Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

MS-DRG 42.00: OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC

Facility

$6,717.10

Service Code	MSDRG 395
Min. Negotiated Rate	$5,105.00
Max. Negotiated Rate	$6,717.10
Rate for Payer: Aetna Medicare	$5,588.63
Rate for Payer: Allen County Amish Medical Aid Commercial	$6,717.10
Rate for Payer: Amish Plain Church Group Commercial	$6,717.10
Rate for Payer: BCBS MAPPO	$5,373.68
Rate for Payer: BCN Medicare Advantage	$5,373.68
Rate for Payer: Health Alliance Plan Medicare Advantage	$5,373.68
Rate for Payer: Mclaren Medicare	$5,373.68
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$5,642.36
Rate for Payer: MI Amish Medical Board Commercial	$6,179.73
Rate for Payer: PACE Medicare	$5,105.00
Rate for Payer: PACE SWMI	$5,373.68
Rate for Payer: PHP Medicare Advantage	$5,373.68
Rate for Payer: Priority Health Medicare	$5,373.68
Rate for Payer: Railroad Medicare Medicare	$5,373.68
Rate for Payer: UHC Dual Complete DSNP	$5,373.68
Rate for Payer: UHC Medicare Advantage	$5,373.68
Rate for Payer: VA VA	$5,373.68

MS-DRG 42.00: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC

Facility

$22,279.71

Service Code	MSDRG 357
Min. Negotiated Rate	$16,932.58
Max. Negotiated Rate	$22,279.71
Rate for Payer: Aetna Medicare	$18,536.72
Rate for Payer: Allen County Amish Medical Aid Commercial	$22,279.71
Rate for Payer: Amish Plain Church Group Commercial	$22,279.71
Rate for Payer: BCBS MAPPO	$17,823.77
Rate for Payer: BCN Medicare Advantage	$17,823.77
Rate for Payer: Health Alliance Plan Medicare Advantage	$17,823.77
Rate for Payer: Mclaren Medicare	$17,823.77
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$18,714.96
Rate for Payer: MI Amish Medical Board Commercial	$20,497.34
Rate for Payer: PACE Medicare	$16,932.58
Rate for Payer: PACE SWMI	$17,823.77
Rate for Payer: PHP Medicare Advantage	$17,823.77
Rate for Payer: Priority Health Medicare	$17,823.77
Rate for Payer: Railroad Medicare Medicare	$17,823.77
Rate for Payer: UHC Dual Complete DSNP	$17,823.77
Rate for Payer: UHC Medicare Advantage	$17,823.77
Rate for Payer: VA VA	$17,823.77

MS-DRG 42.00: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC

Facility

$41,677.10

Service Code	MSDRG 356
Min. Negotiated Rate	$31,674.60
Max. Negotiated Rate	$41,677.10
Rate for Payer: Aetna Medicare	$34,675.35
Rate for Payer: Allen County Amish Medical Aid Commercial	$41,677.10
Rate for Payer: Amish Plain Church Group Commercial	$41,677.10
Rate for Payer: BCBS MAPPO	$33,341.68
Rate for Payer: BCN Medicare Advantage	$33,341.68
Rate for Payer: Health Alliance Plan Medicare Advantage	$33,341.68
Rate for Payer: Mclaren Medicare	$33,341.68
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$35,008.76
Rate for Payer: MI Amish Medical Board Commercial	$38,342.93
Rate for Payer: PACE Medicare	$31,674.60
Rate for Payer: PACE SWMI	$33,341.68
Rate for Payer: PHP Medicare Advantage	$33,341.68
Rate for Payer: Priority Health Medicare	$33,341.68
Rate for Payer: Railroad Medicare Medicare	$33,341.68
Rate for Payer: UHC Dual Complete DSNP	$33,341.68
Rate for Payer: UHC Medicare Advantage	$33,341.68
Rate for Payer: VA VA	$33,341.68

