Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: VENTRICULAR SHUNT PROCEDURES

Facility

$9,793.28

Service Code	APR-DRG 0222
Min. Negotiated Rate	$9,326.93
Max. Negotiated Rate	$9,793.28
Rate for Payer: BCBS Complete	$9,793.28
Rate for Payer: Mclaren Medicaid	$9,326.93
Rate for Payer: Meridian Medicaid	$9,793.28
Rate for Payer: Priority Health Choice Medicaid	$9,326.93
Rate for Payer: UHCCP Medicaid	$9,793.28

APR-DRG 42.00: VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES

Facility

$13,688.94

Service Code	APR-DRG 3103
Min. Negotiated Rate	$13,037.09
Max. Negotiated Rate	$13,688.94
Rate for Payer: BCBS Complete	$13,688.94
Rate for Payer: Mclaren Medicaid	$13,037.09
Rate for Payer: Meridian Medicaid	$13,688.94
Rate for Payer: Priority Health Choice Medicaid	$13,037.09
Rate for Payer: UHCCP Medicaid	$13,688.94

APR-DRG 42.00: VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES

Facility

$6,925.63

Service Code	APR-DRG 3101
Min. Negotiated Rate	$6,595.84
Max. Negotiated Rate	$6,925.63
Rate for Payer: BCBS Complete	$6,925.63
Rate for Payer: Mclaren Medicaid	$6,595.84
Rate for Payer: Meridian Medicaid	$6,925.63
Rate for Payer: Priority Health Choice Medicaid	$6,595.84
Rate for Payer: UHCCP Medicaid	$6,925.63

APR-DRG 42.00: VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES

Facility

$19,965.30

Service Code	APR-DRG 3104
Min. Negotiated Rate	$19,014.57
Max. Negotiated Rate	$19,965.30
Rate for Payer: BCBS Complete	$19,965.30
Rate for Payer: Mclaren Medicaid	$19,014.57
Rate for Payer: Meridian Medicaid	$19,965.30
Rate for Payer: Priority Health Choice Medicaid	$19,014.57
Rate for Payer: UHCCP Medicaid	$19,965.30

APR-DRG 42.00: VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES

Facility

$9,522.74

Service Code	APR-DRG 3102
Min. Negotiated Rate	$9,069.28
Max. Negotiated Rate	$9,522.74
Rate for Payer: BCBS Complete	$9,522.74
Rate for Payer: Mclaren Medicaid	$9,069.28
Rate for Payer: Meridian Medicaid	$9,522.74
Rate for Payer: Priority Health Choice Medicaid	$9,069.28
Rate for Payer: UHCCP Medicaid	$9,522.74

APR-DRG 42.00: VERTIGO AND OTHER LABYRINTH DISORDERS

Facility

$3,625.14

Service Code	APR-DRG 1111
Min. Negotiated Rate	$3,452.51
Max. Negotiated Rate	$3,625.14
Rate for Payer: BCBS Complete	$3,625.14
Rate for Payer: Mclaren Medicaid	$3,452.51
Rate for Payer: Meridian Medicaid	$3,625.14
Rate for Payer: Priority Health Choice Medicaid	$3,452.51
Rate for Payer: UHCCP Medicaid	$3,625.14

APR-DRG 42.00: VERTIGO AND OTHER LABYRINTH DISORDERS

Facility

$5,302.44

Service Code	APR-DRG 1113
Min. Negotiated Rate	$5,049.94
Max. Negotiated Rate	$5,302.44
Rate for Payer: BCBS Complete	$5,302.44
Rate for Payer: Mclaren Medicaid	$5,049.94
Rate for Payer: Meridian Medicaid	$5,302.44
Rate for Payer: Priority Health Choice Medicaid	$5,049.94
Rate for Payer: UHCCP Medicaid	$5,302.44

