Bronson Methodist Hospital

All Charges

Charge

Type

Setting

Price

OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES

Facility

$5,638.60

Service Code	APR-DRG 1432
Min. Negotiated Rate	$5,370.10
Max. Negotiated Rate	$5,638.60
Rate for Payer: BCBS Complete	$5,638.60
Rate for Payer: Mclaren Medicaid	$5,370.10
Rate for Payer: Meridian Medicaid	$5,638.60
Rate for Payer: Priority Health Choice Medicaid	$5,370.10
Rate for Payer: UHC Medicaid	$5,370.10
Rate for Payer: UHCCP Medicaid	$5,370.10

OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES

Facility

$3,846.84

Service Code	APR-DRG 1431
Min. Negotiated Rate	$3,663.66
Max. Negotiated Rate	$3,846.84
Rate for Payer: BCBS Complete	$3,846.84
Rate for Payer: Mclaren Medicaid	$3,663.66
Rate for Payer: Meridian Medicaid	$3,846.84
Rate for Payer: Priority Health Choice Medicaid	$3,663.66
Rate for Payer: UHC Medicaid	$3,663.66
Rate for Payer: UHCCP Medicaid	$3,663.66

OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC

Facility

$36,625.12

Service Code	MSDRG 205
Min. Negotiated Rate	$15,109.82
Max. Negotiated Rate	$36,625.12
Rate for Payer: Aetna Medicare	$16,541.27
Rate for Payer: Allen County Amish Medical Aid Commercial	$19,881.34
Rate for Payer: Amish Plain Church Group Commercial	$19,881.34
Rate for Payer: BCBS MAPPO	$15,905.07
Rate for Payer: BCBS Trust/PPO	$36,625.12
Rate for Payer: BCN Commercial	$36,625.12
Rate for Payer: BCN Medicare Advantage	$15,905.07
Rate for Payer: Health Alliance Plan Medicare Advantage	$15,905.07
Rate for Payer: Mclaren Medicare	$15,905.07
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$16,700.32
Rate for Payer: MI Amish Medical Board Commercial	$18,290.83
Rate for Payer: Molina Medicare/Medicaid	$17,495.58
Rate for Payer: Nomi Health Commercial	$23,619.90
Rate for Payer: PACE Medicare	$15,109.82
Rate for Payer: PACE SWMI	$15,905.07
Rate for Payer: PHP Medicare Advantage	$15,905.07
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$29,519.64
Rate for Payer: Priority Health Medicare	$15,905.07
Rate for Payer: Priority Health Tiered Network	$23,615.71
Rate for Payer: Railroad Medicare Medicare	$15,905.07
Rate for Payer: UHC All Payor (Choice/PPO)	$29,845.30
Rate for Payer: UHC Core	$24,969.35
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$15,905.07
Rate for Payer: UHC Exchange	$20,391.85
Rate for Payer: VA VA	$15,905.07

OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC

Facility

$17,565.89

Service Code	MSDRG 206
Min. Negotiated Rate	$8,039.94
Max. Negotiated Rate	$17,565.89
Rate for Payer: Aetna Medicare	$8,801.62
Rate for Payer: Allen County Amish Medical Aid Commercial	$10,578.88
Rate for Payer: Amish Plain Church Group Commercial	$10,578.88
Rate for Payer: BCBS MAPPO	$8,463.10
Rate for Payer: BCBS Trust/PPO	$17,565.89
Rate for Payer: BCN Commercial	$17,565.89
Rate for Payer: BCN Medicare Advantage	$8,463.10
Rate for Payer: Health Alliance Plan Medicare Advantage	$8,463.10
Rate for Payer: Mclaren Medicare	$8,463.10
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$8,886.25
Rate for Payer: MI Amish Medical Board Commercial	$9,732.57
Rate for Payer: Molina Medicare/Medicaid	$9,309.41
Rate for Payer: Nomi Health Commercial	$12,140.19
Rate for Payer: PACE Medicare	$8,039.94
Rate for Payer: PACE SWMI	$8,463.10
Rate for Payer: PHP Medicare Advantage	$8,463.10
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$15,172.55
Rate for Payer: Priority Health Medicare	$8,463.10
Rate for Payer: Priority Health Tiered Network	$12,138.03
Rate for Payer: Railroad Medicare Medicare	$8,463.10
Rate for Payer: UHC All Payor (Choice/PPO)	$15,339.93
Rate for Payer: UHC Core	$12,833.78
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$8,463.10
Rate for Payer: UHC Exchange	$10,481.03
Rate for Payer: VA VA	$8,463.10

OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC

Facility

$39,765.52

Service Code	MSDRG 167
Min. Negotiated Rate	$14,890.53
Max. Negotiated Rate	$39,765.52
Rate for Payer: Aetna Medicare	$16,301.21
Rate for Payer: Allen County Amish Medical Aid Commercial	$19,592.80
Rate for Payer: Amish Plain Church Group Commercial	$19,592.80
Rate for Payer: BCBS MAPPO	$15,674.24
Rate for Payer: BCBS Trust/PPO	$39,765.52
Rate for Payer: BCN Commercial	$39,765.52
Rate for Payer: BCN Medicare Advantage	$15,674.24
Rate for Payer: Health Alliance Plan Medicare Advantage	$15,674.24
Rate for Payer: Mclaren Medicare	$15,674.24
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$16,457.95
Rate for Payer: MI Amish Medical Board Commercial	$18,025.38
Rate for Payer: Molina Medicare/Medicaid	$17,241.66
Rate for Payer: Nomi Health Commercial	$23,263.86
Rate for Payer: PACE Medicare	$14,890.53
Rate for Payer: PACE SWMI	$15,674.24
Rate for Payer: PHP Medicare Advantage	$15,674.24
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$29,074.67
Rate for Payer: Priority Health Medicare	$15,674.24
Rate for Payer: Priority Health Tiered Network	$23,259.73
Rate for Payer: Railroad Medicare Medicare	$15,674.24
Rate for Payer: UHC All Payor (Choice/PPO)	$29,395.42
Rate for Payer: UHC Core	$24,592.97
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$15,674.24
Rate for Payer: UHC Exchange	$20,084.47
Rate for Payer: VA VA	$15,674.24

OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC

Facility

$74,655.74

Service Code	MSDRG 166
Min. Negotiated Rate	$30,257.70
Max. Negotiated Rate	$74,655.74
Rate for Payer: Aetna Medicare	$33,124.22
Rate for Payer: Allen County Amish Medical Aid Commercial	$39,812.76
Rate for Payer: Amish Plain Church Group Commercial	$39,812.76
Rate for Payer: BCBS MAPPO	$31,850.21
Rate for Payer: BCBS Trust/PPO	$74,655.74
Rate for Payer: BCN Commercial	$74,655.74
Rate for Payer: BCN Medicare Advantage	$31,850.21
Rate for Payer: Health Alliance Plan Medicare Advantage	$31,850.21
Rate for Payer: Mclaren Medicare	$31,850.21
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$33,442.72
Rate for Payer: MI Amish Medical Board Commercial	$36,627.74
Rate for Payer: Molina Medicare/Medicaid	$35,035.23
Rate for Payer: Nomi Health Commercial	$48,216.33
Rate for Payer: PACE Medicare	$30,257.70
Rate for Payer: PACE SWMI	$31,850.21
Rate for Payer: PHP Medicare Advantage	$31,850.21
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$60,259.72
Rate for Payer: Priority Health Medicare	$31,850.21
Rate for Payer: Priority Health Tiered Network	$48,207.77
Rate for Payer: Railroad Medicare Medicare	$31,850.21
Rate for Payer: UHC All Payor (Choice/PPO)	$60,924.51
Rate for Payer: UHC Core	$50,971.01
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$31,850.21
Rate for Payer: UHC Exchange	$41,626.76
Rate for Payer: VA VA	$31,850.21

OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC

Facility

$32,963.16

Service Code	MSDRG 168
Min. Negotiated Rate	$11,418.76
Max. Negotiated Rate	$32,963.16
Rate for Payer: Aetna Medicare	$12,500.54
Rate for Payer: Allen County Amish Medical Aid Commercial	$15,024.69
Rate for Payer: Amish Plain Church Group Commercial	$15,024.69
Rate for Payer: BCBS MAPPO	$12,019.75
Rate for Payer: BCBS Trust/PPO	$32,963.16
Rate for Payer: BCN Commercial	$32,963.16
Rate for Payer: BCN Medicare Advantage	$12,019.75
Rate for Payer: Health Alliance Plan Medicare Advantage	$12,019.75
Rate for Payer: Mclaren Medicare	$12,019.75
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$12,620.74
Rate for Payer: MI Amish Medical Board Commercial	$13,822.71
Rate for Payer: Molina Medicare/Medicaid	$13,221.73
Rate for Payer: Nomi Health Commercial	$17,626.56
Rate for Payer: PACE Medicare	$11,418.76
Rate for Payer: PACE SWMI	$12,019.75
Rate for Payer: PHP Medicare Advantage	$12,019.75
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$22,029.29
Rate for Payer: Priority Health Medicare	$12,019.75
Rate for Payer: Priority Health Tiered Network	$17,623.43
Rate for Payer: Railroad Medicare Medicare	$12,019.75
Rate for Payer: UHC All Payor (Choice/PPO)	$22,272.32
Rate for Payer: UHC Core	$18,633.60
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$12,019.75
Rate for Payer: UHC Exchange	$15,217.60
Rate for Payer: VA VA	$12,019.75

OTHER SIGNIFICANT HIP AND FEMUR SURGERY

Facility

$13,470.30

Service Code	APR-DRG 3092
Min. Negotiated Rate	$12,828.85
Max. Negotiated Rate	$13,470.30
Rate for Payer: BCBS Complete	$13,470.30
Rate for Payer: Mclaren Medicaid	$12,828.85
Rate for Payer: Meridian Medicaid	$13,470.30
Rate for Payer: Priority Health Choice Medicaid	$12,828.85
Rate for Payer: UHC Medicaid	$12,828.85
Rate for Payer: UHCCP Medicaid	$12,828.85

OTHER SIGNIFICANT HIP AND FEMUR SURGERY

Facility

$16,337.12

Service Code	APR-DRG 3093
Min. Negotiated Rate	$15,559.16
Max. Negotiated Rate	$16,337.12
Rate for Payer: BCBS Complete	$16,337.12
Rate for Payer: Mclaren Medicaid	$15,559.16
Rate for Payer: Meridian Medicaid	$16,337.12
Rate for Payer: Priority Health Choice Medicaid	$15,559.16
Rate for Payer: UHC Medicaid	$15,559.16
Rate for Payer: UHCCP Medicaid	$15,559.16

OTHER SIGNIFICANT HIP AND FEMUR SURGERY

Facility

$9,800.82

Service Code	APR-DRG 3091
Min. Negotiated Rate	$9,334.11
Max. Negotiated Rate	$9,800.82
Rate for Payer: BCBS Complete	$9,800.82
Rate for Payer: Mclaren Medicaid	$9,334.11
Rate for Payer: Meridian Medicaid	$9,800.82
Rate for Payer: Priority Health Choice Medicaid	$9,334.11
Rate for Payer: UHC Medicaid	$9,334.11
Rate for Payer: UHCCP Medicaid	$9,334.11

