Bronson Methodist Hospital

All Charges

Charge

Type

Setting

Price

MS-DRG 42.00: MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC

Facility

$10,213.77

Service Code	MSDRG 756
Min. Negotiated Rate	$7,762.47
Max. Negotiated Rate	$10,213.77
Rate for Payer: Aetna Medicare	$8,497.86
Rate for Payer: Allen County Amish Medical Aid Commercial	$10,213.77
Rate for Payer: Amish Plain Church Group Commercial	$10,213.77
Rate for Payer: BCBS MAPPO	$8,171.02
Rate for Payer: BCN Medicare Advantage	$8,171.02
Rate for Payer: Health Alliance Plan Medicare Advantage	$8,171.02
Rate for Payer: Mclaren Medicare	$8,171.02
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$8,579.57
Rate for Payer: MI Amish Medical Board Commercial	$9,396.67
Rate for Payer: PACE Medicare	$7,762.47
Rate for Payer: PACE SWMI	$8,171.02
Rate for Payer: PHP Medicare Advantage	$8,171.02
Rate for Payer: Priority Health Medicare	$8,171.02
Rate for Payer: Railroad Medicare Medicare	$8,171.02
Rate for Payer: UHC Dual Complete DSNP	$8,171.02
Rate for Payer: UHC Medicare Advantage	$8,171.02
Rate for Payer: VA VA	$8,171.02

MS-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC

Facility

$11,912.64

Service Code	MSDRG 723
Min. Negotiated Rate	$9,053.60
Max. Negotiated Rate	$11,912.64
Rate for Payer: Aetna Medicare	$9,911.31
Rate for Payer: Allen County Amish Medical Aid Commercial	$11,912.64
Rate for Payer: Amish Plain Church Group Commercial	$11,912.64
Rate for Payer: BCBS MAPPO	$9,530.11
Rate for Payer: BCN Medicare Advantage	$9,530.11
Rate for Payer: Health Alliance Plan Medicare Advantage	$9,530.11
Rate for Payer: Mclaren Medicare	$9,530.11
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$10,006.62
Rate for Payer: MI Amish Medical Board Commercial	$10,959.63
Rate for Payer: PACE Medicare	$9,053.60
Rate for Payer: PACE SWMI	$9,530.11
Rate for Payer: PHP Medicare Advantage	$9,530.11
Rate for Payer: Priority Health Medicare	$9,530.11
Rate for Payer: Railroad Medicare Medicare	$9,530.11
Rate for Payer: UHC Dual Complete DSNP	$9,530.11
Rate for Payer: UHC Medicare Advantage	$9,530.11
Rate for Payer: VA VA	$9,530.11

MS-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC

Facility

$18,044.30

Service Code	MSDRG 722
Min. Negotiated Rate	$13,713.67
Max. Negotiated Rate	$18,044.30
Rate for Payer: Aetna Medicare	$15,012.86
Rate for Payer: Allen County Amish Medical Aid Commercial	$18,044.30
Rate for Payer: Amish Plain Church Group Commercial	$18,044.30
Rate for Payer: BCBS MAPPO	$14,435.44
Rate for Payer: BCN Medicare Advantage	$14,435.44
Rate for Payer: Health Alliance Plan Medicare Advantage	$14,435.44
Rate for Payer: Mclaren Medicare	$14,435.44
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$15,157.21
Rate for Payer: MI Amish Medical Board Commercial	$16,600.76
Rate for Payer: PACE Medicare	$13,713.67
Rate for Payer: PACE SWMI	$14,435.44
Rate for Payer: PHP Medicare Advantage	$14,435.44
Rate for Payer: Priority Health Medicare	$14,435.44
Rate for Payer: Railroad Medicare Medicare	$14,435.44
Rate for Payer: UHC Dual Complete DSNP	$14,435.44
Rate for Payer: UHC Medicare Advantage	$14,435.44
Rate for Payer: VA VA	$14,435.44