APR-DRG 42.00: VERTIGO AND OTHER LABYRINTH DISORDERS

Facility

$9,198.10

Service Code	APR-DRG 1114
Min. Negotiated Rate	$8,760.10
Max. Negotiated Rate	$9,198.10
Rate for Payer: BCBS Complete	$9,198.10
Rate for Payer: Mclaren Medicaid	$8,760.10
Rate for Payer: Meridian Medicaid	$9,198.10
Rate for Payer: Priority Health Choice Medicaid	$8,760.10
Rate for Payer: UHCCP Medicaid	$9,198.10

APR-DRG 42.00: VERTIGO AND OTHER LABYRINTH DISORDERS

Facility

$4,057.99

Service Code	APR-DRG 1112
Min. Negotiated Rate	$3,864.75
Max. Negotiated Rate	$4,057.99
Rate for Payer: BCBS Complete	$4,057.99
Rate for Payer: Mclaren Medicaid	$3,864.75
Rate for Payer: Meridian Medicaid	$4,057.99
Rate for Payer: Priority Health Choice Medicaid	$3,864.75
Rate for Payer: UHCCP Medicaid	$4,057.99

APR-DRG 42.00: VIRAL ILLNESS

Facility

$2,380.69

Service Code	APR-DRG 7231
Min. Negotiated Rate	$2,267.32
Max. Negotiated Rate	$2,380.69
Rate for Payer: BCBS Complete	$2,380.69
Rate for Payer: Mclaren Medicaid	$2,267.32
Rate for Payer: Meridian Medicaid	$2,380.69
Rate for Payer: Priority Health Choice Medicaid	$2,267.32
Rate for Payer: UHCCP Medicaid	$2,380.69

APR-DRG 42.00: VIRAL ILLNESS

Facility

$10,821.30

Service Code	APR-DRG 7234
Min. Negotiated Rate	$10,306.00
Max. Negotiated Rate	$10,821.30
Rate for Payer: BCBS Complete	$10,821.30
Rate for Payer: Mclaren Medicaid	$10,306.00
Rate for Payer: Meridian Medicaid	$10,821.30
Rate for Payer: Priority Health Choice Medicaid	$10,306.00
Rate for Payer: UHCCP Medicaid	$10,821.30

APR-DRG 42.00: VIRAL ILLNESS

Facility

$3,408.71

Service Code	APR-DRG 7232
Min. Negotiated Rate	$3,246.39
Max. Negotiated Rate	$3,408.71
Rate for Payer: BCBS Complete	$3,408.71
Rate for Payer: Mclaren Medicaid	$3,246.39
Rate for Payer: Meridian Medicaid	$3,408.71
Rate for Payer: Priority Health Choice Medicaid	$3,246.39
Rate for Payer: UHCCP Medicaid	$3,408.71

APR-DRG 42.00: VIRAL ILLNESS

Facility

$5,627.08

Service Code	APR-DRG 7233
Min. Negotiated Rate	$5,359.12
Max. Negotiated Rate	$5,627.08
Rate for Payer: BCBS Complete	$5,627.08
Rate for Payer: Mclaren Medicaid	$5,359.12
Rate for Payer: Meridian Medicaid	$5,627.08
Rate for Payer: Priority Health Choice Medicaid	$5,359.12
Rate for Payer: UHCCP Medicaid	$5,627.08

APR-DRG 42.00: VIRAL MENINGITIS

Facility

$3,516.92

Service Code	APR-DRG 0511
Min. Negotiated Rate	$3,349.45
Max. Negotiated Rate	$3,516.92
Rate for Payer: BCBS Complete	$3,516.92
Rate for Payer: Mclaren Medicaid	$3,349.45
Rate for Payer: Meridian Medicaid	$3,516.92
Rate for Payer: Priority Health Choice Medicaid	$3,349.45
Rate for Payer: UHCCP Medicaid	$3,516.92

