Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY

Facility

$1,052.01

Service Code	APR-DRG 6331
Min. Negotiated Rate	$1,001.91
Max. Negotiated Rate	$1,052.01
Rate for Payer: BCBS Complete	$1,052.01
Rate for Payer: Mclaren Medicaid	$1,001.91
Rate for Payer: Meridian Medicaid	$1,052.01
Rate for Payer: Priority Health Choice Medicaid	$1,001.91
Rate for Payer: UHC Medicaid	$1,001.91
Rate for Payer: UHCCP Medicaid	$1,001.91

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY

Facility

$9,149.29

Service Code	APR-DRG 6333
Min. Negotiated Rate	$8,713.61
Max. Negotiated Rate	$9,149.29
Rate for Payer: BCBS Complete	$9,149.29
Rate for Payer: Mclaren Medicaid	$8,713.61
Rate for Payer: Meridian Medicaid	$9,149.29
Rate for Payer: Priority Health Choice Medicaid	$8,713.61
Rate for Payer: UHC Medicaid	$8,713.61
Rate for Payer: UHCCP Medicaid	$8,713.61

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY

Facility

$26,618.32

Service Code	APR-DRG 6334
Min. Negotiated Rate	$25,350.78
Max. Negotiated Rate	$26,618.32
Rate for Payer: BCBS Complete	$26,618.32
Rate for Payer: Mclaren Medicaid	$25,350.78
Rate for Payer: Meridian Medicaid	$26,618.32
Rate for Payer: Priority Health Choice Medicaid	$25,350.78
Rate for Payer: UHC Medicaid	$25,350.78
Rate for Payer: UHCCP Medicaid	$25,350.78

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE

Facility

$30,098.82

Service Code	APR-DRG 6302
Min. Negotiated Rate	$28,665.55
Max. Negotiated Rate	$30,098.82
Rate for Payer: BCBS Complete	$30,098.82
Rate for Payer: Mclaren Medicaid	$28,665.55
Rate for Payer: Meridian Medicaid	$30,098.82
Rate for Payer: Priority Health Choice Medicaid	$28,665.55
Rate for Payer: UHC Medicaid	$28,665.55
Rate for Payer: UHCCP Medicaid	$28,665.55

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE

Facility

$75,873.96

Service Code	APR-DRG 6303
Min. Negotiated Rate	$72,260.92
Max. Negotiated Rate	$75,873.96
Rate for Payer: BCBS Complete	$75,873.96
Rate for Payer: Mclaren Medicaid	$72,260.92
Rate for Payer: Meridian Medicaid	$75,873.96
Rate for Payer: Priority Health Choice Medicaid	$72,260.92
Rate for Payer: UHC Medicaid	$72,260.92
Rate for Payer: UHCCP Medicaid	$72,260.92

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE

Facility

$17,219.64

Service Code	APR-DRG 6301
Min. Negotiated Rate	$16,399.66
Max. Negotiated Rate	$17,219.64
Rate for Payer: BCBS Complete	$17,219.64
Rate for Payer: Mclaren Medicaid	$16,399.66
Rate for Payer: Meridian Medicaid	$17,219.64
Rate for Payer: Priority Health Choice Medicaid	$16,399.66
Rate for Payer: UHC Medicaid	$16,399.66
Rate for Payer: UHCCP Medicaid	$16,399.66

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE

Facility

$134,823.53

Service Code	APR-DRG 6304
Min. Negotiated Rate	$128,403.37
Max. Negotiated Rate	$134,823.53
Rate for Payer: BCBS Complete	$134,823.53
Rate for Payer: Mclaren Medicaid	$128,403.37
Rate for Payer: Meridian Medicaid	$134,823.53
Rate for Payer: Priority Health Choice Medicaid	$128,403.37
Rate for Payer: UHC Medicaid	$128,403.37
Rate for Payer: UHCCP Medicaid	$128,403.37

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE

Facility

$11,889.67

Service Code	APR-DRG 6312
Min. Negotiated Rate	$11,323.49
Max. Negotiated Rate	$11,889.67
Rate for Payer: BCBS Complete	$11,889.67
Rate for Payer: Mclaren Medicaid	$11,323.49
Rate for Payer: Meridian Medicaid	$11,889.67
Rate for Payer: Priority Health Choice Medicaid	$11,323.49
Rate for Payer: UHC Medicaid	$11,323.49
Rate for Payer: UHCCP Medicaid	$11,323.49

