Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

OTHER DISORDERS OF NERVOUS SYSTEM

Facility

$8,461.33

Service Code	APR-DRG 0583
Min. Negotiated Rate	$8,058.41
Max. Negotiated Rate	$8,461.33
Rate for Payer: BCBS Complete	$8,461.33
Rate for Payer: Mclaren Medicaid	$8,058.41
Rate for Payer: Meridian Medicaid	$8,461.33
Rate for Payer: Priority Health Choice Medicaid	$8,058.41
Rate for Payer: UHC Medicaid	$8,058.41
Rate for Payer: UHCCP Medicaid	$8,058.41

OTHER DISORDERS OF NERVOUS SYSTEM

Facility

$4,152.99

Service Code	APR-DRG 0581
Min. Negotiated Rate	$3,955.22
Max. Negotiated Rate	$4,152.99
Rate for Payer: BCBS Complete	$4,152.99
Rate for Payer: Mclaren Medicaid	$3,955.22
Rate for Payer: Meridian Medicaid	$4,152.99
Rate for Payer: Priority Health Choice Medicaid	$3,955.22
Rate for Payer: UHC Medicaid	$3,955.22
Rate for Payer: UHCCP Medicaid	$3,955.22

OTHER DISORDERS OF NERVOUS SYSTEM WITH CC

Facility

$18,401.03

Service Code	MSDRG 092
Min. Negotiated Rate	$8,060.70
Max. Negotiated Rate	$18,401.03
Rate for Payer: Aetna Medicare	$8,824.35
Rate for Payer: Allen County Amish Medical Aid Commercial	$10,606.19
Rate for Payer: Amish Plain Church Group Commercial	$10,606.19
Rate for Payer: BCBS MAPPO	$8,484.95
Rate for Payer: BCBS Trust/PPO	$18,401.03
Rate for Payer: BCN Commercial	$18,401.03
Rate for Payer: BCN Medicare Advantage	$8,484.95
Rate for Payer: Health Alliance Plan Medicare Advantage	$8,484.95
Rate for Payer: Mclaren Medicare	$8,484.95
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$8,909.20
Rate for Payer: MI Amish Medical Board Commercial	$9,757.69
Rate for Payer: Molina Medicare/Medicaid	$9,333.44
Rate for Payer: Nomi Health Commercial	$13,196.70
Rate for Payer: PACE Medicare	$8,060.70
Rate for Payer: PACE SWMI	$8,484.95
Rate for Payer: PHP Medicare Advantage	$8,484.95
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$16,492.95
Rate for Payer: Priority Health Medicare	$8,484.95
Rate for Payer: Priority Health Tiered Network	$13,194.36
Rate for Payer: Railroad Medicare Medicare	$8,484.95
Rate for Payer: UHC All Payor (Choice/PPO)	$16,674.90
Rate for Payer: UHC Core	$13,950.65
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$8,484.95
Rate for Payer: UHC Exchange	$11,393.15
Rate for Payer: VA VA	$8,484.95

OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC

Facility

$36,141.95

Service Code	MSDRG 091
Min. Negotiated Rate	$13,443.75
Max. Negotiated Rate	$36,141.95
Rate for Payer: Aetna Medicare	$14,717.37
Rate for Payer: Allen County Amish Medical Aid Commercial	$17,689.15
Rate for Payer: Amish Plain Church Group Commercial	$17,689.15
Rate for Payer: BCBS MAPPO	$14,151.32
Rate for Payer: BCBS Trust/PPO	$36,141.95
Rate for Payer: BCN Commercial	$36,141.95
Rate for Payer: BCN Medicare Advantage	$14,151.32
Rate for Payer: Health Alliance Plan Medicare Advantage	$14,151.32
Rate for Payer: Mclaren Medicare	$14,151.32
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$14,858.89
Rate for Payer: MI Amish Medical Board Commercial	$16,274.02
Rate for Payer: Molina Medicare/Medicaid	$15,566.45
Rate for Payer: Nomi Health Commercial	$22,654.98
Rate for Payer: PACE Medicare	$13,443.75
Rate for Payer: PACE SWMI	$14,151.32
Rate for Payer: PHP Medicare Advantage	$14,151.32
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$28,313.70
Rate for Payer: Priority Health Medicare	$14,151.32
Rate for Payer: Priority Health Tiered Network	$22,650.96
Rate for Payer: Railroad Medicare Medicare	$14,151.32
Rate for Payer: UHC All Payor (Choice/PPO)	$28,626.06
Rate for Payer: UHC Core	$23,949.30
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$14,151.32
Rate for Payer: UHC Exchange	$19,558.80
Rate for Payer: VA VA	$14,151.32

OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC

Facility

$16,671.18

Service Code	MSDRG 093
Min. Negotiated Rate	$6,396.33
Max. Negotiated Rate	$16,671.18
Rate for Payer: Aetna Medicare	$7,002.30
Rate for Payer: Allen County Amish Medical Aid Commercial	$8,416.23
Rate for Payer: Amish Plain Church Group Commercial	$8,416.23
Rate for Payer: BCBS MAPPO	$6,732.98
Rate for Payer: BCBS Trust/PPO	$16,671.18
Rate for Payer: BCN Commercial	$16,671.18
Rate for Payer: BCN Medicare Advantage	$6,732.98
Rate for Payer: Health Alliance Plan Medicare Advantage	$6,732.98
Rate for Payer: Mclaren Medicare	$6,732.98
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$7,069.63
Rate for Payer: MI Amish Medical Board Commercial	$7,742.93
Rate for Payer: Molina Medicare/Medicaid	$7,406.28
Rate for Payer: Nomi Health Commercial	$10,272.27
Rate for Payer: PACE Medicare	$6,396.33
Rate for Payer: PACE SWMI	$6,732.98
Rate for Payer: PHP Medicare Advantage	$6,732.98
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$12,838.06
Rate for Payer: Priority Health Medicare	$6,732.98
Rate for Payer: Priority Health Tiered Network	$10,270.45
Rate for Payer: Railroad Medicare Medicare	$6,732.98
Rate for Payer: UHC All Payor (Choice/PPO)	$12,979.69
Rate for Payer: UHC Core	$10,859.14
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$6,732.98
Rate for Payer: UHC Exchange	$8,868.39
Rate for Payer: VA VA	$6,732.98

OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT

Facility

$22,504.45

Service Code	MSDRG 124
Min. Negotiated Rate	$10,264.01
Max. Negotiated Rate	$22,504.45
Rate for Payer: Aetna Medicare	$11,236.39
Rate for Payer: Allen County Amish Medical Aid Commercial	$13,505.27
Rate for Payer: Amish Plain Church Group Commercial	$13,505.27
Rate for Payer: BCBS MAPPO	$10,804.22
Rate for Payer: BCBS Trust/PPO	$22,504.45
Rate for Payer: BCN Commercial	$22,504.45
Rate for Payer: BCN Medicare Advantage	$10,804.22
Rate for Payer: Health Alliance Plan Medicare Advantage	$10,804.22
Rate for Payer: Mclaren Medicare	$10,804.22
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$11,344.43
Rate for Payer: MI Amish Medical Board Commercial	$12,424.85
Rate for Payer: Molina Medicare/Medicaid	$11,884.64
Rate for Payer: Nomi Health Commercial	$17,067.99
Rate for Payer: PACE Medicare	$10,264.01
Rate for Payer: PACE SWMI	$10,804.22
Rate for Payer: PHP Medicare Advantage	$10,804.22
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$21,331.20
Rate for Payer: Priority Health Medicare	$10,804.22
Rate for Payer: Priority Health Tiered Network	$17,064.96
Rate for Payer: Railroad Medicare Medicare	$10,804.22
Rate for Payer: UHC All Payor (Choice/PPO)	$21,566.53
Rate for Payer: UHC Core	$18,043.11
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$10,804.22
Rate for Payer: UHC Exchange	$14,735.36
Rate for Payer: VA VA	$10,804.22

OTHER DISORDERS OF THE EYE WITHOUT MCC

Facility

$12,623.93

Service Code	MSDRG 125
Min. Negotiated Rate	$6,187.10
Max. Negotiated Rate	$12,623.93
Rate for Payer: Aetna Medicare	$6,773.25
Rate for Payer: Allen County Amish Medical Aid Commercial	$8,140.93
Rate for Payer: Amish Plain Church Group Commercial	$8,140.93
Rate for Payer: BCBS MAPPO	$6,512.74
Rate for Payer: BCBS Trust/PPO	$12,623.93
Rate for Payer: BCN Commercial	$12,623.93
Rate for Payer: BCN Medicare Advantage	$6,512.74
Rate for Payer: Health Alliance Plan Medicare Advantage	$6,512.74
Rate for Payer: Mclaren Medicare	$6,512.74
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$6,838.38
Rate for Payer: MI Amish Medical Board Commercial	$7,489.65
Rate for Payer: Molina Medicare/Medicaid	$7,164.01
Rate for Payer: Nomi Health Commercial	$9,904.62
Rate for Payer: PACE Medicare	$6,187.10
Rate for Payer: PACE SWMI	$6,512.74
Rate for Payer: PHP Medicare Advantage	$6,512.74
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$12,378.58
Rate for Payer: Priority Health Medicare	$6,512.74
Rate for Payer: Priority Health Tiered Network	$9,902.86
Rate for Payer: Railroad Medicare Medicare	$6,512.74
Rate for Payer: UHC All Payor (Choice/PPO)	$12,515.14
Rate for Payer: UHC Core	$10,470.49
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$6,512.74
Rate for Payer: UHC Exchange	$8,550.99
Rate for Payer: VA VA	$6,512.74

