Bronson Methodist Hospital

All Charges

Charge

Type

Setting

Price

MS-DRG 42.00: FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC

Facility

$68,129.65

Service Code	MSDRG 928
Min. Negotiated Rate	$51,778.53
Max. Negotiated Rate	$68,129.65
Rate for Payer: Aetna Medicare	$56,683.87
Rate for Payer: Allen County Amish Medical Aid Commercial	$68,129.65
Rate for Payer: Amish Plain Church Group Commercial	$68,129.65
Rate for Payer: BCBS MAPPO	$54,503.72
Rate for Payer: BCN Medicare Advantage	$54,503.72
Rate for Payer: Health Alliance Plan Medicare Advantage	$54,503.72
Rate for Payer: Mclaren Medicare	$54,503.72
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$57,228.91
Rate for Payer: MI Amish Medical Board Commercial	$62,679.28
Rate for Payer: PACE Medicare	$51,778.53
Rate for Payer: PACE SWMI	$54,503.72
Rate for Payer: PHP Medicare Advantage	$54,503.72
Rate for Payer: Priority Health Medicare	$54,503.72
Rate for Payer: Railroad Medicare Medicare	$54,503.72
Rate for Payer: UHC Dual Complete DSNP	$54,503.72
Rate for Payer: UHC Medicare Advantage	$54,503.72
Rate for Payer: VA VA	$54,503.72

MS-DRG 42.00: FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC

Facility

$32,730.95

Service Code	MSDRG 929
Min. Negotiated Rate	$24,875.52
Max. Negotiated Rate	$32,730.95
Rate for Payer: Aetna Medicare	$27,232.15
Rate for Payer: Allen County Amish Medical Aid Commercial	$32,730.95
Rate for Payer: Amish Plain Church Group Commercial	$32,730.95
Rate for Payer: BCBS MAPPO	$26,184.76
Rate for Payer: BCN Medicare Advantage	$26,184.76
Rate for Payer: Health Alliance Plan Medicare Advantage	$26,184.76
Rate for Payer: Mclaren Medicare	$26,184.76
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$27,494.00
Rate for Payer: MI Amish Medical Board Commercial	$30,112.47
Rate for Payer: PACE Medicare	$24,875.52
Rate for Payer: PACE SWMI	$26,184.76
Rate for Payer: PHP Medicare Advantage	$26,184.76
Rate for Payer: Priority Health Medicare	$26,184.76
Rate for Payer: Railroad Medicare Medicare	$26,184.76
Rate for Payer: UHC Dual Complete DSNP	$26,184.76
Rate for Payer: UHC Medicare Advantage	$26,184.76
Rate for Payer: VA VA	$26,184.76

MS-DRG 42.00: GASTROINTESTINAL HEMORRHAGE WITH CC

Facility

$10,526.46

Service Code	MSDRG 378
Min. Negotiated Rate	$8,000.11
Max. Negotiated Rate	$10,526.46
Rate for Payer: Aetna Medicare	$8,758.02
Rate for Payer: Allen County Amish Medical Aid Commercial	$10,526.46
Rate for Payer: Amish Plain Church Group Commercial	$10,526.46
Rate for Payer: BCBS MAPPO	$8,421.17
Rate for Payer: BCN Medicare Advantage	$8,421.17
Rate for Payer: Health Alliance Plan Medicare Advantage	$8,421.17
Rate for Payer: Mclaren Medicare	$8,421.17
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$8,842.23
Rate for Payer: MI Amish Medical Board Commercial	$9,684.35
Rate for Payer: PACE Medicare	$8,000.11
Rate for Payer: PACE SWMI	$8,421.17
Rate for Payer: PHP Medicare Advantage	$8,421.17
Rate for Payer: Priority Health Medicare	$8,421.17
Rate for Payer: Railroad Medicare Medicare	$8,421.17
Rate for Payer: UHC Dual Complete DSNP	$8,421.17
Rate for Payer: UHC Medicare Advantage	$8,421.17
Rate for Payer: VA VA	$8,421.17

