Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

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

Facility

$9,691.64

Service Code	APR-DRG 6811
Min. Negotiated Rate	$9,230.13
Max. Negotiated Rate	$9,691.64
Rate for Payer: BCBS Complete	$9,691.64
Rate for Payer: Mclaren Medicaid	$9,230.13
Rate for Payer: Meridian Medicaid	$9,691.64
Rate for Payer: Priority Health Choice Medicaid	$9,230.13
Rate for Payer: UHC Medicaid	$9,230.13
Rate for Payer: UHCCP Medicaid	$9,230.13

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

Facility

$32,761.23

Service Code	APR-DRG 6814
Min. Negotiated Rate	$31,201.17
Max. Negotiated Rate	$32,761.23
Rate for Payer: BCBS Complete	$32,761.23
Rate for Payer: Mclaren Medicaid	$31,201.17
Rate for Payer: Meridian Medicaid	$32,761.23
Rate for Payer: Priority Health Choice Medicaid	$31,201.17
Rate for Payer: UHC Medicaid	$31,201.17
Rate for Payer: UHCCP Medicaid	$31,201.17

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

Facility

$15,066.32

Service Code	APR-DRG 6813
Min. Negotiated Rate	$14,348.88
Max. Negotiated Rate	$15,066.32
Rate for Payer: BCBS Complete	$15,066.32
Rate for Payer: Mclaren Medicaid	$14,348.88
Rate for Payer: Meridian Medicaid	$15,066.32
Rate for Payer: Priority Health Choice Medicaid	$14,348.88
Rate for Payer: UHC Medicaid	$14,348.88
Rate for Payer: UHCCP Medicaid	$14,348.88

OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC

Facility

$71,193.09

Service Code	MSDRG 958
Min. Negotiated Rate	$31,487.73
Max. Negotiated Rate	$71,193.09
Rate for Payer: Aetna Medicare	$34,470.78
Rate for Payer: Allen County Amish Medical Aid Commercial	$41,431.22
Rate for Payer: Amish Plain Church Group Commercial	$41,431.22
Rate for Payer: BCBS MAPPO	$33,144.98
Rate for Payer: BCBS Trust/PPO	$71,193.09
Rate for Payer: BCN Commercial	$71,193.09
Rate for Payer: BCN Medicare Advantage	$33,144.98
Rate for Payer: Health Alliance Plan Medicare Advantage	$33,144.98
Rate for Payer: Mclaren Medicare	$33,144.98
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$34,802.23
Rate for Payer: MI Amish Medical Board Commercial	$38,116.73
Rate for Payer: Molina Medicare/Medicaid	$36,459.48
Rate for Payer: Nomi Health Commercial	$54,359.31
Rate for Payer: PACE Medicare	$31,487.73
Rate for Payer: PACE SWMI	$33,144.98
Rate for Payer: PHP Medicare Advantage	$33,144.98
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$67,937.09
Rate for Payer: Priority Health Medicare	$33,144.98
Rate for Payer: Priority Health Tiered Network	$54,349.66
Rate for Payer: Railroad Medicare Medicare	$33,144.98
Rate for Payer: UHC All Payor (Choice/PPO)	$68,686.57
Rate for Payer: UHC Core	$57,464.95
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$33,144.98
Rate for Payer: UHC Exchange	$46,930.20
Rate for Payer: VA VA	$33,144.98

OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC

Facility

$149,935.26

Service Code	MSDRG 957
Min. Negotiated Rate	$56,493.96
Max. Negotiated Rate	$149,935.26
Rate for Payer: Aetna Medicare	$61,846.02
Rate for Payer: Allen County Amish Medical Aid Commercial	$74,334.16
Rate for Payer: Amish Plain Church Group Commercial	$74,334.16
Rate for Payer: BCBS MAPPO	$59,467.33
Rate for Payer: BCBS Trust/PPO	$149,935.26
Rate for Payer: BCN Commercial	$149,935.26
Rate for Payer: BCN Medicare Advantage	$59,467.33
Rate for Payer: Health Alliance Plan Medicare Advantage	$59,467.33
Rate for Payer: Mclaren Medicare	$59,467.33
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$62,440.70
Rate for Payer: MI Amish Medical Board Commercial	$68,387.43
Rate for Payer: Molina Medicare/Medicaid	$65,414.06
Rate for Payer: Nomi Health Commercial	$98,296.71
Rate for Payer: PACE Medicare	$56,493.96
Rate for Payer: PACE SWMI	$59,467.33
Rate for Payer: PHP Medicare Advantage	$59,467.33
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$122,849.09
Rate for Payer: Priority Health Medicare	$59,467.33
Rate for Payer: Priority Health Tiered Network	$98,279.26
Rate for Payer: Railroad Medicare Medicare	$59,467.33
Rate for Payer: UHC All Payor (Choice/PPO)	$124,204.37
Rate for Payer: UHC Core	$103,912.58
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$59,467.33
Rate for Payer: UHC Exchange	$84,862.83
Rate for Payer: VA VA	$59,467.33

OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC

Facility

$47,988.83

Service Code	MSDRG 959
Min. Negotiated Rate	$22,165.08
Max. Negotiated Rate	$47,988.83
Rate for Payer: Aetna Medicare	$24,264.93
Rate for Payer: Allen County Amish Medical Aid Commercial	$29,164.58
Rate for Payer: Amish Plain Church Group Commercial	$29,164.58
Rate for Payer: BCBS MAPPO	$23,331.66
Rate for Payer: BCBS Trust/PPO	$42,445.73
Rate for Payer: BCN Commercial	$42,445.73
Rate for Payer: BCN Medicare Advantage	$23,331.66
Rate for Payer: Health Alliance Plan Medicare Advantage	$23,331.66
Rate for Payer: Mclaren Medicare	$23,331.66
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$24,498.24
Rate for Payer: MI Amish Medical Board Commercial	$26,831.41
Rate for Payer: Molina Medicare/Medicaid	$25,664.83
Rate for Payer: Nomi Health Commercial	$37,978.89
Rate for Payer: PACE Medicare	$22,165.08
Rate for Payer: PACE SWMI	$23,331.66
Rate for Payer: PHP Medicare Advantage	$23,331.66
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$47,465.19
Rate for Payer: Priority Health Medicare	$23,331.66
Rate for Payer: Priority Health Tiered Network	$37,972.15
Rate for Payer: Railroad Medicare Medicare	$23,331.66
Rate for Payer: UHC All Payor (Choice/PPO)	$47,988.83
Rate for Payer: UHC Core	$40,148.69
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$23,331.66
Rate for Payer: UHC Exchange	$32,788.44
Rate for Payer: VA VA	$23,331.66

OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC

Facility

$30,973.47

Service Code	MSDRG 803
Min. Negotiated Rate	$14,197.76
Max. Negotiated Rate	$30,973.47
Rate for Payer: Aetna Medicare	$15,542.81
Rate for Payer: Allen County Amish Medical Aid Commercial	$18,681.26
Rate for Payer: Amish Plain Church Group Commercial	$18,681.26
Rate for Payer: BCBS MAPPO	$14,945.01
Rate for Payer: BCBS Trust/PPO	$30,973.47
Rate for Payer: BCN Commercial	$30,973.47
Rate for Payer: BCN Medicare Advantage	$14,945.01
Rate for Payer: Health Alliance Plan Medicare Advantage	$14,945.01
Rate for Payer: Mclaren Medicare	$14,945.01
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$15,692.26
Rate for Payer: MI Amish Medical Board Commercial	$17,186.76
Rate for Payer: Molina Medicare/Medicaid	$16,439.51
Rate for Payer: Nomi Health Commercial	$23,979.81
Rate for Payer: PACE Medicare	$14,197.76
Rate for Payer: PACE SWMI	$14,945.01
Rate for Payer: PHP Medicare Advantage	$14,945.01
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$29,969.45
Rate for Payer: Priority Health Medicare	$14,945.01
Rate for Payer: Priority Health Tiered Network	$23,975.55
Rate for Payer: Railroad Medicare Medicare	$14,945.01
Rate for Payer: UHC All Payor (Choice/PPO)	$30,300.07
Rate for Payer: UHC Core	$25,349.82
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$14,945.01
Rate for Payer: UHC Exchange	$20,702.57
Rate for Payer: VA VA	$14,945.01

OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC

Facility

$64,940.83

Service Code	MSDRG 802
Min. Negotiated Rate	$29,800.59
Max. Negotiated Rate	$64,940.83
Rate for Payer: Aetna Medicare	$32,623.80
Rate for Payer: Allen County Amish Medical Aid Commercial	$39,211.30
Rate for Payer: Amish Plain Church Group Commercial	$39,211.30
Rate for Payer: BCBS MAPPO	$31,369.04
Rate for Payer: BCBS Trust/PPO	$56,961.03
Rate for Payer: BCN Commercial	$56,961.03
Rate for Payer: BCN Medicare Advantage	$31,369.04
Rate for Payer: Health Alliance Plan Medicare Advantage	$31,369.04
Rate for Payer: Mclaren Medicare	$31,369.04
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$32,937.49
Rate for Payer: MI Amish Medical Board Commercial	$36,074.40
Rate for Payer: Molina Medicare/Medicaid	$34,505.94
Rate for Payer: Nomi Health Commercial	$51,394.89
Rate for Payer: PACE Medicare	$29,800.59
Rate for Payer: PACE SWMI	$31,369.04
Rate for Payer: PHP Medicare Advantage	$31,369.04
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$64,232.22
Rate for Payer: Priority Health Medicare	$31,369.04
Rate for Payer: Priority Health Tiered Network	$51,385.77
Rate for Payer: Railroad Medicare Medicare	$31,369.04
Rate for Payer: UHC All Payor (Choice/PPO)	$64,940.83
Rate for Payer: UHC Core	$54,331.17
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$31,369.04
Rate for Payer: UHC Exchange	$44,370.92
Rate for Payer: VA VA	$31,369.04

OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC

Facility

$29,671.98

Service Code	MSDRG 804
Min. Negotiated Rate	$10,505.56
Max. Negotiated Rate	$29,671.98
Rate for Payer: Aetna Medicare	$11,500.82
Rate for Payer: Allen County Amish Medical Aid Commercial	$13,823.10
Rate for Payer: Amish Plain Church Group Commercial	$13,823.10
Rate for Payer: BCBS MAPPO	$11,058.48
Rate for Payer: BCBS Trust/PPO	$29,671.98
Rate for Payer: BCN Commercial	$29,671.98
Rate for Payer: BCN Medicare Advantage	$11,058.48
Rate for Payer: Health Alliance Plan Medicare Advantage	$11,058.48
Rate for Payer: Mclaren Medicare	$11,058.48
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$11,611.40
Rate for Payer: MI Amish Medical Board Commercial	$12,717.25
Rate for Payer: Molina Medicare/Medicaid	$12,164.33
Rate for Payer: Nomi Health Commercial	$17,492.40
Rate for Payer: PACE Medicare	$10,505.56
Rate for Payer: PACE SWMI	$11,058.48
Rate for Payer: PHP Medicare Advantage	$11,058.48
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$21,861.62
Rate for Payer: Priority Health Medicare	$11,058.48
Rate for Payer: Priority Health Tiered Network	$17,489.29
Rate for Payer: Railroad Medicare Medicare	$11,058.48
Rate for Payer: UHC All Payor (Choice/PPO)	$22,102.80
Rate for Payer: UHC Core	$18,491.77
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$11,058.48
Rate for Payer: UHC Exchange	$15,101.77
Rate for Payer: VA VA	$11,058.48

OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility

$18,002.77

Service Code	APR-DRG 0292
Min. Negotiated Rate	$17,145.49
Max. Negotiated Rate	$18,002.77
Rate for Payer: BCBS Complete	$18,002.77
Rate for Payer: Mclaren Medicaid	$17,145.49
Rate for Payer: Meridian Medicaid	$18,002.77
Rate for Payer: Priority Health Choice Medicaid	$17,145.49
Rate for Payer: UHC Medicaid	$17,145.49
Rate for Payer: UHCCP Medicaid	$17,145.49

OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility

$16,633.15

Service Code	APR-DRG 0291
Min. Negotiated Rate	$15,841.10
Max. Negotiated Rate	$16,633.15
Rate for Payer: BCBS Complete	$16,633.15
Rate for Payer: Mclaren Medicaid	$15,841.10
Rate for Payer: Meridian Medicaid	$16,633.15
Rate for Payer: Priority Health Choice Medicaid	$15,841.10
Rate for Payer: UHC Medicaid	$15,841.10
Rate for Payer: UHCCP Medicaid	$15,841.10

OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility

$23,177.37

Service Code	APR-DRG 0294
Min. Negotiated Rate	$22,073.69
Max. Negotiated Rate	$23,177.37
Rate for Payer: BCBS Complete	$23,177.37
Rate for Payer: Mclaren Medicaid	$22,073.69
Rate for Payer: Meridian Medicaid	$23,177.37
Rate for Payer: Priority Health Choice Medicaid	$22,073.69
Rate for Payer: UHC Medicaid	$22,073.69
Rate for Payer: UHCCP Medicaid	$22,073.69

OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility

$22,837.41

Service Code	APR-DRG 0293
Min. Negotiated Rate	$21,749.91
Max. Negotiated Rate	$22,837.41
Rate for Payer: BCBS Complete	$22,837.41
Rate for Payer: Mclaren Medicaid	$21,749.91
Rate for Payer: Meridian Medicaid	$22,837.41
Rate for Payer: Priority Health Choice Medicaid	$21,749.91
Rate for Payer: UHC Medicaid	$21,749.91
Rate for Payer: UHCCP Medicaid	$21,749.91

OTHER PERIPHERAL VASCULAR AND CIRCULATORY PROCEDURES

Facility

$21,493.59

Service Code	APR-DRG 1804
Min. Negotiated Rate	$20,470.09
Max. Negotiated Rate	$21,493.59
Rate for Payer: BCBS Complete	$21,493.59
Rate for Payer: Mclaren Medicaid	$20,470.09
Rate for Payer: Meridian Medicaid	$21,493.59
Rate for Payer: Priority Health Choice Medicaid	$20,470.09
Rate for Payer: UHC Medicaid	$20,470.09
Rate for Payer: UHCCP Medicaid	$20,470.09

OTHER PERIPHERAL VASCULAR AND CIRCULATORY PROCEDURES

Facility

$11,210.88

Service Code	APR-DRG 1803
Min. Negotiated Rate	$10,677.03
Max. Negotiated Rate	$11,210.88
Rate for Payer: BCBS Complete	$11,210.88
Rate for Payer: Mclaren Medicaid	$10,677.03
Rate for Payer: Meridian Medicaid	$11,210.88
Rate for Payer: Priority Health Choice Medicaid	$10,677.03
Rate for Payer: UHC Medicaid	$10,677.03
Rate for Payer: UHCCP Medicaid	$10,677.03

OTHER PERIPHERAL VASCULAR AND CIRCULATORY PROCEDURES

Facility

$8,982.46

Service Code	APR-DRG 1802
Min. Negotiated Rate	$8,554.73
Max. Negotiated Rate	$8,982.46
Rate for Payer: BCBS Complete	$8,982.46
Rate for Payer: Mclaren Medicaid	$8,554.73
Rate for Payer: Meridian Medicaid	$8,982.46
Rate for Payer: Priority Health Choice Medicaid	$8,554.73
Rate for Payer: UHC Medicaid	$8,554.73
Rate for Payer: UHCCP Medicaid	$8,554.73

OTHER PERIPHERAL VASCULAR AND CIRCULATORY PROCEDURES

Facility

$8,501.47

Service Code	APR-DRG 1801
Min. Negotiated Rate	$8,096.63
Max. Negotiated Rate	$8,501.47
Rate for Payer: BCBS Complete	$8,501.47
Rate for Payer: Mclaren Medicaid	$8,096.63
Rate for Payer: Meridian Medicaid	$8,501.47
Rate for Payer: Priority Health Choice Medicaid	$8,096.63
Rate for Payer: UHC Medicaid	$8,096.63
Rate for Payer: UHCCP Medicaid	$8,096.63

OTHER PNEUMONIA

Facility

$9,152.73

Service Code	APR-DRG 1394
Min. Negotiated Rate	$8,716.89
Max. Negotiated Rate	$9,152.73
Rate for Payer: BCBS Complete	$9,152.73
Rate for Payer: Mclaren Medicaid	$8,716.89
Rate for Payer: Meridian Medicaid	$9,152.73
Rate for Payer: Priority Health Choice Medicaid	$8,716.89
Rate for Payer: UHC Medicaid	$8,716.89
Rate for Payer: UHCCP Medicaid	$8,716.89

