Bronson Methodist Hospital

All Charges

Charge

Type

Setting

Price

ACUTE ANXIETY AND STRESS SYNDROMES

Facility

$5,366.81

Service Code	APR-DRG 7562
Min. Negotiated Rate	$5,111.25
Max. Negotiated Rate	$5,366.81
Rate for Payer: BCBS Complete	$5,366.81
Rate for Payer: Mclaren Medicaid	$5,111.25
Rate for Payer: Meridian Medicaid	$5,366.81
Rate for Payer: Priority Health Choice Medicaid	$5,111.25
Rate for Payer: UHC Medicaid	$5,111.25
Rate for Payer: UHCCP Medicaid	$5,111.25

ACUTE ANXIETY AND STRESS SYNDROMES

Facility

$8,690.65

Service Code	APR-DRG 7563
Min. Negotiated Rate	$8,276.81
Max. Negotiated Rate	$8,690.65
Rate for Payer: BCBS Complete	$8,690.65
Rate for Payer: Mclaren Medicaid	$8,276.81
Rate for Payer: Meridian Medicaid	$8,690.65
Rate for Payer: Priority Health Choice Medicaid	$8,276.81
Rate for Payer: UHC Medicaid	$8,276.81
Rate for Payer: UHCCP Medicaid	$8,276.81

ACUTE ANXIETY AND STRESS SYNDROMES

Facility

$14,180.34

Service Code	APR-DRG 7564
Min. Negotiated Rate	$13,505.09
Max. Negotiated Rate	$14,180.34
Rate for Payer: BCBS Complete	$14,180.34
Rate for Payer: Mclaren Medicaid	$13,505.09
Rate for Payer: Meridian Medicaid	$14,180.34
Rate for Payer: Priority Health Choice Medicaid	$13,505.09
Rate for Payer: UHC Medicaid	$13,505.09
Rate for Payer: UHCCP Medicaid	$13,505.09

ACUTE ANXIETY AND STRESS SYNDROMES

Facility

$3,430.38

Service Code	APR-DRG 7561
Min. Negotiated Rate	$3,267.03
Max. Negotiated Rate	$3,430.38
Rate for Payer: BCBS Complete	$3,430.38
Rate for Payer: Mclaren Medicaid	$3,267.03
Rate for Payer: Meridian Medicaid	$3,430.38
Rate for Payer: Priority Health Choice Medicaid	$3,267.03
Rate for Payer: UHC Medicaid	$3,267.03
Rate for Payer: UHCCP Medicaid	$3,267.03

ACUTE BRONCHITIS AND RELATED SYMPTOMS

Facility

$5,772.98

Service Code	APR-DRG 1453
Min. Negotiated Rate	$5,498.08
Max. Negotiated Rate	$5,772.98
Rate for Payer: BCBS Complete	$5,772.98
Rate for Payer: Mclaren Medicaid	$5,498.08
Rate for Payer: Meridian Medicaid	$5,772.98
Rate for Payer: Priority Health Choice Medicaid	$5,498.08
Rate for Payer: UHC Medicaid	$5,498.08
Rate for Payer: UHCCP Medicaid	$5,498.08

ACUTE BRONCHITIS AND RELATED SYMPTOMS

Facility

$3,307.50

Service Code	APR-DRG 1451
Min. Negotiated Rate	$3,150.00
Max. Negotiated Rate	$3,307.50
Rate for Payer: BCBS Complete	$3,307.50
Rate for Payer: Mclaren Medicaid	$3,150.00
Rate for Payer: Meridian Medicaid	$3,307.50
Rate for Payer: Priority Health Choice Medicaid	$3,150.00
Rate for Payer: UHC Medicaid	$3,150.00
Rate for Payer: UHCCP Medicaid	$3,150.00

ACUTE BRONCHITIS AND RELATED SYMPTOMS

Facility

$4,139.82

Service Code	APR-DRG 1452
Min. Negotiated Rate	$3,942.68
Max. Negotiated Rate	$4,139.82
Rate for Payer: BCBS Complete	$4,139.82
Rate for Payer: Mclaren Medicaid	$3,942.68
Rate for Payer: Meridian Medicaid	$4,139.82
Rate for Payer: Priority Health Choice Medicaid	$3,942.68
Rate for Payer: UHC Medicaid	$3,942.68
Rate for Payer: UHCCP Medicaid	$3,942.68

