Bronson Lakeview Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: DENTAL DISEASES AND DISORDERS

Facility

$5,222.96

Service Code	APR-DRG 1143
Min. Negotiated Rate	$4,974.25
Max. Negotiated Rate	$5,222.96
Rate for Payer: BCBS Complete	$5,222.96
Rate for Payer: Mclaren Medicaid	$4,974.25
Rate for Payer: Meridian Medicaid	$5,222.96
Rate for Payer: Priority Health Choice Medicaid	$4,974.25
Rate for Payer: UHCCP Medicaid	$4,974.25

APR-DRG 42.00: DENTAL DISEASES AND DISORDERS

Facility

$2,947.61

Service Code	APR-DRG 1141
Min. Negotiated Rate	$2,807.25
Max. Negotiated Rate	$2,947.61
Rate for Payer: BCBS Complete	$2,947.61
Rate for Payer: Mclaren Medicaid	$2,807.25
Rate for Payer: Meridian Medicaid	$2,947.61
Rate for Payer: Priority Health Choice Medicaid	$2,807.25
Rate for Payer: UHCCP Medicaid	$2,807.25

APR-DRG 42.00: DENTAL DISEASES AND DISORDERS

Facility

$3,102.75

Service Code	APR-DRG 1142
Min. Negotiated Rate	$2,955.00
Max. Negotiated Rate	$3,102.75
Rate for Payer: BCBS Complete	$3,102.75
Rate for Payer: Mclaren Medicaid	$2,955.00
Rate for Payer: Meridian Medicaid	$3,102.75
Rate for Payer: Priority Health Choice Medicaid	$2,955.00
Rate for Payer: UHCCP Medicaid	$2,955.00

APR-DRG 42.00: DEPRESSIVE DISORDERS

Facility

$2,637.34

Service Code	APR-DRG 7511
Min. Negotiated Rate	$2,511.75
Max. Negotiated Rate	$2,637.34
Rate for Payer: BCBS Complete	$2,637.34
Rate for Payer: Mclaren Medicaid	$2,511.75
Rate for Payer: Meridian Medicaid	$2,637.34
Rate for Payer: Priority Health Choice Medicaid	$2,511.75
Rate for Payer: UHCCP Medicaid	$2,511.75

APR-DRG 42.00: DEPRESSIVE DISORDERS

Facility

$8,946.26

Service Code	APR-DRG 7514
Min. Negotiated Rate	$8,520.25
Max. Negotiated Rate	$8,946.26
Rate for Payer: BCBS Complete	$8,946.26
Rate for Payer: Mclaren Medicaid	$8,520.25
Rate for Payer: Meridian Medicaid	$8,946.26
Rate for Payer: Priority Health Choice Medicaid	$8,520.25
Rate for Payer: UHCCP Medicaid	$8,520.25

APR-DRG 42.00: DEPRESSIVE DISORDERS

Facility

$2,999.32

Service Code	APR-DRG 7512
Min. Negotiated Rate	$2,856.50
Max. Negotiated Rate	$2,999.32
Rate for Payer: BCBS Complete	$2,999.32
Rate for Payer: Mclaren Medicaid	$2,856.50
Rate for Payer: Meridian Medicaid	$2,999.32
Rate for Payer: Priority Health Choice Medicaid	$2,856.50
Rate for Payer: UHCCP Medicaid	$2,856.50

APR-DRG 42.00: DEPRESSIVE DISORDERS

Facility

$4,654.12

Service Code	APR-DRG 7513
Min. Negotiated Rate	$4,432.50
Max. Negotiated Rate	$4,654.12
Rate for Payer: BCBS Complete	$4,654.12
Rate for Payer: Mclaren Medicaid	$4,432.50
Rate for Payer: Meridian Medicaid	$4,654.12
Rate for Payer: Priority Health Choice Medicaid	$4,432.50
Rate for Payer: UHCCP Medicaid	$4,432.50

APR-DRG 42.00: DIABETES

Facility

$3,775.01

Service Code	APR-DRG 4202
Min. Negotiated Rate	$3,595.25
Max. Negotiated Rate	$3,775.01
Rate for Payer: BCBS Complete	$3,775.01
Rate for Payer: Mclaren Medicaid	$3,595.25
Rate for Payer: Meridian Medicaid	$3,775.01
Rate for Payer: Priority Health Choice Medicaid	$3,595.25
Rate for Payer: UHCCP Medicaid	$3,595.25

