Bronson Methodist Hospital

All Charges

Charge

Type

Setting

Price

MS-DRG 42.00: URETHRAL PROCEDURES WITH CC/MCC

Facility

$17,991.69

Service Code	MSDRG 671
Min. Negotiated Rate	$13,673.68
Max. Negotiated Rate	$17,991.69
Rate for Payer: Aetna Medicare	$14,969.08
Rate for Payer: Allen County Amish Medical Aid Commercial	$17,991.69
Rate for Payer: Amish Plain Church Group Commercial	$17,991.69
Rate for Payer: BCBS MAPPO	$14,393.35
Rate for Payer: BCN Medicare Advantage	$14,393.35
Rate for Payer: Health Alliance Plan Medicare Advantage	$14,393.35
Rate for Payer: Mclaren Medicare	$14,393.35
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$15,113.02
Rate for Payer: MI Amish Medical Board Commercial	$16,552.35
Rate for Payer: PACE Medicare	$13,673.68
Rate for Payer: PACE SWMI	$14,393.35
Rate for Payer: PHP Medicare Advantage	$14,393.35
Rate for Payer: Priority Health Medicare	$14,393.35
Rate for Payer: Railroad Medicare Medicare	$14,393.35
Rate for Payer: UHC Dual Complete DSNP	$14,393.35
Rate for Payer: UHC Medicare Advantage	$14,393.35
Rate for Payer: VA VA	$14,393.35

MS-DRG 42.00: URETHRAL PROCEDURES WITHOUT CC/MCC

Facility

$11,624.26

Service Code	MSDRG 672
Min. Negotiated Rate	$8,834.44
Max. Negotiated Rate	$11,624.26
Rate for Payer: Aetna Medicare	$9,671.39
Rate for Payer: Allen County Amish Medical Aid Commercial	$11,624.26
Rate for Payer: Amish Plain Church Group Commercial	$11,624.26
Rate for Payer: BCBS MAPPO	$9,299.41
Rate for Payer: BCN Medicare Advantage	$9,299.41
Rate for Payer: Health Alliance Plan Medicare Advantage	$9,299.41
Rate for Payer: Mclaren Medicare	$9,299.41
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$9,764.38
Rate for Payer: MI Amish Medical Board Commercial	$10,694.32
Rate for Payer: PACE Medicare	$8,834.44
Rate for Payer: PACE SWMI	$9,299.41
Rate for Payer: PHP Medicare Advantage	$9,299.41
Rate for Payer: Priority Health Medicare	$9,299.41
Rate for Payer: Railroad Medicare Medicare	$9,299.41
Rate for Payer: UHC Dual Complete DSNP	$9,299.41
Rate for Payer: UHC Medicare Advantage	$9,299.41
Rate for Payer: VA VA	$9,299.41

MS-DRG 42.00: URETHRAL STRICTURE

Facility

$10,687.31

Service Code	MSDRG 697
Min. Negotiated Rate	$8,122.36
Max. Negotiated Rate	$10,687.31
Rate for Payer: Aetna Medicare	$8,891.84
Rate for Payer: Allen County Amish Medical Aid Commercial	$10,687.31
Rate for Payer: Amish Plain Church Group Commercial	$10,687.31
Rate for Payer: BCBS MAPPO	$8,549.85
Rate for Payer: BCN Medicare Advantage	$8,549.85
Rate for Payer: Health Alliance Plan Medicare Advantage	$8,549.85
Rate for Payer: Mclaren Medicare	$8,549.85
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$8,977.34
Rate for Payer: MI Amish Medical Board Commercial	$9,832.33
Rate for Payer: PACE Medicare	$8,122.36
Rate for Payer: PACE SWMI	$8,549.85
Rate for Payer: PHP Medicare Advantage	$8,549.85
Rate for Payer: Priority Health Medicare	$8,549.85
Rate for Payer: Railroad Medicare Medicare	$8,549.85
Rate for Payer: UHC Dual Complete DSNP	$8,549.85
Rate for Payer: UHC Medicare Advantage	$8,549.85
Rate for Payer: VA VA	$8,549.85

