Bronson Methodist Hospital

All Charges

Charge

Type

Setting

Price

OTHER AFTERCARE AND CONVALESCENCE

Facility

$5,772.98

Service Code	APR-DRG 8622
Min. Negotiated Rate	$5,498.08
Max. Negotiated Rate	$5,772.98
Rate for Payer: BCBS Complete	$5,772.98
Rate for Payer: Mclaren Medicaid	$5,498.08
Rate for Payer: Meridian Medicaid	$5,772.98
Rate for Payer: Priority Health Choice Medicaid	$5,498.08
Rate for Payer: UHC Medicaid	$5,498.08
Rate for Payer: UHCCP Medicaid	$5,498.08

OTHER AFTERCARE AND CONVALESCENCE

Facility

$8,864.38

Service Code	APR-DRG 8624
Min. Negotiated Rate	$8,442.27
Max. Negotiated Rate	$8,864.38
Rate for Payer: BCBS Complete	$8,864.38
Rate for Payer: Mclaren Medicaid	$8,442.27
Rate for Payer: Meridian Medicaid	$8,864.38
Rate for Payer: Priority Health Choice Medicaid	$8,442.27
Rate for Payer: UHC Medicaid	$8,442.27
Rate for Payer: UHCCP Medicaid	$8,442.27

OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE

Facility

$4,754.83

Service Code	APR-DRG 2531
Min. Negotiated Rate	$4,528.41
Max. Negotiated Rate	$4,754.83
Rate for Payer: BCBS Complete	$4,754.83
Rate for Payer: Mclaren Medicaid	$4,528.41
Rate for Payer: Meridian Medicaid	$4,754.83
Rate for Payer: Priority Health Choice Medicaid	$4,528.41
Rate for Payer: UHC Medicaid	$4,528.41
Rate for Payer: UHCCP Medicaid	$4,528.41

OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE

Facility

$5,341.39

Service Code	APR-DRG 2532
Min. Negotiated Rate	$5,087.04
Max. Negotiated Rate	$5,341.39
Rate for Payer: BCBS Complete	$5,341.39
Rate for Payer: Mclaren Medicaid	$5,087.04
Rate for Payer: Meridian Medicaid	$5,341.39
Rate for Payer: Priority Health Choice Medicaid	$5,087.04
Rate for Payer: UHC Medicaid	$5,087.04
Rate for Payer: UHCCP Medicaid	$5,087.04

OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE

Facility

$7,694.29

Service Code	APR-DRG 2533
Min. Negotiated Rate	$7,327.89
Max. Negotiated Rate	$7,694.29
Rate for Payer: BCBS Complete	$7,694.29
Rate for Payer: Mclaren Medicaid	$7,327.89
Rate for Payer: Meridian Medicaid	$7,694.29
Rate for Payer: Priority Health Choice Medicaid	$7,327.89
Rate for Payer: UHC Medicaid	$7,327.89
Rate for Payer: UHCCP Medicaid	$7,327.89

OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE

Facility

$10,409.77

Service Code	APR-DRG 2534
Min. Negotiated Rate	$9,914.07
Max. Negotiated Rate	$10,409.77
Rate for Payer: BCBS Complete	$10,409.77
Rate for Payer: Mclaren Medicaid	$9,914.07
Rate for Payer: Meridian Medicaid	$10,409.77
Rate for Payer: Priority Health Choice Medicaid	$9,914.07
Rate for Payer: UHC Medicaid	$9,914.07
Rate for Payer: UHCCP Medicaid	$9,914.07

OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$7,349.86

Service Code	APR-DRG 6633
Min. Negotiated Rate	$6,999.86
Max. Negotiated Rate	$7,349.86
Rate for Payer: BCBS Complete	$7,349.86
Rate for Payer: Mclaren Medicaid	$6,999.86
Rate for Payer: Meridian Medicaid	$7,349.86
Rate for Payer: Priority Health Choice Medicaid	$6,999.86
Rate for Payer: UHC Medicaid	$6,999.86
Rate for Payer: UHCCP Medicaid	$6,999.86

OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$5,006.04

Service Code	APR-DRG 6632
Min. Negotiated Rate	$4,767.65
Max. Negotiated Rate	$5,006.04
Rate for Payer: BCBS Complete	$5,006.04
Rate for Payer: Mclaren Medicaid	$4,767.65
Rate for Payer: Meridian Medicaid	$5,006.04
Rate for Payer: Priority Health Choice Medicaid	$4,767.65
Rate for Payer: UHC Medicaid	$4,767.65
Rate for Payer: UHCCP Medicaid	$4,767.65

OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$12,065.94

Service Code	APR-DRG 6634
Min. Negotiated Rate	$11,491.37
Max. Negotiated Rate	$12,065.94
Rate for Payer: BCBS Complete	$12,065.94
Rate for Payer: Mclaren Medicaid	$11,491.37
Rate for Payer: Meridian Medicaid	$12,065.94
Rate for Payer: Priority Health Choice Medicaid	$11,491.37
Rate for Payer: UHC Medicaid	$11,491.37
Rate for Payer: UHCCP Medicaid	$11,491.37

OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$3,501.20

Service Code	APR-DRG 6631
Min. Negotiated Rate	$3,334.48
Max. Negotiated Rate	$3,501.20
Rate for Payer: BCBS Complete	$3,501.20
Rate for Payer: Mclaren Medicaid	$3,334.48
Rate for Payer: Meridian Medicaid	$3,501.20
Rate for Payer: Priority Health Choice Medicaid	$3,334.48
Rate for Payer: UHC Medicaid	$3,334.48
Rate for Payer: UHCCP Medicaid	$3,334.48

OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC

Facility

$22,913.35

Service Code	MSDRG 818
Min. Negotiated Rate	$9,772.66
Max. Negotiated Rate	$22,913.35
Rate for Payer: Aetna Medicare	$10,698.49
Rate for Payer: Allen County Amish Medical Aid Commercial	$12,858.76
Rate for Payer: Amish Plain Church Group Commercial	$12,858.76
Rate for Payer: BCBS MAPPO	$10,287.01
Rate for Payer: BCBS Trust/PPO	$22,913.35
Rate for Payer: BCN Commercial	$22,913.35
Rate for Payer: BCN Medicare Advantage	$10,287.01
Rate for Payer: Health Alliance Plan Medicare Advantage	$10,287.01
Rate for Payer: Mclaren Medicare	$10,287.01
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$10,801.36
Rate for Payer: MI Amish Medical Board Commercial	$11,830.06
Rate for Payer: Molina Medicare/Medicaid	$11,315.71
Rate for Payer: Nomi Health Commercial	$13,599.18
Rate for Payer: PACE Medicare	$9,772.66
Rate for Payer: PACE SWMI	$10,287.01
Rate for Payer: PHP Medicare Advantage	$10,287.01
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$14,358.38
Rate for Payer: Priority Health Medicare	$10,287.01
Rate for Payer: Priority Health Tiered Network	$11,486.70
Rate for Payer: Railroad Medicare Medicare	$10,287.01
Rate for Payer: UHC All Payor (Choice/PPO)	$17,183.46
Rate for Payer: UHC Core	$14,376.13
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$10,287.01
Rate for Payer: UHC Exchange	$11,740.63
Rate for Payer: VA VA	$10,287.01

OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC

Facility

$35,933.36

Service Code	MSDRG 817
Min. Negotiated Rate	$18,689.63
Max. Negotiated Rate	$35,933.36
Rate for Payer: Aetna Medicare	$20,460.23
Rate for Payer: Allen County Amish Medical Aid Commercial	$24,591.62
Rate for Payer: Amish Plain Church Group Commercial	$24,591.62
Rate for Payer: BCBS MAPPO	$19,673.30
Rate for Payer: BCBS Trust/PPO	$35,933.36
Rate for Payer: BCN Commercial	$35,933.36
Rate for Payer: BCN Medicare Advantage	$19,673.30
Rate for Payer: Health Alliance Plan Medicare Advantage	$19,673.30
Rate for Payer: Mclaren Medicare	$19,673.30
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$20,656.97
Rate for Payer: MI Amish Medical Board Commercial	$22,624.29
Rate for Payer: Molina Medicare/Medicaid	$21,640.63
Rate for Payer: Nomi Health Commercial	$21,775.20
Rate for Payer: PACE Medicare	$18,689.63
Rate for Payer: PACE SWMI	$19,673.30
Rate for Payer: PHP Medicare Advantage	$19,673.30
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$26,759.53
Rate for Payer: Priority Health Medicare	$19,673.30
Rate for Payer: Priority Health Tiered Network	$21,407.62
Rate for Payer: Railroad Medicare Medicare	$19,673.30
Rate for Payer: UHC All Payor (Choice/PPO)	$27,514.40
Rate for Payer: UHC Core	$23,019.26
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$19,673.30
Rate for Payer: UHC Exchange	$18,799.26
Rate for Payer: VA VA	$19,673.30

OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC

Facility

$14,016.37

Service Code	MSDRG 819
Min. Negotiated Rate	$7,093.74
Max. Negotiated Rate	$14,016.37
Rate for Payer: Aetna Medicare	$8,095.41
Rate for Payer: Allen County Amish Medical Aid Commercial	$9,730.06
Rate for Payer: Amish Plain Church Group Commercial	$9,730.06
Rate for Payer: BCBS MAPPO	$7,784.05
Rate for Payer: BCBS Trust/PPO	$13,791.38
Rate for Payer: BCN Commercial	$13,791.38
Rate for Payer: BCN Medicare Advantage	$7,784.05
Rate for Payer: Health Alliance Plan Medicare Advantage	$7,784.05
Rate for Payer: Mclaren Medicare	$7,784.05
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$8,173.25
Rate for Payer: MI Amish Medical Board Commercial	$8,951.66
Rate for Payer: Molina Medicare/Medicaid	$8,562.45
Rate for Payer: Nomi Health Commercial	$11,092.71
Rate for Payer: PACE Medicare	$7,394.85
Rate for Payer: PACE SWMI	$7,784.05
Rate for Payer: PHP Medicare Advantage	$7,784.05
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$8,867.18
Rate for Payer: Priority Health Medicare	$7,784.05
Rate for Payer: Priority Health Tiered Network	$7,093.74
Rate for Payer: Railroad Medicare Medicare	$7,784.05
Rate for Payer: UHC All Payor (Choice/PPO)	$14,016.37
Rate for Payer: UHC Core	$11,726.46
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$7,784.05
Rate for Payer: UHC Exchange	$9,576.71
Rate for Payer: VA VA	$7,784.05

OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC

Facility

$11,762.08

Service Code	MSDRG 832
Min. Negotiated Rate	$6,077.40
Max. Negotiated Rate	$11,762.08
Rate for Payer: Aetna Medicare	$6,892.60
Rate for Payer: Allen County Amish Medical Aid Commercial	$8,284.38
Rate for Payer: Amish Plain Church Group Commercial	$8,284.38
Rate for Payer: BCBS MAPPO	$6,627.50
Rate for Payer: BCBS Trust/PPO	$10,719.62
Rate for Payer: BCN Commercial	$10,719.62
Rate for Payer: BCN Medicare Advantage	$6,627.50
Rate for Payer: Health Alliance Plan Medicare Advantage	$6,627.50
Rate for Payer: Mclaren Medicare	$6,627.50
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$6,958.88
Rate for Payer: MI Amish Medical Board Commercial	$7,621.62
Rate for Payer: Molina Medicare/Medicaid	$7,290.25
Rate for Payer: Nomi Health Commercial	$9,308.64
Rate for Payer: PACE Medicare	$6,296.12
Rate for Payer: PACE SWMI	$6,627.50
Rate for Payer: PHP Medicare Advantage	$6,627.50
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$7,596.75
Rate for Payer: Priority Health Medicare	$6,627.50
Rate for Payer: Priority Health Tiered Network	$6,077.40
Rate for Payer: Railroad Medicare Medicare	$6,627.50
Rate for Payer: UHC All Payor (Choice/PPO)	$11,762.08
Rate for Payer: UHC Core	$9,840.46
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$6,627.50
Rate for Payer: UHC Exchange	$8,036.46
Rate for Payer: VA VA	$6,627.50

OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC

Facility

$19,600.75

Service Code	MSDRG 831
Min. Negotiated Rate	$8,693.06
Max. Negotiated Rate	$19,600.75
Rate for Payer: Aetna Medicare	$11,075.08
Rate for Payer: Allen County Amish Medical Aid Commercial	$13,311.40
Rate for Payer: Amish Plain Church Group Commercial	$13,311.40
Rate for Payer: BCBS MAPPO	$10,649.12
Rate for Payer: BCBS Trust/PPO	$16,854.91
Rate for Payer: BCN Commercial	$16,854.91
Rate for Payer: BCN Medicare Advantage	$10,649.12
Rate for Payer: Health Alliance Plan Medicare Advantage	$10,649.12
Rate for Payer: Mclaren Medicare	$10,649.12
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$11,181.58
Rate for Payer: MI Amish Medical Board Commercial	$12,246.49
Rate for Payer: Molina Medicare/Medicaid	$11,714.03
Rate for Payer: Nomi Health Commercial	$15,512.25
Rate for Payer: PACE Medicare	$10,116.66
Rate for Payer: PACE SWMI	$10,649.12
Rate for Payer: PHP Medicare Advantage	$10,649.12
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$10,866.32
Rate for Payer: Priority Health Medicare	$10,649.12
Rate for Payer: Priority Health Tiered Network	$8,693.06
Rate for Payer: Railroad Medicare Medicare	$10,649.12
Rate for Payer: UHC All Payor (Choice/PPO)	$19,600.75
Rate for Payer: UHC Core	$16,398.49
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$10,649.12
Rate for Payer: UHC Exchange	$13,392.24
Rate for Payer: VA VA	$10,649.12

OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC

Facility

$8,523.27

Service Code	MSDRG 833
Min. Negotiated Rate	$4,061.49
Max. Negotiated Rate	$8,523.27
Rate for Payer: Aetna Medicare	$5,164.46
Rate for Payer: Allen County Amish Medical Aid Commercial	$6,207.29
Rate for Payer: Amish Plain Church Group Commercial	$6,207.29
Rate for Payer: BCBS MAPPO	$4,965.83
Rate for Payer: BCBS Trust/PPO	$6,881.97
Rate for Payer: BCN Commercial	$6,881.97
Rate for Payer: BCN Medicare Advantage	$4,965.83
Rate for Payer: Health Alliance Plan Medicare Advantage	$4,965.83
Rate for Payer: Mclaren Medicare	$4,965.83
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$5,214.12
Rate for Payer: MI Amish Medical Board Commercial	$5,710.70
Rate for Payer: Molina Medicare/Medicaid	$5,462.41
Rate for Payer: Nomi Health Commercial	$6,745.41
Rate for Payer: PACE Medicare	$4,717.54
Rate for Payer: PACE SWMI	$4,965.83
Rate for Payer: PHP Medicare Advantage	$4,965.83
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$5,076.86
Rate for Payer: Priority Health Medicare	$4,965.83
Rate for Payer: Priority Health Tiered Network	$4,061.49
Rate for Payer: Railroad Medicare Medicare	$4,965.83
Rate for Payer: UHC All Payor (Choice/PPO)	$8,523.27
Rate for Payer: UHC Core	$7,130.79
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$4,965.83
Rate for Payer: UHC Exchange	$5,823.54
Rate for Payer: VA VA	$4,965.83

OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES

Facility

$6,549.01

Service Code	APR-DRG 3472
Min. Negotiated Rate	$6,237.15
Max. Negotiated Rate	$6,549.01
Rate for Payer: BCBS Complete	$6,549.01
Rate for Payer: Mclaren Medicaid	$6,237.15
Rate for Payer: Meridian Medicaid	$6,549.01
Rate for Payer: Priority Health Choice Medicaid	$6,237.15
Rate for Payer: UHC Medicaid	$6,237.15
Rate for Payer: UHCCP Medicaid	$6,237.15

OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES

Facility

$10,846.82

Service Code	APR-DRG 3474
Min. Negotiated Rate	$10,330.30
Max. Negotiated Rate	$10,846.82
Rate for Payer: BCBS Complete	$10,846.82
Rate for Payer: Mclaren Medicaid	$10,330.30
Rate for Payer: Meridian Medicaid	$10,846.82
Rate for Payer: Priority Health Choice Medicaid	$10,330.30
Rate for Payer: UHC Medicaid	$10,330.30
Rate for Payer: UHCCP Medicaid	$10,330.30

OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES

Facility

$8,473.34

Service Code	APR-DRG 3473
Min. Negotiated Rate	$8,069.85
Max. Negotiated Rate	$8,473.34
Rate for Payer: BCBS Complete	$8,473.34
Rate for Payer: Mclaren Medicaid	$8,069.85
Rate for Payer: Meridian Medicaid	$8,473.34
Rate for Payer: Priority Health Choice Medicaid	$8,069.85
Rate for Payer: UHC Medicaid	$8,069.85
Rate for Payer: UHCCP Medicaid	$8,069.85

OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES

Facility

$5,614.39

Service Code	APR-DRG 3471
Min. Negotiated Rate	$5,347.04
Max. Negotiated Rate	$5,614.39
Rate for Payer: BCBS Complete	$5,614.39
Rate for Payer: Mclaren Medicaid	$5,347.04
Rate for Payer: Meridian Medicaid	$5,614.39
Rate for Payer: Priority Health Choice Medicaid	$5,347.04
Rate for Payer: UHC Medicaid	$5,347.04
Rate for Payer: UHCCP Medicaid	$5,347.04

OTHER BLADDER PROCEDURES

Facility

$8,872.85

Service Code	APR-DRG 4451
Min. Negotiated Rate	$8,450.34
Max. Negotiated Rate	$8,872.85
Rate for Payer: BCBS Complete	$8,872.85
Rate for Payer: Mclaren Medicaid	$8,450.34
Rate for Payer: Meridian Medicaid	$8,872.85
Rate for Payer: Priority Health Choice Medicaid	$8,450.34
Rate for Payer: UHC Medicaid	$8,450.34
Rate for Payer: UHCCP Medicaid	$8,450.34

OTHER BLADDER PROCEDURES

Facility

$12,417.03

Service Code	APR-DRG 4453
Min. Negotiated Rate	$11,825.74
Max. Negotiated Rate	$12,417.03
Rate for Payer: BCBS Complete	$12,417.03
Rate for Payer: Mclaren Medicaid	$11,825.74
Rate for Payer: Meridian Medicaid	$12,417.03
Rate for Payer: Priority Health Choice Medicaid	$11,825.74
Rate for Payer: UHC Medicaid	$11,825.74
Rate for Payer: UHCCP Medicaid	$11,825.74

OTHER BLADDER PROCEDURES

Facility

$13,302.62

Service Code	APR-DRG 4454
Min. Negotiated Rate	$12,669.16
Max. Negotiated Rate	$13,302.62
Rate for Payer: BCBS Complete	$13,302.62
Rate for Payer: Mclaren Medicaid	$12,669.16
Rate for Payer: Meridian Medicaid	$13,302.62
Rate for Payer: Priority Health Choice Medicaid	$12,669.16
Rate for Payer: UHC Medicaid	$12,669.16
Rate for Payer: UHCCP Medicaid	$12,669.16

OTHER BLADDER PROCEDURES

Facility

$11,232.41

Service Code	APR-DRG 4452
Min. Negotiated Rate	$10,697.53
Max. Negotiated Rate	$11,232.41
Rate for Payer: BCBS Complete	$11,232.41
Rate for Payer: Mclaren Medicaid	$10,697.53
Rate for Payer: Meridian Medicaid	$11,232.41
Rate for Payer: Priority Health Choice Medicaid	$10,697.53
Rate for Payer: UHC Medicaid	$10,697.53
Rate for Payer: UHCCP Medicaid	$10,697.53

OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES

Facility

$11,588.95

Service Code	APR-DRG 1671
Min. Negotiated Rate	$11,037.09
Max. Negotiated Rate	$11,588.95
Rate for Payer: BCBS Complete	$11,588.95
Rate for Payer: Mclaren Medicaid	$11,037.09
Rate for Payer: Meridian Medicaid	$11,588.95
Rate for Payer: Priority Health Choice Medicaid	$11,037.09
Rate for Payer: UHC Medicaid	$11,037.09
Rate for Payer: UHCCP Medicaid	$11,037.09

Know your out-of-pocket cost for care.

All Charges