Bronson Lakeview Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK

Facility

$5,791.80

Service Code	APR-DRG 3423
Min. Negotiated Rate	$5,516.00
Max. Negotiated Rate	$5,791.80
Rate for Payer: BCBS Complete	$5,791.80
Rate for Payer: Mclaren Medicaid	$5,516.00
Rate for Payer: Meridian Medicaid	$5,791.80
Rate for Payer: Priority Health Choice Medicaid	$5,516.00
Rate for Payer: UHCCP Medicaid	$5,516.00

APR-DRG 42.00: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK

Facility

$10,549.35

Service Code	APR-DRG 3424
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: GASTRIC FUNDOPLICATION

Facility

$20,064.45

Service Code	APR-DRG 2324
Min. Negotiated Rate	$19,109.00
Max. Negotiated Rate	$20,064.45
Rate for Payer: BCBS Complete	$20,064.45
Rate for Payer: Mclaren Medicaid	$19,109.00
Rate for Payer: Meridian Medicaid	$20,064.45
Rate for Payer: Priority Health Choice Medicaid	$19,109.00
Rate for Payer: UHCCP Medicaid	$19,109.00

APR-DRG 42.00: GASTRIC FUNDOPLICATION

Facility

$12,514.42

Service Code	APR-DRG 2323
Min. Negotiated Rate	$11,918.50
Max. Negotiated Rate	$12,514.42
Rate for Payer: BCBS Complete	$12,514.42
Rate for Payer: Mclaren Medicaid	$11,918.50
Rate for Payer: Meridian Medicaid	$12,514.42
Rate for Payer: Priority Health Choice Medicaid	$11,918.50
Rate for Payer: UHCCP Medicaid	$11,918.50

APR-DRG 42.00: GASTRIC FUNDOPLICATION

Facility

$7,860.30

Service Code	APR-DRG 2322
Min. Negotiated Rate	$7,486.00
Max. Negotiated Rate	$7,860.30
Rate for Payer: BCBS Complete	$7,860.30
Rate for Payer: Mclaren Medicaid	$7,486.00
Rate for Payer: Meridian Medicaid	$7,860.30
Rate for Payer: Priority Health Choice Medicaid	$7,486.00
Rate for Payer: UHCCP Medicaid	$7,486.00

APR-DRG 42.00: GASTRIC FUNDOPLICATION

Facility

$6,308.93

Service Code	APR-DRG 2321
Min. Negotiated Rate	$6,008.50
Max. Negotiated Rate	$6,308.93
Rate for Payer: BCBS Complete	$6,308.93
Rate for Payer: Mclaren Medicaid	$6,008.50
Rate for Payer: Meridian Medicaid	$6,308.93
Rate for Payer: Priority Health Choice Medicaid	$6,008.50
Rate for Payer: UHCCP Medicaid	$6,008.50

APR-DRG 42.00: GASTROINTESTINAL VASCULAR INSUFFICIENCY

Facility

$9,980.51

Service Code	APR-DRG 2464
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: GASTROINTESTINAL VASCULAR INSUFFICIENCY

Facility

$6,205.50

Service Code	APR-DRG 2463
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: GASTROINTESTINAL VASCULAR INSUFFICIENCY

Facility

$4,085.29

Service Code	APR-DRG 2462
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: GASTROINTESTINAL VASCULAR INSUFFICIENCY

Facility

$3,206.18

Service Code	APR-DRG 2461
Min. Negotiated Rate	$3,053.50
Max. Negotiated Rate	$3,206.18
Rate for Payer: BCBS Complete	$3,206.18
Rate for Payer: Mclaren Medicaid	$3,053.50
Rate for Payer: Meridian Medicaid	$3,206.18
Rate for Payer: Priority Health Choice Medicaid	$3,053.50
Rate for Payer: UHCCP Medicaid	$3,053.50

APR-DRG 42.00: GENDER RELATED PROCEDURES

Facility

$17,323.69

Service Code	APR-DRG 8512
Min. Negotiated Rate	$16,498.75
Max. Negotiated Rate	$17,323.69
Rate for Payer: BCBS Complete	$17,323.69
Rate for Payer: Mclaren Medicaid	$16,498.75
Rate for Payer: Meridian Medicaid	$17,323.69
Rate for Payer: Priority Health Choice Medicaid	$16,498.75
Rate for Payer: UHCCP Medicaid	$16,498.75

APR-DRG 42.00: GENDER RELATED PROCEDURES

Facility

$10,135.65

Service Code	APR-DRG 8511
Min. Negotiated Rate	$9,653.00
Max. Negotiated Rate	$10,135.65
Rate for Payer: BCBS Complete	$10,135.65
Rate for Payer: Mclaren Medicaid	$9,653.00
Rate for Payer: Meridian Medicaid	$10,135.65
Rate for Payer: Priority Health Choice Medicaid	$9,653.00
Rate for Payer: UHCCP Medicaid	$9,653.00

APR-DRG 42.00: GENDER RELATED PROCEDURES

Facility

$56,056.35

Service Code	APR-DRG 8513
Min. Negotiated Rate	$53,387.00
Max. Negotiated Rate	$56,056.35
Rate for Payer: BCBS Complete	$56,056.35
Rate for Payer: Mclaren Medicaid	$53,387.00
Rate for Payer: Meridian Medicaid	$56,056.35
Rate for Payer: Priority Health Choice Medicaid	$53,387.00
Rate for Payer: UHCCP Medicaid	$53,387.00

