Bronson Methodist Hospital

All Charges

Charge

Type

Setting

Price

HEADACHES WITH MCC

Facility

$23,138.45

Service Code	MSDRG 102
Min. Negotiated Rate	$9,468.37
Max. Negotiated Rate	$23,138.45
Rate for Payer: Aetna Medicare	$10,365.38
Rate for Payer: Allen County Amish Medical Aid Commercial	$12,458.39
Rate for Payer: Amish Plain Church Group Commercial	$12,458.39
Rate for Payer: BCBS MAPPO	$9,966.71
Rate for Payer: BCBS Trust/PPO	$23,138.45
Rate for Payer: BCN Commercial	$23,138.45
Rate for Payer: BCN Medicare Advantage	$9,966.71
Rate for Payer: Health Alliance Plan Medicare Advantage	$9,966.71
Rate for Payer: Mclaren Medicare	$9,966.71
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$10,465.05
Rate for Payer: MI Amish Medical Board Commercial	$11,461.72
Rate for Payer: Molina Medicare/Medicaid	$10,963.38
Rate for Payer: Nomi Health Commercial	$14,459.61
Rate for Payer: PACE Medicare	$9,468.37
Rate for Payer: PACE SWMI	$9,966.71
Rate for Payer: PHP Medicare Advantage	$9,966.71
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$18,071.31
Rate for Payer: Priority Health Medicare	$9,966.71
Rate for Payer: Priority Health Tiered Network	$14,457.04
Rate for Payer: Railroad Medicare Medicare	$9,966.71
Rate for Payer: UHC All Payor (Choice/PPO)	$18,270.67
Rate for Payer: UHC Core	$15,285.71
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$9,966.71
Rate for Payer: UHC Exchange	$12,483.46
Rate for Payer: VA VA	$9,966.71

HEADACHES WITHOUT MCC

Facility

$21,178.45

Service Code	MSDRG 103
Min. Negotiated Rate	$7,207.35
Max. Negotiated Rate	$21,178.45
Rate for Payer: Aetna Medicare	$7,890.15
Rate for Payer: Allen County Amish Medical Aid Commercial	$9,483.35
Rate for Payer: Amish Plain Church Group Commercial	$9,483.35
Rate for Payer: BCBS MAPPO	$7,586.68
Rate for Payer: BCBS Trust/PPO	$21,178.45
Rate for Payer: BCN Commercial	$21,178.45
Rate for Payer: BCN Medicare Advantage	$7,586.68
Rate for Payer: Health Alliance Plan Medicare Advantage	$7,586.68
Rate for Payer: Mclaren Medicare	$7,586.68
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$7,966.01
Rate for Payer: MI Amish Medical Board Commercial	$8,724.68
Rate for Payer: Molina Medicare/Medicaid	$8,345.35
Rate for Payer: Nomi Health Commercial	$10,788.27
Rate for Payer: PACE Medicare	$7,207.35
Rate for Payer: PACE SWMI	$7,586.68
Rate for Payer: PHP Medicare Advantage	$7,586.68
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$13,482.95
Rate for Payer: Priority Health Medicare	$7,586.68
Rate for Payer: Priority Health Tiered Network	$10,786.35
Rate for Payer: Railroad Medicare Medicare	$7,586.68
Rate for Payer: UHC All Payor (Choice/PPO)	$13,631.69
Rate for Payer: UHC Core	$11,404.62
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$7,586.68
Rate for Payer: UHC Exchange	$9,313.87
Rate for Payer: VA VA	$7,586.68

HEAD TRAUMA WITH COMA < 1 HOUR

Facility

$3,802.05

Service Code	APR-DRG 0601
Min. Negotiated Rate	$3,621.00
Max. Negotiated Rate	$3,802.05
Rate for Payer: BCBS Complete	$3,802.05
Rate for Payer: Mclaren Medicaid	$3,621.00
Rate for Payer: Meridian Medicaid	$3,802.05
Rate for Payer: Priority Health Choice Medicaid	$3,621.00
Rate for Payer: UHC Medicaid	$3,621.00
Rate for Payer: UHCCP Medicaid	$3,621.00