APR-DRG 42.00: VIRAL MENINGITIS

Facility

$7,466.70

Service Code	APR-DRG 0513
Min. Negotiated Rate	$7,111.14
Max. Negotiated Rate	$7,466.70
Rate for Payer: BCBS Complete	$7,466.70
Rate for Payer: Mclaren Medicaid	$7,111.14
Rate for Payer: Meridian Medicaid	$7,466.70
Rate for Payer: Priority Health Choice Medicaid	$7,111.14
Rate for Payer: UHCCP Medicaid	$7,466.70

APR-DRG 42.00: VIRAL MENINGITIS

Facility

$4,761.37

Service Code	APR-DRG 0512
Min. Negotiated Rate	$4,534.64
Max. Negotiated Rate	$4,761.37
Rate for Payer: BCBS Complete	$4,761.37
Rate for Payer: Mclaren Medicaid	$4,534.64
Rate for Payer: Meridian Medicaid	$4,761.37
Rate for Payer: Priority Health Choice Medicaid	$4,534.64
Rate for Payer: UHCCP Medicaid	$4,761.37

APR-DRG 42.00: VIRAL MENINGITIS

Facility

$11,903.43

Service Code	APR-DRG 0514
Min. Negotiated Rate	$11,336.60
Max. Negotiated Rate	$11,903.43
Rate for Payer: BCBS Complete	$11,903.43
Rate for Payer: Mclaren Medicaid	$11,336.60
Rate for Payer: Meridian Medicaid	$11,903.43
Rate for Payer: Priority Health Choice Medicaid	$11,336.60
Rate for Payer: UHCCP Medicaid	$11,903.43

APREPITANT 125 MG (1)-80 MG (2) CAPSULES IN A DOSE PACK

Facility

$2,664.42

Service Code	NDC 00006386203
Hospital Charge Code	35490
Hospital Revenue Code	637
Min. Negotiated Rate	$1,065.77
Max. Negotiated Rate	$2,397.98
Rate for Payer: Aetna Commercial	$2,264.76
Rate for Payer: Aetna Medicare	$1,332.21
Rate for Payer: Aetna New Business (MI Preferred)	$1,731.87
Rate for Payer: BCBS Complete	$1,065.77
Rate for Payer: Cash Price	$2,131.54
Rate for Payer: Cofinity Commercial	$1,865.09
Rate for Payer: Cofinity Commercial	$2,291.40
Rate for Payer: Cofinity Medicare Advantage	$1,865.09
Rate for Payer: Encore Health Key Benefits Commercial	$2,131.54
Rate for Payer: Healthscope Commercial	$2,397.98
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$2,264.76
Rate for Payer: PHP Commercial	$2,264.76
Rate for Payer: Priority Health Cigna Priority Health	$1,731.87
Rate for Payer: Priority Health SBD	$1,678.58

APREPITANT 80 MG CAPSULE

Facility

$1,505.42

Service Code	NDC 00006046102
Hospital Charge Code	35488
Hospital Revenue Code	637
Min. Negotiated Rate	$602.17
Max. Negotiated Rate	$1,354.88
Rate for Payer: Aetna Commercial	$1,279.61
Rate for Payer: Aetna Medicare	$752.71
Rate for Payer: Aetna New Business (MI Preferred)	$978.52
Rate for Payer: BCBS Complete	$602.17
Rate for Payer: Cash Price	$1,204.34
Rate for Payer: Cofinity Commercial	$1,053.79
Rate for Payer: Cofinity Commercial	$1,294.66
Rate for Payer: Cofinity Medicare Advantage	$1,053.79
Rate for Payer: Encore Health Key Benefits Commercial	$1,204.34
Rate for Payer: Healthscope Commercial	$1,354.88
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,279.61
Rate for Payer: PHP Commercial	$1,279.61
Rate for Payer: Priority Health Cigna Priority Health	$978.52
Rate for Payer: Priority Health SBD	$948.41

ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION

Facility

$22.08

Service Code	HCPCS J7605
Hospital Charge Code	77581
Hospital Revenue Code	250
Min. Negotiated Rate	$8.83
Max. Negotiated Rate	$19.87
Rate for Payer: Aetna Commercial	$18.77
Rate for Payer: Aetna Commercial	$13.76
Rate for Payer: Aetna Medicare	$8.10
Rate for Payer: Aetna Medicare	$11.04
Rate for Payer: Aetna New Business (MI Preferred)	$10.52
Rate for Payer: Aetna New Business (MI Preferred)	$14.35
Rate for Payer: BCBS Complete	$8.83
Rate for Payer: BCBS Complete	$6.48
Rate for Payer: Cash Price	$12.95
Rate for Payer: Cash Price	$17.66
Rate for Payer: Cofinity Commercial	$11.33
Rate for Payer: Cofinity Commercial	$15.46
Rate for Payer: Cofinity Commercial	$18.99
Rate for Payer: Cofinity Commercial	$13.92
Rate for Payer: Cofinity Medicare Advantage	$15.46
Rate for Payer: Cofinity Medicare Advantage	$11.33
Rate for Payer: Encore Health Key Benefits Commercial	$12.95
Rate for Payer: Encore Health Key Benefits Commercial	$17.66
Rate for Payer: Healthscope Commercial	$14.57
Rate for Payer: Healthscope Commercial	$19.87
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$13.76
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$18.77
Rate for Payer: PHP Commercial	$18.77
Rate for Payer: PHP Commercial	$13.76
Rate for Payer: Priority Health Cigna Priority Health	$10.52
Rate for Payer: Priority Health Cigna Priority Health	$14.35
Rate for Payer: Priority Health SBD	$13.91
Rate for Payer: Priority Health SBD	$10.20

ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION

Facility

$22.08

Service Code	HCPCS J7605
Hospital Charge Code	77581
Hospital Revenue Code	250
Min. Negotiated Rate	$13.91
Max. Negotiated Rate	$19.87
Rate for Payer: Aetna Commercial	$18.77
Rate for Payer: Aetna Commercial	$13.76
Rate for Payer: Aetna New Business (MI Preferred)	$10.52
Rate for Payer: Aetna New Business (MI Preferred)	$14.35
Rate for Payer: Cash Price	$12.95
Rate for Payer: Cash Price	$17.66
Rate for Payer: Cofinity Commercial	$11.33
Rate for Payer: Cofinity Commercial	$15.46
Rate for Payer: Cofinity Commercial	$18.99
Rate for Payer: Cofinity Commercial	$13.92
Rate for Payer: Cofinity Medicare Advantage	$15.46
Rate for Payer: Cofinity Medicare Advantage	$11.33
Rate for Payer: Encore Health Key Benefits Commercial	$12.95
Rate for Payer: Encore Health Key Benefits Commercial	$17.66
Rate for Payer: Healthscope Commercial	$14.57
Rate for Payer: Healthscope Commercial	$19.87
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$13.76
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$18.77
Rate for Payer: PHP Commercial	$13.76
Rate for Payer: PHP Commercial	$18.77
Rate for Payer: Priority Health Cigna Priority Health	$14.35
Rate for Payer: Priority Health Cigna Priority Health	$10.52
Rate for Payer: Priority Health SBD	$13.91
Rate for Payer: Priority Health SBD	$10.20

