Bronson Lakeview Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$28,183.31

Service Code	APR-DRG 2204
Min. Negotiated Rate	$26,841.25
Max. Negotiated Rate	$28,183.31
Rate for Payer: BCBS Complete	$28,183.31
Rate for Payer: Mclaren Medicaid	$26,841.25
Rate for Payer: Meridian Medicaid	$28,183.31
Rate for Payer: Priority Health Choice Medicaid	$26,841.25
Rate for Payer: UHCCP Medicaid	$26,841.25

APR-DRG 42.00: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$5,378.10

Service Code	APR-DRG 5013
Min. Negotiated Rate	$5,122.00
Max. Negotiated Rate	$5,378.10
Rate for Payer: BCBS Complete	$5,378.10
Rate for Payer: Mclaren Medicaid	$5,122.00
Rate for Payer: Meridian Medicaid	$5,378.10
Rate for Payer: Priority Health Choice Medicaid	$5,122.00
Rate for Payer: UHCCP Medicaid	$5,122.00

APR-DRG 42.00: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$3,619.88

Service Code	APR-DRG 5012
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: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$2,844.19

Service Code	APR-DRG 5011
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: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$11,066.48

Service Code	APR-DRG 5014
Min. Negotiated Rate	$10,539.50
Max. Negotiated Rate	$11,066.48
Rate for Payer: BCBS Complete	$11,066.48
Rate for Payer: Mclaren Medicaid	$10,539.50
Rate for Payer: Meridian Medicaid	$11,066.48
Rate for Payer: Priority Health Choice Medicaid	$10,539.50
Rate for Payer: UHCCP Medicaid	$10,539.50

APR-DRG 42.00: MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility

$12,359.29

Service Code	APR-DRG 2524
Min. Negotiated Rate	$11,770.75
Max. Negotiated Rate	$12,359.29
Rate for Payer: BCBS Complete	$12,359.29
Rate for Payer: Mclaren Medicaid	$11,770.75
Rate for Payer: Meridian Medicaid	$12,359.29
Rate for Payer: Priority Health Choice Medicaid	$11,770.75
Rate for Payer: UHCCP Medicaid	$11,770.75

APR-DRG 42.00: MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility

$6,619.20

Service Code	APR-DRG 2523
Min. Negotiated Rate	$6,304.00
Max. Negotiated Rate	$6,619.20
Rate for Payer: BCBS Complete	$6,619.20
Rate for Payer: Mclaren Medicaid	$6,304.00
Rate for Payer: Meridian Medicaid	$6,619.20
Rate for Payer: Priority Health Choice Medicaid	$6,304.00
Rate for Payer: UHCCP Medicaid	$6,304.00

APR-DRG 42.00: MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility

$4,395.56

Service Code	APR-DRG 2522
Min. Negotiated Rate	$4,186.25
Max. Negotiated Rate	$4,395.56
Rate for Payer: BCBS Complete	$4,395.56
Rate for Payer: Mclaren Medicaid	$4,186.25
Rate for Payer: Meridian Medicaid	$4,395.56
Rate for Payer: Priority Health Choice Medicaid	$4,186.25
Rate for Payer: UHCCP Medicaid	$4,186.25

APR-DRG 42.00: MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility

$3,361.31

Service Code	APR-DRG 2521
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: MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE

Facility

$4,602.41

Service Code	APR-DRG 2062
Min. Negotiated Rate	$4,383.25
Max. Negotiated Rate	$4,602.41
Rate for Payer: BCBS Complete	$4,602.41
Rate for Payer: Mclaren Medicaid	$4,383.25
Rate for Payer: Meridian Medicaid	$4,602.41
Rate for Payer: Priority Health Choice Medicaid	$4,383.25
Rate for Payer: UHCCP Medicaid	$4,383.25

APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE

Facility

$3,826.72

Service Code	APR-DRG 2061
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: MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE

Facility

$12,100.73

Service Code	APR-DRG 2064
Min. Negotiated Rate	$11,524.50
Max. Negotiated Rate	$12,100.73
Rate for Payer: BCBS Complete	$12,100.73
Rate for Payer: Mclaren Medicaid	$11,524.50
Rate for Payer: Meridian Medicaid	$12,100.73
Rate for Payer: Priority Health Choice Medicaid	$11,524.50
Rate for Payer: UHCCP Medicaid	$11,524.50

APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE

Facility

$6,929.48

Service Code	APR-DRG 2063
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: MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE

Facility

$2,999.32

Service Code	APR-DRG 4661
Min. Negotiated Rate	$2,856.50
Max. Negotiated Rate	$2,999.32
Rate for Payer: BCBS Complete	$2,999.32
Rate for Payer: Mclaren Medicaid	$2,856.50
Rate for Payer: Meridian Medicaid	$2,999.32
Rate for Payer: Priority Health Choice Medicaid	$2,856.50
Rate for Payer: UHCCP Medicaid	$2,856.50

APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE

Facility

$6,050.36

Service Code	APR-DRG 4663
Min. Negotiated Rate	$5,762.25
Max. Negotiated Rate	$6,050.36
Rate for Payer: BCBS Complete	$6,050.36
Rate for Payer: Mclaren Medicaid	$5,762.25
Rate for Payer: Meridian Medicaid	$6,050.36
Rate for Payer: Priority Health Choice Medicaid	$5,762.25
Rate for Payer: UHCCP Medicaid	$5,762.25

APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE

Facility

$10,187.36

Service Code	APR-DRG 4664
Min. Negotiated Rate	$9,702.25
Max. Negotiated Rate	$10,187.36
Rate for Payer: BCBS Complete	$10,187.36
Rate for Payer: Mclaren Medicaid	$9,702.25
Rate for Payer: Meridian Medicaid	$10,187.36
Rate for Payer: Priority Health Choice Medicaid	$9,702.25
Rate for Payer: UHCCP Medicaid	$9,702.25

APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE

Facility

$3,826.72

Service Code	APR-DRG 4662
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: MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility

$3,361.31

Service Code	APR-DRG 3491
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: MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility

$10,963.05

Service Code	APR-DRG 3494
Min. Negotiated Rate	$10,441.00
Max. Negotiated Rate	$10,963.05
Rate for Payer: BCBS Complete	$10,963.05
Rate for Payer: Mclaren Medicaid	$10,441.00
Rate for Payer: Meridian Medicaid	$10,963.05
Rate for Payer: Priority Health Choice Medicaid	$10,441.00
Rate for Payer: UHCCP Medicaid	$10,441.00

APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility

$6,619.20

Service Code	APR-DRG 3493
Min. Negotiated Rate	$6,304.00
Max. Negotiated Rate	$6,619.20
Rate for Payer: BCBS Complete	$6,619.20
Rate for Payer: Mclaren Medicaid	$6,304.00
Rate for Payer: Meridian Medicaid	$6,619.20
Rate for Payer: Priority Health Choice Medicaid	$6,304.00
Rate for Payer: UHCCP Medicaid	$6,304.00

APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility

$4,602.41

Service Code	APR-DRG 3492
Min. Negotiated Rate	$4,383.25
Max. Negotiated Rate	$4,602.41
Rate for Payer: BCBS Complete	$4,602.41
Rate for Payer: Mclaren Medicaid	$4,383.25
Rate for Payer: Meridian Medicaid	$4,602.41
Rate for Payer: Priority Health Choice Medicaid	$4,383.25
Rate for Payer: UHCCP Medicaid	$4,383.25

APR-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$6,722.62

Service Code	APR-DRG 5003
Min. Negotiated Rate	$6,402.50
Max. Negotiated Rate	$6,722.62
Rate for Payer: BCBS Complete	$6,722.62
Rate for Payer: Mclaren Medicaid	$6,402.50
Rate for Payer: Meridian Medicaid	$6,722.62
Rate for Payer: Priority Health Choice Medicaid	$6,402.50
Rate for Payer: UHCCP Medicaid	$6,402.50

APR-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$4,447.27

Service Code	APR-DRG 5002
Min. Negotiated Rate	$4,235.50
Max. Negotiated Rate	$4,447.27
Rate for Payer: BCBS Complete	$4,447.27
Rate for Payer: Mclaren Medicaid	$4,235.50
Rate for Payer: Meridian Medicaid	$4,447.27
Rate for Payer: Priority Health Choice Medicaid	$4,235.50
Rate for Payer: UHCCP Medicaid	$4,235.50

APR-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$10,549.35

Service Code	APR-DRG 5004
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: MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$3,775.01

Service Code	APR-DRG 5001
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

Know your out-of-pocket cost for care.

All Charges