Bronson Methodist Hospital

All Charges

Charge

Type

Setting

Price

MS-DRG 42.00: KIDNEY AND URINARY TRACT INFECTIONS WITH MCC

Facility

$12,392.23

Service Code	MSDRG 689
Min. Negotiated Rate	$9,418.09
Max. Negotiated Rate	$12,392.23
Rate for Payer: Aetna Medicare	$10,310.33
Rate for Payer: Allen County Amish Medical Aid Commercial	$12,392.23
Rate for Payer: Amish Plain Church Group Commercial	$12,392.23
Rate for Payer: BCBS MAPPO	$9,913.78
Rate for Payer: BCN Medicare Advantage	$9,913.78
Rate for Payer: Health Alliance Plan Medicare Advantage	$9,913.78
Rate for Payer: Mclaren Medicare	$9,913.78
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$10,409.47
Rate for Payer: MI Amish Medical Board Commercial	$11,400.85
Rate for Payer: PACE Medicare	$9,418.09
Rate for Payer: PACE SWMI	$9,913.78
Rate for Payer: PHP Medicare Advantage	$9,913.78
Rate for Payer: Priority Health Medicare	$9,913.78
Rate for Payer: Railroad Medicare Medicare	$9,913.78
Rate for Payer: UHC Dual Complete DSNP	$9,913.78
Rate for Payer: UHC Medicare Advantage	$9,913.78
Rate for Payer: VA VA	$9,913.78

MS-DRG 42.00: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC

Facility

$8,671.77

Service Code	MSDRG 690
Min. Negotiated Rate	$6,590.55
Max. Negotiated Rate	$8,671.77
Rate for Payer: Aetna Medicare	$7,214.92
Rate for Payer: Allen County Amish Medical Aid Commercial	$8,671.77
Rate for Payer: Amish Plain Church Group Commercial	$8,671.77
Rate for Payer: BCBS MAPPO	$6,937.42
Rate for Payer: BCN Medicare Advantage	$6,937.42
Rate for Payer: Health Alliance Plan Medicare Advantage	$6,937.42
Rate for Payer: Mclaren Medicare	$6,937.42
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$7,284.29
Rate for Payer: MI Amish Medical Board Commercial	$7,978.03
Rate for Payer: PACE Medicare	$6,590.55
Rate for Payer: PACE SWMI	$6,937.42
Rate for Payer: PHP Medicare Advantage	$6,937.42
Rate for Payer: Priority Health Medicare	$6,937.42
Rate for Payer: Railroad Medicare Medicare	$6,937.42
Rate for Payer: UHC Dual Complete DSNP	$6,937.42
Rate for Payer: UHC Medicare Advantage	$6,937.42
Rate for Payer: VA VA	$6,937.42

MS-DRG 42.00: KIDNEY AND URINARY TRACT NEOPLASMS WITH CC

Facility

$11,202.35

Service Code	MSDRG 687
Min. Negotiated Rate	$8,513.79
Max. Negotiated Rate	$11,202.35
Rate for Payer: Aetna Medicare	$9,320.36
Rate for Payer: Allen County Amish Medical Aid Commercial	$11,202.35
Rate for Payer: Amish Plain Church Group Commercial	$11,202.35
Rate for Payer: BCBS MAPPO	$8,961.88
Rate for Payer: BCN Medicare Advantage	$8,961.88
Rate for Payer: Health Alliance Plan Medicare Advantage	$8,961.88
Rate for Payer: Mclaren Medicare	$8,961.88
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$9,409.97
Rate for Payer: MI Amish Medical Board Commercial	$10,306.16
Rate for Payer: PACE Medicare	$8,513.79
Rate for Payer: PACE SWMI	$8,961.88
Rate for Payer: PHP Medicare Advantage	$8,961.88
Rate for Payer: Priority Health Medicare	$8,961.88
Rate for Payer: Railroad Medicare Medicare	$8,961.88
Rate for Payer: UHC Dual Complete DSNP	$8,961.88
Rate for Payer: UHC Medicare Advantage	$8,961.88
Rate for Payer: VA VA	$8,961.88

