Bronson Methodist Hospital

All Charges

Charge

Type

Setting

Price

MAJOR SKIN DISORDERS

Facility

$22,650.66

Service Code	APR-DRG 3814
Min. Negotiated Rate	$21,572.05
Max. Negotiated Rate	$22,650.66
Rate for Payer: BCBS Complete	$22,650.66
Rate for Payer: Mclaren Medicaid	$21,572.05
Rate for Payer: Meridian Medicaid	$22,650.66
Rate for Payer: Priority Health Choice Medicaid	$21,572.05
Rate for Payer: UHC Medicaid	$21,572.05
Rate for Payer: UHCCP Medicaid	$21,572.05

MAJOR SKIN DISORDERS WITH MCC

Facility

$57,152.98

Service Code	MSDRG 595
Min. Negotiated Rate	$17,411.34
Max. Negotiated Rate	$57,152.98
Rate for Payer: Aetna Medicare	$19,060.84
Rate for Payer: Allen County Amish Medical Aid Commercial	$22,909.66
Rate for Payer: Amish Plain Church Group Commercial	$22,909.66
Rate for Payer: BCBS MAPPO	$18,327.73
Rate for Payer: BCBS Trust/PPO	$57,152.98
Rate for Payer: BCN Commercial	$57,152.98
Rate for Payer: BCN Medicare Advantage	$18,327.73
Rate for Payer: Health Alliance Plan Medicare Advantage	$18,327.73
Rate for Payer: Mclaren Medicare	$18,327.73
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$19,244.12
Rate for Payer: MI Amish Medical Board Commercial	$21,076.89
Rate for Payer: Molina Medicare/Medicaid	$20,160.50
Rate for Payer: Nomi Health Commercial	$27,357.03
Rate for Payer: PACE Medicare	$17,411.34
Rate for Payer: PACE SWMI	$18,327.73
Rate for Payer: PHP Medicare Advantage	$18,327.73
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$34,190.22
Rate for Payer: Priority Health Medicare	$18,327.73
Rate for Payer: Priority Health Tiered Network	$27,352.17
Rate for Payer: Railroad Medicare Medicare	$18,327.73
Rate for Payer: UHC All Payor (Choice/PPO)	$34,567.41
Rate for Payer: UHC Core	$28,919.99
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$18,327.73
Rate for Payer: UHC Exchange	$23,618.24
Rate for Payer: VA VA	$18,327.73

MAJOR SKIN DISORDERS WITHOUT MCC

Facility

$17,644.75

Service Code	MSDRG 596
Min. Negotiated Rate	$9,163.30
Max. Negotiated Rate	$17,644.75
Rate for Payer: Aetna Medicare	$10,031.40
Rate for Payer: Allen County Amish Medical Aid Commercial	$12,056.98
Rate for Payer: Amish Plain Church Group Commercial	$12,056.98
Rate for Payer: BCBS MAPPO	$9,645.58
Rate for Payer: BCBS Trust/PPO	$15,180.40
Rate for Payer: BCN Commercial	$15,180.40
Rate for Payer: BCN Medicare Advantage	$9,645.58
Rate for Payer: Health Alliance Plan Medicare Advantage	$9,645.58
Rate for Payer: Mclaren Medicare	$9,645.58
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$10,127.86
Rate for Payer: MI Amish Medical Board Commercial	$11,092.42
Rate for Payer: Molina Medicare/Medicaid	$10,610.14
Rate for Payer: Nomi Health Commercial	$13,964.25
Rate for Payer: PACE Medicare	$9,163.30
Rate for Payer: PACE SWMI	$9,645.58
Rate for Payer: PHP Medicare Advantage	$9,645.58
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$17,452.22
Rate for Payer: Priority Health Medicare	$9,645.58
Rate for Payer: Priority Health Tiered Network	$13,961.77
Rate for Payer: Railroad Medicare Medicare	$9,645.58
Rate for Payer: UHC All Payor (Choice/PPO)	$17,644.75
Rate for Payer: UHC Core	$14,762.05
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$9,645.58
Rate for Payer: UHC Exchange	$12,055.80
Rate for Payer: VA VA	$9,645.58

MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC

Facility

$47,676.90

Service Code	MSDRG 330
Min. Negotiated Rate	$19,608.02
Max. Negotiated Rate	$47,676.90
Rate for Payer: Aetna Medicare	$21,465.62
Rate for Payer: Allen County Amish Medical Aid Commercial	$25,800.03
Rate for Payer: Amish Plain Church Group Commercial	$25,800.03
Rate for Payer: BCBS MAPPO	$20,640.02
Rate for Payer: BCBS Trust/PPO	$47,676.90
Rate for Payer: BCN Commercial	$47,676.90
Rate for Payer: BCN Medicare Advantage	$20,640.02
Rate for Payer: Health Alliance Plan Medicare Advantage	$20,640.02
Rate for Payer: Mclaren Medicare	$20,640.02
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$21,672.02
Rate for Payer: MI Amish Medical Board Commercial	$23,736.02
Rate for Payer: Molina Medicare/Medicaid	$22,704.02
Rate for Payer: Nomi Health Commercial	$30,923.88
Rate for Payer: PACE Medicare	$19,608.02
Rate for Payer: PACE SWMI	$20,640.02
Rate for Payer: PHP Medicare Advantage	$20,640.02
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$38,647.99
Rate for Payer: Priority Health Medicare	$20,640.02
Rate for Payer: Priority Health Tiered Network	$30,918.39
Rate for Payer: Railroad Medicare Medicare	$20,640.02
Rate for Payer: UHC All Payor (Choice/PPO)	$39,074.36
Rate for Payer: UHC Core	$32,690.62
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$20,640.02
Rate for Payer: UHC Exchange	$26,697.62
Rate for Payer: VA VA	$20,640.02

MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC

Facility

$78,647.12

Service Code	MSDRG 329
Min. Negotiated Rate	$37,080.49
Max. Negotiated Rate	$78,647.12
Rate for Payer: Aetna Medicare	$40,593.37
Rate for Payer: Allen County Amish Medical Aid Commercial	$48,790.11
Rate for Payer: Amish Plain Church Group Commercial	$48,790.11
Rate for Payer: BCBS MAPPO	$39,032.09
Rate for Payer: BCBS Trust/PPO	$78,647.12
Rate for Payer: BCN Commercial	$78,647.12
Rate for Payer: BCN Medicare Advantage	$39,032.09
Rate for Payer: Health Alliance Plan Medicare Advantage	$39,032.09
Rate for Payer: Mclaren Medicare	$39,032.09
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$40,983.69
Rate for Payer: MI Amish Medical Board Commercial	$44,886.90
Rate for Payer: Molina Medicare/Medicaid	$42,935.30
Rate for Payer: Nomi Health Commercial	$59,294.85
Rate for Payer: PACE Medicare	$37,080.49
Rate for Payer: PACE SWMI	$39,032.09
Rate for Payer: PHP Medicare Advantage	$39,032.09
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$74,105.42
Rate for Payer: Priority Health Medicare	$39,032.09
Rate for Payer: Priority Health Tiered Network	$59,284.32
Rate for Payer: Railroad Medicare Medicare	$39,032.09
Rate for Payer: UHC All Payor (Choice/PPO)	$74,922.95
Rate for Payer: UHC Core	$62,682.47
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$39,032.09
Rate for Payer: UHC Exchange	$51,191.22
Rate for Payer: VA VA	$39,032.09

MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC

Facility

$34,942.38

Service Code	MSDRG 331
Min. Negotiated Rate	$13,933.21
Max. Negotiated Rate	$34,942.38
Rate for Payer: Aetna Medicare	$15,253.20
Rate for Payer: Allen County Amish Medical Aid Commercial	$18,333.17
Rate for Payer: Amish Plain Church Group Commercial	$18,333.17
Rate for Payer: BCBS MAPPO	$14,666.54
Rate for Payer: BCBS Trust/PPO	$34,942.38
Rate for Payer: BCN Commercial	$34,942.38
Rate for Payer: BCN Medicare Advantage	$14,666.54
Rate for Payer: Health Alliance Plan Medicare Advantage	$14,666.54
Rate for Payer: Mclaren Medicare	$14,666.54
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$15,399.87
Rate for Payer: MI Amish Medical Board Commercial	$16,866.52
Rate for Payer: Molina Medicare/Medicaid	$16,133.19
Rate for Payer: Nomi Health Commercial	$21,709.41
Rate for Payer: PACE Medicare	$13,933.21
Rate for Payer: PACE SWMI	$14,666.54
Rate for Payer: PHP Medicare Advantage	$14,666.54
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$27,131.95
Rate for Payer: Priority Health Medicare	$14,666.54
Rate for Payer: Priority Health Tiered Network	$21,705.56
Rate for Payer: Railroad Medicare Medicare	$14,666.54
Rate for Payer: UHC All Payor (Choice/PPO)	$27,431.27
Rate for Payer: UHC Core	$22,949.71
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$14,666.54
Rate for Payer: UHC Exchange	$18,742.46
Rate for Payer: VA VA	$14,666.54

