Bronson Methodist Hospital

All Charges

Charge

Type

Setting

Price

INSULIN U-100 REGULAR HUMAN 100 UNIT/ML SQ FOR INSULIN PUMP REFILL

Facility

$81.55

Service Code	NDC 00002821501
Hospital Charge Code	301806
Hospital Revenue Code	637
Min. Negotiated Rate	$35.88
Max. Negotiated Rate	$73.39
Rate for Payer: Aetna American Axle	$53.01
Rate for Payer: Aetna Commercial	$69.32
Rate for Payer: Aetna New Business (MI Preferred)	$53.01
Rate for Payer: Cash Price	$65.24
Rate for Payer: Cofinity Advantage	$57.09
Rate for Payer: Cofinity Commercial	$70.13
Rate for Payer: Encore Health Key Benefits Commercial	$65.24
Rate for Payer: Healthscope Commercial	$73.39
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial	$57.09
Rate for Payer: Lakeland Regional Health Systems Commercial	$61.16
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$69.32
Rate for Payer: Opus (Opus Packaging Group) HMA	$61.16
Rate for Payer: PHP Commercial	$69.32
Rate for Payer: Priority Health SBD	$51.38
Rate for Payer: UMR Bronson Commercial	$35.88
Rate for Payer: Van Buren County Sheriff Dept. Commercial	$61.16

INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE

Facility

$3,937.64

Service Code	APR-DRG 8172
Min. Negotiated Rate	$3,750.13
Max. Negotiated Rate	$3,937.64
Rate for Payer: BCBS Complete	$3,937.64
Rate for Payer: Mclaren Medicaid	$3,750.13
Rate for Payer: Meridian Medicaid	$3,937.64
Rate for Payer: Priority Health Choice Medicaid	$3,750.13
Rate for Payer: UHC Medicaid	$3,750.13
Rate for Payer: UHCCP Medicaid	$3,750.13

INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE

Facility

$2,725.17

Service Code	APR-DRG 8171
Min. Negotiated Rate	$2,595.40
Max. Negotiated Rate	$2,725.17
Rate for Payer: BCBS Complete	$2,725.17
Rate for Payer: Mclaren Medicaid	$2,595.40
Rate for Payer: Meridian Medicaid	$2,725.17
Rate for Payer: Priority Health Choice Medicaid	$2,595.40
Rate for Payer: UHC Medicaid	$2,595.40
Rate for Payer: UHCCP Medicaid	$2,595.40

INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE

Facility

$7,078.07

Service Code	APR-DRG 8173
Min. Negotiated Rate	$6,741.01
Max. Negotiated Rate	$7,078.07
Rate for Payer: BCBS Complete	$7,078.07
Rate for Payer: Mclaren Medicaid	$6,741.01
Rate for Payer: Meridian Medicaid	$7,078.07
Rate for Payer: Priority Health Choice Medicaid	$6,741.01
Rate for Payer: UHC Medicaid	$6,741.01
Rate for Payer: UHCCP Medicaid	$6,741.01

INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE

Facility

$12,090.16

Service Code	APR-DRG 8174
Min. Negotiated Rate	$11,514.43
Max. Negotiated Rate	$12,090.16
Rate for Payer: BCBS Complete	$12,090.16
Rate for Payer: Mclaren Medicaid	$11,514.43
Rate for Payer: Meridian Medicaid	$12,090.16
Rate for Payer: Priority Health Choice Medicaid	$11,514.43
Rate for Payer: UHC Medicaid	$11,514.43
Rate for Payer: UHCCP Medicaid	$11,514.43

INTERNAL NEUROLYSIS, REQUIRING USE OF OPERATING MICROSCOPE (LIST SEPARATELY IN ADDITION TO CODE FOR NEUROPLASTY) (NEUROPLASTY INCLUDES EXTERNAL NEUROLYSIS)

