Bronson Methodist Hospital

All Charges

Charge

Type

Setting

Price

OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC

Facility

$30,248.26

Service Code	MSDRG 630
Min. Negotiated Rate	$12,158.39
Max. Negotiated Rate	$30,248.26
Rate for Payer: Aetna Medicare	$13,310.24
Rate for Payer: Allen County Amish Medical Aid Commercial	$15,997.89
Rate for Payer: Amish Plain Church Group Commercial	$15,997.89
Rate for Payer: BCBS MAPPO	$12,798.31
Rate for Payer: BCBS Trust/PPO	$30,248.26
Rate for Payer: BCN Commercial	$30,248.26
Rate for Payer: BCN Medicare Advantage	$12,798.31
Rate for Payer: Health Alliance Plan Medicare Advantage	$12,798.31
Rate for Payer: Mclaren Medicare	$12,798.31
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$13,438.23
Rate for Payer: MI Amish Medical Board Commercial	$14,718.06
Rate for Payer: Molina Medicare/Medicaid	$14,078.14
Rate for Payer: Nomi Health Commercial	$18,827.55
Rate for Payer: PACE Medicare	$12,158.39
Rate for Payer: PACE SWMI	$12,798.31
Rate for Payer: PHP Medicare Advantage	$12,798.31
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$23,530.26
Rate for Payer: Priority Health Medicare	$12,798.31
Rate for Payer: Priority Health Tiered Network	$18,824.21
Rate for Payer: Railroad Medicare Medicare	$12,798.31
Rate for Payer: UHC All Payor (Choice/PPO)	$23,789.85
Rate for Payer: UHC Core	$19,903.20
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$12,798.31
Rate for Payer: UHC Exchange	$16,254.45
Rate for Payer: VA VA	$12,798.31

OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC

Facility

$82,668.69

Service Code	MSDRG 319
Min. Negotiated Rate	$36,019.09
Max. Negotiated Rate	$82,668.69
Rate for Payer: Aetna Medicare	$39,431.42
Rate for Payer: Allen County Amish Medical Aid Commercial	$47,393.54
Rate for Payer: Amish Plain Church Group Commercial	$47,393.54
Rate for Payer: BCBS MAPPO	$37,914.83
Rate for Payer: BCBS Trust/PPO	$82,668.69
Rate for Payer: BCN Commercial	$82,668.69
Rate for Payer: BCN Medicare Advantage	$37,914.83
Rate for Payer: Health Alliance Plan Medicare Advantage	$37,914.83
Rate for Payer: Mclaren Medicare	$37,914.83
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$39,810.57
Rate for Payer: MI Amish Medical Board Commercial	$43,602.05
Rate for Payer: Molina Medicare/Medicaid	$41,706.31
Rate for Payer: Nomi Health Commercial	$57,571.41
Rate for Payer: PACE Medicare	$36,019.09
Rate for Payer: PACE SWMI	$37,914.83
Rate for Payer: PHP Medicare Advantage	$37,914.83
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$71,951.50
Rate for Payer: Priority Health Medicare	$37,914.83
Rate for Payer: Priority Health Tiered Network	$57,561.19
Rate for Payer: Railroad Medicare Medicare	$37,914.83
Rate for Payer: UHC All Payor (Choice/PPO)	$72,745.27
Rate for Payer: UHC Core	$60,860.57
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$37,914.83
Rate for Payer: UHC Exchange	$49,703.32
Rate for Payer: VA VA	$37,914.83

OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC

Facility

$65,086.32

Service Code	MSDRG 320
Min. Negotiated Rate	$19,672.38
Max. Negotiated Rate	$65,086.32
Rate for Payer: Aetna Medicare	$21,536.08
Rate for Payer: Allen County Amish Medical Aid Commercial	$25,884.71
Rate for Payer: Amish Plain Church Group Commercial	$25,884.71
Rate for Payer: BCBS MAPPO	$20,707.77
Rate for Payer: BCBS Trust/PPO	$65,086.32
Rate for Payer: BCN Commercial	$65,086.32
Rate for Payer: BCN Medicare Advantage	$20,707.77
Rate for Payer: Health Alliance Plan Medicare Advantage	$20,707.77
Rate for Payer: Mclaren Medicare	$20,707.77
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$21,743.16
Rate for Payer: MI Amish Medical Board Commercial	$23,813.94
Rate for Payer: Molina Medicare/Medicaid	$22,778.55
Rate for Payer: Nomi Health Commercial	$31,028.37
Rate for Payer: PACE Medicare	$19,672.38
Rate for Payer: PACE SWMI	$20,707.77
Rate for Payer: PHP Medicare Advantage	$20,707.77
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$38,778.58
Rate for Payer: Priority Health Medicare	$20,707.77
Rate for Payer: Priority Health Tiered Network	$31,022.86
Rate for Payer: Railroad Medicare Medicare	$20,707.77
Rate for Payer: UHC All Payor (Choice/PPO)	$39,206.39
Rate for Payer: UHC Core	$32,801.08
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$20,707.77
Rate for Payer: UHC Exchange	$26,787.83
Rate for Payer: VA VA	$20,707.77

OTHER ESOPHAGEAL DISORDERS

Facility

$3,384.37

Service Code	APR-DRG 2431
Min. Negotiated Rate	$3,223.21
Max. Negotiated Rate	$3,384.37
Rate for Payer: BCBS Complete	$3,384.37
Rate for Payer: Mclaren Medicaid	$3,223.21
Rate for Payer: Meridian Medicaid	$3,384.37
Rate for Payer: Priority Health Choice Medicaid	$3,223.21
Rate for Payer: UHC Medicaid	$3,223.21
Rate for Payer: UHCCP Medicaid	$3,223.21

OTHER ESOPHAGEAL DISORDERS

Facility

$5,318.39

Service Code	APR-DRG 2432
Min. Negotiated Rate	$5,065.13
Max. Negotiated Rate	$5,318.39
Rate for Payer: BCBS Complete	$5,318.39
Rate for Payer: Mclaren Medicaid	$5,065.13
Rate for Payer: Meridian Medicaid	$5,318.39
Rate for Payer: Priority Health Choice Medicaid	$5,065.13
Rate for Payer: UHC Medicaid	$5,065.13
Rate for Payer: UHCCP Medicaid	$5,065.13

OTHER ESOPHAGEAL DISORDERS

Facility

$11,128.90

Service Code	APR-DRG 2434
Min. Negotiated Rate	$10,598.95
Max. Negotiated Rate	$11,128.90
Rate for Payer: BCBS Complete	$11,128.90
Rate for Payer: Mclaren Medicaid	$10,598.95
Rate for Payer: Meridian Medicaid	$11,128.90
Rate for Payer: Priority Health Choice Medicaid	$10,598.95
Rate for Payer: UHC Medicaid	$10,598.95
Rate for Payer: UHCCP Medicaid	$10,598.95

OTHER ESOPHAGEAL DISORDERS

Facility

$7,294.77

Service Code	APR-DRG 2433
Min. Negotiated Rate	$6,947.40
Max. Negotiated Rate	$7,294.77
Rate for Payer: BCBS Complete	$7,294.77
Rate for Payer: Mclaren Medicaid	$6,947.40
Rate for Payer: Meridian Medicaid	$7,294.77
Rate for Payer: Priority Health Choice Medicaid	$6,947.40
Rate for Payer: UHC Medicaid	$6,947.40
Rate for Payer: UHCCP Medicaid	$6,947.40

OTHER FACTORS INFLUENCING HEALTH STATUS

Facility

$9,062.80

Service Code	MSDRG 951
Min. Negotiated Rate	$4,980.50
Max. Negotiated Rate	$9,062.80
Rate for Payer: Aetna Medicare	$5,452.34
Rate for Payer: Allen County Amish Medical Aid Commercial	$6,553.29
Rate for Payer: Amish Plain Church Group Commercial	$6,553.29
Rate for Payer: BCBS MAPPO	$5,242.63
Rate for Payer: BCBS Trust/PPO	$8,328.63
Rate for Payer: BCN Commercial	$8,328.63
Rate for Payer: BCN Medicare Advantage	$5,242.63
Rate for Payer: Health Alliance Plan Medicare Advantage	$5,242.63
Rate for Payer: Mclaren Medicare	$5,242.63
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$5,504.76
Rate for Payer: MI Amish Medical Board Commercial	$6,029.02
Rate for Payer: Molina Medicare/Medicaid	$5,766.89
Rate for Payer: Nomi Health Commercial	$7,172.40
Rate for Payer: PACE Medicare	$4,980.50
Rate for Payer: PACE SWMI	$5,242.63
Rate for Payer: PHP Medicare Advantage	$5,242.63
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$8,963.91
Rate for Payer: Priority Health Medicare	$5,242.63
Rate for Payer: Priority Health Tiered Network	$7,171.13
Rate for Payer: Railroad Medicare Medicare	$5,242.63
Rate for Payer: UHC All Payor (Choice/PPO)	$9,062.80
Rate for Payer: UHC Core	$7,582.17
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$5,242.63
Rate for Payer: UHC Exchange	$6,192.17
Rate for Payer: VA VA	$5,242.63

OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$12,122.84

Service Code	APR-DRG 5183
Min. Negotiated Rate	$11,545.57
Max. Negotiated Rate	$12,122.84
Rate for Payer: BCBS Complete	$12,122.84
Rate for Payer: Mclaren Medicaid	$11,545.57
Rate for Payer: Meridian Medicaid	$12,122.84
Rate for Payer: Priority Health Choice Medicaid	$11,545.57
Rate for Payer: UHC Medicaid	$11,545.57
Rate for Payer: UHCCP Medicaid	$11,545.57

OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$8,779.63

Service Code	APR-DRG 5182
Min. Negotiated Rate	$8,361.56
Max. Negotiated Rate	$8,779.63
Rate for Payer: BCBS Complete	$8,779.63
Rate for Payer: Mclaren Medicaid	$8,361.56
Rate for Payer: Meridian Medicaid	$8,779.63
Rate for Payer: Priority Health Choice Medicaid	$8,361.56
Rate for Payer: UHC Medicaid	$8,361.56
Rate for Payer: UHCCP Medicaid	$8,361.56

OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$19,117.98

Service Code	APR-DRG 5184
Min. Negotiated Rate	$18,207.60
Max. Negotiated Rate	$19,117.98
Rate for Payer: BCBS Complete	$19,117.98
Rate for Payer: Mclaren Medicaid	$18,207.60
Rate for Payer: Meridian Medicaid	$19,117.98
Rate for Payer: Priority Health Choice Medicaid	$18,207.60
Rate for Payer: UHC Medicaid	$18,207.60
Rate for Payer: UHCCP Medicaid	$18,207.60

OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$6,311.12

Service Code	APR-DRG 5181
Min. Negotiated Rate	$6,010.59
Max. Negotiated Rate	$6,311.12
Rate for Payer: BCBS Complete	$6,311.12
Rate for Payer: Mclaren Medicaid	$6,010.59
Rate for Payer: Meridian Medicaid	$6,311.12
Rate for Payer: Priority Health Choice Medicaid	$6,010.59
Rate for Payer: UHC Medicaid	$6,010.59
Rate for Payer: UHCCP Medicaid	$6,010.59

OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC

Facility

$45,414.93

Service Code	MSDRG 749
Min. Negotiated Rate	$20,961.78
Max. Negotiated Rate	$45,414.93
Rate for Payer: Aetna Medicare	$22,947.63
Rate for Payer: Allen County Amish Medical Aid Commercial	$27,581.29
Rate for Payer: Amish Plain Church Group Commercial	$27,581.29
Rate for Payer: BCBS MAPPO	$22,065.03
Rate for Payer: BCBS Trust/PPO	$45,414.93
Rate for Payer: BCN Commercial	$45,414.93
Rate for Payer: BCN Medicare Advantage	$22,065.03
Rate for Payer: Health Alliance Plan Medicare Advantage	$22,065.03
Rate for Payer: Mclaren Medicare	$22,065.03
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$23,168.28
Rate for Payer: MI Amish Medical Board Commercial	$25,374.78
Rate for Payer: Molina Medicare/Medicaid	$24,271.53
Rate for Payer: Nomi Health Commercial	$33,122.04
Rate for Payer: PACE Medicare	$20,961.78
Rate for Payer: PACE SWMI	$22,065.03
Rate for Payer: PHP Medicare Advantage	$22,065.03
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$41,395.21
Rate for Payer: Priority Health Medicare	$22,065.03
Rate for Payer: Priority Health Tiered Network	$33,116.16
Rate for Payer: Railroad Medicare Medicare	$22,065.03
Rate for Payer: UHC All Payor (Choice/PPO)	$41,851.88
Rate for Payer: UHC Core	$35,014.36
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$22,065.03
Rate for Payer: UHC Exchange	$28,595.36
Rate for Payer: VA VA	$22,065.03

OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC

Facility

$24,538.45

Service Code	MSDRG 750
Min. Negotiated Rate	$12,287.91
Max. Negotiated Rate	$24,538.45
Rate for Payer: Aetna Medicare	$13,452.03
Rate for Payer: Allen County Amish Medical Aid Commercial	$16,168.30
Rate for Payer: Amish Plain Church Group Commercial	$16,168.30
Rate for Payer: BCBS MAPPO	$12,934.64
Rate for Payer: BCBS Trust/PPO	$24,538.45
Rate for Payer: BCN Commercial	$24,538.45
Rate for Payer: BCN Medicare Advantage	$12,934.64
Rate for Payer: Health Alliance Plan Medicare Advantage	$12,934.64
Rate for Payer: Mclaren Medicare	$12,934.64
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$13,581.37
Rate for Payer: MI Amish Medical Board Commercial	$14,874.84
Rate for Payer: Molina Medicare/Medicaid	$14,228.10
Rate for Payer: Nomi Health Commercial	$19,037.82
Rate for Payer: PACE Medicare	$12,287.91
Rate for Payer: PACE SWMI	$12,934.64
Rate for Payer: PHP Medicare Advantage	$12,934.64
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$23,793.05
Rate for Payer: Priority Health Medicare	$12,934.64
Rate for Payer: Priority Health Tiered Network	$19,034.44
Rate for Payer: Railroad Medicare Medicare	$12,934.64
Rate for Payer: UHC All Payor (Choice/PPO)	$24,055.54
Rate for Payer: UHC Core	$20,125.48
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$12,934.64
Rate for Payer: UHC Exchange	$16,435.98
Rate for Payer: VA VA	$12,934.64

OTHER GASTROENTERITIS, NAUSEA AND VOMITING

Facility

$6,556.28

Service Code	APR-DRG 2493
Min. Negotiated Rate	$6,244.07
Max. Negotiated Rate	$6,556.28
Rate for Payer: BCBS Complete	$6,556.28
Rate for Payer: Mclaren Medicaid	$6,244.07
Rate for Payer: Meridian Medicaid	$6,556.28
Rate for Payer: Priority Health Choice Medicaid	$6,244.07
Rate for Payer: UHC Medicaid	$6,244.07
Rate for Payer: UHCCP Medicaid	$6,244.07

OTHER GASTROENTERITIS, NAUSEA AND VOMITING

Facility

$4,726.38

Service Code	APR-DRG 2492
Min. Negotiated Rate	$4,501.31
Max. Negotiated Rate	$4,726.38
Rate for Payer: BCBS Complete	$4,726.38
Rate for Payer: Mclaren Medicaid	$4,501.31
Rate for Payer: Meridian Medicaid	$4,726.38
Rate for Payer: Priority Health Choice Medicaid	$4,501.31
Rate for Payer: UHC Medicaid	$4,501.31
Rate for Payer: UHCCP Medicaid	$4,501.31

OTHER GASTROENTERITIS, NAUSEA AND VOMITING

Facility

$3,781.47

Service Code	APR-DRG 2491
Min. Negotiated Rate	$3,601.40
Max. Negotiated Rate	$3,781.47
Rate for Payer: BCBS Complete	$3,781.47
Rate for Payer: Mclaren Medicaid	$3,601.40
Rate for Payer: Meridian Medicaid	$3,781.47
Rate for Payer: Priority Health Choice Medicaid	$3,601.40
Rate for Payer: UHC Medicaid	$3,601.40
Rate for Payer: UHCCP Medicaid	$3,601.40

OTHER GASTROENTERITIS, NAUSEA AND VOMITING

Facility

$7,901.91

Service Code	APR-DRG 2494
Min. Negotiated Rate	$7,525.63
Max. Negotiated Rate	$7,901.91
Rate for Payer: BCBS Complete	$7,901.91
Rate for Payer: Mclaren Medicaid	$7,525.63
Rate for Payer: Meridian Medicaid	$7,901.91
Rate for Payer: Priority Health Choice Medicaid	$7,525.63
Rate for Payer: UHC Medicaid	$7,525.63
Rate for Payer: UHCCP Medicaid	$7,525.63