MS-DRG 42.00: URINARY STONES WITH MCC

Facility

$15,428.74

Service Code	MSDRG 693
Min. Negotiated Rate	$11,725.84
Max. Negotiated Rate	$15,428.74
Rate for Payer: Aetna Medicare	$12,836.71
Rate for Payer: Allen County Amish Medical Aid Commercial	$15,428.74
Rate for Payer: Amish Plain Church Group Commercial	$15,428.74
Rate for Payer: BCBS MAPPO	$12,342.99
Rate for Payer: BCN Medicare Advantage	$12,342.99
Rate for Payer: Health Alliance Plan Medicare Advantage	$12,342.99
Rate for Payer: Mclaren Medicare	$12,342.99
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$12,960.14
Rate for Payer: MI Amish Medical Board Commercial	$14,194.44
Rate for Payer: PACE Medicare	$11,725.84
Rate for Payer: PACE SWMI	$12,342.99
Rate for Payer: PHP Medicare Advantage	$12,342.99
Rate for Payer: Priority Health Medicare	$12,342.99
Rate for Payer: Railroad Medicare Medicare	$12,342.99
Rate for Payer: UHC Dual Complete DSNP	$12,342.99
Rate for Payer: UHC Medicare Advantage	$12,342.99
Rate for Payer: VA VA	$12,342.99

MS-DRG 42.00: URINARY STONES WITHOUT MCC

Facility

$8,457.26

Service Code	MSDRG 694
Min. Negotiated Rate	$6,427.52
Max. Negotiated Rate	$8,457.26
Rate for Payer: Aetna Medicare	$7,036.44
Rate for Payer: Allen County Amish Medical Aid Commercial	$8,457.26
Rate for Payer: Amish Plain Church Group Commercial	$8,457.26
Rate for Payer: BCBS MAPPO	$6,765.81
Rate for Payer: BCN Medicare Advantage	$6,765.81
Rate for Payer: Health Alliance Plan Medicare Advantage	$6,765.81
Rate for Payer: Mclaren Medicare	$6,765.81
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$7,104.10
Rate for Payer: MI Amish Medical Board Commercial	$7,780.68
Rate for Payer: PACE Medicare	$6,427.52
Rate for Payer: PACE SWMI	$6,765.81
Rate for Payer: PHP Medicare Advantage	$6,765.81
Rate for Payer: Priority Health Medicare	$6,765.81
Rate for Payer: Railroad Medicare Medicare	$6,765.81
Rate for Payer: UHC Dual Complete DSNP	$6,765.81
Rate for Payer: UHC Medicare Advantage	$6,765.81
Rate for Payer: VA VA	$6,765.81

MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC

Facility

$19,033.86

Service Code	MSDRG 742
Min. Negotiated Rate	$14,465.74
Max. Negotiated Rate	$19,033.86
Rate for Payer: Aetna Medicare	$15,836.17
Rate for Payer: Allen County Amish Medical Aid Commercial	$19,033.86
Rate for Payer: Amish Plain Church Group Commercial	$19,033.86
Rate for Payer: BCBS MAPPO	$15,227.09
Rate for Payer: BCN Medicare Advantage	$15,227.09
Rate for Payer: Health Alliance Plan Medicare Advantage	$15,227.09
Rate for Payer: Mclaren Medicare	$15,227.09
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$15,988.44
Rate for Payer: MI Amish Medical Board Commercial	$17,511.15
Rate for Payer: PACE Medicare	$14,465.74
Rate for Payer: PACE SWMI	$15,227.09
Rate for Payer: PHP Medicare Advantage	$15,227.09
Rate for Payer: Priority Health Medicare	$15,227.09
Rate for Payer: Railroad Medicare Medicare	$15,227.09
Rate for Payer: UHC Dual Complete DSNP	$15,227.09
Rate for Payer: UHC Medicare Advantage	$15,227.09
Rate for Payer: VA VA	$15,227.09

MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC

Facility

$12,679.60

Service Code	MSDRG 743
Min. Negotiated Rate	$9,636.50
Max. Negotiated Rate	$12,679.60
Rate for Payer: Aetna Medicare	$10,549.43
Rate for Payer: Allen County Amish Medical Aid Commercial	$12,679.60
Rate for Payer: Amish Plain Church Group Commercial	$12,679.60
Rate for Payer: BCBS MAPPO	$10,143.68
Rate for Payer: BCN Medicare Advantage	$10,143.68
Rate for Payer: Health Alliance Plan Medicare Advantage	$10,143.68
Rate for Payer: Mclaren Medicare	$10,143.68
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$10,650.86
Rate for Payer: MI Amish Medical Board Commercial	$11,665.23
Rate for Payer: PACE Medicare	$9,636.50
Rate for Payer: PACE SWMI	$10,143.68
Rate for Payer: PHP Medicare Advantage	$10,143.68
Rate for Payer: Priority Health Medicare	$10,143.68
Rate for Payer: Railroad Medicare Medicare	$10,143.68
Rate for Payer: UHC Dual Complete DSNP	$10,143.68
Rate for Payer: UHC Medicare Advantage	$10,143.68
Rate for Payer: VA VA	$10,143.68

MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC

Facility

$18,948.89

Service Code	MSDRG 740
Min. Negotiated Rate	$14,401.15
Max. Negotiated Rate	$18,948.89
Rate for Payer: Aetna Medicare	$15,765.47
Rate for Payer: Allen County Amish Medical Aid Commercial	$18,948.89
Rate for Payer: Amish Plain Church Group Commercial	$18,948.89
Rate for Payer: BCBS MAPPO	$15,159.11
Rate for Payer: BCN Medicare Advantage	$15,159.11
Rate for Payer: Health Alliance Plan Medicare Advantage	$15,159.11
Rate for Payer: Mclaren Medicare	$15,159.11
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$15,917.07
Rate for Payer: MI Amish Medical Board Commercial	$17,432.98
Rate for Payer: PACE Medicare	$14,401.15
Rate for Payer: PACE SWMI	$15,159.11
Rate for Payer: PHP Medicare Advantage	$15,159.11
Rate for Payer: Priority Health Medicare	$15,159.11
Rate for Payer: Railroad Medicare Medicare	$15,159.11
Rate for Payer: UHC Dual Complete DSNP	$15,159.11
Rate for Payer: UHC Medicare Advantage	$15,159.11
Rate for Payer: VA VA	$15,159.11

MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC

Facility

$40,830.62

Service Code	MSDRG 739
Min. Negotiated Rate	$31,031.28
Max. Negotiated Rate	$40,830.62
Rate for Payer: Aetna Medicare	$33,971.08
Rate for Payer: Allen County Amish Medical Aid Commercial	$40,830.62
Rate for Payer: Amish Plain Church Group Commercial	$40,830.62
Rate for Payer: BCBS MAPPO	$32,664.50
Rate for Payer: BCN Medicare Advantage	$32,664.50
Rate for Payer: Health Alliance Plan Medicare Advantage	$32,664.50
Rate for Payer: Mclaren Medicare	$32,664.50
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$34,297.72
Rate for Payer: MI Amish Medical Board Commercial	$37,564.18
Rate for Payer: PACE Medicare	$31,031.28
Rate for Payer: PACE SWMI	$32,664.50
Rate for Payer: PHP Medicare Advantage	$32,664.50
Rate for Payer: Priority Health Medicare	$32,664.50
Rate for Payer: Railroad Medicare Medicare	$32,664.50
Rate for Payer: UHC Dual Complete DSNP	$32,664.50
Rate for Payer: UHC Medicare Advantage	$32,664.50
Rate for Payer: VA VA	$32,664.50

MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC

Facility

$14,449.29

Service Code	MSDRG 741
Min. Negotiated Rate	$10,981.46
Max. Negotiated Rate	$14,449.29
Rate for Payer: Aetna Medicare	$12,021.81
Rate for Payer: Allen County Amish Medical Aid Commercial	$14,449.29
Rate for Payer: Amish Plain Church Group Commercial	$14,449.29
Rate for Payer: BCBS MAPPO	$11,559.43
Rate for Payer: BCN Medicare Advantage	$11,559.43
Rate for Payer: Health Alliance Plan Medicare Advantage	$11,559.43
Rate for Payer: Mclaren Medicare	$11,559.43
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$12,137.40
Rate for Payer: MI Amish Medical Board Commercial	$13,293.34
Rate for Payer: PACE Medicare	$10,981.46
Rate for Payer: PACE SWMI	$11,559.43
Rate for Payer: PHP Medicare Advantage	$11,559.43
Rate for Payer: Priority Health Medicare	$11,559.43
Rate for Payer: Railroad Medicare Medicare	$11,559.43
Rate for Payer: UHC Dual Complete DSNP	$11,559.43
Rate for Payer: UHC Medicare Advantage	$11,559.43
Rate for Payer: VA VA	$11,559.43

MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC

Facility

$20,771.17

Service Code	MSDRG 737
Min. Negotiated Rate	$15,786.09
Max. Negotiated Rate	$20,771.17
Rate for Payer: Aetna Medicare	$17,281.62
Rate for Payer: Allen County Amish Medical Aid Commercial	$20,771.17
Rate for Payer: Amish Plain Church Group Commercial	$20,771.17
Rate for Payer: BCBS MAPPO	$16,616.94
Rate for Payer: BCN Medicare Advantage	$16,616.94
Rate for Payer: Health Alliance Plan Medicare Advantage	$16,616.94
Rate for Payer: Mclaren Medicare	$16,616.94
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$17,447.79
Rate for Payer: MI Amish Medical Board Commercial	$19,109.48
Rate for Payer: PACE Medicare	$15,786.09
Rate for Payer: PACE SWMI	$16,616.94
Rate for Payer: PHP Medicare Advantage	$16,616.94
Rate for Payer: Priority Health Medicare	$16,616.94
Rate for Payer: Railroad Medicare Medicare	$16,616.94
Rate for Payer: UHC Dual Complete DSNP	$16,616.94
Rate for Payer: UHC Medicare Advantage	$16,616.94
Rate for Payer: VA VA	$16,616.94

MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC

Facility

$40,392.49

Service Code	MSDRG 736
Min. Negotiated Rate	$30,698.29
Max. Negotiated Rate	$40,392.49
Rate for Payer: Aetna Medicare	$33,606.55
Rate for Payer: Allen County Amish Medical Aid Commercial	$40,392.49
Rate for Payer: Amish Plain Church Group Commercial	$40,392.49
Rate for Payer: BCBS MAPPO	$32,313.99
Rate for Payer: BCN Medicare Advantage	$32,313.99
Rate for Payer: Health Alliance Plan Medicare Advantage	$32,313.99
Rate for Payer: Mclaren Medicare	$32,313.99
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$33,929.69
Rate for Payer: MI Amish Medical Board Commercial	$37,161.09
Rate for Payer: PACE Medicare	$30,698.29
Rate for Payer: PACE SWMI	$32,313.99
Rate for Payer: PHP Medicare Advantage	$32,313.99
Rate for Payer: Priority Health Medicare	$32,313.99
Rate for Payer: Railroad Medicare Medicare	$32,313.99
Rate for Payer: UHC Dual Complete DSNP	$32,313.99
Rate for Payer: UHC Medicare Advantage	$32,313.99
Rate for Payer: VA VA	$32,313.99

MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC

Facility

$15,899.21

Service Code	MSDRG 738
Min. Negotiated Rate	$12,083.40
Max. Negotiated Rate	$15,899.21
Rate for Payer: Aetna Medicare	$13,228.14
Rate for Payer: Allen County Amish Medical Aid Commercial	$15,899.21
Rate for Payer: Amish Plain Church Group Commercial	$15,899.21
Rate for Payer: BCBS MAPPO	$12,719.37
Rate for Payer: BCN Medicare Advantage	$12,719.37
Rate for Payer: Health Alliance Plan Medicare Advantage	$12,719.37
Rate for Payer: Mclaren Medicare	$12,719.37
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$13,355.34
Rate for Payer: MI Amish Medical Board Commercial	$14,627.28
Rate for Payer: PACE Medicare	$12,083.40
Rate for Payer: PACE SWMI	$12,719.37
Rate for Payer: PHP Medicare Advantage	$12,719.37
Rate for Payer: Priority Health Medicare	$12,719.37
Rate for Payer: Railroad Medicare Medicare	$12,719.37
Rate for Payer: UHC Dual Complete DSNP	$12,719.37
Rate for Payer: UHC Medicare Advantage	$12,719.37
Rate for Payer: VA VA	$12,719.37

