Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

MS-DRG 42.00: INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC

Facility

$10,405.48

Service Code	MSDRG 758
Min. Negotiated Rate	$7,908.16
Max. Negotiated Rate	$10,405.48
Rate for Payer: Aetna Medicare	$8,657.36
Rate for Payer: Allen County Amish Medical Aid Commercial	$10,405.48
Rate for Payer: Amish Plain Church Group Commercial	$10,405.48
Rate for Payer: BCBS MAPPO	$8,324.38
Rate for Payer: BCN Medicare Advantage	$8,324.38
Rate for Payer: Health Alliance Plan Medicare Advantage	$8,324.38
Rate for Payer: Mclaren Medicare	$8,324.38
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$8,740.60
Rate for Payer: MI Amish Medical Board Commercial	$9,573.04
Rate for Payer: PACE Medicare	$7,908.16
Rate for Payer: PACE SWMI	$8,324.38
Rate for Payer: PHP Medicare Advantage	$8,324.38
Rate for Payer: Priority Health Medicare	$8,324.38
Rate for Payer: Railroad Medicare Medicare	$8,324.38
Rate for Payer: UHC Dual Complete DSNP	$8,324.38
Rate for Payer: UHC Medicare Advantage	$8,324.38
Rate for Payer: VA VA	$8,324.38

MS-DRG 42.00: INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC

Facility

$14,220.01

Service Code	MSDRG 757
Min. Negotiated Rate	$10,807.21
Max. Negotiated Rate	$14,220.01
Rate for Payer: Aetna Medicare	$11,831.05
Rate for Payer: Allen County Amish Medical Aid Commercial	$14,220.01
Rate for Payer: Amish Plain Church Group Commercial	$14,220.01
Rate for Payer: BCBS MAPPO	$11,376.01
Rate for Payer: BCN Medicare Advantage	$11,376.01
Rate for Payer: Health Alliance Plan Medicare Advantage	$11,376.01
Rate for Payer: Mclaren Medicare	$11,376.01
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$11,944.81
Rate for Payer: MI Amish Medical Board Commercial	$13,082.41
Rate for Payer: PACE Medicare	$10,807.21
Rate for Payer: PACE SWMI	$11,376.01
Rate for Payer: PHP Medicare Advantage	$11,376.01
Rate for Payer: Priority Health Medicare	$11,376.01
Rate for Payer: Railroad Medicare Medicare	$11,376.01
Rate for Payer: UHC Dual Complete DSNP	$11,376.01
Rate for Payer: UHC Medicare Advantage	$11,376.01
Rate for Payer: VA VA	$11,376.01

MS-DRG 42.00: INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC

Facility

$6,751.80

Service Code	MSDRG 759
Min. Negotiated Rate	$5,131.37
Max. Negotiated Rate	$6,751.80
Rate for Payer: Aetna Medicare	$5,617.50
Rate for Payer: Allen County Amish Medical Aid Commercial	$6,751.80
Rate for Payer: Amish Plain Church Group Commercial	$6,751.80
Rate for Payer: BCBS MAPPO	$5,401.44
Rate for Payer: BCN Medicare Advantage	$5,401.44
Rate for Payer: Health Alliance Plan Medicare Advantage	$5,401.44
Rate for Payer: Mclaren Medicare	$5,401.44
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$5,671.51
Rate for Payer: MI Amish Medical Board Commercial	$6,211.66
Rate for Payer: PACE Medicare	$5,131.37
Rate for Payer: PACE SWMI	$5,401.44
Rate for Payer: PHP Medicare Advantage	$5,401.44
Rate for Payer: Priority Health Medicare	$5,401.44
Rate for Payer: Railroad Medicare Medicare	$5,401.44
Rate for Payer: UHC Dual Complete DSNP	$5,401.44
Rate for Payer: UHC Medicare Advantage	$5,401.44
Rate for Payer: VA VA	$5,401.44

