Bronson Lakeview Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: CLEFT LIP AND PALATE REPAIR

Facility

$17,271.97

Service Code	APR-DRG 0954
Min. Negotiated Rate	$16,449.50
Max. Negotiated Rate	$17,271.97
Rate for Payer: BCBS Complete	$17,271.97
Rate for Payer: Mclaren Medicaid	$16,449.50
Rate for Payer: Meridian Medicaid	$17,271.97
Rate for Payer: Priority Health Choice Medicaid	$16,449.50
Rate for Payer: UHCCP Medicaid	$16,449.50

APR-DRG 42.00: COAGULATION AND PLATELET DISORDERS

Facility

$5,843.51

Service Code	APR-DRG 6612
Min. Negotiated Rate	$5,565.25
Max. Negotiated Rate	$5,843.51
Rate for Payer: BCBS Complete	$5,843.51
Rate for Payer: Mclaren Medicaid	$5,565.25
Rate for Payer: Meridian Medicaid	$5,843.51
Rate for Payer: Priority Health Choice Medicaid	$5,565.25
Rate for Payer: UHCCP Medicaid	$5,565.25

APR-DRG 42.00: COAGULATION AND PLATELET DISORDERS

Facility

$4,240.43

Service Code	APR-DRG 6611
Min. Negotiated Rate	$4,038.50
Max. Negotiated Rate	$4,240.43
Rate for Payer: BCBS Complete	$4,240.43
Rate for Payer: Mclaren Medicaid	$4,038.50
Rate for Payer: Meridian Medicaid	$4,240.43
Rate for Payer: Priority Health Choice Medicaid	$4,038.50
Rate for Payer: UHCCP Medicaid	$4,038.50

APR-DRG 42.00: COAGULATION AND PLATELET DISORDERS

Facility

$8,429.14

Service Code	APR-DRG 6613
Min. Negotiated Rate	$8,027.75
Max. Negotiated Rate	$8,429.14
Rate for Payer: BCBS Complete	$8,429.14
Rate for Payer: Mclaren Medicaid	$8,027.75
Rate for Payer: Meridian Medicaid	$8,429.14
Rate for Payer: Priority Health Choice Medicaid	$8,027.75
Rate for Payer: UHCCP Medicaid	$8,027.75

APR-DRG 42.00: COAGULATION AND PLATELET DISORDERS

Facility

$13,445.25

Service Code	APR-DRG 6614
Min. Negotiated Rate	$12,805.00
Max. Negotiated Rate	$13,445.25
Rate for Payer: BCBS Complete	$13,445.25
Rate for Payer: Mclaren Medicaid	$12,805.00
Rate for Payer: Meridian Medicaid	$13,445.25
Rate for Payer: Priority Health Choice Medicaid	$12,805.00
Rate for Payer: UHCCP Medicaid	$12,805.00

APR-DRG 42.00: COCAINE ABUSE AND DEPENDENCE

Facility

$10,549.35

Service Code	APR-DRG 7744
Min. Negotiated Rate	$10,047.00
Max. Negotiated Rate	$10,549.35
Rate for Payer: BCBS Complete	$10,549.35
Rate for Payer: Mclaren Medicaid	$10,047.00
Rate for Payer: Meridian Medicaid	$10,549.35
Rate for Payer: Priority Health Choice Medicaid	$10,047.00
Rate for Payer: UHCCP Medicaid	$10,047.00

APR-DRG 42.00: COCAINE ABUSE AND DEPENDENCE

Facility

$1,809.94

Service Code	APR-DRG 7741
Min. Negotiated Rate	$1,723.75
Max. Negotiated Rate	$1,809.94
Rate for Payer: BCBS Complete	$1,809.94
Rate for Payer: Mclaren Medicaid	$1,723.75
Rate for Payer: Meridian Medicaid	$1,809.94
Rate for Payer: Priority Health Choice Medicaid	$1,723.75
Rate for Payer: UHCCP Medicaid	$1,723.75

APR-DRG 42.00: COCAINE ABUSE AND DEPENDENCE

Facility

$2,430.49

Service Code	APR-DRG 7742
Min. Negotiated Rate	$2,314.75
Max. Negotiated Rate	$2,430.49
Rate for Payer: BCBS Complete	$2,430.49
Rate for Payer: Mclaren Medicaid	$2,314.75
Rate for Payer: Meridian Medicaid	$2,430.49
Rate for Payer: Priority Health Choice Medicaid	$2,314.75
Rate for Payer: UHCCP Medicaid	$2,314.75