MS-DRG 42.00: VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC

Facility

$17,494.89

Service Code	MSDRG 746
Min. Negotiated Rate	$13,296.11
Max. Negotiated Rate	$17,494.89
Rate for Payer: Aetna Medicare	$14,555.75
Rate for Payer: Allen County Amish Medical Aid Commercial	$17,494.89
Rate for Payer: Amish Plain Church Group Commercial	$17,494.89
Rate for Payer: BCBS MAPPO	$13,995.91
Rate for Payer: BCN Medicare Advantage	$13,995.91
Rate for Payer: Health Alliance Plan Medicare Advantage	$13,995.91
Rate for Payer: Mclaren Medicare	$13,995.91
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$14,695.71
Rate for Payer: MI Amish Medical Board Commercial	$16,095.30
Rate for Payer: PACE Medicare	$13,296.11
Rate for Payer: PACE SWMI	$13,995.91
Rate for Payer: PHP Medicare Advantage	$13,995.91
Rate for Payer: Priority Health Medicare	$13,995.91
Rate for Payer: Railroad Medicare Medicare	$13,995.91
Rate for Payer: UHC Dual Complete DSNP	$13,995.91
Rate for Payer: UHC Medicare Advantage	$13,995.91
Rate for Payer: VA VA	$13,995.91

MS-DRG 42.00: VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC

Facility

$10,215.83

Service Code	MSDRG 747
Min. Negotiated Rate	$7,764.03
Max. Negotiated Rate	$10,215.83
Rate for Payer: Aetna Medicare	$8,499.57
Rate for Payer: Allen County Amish Medical Aid Commercial	$10,215.83
Rate for Payer: Amish Plain Church Group Commercial	$10,215.83
Rate for Payer: BCBS MAPPO	$8,172.66
Rate for Payer: BCN Medicare Advantage	$8,172.66
Rate for Payer: Health Alliance Plan Medicare Advantage	$8,172.66
Rate for Payer: Mclaren Medicare	$8,172.66
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$8,581.29
Rate for Payer: MI Amish Medical Board Commercial	$9,398.56
Rate for Payer: PACE Medicare	$7,764.03
Rate for Payer: PACE SWMI	$8,172.66
Rate for Payer: PHP Medicare Advantage	$8,172.66
Rate for Payer: Priority Health Medicare	$8,172.66
Rate for Payer: Railroad Medicare Medicare	$8,172.66
Rate for Payer: UHC Dual Complete DSNP	$8,172.66
Rate for Payer: UHC Medicare Advantage	$8,172.66
Rate for Payer: VA VA	$8,172.66

MS-DRG 42.00: VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C

Facility

$11,643.51

Service Code	MSDRG 768
Min. Negotiated Rate	$8,849.07
Max. Negotiated Rate	$11,643.51
Rate for Payer: Aetna Medicare	$9,687.40
Rate for Payer: Allen County Amish Medical Aid Commercial	$11,643.51
Rate for Payer: Amish Plain Church Group Commercial	$11,643.51
Rate for Payer: BCBS MAPPO	$9,314.81
Rate for Payer: BCN Medicare Advantage	$9,314.81
Rate for Payer: Health Alliance Plan Medicare Advantage	$9,314.81
Rate for Payer: Mclaren Medicare	$9,314.81
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$9,780.55
Rate for Payer: MI Amish Medical Board Commercial	$10,712.03
Rate for Payer: PACE Medicare	$8,849.07
Rate for Payer: PACE SWMI	$9,314.81
Rate for Payer: PHP Medicare Advantage	$9,314.81
Rate for Payer: Priority Health Medicare	$9,314.81
Rate for Payer: Railroad Medicare Medicare	$9,314.81
Rate for Payer: UHC Dual Complete DSNP	$9,314.81
Rate for Payer: UHC Medicare Advantage	$9,314.81
Rate for Payer: VA VA	$9,314.81

