Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC

Facility

$8,523.27

Service Code	MSDRG 833
Min. Negotiated Rate	$4,061.49
Max. Negotiated Rate	$8,523.27
Rate for Payer: Aetna Medicare	$4,804.89
Rate for Payer: Allen County Amish Medical Aid Commercial	$5,775.11
Rate for Payer: Amish Plain Church Group Commercial	$5,775.11
Rate for Payer: BCBS MAPPO	$4,620.09
Rate for Payer: BCBS Trust/PPO	$5,868.39
Rate for Payer: BCN Commercial	$5,868.39
Rate for Payer: BCN Medicare Advantage	$4,620.09
Rate for Payer: Health Alliance Plan Medicare Advantage	$4,620.09
Rate for Payer: Mclaren Medicare	$4,620.09
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$4,851.09
Rate for Payer: MI Amish Medical Board Commercial	$5,313.10
Rate for Payer: Molina Medicare/Medicaid	$5,082.10
Rate for Payer: Nomi Health Commercial	$6,745.41
Rate for Payer: PACE Medicare	$4,389.09
Rate for Payer: PACE SWMI	$4,620.09
Rate for Payer: PHP Medicare Advantage	$4,620.09
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$5,076.86
Rate for Payer: Priority Health Medicare	$4,620.09
Rate for Payer: Priority Health Tiered Network	$4,061.49
Rate for Payer: Railroad Medicare Medicare	$4,620.09
Rate for Payer: UHC All Payor (Choice/PPO)	$8,523.27
Rate for Payer: UHC Core	$7,130.79
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$4,620.09
Rate for Payer: UHC Exchange	$5,823.54
Rate for Payer: VA VA	$4,620.09

OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES

Facility

$10,272.96

Service Code	APR-DRG 3474
Min. Negotiated Rate	$9,783.77
Max. Negotiated Rate	$10,272.96
Rate for Payer: BCBS Complete	$10,272.96
Rate for Payer: Mclaren Medicaid	$9,783.77
Rate for Payer: Meridian Medicaid	$10,272.96
Rate for Payer: Priority Health Choice Medicaid	$9,783.77
Rate for Payer: UHC Medicaid	$9,783.77
Rate for Payer: UHCCP Medicaid	$9,783.77

OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES

Facility

$8,025.05

Service Code	APR-DRG 3473
Min. Negotiated Rate	$7,642.91
Max. Negotiated Rate	$8,025.05
Rate for Payer: BCBS Complete	$8,025.05
Rate for Payer: Mclaren Medicaid	$7,642.91
Rate for Payer: Meridian Medicaid	$8,025.05
Rate for Payer: Priority Health Choice Medicaid	$7,642.91
Rate for Payer: UHC Medicaid	$7,642.91
Rate for Payer: UHCCP Medicaid	$7,642.91

OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES

Facility

$6,202.53

Service Code	APR-DRG 3472
Min. Negotiated Rate	$5,907.17
Max. Negotiated Rate	$6,202.53
Rate for Payer: BCBS Complete	$6,202.53
Rate for Payer: Mclaren Medicaid	$5,907.17
Rate for Payer: Meridian Medicaid	$6,202.53
Rate for Payer: Priority Health Choice Medicaid	$5,907.17
Rate for Payer: UHC Medicaid	$5,907.17
Rate for Payer: UHCCP Medicaid	$5,907.17

OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES

Facility

$5,317.36

Service Code	APR-DRG 3471
Min. Negotiated Rate	$5,064.15
Max. Negotiated Rate	$5,317.36
Rate for Payer: BCBS Complete	$5,317.36
Rate for Payer: Mclaren Medicaid	$5,064.15
Rate for Payer: Meridian Medicaid	$5,317.36
Rate for Payer: Priority Health Choice Medicaid	$5,064.15
Rate for Payer: UHC Medicaid	$5,064.15
Rate for Payer: UHCCP Medicaid	$5,064.15

OTHER BLADDER PROCEDURES

Facility

$11,760.10

Service Code	APR-DRG 4453
Min. Negotiated Rate	$11,200.10
Max. Negotiated Rate	$11,760.10
Rate for Payer: BCBS Complete	$11,760.10
Rate for Payer: Mclaren Medicaid	$11,200.10
Rate for Payer: Meridian Medicaid	$11,760.10
Rate for Payer: Priority Health Choice Medicaid	$11,200.10
Rate for Payer: UHC Medicaid	$11,200.10
Rate for Payer: UHCCP Medicaid	$11,200.10