MS-DRG 42.00: KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC

Facility

$19,630.84

Service Code	MSDRG 686
Min. Negotiated Rate	$14,919.44
Max. Negotiated Rate	$19,630.84
Rate for Payer: Aetna Medicare	$16,332.86
Rate for Payer: Allen County Amish Medical Aid Commercial	$19,630.84
Rate for Payer: Amish Plain Church Group Commercial	$19,630.84
Rate for Payer: BCBS MAPPO	$15,704.67
Rate for Payer: BCN Medicare Advantage	$15,704.67
Rate for Payer: Health Alliance Plan Medicare Advantage	$15,704.67
Rate for Payer: Mclaren Medicare	$15,704.67
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$16,489.90
Rate for Payer: MI Amish Medical Board Commercial	$18,060.37
Rate for Payer: PACE Medicare	$14,919.44
Rate for Payer: PACE SWMI	$15,704.67
Rate for Payer: PHP Medicare Advantage	$15,704.67
Rate for Payer: Priority Health Medicare	$15,704.67
Rate for Payer: Railroad Medicare Medicare	$15,704.67
Rate for Payer: UHC Dual Complete DSNP	$15,704.67
Rate for Payer: UHC Medicare Advantage	$15,704.67
Rate for Payer: VA VA	$15,704.67

MS-DRG 42.00: KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC

Facility

$7,878.52

Service Code	MSDRG 688
Min. Negotiated Rate	$5,987.68
Max. Negotiated Rate	$7,878.52
Rate for Payer: Aetna Medicare	$6,554.93
Rate for Payer: Allen County Amish Medical Aid Commercial	$7,878.52
Rate for Payer: Amish Plain Church Group Commercial	$7,878.52
Rate for Payer: BCBS MAPPO	$6,302.82
Rate for Payer: BCN Medicare Advantage	$6,302.82
Rate for Payer: Health Alliance Plan Medicare Advantage	$6,302.82
Rate for Payer: Mclaren Medicare	$6,302.82
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$6,617.96
Rate for Payer: MI Amish Medical Board Commercial	$7,248.24
Rate for Payer: PACE Medicare	$5,987.68
Rate for Payer: PACE SWMI	$6,302.82
Rate for Payer: PHP Medicare Advantage	$6,302.82
Rate for Payer: Priority Health Medicare	$6,302.82
Rate for Payer: Railroad Medicare Medicare	$6,302.82
Rate for Payer: UHC Dual Complete DSNP	$6,302.82
Rate for Payer: UHC Medicare Advantage	$6,302.82
Rate for Payer: VA VA	$6,302.82

MS-DRG 42.00: KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC

Facility

$11,962.21

Service Code	MSDRG 695
Min. Negotiated Rate	$9,091.28
Max. Negotiated Rate	$11,962.21
Rate for Payer: Aetna Medicare	$9,952.56
Rate for Payer: Allen County Amish Medical Aid Commercial	$11,962.21
Rate for Payer: Amish Plain Church Group Commercial	$11,962.21
Rate for Payer: BCBS MAPPO	$9,569.77
Rate for Payer: BCN Medicare Advantage	$9,569.77
Rate for Payer: Health Alliance Plan Medicare Advantage	$9,569.77
Rate for Payer: Mclaren Medicare	$9,569.77
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$10,048.26
Rate for Payer: MI Amish Medical Board Commercial	$11,005.24
Rate for Payer: PACE Medicare	$9,091.28
Rate for Payer: PACE SWMI	$9,569.77
Rate for Payer: PHP Medicare Advantage	$9,569.77
Rate for Payer: Priority Health Medicare	$9,569.77
Rate for Payer: Railroad Medicare Medicare	$9,569.77
Rate for Payer: UHC Dual Complete DSNP	$9,569.77
Rate for Payer: UHC Medicare Advantage	$9,569.77
Rate for Payer: VA VA	$9,569.77

