Bronson Lakeview Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: DENTAL DISEASES AND DISORDERS

Facility

$5,016.11

Service Code	APR-DRG 1143
Min. Negotiated Rate	$4,777.25
Max. Negotiated Rate	$5,016.11
Rate for Payer: BCBS Complete	$5,016.11
Rate for Payer: Mclaren Medicaid	$4,777.25
Rate for Payer: Meridian Medicaid	$5,016.11
Rate for Payer: Priority Health Choice Medicaid	$4,777.25
Rate for Payer: UHCCP Medicaid	$4,777.25

APR-DRG 42.00: DENTAL DISEASES AND DISORDERS

Facility

$13,910.66

Service Code	APR-DRG 1144
Min. Negotiated Rate	$13,248.25
Max. Negotiated Rate	$13,910.66
Rate for Payer: BCBS Complete	$13,910.66
Rate for Payer: Mclaren Medicaid	$13,248.25
Rate for Payer: Meridian Medicaid	$13,910.66
Rate for Payer: Priority Health Choice Medicaid	$13,248.25
Rate for Payer: UHCCP Medicaid	$13,248.25

APR-DRG 42.00: DENTAL DISEASES AND DISORDERS

Facility

$3,361.31

Service Code	APR-DRG 1142
Min. Negotiated Rate	$3,201.25
Max. Negotiated Rate	$3,361.31
Rate for Payer: BCBS Complete	$3,361.31
Rate for Payer: Mclaren Medicaid	$3,201.25
Rate for Payer: Meridian Medicaid	$3,361.31
Rate for Payer: Priority Health Choice Medicaid	$3,201.25
Rate for Payer: UHCCP Medicaid	$3,201.25

APR-DRG 42.00: DEPRESSIVE DISORDERS

Facility

$1,913.36

Service Code	APR-DRG 7511
Min. Negotiated Rate	$1,822.25
Max. Negotiated Rate	$1,913.36
Rate for Payer: BCBS Complete	$1,913.36
Rate for Payer: Mclaren Medicaid	$1,822.25
Rate for Payer: Meridian Medicaid	$1,913.36
Rate for Payer: Priority Health Choice Medicaid	$1,822.25
Rate for Payer: UHCCP Medicaid	$1,822.25

APR-DRG 42.00: DEPRESSIVE DISORDERS

Facility

$2,585.62

Service Code	APR-DRG 7512
Min. Negotiated Rate	$2,462.50
Max. Negotiated Rate	$2,585.62
Rate for Payer: BCBS Complete	$2,585.62
Rate for Payer: Mclaren Medicaid	$2,462.50
Rate for Payer: Meridian Medicaid	$2,585.62
Rate for Payer: Priority Health Choice Medicaid	$2,462.50
Rate for Payer: UHCCP Medicaid	$2,462.50

APR-DRG 42.00: DEPRESSIVE DISORDERS

Facility

$5,222.96

Service Code	APR-DRG 7513
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: DEPRESSIVE DISORDERS

Facility

$9,980.51

Service Code	APR-DRG 7514
Min. Negotiated Rate	$9,505.25
Max. Negotiated Rate	$9,980.51
Rate for Payer: BCBS Complete	$9,980.51
Rate for Payer: Mclaren Medicaid	$9,505.25
Rate for Payer: Meridian Medicaid	$9,980.51
Rate for Payer: Priority Health Choice Medicaid	$9,505.25
Rate for Payer: UHCCP Medicaid	$9,505.25

APR-DRG 42.00: DIABETES

Facility

$5,274.68

Service Code	APR-DRG 4203
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: DIABETES

Facility

$2,637.34

Service Code	APR-DRG 4201
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: DIABETES

Facility

$3,464.74

Service Code	APR-DRG 4202
Min. Negotiated Rate	$3,299.75
Max. Negotiated Rate	$3,464.74
Rate for Payer: BCBS Complete	$3,464.74
Rate for Payer: Mclaren Medicaid	$3,299.75
Rate for Payer: Meridian Medicaid	$3,464.74
Rate for Payer: Priority Health Choice Medicaid	$3,299.75
Rate for Payer: UHCCP Medicaid	$3,299.75

APR-DRG 42.00: DIABETES

Facility

$9,877.09

Service Code	APR-DRG 4204
Min. Negotiated Rate	$9,406.75
Max. Negotiated Rate	$9,877.09
Rate for Payer: BCBS Complete	$9,877.09
Rate for Payer: Mclaren Medicaid	$9,406.75
Rate for Payer: Meridian Medicaid	$9,877.09
Rate for Payer: Priority Health Choice Medicaid	$9,406.75
Rate for Payer: UHCCP Medicaid	$9,406.75

APR-DRG 42.00: DIGESTIVE MALIGNANCY

Facility

$7,498.31

Service Code	APR-DRG 2403
Min. Negotiated Rate	$7,141.25
Max. Negotiated Rate	$7,498.31
Rate for Payer: BCBS Complete	$7,498.31
Rate for Payer: Mclaren Medicaid	$7,141.25
Rate for Payer: Meridian Medicaid	$7,498.31
Rate for Payer: Priority Health Choice Medicaid	$7,141.25
Rate for Payer: UHCCP Medicaid	$7,141.25