APR-DRG 42.00: GENDER RELATED PROCEDURES

Facility

$56,056.35

Service Code	APR-DRG 8514
Min. Negotiated Rate	$53,387.00
Max. Negotiated Rate	$56,056.35
Rate for Payer: BCBS Complete	$56,056.35
Rate for Payer: Mclaren Medicaid	$53,387.00
Rate for Payer: Meridian Medicaid	$56,056.35
Rate for Payer: Priority Health Choice Medicaid	$53,387.00
Rate for Payer: UHCCP Medicaid	$53,387.00

APR-DRG 42.00: GENETIC DISORDERS

Facility

$27,717.90

Service Code	APR-DRG 4284
Min. Negotiated Rate	$26,398.00
Max. Negotiated Rate	$27,717.90
Rate for Payer: BCBS Complete	$27,717.90
Rate for Payer: Mclaren Medicaid	$26,398.00
Rate for Payer: Meridian Medicaid	$27,717.90
Rate for Payer: Priority Health Choice Medicaid	$26,398.00
Rate for Payer: UHCCP Medicaid	$26,398.00

APR-DRG 42.00: GENETIC DISORDERS

Facility

$3,826.72

Service Code	APR-DRG 4281
Min. Negotiated Rate	$3,644.50
Max. Negotiated Rate	$3,826.72
Rate for Payer: BCBS Complete	$3,826.72
Rate for Payer: Mclaren Medicaid	$3,644.50
Rate for Payer: Meridian Medicaid	$3,826.72
Rate for Payer: Priority Health Choice Medicaid	$3,644.50
Rate for Payer: UHCCP Medicaid	$3,644.50

APR-DRG 42.00: GENETIC DISORDERS

Facility

$5,946.94

Service Code	APR-DRG 4282
Min. Negotiated Rate	$5,663.75
Max. Negotiated Rate	$5,946.94
Rate for Payer: BCBS Complete	$5,946.94
Rate for Payer: Mclaren Medicaid	$5,663.75
Rate for Payer: Meridian Medicaid	$5,946.94
Rate for Payer: Priority Health Choice Medicaid	$5,663.75
Rate for Payer: UHCCP Medicaid	$5,663.75

APR-DRG 42.00: GENETIC DISORDERS

Facility

$16,341.15

Service Code	APR-DRG 4283
Min. Negotiated Rate	$15,563.00
Max. Negotiated Rate	$16,341.15
Rate for Payer: BCBS Complete	$16,341.15
Rate for Payer: Mclaren Medicaid	$15,563.00
Rate for Payer: Meridian Medicaid	$16,341.15
Rate for Payer: Priority Health Choice Medicaid	$15,563.00
Rate for Payer: UHCCP Medicaid	$15,563.00

APR-DRG 42.00: HAND AND WRIST PROCEDURES

Facility

$6,877.76

Service Code	APR-DRG 3162
Min. Negotiated Rate	$6,550.25
Max. Negotiated Rate	$6,877.76
Rate for Payer: BCBS Complete	$6,877.76
Rate for Payer: Mclaren Medicaid	$6,550.25
Rate for Payer: Meridian Medicaid	$6,877.76
Rate for Payer: Priority Health Choice Medicaid	$6,550.25
Rate for Payer: UHCCP Medicaid	$6,550.25

APR-DRG 42.00: HAND AND WRIST PROCEDURES

Facility

$16,341.15

Service Code	APR-DRG 3164
Min. Negotiated Rate	$15,563.00
Max. Negotiated Rate	$16,341.15
Rate for Payer: BCBS Complete	$16,341.15
Rate for Payer: Mclaren Medicaid	$15,563.00
Rate for Payer: Meridian Medicaid	$16,341.15
Rate for Payer: Priority Health Choice Medicaid	$15,563.00
Rate for Payer: UHCCP Medicaid	$15,563.00

APR-DRG 42.00: HAND AND WRIST PROCEDURES

Facility

$10,290.79

Service Code	APR-DRG 3163
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: HAND AND WRIST PROCEDURES

Facility

$5,119.54

Service Code	APR-DRG 3161
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: HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE

Facility

$8,274.00

Service Code	APR-DRG 0553
Min. Negotiated Rate	$7,880.00
Max. Negotiated Rate	$8,274.00
Rate for Payer: BCBS Complete	$8,274.00
Rate for Payer: Mclaren Medicaid	$7,880.00
Rate for Payer: Meridian Medicaid	$8,274.00
Rate for Payer: Priority Health Choice Medicaid	$7,880.00
Rate for Payer: UHCCP Medicaid	$7,880.00

APR-DRG 42.00: HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE

Facility

$14,324.36

Service Code	APR-DRG 0554
Min. Negotiated Rate	$13,642.25
Max. Negotiated Rate	$14,324.36
Rate for Payer: BCBS Complete	$14,324.36
Rate for Payer: Mclaren Medicaid	$13,642.25
Rate for Payer: Meridian Medicaid	$14,324.36
Rate for Payer: Priority Health Choice Medicaid	$13,642.25
Rate for Payer: UHCCP Medicaid	$13,642.25

APR-DRG 42.00: HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE

Facility

$3,826.72

Service Code	APR-DRG 0551
Min. Negotiated Rate	$3,644.50
Max. Negotiated Rate	$3,826.72
Rate for Payer: BCBS Complete	$3,826.72
Rate for Payer: Mclaren Medicaid	$3,644.50
Rate for Payer: Meridian Medicaid	$3,826.72
Rate for Payer: Priority Health Choice Medicaid	$3,644.50
Rate for Payer: UHCCP Medicaid	$3,644.50

Know your out-of-pocket cost for care.

All Charges