MS-DRG 42.00: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC

Facility

$13,640.12

Service Code	MSDRG 358
Min. Negotiated Rate	$10,366.50
Max. Negotiated Rate	$13,640.12
Rate for Payer: Aetna Medicare	$11,348.58
Rate for Payer: Allen County Amish Medical Aid Commercial	$13,640.12
Rate for Payer: Amish Plain Church Group Commercial	$13,640.12
Rate for Payer: BCBS MAPPO	$10,912.10
Rate for Payer: BCN Medicare Advantage	$10,912.10
Rate for Payer: Health Alliance Plan Medicare Advantage	$10,912.10
Rate for Payer: Mclaren Medicare	$10,912.10
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$11,457.70
Rate for Payer: MI Amish Medical Board Commercial	$12,548.92
Rate for Payer: PACE Medicare	$10,366.50
Rate for Payer: PACE SWMI	$10,912.10
Rate for Payer: PHP Medicare Advantage	$10,912.10
Rate for Payer: Priority Health Medicare	$10,912.10
Rate for Payer: Railroad Medicare Medicare	$10,912.10
Rate for Payer: UHC Dual Complete DSNP	$10,912.10
Rate for Payer: UHC Medicare Advantage	$10,912.10
Rate for Payer: VA VA	$10,912.10

MS-DRG 42.00: OTHER DISORDERS OF NERVOUS SYSTEM WITH CC

Facility

$10,785.01

Service Code	MSDRG 092
Min. Negotiated Rate	$8,196.61
Max. Negotiated Rate	$10,785.01
Rate for Payer: Aetna Medicare	$8,973.13
Rate for Payer: Allen County Amish Medical Aid Commercial	$10,785.01
Rate for Payer: Amish Plain Church Group Commercial	$10,785.01
Rate for Payer: BCBS MAPPO	$8,628.01
Rate for Payer: BCN Medicare Advantage	$8,628.01
Rate for Payer: Health Alliance Plan Medicare Advantage	$8,628.01
Rate for Payer: Mclaren Medicare	$8,628.01
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$9,059.41
Rate for Payer: MI Amish Medical Board Commercial	$9,922.21
Rate for Payer: PACE Medicare	$8,196.61
Rate for Payer: PACE SWMI	$8,628.01
Rate for Payer: PHP Medicare Advantage	$8,628.01
Rate for Payer: Priority Health Medicare	$8,628.01
Rate for Payer: Railroad Medicare Medicare	$8,628.01
Rate for Payer: UHC Dual Complete DSNP	$8,628.01
Rate for Payer: UHC Medicare Advantage	$8,628.01
Rate for Payer: VA VA	$8,628.01

MS-DRG 42.00: OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC

Facility

$18,146.29

Service Code	MSDRG 091
Min. Negotiated Rate	$13,791.18
Max. Negotiated Rate	$18,146.29
Rate for Payer: Aetna Medicare	$15,097.71
Rate for Payer: Allen County Amish Medical Aid Commercial	$18,146.29
Rate for Payer: Amish Plain Church Group Commercial	$18,146.29
Rate for Payer: BCBS MAPPO	$14,517.03
Rate for Payer: BCN Medicare Advantage	$14,517.03
Rate for Payer: Health Alliance Plan Medicare Advantage	$14,517.03
Rate for Payer: Mclaren Medicare	$14,517.03
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$15,242.88
Rate for Payer: MI Amish Medical Board Commercial	$16,694.58
Rate for Payer: PACE Medicare	$13,791.18
Rate for Payer: PACE SWMI	$14,517.03
Rate for Payer: PHP Medicare Advantage	$14,517.03
Rate for Payer: Priority Health Medicare	$14,517.03
Rate for Payer: Railroad Medicare Medicare	$14,517.03
Rate for Payer: UHC Dual Complete DSNP	$14,517.03
Rate for Payer: UHC Medicare Advantage	$14,517.03
Rate for Payer: VA VA	$14,517.03