MS-DRG 42.00: KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC

Facility

$7,550.66

Service Code	MSDRG 696
Min. Negotiated Rate	$5,738.50
Max. Negotiated Rate	$7,550.66
Rate for Payer: Aetna Medicare	$6,282.15
Rate for Payer: Allen County Amish Medical Aid Commercial	$7,550.66
Rate for Payer: Amish Plain Church Group Commercial	$7,550.66
Rate for Payer: BCBS MAPPO	$6,040.53
Rate for Payer: BCN Medicare Advantage	$6,040.53
Rate for Payer: Health Alliance Plan Medicare Advantage	$6,040.53
Rate for Payer: Mclaren Medicare	$6,040.53
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$6,342.56
Rate for Payer: MI Amish Medical Board Commercial	$6,946.61
Rate for Payer: PACE Medicare	$5,738.50
Rate for Payer: PACE SWMI	$6,040.53
Rate for Payer: PHP Medicare Advantage	$6,040.53
Rate for Payer: Priority Health Medicare	$6,040.53
Rate for Payer: Railroad Medicare Medicare	$6,040.53
Rate for Payer: UHC Dual Complete DSNP	$6,040.53
Rate for Payer: UHC Medicare Advantage	$6,040.53
Rate for Payer: VA VA	$6,040.53

MS-DRG 42.00: KIDNEY TRANSPLANT

Facility

$31,628.05

Service Code	MSDRG 652
Min. Negotiated Rate	$24,037.32
Max. Negotiated Rate	$31,628.05
Rate for Payer: Aetna Medicare	$26,314.54
Rate for Payer: Allen County Amish Medical Aid Commercial	$31,628.05
Rate for Payer: Amish Plain Church Group Commercial	$31,628.05
Rate for Payer: BCBS MAPPO	$25,302.44
Rate for Payer: BCN Medicare Advantage	$25,302.44
Rate for Payer: Health Alliance Plan Medicare Advantage	$25,302.44
Rate for Payer: Mclaren Medicare	$25,302.44
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$26,567.56
Rate for Payer: MI Amish Medical Board Commercial	$29,097.81
Rate for Payer: PACE Medicare	$24,037.32
Rate for Payer: PACE SWMI	$25,302.44
Rate for Payer: PHP Medicare Advantage	$25,302.44
Rate for Payer: Priority Health Medicare	$25,302.44
Rate for Payer: Railroad Medicare Medicare	$25,302.44
Rate for Payer: UHC Dual Complete DSNP	$25,302.44
Rate for Payer: UHC Medicare Advantage	$25,302.44
Rate for Payer: VA VA	$25,302.44

MS-DRG 42.00: KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC

Facility

$47,168.69

Service Code	MSDRG 650
Min. Negotiated Rate	$35,848.20
Max. Negotiated Rate	$47,168.69
Rate for Payer: Aetna Medicare	$39,244.35
Rate for Payer: Allen County Amish Medical Aid Commercial	$47,168.69
Rate for Payer: Amish Plain Church Group Commercial	$47,168.69
Rate for Payer: BCBS MAPPO	$37,734.95
Rate for Payer: BCN Medicare Advantage	$37,734.95
Rate for Payer: Health Alliance Plan Medicare Advantage	$37,734.95
Rate for Payer: Mclaren Medicare	$37,734.95
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$39,621.70
Rate for Payer: MI Amish Medical Board Commercial	$43,395.19
Rate for Payer: PACE Medicare	$35,848.20
Rate for Payer: PACE SWMI	$37,734.95
Rate for Payer: PHP Medicare Advantage	$37,734.95
Rate for Payer: Priority Health Medicare	$37,734.95
Rate for Payer: Railroad Medicare Medicare	$37,734.95
Rate for Payer: UHC Dual Complete DSNP	$37,734.95
Rate for Payer: UHC Medicare Advantage	$37,734.95
Rate for Payer: VA VA	$37,734.95