MS-DRG 42.00: VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC

Facility

$7,872.43

Service Code	MSDRG 806
Min. Negotiated Rate	$5,983.04
Max. Negotiated Rate	$7,872.43
Rate for Payer: Aetna Medicare	$6,549.86
Rate for Payer: Allen County Amish Medical Aid Commercial	$7,872.43
Rate for Payer: Amish Plain Church Group Commercial	$7,872.43
Rate for Payer: BCBS MAPPO	$6,297.94
Rate for Payer: BCN Medicare Advantage	$6,297.94
Rate for Payer: Health Alliance Plan Medicare Advantage	$6,297.94
Rate for Payer: Mclaren Medicare	$6,297.94
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$6,612.84
Rate for Payer: MI Amish Medical Board Commercial	$7,242.63
Rate for Payer: PACE Medicare	$5,983.04
Rate for Payer: PACE SWMI	$6,297.94
Rate for Payer: PHP Medicare Advantage	$6,297.94
Rate for Payer: Priority Health Medicare	$6,297.94
Rate for Payer: Railroad Medicare Medicare	$6,297.94
Rate for Payer: UHC Dual Complete DSNP	$6,297.94
Rate for Payer: UHC Medicare Advantage	$6,297.94
Rate for Payer: VA VA	$6,297.94

MS-DRG 42.00: VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC

Facility

$10,648.89

Service Code	MSDRG 805
Min. Negotiated Rate	$8,093.15
Max. Negotiated Rate	$10,648.89
Rate for Payer: Aetna Medicare	$8,859.87
Rate for Payer: Allen County Amish Medical Aid Commercial	$10,648.89
Rate for Payer: Amish Plain Church Group Commercial	$10,648.89
Rate for Payer: BCBS MAPPO	$8,519.11
Rate for Payer: BCN Medicare Advantage	$8,519.11
Rate for Payer: Health Alliance Plan Medicare Advantage	$8,519.11
Rate for Payer: Mclaren Medicare	$8,519.11
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$8,945.07
Rate for Payer: MI Amish Medical Board Commercial	$9,796.98
Rate for Payer: PACE Medicare	$8,093.15
Rate for Payer: PACE SWMI	$8,519.11
Rate for Payer: PHP Medicare Advantage	$8,519.11
Rate for Payer: Priority Health Medicare	$8,519.11
Rate for Payer: Railroad Medicare Medicare	$8,519.11
Rate for Payer: UHC Dual Complete DSNP	$8,519.11
Rate for Payer: UHC Medicare Advantage	$8,519.11
Rate for Payer: VA VA	$8,519.11

MS-DRG 42.00: VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC

Facility

$6,999.23

Service Code	MSDRG 807
Min. Negotiated Rate	$5,319.41
Max. Negotiated Rate	$6,999.23
Rate for Payer: Aetna Medicare	$5,823.36
Rate for Payer: Allen County Amish Medical Aid Commercial	$6,999.23
Rate for Payer: Amish Plain Church Group Commercial	$6,999.23
Rate for Payer: BCBS MAPPO	$5,599.38
Rate for Payer: BCN Medicare Advantage	$5,599.38
Rate for Payer: Health Alliance Plan Medicare Advantage	$5,599.38
Rate for Payer: Mclaren Medicare	$5,599.38
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$5,879.35
Rate for Payer: MI Amish Medical Board Commercial	$6,439.29
Rate for Payer: PACE Medicare	$5,319.41
Rate for Payer: PACE SWMI	$5,599.38
Rate for Payer: PHP Medicare Advantage	$5,599.38
Rate for Payer: Priority Health Medicare	$5,599.38
Rate for Payer: Railroad Medicare Medicare	$5,599.38
Rate for Payer: UHC Dual Complete DSNP	$5,599.38
Rate for Payer: UHC Medicare Advantage	$5,599.38
Rate for Payer: VA VA	$5,599.38

