Bronson Methodist Hospital

All Charges

Charge

Type

Setting

Price

MAJOR BLADDER PROCEDURES WITH CC

Facility

$72,550.25

Service Code	MSDRG 654
Min. Negotiated Rate	$22,802.53
Max. Negotiated Rate	$72,550.25
Rate for Payer: Aetna Medicare	$24,962.77
Rate for Payer: Allen County Amish Medical Aid Commercial	$30,003.33
Rate for Payer: Amish Plain Church Group Commercial	$30,003.33
Rate for Payer: BCBS MAPPO	$24,002.66
Rate for Payer: BCBS Trust/PPO	$72,550.25
Rate for Payer: BCN Commercial	$72,550.25
Rate for Payer: BCN Medicare Advantage	$24,002.66
Rate for Payer: Health Alliance Plan Medicare Advantage	$24,002.66
Rate for Payer: Mclaren Medicare	$24,002.66
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$25,202.79
Rate for Payer: MI Amish Medical Board Commercial	$27,603.06
Rate for Payer: Molina Medicare/Medicaid	$26,402.93
Rate for Payer: Nomi Health Commercial	$36,110.97
Rate for Payer: PACE Medicare	$22,802.53
Rate for Payer: PACE SWMI	$24,002.66
Rate for Payer: PHP Medicare Advantage	$24,002.66
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$45,130.71
Rate for Payer: Priority Health Medicare	$24,002.66
Rate for Payer: Priority Health Tiered Network	$36,104.56
Rate for Payer: Railroad Medicare Medicare	$24,002.66
Rate for Payer: UHC All Payor (Choice/PPO)	$45,628.59
Rate for Payer: UHC Core	$38,174.05
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$24,002.66
Rate for Payer: UHC Exchange	$31,175.80
Rate for Payer: VA VA	$24,002.66

MAJOR BLADDER PROCEDURES WITH MCC

Facility

$84,701.32

Service Code	MSDRG 653
Min. Negotiated Rate	$41,846.43
Max. Negotiated Rate	$84,701.32
Rate for Payer: Aetna Medicare	$45,810.82
Rate for Payer: Allen County Amish Medical Aid Commercial	$55,061.09
Rate for Payer: Amish Plain Church Group Commercial	$55,061.09
Rate for Payer: BCBS MAPPO	$44,048.87
Rate for Payer: BCBS Trust/PPO	$72,616.13
Rate for Payer: BCN Commercial	$72,616.13
Rate for Payer: BCN Medicare Advantage	$44,048.87
Rate for Payer: Health Alliance Plan Medicare Advantage	$44,048.87
Rate for Payer: Mclaren Medicare	$44,048.87
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$46,251.31
Rate for Payer: MI Amish Medical Board Commercial	$50,656.20
Rate for Payer: Molina Medicare/Medicaid	$48,453.76
Rate for Payer: Nomi Health Commercial	$67,033.56
Rate for Payer: PACE Medicare	$41,846.43
Rate for Payer: PACE SWMI	$44,048.87
Rate for Payer: PHP Medicare Advantage	$44,048.87
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$83,777.09
Rate for Payer: Priority Health Medicare	$44,048.87
Rate for Payer: Priority Health Tiered Network	$67,021.66
Rate for Payer: Railroad Medicare Medicare	$44,048.87
Rate for Payer: UHC All Payor (Choice/PPO)	$84,701.32
Rate for Payer: UHC Core	$70,863.31
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$44,048.87
Rate for Payer: UHC Exchange	$57,872.31
Rate for Payer: VA VA	$44,048.87