ACUTE BRONCHITIS AND RELATED SYMPTOMS

Facility

$9,540.53

Service Code	APR-DRG 1454
Min. Negotiated Rate	$9,086.22
Max. Negotiated Rate	$9,540.53
Rate for Payer: BCBS Complete	$9,540.53
Rate for Payer: Mclaren Medicaid	$9,086.22
Rate for Payer: Meridian Medicaid	$9,540.53
Rate for Payer: Priority Health Choice Medicaid	$9,086.22
Rate for Payer: UHC Medicaid	$9,086.22
Rate for Payer: UHCCP Medicaid	$9,086.22

ACUTE KIDNEY INJURY

Facility

$16,001.77

Service Code	APR-DRG 4694
Min. Negotiated Rate	$15,239.78
Max. Negotiated Rate	$16,001.77
Rate for Payer: BCBS Complete	$16,001.77
Rate for Payer: Mclaren Medicaid	$15,239.78
Rate for Payer: Meridian Medicaid	$16,001.77
Rate for Payer: Priority Health Choice Medicaid	$15,239.78
Rate for Payer: UHC Medicaid	$15,239.78
Rate for Payer: UHCCP Medicaid	$15,239.78

ACUTE KIDNEY INJURY

Facility

$4,424.32

Service Code	APR-DRG 4692
Min. Negotiated Rate	$4,213.64
Max. Negotiated Rate	$4,424.32
Rate for Payer: BCBS Complete	$4,424.32
Rate for Payer: Mclaren Medicaid	$4,213.64
Rate for Payer: Meridian Medicaid	$4,424.32
Rate for Payer: Priority Health Choice Medicaid	$4,213.64
Rate for Payer: UHC Medicaid	$4,213.64
Rate for Payer: UHCCP Medicaid	$4,213.64

ACUTE KIDNEY INJURY

Facility

$8,021.16

Service Code	APR-DRG 4693
Min. Negotiated Rate	$7,639.20
Max. Negotiated Rate	$8,021.16
Rate for Payer: BCBS Complete	$8,021.16
Rate for Payer: Mclaren Medicaid	$7,639.20
Rate for Payer: Meridian Medicaid	$8,021.16
Rate for Payer: Priority Health Choice Medicaid	$7,639.20
Rate for Payer: UHC Medicaid	$7,639.20
Rate for Payer: UHCCP Medicaid	$7,639.20

ACUTE KIDNEY INJURY

Facility

$3,223.36

Service Code	APR-DRG 4691
Min. Negotiated Rate	$3,069.86
Max. Negotiated Rate	$3,223.36
Rate for Payer: BCBS Complete	$3,223.36
Rate for Payer: Mclaren Medicaid	$3,069.86
Rate for Payer: Meridian Medicaid	$3,223.36
Rate for Payer: Priority Health Choice Medicaid	$3,069.86
Rate for Payer: UHC Medicaid	$3,069.86
Rate for Payer: UHCCP Medicaid	$3,069.86

ACUTE LEUKEMIA

Facility

$29,564.07

Service Code	APR-DRG 6903
Min. Negotiated Rate	$28,156.26
Max. Negotiated Rate	$29,564.07
Rate for Payer: BCBS Complete	$29,564.07
Rate for Payer: Mclaren Medicaid	$28,156.26
Rate for Payer: Meridian Medicaid	$29,564.07
Rate for Payer: Priority Health Choice Medicaid	$28,156.26
Rate for Payer: UHC Medicaid	$28,156.26
Rate for Payer: UHCCP Medicaid	$28,156.26

ACUTE LEUKEMIA

Facility

$42,698.41

Service Code	APR-DRG 6904
Min. Negotiated Rate	$40,665.16
Max. Negotiated Rate	$42,698.41
Rate for Payer: BCBS Complete	$42,698.41
Rate for Payer: Mclaren Medicaid	$40,665.16
Rate for Payer: Meridian Medicaid	$42,698.41
Rate for Payer: Priority Health Choice Medicaid	$40,665.16
Rate for Payer: UHC Medicaid	$40,665.16
Rate for Payer: UHCCP Medicaid	$40,665.16

