Bronson Lakeview Hospital

All Charges

Charge

Type

Setting

Price

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

Facility

$4,085.29

Service Code	APR-DRG 3421
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: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK

Facility

$11,842.16

Service Code	APR-DRG 3424
Min. Negotiated Rate	$11,278.25
Max. Negotiated Rate	$11,842.16
Rate for Payer: BCBS Complete	$11,842.16
Rate for Payer: Mclaren Medicaid	$11,278.25
Rate for Payer: Meridian Medicaid	$11,842.16
Rate for Payer: Priority Health Choice Medicaid	$11,278.25
Rate for Payer: UHCCP Medicaid	$11,278.25

APR-DRG 42.00: GASTRIC FUNDOPLICATION

Facility

$6,826.05

Service Code	APR-DRG 2321
Min. Negotiated Rate	$6,501.00
Max. Negotiated Rate	$6,826.05
Rate for Payer: BCBS Complete	$6,826.05
Rate for Payer: Mclaren Medicaid	$6,501.00
Rate for Payer: Meridian Medicaid	$6,826.05
Rate for Payer: Priority Health Choice Medicaid	$6,501.00
Rate for Payer: UHCCP Medicaid	$6,501.00

APR-DRG 42.00: GASTRIC FUNDOPLICATION

Facility

$21,770.96

Service Code	APR-DRG 2324
Min. Negotiated Rate	$20,734.25
Max. Negotiated Rate	$21,770.96
Rate for Payer: BCBS Complete	$21,770.96
Rate for Payer: Mclaren Medicaid	$20,734.25
Rate for Payer: Meridian Medicaid	$21,770.96
Rate for Payer: Priority Health Choice Medicaid	$20,734.25
Rate for Payer: UHCCP Medicaid	$20,734.25

APR-DRG 42.00: GASTRIC FUNDOPLICATION

Facility

$8,532.56

Service Code	APR-DRG 2322
Min. Negotiated Rate	$8,126.25
Max. Negotiated Rate	$8,532.56
Rate for Payer: BCBS Complete	$8,532.56
Rate for Payer: Mclaren Medicaid	$8,126.25
Rate for Payer: Meridian Medicaid	$8,532.56
Rate for Payer: Priority Health Choice Medicaid	$8,126.25
Rate for Payer: UHCCP Medicaid	$8,126.25

APR-DRG 42.00: GASTRIC FUNDOPLICATION

Facility

$13,548.68

Service Code	APR-DRG 2323
Min. Negotiated Rate	$12,903.50
Max. Negotiated Rate	$13,548.68
Rate for Payer: BCBS Complete	$13,548.68
Rate for Payer: Mclaren Medicaid	$12,903.50
Rate for Payer: Meridian Medicaid	$13,548.68
Rate for Payer: Priority Health Choice Medicaid	$12,903.50
Rate for Payer: UHCCP Medicaid	$12,903.50

APR-DRG 42.00: GASTROINTESTINAL VASCULAR INSUFFICIENCY

Facility

$7,550.02

Service Code	APR-DRG 2463
Min. Negotiated Rate	$7,190.50
Max. Negotiated Rate	$7,550.02
Rate for Payer: BCBS Complete	$7,550.02
Rate for Payer: Mclaren Medicaid	$7,190.50
Rate for Payer: Meridian Medicaid	$7,550.02
Rate for Payer: Priority Health Choice Medicaid	$7,190.50
Rate for Payer: UHCCP Medicaid	$7,190.50

APR-DRG 42.00: GASTROINTESTINAL VASCULAR INSUFFICIENCY

Facility

$5,171.25

Service Code	APR-DRG 2462
Min. Negotiated Rate	$4,925.00
Max. Negotiated Rate	$5,171.25
Rate for Payer: BCBS Complete	$5,171.25
Rate for Payer: Mclaren Medicaid	$4,925.00
Rate for Payer: Meridian Medicaid	$5,171.25
Rate for Payer: Priority Health Choice Medicaid	$4,925.00
Rate for Payer: UHCCP Medicaid	$4,925.00