HEAD TRAUMA WITH COMA < 1 HOUR

Facility

$7,731.82

Service Code	APR-DRG 0603
Min. Negotiated Rate	$7,363.63
Max. Negotiated Rate	$7,731.82
Rate for Payer: BCBS Complete	$7,731.82
Rate for Payer: Mclaren Medicaid	$7,363.63
Rate for Payer: Meridian Medicaid	$7,731.82
Rate for Payer: Priority Health Choice Medicaid	$7,363.63
Rate for Payer: UHC Medicaid	$7,363.63
Rate for Payer: UHCCP Medicaid	$7,363.63

HEAD TRAUMA WITH COMA < 1 HOUR

Facility

$5,426.74

Service Code	APR-DRG 0602
Min. Negotiated Rate	$5,168.32
Max. Negotiated Rate	$5,426.74
Rate for Payer: BCBS Complete	$5,426.74
Rate for Payer: Mclaren Medicaid	$5,168.32
Rate for Payer: Meridian Medicaid	$5,426.74
Rate for Payer: Priority Health Choice Medicaid	$5,168.32
Rate for Payer: UHC Medicaid	$5,168.32
Rate for Payer: UHCCP Medicaid	$5,168.32

HEAD TRAUMA WITH COMA < 1 HOUR

Facility

$13,092.57

Service Code	APR-DRG 0604
Min. Negotiated Rate	$12,469.12
Max. Negotiated Rate	$13,092.57
Rate for Payer: BCBS Complete	$13,092.57
Rate for Payer: Mclaren Medicaid	$12,469.12
Rate for Payer: Meridian Medicaid	$13,092.57
Rate for Payer: Priority Health Choice Medicaid	$12,469.12
Rate for Payer: UHC Medicaid	$12,469.12
Rate for Payer: UHCCP Medicaid	$12,469.12

HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE

Facility

$4,742.72

Service Code	APR-DRG 0551
Min. Negotiated Rate	$4,516.88
Max. Negotiated Rate	$4,742.72
Rate for Payer: BCBS Complete	$4,742.72
Rate for Payer: Mclaren Medicaid	$4,516.88
Rate for Payer: Meridian Medicaid	$4,742.72
Rate for Payer: Priority Health Choice Medicaid	$4,516.88
Rate for Payer: UHC Medicaid	$4,516.88
Rate for Payer: UHCCP Medicaid	$4,516.88

HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE

Facility

$11,262.07

Service Code	APR-DRG 0553
Min. Negotiated Rate	$10,725.78
Max. Negotiated Rate	$11,262.07
Rate for Payer: BCBS Complete	$11,262.07
Rate for Payer: Mclaren Medicaid	$10,725.78
Rate for Payer: Meridian Medicaid	$11,262.07
Rate for Payer: Priority Health Choice Medicaid	$10,725.78
Rate for Payer: UHC Medicaid	$10,725.78
Rate for Payer: UHCCP Medicaid	$10,725.78

HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE

Facility

$6,829.88

Service Code	APR-DRG 0552
Min. Negotiated Rate	$6,504.65
Max. Negotiated Rate	$6,829.88
Rate for Payer: BCBS Complete	$6,829.88
Rate for Payer: Mclaren Medicaid	$6,504.65
Rate for Payer: Meridian Medicaid	$6,829.88
Rate for Payer: Priority Health Choice Medicaid	$6,504.65
Rate for Payer: UHC Medicaid	$6,504.65
Rate for Payer: UHCCP Medicaid	$6,504.65

HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE

Facility

$15,528.40

Service Code	APR-DRG 0554
Min. Negotiated Rate	$14,788.95
Max. Negotiated Rate	$15,528.40
Rate for Payer: BCBS Complete	$15,528.40
Rate for Payer: Mclaren Medicaid	$14,788.95
Rate for Payer: Meridian Medicaid	$15,528.40
Rate for Payer: Priority Health Choice Medicaid	$14,788.95
Rate for Payer: UHC Medicaid	$14,788.95
Rate for Payer: UHCCP Medicaid	$14,788.95

HEARING AID RESTOCKING FEE

Professional

Both

$137.00

Hospital Revenue Code	990
Min. Negotiated Rate	$54.80
Max. Negotiated Rate	$102.75
Rate for Payer: Aetna Medicare	$68.50
Rate for Payer: BCBS Complete	$54.80
Rate for Payer: Cash Price	$109.60
Rate for Payer: Opus (Opus Packaging Group) HMA	$102.75
Rate for Payer: UMR Bronson Commercial	$63.02

