Bronson Methodist Hospital

All Charges

Charge

Type

Setting

Price

OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES

Facility

$24,876.44

Service Code	APR-DRG 1673
Min. Negotiated Rate	$23,691.84
Max. Negotiated Rate	$24,876.44
Rate for Payer: BCBS Complete	$24,876.44
Rate for Payer: Mclaren Medicaid	$23,691.84
Rate for Payer: Meridian Medicaid	$24,876.44
Rate for Payer: Priority Health Choice Medicaid	$23,691.84
Rate for Payer: UHC Medicaid	$23,691.84
Rate for Payer: UHCCP Medicaid	$23,691.84

OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES

Facility

$16,994.50

Service Code	APR-DRG 1672
Min. Negotiated Rate	$16,185.24
Max. Negotiated Rate	$16,994.50
Rate for Payer: BCBS Complete	$16,994.50
Rate for Payer: Mclaren Medicaid	$16,185.24
Rate for Payer: Meridian Medicaid	$16,994.50
Rate for Payer: Priority Health Choice Medicaid	$16,185.24
Rate for Payer: UHC Medicaid	$16,185.24
Rate for Payer: UHCCP Medicaid	$16,185.24

OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES

Facility

$49,048.88

Service Code	APR-DRG 1674
Min. Negotiated Rate	$46,713.22
Max. Negotiated Rate	$49,048.88
Rate for Payer: BCBS Complete	$49,048.88
Rate for Payer: Mclaren Medicaid	$46,713.22
Rate for Payer: Meridian Medicaid	$49,048.88
Rate for Payer: Priority Health Choice Medicaid	$46,713.22
Rate for Payer: UHC Medicaid	$46,713.22
Rate for Payer: UHCCP Medicaid	$46,713.22

OTHER CARDIOTHORACIC PROCEDURES WITH MCC

Facility

$135,890.69

Service Code	MSDRG 228
Min. Negotiated Rate	$39,868.21
Max. Negotiated Rate	$135,890.69
Rate for Payer: Aetna Medicare	$43,645.20
Rate for Payer: Allen County Amish Medical Aid Commercial	$52,458.18
Rate for Payer: Amish Plain Church Group Commercial	$52,458.18
Rate for Payer: BCBS MAPPO	$41,966.54
Rate for Payer: BCBS Trust/PPO	$135,890.69
Rate for Payer: BCN Commercial	$135,890.69
Rate for Payer: BCN Medicare Advantage	$41,966.54
Rate for Payer: Health Alliance Plan Medicare Advantage	$41,966.54
Rate for Payer: Mclaren Medicare	$41,966.54
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$44,064.87
Rate for Payer: MI Amish Medical Board Commercial	$48,261.52
Rate for Payer: Molina Medicare/Medicaid	$46,163.19
Rate for Payer: Nomi Health Commercial	$63,821.46
Rate for Payer: PACE Medicare	$39,868.21
Rate for Payer: PACE SWMI	$41,966.54
Rate for Payer: PHP Medicare Advantage	$41,966.54
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$79,762.68
Rate for Payer: Priority Health Medicare	$41,966.54
Rate for Payer: Priority Health Tiered Network	$63,810.13
Rate for Payer: Railroad Medicare Medicare	$41,966.54
Rate for Payer: UHC All Payor (Choice/PPO)	$80,642.62
Rate for Payer: UHC Core	$67,467.69
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$41,966.54
Rate for Payer: UHC Exchange	$55,099.19
Rate for Payer: VA VA	$41,966.54

OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC

Facility

$80,354.57

Service Code	MSDRG 229
Min. Negotiated Rate	$25,584.71
Max. Negotiated Rate	$80,354.57
Rate for Payer: Aetna Medicare	$28,008.52
Rate for Payer: Allen County Amish Medical Aid Commercial	$33,664.09
Rate for Payer: Amish Plain Church Group Commercial	$33,664.09
Rate for Payer: BCBS MAPPO	$26,931.27
Rate for Payer: BCBS Trust/PPO	$80,354.57
Rate for Payer: BCN Commercial	$80,354.57
Rate for Payer: BCN Medicare Advantage	$26,931.27
Rate for Payer: Health Alliance Plan Medicare Advantage	$26,931.27
Rate for Payer: Mclaren Medicare	$26,931.27
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$28,277.83
Rate for Payer: MI Amish Medical Board Commercial	$30,970.96
Rate for Payer: Molina Medicare/Medicaid	$29,624.40
Rate for Payer: Nomi Health Commercial	$40,628.55
Rate for Payer: PACE Medicare	$25,584.71
Rate for Payer: PACE SWMI	$26,931.27
Rate for Payer: PHP Medicare Advantage	$26,931.27
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$50,776.68
Rate for Payer: Priority Health Medicare	$26,931.27
Rate for Payer: Priority Health Tiered Network	$40,621.34
Rate for Payer: Railroad Medicare Medicare	$26,931.27
Rate for Payer: UHC All Payor (Choice/PPO)	$51,336.85
Rate for Payer: UHC Core	$42,949.73
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$26,931.27
Rate for Payer: UHC Exchange	$35,075.98
Rate for Payer: VA VA	$26,931.27

OTHER CEREBROVASCULAR DISORDERS WITH CC

Facility

$21,093.35

Service Code	MSDRG 071
Min. Negotiated Rate	$8,714.43
Max. Negotiated Rate	$21,093.35
Rate for Payer: Aetna Medicare	$9,540.00
Rate for Payer: Allen County Amish Medical Aid Commercial	$11,466.35
Rate for Payer: Amish Plain Church Group Commercial	$11,466.35
Rate for Payer: BCBS MAPPO	$9,173.08
Rate for Payer: BCBS Trust/PPO	$21,093.35
Rate for Payer: BCN Commercial	$21,093.35
Rate for Payer: BCN Medicare Advantage	$9,173.08
Rate for Payer: Health Alliance Plan Medicare Advantage	$9,173.08
Rate for Payer: Mclaren Medicare	$9,173.08
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$9,631.73
Rate for Payer: MI Amish Medical Board Commercial	$10,549.04
Rate for Payer: Molina Medicare/Medicaid	$10,090.39
Rate for Payer: Nomi Health Commercial	$13,235.40
Rate for Payer: PACE Medicare	$8,714.43
Rate for Payer: PACE SWMI	$9,173.08
Rate for Payer: PHP Medicare Advantage	$9,173.08
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$16,541.32
Rate for Payer: Priority Health Medicare	$9,173.08
Rate for Payer: Priority Health Tiered Network	$13,233.05
Rate for Payer: Railroad Medicare Medicare	$9,173.08
Rate for Payer: UHC All Payor (Choice/PPO)	$16,723.80
Rate for Payer: UHC Core	$13,991.56
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$9,173.08
Rate for Payer: UHC Exchange	$11,426.56
Rate for Payer: VA VA	$9,173.08

OTHER CEREBROVASCULAR DISORDERS WITH MCC

Facility

$38,933.75

Service Code	MSDRG 070
Min. Negotiated Rate	$13,789.43
Max. Negotiated Rate	$38,933.75
Rate for Payer: Aetna Medicare	$15,095.80
Rate for Payer: Allen County Amish Medical Aid Commercial	$18,143.99
Rate for Payer: Amish Plain Church Group Commercial	$18,143.99
Rate for Payer: BCBS MAPPO	$14,515.19
Rate for Payer: BCBS Trust/PPO	$38,933.75
Rate for Payer: BCN Commercial	$38,933.75
Rate for Payer: BCN Medicare Advantage	$14,515.19
Rate for Payer: Health Alliance Plan Medicare Advantage	$14,515.19
Rate for Payer: Mclaren Medicare	$14,515.19
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$15,240.95
Rate for Payer: MI Amish Medical Board Commercial	$16,692.47
Rate for Payer: Molina Medicare/Medicaid	$15,966.71
Rate for Payer: Nomi Health Commercial	$21,475.92
Rate for Payer: PACE Medicare	$13,789.43
Rate for Payer: PACE SWMI	$14,515.19
Rate for Payer: PHP Medicare Advantage	$14,515.19
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$26,840.14
Rate for Payer: Priority Health Medicare	$14,515.19
Rate for Payer: Priority Health Tiered Network	$21,472.11
Rate for Payer: Railroad Medicare Medicare	$14,515.19
Rate for Payer: UHC All Payor (Choice/PPO)	$27,136.24
Rate for Payer: UHC Core	$22,702.88
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$14,515.19
Rate for Payer: UHC Exchange	$18,540.88
Rate for Payer: VA VA	$14,515.19

OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC

Facility

$16,961.97

Service Code	MSDRG 072
Min. Negotiated Rate	$6,570.99
Max. Negotiated Rate	$16,961.97
Rate for Payer: Aetna Medicare	$7,193.50
Rate for Payer: Allen County Amish Medical Aid Commercial	$8,646.04
Rate for Payer: Amish Plain Church Group Commercial	$8,646.04
Rate for Payer: BCBS MAPPO	$6,916.83
Rate for Payer: BCBS Trust/PPO	$16,961.97
Rate for Payer: BCN Commercial	$16,961.97
Rate for Payer: BCN Medicare Advantage	$6,916.83
Rate for Payer: Health Alliance Plan Medicare Advantage	$6,916.83
Rate for Payer: Mclaren Medicare	$6,916.83
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$7,262.67
Rate for Payer: MI Amish Medical Board Commercial	$7,954.35
Rate for Payer: Molina Medicare/Medicaid	$7,608.51
Rate for Payer: Nomi Health Commercial	$9,754.98
Rate for Payer: PACE Medicare	$6,570.99
Rate for Payer: PACE SWMI	$6,916.83
Rate for Payer: PHP Medicare Advantage	$6,916.83
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$12,191.56
Rate for Payer: Priority Health Medicare	$6,916.83
Rate for Payer: Priority Health Tiered Network	$9,753.25
Rate for Payer: Railroad Medicare Medicare	$6,916.83
Rate for Payer: UHC All Payor (Choice/PPO)	$12,326.06
Rate for Payer: UHC Core	$10,312.30
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$6,916.83
Rate for Payer: UHC Exchange	$8,421.80
Rate for Payer: VA VA	$6,916.83

OTHER CHEMOTHERAPY

Facility

$6,304.46

Service Code	APR-DRG 6962
Min. Negotiated Rate	$6,004.25
Max. Negotiated Rate	$6,304.46
Rate for Payer: BCBS Complete	$6,304.46
Rate for Payer: Mclaren Medicaid	$6,004.25
Rate for Payer: Meridian Medicaid	$6,304.46
Rate for Payer: Priority Health Choice Medicaid	$6,004.25
Rate for Payer: UHC Medicaid	$6,004.25
Rate for Payer: UHCCP Medicaid	$6,004.25

OTHER CHEMOTHERAPY

Facility

$4,650.11

Service Code	APR-DRG 6961
Min. Negotiated Rate	$4,428.67
Max. Negotiated Rate	$4,650.11
Rate for Payer: BCBS Complete	$4,650.11
Rate for Payer: Mclaren Medicaid	$4,428.67
Rate for Payer: Meridian Medicaid	$4,650.11
Rate for Payer: Priority Health Choice Medicaid	$4,428.67
Rate for Payer: UHC Medicaid	$4,428.67
Rate for Payer: UHCCP Medicaid	$4,428.67

OTHER CHEMOTHERAPY

Facility

$18,781.42

Service Code	APR-DRG 6964
Min. Negotiated Rate	$17,887.07
Max. Negotiated Rate	$18,781.42
Rate for Payer: BCBS Complete	$18,781.42
Rate for Payer: Mclaren Medicaid	$17,887.07
Rate for Payer: Meridian Medicaid	$18,781.42
Rate for Payer: Priority Health Choice Medicaid	$17,887.07
Rate for Payer: UHC Medicaid	$17,887.07
Rate for Payer: UHCCP Medicaid	$17,887.07

OTHER CHEMOTHERAPY

Facility

$10,155.54

Service Code	APR-DRG 6963
Min. Negotiated Rate	$9,671.94
Max. Negotiated Rate	$10,155.54
Rate for Payer: BCBS Complete	$10,155.54
Rate for Payer: Mclaren Medicaid	$9,671.94
Rate for Payer: Meridian Medicaid	$10,155.54
Rate for Payer: Priority Health Choice Medicaid	$9,671.94
Rate for Payer: UHC Medicaid	$9,671.94
Rate for Payer: UHCCP Medicaid	$9,671.94