APR-DRG 42.00: GASTROINTESTINAL VASCULAR INSUFFICIENCY

Facility

$13,807.24

Service Code	APR-DRG 2464
Min. Negotiated Rate	$13,149.75
Max. Negotiated Rate	$13,807.24
Rate for Payer: BCBS Complete	$13,807.24
Rate for Payer: Mclaren Medicaid	$13,149.75
Rate for Payer: Meridian Medicaid	$13,807.24
Rate for Payer: Priority Health Choice Medicaid	$13,149.75
Rate for Payer: UHCCP Medicaid	$13,149.75

APR-DRG 42.00: GASTROINTESTINAL VASCULAR INSUFFICIENCY

Facility

$3,930.15

Service Code	APR-DRG 2461
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

APR-DRG 42.00: GENDER RELATED PROCEDURES

Facility

$48,558.04

Service Code	APR-DRG 8514
Min. Negotiated Rate	$46,245.75
Max. Negotiated Rate	$48,558.04
Rate for Payer: BCBS Complete	$48,558.04
Rate for Payer: Mclaren Medicaid	$46,245.75
Rate for Payer: Meridian Medicaid	$48,558.04
Rate for Payer: Priority Health Choice Medicaid	$46,245.75
Rate for Payer: UHCCP Medicaid	$46,245.75

APR-DRG 42.00: GENDER RELATED PROCEDURES

Facility

$48,558.04

Service Code	APR-DRG 8513
Min. Negotiated Rate	$46,245.75
Max. Negotiated Rate	$48,558.04
Rate for Payer: BCBS Complete	$48,558.04
Rate for Payer: Mclaren Medicaid	$46,245.75
Rate for Payer: Meridian Medicaid	$48,558.04
Rate for Payer: Priority Health Choice Medicaid	$46,245.75
Rate for Payer: UHCCP Medicaid	$46,245.75

APR-DRG 42.00: GENDER RELATED PROCEDURES

Facility

$8,791.12

Service Code	APR-DRG 8511
Min. Negotiated Rate	$8,372.50
Max. Negotiated Rate	$8,791.12
Rate for Payer: BCBS Complete	$8,791.12
Rate for Payer: Mclaren Medicaid	$8,372.50
Rate for Payer: Meridian Medicaid	$8,791.12
Rate for Payer: Priority Health Choice Medicaid	$8,372.50
Rate for Payer: UHCCP Medicaid	$8,372.50

APR-DRG 42.00: GENDER RELATED PROCEDURES

Facility

$14,996.62

Service Code	APR-DRG 8512
Min. Negotiated Rate	$14,282.50
Max. Negotiated Rate	$14,996.62
Rate for Payer: BCBS Complete	$14,996.62
Rate for Payer: Mclaren Medicaid	$14,282.50
Rate for Payer: Meridian Medicaid	$14,996.62
Rate for Payer: Priority Health Choice Medicaid	$14,282.50
Rate for Payer: UHCCP Medicaid	$14,282.50

APR-DRG 42.00: GENETIC DISORDERS

Facility

$3,309.60

Service Code	APR-DRG 4281
Min. Negotiated Rate	$3,152.00
Max. Negotiated Rate	$3,309.60
Rate for Payer: BCBS Complete	$3,309.60
Rate for Payer: Mclaren Medicaid	$3,152.00
Rate for Payer: Meridian Medicaid	$3,309.60
Rate for Payer: Priority Health Choice Medicaid	$3,152.00
Rate for Payer: UHCCP Medicaid	$3,152.00

APR-DRG 42.00: GENETIC DISORDERS

Facility

$5,119.54

Service Code	APR-DRG 4282
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: GENETIC DISORDERS

Facility

$14,169.22

Service Code	APR-DRG 4283
Min. Negotiated Rate	$13,494.50
Max. Negotiated Rate	$14,169.22
Rate for Payer: BCBS Complete	$14,169.22
Rate for Payer: Mclaren Medicaid	$13,494.50
Rate for Payer: Meridian Medicaid	$14,169.22
Rate for Payer: Priority Health Choice Medicaid	$13,494.50
Rate for Payer: UHCCP Medicaid	$13,494.50