MS-DRG 42.00: GASTROINTESTINAL HEMORRHAGE WITH MCC

Facility

$18,947.88

Service Code	MSDRG 377
Min. Negotiated Rate	$14,400.39
Max. Negotiated Rate	$18,947.88
Rate for Payer: Aetna Medicare	$15,764.63
Rate for Payer: Allen County Amish Medical Aid Commercial	$18,947.88
Rate for Payer: Amish Plain Church Group Commercial	$18,947.88
Rate for Payer: BCBS MAPPO	$15,158.30
Rate for Payer: BCN Medicare Advantage	$15,158.30
Rate for Payer: Health Alliance Plan Medicare Advantage	$15,158.30
Rate for Payer: Mclaren Medicare	$15,158.30
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$15,916.22
Rate for Payer: MI Amish Medical Board Commercial	$17,432.04
Rate for Payer: PACE Medicare	$14,400.39
Rate for Payer: PACE SWMI	$15,158.30
Rate for Payer: PHP Medicare Advantage	$15,158.30
Rate for Payer: Priority Health Medicare	$15,158.30
Rate for Payer: Railroad Medicare Medicare	$15,158.30
Rate for Payer: UHC Dual Complete DSNP	$15,158.30
Rate for Payer: UHC Medicare Advantage	$15,158.30
Rate for Payer: VA VA	$15,158.30

MS-DRG 42.00: GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC

Facility

$6,993.16

Service Code	MSDRG 379
Min. Negotiated Rate	$5,314.80
Max. Negotiated Rate	$6,993.16
Rate for Payer: Aetna Medicare	$5,818.31
Rate for Payer: Allen County Amish Medical Aid Commercial	$6,993.16
Rate for Payer: Amish Plain Church Group Commercial	$6,993.16
Rate for Payer: BCBS MAPPO	$5,594.53
Rate for Payer: BCN Medicare Advantage	$5,594.53
Rate for Payer: Health Alliance Plan Medicare Advantage	$5,594.53
Rate for Payer: Mclaren Medicare	$5,594.53
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$5,874.26
Rate for Payer: MI Amish Medical Board Commercial	$6,433.71
Rate for Payer: PACE Medicare	$5,314.80
Rate for Payer: PACE SWMI	$5,594.53
Rate for Payer: PHP Medicare Advantage	$5,594.53
Rate for Payer: Priority Health Medicare	$5,594.53
Rate for Payer: Railroad Medicare Medicare	$5,594.53
Rate for Payer: UHC Dual Complete DSNP	$5,594.53
Rate for Payer: UHC Medicare Advantage	$5,594.53
Rate for Payer: VA VA	$5,594.53

MS-DRG 42.00: GASTROINTESTINAL OBSTRUCTION WITH CC

Facility

$8,661.65

Service Code	MSDRG 389
Min. Negotiated Rate	$6,582.85
Max. Negotiated Rate	$8,661.65
Rate for Payer: Aetna Medicare	$7,206.49
Rate for Payer: Allen County Amish Medical Aid Commercial	$8,661.65
Rate for Payer: Amish Plain Church Group Commercial	$8,661.65
Rate for Payer: BCBS MAPPO	$6,929.32
Rate for Payer: BCN Medicare Advantage	$6,929.32
Rate for Payer: Health Alliance Plan Medicare Advantage	$6,929.32
Rate for Payer: Mclaren Medicare	$6,929.32
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$7,275.79
Rate for Payer: MI Amish Medical Board Commercial	$7,968.72
Rate for Payer: PACE Medicare	$6,582.85
Rate for Payer: PACE SWMI	$6,929.32
Rate for Payer: PHP Medicare Advantage	$6,929.32
Rate for Payer: Priority Health Medicare	$6,929.32
Rate for Payer: Railroad Medicare Medicare	$6,929.32
Rate for Payer: UHC Dual Complete DSNP	$6,929.32
Rate for Payer: UHC Medicare Advantage	$6,929.32
Rate for Payer: VA VA	$6,929.32

