Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$11,263.05

Service Code	APR-DRG 5003
Min. Negotiated Rate	$10,726.72
Max. Negotiated Rate	$11,263.05
Rate for Payer: BCBS Complete	$11,263.05
Rate for Payer: Mclaren Medicaid	$10,726.72
Rate for Payer: Meridian Medicaid	$11,263.05
Rate for Payer: Priority Health Choice Medicaid	$10,726.72
Rate for Payer: UHC Medicaid	$10,726.72
Rate for Payer: UHCCP Medicaid	$10,726.72

MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$17,925.94

Service Code	APR-DRG 5004
Min. Negotiated Rate	$17,072.33
Max. Negotiated Rate	$17,925.94
Rate for Payer: BCBS Complete	$17,925.94
Rate for Payer: Mclaren Medicaid	$17,072.33
Rate for Payer: Meridian Medicaid	$17,925.94
Rate for Payer: Priority Health Choice Medicaid	$17,072.33
Rate for Payer: UHC Medicaid	$17,072.33
Rate for Payer: UHCCP Medicaid	$17,072.33

MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$7,484.43

Service Code	APR-DRG 5002
Min. Negotiated Rate	$7,128.03
Max. Negotiated Rate	$7,484.43
Rate for Payer: BCBS Complete	$7,484.43
Rate for Payer: Mclaren Medicaid	$7,128.03
Rate for Payer: Meridian Medicaid	$7,484.43
Rate for Payer: Priority Health Choice Medicaid	$7,128.03
Rate for Payer: UHC Medicaid	$7,128.03
Rate for Payer: UHCCP Medicaid	$7,128.03

MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$4,308.35

Service Code	APR-DRG 5001
Min. Negotiated Rate	$4,103.19
Max. Negotiated Rate	$4,308.35
Rate for Payer: BCBS Complete	$4,308.35
Rate for Payer: Mclaren Medicaid	$4,103.19
Rate for Payer: Meridian Medicaid	$4,308.35
Rate for Payer: Priority Health Choice Medicaid	$4,103.19
Rate for Payer: UHC Medicaid	$4,103.19
Rate for Payer: UHCCP Medicaid	$4,103.19

MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC

Facility

$19,215.63

Service Code	MSDRG 723
Min. Negotiated Rate	$8,939.54
Max. Negotiated Rate	$19,215.63
Rate for Payer: Aetna Medicare	$9,786.44
Rate for Payer: Allen County Amish Medical Aid Commercial	$11,762.55
Rate for Payer: Amish Plain Church Group Commercial	$11,762.55
Rate for Payer: BCBS MAPPO	$9,410.04
Rate for Payer: BCBS Trust/PPO	$19,215.63
Rate for Payer: BCN Commercial	$19,215.63
Rate for Payer: BCN Medicare Advantage	$9,410.04
Rate for Payer: Health Alliance Plan Medicare Advantage	$9,410.04
Rate for Payer: Mclaren Medicare	$9,410.04
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$9,880.54
Rate for Payer: MI Amish Medical Board Commercial	$10,821.55
Rate for Payer: Molina Medicare/Medicaid	$10,351.04
Rate for Payer: Nomi Health Commercial	$14,740.83
Rate for Payer: PACE Medicare	$8,939.54
Rate for Payer: PACE SWMI	$9,410.04
Rate for Payer: PHP Medicare Advantage	$9,410.04
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$18,422.77
Rate for Payer: Priority Health Medicare	$9,410.04
Rate for Payer: Priority Health Tiered Network	$14,738.21
Rate for Payer: Railroad Medicare Medicare	$9,410.04
Rate for Payer: UHC All Payor (Choice/PPO)	$18,626.01
Rate for Payer: UHC Core	$15,583.00
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$9,410.04
Rate for Payer: UHC Exchange	$12,726.25
Rate for Payer: VA VA	$9,410.04

MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC

Facility

$29,498.11

Service Code	MSDRG 722
Min. Negotiated Rate	$13,836.54
Max. Negotiated Rate	$29,498.11
Rate for Payer: Aetna Medicare	$15,147.37
Rate for Payer: Allen County Amish Medical Aid Commercial	$18,205.97
Rate for Payer: Amish Plain Church Group Commercial	$18,205.97
Rate for Payer: BCBS MAPPO	$14,564.78
Rate for Payer: BCBS Trust/PPO	$23,983.84
Rate for Payer: BCN Commercial	$23,983.84
Rate for Payer: BCN Medicare Advantage	$14,564.78
Rate for Payer: Health Alliance Plan Medicare Advantage	$14,564.78
Rate for Payer: Mclaren Medicare	$14,564.78
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$15,293.02
Rate for Payer: MI Amish Medical Board Commercial	$16,749.50
Rate for Payer: Molina Medicare/Medicaid	$16,021.26
Rate for Payer: Nomi Health Commercial	$23,345.13
Rate for Payer: PACE Medicare	$13,836.54
Rate for Payer: PACE SWMI	$14,564.78
Rate for Payer: PHP Medicare Advantage	$14,564.78
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$29,176.24
Rate for Payer: Priority Health Medicare	$14,564.78
Rate for Payer: Priority Health Tiered Network	$23,340.99
Rate for Payer: Railroad Medicare Medicare	$14,564.78
Rate for Payer: UHC All Payor (Choice/PPO)	$29,498.11
Rate for Payer: UHC Core	$24,678.88
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$14,564.78
Rate for Payer: UHC Exchange	$20,154.63
Rate for Payer: VA VA	$14,564.78

MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC

Facility

$14,768.11

Service Code	MSDRG 724
Min. Negotiated Rate	$5,364.08
Max. Negotiated Rate	$14,768.11
Rate for Payer: Aetna Medicare	$5,872.26
Rate for Payer: Allen County Amish Medical Aid Commercial	$7,058.00
Rate for Payer: Amish Plain Church Group Commercial	$7,058.00
Rate for Payer: BCBS MAPPO	$5,646.40
Rate for Payer: BCBS Trust/PPO	$14,768.11
Rate for Payer: BCN Commercial	$14,768.11
Rate for Payer: BCN Medicare Advantage	$5,646.40
Rate for Payer: Health Alliance Plan Medicare Advantage	$5,646.40
Rate for Payer: Mclaren Medicare	$5,646.40
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$5,928.72
Rate for Payer: MI Amish Medical Board Commercial	$6,493.36
Rate for Payer: Molina Medicare/Medicaid	$6,211.04
Rate for Payer: Nomi Health Commercial	$7,890.93
Rate for Payer: PACE Medicare	$5,364.08
Rate for Payer: PACE SWMI	$5,646.40
Rate for Payer: PHP Medicare Advantage	$5,646.40
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$10,571.29
Rate for Payer: Priority Health Medicare	$5,646.40
Rate for Payer: Priority Health Tiered Network	$8,457.03
Rate for Payer: Railroad Medicare Medicare	$5,646.40
Rate for Payer: UHC All Payor (Choice/PPO)	$9,970.71
Rate for Payer: UHC Core	$8,341.75
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$5,646.40
Rate for Payer: UHC Exchange	$6,812.50
Rate for Payer: VA VA	$5,646.40

MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS

Facility

$11,938.97

Service Code	APR-DRG 2814
Min. Negotiated Rate	$11,370.45
Max. Negotiated Rate	$11,938.97
Rate for Payer: BCBS Complete	$11,938.97
Rate for Payer: Mclaren Medicaid	$11,370.45
Rate for Payer: Meridian Medicaid	$11,938.97
Rate for Payer: Priority Health Choice Medicaid	$11,370.45
Rate for Payer: UHC Medicaid	$11,370.45
Rate for Payer: UHCCP Medicaid	$11,370.45

MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS

Facility

$4,888.53

Service Code	APR-DRG 2811
Min. Negotiated Rate	$4,655.74
Max. Negotiated Rate	$4,888.53
Rate for Payer: BCBS Complete	$4,888.53
Rate for Payer: Mclaren Medicaid	$4,655.74
Rate for Payer: Meridian Medicaid	$4,888.53
Rate for Payer: Priority Health Choice Medicaid	$4,655.74
Rate for Payer: UHC Medicaid	$4,655.74
Rate for Payer: UHCCP Medicaid	$4,655.74

MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS

Facility

$7,881.16

Service Code	APR-DRG 2813
Min. Negotiated Rate	$7,505.86
Max. Negotiated Rate	$7,881.16
Rate for Payer: BCBS Complete	$7,881.16
Rate for Payer: Mclaren Medicaid	$7,505.86
Rate for Payer: Meridian Medicaid	$7,881.16
Rate for Payer: Priority Health Choice Medicaid	$7,505.86
Rate for Payer: UHC Medicaid	$7,505.86
Rate for Payer: UHCCP Medicaid	$7,505.86

MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS

Facility

$5,151.67

Service Code	APR-DRG 2812
Min. Negotiated Rate	$4,906.36
Max. Negotiated Rate	$5,151.67
Rate for Payer: BCBS Complete	$5,151.67
Rate for Payer: Mclaren Medicaid	$4,906.36
Rate for Payer: Meridian Medicaid	$5,151.67
Rate for Payer: Priority Health Choice Medicaid	$4,906.36
Rate for Payer: UHC Medicaid	$4,906.36
Rate for Payer: UHCCP Medicaid	$4,906.36

MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC

Facility

$21,116.36

Service Code	MSDRG 436
Min. Negotiated Rate	$8,854.38
Max. Negotiated Rate	$21,116.36
Rate for Payer: Aetna Medicare	$9,693.22
Rate for Payer: Allen County Amish Medical Aid Commercial	$11,650.50
Rate for Payer: Amish Plain Church Group Commercial	$11,650.50
Rate for Payer: BCBS MAPPO	$9,320.40
Rate for Payer: BCBS Trust/PPO	$21,116.36
Rate for Payer: BCN Commercial	$21,116.36
Rate for Payer: BCN Medicare Advantage	$9,320.40
Rate for Payer: Health Alliance Plan Medicare Advantage	$9,320.40
Rate for Payer: Mclaren Medicare	$9,320.40
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$9,786.42
Rate for Payer: MI Amish Medical Board Commercial	$10,718.46
Rate for Payer: Molina Medicare/Medicaid	$10,252.44
Rate for Payer: Nomi Health Commercial	$14,591.19
Rate for Payer: PACE Medicare	$8,854.38
Rate for Payer: PACE SWMI	$9,320.40
Rate for Payer: PHP Medicare Advantage	$9,320.40
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$18,235.75
Rate for Payer: Priority Health Medicare	$9,320.40
Rate for Payer: Priority Health Tiered Network	$14,588.60
Rate for Payer: Railroad Medicare Medicare	$9,320.40
Rate for Payer: UHC All Payor (Choice/PPO)	$18,436.93
Rate for Payer: UHC Core	$15,424.81
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$9,320.40
Rate for Payer: UHC Exchange	$12,597.06
Rate for Payer: VA VA	$9,320.40

MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC

Facility

$32,860.15

Service Code	MSDRG 435
Min. Negotiated Rate	$14,034.77
Max. Negotiated Rate	$32,860.15
Rate for Payer: Aetna Medicare	$15,364.38
Rate for Payer: Allen County Amish Medical Aid Commercial	$18,466.80
Rate for Payer: Amish Plain Church Group Commercial	$18,466.80
Rate for Payer: BCBS MAPPO	$14,773.44
Rate for Payer: BCBS Trust/PPO	$32,860.15
Rate for Payer: BCN Commercial	$32,860.15
Rate for Payer: BCN Medicare Advantage	$14,773.44
Rate for Payer: Health Alliance Plan Medicare Advantage	$14,773.44
Rate for Payer: Mclaren Medicare	$14,773.44
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$15,512.11
Rate for Payer: MI Amish Medical Board Commercial	$16,989.46
Rate for Payer: Molina Medicare/Medicaid	$16,250.78
Rate for Payer: Nomi Health Commercial	$23,693.43
Rate for Payer: PACE Medicare	$14,034.77
Rate for Payer: PACE SWMI	$14,773.44
Rate for Payer: PHP Medicare Advantage	$14,773.44
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$29,611.53
Rate for Payer: Priority Health Medicare	$14,773.44
Rate for Payer: Priority Health Tiered Network	$23,689.22
Rate for Payer: Railroad Medicare Medicare	$14,773.44
Rate for Payer: UHC All Payor (Choice/PPO)	$29,938.21
Rate for Payer: UHC Core	$25,047.08
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$14,773.44
Rate for Payer: UHC Exchange	$20,455.33
Rate for Payer: VA VA	$14,773.44

MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC

Facility

$17,759.65

Service Code	MSDRG 437
Min. Negotiated Rate	$6,814.82
Max. Negotiated Rate	$17,759.65
Rate for Payer: Aetna Medicare	$7,460.44
Rate for Payer: Allen County Amish Medical Aid Commercial	$8,966.88
Rate for Payer: Amish Plain Church Group Commercial	$8,966.88
Rate for Payer: BCBS MAPPO	$7,173.50
Rate for Payer: BCBS Trust/PPO	$17,759.65
Rate for Payer: BCN Commercial	$17,759.65
Rate for Payer: BCN Medicare Advantage	$7,173.50
Rate for Payer: Health Alliance Plan Medicare Advantage	$7,173.50
Rate for Payer: Mclaren Medicare	$7,173.50
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$7,532.18
Rate for Payer: MI Amish Medical Board Commercial	$8,249.52
Rate for Payer: Molina Medicare/Medicaid	$7,890.85
Rate for Payer: Nomi Health Commercial	$11,007.57
Rate for Payer: PACE Medicare	$6,814.82
Rate for Payer: PACE SWMI	$7,173.50
Rate for Payer: PHP Medicare Advantage	$7,173.50
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$13,757.02
Rate for Payer: Priority Health Medicare	$7,173.50
Rate for Payer: Priority Health Tiered Network	$11,005.62
Rate for Payer: Railroad Medicare Medicare	$7,173.50
Rate for Payer: UHC All Payor (Choice/PPO)	$13,908.79
Rate for Payer: UHC Core	$11,636.45
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$7,173.50
Rate for Payer: UHC Exchange	$9,503.20
Rate for Payer: VA VA	$7,173.50

MALIGNANT BREAST DISORDERS

Facility

$16,615.38

Service Code	APR-DRG 3824
Min. Negotiated Rate	$15,824.17
Max. Negotiated Rate	$16,615.38
Rate for Payer: BCBS Complete	$16,615.38
Rate for Payer: Mclaren Medicaid	$15,824.17
Rate for Payer: Meridian Medicaid	$16,615.38
Rate for Payer: Priority Health Choice Medicaid	$15,824.17
Rate for Payer: UHC Medicaid	$15,824.17
Rate for Payer: UHCCP Medicaid	$15,824.17

MALIGNANT BREAST DISORDERS

Facility

$5,188.36

Service Code	APR-DRG 3822
Min. Negotiated Rate	$4,941.30
Max. Negotiated Rate	$5,188.36
Rate for Payer: BCBS Complete	$5,188.36
Rate for Payer: Mclaren Medicaid	$4,941.30
Rate for Payer: Meridian Medicaid	$5,188.36
Rate for Payer: Priority Health Choice Medicaid	$4,941.30
Rate for Payer: UHC Medicaid	$4,941.30
Rate for Payer: UHCCP Medicaid	$4,941.30

MALIGNANT BREAST DISORDERS

Facility

$9,401.55

Service Code	APR-DRG 3823
Min. Negotiated Rate	$8,953.85
Max. Negotiated Rate	$9,401.55
Rate for Payer: BCBS Complete	$9,401.55
Rate for Payer: Mclaren Medicaid	$8,953.85
Rate for Payer: Meridian Medicaid	$9,401.55
Rate for Payer: Priority Health Choice Medicaid	$8,953.85
Rate for Payer: UHC Medicaid	$8,953.85
Rate for Payer: UHCCP Medicaid	$8,953.85

