Bronson Lakeview Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT

Facility

$23,115.49

Service Code	APR-DRG 8412
Min. Negotiated Rate	$22,014.75
Max. Negotiated Rate	$23,115.49
Rate for Payer: BCBS Complete	$23,115.49
Rate for Payer: Mclaren Medicaid	$22,014.75
Rate for Payer: Meridian Medicaid	$23,115.49
Rate for Payer: Priority Health Choice Medicaid	$22,014.75
Rate for Payer: UHCCP Medicaid	$22,014.75

APR-DRG 42.00: EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT

Facility

$35,319.64

Service Code	APR-DRG 8413
Min. Negotiated Rate	$33,637.75
Max. Negotiated Rate	$35,319.64
Rate for Payer: BCBS Complete	$35,319.64
Rate for Payer: Mclaren Medicaid	$33,637.75
Rate for Payer: Meridian Medicaid	$35,319.64
Rate for Payer: Priority Health Choice Medicaid	$33,637.75
Rate for Payer: UHCCP Medicaid	$33,637.75

APR-DRG 42.00: EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT

Facility

$108,544.54

Service Code	APR-DRG 8414
Min. Negotiated Rate	$103,375.75
Max. Negotiated Rate	$108,544.54
Rate for Payer: BCBS Complete	$108,544.54
Rate for Payer: Mclaren Medicaid	$103,375.75
Rate for Payer: Meridian Medicaid	$108,544.54
Rate for Payer: Priority Health Choice Medicaid	$103,375.75
Rate for Payer: UHCCP Medicaid	$103,375.75

APR-DRG 42.00: EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT

Facility

$23,115.49

Service Code	APR-DRG 8411
Min. Negotiated Rate	$22,014.75
Max. Negotiated Rate	$23,115.49
Rate for Payer: BCBS Complete	$23,115.49
Rate for Payer: Mclaren Medicaid	$22,014.75
Rate for Payer: Meridian Medicaid	$23,115.49
Rate for Payer: Priority Health Choice Medicaid	$22,014.75
Rate for Payer: UHCCP Medicaid	$22,014.75

APR-DRG 42.00: EXTERNAL HEART ASSIST DEVICES

Facility

$39,146.36

Service Code	APR-DRG 1784
Min. Negotiated Rate	$37,282.25
Max. Negotiated Rate	$39,146.36
Rate for Payer: BCBS Complete	$39,146.36
Rate for Payer: Mclaren Medicaid	$37,282.25
Rate for Payer: Meridian Medicaid	$39,146.36
Rate for Payer: Priority Health Choice Medicaid	$37,282.25
Rate for Payer: UHCCP Medicaid	$37,282.25

APR-DRG 42.00: EXTERNAL HEART ASSIST DEVICES

Facility

$25,752.83

Service Code	APR-DRG 1782
Min. Negotiated Rate	$24,526.50
Max. Negotiated Rate	$25,752.83
Rate for Payer: BCBS Complete	$25,752.83
Rate for Payer: Mclaren Medicaid	$24,526.50
Rate for Payer: Meridian Medicaid	$25,752.83
Rate for Payer: Priority Health Choice Medicaid	$24,526.50
Rate for Payer: UHCCP Medicaid	$24,526.50

APR-DRG 42.00: EXTERNAL HEART ASSIST DEVICES

Facility

$31,596.34

Service Code	APR-DRG 1783
Min. Negotiated Rate	$30,091.75
Max. Negotiated Rate	$31,596.34
Rate for Payer: BCBS Complete	$31,596.34
Rate for Payer: Mclaren Medicaid	$30,091.75
Rate for Payer: Meridian Medicaid	$31,596.34
Rate for Payer: Priority Health Choice Medicaid	$30,091.75
Rate for Payer: UHCCP Medicaid	$30,091.75

APR-DRG 42.00: EXTERNAL HEART ASSIST DEVICES

Facility

$23,167.20

Service Code	APR-DRG 1781
Min. Negotiated Rate	$22,064.00
Max. Negotiated Rate	$23,167.20
Rate for Payer: BCBS Complete	$23,167.20
Rate for Payer: Mclaren Medicaid	$22,064.00
Rate for Payer: Meridian Medicaid	$23,167.20
Rate for Payer: Priority Health Choice Medicaid	$22,064.00
Rate for Payer: UHCCP Medicaid	$22,064.00

APR-DRG 42.00: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)