MS-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC

Facility

$19,833.97

Service Code	MSDRG 854
Min. Negotiated Rate	$15,073.82
Max. Negotiated Rate	$19,833.97
Rate for Payer: Aetna Medicare	$16,501.87
Rate for Payer: Allen County Amish Medical Aid Commercial	$19,833.97
Rate for Payer: Amish Plain Church Group Commercial	$19,833.97
Rate for Payer: BCBS MAPPO	$15,867.18
Rate for Payer: BCN Medicare Advantage	$15,867.18
Rate for Payer: Health Alliance Plan Medicare Advantage	$15,867.18
Rate for Payer: Mclaren Medicare	$15,867.18
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$16,660.54
Rate for Payer: MI Amish Medical Board Commercial	$18,247.26
Rate for Payer: PACE Medicare	$15,073.82
Rate for Payer: PACE SWMI	$15,867.18
Rate for Payer: PHP Medicare Advantage	$15,867.18
Rate for Payer: Priority Health Medicare	$15,867.18
Rate for Payer: Railroad Medicare Medicare	$15,867.18
Rate for Payer: UHC Dual Complete DSNP	$15,867.18
Rate for Payer: UHC Medicare Advantage	$15,867.18
Rate for Payer: VA VA	$15,867.18

MS-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC

Facility

$48,762.89

Service Code	MSDRG 853
Min. Negotiated Rate	$37,059.79
Max. Negotiated Rate	$48,762.89
Rate for Payer: Aetna Medicare	$40,570.72
Rate for Payer: Allen County Amish Medical Aid Commercial	$48,762.89
Rate for Payer: Amish Plain Church Group Commercial	$48,762.89
Rate for Payer: BCBS MAPPO	$39,010.31
Rate for Payer: BCN Medicare Advantage	$39,010.31
Rate for Payer: Health Alliance Plan Medicare Advantage	$39,010.31
Rate for Payer: Mclaren Medicare	$39,010.31
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$40,960.83
Rate for Payer: MI Amish Medical Board Commercial	$44,861.86
Rate for Payer: PACE Medicare	$37,059.79
Rate for Payer: PACE SWMI	$39,010.31
Rate for Payer: PHP Medicare Advantage	$39,010.31
Rate for Payer: Priority Health Medicare	$39,010.31
Rate for Payer: Railroad Medicare Medicare	$39,010.31
Rate for Payer: UHC Dual Complete DSNP	$39,010.31
Rate for Payer: UHC Medicare Advantage	$39,010.31
Rate for Payer: VA VA	$39,010.31

MS-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC

Facility

$16,245.76

Service Code	MSDRG 855
Min. Negotiated Rate	$12,346.78
Max. Negotiated Rate	$16,245.76
Rate for Payer: Aetna Medicare	$13,516.47
Rate for Payer: Allen County Amish Medical Aid Commercial	$16,245.76
Rate for Payer: Amish Plain Church Group Commercial	$16,245.76
Rate for Payer: BCBS MAPPO	$12,996.61
Rate for Payer: BCN Medicare Advantage	$12,996.61
Rate for Payer: Health Alliance Plan Medicare Advantage	$12,996.61
Rate for Payer: Mclaren Medicare	$12,996.61
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$13,646.44
Rate for Payer: MI Amish Medical Board Commercial	$14,946.10
Rate for Payer: PACE Medicare	$12,346.78
Rate for Payer: PACE SWMI	$12,996.61
Rate for Payer: PHP Medicare Advantage	$12,996.61
Rate for Payer: Priority Health Medicare	$12,996.61
Rate for Payer: Railroad Medicare Medicare	$12,996.61
Rate for Payer: UHC Dual Complete DSNP	$12,996.61
Rate for Payer: UHC Medicare Advantage	$12,996.61
Rate for Payer: VA VA	$12,996.61

