Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <

Facility

$98,099.66

Service Code	APR-DRG 5891
Min. Negotiated Rate	$93,428.24
Max. Negotiated Rate	$98,099.66
Rate for Payer: BCBS Complete	$98,099.66
Rate for Payer: Mclaren Medicaid	$93,428.24
Rate for Payer: Meridian Medicaid	$98,099.66
Rate for Payer: Priority Health Choice Medicaid	$93,428.24
Rate for Payer: UHC Medicaid	$93,428.24
Rate for Payer: UHCCP Medicaid	$93,428.24

NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <

Facility

$1,905.08

Service Code	APR-DRG 5894
Min. Negotiated Rate	$1,814.36
Max. Negotiated Rate	$1,905.08
Rate for Payer: BCBS Complete	$1,905.08
Rate for Payer: Mclaren Medicaid	$1,814.36
Rate for Payer: Meridian Medicaid	$1,905.08
Rate for Payer: Priority Health Choice Medicaid	$1,814.36
Rate for Payer: UHC Medicaid	$1,814.36
Rate for Payer: UHCCP Medicaid	$1,814.36

NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$53,392.00

Service Code	APR-DRG 5932
Min. Negotiated Rate	$50,849.53
Max. Negotiated Rate	$53,392.00
Rate for Payer: BCBS Complete	$53,392.00
Rate for Payer: Mclaren Medicaid	$50,849.53
Rate for Payer: Meridian Medicaid	$53,392.00
Rate for Payer: Priority Health Choice Medicaid	$50,849.53
Rate for Payer: UHC Medicaid	$50,849.53
Rate for Payer: UHCCP Medicaid	$50,849.53

NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$127,512.81

Service Code	APR-DRG 5934
Min. Negotiated Rate	$121,440.77
Max. Negotiated Rate	$127,512.81
Rate for Payer: BCBS Complete	$127,512.81
Rate for Payer: Mclaren Medicaid	$121,440.77
Rate for Payer: Meridian Medicaid	$127,512.81
Rate for Payer: Priority Health Choice Medicaid	$121,440.77
Rate for Payer: UHC Medicaid	$121,440.77
Rate for Payer: UHCCP Medicaid	$121,440.77

NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$27,607.83

Service Code	APR-DRG 5931
Min. Negotiated Rate	$26,293.18
Max. Negotiated Rate	$27,607.83
Rate for Payer: BCBS Complete	$27,607.83
Rate for Payer: Mclaren Medicaid	$26,293.18
Rate for Payer: Meridian Medicaid	$27,607.83
Rate for Payer: Priority Health Choice Medicaid	$26,293.18
Rate for Payer: UHC Medicaid	$26,293.18
Rate for Payer: UHCCP Medicaid	$26,293.18

NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$86,202.53

Service Code	APR-DRG 5933
Min. Negotiated Rate	$82,097.65
Max. Negotiated Rate	$86,202.53
Rate for Payer: BCBS Complete	$86,202.53
Rate for Payer: Mclaren Medicaid	$82,097.65
Rate for Payer: Meridian Medicaid	$86,202.53
Rate for Payer: Priority Health Choice Medicaid	$82,097.65
Rate for Payer: UHC Medicaid	$82,097.65
Rate for Payer: UHCCP Medicaid	$82,097.65

NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY

Facility

$77,286.19

Service Code	MSDRG 789
Min. Negotiated Rate	$13,781.48
Max. Negotiated Rate	$77,286.19
Rate for Payer: Aetna Medicare	$15,087.09
Rate for Payer: Allen County Amish Medical Aid Commercial	$18,133.53
Rate for Payer: Amish Plain Church Group Commercial	$18,133.53
Rate for Payer: BCBS MAPPO	$14,506.82
Rate for Payer: BCBS Trust/PPO	$77,286.19
Rate for Payer: BCN Commercial	$77,286.19
Rate for Payer: BCN Medicare Advantage	$14,506.82
Rate for Payer: Health Alliance Plan Medicare Advantage	$14,506.82
Rate for Payer: Mclaren Medicare	$14,506.82
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$15,232.16
Rate for Payer: MI Amish Medical Board Commercial	$16,682.84
Rate for Payer: Molina Medicare/Medicaid	$15,957.50
Rate for Payer: Nomi Health Commercial	$23,248.38
Rate for Payer: PACE Medicare	$13,781.48
Rate for Payer: PACE SWMI	$14,506.82
Rate for Payer: PHP Medicare Advantage	$14,506.82
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$36,855.21
Rate for Payer: Priority Health Medicare	$14,506.82
Rate for Payer: Priority Health Tiered Network	$29,484.17
Rate for Payer: Railroad Medicare Medicare	$14,506.82
Rate for Payer: UHC All Payor (Choice/PPO)	$29,375.86
Rate for Payer: UHC Core	$24,576.60
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$14,506.82
Rate for Payer: UHC Exchange	$20,071.10
Rate for Payer: VA VA	$14,506.82

NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE

Facility

$13,482.87

Service Code	APR-DRG 5814
Min. Negotiated Rate	$12,840.83
Max. Negotiated Rate	$13,482.87
Rate for Payer: BCBS Complete	$13,482.87
Rate for Payer: Mclaren Medicaid	$12,840.83
Rate for Payer: Meridian Medicaid	$13,482.87
Rate for Payer: Priority Health Choice Medicaid	$12,840.83
Rate for Payer: UHC Medicaid	$12,840.83
Rate for Payer: UHCCP Medicaid	$12,840.83

NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE

Facility

$2,759.87

Service Code	APR-DRG 5813
Min. Negotiated Rate	$2,628.44
Max. Negotiated Rate	$2,759.87
Rate for Payer: BCBS Complete	$2,759.87
Rate for Payer: Mclaren Medicaid	$2,628.44
Rate for Payer: Meridian Medicaid	$2,759.87
Rate for Payer: Priority Health Choice Medicaid	$2,628.44
Rate for Payer: UHC Medicaid	$2,628.44
Rate for Payer: UHCCP Medicaid	$2,628.44

NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE

Facility

$687.39

Service Code	APR-DRG 5811
Min. Negotiated Rate	$654.65
Max. Negotiated Rate	$687.39
Rate for Payer: BCBS Complete	$687.39
Rate for Payer: Mclaren Medicaid	$654.65
Rate for Payer: Meridian Medicaid	$687.39
Rate for Payer: Priority Health Choice Medicaid	$654.65
Rate for Payer: UHC Medicaid	$654.65
Rate for Payer: UHCCP Medicaid	$654.65

NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE

Facility

$1,171.83

Service Code	APR-DRG 5812
Min. Negotiated Rate	$1,116.02
Max. Negotiated Rate	$1,171.83
Rate for Payer: BCBS Complete	$1,171.83
Rate for Payer: Mclaren Medicaid	$1,116.02
Rate for Payer: Meridian Medicaid	$1,171.83
Rate for Payer: Priority Health Choice Medicaid	$1,116.02
Rate for Payer: UHC Medicaid	$1,116.02
Rate for Payer: UHCCP Medicaid	$1,116.02

NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE

Facility

$1,897.05

Service Code	APR-DRG 5801
Min. Negotiated Rate	$1,806.71
Max. Negotiated Rate	$1,897.05
Rate for Payer: BCBS Complete	$1,897.05
Rate for Payer: Mclaren Medicaid	$1,806.71
Rate for Payer: Meridian Medicaid	$1,897.05
Rate for Payer: Priority Health Choice Medicaid	$1,806.71
Rate for Payer: UHC Medicaid	$1,806.71
Rate for Payer: UHCCP Medicaid	$1,806.71

NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE

Facility

$9,689.92

Service Code	APR-DRG 5804
Min. Negotiated Rate	$9,228.49
Max. Negotiated Rate	$9,689.92
Rate for Payer: BCBS Complete	$9,689.92
Rate for Payer: Mclaren Medicaid	$9,228.49
Rate for Payer: Meridian Medicaid	$9,689.92
Rate for Payer: Priority Health Choice Medicaid	$9,228.49
Rate for Payer: UHC Medicaid	$9,228.49
Rate for Payer: UHCCP Medicaid	$9,228.49

NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE

Facility

$2,567.81

Service Code	APR-DRG 5802
Min. Negotiated Rate	$2,445.53
Max. Negotiated Rate	$2,567.81
Rate for Payer: BCBS Complete	$2,567.81
Rate for Payer: Mclaren Medicaid	$2,445.53
Rate for Payer: Meridian Medicaid	$2,567.81
Rate for Payer: Priority Health Choice Medicaid	$2,445.53
Rate for Payer: UHC Medicaid	$2,445.53
Rate for Payer: UHCCP Medicaid	$2,445.53

NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE

Facility

$4,988.86

Service Code	APR-DRG 5803
Min. Negotiated Rate	$4,751.29
Max. Negotiated Rate	$4,988.86
Rate for Payer: BCBS Complete	$4,988.86
Rate for Payer: Mclaren Medicaid	$4,751.29
Rate for Payer: Meridian Medicaid	$4,988.86
Rate for Payer: Priority Health Choice Medicaid	$4,751.29
Rate for Payer: UHC Medicaid	$4,751.29
Rate for Payer: UHCCP Medicaid	$4,751.29

NEONATE WITH ECMO

Facility

$317,909.76

Service Code	APR-DRG 5834
Min. Negotiated Rate	$302,771.20
Max. Negotiated Rate	$317,909.76
Rate for Payer: BCBS Complete	$317,909.76
Rate for Payer: Mclaren Medicaid	$302,771.20
Rate for Payer: Meridian Medicaid	$317,909.76
Rate for Payer: Priority Health Choice Medicaid	$302,771.20
Rate for Payer: UHC Medicaid	$302,771.20
Rate for Payer: UHCCP Medicaid	$302,771.20

NEONATE WITH ECMO

Facility

$106,557.55

Service Code	APR-DRG 5832
Min. Negotiated Rate	$101,483.38
Max. Negotiated Rate	$106,557.55
Rate for Payer: BCBS Complete	$106,557.55
Rate for Payer: Mclaren Medicaid	$101,483.38
Rate for Payer: Meridian Medicaid	$106,557.55
Rate for Payer: Priority Health Choice Medicaid	$101,483.38
Rate for Payer: UHC Medicaid	$101,483.38
Rate for Payer: UHCCP Medicaid	$101,483.38

NEONATE WITH ECMO

Facility

$90,901.30

Service Code	APR-DRG 5831
Min. Negotiated Rate	$86,572.67
Max. Negotiated Rate	$90,901.30
Rate for Payer: BCBS Complete	$90,901.30
Rate for Payer: Mclaren Medicaid	$86,572.67
Rate for Payer: Meridian Medicaid	$90,901.30
Rate for Payer: Priority Health Choice Medicaid	$86,572.67
Rate for Payer: UHC Medicaid	$86,572.67
Rate for Payer: UHCCP Medicaid	$86,572.67

NEONATE WITH ECMO

Facility

$192,198.25

Service Code	APR-DRG 5833
Min. Negotiated Rate	$183,045.95
Max. Negotiated Rate	$192,198.25
Rate for Payer: BCBS Complete	$192,198.25
Rate for Payer: Mclaren Medicaid	$183,045.95
Rate for Payer: Meridian Medicaid	$192,198.25
Rate for Payer: Priority Health Choice Medicaid	$183,045.95
Rate for Payer: UHC Medicaid	$183,045.95
Rate for Payer: UHCCP Medicaid	$183,045.95

NEONATE WITH OTHER SIGNIFICANT PROBLEMS

Facility

$24,057.17

Service Code	MSDRG 794
Min. Negotiated Rate	$2,686.59
Max. Negotiated Rate	$24,057.17
Rate for Payer: Aetna Medicare	$12,464.49
Rate for Payer: Allen County Amish Medical Aid Commercial	$14,981.36
Rate for Payer: Amish Plain Church Group Commercial	$14,981.36
Rate for Payer: BCBS MAPPO	$11,985.09
Rate for Payer: BCBS Trust/PPO	$3,918.50
Rate for Payer: BCN Commercial	$3,918.50
Rate for Payer: BCN Medicare Advantage	$11,985.09
Rate for Payer: Health Alliance Plan Medicare Advantage	$11,985.09
Rate for Payer: Mclaren Medicare	$11,985.09
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$12,584.34
Rate for Payer: MI Amish Medical Board Commercial	$13,782.85
Rate for Payer: Molina Medicare/Medicaid	$13,183.60
Rate for Payer: Nomi Health Commercial	$19,039.11
Rate for Payer: PACE Medicare	$11,385.84
Rate for Payer: PACE SWMI	$11,985.09
Rate for Payer: PHP Medicare Advantage	$11,985.09
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$3,358.24
Rate for Payer: Priority Health Medicare	$11,985.09
Rate for Payer: Priority Health Tiered Network	$2,686.59
Rate for Payer: Railroad Medicare Medicare	$11,985.09
Rate for Payer: UHC All Payor (Choice/PPO)	$24,057.17
Rate for Payer: UHC Core	$20,126.85
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$11,985.09
Rate for Payer: UHC Exchange	$16,437.10
Rate for Payer: VA VA	$11,985.09

NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION

Facility

$17.62

Service Code	HCPCS J2710
Hospital Charge Code	167219
Hospital Revenue Code	636
Min. Negotiated Rate	$2.33
Max. Negotiated Rate	$15.86
Rate for Payer: Aetna Commercial	$14.98
Rate for Payer: Aetna Commercial	$13.15
Rate for Payer: Aetna Commercial	$21.20
Rate for Payer: Aetna Commercial	$22.92
Rate for Payer: Aetna Commercial	$63.33
Rate for Payer: Aetna Commercial	$20.77
Rate for Payer: Aetna Commercial	$18.65
Rate for Payer: Aetna Commercial	$18.62
Rate for Payer: Aetna Medicare	$12.22
Rate for Payer: Aetna Medicare	$10.97
Rate for Payer: Aetna Medicare	$7.74
Rate for Payer: Aetna Medicare	$8.81
Rate for Payer: Aetna Medicare	$10.96
Rate for Payer: Aetna Medicare	$37.25
Rate for Payer: Aetna Medicare	$13.48
Rate for Payer: Aetna Medicare	$12.47
Rate for Payer: Aetna New Business (MI Preferred)	$17.53
Rate for Payer: Aetna New Business (MI Preferred)	$11.45
Rate for Payer: Aetna New Business (MI Preferred)	$10.06
Rate for Payer: Aetna New Business (MI Preferred)	$14.24
Rate for Payer: Aetna New Business (MI Preferred)	$48.42
Rate for Payer: Aetna New Business (MI Preferred)	$15.89
Rate for Payer: Aetna New Business (MI Preferred)	$14.26
Rate for Payer: Aetna New Business (MI Preferred)	$16.21
Rate for Payer: BCBS Complete	$8.78
Rate for Payer: BCBS Complete	$10.79
Rate for Payer: BCBS Complete	$7.05
Rate for Payer: BCBS Complete	$8.76
Rate for Payer: BCBS Complete	$9.98
Rate for Payer: BCBS Complete	$6.19
Rate for Payer: BCBS Complete	$29.80
Rate for Payer: BCBS Complete	$9.78
Rate for Payer: BCBS Trust/PPO	$2.51
Rate for Payer: BCBS Trust/PPO	$2.51
Rate for Payer: BCBS Trust/PPO	$2.51
Rate for Payer: BCBS Trust/PPO	$2.51
Rate for Payer: BCBS Trust/PPO	$2.51
Rate for Payer: BCBS Trust/PPO	$2.51
Rate for Payer: BCBS Trust/PPO	$2.51
Rate for Payer: BCBS Trust/PPO	$2.51
Rate for Payer: BCN Commercial	$2.51
Rate for Payer: BCN Commercial	$2.51
Rate for Payer: BCN Commercial	$2.51
Rate for Payer: BCN Commercial	$2.51
Rate for Payer: BCN Commercial	$2.51
Rate for Payer: BCN Commercial	$2.51
Rate for Payer: BCN Commercial	$2.51
Rate for Payer: BCN Commercial	$2.51
Rate for Payer: Cash Price	$14.10
Rate for Payer: Cash Price	$12.38
Rate for Payer: Cash Price	$12.38
Rate for Payer: Cash Price	$17.53
Rate for Payer: Cash Price	$14.10
Rate for Payer: Cash Price	$17.53
Rate for Payer: Cash Price	$17.55
Rate for Payer: Cash Price	$17.55
Rate for Payer: Cash Price	$19.55
Rate for Payer: Cash Price	$19.55
Rate for Payer: Cash Price	$19.95
Rate for Payer: Cash Price	$19.95
Rate for Payer: Cash Price	$21.58
Rate for Payer: Cash Price	$21.58
Rate for Payer: Cash Price	$59.60
Rate for Payer: Cash Price	$59.60
Rate for Payer: Cofinity Advantage	$10.83
Rate for Payer: Cofinity Advantage	$17.46
Rate for Payer: Cofinity Advantage	$15.34
Rate for Payer: Cofinity Advantage	$52.15
Rate for Payer: Cofinity Advantage	$12.33
Rate for Payer: Cofinity Advantage	$15.36
Rate for Payer: Cofinity Advantage	$17.11
Rate for Payer: Cofinity Advantage	$18.88
Rate for Payer: Cofinity Commercial	$18.87
Rate for Payer: Cofinity Commercial	$23.19
Rate for Payer: Cofinity Commercial	$64.07
Rate for Payer: Cofinity Commercial	$21.45
Rate for Payer: Cofinity Commercial	$13.30
Rate for Payer: Cofinity Commercial	$15.15
Rate for Payer: Cofinity Commercial	$21.02
Rate for Payer: Cofinity Commercial	$18.84
Rate for Payer: Encore Health Key Benefits Commercial	$14.10
Rate for Payer: Encore Health Key Benefits Commercial	$17.55
Rate for Payer: Encore Health Key Benefits Commercial	$21.58