MAJOR BLADDER PROCEDURES WITHOUT CC/MCC

Facility

$64,556.52

Service Code	MSDRG 655
Min. Negotiated Rate	$17,378.77
Max. Negotiated Rate	$64,556.52
Rate for Payer: Aetna Medicare	$19,025.18
Rate for Payer: Allen County Amish Medical Aid Commercial	$22,866.80
Rate for Payer: Amish Plain Church Group Commercial	$22,866.80
Rate for Payer: BCBS MAPPO	$18,293.44
Rate for Payer: BCBS Trust/PPO	$64,556.52
Rate for Payer: BCN Commercial	$64,556.52
Rate for Payer: BCN Medicare Advantage	$18,293.44
Rate for Payer: Health Alliance Plan Medicare Advantage	$18,293.44
Rate for Payer: Mclaren Medicare	$18,293.44
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$19,208.11
Rate for Payer: MI Amish Medical Board Commercial	$21,037.46
Rate for Payer: Molina Medicare/Medicaid	$20,122.78
Rate for Payer: Nomi Health Commercial	$27,304.14
Rate for Payer: PACE Medicare	$17,378.77
Rate for Payer: PACE SWMI	$18,293.44
Rate for Payer: PHP Medicare Advantage	$18,293.44
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$34,124.12
Rate for Payer: Priority Health Medicare	$18,293.44
Rate for Payer: Priority Health Tiered Network	$27,299.29
Rate for Payer: Railroad Medicare Medicare	$18,293.44
Rate for Payer: UHC All Payor (Choice/PPO)	$34,500.58
Rate for Payer: UHC Core	$28,864.07
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$18,293.44
Rate for Payer: UHC Exchange	$23,572.57
Rate for Payer: VA VA	$18,293.44

MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY

Facility

$101,803.56

Service Code	APR-DRG 1604
Min. Negotiated Rate	$96,955.77
Max. Negotiated Rate	$101,803.56
Rate for Payer: BCBS Complete	$101,803.56
Rate for Payer: Mclaren Medicaid	$96,955.77
Rate for Payer: Meridian Medicaid	$101,803.56
Rate for Payer: Priority Health Choice Medicaid	$96,955.77
Rate for Payer: UHC Medicaid	$96,955.77
Rate for Payer: UHCCP Medicaid	$96,955.77

MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY

Facility

$52,079.74

Service Code	APR-DRG 1603
Min. Negotiated Rate	$49,599.75
Max. Negotiated Rate	$52,079.74
Rate for Payer: BCBS Complete	$52,079.74
Rate for Payer: Mclaren Medicaid	$49,599.75
Rate for Payer: Meridian Medicaid	$52,079.74
Rate for Payer: Priority Health Choice Medicaid	$49,599.75
Rate for Payer: UHC Medicaid	$49,599.75
Rate for Payer: UHCCP Medicaid	$49,599.75

MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY

Facility

$41,048.90

Service Code	APR-DRG 1602
Min. Negotiated Rate	$39,094.19
Max. Negotiated Rate	$41,048.90
Rate for Payer: BCBS Complete	$41,048.90
Rate for Payer: Mclaren Medicaid	$39,094.19
Rate for Payer: Meridian Medicaid	$41,048.90
Rate for Payer: Priority Health Choice Medicaid	$39,094.19
Rate for Payer: UHC Medicaid	$39,094.19
Rate for Payer: UHCCP Medicaid	$39,094.19

MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY

Facility

$30,453.90

Service Code	APR-DRG 1601
Min. Negotiated Rate	$29,003.72
Max. Negotiated Rate	$30,453.90
Rate for Payer: BCBS Complete	$30,453.90
Rate for Payer: Mclaren Medicaid	$29,003.72
Rate for Payer: Meridian Medicaid	$30,453.90
Rate for Payer: Priority Health Choice Medicaid	$29,003.72
Rate for Payer: UHC Medicaid	$29,003.72
Rate for Payer: UHCCP Medicaid	$29,003.72

MAJOR CHEST AND RESPIRATORY TRAUMA

Facility

$5,808.70

Service Code	APR-DRG 1352
Min. Negotiated Rate	$5,532.09
Max. Negotiated Rate	$5,808.70
Rate for Payer: BCBS Complete	$5,808.70
Rate for Payer: Mclaren Medicaid	$5,532.09
Rate for Payer: Meridian Medicaid	$5,808.70
Rate for Payer: Priority Health Choice Medicaid	$5,532.09
Rate for Payer: UHC Medicaid	$5,532.09
Rate for Payer: UHCCP Medicaid	$5,532.09