OTHER PNEUMONIA

Facility

$2,985.17

Service Code	APR-DRG 1391
Min. Negotiated Rate	$2,843.02
Max. Negotiated Rate	$2,985.17
Rate for Payer: BCBS Complete	$2,985.17
Rate for Payer: Mclaren Medicaid	$2,843.02
Rate for Payer: Meridian Medicaid	$2,985.17
Rate for Payer: Priority Health Choice Medicaid	$2,843.02
Rate for Payer: UHC Medicaid	$2,843.02
Rate for Payer: UHCCP Medicaid	$2,843.02

OTHER PNEUMONIA

Facility

$6,252.41

Service Code	APR-DRG 1393
Min. Negotiated Rate	$5,954.68
Max. Negotiated Rate	$6,252.41
Rate for Payer: BCBS Complete	$6,252.41
Rate for Payer: Mclaren Medicaid	$5,954.68
Rate for Payer: Meridian Medicaid	$6,252.41
Rate for Payer: Priority Health Choice Medicaid	$5,954.68
Rate for Payer: UHC Medicaid	$5,954.68
Rate for Payer: UHCCP Medicaid	$5,954.68

OTHER PNEUMONIA

Facility

$3,987.87

Service Code	APR-DRG 1392
Min. Negotiated Rate	$3,797.98
Max. Negotiated Rate	$3,987.87
Rate for Payer: BCBS Complete	$3,987.87
Rate for Payer: Mclaren Medicaid	$3,797.98
Rate for Payer: Meridian Medicaid	$3,987.87
Rate for Payer: Priority Health Choice Medicaid	$3,797.98
Rate for Payer: UHC Medicaid	$3,797.98
Rate for Payer: UHCCP Medicaid	$3,797.98

OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS

Facility

$15,051.99

Service Code	APR-DRG 4053
Min. Negotiated Rate	$14,335.23
Max. Negotiated Rate	$15,051.99
Rate for Payer: BCBS Complete	$15,051.99
Rate for Payer: Mclaren Medicaid	$14,335.23
Rate for Payer: Meridian Medicaid	$15,051.99
Rate for Payer: Priority Health Choice Medicaid	$14,335.23
Rate for Payer: UHC Medicaid	$14,335.23
Rate for Payer: UHCCP Medicaid	$14,335.23

OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS

Facility

$26,255.42

Service Code	APR-DRG 4054
Min. Negotiated Rate	$25,005.16
Max. Negotiated Rate	$26,255.42
Rate for Payer: BCBS Complete	$26,255.42
Rate for Payer: Mclaren Medicaid	$25,005.16
Rate for Payer: Meridian Medicaid	$26,255.42
Rate for Payer: Priority Health Choice Medicaid	$25,005.16
Rate for Payer: UHC Medicaid	$25,005.16
Rate for Payer: UHCCP Medicaid	$25,005.16

OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS

Facility

$9,767.31

Service Code	APR-DRG 4052
Min. Negotiated Rate	$9,302.20
Max. Negotiated Rate	$9,767.31
Rate for Payer: BCBS Complete	$9,767.31
Rate for Payer: Mclaren Medicaid	$9,302.20
Rate for Payer: Meridian Medicaid	$9,767.31
Rate for Payer: Priority Health Choice Medicaid	$9,302.20
Rate for Payer: UHC Medicaid	$9,302.20
Rate for Payer: UHCCP Medicaid	$9,302.20

OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS

Facility

$7,792.29

Service Code	APR-DRG 4051
Min. Negotiated Rate	$7,421.23
Max. Negotiated Rate	$7,792.29
Rate for Payer: BCBS Complete	$7,792.29
Rate for Payer: Mclaren Medicaid	$7,421.23
Rate for Payer: Meridian Medicaid	$7,792.29
Rate for Payer: Priority Health Choice Medicaid	$7,421.23
Rate for Payer: UHC Medicaid	$7,421.23
Rate for Payer: UHCCP Medicaid	$7,421.23

Know your out-of-pocket cost for care.

All Charges