MS-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC

Facility

$7,923.04

Service Code	MSDRG 724
Min. Negotiated Rate	$6,021.51
Max. Negotiated Rate	$7,923.04
Rate for Payer: Aetna Medicare	$6,591.97
Rate for Payer: Allen County Amish Medical Aid Commercial	$7,923.04
Rate for Payer: Amish Plain Church Group Commercial	$7,923.04
Rate for Payer: BCBS MAPPO	$6,338.43
Rate for Payer: BCN Medicare Advantage	$6,338.43
Rate for Payer: Health Alliance Plan Medicare Advantage	$6,338.43
Rate for Payer: Mclaren Medicare	$6,338.43
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$6,655.35
Rate for Payer: MI Amish Medical Board Commercial	$7,289.19
Rate for Payer: PACE Medicare	$6,021.51
Rate for Payer: PACE SWMI	$6,338.43
Rate for Payer: PHP Medicare Advantage	$6,338.43
Rate for Payer: Priority Health Medicare	$6,338.43
Rate for Payer: Railroad Medicare Medicare	$6,338.43
Rate for Payer: UHC Dual Complete DSNP	$6,338.43
Rate for Payer: UHC Medicare Advantage	$6,338.43
Rate for Payer: VA VA	$6,338.43

MS-DRG 42.00: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC

Facility

$11,961.20

Service Code	MSDRG 436
Min. Negotiated Rate	$9,090.51
Max. Negotiated Rate	$11,961.20
Rate for Payer: Aetna Medicare	$9,951.72
Rate for Payer: Allen County Amish Medical Aid Commercial	$11,961.20
Rate for Payer: Amish Plain Church Group Commercial	$11,961.20
Rate for Payer: BCBS MAPPO	$9,568.96
Rate for Payer: BCN Medicare Advantage	$9,568.96
Rate for Payer: Health Alliance Plan Medicare Advantage	$9,568.96
Rate for Payer: Mclaren Medicare	$9,568.96
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$10,047.41
Rate for Payer: MI Amish Medical Board Commercial	$11,004.30
Rate for Payer: PACE Medicare	$9,090.51
Rate for Payer: PACE SWMI	$9,568.96
Rate for Payer: PHP Medicare Advantage	$9,568.96
Rate for Payer: Priority Health Medicare	$9,568.96
Rate for Payer: Railroad Medicare Medicare	$9,568.96
Rate for Payer: UHC Dual Complete DSNP	$9,568.96
Rate for Payer: UHC Medicare Advantage	$9,568.96
Rate for Payer: VA VA	$9,568.96

MS-DRG 42.00: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC

Facility

$19,012.61

Service Code	MSDRG 435
Min. Negotiated Rate	$14,449.59
Max. Negotiated Rate	$19,012.61
Rate for Payer: Aetna Medicare	$15,818.49
Rate for Payer: Allen County Amish Medical Aid Commercial	$19,012.61
Rate for Payer: Amish Plain Church Group Commercial	$19,012.61
Rate for Payer: BCBS MAPPO	$15,210.09
Rate for Payer: BCN Medicare Advantage	$15,210.09
Rate for Payer: Health Alliance Plan Medicare Advantage	$15,210.09
Rate for Payer: Mclaren Medicare	$15,210.09
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$15,970.59
Rate for Payer: MI Amish Medical Board Commercial	$17,491.60
Rate for Payer: PACE Medicare	$14,449.59
Rate for Payer: PACE SWMI	$15,210.09
Rate for Payer: PHP Medicare Advantage	$15,210.09
Rate for Payer: Priority Health Medicare	$15,210.09
Rate for Payer: Railroad Medicare Medicare	$15,210.09
Rate for Payer: UHC Dual Complete DSNP	$15,210.09
Rate for Payer: UHC Medicare Advantage	$15,210.09
Rate for Payer: VA VA	$15,210.09