ACUTE LEUKEMIA

Facility

$11,073.21

Service Code	APR-DRG 6901
Min. Negotiated Rate	$10,545.91
Max. Negotiated Rate	$11,073.21
Rate for Payer: BCBS Complete	$11,073.21
Rate for Payer: Mclaren Medicaid	$10,545.91
Rate for Payer: Meridian Medicaid	$11,073.21
Rate for Payer: Priority Health Choice Medicaid	$10,545.91
Rate for Payer: UHC Medicaid	$10,545.91
Rate for Payer: UHCCP Medicaid	$10,545.91

ACUTE LEUKEMIA

Facility

$17,160.96

Service Code	APR-DRG 6902
Min. Negotiated Rate	$16,343.77
Max. Negotiated Rate	$17,160.96
Rate for Payer: BCBS Complete	$17,160.96
Rate for Payer: Mclaren Medicaid	$16,343.77
Rate for Payer: Meridian Medicaid	$17,160.96
Rate for Payer: Priority Health Choice Medicaid	$16,343.77
Rate for Payer: UHC Medicaid	$16,343.77
Rate for Payer: UHCCP Medicaid	$16,343.77

ACUTE LEUKEMIA WITH CC

Facility

$97,739.29

Service Code	MSDRG 835
Min. Negotiated Rate	$17,134.09
Max. Negotiated Rate	$97,739.29
Rate for Payer: Aetna Medicare	$18,757.32
Rate for Payer: Allen County Amish Medical Aid Commercial	$22,544.85
Rate for Payer: Amish Plain Church Group Commercial	$22,544.85
Rate for Payer: BCBS MAPPO	$18,035.88
Rate for Payer: BCBS Trust/PPO	$97,739.29
Rate for Payer: BCN Commercial	$97,739.29
Rate for Payer: BCN Medicare Advantage	$18,035.88
Rate for Payer: Health Alliance Plan Medicare Advantage	$18,035.88
Rate for Payer: Mclaren Medicare	$18,035.88
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$18,937.67
Rate for Payer: MI Amish Medical Board Commercial	$20,741.26
Rate for Payer: Molina Medicare/Medicaid	$19,839.47
Rate for Payer: Nomi Health Commercial	$26,906.82
Rate for Payer: PACE Medicare	$17,134.09
Rate for Payer: PACE SWMI	$18,035.88
Rate for Payer: PHP Medicare Advantage	$18,035.88
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$33,627.56
Rate for Payer: Priority Health Medicare	$18,035.88
Rate for Payer: Priority Health Tiered Network	$26,902.04
Rate for Payer: Railroad Medicare Medicare	$18,035.88
Rate for Payer: UHC All Payor (Choice/PPO)	$33,998.54
Rate for Payer: UHC Core	$28,444.05
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$18,035.88
Rate for Payer: UHC Exchange	$23,229.55
Rate for Payer: VA VA	$18,035.88

ACUTE LEUKEMIA WITH MCC

Facility

$202,563.67

Service Code	MSDRG 834
Min. Negotiated Rate	$44,178.15
Max. Negotiated Rate	$202,563.67
Rate for Payer: Aetna Medicare	$48,363.45
Rate for Payer: Allen County Amish Medical Aid Commercial	$58,129.15
Rate for Payer: Amish Plain Church Group Commercial	$58,129.15
Rate for Payer: BCBS MAPPO	$46,503.32
Rate for Payer: BCBS Trust/PPO	$202,563.67
Rate for Payer: BCN Commercial	$202,563.67
Rate for Payer: BCN Medicare Advantage	$46,503.32
Rate for Payer: Health Alliance Plan Medicare Advantage	$46,503.32
Rate for Payer: Mclaren Medicare	$46,503.32
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$48,828.49
Rate for Payer: MI Amish Medical Board Commercial	$53,478.82
Rate for Payer: Molina Medicare/Medicaid	$51,153.65
Rate for Payer: Nomi Health Commercial	$70,819.71
Rate for Payer: PACE Medicare	$44,178.15
Rate for Payer: PACE SWMI	$46,503.32
Rate for Payer: PHP Medicare Advantage	$46,503.32
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$88,508.94
Rate for Payer: Priority Health Medicare	$46,503.32
Rate for Payer: Priority Health Tiered Network	$70,807.14
Rate for Payer: Railroad Medicare Medicare	$46,503.32
Rate for Payer: UHC All Payor (Choice/PPO)	$89,485.37
Rate for Payer: UHC Core	$74,865.77
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$46,503.32
Rate for Payer: UHC Exchange	$61,141.02
Rate for Payer: VA VA	$46,503.32