Rate for Payer: Encore Health Key Benefits Commercial	$17.53
Rate for Payer: Encore Health Key Benefits Commercial	$12.38
Rate for Payer: Encore Health Key Benefits Commercial	$59.60
Rate for Payer: Encore Health Key Benefits Commercial	$19.55
Rate for Payer: Encore Health Key Benefits Commercial	$19.95
Rate for Payer: Healthscope Commercial	$13.92
Rate for Payer: Healthscope Commercial	$19.72
Rate for Payer: Healthscope Commercial	$67.05
Rate for Payer: Healthscope Commercial	$22.00
Rate for Payer: Healthscope Commercial	$19.75
Rate for Payer: Healthscope Commercial	$22.45
Rate for Payer: Healthscope Commercial	$24.27
Rate for Payer: Healthscope Commercial	$15.86
Rate for Payer: MI Amish Medical Board Commercial	$59.60
Rate for Payer: MI Amish Medical Board Commercial	$19.95
Rate for Payer: MI Amish Medical Board Commercial	$17.53
Rate for Payer: MI Amish Medical Board Commercial	$21.58
Rate for Payer: MI Amish Medical Board Commercial	$17.55
Rate for Payer: MI Amish Medical Board Commercial	$12.38
Rate for Payer: MI Amish Medical Board Commercial	$14.10
Rate for Payer: MI Amish Medical Board Commercial	$19.55
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$18.62
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$18.65
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$20.77
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$14.98
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$13.15
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$21.20
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$63.33
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$22.92
Rate for Payer: Opus (Opus Packaging Group) HMA	$16.43
Rate for Payer: Opus (Opus Packaging Group) HMA	$13.21
Rate for Payer: Opus (Opus Packaging Group) HMA	$18.33
Rate for Payer: Opus (Opus Packaging Group) HMA	$20.23
Rate for Payer: Opus (Opus Packaging Group) HMA	$18.70
Rate for Payer: Opus (Opus Packaging Group) HMA	$55.88
Rate for Payer: Opus (Opus Packaging Group) HMA	$11.60
Rate for Payer: Opus (Opus Packaging Group) HMA	$16.45
Rate for Payer: PHP Commercial	$18.62
Rate for Payer: PHP Commercial	$20.77
Rate for Payer: PHP Commercial	$13.15
Rate for Payer: PHP Commercial	$14.98
Rate for Payer: PHP Commercial	$22.92
Rate for Payer: PHP Commercial	$18.65
Rate for Payer: PHP Commercial	$63.33
Rate for Payer: PHP Commercial	$21.20
Rate for Payer: Priority Health SBD	$11.10
Rate for Payer: Priority Health SBD	$46.94
Rate for Payer: Priority Health SBD	$15.71
Rate for Payer: Priority Health SBD	$13.80
Rate for Payer: Priority Health SBD	$15.40
Rate for Payer: Priority Health SBD	$16.99
Rate for Payer: Priority Health SBD	$9.75
Rate for Payer: Priority Health SBD	$13.82
Rate for Payer: UHC All Payor (Choice/PPO)	$2.33
Rate for Payer: UHC All Payor (Choice/PPO)	$2.33
Rate for Payer: UHC All Payor (Choice/PPO)	$2.33
Rate for Payer: UHC All Payor (Choice/PPO)	$2.33
Rate for Payer: UHC All Payor (Choice/PPO)	$2.33
Rate for Payer: UHC All Payor (Choice/PPO)	$2.33
Rate for Payer: UHC All Payor (Choice/PPO)	$2.33
Rate for Payer: UHC All Payor (Choice/PPO)	$2.33
Rate for Payer: UHC Core	$2.33
Rate for Payer: UHC Core	$2.33
Rate for Payer: UHC Core	$2.33
Rate for Payer: UHC Core	$2.33
Rate for Payer: UHC Core	$2.33
Rate for Payer: UHC Core	$2.33
Rate for Payer: UHC Core	$2.33
Rate for Payer: UHC Core	$2.33
Rate for Payer: UHC Exchange	$2.33
Rate for Payer: UHC Exchange	$2.33
Rate for Payer: UHC Exchange	$2.33
Rate for Payer: UHC Exchange	$2.33
Rate for Payer: UHC Exchange	$2.33
Rate for Payer: UHC Exchange	$2.33
Rate for Payer: UHC Exchange	$2.33
Rate for Payer: UHC Exchange	$2.33

NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION

Facility

$24.44

Service Code	HCPCS J2710
Hospital Charge Code	167219
Hospital Revenue Code	636
Min. Negotiated Rate	$15.40
Max. Negotiated Rate	$22.00
Rate for Payer: Aetna Commercial	$20.77
Rate for Payer: Aetna Commercial	$14.98
Rate for Payer: Aetna Commercial	$13.15
Rate for Payer: Aetna Commercial	$18.62
Rate for Payer: Aetna Commercial	$18.65
Rate for Payer: Aetna Commercial	$63.33
Rate for Payer: Aetna Commercial	$22.92
Rate for Payer: Aetna Commercial	$21.20
Rate for Payer: Aetna New Business (MI Preferred)	$16.21
Rate for Payer: Aetna New Business (MI Preferred)	$48.42
Rate for Payer: Aetna New Business (MI Preferred)	$14.26
Rate for Payer: Aetna New Business (MI Preferred)	$17.53
Rate for Payer: Aetna New Business (MI Preferred)	$10.06
Rate for Payer: Aetna New Business (MI Preferred)	$11.45
Rate for Payer: Aetna New Business (MI Preferred)	$14.24
Rate for Payer: Aetna New Business (MI Preferred)	$15.89
Rate for Payer: Cash Price	$14.10
Rate for Payer: Cash Price	$17.53
Rate for Payer: Cash Price	$19.55
Rate for Payer: Cash Price	$19.95
Rate for Payer: Cash Price	$59.60
Rate for Payer: Cash Price	$21.58
Rate for Payer: Cash Price	$17.55
Rate for Payer: Cash Price	$12.38
Rate for Payer: Cofinity Advantage	$10.83
Rate for Payer: Cofinity Advantage	$12.33
Rate for Payer: Cofinity Advantage	$15.34
Rate for Payer: Cofinity Advantage	$15.36
Rate for Payer: Cofinity Advantage	$17.11
Rate for Payer: Cofinity Advantage	$17.46
Rate for Payer: Cofinity Advantage	$18.88
Rate for Payer: Cofinity Advantage	$52.15
Rate for Payer: Cofinity Commercial	$18.87
Rate for Payer: Cofinity Commercial	$13.30
Rate for Payer: Cofinity Commercial	$15.15
Rate for Payer: Cofinity Commercial	$23.19
Rate for Payer: Cofinity Commercial	$64.07
Rate for Payer: Cofinity Commercial	$18.84
Rate for Payer: Cofinity Commercial	$21.45
Rate for Payer: Cofinity Commercial	$21.02
Rate for Payer: Encore Health Key Benefits Commercial	$12.38
Rate for Payer: Encore Health Key Benefits Commercial	$19.55
Rate for Payer: Encore Health Key Benefits Commercial	$17.55
Rate for Payer: Encore Health Key Benefits Commercial	$17.53
Rate for Payer: Encore Health Key Benefits Commercial	$14.10
Rate for Payer: Encore Health Key Benefits Commercial	$59.60
Rate for Payer: Encore Health Key Benefits Commercial	$19.95
Rate for Payer: Encore Health Key Benefits Commercial	$21.58
Rate for Payer: Healthscope Commercial	$13.92
Rate for Payer: Healthscope Commercial	$15.86
Rate for Payer: Healthscope Commercial	$22.45
Rate for Payer: Healthscope Commercial	$19.75
Rate for Payer: Healthscope Commercial	$24.27
Rate for Payer: Healthscope Commercial	$67.05
Rate for Payer: Healthscope Commercial	$22.00
Rate for Payer: Healthscope Commercial	$19.72
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$13.15
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$18.65
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$18.62
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$14.98
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$63.33
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$20.77
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$21.20
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$22.92
Rate for Payer: Opus (Opus Packaging Group) HMA	$11.60
Rate for Payer: Opus (Opus Packaging Group) HMA	$16.45
Rate for Payer: Opus (Opus Packaging Group) HMA	$20.23
Rate for Payer: Opus (Opus Packaging Group) HMA	$16.43
Rate for Payer: Opus (Opus Packaging Group) HMA	$18.70
Rate for Payer: Opus (Opus Packaging Group) HMA	$55.88
Rate for Payer: Opus (Opus Packaging Group) HMA	$18.33
Rate for Payer: Opus (Opus Packaging Group) HMA	$13.21
Rate for Payer: PHP Commercial	$21.20
Rate for Payer: PHP Commercial	$20.77
Rate for Payer: PHP Commercial	$63.33
Rate for Payer: PHP Commercial	$22.92
Rate for Payer: PHP Commercial	$18.65
Rate for Payer: PHP Commercial	$14.98
Rate for Payer: PHP Commercial	$18.62
Rate for Payer: PHP Commercial	$13.15
Rate for Payer: Priority Health SBD	$46.94
Rate for Payer: Priority Health SBD	$9.75
Rate for Payer: Priority Health SBD	$13.80
Rate for Payer: Priority Health SBD	$15.40
Rate for Payer: Priority Health SBD	$16.99
Rate for Payer: Priority Health SBD	$15.71
Rate for Payer: Priority Health SBD	$11.10
Rate for Payer: Priority Health SBD	$13.82