OTHER DISORDERS OF THE LIVER

Facility

$3,173.22

Service Code	APR-DRG 2831
Min. Negotiated Rate	$3,022.11
Max. Negotiated Rate	$3,173.22
Rate for Payer: BCBS Complete	$3,173.22
Rate for Payer: Mclaren Medicaid	$3,022.11
Rate for Payer: Meridian Medicaid	$3,173.22
Rate for Payer: Priority Health Choice Medicaid	$3,022.11
Rate for Payer: UHC Medicaid	$3,022.11
Rate for Payer: UHCCP Medicaid	$3,022.11

OTHER DISORDERS OF THE LIVER

Facility

$7,173.70

Service Code	APR-DRG 2833
Min. Negotiated Rate	$6,832.10
Max. Negotiated Rate	$7,173.70
Rate for Payer: BCBS Complete	$7,173.70
Rate for Payer: Mclaren Medicaid	$6,832.10
Rate for Payer: Meridian Medicaid	$7,173.70
Rate for Payer: Priority Health Choice Medicaid	$6,832.10
Rate for Payer: UHC Medicaid	$6,832.10
Rate for Payer: UHCCP Medicaid	$6,832.10

OTHER DISORDERS OF THE LIVER

Facility

$11,559.45

Service Code	APR-DRG 2834
Min. Negotiated Rate	$11,009.00
Max. Negotiated Rate	$11,559.45
Rate for Payer: BCBS Complete	$11,559.45
Rate for Payer: Mclaren Medicaid	$11,009.00
Rate for Payer: Meridian Medicaid	$11,559.45
Rate for Payer: Priority Health Choice Medicaid	$11,009.00
Rate for Payer: UHC Medicaid	$11,009.00
Rate for Payer: UHCCP Medicaid	$11,009.00

OTHER DISORDERS OF THE LIVER

Facility

$4,748.07

Service Code	APR-DRG 2832
Min. Negotiated Rate	$4,521.97
Max. Negotiated Rate	$4,748.07
Rate for Payer: BCBS Complete	$4,748.07
Rate for Payer: Mclaren Medicaid	$4,521.97
Rate for Payer: Meridian Medicaid	$4,748.07
Rate for Payer: Priority Health Choice Medicaid	$4,521.97
Rate for Payer: UHC Medicaid	$4,521.97
Rate for Payer: UHCCP Medicaid	$4,521.97

OTHER DRUG ABUSE AND DEPENDENCE

Facility

$4,486.65

Service Code	APR-DRG 7762
Min. Negotiated Rate	$4,273.00
Max. Negotiated Rate	$4,486.65
Rate for Payer: BCBS Complete	$4,486.65
Rate for Payer: Mclaren Medicaid	$4,273.00
Rate for Payer: Meridian Medicaid	$4,486.65
Rate for Payer: Priority Health Choice Medicaid	$4,273.00
Rate for Payer: UHC Medicaid	$4,273.00
Rate for Payer: UHCCP Medicaid	$4,273.00

OTHER DRUG ABUSE AND DEPENDENCE

Facility

$7,068.22

Service Code	APR-DRG 7763
Min. Negotiated Rate	$6,731.63
Max. Negotiated Rate	$7,068.22
Rate for Payer: BCBS Complete	$7,068.22
Rate for Payer: Mclaren Medicaid	$6,731.63
Rate for Payer: Meridian Medicaid	$7,068.22
Rate for Payer: Priority Health Choice Medicaid	$6,731.63
Rate for Payer: UHC Medicaid	$6,731.63
Rate for Payer: UHCCP Medicaid	$6,731.63