OTHER BLADDER PROCEDURES

Facility

$10,638.15

Service Code	APR-DRG 4452
Min. Negotiated Rate	$10,131.58
Max. Negotiated Rate	$10,638.15
Rate for Payer: BCBS Complete	$10,638.15
Rate for Payer: Mclaren Medicaid	$10,131.58
Rate for Payer: Meridian Medicaid	$10,638.15
Rate for Payer: Priority Health Choice Medicaid	$10,131.58
Rate for Payer: UHC Medicaid	$10,131.58
Rate for Payer: UHCCP Medicaid	$10,131.58

OTHER BLADDER PROCEDURES

Facility

$8,403.43

Service Code	APR-DRG 4451
Min. Negotiated Rate	$8,003.27
Max. Negotiated Rate	$8,403.43
Rate for Payer: BCBS Complete	$8,403.43
Rate for Payer: Mclaren Medicaid	$8,003.27
Rate for Payer: Meridian Medicaid	$8,403.43
Rate for Payer: Priority Health Choice Medicaid	$8,003.27
Rate for Payer: UHC Medicaid	$8,003.27
Rate for Payer: UHCCP Medicaid	$8,003.27

OTHER BLADDER PROCEDURES

Facility

$12,598.84

Service Code	APR-DRG 4454
Min. Negotiated Rate	$11,998.90
Max. Negotiated Rate	$12,598.84
Rate for Payer: BCBS Complete	$12,598.84
Rate for Payer: Mclaren Medicaid	$11,998.90
Rate for Payer: Meridian Medicaid	$12,598.84
Rate for Payer: Priority Health Choice Medicaid	$11,998.90
Rate for Payer: UHC Medicaid	$11,998.90
Rate for Payer: UHCCP Medicaid	$11,998.90

OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES

Facility

$46,453.93

Service Code	APR-DRG 1674
Min. Negotiated Rate	$44,241.83
Max. Negotiated Rate	$46,453.93
Rate for Payer: BCBS Complete	$46,453.93
Rate for Payer: Mclaren Medicaid	$44,241.83
Rate for Payer: Meridian Medicaid	$46,453.93
Rate for Payer: Priority Health Choice Medicaid	$44,241.83
Rate for Payer: UHC Medicaid	$44,241.83
Rate for Payer: UHCCP Medicaid	$44,241.83

OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES

Facility

$23,560.34

Service Code	APR-DRG 1673
Min. Negotiated Rate	$22,438.42
Max. Negotiated Rate	$23,560.34
Rate for Payer: BCBS Complete	$23,560.34
Rate for Payer: Mclaren Medicaid	$22,438.42
Rate for Payer: Meridian Medicaid	$23,560.34
Rate for Payer: Priority Health Choice Medicaid	$22,438.42
Rate for Payer: UHC Medicaid	$22,438.42
Rate for Payer: UHCCP Medicaid	$22,438.42

OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES

Facility

$16,095.40

Service Code	APR-DRG 1672
Min. Negotiated Rate	$15,328.95
Max. Negotiated Rate	$16,095.40
Rate for Payer: BCBS Complete	$16,095.40
Rate for Payer: Mclaren Medicaid	$15,328.95
Rate for Payer: Meridian Medicaid	$16,095.40
Rate for Payer: Priority Health Choice Medicaid	$15,328.95
Rate for Payer: UHC Medicaid	$15,328.95
Rate for Payer: UHCCP Medicaid	$15,328.95

OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES

Facility

$10,975.83

Service Code	APR-DRG 1671
Min. Negotiated Rate	$10,453.17
Max. Negotiated Rate	$10,975.83
Rate for Payer: BCBS Complete	$10,975.83
Rate for Payer: Mclaren Medicaid	$10,453.17
Rate for Payer: Meridian Medicaid	$10,975.83
Rate for Payer: Priority Health Choice Medicaid	$10,453.17
Rate for Payer: UHC Medicaid	$10,453.17
Rate for Payer: UHCCP Medicaid	$10,453.17