MALIGNANT BREAST DISORDERS

Facility

$4,638.57

Service Code	APR-DRG 3821
Min. Negotiated Rate	$4,417.69
Max. Negotiated Rate	$4,638.57
Rate for Payer: BCBS Complete	$4,638.57
Rate for Payer: Mclaren Medicaid	$4,417.69
Rate for Payer: Meridian Medicaid	$4,638.57
Rate for Payer: Priority Health Choice Medicaid	$4,417.69
Rate for Payer: UHC Medicaid	$4,417.69
Rate for Payer: UHCCP Medicaid	$4,417.69

MALIGNANT BREAST DISORDERS WITH CC

Facility

$18,440.19

Service Code	MSDRG 598
Min. Negotiated Rate	$8,855.85
Max. Negotiated Rate	$18,440.19
Rate for Payer: Aetna Medicare	$9,694.83
Rate for Payer: Allen County Amish Medical Aid Commercial	$11,652.44
Rate for Payer: Amish Plain Church Group Commercial	$11,652.44
Rate for Payer: BCBS MAPPO	$9,321.95
Rate for Payer: BCBS Trust/PPO	$16,837.37
Rate for Payer: BCN Commercial	$16,837.37
Rate for Payer: BCN Medicare Advantage	$9,321.95
Rate for Payer: Health Alliance Plan Medicare Advantage	$9,321.95
Rate for Payer: Mclaren Medicare	$9,321.95
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$9,788.05
Rate for Payer: MI Amish Medical Board Commercial	$10,720.24
Rate for Payer: Molina Medicare/Medicaid	$10,254.15
Rate for Payer: Nomi Health Commercial	$14,593.77
Rate for Payer: PACE Medicare	$8,855.85
Rate for Payer: PACE SWMI	$9,321.95
Rate for Payer: PHP Medicare Advantage	$9,321.95
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$18,238.98
Rate for Payer: Priority Health Medicare	$9,321.95
Rate for Payer: Priority Health Tiered Network	$14,591.18
Rate for Payer: Railroad Medicare Medicare	$9,321.95
Rate for Payer: UHC All Payor (Choice/PPO)	$18,440.19
Rate for Payer: UHC Core	$15,427.54
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$9,321.95
Rate for Payer: UHC Exchange	$12,599.29
Rate for Payer: VA VA	$9,321.95

MALIGNANT BREAST DISORDERS WITH MCC

Facility

$31,860.63

Service Code	MSDRG 597
Min. Negotiated Rate	$12,789.59
Max. Negotiated Rate	$31,860.63
Rate for Payer: Aetna Medicare	$14,001.24
Rate for Payer: Allen County Amish Medical Aid Commercial	$16,828.41
Rate for Payer: Amish Plain Church Group Commercial	$16,828.41
Rate for Payer: BCBS MAPPO	$13,462.73
Rate for Payer: BCBS Trust/PPO	$31,860.63
Rate for Payer: BCN Commercial	$31,860.63
Rate for Payer: BCN Medicare Advantage	$13,462.73
Rate for Payer: Health Alliance Plan Medicare Advantage	$13,462.73
Rate for Payer: Mclaren Medicare	$13,462.73
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$14,135.87
Rate for Payer: MI Amish Medical Board Commercial	$15,482.14
Rate for Payer: Molina Medicare/Medicaid	$14,809.00
Rate for Payer: Nomi Health Commercial	$21,505.59
Rate for Payer: PACE Medicare	$12,789.59
Rate for Payer: PACE SWMI	$13,462.73
Rate for Payer: PHP Medicare Advantage	$13,462.73
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$26,877.22
Rate for Payer: Priority Health Medicare	$13,462.73
Rate for Payer: Priority Health Tiered Network	$21,501.77
Rate for Payer: Railroad Medicare Medicare	$13,462.73
Rate for Payer: UHC All Payor (Choice/PPO)	$27,173.73
Rate for Payer: UHC Core	$22,734.24
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$13,462.73
Rate for Payer: UHC Exchange	$18,566.49
Rate for Payer: VA VA	$13,462.73