MS-DRG 42.00: KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC

Facility

$35,686.49

Service Code	MSDRG 651
Min. Negotiated Rate	$27,121.73
Max. Negotiated Rate	$35,686.49
Rate for Payer: Aetna Medicare	$29,691.16
Rate for Payer: Allen County Amish Medical Aid Commercial	$35,686.49
Rate for Payer: Amish Plain Church Group Commercial	$35,686.49
Rate for Payer: BCBS MAPPO	$28,549.19
Rate for Payer: BCN Medicare Advantage	$28,549.19
Rate for Payer: Health Alliance Plan Medicare Advantage	$28,549.19
Rate for Payer: Mclaren Medicare	$28,549.19
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$29,976.65
Rate for Payer: MI Amish Medical Board Commercial	$32,831.57
Rate for Payer: PACE Medicare	$27,121.73
Rate for Payer: PACE SWMI	$28,549.19
Rate for Payer: PHP Medicare Advantage	$28,549.19
Rate for Payer: Priority Health Medicare	$28,549.19
Rate for Payer: Railroad Medicare Medicare	$28,549.19
Rate for Payer: UHC Dual Complete DSNP	$28,549.19
Rate for Payer: UHC Medicare Advantage	$28,549.19
Rate for Payer: VA VA	$28,549.19

MS-DRG 42.00: KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC

Facility

$20,437.28

Service Code	MSDRG 488
Min. Negotiated Rate	$15,532.33
Max. Negotiated Rate	$20,437.28
Rate for Payer: Aetna Medicare	$17,003.81
Rate for Payer: Allen County Amish Medical Aid Commercial	$20,437.28
Rate for Payer: Amish Plain Church Group Commercial	$20,437.28
Rate for Payer: BCBS MAPPO	$16,349.82
Rate for Payer: BCN Medicare Advantage	$16,349.82
Rate for Payer: Health Alliance Plan Medicare Advantage	$16,349.82
Rate for Payer: Mclaren Medicare	$16,349.82
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$17,167.31
Rate for Payer: MI Amish Medical Board Commercial	$18,802.29
Rate for Payer: PACE Medicare	$15,532.33
Rate for Payer: PACE SWMI	$16,349.82
Rate for Payer: PHP Medicare Advantage	$16,349.82
Rate for Payer: Priority Health Medicare	$16,349.82
Rate for Payer: Railroad Medicare Medicare	$16,349.82
Rate for Payer: UHC Dual Complete DSNP	$16,349.82
Rate for Payer: UHC Medicare Advantage	$16,349.82
Rate for Payer: VA VA	$16,349.82

MS-DRG 42.00: KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC

Facility

$13,081.30

Service Code	MSDRG 489
Min. Negotiated Rate	$9,941.79
Max. Negotiated Rate	$13,081.30
Rate for Payer: Aetna Medicare	$10,883.64
Rate for Payer: Allen County Amish Medical Aid Commercial	$13,081.30
Rate for Payer: Amish Plain Church Group Commercial	$13,081.30
Rate for Payer: BCBS MAPPO	$10,465.04
Rate for Payer: BCN Medicare Advantage	$10,465.04
Rate for Payer: Health Alliance Plan Medicare Advantage	$10,465.04
Rate for Payer: Mclaren Medicare	$10,465.04
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$10,988.29
Rate for Payer: MI Amish Medical Board Commercial	$12,034.80
Rate for Payer: PACE Medicare	$9,941.79
Rate for Payer: PACE SWMI	$10,465.04
Rate for Payer: PHP Medicare Advantage	$10,465.04
Rate for Payer: Priority Health Medicare	$10,465.04
Rate for Payer: Railroad Medicare Medicare	$10,465.04
Rate for Payer: UHC Dual Complete DSNP	$10,465.04
Rate for Payer: UHC Medicare Advantage	$10,465.04
Rate for Payer: VA VA	$10,465.04

