Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES

Facility

$10,239.14

Service Code	APR-DRG 0982
Min. Negotiated Rate	$9,751.56
Max. Negotiated Rate	$10,239.14
Rate for Payer: BCBS Complete	$10,239.14
Rate for Payer: Mclaren Medicaid	$9,751.56
Rate for Payer: Meridian Medicaid	$10,239.14
Rate for Payer: Priority Health Choice Medicaid	$9,751.56
Rate for Payer: UHC Medicaid	$9,751.56
Rate for Payer: UHCCP Medicaid	$9,751.56

OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES

Facility

$6,153.80

Service Code	APR-DRG 0981
Min. Negotiated Rate	$5,860.76
Max. Negotiated Rate	$6,153.80
Rate for Payer: BCBS Complete	$6,153.80
Rate for Payer: Mclaren Medicaid	$5,860.76
Rate for Payer: Meridian Medicaid	$6,153.80
Rate for Payer: Priority Health Choice Medicaid	$5,860.76
Rate for Payer: UHC Medicaid	$5,860.76
Rate for Payer: UHCCP Medicaid	$5,860.76

OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES

Facility

$15,514.64

Service Code	APR-DRG 0983
Min. Negotiated Rate	$14,775.85
Max. Negotiated Rate	$15,514.64
Rate for Payer: BCBS Complete	$15,514.64
Rate for Payer: Mclaren Medicaid	$14,775.85
Rate for Payer: Meridian Medicaid	$15,514.64
Rate for Payer: Priority Health Choice Medicaid	$14,775.85
Rate for Payer: UHC Medicaid	$14,775.85
Rate for Payer: UHCCP Medicaid	$14,775.85

OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES

Facility

$20,027.09

Service Code	APR-DRG 0984
Min. Negotiated Rate	$19,073.42
Max. Negotiated Rate	$20,027.09
Rate for Payer: BCBS Complete	$20,027.09
Rate for Payer: Mclaren Medicaid	$19,073.42
Rate for Payer: Meridian Medicaid	$20,027.09
Rate for Payer: Priority Health Choice Medicaid	$19,073.42
Rate for Payer: UHC Medicaid	$19,073.42
Rate for Payer: UHCCP Medicaid	$19,073.42

OTHER ENDOCRINE DISORDERS

Facility

$7,854.21

Service Code	APR-DRG 4243
Min. Negotiated Rate	$7,480.20
Max. Negotiated Rate	$7,854.21
Rate for Payer: BCBS Complete	$7,854.21
Rate for Payer: Mclaren Medicaid	$7,480.20
Rate for Payer: Meridian Medicaid	$7,854.21
Rate for Payer: Priority Health Choice Medicaid	$7,480.20
Rate for Payer: UHC Medicaid	$7,480.20
Rate for Payer: UHCCP Medicaid	$7,480.20

OTHER ENDOCRINE DISORDERS

Facility

$4,766.99

Service Code	APR-DRG 4242
Min. Negotiated Rate	$4,539.99
Max. Negotiated Rate	$4,766.99
Rate for Payer: BCBS Complete	$4,766.99
Rate for Payer: Mclaren Medicaid	$4,539.99
Rate for Payer: Meridian Medicaid	$4,766.99
Rate for Payer: Priority Health Choice Medicaid	$4,539.99
Rate for Payer: UHC Medicaid	$4,539.99
Rate for Payer: UHCCP Medicaid	$4,539.99

OTHER ENDOCRINE DISORDERS

Facility

$14,380.66

Service Code	APR-DRG 4244
Min. Negotiated Rate	$13,695.86
Max. Negotiated Rate	$14,380.66
Rate for Payer: BCBS Complete	$14,380.66
Rate for Payer: Mclaren Medicaid	$13,695.86
Rate for Payer: Meridian Medicaid	$14,380.66
Rate for Payer: Priority Health Choice Medicaid	$13,695.86
Rate for Payer: UHC Medicaid	$13,695.86
Rate for Payer: UHCCP Medicaid	$13,695.86