MS-DRG 42.00: GASTROINTESTINAL OBSTRUCTION WITH MCC

Facility

$15,423.67

Service Code	MSDRG 388
Min. Negotiated Rate	$11,721.99
Max. Negotiated Rate	$15,423.67
Rate for Payer: Aetna Medicare	$12,832.50
Rate for Payer: Allen County Amish Medical Aid Commercial	$15,423.67
Rate for Payer: Amish Plain Church Group Commercial	$15,423.67
Rate for Payer: BCBS MAPPO	$12,338.94
Rate for Payer: BCN Medicare Advantage	$12,338.94
Rate for Payer: Health Alliance Plan Medicare Advantage	$12,338.94
Rate for Payer: Mclaren Medicare	$12,338.94
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$12,955.89
Rate for Payer: MI Amish Medical Board Commercial	$14,189.78
Rate for Payer: PACE Medicare	$11,721.99
Rate for Payer: PACE SWMI	$12,338.94
Rate for Payer: PHP Medicare Advantage	$12,338.94
Rate for Payer: Priority Health Medicare	$12,338.94
Rate for Payer: Railroad Medicare Medicare	$12,338.94
Rate for Payer: UHC Dual Complete DSNP	$12,338.94
Rate for Payer: UHC Medicare Advantage	$12,338.94
Rate for Payer: VA VA	$12,338.94

MS-DRG 42.00: GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC

Facility

$6,087.56

Service Code	MSDRG 390
Min. Negotiated Rate	$4,626.55
Max. Negotiated Rate	$6,087.56
Rate for Payer: Aetna Medicare	$5,064.85
Rate for Payer: Allen County Amish Medical Aid Commercial	$6,087.56
Rate for Payer: Amish Plain Church Group Commercial	$6,087.56
Rate for Payer: BCBS MAPPO	$4,870.05
Rate for Payer: BCN Medicare Advantage	$4,870.05
Rate for Payer: Health Alliance Plan Medicare Advantage	$4,870.05
Rate for Payer: Mclaren Medicare	$4,870.05
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$5,113.55
Rate for Payer: MI Amish Medical Board Commercial	$5,600.56
Rate for Payer: PACE Medicare	$4,626.55
Rate for Payer: PACE SWMI	$4,870.05
Rate for Payer: PHP Medicare Advantage	$4,870.05
Rate for Payer: Priority Health Medicare	$4,870.05
Rate for Payer: Railroad Medicare Medicare	$4,870.05
Rate for Payer: UHC Dual Complete DSNP	$4,870.05
Rate for Payer: UHC Medicare Advantage	$4,870.05
Rate for Payer: VA VA	$4,870.05

MS-DRG 42.00: HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC

Facility

$15,784.92

Service Code	MSDRG 513
Min. Negotiated Rate	$11,996.54
Max. Negotiated Rate	$15,784.92
Rate for Payer: Aetna Medicare	$13,133.06
Rate for Payer: Allen County Amish Medical Aid Commercial	$15,784.92
Rate for Payer: Amish Plain Church Group Commercial	$15,784.92
Rate for Payer: BCBS MAPPO	$12,627.94
Rate for Payer: BCN Medicare Advantage	$12,627.94
Rate for Payer: Health Alliance Plan Medicare Advantage	$12,627.94
Rate for Payer: Mclaren Medicare	$12,627.94
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$13,259.34
Rate for Payer: MI Amish Medical Board Commercial	$14,522.13
Rate for Payer: PACE Medicare	$11,996.54
Rate for Payer: PACE SWMI	$12,627.94
Rate for Payer: PHP Medicare Advantage	$12,627.94
Rate for Payer: Priority Health Medicare	$12,627.94
Rate for Payer: Railroad Medicare Medicare	$12,627.94
Rate for Payer: UHC Dual Complete DSNP	$12,627.94
Rate for Payer: UHC Medicare Advantage	$12,627.94
Rate for Payer: VA VA	$12,627.94