MS-DRG 42.00: INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC

Facility

$14,741.12

Service Code	MSDRG 727
Min. Negotiated Rate	$11,203.25
Max. Negotiated Rate	$14,741.12
Rate for Payer: Aetna Medicare	$12,264.62
Rate for Payer: Allen County Amish Medical Aid Commercial	$14,741.12
Rate for Payer: Amish Plain Church Group Commercial	$14,741.12
Rate for Payer: BCBS MAPPO	$11,792.90
Rate for Payer: BCN Medicare Advantage	$11,792.90
Rate for Payer: Health Alliance Plan Medicare Advantage	$11,792.90
Rate for Payer: Mclaren Medicare	$11,792.90
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$12,382.55
Rate for Payer: MI Amish Medical Board Commercial	$13,561.83
Rate for Payer: PACE Medicare	$11,203.25
Rate for Payer: PACE SWMI	$11,792.90
Rate for Payer: PHP Medicare Advantage	$11,792.90
Rate for Payer: Priority Health Medicare	$11,792.90
Rate for Payer: Railroad Medicare Medicare	$11,792.90
Rate for Payer: UHC Dual Complete DSNP	$11,792.90
Rate for Payer: UHC Medicare Advantage	$11,792.90
Rate for Payer: VA VA	$11,792.90

MS-DRG 42.00: INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC

Facility

$8,457.73

Service Code	MSDRG 728
Min. Negotiated Rate	$6,427.87
Max. Negotiated Rate	$8,457.73
Rate for Payer: Aetna Medicare	$7,036.83
Rate for Payer: Allen County Amish Medical Aid Commercial	$8,457.73
Rate for Payer: Amish Plain Church Group Commercial	$8,457.73
Rate for Payer: BCBS MAPPO	$6,766.18
Rate for Payer: BCN Medicare Advantage	$6,766.18
Rate for Payer: Health Alliance Plan Medicare Advantage	$6,766.18
Rate for Payer: Mclaren Medicare	$6,766.18
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$7,104.49
Rate for Payer: MI Amish Medical Board Commercial	$7,781.11
Rate for Payer: PACE Medicare	$6,427.87
Rate for Payer: PACE SWMI	$6,766.18
Rate for Payer: PHP Medicare Advantage	$6,766.18
Rate for Payer: Priority Health Medicare	$6,766.18
Rate for Payer: Railroad Medicare Medicare	$6,766.18
Rate for Payer: UHC Dual Complete DSNP	$6,766.18
Rate for Payer: UHC Medicare Advantage	$6,766.18
Rate for Payer: VA VA	$6,766.18

MS-DRG 42.00: INFLAMMATORY BOWEL DISEASE WITH CC

Facility

$10,147.31

Service Code	MSDRG 386
Min. Negotiated Rate	$7,711.96
Max. Negotiated Rate	$10,147.31
Rate for Payer: Aetna Medicare	$8,442.56
Rate for Payer: Allen County Amish Medical Aid Commercial	$10,147.31
Rate for Payer: Amish Plain Church Group Commercial	$10,147.31
Rate for Payer: BCBS MAPPO	$8,117.85
Rate for Payer: BCN Medicare Advantage	$8,117.85
Rate for Payer: Health Alliance Plan Medicare Advantage	$8,117.85
Rate for Payer: Mclaren Medicare	$8,117.85
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$8,523.74
Rate for Payer: MI Amish Medical Board Commercial	$9,335.53
Rate for Payer: PACE Medicare	$7,711.96
Rate for Payer: PACE SWMI	$8,117.85
Rate for Payer: PHP Medicare Advantage	$8,117.85
Rate for Payer: Priority Health Medicare	$8,117.85
Rate for Payer: Railroad Medicare Medicare	$8,117.85
Rate for Payer: UHC Dual Complete DSNP	$8,117.85
Rate for Payer: UHC Medicare Advantage	$8,117.85
Rate for Payer: VA VA	$8,117.85