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE

Facility

$43,466.46

Service Code	APR-DRG 6313
Min. Negotiated Rate	$41,396.63
Max. Negotiated Rate	$43,466.46
Rate for Payer: BCBS Complete	$43,466.46
Rate for Payer: Mclaren Medicaid	$41,396.63
Rate for Payer: Meridian Medicaid	$43,466.46
Rate for Payer: Priority Health Choice Medicaid	$41,396.63
Rate for Payer: UHC Medicaid	$41,396.63
Rate for Payer: UHCCP Medicaid	$41,396.63

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE

Facility

$184,583.11

Service Code	APR-DRG 6314
Min. Negotiated Rate	$175,793.44
Max. Negotiated Rate	$184,583.11
Rate for Payer: BCBS Complete	$184,583.11
Rate for Payer: Mclaren Medicaid	$175,793.44
Rate for Payer: Meridian Medicaid	$184,583.11
Rate for Payer: Priority Health Choice Medicaid	$175,793.44
Rate for Payer: UHC Medicaid	$175,793.44
Rate for Payer: UHCCP Medicaid	$175,793.44

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE

Facility

$6,627.35

Service Code	APR-DRG 6311
Min. Negotiated Rate	$6,311.76
Max. Negotiated Rate	$6,627.35
Rate for Payer: BCBS Complete	$6,627.35
Rate for Payer: Mclaren Medicaid	$6,311.76
Rate for Payer: Meridian Medicaid	$6,627.35
Rate for Payer: Priority Health Choice Medicaid	$6,311.76
Rate for Payer: UHC Medicaid	$6,311.76
Rate for Payer: UHCCP Medicaid	$6,311.76

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$1,641.93

Service Code	APR-DRG 6391
Min. Negotiated Rate	$1,563.74
Max. Negotiated Rate	$1,641.93
Rate for Payer: BCBS Complete	$1,641.93
Rate for Payer: Mclaren Medicaid	$1,563.74
Rate for Payer: Meridian Medicaid	$1,641.93
Rate for Payer: Priority Health Choice Medicaid	$1,563.74
Rate for Payer: UHC Medicaid	$1,563.74
Rate for Payer: UHCCP Medicaid	$1,563.74

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$13,458.22

Service Code	APR-DRG 6394
Min. Negotiated Rate	$12,817.35
Max. Negotiated Rate	$13,458.22
Rate for Payer: BCBS Complete	$13,458.22
Rate for Payer: Mclaren Medicaid	$12,817.35
Rate for Payer: Meridian Medicaid	$13,458.22
Rate for Payer: Priority Health Choice Medicaid	$12,817.35
Rate for Payer: UHC Medicaid	$12,817.35
Rate for Payer: UHCCP Medicaid	$12,817.35

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$10,824.48

Service Code	APR-DRG 6393
Min. Negotiated Rate	$10,309.03
Max. Negotiated Rate	$10,824.48
Rate for Payer: BCBS Complete	$10,824.48
Rate for Payer: Mclaren Medicaid	$10,309.03
Rate for Payer: Meridian Medicaid	$10,824.48
Rate for Payer: Priority Health Choice Medicaid	$10,309.03
Rate for Payer: UHC Medicaid	$10,309.03
Rate for Payer: UHCCP Medicaid	$10,309.03

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$3,162.90

Service Code	APR-DRG 6392
Min. Negotiated Rate	$3,012.28
Max. Negotiated Rate	$3,162.90
Rate for Payer: BCBS Complete	$3,162.90
Rate for Payer: Mclaren Medicaid	$3,012.28
Rate for Payer: Meridian Medicaid	$3,162.90
Rate for Payer: Priority Health Choice Medicaid	$3,012.28
Rate for Payer: UHC Medicaid	$3,012.28
Rate for Payer: UHCCP Medicaid	$3,012.28

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR

Facility

$17,317.10

Service Code	APR-DRG 6344
Min. Negotiated Rate	$16,492.48
Max. Negotiated Rate	$17,317.10
Rate for Payer: BCBS Complete	$17,317.10
Rate for Payer: Mclaren Medicaid	$16,492.48
Rate for Payer: Meridian Medicaid	$17,317.10
Rate for Payer: Priority Health Choice Medicaid	$16,492.48
Rate for Payer: UHC Medicaid	$16,492.48
Rate for Payer: UHCCP Medicaid	$16,492.48

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR

Facility

$8,206.22

Service Code	APR-DRG 6343
Min. Negotiated Rate	$7,815.44
Max. Negotiated Rate	$8,206.22
Rate for Payer: BCBS Complete	$8,206.22
Rate for Payer: Mclaren Medicaid	$7,815.44
Rate for Payer: Meridian Medicaid	$8,206.22
Rate for Payer: Priority Health Choice Medicaid	$7,815.44
Rate for Payer: UHC Medicaid	$7,815.44
Rate for Payer: UHCCP Medicaid	$7,815.44