MS-DRG 42.00: HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC

Facility

$10,867.44

Service Code	MSDRG 514
Min. Negotiated Rate	$8,259.25
Max. Negotiated Rate	$10,867.44
Rate for Payer: Aetna Medicare	$9,041.71
Rate for Payer: Allen County Amish Medical Aid Commercial	$10,867.44
Rate for Payer: Amish Plain Church Group Commercial	$10,867.44
Rate for Payer: BCBS MAPPO	$8,693.95
Rate for Payer: BCN Medicare Advantage	$8,693.95
Rate for Payer: Health Alliance Plan Medicare Advantage	$8,693.95
Rate for Payer: Mclaren Medicare	$8,693.95
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$9,128.65
Rate for Payer: MI Amish Medical Board Commercial	$9,998.04
Rate for Payer: PACE Medicare	$8,259.25
Rate for Payer: PACE SWMI	$8,693.95
Rate for Payer: PHP Medicare Advantage	$8,693.95
Rate for Payer: Priority Health Medicare	$8,693.95
Rate for Payer: Railroad Medicare Medicare	$8,693.95
Rate for Payer: UHC Dual Complete DSNP	$8,693.95
Rate for Payer: UHC Medicare Advantage	$8,693.95
Rate for Payer: VA VA	$8,693.95

MS-DRG 42.00: HAND PROCEDURES FOR INJURIES

Facility

$22,633.94

Service Code	MSDRG 906
Min. Negotiated Rate	$17,201.79
Max. Negotiated Rate	$22,633.94
Rate for Payer: Aetna Medicare	$18,831.44
Rate for Payer: Allen County Amish Medical Aid Commercial	$22,633.94
Rate for Payer: Amish Plain Church Group Commercial	$22,633.94
Rate for Payer: BCBS MAPPO	$18,107.15
Rate for Payer: BCN Medicare Advantage	$18,107.15
Rate for Payer: Health Alliance Plan Medicare Advantage	$18,107.15
Rate for Payer: Mclaren Medicare	$18,107.15
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$19,012.51
Rate for Payer: MI Amish Medical Board Commercial	$20,823.22
Rate for Payer: PACE Medicare	$17,201.79
Rate for Payer: PACE SWMI	$18,107.15
Rate for Payer: PHP Medicare Advantage	$18,107.15
Rate for Payer: Priority Health Medicare	$18,107.15
Rate for Payer: Railroad Medicare Medicare	$18,107.15
Rate for Payer: UHC Dual Complete DSNP	$18,107.15
Rate for Payer: UHC Medicare Advantage	$18,107.15
Rate for Payer: VA VA	$18,107.15

MS-DRG 42.00: HEADACHES WITH MCC

Facility

$12,282.96

Service Code	MSDRG 102
Min. Negotiated Rate	$9,335.05
Max. Negotiated Rate	$12,282.96
Rate for Payer: Aetna Medicare	$10,219.42
Rate for Payer: Allen County Amish Medical Aid Commercial	$12,282.96
Rate for Payer: Amish Plain Church Group Commercial	$12,282.96
Rate for Payer: BCBS MAPPO	$9,826.37
Rate for Payer: BCN Medicare Advantage	$9,826.37
Rate for Payer: Health Alliance Plan Medicare Advantage	$9,826.37
Rate for Payer: Mclaren Medicare	$9,826.37
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$10,317.69
Rate for Payer: MI Amish Medical Board Commercial	$11,300.33
Rate for Payer: PACE Medicare	$9,335.05
Rate for Payer: PACE SWMI	$9,826.37
Rate for Payer: PHP Medicare Advantage	$9,826.37
Rate for Payer: Priority Health Medicare	$9,826.37
Rate for Payer: Railroad Medicare Medicare	$9,826.37
Rate for Payer: UHC Dual Complete DSNP	$9,826.37
Rate for Payer: UHC Medicare Advantage	$9,826.37
Rate for Payer: VA VA	$9,826.37