MS-DRG 42.00: INFLAMMATORY BOWEL DISEASE WITH MCC

Facility

$16,238.08

Service Code	MSDRG 385
Min. Negotiated Rate	$12,340.94
Max. Negotiated Rate	$16,238.08
Rate for Payer: Aetna Medicare	$13,510.08
Rate for Payer: Allen County Amish Medical Aid Commercial	$16,238.08
Rate for Payer: Amish Plain Church Group Commercial	$16,238.08
Rate for Payer: BCBS MAPPO	$12,990.46
Rate for Payer: BCN Medicare Advantage	$12,990.46
Rate for Payer: Health Alliance Plan Medicare Advantage	$12,990.46
Rate for Payer: Mclaren Medicare	$12,990.46
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$13,639.98
Rate for Payer: MI Amish Medical Board Commercial	$14,939.03
Rate for Payer: PACE Medicare	$12,340.94
Rate for Payer: PACE SWMI	$12,990.46
Rate for Payer: PHP Medicare Advantage	$12,990.46
Rate for Payer: Priority Health Medicare	$12,990.46
Rate for Payer: Railroad Medicare Medicare	$12,990.46
Rate for Payer: UHC Dual Complete DSNP	$12,990.46
Rate for Payer: UHC Medicare Advantage	$12,990.46
Rate for Payer: VA VA	$12,990.46

MS-DRG 42.00: INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC

Facility

$7,043.64

Service Code	MSDRG 387
Min. Negotiated Rate	$5,353.16
Max. Negotiated Rate	$7,043.64
Rate for Payer: Aetna Medicare	$5,860.31
Rate for Payer: Allen County Amish Medical Aid Commercial	$7,043.64
Rate for Payer: Amish Plain Church Group Commercial	$7,043.64
Rate for Payer: BCBS MAPPO	$5,634.91
Rate for Payer: BCN Medicare Advantage	$5,634.91
Rate for Payer: Health Alliance Plan Medicare Advantage	$5,634.91
Rate for Payer: Mclaren Medicare	$5,634.91
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$5,916.66
Rate for Payer: MI Amish Medical Board Commercial	$6,480.15
Rate for Payer: PACE Medicare	$5,353.16
Rate for Payer: PACE SWMI	$5,634.91
Rate for Payer: PHP Medicare Advantage	$5,634.91
Rate for Payer: Priority Health Medicare	$5,634.91
Rate for Payer: Railroad Medicare Medicare	$5,634.91
Rate for Payer: UHC Dual Complete DSNP	$5,634.91
Rate for Payer: UHC Medicare Advantage	$5,634.91
Rate for Payer: VA VA	$5,634.91

MS-DRG 42.00: INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC

Facility

$15,079.25

Service Code	MSDRG 351
Min. Negotiated Rate	$11,460.23
Max. Negotiated Rate	$15,079.25
Rate for Payer: Aetna Medicare	$12,545.94
Rate for Payer: Allen County Amish Medical Aid Commercial	$15,079.25
Rate for Payer: Amish Plain Church Group Commercial	$15,079.25
Rate for Payer: BCBS MAPPO	$12,063.40
Rate for Payer: BCN Medicare Advantage	$12,063.40
Rate for Payer: Health Alliance Plan Medicare Advantage	$12,063.40
Rate for Payer: Mclaren Medicare	$12,063.40
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$12,666.57
Rate for Payer: MI Amish Medical Board Commercial	$13,872.91
Rate for Payer: PACE Medicare	$11,460.23
Rate for Payer: PACE SWMI	$12,063.40
Rate for Payer: PHP Medicare Advantage	$12,063.40
Rate for Payer: Priority Health Medicare	$12,063.40
Rate for Payer: Railroad Medicare Medicare	$12,063.40
Rate for Payer: UHC Dual Complete DSNP	$12,063.40
Rate for Payer: UHC Medicare Advantage	$12,063.40
Rate for Payer: VA VA	$12,063.40

MS-DRG 42.00: INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC

Facility

$23,885.49

Service Code	MSDRG 350
Min. Negotiated Rate	$18,152.97
Max. Negotiated Rate	$23,885.49
Rate for Payer: Aetna Medicare	$19,872.73
Rate for Payer: Allen County Amish Medical Aid Commercial	$23,885.49
Rate for Payer: Amish Plain Church Group Commercial	$23,885.49
Rate for Payer: BCBS MAPPO	$19,108.39
Rate for Payer: BCN Medicare Advantage	$19,108.39
Rate for Payer: Health Alliance Plan Medicare Advantage	$19,108.39
Rate for Payer: Mclaren Medicare	$19,108.39
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$20,063.81
Rate for Payer: MI Amish Medical Board Commercial	$21,974.65
Rate for Payer: PACE Medicare	$18,152.97
Rate for Payer: PACE SWMI	$19,108.39
Rate for Payer: PHP Medicare Advantage	$19,108.39
Rate for Payer: Priority Health Medicare	$19,108.39
Rate for Payer: Railroad Medicare Medicare	$19,108.39
Rate for Payer: UHC Dual Complete DSNP	$19,108.39
Rate for Payer: UHC Medicare Advantage	$19,108.39
Rate for Payer: VA VA	$19,108.39