MS-DRG 42.00: OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC

Facility

$8,189.94

Service Code	MSDRG 093
Min. Negotiated Rate	$6,224.35
Max. Negotiated Rate	$8,189.94
Rate for Payer: Aetna Medicare	$6,814.03
Rate for Payer: Allen County Amish Medical Aid Commercial	$8,189.94
Rate for Payer: Amish Plain Church Group Commercial	$8,189.94
Rate for Payer: BCBS MAPPO	$6,551.95
Rate for Payer: BCN Medicare Advantage	$6,551.95
Rate for Payer: Health Alliance Plan Medicare Advantage	$6,551.95
Rate for Payer: Mclaren Medicare	$6,551.95
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$6,879.55
Rate for Payer: MI Amish Medical Board Commercial	$7,534.74
Rate for Payer: PACE Medicare	$6,224.35
Rate for Payer: PACE SWMI	$6,551.95
Rate for Payer: PHP Medicare Advantage	$6,551.95
Rate for Payer: Priority Health Medicare	$6,551.95
Rate for Payer: Railroad Medicare Medicare	$6,551.95
Rate for Payer: UHC Dual Complete DSNP	$6,551.95
Rate for Payer: UHC Medicare Advantage	$6,551.95
Rate for Payer: VA VA	$6,551.95

MS-DRG 42.00: OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT

Facility

$13,146.92

Service Code	MSDRG 124
Min. Negotiated Rate	$9,991.66
Max. Negotiated Rate	$13,146.92
Rate for Payer: Aetna Medicare	$10,938.24
Rate for Payer: Allen County Amish Medical Aid Commercial	$13,146.92
Rate for Payer: Amish Plain Church Group Commercial	$13,146.92
Rate for Payer: BCBS MAPPO	$10,517.54
Rate for Payer: BCN Medicare Advantage	$10,517.54
Rate for Payer: Health Alliance Plan Medicare Advantage	$10,517.54
Rate for Payer: Mclaren Medicare	$10,517.54
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$11,043.42
Rate for Payer: MI Amish Medical Board Commercial	$12,095.17
Rate for Payer: PACE Medicare	$9,991.66
Rate for Payer: PACE SWMI	$10,517.54
Rate for Payer: PHP Medicare Advantage	$10,517.54
Rate for Payer: Priority Health Medicare	$10,517.54
Rate for Payer: Railroad Medicare Medicare	$10,517.54
Rate for Payer: UHC Dual Complete DSNP	$10,517.54
Rate for Payer: UHC Medicare Advantage	$10,517.54
Rate for Payer: VA VA	$10,517.54

MS-DRG 42.00: OTHER DISORDERS OF THE EYE WITHOUT MCC

Facility

$8,540.55

Service Code	MSDRG 125
Min. Negotiated Rate	$6,490.82
Max. Negotiated Rate	$8,540.55
Rate for Payer: Aetna Medicare	$7,105.74
Rate for Payer: Allen County Amish Medical Aid Commercial	$8,540.55
Rate for Payer: Amish Plain Church Group Commercial	$8,540.55
Rate for Payer: BCBS MAPPO	$6,832.44
Rate for Payer: BCN Medicare Advantage	$6,832.44
Rate for Payer: Health Alliance Plan Medicare Advantage	$6,832.44
Rate for Payer: Mclaren Medicare	$6,832.44
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$7,174.06
Rate for Payer: MI Amish Medical Board Commercial	$7,857.31
Rate for Payer: PACE Medicare	$6,490.82
Rate for Payer: PACE SWMI	$6,832.44
Rate for Payer: PHP Medicare Advantage	$6,832.44
Rate for Payer: Priority Health Medicare	$6,832.44
Rate for Payer: Railroad Medicare Medicare	$6,832.44
Rate for Payer: UHC Dual Complete DSNP	$6,832.44
Rate for Payer: UHC Medicare Advantage	$6,832.44
Rate for Payer: VA VA	$6,832.44

MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC

Facility

$9,579.94

Service Code	MSDRG 155
Min. Negotiated Rate	$7,280.75
Max. Negotiated Rate	$9,579.94
Rate for Payer: Aetna Medicare	$7,970.51
Rate for Payer: Allen County Amish Medical Aid Commercial	$9,579.94
Rate for Payer: Amish Plain Church Group Commercial	$9,579.94
Rate for Payer: BCBS MAPPO	$7,663.95
Rate for Payer: BCN Medicare Advantage	$7,663.95
Rate for Payer: Health Alliance Plan Medicare Advantage	$7,663.95
Rate for Payer: Mclaren Medicare	$7,663.95
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$8,047.15
Rate for Payer: MI Amish Medical Board Commercial	$8,813.54
Rate for Payer: PACE Medicare	$7,280.75
Rate for Payer: PACE SWMI	$7,663.95
Rate for Payer: PHP Medicare Advantage	$7,663.95
Rate for Payer: Priority Health Medicare	$7,663.95
Rate for Payer: Railroad Medicare Medicare	$7,663.95
Rate for Payer: UHC Dual Complete DSNP	$7,663.95
Rate for Payer: UHC Medicare Advantage	$7,663.95
Rate for Payer: VA VA	$7,663.95

MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC

Facility

$16,252.54

Service Code	MSDRG 154
Min. Negotiated Rate	$12,351.93
Max. Negotiated Rate	$16,252.54
Rate for Payer: Aetna Medicare	$13,522.11
Rate for Payer: Allen County Amish Medical Aid Commercial	$16,252.54
Rate for Payer: Amish Plain Church Group Commercial	$16,252.54
Rate for Payer: BCBS MAPPO	$13,002.03
Rate for Payer: BCN Medicare Advantage	$13,002.03
Rate for Payer: Health Alliance Plan Medicare Advantage	$13,002.03
Rate for Payer: Mclaren Medicare	$13,002.03
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$13,652.13
Rate for Payer: MI Amish Medical Board Commercial	$14,952.33
Rate for Payer: PACE Medicare	$12,351.93
Rate for Payer: PACE SWMI	$13,002.03
Rate for Payer: PHP Medicare Advantage	$13,002.03
Rate for Payer: Priority Health Medicare	$13,002.03
Rate for Payer: Railroad Medicare Medicare	$13,002.03
Rate for Payer: UHC Dual Complete DSNP	$13,002.03
Rate for Payer: UHC Medicare Advantage	$13,002.03
Rate for Payer: VA VA	$13,002.03

MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC

Facility

$7,063.88

Service Code	MSDRG 156
Min. Negotiated Rate	$5,368.55
Max. Negotiated Rate	$7,063.88
Rate for Payer: Aetna Medicare	$5,877.14
Rate for Payer: Allen County Amish Medical Aid Commercial	$7,063.88
Rate for Payer: Amish Plain Church Group Commercial	$7,063.88
Rate for Payer: BCBS MAPPO	$5,651.10
Rate for Payer: BCN Medicare Advantage	$5,651.10
Rate for Payer: Health Alliance Plan Medicare Advantage	$5,651.10
Rate for Payer: Mclaren Medicare	$5,651.10
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$5,933.65
Rate for Payer: MI Amish Medical Board Commercial	$6,498.77
Rate for Payer: PACE Medicare	$5,368.55
Rate for Payer: PACE SWMI	$5,651.10
Rate for Payer: PHP Medicare Advantage	$5,651.10
Rate for Payer: Priority Health Medicare	$5,651.10
Rate for Payer: Railroad Medicare Medicare	$5,651.10
Rate for Payer: UHC Dual Complete DSNP	$5,651.10
Rate for Payer: UHC Medicare Advantage	$5,651.10
Rate for Payer: VA VA	$5,651.10

MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC

Facility

$17,508.62

Service Code	MSDRG 144
Min. Negotiated Rate	$13,306.56
Max. Negotiated Rate	$17,508.62
Rate for Payer: Aetna Medicare	$14,567.18
Rate for Payer: Allen County Amish Medical Aid Commercial	$17,508.62
Rate for Payer: Amish Plain Church Group Commercial	$17,508.62
Rate for Payer: BCBS MAPPO	$14,006.90
Rate for Payer: BCN Medicare Advantage	$14,006.90
Rate for Payer: Health Alliance Plan Medicare Advantage	$14,006.90
Rate for Payer: Mclaren Medicare	$14,006.90
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$14,707.25
Rate for Payer: MI Amish Medical Board Commercial	$16,107.93
Rate for Payer: PACE Medicare	$13,306.56
Rate for Payer: PACE SWMI	$14,006.90
Rate for Payer: PHP Medicare Advantage	$14,006.90
Rate for Payer: Priority Health Medicare	$14,006.90
Rate for Payer: Railroad Medicare Medicare	$14,006.90
Rate for Payer: UHC Dual Complete DSNP	$14,006.90
Rate for Payer: UHC Medicare Advantage	$14,006.90
Rate for Payer: VA VA	$14,006.90

MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC

Facility

$32,393.09

Service Code	MSDRG 143
Min. Negotiated Rate	$24,618.75
Max. Negotiated Rate	$32,393.09
Rate for Payer: Aetna Medicare	$26,951.05
Rate for Payer: Allen County Amish Medical Aid Commercial	$32,393.09
Rate for Payer: Amish Plain Church Group Commercial	$32,393.09
Rate for Payer: BCBS MAPPO	$25,914.47
Rate for Payer: BCN Medicare Advantage	$25,914.47
Rate for Payer: Health Alliance Plan Medicare Advantage	$25,914.47
Rate for Payer: Mclaren Medicare	$25,914.47
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$27,210.19
Rate for Payer: MI Amish Medical Board Commercial	$29,801.64
Rate for Payer: PACE Medicare	$24,618.75
Rate for Payer: PACE SWMI	$25,914.47
Rate for Payer: PHP Medicare Advantage	$25,914.47
Rate for Payer: Priority Health Medicare	$25,914.47
Rate for Payer: Railroad Medicare Medicare	$25,914.47
Rate for Payer: UHC Dual Complete DSNP	$25,914.47
Rate for Payer: UHC Medicare Advantage	$25,914.47
Rate for Payer: VA VA	$25,914.47

MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC

Facility

$11,999.70

Service Code	MSDRG 145
Min. Negotiated Rate	$9,119.77
Max. Negotiated Rate	$11,999.70
Rate for Payer: Aetna Medicare	$9,983.75
Rate for Payer: Allen County Amish Medical Aid Commercial	$11,999.70
Rate for Payer: Amish Plain Church Group Commercial	$11,999.70
Rate for Payer: BCBS MAPPO	$9,599.76
Rate for Payer: BCN Medicare Advantage	$9,599.76
Rate for Payer: Health Alliance Plan Medicare Advantage	$9,599.76
Rate for Payer: Mclaren Medicare	$9,599.76
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$10,079.75
Rate for Payer: MI Amish Medical Board Commercial	$11,039.72
Rate for Payer: PACE Medicare	$9,119.77
Rate for Payer: PACE SWMI	$9,599.76
Rate for Payer: PHP Medicare Advantage	$9,599.76
Rate for Payer: Priority Health Medicare	$9,599.76
Rate for Payer: Railroad Medicare Medicare	$9,599.76
Rate for Payer: UHC Dual Complete DSNP	$9,599.76
Rate for Payer: UHC Medicare Advantage	$9,599.76
Rate for Payer: VA VA	$9,599.76

MS-DRG 42.00: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC

Facility

$22,251.76

Service Code	MSDRG 629
Min. Negotiated Rate	$16,911.34
Max. Negotiated Rate	$22,251.76
Rate for Payer: Aetna Medicare	$18,513.47
Rate for Payer: Allen County Amish Medical Aid Commercial	$22,251.76
Rate for Payer: Amish Plain Church Group Commercial	$22,251.76
Rate for Payer: BCBS MAPPO	$17,801.41
Rate for Payer: BCN Medicare Advantage	$17,801.41
Rate for Payer: Health Alliance Plan Medicare Advantage	$17,801.41
Rate for Payer: Mclaren Medicare	$17,801.41
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$18,691.48
Rate for Payer: MI Amish Medical Board Commercial	$20,471.62
Rate for Payer: PACE Medicare	$16,911.34
Rate for Payer: PACE SWMI	$17,801.41
Rate for Payer: PHP Medicare Advantage	$17,801.41
Rate for Payer: Priority Health Medicare	$17,801.41
Rate for Payer: Railroad Medicare Medicare	$17,801.41
Rate for Payer: UHC Dual Complete DSNP	$17,801.41
Rate for Payer: UHC Medicare Advantage	$17,801.41
Rate for Payer: VA VA	$17,801.41