MS-DRG 42.00: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC

Facility

$8,495.70

Service Code	MSDRG 437
Min. Negotiated Rate	$6,456.73
Max. Negotiated Rate	$8,495.70
Rate for Payer: Aetna Medicare	$7,068.42
Rate for Payer: Allen County Amish Medical Aid Commercial	$8,495.70
Rate for Payer: Amish Plain Church Group Commercial	$8,495.70
Rate for Payer: BCBS MAPPO	$6,796.56
Rate for Payer: BCN Medicare Advantage	$6,796.56
Rate for Payer: Health Alliance Plan Medicare Advantage	$6,796.56
Rate for Payer: Mclaren Medicare	$6,796.56
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$7,136.39
Rate for Payer: MI Amish Medical Board Commercial	$7,816.04
Rate for Payer: PACE Medicare	$6,456.73
Rate for Payer: PACE SWMI	$6,796.56
Rate for Payer: PHP Medicare Advantage	$6,796.56
Rate for Payer: Priority Health Medicare	$6,796.56
Rate for Payer: Railroad Medicare Medicare	$6,796.56
Rate for Payer: UHC Dual Complete DSNP	$6,796.56
Rate for Payer: UHC Medicare Advantage	$6,796.56
Rate for Payer: VA VA	$6,796.56

MS-DRG 42.00: MALIGNANT BREAST DISORDERS WITH CC

Facility

$11,467.44

Service Code	MSDRG 598
Min. Negotiated Rate	$8,715.25
Max. Negotiated Rate	$11,467.44
Rate for Payer: Aetna Medicare	$9,540.91
Rate for Payer: Allen County Amish Medical Aid Commercial	$11,467.44
Rate for Payer: Amish Plain Church Group Commercial	$11,467.44
Rate for Payer: BCBS MAPPO	$9,173.95
Rate for Payer: BCN Medicare Advantage	$9,173.95
Rate for Payer: Health Alliance Plan Medicare Advantage	$9,173.95
Rate for Payer: Mclaren Medicare	$9,173.95
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$9,632.65
Rate for Payer: MI Amish Medical Board Commercial	$10,550.04
Rate for Payer: PACE Medicare	$8,715.25
Rate for Payer: PACE SWMI	$9,173.95
Rate for Payer: PHP Medicare Advantage	$9,173.95
Rate for Payer: Priority Health Medicare	$9,173.95
Rate for Payer: Railroad Medicare Medicare	$9,173.95
Rate for Payer: UHC Dual Complete DSNP	$9,173.95
Rate for Payer: UHC Medicare Advantage	$9,173.95
Rate for Payer: VA VA	$9,173.95

MS-DRG 42.00: MALIGNANT BREAST DISORDERS WITH MCC

Facility

$18,325.59

Service Code	MSDRG 597
Min. Negotiated Rate	$13,927.45
Max. Negotiated Rate	$18,325.59
Rate for Payer: Aetna Medicare	$15,246.89
Rate for Payer: Allen County Amish Medical Aid Commercial	$18,325.59
Rate for Payer: Amish Plain Church Group Commercial	$18,325.59
Rate for Payer: BCBS MAPPO	$14,660.47
Rate for Payer: BCN Medicare Advantage	$14,660.47
Rate for Payer: Health Alliance Plan Medicare Advantage	$14,660.47
Rate for Payer: Mclaren Medicare	$14,660.47
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$15,393.49
Rate for Payer: MI Amish Medical Board Commercial	$16,859.54
Rate for Payer: PACE Medicare	$13,927.45
Rate for Payer: PACE SWMI	$14,660.47
Rate for Payer: PHP Medicare Advantage	$14,660.47
Rate for Payer: Priority Health Medicare	$14,660.47
Rate for Payer: Railroad Medicare Medicare	$14,660.47
Rate for Payer: UHC Dual Complete DSNP	$14,660.47
Rate for Payer: UHC Medicare Advantage	$14,660.47
Rate for Payer: VA VA	$14,660.47