MS-DRG 42.00: KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC

Facility

$22,010.66

Service Code	MSDRG 486
Min. Negotiated Rate	$16,728.10
Max. Negotiated Rate	$22,010.66
Rate for Payer: Aetna Medicare	$18,312.87
Rate for Payer: Allen County Amish Medical Aid Commercial	$22,010.66
Rate for Payer: Amish Plain Church Group Commercial	$22,010.66
Rate for Payer: BCBS MAPPO	$17,608.53
Rate for Payer: BCN Medicare Advantage	$17,608.53
Rate for Payer: Health Alliance Plan Medicare Advantage	$17,608.53
Rate for Payer: Mclaren Medicare	$17,608.53
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$18,488.96
Rate for Payer: MI Amish Medical Board Commercial	$20,249.81
Rate for Payer: PACE Medicare	$16,728.10
Rate for Payer: PACE SWMI	$17,608.53
Rate for Payer: PHP Medicare Advantage	$17,608.53
Rate for Payer: Priority Health Medicare	$17,608.53
Rate for Payer: Railroad Medicare Medicare	$17,608.53
Rate for Payer: UHC Dual Complete DSNP	$17,608.53
Rate for Payer: UHC Medicare Advantage	$17,608.53
Rate for Payer: VA VA	$17,608.53

MS-DRG 42.00: KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC

Facility

$33,124.56

Service Code	MSDRG 485
Min. Negotiated Rate	$25,174.67
Max. Negotiated Rate	$33,124.56
Rate for Payer: Aetna Medicare	$27,559.64
Rate for Payer: Allen County Amish Medical Aid Commercial	$33,124.56
Rate for Payer: Amish Plain Church Group Commercial	$33,124.56
Rate for Payer: BCBS MAPPO	$26,499.65
Rate for Payer: BCN Medicare Advantage	$26,499.65
Rate for Payer: Health Alliance Plan Medicare Advantage	$26,499.65
Rate for Payer: Mclaren Medicare	$26,499.65
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$27,824.63
Rate for Payer: MI Amish Medical Board Commercial	$30,474.60
Rate for Payer: PACE Medicare	$25,174.67
Rate for Payer: PACE SWMI	$26,499.65
Rate for Payer: PHP Medicare Advantage	$26,499.65
Rate for Payer: Priority Health Medicare	$26,499.65
Rate for Payer: Railroad Medicare Medicare	$26,499.65
Rate for Payer: UHC Dual Complete DSNP	$26,499.65
Rate for Payer: UHC Medicare Advantage	$26,499.65
Rate for Payer: VA VA	$26,499.65

MS-DRG 42.00: KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC

Facility

$16,539.74

Service Code	MSDRG 487
Min. Negotiated Rate	$12,570.20
Max. Negotiated Rate	$16,539.74
Rate for Payer: Aetna Medicare	$13,761.06
Rate for Payer: Allen County Amish Medical Aid Commercial	$16,539.74
Rate for Payer: Amish Plain Church Group Commercial	$16,539.74
Rate for Payer: BCBS MAPPO	$13,231.79
Rate for Payer: BCN Medicare Advantage	$13,231.79
Rate for Payer: Health Alliance Plan Medicare Advantage	$13,231.79
Rate for Payer: Mclaren Medicare	$13,231.79
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$13,893.38
Rate for Payer: MI Amish Medical Board Commercial	$15,216.56
Rate for Payer: PACE Medicare	$12,570.20
Rate for Payer: PACE SWMI	$13,231.79
Rate for Payer: PHP Medicare Advantage	$13,231.79
Rate for Payer: Priority Health Medicare	$13,231.79
Rate for Payer: Railroad Medicare Medicare	$13,231.79
Rate for Payer: UHC Dual Complete DSNP	$13,231.79
Rate for Payer: UHC Medicare Advantage	$13,231.79
Rate for Payer: VA VA	$13,231.79

MS-DRG 42.00: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC

Facility

$17,330.96

Service Code	MSDRG 418
Min. Negotiated Rate	$13,171.53
Max. Negotiated Rate	$17,330.96
Rate for Payer: Aetna Medicare	$14,419.36
Rate for Payer: Allen County Amish Medical Aid Commercial	$17,330.96
Rate for Payer: Amish Plain Church Group Commercial	$17,330.96
Rate for Payer: BCBS MAPPO	$13,864.77
Rate for Payer: BCN Medicare Advantage	$13,864.77
Rate for Payer: Health Alliance Plan Medicare Advantage	$13,864.77
Rate for Payer: Mclaren Medicare	$13,864.77
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$14,558.01
Rate for Payer: MI Amish Medical Board Commercial	$15,944.49
Rate for Payer: PACE Medicare	$13,171.53
Rate for Payer: PACE SWMI	$13,864.77
Rate for Payer: PHP Medicare Advantage	$13,864.77
Rate for Payer: Priority Health Medicare	$13,864.77
Rate for Payer: Railroad Medicare Medicare	$13,864.77
Rate for Payer: UHC Dual Complete DSNP	$13,864.77
Rate for Payer: UHC Medicare Advantage	$13,864.77
Rate for Payer: VA VA	$13,864.77