MAJOR CHEST AND RESPIRATORY TRAUMA

Facility

$8,191.26

Service Code	APR-DRG 1353
Min. Negotiated Rate	$7,801.20
Max. Negotiated Rate	$8,191.26
Rate for Payer: BCBS Complete	$8,191.26
Rate for Payer: Mclaren Medicaid	$7,801.20
Rate for Payer: Meridian Medicaid	$8,191.26
Rate for Payer: Priority Health Choice Medicaid	$7,801.20
Rate for Payer: UHC Medicaid	$7,801.20
Rate for Payer: UHCCP Medicaid	$7,801.20

MAJOR CHEST AND RESPIRATORY TRAUMA

Facility

$13,523.57

Service Code	APR-DRG 1354
Min. Negotiated Rate	$12,879.59
Max. Negotiated Rate	$13,523.57
Rate for Payer: BCBS Complete	$13,523.57
Rate for Payer: Mclaren Medicaid	$12,879.59
Rate for Payer: Meridian Medicaid	$13,523.57
Rate for Payer: Priority Health Choice Medicaid	$12,879.59
Rate for Payer: UHC Medicaid	$12,879.59
Rate for Payer: UHCCP Medicaid	$12,879.59

MAJOR CHEST AND RESPIRATORY TRAUMA

Facility

$4,689.45

Service Code	APR-DRG 1351
Min. Negotiated Rate	$4,466.15
Max. Negotiated Rate	$4,689.45
Rate for Payer: BCBS Complete	$4,689.45
Rate for Payer: Mclaren Medicaid	$4,466.15
Rate for Payer: Meridian Medicaid	$4,689.45
Rate for Payer: Priority Health Choice Medicaid	$4,466.15
Rate for Payer: UHC Medicaid	$4,466.15
Rate for Payer: UHCCP Medicaid	$4,466.15

MAJOR CHEST PROCEDURES WITH CC

Facility

$55,698.08

Service Code	MSDRG 164
Min. Negotiated Rate	$20,615.38
Max. Negotiated Rate	$55,698.08
Rate for Payer: Aetna Medicare	$22,568.42
Rate for Payer: Allen County Amish Medical Aid Commercial	$27,125.50
Rate for Payer: Amish Plain Church Group Commercial	$27,125.50
Rate for Payer: BCBS MAPPO	$21,700.40
Rate for Payer: BCBS Trust/PPO	$55,698.08
Rate for Payer: BCN Commercial	$55,698.08
Rate for Payer: BCN Medicare Advantage	$21,700.40
Rate for Payer: Health Alliance Plan Medicare Advantage	$21,700.40
Rate for Payer: Mclaren Medicare	$21,700.40
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$22,785.42
Rate for Payer: MI Amish Medical Board Commercial	$24,955.46
Rate for Payer: Molina Medicare/Medicaid	$23,870.44
Rate for Payer: Nomi Health Commercial	$32,559.60
Rate for Payer: PACE Medicare	$20,615.38
Rate for Payer: PACE SWMI	$21,700.40
Rate for Payer: PHP Medicare Advantage	$21,700.40
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$40,692.28
Rate for Payer: Priority Health Medicare	$21,700.40
Rate for Payer: Priority Health Tiered Network	$32,553.82
Rate for Payer: Railroad Medicare Medicare	$21,700.40
Rate for Payer: UHC All Payor (Choice/PPO)	$41,141.20
Rate for Payer: UHC Core	$34,419.79
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$21,700.40
Rate for Payer: UHC Exchange	$28,109.79
Rate for Payer: VA VA	$21,700.40