MS-DRG 42.00: HEADACHES WITHOUT MCC

Facility

$9,153.40

Service Code	MSDRG 103
Min. Negotiated Rate	$6,956.58
Max. Negotiated Rate	$9,153.40
Rate for Payer: Aetna Medicare	$7,615.63
Rate for Payer: Allen County Amish Medical Aid Commercial	$9,153.40
Rate for Payer: Amish Plain Church Group Commercial	$9,153.40
Rate for Payer: BCBS MAPPO	$7,322.72
Rate for Payer: BCN Medicare Advantage	$7,322.72
Rate for Payer: Health Alliance Plan Medicare Advantage	$7,322.72
Rate for Payer: Mclaren Medicare	$7,322.72
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$7,688.86
Rate for Payer: MI Amish Medical Board Commercial	$8,421.13
Rate for Payer: PACE Medicare	$6,956.58
Rate for Payer: PACE SWMI	$7,322.72
Rate for Payer: PHP Medicare Advantage	$7,322.72
Rate for Payer: Priority Health Medicare	$7,322.72
Rate for Payer: Railroad Medicare Medicare	$7,322.72
Rate for Payer: UHC Dual Complete DSNP	$7,322.72
Rate for Payer: UHC Medicare Advantage	$7,322.72
Rate for Payer: VA VA	$7,322.72

MS-DRG 42.00: HEART FAILURE AND SHOCK WITH CC

Facility

$9,264.70

Service Code	MSDRG 292
Min. Negotiated Rate	$7,041.17
Max. Negotiated Rate	$9,264.70
Rate for Payer: Aetna Medicare	$7,708.23
Rate for Payer: Allen County Amish Medical Aid Commercial	$9,264.70
Rate for Payer: Amish Plain Church Group Commercial	$9,264.70
Rate for Payer: BCBS MAPPO	$7,411.76
Rate for Payer: BCN Medicare Advantage	$7,411.76
Rate for Payer: Health Alliance Plan Medicare Advantage	$7,411.76
Rate for Payer: Mclaren Medicare	$7,411.76
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$7,782.35
Rate for Payer: MI Amish Medical Board Commercial	$8,523.52
Rate for Payer: PACE Medicare	$7,041.17
Rate for Payer: PACE SWMI	$7,411.76
Rate for Payer: PHP Medicare Advantage	$7,411.76
Rate for Payer: Priority Health Medicare	$7,411.76
Rate for Payer: Railroad Medicare Medicare	$7,411.76
Rate for Payer: UHC Dual Complete DSNP	$7,411.76
Rate for Payer: UHC Medicare Advantage	$7,411.76
Rate for Payer: VA VA	$7,411.76

MS-DRG 42.00: HEART FAILURE AND SHOCK WITH MCC

Facility

$13,753.16

Service Code	MSDRG 291
Min. Negotiated Rate	$10,452.40
Max. Negotiated Rate	$13,753.16
Rate for Payer: Aetna Medicare	$11,442.63
Rate for Payer: Allen County Amish Medical Aid Commercial	$13,753.16
Rate for Payer: Amish Plain Church Group Commercial	$13,753.16
Rate for Payer: BCBS MAPPO	$11,002.53
Rate for Payer: BCN Medicare Advantage	$11,002.53
Rate for Payer: Health Alliance Plan Medicare Advantage	$11,002.53
Rate for Payer: Mclaren Medicare	$11,002.53
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$11,552.66
Rate for Payer: MI Amish Medical Board Commercial	$12,652.91
Rate for Payer: PACE Medicare	$10,452.40
Rate for Payer: PACE SWMI	$11,002.53
Rate for Payer: PHP Medicare Advantage	$11,002.53
Rate for Payer: Priority Health Medicare	$11,002.53
Rate for Payer: Railroad Medicare Medicare	$11,002.53
Rate for Payer: UHC Dual Complete DSNP	$11,002.53
Rate for Payer: UHC Medicare Advantage	$11,002.53
Rate for Payer: VA VA	$11,002.53