MS-DRG 42.00: INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC

Facility

$11,207.88

Service Code	MSDRG 352
Min. Negotiated Rate	$8,517.99
Max. Negotiated Rate	$11,207.88
Rate for Payer: Aetna Medicare	$9,324.95
Rate for Payer: Allen County Amish Medical Aid Commercial	$11,207.88
Rate for Payer: Amish Plain Church Group Commercial	$11,207.88
Rate for Payer: BCBS MAPPO	$8,966.30
Rate for Payer: BCN Medicare Advantage	$8,966.30
Rate for Payer: Health Alliance Plan Medicare Advantage	$8,966.30
Rate for Payer: Mclaren Medicare	$8,966.30
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$9,414.61
Rate for Payer: MI Amish Medical Board Commercial	$10,311.25
Rate for Payer: PACE Medicare	$8,517.99
Rate for Payer: PACE SWMI	$8,966.30
Rate for Payer: PHP Medicare Advantage	$8,966.30
Rate for Payer: Priority Health Medicare	$8,966.30
Rate for Payer: Railroad Medicare Medicare	$8,966.30
Rate for Payer: UHC Dual Complete DSNP	$8,966.30
Rate for Payer: UHC Medicare Advantage	$8,966.30
Rate for Payer: VA VA	$8,966.30

MS-DRG 42.00: INTERSTITIAL LUNG DISEASE WITH CC

Facility

$10,123.23

Service Code	MSDRG 197
Min. Negotiated Rate	$7,693.65
Max. Negotiated Rate	$10,123.23
Rate for Payer: Aetna Medicare	$8,422.52
Rate for Payer: Allen County Amish Medical Aid Commercial	$10,123.23
Rate for Payer: Amish Plain Church Group Commercial	$10,123.23
Rate for Payer: BCBS MAPPO	$8,098.58
Rate for Payer: BCN Medicare Advantage	$8,098.58
Rate for Payer: Health Alliance Plan Medicare Advantage	$8,098.58
Rate for Payer: Mclaren Medicare	$8,098.58
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$8,503.51
Rate for Payer: MI Amish Medical Board Commercial	$9,313.37
Rate for Payer: PACE Medicare	$7,693.65
Rate for Payer: PACE SWMI	$8,098.58
Rate for Payer: PHP Medicare Advantage	$8,098.58
Rate for Payer: Priority Health Medicare	$8,098.58
Rate for Payer: Railroad Medicare Medicare	$8,098.58
Rate for Payer: UHC Dual Complete DSNP	$8,098.58
Rate for Payer: UHC Medicare Advantage	$8,098.58
Rate for Payer: VA VA	$8,098.58

MS-DRG 42.00: INTERSTITIAL LUNG DISEASE WITH MCC

Facility

$18,735.83

Service Code	MSDRG 196
Min. Negotiated Rate	$14,239.23
Max. Negotiated Rate	$18,735.83
Rate for Payer: Aetna Medicare	$15,588.21
Rate for Payer: Allen County Amish Medical Aid Commercial	$18,735.83
Rate for Payer: Amish Plain Church Group Commercial	$18,735.83
Rate for Payer: BCBS MAPPO	$14,988.66
Rate for Payer: BCN Medicare Advantage	$14,988.66
Rate for Payer: Health Alliance Plan Medicare Advantage	$14,988.66
Rate for Payer: Mclaren Medicare	$14,988.66
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$15,738.09
Rate for Payer: MI Amish Medical Board Commercial	$17,236.96
Rate for Payer: PACE Medicare	$14,239.23
Rate for Payer: PACE SWMI	$14,988.66
Rate for Payer: PHP Medicare Advantage	$14,988.66
Rate for Payer: Priority Health Medicare	$14,988.66
Rate for Payer: Railroad Medicare Medicare	$14,988.66
Rate for Payer: UHC Dual Complete DSNP	$14,988.66
Rate for Payer: UHC Medicare Advantage	$14,988.66
Rate for Payer: VA VA	$14,988.66