ARGATROBAN 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION

Facility

$421.08

Service Code	HCPCS J0883
Hospital Charge Code	152708
Hospital Revenue Code	636
Min. Negotiated Rate	$265.28
Max. Negotiated Rate	$378.97
Rate for Payer: Aetna Commercial	$357.92
Rate for Payer: Aetna Commercial	$367.78
Rate for Payer: Aetna New Business (MI Preferred)	$273.70
Rate for Payer: Aetna New Business (MI Preferred)	$281.24
Rate for Payer: Cash Price	$336.86
Rate for Payer: Cash Price	$346.14
Rate for Payer: Cofinity Commercial	$294.76
Rate for Payer: Cofinity Commercial	$302.88
Rate for Payer: Cofinity Commercial	$372.10
Rate for Payer: Cofinity Commercial	$362.13
Rate for Payer: Cofinity Medicare Advantage	$302.88
Rate for Payer: Cofinity Medicare Advantage	$294.76
Rate for Payer: Encore Health Key Benefits Commercial	$336.86
Rate for Payer: Encore Health Key Benefits Commercial	$346.14
Rate for Payer: Healthscope Commercial	$378.97
Rate for Payer: Healthscope Commercial	$389.41
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$357.92
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$367.78
Rate for Payer: PHP Commercial	$357.92
Rate for Payer: PHP Commercial	$367.78
Rate for Payer: Priority Health Cigna Priority Health	$281.24
Rate for Payer: Priority Health Cigna Priority Health	$273.70
Rate for Payer: Priority Health SBD	$272.59
Rate for Payer: Priority Health SBD	$265.28

ARGATROBAN 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION

Facility

$421.08

Service Code	HCPCS J0883
Hospital Charge Code	152708
Hospital Revenue Code	636
Min. Negotiated Rate	$0.43
Max. Negotiated Rate	$378.97
Rate for Payer: Aetna Commercial	$357.92
Rate for Payer: Aetna Commercial	$367.78
Rate for Payer: Aetna Medicare	$0.83
Rate for Payer: Aetna Medicare	$0.83
Rate for Payer: Aetna New Business (MI Preferred)	$273.70
Rate for Payer: Aetna New Business (MI Preferred)	$281.24
Rate for Payer: Allen County Amish Medical Aid Commercial	$1.00
Rate for Payer: Allen County Amish Medical Aid Commercial	$1.00
Rate for Payer: Amish Plain Church Group Commercial	$1.00
Rate for Payer: Amish Plain Church Group Commercial	$1.00
Rate for Payer: BCBS Complete	$0.45
Rate for Payer: BCBS Complete	$0.45
Rate for Payer: BCBS MAPPO	$0.80
Rate for Payer: BCBS MAPPO	$0.80
Rate for Payer: BCN Medicare Advantage	$0.80
Rate for Payer: BCN Medicare Advantage	$0.80
Rate for Payer: Cash Price	$346.14
Rate for Payer: Cash Price	$346.14
Rate for Payer: Cash Price	$336.86
Rate for Payer: Cash Price	$336.86
Rate for Payer: Cofinity Commercial	$302.88
Rate for Payer: Cofinity Commercial	$372.10
Rate for Payer: Cofinity Commercial	$362.13
Rate for Payer: Cofinity Commercial	$294.76
Rate for Payer: Cofinity Medicare Advantage	$294.76
Rate for Payer: Cofinity Medicare Advantage	$302.88
Rate for Payer: Encore Health Key Benefits Commercial	$346.14
Rate for Payer: Encore Health Key Benefits Commercial	$336.86
Rate for Payer: Health Alliance Plan Medicare Advantage	$0.80
Rate for Payer: Health Alliance Plan Medicare Advantage	$0.80
Rate for Payer: Healthscope Commercial	$378.97
Rate for Payer: Healthscope Commercial	$389.41
Rate for Payer: Mclaren Medicaid	$0.43
Rate for Payer: Mclaren Medicaid	$0.43
Rate for Payer: Mclaren Medicare	$0.80
Rate for Payer: Mclaren Medicare	$0.80
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$0.84
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$0.84
Rate for Payer: Meridian Medicaid	$0.45
Rate for Payer: Meridian Medicaid	$0.45
Rate for Payer: MI Amish Medical Board Commercial	$0.92
Rate for Payer: MI Amish Medical Board Commercial	$0.92
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$357.92
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$367.78
Rate for Payer: PACE Medicare	$0.76
Rate for Payer: PACE Medicare	$0.76
Rate for Payer: PACE SWMI	$0.80
Rate for Payer: PACE SWMI	$0.80
Rate for Payer: PHP Commercial	$367.78
Rate for Payer: PHP Commercial	$357.92
Rate for Payer: PHP Medicare Advantage	$0.80
Rate for Payer: PHP Medicare Advantage	$0.80
Rate for Payer: Priority Health Choice Medicaid	$0.43
Rate for Payer: Priority Health Choice Medicaid	$0.43
Rate for Payer: Priority Health Cigna Priority Health	$281.24
Rate for Payer: Priority Health Cigna Priority Health	$273.70
Rate for Payer: Priority Health Medicare	$0.80
Rate for Payer: Priority Health Medicare	$0.80
Rate for Payer: Priority Health SBD	$272.59
Rate for Payer: Priority Health SBD	$265.28
Rate for Payer: Railroad Medicare Medicare	$0.80
Rate for Payer: Railroad Medicare Medicare	$0.80
Rate for Payer: UHC All Payor (Choice/PPO)	$2.25
Rate for Payer: UHC All Payor (Choice/PPO)	$2.25
Rate for Payer: UHC Dual Complete DSNP	$0.80
Rate for Payer: UHC Dual Complete DSNP	$0.80
Rate for Payer: UHC Medicare Advantage	$0.80
Rate for Payer: UHC Medicare Advantage	$0.80
Rate for Payer: UHCCP Medicaid	$0.45
Rate for Payer: UHCCP Medicaid	$0.45
Rate for Payer: VA VA	$0.80
Rate for Payer: VA VA	$0.80