MS-DRG 42.00: HEART FAILURE AND SHOCK WITHOUT CC/MCC

Facility

$6,102.74

Service Code	MSDRG 293
Min. Negotiated Rate	$4,638.08
Max. Negotiated Rate	$6,102.74
Rate for Payer: Aetna Medicare	$5,077.48
Rate for Payer: Allen County Amish Medical Aid Commercial	$6,102.74
Rate for Payer: Amish Plain Church Group Commercial	$6,102.74
Rate for Payer: BCBS MAPPO	$4,882.19
Rate for Payer: BCN Medicare Advantage	$4,882.19
Rate for Payer: Health Alliance Plan Medicare Advantage	$4,882.19
Rate for Payer: Mclaren Medicare	$4,882.19
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$5,126.30
Rate for Payer: MI Amish Medical Board Commercial	$5,614.52
Rate for Payer: PACE Medicare	$4,638.08
Rate for Payer: PACE SWMI	$4,882.19
Rate for Payer: PHP Medicare Advantage	$4,882.19
Rate for Payer: Priority Health Medicare	$4,882.19
Rate for Payer: Railroad Medicare Medicare	$4,882.19
Rate for Payer: UHC Dual Complete DSNP	$4,882.19
Rate for Payer: UHC Medicare Advantage	$4,882.19
Rate for Payer: VA VA	$4,882.19

MS-DRG 42.00: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC

Facility

$285,564.75

Service Code	MSDRG 001
Min. Negotiated Rate	$217,029.21
Max. Negotiated Rate	$285,564.75
Rate for Payer: Aetna Medicare	$237,589.87
Rate for Payer: Allen County Amish Medical Aid Commercial	$285,564.75
Rate for Payer: Amish Plain Church Group Commercial	$285,564.75
Rate for Payer: BCBS MAPPO	$228,451.80
Rate for Payer: BCN Medicare Advantage	$228,451.80
Rate for Payer: Health Alliance Plan Medicare Advantage	$228,451.80
Rate for Payer: Mclaren Medicare	$228,451.80
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$239,874.39
Rate for Payer: MI Amish Medical Board Commercial	$262,719.57
Rate for Payer: PACE Medicare	$217,029.21
Rate for Payer: PACE SWMI	$228,451.80
Rate for Payer: PHP Medicare Advantage	$228,451.80
Rate for Payer: Priority Health Medicare	$228,451.80
Rate for Payer: Railroad Medicare Medicare	$228,451.80
Rate for Payer: UHC Dual Complete DSNP	$228,451.80
Rate for Payer: UHC Medicare Advantage	$228,451.80
Rate for Payer: VA VA	$228,451.80

MS-DRG 42.00: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC

Facility

$112,050.94

Service Code	MSDRG 002
Min. Negotiated Rate	$85,158.71
Max. Negotiated Rate	$112,050.94
Rate for Payer: Aetna Medicare	$93,226.38
Rate for Payer: Allen County Amish Medical Aid Commercial	$112,050.94
Rate for Payer: Amish Plain Church Group Commercial	$112,050.94
Rate for Payer: BCBS MAPPO	$89,640.75
Rate for Payer: BCN Medicare Advantage	$89,640.75
Rate for Payer: Health Alliance Plan Medicare Advantage	$89,640.75
Rate for Payer: Mclaren Medicare	$89,640.75
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$94,122.79
Rate for Payer: MI Amish Medical Board Commercial	$103,086.86
Rate for Payer: PACE Medicare	$85,158.71
Rate for Payer: PACE SWMI	$89,640.75
Rate for Payer: PHP Medicare Advantage	$89,640.75
Rate for Payer: Priority Health Medicare	$89,640.75
Rate for Payer: Railroad Medicare Medicare	$89,640.75
Rate for Payer: UHC Dual Complete DSNP	$89,640.75
Rate for Payer: UHC Medicare Advantage	$89,640.75
Rate for Payer: VA VA	$89,640.75

MS-DRG 42.00: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC

Facility

$17,120.50

Service Code	MSDRG 421
Min. Negotiated Rate	$13,011.58
Max. Negotiated Rate	$17,120.50
Rate for Payer: Aetna Medicare	$14,244.26
Rate for Payer: Allen County Amish Medical Aid Commercial	$17,120.50
Rate for Payer: Amish Plain Church Group Commercial	$17,120.50
Rate for Payer: BCBS MAPPO	$13,696.40
Rate for Payer: BCN Medicare Advantage	$13,696.40
Rate for Payer: Health Alliance Plan Medicare Advantage	$13,696.40
Rate for Payer: Mclaren Medicare	$13,696.40
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$14,381.22
Rate for Payer: MI Amish Medical Board Commercial	$15,750.86
Rate for Payer: PACE Medicare	$13,011.58
Rate for Payer: PACE SWMI	$13,696.40
Rate for Payer: PHP Medicare Advantage	$13,696.40
Rate for Payer: Priority Health Medicare	$13,696.40
Rate for Payer: Railroad Medicare Medicare	$13,696.40
Rate for Payer: UHC Dual Complete DSNP	$13,696.40
Rate for Payer: UHC Medicare Advantage	$13,696.40
Rate for Payer: VA VA	$13,696.40