Facility

$816.62

Service Code	CPT 64727
Hospital Revenue Code	360
Min. Negotiated Rate	$816.62
Max. Negotiated Rate	$816.62
Rate for Payer: BCBS Trust/PPO	$816.62
Rate for Payer: BCN Commercial	$816.62

INTERSTITIAL AND ALVEOLAR LUNG DISEASES

Facility

$3,705.19

Service Code	APR-DRG 1421
Min. Negotiated Rate	$3,528.76
Max. Negotiated Rate	$3,705.19
Rate for Payer: BCBS Complete	$3,705.19
Rate for Payer: Mclaren Medicaid	$3,528.76
Rate for Payer: Meridian Medicaid	$3,705.19
Rate for Payer: Priority Health Choice Medicaid	$3,528.76
Rate for Payer: UHC Medicaid	$3,528.76
Rate for Payer: UHCCP Medicaid	$3,528.76

INTERSTITIAL AND ALVEOLAR LUNG DISEASES

Facility

$11,354.69

Service Code	APR-DRG 1424
Min. Negotiated Rate	$10,813.99
Max. Negotiated Rate	$11,354.69
Rate for Payer: BCBS Complete	$11,354.69
Rate for Payer: Mclaren Medicaid	$10,813.99
Rate for Payer: Meridian Medicaid	$11,354.69
Rate for Payer: Priority Health Choice Medicaid	$10,813.99
Rate for Payer: UHC Medicaid	$10,813.99
Rate for Payer: UHCCP Medicaid	$10,813.99

INTERSTITIAL AND ALVEOLAR LUNG DISEASES

Facility

$5,657.37

Service Code	APR-DRG 1422
Min. Negotiated Rate	$5,387.97
Max. Negotiated Rate	$5,657.37
Rate for Payer: BCBS Complete	$5,657.37
Rate for Payer: Mclaren Medicaid	$5,387.97
Rate for Payer: Meridian Medicaid	$5,657.37
Rate for Payer: Priority Health Choice Medicaid	$5,387.97
Rate for Payer: UHC Medicaid	$5,387.97
Rate for Payer: UHCCP Medicaid	$5,387.97

INTERSTITIAL AND ALVEOLAR LUNG DISEASES

Facility

$8,011.48

Service Code	APR-DRG 1423
Min. Negotiated Rate	$7,629.98
Max. Negotiated Rate	$8,011.48
Rate for Payer: BCBS Complete	$8,011.48
Rate for Payer: Mclaren Medicaid	$7,629.98
Rate for Payer: Meridian Medicaid	$8,011.48
Rate for Payer: Priority Health Choice Medicaid	$7,629.98
Rate for Payer: UHC Medicaid	$7,629.98
Rate for Payer: UHCCP Medicaid	$7,629.98

INTERSTITIAL LUNG DISEASE WITH CC

Facility

$22,913.35

Service Code	MSDRG 197
Min. Negotiated Rate	$8,103.50
Max. Negotiated Rate	$22,913.35
Rate for Payer: Aetna Medicare	$8,871.20
Rate for Payer: Allen County Amish Medical Aid Commercial	$10,662.50
Rate for Payer: Amish Plain Church Group Commercial	$10,662.50
Rate for Payer: BCBS MAPPO	$8,530.00
Rate for Payer: BCBS Trust/PPO	$22,913.35
Rate for Payer: BCN Commercial	$22,913.35
Rate for Payer: BCN Medicare Advantage	$8,530.00
Rate for Payer: Health Alliance Plan Medicare Advantage	$8,530.00
Rate for Payer: Mclaren Medicare	$8,530.00
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$8,956.50
Rate for Payer: MI Amish Medical Board Commercial	$9,809.50
Rate for Payer: Molina Medicare/Medicaid	$9,383.00
Rate for Payer: Nomi Health Commercial	$12,243.39
Rate for Payer: PACE Medicare	$8,103.50
Rate for Payer: PACE SWMI	$8,530.00
Rate for Payer: PHP Medicare Advantage	$8,530.00
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$15,301.52
Rate for Payer: Priority Health Medicare	$8,530.00
Rate for Payer: Priority Health Tiered Network	$12,241.22
Rate for Payer: Railroad Medicare Medicare	$8,530.00
Rate for Payer: UHC All Payor (Choice/PPO)	$15,470.33
Rate for Payer: UHC Core	$12,942.88
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$8,530.00
Rate for Payer: UHC Exchange	$10,570.13
Rate for Payer: VA VA	$8,530.00