OTHER CIRCULATORY SYSTEM DIAGNOSES

Facility

$3,445.51

Service Code	APR-DRG 2071
Min. Negotiated Rate	$3,281.44
Max. Negotiated Rate	$3,445.51
Rate for Payer: BCBS Complete	$3,445.51
Rate for Payer: Mclaren Medicaid	$3,281.44
Rate for Payer: Meridian Medicaid	$3,445.51
Rate for Payer: Priority Health Choice Medicaid	$3,281.44
Rate for Payer: UHC Medicaid	$3,281.44
Rate for Payer: UHCCP Medicaid	$3,281.44

OTHER CIRCULATORY SYSTEM DIAGNOSES

Facility

$7,728.18

Service Code	APR-DRG 2073
Min. Negotiated Rate	$7,360.18
Max. Negotiated Rate	$7,728.18
Rate for Payer: BCBS Complete	$7,728.18
Rate for Payer: Mclaren Medicaid	$7,360.18
Rate for Payer: Meridian Medicaid	$7,728.18
Rate for Payer: Priority Health Choice Medicaid	$7,360.18
Rate for Payer: UHC Medicaid	$7,360.18
Rate for Payer: UHCCP Medicaid	$7,360.18

OTHER CIRCULATORY SYSTEM DIAGNOSES

Facility

$4,449.74

Service Code	APR-DRG 2072
Min. Negotiated Rate	$4,237.85
Max. Negotiated Rate	$4,449.74
Rate for Payer: BCBS Complete	$4,449.74
Rate for Payer: Mclaren Medicaid	$4,237.85
Rate for Payer: Meridian Medicaid	$4,449.74
Rate for Payer: Priority Health Choice Medicaid	$4,237.85
Rate for Payer: UHC Medicaid	$4,237.85
Rate for Payer: UHCCP Medicaid	$4,237.85

OTHER CIRCULATORY SYSTEM DIAGNOSES

Facility

$13,320.18

Service Code	APR-DRG 2074
Min. Negotiated Rate	$12,685.88
Max. Negotiated Rate	$13,320.18
Rate for Payer: BCBS Complete	$13,320.18
Rate for Payer: Mclaren Medicaid	$12,685.88
Rate for Payer: Meridian Medicaid	$13,320.18
Rate for Payer: Priority Health Choice Medicaid	$12,685.88
Rate for Payer: UHC Medicaid	$12,685.88
Rate for Payer: UHCCP Medicaid	$12,685.88

OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC

Facility

$21,329.43

Service Code	MSDRG 315
Min. Negotiated Rate	$8,216.32
Max. Negotiated Rate	$21,329.43
Rate for Payer: Aetna Medicare	$8,994.71
Rate for Payer: Allen County Amish Medical Aid Commercial	$10,810.95
Rate for Payer: Amish Plain Church Group Commercial	$10,810.95
Rate for Payer: BCBS MAPPO	$8,648.76
Rate for Payer: BCBS Trust/PPO	$21,329.43
Rate for Payer: BCN Commercial	$21,329.43
Rate for Payer: BCN Medicare Advantage	$8,648.76
Rate for Payer: Health Alliance Plan Medicare Advantage	$8,648.76
Rate for Payer: Mclaren Medicare	$8,648.76
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$9,081.20
Rate for Payer: MI Amish Medical Board Commercial	$9,946.07
Rate for Payer: Molina Medicare/Medicaid	$9,513.64
Rate for Payer: Nomi Health Commercial	$12,426.57
Rate for Payer: PACE Medicare	$8,216.32
Rate for Payer: PACE SWMI	$8,648.76
Rate for Payer: PHP Medicare Advantage	$8,648.76
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$15,530.46
Rate for Payer: Priority Health Medicare	$8,648.76
Rate for Payer: Priority Health Tiered Network	$12,424.36
Rate for Payer: Railroad Medicare Medicare	$8,648.76
Rate for Payer: UHC All Payor (Choice/PPO)	$15,701.79
Rate for Payer: UHC Core	$13,136.52
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$8,648.76
Rate for Payer: UHC Exchange	$10,728.27
Rate for Payer: VA VA	$8,648.76

OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC

Facility

$39,029.83

Service Code	MSDRG 314
Min. Negotiated Rate	$17,129.32
Max. Negotiated Rate	$39,029.83
Rate for Payer: Aetna Medicare	$18,752.09
Rate for Payer: Allen County Amish Medical Aid Commercial	$22,538.58
Rate for Payer: Amish Plain Church Group Commercial	$22,538.58
Rate for Payer: BCBS MAPPO	$18,030.86
Rate for Payer: BCBS Trust/PPO	$39,029.83
Rate for Payer: BCN Commercial	$39,029.83
Rate for Payer: BCN Medicare Advantage	$18,030.86
Rate for Payer: Health Alliance Plan Medicare Advantage	$18,030.86
Rate for Payer: Mclaren Medicare	$18,030.86
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$18,932.40
Rate for Payer: MI Amish Medical Board Commercial	$20,735.49
Rate for Payer: Molina Medicare/Medicaid	$19,833.95
Rate for Payer: Nomi Health Commercial	$26,899.08
Rate for Payer: PACE Medicare	$17,129.32
Rate for Payer: PACE SWMI	$18,030.86
Rate for Payer: PHP Medicare Advantage	$18,030.86
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$33,617.89
Rate for Payer: Priority Health Medicare	$18,030.86
Rate for Payer: Priority Health Tiered Network	$26,894.30
Rate for Payer: Railroad Medicare Medicare	$18,030.86
Rate for Payer: UHC All Payor (Choice/PPO)	$33,988.76
Rate for Payer: UHC Core	$28,435.87
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$18,030.86
Rate for Payer: UHC Exchange	$23,222.87
Rate for Payer: VA VA	$18,030.86

OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC

Facility

$12,945.89

Service Code	MSDRG 316
Min. Negotiated Rate	$5,982.31
Max. Negotiated Rate	$12,945.89
Rate for Payer: Aetna Medicare	$6,549.06
Rate for Payer: Allen County Amish Medical Aid Commercial	$7,871.46
Rate for Payer: Amish Plain Church Group Commercial	$7,871.46
Rate for Payer: BCBS MAPPO	$6,297.17
Rate for Payer: BCBS Trust/PPO	$12,945.89
Rate for Payer: BCN Commercial	$12,945.89
Rate for Payer: BCN Medicare Advantage	$6,297.17
Rate for Payer: Health Alliance Plan Medicare Advantage	$6,297.17
Rate for Payer: Mclaren Medicare	$6,297.17
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$6,612.03
Rate for Payer: MI Amish Medical Board Commercial	$7,241.75
Rate for Payer: Molina Medicare/Medicaid	$6,926.89
Rate for Payer: Nomi Health Commercial	$8,799.09
Rate for Payer: PACE Medicare	$5,982.31
Rate for Payer: PACE SWMI	$6,297.17
Rate for Payer: PHP Medicare Advantage	$6,297.17
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$10,996.91
Rate for Payer: Priority Health Medicare	$6,297.17
Rate for Payer: Priority Health Tiered Network	$8,797.53
Rate for Payer: Railroad Medicare Medicare	$6,297.17
Rate for Payer: UHC All Payor (Choice/PPO)	$11,118.23
Rate for Payer: UHC Core	$9,301.80
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$6,297.17
Rate for Payer: UHC Exchange	$7,596.55
Rate for Payer: VA VA	$6,297.17