OTHER DRUG ABUSE AND DEPENDENCE

Facility

$12,948.55

Service Code	APR-DRG 7764
Min. Negotiated Rate	$12,331.96
Max. Negotiated Rate	$12,948.55
Rate for Payer: BCBS Complete	$12,948.55
Rate for Payer: Mclaren Medicaid	$12,331.96
Rate for Payer: Meridian Medicaid	$12,948.55
Rate for Payer: Priority Health Choice Medicaid	$12,331.96
Rate for Payer: UHC Medicaid	$12,331.96
Rate for Payer: UHCCP Medicaid	$12,331.96

OTHER DRUG ABUSE AND DEPENDENCE

Facility

$3,594.02

Service Code	APR-DRG 7761
Min. Negotiated Rate	$3,422.87
Max. Negotiated Rate	$3,594.02
Rate for Payer: BCBS Complete	$3,594.02
Rate for Payer: Mclaren Medicaid	$3,422.87
Rate for Payer: Meridian Medicaid	$3,594.02
Rate for Payer: Priority Health Choice Medicaid	$3,422.87
Rate for Payer: UHC Medicaid	$3,422.87
Rate for Payer: UHCCP Medicaid	$3,422.87

OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC

Facility

$19,828.92

Service Code	MSDRG 155
Min. Negotiated Rate	$7,278.83
Max. Negotiated Rate	$19,828.92
Rate for Payer: Aetna Medicare	$7,968.41
Rate for Payer: Allen County Amish Medical Aid Commercial	$9,577.41
Rate for Payer: Amish Plain Church Group Commercial	$9,577.41
Rate for Payer: BCBS MAPPO	$7,661.93
Rate for Payer: BCBS Trust/PPO	$19,828.92
Rate for Payer: BCN Commercial	$19,828.92
Rate for Payer: BCN Medicare Advantage	$7,661.93
Rate for Payer: Health Alliance Plan Medicare Advantage	$7,661.93
Rate for Payer: Mclaren Medicare	$7,661.93
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$8,045.03
Rate for Payer: MI Amish Medical Board Commercial	$8,811.22
Rate for Payer: Molina Medicare/Medicaid	$8,428.12
Rate for Payer: Nomi Health Commercial	$11,822.85
Rate for Payer: PACE Medicare	$7,278.83
Rate for Payer: PACE SWMI	$7,661.93
Rate for Payer: PHP Medicare Advantage	$7,661.93
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$14,775.94
Rate for Payer: Priority Health Medicare	$7,661.93
Rate for Payer: Priority Health Tiered Network	$11,820.75
Rate for Payer: Railroad Medicare Medicare	$7,661.93
Rate for Payer: UHC All Payor (Choice/PPO)	$14,938.95
Rate for Payer: UHC Core	$12,498.31
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$7,661.93
Rate for Payer: UHC Exchange	$10,207.06
Rate for Payer: VA VA	$7,661.93

OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC

Facility

$25,485.05

Service Code	MSDRG 154
Min. Negotiated Rate	$12,028.99
Max. Negotiated Rate	$25,485.05
Rate for Payer: Aetna Medicare	$13,168.57
Rate for Payer: Allen County Amish Medical Aid Commercial	$15,827.61
Rate for Payer: Amish Plain Church Group Commercial	$15,827.61
Rate for Payer: BCBS MAPPO	$12,662.09
Rate for Payer: BCBS Trust/PPO	$21,406.62
Rate for Payer: BCN Commercial	$21,406.62
Rate for Payer: BCN Medicare Advantage	$12,662.09
Rate for Payer: Health Alliance Plan Medicare Advantage	$12,662.09
Rate for Payer: Mclaren Medicare	$12,662.09
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$13,295.19
Rate for Payer: MI Amish Medical Board Commercial	$14,561.40
Rate for Payer: Molina Medicare/Medicaid	$13,928.30
Rate for Payer: Nomi Health Commercial	$20,169.15
Rate for Payer: PACE Medicare	$12,028.99
Rate for Payer: PACE SWMI	$12,662.09
Rate for Payer: PHP Medicare Advantage	$12,662.09
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$25,206.97
Rate for Payer: Priority Health Medicare	$12,662.09
Rate for Payer: Priority Health Tiered Network	$20,165.57
Rate for Payer: Railroad Medicare Medicare	$12,662.09
Rate for Payer: UHC All Payor (Choice/PPO)	$25,485.05
Rate for Payer: UHC Core	$21,321.45
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$12,662.09
Rate for Payer: UHC Exchange	$17,412.70
Rate for Payer: VA VA	$12,662.09

OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC

Facility

$11,264.93

Service Code	MSDRG 156
Min. Negotiated Rate	$5,623.99
Max. Negotiated Rate	$11,264.93
Rate for Payer: Aetna Medicare	$6,156.79
Rate for Payer: Allen County Amish Medical Aid Commercial	$7,399.99
Rate for Payer: Amish Plain Church Group Commercial	$7,399.99
Rate for Payer: BCBS MAPPO	$5,919.99
Rate for Payer: BCBS Trust/PPO	$10,049.05
Rate for Payer: BCN Commercial	$10,049.05
Rate for Payer: BCN Medicare Advantage	$5,919.99
Rate for Payer: Health Alliance Plan Medicare Advantage	$5,919.99
Rate for Payer: Mclaren Medicare	$5,919.99
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$6,215.99
Rate for Payer: MI Amish Medical Board Commercial	$6,807.99
Rate for Payer: Molina Medicare/Medicaid	$6,511.99
Rate for Payer: Nomi Health Commercial	$8,915.19
Rate for Payer: PACE Medicare	$5,623.99
Rate for Payer: PACE SWMI	$5,919.99
Rate for Payer: PHP Medicare Advantage	$5,919.99
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$11,142.01
Rate for Payer: Priority Health Medicare	$5,919.99
Rate for Payer: Priority Health Tiered Network	$8,913.61
Rate for Payer: Railroad Medicare Medicare	$5,919.99
Rate for Payer: UHC All Payor (Choice/PPO)	$11,264.93
Rate for Payer: UHC Core	$9,424.53
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$5,919.99
Rate for Payer: UHC Exchange	$7,696.78
Rate for Payer: VA VA	$5,919.99

OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC

Facility

$31,448.65

Service Code	MSDRG 144
Min. Negotiated Rate	$13,272.69
Max. Negotiated Rate	$31,448.65
Rate for Payer: Aetna Medicare	$14,530.10
Rate for Payer: Allen County Amish Medical Aid Commercial	$17,464.06
Rate for Payer: Amish Plain Church Group Commercial	$17,464.06
Rate for Payer: BCBS MAPPO	$13,971.25
Rate for Payer: BCBS Trust/PPO	$31,448.65
Rate for Payer: BCN Commercial	$31,448.65
Rate for Payer: BCN Medicare Advantage	$13,971.25
Rate for Payer: Health Alliance Plan Medicare Advantage	$13,971.25
Rate for Payer: Mclaren Medicare	$13,971.25
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$14,669.81
Rate for Payer: MI Amish Medical Board Commercial	$16,066.94
Rate for Payer: Molina Medicare/Medicaid	$15,368.38
Rate for Payer: Nomi Health Commercial	$22,354.41
Rate for Payer: PACE Medicare	$13,272.69
Rate for Payer: PACE SWMI	$13,971.25
Rate for Payer: PHP Medicare Advantage	$13,971.25
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$27,938.06
Rate for Payer: Priority Health Medicare	$13,971.25
Rate for Payer: Priority Health Tiered Network	$22,350.44
Rate for Payer: Railroad Medicare Medicare	$13,971.25
Rate for Payer: UHC All Payor (Choice/PPO)	$28,246.27
Rate for Payer: UHC Core	$23,631.56
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$13,971.25
Rate for Payer: UHC Exchange	$19,299.31
Rate for Payer: VA VA	$13,971.25

OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC

Facility

$72,588.21

Service Code	MSDRG 143
Min. Negotiated Rate	$28,056.88
Max. Negotiated Rate	$72,588.21
Rate for Payer: Aetna Medicare	$30,714.90
Rate for Payer: Allen County Amish Medical Aid Commercial	$36,916.95
Rate for Payer: Amish Plain Church Group Commercial	$36,916.95
Rate for Payer: BCBS MAPPO	$29,533.56
Rate for Payer: BCBS Trust/PPO	$72,588.21
Rate for Payer: BCN Commercial	$72,588.21
Rate for Payer: BCN Medicare Advantage	$29,533.56
Rate for Payer: Health Alliance Plan Medicare Advantage	$29,533.56
Rate for Payer: Mclaren Medicare	$29,533.56
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$31,010.24
Rate for Payer: MI Amish Medical Board Commercial	$33,963.59
Rate for Payer: Molina Medicare/Medicaid	$32,486.92
Rate for Payer: Nomi Health Commercial	$48,331.14
Rate for Payer: PACE Medicare	$28,056.88
Rate for Payer: PACE SWMI	$29,533.56
Rate for Payer: PHP Medicare Advantage	$29,533.56
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$60,403.21
Rate for Payer: Priority Health Medicare	$29,533.56
Rate for Payer: Priority Health Tiered Network	$48,322.56
Rate for Payer: Railroad Medicare Medicare	$29,533.56
Rate for Payer: UHC All Payor (Choice/PPO)	$61,069.58
Rate for Payer: UHC Core	$51,092.38
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$29,533.56
Rate for Payer: UHC Exchange	$41,725.88
Rate for Payer: VA VA	$29,533.56

OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC

Facility

$24,587.76

Service Code	MSDRG 145
Min. Negotiated Rate	$9,377.12
Max. Negotiated Rate	$24,587.76
Rate for Payer: Aetna Medicare	$10,265.48
Rate for Payer: Allen County Amish Medical Aid Commercial	$12,338.31
Rate for Payer: Amish Plain Church Group Commercial	$12,338.31
Rate for Payer: BCBS MAPPO	$9,870.65
Rate for Payer: BCBS Trust/PPO	$24,587.76
Rate for Payer: BCN Commercial	$24,587.76
Rate for Payer: BCN Medicare Advantage	$9,870.65
Rate for Payer: Health Alliance Plan Medicare Advantage	$9,870.65
Rate for Payer: Mclaren Medicare	$9,870.65
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$10,364.18
Rate for Payer: MI Amish Medical Board Commercial	$11,351.25
Rate for Payer: Molina Medicare/Medicaid	$10,857.72
Rate for Payer: Nomi Health Commercial	$15,509.67
Rate for Payer: PACE Medicare	$9,377.12
Rate for Payer: PACE SWMI	$9,870.65
Rate for Payer: PHP Medicare Advantage	$9,870.65
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$19,383.65
Rate for Payer: Priority Health Medicare	$9,870.65
Rate for Payer: Priority Health Tiered Network	$15,506.92
Rate for Payer: Railroad Medicare Medicare	$9,870.65
Rate for Payer: UHC All Payor (Choice/PPO)	$19,597.49
Rate for Payer: UHC Core	$16,395.77
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$9,870.65
Rate for Payer: UHC Exchange	$13,390.02
Rate for Payer: VA VA	$9,870.65

OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES

Facility

$3,584.84

Service Code	APR-DRG 1151
Min. Negotiated Rate	$3,414.14
Max. Negotiated Rate	$3,584.84
Rate for Payer: BCBS Complete	$3,584.84
Rate for Payer: Mclaren Medicaid	$3,414.14
Rate for Payer: Meridian Medicaid	$3,584.84
Rate for Payer: Priority Health Choice Medicaid	$3,414.14
Rate for Payer: UHC Medicaid	$3,414.14
Rate for Payer: UHCCP Medicaid	$3,414.14

OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES

Facility

$12,670.50

Service Code	APR-DRG 1154
Min. Negotiated Rate	$12,067.15
Max. Negotiated Rate	$12,670.50
Rate for Payer: BCBS Complete	$12,670.50
Rate for Payer: Mclaren Medicaid	$12,067.15
Rate for Payer: Meridian Medicaid	$12,670.50
Rate for Payer: Priority Health Choice Medicaid	$12,067.15
Rate for Payer: UHC Medicaid	$12,067.15
Rate for Payer: UHCCP Medicaid	$12,067.15

OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES

Facility

$4,575.51

Service Code	APR-DRG 1152
Min. Negotiated Rate	$4,357.63
Max. Negotiated Rate	$4,575.51
Rate for Payer: BCBS Complete	$4,575.51
Rate for Payer: Mclaren Medicaid	$4,357.63
Rate for Payer: Meridian Medicaid	$4,575.51
Rate for Payer: Priority Health Choice Medicaid	$4,357.63
Rate for Payer: UHC Medicaid	$4,357.63
Rate for Payer: UHCCP Medicaid	$4,357.63

OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES

Facility

$7,564.69

Service Code	APR-DRG 1153
Min. Negotiated Rate	$7,204.47
Max. Negotiated Rate	$7,564.69
Rate for Payer: BCBS Complete	$7,564.69
Rate for Payer: Mclaren Medicaid	$7,204.47
Rate for Payer: Meridian Medicaid	$7,564.69
Rate for Payer: Priority Health Choice Medicaid	$7,204.47
Rate for Payer: UHC Medicaid	$7,204.47
Rate for Payer: UHCCP Medicaid	$7,204.47

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