Bronson Lakeview Hospital

All Charges

Charge

Type

Setting

Price

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

Facility

$25,183.99

Service Code	APR-DRG 8411
Min. Negotiated Rate	$23,984.75
Max. Negotiated Rate	$25,183.99
Rate for Payer: BCBS Complete	$25,183.99
Rate for Payer: Mclaren Medicaid	$23,984.75
Rate for Payer: Meridian Medicaid	$25,183.99
Rate for Payer: Priority Health Choice Medicaid	$23,984.75
Rate for Payer: UHCCP Medicaid	$23,984.75

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

Facility

$37,181.29

Service Code	APR-DRG 8413
Min. Negotiated Rate	$35,410.75
Max. Negotiated Rate	$37,181.29
Rate for Payer: BCBS Complete	$37,181.29
Rate for Payer: Mclaren Medicaid	$35,410.75
Rate for Payer: Meridian Medicaid	$37,181.29
Rate for Payer: Priority Health Choice Medicaid	$35,410.75
Rate for Payer: UHCCP Medicaid	$35,410.75

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

Facility

$25,545.98

Service Code	APR-DRG 8412
Min. Negotiated Rate	$24,329.50
Max. Negotiated Rate	$25,545.98
Rate for Payer: BCBS Complete	$25,545.98
Rate for Payer: Mclaren Medicaid	$24,329.50
Rate for Payer: Meridian Medicaid	$25,545.98
Rate for Payer: Priority Health Choice Medicaid	$24,329.50
Rate for Payer: UHCCP Medicaid	$24,329.50

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

Facility

$118,318.20

Service Code	APR-DRG 8414
Min. Negotiated Rate	$112,684.00
Max. Negotiated Rate	$118,318.20
Rate for Payer: BCBS Complete	$118,318.20
Rate for Payer: Mclaren Medicaid	$112,684.00
Rate for Payer: Meridian Medicaid	$118,318.20
Rate for Payer: Priority Health Choice Medicaid	$112,684.00
Rate for Payer: UHCCP Medicaid	$112,684.00

APR-DRG 42.00: EXTERNAL HEART ASSIST DEVICES

Facility

$34,802.51

Service Code	APR-DRG 1784
Min. Negotiated Rate	$33,145.25
Max. Negotiated Rate	$34,802.51
Rate for Payer: BCBS Complete	$34,802.51
Rate for Payer: Mclaren Medicaid	$33,145.25
Rate for Payer: Meridian Medicaid	$34,802.51
Rate for Payer: Priority Health Choice Medicaid	$33,145.25
Rate for Payer: UHCCP Medicaid	$33,145.25

APR-DRG 42.00: EXTERNAL HEART ASSIST DEVICES

Facility

$20,581.58

Service Code	APR-DRG 1781
Min. Negotiated Rate	$19,601.50
Max. Negotiated Rate	$20,581.58
Rate for Payer: BCBS Complete	$20,581.58
Rate for Payer: Mclaren Medicaid	$19,601.50
Rate for Payer: Meridian Medicaid	$20,581.58
Rate for Payer: Priority Health Choice Medicaid	$19,601.50
Rate for Payer: UHCCP Medicaid	$19,601.50

APR-DRG 42.00: EXTERNAL HEART ASSIST DEVICES

Facility

$22,856.92

Service Code	APR-DRG 1782
Min. Negotiated Rate	$21,768.50
Max. Negotiated Rate	$22,856.92
Rate for Payer: BCBS Complete	$22,856.92
Rate for Payer: Mclaren Medicaid	$21,768.50
Rate for Payer: Meridian Medicaid	$22,856.92
Rate for Payer: Priority Health Choice Medicaid	$21,768.50
Rate for Payer: UHCCP Medicaid	$21,768.50

APR-DRG 42.00: EXTERNAL HEART ASSIST DEVICES

Facility

$28,079.89

Service Code	APR-DRG 1783
Min. Negotiated Rate	$26,742.75
Max. Negotiated Rate	$28,079.89
Rate for Payer: BCBS Complete	$28,079.89
Rate for Payer: Mclaren Medicaid	$26,742.75
Rate for Payer: Meridian Medicaid	$28,079.89
Rate for Payer: Priority Health Choice Medicaid	$26,742.75
Rate for Payer: UHCCP Medicaid	$26,742.75