OTHER SIGNIFICANT HIP AND FEMUR SURGERY

Facility

$21,653.69

Service Code	APR-DRG 3094
Min. Negotiated Rate	$20,622.56
Max. Negotiated Rate	$21,653.69
Rate for Payer: BCBS Complete	$21,653.69
Rate for Payer: Mclaren Medicaid	$20,622.56
Rate for Payer: Meridian Medicaid	$21,653.69
Rate for Payer: Priority Health Choice Medicaid	$20,622.56
Rate for Payer: UHC Medicaid	$20,622.56
Rate for Payer: UHCCP Medicaid	$20,622.56

OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS

Facility

$4,945.51

Service Code	APR-DRG 3852
Min. Negotiated Rate	$4,710.01
Max. Negotiated Rate	$4,945.51
Rate for Payer: BCBS Complete	$4,945.51
Rate for Payer: Mclaren Medicaid	$4,710.01
Rate for Payer: Meridian Medicaid	$4,945.51
Rate for Payer: Priority Health Choice Medicaid	$4,710.01
Rate for Payer: UHC Medicaid	$4,710.01
Rate for Payer: UHCCP Medicaid	$4,710.01

OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS

Facility

$11,874.06

Service Code	APR-DRG 3854
Min. Negotiated Rate	$11,308.62
Max. Negotiated Rate	$11,874.06
Rate for Payer: BCBS Complete	$11,874.06
Rate for Payer: Mclaren Medicaid	$11,308.62
Rate for Payer: Meridian Medicaid	$11,874.06
Rate for Payer: Priority Health Choice Medicaid	$11,308.62
Rate for Payer: UHC Medicaid	$11,308.62
Rate for Payer: UHCCP Medicaid	$11,308.62

OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS

Facility

$7,139.20

Service Code	APR-DRG 3853
Min. Negotiated Rate	$6,799.24
Max. Negotiated Rate	$7,139.20
Rate for Payer: BCBS Complete	$7,139.20
Rate for Payer: Mclaren Medicaid	$6,799.24
Rate for Payer: Meridian Medicaid	$7,139.20
Rate for Payer: Priority Health Choice Medicaid	$6,799.24
Rate for Payer: UHC Medicaid	$6,799.24
Rate for Payer: UHCCP Medicaid	$6,799.24

OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS

Facility

$3,777.23

Service Code	APR-DRG 3851
Min. Negotiated Rate	$3,597.36
Max. Negotiated Rate	$3,777.23
Rate for Payer: BCBS Complete	$3,777.23
Rate for Payer: Mclaren Medicaid	$3,597.36
Rate for Payer: Meridian Medicaid	$3,777.23
Rate for Payer: Priority Health Choice Medicaid	$3,597.36
Rate for Payer: UHC Medicaid	$3,597.36
Rate for Payer: UHCCP Medicaid	$3,597.36

OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC

Facility

$46,576.11

Service Code	MSDRG 580
Min. Negotiated Rate	$14,291.51
Max. Negotiated Rate	$46,576.11
Rate for Payer: Aetna Medicare	$15,645.44
Rate for Payer: Allen County Amish Medical Aid Commercial	$18,804.61
Rate for Payer: Amish Plain Church Group Commercial	$18,804.61
Rate for Payer: BCBS MAPPO	$15,043.69
Rate for Payer: BCBS Trust/PPO	$46,576.11
Rate for Payer: BCN Commercial	$46,576.11
Rate for Payer: BCN Medicare Advantage	$15,043.69
Rate for Payer: Health Alliance Plan Medicare Advantage	$15,043.69
Rate for Payer: Mclaren Medicare	$15,043.69
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$15,795.87
Rate for Payer: MI Amish Medical Board Commercial	$17,300.24
Rate for Payer: Molina Medicare/Medicaid	$16,548.06
Rate for Payer: Nomi Health Commercial	$22,291.20
Rate for Payer: PACE Medicare	$14,291.51
Rate for Payer: PACE SWMI	$15,043.69
Rate for Payer: PHP Medicare Advantage	$15,043.69
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$27,859.06
Rate for Payer: Priority Health Medicare	$15,043.69
Rate for Payer: Priority Health Tiered Network	$22,287.24
Rate for Payer: Railroad Medicare Medicare	$15,043.69
Rate for Payer: UHC All Payor (Choice/PPO)	$28,166.40
Rate for Payer: UHC Core	$23,564.74
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$15,043.69
Rate for Payer: UHC Exchange	$19,244.74
Rate for Payer: VA VA	$15,043.69

OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC

Facility

$52,787.55

Service Code	MSDRG 579
Min. Negotiated Rate	$26,291.78
Max. Negotiated Rate	$52,787.55
Rate for Payer: Aetna Medicare	$28,782.58
Rate for Payer: Allen County Amish Medical Aid Commercial	$34,594.45
Rate for Payer: Amish Plain Church Group Commercial	$34,594.45
Rate for Payer: BCBS MAPPO	$27,675.56
Rate for Payer: BCBS Trust/PPO	$50,902.39
Rate for Payer: BCN Commercial	$50,902.39
Rate for Payer: BCN Medicare Advantage	$27,675.56
Rate for Payer: Health Alliance Plan Medicare Advantage	$27,675.56
Rate for Payer: Mclaren Medicare	$27,675.56
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$29,059.34
Rate for Payer: MI Amish Medical Board Commercial	$31,826.89
Rate for Payer: Molina Medicare/Medicaid	$30,443.12
Rate for Payer: Nomi Health Commercial	$41,776.65
Rate for Payer: PACE Medicare	$26,291.78
Rate for Payer: PACE SWMI	$27,675.56
Rate for Payer: PHP Medicare Advantage	$27,675.56
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$52,211.55
Rate for Payer: Priority Health Medicare	$27,675.56
Rate for Payer: Priority Health Tiered Network	$41,769.23
Rate for Payer: Railroad Medicare Medicare	$27,675.56
Rate for Payer: UHC All Payor (Choice/PPO)	$52,787.55
Rate for Payer: UHC Core	$44,163.42
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$27,675.56
Rate for Payer: UHC Exchange	$36,067.17
Rate for Payer: VA VA	$27,675.56

OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC

Facility

$44,989.44

Service Code	MSDRG 581
Min. Negotiated Rate	$12,028.10
Max. Negotiated Rate	$44,989.44
Rate for Payer: Aetna Medicare	$13,167.61
Rate for Payer: Allen County Amish Medical Aid Commercial	$15,826.45
Rate for Payer: Amish Plain Church Group Commercial	$15,826.45
Rate for Payer: BCBS MAPPO	$12,661.16
Rate for Payer: BCBS Trust/PPO	$44,989.44
Rate for Payer: BCN Commercial	$44,989.44
Rate for Payer: BCN Medicare Advantage	$12,661.16
Rate for Payer: Health Alliance Plan Medicare Advantage	$12,661.16
Rate for Payer: Mclaren Medicare	$12,661.16
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$13,294.22
Rate for Payer: MI Amish Medical Board Commercial	$14,560.33
Rate for Payer: Molina Medicare/Medicaid	$13,927.28
Rate for Payer: Nomi Health Commercial	$18,615.99
Rate for Payer: PACE Medicare	$12,028.10
Rate for Payer: PACE SWMI	$12,661.16
Rate for Payer: PHP Medicare Advantage	$12,661.16
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$23,265.86
Rate for Payer: Priority Health Medicare	$12,661.16
Rate for Payer: Priority Health Tiered Network	$18,612.69
Rate for Payer: Railroad Medicare Medicare	$12,661.16
Rate for Payer: UHC All Payor (Choice/PPO)	$23,522.53
Rate for Payer: UHC Core	$19,679.55
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$12,661.16
Rate for Payer: UHC Exchange	$16,071.80
Rate for Payer: VA VA	$12,661.16

OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES

Facility

$13,763.27

Service Code	APR-DRG 3644
Min. Negotiated Rate	$13,107.88
Max. Negotiated Rate	$13,763.27
Rate for Payer: BCBS Complete	$13,763.27
Rate for Payer: Mclaren Medicaid	$13,107.88
Rate for Payer: Meridian Medicaid	$13,763.27
Rate for Payer: Priority Health Choice Medicaid	$13,107.88
Rate for Payer: UHC Medicaid	$13,107.88
Rate for Payer: UHCCP Medicaid	$13,107.88

OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES

Facility

$10,886.16

Service Code	APR-DRG 3643
Min. Negotiated Rate	$10,367.78
Max. Negotiated Rate	$10,886.16
Rate for Payer: BCBS Complete	$10,886.16
Rate for Payer: Mclaren Medicaid	$10,367.78
Rate for Payer: Meridian Medicaid	$10,886.16
Rate for Payer: Priority Health Choice Medicaid	$10,367.78
Rate for Payer: UHC Medicaid	$10,367.78
Rate for Payer: UHCCP Medicaid	$10,367.78

OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES

Facility

$6,928.55

Service Code	APR-DRG 3642
Min. Negotiated Rate	$6,598.62
Max. Negotiated Rate	$6,928.55
Rate for Payer: BCBS Complete	$6,928.55
Rate for Payer: Mclaren Medicaid	$6,598.62
Rate for Payer: Meridian Medicaid	$6,928.55
Rate for Payer: Priority Health Choice Medicaid	$6,598.62
Rate for Payer: UHC Medicaid	$6,598.62
Rate for Payer: UHCCP Medicaid	$6,598.62

OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES

Facility

$5,811.73

Service Code	APR-DRG 3641
Min. Negotiated Rate	$5,534.98
Max. Negotiated Rate	$5,811.73
Rate for Payer: BCBS Complete	$5,811.73
Rate for Payer: Mclaren Medicaid	$5,534.98
Rate for Payer: Meridian Medicaid	$5,811.73
Rate for Payer: Priority Health Choice Medicaid	$5,534.98
Rate for Payer: UHC Medicaid	$5,534.98
Rate for Payer: UHCCP Medicaid	$5,534.98

OTHER SMALL AND LARGE BOWEL PROCEDURES

Facility

$8,420.07

Service Code	APR-DRG 2231
Min. Negotiated Rate	$8,019.11
Max. Negotiated Rate	$8,420.07
Rate for Payer: BCBS Complete	$8,420.07
Rate for Payer: Mclaren Medicaid	$8,019.11
Rate for Payer: Meridian Medicaid	$8,420.07
Rate for Payer: Priority Health Choice Medicaid	$8,019.11
Rate for Payer: UHC Medicaid	$8,019.11
Rate for Payer: UHCCP Medicaid	$8,019.11

OTHER SMALL AND LARGE BOWEL PROCEDURES

Facility

$11,963.64

Service Code	APR-DRG 2232
Min. Negotiated Rate	$11,393.95
Max. Negotiated Rate	$11,963.64
Rate for Payer: BCBS Complete	$11,963.64
Rate for Payer: Mclaren Medicaid	$11,393.95
Rate for Payer: Meridian Medicaid	$11,963.64
Rate for Payer: Priority Health Choice Medicaid	$11,393.95
Rate for Payer: UHC Medicaid	$11,393.95
Rate for Payer: UHCCP Medicaid	$11,393.95

OTHER SMALL AND LARGE BOWEL PROCEDURES

Facility

$21,892.79

Service Code	APR-DRG 2234
Min. Negotiated Rate	$20,850.28
Max. Negotiated Rate	$21,892.79
Rate for Payer: BCBS Complete	$21,892.79
Rate for Payer: Mclaren Medicaid	$20,850.28
Rate for Payer: Meridian Medicaid	$21,892.79
Rate for Payer: Priority Health Choice Medicaid	$20,850.28
Rate for Payer: UHC Medicaid	$20,850.28
Rate for Payer: UHCCP Medicaid	$20,850.28

Know your out-of-pocket cost for care.

All Charges