NEPHRITIS AND NEPHROSIS

Facility

$3,262.65

Service Code	APR-DRG 4621
Min. Negotiated Rate	$3,107.29
Max. Negotiated Rate	$3,262.65
Rate for Payer: BCBS Complete	$3,262.65
Rate for Payer: Mclaren Medicaid	$3,107.29
Rate for Payer: Meridian Medicaid	$3,262.65
Rate for Payer: Priority Health Choice Medicaid	$3,107.29
Rate for Payer: UHC Medicaid	$3,107.29
Rate for Payer: UHCCP Medicaid	$3,107.29

NEPHRITIS AND NEPHROSIS

Facility

$4,664.94

Service Code	APR-DRG 4622
Min. Negotiated Rate	$4,442.80
Max. Negotiated Rate	$4,664.94
Rate for Payer: BCBS Complete	$4,664.94
Rate for Payer: Mclaren Medicaid	$4,442.80
Rate for Payer: Meridian Medicaid	$4,664.94
Rate for Payer: Priority Health Choice Medicaid	$4,442.80
Rate for Payer: UHC Medicaid	$4,442.80
Rate for Payer: UHCCP Medicaid	$4,442.80

NEPHRITIS AND NEPHROSIS

Facility

$7,725.22

Service Code	APR-DRG 4623
Min. Negotiated Rate	$7,357.35
Max. Negotiated Rate	$7,725.22
Rate for Payer: BCBS Complete	$7,725.22
Rate for Payer: Mclaren Medicaid	$7,357.35
Rate for Payer: Meridian Medicaid	$7,725.22
Rate for Payer: Priority Health Choice Medicaid	$7,357.35
Rate for Payer: UHC Medicaid	$7,357.35
Rate for Payer: UHCCP Medicaid	$7,357.35

Know your out-of-pocket cost for care.

All Charges