MS-DRG 42.00: MALIGNANT BREAST DISORDERS WITHOUT CC/MCC

Facility

$9,200.95

Service Code	MSDRG 599
Min. Negotiated Rate	$6,992.72
Max. Negotiated Rate	$9,200.95
Rate for Payer: Aetna Medicare	$7,655.19
Rate for Payer: Allen County Amish Medical Aid Commercial	$9,200.95
Rate for Payer: Amish Plain Church Group Commercial	$9,200.95
Rate for Payer: BCBS MAPPO	$7,360.76
Rate for Payer: BCN Medicare Advantage	$7,360.76
Rate for Payer: Health Alliance Plan Medicare Advantage	$7,360.76
Rate for Payer: Mclaren Medicare	$7,360.76
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$7,728.80
Rate for Payer: MI Amish Medical Board Commercial	$8,464.87
Rate for Payer: PACE Medicare	$6,992.72
Rate for Payer: PACE SWMI	$7,360.76
Rate for Payer: PHP Medicare Advantage	$7,360.76
Rate for Payer: Priority Health Medicare	$7,360.76
Rate for Payer: Railroad Medicare Medicare	$7,360.76
Rate for Payer: UHC Dual Complete DSNP	$7,360.76
Rate for Payer: UHC Medicare Advantage	$7,360.76
Rate for Payer: VA VA	$7,360.76

MS-DRG 42.00: MASTECTOMY FOR MALIGNANCY WITH CC/MCC

Facility

$18,269.95

Service Code	MSDRG 582
Min. Negotiated Rate	$13,885.16
Max. Negotiated Rate	$18,269.95
Rate for Payer: Aetna Medicare	$15,200.60
Rate for Payer: Allen County Amish Medical Aid Commercial	$18,269.95
Rate for Payer: Amish Plain Church Group Commercial	$18,269.95
Rate for Payer: BCBS MAPPO	$14,615.96
Rate for Payer: BCN Medicare Advantage	$14,615.96
Rate for Payer: Health Alliance Plan Medicare Advantage	$14,615.96
Rate for Payer: Mclaren Medicare	$14,615.96
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$15,346.76
Rate for Payer: MI Amish Medical Board Commercial	$16,808.35
Rate for Payer: PACE Medicare	$13,885.16
Rate for Payer: PACE SWMI	$14,615.96
Rate for Payer: PHP Medicare Advantage	$14,615.96
Rate for Payer: Priority Health Medicare	$14,615.96
Rate for Payer: Railroad Medicare Medicare	$14,615.96
Rate for Payer: UHC Dual Complete DSNP	$14,615.96
Rate for Payer: UHC Medicare Advantage	$14,615.96
Rate for Payer: VA VA	$14,615.96

MS-DRG 42.00: MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC

Facility

$17,172.11

Service Code	MSDRG 583
Min. Negotiated Rate	$13,050.81
Max. Negotiated Rate	$17,172.11
Rate for Payer: Aetna Medicare	$14,287.20
Rate for Payer: Allen County Amish Medical Aid Commercial	$17,172.11
Rate for Payer: Amish Plain Church Group Commercial	$17,172.11
Rate for Payer: BCBS MAPPO	$13,737.69
Rate for Payer: BCN Medicare Advantage	$13,737.69
Rate for Payer: Health Alliance Plan Medicare Advantage	$13,737.69
Rate for Payer: Mclaren Medicare	$13,737.69
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$14,424.57
Rate for Payer: MI Amish Medical Board Commercial	$15,798.34
Rate for Payer: PACE Medicare	$13,050.81
Rate for Payer: PACE SWMI	$13,737.69
Rate for Payer: PHP Medicare Advantage	$13,737.69
Rate for Payer: Priority Health Medicare	$13,737.69
Rate for Payer: Railroad Medicare Medicare	$13,737.69
Rate for Payer: UHC Dual Complete DSNP	$13,737.69
Rate for Payer: UHC Medicare Advantage	$13,737.69
Rate for Payer: VA VA	$13,737.69

MS-DRG 42.00: MEDICAL BACK PROBLEMS WITH MCC

Facility

$17,816.62

Service Code	MSDRG 551
Min. Negotiated Rate	$13,540.64
Max. Negotiated Rate	$17,816.62
Rate for Payer: Aetna Medicare	$14,823.43
Rate for Payer: Allen County Amish Medical Aid Commercial	$17,816.62
Rate for Payer: Amish Plain Church Group Commercial	$17,816.62
Rate for Payer: BCBS MAPPO	$14,253.30
Rate for Payer: BCN Medicare Advantage	$14,253.30
Rate for Payer: Health Alliance Plan Medicare Advantage	$14,253.30
Rate for Payer: Mclaren Medicare	$14,253.30
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$14,965.97
Rate for Payer: MI Amish Medical Board Commercial	$16,391.29
Rate for Payer: PACE Medicare	$13,540.64
Rate for Payer: PACE SWMI	$14,253.30
Rate for Payer: PHP Medicare Advantage	$14,253.30
Rate for Payer: Priority Health Medicare	$14,253.30
Rate for Payer: Railroad Medicare Medicare	$14,253.30
Rate for Payer: UHC Dual Complete DSNP	$14,253.30
Rate for Payer: UHC Medicare Advantage	$14,253.30
Rate for Payer: VA VA	$14,253.30

