Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

OTHER CIRCULATORY SYSTEM DIAGNOSES

Facility

$3,263.22

Service Code	APR-DRG 2071
Min. Negotiated Rate	$3,107.83
Max. Negotiated Rate	$3,263.22
Rate for Payer: BCBS Complete	$3,263.22
Rate for Payer: Mclaren Medicaid	$3,107.83
Rate for Payer: Meridian Medicaid	$3,263.22
Rate for Payer: Priority Health Choice Medicaid	$3,107.83
Rate for Payer: UHC Medicaid	$3,107.83
Rate for Payer: UHCCP Medicaid	$3,107.83

OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC

Facility

$18,188.02

Service Code	MSDRG 315
Min. Negotiated Rate	$7,622.42
Max. Negotiated Rate	$18,188.02
Rate for Payer: Aetna Medicare	$8,344.54
Rate for Payer: Allen County Amish Medical Aid Commercial	$10,029.50
Rate for Payer: Amish Plain Church Group Commercial	$10,029.50
Rate for Payer: BCBS MAPPO	$8,023.60
Rate for Payer: BCBS Trust/PPO	$18,188.02
Rate for Payer: BCN Commercial	$18,188.02
Rate for Payer: BCN Medicare Advantage	$8,023.60
Rate for Payer: Health Alliance Plan Medicare Advantage	$8,023.60
Rate for Payer: Mclaren Medicare	$8,023.60
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$8,424.78
Rate for Payer: MI Amish Medical Board Commercial	$9,227.14
Rate for Payer: Molina Medicare/Medicaid	$8,825.96
Rate for Payer: Nomi Health Commercial	$12,426.57
Rate for Payer: PACE Medicare	$7,622.42
Rate for Payer: PACE SWMI	$8,023.60
Rate for Payer: PHP Medicare Advantage	$8,023.60
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$15,530.46
Rate for Payer: Priority Health Medicare	$8,023.60
Rate for Payer: Priority Health Tiered Network	$12,424.36
Rate for Payer: Railroad Medicare Medicare	$8,023.60
Rate for Payer: UHC All Payor (Choice/PPO)	$15,701.79
Rate for Payer: UHC Core	$13,136.52
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$8,023.60
Rate for Payer: UHC Exchange	$10,728.27
Rate for Payer: VA VA	$8,023.60

OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC

Facility

$33,988.76

Service Code	MSDRG 314
Min. Negotiated Rate	$15,859.20
Max. Negotiated Rate	$33,988.76
Rate for Payer: BCBS MAPPO	$16,693.90
Rate for Payer: Aetna Medicare	$17,361.66
Rate for Payer: Allen County Amish Medical Aid Commercial	$20,867.38
Rate for Payer: Amish Plain Church Group Commercial	$20,867.38
Rate for Payer: BCBS Trust/PPO	$33,281.49
Rate for Payer: BCN Commercial	$33,281.49
Rate for Payer: BCN Medicare Advantage	$16,693.90
Rate for Payer: Health Alliance Plan Medicare Advantage	$16,693.90
Rate for Payer: Mclaren Medicare	$16,693.90
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$17,528.60
Rate for Payer: MI Amish Medical Board Commercial	$19,197.99
Rate for Payer: Molina Medicare/Medicaid	$18,363.29
Rate for Payer: Nomi Health Commercial	$26,899.08
Rate for Payer: PACE Medicare	$15,859.20
Rate for Payer: PACE SWMI	$16,693.90
Rate for Payer: PHP Medicare Advantage	$16,693.90
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$33,617.89
Rate for Payer: Priority Health Medicare	$16,693.90
Rate for Payer: Priority Health Tiered Network	$26,894.30
Rate for Payer: Railroad Medicare Medicare	$16,693.90
Rate for Payer: UHC All Payor (Choice/PPO)	$33,988.76
Rate for Payer: UHC Core	$28,435.87
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$16,693.90
Rate for Payer: UHC Exchange	$23,222.87
Rate for Payer: VA VA	$16,693.90

OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC

Facility

$11,118.23

Service Code	MSDRG 316
Min. Negotiated Rate	$5,557.91
Max. Negotiated Rate	$11,118.23
Rate for Payer: Aetna Medicare	$6,084.45
Rate for Payer: Allen County Amish Medical Aid Commercial	$7,313.04
Rate for Payer: Amish Plain Church Group Commercial	$7,313.04
Rate for Payer: BCBS MAPPO	$5,850.43
Rate for Payer: BCBS Trust/PPO	$11,039.21
Rate for Payer: BCN Commercial	$11,039.21
Rate for Payer: BCN Medicare Advantage	$5,850.43
Rate for Payer: Health Alliance Plan Medicare Advantage	$5,850.43
Rate for Payer: Mclaren Medicare	$5,850.43
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$6,142.95
Rate for Payer: MI Amish Medical Board Commercial	$6,727.99
Rate for Payer: Molina Medicare/Medicaid	$6,435.47
Rate for Payer: Nomi Health Commercial	$8,799.09
Rate for Payer: PACE Medicare	$5,557.91
Rate for Payer: PACE SWMI	$5,850.43
Rate for Payer: PHP Medicare Advantage	$5,850.43
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$10,996.91
Rate for Payer: Priority Health Medicare	$5,850.43
Rate for Payer: Priority Health Tiered Network	$8,797.53
Rate for Payer: Railroad Medicare Medicare	$5,850.43
Rate for Payer: UHC All Payor (Choice/PPO)	$11,118.23
Rate for Payer: UHC Core	$9,301.80
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$5,850.43
Rate for Payer: UHC Exchange	$7,596.55
Rate for Payer: VA VA	$5,850.43

OTHER CIRCULATORY SYSTEM O.R. PROCEDURES

Facility

$54,451.78

Service Code	MSDRG 264
Min. Negotiated Rate	$25,076.10
Max. Negotiated Rate	$54,451.78
Rate for Payer: Aetna Medicare	$27,451.74
Rate for Payer: Allen County Amish Medical Aid Commercial	$32,994.88
Rate for Payer: Amish Plain Church Group Commercial	$32,994.88
Rate for Payer: BCBS MAPPO	$26,395.90
Rate for Payer: BCBS Trust/PPO	$49,519.62
Rate for Payer: BCN Commercial	$49,519.62
Rate for Payer: BCN Medicare Advantage	$26,395.90
Rate for Payer: Health Alliance Plan Medicare Advantage	$26,395.90
Rate for Payer: Mclaren Medicare	$26,395.90
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$27,715.69
Rate for Payer: MI Amish Medical Board Commercial	$30,355.28
Rate for Payer: Molina Medicare/Medicaid	$29,035.49
Rate for Payer: Nomi Health Commercial	$43,093.74
Rate for Payer: PACE Medicare	$25,076.10
Rate for Payer: PACE SWMI	$26,395.90
Rate for Payer: PHP Medicare Advantage	$26,395.90
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$53,857.62
Rate for Payer: Priority Health Medicare	$26,395.90
Rate for Payer: Priority Health Tiered Network	$43,086.09
Rate for Payer: Railroad Medicare Medicare	$26,395.90
Rate for Payer: UHC All Payor (Choice/PPO)	$54,451.78
Rate for Payer: UHC Core	$45,555.76
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$26,395.90
Rate for Payer: UHC Exchange	$37,204.26
Rate for Payer: VA VA	$26,395.90

OTHER COMPLICATIONS OF TREATMENT

Facility

$3,969.53

Service Code	APR-DRG 8131
Min. Negotiated Rate	$3,780.50
Max. Negotiated Rate	$3,969.53
Rate for Payer: BCBS Complete	$3,969.53
Rate for Payer: Mclaren Medicaid	$3,780.50
Rate for Payer: Meridian Medicaid	$3,969.53
Rate for Payer: Priority Health Choice Medicaid	$3,780.50
Rate for Payer: UHC Medicaid	$3,780.50
Rate for Payer: UHCCP Medicaid	$3,780.50

OTHER COMPLICATIONS OF TREATMENT

Facility

$10,339.47

Service Code	APR-DRG 8134
Min. Negotiated Rate	$9,847.11
Max. Negotiated Rate	$10,339.47
Rate for Payer: BCBS Complete	$10,339.47
Rate for Payer: Mclaren Medicaid	$9,847.11
Rate for Payer: Meridian Medicaid	$10,339.47
Rate for Payer: Priority Health Choice Medicaid	$9,847.11
Rate for Payer: UHC Medicaid	$9,847.11
Rate for Payer: UHCCP Medicaid	$9,847.11

