Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC

Facility

$87,829.16

Service Code	MSDRG 515
Min. Negotiated Rate	$23,947.69
Max. Negotiated Rate	$87,829.16
Rate for Payer: Aetna Medicare	$26,216.42
Rate for Payer: Allen County Amish Medical Aid Commercial	$31,510.12
Rate for Payer: Amish Plain Church Group Commercial	$31,510.12
Rate for Payer: BCBS MAPPO	$25,208.10
Rate for Payer: BCBS Trust/PPO	$87,829.16
Rate for Payer: BCN Commercial	$87,829.16
Rate for Payer: BCN Medicare Advantage	$25,208.10
Rate for Payer: Health Alliance Plan Medicare Advantage	$25,208.10
Rate for Payer: Mclaren Medicare	$25,208.10
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$26,468.51
Rate for Payer: MI Amish Medical Board Commercial	$28,989.31
Rate for Payer: Molina Medicare/Medicaid	$27,728.91
Rate for Payer: Nomi Health Commercial	$41,111.01
Rate for Payer: PACE Medicare	$23,947.69
Rate for Payer: PACE SWMI	$25,208.10
Rate for Payer: PHP Medicare Advantage	$25,208.10
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$51,379.65
Rate for Payer: Priority Health Medicare	$25,208.10
Rate for Payer: Priority Health Tiered Network	$41,103.71
Rate for Payer: Railroad Medicare Medicare	$25,208.10
Rate for Payer: UHC All Payor (Choice/PPO)	$51,946.47
Rate for Payer: UHC Core	$43,459.76
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$25,208.10
Rate for Payer: UHC Exchange	$35,492.51
Rate for Payer: VA VA	$25,208.10

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC

Facility

$28,443.06

Service Code	MSDRG 517
Min. Negotiated Rate	$11,832.21
Max. Negotiated Rate	$28,443.06
Rate for Payer: Aetna Medicare	$12,953.16
Rate for Payer: Allen County Amish Medical Aid Commercial	$15,568.70
Rate for Payer: Amish Plain Church Group Commercial	$15,568.70
Rate for Payer: BCBS MAPPO	$12,454.96
Rate for Payer: BCBS Trust/PPO	$28,443.06
Rate for Payer: BCN Commercial	$28,443.06
Rate for Payer: BCN Medicare Advantage	$12,454.96
Rate for Payer: Health Alliance Plan Medicare Advantage	$12,454.96
Rate for Payer: Mclaren Medicare	$12,454.96
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$13,077.71
Rate for Payer: MI Amish Medical Board Commercial	$14,323.20
Rate for Payer: Molina Medicare/Medicaid	$13,700.46
Rate for Payer: Nomi Health Commercial	$19,823.43
Rate for Payer: PACE Medicare	$11,832.21
Rate for Payer: PACE SWMI	$12,454.96
Rate for Payer: PHP Medicare Advantage	$12,454.96
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$24,774.89
Rate for Payer: Priority Health Medicare	$12,454.96
Rate for Payer: Priority Health Tiered Network	$19,819.91
Rate for Payer: Railroad Medicare Medicare	$12,454.96
Rate for Payer: UHC All Payor (Choice/PPO)	$25,048.21
Rate for Payer: UHC Core	$20,955.98
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$12,454.96
Rate for Payer: UHC Exchange	$17,114.23
Rate for Payer: VA VA	$12,454.96

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES

Facility

$13,665.75

Service Code	APR-DRG 3203
Min. Negotiated Rate	$13,015.00
Max. Negotiated Rate	$13,665.75
Rate for Payer: BCBS Complete	$13,665.75
Rate for Payer: Mclaren Medicaid	$13,015.00
Rate for Payer: Meridian Medicaid	$13,665.75
Rate for Payer: Priority Health Choice Medicaid	$13,015.00
Rate for Payer: UHC Medicaid	$13,015.00
Rate for Payer: UHCCP Medicaid	$13,015.00