MS-DRG 42.00: MEDICAL BACK PROBLEMS WITHOUT MCC

Facility

$10,302.83

Service Code	MSDRG 552
Min. Negotiated Rate	$7,830.15
Max. Negotiated Rate	$10,302.83
Rate for Payer: Aetna Medicare	$8,571.95
Rate for Payer: Allen County Amish Medical Aid Commercial	$10,302.83
Rate for Payer: Amish Plain Church Group Commercial	$10,302.83
Rate for Payer: BCBS MAPPO	$8,242.26
Rate for Payer: BCN Medicare Advantage	$8,242.26
Rate for Payer: Health Alliance Plan Medicare Advantage	$8,242.26
Rate for Payer: Mclaren Medicare	$8,242.26
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$8,654.37
Rate for Payer: MI Amish Medical Board Commercial	$9,478.60
Rate for Payer: PACE Medicare	$7,830.15
Rate for Payer: PACE SWMI	$8,242.26
Rate for Payer: PHP Medicare Advantage	$8,242.26
Rate for Payer: Priority Health Medicare	$8,242.26
Rate for Payer: Railroad Medicare Medicare	$8,242.26
Rate for Payer: UHC Dual Complete DSNP	$8,242.26
Rate for Payer: UHC Medicare Advantage	$8,242.26
Rate for Payer: VA VA	$8,242.26

MS-DRG 42.00: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC

Facility

$10,523.40

Service Code	MSDRG 760
Min. Negotiated Rate	$7,997.78
Max. Negotiated Rate	$10,523.40
Rate for Payer: Aetna Medicare	$8,755.47
Rate for Payer: Allen County Amish Medical Aid Commercial	$10,523.40
Rate for Payer: Amish Plain Church Group Commercial	$10,523.40
Rate for Payer: BCBS MAPPO	$8,418.72
Rate for Payer: BCN Medicare Advantage	$8,418.72
Rate for Payer: Health Alliance Plan Medicare Advantage	$8,418.72
Rate for Payer: Mclaren Medicare	$8,418.72
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$8,839.66
Rate for Payer: MI Amish Medical Board Commercial	$9,681.53
Rate for Payer: PACE Medicare	$7,997.78
Rate for Payer: PACE SWMI	$8,418.72
Rate for Payer: PHP Medicare Advantage	$8,418.72
Rate for Payer: Priority Health Medicare	$8,418.72
Rate for Payer: Railroad Medicare Medicare	$8,418.72
Rate for Payer: UHC Dual Complete DSNP	$8,418.72
Rate for Payer: UHC Medicare Advantage	$8,418.72
Rate for Payer: VA VA	$8,418.72

MS-DRG 42.00: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC

Facility

$6,964.80

Service Code	MSDRG 761
Min. Negotiated Rate	$5,293.25
Max. Negotiated Rate	$6,964.80
Rate for Payer: Aetna Medicare	$5,794.71
Rate for Payer: Allen County Amish Medical Aid Commercial	$6,964.80
Rate for Payer: Amish Plain Church Group Commercial	$6,964.80
Rate for Payer: BCBS MAPPO	$5,571.84
Rate for Payer: BCN Medicare Advantage	$5,571.84
Rate for Payer: Health Alliance Plan Medicare Advantage	$5,571.84
Rate for Payer: Mclaren Medicare	$5,571.84
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$5,850.43
Rate for Payer: MI Amish Medical Board Commercial	$6,407.62
Rate for Payer: PACE Medicare	$5,293.25
Rate for Payer: PACE SWMI	$5,571.84
Rate for Payer: PHP Medicare Advantage	$5,571.84
Rate for Payer: Priority Health Medicare	$5,571.84
Rate for Payer: Railroad Medicare Medicare	$5,571.84
Rate for Payer: UHC Dual Complete DSNP	$5,571.84
Rate for Payer: UHC Medicare Advantage	$5,571.84
Rate for Payer: VA VA	$5,571.84