MAJOR SMALL BOWEL PROCEDURES

Facility

$7,716.68

Service Code	APR-DRG 2301
Min. Negotiated Rate	$7,349.22
Max. Negotiated Rate	$7,716.68
Rate for Payer: BCBS Complete	$7,716.68
Rate for Payer: Mclaren Medicaid	$7,349.22
Rate for Payer: Meridian Medicaid	$7,716.68
Rate for Payer: Priority Health Choice Medicaid	$7,349.22
Rate for Payer: UHC Medicaid	$7,349.22
Rate for Payer: UHCCP Medicaid	$7,349.22

MAJOR SMALL BOWEL PROCEDURES

Facility

$29,948.45

Service Code	APR-DRG 2304
Min. Negotiated Rate	$28,522.34
Max. Negotiated Rate	$29,948.45
Rate for Payer: BCBS Complete	$29,948.45
Rate for Payer: Mclaren Medicaid	$28,522.34
Rate for Payer: Meridian Medicaid	$29,948.45
Rate for Payer: Priority Health Choice Medicaid	$28,522.34
Rate for Payer: UHC Medicaid	$28,522.34
Rate for Payer: UHCCP Medicaid	$28,522.34

MAJOR SMALL BOWEL PROCEDURES

Facility

$18,826.82

Service Code	APR-DRG 2303
Min. Negotiated Rate	$17,930.30
Max. Negotiated Rate	$18,826.82
Rate for Payer: BCBS Complete	$18,826.82
Rate for Payer: Mclaren Medicaid	$17,930.30
Rate for Payer: Meridian Medicaid	$18,826.82
Rate for Payer: Priority Health Choice Medicaid	$17,930.30
Rate for Payer: UHC Medicaid	$17,930.30
Rate for Payer: UHCCP Medicaid	$17,930.30

MAJOR SMALL BOWEL PROCEDURES

Facility

$12,795.36

Service Code	APR-DRG 2302
Min. Negotiated Rate	$12,186.06
Max. Negotiated Rate	$12,795.36
Rate for Payer: BCBS Complete	$12,795.36
Rate for Payer: Mclaren Medicaid	$12,186.06
Rate for Payer: Meridian Medicaid	$12,795.36
Rate for Payer: Priority Health Choice Medicaid	$12,186.06
Rate for Payer: UHC Medicaid	$12,186.06
Rate for Payer: UHCCP Medicaid	$12,186.06

MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$17,992.07

Service Code	APR-DRG 2203
Min. Negotiated Rate	$17,135.31
Max. Negotiated Rate	$17,992.07
Rate for Payer: BCBS Complete	$17,992.07
Rate for Payer: Mclaren Medicaid	$17,135.31
Rate for Payer: Meridian Medicaid	$17,992.07
Rate for Payer: Priority Health Choice Medicaid	$17,135.31
Rate for Payer: UHC Medicaid	$17,135.31
Rate for Payer: UHCCP Medicaid	$17,135.31

MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$29,304.39

Service Code	APR-DRG 2204
Min. Negotiated Rate	$27,908.94
Max. Negotiated Rate	$29,304.39
Rate for Payer: BCBS Complete	$29,304.39
Rate for Payer: Mclaren Medicaid	$27,908.94
Rate for Payer: Meridian Medicaid	$29,304.39
Rate for Payer: Priority Health Choice Medicaid	$27,908.94
Rate for Payer: UHC Medicaid	$27,908.94
Rate for Payer: UHCCP Medicaid	$27,908.94

MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$12,777.81

Service Code	APR-DRG 2202
Min. Negotiated Rate	$12,169.34
Max. Negotiated Rate	$12,777.81
Rate for Payer: BCBS Complete	$12,777.81
Rate for Payer: Mclaren Medicaid	$12,169.34
Rate for Payer: Meridian Medicaid	$12,777.81
Rate for Payer: Priority Health Choice Medicaid	$12,169.34
Rate for Payer: UHC Medicaid	$12,169.34
Rate for Payer: UHCCP Medicaid	$12,169.34

MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$10,614.98

Service Code	APR-DRG 2201
Min. Negotiated Rate	$10,109.50
Max. Negotiated Rate	$10,614.98
Rate for Payer: BCBS Complete	$10,614.98
Rate for Payer: Mclaren Medicaid	$10,109.50
Rate for Payer: Meridian Medicaid	$10,614.98
Rate for Payer: Priority Health Choice Medicaid	$10,109.50
Rate for Payer: UHC Medicaid	$10,109.50
Rate for Payer: UHCCP Medicaid	$10,109.50

MAJOR THUMB OR JOINT PROCEDURES

Facility

$23,009.43

Service Code	MSDRG 506
Min. Negotiated Rate	$11,282.11
Max. Negotiated Rate	$23,009.43
Rate for Payer: Aetna Medicare	$12,350.95
Rate for Payer: Allen County Amish Medical Aid Commercial	$14,844.89
Rate for Payer: Amish Plain Church Group Commercial	$14,844.89
Rate for Payer: BCBS MAPPO	$11,875.91
Rate for Payer: BCBS Trust/PPO	$23,009.43
Rate for Payer: BCN Commercial	$23,009.43
Rate for Payer: BCN Medicare Advantage	$11,875.91
Rate for Payer: Health Alliance Plan Medicare Advantage	$11,875.91
Rate for Payer: Mclaren Medicare	$11,875.91
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$12,469.71
Rate for Payer: MI Amish Medical Board Commercial	$13,657.30
Rate for Payer: Molina Medicare/Medicaid	$13,063.50
Rate for Payer: Nomi Health Commercial	$15,474.84
Rate for Payer: PACE Medicare	$11,282.11
Rate for Payer: PACE SWMI	$11,875.91
Rate for Payer: PHP Medicare Advantage	$11,875.91
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$21,751.99
Rate for Payer: Priority Health Medicare	$11,875.91
Rate for Payer: Priority Health Tiered Network	$17,401.59
Rate for Payer: Railroad Medicare Medicare	$11,875.91
Rate for Payer: UHC All Payor (Choice/PPO)	$19,553.48
Rate for Payer: UHC Core	$16,358.95
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$11,875.91
Rate for Payer: UHC Exchange	$13,359.95
Rate for Payer: VA VA	$11,875.91

MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$12,965.46

Service Code	APR-DRG 5014
Min. Negotiated Rate	$12,348.05
Max. Negotiated Rate	$12,965.46
Rate for Payer: BCBS Complete	$12,965.46
Rate for Payer: Mclaren Medicaid	$12,348.05
Rate for Payer: Meridian Medicaid	$12,965.46
Rate for Payer: Priority Health Choice Medicaid	$12,348.05
Rate for Payer: UHC Medicaid	$12,348.05
Rate for Payer: UHCCP Medicaid	$12,348.05

MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$4,339.57

Service Code	APR-DRG 5012
Min. Negotiated Rate	$4,132.93
Max. Negotiated Rate	$4,339.57
Rate for Payer: BCBS Complete	$4,339.57
Rate for Payer: Mclaren Medicaid	$4,132.93
Rate for Payer: Meridian Medicaid	$4,339.57
Rate for Payer: Priority Health Choice Medicaid	$4,132.93
Rate for Payer: UHC Medicaid	$4,132.93
Rate for Payer: UHCCP Medicaid	$4,132.93

MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$6,452.16

Service Code	APR-DRG 5013
Min. Negotiated Rate	$6,144.91
Max. Negotiated Rate	$6,452.16
Rate for Payer: BCBS Complete	$6,452.16
Rate for Payer: Mclaren Medicaid	$6,144.91
Rate for Payer: Meridian Medicaid	$6,452.16
Rate for Payer: Priority Health Choice Medicaid	$6,144.91
Rate for Payer: UHC Medicaid	$6,144.91
Rate for Payer: UHCCP Medicaid	$6,144.91

MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$3,631.34

Service Code	APR-DRG 5011
Min. Negotiated Rate	$3,458.42
Max. Negotiated Rate	$3,631.34
Rate for Payer: BCBS Complete	$3,631.34
Rate for Payer: Mclaren Medicaid	$3,458.42
Rate for Payer: Meridian Medicaid	$3,631.34
Rate for Payer: Priority Health Choice Medicaid	$3,458.42
Rate for Payer: UHC Medicaid	$3,458.42
Rate for Payer: UHCCP Medicaid	$3,458.42

MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility

$7,439.44

Service Code	APR-DRG 2523
Min. Negotiated Rate	$7,085.19
Max. Negotiated Rate	$7,439.44
Rate for Payer: BCBS Complete	$7,439.44
Rate for Payer: Mclaren Medicaid	$7,085.19
Rate for Payer: Meridian Medicaid	$7,439.44
Rate for Payer: Priority Health Choice Medicaid	$7,085.19
Rate for Payer: UHC Medicaid	$7,085.19
Rate for Payer: UHCCP Medicaid	$7,085.19

MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility

$12,581.07

Service Code	APR-DRG 2524
Min. Negotiated Rate	$11,981.98
Max. Negotiated Rate	$12,581.07
Rate for Payer: BCBS Complete	$12,581.07
Rate for Payer: Mclaren Medicaid	$11,981.98
Rate for Payer: Meridian Medicaid	$12,581.07
Rate for Payer: Priority Health Choice Medicaid	$11,981.98
Rate for Payer: UHC Medicaid	$11,981.98
Rate for Payer: UHCCP Medicaid	$11,981.98

MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility

$4,404.34

Service Code	APR-DRG 2521
Min. Negotiated Rate	$4,194.61
Max. Negotiated Rate	$4,404.34
Rate for Payer: BCBS Complete	$4,404.34
Rate for Payer: Mclaren Medicaid	$4,194.61
Rate for Payer: Meridian Medicaid	$4,404.34
Rate for Payer: Priority Health Choice Medicaid	$4,194.61
Rate for Payer: UHC Medicaid	$4,194.61
Rate for Payer: UHCCP Medicaid	$4,194.61

MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility

$6,334.73

Service Code	APR-DRG 2522
Min. Negotiated Rate	$6,033.07
Max. Negotiated Rate	$6,334.73
Rate for Payer: BCBS Complete	$6,334.73
Rate for Payer: Mclaren Medicaid	$6,033.07
Rate for Payer: Meridian Medicaid	$6,334.73
Rate for Payer: Priority Health Choice Medicaid	$6,033.07
Rate for Payer: UHC Medicaid	$6,033.07
Rate for Payer: UHCCP Medicaid	$6,033.07

MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE

Facility

$4,493.93

Service Code	APR-DRG 2061
Min. Negotiated Rate	$4,279.94
Max. Negotiated Rate	$4,493.93
Rate for Payer: BCBS Complete	$4,493.93
Rate for Payer: Mclaren Medicaid	$4,279.94
Rate for Payer: Meridian Medicaid	$4,493.93
Rate for Payer: Priority Health Choice Medicaid	$4,279.94
Rate for Payer: UHC Medicaid	$4,279.94
Rate for Payer: UHCCP Medicaid	$4,279.94

MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE

Facility

$7,892.23

Service Code	APR-DRG 2063
Min. Negotiated Rate	$7,516.41
Max. Negotiated Rate	$7,892.23
Rate for Payer: BCBS Complete	$7,892.23
Rate for Payer: Mclaren Medicaid	$7,516.41
Rate for Payer: Meridian Medicaid	$7,892.23
Rate for Payer: Priority Health Choice Medicaid	$7,516.41
Rate for Payer: UHC Medicaid	$7,516.41
Rate for Payer: UHCCP Medicaid	$7,516.41

Know your out-of-pocket cost for care.

All Charges