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES

Facility

$8,239.47

Service Code	APR-DRG 3201
Min. Negotiated Rate	$7,847.11
Max. Negotiated Rate	$8,239.47
Rate for Payer: BCBS Complete	$8,239.47
Rate for Payer: Mclaren Medicaid	$7,847.11
Rate for Payer: Meridian Medicaid	$8,239.47
Rate for Payer: Priority Health Choice Medicaid	$7,847.11
Rate for Payer: UHC Medicaid	$7,847.11
Rate for Payer: UHCCP Medicaid	$7,847.11

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES

Facility

$10,967.23

Service Code	APR-DRG 3202
Min. Negotiated Rate	$10,444.98
Max. Negotiated Rate	$10,967.23
Rate for Payer: BCBS Complete	$10,967.23
Rate for Payer: Mclaren Medicaid	$10,444.98
Rate for Payer: Meridian Medicaid	$10,967.23
Rate for Payer: Priority Health Choice Medicaid	$10,444.98
Rate for Payer: UHC Medicaid	$10,444.98
Rate for Payer: UHCCP Medicaid	$10,444.98

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES

Facility

$22,046.82

Service Code	APR-DRG 3204
Min. Negotiated Rate	$20,996.98
Max. Negotiated Rate	$22,046.82
Rate for Payer: BCBS Complete	$22,046.82
Rate for Payer: Mclaren Medicaid	$20,996.98
Rate for Payer: Meridian Medicaid	$22,046.82
Rate for Payer: Priority Health Choice Medicaid	$20,996.98
Rate for Payer: UHC Medicaid	$20,996.98
Rate for Payer: UHCCP Medicaid	$20,996.98

OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC

Facility

$23,590.58

Service Code	MSDRG 844
Min. Negotiated Rate	$9,487.97
Max. Negotiated Rate	$23,590.58
Rate for Payer: Aetna Medicare	$10,386.83
Rate for Payer: Allen County Amish Medical Aid Commercial	$12,484.17
Rate for Payer: Amish Plain Church Group Commercial	$12,484.17
Rate for Payer: BCBS MAPPO	$9,987.34
Rate for Payer: BCBS Trust/PPO	$23,590.58
Rate for Payer: BCN Commercial	$23,590.58
Rate for Payer: BCN Medicare Advantage	$9,987.34
Rate for Payer: Health Alliance Plan Medicare Advantage	$9,987.34
Rate for Payer: Mclaren Medicare	$9,987.34
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$10,486.71
Rate for Payer: MI Amish Medical Board Commercial	$11,485.44
Rate for Payer: Molina Medicare/Medicaid	$10,986.07
Rate for Payer: Nomi Health Commercial	$15,704.46
Rate for Payer: PACE Medicare	$9,487.97
Rate for Payer: PACE SWMI	$9,987.34
Rate for Payer: PHP Medicare Advantage	$9,987.34
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$19,627.09
Rate for Payer: Priority Health Medicare	$9,987.34
Rate for Payer: Priority Health Tiered Network	$15,701.67
Rate for Payer: Railroad Medicare Medicare	$9,987.34
Rate for Payer: UHC All Payor (Choice/PPO)	$19,843.62
Rate for Payer: UHC Core	$16,601.68
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$9,987.34
Rate for Payer: UHC Exchange	$13,558.18
Rate for Payer: VA VA	$9,987.34

OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC

Facility

$34,056.30

Service Code	MSDRG 843
Min. Negotiated Rate	$15,195.51
Max. Negotiated Rate	$34,056.30
Rate for Payer: Aetna Medicare	$16,635.08
Rate for Payer: Allen County Amish Medical Aid Commercial	$19,994.09
Rate for Payer: Amish Plain Church Group Commercial	$19,994.09
Rate for Payer: BCBS MAPPO	$15,995.27
Rate for Payer: BCBS Trust/PPO	$34,056.30
Rate for Payer: BCN Commercial	$34,056.30
Rate for Payer: BCN Medicare Advantage	$15,995.27
Rate for Payer: Health Alliance Plan Medicare Advantage	$15,995.27
Rate for Payer: Mclaren Medicare	$15,995.27
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$16,795.03
Rate for Payer: MI Amish Medical Board Commercial	$18,394.56
Rate for Payer: Molina Medicare/Medicaid	$17,594.80
Rate for Payer: Nomi Health Commercial	$25,732.92
Rate for Payer: PACE Medicare	$15,195.51
Rate for Payer: PACE SWMI	$15,995.27
Rate for Payer: PHP Medicare Advantage	$15,995.27
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$32,160.44
Rate for Payer: Priority Health Medicare	$15,995.27
Rate for Payer: Priority Health Tiered Network	$25,728.35
Rate for Payer: Railroad Medicare Medicare	$15,995.27
Rate for Payer: UHC All Payor (Choice/PPO)	$32,515.24
Rate for Payer: UHC Core	$27,203.09
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$15,995.27
Rate for Payer: UHC Exchange	$22,216.09
Rate for Payer: VA VA	$15,995.27

OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC

Facility

$18,475.93

Service Code	MSDRG 845
Min. Negotiated Rate	$6,802.34
Max. Negotiated Rate	$18,475.93
Rate for Payer: Aetna Medicare	$7,446.77
Rate for Payer: Allen County Amish Medical Aid Commercial	$8,950.45
Rate for Payer: Amish Plain Church Group Commercial	$8,950.45
Rate for Payer: BCBS MAPPO	$7,160.36
Rate for Payer: BCBS Trust/PPO	$18,475.93
Rate for Payer: BCN Commercial	$18,475.93
Rate for Payer: BCN Medicare Advantage	$7,160.36
Rate for Payer: Health Alliance Plan Medicare Advantage	$7,160.36
Rate for Payer: Mclaren Medicare	$7,160.36
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$7,518.38
Rate for Payer: MI Amish Medical Board Commercial	$8,234.41
Rate for Payer: Molina Medicare/Medicaid	$7,876.40
Rate for Payer: Nomi Health Commercial	$10,985.64
Rate for Payer: PACE Medicare	$6,802.34
Rate for Payer: PACE SWMI	$7,160.36
Rate for Payer: PHP Medicare Advantage	$7,160.36
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$13,729.61
Rate for Payer: Priority Health Medicare	$7,160.36
Rate for Payer: Priority Health Tiered Network	$10,983.69
Rate for Payer: Railroad Medicare Medicare	$7,160.36
Rate for Payer: UHC All Payor (Choice/PPO)	$13,881.08
Rate for Payer: UHC Core	$11,613.27
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$7,160.36
Rate for Payer: UHC Exchange	$9,484.27
Rate for Payer: VA VA	$7,160.36

OTHER NERVOUS SYSTEM AND RELATED PROCEDURES

Facility

$12,969.19

Service Code	APR-DRG 0262
Min. Negotiated Rate	$12,351.61
Max. Negotiated Rate	$12,969.19
Rate for Payer: BCBS Complete	$12,969.19
Rate for Payer: Mclaren Medicaid	$12,351.61
Rate for Payer: Meridian Medicaid	$12,969.19
Rate for Payer: Priority Health Choice Medicaid	$12,351.61
Rate for Payer: UHC Medicaid	$12,351.61
Rate for Payer: UHCCP Medicaid	$12,351.61

OTHER NERVOUS SYSTEM AND RELATED PROCEDURES

Facility

$13,508.67

Service Code	APR-DRG 0263
Min. Negotiated Rate	$12,865.40
Max. Negotiated Rate	$13,508.67
Rate for Payer: BCBS Complete	$13,508.67
Rate for Payer: Mclaren Medicaid	$12,865.40
Rate for Payer: Meridian Medicaid	$13,508.67
Rate for Payer: Priority Health Choice Medicaid	$12,865.40
Rate for Payer: UHC Medicaid	$12,865.40
Rate for Payer: UHCCP Medicaid	$12,865.40