MS-DRG 42.00: MINOR BLADDER PROCEDURES WITH CC

Facility

$16,005.49

Service Code	MSDRG 663
Min. Negotiated Rate	$12,164.17
Max. Negotiated Rate	$16,005.49
Rate for Payer: Aetna Medicare	$13,316.57
Rate for Payer: Allen County Amish Medical Aid Commercial	$16,005.49
Rate for Payer: Amish Plain Church Group Commercial	$16,005.49
Rate for Payer: BCBS MAPPO	$12,804.39
Rate for Payer: BCN Medicare Advantage	$12,804.39
Rate for Payer: Health Alliance Plan Medicare Advantage	$12,804.39
Rate for Payer: Mclaren Medicare	$12,804.39
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$13,444.61
Rate for Payer: MI Amish Medical Board Commercial	$14,725.05
Rate for Payer: PACE Medicare	$12,164.17
Rate for Payer: PACE SWMI	$12,804.39
Rate for Payer: PHP Medicare Advantage	$12,804.39
Rate for Payer: Priority Health Medicare	$12,804.39
Rate for Payer: Railroad Medicare Medicare	$12,804.39
Rate for Payer: UHC Dual Complete DSNP	$12,804.39
Rate for Payer: UHC Medicare Advantage	$12,804.39
Rate for Payer: VA VA	$12,804.39

MS-DRG 42.00: MINOR BLADDER PROCEDURES WITH MCC

Facility

$32,115.75

Service Code	MSDRG 662
Min. Negotiated Rate	$24,407.97
Max. Negotiated Rate	$32,115.75
Rate for Payer: Aetna Medicare	$26,720.30
Rate for Payer: Allen County Amish Medical Aid Commercial	$32,115.75
Rate for Payer: Amish Plain Church Group Commercial	$32,115.75
Rate for Payer: BCBS MAPPO	$25,692.60
Rate for Payer: BCN Medicare Advantage	$25,692.60
Rate for Payer: Health Alliance Plan Medicare Advantage	$25,692.60
Rate for Payer: Mclaren Medicare	$25,692.60
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$26,977.23
Rate for Payer: MI Amish Medical Board Commercial	$29,546.49
Rate for Payer: PACE Medicare	$24,407.97
Rate for Payer: PACE SWMI	$25,692.60
Rate for Payer: PHP Medicare Advantage	$25,692.60
Rate for Payer: Priority Health Medicare	$25,692.60
Rate for Payer: Railroad Medicare Medicare	$25,692.60
Rate for Payer: UHC Dual Complete DSNP	$25,692.60
Rate for Payer: UHC Medicare Advantage	$25,692.60
Rate for Payer: VA VA	$25,692.60

MS-DRG 42.00: MINOR BLADDER PROCEDURES WITHOUT CC/MCC

Facility

$11,476.55

Service Code	MSDRG 664
Min. Negotiated Rate	$8,722.18
Max. Negotiated Rate	$11,476.55
Rate for Payer: Aetna Medicare	$9,548.49
Rate for Payer: Allen County Amish Medical Aid Commercial	$11,476.55
Rate for Payer: Amish Plain Church Group Commercial	$11,476.55
Rate for Payer: BCBS MAPPO	$9,181.24
Rate for Payer: BCN Medicare Advantage	$9,181.24
Rate for Payer: Health Alliance Plan Medicare Advantage	$9,181.24
Rate for Payer: Mclaren Medicare	$9,181.24
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$9,640.30
Rate for Payer: MI Amish Medical Board Commercial	$10,558.43
Rate for Payer: PACE Medicare	$8,722.18
Rate for Payer: PACE SWMI	$9,181.24
Rate for Payer: PHP Medicare Advantage	$9,181.24
Rate for Payer: Priority Health Medicare	$9,181.24
Rate for Payer: Railroad Medicare Medicare	$9,181.24
Rate for Payer: UHC Dual Complete DSNP	$9,181.24
Rate for Payer: UHC Medicare Advantage	$9,181.24
Rate for Payer: VA VA	$9,181.24