APR-DRG 42.00: COCAINE ABUSE AND DEPENDENCE

Facility

$4,240.43

Service Code	APR-DRG 7743
Min. Negotiated Rate	$4,038.50
Max. Negotiated Rate	$4,240.43
Rate for Payer: BCBS Complete	$4,240.43
Rate for Payer: Mclaren Medicaid	$4,038.50
Rate for Payer: Meridian Medicaid	$4,240.43
Rate for Payer: Priority Health Choice Medicaid	$4,038.50
Rate for Payer: UHCCP Medicaid	$4,038.50

APR-DRG 42.00: CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA

Facility

$5,274.68

Service Code	APR-DRG 0572
Min. Negotiated Rate	$5,023.50
Max. Negotiated Rate	$5,274.68
Rate for Payer: BCBS Complete	$5,274.68
Rate for Payer: Mclaren Medicaid	$5,023.50
Rate for Payer: Meridian Medicaid	$5,274.68
Rate for Payer: Priority Health Choice Medicaid	$5,023.50
Rate for Payer: UHCCP Medicaid	$5,023.50

APR-DRG 42.00: CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA

Facility

$7,394.89

Service Code	APR-DRG 0573
Min. Negotiated Rate	$7,042.75
Max. Negotiated Rate	$7,394.89
Rate for Payer: BCBS Complete	$7,394.89
Rate for Payer: Mclaren Medicaid	$7,042.75
Rate for Payer: Meridian Medicaid	$7,394.89
Rate for Payer: Priority Health Choice Medicaid	$7,042.75
Rate for Payer: UHCCP Medicaid	$7,042.75

APR-DRG 42.00: CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA

Facility

$3,671.59

Service Code	APR-DRG 0571
Min. Negotiated Rate	$3,496.75
Max. Negotiated Rate	$3,671.59
Rate for Payer: BCBS Complete	$3,671.59
Rate for Payer: Mclaren Medicaid	$3,496.75
Rate for Payer: Meridian Medicaid	$3,671.59
Rate for Payer: Priority Health Choice Medicaid	$3,496.75
Rate for Payer: UHCCP Medicaid	$3,496.75

APR-DRG 42.00: CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA

Facility

$12,462.71

Service Code	APR-DRG 0574
Min. Negotiated Rate	$11,869.25
Max. Negotiated Rate	$12,462.71
Rate for Payer: BCBS Complete	$12,462.71
Rate for Payer: Mclaren Medicaid	$11,869.25
Rate for Payer: Meridian Medicaid	$12,462.71
Rate for Payer: Priority Health Choice Medicaid	$11,869.25
Rate for Payer: UHCCP Medicaid	$11,869.25

APR-DRG 42.00: CONNECTIVE TISSUE DISORDERS

Facility

$15,720.60

Service Code	APR-DRG 3464
Min. Negotiated Rate	$14,972.00
Max. Negotiated Rate	$15,720.60
Rate for Payer: BCBS Complete	$15,720.60
Rate for Payer: Mclaren Medicaid	$14,972.00
Rate for Payer: Meridian Medicaid	$15,720.60
Rate for Payer: Priority Health Choice Medicaid	$14,972.00
Rate for Payer: UHCCP Medicaid	$14,972.00

APR-DRG 42.00: CONNECTIVE TISSUE DISORDERS

Facility

$5,740.09

Service Code	APR-DRG 3462
Min. Negotiated Rate	$5,466.75
Max. Negotiated Rate	$5,740.09
Rate for Payer: BCBS Complete	$5,740.09
Rate for Payer: Mclaren Medicaid	$5,466.75
Rate for Payer: Meridian Medicaid	$5,740.09
Rate for Payer: Priority Health Choice Medicaid	$5,466.75
Rate for Payer: UHCCP Medicaid	$5,466.75

APR-DRG 42.00: CONNECTIVE TISSUE DISORDERS

Facility

$4,085.29

Service Code	APR-DRG 3461
Min. Negotiated Rate	$3,890.75
Max. Negotiated Rate	$4,085.29
Rate for Payer: BCBS Complete	$4,085.29
Rate for Payer: Mclaren Medicaid	$3,890.75
Rate for Payer: Meridian Medicaid	$4,085.29
Rate for Payer: Priority Health Choice Medicaid	$3,890.75
Rate for Payer: UHCCP Medicaid	$3,890.75