MAJOR CHEST PROCEDURES WITH MCC

Facility

$79,624.37

Service Code	MSDRG 163
Min. Negotiated Rate	$36,169.24
Max. Negotiated Rate	$79,624.37
Rate for Payer: Aetna Medicare	$39,595.80
Rate for Payer: Allen County Amish Medical Aid Commercial	$47,591.10
Rate for Payer: Amish Plain Church Group Commercial	$47,591.10
Rate for Payer: BCBS MAPPO	$38,072.88
Rate for Payer: BCBS Trust/PPO	$79,624.37
Rate for Payer: BCN Commercial	$79,624.37
Rate for Payer: BCN Medicare Advantage	$38,072.88
Rate for Payer: Health Alliance Plan Medicare Advantage	$38,072.88
Rate for Payer: Mclaren Medicare	$38,072.88
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$39,976.52
Rate for Payer: MI Amish Medical Board Commercial	$43,783.81
Rate for Payer: Molina Medicare/Medicaid	$41,880.17
Rate for Payer: Nomi Health Commercial	$57,815.22
Rate for Payer: PACE Medicare	$36,169.24
Rate for Payer: PACE SWMI	$38,072.88
Rate for Payer: PHP Medicare Advantage	$38,072.88
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$72,256.21
Rate for Payer: Priority Health Medicare	$38,072.88
Rate for Payer: Priority Health Tiered Network	$57,804.96
Rate for Payer: Railroad Medicare Medicare	$38,072.88
Rate for Payer: UHC All Payor (Choice/PPO)	$73,053.34
Rate for Payer: UHC Core	$61,118.31
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$38,072.88
Rate for Payer: UHC Exchange	$49,913.81
Rate for Payer: VA VA	$38,072.88

MAJOR CHEST PROCEDURES WITHOUT CC/MCC

Facility

$44,541.99

Service Code	MSDRG 165
Min. Negotiated Rate	$15,770.81
Max. Negotiated Rate	$44,541.99
Rate for Payer: Aetna Medicare	$17,264.88
Rate for Payer: Allen County Amish Medical Aid Commercial	$20,751.06
Rate for Payer: Amish Plain Church Group Commercial	$20,751.06
Rate for Payer: BCBS MAPPO	$16,600.85
Rate for Payer: BCBS Trust/PPO	$44,541.99
Rate for Payer: BCN Commercial	$44,541.99
Rate for Payer: BCN Medicare Advantage	$16,600.85
Rate for Payer: Health Alliance Plan Medicare Advantage	$16,600.85
Rate for Payer: Mclaren Medicare	$16,600.85
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$17,430.89
Rate for Payer: MI Amish Medical Board Commercial	$19,090.98
Rate for Payer: Molina Medicare/Medicaid	$18,260.94
Rate for Payer: Nomi Health Commercial	$24,693.18
Rate for Payer: PACE Medicare	$15,770.81
Rate for Payer: PACE SWMI	$16,600.85
Rate for Payer: PHP Medicare Advantage	$16,600.85
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$30,861.00
Rate for Payer: Priority Health Medicare	$16,600.85
Rate for Payer: Priority Health Tiered Network	$24,688.80
Rate for Payer: Railroad Medicare Medicare	$16,600.85
Rate for Payer: UHC All Payor (Choice/PPO)	$31,201.46
Rate for Payer: UHC Core	$26,103.95
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$16,600.85
Rate for Payer: UHC Exchange	$21,318.45
Rate for Payer: VA VA	$16,600.85

MAJOR CHEST TRAUMA WITH CC

Facility

$21,219.62

Service Code	MSDRG 184
Min. Negotiated Rate	$9,017.13
Max. Negotiated Rate	$21,219.62
Rate for Payer: Aetna Medicare	$9,871.39
Rate for Payer: Allen County Amish Medical Aid Commercial	$11,864.65
Rate for Payer: Amish Plain Church Group Commercial	$11,864.65
Rate for Payer: BCBS MAPPO	$9,491.72
Rate for Payer: BCBS Trust/PPO	$21,219.62
Rate for Payer: BCN Commercial	$21,219.62
Rate for Payer: BCN Medicare Advantage	$9,491.72
Rate for Payer: Health Alliance Plan Medicare Advantage	$9,491.72
Rate for Payer: Mclaren Medicare	$9,491.72
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$9,966.31
Rate for Payer: MI Amish Medical Board Commercial	$10,915.48
Rate for Payer: Molina Medicare/Medicaid	$10,440.89
Rate for Payer: Nomi Health Commercial	$13,726.89
Rate for Payer: PACE Medicare	$9,017.13
Rate for Payer: PACE SWMI	$9,491.72
Rate for Payer: PHP Medicare Advantage	$9,491.72
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$17,155.57
Rate for Payer: Priority Health Medicare	$9,491.72
Rate for Payer: Priority Health Tiered Network	$13,724.45
Rate for Payer: Railroad Medicare Medicare	$9,491.72
Rate for Payer: UHC All Payor (Choice/PPO)	$17,344.83
Rate for Payer: UHC Core	$14,511.13
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$9,491.72
Rate for Payer: UHC Exchange	$11,850.88
Rate for Payer: VA VA	$9,491.72