APR-DRG 42.00: DIGESTIVE MALIGNANCY

Facility

$11,945.59

Service Code	APR-DRG 2404
Min. Negotiated Rate	$11,376.75
Max. Negotiated Rate	$11,945.59
Rate for Payer: BCBS Complete	$11,945.59
Rate for Payer: Mclaren Medicaid	$11,376.75
Rate for Payer: Meridian Medicaid	$11,945.59
Rate for Payer: Priority Health Choice Medicaid	$11,376.75
Rate for Payer: UHCCP Medicaid	$11,376.75

APR-DRG 42.00: DIGESTIVE MALIGNANCY

Facility

$5,119.54

Service Code	APR-DRG 2402
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: DIGESTIVE MALIGNANCY

Facility

$4,137.00

Service Code	APR-DRG 2401
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

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

Facility

$4,292.14

Service Code	APR-DRG 5171
Min. Negotiated Rate	$4,087.75
Max. Negotiated Rate	$4,292.14
Rate for Payer: BCBS Complete	$4,292.14
Rate for Payer: Mclaren Medicaid	$4,087.75
Rate for Payer: Meridian Medicaid	$4,292.14
Rate for Payer: Priority Health Choice Medicaid	$4,087.75
Rate for Payer: UHCCP Medicaid	$4,087.75

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

Facility

$5,843.51

Service Code	APR-DRG 5172
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: DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES

Facility

$13,393.54

Service Code	APR-DRG 5174
Min. Negotiated Rate	$12,755.75
Max. Negotiated Rate	$13,393.54
Rate for Payer: BCBS Complete	$13,393.54
Rate for Payer: Mclaren Medicaid	$12,755.75
Rate for Payer: Meridian Medicaid	$13,393.54
Rate for Payer: Priority Health Choice Medicaid	$12,755.75
Rate for Payer: UHCCP Medicaid	$12,755.75

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

Facility

$8,739.41

Service Code	APR-DRG 5173
Min. Negotiated Rate	$8,323.25
Max. Negotiated Rate	$8,739.41
Rate for Payer: BCBS Complete	$8,739.41
Rate for Payer: Mclaren Medicaid	$8,323.25
Rate for Payer: Meridian Medicaid	$8,739.41
Rate for Payer: Priority Health Choice Medicaid	$8,323.25
Rate for Payer: UHCCP Medicaid	$8,323.25

APR-DRG 42.00: DISORDERS OF GALLBLADDER AND BILIARY TRACT

Facility

$11,635.31

Service Code	APR-DRG 2844
Min. Negotiated Rate	$11,081.25
Max. Negotiated Rate	$11,635.31
Rate for Payer: BCBS Complete	$11,635.31
Rate for Payer: Mclaren Medicaid	$11,081.25
Rate for Payer: Meridian Medicaid	$11,635.31
Rate for Payer: Priority Health Choice Medicaid	$11,081.25
Rate for Payer: UHCCP Medicaid	$11,081.25

APR-DRG 42.00: DISORDERS OF GALLBLADDER AND BILIARY TRACT

Facility

$6,929.48

Service Code	APR-DRG 2843
Min. Negotiated Rate	$6,599.50
Max. Negotiated Rate	$6,929.48
Rate for Payer: BCBS Complete	$6,929.48
Rate for Payer: Mclaren Medicaid	$6,599.50
Rate for Payer: Meridian Medicaid	$6,929.48
Rate for Payer: Priority Health Choice Medicaid	$6,599.50
Rate for Payer: UHCCP Medicaid	$6,599.50

APR-DRG 42.00: DISORDERS OF GALLBLADDER AND BILIARY TRACT

Facility

$3,723.30

Service Code	APR-DRG 2841
Min. Negotiated Rate	$3,546.00
Max. Negotiated Rate	$3,723.30
Rate for Payer: BCBS Complete	$3,723.30
Rate for Payer: Mclaren Medicaid	$3,546.00
Rate for Payer: Meridian Medicaid	$3,723.30
Rate for Payer: Priority Health Choice Medicaid	$3,546.00
Rate for Payer: UHCCP Medicaid	$3,546.00

APR-DRG 42.00: DISORDERS OF GALLBLADDER AND BILIARY TRACT

Facility

$5,016.11

Service Code	APR-DRG 2842
Min. Negotiated Rate	$4,777.25
Max. Negotiated Rate	$5,016.11
Rate for Payer: BCBS Complete	$5,016.11
Rate for Payer: Mclaren Medicaid	$4,777.25
Rate for Payer: Meridian Medicaid	$5,016.11
Rate for Payer: Priority Health Choice Medicaid	$4,777.25
Rate for Payer: UHCCP Medicaid	$4,777.25

APR-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY

Facility

$2,844.19

Service Code	APR-DRG 2821
Min. Negotiated Rate	$2,708.75
Max. Negotiated Rate	$2,844.19
Rate for Payer: BCBS Complete	$2,844.19
Rate for Payer: Mclaren Medicaid	$2,708.75
Rate for Payer: Meridian Medicaid	$2,844.19
Rate for Payer: Priority Health Choice Medicaid	$2,708.75
Rate for Payer: UHCCP Medicaid	$2,708.75

APR-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY

Facility

$3,930.15

Service Code	APR-DRG 2822
Min. Negotiated Rate	$3,743.00
Max. Negotiated Rate	$3,930.15
Rate for Payer: BCBS Complete	$3,930.15
Rate for Payer: Mclaren Medicaid	$3,743.00
Rate for Payer: Meridian Medicaid	$3,930.15
Rate for Payer: Priority Health Choice Medicaid	$3,743.00
Rate for Payer: UHCCP Medicaid	$3,743.00

Know your out-of-pocket cost for care.

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