Facility

$119,611.01

Service Code	APR-DRG 0094
Min. Negotiated Rate	$113,915.25
Max. Negotiated Rate	$119,611.01
Rate for Payer: BCBS Complete	$119,611.01
Rate for Payer: Mclaren Medicaid	$113,915.25
Rate for Payer: Meridian Medicaid	$119,611.01
Rate for Payer: Priority Health Choice Medicaid	$113,915.25
Rate for Payer: UHCCP Medicaid	$113,915.25

APR-DRG 42.00: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)

Facility

$40,335.75

Service Code	APR-DRG 0092
Min. Negotiated Rate	$38,415.00
Max. Negotiated Rate	$40,335.75
Rate for Payer: BCBS Complete	$40,335.75
Rate for Payer: Mclaren Medicaid	$38,415.00
Rate for Payer: Meridian Medicaid	$40,335.75
Rate for Payer: Priority Health Choice Medicaid	$38,415.00
Rate for Payer: UHCCP Medicaid	$38,415.00

APR-DRG 42.00: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)

Facility

$80,412.94

Service Code	APR-DRG 0093
Min. Negotiated Rate	$76,583.75
Max. Negotiated Rate	$80,412.94
Rate for Payer: BCBS Complete	$80,412.94
Rate for Payer: Mclaren Medicaid	$76,583.75
Rate for Payer: Meridian Medicaid	$80,412.94
Rate for Payer: Priority Health Choice Medicaid	$76,583.75
Rate for Payer: UHCCP Medicaid	$76,583.75

APR-DRG 42.00: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)

Facility

$29,527.84

Service Code	APR-DRG 0091
Min. Negotiated Rate	$28,121.75
Max. Negotiated Rate	$29,527.84
Rate for Payer: BCBS Complete	$29,527.84
Rate for Payer: Mclaren Medicaid	$28,121.75
Rate for Payer: Meridian Medicaid	$29,527.84
Rate for Payer: Priority Health Choice Medicaid	$28,121.75
Rate for Payer: UHCCP Medicaid	$28,121.75

APR-DRG 42.00: EYE INFECTIONS AND OTHER EYE DISORDERS

Facility

$4,188.71

Service Code	APR-DRG 0822
Min. Negotiated Rate	$3,989.25
Max. Negotiated Rate	$4,188.71
Rate for Payer: BCBS Complete	$4,188.71
Rate for Payer: Mclaren Medicaid	$3,989.25
Rate for Payer: Meridian Medicaid	$4,188.71
Rate for Payer: Priority Health Choice Medicaid	$3,989.25
Rate for Payer: UHCCP Medicaid	$3,989.25

APR-DRG 42.00: EYE INFECTIONS AND OTHER EYE DISORDERS

Facility

$3,257.89

Service Code	APR-DRG 0821
Min. Negotiated Rate	$3,102.75
Max. Negotiated Rate	$3,257.89
Rate for Payer: BCBS Complete	$3,257.89
Rate for Payer: Mclaren Medicaid	$3,102.75
Rate for Payer: Meridian Medicaid	$3,257.89
Rate for Payer: Priority Health Choice Medicaid	$3,102.75
Rate for Payer: UHCCP Medicaid	$3,102.75

APR-DRG 42.00: EYE INFECTIONS AND OTHER EYE DISORDERS

Facility

$6,205.50

Service Code	APR-DRG 0823
Min. Negotiated Rate	$5,910.00
Max. Negotiated Rate	$6,205.50
Rate for Payer: BCBS Complete	$6,205.50
Rate for Payer: Mclaren Medicaid	$5,910.00
Rate for Payer: Meridian Medicaid	$6,205.50
Rate for Payer: Priority Health Choice Medicaid	$5,910.00
Rate for Payer: UHCCP Medicaid	$5,910.00

APR-DRG 42.00: EYE INFECTIONS AND OTHER EYE DISORDERS

Facility

$10,601.06

Service Code	APR-DRG 0824
Min. Negotiated Rate	$10,096.25
Max. Negotiated Rate	$10,601.06
Rate for Payer: BCBS Complete	$10,601.06
Rate for Payer: Mclaren Medicaid	$10,096.25
Rate for Payer: Meridian Medicaid	$10,601.06
Rate for Payer: Priority Health Choice Medicaid	$10,096.25
Rate for Payer: UHCCP Medicaid	$10,096.25