OTHER NERVOUS SYSTEM AND RELATED PROCEDURES

Facility

$19,631.51

Service Code	APR-DRG 0264
Min. Negotiated Rate	$18,696.68
Max. Negotiated Rate	$19,631.51
Rate for Payer: BCBS Complete	$19,631.51
Rate for Payer: Mclaren Medicaid	$18,696.68
Rate for Payer: Meridian Medicaid	$19,631.51
Rate for Payer: Priority Health Choice Medicaid	$18,696.68
Rate for Payer: UHC Medicaid	$18,696.68
Rate for Payer: UHCCP Medicaid	$18,696.68

OTHER NERVOUS SYSTEM AND RELATED PROCEDURES

Facility

$8,450.44

Service Code	APR-DRG 0261
Min. Negotiated Rate	$8,048.04
Max. Negotiated Rate	$8,450.44
Rate for Payer: BCBS Complete	$8,450.44
Rate for Payer: Mclaren Medicaid	$8,048.04
Rate for Payer: Meridian Medicaid	$8,450.44
Rate for Payer: Priority Health Choice Medicaid	$8,048.04
Rate for Payer: UHC Medicaid	$8,048.04
Rate for Payer: UHCCP Medicaid	$8,048.04

OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility

$4,163.30

Service Code	APR-DRG 4252
Min. Negotiated Rate	$3,965.05
Max. Negotiated Rate	$4,163.30
Rate for Payer: BCBS Complete	$4,163.30
Rate for Payer: Mclaren Medicaid	$3,965.05
Rate for Payer: Meridian Medicaid	$4,163.30
Rate for Payer: Priority Health Choice Medicaid	$3,965.05
Rate for Payer: UHC Medicaid	$3,965.05
Rate for Payer: UHCCP Medicaid	$3,965.05

OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility

$2,912.94

Service Code	APR-DRG 4251
Min. Negotiated Rate	$2,774.23
Max. Negotiated Rate	$2,912.94
Rate for Payer: BCBS Complete	$2,912.94
Rate for Payer: Mclaren Medicaid	$2,774.23
Rate for Payer: Meridian Medicaid	$2,912.94
Rate for Payer: Priority Health Choice Medicaid	$2,774.23
Rate for Payer: UHC Medicaid	$2,774.23
Rate for Payer: UHCCP Medicaid	$2,774.23

OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility

$11,600.73

Service Code	APR-DRG 4254
Min. Negotiated Rate	$11,048.31
Max. Negotiated Rate	$11,600.73
Rate for Payer: BCBS Complete	$11,600.73
Rate for Payer: Mclaren Medicaid	$11,048.31
Rate for Payer: Meridian Medicaid	$11,600.73
Rate for Payer: Priority Health Choice Medicaid	$11,048.31
Rate for Payer: UHC Medicaid	$11,048.31
Rate for Payer: UHCCP Medicaid	$11,048.31

OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility

$5,913.02

Service Code	APR-DRG 4253
Min. Negotiated Rate	$5,631.44
Max. Negotiated Rate	$5,913.02
Rate for Payer: BCBS Complete	$5,913.02
Rate for Payer: Mclaren Medicaid	$5,631.44
Rate for Payer: Meridian Medicaid	$5,913.02
Rate for Payer: Priority Health Choice Medicaid	$5,631.44
Rate for Payer: UHC Medicaid	$5,631.44
Rate for Payer: UHCCP Medicaid	$5,631.44

OTHER OPEN CRANIOTOMY

Facility

$12,734.14

Service Code	APR-DRG 0272
Min. Negotiated Rate	$12,127.75
Max. Negotiated Rate	$12,734.14
Rate for Payer: BCBS Complete	$12,734.14
Rate for Payer: Mclaren Medicaid	$12,127.75
Rate for Payer: Meridian Medicaid	$12,734.14
Rate for Payer: Priority Health Choice Medicaid	$12,127.75
Rate for Payer: UHC Medicaid	$12,127.75
Rate for Payer: UHCCP Medicaid	$12,127.75