HEART FAILURE

Facility

$4,630.13

Service Code	APR-DRG 1942
Min. Negotiated Rate	$4,409.65
Max. Negotiated Rate	$4,630.13
Rate for Payer: BCBS Complete	$4,630.13
Rate for Payer: Mclaren Medicaid	$4,409.65
Rate for Payer: Meridian Medicaid	$4,630.13
Rate for Payer: Priority Health Choice Medicaid	$4,409.65
Rate for Payer: UHC Medicaid	$4,409.65
Rate for Payer: UHCCP Medicaid	$4,409.65

HEART FAILURE

Facility

$3,415.24

Service Code	APR-DRG 1941
Min. Negotiated Rate	$3,252.61
Max. Negotiated Rate	$3,415.24
Rate for Payer: BCBS Complete	$3,415.24
Rate for Payer: Mclaren Medicaid	$3,252.61
Rate for Payer: Meridian Medicaid	$3,415.24
Rate for Payer: Priority Health Choice Medicaid	$3,252.61
Rate for Payer: UHC Medicaid	$3,252.61
Rate for Payer: UHCCP Medicaid	$3,252.61

HEART FAILURE

Facility

$6,280.85

Service Code	APR-DRG 1943
Min. Negotiated Rate	$5,981.76
Max. Negotiated Rate	$6,280.85
Rate for Payer: BCBS Complete	$6,280.85
Rate for Payer: Mclaren Medicaid	$5,981.76
Rate for Payer: Meridian Medicaid	$6,280.85
Rate for Payer: Priority Health Choice Medicaid	$5,981.76
Rate for Payer: UHC Medicaid	$5,981.76
Rate for Payer: UHCCP Medicaid	$5,981.76

HEART FAILURE

Facility

$14,710.00

Service Code	APR-DRG 1944
Min. Negotiated Rate	$14,009.53
Max. Negotiated Rate	$14,710.00
Rate for Payer: BCBS Complete	$14,710.00
Rate for Payer: Mclaren Medicaid	$14,009.53
Rate for Payer: Meridian Medicaid	$14,710.00
Rate for Payer: Priority Health Choice Medicaid	$14,009.53
Rate for Payer: UHC Medicaid	$14,009.53
Rate for Payer: UHCCP Medicaid	$14,009.53

HEART FAILURE AND SHOCK WITH CC

Facility

$16,605.11

Service Code	MSDRG 292
Min. Negotiated Rate	$7,308.26
Max. Negotiated Rate	$16,605.11
Rate for Payer: Aetna Medicare	$8,000.62
Rate for Payer: Allen County Amish Medical Aid Commercial	$9,616.12
Rate for Payer: Amish Plain Church Group Commercial	$9,616.12
Rate for Payer: BCBS MAPPO	$7,692.90
Rate for Payer: BCBS Trust/PPO	$16,605.11
Rate for Payer: BCN Commercial	$16,605.11
Rate for Payer: BCN Medicare Advantage	$7,692.90
Rate for Payer: Health Alliance Plan Medicare Advantage	$7,692.90
Rate for Payer: Mclaren Medicare	$7,692.90
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$8,077.55
Rate for Payer: MI Amish Medical Board Commercial	$8,846.83
Rate for Payer: Molina Medicare/Medicaid	$8,462.19
Rate for Payer: Nomi Health Commercial	$10,952.10
Rate for Payer: PACE Medicare	$7,308.26
Rate for Payer: PACE SWMI	$7,692.90
Rate for Payer: PHP Medicare Advantage	$7,692.90
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$13,687.70
Rate for Payer: Priority Health Medicare	$7,692.90
Rate for Payer: Priority Health Tiered Network	$10,950.16
Rate for Payer: Railroad Medicare Medicare	$7,692.90
Rate for Payer: UHC All Payor (Choice/PPO)	$13,838.70
Rate for Payer: UHC Core	$11,577.81
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$7,692.90
Rate for Payer: UHC Exchange	$9,455.31
Rate for Payer: VA VA	$7,692.90