MALIGNANT BREAST DISORDERS WITHOUT CC/MCC

Facility

$12,404.37

Service Code	MSDRG 599
Min. Negotiated Rate	$6,198.85
Max. Negotiated Rate	$12,404.37
Rate for Payer: Aetna Medicare	$6,786.10
Rate for Payer: Allen County Amish Medical Aid Commercial	$8,156.38
Rate for Payer: Amish Plain Church Group Commercial	$8,156.38
Rate for Payer: BCBS MAPPO	$6,525.10
Rate for Payer: BCBS Trust/PPO	$11,659.52
Rate for Payer: BCN Commercial	$11,659.52
Rate for Payer: BCN Medicare Advantage	$6,525.10
Rate for Payer: Health Alliance Plan Medicare Advantage	$6,525.10
Rate for Payer: Mclaren Medicare	$6,525.10
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$6,851.35
Rate for Payer: MI Amish Medical Board Commercial	$7,503.86
Rate for Payer: Molina Medicare/Medicaid	$7,177.61
Rate for Payer: Nomi Health Commercial	$9,458.28
Rate for Payer: PACE Medicare	$6,198.85
Rate for Payer: PACE SWMI	$6,525.10
Rate for Payer: PHP Medicare Advantage	$6,525.10
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$12,404.37
Rate for Payer: Priority Health Medicare	$6,525.10
Rate for Payer: Priority Health Tiered Network	$9,923.50
Rate for Payer: Railroad Medicare Medicare	$6,525.10
Rate for Payer: UHC All Payor (Choice/PPO)	$11,951.16
Rate for Payer: UHC Core	$9,998.65
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$6,525.10
Rate for Payer: UHC Exchange	$8,165.65
Rate for Payer: VA VA	$6,525.10

MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS

Facility

$8,852.33

Service Code	APR-DRG 4213
Min. Negotiated Rate	$8,430.79
Max. Negotiated Rate	$8,852.33
Rate for Payer: BCBS Complete	$8,852.33
Rate for Payer: Mclaren Medicaid	$8,430.79
Rate for Payer: Meridian Medicaid	$8,852.33
Rate for Payer: Priority Health Choice Medicaid	$8,430.79
Rate for Payer: UHC Medicaid	$8,430.79
Rate for Payer: UHCCP Medicaid	$8,430.79

MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS

Facility

$5,911.30

Service Code	APR-DRG 4212
Min. Negotiated Rate	$5,629.81
Max. Negotiated Rate	$5,911.30
Rate for Payer: BCBS Complete	$5,911.30
Rate for Payer: Mclaren Medicaid	$5,629.81
Rate for Payer: Meridian Medicaid	$5,911.30
Rate for Payer: Priority Health Choice Medicaid	$5,629.81
Rate for Payer: UHC Medicaid	$5,629.81
Rate for Payer: UHCCP Medicaid	$5,629.81

MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS

Facility

$11,152.40

Service Code	APR-DRG 4214
Min. Negotiated Rate	$10,621.34
Max. Negotiated Rate	$11,152.40
Rate for Payer: BCBS Complete	$11,152.40
Rate for Payer: Mclaren Medicaid	$10,621.34
Rate for Payer: Meridian Medicaid	$11,152.40
Rate for Payer: Priority Health Choice Medicaid	$10,621.34
Rate for Payer: UHC Medicaid	$10,621.34
Rate for Payer: UHCCP Medicaid	$10,621.34

MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS

Facility

$2,833.82

Service Code	APR-DRG 4211
Min. Negotiated Rate	$2,698.88
Max. Negotiated Rate	$2,833.82
Rate for Payer: BCBS Complete	$2,833.82
Rate for Payer: Mclaren Medicaid	$2,698.88
Rate for Payer: Meridian Medicaid	$2,833.82
Rate for Payer: Priority Health Choice Medicaid	$2,698.88
Rate for Payer: UHC Medicaid	$2,698.88
Rate for Payer: UHCCP Medicaid	$2,698.88

Know your out-of-pocket cost for care.

All Charges