OTHER OPEN CRANIOTOMY

Facility

$18,309.48

Service Code	APR-DRG 0273
Min. Negotiated Rate	$17,437.60
Max. Negotiated Rate	$18,309.48
Rate for Payer: BCBS Complete	$18,309.48
Rate for Payer: Mclaren Medicaid	$17,437.60
Rate for Payer: Meridian Medicaid	$18,309.48
Rate for Payer: Priority Health Choice Medicaid	$17,437.60
Rate for Payer: UHC Medicaid	$17,437.60
Rate for Payer: UHCCP Medicaid	$17,437.60

OTHER OPEN CRANIOTOMY

Facility

$26,090.31

Service Code	APR-DRG 0274
Min. Negotiated Rate	$24,847.91
Max. Negotiated Rate	$26,090.31
Rate for Payer: BCBS Complete	$26,090.31
Rate for Payer: Mclaren Medicaid	$24,847.91
Rate for Payer: Meridian Medicaid	$26,090.31
Rate for Payer: Priority Health Choice Medicaid	$24,847.91
Rate for Payer: UHC Medicaid	$24,847.91
Rate for Payer: UHCCP Medicaid	$24,847.91

OTHER OPEN CRANIOTOMY

Facility

$8,968.71

Service Code	APR-DRG 0271
Min. Negotiated Rate	$8,541.62
Max. Negotiated Rate	$8,968.71
Rate for Payer: BCBS Complete	$8,968.71
Rate for Payer: Mclaren Medicaid	$8,541.62
Rate for Payer: Meridian Medicaid	$8,968.71
Rate for Payer: Priority Health Choice Medicaid	$8,541.62
Rate for Payer: UHC Medicaid	$8,541.62
Rate for Payer: UHCCP Medicaid	$8,541.62

OTHER O.R. PROCEDURES FOR INJURIES WITH CC

Facility

$32,616.71

Service Code	MSDRG 908
Min. Negotiated Rate	$15,198.45
Max. Negotiated Rate	$32,616.71
Rate for Payer: Aetna Medicare	$16,638.30
Rate for Payer: Allen County Amish Medical Aid Commercial	$19,997.96
Rate for Payer: Amish Plain Church Group Commercial	$19,997.96
Rate for Payer: BCBS MAPPO	$15,998.37
Rate for Payer: BCBS Trust/PPO	$32,616.71
Rate for Payer: BCN Commercial	$32,616.71
Rate for Payer: BCN Medicare Advantage	$15,998.37
Rate for Payer: Health Alliance Plan Medicare Advantage	$15,998.37
Rate for Payer: Mclaren Medicare	$15,998.37
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$16,798.29
Rate for Payer: MI Amish Medical Board Commercial	$18,398.13
Rate for Payer: Molina Medicare/Medicaid	$17,598.21
Rate for Payer: Nomi Health Commercial	$25,738.08
Rate for Payer: PACE Medicare	$15,198.45
Rate for Payer: PACE SWMI	$15,998.37
Rate for Payer: PHP Medicare Advantage	$15,998.37
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$32,166.89
Rate for Payer: Priority Health Medicare	$15,998.37
Rate for Payer: Priority Health Tiered Network	$25,733.51
Rate for Payer: Railroad Medicare Medicare	$15,998.37
Rate for Payer: UHC All Payor (Choice/PPO)	$32,521.76
Rate for Payer: UHC Core	$27,208.54
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$15,998.37
Rate for Payer: UHC Exchange	$22,220.54
Rate for Payer: VA VA	$15,998.37