OTHER ENDOCRINE DISORDERS

Facility

$4,014.82

Service Code	APR-DRG 4241
Min. Negotiated Rate	$3,823.64
Max. Negotiated Rate	$4,014.82
Rate for Payer: BCBS Complete	$4,014.82
Rate for Payer: Mclaren Medicaid	$3,823.64
Rate for Payer: Meridian Medicaid	$4,014.82
Rate for Payer: Priority Health Choice Medicaid	$3,823.64
Rate for Payer: UHC Medicaid	$3,823.64
Rate for Payer: UHCCP Medicaid	$3,823.64

OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC

Facility

$35,514.44

Service Code	MSDRG 629
Min. Negotiated Rate	$16,546.42
Max. Negotiated Rate	$35,514.44
Rate for Payer: Aetna Medicare	$18,113.97
Rate for Payer: Allen County Amish Medical Aid Commercial	$21,771.60
Rate for Payer: Amish Plain Church Group Commercial	$21,771.60
Rate for Payer: BCBS MAPPO	$17,417.28
Rate for Payer: BCBS Trust/PPO	$29,245.96
Rate for Payer: BCN Commercial	$29,245.96
Rate for Payer: BCN Medicare Advantage	$17,417.28
Rate for Payer: Health Alliance Plan Medicare Advantage	$17,417.28
Rate for Payer: Mclaren Medicare	$17,417.28
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$18,288.14
Rate for Payer: MI Amish Medical Board Commercial	$20,029.87
Rate for Payer: Molina Medicare/Medicaid	$19,159.01
Rate for Payer: Nomi Health Commercial	$28,106.52
Rate for Payer: PACE Medicare	$16,546.42
Rate for Payer: PACE SWMI	$17,417.28
Rate for Payer: PHP Medicare Advantage	$17,417.28
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$35,126.92
Rate for Payer: Priority Health Medicare	$17,417.28
Rate for Payer: Priority Health Tiered Network	$28,101.53
Rate for Payer: Railroad Medicare Medicare	$17,417.28
Rate for Payer: UHC All Payor (Choice/PPO)	$35,514.44
Rate for Payer: UHC Core	$29,712.30
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$17,417.28
Rate for Payer: UHC Exchange	$24,265.30
Rate for Payer: VA VA	$17,417.28

OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC

Facility

$60,746.84

Service Code	MSDRG 628
Min. Negotiated Rate	$27,911.54
Max. Negotiated Rate	$60,746.84
Rate for Payer: Aetna Medicare	$30,555.79
Rate for Payer: Allen County Amish Medical Aid Commercial	$36,725.71
Rate for Payer: Amish Plain Church Group Commercial	$36,725.71
Rate for Payer: BCBS MAPPO	$29,380.57
Rate for Payer: BCBS Trust/PPO	$47,962.99
Rate for Payer: BCN Commercial	$47,962.99
Rate for Payer: BCN Medicare Advantage	$29,380.57
Rate for Payer: Health Alliance Plan Medicare Advantage	$29,380.57
Rate for Payer: Mclaren Medicare	$29,380.57
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$30,849.60
Rate for Payer: MI Amish Medical Board Commercial	$33,787.66
Rate for Payer: Molina Medicare/Medicaid	$32,318.63
Rate for Payer: Nomi Health Commercial	$48,075.72
Rate for Payer: PACE Medicare	$27,911.54
Rate for Payer: PACE SWMI	$29,380.57
Rate for Payer: PHP Medicare Advantage	$29,380.57
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$60,083.99
Rate for Payer: Priority Health Medicare	$29,380.57
Rate for Payer: Priority Health Tiered Network	$48,067.19
Rate for Payer: Railroad Medicare Medicare	$29,380.57
Rate for Payer: UHC All Payor (Choice/PPO)	$60,746.84
Rate for Payer: UHC Core	$50,822.37
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$29,380.57
Rate for Payer: UHC Exchange	$41,505.37
Rate for Payer: VA VA	$29,380.57

OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC

Facility

$25,793.28

Service Code	MSDRG 630
Min. Negotiated Rate	$11,265.43
Max. Negotiated Rate	$25,793.28
Rate for Payer: Aetna Medicare	$12,332.68
Rate for Payer: Allen County Amish Medical Aid Commercial	$14,822.94
Rate for Payer: Amish Plain Church Group Commercial	$14,822.94
Rate for Payer: BCBS MAPPO	$11,858.35
Rate for Payer: BCBS Trust/PPO	$25,793.28
Rate for Payer: BCN Commercial	$25,793.28
Rate for Payer: BCN Medicare Advantage	$11,858.35
Rate for Payer: Health Alliance Plan Medicare Advantage	$11,858.35
Rate for Payer: Mclaren Medicare	$11,858.35
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$12,451.27
Rate for Payer: MI Amish Medical Board Commercial	$13,637.10
Rate for Payer: Molina Medicare/Medicaid	$13,044.18
Rate for Payer: Nomi Health Commercial	$18,827.55
Rate for Payer: PACE Medicare	$11,265.43
Rate for Payer: PACE SWMI	$11,858.35
Rate for Payer: PHP Medicare Advantage	$11,858.35
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$23,530.26
Rate for Payer: Priority Health Medicare	$11,858.35
Rate for Payer: Priority Health Tiered Network	$18,824.21
Rate for Payer: Railroad Medicare Medicare	$11,858.35
Rate for Payer: UHC All Payor (Choice/PPO)	$23,789.85
Rate for Payer: UHC Core	$19,903.20
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$11,858.35
Rate for Payer: UHC Exchange	$16,254.45
Rate for Payer: VA VA	$11,858.35

OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC

Facility

$72,745.27

Service Code	MSDRG 319
Min. Negotiated Rate	$33,315.84
Max. Negotiated Rate	$72,745.27
Rate for Payer: Aetna Medicare	$36,472.08
Rate for Payer: Allen County Amish Medical Aid Commercial	$43,836.64
Rate for Payer: Amish Plain Church Group Commercial	$43,836.64
Rate for Payer: BCBS MAPPO	$35,069.31
Rate for Payer: BCBS Trust/PPO	$70,493.19
Rate for Payer: BCN Commercial	$70,493.19
Rate for Payer: BCN Medicare Advantage	$35,069.31
Rate for Payer: Health Alliance Plan Medicare Advantage	$35,069.31
Rate for Payer: Mclaren Medicare	$35,069.31
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$36,822.78
Rate for Payer: MI Amish Medical Board Commercial	$40,329.71
Rate for Payer: Molina Medicare/Medicaid	$38,576.24
Rate for Payer: Nomi Health Commercial	$57,571.41
Rate for Payer: PACE Medicare	$33,315.84
Rate for Payer: PACE SWMI	$35,069.31
Rate for Payer: PHP Medicare Advantage	$35,069.31
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$71,951.50
Rate for Payer: Priority Health Medicare	$35,069.31
Rate for Payer: Priority Health Tiered Network	$57,561.19
Rate for Payer: Railroad Medicare Medicare	$35,069.31
Rate for Payer: UHC All Payor (Choice/PPO)	$72,745.27
Rate for Payer: UHC Core	$60,860.57
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$35,069.31
Rate for Payer: UHC Exchange	$49,703.32
Rate for Payer: VA VA	$35,069.31

OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC

Facility

$55,500.37

Service Code	MSDRG 320
Min. Negotiated Rate	$18,209.33
Max. Negotiated Rate	$55,500.37
Rate for Payer: Aetna Medicare	$19,934.43
Rate for Payer: Allen County Amish Medical Aid Commercial	$23,959.65
Rate for Payer: Amish Plain Church Group Commercial	$23,959.65
Rate for Payer: BCBS MAPPO	$19,167.72
Rate for Payer: BCBS Trust/PPO	$55,500.37
Rate for Payer: BCN Commercial	$55,500.37
Rate for Payer: BCN Medicare Advantage	$19,167.72
Rate for Payer: Health Alliance Plan Medicare Advantage	$19,167.72
Rate for Payer: Mclaren Medicare	$19,167.72
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$20,126.11
Rate for Payer: MI Amish Medical Board Commercial	$22,042.88
Rate for Payer: Molina Medicare/Medicaid	$21,084.49
Rate for Payer: Nomi Health Commercial	$31,028.37
Rate for Payer: PACE Medicare	$18,209.33
Rate for Payer: PACE SWMI	$19,167.72
Rate for Payer: PHP Medicare Advantage	$19,167.72
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$38,778.58
Rate for Payer: Priority Health Medicare	$19,167.72
Rate for Payer: Priority Health Tiered Network	$31,022.86
Rate for Payer: Railroad Medicare Medicare	$19,167.72
Rate for Payer: UHC All Payor (Choice/PPO)	$39,206.39
Rate for Payer: UHC Core	$32,801.08
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$19,167.72
Rate for Payer: UHC Exchange	$26,787.83
Rate for Payer: VA VA	$19,167.72

OTHER ESOPHAGEAL DISORDERS

Facility

$6,908.84

Service Code	APR-DRG 2433
Min. Negotiated Rate	$6,579.85
Max. Negotiated Rate	$6,908.84
Rate for Payer: BCBS Complete	$6,908.84
Rate for Payer: Mclaren Medicaid	$6,579.85
Rate for Payer: Meridian Medicaid	$6,908.84
Rate for Payer: Priority Health Choice Medicaid	$6,579.85
Rate for Payer: UHC Medicaid	$6,579.85
Rate for Payer: UHCCP Medicaid	$6,579.85

OTHER ESOPHAGEAL DISORDERS

Facility

$10,540.12

Service Code	APR-DRG 2434
Min. Negotiated Rate	$10,038.21
Max. Negotiated Rate	$10,540.12
Rate for Payer: BCBS Complete	$10,540.12
Rate for Payer: Mclaren Medicaid	$10,038.21
Rate for Payer: Meridian Medicaid	$10,540.12
Rate for Payer: Priority Health Choice Medicaid	$10,038.21
Rate for Payer: UHC Medicaid	$10,038.21
Rate for Payer: UHCCP Medicaid	$10,038.21

OTHER ESOPHAGEAL DISORDERS

Facility

$3,205.32

Service Code	APR-DRG 2431
Min. Negotiated Rate	$3,052.69
Max. Negotiated Rate	$3,205.32
Rate for Payer: BCBS Complete	$3,205.32
Rate for Payer: Mclaren Medicaid	$3,052.69
Rate for Payer: Meridian Medicaid	$3,205.32
Rate for Payer: Priority Health Choice Medicaid	$3,052.69
Rate for Payer: UHC Medicaid	$3,052.69
Rate for Payer: UHCCP Medicaid	$3,052.69

OTHER ESOPHAGEAL DISORDERS

Facility

$5,037.01

Service Code	APR-DRG 2432
Min. Negotiated Rate	$4,797.16
Max. Negotiated Rate	$5,037.01
Rate for Payer: BCBS Complete	$5,037.01
Rate for Payer: Mclaren Medicaid	$4,797.16
Rate for Payer: Meridian Medicaid	$5,037.01
Rate for Payer: Priority Health Choice Medicaid	$4,797.16
Rate for Payer: UHC Medicaid	$4,797.16
Rate for Payer: UHCCP Medicaid	$4,797.16