OTHER COMPLICATIONS OF TREATMENT

Facility

$7,254.54

Service Code	APR-DRG 8133
Min. Negotiated Rate	$6,909.08
Max. Negotiated Rate	$7,254.54
Rate for Payer: BCBS Complete	$7,254.54
Rate for Payer: Mclaren Medicaid	$6,909.08
Rate for Payer: Meridian Medicaid	$7,254.54
Rate for Payer: Priority Health Choice Medicaid	$6,909.08
Rate for Payer: UHC Medicaid	$6,909.08
Rate for Payer: UHCCP Medicaid	$6,909.08

OTHER COMPLICATIONS OF TREATMENT

Facility

$5,246.27

Service Code	APR-DRG 8132
Min. Negotiated Rate	$4,996.45
Max. Negotiated Rate	$5,246.27
Rate for Payer: BCBS Complete	$5,246.27
Rate for Payer: Mclaren Medicaid	$4,996.45
Rate for Payer: Meridian Medicaid	$5,246.27
Rate for Payer: Priority Health Choice Medicaid	$4,996.45
Rate for Payer: UHC Medicaid	$4,996.45
Rate for Payer: UHCCP Medicaid	$4,996.45

OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES

Facility

$19,082.86

Service Code	APR-DRG 2294
Min. Negotiated Rate	$18,174.16
Max. Negotiated Rate	$19,082.86
Rate for Payer: BCBS Complete	$19,082.86
Rate for Payer: Mclaren Medicaid	$18,174.16
Rate for Payer: Meridian Medicaid	$19,082.86
Rate for Payer: Priority Health Choice Medicaid	$18,174.16
Rate for Payer: UHC Medicaid	$18,174.16
Rate for Payer: UHCCP Medicaid	$18,174.16

OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES

Facility

$14,964.28

Service Code	APR-DRG 2293
Min. Negotiated Rate	$14,251.69
Max. Negotiated Rate	$14,964.28
Rate for Payer: BCBS Complete	$14,964.28
Rate for Payer: Mclaren Medicaid	$14,251.69
Rate for Payer: Meridian Medicaid	$14,964.28
Rate for Payer: Priority Health Choice Medicaid	$14,251.69
Rate for Payer: UHC Medicaid	$14,251.69
Rate for Payer: UHCCP Medicaid	$14,251.69

OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES

Facility

$10,067.15

Service Code	APR-DRG 2292
Min. Negotiated Rate	$9,587.76
Max. Negotiated Rate	$10,067.15
Rate for Payer: BCBS Complete	$10,067.15
Rate for Payer: Mclaren Medicaid	$9,587.76
Rate for Payer: Meridian Medicaid	$10,067.15
Rate for Payer: Priority Health Choice Medicaid	$9,587.76
Rate for Payer: UHC Medicaid	$9,587.76
Rate for Payer: UHCCP Medicaid	$9,587.76

OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES

Facility

$8,064.61

Service Code	APR-DRG 2291
Min. Negotiated Rate	$7,680.58
Max. Negotiated Rate	$8,064.61
Rate for Payer: BCBS Complete	$8,064.61
Rate for Payer: Mclaren Medicaid	$7,680.58
Rate for Payer: Meridian Medicaid	$8,064.61
Rate for Payer: Priority Health Choice Medicaid	$7,680.58
Rate for Payer: UHC Medicaid	$7,680.58
Rate for Payer: UHCCP Medicaid	$7,680.58

OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility

$10,708.10

Service Code	APR-DRG 2544
Min. Negotiated Rate	$10,198.19
Max. Negotiated Rate	$10,708.10
Rate for Payer: BCBS Complete	$10,708.10
Rate for Payer: Mclaren Medicaid	$10,198.19
Rate for Payer: Meridian Medicaid	$10,708.10
Rate for Payer: Priority Health Choice Medicaid	$10,198.19
Rate for Payer: UHC Medicaid	$10,198.19
Rate for Payer: UHCCP Medicaid	$10,198.19

OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility

$4,022.85

Service Code	APR-DRG 2541
Min. Negotiated Rate	$3,831.28
Max. Negotiated Rate	$4,022.85
Rate for Payer: BCBS Complete	$4,022.85
Rate for Payer: Mclaren Medicaid	$3,831.28
Rate for Payer: Meridian Medicaid	$4,022.85
Rate for Payer: Priority Health Choice Medicaid	$3,831.28
Rate for Payer: UHC Medicaid	$3,831.28
Rate for Payer: UHCCP Medicaid	$3,831.28

OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility

$7,466.09

Service Code	APR-DRG 2543
Min. Negotiated Rate	$7,110.56
Max. Negotiated Rate	$7,466.09
Rate for Payer: BCBS Complete	$7,466.09
Rate for Payer: Mclaren Medicaid	$7,110.56
Rate for Payer: Meridian Medicaid	$7,466.09
Rate for Payer: Priority Health Choice Medicaid	$7,110.56
Rate for Payer: UHC Medicaid	$7,110.56
Rate for Payer: UHCCP Medicaid	$7,110.56

OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility

$4,931.53

Service Code	APR-DRG 2542
Min. Negotiated Rate	$4,696.69
Max. Negotiated Rate	$4,931.53
Rate for Payer: BCBS Complete	$4,931.53
Rate for Payer: Mclaren Medicaid	$4,696.69
Rate for Payer: Meridian Medicaid	$4,931.53
Rate for Payer: Priority Health Choice Medicaid	$4,696.69
Rate for Payer: UHC Medicaid	$4,696.69
Rate for Payer: UHCCP Medicaid	$4,696.69

OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC

Facility

$16,277.92

Service Code	MSDRG 394
Min. Negotiated Rate	$7,419.79
Max. Negotiated Rate	$16,277.92
Rate for Payer: Aetna Medicare	$8,122.72
Rate for Payer: Allen County Amish Medical Aid Commercial	$9,762.89
Rate for Payer: Amish Plain Church Group Commercial	$9,762.89
Rate for Payer: BCBS MAPPO	$7,810.31
Rate for Payer: BCBS Trust/PPO	$16,277.92
Rate for Payer: BCN Commercial	$16,277.92
Rate for Payer: BCN Medicare Advantage	$7,810.31
Rate for Payer: Health Alliance Plan Medicare Advantage	$7,810.31
Rate for Payer: Mclaren Medicare	$7,810.31
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$8,200.83
Rate for Payer: MI Amish Medical Board Commercial	$8,981.86
Rate for Payer: Molina Medicare/Medicaid	$8,591.34
Rate for Payer: Nomi Health Commercial	$12,070.53
Rate for Payer: PACE Medicare	$7,419.79
Rate for Payer: PACE SWMI	$7,810.31
Rate for Payer: PHP Medicare Advantage	$7,810.31
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$15,085.49
Rate for Payer: Priority Health Medicare	$7,810.31
Rate for Payer: Priority Health Tiered Network	$12,068.39
Rate for Payer: Railroad Medicare Medicare	$7,810.31
Rate for Payer: UHC All Payor (Choice/PPO)	$15,251.91
Rate for Payer: UHC Core	$12,760.14
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$7,810.31
Rate for Payer: UHC Exchange	$10,420.89
Rate for Payer: VA VA	$7,810.31

OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC

Facility

$26,068.59

Service Code	MSDRG 393
Min. Negotiated Rate	$12,291.82
Max. Negotiated Rate	$26,068.59
Rate for Payer: Aetna Medicare	$13,456.31
Rate for Payer: Allen County Amish Medical Aid Commercial	$16,173.45
Rate for Payer: Amish Plain Church Group Commercial	$16,173.45
Rate for Payer: BCBS MAPPO	$12,938.76
Rate for Payer: BCBS Trust/PPO	$25,858.82
Rate for Payer: BCN Commercial	$25,858.82
Rate for Payer: BCN Medicare Advantage	$12,938.76
Rate for Payer: Health Alliance Plan Medicare Advantage	$12,938.76
Rate for Payer: Mclaren Medicare	$12,938.76
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$13,585.70
Rate for Payer: MI Amish Medical Board Commercial	$14,879.57
Rate for Payer: Molina Medicare/Medicaid	$14,232.64
Rate for Payer: Nomi Health Commercial	$20,630.97
Rate for Payer: PACE Medicare	$12,291.82
Rate for Payer: PACE SWMI	$12,938.76
Rate for Payer: PHP Medicare Advantage	$12,938.76
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$25,784.14
Rate for Payer: Priority Health Medicare	$12,938.76
Rate for Payer: Priority Health Tiered Network	$20,627.31
Rate for Payer: Railroad Medicare Medicare	$12,938.76
Rate for Payer: UHC All Payor (Choice/PPO)	$26,068.59
Rate for Payer: UHC Core	$21,809.65
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$12,938.76
Rate for Payer: UHC Exchange	$17,811.40
Rate for Payer: VA VA	$12,938.76

OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC

Facility

$13,141.25

Service Code	MSDRG 395
Min. Negotiated Rate	$5,314.89
Max. Negotiated Rate	$13,141.25
Rate for Payer: Aetna Medicare	$5,818.40
Rate for Payer: Allen County Amish Medical Aid Commercial	$6,993.27
Rate for Payer: Amish Plain Church Group Commercial	$6,993.27
Rate for Payer: BCBS MAPPO	$5,594.62
Rate for Payer: BCBS Trust/PPO	$13,141.25
Rate for Payer: BCN Commercial	$13,141.25
Rate for Payer: BCN Medicare Advantage	$5,594.62
Rate for Payer: Health Alliance Plan Medicare Advantage	$5,594.62
Rate for Payer: Mclaren Medicare	$5,594.62
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$5,874.35
Rate for Payer: MI Amish Medical Board Commercial	$6,433.81
Rate for Payer: Molina Medicare/Medicaid	$6,154.08
Rate for Payer: Nomi Health Commercial	$8,372.10
Rate for Payer: PACE Medicare	$5,314.89
Rate for Payer: PACE SWMI	$5,594.62
Rate for Payer: PHP Medicare Advantage	$5,594.62
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$10,463.27
Rate for Payer: Priority Health Medicare	$5,594.62
Rate for Payer: Priority Health Tiered Network	$8,370.61
Rate for Payer: Railroad Medicare Medicare	$5,594.62
Rate for Payer: UHC All Payor (Choice/PPO)	$10,578.70
Rate for Payer: UHC Core	$8,850.41
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$5,594.62
Rate for Payer: UHC Exchange	$7,227.91
Rate for Payer: VA VA	$5,594.62

OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC

Facility

$38,564.68

Service Code	MSDRG 357
Min. Negotiated Rate	$17,623.46
Max. Negotiated Rate	$38,564.68
Rate for Payer: Aetna Medicare	$19,293.05
Rate for Payer: Allen County Amish Medical Aid Commercial	$23,188.76
Rate for Payer: Amish Plain Church Group Commercial	$23,188.76
Rate for Payer: BCBS MAPPO	$18,551.01
Rate for Payer: BCBS Trust/PPO	$38,564.68
Rate for Payer: BCN Commercial	$38,564.68
Rate for Payer: BCN Medicare Advantage	$18,551.01
Rate for Payer: Health Alliance Plan Medicare Advantage	$18,551.01
Rate for Payer: Mclaren Medicare	$18,551.01
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$19,478.56
Rate for Payer: MI Amish Medical Board Commercial	$21,333.66
Rate for Payer: Molina Medicare/Medicaid	$20,406.11
Rate for Payer: Nomi Health Commercial	$29,998.95
Rate for Payer: PACE Medicare	$17,623.46
Rate for Payer: PACE SWMI	$18,551.01
Rate for Payer: PHP Medicare Advantage	$18,551.01
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$37,492.04
Rate for Payer: Priority Health Medicare	$18,551.01
Rate for Payer: Priority Health Tiered Network	$29,993.62
Rate for Payer: Railroad Medicare Medicare	$18,551.01
Rate for Payer: UHC All Payor (Choice/PPO)	$37,905.65
Rate for Payer: UHC Core	$31,712.84
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$18,551.01
Rate for Payer: UHC Exchange	$25,899.09
Rate for Payer: VA VA	$18,551.01

OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC

Facility

$71,602.64

Service Code	MSDRG 356
Min. Negotiated Rate	$32,801.20
Max. Negotiated Rate	$71,602.64
Rate for Payer: Aetna Medicare	$35,908.68
Rate for Payer: Allen County Amish Medical Aid Commercial	$43,159.47
Rate for Payer: Amish Plain Church Group Commercial	$43,159.47
Rate for Payer: BCBS MAPPO	$34,527.58
Rate for Payer: BCBS Trust/PPO	$66,986.67
Rate for Payer: BCN Commercial	$66,986.67
Rate for Payer: BCN Medicare Advantage	$34,527.58
Rate for Payer: Health Alliance Plan Medicare Advantage	$34,527.58
Rate for Payer: Mclaren Medicare	$34,527.58
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$36,253.96
Rate for Payer: MI Amish Medical Board Commercial	$39,706.72
Rate for Payer: Molina Medicare/Medicaid	$37,980.34
Rate for Payer: Nomi Health Commercial	$56,667.12
Rate for Payer: PACE Medicare	$32,801.20
Rate for Payer: PACE SWMI	$34,527.58
Rate for Payer: PHP Medicare Advantage	$34,527.58
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$70,821.34
Rate for Payer: Priority Health Medicare	$34,527.58
Rate for Payer: Priority Health Tiered Network	$56,657.06
Rate for Payer: Railroad Medicare Medicare	$34,527.58
Rate for Payer: UHC All Payor (Choice/PPO)	$71,602.64
Rate for Payer: UHC Core	$59,904.61
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$34,527.58
Rate for Payer: UHC Exchange	$48,922.61
Rate for Payer: VA VA	$34,527.58

OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC

Facility

$31,558.67

Service Code	MSDRG 358
Min. Negotiated Rate	$10,813.18
Max. Negotiated Rate	$31,558.67
Rate for Payer: Aetna Medicare	$11,837.58
Rate for Payer: Allen County Amish Medical Aid Commercial	$14,227.86
Rate for Payer: Amish Plain Church Group Commercial	$14,227.86
Rate for Payer: BCBS MAPPO	$11,382.29
Rate for Payer: BCBS Trust/PPO	$31,558.67
Rate for Payer: BCN Commercial	$31,558.67
Rate for Payer: BCN Medicare Advantage	$11,382.29
Rate for Payer: Health Alliance Plan Medicare Advantage	$11,382.29
Rate for Payer: Mclaren Medicare	$11,382.29
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$11,951.40
Rate for Payer: MI Amish Medical Board Commercial	$13,089.63
Rate for Payer: Molina Medicare/Medicaid	$12,520.52
Rate for Payer: Nomi Health Commercial	$18,032.91
Rate for Payer: PACE Medicare	$10,813.18
Rate for Payer: PACE SWMI	$11,382.29
Rate for Payer: PHP Medicare Advantage	$11,382.29
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$22,537.14
Rate for Payer: Priority Health Medicare	$11,382.29
Rate for Payer: Priority Health Tiered Network	$18,029.71
Rate for Payer: Railroad Medicare Medicare	$11,382.29
Rate for Payer: UHC All Payor (Choice/PPO)	$22,785.77
Rate for Payer: UHC Core	$19,063.16
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$11,382.29
Rate for Payer: UHC Exchange	$15,568.41
Rate for Payer: VA VA	$11,382.29

OTHER DISORDERS OF NERVOUS SYSTEM

Facility

$6,115.39

Service Code	APR-DRG 0582
Min. Negotiated Rate	$5,824.18
Max. Negotiated Rate	$6,115.39
Rate for Payer: BCBS Complete	$6,115.39
Rate for Payer: Mclaren Medicaid	$5,824.18
Rate for Payer: Meridian Medicaid	$6,115.39
Rate for Payer: Priority Health Choice Medicaid	$5,824.18
Rate for Payer: UHC Medicaid	$5,824.18
Rate for Payer: UHCCP Medicaid	$5,824.18

OTHER DISORDERS OF NERVOUS SYSTEM

Facility

$11,486.64

Service Code	APR-DRG 0584
Min. Negotiated Rate	$10,939.66
Max. Negotiated Rate	$11,486.64
Rate for Payer: BCBS Complete	$11,486.64
Rate for Payer: Mclaren Medicaid	$10,939.66
Rate for Payer: Meridian Medicaid	$11,486.64
Rate for Payer: Priority Health Choice Medicaid	$10,939.66
Rate for Payer: UHC Medicaid	$10,939.66
Rate for Payer: UHCCP Medicaid	$10,939.66

Know your out-of-pocket cost for care.

All Charges