ACUTE LEUKEMIA WITH OTHER PROCEDURES

Facility

$177,819.34

Service Code	MSDRG 850
Min. Negotiated Rate	$69,359.23
Max. Negotiated Rate	$177,819.34
Rate for Payer: Aetna Medicare	$75,930.11
Rate for Payer: Allen County Amish Medical Aid Commercial	$91,262.15
Rate for Payer: Amish Plain Church Group Commercial	$91,262.15
Rate for Payer: BCBS MAPPO	$73,009.72
Rate for Payer: BCBS Trust/PPO	$177,819.34
Rate for Payer: BCN Commercial	$177,819.34
Rate for Payer: BCN Medicare Advantage	$73,009.72
Rate for Payer: Health Alliance Plan Medicare Advantage	$73,009.72
Rate for Payer: Mclaren Medicare	$73,009.72
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$76,660.21
Rate for Payer: MI Amish Medical Board Commercial	$83,961.18
Rate for Payer: Molina Medicare/Medicaid	$80,310.69
Rate for Payer: Nomi Health Commercial	$111,707.55
Rate for Payer: PACE Medicare	$69,359.23
Rate for Payer: PACE SWMI	$73,009.72
Rate for Payer: PHP Medicare Advantage	$73,009.72
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$139,609.67
Rate for Payer: Priority Health Medicare	$73,009.72
Rate for Payer: Priority Health Tiered Network	$111,687.72
Rate for Payer: Railroad Medicare Medicare	$73,009.72
Rate for Payer: UHC All Payor (Choice/PPO)	$141,149.85
Rate for Payer: UHC Core	$118,089.60
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$73,009.72
Rate for Payer: UHC Exchange	$96,440.85
Rate for Payer: VA VA	$73,009.72

ACUTE LEUKEMIA WITHOUT CC/MCC

Facility

$27,997.27

Service Code	MSDRG 836
Min. Negotiated Rate	$10,251.72
Max. Negotiated Rate	$27,997.27
Rate for Payer: Aetna Medicare	$11,222.93
Rate for Payer: Allen County Amish Medical Aid Commercial	$13,489.10
Rate for Payer: Amish Plain Church Group Commercial	$13,489.10
Rate for Payer: BCBS MAPPO	$10,791.28
Rate for Payer: BCBS Trust/PPO	$27,997.27
Rate for Payer: BCN Commercial	$27,997.27
Rate for Payer: BCN Medicare Advantage	$10,791.28
Rate for Payer: Health Alliance Plan Medicare Advantage	$10,791.28
Rate for Payer: Mclaren Medicare	$10,791.28
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$11,330.84
Rate for Payer: MI Amish Medical Board Commercial	$12,409.97
Rate for Payer: Molina Medicare/Medicaid	$11,870.41
Rate for Payer: Nomi Health Commercial	$15,731.55
Rate for Payer: PACE Medicare	$10,251.72
Rate for Payer: PACE SWMI	$10,791.28
Rate for Payer: PHP Medicare Advantage	$10,791.28
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$19,660.95
Rate for Payer: Priority Health Medicare	$10,791.28
Rate for Payer: Priority Health Tiered Network	$15,728.76
Rate for Payer: Railroad Medicare Medicare	$10,791.28
Rate for Payer: UHC All Payor (Choice/PPO)	$19,877.85
Rate for Payer: UHC Core	$16,630.32
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$10,791.28
Rate for Payer: UHC Exchange	$13,581.57
Rate for Payer: VA VA	$10,791.28