MS-DRG 42.00: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC

Facility

$24,596.88

Service Code	MSDRG 417
Min. Negotiated Rate	$18,693.62
Max. Negotiated Rate	$24,596.88
Rate for Payer: Aetna Medicare	$20,464.60
Rate for Payer: Allen County Amish Medical Aid Commercial	$24,596.88
Rate for Payer: Amish Plain Church Group Commercial	$24,596.88
Rate for Payer: BCBS MAPPO	$19,677.50
Rate for Payer: BCN Medicare Advantage	$19,677.50
Rate for Payer: Health Alliance Plan Medicare Advantage	$19,677.50
Rate for Payer: Mclaren Medicare	$19,677.50
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$20,661.38
Rate for Payer: MI Amish Medical Board Commercial	$22,629.12
Rate for Payer: PACE Medicare	$18,693.62
Rate for Payer: PACE SWMI	$19,677.50
Rate for Payer: PHP Medicare Advantage	$19,677.50
Rate for Payer: Priority Health Medicare	$19,677.50
Rate for Payer: Railroad Medicare Medicare	$19,677.50
Rate for Payer: UHC Dual Complete DSNP	$19,677.50
Rate for Payer: UHC Medicare Advantage	$19,677.50
Rate for Payer: VA VA	$19,677.50

MS-DRG 42.00: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC

Facility

$13,882.67

Service Code	MSDRG 419
Min. Negotiated Rate	$10,550.83
Max. Negotiated Rate	$13,882.67
Rate for Payer: Aetna Medicare	$11,550.39
Rate for Payer: Allen County Amish Medical Aid Commercial	$13,882.67
Rate for Payer: Amish Plain Church Group Commercial	$13,882.67
Rate for Payer: BCBS MAPPO	$11,106.14
Rate for Payer: BCN Medicare Advantage	$11,106.14
Rate for Payer: Health Alliance Plan Medicare Advantage	$11,106.14
Rate for Payer: Mclaren Medicare	$11,106.14
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$11,661.45
Rate for Payer: MI Amish Medical Board Commercial	$12,772.06
Rate for Payer: PACE Medicare	$10,550.83
Rate for Payer: PACE SWMI	$11,106.14
Rate for Payer: PHP Medicare Advantage	$11,106.14
Rate for Payer: Priority Health Medicare	$11,106.14
Rate for Payer: Railroad Medicare Medicare	$11,106.14
Rate for Payer: UHC Dual Complete DSNP	$11,106.14
Rate for Payer: UHC Medicare Advantage	$11,106.14
Rate for Payer: VA VA	$11,106.14

MS-DRG 42.00: LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$39,226.86

Service Code	MSDRG 956
Min. Negotiated Rate	$29,812.42
Max. Negotiated Rate	$39,226.86
Rate for Payer: Aetna Medicare	$32,636.75
Rate for Payer: Allen County Amish Medical Aid Commercial	$39,226.86
Rate for Payer: Amish Plain Church Group Commercial	$39,226.86
Rate for Payer: BCBS MAPPO	$31,381.49
Rate for Payer: BCN Medicare Advantage	$31,381.49
Rate for Payer: Health Alliance Plan Medicare Advantage	$31,381.49
Rate for Payer: Mclaren Medicare	$31,381.49
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$32,950.56
Rate for Payer: MI Amish Medical Board Commercial	$36,088.71
Rate for Payer: PACE Medicare	$29,812.42
Rate for Payer: PACE SWMI	$31,381.49
Rate for Payer: PHP Medicare Advantage	$31,381.49
Rate for Payer: Priority Health Medicare	$31,381.49
Rate for Payer: Railroad Medicare Medicare	$31,381.49
Rate for Payer: UHC Dual Complete DSNP	$31,381.49
Rate for Payer: UHC Medicare Advantage	$31,381.49
Rate for Payer: VA VA	$31,381.49