MS-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC

Facility

$10,347.35

Service Code	MSDRG 797
Min. Negotiated Rate	$7,863.99
Max. Negotiated Rate	$10,347.35
Rate for Payer: Aetna Medicare	$8,609.00
Rate for Payer: Allen County Amish Medical Aid Commercial	$10,347.35
Rate for Payer: Amish Plain Church Group Commercial	$10,347.35
Rate for Payer: BCBS MAPPO	$8,277.88
Rate for Payer: BCN Medicare Advantage	$8,277.88
Rate for Payer: Health Alliance Plan Medicare Advantage	$8,277.88
Rate for Payer: Mclaren Medicare	$8,277.88
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$8,691.77
Rate for Payer: MI Amish Medical Board Commercial	$9,519.56
Rate for Payer: PACE Medicare	$7,863.99
Rate for Payer: PACE SWMI	$8,277.88
Rate for Payer: PHP Medicare Advantage	$8,277.88
Rate for Payer: Priority Health Medicare	$8,277.88
Rate for Payer: Railroad Medicare Medicare	$8,277.88
Rate for Payer: UHC Dual Complete DSNP	$8,277.88
Rate for Payer: UHC Medicare Advantage	$8,277.88
Rate for Payer: VA VA	$8,277.88

MS-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC

Facility

$13,467.81

Service Code	MSDRG 796
Min. Negotiated Rate	$10,235.54
Max. Negotiated Rate	$13,467.81
Rate for Payer: Aetna Medicare	$11,205.22
Rate for Payer: Allen County Amish Medical Aid Commercial	$13,467.81
Rate for Payer: Amish Plain Church Group Commercial	$13,467.81
Rate for Payer: BCBS MAPPO	$10,774.25
Rate for Payer: BCN Medicare Advantage	$10,774.25
Rate for Payer: Health Alliance Plan Medicare Advantage	$10,774.25
Rate for Payer: Mclaren Medicare	$10,774.25
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$11,312.96
Rate for Payer: MI Amish Medical Board Commercial	$12,390.39
Rate for Payer: PACE Medicare	$10,235.54
Rate for Payer: PACE SWMI	$10,774.25
Rate for Payer: PHP Medicare Advantage	$10,774.25
Rate for Payer: Priority Health Medicare	$10,774.25
Rate for Payer: Railroad Medicare Medicare	$10,774.25
Rate for Payer: UHC Dual Complete DSNP	$10,774.25
Rate for Payer: UHC Medicare Advantage	$10,774.25
Rate for Payer: VA VA	$10,774.25

MS-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC

Facility

$10,347.35

Service Code	MSDRG 798
Min. Negotiated Rate	$7,863.99
Max. Negotiated Rate	$10,347.35
Rate for Payer: Aetna Medicare	$8,609.00
Rate for Payer: Allen County Amish Medical Aid Commercial	$10,347.35
Rate for Payer: Amish Plain Church Group Commercial	$10,347.35
Rate for Payer: BCBS MAPPO	$8,277.88
Rate for Payer: BCN Medicare Advantage	$8,277.88
Rate for Payer: Health Alliance Plan Medicare Advantage	$8,277.88
Rate for Payer: Mclaren Medicare	$8,277.88
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$8,691.77
Rate for Payer: MI Amish Medical Board Commercial	$9,519.56
Rate for Payer: PACE Medicare	$7,863.99
Rate for Payer: PACE SWMI	$8,277.88
Rate for Payer: PHP Medicare Advantage	$8,277.88
Rate for Payer: Priority Health Medicare	$8,277.88
Rate for Payer: Railroad Medicare Medicare	$8,277.88
Rate for Payer: UHC Dual Complete DSNP	$8,277.88
Rate for Payer: UHC Medicare Advantage	$8,277.88
Rate for Payer: VA VA	$8,277.88