HEART FAILURE AND SHOCK WITH MCC

Facility

$24,689.43

Service Code	MSDRG 291
Min. Negotiated Rate	$10,762.55
Max. Negotiated Rate	$24,689.43
Rate for Payer: Aetna Medicare	$11,782.16
Rate for Payer: Allen County Amish Medical Aid Commercial	$14,161.25
Rate for Payer: Amish Plain Church Group Commercial	$14,161.25
Rate for Payer: BCBS MAPPO	$11,329.00
Rate for Payer: BCBS Trust/PPO	$24,689.43
Rate for Payer: BCN Commercial	$24,689.43
Rate for Payer: BCN Medicare Advantage	$11,329.00
Rate for Payer: Health Alliance Plan Medicare Advantage	$11,329.00
Rate for Payer: Mclaren Medicare	$11,329.00
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$11,895.45
Rate for Payer: MI Amish Medical Board Commercial	$13,028.35
Rate for Payer: Molina Medicare/Medicaid	$12,461.90
Rate for Payer: Nomi Health Commercial	$16,561.02
Rate for Payer: PACE Medicare	$10,762.55
Rate for Payer: PACE SWMI	$11,329.00
Rate for Payer: PHP Medicare Advantage	$11,329.00
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$20,697.60
Rate for Payer: Priority Health Medicare	$11,329.00
Rate for Payer: Priority Health Tiered Network	$16,558.08
Rate for Payer: Railroad Medicare Medicare	$11,329.00
Rate for Payer: UHC All Payor (Choice/PPO)	$20,925.94
Rate for Payer: UHC Core	$17,507.18
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$11,329.00
Rate for Payer: UHC Exchange	$14,297.68
Rate for Payer: VA VA	$11,329.00

HEART FAILURE AND SHOCK WITHOUT CC/MCC

Facility

$10,887.07

Service Code	MSDRG 293
Min. Negotiated Rate	$5,059.93
Max. Negotiated Rate	$10,887.07
Rate for Payer: Aetna Medicare	$5,539.29
Rate for Payer: Allen County Amish Medical Aid Commercial	$6,657.80
Rate for Payer: Amish Plain Church Group Commercial	$6,657.80
Rate for Payer: BCBS MAPPO	$5,326.24
Rate for Payer: BCBS Trust/PPO	$10,887.07
Rate for Payer: BCN Commercial	$10,887.07
Rate for Payer: BCN Medicare Advantage	$5,326.24
Rate for Payer: Health Alliance Plan Medicare Advantage	$5,326.24
Rate for Payer: Mclaren Medicare	$5,326.24
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$5,592.55
Rate for Payer: MI Amish Medical Board Commercial	$6,125.18
Rate for Payer: Molina Medicare/Medicaid	$5,858.86
Rate for Payer: Nomi Health Commercial	$7,301.40
Rate for Payer: PACE Medicare	$5,059.93
Rate for Payer: PACE SWMI	$5,326.24
Rate for Payer: PHP Medicare Advantage	$5,326.24
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$9,125.13
Rate for Payer: Priority Health Medicare	$5,326.24
Rate for Payer: Priority Health Tiered Network	$7,300.10
Rate for Payer: Railroad Medicare Medicare	$5,326.24
Rate for Payer: UHC All Payor (Choice/PPO)	$9,225.80
Rate for Payer: UHC Core	$7,718.54
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$5,326.24
Rate for Payer: UHC Exchange	$6,303.54
Rate for Payer: VA VA	$5,326.24

HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC

Facility

$672,741.66

Service Code	MSDRG 001
Min. Negotiated Rate	$223,200.83
Max. Negotiated Rate	$672,741.66
Rate for Payer: Aetna Medicare	$244,346.17
Rate for Payer: Allen County Amish Medical Aid Commercial	$293,685.30
Rate for Payer: Amish Plain Church Group Commercial	$293,685.30
Rate for Payer: BCBS MAPPO	$234,948.24
Rate for Payer: BCBS Trust/PPO	$672,741.66
Rate for Payer: BCN Commercial	$672,741.66
Rate for Payer: BCN Medicare Advantage	$234,948.24
Rate for Payer: Health Alliance Plan Medicare Advantage	$234,948.24
Rate for Payer: Mclaren Medicare	$234,948.24
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$246,695.65
Rate for Payer: MI Amish Medical Board Commercial	$270,190.48
Rate for Payer: Molina Medicare/Medicaid	$258,443.06
Rate for Payer: Nomi Health Commercial	$361,508.31
Rate for Payer: PACE Medicare	$223,200.83
Rate for Payer: PACE SWMI	$234,948.24
Rate for Payer: PHP Medicare Advantage	$234,948.24
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$451,805.24
Rate for Payer: Priority Health Medicare	$234,948.24
Rate for Payer: Priority Health Tiered Network	$361,444.14
Rate for Payer: Railroad Medicare Medicare	$234,948.24
Rate for Payer: VA VA	$234,948.24

HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC

Facility

$247,709.59

Service Code	MSDRG 002
Min. Negotiated Rate	$90,589.46
Max. Negotiated Rate	$247,709.59
Rate for Payer: Aetna Medicare	$99,171.62
Rate for Payer: Allen County Amish Medical Aid Commercial	$119,196.66
Rate for Payer: Amish Plain Church Group Commercial	$119,196.66
Rate for Payer: BCBS MAPPO	$95,357.33
Rate for Payer: BCBS Trust/PPO	$247,709.59
Rate for Payer: BCN Commercial	$247,709.59
Rate for Payer: BCN Medicare Advantage	$95,357.33
Rate for Payer: Health Alliance Plan Medicare Advantage	$95,357.33
Rate for Payer: Mclaren Medicare	$95,357.33
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$100,125.20
Rate for Payer: MI Amish Medical Board Commercial	$109,660.93
Rate for Payer: Molina Medicare/Medicaid	$104,893.06
Rate for Payer: Nomi Health Commercial	$146,180.22
Rate for Payer: PACE Medicare	$90,589.46
Rate for Payer: PACE SWMI	$95,357.33
Rate for Payer: PHP Medicare Advantage	$95,357.33
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$182,692.87
Rate for Payer: Priority Health Medicare	$95,357.33
Rate for Payer: Priority Health Tiered Network	$146,154.27
Rate for Payer: Railroad Medicare Medicare	$95,357.33
Rate for Payer: VA VA	$95,357.33

HEMIN 350 MG INTRAVENOUS POWDER FOR SOLUTION

Facility

$29,710.62

Service Code	HCPCS J1640
Hospital Charge Code	183624
Hospital Revenue Code	636
Min. Negotiated Rate	$18.47
Max. Negotiated Rate	$26,739.56
Rate for Payer: Aetna American Axle	$19,311.90
Rate for Payer: Aetna Commercial	$25,254.03
Rate for Payer: Aetna Medicare	$36.72
Rate for Payer: Aetna New Business (MI Preferred)	$19,311.90
Rate for Payer: Allen County Amish Medical Aid Commercial	$44.14
Rate for Payer: Amish Plain Church Group Commercial	$44.14
Rate for Payer: BCBS Complete	$19.39
Rate for Payer: BCBS MAPPO	$35.31
Rate for Payer: BCBS Trust/PPO	$114.48
Rate for Payer: BCN Commercial	$114.48
Rate for Payer: BCN Medicare Advantage	$35.31
Rate for Payer: Cash Price	$23,768.50
Rate for Payer: Cash Price	$23,768.50
Rate for Payer: Cofinity Advantage	$20,797.43
Rate for Payer: Cofinity Commercial	$25,551.13
Rate for Payer: Encore Health Key Benefits Commercial	$23,768.50
Rate for Payer: Health Alliance Plan Medicare Advantage	$35.31
Rate for Payer: Healthscope Commercial	$26,739.56
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial	$20,797.43
Rate for Payer: Lakeland Regional Health Systems Commercial	$22,282.97
Rate for Payer: Mclaren Medicaid	$35.31
Rate for Payer: Mclaren Medicare	$35.31
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$37.08
Rate for Payer: Meridian Medicaid	$37.08
Rate for Payer: MI Amish Medical Board Commercial	$40.61
Rate for Payer: Molina Medicare/Medicaid	$38.84
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$25,254.03
Rate for Payer: Nomi Health Commercial	$105.93
Rate for Payer: Opus (Opus Packaging Group) HMA	$22,282.97
Rate for Payer: PACE Medicare	$33.54
Rate for Payer: PACE SWMI	$35.31
Rate for Payer: PHP Commercial	$25,254.03
Rate for Payer: PHP Medicare Advantage	$35.31
Rate for Payer: Priority Health Choice Medicaid	$18.47
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$107.80
Rate for Payer: Priority Health Medicare	$35.31
Rate for Payer: Priority Health SBD	$18,717.69
Rate for Payer: Priority Health Tiered Network	$86.24
Rate for Payer: Railroad Medicare Medicare	$35.31
Rate for Payer: UHC All Payor (Choice/PPO)	$58.26
Rate for Payer: UHC Core	$58.26
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$35.31
Rate for Payer: UHC Exchange	$58.26
Rate for Payer: UHC Medicaid	$18.47
Rate for Payer: UHCCP Medicaid	$18.47
Rate for Payer: UMR Bronson Commercial	$10,992.93
Rate for Payer: VA VA	$35.31
Rate for Payer: Van Buren County Sheriff Dept. Commercial	$22,282.97