APR-DRG 42.00: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$8,170.57

Service Code	APR-DRG 0921
Min. Negotiated Rate	$7,781.50
Max. Negotiated Rate	$8,170.57
Rate for Payer: BCBS Complete	$8,170.57
Rate for Payer: Mclaren Medicaid	$7,781.50
Rate for Payer: Meridian Medicaid	$8,170.57
Rate for Payer: Priority Health Choice Medicaid	$7,781.50
Rate for Payer: UHCCP Medicaid	$7,781.50

APR-DRG 42.00: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$26,476.80

Service Code	APR-DRG 0924
Min. Negotiated Rate	$25,216.00
Max. Negotiated Rate	$26,476.80
Rate for Payer: BCBS Complete	$26,476.80
Rate for Payer: Mclaren Medicaid	$25,216.00
Rate for Payer: Meridian Medicaid	$26,476.80
Rate for Payer: Priority Health Choice Medicaid	$25,216.00
Rate for Payer: UHCCP Medicaid	$25,216.00

APR-DRG 42.00: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$15,048.34

Service Code	APR-DRG 0923
Min. Negotiated Rate	$14,331.75
Max. Negotiated Rate	$15,048.34
Rate for Payer: BCBS Complete	$15,048.34
Rate for Payer: Mclaren Medicaid	$14,331.75
Rate for Payer: Meridian Medicaid	$15,048.34
Rate for Payer: Priority Health Choice Medicaid	$14,331.75
Rate for Payer: UHCCP Medicaid	$14,331.75

APR-DRG 42.00: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$10,239.08

Service Code	APR-DRG 0922
Min. Negotiated Rate	$9,751.50
Max. Negotiated Rate	$10,239.08
Rate for Payer: BCBS Complete	$10,239.08
Rate for Payer: Mclaren Medicaid	$9,751.50
Rate for Payer: Meridian Medicaid	$10,239.08
Rate for Payer: Priority Health Choice Medicaid	$9,751.50
Rate for Payer: UHCCP Medicaid	$9,751.50

APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM INFECTIONS

Facility

$6,102.07

Service Code	APR-DRG 5313
Min. Negotiated Rate	$5,811.50
Max. Negotiated Rate	$6,102.07
Rate for Payer: BCBS Complete	$6,102.07
Rate for Payer: Mclaren Medicaid	$5,811.50
Rate for Payer: Meridian Medicaid	$6,102.07
Rate for Payer: Priority Health Choice Medicaid	$5,811.50
Rate for Payer: UHCCP Medicaid	$5,811.50

APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM INFECTIONS

Facility

$3,619.88

Service Code	APR-DRG 5312
Min. Negotiated Rate	$3,447.50
Max. Negotiated Rate	$3,619.88
Rate for Payer: BCBS Complete	$3,619.88
Rate for Payer: Mclaren Medicaid	$3,447.50
Rate for Payer: Meridian Medicaid	$3,619.88
Rate for Payer: Priority Health Choice Medicaid	$3,447.50
Rate for Payer: UHCCP Medicaid	$3,447.50

APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM INFECTIONS

Facility

$2,740.76

Service Code	APR-DRG 5311
Min. Negotiated Rate	$2,610.25
Max. Negotiated Rate	$2,740.76
Rate for Payer: BCBS Complete	$2,740.76
Rate for Payer: Mclaren Medicaid	$2,610.25
Rate for Payer: Meridian Medicaid	$2,740.76
Rate for Payer: Priority Health Choice Medicaid	$2,610.25
Rate for Payer: UHCCP Medicaid	$2,610.25

APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM INFECTIONS

Facility

$11,325.04

Service Code	APR-DRG 5314
Min. Negotiated Rate	$10,785.75
Max. Negotiated Rate	$11,325.04
Rate for Payer: BCBS Complete	$11,325.04
Rate for Payer: Mclaren Medicaid	$10,785.75
Rate for Payer: Meridian Medicaid	$11,325.04
Rate for Payer: Priority Health Choice Medicaid	$10,785.75
Rate for Payer: UHCCP Medicaid	$10,785.75

APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY

Facility

$11,376.75

Service Code	APR-DRG 5304
Min. Negotiated Rate	$10,835.00
Max. Negotiated Rate	$11,376.75
Rate for Payer: BCBS Complete	$11,376.75
Rate for Payer: Mclaren Medicaid	$10,835.00
Rate for Payer: Meridian Medicaid	$11,376.75
Rate for Payer: Priority Health Choice Medicaid	$10,835.00
Rate for Payer: UHCCP Medicaid	$10,835.00

Know your out-of-pocket cost for care.

All Charges