APR-DRG 42.00: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)

Facility

$77,775.60

Service Code	APR-DRG 0093
Min. Negotiated Rate	$74,072.00
Max. Negotiated Rate	$77,775.60
Rate for Payer: BCBS Complete	$77,775.60
Rate for Payer: Mclaren Medicaid	$74,072.00
Rate for Payer: Meridian Medicaid	$77,775.60
Rate for Payer: Priority Health Choice Medicaid	$74,072.00
Rate for Payer: UHCCP Medicaid	$74,072.00

APR-DRG 42.00: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)

Facility

$46,903.24

Service Code	APR-DRG 0092
Min. Negotiated Rate	$44,669.75
Max. Negotiated Rate	$46,903.24
Rate for Payer: BCBS Complete	$46,903.24
Rate for Payer: Mclaren Medicaid	$44,669.75
Rate for Payer: Meridian Medicaid	$46,903.24
Rate for Payer: Priority Health Choice Medicaid	$44,669.75
Rate for Payer: UHCCP Medicaid	$44,669.75

APR-DRG 42.00: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)

Facility

$108,079.12

Service Code	APR-DRG 0094
Min. Negotiated Rate	$102,932.50
Max. Negotiated Rate	$108,079.12
Rate for Payer: BCBS Complete	$108,079.12
Rate for Payer: Mclaren Medicaid	$102,932.50
Rate for Payer: Meridian Medicaid	$108,079.12
Rate for Payer: Priority Health Choice Medicaid	$102,932.50
Rate for Payer: UHCCP Medicaid	$102,932.50

APR-DRG 42.00: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)

Facility

$33,561.41

Service Code	APR-DRG 0091
Min. Negotiated Rate	$31,963.25
Max. Negotiated Rate	$33,561.41
Rate for Payer: BCBS Complete	$33,561.41
Rate for Payer: Mclaren Medicaid	$31,963.25
Rate for Payer: Meridian Medicaid	$33,561.41
Rate for Payer: Priority Health Choice Medicaid	$31,963.25
Rate for Payer: UHCCP Medicaid	$31,963.25

APR-DRG 42.00: EYE INFECTIONS AND OTHER EYE DISORDERS

Facility

$4,912.69

Service Code	APR-DRG 0822
Min. Negotiated Rate	$4,678.75
Max. Negotiated Rate	$4,912.69
Rate for Payer: BCBS Complete	$4,912.69
Rate for Payer: Mclaren Medicaid	$4,678.75
Rate for Payer: Meridian Medicaid	$4,912.69
Rate for Payer: Priority Health Choice Medicaid	$4,678.75
Rate for Payer: UHCCP Medicaid	$4,678.75

APR-DRG 42.00: EYE INFECTIONS AND OTHER EYE DISORDERS

Facility

$9,153.11

Service Code	APR-DRG 0823
Min. Negotiated Rate	$8,717.25
Max. Negotiated Rate	$9,153.11
Rate for Payer: BCBS Complete	$9,153.11
Rate for Payer: Mclaren Medicaid	$8,717.25
Rate for Payer: Meridian Medicaid	$9,153.11
Rate for Payer: Priority Health Choice Medicaid	$8,717.25
Rate for Payer: UHCCP Medicaid	$8,717.25

APR-DRG 42.00: EYE INFECTIONS AND OTHER EYE DISORDERS

Facility

$3,051.04

Service Code	APR-DRG 0821
Min. Negotiated Rate	$2,905.75
Max. Negotiated Rate	$3,051.04
Rate for Payer: BCBS Complete	$3,051.04
Rate for Payer: Mclaren Medicaid	$2,905.75
Rate for Payer: Meridian Medicaid	$3,051.04
Rate for Payer: Priority Health Choice Medicaid	$2,905.75
Rate for Payer: UHCCP Medicaid	$2,905.75