HEMIN 350 MG INTRAVENOUS POWDER FOR SOLUTION

Facility

$29,710.62

Service Code	HCPCS J1640
Hospital Charge Code	183624
Hospital Revenue Code	636
Min. Negotiated Rate	$13,072.67
Max. Negotiated Rate	$26,739.56
Rate for Payer: Aetna American Axle	$19,311.90
Rate for Payer: Aetna Commercial	$25,254.03
Rate for Payer: Aetna New Business (MI Preferred)	$19,311.90
Rate for Payer: Cash Price	$23,768.50
Rate for Payer: Cofinity Advantage	$20,797.43
Rate for Payer: Cofinity Commercial	$25,551.13
Rate for Payer: Encore Health Key Benefits Commercial	$23,768.50
Rate for Payer: Healthscope Commercial	$26,739.56
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial	$20,797.43
Rate for Payer: Lakeland Regional Health Systems Commercial	$22,282.97
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$25,254.03
Rate for Payer: Opus (Opus Packaging Group) HMA	$22,282.97
Rate for Payer: PHP Commercial	$25,254.03
Rate for Payer: Priority Health SBD	$18,717.69
Rate for Payer: UMR Bronson Commercial	$13,072.67
Rate for Payer: Van Buren County Sheriff Dept. Commercial	$22,282.97

HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION

Facility

$14,417.63

Service Code	APR-DRG 8104
Min. Negotiated Rate	$13,731.08
Max. Negotiated Rate	$14,417.63
Rate for Payer: BCBS Complete	$14,417.63
Rate for Payer: Mclaren Medicaid	$13,731.08
Rate for Payer: Meridian Medicaid	$14,417.63
Rate for Payer: Priority Health Choice Medicaid	$13,731.08
Rate for Payer: UHC Medicaid	$13,731.08
Rate for Payer: UHCCP Medicaid	$13,731.08

HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION

Facility

$3,516.33

Service Code	APR-DRG 8101
Min. Negotiated Rate	$3,348.89
Max. Negotiated Rate	$3,516.33
Rate for Payer: BCBS Complete	$3,516.33
Rate for Payer: Mclaren Medicaid	$3,348.89
Rate for Payer: Meridian Medicaid	$3,516.33
Rate for Payer: Priority Health Choice Medicaid	$3,348.89
Rate for Payer: UHC Medicaid	$3,348.89
Rate for Payer: UHCCP Medicaid	$3,348.89

HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION

Facility

$4,891.63

Service Code	APR-DRG 8102
Min. Negotiated Rate	$4,658.70
Max. Negotiated Rate	$4,891.63
Rate for Payer: BCBS Complete	$4,891.63
Rate for Payer: Mclaren Medicaid	$4,658.70
Rate for Payer: Meridian Medicaid	$4,891.63
Rate for Payer: Priority Health Choice Medicaid	$4,658.70
Rate for Payer: UHC Medicaid	$4,658.70
Rate for Payer: UHCCP Medicaid	$4,658.70

Know your out-of-pocket cost for care.

All Charges