ACUTE MAJOR EYE INFECTIONS WITH CC/MCC

Facility

$18,961.79

Service Code	MSDRG 121
Min. Negotiated Rate	$9,805.22
Max. Negotiated Rate	$18,961.79
Rate for Payer: Aetna Medicare	$10,734.13
Rate for Payer: Allen County Amish Medical Aid Commercial	$12,901.60
Rate for Payer: Amish Plain Church Group Commercial	$12,901.60
Rate for Payer: BCBS MAPPO	$10,321.28
Rate for Payer: BCBS Trust/PPO	$12,649.42
Rate for Payer: BCN Commercial	$12,649.42
Rate for Payer: BCN Medicare Advantage	$10,321.28
Rate for Payer: Health Alliance Plan Medicare Advantage	$10,321.28
Rate for Payer: Mclaren Medicare	$10,321.28
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$10,837.34
Rate for Payer: MI Amish Medical Board Commercial	$11,869.47
Rate for Payer: Molina Medicare/Medicaid	$11,353.41
Rate for Payer: Nomi Health Commercial	$15,006.57
Rate for Payer: PACE Medicare	$9,805.22
Rate for Payer: PACE SWMI	$10,321.28
Rate for Payer: PHP Medicare Advantage	$10,321.28
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$18,754.89
Rate for Payer: Priority Health Medicare	$10,321.28
Rate for Payer: Priority Health Tiered Network	$15,003.91
Rate for Payer: Railroad Medicare Medicare	$10,321.28
Rate for Payer: UHC All Payor (Choice/PPO)	$18,961.79
Rate for Payer: UHC Core	$15,863.92
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$10,321.28
Rate for Payer: UHC Exchange	$12,955.67
Rate for Payer: VA VA	$10,321.28

ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC

Facility

$12,808.54

Service Code	MSDRG 122
Min. Negotiated Rate	$6,806.16
Max. Negotiated Rate	$12,808.54
Rate for Payer: Aetna Medicare	$7,450.96
Rate for Payer: Allen County Amish Medical Aid Commercial	$8,955.48
Rate for Payer: Amish Plain Church Group Commercial	$8,955.48
Rate for Payer: BCBS MAPPO	$7,164.38
Rate for Payer: BCBS Trust/PPO	$11,221.97
Rate for Payer: BCN Commercial	$11,221.97
Rate for Payer: BCN Medicare Advantage	$7,164.38
Rate for Payer: Health Alliance Plan Medicare Advantage	$7,164.38
Rate for Payer: Mclaren Medicare	$7,164.38
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$7,522.60
Rate for Payer: MI Amish Medical Board Commercial	$8,239.04
Rate for Payer: Molina Medicare/Medicaid	$7,880.82
Rate for Payer: Nomi Health Commercial	$10,136.82
Rate for Payer: PACE Medicare	$6,806.16
Rate for Payer: PACE SWMI	$7,164.38
Rate for Payer: PHP Medicare Advantage	$7,164.38
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$12,668.78
Rate for Payer: Priority Health Medicare	$7,164.38
Rate for Payer: Priority Health Tiered Network	$10,135.02
Rate for Payer: Railroad Medicare Medicare	$7,164.38
Rate for Payer: UHC All Payor (Choice/PPO)	$12,808.54
Rate for Payer: UHC Core	$10,715.95
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$7,164.38
Rate for Payer: UHC Exchange	$8,751.45
Rate for Payer: VA VA	$7,164.38

ACUTE MYOCARDIAL INFARCTION

Facility

$14,506.01

Service Code	APR-DRG 1904
Min. Negotiated Rate	$13,815.25
Max. Negotiated Rate	$14,506.01
Rate for Payer: BCBS Complete	$14,506.01
Rate for Payer: Mclaren Medicaid	$13,815.25
Rate for Payer: Meridian Medicaid	$14,506.01
Rate for Payer: Priority Health Choice Medicaid	$13,815.25
Rate for Payer: UHC Medicaid	$13,815.25
Rate for Payer: UHCCP Medicaid	$13,815.25

ACUTE MYOCARDIAL INFARCTION

Facility

$3,320.81

Service Code	APR-DRG 1901
Min. Negotiated Rate	$3,162.68
Max. Negotiated Rate	$3,320.81
Rate for Payer: BCBS Complete	$3,320.81
Rate for Payer: Mclaren Medicaid	$3,162.68
Rate for Payer: Meridian Medicaid	$3,320.81
Rate for Payer: Priority Health Choice Medicaid	$3,162.68
Rate for Payer: UHC Medicaid	$3,162.68
Rate for Payer: UHCCP Medicaid	$3,162.68

ACUTE MYOCARDIAL INFARCTION

Facility

$5,214.87

Service Code	APR-DRG 1902
Min. Negotiated Rate	$4,966.55
Max. Negotiated Rate	$5,214.87
Rate for Payer: BCBS Complete	$5,214.87
Rate for Payer: Mclaren Medicaid	$4,966.55
Rate for Payer: Meridian Medicaid	$5,214.87
Rate for Payer: Priority Health Choice Medicaid	$4,966.55
Rate for Payer: UHC Medicaid	$4,966.55
Rate for Payer: UHCCP Medicaid	$4,966.55

Know your out-of-pocket cost for care.

All Charges