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR

Facility

$4,090.50

Service Code	APR-DRG 6342
Min. Negotiated Rate	$3,895.71
Max. Negotiated Rate	$4,090.50
Rate for Payer: BCBS Complete	$4,090.50
Rate for Payer: Mclaren Medicaid	$3,895.71
Rate for Payer: Meridian Medicaid	$4,090.50
Rate for Payer: Priority Health Choice Medicaid	$3,895.71
Rate for Payer: UHC Medicaid	$3,895.71
Rate for Payer: UHCCP Medicaid	$3,895.71

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR

Facility

$2,976.00

Service Code	APR-DRG 6341
Min. Negotiated Rate	$2,834.29
Max. Negotiated Rate	$2,976.00
Rate for Payer: BCBS Complete	$2,976.00
Rate for Payer: Mclaren Medicaid	$2,834.29
Rate for Payer: Meridian Medicaid	$2,976.00
Rate for Payer: Priority Health Choice Medicaid	$2,834.29
Rate for Payer: UHC Medicaid	$2,834.29
Rate for Payer: UHCCP Medicaid	$2,834.29

NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$125,927.06

Service Code	APR-DRG 5914
Min. Negotiated Rate	$119,930.54
Max. Negotiated Rate	$125,927.06
Rate for Payer: BCBS Complete	$125,927.06
Rate for Payer: Mclaren Medicaid	$119,930.54
Rate for Payer: Meridian Medicaid	$125,927.06
Rate for Payer: Priority Health Choice Medicaid	$119,930.54
Rate for Payer: UHC Medicaid	$119,930.54
Rate for Payer: UHCCP Medicaid	$119,930.54

NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$72,766.10

Service Code	APR-DRG 5912
Min. Negotiated Rate	$69,301.05
Max. Negotiated Rate	$72,766.10
Rate for Payer: BCBS Complete	$72,766.10
Rate for Payer: Mclaren Medicaid	$69,301.05
Rate for Payer: Meridian Medicaid	$72,766.10
Rate for Payer: Priority Health Choice Medicaid	$69,301.05
Rate for Payer: UHC Medicaid	$69,301.05
Rate for Payer: UHCCP Medicaid	$69,301.05

NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$6,606.71

Service Code	APR-DRG 5911
Min. Negotiated Rate	$6,292.10
Max. Negotiated Rate	$6,606.71
Rate for Payer: BCBS Complete	$6,606.71
Rate for Payer: Mclaren Medicaid	$6,292.10
Rate for Payer: Meridian Medicaid	$6,606.71
Rate for Payer: Priority Health Choice Medicaid	$6,292.10
Rate for Payer: UHC Medicaid	$6,292.10
Rate for Payer: UHCCP Medicaid	$6,292.10

NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$94,888.60

Service Code	APR-DRG 5913
Min. Negotiated Rate	$90,370.10
Max. Negotiated Rate	$94,888.60
Rate for Payer: BCBS Complete	$94,888.60
Rate for Payer: Mclaren Medicaid	$90,370.10
Rate for Payer: Meridian Medicaid	$94,888.60
Rate for Payer: Priority Health Choice Medicaid	$90,370.10
Rate for Payer: UHC Medicaid	$90,370.10
Rate for Payer: UHCCP Medicaid	$90,370.10

NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <

Facility

$99,382.13

Service Code	APR-DRG 5892
Min. Negotiated Rate	$94,649.65
Max. Negotiated Rate	$99,382.13
Rate for Payer: BCBS Complete	$99,382.13
Rate for Payer: Mclaren Medicaid	$94,649.65
Rate for Payer: Meridian Medicaid	$99,382.13
Rate for Payer: Priority Health Choice Medicaid	$94,649.65
Rate for Payer: UHC Medicaid	$94,649.65
Rate for Payer: UHCCP Medicaid	$94,649.65

NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <

Facility

$99,310.47

Service Code	APR-DRG 5893
Min. Negotiated Rate	$94,581.40
Max. Negotiated Rate	$99,310.47
Rate for Payer: BCBS Complete	$99,310.47
Rate for Payer: Mclaren Medicaid	$94,581.40
Rate for Payer: Meridian Medicaid	$99,310.47
Rate for Payer: Priority Health Choice Medicaid	$94,581.40
Rate for Payer: UHC Medicaid	$94,581.40
Rate for Payer: UHCCP Medicaid	$94,581.40

Know your out-of-pocket cost for care.

All Charges