MS-DRG 42.00: MINOR SKIN DISORDERS WITH MCC

Facility

$16,844.28

Service Code	MSDRG 606
Min. Negotiated Rate	$12,801.65
Max. Negotiated Rate	$16,844.28
Rate for Payer: Aetna Medicare	$14,014.44
Rate for Payer: Allen County Amish Medical Aid Commercial	$16,844.28
Rate for Payer: Amish Plain Church Group Commercial	$16,844.28
Rate for Payer: BCBS MAPPO	$13,475.42
Rate for Payer: BCN Medicare Advantage	$13,475.42
Rate for Payer: Health Alliance Plan Medicare Advantage	$13,475.42
Rate for Payer: Mclaren Medicare	$13,475.42
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$14,149.19
Rate for Payer: MI Amish Medical Board Commercial	$15,496.73
Rate for Payer: PACE Medicare	$12,801.65
Rate for Payer: PACE SWMI	$13,475.42
Rate for Payer: PHP Medicare Advantage	$13,475.42
Rate for Payer: Priority Health Medicare	$13,475.42
Rate for Payer: Railroad Medicare Medicare	$13,475.42
Rate for Payer: UHC Dual Complete DSNP	$13,475.42
Rate for Payer: UHC Medicare Advantage	$13,475.42
Rate for Payer: VA VA	$13,475.42

MS-DRG 42.00: MINOR SKIN DISORDERS WITHOUT MCC

Facility

$9,295.04

Service Code	MSDRG 607
Min. Negotiated Rate	$7,064.23
Max. Negotiated Rate	$9,295.04
Rate for Payer: Aetna Medicare	$7,733.47
Rate for Payer: Allen County Amish Medical Aid Commercial	$9,295.04
Rate for Payer: Amish Plain Church Group Commercial	$9,295.04
Rate for Payer: BCBS MAPPO	$7,436.03
Rate for Payer: BCN Medicare Advantage	$7,436.03
Rate for Payer: Health Alliance Plan Medicare Advantage	$7,436.03
Rate for Payer: Mclaren Medicare	$7,436.03
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$7,807.83
Rate for Payer: MI Amish Medical Board Commercial	$8,551.43
Rate for Payer: PACE Medicare	$7,064.23
Rate for Payer: PACE SWMI	$7,436.03
Rate for Payer: PHP Medicare Advantage	$7,436.03
Rate for Payer: Priority Health Medicare	$7,436.03
Rate for Payer: Railroad Medicare Medicare	$7,436.03
Rate for Payer: UHC Dual Complete DSNP	$7,436.03
Rate for Payer: UHC Medicare Advantage	$7,436.03
Rate for Payer: VA VA	$7,436.03

MS-DRG 42.00: MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC

Facility

$15,613.90

Service Code	MSDRG 345
Min. Negotiated Rate	$11,866.56
Max. Negotiated Rate	$15,613.90
Rate for Payer: Aetna Medicare	$12,990.76
Rate for Payer: Allen County Amish Medical Aid Commercial	$15,613.90
Rate for Payer: Amish Plain Church Group Commercial	$15,613.90
Rate for Payer: BCBS MAPPO	$12,491.12
Rate for Payer: BCN Medicare Advantage	$12,491.12
Rate for Payer: Health Alliance Plan Medicare Advantage	$12,491.12
Rate for Payer: Mclaren Medicare	$12,491.12
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$13,115.68
Rate for Payer: MI Amish Medical Board Commercial	$14,364.79
Rate for Payer: PACE Medicare	$11,866.56
Rate for Payer: PACE SWMI	$12,491.12
Rate for Payer: PHP Medicare Advantage	$12,491.12
Rate for Payer: Priority Health Medicare	$12,491.12
Rate for Payer: Railroad Medicare Medicare	$12,491.12
Rate for Payer: UHC Dual Complete DSNP	$12,491.12
Rate for Payer: UHC Medicare Advantage	$12,491.12
Rate for Payer: VA VA	$12,491.12