OTHER FACTORS INFLUENCING HEALTH STATUS

Facility

$9,062.80

Service Code	MSDRG 951
Min. Negotiated Rate	$4,632.10
Max. Negotiated Rate	$9,062.80
Rate for Payer: Aetna Medicare	$5,070.94
Rate for Payer: Allen County Amish Medical Aid Commercial	$6,094.88
Rate for Payer: Amish Plain Church Group Commercial	$6,094.88
Rate for Payer: BCBS MAPPO	$4,875.90
Rate for Payer: BCBS Trust/PPO	$7,101.99
Rate for Payer: BCN Commercial	$7,101.99
Rate for Payer: BCN Medicare Advantage	$4,875.90
Rate for Payer: Health Alliance Plan Medicare Advantage	$4,875.90
Rate for Payer: Mclaren Medicare	$4,875.90
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$5,119.69
Rate for Payer: MI Amish Medical Board Commercial	$5,607.28
Rate for Payer: Molina Medicare/Medicaid	$5,363.49
Rate for Payer: Nomi Health Commercial	$7,172.40
Rate for Payer: PACE Medicare	$4,632.10
Rate for Payer: PACE SWMI	$4,875.90
Rate for Payer: PHP Medicare Advantage	$4,875.90
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$8,963.91
Rate for Payer: Priority Health Medicare	$4,875.90
Rate for Payer: Priority Health Tiered Network	$7,171.13
Rate for Payer: Railroad Medicare Medicare	$4,875.90
Rate for Payer: UHC All Payor (Choice/PPO)	$9,062.80
Rate for Payer: UHC Core	$7,582.17
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$4,875.90
Rate for Payer: UHC Exchange	$6,192.17
Rate for Payer: VA VA	$4,875.90

OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$11,481.48

Service Code	APR-DRG 5183
Min. Negotiated Rate	$10,934.74
Max. Negotiated Rate	$11,481.48
Rate for Payer: BCBS Complete	$11,481.48
Rate for Payer: Mclaren Medicaid	$10,934.74
Rate for Payer: Meridian Medicaid	$11,481.48
Rate for Payer: Priority Health Choice Medicaid	$10,934.74
Rate for Payer: UHC Medicaid	$10,934.74
Rate for Payer: UHCCP Medicaid	$10,934.74

OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$8,315.14

Service Code	APR-DRG 5182
Min. Negotiated Rate	$7,919.18
Max. Negotiated Rate	$8,315.14
Rate for Payer: BCBS Complete	$8,315.14
Rate for Payer: Mclaren Medicaid	$7,919.18
Rate for Payer: Meridian Medicaid	$8,315.14
Rate for Payer: Priority Health Choice Medicaid	$7,919.18
Rate for Payer: UHC Medicaid	$7,919.18
Rate for Payer: UHCCP Medicaid	$7,919.18

OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$5,977.23

Service Code	APR-DRG 5181
Min. Negotiated Rate	$5,692.60
Max. Negotiated Rate	$5,977.23
Rate for Payer: BCBS Complete	$5,977.23
Rate for Payer: Mclaren Medicaid	$5,692.60
Rate for Payer: Meridian Medicaid	$5,977.23
Rate for Payer: Priority Health Choice Medicaid	$5,692.60
Rate for Payer: UHC Medicaid	$5,692.60
Rate for Payer: UHCCP Medicaid	$5,692.60

OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$18,106.53

Service Code	APR-DRG 5184
Min. Negotiated Rate	$17,244.32
Max. Negotiated Rate	$18,106.53
Rate for Payer: Meridian Medicaid	$18,106.53
Rate for Payer: BCBS Complete	$18,106.53
Rate for Payer: Mclaren Medicaid	$17,244.32
Rate for Payer: Priority Health Choice Medicaid	$17,244.32
Rate for Payer: UHC Medicaid	$17,244.32
Rate for Payer: UHCCP Medicaid	$17,244.32

OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC

Facility

$41,851.88

Service Code	MSDRG 749
Min. Negotiated Rate	$19,400.89
Max. Negotiated Rate	$41,851.88
Rate for Payer: Aetna Medicare	$21,238.87
Rate for Payer: Allen County Amish Medical Aid Commercial	$25,527.49
Rate for Payer: Amish Plain Church Group Commercial	$25,527.49
Rate for Payer: BCBS MAPPO	$20,421.99
Rate for Payer: BCBS Trust/PPO	$38,726.20
Rate for Payer: BCN Commercial	$38,726.20
Rate for Payer: BCN Medicare Advantage	$20,421.99
Rate for Payer: Health Alliance Plan Medicare Advantage	$20,421.99
Rate for Payer: Mclaren Medicare	$20,421.99
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$21,443.09
Rate for Payer: MI Amish Medical Board Commercial	$23,485.29
Rate for Payer: Molina Medicare/Medicaid	$22,464.19
Rate for Payer: Nomi Health Commercial	$33,122.04
Rate for Payer: PACE Medicare	$19,400.89
Rate for Payer: PACE SWMI	$20,421.99
Rate for Payer: PHP Medicare Advantage	$20,421.99
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$41,395.21
Rate for Payer: Priority Health Medicare	$20,421.99
Rate for Payer: Priority Health Tiered Network	$33,116.16
Rate for Payer: Railroad Medicare Medicare	$20,421.99
Rate for Payer: UHC All Payor (Choice/PPO)	$41,851.88
Rate for Payer: UHC Core	$35,014.36
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$20,421.99
Rate for Payer: UHC Exchange	$28,595.36
Rate for Payer: VA VA	$20,421.99

OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC

Facility

$24,055.54

Service Code	MSDRG 750
Min. Negotiated Rate	$11,385.10
Max. Negotiated Rate	$24,055.54
Rate for Payer: Aetna Medicare	$12,463.69
Rate for Payer: Allen County Amish Medical Aid Commercial	$14,980.40
Rate for Payer: Amish Plain Church Group Commercial	$14,980.40
Rate for Payer: BCBS MAPPO	$11,984.32
Rate for Payer: BCBS Trust/PPO	$20,924.41
Rate for Payer: BCN Commercial	$20,924.41
Rate for Payer: BCN Medicare Advantage	$11,984.32
Rate for Payer: Health Alliance Plan Medicare Advantage	$11,984.32
Rate for Payer: Mclaren Medicare	$11,984.32
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$12,583.54
Rate for Payer: MI Amish Medical Board Commercial	$13,781.97
Rate for Payer: Molina Medicare/Medicaid	$13,182.75
Rate for Payer: Nomi Health Commercial	$19,037.82
Rate for Payer: PACE Medicare	$11,385.10
Rate for Payer: PACE SWMI	$11,984.32
Rate for Payer: PHP Medicare Advantage	$11,984.32
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$23,793.05
Rate for Payer: Priority Health Medicare	$11,984.32
Rate for Payer: Priority Health Tiered Network	$19,034.44
Rate for Payer: Railroad Medicare Medicare	$11,984.32
Rate for Payer: UHC All Payor (Choice/PPO)	$24,055.54
Rate for Payer: UHC Core	$20,125.48
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$11,984.32
Rate for Payer: UHC Exchange	$16,435.98
Rate for Payer: VA VA	$11,984.32

OTHER GASTROENTERITIS, NAUSEA AND VOMITING

Facility

$3,581.41

Service Code	APR-DRG 2491
Min. Negotiated Rate	$3,410.86
Max. Negotiated Rate	$3,581.41
Rate for Payer: BCBS Complete	$3,581.41
Rate for Payer: Mclaren Medicaid	$3,410.86
Rate for Payer: Meridian Medicaid	$3,581.41
Rate for Payer: Priority Health Choice Medicaid	$3,410.86
Rate for Payer: UHC Medicaid	$3,410.86
Rate for Payer: UHCCP Medicaid	$3,410.86

Know your out-of-pocket cost for care.

All Charges