MS-DRG 42.00: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC

Facility

$38,594.61

Service Code	MSDRG 628
Min. Negotiated Rate	$29,331.91
Max. Negotiated Rate	$38,594.61
Rate for Payer: Aetna Medicare	$32,110.72
Rate for Payer: Allen County Amish Medical Aid Commercial	$38,594.61
Rate for Payer: Amish Plain Church Group Commercial	$38,594.61
Rate for Payer: BCBS MAPPO	$30,875.69
Rate for Payer: BCN Medicare Advantage	$30,875.69
Rate for Payer: Health Alliance Plan Medicare Advantage	$30,875.69
Rate for Payer: Mclaren Medicare	$30,875.69
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$32,419.47
Rate for Payer: MI Amish Medical Board Commercial	$35,507.04
Rate for Payer: PACE Medicare	$29,331.91
Rate for Payer: PACE SWMI	$30,875.69
Rate for Payer: PHP Medicare Advantage	$30,875.69
Rate for Payer: Priority Health Medicare	$30,875.69
Rate for Payer: Railroad Medicare Medicare	$30,875.69
Rate for Payer: UHC Dual Complete DSNP	$30,875.69
Rate for Payer: UHC Medicare Advantage	$30,875.69
Rate for Payer: VA VA	$30,875.69

MS-DRG 42.00: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC

Facility

$14,085.15

Service Code	MSDRG 630
Min. Negotiated Rate	$10,704.71
Max. Negotiated Rate	$14,085.15
Rate for Payer: Aetna Medicare	$11,718.84
Rate for Payer: Allen County Amish Medical Aid Commercial	$14,085.15
Rate for Payer: Amish Plain Church Group Commercial	$14,085.15
Rate for Payer: BCBS MAPPO	$11,268.12
Rate for Payer: BCN Medicare Advantage	$11,268.12
Rate for Payer: Health Alliance Plan Medicare Advantage	$11,268.12
Rate for Payer: Mclaren Medicare	$11,268.12
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$11,831.53
Rate for Payer: MI Amish Medical Board Commercial	$12,958.34
Rate for Payer: PACE Medicare	$10,704.71
Rate for Payer: PACE SWMI	$11,268.12
Rate for Payer: PHP Medicare Advantage	$11,268.12
Rate for Payer: Priority Health Medicare	$11,268.12
Rate for Payer: Railroad Medicare Medicare	$11,268.12
Rate for Payer: UHC Dual Complete DSNP	$11,268.12
Rate for Payer: UHC Medicare Advantage	$11,268.12
Rate for Payer: VA VA	$11,268.12

MS-DRG 42.00: OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC

Facility

$42,901.39

Service Code	MSDRG 319
Min. Negotiated Rate	$32,605.05
Max. Negotiated Rate	$42,901.39
Rate for Payer: Aetna Medicare	$35,693.95
Rate for Payer: Allen County Amish Medical Aid Commercial	$42,901.39
Rate for Payer: Amish Plain Church Group Commercial	$42,901.39
Rate for Payer: BCBS MAPPO	$34,321.11
Rate for Payer: BCN Medicare Advantage	$34,321.11
Rate for Payer: Health Alliance Plan Medicare Advantage	$34,321.11
Rate for Payer: Mclaren Medicare	$34,321.11
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$36,037.17
Rate for Payer: MI Amish Medical Board Commercial	$39,469.28
Rate for Payer: PACE Medicare	$32,605.05
Rate for Payer: PACE SWMI	$34,321.11
Rate for Payer: PHP Medicare Advantage	$34,321.11
Rate for Payer: Priority Health Medicare	$34,321.11
Rate for Payer: Railroad Medicare Medicare	$34,321.11
Rate for Payer: UHC Dual Complete DSNP	$34,321.11
Rate for Payer: UHC Medicare Advantage	$34,321.11
Rate for Payer: VA VA	$34,321.11