MS-DRG 42.00: VEIN LIGATION AND STRIPPING

Facility

$27,689.01

Service Code	MSDRG 263
Min. Negotiated Rate	$21,043.65
Max. Negotiated Rate	$27,689.01
Rate for Payer: Aetna Medicare	$23,037.26
Rate for Payer: Allen County Amish Medical Aid Commercial	$27,689.01
Rate for Payer: Amish Plain Church Group Commercial	$27,689.01
Rate for Payer: BCBS MAPPO	$22,151.21
Rate for Payer: BCN Medicare Advantage	$22,151.21
Rate for Payer: Health Alliance Plan Medicare Advantage	$22,151.21
Rate for Payer: Mclaren Medicare	$22,151.21
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$23,258.77
Rate for Payer: MI Amish Medical Board Commercial	$25,473.89
Rate for Payer: PACE Medicare	$21,043.65
Rate for Payer: PACE SWMI	$22,151.21
Rate for Payer: PHP Medicare Advantage	$22,151.21
Rate for Payer: Priority Health Medicare	$22,151.21
Rate for Payer: Railroad Medicare Medicare	$22,151.21
Rate for Payer: UHC Dual Complete DSNP	$22,151.21
Rate for Payer: UHC Medicare Advantage	$22,151.21
Rate for Payer: VA VA	$22,151.21

MS-DRG 42.00: VENTRICULAR SHUNT PROCEDURES WITH CC

Facility

$22,159.40

Service Code	MSDRG 032
Min. Negotiated Rate	$16,841.14
Max. Negotiated Rate	$22,159.40
Rate for Payer: Aetna Medicare	$18,436.62
Rate for Payer: Allen County Amish Medical Aid Commercial	$22,159.40
Rate for Payer: Amish Plain Church Group Commercial	$22,159.40
Rate for Payer: BCBS MAPPO	$17,727.52
Rate for Payer: BCN Medicare Advantage	$17,727.52
Rate for Payer: Health Alliance Plan Medicare Advantage	$17,727.52
Rate for Payer: Mclaren Medicare	$17,727.52
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$18,613.90
Rate for Payer: MI Amish Medical Board Commercial	$20,386.65
Rate for Payer: PACE Medicare	$16,841.14
Rate for Payer: PACE SWMI	$17,727.52
Rate for Payer: PHP Medicare Advantage	$17,727.52
Rate for Payer: Priority Health Medicare	$17,727.52
Rate for Payer: Railroad Medicare Medicare	$17,727.52
Rate for Payer: UHC Dual Complete DSNP	$17,727.52
Rate for Payer: UHC Medicare Advantage	$17,727.52
Rate for Payer: VA VA	$17,727.52

MS-DRG 42.00: VENTRICULAR SHUNT PROCEDURES WITH MCC

Facility

$42,952.40

Service Code	MSDRG 031
Min. Negotiated Rate	$32,643.82
Max. Negotiated Rate	$42,952.40
Rate for Payer: Aetna Medicare	$35,736.40
Rate for Payer: Allen County Amish Medical Aid Commercial	$42,952.40
Rate for Payer: Amish Plain Church Group Commercial	$42,952.40
Rate for Payer: BCBS MAPPO	$34,361.92
Rate for Payer: BCN Medicare Advantage	$34,361.92
Rate for Payer: Health Alliance Plan Medicare Advantage	$34,361.92
Rate for Payer: Mclaren Medicare	$34,361.92
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$36,080.02
Rate for Payer: MI Amish Medical Board Commercial	$39,516.21
Rate for Payer: PACE Medicare	$32,643.82
Rate for Payer: PACE SWMI	$34,361.92
Rate for Payer: PHP Medicare Advantage	$34,361.92
Rate for Payer: Priority Health Medicare	$34,361.92
Rate for Payer: Railroad Medicare Medicare	$34,361.92
Rate for Payer: UHC Dual Complete DSNP	$34,361.92
Rate for Payer: UHC Medicare Advantage	$34,361.92
Rate for Payer: VA VA	$34,361.92

Know your out-of-pocket cost for care.

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