MS-DRG 42.00: INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC

Facility

$7,333.61

Service Code	MSDRG 198
Min. Negotiated Rate	$5,573.55
Max. Negotiated Rate	$7,333.61
Rate for Payer: Aetna Medicare	$6,101.57
Rate for Payer: Allen County Amish Medical Aid Commercial	$7,333.61
Rate for Payer: Amish Plain Church Group Commercial	$7,333.61
Rate for Payer: BCBS MAPPO	$5,866.89
Rate for Payer: BCN Medicare Advantage	$5,866.89
Rate for Payer: Health Alliance Plan Medicare Advantage	$5,866.89
Rate for Payer: Mclaren Medicare	$5,866.89
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$6,160.23
Rate for Payer: MI Amish Medical Board Commercial	$6,746.92
Rate for Payer: PACE Medicare	$5,573.55
Rate for Payer: PACE SWMI	$5,866.89
Rate for Payer: PHP Medicare Advantage	$5,866.89
Rate for Payer: Priority Health Medicare	$5,866.89
Rate for Payer: Railroad Medicare Medicare	$5,866.89
Rate for Payer: UHC Dual Complete DSNP	$5,866.89
Rate for Payer: UHC Medicare Advantage	$5,866.89
Rate for Payer: VA VA	$5,866.89

MS-DRG 42.00: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS

Facility

$10,382.33

Service Code	MSDRG 065
Min. Negotiated Rate	$7,890.57
Max. Negotiated Rate	$10,382.33
Rate for Payer: Aetna Medicare	$8,638.09
Rate for Payer: Allen County Amish Medical Aid Commercial	$10,382.33
Rate for Payer: Amish Plain Church Group Commercial	$10,382.33
Rate for Payer: BCBS MAPPO	$8,305.86
Rate for Payer: BCN Medicare Advantage	$8,305.86
Rate for Payer: Health Alliance Plan Medicare Advantage	$8,305.86
Rate for Payer: Mclaren Medicare	$8,305.86
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$8,721.15
Rate for Payer: MI Amish Medical Board Commercial	$9,551.74
Rate for Payer: PACE Medicare	$7,890.57
Rate for Payer: PACE SWMI	$8,305.86
Rate for Payer: PHP Medicare Advantage	$8,305.86
Rate for Payer: Priority Health Medicare	$8,305.86
Rate for Payer: Railroad Medicare Medicare	$8,305.86
Rate for Payer: UHC Dual Complete DSNP	$8,305.86
Rate for Payer: UHC Medicare Advantage	$8,305.86
Rate for Payer: VA VA	$8,305.86

MS-DRG 42.00: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC

Facility

$19,748.24

Service Code	MSDRG 064
Min. Negotiated Rate	$15,008.66
Max. Negotiated Rate	$19,748.24
Rate for Payer: Aetna Medicare	$16,430.53
Rate for Payer: Allen County Amish Medical Aid Commercial	$19,748.24
Rate for Payer: Amish Plain Church Group Commercial	$19,748.24
Rate for Payer: BCBS MAPPO	$15,798.59
Rate for Payer: BCN Medicare Advantage	$15,798.59
Rate for Payer: Health Alliance Plan Medicare Advantage	$15,798.59
Rate for Payer: Mclaren Medicare	$15,798.59
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$16,588.52
Rate for Payer: MI Amish Medical Board Commercial	$18,168.38
Rate for Payer: PACE Medicare	$15,008.66
Rate for Payer: PACE SWMI	$15,798.59
Rate for Payer: PHP Medicare Advantage	$15,798.59
Rate for Payer: Priority Health Medicare	$15,798.59
Rate for Payer: Railroad Medicare Medicare	$15,798.59
Rate for Payer: UHC Dual Complete DSNP	$15,798.59
Rate for Payer: UHC Medicare Advantage	$15,798.59
Rate for Payer: VA VA	$15,798.59

