Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS

Facility

$4,452.25

Service Code	APR-DRG 4682
Min. Negotiated Rate	$4,240.24
Max. Negotiated Rate	$4,452.25
Rate for Payer: BCBS Complete	$4,452.25
Rate for Payer: Mclaren Medicaid	$4,240.24
Rate for Payer: Meridian Medicaid	$4,452.25
Rate for Payer: Priority Health Choice Medicaid	$4,240.24
Rate for Payer: UHC Medicaid	$4,240.24
Rate for Payer: UHCCP Medicaid	$4,240.24

OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS

Facility

$6,439.31

Service Code	APR-DRG 4683
Min. Negotiated Rate	$6,132.67
Max. Negotiated Rate	$6,439.31
Rate for Payer: BCBS Complete	$6,439.31
Rate for Payer: Mclaren Medicaid	$6,132.67
Rate for Payer: Meridian Medicaid	$6,439.31
Rate for Payer: Priority Health Choice Medicaid	$6,132.67
Rate for Payer: UHC Medicaid	$6,132.67
Rate for Payer: UHCCP Medicaid	$6,132.67

OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS

Facility

$10,558.47

Service Code	APR-DRG 4684
Min. Negotiated Rate	$10,055.68
Max. Negotiated Rate	$10,558.47
Rate for Payer: BCBS Complete	$10,558.47
Rate for Payer: Mclaren Medicaid	$10,055.68
Rate for Payer: Meridian Medicaid	$10,558.47
Rate for Payer: Priority Health Choice Medicaid	$10,055.68
Rate for Payer: UHC Medicaid	$10,055.68
Rate for Payer: UHCCP Medicaid	$10,055.68

OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC

Facility

$16,788.22

Service Code	MSDRG 699
Min. Negotiated Rate	$8,001.99
Max. Negotiated Rate	$16,788.22
Rate for Payer: Aetna Medicare	$8,760.08
Rate for Payer: Allen County Amish Medical Aid Commercial	$10,528.94
Rate for Payer: Amish Plain Church Group Commercial	$10,528.94
Rate for Payer: BCBS MAPPO	$8,423.15
Rate for Payer: BCBS Trust/PPO	$16,788.22
Rate for Payer: BCN Commercial	$16,788.22
Rate for Payer: BCN Medicare Advantage	$8,423.15
Rate for Payer: Health Alliance Plan Medicare Advantage	$8,423.15
Rate for Payer: Mclaren Medicare	$8,423.15
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$8,844.31
Rate for Payer: MI Amish Medical Board Commercial	$9,686.62
Rate for Payer: Molina Medicare/Medicaid	$9,265.47
Rate for Payer: Nomi Health Commercial	$13,093.50
Rate for Payer: PACE Medicare	$8,001.99
Rate for Payer: PACE SWMI	$8,423.15
Rate for Payer: PHP Medicare Advantage	$8,423.15
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$16,363.97
Rate for Payer: Priority Health Medicare	$8,423.15
Rate for Payer: Priority Health Tiered Network	$13,091.18
Rate for Payer: Railroad Medicare Medicare	$8,423.15
Rate for Payer: UHC All Payor (Choice/PPO)	$16,544.50
Rate for Payer: UHC Core	$13,841.56
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$8,423.15
Rate for Payer: UHC Exchange	$11,304.06
Rate for Payer: VA VA	$8,423.15

OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC

Facility

$26,966.72

Service Code	MSDRG 698
Min. Negotiated Rate	$12,696.34
Max. Negotiated Rate	$26,966.72
Rate for Payer: Aetna Medicare	$13,899.15
Rate for Payer: Allen County Amish Medical Aid Commercial	$16,705.71
Rate for Payer: Amish Plain Church Group Commercial	$16,705.71
Rate for Payer: BCBS MAPPO	$13,364.57
Rate for Payer: BCBS Trust/PPO	$24,248.35
Rate for Payer: BCN Commercial	$24,248.35
Rate for Payer: BCN Medicare Advantage	$13,364.57
Rate for Payer: Health Alliance Plan Medicare Advantage	$13,364.57
Rate for Payer: Mclaren Medicare	$13,364.57
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$14,032.80
Rate for Payer: MI Amish Medical Board Commercial	$15,369.26
Rate for Payer: Molina Medicare/Medicaid	$14,701.03
Rate for Payer: Nomi Health Commercial	$21,341.76
Rate for Payer: PACE Medicare	$12,696.34
Rate for Payer: PACE SWMI	$13,364.57
Rate for Payer: PHP Medicare Advantage	$13,364.57
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$26,672.47
Rate for Payer: Priority Health Medicare	$13,364.57
Rate for Payer: Priority Health Tiered Network	$21,337.97
Rate for Payer: Railroad Medicare Medicare	$13,364.57
Rate for Payer: UHC All Payor (Choice/PPO)	$26,966.72
Rate for Payer: UHC Core	$22,561.05
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$13,364.57
Rate for Payer: UHC Exchange	$18,425.05
Rate for Payer: VA VA	$13,364.57

OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC

Facility

$12,811.20

Service Code	MSDRG 700
Min. Negotiated Rate	$5,615.18
Max. Negotiated Rate	$12,811.20
Rate for Payer: Aetna Medicare	$6,147.15
Rate for Payer: Allen County Amish Medical Aid Commercial	$7,388.40
Rate for Payer: Amish Plain Church Group Commercial	$7,388.40
Rate for Payer: BCBS MAPPO	$5,910.72
Rate for Payer: BCBS Trust/PPO	$12,811.20
Rate for Payer: BCN Commercial	$12,811.20
Rate for Payer: BCN Medicare Advantage	$5,910.72
Rate for Payer: Health Alliance Plan Medicare Advantage	$5,910.72
Rate for Payer: Mclaren Medicare	$5,910.72
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$6,206.26
Rate for Payer: MI Amish Medical Board Commercial	$6,797.33
Rate for Payer: Molina Medicare/Medicaid	$6,501.79
Rate for Payer: Nomi Health Commercial	$8,899.71
Rate for Payer: PACE Medicare	$5,615.18
Rate for Payer: PACE SWMI	$5,910.72
Rate for Payer: PHP Medicare Advantage	$5,910.72
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$11,122.66
Rate for Payer: Priority Health Medicare	$5,910.72
Rate for Payer: Priority Health Tiered Network	$8,898.13
Rate for Payer: Railroad Medicare Medicare	$5,910.72
Rate for Payer: UHC All Payor (Choice/PPO)	$11,245.37
Rate for Payer: UHC Core	$9,408.17
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$5,910.72
Rate for Payer: UHC Exchange	$7,683.42
Rate for Payer: VA VA	$5,910.72

OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC

Facility

$38,119.18

Service Code	MSDRG 674
Min. Negotiated Rate	$17,719.63
Max. Negotiated Rate	$38,119.18
Rate for Payer: Aetna Medicare	$19,398.33
Rate for Payer: Allen County Amish Medical Aid Commercial	$23,315.30
Rate for Payer: Amish Plain Church Group Commercial	$23,315.30
Rate for Payer: BCBS MAPPO	$18,652.24
Rate for Payer: BCBS Trust/PPO	$33,609.21
Rate for Payer: BCN Commercial	$33,609.21
Rate for Payer: BCN Medicare Advantage	$18,652.24
Rate for Payer: Health Alliance Plan Medicare Advantage	$18,652.24
Rate for Payer: Mclaren Medicare	$18,652.24
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$19,584.85
Rate for Payer: MI Amish Medical Board Commercial	$21,450.08
Rate for Payer: Molina Medicare/Medicaid	$20,517.46
Rate for Payer: Nomi Health Commercial	$30,167.94
Rate for Payer: PACE Medicare	$17,719.63
Rate for Payer: PACE SWMI	$18,652.24
Rate for Payer: PHP Medicare Advantage	$18,652.24
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$37,703.24
Rate for Payer: Priority Health Medicare	$18,652.24
Rate for Payer: Priority Health Tiered Network	$30,162.58
Rate for Payer: Railroad Medicare Medicare	$18,652.24
Rate for Payer: UHC All Payor (Choice/PPO)	$38,119.18
Rate for Payer: UHC Core	$31,891.49
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$18,652.24
Rate for Payer: UHC Exchange	$26,044.99
Rate for Payer: VA VA	$18,652.24

OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC

Facility

$68,486.08

Service Code	MSDRG 673
Min. Negotiated Rate	$31,397.42
Max. Negotiated Rate	$68,486.08
Rate for Payer: Aetna Medicare	$34,371.92
Rate for Payer: Allen County Amish Medical Aid Commercial	$41,312.40
Rate for Payer: Amish Plain Church Group Commercial	$41,312.40
Rate for Payer: BCBS MAPPO	$33,049.92
Rate for Payer: BCBS Trust/PPO	$64,793.34
Rate for Payer: BCN Commercial	$64,793.34
Rate for Payer: BCN Medicare Advantage	$33,049.92
Rate for Payer: Health Alliance Plan Medicare Advantage	$33,049.92
Rate for Payer: Mclaren Medicare	$33,049.92
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$34,702.42
Rate for Payer: MI Amish Medical Board Commercial	$38,007.41
Rate for Payer: Molina Medicare/Medicaid	$36,354.91
Rate for Payer: Nomi Health Commercial	$54,200.64
Rate for Payer: PACE Medicare	$31,397.42
Rate for Payer: PACE SWMI	$33,049.92
Rate for Payer: PHP Medicare Advantage	$33,049.92
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$67,738.78
Rate for Payer: Priority Health Medicare	$33,049.92
Rate for Payer: Priority Health Tiered Network	$54,191.02
Rate for Payer: Railroad Medicare Medicare	$33,049.92
Rate for Payer: UHC All Payor (Choice/PPO)	$68,486.08
Rate for Payer: UHC Core	$57,297.22
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$33,049.92
Rate for Payer: UHC Exchange	$46,793.22
Rate for Payer: VA VA	$33,049.92

OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC

Facility

$28,358.79

Service Code	MSDRG 675
Min. Negotiated Rate	$12,600.90
Max. Negotiated Rate	$28,358.79
Rate for Payer: Aetna Medicare	$13,794.67
Rate for Payer: Allen County Amish Medical Aid Commercial	$16,580.14
Rate for Payer: Amish Plain Church Group Commercial	$16,580.14
Rate for Payer: BCBS MAPPO	$13,264.11
Rate for Payer: BCBS Trust/PPO	$28,358.79
Rate for Payer: BCN Commercial	$28,358.79
Rate for Payer: BCN Medicare Advantage	$13,264.11
Rate for Payer: Health Alliance Plan Medicare Advantage	$13,264.11
Rate for Payer: Mclaren Medicare	$13,264.11
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$13,927.32
Rate for Payer: MI Amish Medical Board Commercial	$15,253.73
Rate for Payer: Molina Medicare/Medicaid	$14,590.52
Rate for Payer: Nomi Health Commercial	$21,174.06
Rate for Payer: PACE Medicare	$12,600.90
Rate for Payer: PACE SWMI	$13,264.11
Rate for Payer: PHP Medicare Advantage	$13,264.11
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$26,462.88
Rate for Payer: Priority Health Medicare	$13,264.11
Rate for Payer: Priority Health Tiered Network	$21,170.30
Rate for Payer: Railroad Medicare Medicare	$13,264.11
Rate for Payer: UHC All Payor (Choice/PPO)	$26,754.82
Rate for Payer: UHC Core	$22,383.77
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$13,264.11
Rate for Payer: UHC Exchange	$18,280.27
Rate for Payer: VA VA	$13,264.11

OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES

Facility

$14,060.76

Service Code	APR-DRG 4473
Min. Negotiated Rate	$13,391.20
Max. Negotiated Rate	$14,060.76
Rate for Payer: BCBS Complete	$14,060.76
Rate for Payer: Mclaren Medicaid	$13,391.20
Rate for Payer: Meridian Medicaid	$14,060.76
Rate for Payer: Priority Health Choice Medicaid	$13,391.20
Rate for Payer: UHC Medicaid	$13,391.20
Rate for Payer: UHCCP Medicaid	$13,391.20

OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES

Facility

$10,244.87

Service Code	APR-DRG 4472
Min. Negotiated Rate	$9,757.02
Max. Negotiated Rate	$10,244.87
Rate for Payer: BCBS Complete	$10,244.87
Rate for Payer: Mclaren Medicaid	$9,757.02
Rate for Payer: Meridian Medicaid	$10,244.87
Rate for Payer: Priority Health Choice Medicaid	$9,757.02
Rate for Payer: UHC Medicaid	$9,757.02
Rate for Payer: UHCCP Medicaid	$9,757.02

OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES

Facility

$8,856.91

Service Code	APR-DRG 4471
Min. Negotiated Rate	$8,435.15
Max. Negotiated Rate	$8,856.91
Rate for Payer: BCBS Complete	$8,856.91
Rate for Payer: Mclaren Medicaid	$8,435.15
Rate for Payer: Meridian Medicaid	$8,856.91
Rate for Payer: Priority Health Choice Medicaid	$8,435.15
Rate for Payer: UHC Medicaid	$8,435.15
Rate for Payer: UHCCP Medicaid	$8,435.15

OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES

Facility

$22,375.33

Service Code	APR-DRG 4474
Min. Negotiated Rate	$21,309.83
Max. Negotiated Rate	$22,375.33
Rate for Payer: BCBS Complete	$22,375.33
Rate for Payer: Mclaren Medicaid	$21,309.83
Rate for Payer: Meridian Medicaid	$22,375.33
Rate for Payer: Priority Health Choice Medicaid	$21,309.83
Rate for Payer: UHC Medicaid	$21,309.83
Rate for Payer: UHCCP Medicaid	$21,309.83

OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES

Facility

$9,499.58

Service Code	APR-DRG 4482
Min. Negotiated Rate	$9,047.22
Max. Negotiated Rate	$9,499.58
Rate for Payer: BCBS Complete	$9,499.58
Rate for Payer: Mclaren Medicaid	$9,047.22
Rate for Payer: Meridian Medicaid	$9,499.58
Rate for Payer: Priority Health Choice Medicaid	$9,047.22
Rate for Payer: UHC Medicaid	$9,047.22
Rate for Payer: UHCCP Medicaid	$9,047.22

OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES

Facility

$12,942.82

Service Code	APR-DRG 4483
Min. Negotiated Rate	$12,326.50
Max. Negotiated Rate	$12,942.82
Rate for Payer: BCBS Complete	$12,942.82
Rate for Payer: Mclaren Medicaid	$12,326.50
Rate for Payer: Meridian Medicaid	$12,942.82
Rate for Payer: Priority Health Choice Medicaid	$12,326.50
Rate for Payer: UHC Medicaid	$12,326.50
Rate for Payer: UHCCP Medicaid	$12,326.50

OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES

Facility

$21,942.48

Service Code	APR-DRG 4484
Min. Negotiated Rate	$20,897.60
Max. Negotiated Rate	$21,942.48
Rate for Payer: BCBS Complete	$21,942.48
Rate for Payer: Mclaren Medicaid	$20,897.60
Rate for Payer: Meridian Medicaid	$21,942.48
Rate for Payer: Priority Health Choice Medicaid	$20,897.60
Rate for Payer: UHC Medicaid	$20,897.60
Rate for Payer: UHCCP Medicaid	$20,897.60

OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES

Facility

$7,612.28

Service Code	APR-DRG 4481
Min. Negotiated Rate	$7,249.79
Max. Negotiated Rate	$7,612.28
Rate for Payer: BCBS Complete	$7,612.28
Rate for Payer: Mclaren Medicaid	$7,249.79
Rate for Payer: Meridian Medicaid	$7,612.28
Rate for Payer: Priority Health Choice Medicaid	$7,249.79
Rate for Payer: UHC Medicaid	$7,249.79
Rate for Payer: UHCCP Medicaid	$7,249.79

OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC

Facility

$63,807.87

Service Code	MSDRG 271
Min. Negotiated Rate	$26,659.75
Max. Negotiated Rate	$63,807.87
Rate for Payer: Aetna Medicare	$29,185.41
Rate for Payer: Allen County Amish Medical Aid Commercial	$35,078.61
Rate for Payer: Amish Plain Church Group Commercial	$35,078.61
Rate for Payer: BCBS MAPPO	$28,062.89
Rate for Payer: BCBS Trust/PPO	$63,807.87
Rate for Payer: BCN Commercial	$63,807.87
Rate for Payer: BCN Medicare Advantage	$28,062.89
Rate for Payer: Health Alliance Plan Medicare Advantage	$28,062.89
Rate for Payer: Mclaren Medicare	$28,062.89
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$29,466.03
Rate for Payer: MI Amish Medical Board Commercial	$32,272.32
Rate for Payer: Molina Medicare/Medicaid	$30,869.18
Rate for Payer: Nomi Health Commercial	$45,876.27
Rate for Payer: PACE Medicare	$26,659.75
Rate for Payer: PACE SWMI	$28,062.89
Rate for Payer: PHP Medicare Advantage	$28,062.89
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$57,335.17
Rate for Payer: Priority Health Medicare	$28,062.89
Rate for Payer: Priority Health Tiered Network	$45,868.13
Rate for Payer: Railroad Medicare Medicare	$28,062.89
Rate for Payer: UHC All Payor (Choice/PPO)	$57,967.69
Rate for Payer: UHC Core	$48,497.26
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$28,062.89
Rate for Payer: UHC Exchange	$39,606.51
Rate for Payer: VA VA	$28,062.89

OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC

Facility

$100,780.80

Service Code	MSDRG 270
Min. Negotiated Rate	$39,287.67
Max. Negotiated Rate	$100,780.80
Rate for Payer: Aetna Medicare	$43,009.66
Rate for Payer: Allen County Amish Medical Aid Commercial	$51,694.30
Rate for Payer: Amish Plain Church Group Commercial	$51,694.30
Rate for Payer: BCBS MAPPO	$41,355.44
Rate for Payer: BCBS Trust/PPO	$100,780.80
Rate for Payer: BCN Commercial	$100,780.80
Rate for Payer: BCN Medicare Advantage	$41,355.44
Rate for Payer: Health Alliance Plan Medicare Advantage	$41,355.44
Rate for Payer: Mclaren Medicare	$41,355.44
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$43,423.21
Rate for Payer: MI Amish Medical Board Commercial	$47,558.76
Rate for Payer: Molina Medicare/Medicaid	$45,490.98
Rate for Payer: Nomi Health Commercial	$68,064.27
Rate for Payer: PACE Medicare	$39,287.67
Rate for Payer: PACE SWMI	$41,355.44
Rate for Payer: PHP Medicare Advantage	$41,355.44
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$85,065.25
Rate for Payer: Priority Health Medicare	$41,355.44
Rate for Payer: Priority Health Tiered Network	$68,052.19
Rate for Payer: Railroad Medicare Medicare	$41,355.44
Rate for Payer: UHC All Payor (Choice/PPO)	$86,003.69
Rate for Payer: UHC Core	$71,952.90
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$41,355.44
Rate for Payer: UHC Exchange	$58,762.15
Rate for Payer: VA VA	$41,355.44

OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC

Facility

$46,600.65

Service Code	MSDRG 272
Min. Negotiated Rate	$19,293.71
Max. Negotiated Rate	$46,600.65
Rate for Payer: Aetna Medicare	$21,121.54
Rate for Payer: Allen County Amish Medical Aid Commercial	$25,386.46
Rate for Payer: Amish Plain Church Group Commercial	$25,386.46
Rate for Payer: BCBS MAPPO	$20,309.17
Rate for Payer: BCBS Trust/PPO	$46,600.65
Rate for Payer: BCN Commercial	$46,600.65
Rate for Payer: BCN Medicare Advantage	$20,309.17
Rate for Payer: Health Alliance Plan Medicare Advantage	$20,309.17
Rate for Payer: Mclaren Medicare	$20,309.17
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$21,324.63
Rate for Payer: MI Amish Medical Board Commercial	$23,355.55
Rate for Payer: Molina Medicare/Medicaid	$22,340.09
Rate for Payer: Nomi Health Commercial	$32,933.70
Rate for Payer: PACE Medicare	$19,293.71
Rate for Payer: PACE SWMI	$20,309.17
Rate for Payer: PHP Medicare Advantage	$20,309.17
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$41,159.82
Rate for Payer: Priority Health Medicare	$20,309.17
Rate for Payer: Priority Health Tiered Network	$32,927.85
Rate for Payer: Railroad Medicare Medicare	$20,309.17
Rate for Payer: UHC All Payor (Choice/PPO)	$41,613.90
Rate for Payer: UHC Core	$34,815.26
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$20,309.17
Rate for Payer: UHC Exchange	$28,432.76
Rate for Payer: VA VA	$20,309.17

OTHER MAJOR HEAD AND NECK PROCEDURES

Facility

$42,658.68

Service Code	APR-DRG 0914
Min. Negotiated Rate	$40,627.31
Max. Negotiated Rate	$42,658.68
Rate for Payer: BCBS Complete	$42,658.68
Rate for Payer: Mclaren Medicaid	$40,627.31
Rate for Payer: Meridian Medicaid	$42,658.68
Rate for Payer: Priority Health Choice Medicaid	$40,627.31
Rate for Payer: UHC Medicaid	$40,627.31
Rate for Payer: UHCCP Medicaid	$40,627.31

OTHER MAJOR HEAD AND NECK PROCEDURES

Facility

$13,582.62

Service Code	APR-DRG 0911
Min. Negotiated Rate	$12,935.83
Max. Negotiated Rate	$13,582.62
Rate for Payer: BCBS Complete	$13,582.62
Rate for Payer: Mclaren Medicaid	$12,935.83
Rate for Payer: Meridian Medicaid	$13,582.62
Rate for Payer: Priority Health Choice Medicaid	$12,935.83
Rate for Payer: UHC Medicaid	$12,935.83
Rate for Payer: UHCCP Medicaid	$12,935.83

OTHER MAJOR HEAD AND NECK PROCEDURES

Facility

$28,884.00

Service Code	APR-DRG 0912
Min. Negotiated Rate	$27,508.57
Max. Negotiated Rate	$28,884.00
Rate for Payer: BCBS Complete	$28,884.00
Rate for Payer: Mclaren Medicaid	$27,508.57
Rate for Payer: Meridian Medicaid	$28,884.00
Rate for Payer: Priority Health Choice Medicaid	$27,508.57
Rate for Payer: UHC Medicaid	$27,508.57
Rate for Payer: UHCCP Medicaid	$27,508.57

OTHER MAJOR HEAD AND NECK PROCEDURES

Facility

$39,480.88

Service Code	APR-DRG 0913
Min. Negotiated Rate	$37,600.84
Max. Negotiated Rate	$39,480.88
Rate for Payer: BCBS Complete	$39,480.88
Rate for Payer: Mclaren Medicaid	$37,600.84
Rate for Payer: Meridian Medicaid	$39,480.88
Rate for Payer: Priority Health Choice Medicaid	$37,600.84
Rate for Payer: UHC Medicaid	$37,600.84
Rate for Payer: UHCCP Medicaid	$37,600.84

OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$9,023.74

Service Code	APR-DRG 4841
Min. Negotiated Rate	$8,594.04
Max. Negotiated Rate	$9,023.74
Rate for Payer: BCBS Complete	$9,023.74
Rate for Payer: Mclaren Medicaid	$8,594.04
Rate for Payer: Meridian Medicaid	$9,023.74
Rate for Payer: Priority Health Choice Medicaid	$8,594.04
Rate for Payer: UHC Medicaid	$8,594.04
Rate for Payer: UHCCP Medicaid	$8,594.04

Know your out-of-pocket cost for care.

All Charges