MS-DRG 42.00: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC

Facility

$36,263.24

Service Code	MSDRG 420
Min. Negotiated Rate	$27,560.06
Max. Negotiated Rate	$36,263.24
Rate for Payer: Aetna Medicare	$30,171.01
Rate for Payer: Allen County Amish Medical Aid Commercial	$36,263.24
Rate for Payer: Amish Plain Church Group Commercial	$36,263.24
Rate for Payer: BCBS MAPPO	$29,010.59
Rate for Payer: BCN Medicare Advantage	$29,010.59
Rate for Payer: Health Alliance Plan Medicare Advantage	$29,010.59
Rate for Payer: Mclaren Medicare	$29,010.59
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$30,461.12
Rate for Payer: MI Amish Medical Board Commercial	$33,362.18
Rate for Payer: PACE Medicare	$27,560.06
Rate for Payer: PACE SWMI	$29,010.59
Rate for Payer: PHP Medicare Advantage	$29,010.59
Rate for Payer: Priority Health Medicare	$29,010.59
Rate for Payer: Railroad Medicare Medicare	$29,010.59
Rate for Payer: UHC Dual Complete DSNP	$29,010.59
Rate for Payer: UHC Medicare Advantage	$29,010.59
Rate for Payer: VA VA	$29,010.59

MS-DRG 42.00: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC

Facility

$15,418.61

Service Code	MSDRG 422
Min. Negotiated Rate	$11,718.15
Max. Negotiated Rate	$15,418.61
Rate for Payer: Aetna Medicare	$12,828.29
Rate for Payer: Allen County Amish Medical Aid Commercial	$15,418.61
Rate for Payer: Amish Plain Church Group Commercial	$15,418.61
Rate for Payer: BCBS MAPPO	$12,334.89
Rate for Payer: BCN Medicare Advantage	$12,334.89
Rate for Payer: Health Alliance Plan Medicare Advantage	$12,334.89
Rate for Payer: Mclaren Medicare	$12,334.89
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$12,951.63
Rate for Payer: MI Amish Medical Board Commercial	$14,185.12
Rate for Payer: PACE Medicare	$11,718.15
Rate for Payer: PACE SWMI	$12,334.89
Rate for Payer: PHP Medicare Advantage	$12,334.89
Rate for Payer: Priority Health Medicare	$12,334.89
Rate for Payer: Railroad Medicare Medicare	$12,334.89
Rate for Payer: UHC Dual Complete DSNP	$12,334.89
Rate for Payer: UHC Medicare Advantage	$12,334.89
Rate for Payer: VA VA	$12,334.89

MS-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC

Facility

$17,763.01

Service Code	MSDRG 354
Min. Negotiated Rate	$13,499.89
Max. Negotiated Rate	$17,763.01
Rate for Payer: Aetna Medicare	$14,778.83
Rate for Payer: Allen County Amish Medical Aid Commercial	$17,763.01
Rate for Payer: Amish Plain Church Group Commercial	$17,763.01
Rate for Payer: BCBS MAPPO	$14,210.41
Rate for Payer: BCN Medicare Advantage	$14,210.41
Rate for Payer: Health Alliance Plan Medicare Advantage	$14,210.41
Rate for Payer: Mclaren Medicare	$14,210.41
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$14,920.93
Rate for Payer: MI Amish Medical Board Commercial	$16,341.97
Rate for Payer: PACE Medicare	$13,499.89
Rate for Payer: PACE SWMI	$14,210.41
Rate for Payer: PHP Medicare Advantage	$14,210.41
Rate for Payer: Priority Health Medicare	$14,210.41
Rate for Payer: Railroad Medicare Medicare	$14,210.41
Rate for Payer: UHC Dual Complete DSNP	$14,210.41
Rate for Payer: UHC Medicare Advantage	$14,210.41
Rate for Payer: VA VA	$14,210.41

