicaid	$3,342.07
Rate for Payer: Meridian Medicaid	$3,509.17
Rate for Payer: Priority Health Choice Medicaid	$3,342.07
Rate for Payer: UHC Medicaid	$3,342.07
Rate for Payer: UHCCP Medicaid	$3,342.07

INTERSTITIAL AND ALVEOLAR LUNG DISEASES

Facility

$7,587.63

Service Code	APR-DRG 1423
Min. Negotiated Rate	$7,226.31
Max. Negotiated Rate	$7,587.63
Rate for Payer: BCBS Complete	$7,587.63
Rate for Payer: Mclaren Medicaid	$7,226.31
Rate for Payer: Meridian Medicaid	$7,587.63
Rate for Payer: Priority Health Choice Medicaid	$7,226.31
Rate for Payer: UHC Medicaid	$7,226.31
Rate for Payer: UHCCP Medicaid	$7,226.31

INTERSTITIAL LUNG DISEASE WITH CC

Facility

$19,538.66

Service Code	MSDRG 197
Min. Negotiated Rate	$7,518.18
Max. Negotiated Rate	$19,538.66
Rate for Payer: Aetna Medicare	$8,230.42
Rate for Payer: Allen County Amish Medical Aid Commercial	$9,892.34
Rate for Payer: Amish Plain Church Group Commercial	$9,892.34
Rate for Payer: BCBS MAPPO	$7,913.87
Rate for Payer: BCBS Trust/PPO	$19,538.66
Rate for Payer: BCN Commercial	$19,538.66
Rate for Payer: BCN Medicare Advantage	$7,913.87
Rate for Payer: Health Alliance Plan Medicare Advantage	$7,913.87
Rate for Payer: Mclaren Medicare	$7,913.87
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$8,309.56
Rate for Payer: MI Amish Medical Board Commercial	$9,100.95
Rate for Payer: Molina Medicare/Medicaid	$8,705.26
Rate for Payer: Nomi Health Commercial	$12,243.39
Rate for Payer: PACE Medicare	$7,518.18
Rate for Payer: PACE SWMI	$7,913.87
Rate for Payer: PHP Medicare Advantage	$7,913.87
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$15,301.52
Rate for Payer: Priority Health Medicare	$7,913.87
Rate for Payer: Priority Health Tiered Network	$12,241.22
Rate for Payer: Railroad Medicare Medicare	$7,913.87
Rate for Payer: UHC All Payor (Choice/PPO)	$15,470.33
Rate for Payer: UHC Core	$12,942.88
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$7,913.87
Rate for Payer: UHC Exchange	$10,570.13
Rate for Payer: VA VA	$7,913.87

INTERSTITIAL LUNG DISEASE WITH MCC

Facility

$30,761.36

Service Code	MSDRG 196
Min. Negotiated Rate	$14,405.52
Max. Negotiated Rate	$30,761.36
Rate for Payer: Aetna Medicare	$15,770.26
Rate for Payer: Allen County Amish Medical Aid Commercial	$18,954.64
Rate for Payer: Amish Plain Church Group Commercial	$18,954.64
Rate for Payer: BCBS MAPPO	$15,163.71
Rate for Payer: BCBS Trust/PPO	$23,831.68
Rate for Payer: BCN Commercial	$23,831.68
Rate for Payer: BCN Medicare Advantage	$15,163.71
Rate for Payer: Health Alliance Plan Medicare Advantage	$15,163.71
Rate for Payer: Mclaren Medicare	$15,163.71
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$15,921.90
Rate for Payer: MI Amish Medical Board Commercial	$17,438.27
Rate for Payer: Molina Medicare/Medicaid	$16,680.08
Rate for Payer: Nomi Health Commercial	$24,344.88
Rate for Payer: PACE Medicare	$14,405.52
Rate for Payer: PACE SWMI	$15,163.71
Rate for Payer: PHP Medicare Advantage	$15,163.71
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$30,425.70
Rate for Payer: Priority Health Medicare	$15,163.71
Rate for Payer: Priority Health Tiered Network	$24,340.56
Rate for Payer: Railroad Medicare Medicare	$15,163.71
Rate for Payer: UHC All Payor (Choice/PPO)	$30,761.36
Rate for Payer: UHC Core	$25,735.75
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$15,163.71
Rate for Payer: UHC Exchange	$21,017.75
Rate for Payer: VA VA	$15,163.71

INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC

Facility

$12,888.44

Service Code	MSDRG 198
Min. Negotiated Rate	$5,808.25
Max. Negotiated Rate	$12,888.44
Rate for Payer: Aetna Medicare	$6,358.51
Rate for Payer: Allen County Amish Medical Aid Commercial	$7,642.44
Rate for Payer: Amish Plain Church Group Commercial	$7,642.44
Rate for Payer: BCBS MAPPO	$6,113.95
Rate for Payer: BCBS Trust/PPO	$12,888.44
Rate for Payer: BCN Commercial	$12,888.44
Rate for Payer: BCN Medicare Advantage	$6,113.95
Rate for Payer: Health Alliance Plan Medicare Advantage	$6,113.95
Rate for Payer: Mclaren Medicare	$6,113.95
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$6,419.65
Rate for Payer: MI Amish Medical Board Commercial	$7,031.04
Rate for Payer: Molina Medicare/Medicaid	$6,725.35
Rate for Payer: Nomi Health Commercial	$9,238.98
Rate for Payer: PACE Medicare	$5,808.25
Rate for Payer: PACE SWMI	$6,113.95
Rate for Payer: PHP Medicare Advantage	$6,113.95
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$11,546.68
Rate for Payer: Priority Health Medicare	$6,113.95
Rate for Payer: Priority Health Tiered Network	$9,237.34
Rate for Payer: Railroad Medicare Medicare	$6,113.95
Rate for Payer: UHC All Payor (Choice/PPO)	$11,674.06
Rate for Payer: UHC Core	$9,766.82
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$6,113.95
Rate for Payer: UHC Exchange	$7,976.32
Rate for Payer: VA VA	$6,113.95

INTESTINAL OBSTRUCTION

Facility

$11,109.41

Service Code	APR-DRG 2474
Min. Negotiated Rate	$10,580.39
Max. Negotiated Rate	$11,109.41
Rate for Payer: BCBS Complete	$11,109.41
Rate for Payer: Mclaren Medicaid	$10,580.39
Rate for Payer: Meridian Medicaid	$11,109.41
Rate for Payer: Priority Health Choice Medicaid	$10,580.39
Rate for Payer: UHC Medicaid	$10,580.39
Rate for Payer: UHCCP Medicaid	$10,580.39

Know your out-of-pocket cost for care.

All Charges