MS-DRG 42.00: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC

Facility

$7,217.05

Service Code	MSDRG 066
Min. Negotiated Rate	$5,484.96
Max. Negotiated Rate	$7,217.05
Rate for Payer: Aetna Medicare	$6,004.59
Rate for Payer: Allen County Amish Medical Aid Commercial	$7,217.05
Rate for Payer: Amish Plain Church Group Commercial	$7,217.05
Rate for Payer: BCBS MAPPO	$5,773.64
Rate for Payer: BCN Medicare Advantage	$5,773.64
Rate for Payer: Health Alliance Plan Medicare Advantage	$5,773.64
Rate for Payer: Mclaren Medicare	$5,773.64
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$6,062.32
Rate for Payer: MI Amish Medical Board Commercial	$6,639.69
Rate for Payer: PACE Medicare	$5,484.96
Rate for Payer: PACE SWMI	$5,773.64
Rate for Payer: PHP Medicare Advantage	$5,773.64
Rate for Payer: Priority Health Medicare	$5,773.64
Rate for Payer: Railroad Medicare Medicare	$5,773.64
Rate for Payer: UHC Dual Complete DSNP	$5,773.64
Rate for Payer: UHC Medicare Advantage	$5,773.64
Rate for Payer: VA VA	$5,773.64

MS-DRG 42.00: INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC

Facility

$53,829.70

Service Code	MSDRG 021
Min. Negotiated Rate	$40,910.57
Max. Negotiated Rate	$53,829.70
Rate for Payer: Aetna Medicare	$44,786.31
Rate for Payer: Allen County Amish Medical Aid Commercial	$53,829.70
Rate for Payer: Amish Plain Church Group Commercial	$53,829.70
Rate for Payer: BCBS MAPPO	$43,063.76
Rate for Payer: BCN Medicare Advantage	$43,063.76
Rate for Payer: Health Alliance Plan Medicare Advantage	$43,063.76
Rate for Payer: Mclaren Medicare	$43,063.76
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$45,216.95
Rate for Payer: MI Amish Medical Board Commercial	$49,523.32
Rate for Payer: PACE Medicare	$40,910.57
Rate for Payer: PACE SWMI	$43,063.76
Rate for Payer: PHP Medicare Advantage	$43,063.76
Rate for Payer: Priority Health Medicare	$43,063.76
Rate for Payer: Railroad Medicare Medicare	$43,063.76
Rate for Payer: UHC Dual Complete DSNP	$43,063.76
Rate for Payer: UHC Medicare Advantage	$43,063.76
Rate for Payer: VA VA	$43,063.76

MS-DRG 42.00: INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC

Facility

$78,237.06

Service Code	MSDRG 020
Min. Negotiated Rate	$59,460.17
Max. Negotiated Rate	$78,237.06
Rate for Payer: Aetna Medicare	$65,093.24
Rate for Payer: Allen County Amish Medical Aid Commercial	$78,237.06
Rate for Payer: Amish Plain Church Group Commercial	$78,237.06
Rate for Payer: BCBS MAPPO	$62,589.65
Rate for Payer: BCN Medicare Advantage	$62,589.65
Rate for Payer: Health Alliance Plan Medicare Advantage	$62,589.65
Rate for Payer: Mclaren Medicare	$62,589.65
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$65,719.13
Rate for Payer: MI Amish Medical Board Commercial	$71,978.10
Rate for Payer: PACE Medicare	$59,460.17
Rate for Payer: PACE SWMI	$62,589.65
Rate for Payer: PHP Medicare Advantage	$62,589.65
Rate for Payer: Priority Health Medicare	$62,589.65
Rate for Payer: Railroad Medicare Medicare	$62,589.65
Rate for Payer: UHC Dual Complete DSNP	$62,589.65
Rate for Payer: UHC Medicare Advantage	$62,589.65
Rate for Payer: VA VA	$62,589.65