APR-DRG 42.00: GENETIC DISORDERS

Facility

$23,994.60

Service Code	APR-DRG 4284
Min. Negotiated Rate	$22,852.00
Max. Negotiated Rate	$23,994.60
Rate for Payer: BCBS Complete	$23,994.60
Rate for Payer: Mclaren Medicaid	$22,852.00
Rate for Payer: Meridian Medicaid	$23,994.60
Rate for Payer: Priority Health Choice Medicaid	$22,852.00
Rate for Payer: UHCCP Medicaid	$22,852.00

APR-DRG 42.00: HAND AND WRIST PROCEDURES

Facility

$7,084.61

Service Code	APR-DRG 3162
Min. Negotiated Rate	$6,747.25
Max. Negotiated Rate	$7,084.61
Rate for Payer: BCBS Complete	$7,084.61
Rate for Payer: Mclaren Medicaid	$6,747.25
Rate for Payer: Meridian Medicaid	$7,084.61
Rate for Payer: Priority Health Choice Medicaid	$6,747.25
Rate for Payer: UHCCP Medicaid	$6,747.25

APR-DRG 42.00: HAND AND WRIST PROCEDURES

Facility

$6,360.64

Service Code	APR-DRG 3161
Min. Negotiated Rate	$6,057.75
Max. Negotiated Rate	$6,360.64
Rate for Payer: BCBS Complete	$6,360.64
Rate for Payer: Mclaren Medicaid	$6,057.75
Rate for Payer: Meridian Medicaid	$6,360.64
Rate for Payer: Priority Health Choice Medicaid	$6,057.75
Rate for Payer: UHCCP Medicaid	$6,057.75

APR-DRG 42.00: HAND AND WRIST PROCEDURES

Facility

$16,806.56

Service Code	APR-DRG 3164
Min. Negotiated Rate	$16,006.25
Max. Negotiated Rate	$16,806.56
Rate for Payer: BCBS Complete	$16,806.56
Rate for Payer: Mclaren Medicaid	$16,006.25
Rate for Payer: Meridian Medicaid	$16,806.56
Rate for Payer: Priority Health Choice Medicaid	$16,006.25
Rate for Payer: UHCCP Medicaid	$16,006.25

APR-DRG 42.00: HAND AND WRIST PROCEDURES

Facility

$10,652.78

Service Code	APR-DRG 3163
Min. Negotiated Rate	$10,145.50
Max. Negotiated Rate	$10,652.78
Rate for Payer: BCBS Complete	$10,652.78
Rate for Payer: Mclaren Medicaid	$10,145.50
Rate for Payer: Meridian Medicaid	$10,652.78
Rate for Payer: Priority Health Choice Medicaid	$10,145.50
Rate for Payer: UHCCP Medicaid	$10,145.50

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

Facility

$5,740.09

Service Code	APR-DRG 0552
Min. Negotiated Rate	$5,466.75
Max. Negotiated Rate	$5,740.09
Rate for Payer: BCBS Complete	$5,740.09
Rate for Payer: Mclaren Medicaid	$5,466.75
Rate for Payer: Meridian Medicaid	$5,740.09
Rate for Payer: Priority Health Choice Medicaid	$5,466.75
Rate for Payer: UHCCP Medicaid	$5,466.75

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

Facility

$3,981.86

Service Code	APR-DRG 0551
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: HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE

Facility

$13,238.40

Service Code	APR-DRG 0554
Min. Negotiated Rate	$12,608.00
Max. Negotiated Rate	$13,238.40
Rate for Payer: BCBS Complete	$13,238.40
Rate for Payer: Mclaren Medicaid	$12,608.00
Rate for Payer: Meridian Medicaid	$13,238.40
Rate for Payer: Priority Health Choice Medicaid	$12,608.00
Rate for Payer: UHCCP Medicaid	$12,608.00

Know your out-of-pocket cost for care.

All Charges