OTHER O.R. PROCEDURES FOR INJURIES WITH MCC

Facility

$63,983.43

Service Code	MSDRG 907
Min. Negotiated Rate	$28,737.48
Max. Negotiated Rate	$63,983.43
Rate for Payer: Aetna Medicare	$31,459.98
Rate for Payer: Allen County Amish Medical Aid Commercial	$37,812.47
Rate for Payer: Amish Plain Church Group Commercial	$37,812.47
Rate for Payer: BCBS MAPPO	$30,249.98
Rate for Payer: BCBS Trust/PPO	$63,983.43
Rate for Payer: BCN Commercial	$63,983.43
Rate for Payer: BCN Medicare Advantage	$30,249.98
Rate for Payer: Health Alliance Plan Medicare Advantage	$30,249.98
Rate for Payer: Mclaren Medicare	$30,249.98
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$31,762.48
Rate for Payer: MI Amish Medical Board Commercial	$34,787.48
Rate for Payer: Molina Medicare/Medicaid	$33,274.98
Rate for Payer: Nomi Health Commercial	$49,526.97
Rate for Payer: PACE Medicare	$28,737.48
Rate for Payer: PACE SWMI	$30,249.98
Rate for Payer: PHP Medicare Advantage	$30,249.98
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$61,897.73
Rate for Payer: Priority Health Medicare	$30,249.98
Rate for Payer: Priority Health Tiered Network	$49,518.18
Rate for Payer: Railroad Medicare Medicare	$30,249.98
Rate for Payer: UHC All Payor (Choice/PPO)	$62,580.59
Rate for Payer: UHC Core	$52,356.53
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$30,249.98
Rate for Payer: UHC Exchange	$42,758.28
Rate for Payer: VA VA	$30,249.98

OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC

Facility

$21,397.01

Service Code	MSDRG 909
Min. Negotiated Rate	$10,187.66
Max. Negotiated Rate	$21,397.01
Rate for Payer: Aetna Medicare	$11,152.80
Rate for Payer: Allen County Amish Medical Aid Commercial	$13,404.81
Rate for Payer: Amish Plain Church Group Commercial	$13,404.81
Rate for Payer: BCBS MAPPO	$10,723.85
Rate for Payer: BCBS Trust/PPO	$21,364.48
Rate for Payer: BCN Commercial	$21,364.48
Rate for Payer: BCN Medicare Advantage	$10,723.85
Rate for Payer: Health Alliance Plan Medicare Advantage	$10,723.85
Rate for Payer: Mclaren Medicare	$10,723.85
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$11,260.04
Rate for Payer: MI Amish Medical Board Commercial	$12,332.43
Rate for Payer: Molina Medicare/Medicaid	$11,796.24
Rate for Payer: Nomi Health Commercial	$16,933.83
Rate for Payer: PACE Medicare	$10,187.66
Rate for Payer: PACE SWMI	$10,723.85
Rate for Payer: PHP Medicare Advantage	$10,723.85
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$21,163.53
Rate for Payer: Priority Health Medicare	$10,723.85
Rate for Payer: Priority Health Tiered Network	$16,930.82
Rate for Payer: Railroad Medicare Medicare	$10,723.85
Rate for Payer: UHC All Payor (Choice/PPO)	$21,397.01
Rate for Payer: UHC Core	$17,901.29
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$10,723.85
Rate for Payer: UHC Exchange	$14,619.54
Rate for Payer: VA VA	$10,723.85

OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$12,348.31

Service Code	APR-DRG 6812
Min. Negotiated Rate	$11,760.29
Max. Negotiated Rate	$12,348.31
Rate for Payer: BCBS Complete	$12,348.31
Rate for Payer: Mclaren Medicaid	$11,760.29
Rate for Payer: Meridian Medicaid	$12,348.31
Rate for Payer: Priority Health Choice Medicaid	$11,760.29
Rate for Payer: UHC Medicaid	$11,760.29
Rate for Payer: UHCCP Medicaid	$11,760.29

Know your out-of-pocket cost for care.

All Charges