OTHER CIRCULATORY SYSTEM O.R. PROCEDURES

Facility

$58,072.59

Service Code	MSDRG 264
Min. Negotiated Rate	$27,102.90
Max. Negotiated Rate	$58,072.59
Rate for Payer: Aetna Medicare	$29,670.54
Rate for Payer: Allen County Amish Medical Aid Commercial	$35,661.71
Rate for Payer: Amish Plain Church Group Commercial	$35,661.71
Rate for Payer: BCBS MAPPO	$28,529.37
Rate for Payer: BCBS Trust/PPO	$58,072.59
Rate for Payer: BCN Commercial	$58,072.59
Rate for Payer: BCN Medicare Advantage	$28,529.37
Rate for Payer: Health Alliance Plan Medicare Advantage	$28,529.37
Rate for Payer: Mclaren Medicare	$28,529.37
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$29,955.84
Rate for Payer: MI Amish Medical Board Commercial	$32,808.78
Rate for Payer: Molina Medicare/Medicaid	$31,382.31
Rate for Payer: Nomi Health Commercial	$43,093.74
Rate for Payer: PACE Medicare	$27,102.90
Rate for Payer: PACE SWMI	$28,529.37
Rate for Payer: PHP Medicare Advantage	$28,529.37
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$53,857.62
Rate for Payer: Priority Health Medicare	$28,529.37
Rate for Payer: Priority Health Tiered Network	$43,086.09
Rate for Payer: Railroad Medicare Medicare	$28,529.37
Rate for Payer: UHC All Payor (Choice/PPO)	$54,451.78
Rate for Payer: UHC Core	$45,555.76
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$28,529.37
Rate for Payer: UHC Exchange	$37,204.26
Rate for Payer: VA VA	$28,529.37

OTHER COMPLICATIONS OF TREATMENT

Facility

$5,539.33

Service Code	APR-DRG 8132
Min. Negotiated Rate	$5,275.55
Max. Negotiated Rate	$5,539.33
Rate for Payer: BCBS Complete	$5,539.33
Rate for Payer: Mclaren Medicaid	$5,275.55
Rate for Payer: Meridian Medicaid	$5,539.33
Rate for Payer: Priority Health Choice Medicaid	$5,275.55
Rate for Payer: UHC Medicaid	$5,275.55
Rate for Payer: UHCCP Medicaid	$5,275.55

OTHER COMPLICATIONS OF TREATMENT

Facility

$10,917.04

Service Code	APR-DRG 8134
Min. Negotiated Rate	$10,397.18
Max. Negotiated Rate	$10,917.04
Rate for Payer: BCBS Complete	$10,917.04
Rate for Payer: Mclaren Medicaid	$10,397.18
Rate for Payer: Meridian Medicaid	$10,917.04
Rate for Payer: Priority Health Choice Medicaid	$10,397.18
Rate for Payer: UHC Medicaid	$10,397.18
Rate for Payer: UHCCP Medicaid	$10,397.18

OTHER COMPLICATIONS OF TREATMENT

Facility

$7,659.78

Service Code	APR-DRG 8133
Min. Negotiated Rate	$7,295.03
Max. Negotiated Rate	$7,659.78
Rate for Payer: BCBS Complete	$7,659.78
Rate for Payer: Mclaren Medicaid	$7,295.03
Rate for Payer: Meridian Medicaid	$7,659.78
Rate for Payer: Priority Health Choice Medicaid	$7,295.03
Rate for Payer: UHC Medicaid	$7,295.03
Rate for Payer: UHCCP Medicaid	$7,295.03

OTHER COMPLICATIONS OF TREATMENT

Facility

$4,191.27

Service Code	APR-DRG 8131
Min. Negotiated Rate	$3,991.69
Max. Negotiated Rate	$4,191.27
Rate for Payer: BCBS Complete	$4,191.27
Rate for Payer: Mclaren Medicaid	$3,991.69
Rate for Payer: Meridian Medicaid	$4,191.27
Rate for Payer: Priority Health Choice Medicaid	$3,991.69
Rate for Payer: UHC Medicaid	$3,991.69
Rate for Payer: UHCCP Medicaid	$3,991.69

OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES

Facility

$15,800.19

Service Code	APR-DRG 2293
Min. Negotiated Rate	$15,047.80
Max. Negotiated Rate	$15,800.19
Rate for Payer: BCBS Complete	$15,800.19
Rate for Payer: Mclaren Medicaid	$15,047.80
Rate for Payer: Meridian Medicaid	$15,800.19
Rate for Payer: Priority Health Choice Medicaid	$15,047.80
Rate for Payer: UHC Medicaid	$15,047.80
Rate for Payer: UHCCP Medicaid	$15,047.80

Know your out-of-pocket cost for care.

All Charges