INTERSTITIAL LUNG DISEASE WITH MCC

Facility

$30,761.36

Service Code	MSDRG 196
Min. Negotiated Rate	$15,556.29
Max. Negotiated Rate	$30,761.36
Rate for Payer: Aetna Medicare	$17,030.04
Rate for Payer: Allen County Amish Medical Aid Commercial	$20,468.80
Rate for Payer: Amish Plain Church Group Commercial	$20,468.80
Rate for Payer: BCBS MAPPO	$16,375.04
Rate for Payer: BCBS Trust/PPO	$27,947.86
Rate for Payer: BCN Commercial	$27,947.86
Rate for Payer: BCN Medicare Advantage	$16,375.04
Rate for Payer: Health Alliance Plan Medicare Advantage	$16,375.04
Rate for Payer: Mclaren Medicare	$16,375.04
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$17,193.79
Rate for Payer: MI Amish Medical Board Commercial	$18,831.30
Rate for Payer: Molina Medicare/Medicaid	$18,012.54
Rate for Payer: Nomi Health Commercial	$24,344.88
Rate for Payer: PACE Medicare	$15,556.29
Rate for Payer: PACE SWMI	$16,375.04
Rate for Payer: PHP Medicare Advantage	$16,375.04
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$30,425.70
Rate for Payer: Priority Health Medicare	$16,375.04
Rate for Payer: Priority Health Tiered Network	$24,340.56
Rate for Payer: Railroad Medicare Medicare	$16,375.04
Rate for Payer: UHC All Payor (Choice/PPO)	$30,761.36
Rate for Payer: UHC Core	$25,735.75
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$16,375.04
Rate for Payer: UHC Exchange	$21,017.75
Rate for Payer: VA VA	$16,375.04

INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC

Facility

$15,114.52

Service Code	MSDRG 198
Min. Negotiated Rate	$6,253.20
Max. Negotiated Rate	$15,114.52
Rate for Payer: Aetna Medicare	$6,845.61
Rate for Payer: Allen County Amish Medical Aid Commercial	$8,227.90
Rate for Payer: Amish Plain Church Group Commercial	$8,227.90
Rate for Payer: BCBS MAPPO	$6,582.32
Rate for Payer: BCBS Trust/PPO	$15,114.52
Rate for Payer: BCN Commercial	$15,114.52
Rate for Payer: BCN Medicare Advantage	$6,582.32
Rate for Payer: Health Alliance Plan Medicare Advantage	$6,582.32
Rate for Payer: Mclaren Medicare	$6,582.32
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$6,911.44
Rate for Payer: MI Amish Medical Board Commercial	$7,569.67
Rate for Payer: Molina Medicare/Medicaid	$7,240.55
Rate for Payer: Nomi Health Commercial	$9,238.98
Rate for Payer: PACE Medicare	$6,253.20
Rate for Payer: PACE SWMI	$6,582.32
Rate for Payer: PHP Medicare Advantage	$6,582.32
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$11,546.68
Rate for Payer: Priority Health Medicare	$6,582.32
Rate for Payer: Priority Health Tiered Network	$9,237.34
Rate for Payer: Railroad Medicare Medicare	$6,582.32
Rate for Payer: UHC All Payor (Choice/PPO)	$11,674.06
Rate for Payer: UHC Core	$9,766.82
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$6,582.32
Rate for Payer: UHC Exchange	$7,976.32
Rate for Payer: VA VA	$6,582.32