APR-DRG 42.00: CONNECTIVE TISSUE DISORDERS

Facility

$8,584.27

Service Code	APR-DRG 3463
Min. Negotiated Rate	$8,175.50
Max. Negotiated Rate	$8,584.27
Rate for Payer: BCBS Complete	$8,584.27
Rate for Payer: Mclaren Medicaid	$8,175.50
Rate for Payer: Meridian Medicaid	$8,584.27
Rate for Payer: Priority Health Choice Medicaid	$8,175.50
Rate for Payer: UHCCP Medicaid	$8,175.50

APR-DRG 42.00: CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE

Facility

$3,671.59

Service Code	APR-DRG 3841
Min. Negotiated Rate	$3,496.75
Max. Negotiated Rate	$3,671.59
Rate for Payer: BCBS Complete	$3,671.59
Rate for Payer: Mclaren Medicaid	$3,496.75
Rate for Payer: Meridian Medicaid	$3,671.59
Rate for Payer: Priority Health Choice Medicaid	$3,496.75
Rate for Payer: UHCCP Medicaid	$3,496.75

APR-DRG 42.00: CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE

Facility

$6,412.35

Service Code	APR-DRG 3843
Min. Negotiated Rate	$6,107.00
Max. Negotiated Rate	$6,412.35
Rate for Payer: BCBS Complete	$6,412.35
Rate for Payer: Mclaren Medicaid	$6,107.00
Rate for Payer: Meridian Medicaid	$6,412.35
Rate for Payer: Priority Health Choice Medicaid	$6,107.00
Rate for Payer: UHCCP Medicaid	$6,107.00

APR-DRG 42.00: CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE

Facility

$4,498.99

Service Code	APR-DRG 3842
Min. Negotiated Rate	$4,284.75
Max. Negotiated Rate	$4,498.99
Rate for Payer: BCBS Complete	$4,498.99
Rate for Payer: Mclaren Medicaid	$4,284.75
Rate for Payer: Meridian Medicaid	$4,498.99
Rate for Payer: Priority Health Choice Medicaid	$4,284.75
Rate for Payer: UHCCP Medicaid	$4,284.75

APR-DRG 42.00: CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE

Facility

$10,290.79

Service Code	APR-DRG 3844
Min. Negotiated Rate	$9,800.75
Max. Negotiated Rate	$10,290.79
Rate for Payer: BCBS Complete	$10,290.79
Rate for Payer: Mclaren Medicaid	$9,800.75
Rate for Payer: Meridian Medicaid	$10,290.79
Rate for Payer: Priority Health Choice Medicaid	$9,800.75
Rate for Payer: UHCCP Medicaid	$9,800.75

APR-DRG 42.00: CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$22,184.66

Service Code	APR-DRG 1652
Min. Negotiated Rate	$21,128.25
Max. Negotiated Rate	$22,184.66
Rate for Payer: BCBS Complete	$22,184.66
Rate for Payer: Mclaren Medicaid	$21,128.25
Rate for Payer: Meridian Medicaid	$22,184.66
Rate for Payer: Priority Health Choice Medicaid	$21,128.25
Rate for Payer: UHCCP Medicaid	$21,128.25

APR-DRG 42.00: CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$19,857.60

Service Code	APR-DRG 1651
Min. Negotiated Rate	$18,912.00
Max. Negotiated Rate	$19,857.60
Rate for Payer: BCBS Complete	$19,857.60
Rate for Payer: Mclaren Medicaid	$18,912.00
Rate for Payer: Meridian Medicaid	$19,857.60
Rate for Payer: Priority Health Choice Medicaid	$18,912.00
Rate for Payer: UHCCP Medicaid	$18,912.00

APR-DRG 42.00: CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$27,511.05

Service Code	APR-DRG 1653
Min. Negotiated Rate	$26,201.00
Max. Negotiated Rate	$27,511.05
Rate for Payer: BCBS Complete	$27,511.05
Rate for Payer: Mclaren Medicaid	$26,201.00
Rate for Payer: Meridian Medicaid	$27,511.05
Rate for Payer: Priority Health Choice Medicaid	$26,201.00
Rate for Payer: UHCCP Medicaid	$26,201.00

APR-DRG 42.00: CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$37,026.15

Service Code	APR-DRG 1654
Min. Negotiated Rate	$35,263.00
Max. Negotiated Rate	$37,026.15
Rate for Payer: BCBS Complete	$37,026.15
Rate for Payer: Mclaren Medicaid	$35,263.00
Rate for Payer: Meridian Medicaid	$37,026.15
Rate for Payer: Priority Health Choice Medicaid	$35,263.00
Rate for Payer: UHCCP Medicaid	$35,263.00

Know your out-of-pocket cost for care.

All Charges