APR-DRG 42.00: DIABETES

Facility

$2,689.05

Service Code	APR-DRG 4201
Min. Negotiated Rate	$2,561.00
Max. Negotiated Rate	$2,689.05
Rate for Payer: BCBS Complete	$2,689.05
Rate for Payer: Mclaren Medicaid	$2,561.00
Rate for Payer: Meridian Medicaid	$2,689.05
Rate for Payer: Priority Health Choice Medicaid	$2,561.00
Rate for Payer: UHCCP Medicaid	$2,561.00

APR-DRG 42.00: DIABETES

Facility

$8,480.85

Service Code	APR-DRG 4204
Min. Negotiated Rate	$8,077.00
Max. Negotiated Rate	$8,480.85
Rate for Payer: BCBS Complete	$8,480.85
Rate for Payer: Mclaren Medicaid	$8,077.00
Rate for Payer: Meridian Medicaid	$8,480.85
Rate for Payer: Priority Health Choice Medicaid	$8,077.00
Rate for Payer: UHCCP Medicaid	$8,077.00

APR-DRG 42.00: DIABETES

Facility

$5,429.81

Service Code	APR-DRG 4203
Min. Negotiated Rate	$5,171.25
Max. Negotiated Rate	$5,429.81
Rate for Payer: BCBS Complete	$5,429.81
Rate for Payer: Mclaren Medicaid	$5,171.25
Rate for Payer: Meridian Medicaid	$5,429.81
Rate for Payer: Priority Health Choice Medicaid	$5,171.25
Rate for Payer: UHCCP Medicaid	$5,171.25

APR-DRG 42.00: DIGESTIVE MALIGNANCY

Facility

$8,170.58

Service Code	APR-DRG 2403
Min. Negotiated Rate	$7,781.50
Max. Negotiated Rate	$8,170.58
Rate for Payer: BCBS Complete	$8,170.58
Rate for Payer: Mclaren Medicaid	$7,781.50
Rate for Payer: Meridian Medicaid	$8,170.58
Rate for Payer: Priority Health Choice Medicaid	$7,781.50
Rate for Payer: UHCCP Medicaid	$7,781.50

APR-DRG 42.00: DIGESTIVE MALIGNANCY

Facility

$10,963.05

Service Code	APR-DRG 2404
Min. Negotiated Rate	$10,441.00
Max. Negotiated Rate	$10,963.05
Rate for Payer: BCBS Complete	$10,963.05
Rate for Payer: Mclaren Medicaid	$10,441.00
Rate for Payer: Meridian Medicaid	$10,963.05
Rate for Payer: Priority Health Choice Medicaid	$10,441.00
Rate for Payer: UHCCP Medicaid	$10,441.00

APR-DRG 42.00: DIGESTIVE MALIGNANCY

Facility

$5,998.65

Service Code	APR-DRG 2402
Min. Negotiated Rate	$5,713.00
Max. Negotiated Rate	$5,998.65
Rate for Payer: BCBS Complete	$5,998.65
Rate for Payer: Mclaren Medicaid	$5,713.00
Rate for Payer: Meridian Medicaid	$5,998.65
Rate for Payer: Priority Health Choice Medicaid	$5,713.00
Rate for Payer: UHCCP Medicaid	$5,713.00

APR-DRG 42.00: DIGESTIVE MALIGNANCY

Facility

$4,705.84

Service Code	APR-DRG 2401
Min. Negotiated Rate	$4,481.75
Max. Negotiated Rate	$4,705.84
Rate for Payer: BCBS Complete	$4,705.84
Rate for Payer: Mclaren Medicaid	$4,481.75
Rate for Payer: Meridian Medicaid	$4,705.84
Rate for Payer: Priority Health Choice Medicaid	$4,481.75
Rate for Payer: UHCCP Medicaid	$4,481.75

APR-DRG 42.00: DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES

Facility

$4,705.84

Service Code	APR-DRG 5171
Min. Negotiated Rate	$4,481.75
Max. Negotiated Rate	$4,705.84
Rate for Payer: BCBS Complete	$4,705.84
Rate for Payer: Mclaren Medicaid	$4,481.75
Rate for Payer: Meridian Medicaid	$4,705.84
Rate for Payer: Priority Health Choice Medicaid	$4,481.75
Rate for Payer: UHCCP Medicaid	$4,481.75

APR-DRG 42.00: DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES

Facility

$9,049.69

Service Code	APR-DRG 5173
Min. Negotiated Rate	$8,618.75
Max. Negotiated Rate	$9,049.69
Rate for Payer: BCBS Complete	$9,049.69
Rate for Payer: Mclaren Medicaid	$8,618.75
Rate for Payer: Meridian Medicaid	$9,049.69
Rate for Payer: Priority Health Choice Medicaid	$8,618.75
Rate for Payer: UHCCP Medicaid	$8,618.75