INTESTINAL OBSTRUCTION

Facility

$3,217.30

Service Code	APR-DRG 2471
Min. Negotiated Rate	$3,064.10
Max. Negotiated Rate	$3,217.30
Rate for Payer: BCBS Complete	$3,217.30
Rate for Payer: Mclaren Medicaid	$3,064.10
Rate for Payer: Meridian Medicaid	$3,217.30
Rate for Payer: Priority Health Choice Medicaid	$3,064.10
Rate for Payer: UHC Medicaid	$3,064.10
Rate for Payer: UHCCP Medicaid	$3,064.10

INTESTINAL OBSTRUCTION

Facility

$4,203.38

Service Code	APR-DRG 2472
Min. Negotiated Rate	$4,003.22
Max. Negotiated Rate	$4,203.38
Rate for Payer: BCBS Complete	$4,203.38
Rate for Payer: Mclaren Medicaid	$4,003.22
Rate for Payer: Meridian Medicaid	$4,203.38
Rate for Payer: Priority Health Choice Medicaid	$4,003.22
Rate for Payer: UHC Medicaid	$4,003.22
Rate for Payer: UHCCP Medicaid	$4,003.22

INTESTINAL OBSTRUCTION

Facility

$11,729.99

Service Code	APR-DRG 2474
Min. Negotiated Rate	$11,171.42
Max. Negotiated Rate	$11,729.99
Rate for Payer: BCBS Complete	$11,729.99
Rate for Payer: Mclaren Medicaid	$11,171.42
Rate for Payer: Meridian Medicaid	$11,729.99
Rate for Payer: Priority Health Choice Medicaid	$11,171.42
Rate for Payer: UHC Medicaid	$11,171.42
Rate for Payer: UHCCP Medicaid	$11,171.42

INTESTINAL OBSTRUCTION

Facility

$6,127.70

Service Code	APR-DRG 2473
Min. Negotiated Rate	$5,835.91
Max. Negotiated Rate	$6,127.70
Rate for Payer: BCBS Complete	$6,127.70
Rate for Payer: Mclaren Medicaid	$5,835.91
Rate for Payer: Meridian Medicaid	$6,127.70
Rate for Payer: Priority Health Choice Medicaid	$5,835.91
Rate for Payer: UHC Medicaid	$5,835.91
Rate for Payer: UHCCP Medicaid	$5,835.91

INTRACRANIAL HEMORRHAGE

Facility

$8,514.50

Service Code	APR-DRG 0442
Min. Negotiated Rate	$8,109.05
Max. Negotiated Rate	$8,514.50
Rate for Payer: BCBS Complete	$8,514.50
Rate for Payer: Mclaren Medicaid	$8,109.05
Rate for Payer: Meridian Medicaid	$8,514.50
Rate for Payer: Priority Health Choice Medicaid	$8,109.05
Rate for Payer: UHC Medicaid	$8,109.05
Rate for Payer: UHCCP Medicaid	$8,109.05

INTRACRANIAL HEMORRHAGE

Facility

$13,027.80

Service Code	APR-DRG 0443
Min. Negotiated Rate	$12,407.43
Max. Negotiated Rate	$13,027.80
Rate for Payer: BCBS Complete	$13,027.80
Rate for Payer: Mclaren Medicaid	$12,407.43
Rate for Payer: Meridian Medicaid	$13,027.80
Rate for Payer: Priority Health Choice Medicaid	$12,407.43
Rate for Payer: UHC Medicaid	$12,407.43
Rate for Payer: UHCCP Medicaid	$12,407.43