MS-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC

Facility

$30,227.69

Service Code	MSDRG 353
Min. Negotiated Rate	$22,973.04
Max. Negotiated Rate	$30,227.69
Rate for Payer: Aetna Medicare	$25,149.44
Rate for Payer: Allen County Amish Medical Aid Commercial	$30,227.69
Rate for Payer: Amish Plain Church Group Commercial	$30,227.69
Rate for Payer: BCBS MAPPO	$24,182.15
Rate for Payer: BCN Medicare Advantage	$24,182.15
Rate for Payer: Health Alliance Plan Medicare Advantage	$24,182.15
Rate for Payer: Mclaren Medicare	$24,182.15
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$25,391.26
Rate for Payer: MI Amish Medical Board Commercial	$27,809.47
Rate for Payer: PACE Medicare	$22,973.04
Rate for Payer: PACE SWMI	$24,182.15
Rate for Payer: PHP Medicare Advantage	$24,182.15
Rate for Payer: Priority Health Medicare	$24,182.15
Rate for Payer: Railroad Medicare Medicare	$24,182.15
Rate for Payer: UHC Dual Complete DSNP	$24,182.15
Rate for Payer: UHC Medicare Advantage	$24,182.15
Rate for Payer: VA VA	$24,182.15

MS-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC

Facility

$14,040.50

Service Code	MSDRG 355
Min. Negotiated Rate	$10,670.78
Max. Negotiated Rate	$14,040.50
Rate for Payer: Aetna Medicare	$11,681.70
Rate for Payer: Allen County Amish Medical Aid Commercial	$14,040.50
Rate for Payer: Amish Plain Church Group Commercial	$14,040.50
Rate for Payer: BCBS MAPPO	$11,232.40
Rate for Payer: BCN Medicare Advantage	$11,232.40
Rate for Payer: Health Alliance Plan Medicare Advantage	$11,232.40
Rate for Payer: Mclaren Medicare	$11,232.40
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$11,794.02
Rate for Payer: MI Amish Medical Board Commercial	$12,917.26
Rate for Payer: PACE Medicare	$10,670.78
Rate for Payer: PACE SWMI	$11,232.40
Rate for Payer: PHP Medicare Advantage	$11,232.40
Rate for Payer: Priority Health Medicare	$11,232.40
Rate for Payer: Railroad Medicare Medicare	$11,232.40
Rate for Payer: UHC Dual Complete DSNP	$11,232.40
Rate for Payer: UHC Medicare Advantage	$11,232.40
Rate for Payer: VA VA	$11,232.40

MS-DRG 42.00: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC

Facility

$21,545.22

Service Code	MSDRG 481
Min. Negotiated Rate	$16,374.37
Max. Negotiated Rate	$21,545.22
Rate for Payer: Aetna Medicare	$17,925.63
Rate for Payer: Allen County Amish Medical Aid Commercial	$21,545.22
Rate for Payer: Amish Plain Church Group Commercial	$21,545.22
Rate for Payer: BCBS MAPPO	$17,236.18
Rate for Payer: BCN Medicare Advantage	$17,236.18
Rate for Payer: Health Alliance Plan Medicare Advantage	$17,236.18
Rate for Payer: Mclaren Medicare	$17,236.18
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$18,097.99
Rate for Payer: MI Amish Medical Board Commercial	$19,821.61
Rate for Payer: PACE Medicare	$16,374.37
Rate for Payer: PACE SWMI	$17,236.18
Rate for Payer: PHP Medicare Advantage	$17,236.18
Rate for Payer: Priority Health Medicare	$17,236.18
Rate for Payer: Railroad Medicare Medicare	$17,236.18
Rate for Payer: UHC Dual Complete DSNP	$17,236.18
Rate for Payer: UHC Medicare Advantage	$17,236.18
Rate for Payer: VA VA	$17,236.18

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