MS-DRG 42.00: OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC

Facility

$22,884.62

Service Code	MSDRG 320
Min. Negotiated Rate	$17,392.31
Max. Negotiated Rate	$22,884.62
Rate for Payer: Aetna Medicare	$19,040.01
Rate for Payer: Allen County Amish Medical Aid Commercial	$22,884.62
Rate for Payer: Amish Plain Church Group Commercial	$22,884.62
Rate for Payer: BCBS MAPPO	$18,307.70
Rate for Payer: BCN Medicare Advantage	$18,307.70
Rate for Payer: Health Alliance Plan Medicare Advantage	$18,307.70
Rate for Payer: Mclaren Medicare	$18,307.70
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$19,223.08
Rate for Payer: MI Amish Medical Board Commercial	$21,053.85
Rate for Payer: PACE Medicare	$17,392.31
Rate for Payer: PACE SWMI	$18,307.70
Rate for Payer: PHP Medicare Advantage	$18,307.70
Rate for Payer: Priority Health Medicare	$18,307.70
Rate for Payer: Railroad Medicare Medicare	$18,307.70
Rate for Payer: UHC Dual Complete DSNP	$18,307.70
Rate for Payer: UHC Medicare Advantage	$18,307.70
Rate for Payer: VA VA	$18,307.70

MS-DRG 42.00: OTHER FACTORS INFLUENCING HEALTH STATUS

Facility

$6,048.60

Service Code	MSDRG 951
Min. Negotiated Rate	$4,596.94
Max. Negotiated Rate	$6,048.60
Rate for Payer: Aetna Medicare	$5,032.44
Rate for Payer: Allen County Amish Medical Aid Commercial	$6,048.60
Rate for Payer: Amish Plain Church Group Commercial	$6,048.60
Rate for Payer: BCBS MAPPO	$4,838.88
Rate for Payer: BCN Medicare Advantage	$4,838.88
Rate for Payer: Health Alliance Plan Medicare Advantage	$4,838.88
Rate for Payer: Mclaren Medicare	$4,838.88
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$5,080.82
Rate for Payer: MI Amish Medical Board Commercial	$5,564.71
Rate for Payer: PACE Medicare	$4,596.94
Rate for Payer: PACE SWMI	$4,838.88
Rate for Payer: PHP Medicare Advantage	$4,838.88
Rate for Payer: Priority Health Medicare	$4,838.88
Rate for Payer: Railroad Medicare Medicare	$4,838.88
Rate for Payer: UHC Dual Complete DSNP	$4,838.88
Rate for Payer: UHC Medicare Advantage	$4,838.88
Rate for Payer: VA VA	$4,838.88

MS-DRG 42.00: OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC

Facility

$25,522.06

Service Code	MSDRG 749
Min. Negotiated Rate	$19,396.77
Max. Negotiated Rate	$25,522.06
Rate for Payer: Aetna Medicare	$21,234.36
Rate for Payer: Allen County Amish Medical Aid Commercial	$25,522.06
Rate for Payer: Amish Plain Church Group Commercial	$25,522.06
Rate for Payer: BCBS MAPPO	$20,417.65
Rate for Payer: BCN Medicare Advantage	$20,417.65
Rate for Payer: Health Alliance Plan Medicare Advantage	$20,417.65
Rate for Payer: Mclaren Medicare	$20,417.65
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$21,438.53
Rate for Payer: MI Amish Medical Board Commercial	$23,480.30
Rate for Payer: PACE Medicare	$19,396.77
Rate for Payer: PACE SWMI	$20,417.65
Rate for Payer: PHP Medicare Advantage	$20,417.65
Rate for Payer: Priority Health Medicare	$20,417.65
Rate for Payer: Railroad Medicare Medicare	$20,417.65
Rate for Payer: UHC Dual Complete DSNP	$20,417.65
Rate for Payer: UHC Medicare Advantage	$20,417.65
Rate for Payer: VA VA	$20,417.65