MS-DRG 42.00: LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT

Facility

$108,304.15

Service Code	MSDRG 005
Min. Negotiated Rate	$82,311.15
Max. Negotiated Rate	$108,304.15
Rate for Payer: Aetna Medicare	$90,109.05
Rate for Payer: Allen County Amish Medical Aid Commercial	$108,304.15
Rate for Payer: Amish Plain Church Group Commercial	$108,304.15
Rate for Payer: BCBS MAPPO	$86,643.32
Rate for Payer: BCN Medicare Advantage	$86,643.32
Rate for Payer: Health Alliance Plan Medicare Advantage	$86,643.32
Rate for Payer: Mclaren Medicare	$86,643.32
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$90,975.49
Rate for Payer: MI Amish Medical Board Commercial	$99,639.82
Rate for Payer: PACE Medicare	$82,311.15
Rate for Payer: PACE SWMI	$86,643.32
Rate for Payer: PHP Medicare Advantage	$86,643.32
Rate for Payer: Priority Health Medicare	$86,643.32
Rate for Payer: Railroad Medicare Medicare	$86,643.32
Rate for Payer: UHC Dual Complete DSNP	$86,643.32
Rate for Payer: UHC Medicare Advantage	$86,643.32
Rate for Payer: VA VA	$86,643.32

MS-DRG 42.00: LIVER TRANSPLANT WITHOUT MCC

Facility

$49,616.28

Service Code	MSDRG 006
Min. Negotiated Rate	$37,708.37
Max. Negotiated Rate	$49,616.28
Rate for Payer: Aetna Medicare	$41,280.74
Rate for Payer: Allen County Amish Medical Aid Commercial	$49,616.28
Rate for Payer: Amish Plain Church Group Commercial	$49,616.28
Rate for Payer: BCBS MAPPO	$39,693.02
Rate for Payer: BCN Medicare Advantage	$39,693.02
Rate for Payer: Health Alliance Plan Medicare Advantage	$39,693.02
Rate for Payer: Mclaren Medicare	$39,693.02
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$41,677.67
Rate for Payer: MI Amish Medical Board Commercial	$45,646.97
Rate for Payer: PACE Medicare	$37,708.37
Rate for Payer: PACE SWMI	$39,693.02
Rate for Payer: PHP Medicare Advantage	$39,693.02
Rate for Payer: Priority Health Medicare	$39,693.02
Rate for Payer: Railroad Medicare Medicare	$39,693.02
Rate for Payer: UHC Dual Complete DSNP	$39,693.02
Rate for Payer: UHC Medicare Advantage	$39,693.02
Rate for Payer: VA VA	$39,693.02

MS-DRG 42.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC

Facility

$20,514.16

Service Code	MSDRG 496
Min. Negotiated Rate	$15,590.76
Max. Negotiated Rate	$20,514.16
Rate for Payer: Aetna Medicare	$17,067.78
Rate for Payer: Allen County Amish Medical Aid Commercial	$20,514.16
Rate for Payer: Amish Plain Church Group Commercial	$20,514.16
Rate for Payer: BCBS MAPPO	$16,411.33
Rate for Payer: BCN Medicare Advantage	$16,411.33
Rate for Payer: Health Alliance Plan Medicare Advantage	$16,411.33
Rate for Payer: Mclaren Medicare	$16,411.33
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$17,231.90
Rate for Payer: MI Amish Medical Board Commercial	$18,873.03
Rate for Payer: PACE Medicare	$15,590.76
Rate for Payer: PACE SWMI	$16,411.33
Rate for Payer: PHP Medicare Advantage	$16,411.33
Rate for Payer: Priority Health Medicare	$16,411.33
Rate for Payer: Railroad Medicare Medicare	$16,411.33
Rate for Payer: UHC Dual Complete DSNP	$16,411.33
Rate for Payer: UHC Medicare Advantage	$16,411.33
Rate for Payer: VA VA	$16,411.33