OTHER CARDIOTHORACIC PROCEDURES WITH MCC

Facility

$115,876.62

Service Code	MSDRG 228
Min. Negotiated Rate	$36,872.94
Max. Negotiated Rate	$115,876.62
Rate for Payer: Aetna Medicare	$40,366.16
Rate for Payer: Allen County Amish Medical Aid Commercial	$48,517.03
Rate for Payer: Amish Plain Church Group Commercial	$48,517.03
Rate for Payer: BCBS MAPPO	$38,813.62
Rate for Payer: BCBS Trust/PPO	$115,876.62
Rate for Payer: BCN Commercial	$115,876.62
Rate for Payer: BCN Medicare Advantage	$38,813.62
Rate for Payer: Health Alliance Plan Medicare Advantage	$38,813.62
Rate for Payer: Mclaren Medicare	$38,813.62
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$40,754.30
Rate for Payer: MI Amish Medical Board Commercial	$44,635.66
Rate for Payer: Molina Medicare/Medicaid	$42,694.98
Rate for Payer: Nomi Health Commercial	$63,821.46
Rate for Payer: PACE Medicare	$36,872.94
Rate for Payer: PACE SWMI	$38,813.62
Rate for Payer: PHP Medicare Advantage	$38,813.62
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$79,762.68
Rate for Payer: Priority Health Medicare	$38,813.62
Rate for Payer: Priority Health Tiered Network	$63,810.13
Rate for Payer: Railroad Medicare Medicare	$38,813.62
Rate for Payer: UHC All Payor (Choice/PPO)	$80,642.62
Rate for Payer: UHC Core	$67,467.69
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$38,813.62
Rate for Payer: UHC Exchange	$55,099.19
Rate for Payer: VA VA	$38,813.62

OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC

Facility

$68,519.90

Service Code	MSDRG 229
Min. Negotiated Rate	$23,673.09
Max. Negotiated Rate	$68,519.90
Rate for Payer: Aetna Medicare	$25,915.80
Rate for Payer: Allen County Amish Medical Aid Commercial	$31,148.80
Rate for Payer: Amish Plain Church Group Commercial	$31,148.80
Rate for Payer: BCBS MAPPO	$24,919.04
Rate for Payer: BCBS Trust/PPO	$68,519.90
Rate for Payer: BCN Commercial	$68,519.90
Rate for Payer: BCN Medicare Advantage	$24,919.04
Rate for Payer: Health Alliance Plan Medicare Advantage	$24,919.04
Rate for Payer: Mclaren Medicare	$24,919.04
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$26,164.99
Rate for Payer: MI Amish Medical Board Commercial	$28,656.90
Rate for Payer: Molina Medicare/Medicaid	$27,410.94
Rate for Payer: Nomi Health Commercial	$40,628.55
Rate for Payer: PACE Medicare	$23,673.09
Rate for Payer: PACE SWMI	$24,919.04
Rate for Payer: PHP Medicare Advantage	$24,919.04
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$50,776.68
Rate for Payer: Priority Health Medicare	$24,919.04
Rate for Payer: Priority Health Tiered Network	$40,621.34
Rate for Payer: Railroad Medicare Medicare	$24,919.04
Rate for Payer: UHC All Payor (Choice/PPO)	$51,336.85
Rate for Payer: UHC Core	$42,949.73
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$24,919.04
Rate for Payer: UHC Exchange	$35,075.98
Rate for Payer: VA VA	$24,919.04