OTHER HEART ASSIST SYSTEM IMPLANT

Facility

$205,989.56

Service Code	MSDRG 215
Min. Negotiated Rate	$79,667.29
Max. Negotiated Rate	$205,989.56
Rate for Payer: Aetna Medicare	$87,214.71
Rate for Payer: Allen County Amish Medical Aid Commercial	$104,825.38
Rate for Payer: Amish Plain Church Group Commercial	$104,825.38
Rate for Payer: BCBS MAPPO	$83,860.30
Rate for Payer: BCBS Trust/PPO	$205,989.56
Rate for Payer: BCN Commercial	$205,989.56
Rate for Payer: BCN Medicare Advantage	$83,860.30
Rate for Payer: Health Alliance Plan Medicare Advantage	$83,860.30
Rate for Payer: Mclaren Medicare	$83,860.30
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$88,053.32
Rate for Payer: MI Amish Medical Board Commercial	$96,439.35
Rate for Payer: Molina Medicare/Medicaid	$92,246.33
Rate for Payer: Nomi Health Commercial	$128,445.30
Rate for Payer: PACE Medicare	$79,667.29
Rate for Payer: PACE SWMI	$83,860.30
Rate for Payer: PHP Medicare Advantage	$83,860.30
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$160,528.15
Rate for Payer: Priority Health Medicare	$83,860.30
Rate for Payer: Priority Health Tiered Network	$128,422.50
Rate for Payer: Railroad Medicare Medicare	$83,860.30
Rate for Payer: UHC All Payor (Choice/PPO)	$162,299.10
Rate for Payer: UHC Core	$135,783.61
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$83,860.30
Rate for Payer: UHC Exchange	$110,891.11
Rate for Payer: VA VA	$83,860.30

OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC

Facility

$47,405.13

Service Code	MSDRG 424
Min. Negotiated Rate	$17,945.22
Max. Negotiated Rate	$47,405.13
Rate for Payer: Aetna Medicare	$19,645.30
Rate for Payer: Allen County Amish Medical Aid Commercial	$23,612.14
Rate for Payer: Amish Plain Church Group Commercial	$23,612.14
Rate for Payer: BCBS MAPPO	$18,889.71
Rate for Payer: BCBS Trust/PPO	$47,405.13
Rate for Payer: BCN Commercial	$47,405.13
Rate for Payer: BCN Medicare Advantage	$18,889.71
Rate for Payer: Health Alliance Plan Medicare Advantage	$18,889.71
Rate for Payer: Mclaren Medicare	$18,889.71
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$19,834.20
Rate for Payer: MI Amish Medical Board Commercial	$21,723.17
Rate for Payer: Molina Medicare/Medicaid	$20,778.68
Rate for Payer: Nomi Health Commercial	$28,223.91
Rate for Payer: PACE Medicare	$17,945.22
Rate for Payer: PACE SWMI	$18,889.71
Rate for Payer: PHP Medicare Advantage	$18,889.71
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$35,273.63
Rate for Payer: Priority Health Medicare	$18,889.71
Rate for Payer: Priority Health Tiered Network	$28,218.90
Rate for Payer: Railroad Medicare Medicare	$18,889.71
Rate for Payer: UHC All Payor (Choice/PPO)	$35,662.77
Rate for Payer: UHC Core	$29,836.39
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$18,889.71
Rate for Payer: UHC Exchange	$24,366.64
Rate for Payer: VA VA	$18,889.71

OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC

Facility

$89,509.48

Service Code	MSDRG 423
Min. Negotiated Rate	$33,557.08
Max. Negotiated Rate	$89,509.48
Rate for Payer: Aetna Medicare	$36,736.17
Rate for Payer: Allen County Amish Medical Aid Commercial	$44,154.05
Rate for Payer: Amish Plain Church Group Commercial	$44,154.05
Rate for Payer: BCBS MAPPO	$35,323.24
Rate for Payer: BCBS Trust/PPO	$89,509.48
Rate for Payer: BCN Commercial	$89,509.48
Rate for Payer: BCN Medicare Advantage	$35,323.24
Rate for Payer: Health Alliance Plan Medicare Advantage	$35,323.24
Rate for Payer: Mclaren Medicare	$35,323.24
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$37,089.40
Rate for Payer: MI Amish Medical Board Commercial	$40,621.73
Rate for Payer: Molina Medicare/Medicaid	$38,855.56
Rate for Payer: Nomi Health Commercial	$53,573.70
Rate for Payer: PACE Medicare	$33,557.08
Rate for Payer: PACE SWMI	$35,323.24
Rate for Payer: PHP Medicare Advantage	$35,323.24
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$66,955.25
Rate for Payer: Priority Health Medicare	$35,323.24
Rate for Payer: Priority Health Tiered Network	$53,564.19
Rate for Payer: Railroad Medicare Medicare	$35,323.24
Rate for Payer: UHC All Payor (Choice/PPO)	$67,693.90
Rate for Payer: UHC Core	$56,634.46
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$35,323.24
Rate for Payer: UHC Exchange	$46,251.96
Rate for Payer: VA VA	$35,323.24

OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC

Facility

$36,380.81

Service Code	MSDRG 425
Min. Negotiated Rate	$12,482.53
Max. Negotiated Rate	$36,380.81
Rate for Payer: Aetna Medicare	$13,665.09
Rate for Payer: Allen County Amish Medical Aid Commercial	$16,424.39
Rate for Payer: Amish Plain Church Group Commercial	$16,424.39
Rate for Payer: BCBS MAPPO	$13,139.51
Rate for Payer: BCBS Trust/PPO	$36,380.81
Rate for Payer: BCN Commercial	$36,380.81
Rate for Payer: BCN Medicare Advantage	$13,139.51
Rate for Payer: Health Alliance Plan Medicare Advantage	$13,139.51
Rate for Payer: Mclaren Medicare	$13,139.51
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$13,796.49
Rate for Payer: MI Amish Medical Board Commercial	$15,110.44
Rate for Payer: Molina Medicare/Medicaid	$14,453.46
Rate for Payer: Nomi Health Commercial	$19,353.87
Rate for Payer: PACE Medicare	$12,482.53
Rate for Payer: PACE SWMI	$13,139.51
Rate for Payer: PHP Medicare Advantage	$13,139.51
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$24,188.05
Rate for Payer: Priority Health Medicare	$13,139.51
Rate for Payer: Priority Health Tiered Network	$19,350.43
Rate for Payer: Railroad Medicare Medicare	$13,139.51
Rate for Payer: UHC All Payor (Choice/PPO)	$24,454.89
Rate for Payer: UHC Core	$20,459.59
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$13,139.51
Rate for Payer: UHC Exchange	$16,708.84
Rate for Payer: VA VA	$13,139.51

OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES

Facility

$5,489.69

Service Code	APR-DRG 2641
Min. Negotiated Rate	$5,228.28
Max. Negotiated Rate	$5,489.69
Rate for Payer: BCBS Complete	$5,489.69
Rate for Payer: Mclaren Medicaid	$5,228.28
Rate for Payer: Meridian Medicaid	$5,489.69
Rate for Payer: Priority Health Choice Medicaid	$5,228.28
Rate for Payer: UHC Medicaid	$5,228.28
Rate for Payer: UHCCP Medicaid	$5,228.28

OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES

Facility

$14,501.77

Service Code	APR-DRG 2643
Min. Negotiated Rate	$13,811.21
Max. Negotiated Rate	$14,501.77
Rate for Payer: BCBS Complete	$14,501.77
Rate for Payer: Mclaren Medicaid	$13,811.21
Rate for Payer: Meridian Medicaid	$14,501.77
Rate for Payer: Priority Health Choice Medicaid	$13,811.21
Rate for Payer: UHC Medicaid	$13,811.21
Rate for Payer: UHCCP Medicaid	$13,811.21

OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES

Facility

$27,634.30

Service Code	APR-DRG 2644
Min. Negotiated Rate	$26,318.38
Max. Negotiated Rate	$27,634.30
Rate for Payer: BCBS Complete	$27,634.30
Rate for Payer: Mclaren Medicaid	$26,318.38
Rate for Payer: Meridian Medicaid	$27,634.30
Rate for Payer: Priority Health Choice Medicaid	$26,318.38
Rate for Payer: UHC Medicaid	$26,318.38
Rate for Payer: UHCCP Medicaid	$26,318.38

Know your out-of-pocket cost for care.

All Charges