MS-DRG 42.00: OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC

Facility

$13,008.23

Service Code	MSDRG 750
Min. Negotiated Rate	$9,886.25
Max. Negotiated Rate	$13,008.23
Rate for Payer: Aetna Medicare	$10,822.84
Rate for Payer: Allen County Amish Medical Aid Commercial	$13,008.23
Rate for Payer: Amish Plain Church Group Commercial	$13,008.23
Rate for Payer: BCBS MAPPO	$10,406.58
Rate for Payer: BCN Medicare Advantage	$10,406.58
Rate for Payer: Health Alliance Plan Medicare Advantage	$10,406.58
Rate for Payer: Mclaren Medicare	$10,406.58
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$10,926.91
Rate for Payer: MI Amish Medical Board Commercial	$11,967.57
Rate for Payer: PACE Medicare	$9,886.25
Rate for Payer: PACE SWMI	$10,406.58
Rate for Payer: PHP Medicare Advantage	$10,406.58
Rate for Payer: Priority Health Medicare	$10,406.58
Rate for Payer: Railroad Medicare Medicare	$10,406.58
Rate for Payer: UHC Dual Complete DSNP	$10,406.58
Rate for Payer: UHC Medicare Advantage	$10,406.58
Rate for Payer: VA VA	$10,406.58

MS-DRG 42.00: OTHER HEART ASSIST SYSTEM IMPLANT

Facility

$102,643.44

Service Code	MSDRG 215
Min. Negotiated Rate	$78,009.01
Max. Negotiated Rate	$102,643.44
Rate for Payer: Aetna Medicare	$85,399.34
Rate for Payer: Allen County Amish Medical Aid Commercial	$102,643.44
Rate for Payer: Amish Plain Church Group Commercial	$102,643.44
Rate for Payer: BCBS MAPPO	$82,114.75
Rate for Payer: BCN Medicare Advantage	$82,114.75
Rate for Payer: Health Alliance Plan Medicare Advantage	$82,114.75
Rate for Payer: Mclaren Medicare	$82,114.75
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$86,220.49
Rate for Payer: MI Amish Medical Board Commercial	$94,431.96
Rate for Payer: PACE Medicare	$78,009.01
Rate for Payer: PACE SWMI	$82,114.75
Rate for Payer: PHP Medicare Advantage	$82,114.75
Rate for Payer: Priority Health Medicare	$82,114.75
Rate for Payer: Railroad Medicare Medicare	$82,114.75
Rate for Payer: UHC Dual Complete DSNP	$82,114.75
Rate for Payer: UHC Medicare Advantage	$82,114.75
Rate for Payer: VA VA	$82,114.75

MS-DRG 42.00: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC

Facility

$22,581.21

Service Code	MSDRG 424
Min. Negotiated Rate	$17,161.72
Max. Negotiated Rate	$22,581.21
Rate for Payer: Aetna Medicare	$18,787.57
Rate for Payer: Allen County Amish Medical Aid Commercial	$22,581.21
Rate for Payer: Amish Plain Church Group Commercial	$22,581.21
Rate for Payer: BCBS MAPPO	$18,064.97
Rate for Payer: BCN Medicare Advantage	$18,064.97
Rate for Payer: Health Alliance Plan Medicare Advantage	$18,064.97
Rate for Payer: Mclaren Medicare	$18,064.97
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$18,968.22
Rate for Payer: MI Amish Medical Board Commercial	$20,774.72
Rate for Payer: PACE Medicare	$17,161.72
Rate for Payer: PACE SWMI	$18,064.97
Rate for Payer: PHP Medicare Advantage	$18,064.97
Rate for Payer: Priority Health Medicare	$18,064.97
Rate for Payer: Railroad Medicare Medicare	$18,064.97
Rate for Payer: UHC Dual Complete DSNP	$18,064.97
Rate for Payer: UHC Medicare Advantage	$18,064.97
Rate for Payer: VA VA	$18,064.97

Know your out-of-pocket cost for care.

All Charges