OTHER CEREBROVASCULAR DISORDERS WITH CC

Facility

$17,986.71

Service Code	MSDRG 071
Min. Negotiated Rate	$8,082.75
Max. Negotiated Rate	$17,986.71
Rate for Payer: Aetna Medicare	$8,848.49
Rate for Payer: Allen County Amish Medical Aid Commercial	$10,635.20
Rate for Payer: Amish Plain Church Group Commercial	$10,635.20
Rate for Payer: BCBS MAPPO	$8,508.16
Rate for Payer: BCBS Trust/PPO	$17,986.71
Rate for Payer: BCN Commercial	$17,986.71
Rate for Payer: BCN Medicare Advantage	$8,508.16
Rate for Payer: Health Alliance Plan Medicare Advantage	$8,508.16
Rate for Payer: Mclaren Medicare	$8,508.16
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$8,933.57
Rate for Payer: MI Amish Medical Board Commercial	$9,784.38
Rate for Payer: Molina Medicare/Medicaid	$9,358.98
Rate for Payer: Nomi Health Commercial	$13,235.40
Rate for Payer: PACE Medicare	$8,082.75
Rate for Payer: PACE SWMI	$8,508.16
Rate for Payer: PHP Medicare Advantage	$8,508.16
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$16,541.32
Rate for Payer: Priority Health Medicare	$8,508.16
Rate for Payer: Priority Health Tiered Network	$13,233.05
Rate for Payer: Railroad Medicare Medicare	$8,508.16
Rate for Payer: UHC All Payor (Choice/PPO)	$16,723.80
Rate for Payer: UHC Core	$13,991.56
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$8,508.16
Rate for Payer: UHC Exchange	$11,426.56
Rate for Payer: VA VA	$8,508.16

OTHER CEREBROVASCULAR DISORDERS WITH MCC

Facility

$33,199.57

Service Code	MSDRG 070
Min. Negotiated Rate	$12,772.71
Max. Negotiated Rate	$33,199.57
Rate for Payer: Aetna Medicare	$13,982.76
Rate for Payer: Allen County Amish Medical Aid Commercial	$16,806.20
Rate for Payer: Amish Plain Church Group Commercial	$16,806.20
Rate for Payer: BCBS MAPPO	$13,444.96
Rate for Payer: BCBS Trust/PPO	$33,199.57
Rate for Payer: BCN Commercial	$33,199.57
Rate for Payer: BCN Medicare Advantage	$13,444.96
Rate for Payer: Health Alliance Plan Medicare Advantage	$13,444.96
Rate for Payer: Mclaren Medicare	$13,444.96
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$14,117.21
Rate for Payer: MI Amish Medical Board Commercial	$15,461.70
Rate for Payer: Molina Medicare/Medicaid	$14,789.46
Rate for Payer: Nomi Health Commercial	$21,475.92
Rate for Payer: PACE Medicare	$12,772.71
Rate for Payer: PACE SWMI	$13,444.96
Rate for Payer: PHP Medicare Advantage	$13,444.96
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$26,840.14
Rate for Payer: Priority Health Medicare	$13,444.96
Rate for Payer: Priority Health Tiered Network	$21,472.11
Rate for Payer: Railroad Medicare Medicare	$13,444.96
Rate for Payer: UHC All Payor (Choice/PPO)	$27,136.24
Rate for Payer: UHC Core	$22,702.88
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$13,444.96
Rate for Payer: UHC Exchange	$18,540.88
Rate for Payer: VA VA	$13,444.96

OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC

Facility

$14,463.80

Service Code	MSDRG 072
Min. Negotiated Rate	$6,101.93
Max. Negotiated Rate	$14,463.80
Rate for Payer: Aetna Medicare	$6,680.00
Rate for Payer: Allen County Amish Medical Aid Commercial	$8,028.85
Rate for Payer: Amish Plain Church Group Commercial	$8,028.85
Rate for Payer: BCBS MAPPO	$6,423.08
Rate for Payer: BCBS Trust/PPO	$14,463.80
Rate for Payer: BCN Commercial	$14,463.80
Rate for Payer: BCN Medicare Advantage	$6,423.08
Rate for Payer: Health Alliance Plan Medicare Advantage	$6,423.08
Rate for Payer: Mclaren Medicare	$6,423.08
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$6,744.23
Rate for Payer: MI Amish Medical Board Commercial	$7,386.54
Rate for Payer: Molina Medicare/Medicaid	$7,065.39
Rate for Payer: Nomi Health Commercial	$9,754.98
Rate for Payer: PACE Medicare	$6,101.93
Rate for Payer: PACE SWMI	$6,423.08
Rate for Payer: PHP Medicare Advantage	$6,423.08
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$12,191.56
Rate for Payer: Priority Health Medicare	$6,423.08
Rate for Payer: Priority Health Tiered Network	$9,753.25
Rate for Payer: Railroad Medicare Medicare	$6,423.08
Rate for Payer: UHC All Payor (Choice/PPO)	$12,326.06
Rate for Payer: UHC Core	$10,312.30
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$6,423.08
Rate for Payer: UHC Exchange	$8,421.80
Rate for Payer: VA VA	$6,423.08