INTRACRANIAL HEMORRHAGE

Facility

$16,478.16

Service Code	APR-DRG 0444
Min. Negotiated Rate	$15,693.48
Max. Negotiated Rate	$16,478.16
Rate for Payer: BCBS Complete	$16,478.16
Rate for Payer: Mclaren Medicaid	$15,693.48
Rate for Payer: Meridian Medicaid	$16,478.16
Rate for Payer: Priority Health Choice Medicaid	$15,693.48
Rate for Payer: UHC Medicaid	$15,693.48
Rate for Payer: UHCCP Medicaid	$15,693.48

INTRACRANIAL HEMORRHAGE

Facility

$5,527.83

Service Code	APR-DRG 0441
Min. Negotiated Rate	$5,264.60
Max. Negotiated Rate	$5,527.83
Rate for Payer: BCBS Complete	$5,527.83
Rate for Payer: Mclaren Medicaid	$5,264.60
Rate for Payer: Meridian Medicaid	$5,527.83
Rate for Payer: Priority Health Choice Medicaid	$5,264.60
Rate for Payer: UHC Medicaid	$5,264.60
Rate for Payer: UHCCP Medicaid	$5,264.60

INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS

Facility

$25,600.80

Service Code	MSDRG 065
Min. Negotiated Rate	$8,589.73
Max. Negotiated Rate	$25,600.80
Rate for Payer: Aetna Medicare	$9,403.49
Rate for Payer: Allen County Amish Medical Aid Commercial	$11,302.27
Rate for Payer: Amish Plain Church Group Commercial	$11,302.27
Rate for Payer: BCBS MAPPO	$9,041.82
Rate for Payer: BCBS Trust/PPO	$25,600.80
Rate for Payer: BCN Commercial	$25,600.80
Rate for Payer: BCN Medicare Advantage	$9,041.82
Rate for Payer: Health Alliance Plan Medicare Advantage	$9,041.82
Rate for Payer: Mclaren Medicare	$9,041.82
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$9,493.91
Rate for Payer: MI Amish Medical Board Commercial	$10,398.09
Rate for Payer: Molina Medicare/Medicaid	$9,946.00
Rate for Payer: Nomi Health Commercial	$13,032.87
Rate for Payer: PACE Medicare	$8,589.73
Rate for Payer: PACE SWMI	$9,041.82
Rate for Payer: PHP Medicare Advantage	$9,041.82
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$16,288.20
Rate for Payer: Priority Health Medicare	$9,041.82
Rate for Payer: Priority Health Tiered Network	$13,030.56
Rate for Payer: Railroad Medicare Medicare	$9,041.82
Rate for Payer: UHC All Payor (Choice/PPO)	$16,467.89
Rate for Payer: UHC Core	$13,777.46
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$9,041.82
Rate for Payer: UHC Exchange	$11,251.71
Rate for Payer: VA VA	$9,041.82

INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC

Facility

$41,014.54

Service Code	MSDRG 064
Min. Negotiated Rate	$16,539.82
Max. Negotiated Rate	$41,014.54
Rate for Payer: Aetna Medicare	$18,106.75
Rate for Payer: Allen County Amish Medical Aid Commercial	$21,762.92
Rate for Payer: Amish Plain Church Group Commercial	$21,762.92
Rate for Payer: BCBS MAPPO	$17,410.34
Rate for Payer: BCBS Trust/PPO	$41,014.54
Rate for Payer: BCN Commercial	$41,014.54
Rate for Payer: BCN Medicare Advantage	$17,410.34
Rate for Payer: Health Alliance Plan Medicare Advantage	$17,410.34
Rate for Payer: Mclaren Medicare	$17,410.34
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$18,280.86
Rate for Payer: MI Amish Medical Board Commercial	$20,021.89
Rate for Payer: Molina Medicare/Medicaid	$19,151.37
Rate for Payer: Nomi Health Commercial	$25,941.90
Rate for Payer: PACE Medicare	$16,539.82
Rate for Payer: PACE SWMI	$17,410.34
Rate for Payer: PHP Medicare Advantage	$17,410.34
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$32,421.62
Rate for Payer: Priority Health Medicare	$17,410.34
Rate for Payer: Priority Health Tiered Network	$25,937.29
Rate for Payer: Railroad Medicare Medicare	$17,410.34
Rate for Payer: UHC All Payor (Choice/PPO)	$32,779.30
Rate for Payer: UHC Core	$27,424.01
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$17,410.34
Rate for Payer: UHC Exchange	$22,396.51
Rate for Payer: VA VA	$17,410.34

INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC

Facility

$19,416.09

Service Code	MSDRG 066
Min. Negotiated Rate	$6,000.57
Max. Negotiated Rate	$19,416.09
Rate for Payer: Aetna Medicare	$6,569.05
Rate for Payer: Allen County Amish Medical Aid Commercial	$7,895.49
Rate for Payer: Amish Plain Church Group Commercial	$7,895.49
Rate for Payer: BCBS MAPPO	$6,316.39
Rate for Payer: BCBS Trust/PPO	$19,416.09
Rate for Payer: BCN Commercial	$19,416.09
Rate for Payer: BCN Medicare Advantage	$6,316.39
Rate for Payer: Health Alliance Plan Medicare Advantage	$6,316.39
Rate for Payer: Mclaren Medicare	$6,316.39
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$6,632.21
Rate for Payer: MI Amish Medical Board Commercial	$7,263.85
Rate for Payer: Molina Medicare/Medicaid	$6,948.03
Rate for Payer: Nomi Health Commercial	$8,828.76
Rate for Payer: PACE Medicare	$6,000.57
Rate for Payer: PACE SWMI	$6,316.39
Rate for Payer: PHP Medicare Advantage	$6,316.39
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$11,033.99
Rate for Payer: Priority Health Medicare	$6,316.39
Rate for Payer: Priority Health Tiered Network	$8,827.19
Rate for Payer: Railroad Medicare Medicare	$6,316.39
Rate for Payer: UHC All Payor (Choice/PPO)	$11,155.72
Rate for Payer: UHC Core	$9,333.16
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$6,316.39
Rate for Payer: UHC Exchange	$7,622.16
Rate for Payer: VA VA	$6,316.39

INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC

Facility

$147,354.22

Service Code	MSDRG 021
Min. Negotiated Rate	$42,620.23
Max. Negotiated Rate	$147,354.22
Rate for Payer: Aetna Medicare	$46,657.94
Rate for Payer: Allen County Amish Medical Aid Commercial	$56,079.25
Rate for Payer: Amish Plain Church Group Commercial	$56,079.25
Rate for Payer: BCBS MAPPO	$44,863.40
Rate for Payer: BCBS Trust/PPO	$147,354.22
Rate for Payer: BCN Commercial	$147,354.22
Rate for Payer: BCN Medicare Advantage	$44,863.40
Rate for Payer: Health Alliance Plan Medicare Advantage	$44,863.40
Rate for Payer: Mclaren Medicare	$44,863.40
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$47,106.57
Rate for Payer: MI Amish Medical Board Commercial	$51,592.91
Rate for Payer: Molina Medicare/Medicaid	$49,349.74
Rate for Payer: Nomi Health Commercial	$68,290.02
Rate for Payer: PACE Medicare	$42,620.23
Rate for Payer: PACE SWMI	$44,863.40
Rate for Payer: PHP Medicare Advantage	$44,863.40
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$85,347.38
Rate for Payer: Priority Health Medicare	$44,863.40
Rate for Payer: Priority Health Tiered Network	$68,277.90
Rate for Payer: Railroad Medicare Medicare	$44,863.40
Rate for Payer: UHC All Payor (Choice/PPO)	$86,288.94
Rate for Payer: UHC Core	$72,191.55
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$44,863.40
Rate for Payer: UHC Exchange	$58,957.05
Rate for Payer: VA VA	$44,863.40

Know your out-of-pocket cost for care.

All Charges