MS-DRG 42.00: INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC

Facility

$34,594.14

Service Code	MSDRG 022
Min. Negotiated Rate	$26,291.54
Max. Negotiated Rate	$34,594.14
Rate for Payer: Aetna Medicare	$28,782.32
Rate for Payer: Allen County Amish Medical Aid Commercial	$34,594.14
Rate for Payer: Amish Plain Church Group Commercial	$34,594.14
Rate for Payer: BCBS MAPPO	$27,675.31
Rate for Payer: BCN Medicare Advantage	$27,675.31
Rate for Payer: Health Alliance Plan Medicare Advantage	$27,675.31
Rate for Payer: Mclaren Medicare	$27,675.31
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$29,059.08
Rate for Payer: MI Amish Medical Board Commercial	$31,826.61
Rate for Payer: PACE Medicare	$26,291.54
Rate for Payer: PACE SWMI	$27,675.31
Rate for Payer: PHP Medicare Advantage	$27,675.31
Rate for Payer: Priority Health Medicare	$27,675.31
Rate for Payer: Railroad Medicare Medicare	$27,675.31
Rate for Payer: UHC Dual Complete DSNP	$27,675.31
Rate for Payer: UHC Medicare Advantage	$27,675.31
Rate for Payer: VA VA	$27,675.31

MS-DRG 42.00: INTRAOCULAR PROCEDURES WITH CC/MCC

Facility

$16,659.96

Service Code	MSDRG 116
Min. Negotiated Rate	$12,661.57
Max. Negotiated Rate	$16,659.96
Rate for Payer: Aetna Medicare	$13,861.09
Rate for Payer: Allen County Amish Medical Aid Commercial	$16,659.96
Rate for Payer: Amish Plain Church Group Commercial	$16,659.96
Rate for Payer: BCBS MAPPO	$13,327.97
Rate for Payer: BCN Medicare Advantage	$13,327.97
Rate for Payer: Health Alliance Plan Medicare Advantage	$13,327.97
Rate for Payer: Mclaren Medicare	$13,327.97
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$13,994.37
Rate for Payer: MI Amish Medical Board Commercial	$15,327.17
Rate for Payer: PACE Medicare	$12,661.57
Rate for Payer: PACE SWMI	$13,327.97
Rate for Payer: PHP Medicare Advantage	$13,327.97
Rate for Payer: Priority Health Medicare	$13,327.97
Rate for Payer: Railroad Medicare Medicare	$13,327.97
Rate for Payer: UHC Dual Complete DSNP	$13,327.97
Rate for Payer: UHC Medicare Advantage	$13,327.97
Rate for Payer: VA VA	$13,327.97

MS-DRG 42.00: INTRAOCULAR PROCEDURES WITHOUT CC/MCC

Facility

$10,976.69

Service Code	MSDRG 117
Min. Negotiated Rate	$8,342.28
Max. Negotiated Rate	$10,976.69
Rate for Payer: Aetna Medicare	$9,132.60
Rate for Payer: Allen County Amish Medical Aid Commercial	$10,976.69
Rate for Payer: Amish Plain Church Group Commercial	$10,976.69
Rate for Payer: BCBS MAPPO	$8,781.35
Rate for Payer: BCN Medicare Advantage	$8,781.35
Rate for Payer: Health Alliance Plan Medicare Advantage	$8,781.35
Rate for Payer: Mclaren Medicare	$8,781.35
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$9,220.42
Rate for Payer: MI Amish Medical Board Commercial	$10,098.55
Rate for Payer: PACE Medicare	$8,342.28
Rate for Payer: PACE SWMI	$8,781.35
Rate for Payer: PHP Medicare Advantage	$8,781.35
Rate for Payer: Priority Health Medicare	$8,781.35
Rate for Payer: Railroad Medicare Medicare	$8,781.35
Rate for Payer: UHC Dual Complete DSNP	$8,781.35
Rate for Payer: UHC Medicare Advantage	$8,781.35
Rate for Payer: VA VA	$8,781.35

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