OTHER CHEMOTHERAPY

Facility

$17,787.78

Service Code	APR-DRG 6964
Min. Negotiated Rate	$16,940.74
Max. Negotiated Rate	$17,787.78
Rate for Payer: BCBS Complete	$17,787.78
Rate for Payer: Mclaren Medicaid	$16,940.74
Rate for Payer: Meridian Medicaid	$17,787.78
Rate for Payer: Priority Health Choice Medicaid	$16,940.74
Rate for Payer: UHC Medicaid	$16,940.74
Rate for Payer: UHCCP Medicaid	$16,940.74

OTHER CHEMOTHERAPY

Facility

$9,618.25

Service Code	APR-DRG 6963
Min. Negotiated Rate	$9,160.24
Max. Negotiated Rate	$9,618.25
Rate for Payer: BCBS Complete	$9,618.25
Rate for Payer: Mclaren Medicaid	$9,160.24
Rate for Payer: Meridian Medicaid	$9,618.25
Rate for Payer: Priority Health Choice Medicaid	$9,160.24
Rate for Payer: UHC Medicaid	$9,160.24
Rate for Payer: UHCCP Medicaid	$9,160.24

OTHER CHEMOTHERAPY

Facility

$4,404.09

Service Code	APR-DRG 6961
Min. Negotiated Rate	$4,194.37
Max. Negotiated Rate	$4,404.09
Rate for Payer: BCBS Complete	$4,404.09
Rate for Payer: Mclaren Medicaid	$4,194.37
Rate for Payer: Meridian Medicaid	$4,404.09
Rate for Payer: Priority Health Choice Medicaid	$4,194.37
Rate for Payer: UHC Medicaid	$4,194.37
Rate for Payer: UHCCP Medicaid	$4,194.37

OTHER CHEMOTHERAPY

Facility

$5,970.92

Service Code	APR-DRG 6962
Min. Negotiated Rate	$5,686.59
Max. Negotiated Rate	$5,970.92
Rate for Payer: BCBS Complete	$5,970.92
Rate for Payer: Mclaren Medicaid	$5,686.59
Rate for Payer: Meridian Medicaid	$5,970.92
Rate for Payer: Priority Health Choice Medicaid	$5,686.59
Rate for Payer: UHC Medicaid	$5,686.59
Rate for Payer: UHCCP Medicaid	$5,686.59

OTHER CIRCULATORY SYSTEM DIAGNOSES

Facility

$12,615.47

Service Code	APR-DRG 2074
Min. Negotiated Rate	$12,014.73
Max. Negotiated Rate	$12,615.47
Rate for Payer: BCBS Complete	$12,615.47
Rate for Payer: Mclaren Medicaid	$12,014.73
Rate for Payer: Meridian Medicaid	$12,615.47
Rate for Payer: Priority Health Choice Medicaid	$12,014.73
Rate for Payer: UHC Medicaid	$12,014.73
Rate for Payer: UHCCP Medicaid	$12,014.73

OTHER CIRCULATORY SYSTEM DIAGNOSES

Facility

$4,214.33

Service Code	APR-DRG 2072
Min. Negotiated Rate	$4,013.65
Max. Negotiated Rate	$4,214.33
Rate for Payer: BCBS Complete	$4,214.33
Rate for Payer: Mclaren Medicaid	$4,013.65
Rate for Payer: Meridian Medicaid	$4,214.33
Rate for Payer: Priority Health Choice Medicaid	$4,013.65
Rate for Payer: UHC Medicaid	$4,013.65
Rate for Payer: UHCCP Medicaid	$4,013.65

OTHER CIRCULATORY SYSTEM DIAGNOSES

Facility

$7,319.32

Service Code	APR-DRG 2073
Min. Negotiated Rate	$6,970.78
Max. Negotiated Rate	$7,319.32
Rate for Payer: BCBS Complete	$7,319.32
Rate for Payer: Mclaren Medicaid	$6,970.78
Rate for Payer: Meridian Medicaid	$7,319.32
Rate for Payer: Priority Health Choice Medicaid	$6,970.78
Rate for Payer: UHC Medicaid	$6,970.78
Rate for Payer: UHCCP Medicaid	$6,970.78

Know your out-of-pocket cost for care.

All Charges