Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

OTHER GASTROENTERITIS, NAUSEA AND VOMITING

Facility

$7,483.86

Service Code	APR-DRG 2494
Min. Negotiated Rate	$7,127.48
Max. Negotiated Rate	$7,483.86
Rate for Payer: BCBS Complete	$7,483.86
Rate for Payer: Mclaren Medicaid	$7,127.48
Rate for Payer: Meridian Medicaid	$7,483.86
Rate for Payer: Priority Health Choice Medicaid	$7,127.48
Rate for Payer: UHC Medicaid	$7,127.48
Rate for Payer: UHCCP Medicaid	$7,127.48

OTHER GASTROENTERITIS, NAUSEA AND VOMITING

Facility

$6,209.41

Service Code	APR-DRG 2493
Min. Negotiated Rate	$5,913.73
Max. Negotiated Rate	$6,209.41
Rate for Payer: BCBS Complete	$6,209.41
Rate for Payer: Mclaren Medicaid	$5,913.73
Rate for Payer: Meridian Medicaid	$6,209.41
Rate for Payer: Priority Health Choice Medicaid	$5,913.73
Rate for Payer: UHC Medicaid	$5,913.73
Rate for Payer: UHCCP Medicaid	$5,913.73

OTHER GASTROENTERITIS, NAUSEA AND VOMITING

Facility

$4,476.33

Service Code	APR-DRG 2492
Min. Negotiated Rate	$4,263.17
Max. Negotiated Rate	$4,476.33
Rate for Payer: BCBS Complete	$4,476.33
Rate for Payer: Mclaren Medicaid	$4,263.17
Rate for Payer: Meridian Medicaid	$4,476.33
Rate for Payer: Priority Health Choice Medicaid	$4,263.17
Rate for Payer: UHC Medicaid	$4,263.17
Rate for Payer: UHCCP Medicaid	$4,263.17

OTHER HEART ASSIST SYSTEM IMPLANT

Facility

$175,651.29

Service Code	MSDRG 215
Min. Negotiated Rate	$73,652.51
Max. Negotiated Rate	$175,651.29
Rate for Payer: Aetna Medicare	$80,630.12
Rate for Payer: Allen County Amish Medical Aid Commercial	$96,911.20
Rate for Payer: Amish Plain Church Group Commercial	$96,911.20
Rate for Payer: BCBS MAPPO	$77,528.96
Rate for Payer: BCBS Trust/PPO	$175,651.29
Rate for Payer: BCN Commercial	$175,651.29
Rate for Payer: BCN Medicare Advantage	$77,528.96
Rate for Payer: Health Alliance Plan Medicare Advantage	$77,528.96
Rate for Payer: Mclaren Medicare	$77,528.96
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$81,405.41
Rate for Payer: MI Amish Medical Board Commercial	$89,158.30
Rate for Payer: Molina Medicare/Medicaid	$85,281.86
Rate for Payer: Nomi Health Commercial	$128,445.30
Rate for Payer: PACE Medicare	$73,652.51
Rate for Payer: PACE SWMI	$77,528.96
Rate for Payer: PHP Medicare Advantage	$77,528.96
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$160,528.15
Rate for Payer: Priority Health Medicare	$77,528.96
Rate for Payer: Priority Health Tiered Network	$128,422.50
Rate for Payer: Railroad Medicare Medicare	$77,528.96
Rate for Payer: UHC All Payor (Choice/PPO)	$162,299.10
Rate for Payer: UHC Core	$135,783.61
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$77,528.96
Rate for Payer: UHC Exchange	$110,891.11
Rate for Payer: VA VA	$77,528.96

OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC

Facility

$40,423.28

Service Code	MSDRG 424
Min. Negotiated Rate	$16,613.21
Max. Negotiated Rate	$40,423.28
Rate for Payer: Aetna Medicare	$18,187.09
Rate for Payer: Allen County Amish Medical Aid Commercial	$21,859.49
Rate for Payer: Amish Plain Church Group Commercial	$21,859.49
Rate for Payer: BCBS MAPPO	$17,487.59
Rate for Payer: BCBS Trust/PPO	$40,423.28
Rate for Payer: BCN Commercial	$40,423.28
Rate for Payer: BCN Medicare Advantage	$17,487.59
Rate for Payer: Health Alliance Plan Medicare Advantage	$17,487.59
Rate for Payer: Mclaren Medicare	$17,487.59
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$18,361.97
Rate for Payer: MI Amish Medical Board Commercial	$20,110.73
Rate for Payer: Molina Medicare/Medicaid	$19,236.35
Rate for Payer: Nomi Health Commercial	$28,223.91
Rate for Payer: PACE Medicare	$16,613.21
Rate for Payer: PACE SWMI	$17,487.59
Rate for Payer: PHP Medicare Advantage	$17,487.59
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$35,273.63
Rate for Payer: Priority Health Medicare	$17,487.59
Rate for Payer: Priority Health Tiered Network	$28,218.90
Rate for Payer: Railroad Medicare Medicare	$17,487.59
Rate for Payer: UHC All Payor (Choice/PPO)	$35,662.77
Rate for Payer: UHC Core	$29,836.39
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$17,487.59
Rate for Payer: UHC Exchange	$24,366.64
Rate for Payer: VA VA	$17,487.59

OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC

Facility

$76,326.47

Service Code	MSDRG 423
Min. Negotiated Rate	$31,040.61
Max. Negotiated Rate	$76,326.47
Rate for Payer: Aetna Medicare	$33,981.30
Rate for Payer: Allen County Amish Medical Aid Commercial	$40,842.91
Rate for Payer: Amish Plain Church Group Commercial	$40,842.91
Rate for Payer: BCBS MAPPO	$32,674.33
Rate for Payer: BCBS Trust/PPO	$76,326.47
Rate for Payer: BCN Commercial	$76,326.47
Rate for Payer: BCN Medicare Advantage	$32,674.33
Rate for Payer: Health Alliance Plan Medicare Advantage	$32,674.33
Rate for Payer: Mclaren Medicare	$32,674.33
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$34,308.05
Rate for Payer: MI Amish Medical Board Commercial	$37,575.48
Rate for Payer: Molina Medicare/Medicaid	$35,941.76
Rate for Payer: Nomi Health Commercial	$53,573.70
Rate for Payer: PACE Medicare	$31,040.61
Rate for Payer: PACE SWMI	$32,674.33
Rate for Payer: PHP Medicare Advantage	$32,674.33
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$66,955.25
Rate for Payer: Priority Health Medicare	$32,674.33
Rate for Payer: Priority Health Tiered Network	$53,564.19
Rate for Payer: Railroad Medicare Medicare	$32,674.33
Rate for Payer: UHC All Payor (Choice/PPO)	$67,693.90
Rate for Payer: UHC Core	$56,634.46
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$32,674.33
Rate for Payer: UHC Exchange	$46,251.96
Rate for Payer: VA VA	$32,674.33

OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC

Facility

$31,022.62

Service Code	MSDRG 425
Min. Negotiated Rate	$11,564.97
Max. Negotiated Rate	$31,022.62
Rate for Payer: Aetna Medicare	$12,660.60
Rate for Payer: Allen County Amish Medical Aid Commercial	$15,217.06
Rate for Payer: Amish Plain Church Group Commercial	$15,217.06
Rate for Payer: BCBS MAPPO	$12,173.65
Rate for Payer: BCBS Trust/PPO	$31,022.62
Rate for Payer: BCN Commercial	$31,022.62
Rate for Payer: BCN Medicare Advantage	$12,173.65
Rate for Payer: Health Alliance Plan Medicare Advantage	$12,173.65
Rate for Payer: Mclaren Medicare	$12,173.65
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$12,782.33
Rate for Payer: MI Amish Medical Board Commercial	$13,999.70
Rate for Payer: Molina Medicare/Medicaid	$13,391.01
Rate for Payer: Nomi Health Commercial	$19,353.87
Rate for Payer: PACE Medicare	$11,564.97
Rate for Payer: PACE SWMI	$12,173.65
Rate for Payer: PHP Medicare Advantage	$12,173.65
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$24,188.05
Rate for Payer: Priority Health Medicare	$12,173.65
Rate for Payer: Priority Health Tiered Network	$19,350.43
Rate for Payer: Railroad Medicare Medicare	$12,173.65
Rate for Payer: UHC All Payor (Choice/PPO)	$24,454.89
Rate for Payer: UHC Core	$20,459.59
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$12,173.65
Rate for Payer: UHC Exchange	$16,708.84
Rate for Payer: VA VA	$12,173.65

OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES

Facility

$13,734.55

Service Code	APR-DRG 2643
Min. Negotiated Rate	$13,080.52
Max. Negotiated Rate	$13,734.55
Rate for Payer: BCBS Complete	$13,734.55
Rate for Payer: Mclaren Medicaid	$13,080.52
Rate for Payer: Meridian Medicaid	$13,734.55
Rate for Payer: Priority Health Choice Medicaid	$13,080.52
Rate for Payer: UHC Medicaid	$13,080.52
Rate for Payer: UHCCP Medicaid	$13,080.52

OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES

Facility

$26,172.29

Service Code	APR-DRG 2644
Min. Negotiated Rate	$24,925.99
Max. Negotiated Rate	$26,172.29
Rate for Payer: BCBS Complete	$26,172.29
Rate for Payer: Mclaren Medicaid	$24,925.99
Rate for Payer: Meridian Medicaid	$26,172.29
Rate for Payer: Priority Health Choice Medicaid	$24,925.99
Rate for Payer: UHC Medicaid	$24,925.99
Rate for Payer: UHCCP Medicaid	$24,925.99

OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES

Facility

$7,238.49

Service Code	APR-DRG 2642
Min. Negotiated Rate	$6,893.80
Max. Negotiated Rate	$7,238.49
Rate for Payer: BCBS Complete	$7,238.49
Rate for Payer: Mclaren Medicaid	$6,893.80
Rate for Payer: Meridian Medicaid	$7,238.49
Rate for Payer: Priority Health Choice Medicaid	$6,893.80
Rate for Payer: UHC Medicaid	$6,893.80
Rate for Payer: UHCCP Medicaid	$6,893.80

OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES

Facility

$5,199.26

Service Code	APR-DRG 2641
Min. Negotiated Rate	$4,951.67
Max. Negotiated Rate	$5,199.26
Rate for Payer: BCBS Complete	$5,199.26
Rate for Payer: Mclaren Medicaid	$4,951.67
Rate for Payer: Meridian Medicaid	$5,199.26
Rate for Payer: Priority Health Choice Medicaid	$4,951.67
Rate for Payer: UHC Medicaid	$4,951.67
Rate for Payer: UHCCP Medicaid	$4,951.67

OTHER INFECTIOUS AND PARASITIC DISEASES

Facility

$10,282.14

Service Code	APR-DRG 7243
Min. Negotiated Rate	$9,792.51
Max. Negotiated Rate	$10,282.14
Rate for Payer: BCBS Complete	$10,282.14
Rate for Payer: Mclaren Medicaid	$9,792.51
Rate for Payer: Meridian Medicaid	$10,282.14
Rate for Payer: Priority Health Choice Medicaid	$9,792.51
Rate for Payer: UHC Medicaid	$9,792.51
Rate for Payer: UHCCP Medicaid	$9,792.51

OTHER INFECTIOUS AND PARASITIC DISEASES

Facility

$14,778.53

Service Code	APR-DRG 7244
Min. Negotiated Rate	$14,074.79
Max. Negotiated Rate	$14,778.53
Rate for Payer: BCBS Complete	$14,778.53
Rate for Payer: Mclaren Medicaid	$14,074.79
Rate for Payer: Meridian Medicaid	$14,778.53
Rate for Payer: Priority Health Choice Medicaid	$14,074.79
Rate for Payer: UHC Medicaid	$14,074.79
Rate for Payer: UHCCP Medicaid	$14,074.79