ARIPIPRAZOLE 10 MG TABLET

Facility

$93.75

Service Code	NDC 27241005303
Hospital Charge Code	34369
Hospital Revenue Code	637
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$84.38
Rate for Payer: Aetna Commercial	$79.69
Rate for Payer: Aetna Medicare	$46.88
Rate for Payer: Aetna New Business (MI Preferred)	$60.94
Rate for Payer: BCBS Complete	$37.50
Rate for Payer: Cash Price	$75.00
Rate for Payer: Cofinity Commercial	$65.62
Rate for Payer: Cofinity Commercial	$80.62
Rate for Payer: Cofinity Medicare Advantage	$65.62
Rate for Payer: Encore Health Key Benefits Commercial	$75.00
Rate for Payer: Healthscope Commercial	$84.38
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$79.69
Rate for Payer: PHP Commercial	$79.69
Rate for Payer: Priority Health Cigna Priority Health	$60.94
Rate for Payer: Priority Health SBD	$59.06

ARIPIPRAZOLE 10 MG TABLET

Facility

$2,008.88

Service Code	NDC 59148000813
Hospital Charge Code	34369
Hospital Revenue Code	637
Min. Negotiated Rate	$803.55
Max. Negotiated Rate	$1,807.99
Rate for Payer: Aetna Commercial	$1,707.55
Rate for Payer: Aetna Medicare	$1,004.44
Rate for Payer: Aetna New Business (MI Preferred)	$1,305.77
Rate for Payer: BCBS Complete	$803.55
Rate for Payer: Cash Price	$1,607.10
Rate for Payer: Cofinity Commercial	$1,406.22
Rate for Payer: Cofinity Commercial	$1,727.64
Rate for Payer: Cofinity Medicare Advantage	$1,406.22
Rate for Payer: Encore Health Key Benefits Commercial	$1,607.10
Rate for Payer: Healthscope Commercial	$1,807.99
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,707.55
Rate for Payer: PHP Commercial	$1,707.55
Rate for Payer: Priority Health Cigna Priority Health	$1,305.77
Rate for Payer: Priority Health SBD	$1,265.59

Know your out-of-pocket cost for care.

All Charges