APR-DRG 42.00: DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES

Facility

$6,050.36

Service Code	APR-DRG 5172
Min. Negotiated Rate	$5,762.25
Max. Negotiated Rate	$6,050.36
Rate for Payer: BCBS Complete	$6,050.36
Rate for Payer: Mclaren Medicaid	$5,762.25
Rate for Payer: Meridian Medicaid	$6,050.36
Rate for Payer: Priority Health Choice Medicaid	$5,762.25
Rate for Payer: UHCCP Medicaid	$5,762.25

APR-DRG 42.00: DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES

Facility

$13,031.55

Service Code	APR-DRG 5174
Min. Negotiated Rate	$12,411.00
Max. Negotiated Rate	$13,031.55
Rate for Payer: BCBS Complete	$13,031.55
Rate for Payer: Mclaren Medicaid	$12,411.00
Rate for Payer: Meridian Medicaid	$13,031.55
Rate for Payer: Priority Health Choice Medicaid	$12,411.00
Rate for Payer: UHCCP Medicaid	$12,411.00

APR-DRG 42.00: DISORDERS OF GALLBLADDER AND BILIARY TRACT

Facility

$8,635.99

Service Code	APR-DRG 2844
Min. Negotiated Rate	$8,224.75
Max. Negotiated Rate	$8,635.99
Rate for Payer: BCBS Complete	$8,635.99
Rate for Payer: Mclaren Medicaid	$8,224.75
Rate for Payer: Meridian Medicaid	$8,635.99
Rate for Payer: Priority Health Choice Medicaid	$8,224.75
Rate for Payer: UHCCP Medicaid	$8,224.75

APR-DRG 42.00: DISORDERS OF GALLBLADDER AND BILIARY TRACT

Facility

$3,981.86

Service Code	APR-DRG 2841
Min. Negotiated Rate	$3,792.25
Max. Negotiated Rate	$3,981.86
Rate for Payer: BCBS Complete	$3,981.86
Rate for Payer: Mclaren Medicaid	$3,792.25
Rate for Payer: Meridian Medicaid	$3,981.86
Rate for Payer: Priority Health Choice Medicaid	$3,792.25
Rate for Payer: UHCCP Medicaid	$3,792.25

APR-DRG 42.00: DISORDERS OF GALLBLADDER AND BILIARY TRACT

Facility

$6,464.06

Service Code	APR-DRG 2843
Min. Negotiated Rate	$6,156.25
Max. Negotiated Rate	$6,464.06
Rate for Payer: BCBS Complete	$6,464.06
Rate for Payer: Mclaren Medicaid	$6,156.25
Rate for Payer: Meridian Medicaid	$6,464.06
Rate for Payer: Priority Health Choice Medicaid	$6,156.25
Rate for Payer: UHCCP Medicaid	$6,156.25

APR-DRG 42.00: DISORDERS OF GALLBLADDER AND BILIARY TRACT

Facility

$5,119.54

Service Code	APR-DRG 2842
Min. Negotiated Rate	$4,875.75
Max. Negotiated Rate	$5,119.54
Rate for Payer: BCBS Complete	$5,119.54
Rate for Payer: Mclaren Medicaid	$4,875.75
Rate for Payer: Meridian Medicaid	$5,119.54
Rate for Payer: Priority Health Choice Medicaid	$4,875.75
Rate for Payer: UHCCP Medicaid	$4,875.75

APR-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY

Facility

$2,999.32

Service Code	APR-DRG 2821
Min. Negotiated Rate	$2,856.50
Max. Negotiated Rate	$2,999.32
Rate for Payer: BCBS Complete	$2,999.32
Rate for Payer: Mclaren Medicaid	$2,856.50
Rate for Payer: Meridian Medicaid	$2,999.32
Rate for Payer: Priority Health Choice Medicaid	$2,856.50
Rate for Payer: UHCCP Medicaid	$2,856.50

APR-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY

Facility

$4,137.00

Service Code	APR-DRG 2822
Min. Negotiated Rate	$3,940.00
Max. Negotiated Rate	$4,137.00
Rate for Payer: BCBS Complete	$4,137.00
Rate for Payer: Mclaren Medicaid	$3,940.00
Rate for Payer: Meridian Medicaid	$4,137.00
Rate for Payer: Priority Health Choice Medicaid	$3,940.00
Rate for Payer: UHCCP Medicaid	$3,940.00

Know your out-of-pocket cost for care.

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