MAJOR CHEST TRAUMA WITH MCC

Facility

$24,937.37

Service Code	MSDRG 183
Min. Negotiated Rate	$12,717.71
Max. Negotiated Rate	$24,937.37
Rate for Payer: Aetna Medicare	$13,922.54
Rate for Payer: Allen County Amish Medical Aid Commercial	$16,733.83
Rate for Payer: Amish Plain Church Group Commercial	$16,733.83
Rate for Payer: BCBS MAPPO	$13,387.06
Rate for Payer: BCBS Trust/PPO	$24,381.98
Rate for Payer: BCN Commercial	$24,381.98
Rate for Payer: BCN Medicare Advantage	$13,387.06
Rate for Payer: Health Alliance Plan Medicare Advantage	$13,387.06
Rate for Payer: Mclaren Medicare	$13,387.06
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$14,056.41
Rate for Payer: MI Amish Medical Board Commercial	$15,395.12
Rate for Payer: Molina Medicare/Medicaid	$14,725.77
Rate for Payer: Nomi Health Commercial	$19,735.71
Rate for Payer: PACE Medicare	$12,717.71
Rate for Payer: PACE SWMI	$13,387.06
Rate for Payer: PHP Medicare Advantage	$13,387.06
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$24,665.26
Rate for Payer: Priority Health Medicare	$13,387.06
Rate for Payer: Priority Health Tiered Network	$19,732.21
Rate for Payer: Railroad Medicare Medicare	$13,387.06
Rate for Payer: UHC All Payor (Choice/PPO)	$24,937.37
Rate for Payer: UHC Core	$20,863.25
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$13,387.06
Rate for Payer: UHC Exchange	$17,038.50
Rate for Payer: VA VA	$13,387.06

MAJOR CHEST TRAUMA WITHOUT CC/MCC

Facility

$16,846.68

Service Code	MSDRG 185
Min. Negotiated Rate	$6,811.71
Max. Negotiated Rate	$16,846.68
Rate for Payer: Aetna Medicare	$7,457.03
Rate for Payer: Allen County Amish Medical Aid Commercial	$8,962.77
Rate for Payer: Amish Plain Church Group Commercial	$8,962.77
Rate for Payer: BCBS MAPPO	$7,170.22
Rate for Payer: BCBS Trust/PPO	$16,846.68
Rate for Payer: BCN Commercial	$16,846.68
Rate for Payer: BCN Medicare Advantage	$7,170.22
Rate for Payer: Health Alliance Plan Medicare Advantage	$7,170.22
Rate for Payer: Mclaren Medicare	$7,170.22
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$7,528.73
Rate for Payer: MI Amish Medical Board Commercial	$8,245.75
Rate for Payer: Molina Medicare/Medicaid	$7,887.24
Rate for Payer: Nomi Health Commercial	$10,145.85
Rate for Payer: PACE Medicare	$6,811.71
Rate for Payer: PACE SWMI	$7,170.22
Rate for Payer: PHP Medicare Advantage	$7,170.22
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$12,680.06
Rate for Payer: Priority Health Medicare	$7,170.22
Rate for Payer: Priority Health Tiered Network	$10,144.05
Rate for Payer: Railroad Medicare Medicare	$7,170.22
Rate for Payer: UHC All Payor (Choice/PPO)	$12,819.95
Rate for Payer: UHC Core	$10,725.50
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$7,170.22
Rate for Payer: UHC Exchange	$8,759.25
Rate for Payer: VA VA	$7,170.22

MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$12,967.88

Service Code	APR-DRG 0891
Min. Negotiated Rate	$12,350.36
Max. Negotiated Rate	$12,967.88
Rate for Payer: BCBS Complete	$12,967.88
Rate for Payer: Mclaren Medicaid	$12,350.36
Rate for Payer: Meridian Medicaid	$12,967.88
Rate for Payer: Priority Health Choice Medicaid	$12,350.36
Rate for Payer: UHC Medicaid	$12,350.36
Rate for Payer: UHCCP Medicaid	$12,350.36

MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$25,298.35

Service Code	APR-DRG 0893
Min. Negotiated Rate	$24,093.66
Max. Negotiated Rate	$25,298.35
Rate for Payer: BCBS Complete	$25,298.35
Rate for Payer: Mclaren Medicaid	$24,093.66
Rate for Payer: Meridian Medicaid	$25,298.35
Rate for Payer: Priority Health Choice Medicaid	$24,093.66
Rate for Payer: UHC Medicaid	$24,093.66
Rate for Payer: UHCCP Medicaid	$24,093.66

MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$36,056.18

Service Code	APR-DRG 0894
Min. Negotiated Rate	$34,339.22
Max. Negotiated Rate	$36,056.18
Rate for Payer: BCBS Complete	$36,056.18
Rate for Payer: Mclaren Medicaid	$34,339.22
Rate for Payer: Meridian Medicaid	$36,056.18
Rate for Payer: Priority Health Choice Medicaid	$34,339.22
Rate for Payer: UHC Medicaid	$34,339.22
Rate for Payer: UHCCP Medicaid	$34,339.22

MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$18,581.06

Service Code	APR-DRG 0892
Min. Negotiated Rate	$17,696.24
Max. Negotiated Rate	$18,581.06
Rate for Payer: BCBS Complete	$18,581.06
Rate for Payer: Mclaren Medicaid	$17,696.24
Rate for Payer: Meridian Medicaid	$18,581.06
Rate for Payer: Priority Health Choice Medicaid	$17,696.24
Rate for Payer: UHC Medicaid	$17,696.24
Rate for Payer: UHCCP Medicaid	$17,696.24

MAJOR ESOPHAGEAL DISORDERS

Facility

$4,507.25

Service Code	APR-DRG 2421
Min. Negotiated Rate	$4,292.62
Max. Negotiated Rate	$4,507.25
Rate for Payer: BCBS Complete	$4,507.25
Rate for Payer: Mclaren Medicaid	$4,292.62
Rate for Payer: Meridian Medicaid	$4,507.25
Rate for Payer: Priority Health Choice Medicaid	$4,292.62
Rate for Payer: UHC Medicaid	$4,292.62
Rate for Payer: UHCCP Medicaid	$4,292.62

MAJOR ESOPHAGEAL DISORDERS

Facility

$6,214.27

Service Code	APR-DRG 2422
Min. Negotiated Rate	$5,918.35
Max. Negotiated Rate	$6,214.27
Rate for Payer: BCBS Complete	$6,214.27
Rate for Payer: Mclaren Medicaid	$5,918.35
Rate for Payer: Meridian Medicaid	$6,214.27
Rate for Payer: Priority Health Choice Medicaid	$5,918.35
Rate for Payer: UHC Medicaid	$5,918.35
Rate for Payer: UHCCP Medicaid	$5,918.35

MAJOR ESOPHAGEAL DISORDERS

Facility

$8,803.85

Service Code	APR-DRG 2423
Min. Negotiated Rate	$8,384.62
Max. Negotiated Rate	$8,803.85
Rate for Payer: BCBS Complete	$8,803.85
Rate for Payer: Mclaren Medicaid	$8,384.62
Rate for Payer: Meridian Medicaid	$8,803.85
Rate for Payer: Priority Health Choice Medicaid	$8,384.62
Rate for Payer: UHC Medicaid	$8,384.62
Rate for Payer: UHCCP Medicaid	$8,384.62

MAJOR ESOPHAGEAL DISORDERS

Facility

$13,456.98

Service Code	APR-DRG 2424
Min. Negotiated Rate	$12,816.17
Max. Negotiated Rate	$13,456.98
Rate for Payer: BCBS Complete	$13,456.98
Rate for Payer: Mclaren Medicaid	$12,816.17
Rate for Payer: Meridian Medicaid	$13,456.98
Rate for Payer: Priority Health Choice Medicaid	$12,816.17
Rate for Payer: UHC Medicaid	$12,816.17
Rate for Payer: UHCCP Medicaid	$12,816.17

Know your out-of-pocket cost for care.

All Charges