APR-DRG 42.00: EYE INFECTIONS AND OTHER EYE DISORDERS

Facility

$13,134.98

Service Code	APR-DRG 0824
Min. Negotiated Rate	$12,509.50
Max. Negotiated Rate	$13,134.98
Rate for Payer: BCBS Complete	$13,134.98
Rate for Payer: Mclaren Medicaid	$12,509.50
Rate for Payer: Meridian Medicaid	$13,134.98
Rate for Payer: Priority Health Choice Medicaid	$12,509.50
Rate for Payer: UHCCP Medicaid	$12,509.50

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

Facility

$10,083.94

Service Code	APR-DRG 0921
Min. Negotiated Rate	$9,603.75
Max. Negotiated Rate	$10,083.94
Rate for Payer: BCBS Complete	$10,083.94
Rate for Payer: Mclaren Medicaid	$9,603.75
Rate for Payer: Meridian Medicaid	$10,083.94
Rate for Payer: Priority Health Choice Medicaid	$9,603.75
Rate for Payer: UHCCP Medicaid	$9,603.75

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

Facility

$17,633.96

Service Code	APR-DRG 0923
Min. Negotiated Rate	$16,794.25
Max. Negotiated Rate	$17,633.96
Rate for Payer: BCBS Complete	$17,633.96
Rate for Payer: Mclaren Medicaid	$16,794.25
Rate for Payer: Meridian Medicaid	$17,633.96
Rate for Payer: Priority Health Choice Medicaid	$16,794.25
Rate for Payer: UHCCP Medicaid	$16,794.25

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

Facility

$30,768.94

Service Code	APR-DRG 0924
Min. Negotiated Rate	$29,303.75
Max. Negotiated Rate	$30,768.94
Rate for Payer: BCBS Complete	$30,768.94
Rate for Payer: Mclaren Medicaid	$29,303.75
Rate for Payer: Meridian Medicaid	$30,768.94
Rate for Payer: Priority Health Choice Medicaid	$29,303.75
Rate for Payer: UHCCP Medicaid	$29,303.75

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

Facility

$11,325.04

Service Code	APR-DRG 0922
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 INFECTIONS

Facility

$3,775.01

Service Code	APR-DRG 5312
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: FEMALE REPRODUCTIVE SYSTEM INFECTIONS

Facility

$8,997.98

Service Code	APR-DRG 5314
Min. Negotiated Rate	$8,569.50
Max. Negotiated Rate	$8,997.98
Rate for Payer: BCBS Complete	$8,997.98
Rate for Payer: Mclaren Medicaid	$8,569.50
Rate for Payer: Meridian Medicaid	$8,997.98
Rate for Payer: Priority Health Choice Medicaid	$8,569.50
Rate for Payer: UHCCP Medicaid	$8,569.50

APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM INFECTIONS

Facility

$2,947.61

Service Code	APR-DRG 5311
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: FEMALE REPRODUCTIVE SYSTEM INFECTIONS

Facility

$4,964.40

Service Code	APR-DRG 5313
Min. Negotiated Rate	$4,728.00
Max. Negotiated Rate	$4,964.40
Rate for Payer: BCBS Complete	$4,964.40
Rate for Payer: Mclaren Medicaid	$4,728.00
Rate for Payer: Meridian Medicaid	$4,964.40
Rate for Payer: Priority Health Choice Medicaid	$4,728.00
Rate for Payer: UHCCP Medicaid	$4,728.00

APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY

Facility

$5,584.95

Service Code	APR-DRG 5302
Min. Negotiated Rate	$5,319.00
Max. Negotiated Rate	$5,584.95
Rate for Payer: BCBS Complete	$5,584.95
Rate for Payer: Mclaren Medicaid	$5,319.00
Rate for Payer: Meridian Medicaid	$5,584.95
Rate for Payer: Priority Health Choice Medicaid	$5,319.00
Rate for Payer: UHCCP Medicaid	$5,319.00

Know your out-of-pocket cost for care.

All Charges