MS-DRG 42.00: MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC

Facility

$27,814.47

Service Code	MSDRG 344
Min. Negotiated Rate	$21,139.00
Max. Negotiated Rate	$27,814.47
Rate for Payer: Aetna Medicare	$23,141.64
Rate for Payer: Allen County Amish Medical Aid Commercial	$27,814.47
Rate for Payer: Amish Plain Church Group Commercial	$27,814.47
Rate for Payer: BCBS MAPPO	$22,251.58
Rate for Payer: BCN Medicare Advantage	$22,251.58
Rate for Payer: Health Alliance Plan Medicare Advantage	$22,251.58
Rate for Payer: Mclaren Medicare	$22,251.58
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$23,364.16
Rate for Payer: MI Amish Medical Board Commercial	$25,589.32
Rate for Payer: PACE Medicare	$21,139.00
Rate for Payer: PACE SWMI	$22,251.58
Rate for Payer: PHP Medicare Advantage	$22,251.58
Rate for Payer: Priority Health Medicare	$22,251.58
Rate for Payer: Railroad Medicare Medicare	$22,251.58
Rate for Payer: UHC Dual Complete DSNP	$22,251.58
Rate for Payer: UHC Medicare Advantage	$22,251.58
Rate for Payer: VA VA	$22,251.58

MS-DRG 42.00: MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC

Facility

$13,151.11

Service Code	MSDRG 346
Min. Negotiated Rate	$9,994.85
Max. Negotiated Rate	$13,151.11
Rate for Payer: Aetna Medicare	$10,941.73
Rate for Payer: Allen County Amish Medical Aid Commercial	$13,151.11
Rate for Payer: Amish Plain Church Group Commercial	$13,151.11
Rate for Payer: BCBS MAPPO	$10,520.89
Rate for Payer: BCN Medicare Advantage	$10,520.89
Rate for Payer: Health Alliance Plan Medicare Advantage	$10,520.89
Rate for Payer: Mclaren Medicare	$10,520.89
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$11,046.93
Rate for Payer: MI Amish Medical Board Commercial	$12,099.02
Rate for Payer: PACE Medicare	$9,994.85
Rate for Payer: PACE SWMI	$10,520.89
Rate for Payer: PHP Medicare Advantage	$10,520.89
Rate for Payer: Priority Health Medicare	$10,520.89
Rate for Payer: Railroad Medicare Medicare	$10,520.89
Rate for Payer: UHC Dual Complete DSNP	$10,520.89
Rate for Payer: UHC Medicare Advantage	$10,520.89
Rate for Payer: VA VA	$10,520.89

MS-DRG 42.00: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC

Facility

$13,987.91

Service Code	MSDRG 640
Min. Negotiated Rate	$10,630.81
Max. Negotiated Rate	$13,987.91
Rate for Payer: Aetna Medicare	$11,637.94
Rate for Payer: Allen County Amish Medical Aid Commercial	$13,987.91
Rate for Payer: Amish Plain Church Group Commercial	$13,987.91
Rate for Payer: BCBS MAPPO	$11,190.33
Rate for Payer: BCN Medicare Advantage	$11,190.33
Rate for Payer: Health Alliance Plan Medicare Advantage	$11,190.33
Rate for Payer: Mclaren Medicare	$11,190.33
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$11,749.85
Rate for Payer: MI Amish Medical Board Commercial	$12,868.88
Rate for Payer: PACE Medicare	$10,630.81
Rate for Payer: PACE SWMI	$11,190.33
Rate for Payer: PHP Medicare Advantage	$11,190.33
Rate for Payer: Priority Health Medicare	$11,190.33
Rate for Payer: Railroad Medicare Medicare	$11,190.33
Rate for Payer: UHC Dual Complete DSNP	$11,190.33
Rate for Payer: UHC Medicare Advantage	$11,190.33
Rate for Payer: VA VA	$11,190.33

Know your out-of-pocket cost for care.

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