MS-DRG 42.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC

Facility

$36,173.16

Service Code	MSDRG 495
Min. Negotiated Rate	$27,491.60
Max. Negotiated Rate	$36,173.16
Rate for Payer: Aetna Medicare	$30,096.07
Rate for Payer: Allen County Amish Medical Aid Commercial	$36,173.16
Rate for Payer: Amish Plain Church Group Commercial	$36,173.16
Rate for Payer: BCBS MAPPO	$28,938.53
Rate for Payer: BCN Medicare Advantage	$28,938.53
Rate for Payer: Health Alliance Plan Medicare Advantage	$28,938.53
Rate for Payer: Mclaren Medicare	$28,938.53
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$30,385.46
Rate for Payer: MI Amish Medical Board Commercial	$33,279.31
Rate for Payer: PACE Medicare	$27,491.60
Rate for Payer: PACE SWMI	$28,938.53
Rate for Payer: PHP Medicare Advantage	$28,938.53
Rate for Payer: Priority Health Medicare	$28,938.53
Rate for Payer: Railroad Medicare Medicare	$28,938.53
Rate for Payer: UHC Dual Complete DSNP	$28,938.53
Rate for Payer: UHC Medicare Advantage	$28,938.53
Rate for Payer: VA VA	$28,938.53

MS-DRG 42.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC

Facility

$14,135.62

Service Code	MSDRG 497
Min. Negotiated Rate	$10,743.08
Max. Negotiated Rate	$14,135.62
Rate for Payer: Aetna Medicare	$11,760.84
Rate for Payer: Allen County Amish Medical Aid Commercial	$14,135.62
Rate for Payer: Amish Plain Church Group Commercial	$14,135.62
Rate for Payer: BCBS MAPPO	$11,308.50
Rate for Payer: BCN Medicare Advantage	$11,308.50
Rate for Payer: Health Alliance Plan Medicare Advantage	$11,308.50
Rate for Payer: Mclaren Medicare	$11,308.50
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$11,873.92
Rate for Payer: MI Amish Medical Board Commercial	$13,004.77
Rate for Payer: PACE Medicare	$10,743.08
Rate for Payer: PACE SWMI	$11,308.50
Rate for Payer: PHP Medicare Advantage	$11,308.50
Rate for Payer: Priority Health Medicare	$11,308.50
Rate for Payer: Railroad Medicare Medicare	$11,308.50
Rate for Payer: UHC Dual Complete DSNP	$11,308.50
Rate for Payer: UHC Medicare Advantage	$11,308.50
Rate for Payer: VA VA	$11,308.50

MS-DRG 42.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC

Facility

$26,098.44

Service Code	MSDRG 498
Min. Negotiated Rate	$19,834.81
Max. Negotiated Rate	$26,098.44
Rate for Payer: Aetna Medicare	$21,713.90
Rate for Payer: Allen County Amish Medical Aid Commercial	$26,098.44
Rate for Payer: Amish Plain Church Group Commercial	$26,098.44
Rate for Payer: BCBS MAPPO	$20,878.75
Rate for Payer: BCN Medicare Advantage	$20,878.75
Rate for Payer: Health Alliance Plan Medicare Advantage	$20,878.75
Rate for Payer: Mclaren Medicare	$20,878.75
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$21,922.69
Rate for Payer: MI Amish Medical Board Commercial	$24,010.56
Rate for Payer: PACE Medicare	$19,834.81
Rate for Payer: PACE SWMI	$20,878.75
Rate for Payer: PHP Medicare Advantage	$20,878.75
Rate for Payer: Priority Health Medicare	$20,878.75
Rate for Payer: Railroad Medicare Medicare	$20,878.75
Rate for Payer: UHC Dual Complete DSNP	$20,878.75
Rate for Payer: UHC Medicare Advantage	$20,878.75
Rate for Payer: VA VA	$20,878.75

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