OTHER INFECTIOUS AND PARASITIC DISEASES

Facility

$5,598.85

Service Code	APR-DRG 7242
Min. Negotiated Rate	$5,332.24
Max. Negotiated Rate	$5,598.85
Rate for Payer: BCBS Complete	$5,598.85
Rate for Payer: Mclaren Medicaid	$5,332.24
Rate for Payer: Meridian Medicaid	$5,598.85
Rate for Payer: Priority Health Choice Medicaid	$5,332.24
Rate for Payer: UHC Medicaid	$5,332.24
Rate for Payer: UHCCP Medicaid	$5,332.24

OTHER INFECTIOUS AND PARASITIC DISEASES

Facility

$2,979.44

Service Code	APR-DRG 7241
Min. Negotiated Rate	$2,837.56
Max. Negotiated Rate	$2,979.44
Rate for Payer: BCBS Complete	$2,979.44
Rate for Payer: Mclaren Medicaid	$2,837.56
Rate for Payer: Meridian Medicaid	$2,979.44
Rate for Payer: Priority Health Choice Medicaid	$2,837.56
Rate for Payer: UHC Medicaid	$2,837.56
Rate for Payer: UHCCP Medicaid	$2,837.56

OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC

Facility

$20,189.40

Service Code	MSDRG 868
Min. Negotiated Rate	$8,120.20
Max. Negotiated Rate	$20,189.40
Rate for Payer: UHC All Payor (Choice/PPO)	$16,806.93
Rate for Payer: Aetna Medicare	$8,889.48
Rate for Payer: Allen County Amish Medical Aid Commercial	$10,684.48
Rate for Payer: Amish Plain Church Group Commercial	$10,684.48
Rate for Payer: BCBS MAPPO	$8,547.58
Rate for Payer: BCBS Trust/PPO	$20,189.40
Rate for Payer: BCN Commercial	$20,189.40
Rate for Payer: BCN Medicare Advantage	$8,547.58
Rate for Payer: Health Alliance Plan Medicare Advantage	$8,547.58
Rate for Payer: Mclaren Medicare	$8,547.58
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$8,974.96
Rate for Payer: MI Amish Medical Board Commercial	$9,829.72
Rate for Payer: Molina Medicare/Medicaid	$9,402.34
Rate for Payer: Nomi Health Commercial	$13,301.19
Rate for Payer: PACE Medicare	$8,120.20
Rate for Payer: PACE SWMI	$8,547.58
Rate for Payer: PHP Medicare Advantage	$8,547.58
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$16,623.54
Rate for Payer: Priority Health Medicare	$8,547.58
Rate for Payer: Priority Health Tiered Network	$13,298.83
Rate for Payer: Railroad Medicare Medicare	$8,547.58
Rate for Payer: UHC Core	$14,061.11
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$8,547.58
Rate for Payer: UHC Exchange	$11,483.36
Rate for Payer: VA VA	$8,547.58

OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC

Facility

$52,941.87

Service Code	MSDRG 867
Min. Negotiated Rate	$15,917.93
Max. Negotiated Rate	$52,941.87
Rate for Payer: Aetna Medicare	$17,425.95
Rate for Payer: Allen County Amish Medical Aid Commercial	$20,944.65
Rate for Payer: Amish Plain Church Group Commercial	$20,944.65
Rate for Payer: BCBS MAPPO	$16,755.72
Rate for Payer: BCBS Trust/PPO	$52,941.87
Rate for Payer: BCN Commercial	$52,941.87
Rate for Payer: BCN Medicare Advantage	$16,755.72
Rate for Payer: Health Alliance Plan Medicare Advantage	$16,755.72
Rate for Payer: Mclaren Medicare	$16,755.72
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$17,593.51
Rate for Payer: MI Amish Medical Board Commercial	$19,269.08
Rate for Payer: Molina Medicare/Medicaid	$18,431.29
Rate for Payer: Nomi Health Commercial	$27,002.28
Rate for Payer: PACE Medicare	$15,917.93
Rate for Payer: PACE SWMI	$16,755.72
Rate for Payer: PHP Medicare Advantage	$16,755.72
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$33,746.86
Rate for Payer: Priority Health Medicare	$16,755.72
Rate for Payer: Priority Health Tiered Network	$26,997.49
Rate for Payer: Railroad Medicare Medicare	$16,755.72
Rate for Payer: UHC All Payor (Choice/PPO)	$34,119.16
Rate for Payer: UHC Core	$28,544.97
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$16,755.72
Rate for Payer: UHC Exchange	$23,311.97
Rate for Payer: VA VA	$16,755.72

OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC

Facility

$19,779.76

Service Code	MSDRG 869
Min. Negotiated Rate	$5,907.38
Max. Negotiated Rate	$19,779.76
Rate for Payer: Aetna Medicare	$6,467.02
Rate for Payer: Allen County Amish Medical Aid Commercial	$7,772.86
Rate for Payer: Amish Plain Church Group Commercial	$7,772.86
Rate for Payer: BCBS MAPPO	$6,218.29
Rate for Payer: BCBS Trust/PPO	$19,779.76
Rate for Payer: BCN Commercial	$19,779.76
Rate for Payer: BCN Medicare Advantage	$6,218.29
Rate for Payer: Health Alliance Plan Medicare Advantage	$6,218.29
Rate for Payer: Mclaren Medicare	$6,218.29
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$6,529.20
Rate for Payer: MI Amish Medical Board Commercial	$7,151.03
Rate for Payer: Molina Medicare/Medicaid	$6,840.12
Rate for Payer: Nomi Health Commercial	$9,413.13
Rate for Payer: PACE Medicare	$5,907.38
Rate for Payer: PACE SWMI	$6,218.29
Rate for Payer: PHP Medicare Advantage	$6,218.29
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$11,764.33
Rate for Payer: Priority Health Medicare	$6,218.29
Rate for Payer: Priority Health Tiered Network	$9,411.46
Rate for Payer: Railroad Medicare Medicare	$6,218.29
Rate for Payer: UHC All Payor (Choice/PPO)	$11,894.11
Rate for Payer: UHC Core	$9,950.92
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$6,218.29
Rate for Payer: UHC Exchange	$8,126.67
Rate for Payer: VA VA	$6,218.29

OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES

Facility

$5,174.03

Service Code	APR-DRG 8152
Min. Negotiated Rate	$4,927.65
Max. Negotiated Rate	$5,174.03
Rate for Payer: BCBS Complete	$5,174.03
Rate for Payer: Mclaren Medicaid	$4,927.65
Rate for Payer: Meridian Medicaid	$5,174.03
Rate for Payer: Priority Health Choice Medicaid	$4,927.65
Rate for Payer: UHC Medicaid	$4,927.65
Rate for Payer: UHCCP Medicaid	$4,927.65

OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES

Facility

$8,793.28

Service Code	APR-DRG 8153
Min. Negotiated Rate	$8,374.55
Max. Negotiated Rate	$8,793.28
Rate for Payer: BCBS Complete	$8,793.28
Rate for Payer: Mclaren Medicaid	$8,374.55
Rate for Payer: Meridian Medicaid	$8,793.28
Rate for Payer: Priority Health Choice Medicaid	$8,374.55
Rate for Payer: UHC Medicaid	$8,374.55
Rate for Payer: UHCCP Medicaid	$8,374.55

OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES

Facility

$13,385.98

Service Code	APR-DRG 8154
Min. Negotiated Rate	$12,748.55
Max. Negotiated Rate	$13,385.98
Rate for Payer: BCBS Complete	$13,385.98
Rate for Payer: Mclaren Medicaid	$12,748.55
Rate for Payer: Meridian Medicaid	$13,385.98
Rate for Payer: Priority Health Choice Medicaid	$12,748.55
Rate for Payer: UHC Medicaid	$12,748.55
Rate for Payer: UHCCP Medicaid	$12,748.55

OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES

Facility

$2,322.44

Service Code	APR-DRG 8151
Min. Negotiated Rate	$2,211.85
Max. Negotiated Rate	$2,322.44
Rate for Payer: BCBS Complete	$2,322.44
Rate for Payer: Mclaren Medicaid	$2,211.85
Rate for Payer: Meridian Medicaid	$2,322.44
Rate for Payer: Priority Health Choice Medicaid	$2,211.85
Rate for Payer: UHC Medicaid	$2,211.85
Rate for Payer: UHCCP Medicaid	$2,211.85

OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC

Facility

$72,265.18

Service Code	MSDRG 922
Min. Negotiated Rate	$13,393.82
Max. Negotiated Rate	$72,265.18
Rate for Payer: Aetna Medicare	$14,662.71
Rate for Payer: Allen County Amish Medical Aid Commercial	$17,623.45
Rate for Payer: Amish Plain Church Group Commercial	$17,623.45
Rate for Payer: BCBS MAPPO	$14,098.76
Rate for Payer: BCBS Trust/PPO	$72,265.18
Rate for Payer: BCN Commercial	$72,265.18
Rate for Payer: BCN Medicare Advantage	$14,098.76
Rate for Payer: Health Alliance Plan Medicare Advantage	$14,098.76
Rate for Payer: Mclaren Medicare	$14,098.76
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$14,803.70
Rate for Payer: MI Amish Medical Board Commercial	$16,213.57
Rate for Payer: Molina Medicare/Medicaid	$15,508.64
Rate for Payer: Nomi Health Commercial	$22,567.26
Rate for Payer: PACE Medicare	$13,393.82
Rate for Payer: PACE SWMI	$14,098.76
Rate for Payer: PHP Medicare Advantage	$14,098.76
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$28,204.07
Rate for Payer: Priority Health Medicare	$14,098.76
Rate for Payer: Priority Health Tiered Network	$22,563.25
Rate for Payer: Railroad Medicare Medicare	$14,098.76
Rate for Payer: UHC All Payor (Choice/PPO)	$28,515.22
Rate for Payer: UHC Core	$23,856.57
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$14,098.76
Rate for Payer: UHC Exchange	$19,483.07
Rate for Payer: VA VA	$14,098.76

OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC

Facility

$19,920.21

Service Code	MSDRG 923
Min. Negotiated Rate	$8,021.80
Max. Negotiated Rate	$19,920.21
Rate for Payer: Aetna Medicare	$8,781.76
Rate for Payer: Allen County Amish Medical Aid Commercial	$10,555.00
Rate for Payer: Amish Plain Church Group Commercial	$10,555.00
Rate for Payer: BCBS MAPPO	$8,444.00
Rate for Payer: BCBS Trust/PPO	$19,920.21
Rate for Payer: BCN Commercial	$19,920.21
Rate for Payer: BCN Medicare Advantage	$8,444.00
Rate for Payer: Health Alliance Plan Medicare Advantage	$8,444.00
Rate for Payer: Mclaren Medicare	$8,444.00
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$8,866.20
Rate for Payer: MI Amish Medical Board Commercial	$9,710.60
Rate for Payer: Molina Medicare/Medicaid	$9,288.40
Rate for Payer: Nomi Health Commercial	$13,128.33
Rate for Payer: PACE Medicare	$8,021.80
Rate for Payer: PACE SWMI	$8,444.00
Rate for Payer: PHP Medicare Advantage	$8,444.00
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$16,407.50
Rate for Payer: Priority Health Medicare	$8,444.00
Rate for Payer: Priority Health Tiered Network	$13,126.00
Rate for Payer: Railroad Medicare Medicare	$8,444.00
Rate for Payer: UHC All Payor (Choice/PPO)	$16,588.51
Rate for Payer: UHC Core	$13,878.37
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$8,444.00
Rate for Payer: UHC Exchange	$11,334.12
Rate for Payer: VA VA	$8,444.00

OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS

Facility

$3,841.11

Service Code	APR-DRG 4681
Min. Negotiated Rate	$3,658.20
Max. Negotiated Rate	$3,841.11
Rate for Payer: BCBS Complete	$3,841.11
Rate for Payer: Mclaren Medicaid	$3,658.20
Rate for Payer: Meridian Medicaid	$3,841.11
Rate for Payer: Priority Health Choice Medicaid	$3,658.20
Rate for Payer: UHC Medicaid	$3,658.20
Rate for Payer: UHCCP Medicaid	$3,658.20

Know your out-of-pocket cost for care.

All Charges