Bronson Lakeview Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: MIGRAINE AND OTHER HEADACHES

Facility

$5,584.95

Service Code	APR-DRG 0543
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

APR-DRG 42.00: MIGRAINE AND OTHER HEADACHES

Facility

$3,671.59

Service Code	APR-DRG 0541
Min. Negotiated Rate	$3,496.75
Max. Negotiated Rate	$3,671.59
Rate for Payer: BCBS Complete	$3,671.59
Rate for Payer: Mclaren Medicaid	$3,496.75
Rate for Payer: Meridian Medicaid	$3,671.59
Rate for Payer: Priority Health Choice Medicaid	$3,496.75
Rate for Payer: UHCCP Medicaid	$3,496.75

APR-DRG 42.00: MIGRAINE AND OTHER HEADACHES

Facility

$4,395.56

Service Code	APR-DRG 0542
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: MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$19,547.33

Service Code	APR-DRG 7934
Min. Negotiated Rate	$18,616.50
Max. Negotiated Rate	$19,547.33
Rate for Payer: BCBS Complete	$19,547.33
Rate for Payer: Mclaren Medicaid	$18,616.50
Rate for Payer: Meridian Medicaid	$19,547.33
Rate for Payer: Priority Health Choice Medicaid	$18,616.50
Rate for Payer: UHCCP Medicaid	$18,616.50

APR-DRG 42.00: MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$5,895.23

Service Code	APR-DRG 7931
Min. Negotiated Rate	$5,614.50
Max. Negotiated Rate	$5,895.23
Rate for Payer: BCBS Complete	$5,895.23
Rate for Payer: Mclaren Medicaid	$5,614.50
Rate for Payer: Meridian Medicaid	$5,895.23
Rate for Payer: Priority Health Choice Medicaid	$5,614.50
Rate for Payer: UHCCP Medicaid	$5,614.50

APR-DRG 42.00: MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$7,860.30

Service Code	APR-DRG 7932
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: MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$11,221.61

Service Code	APR-DRG 7933
Min. Negotiated Rate	$10,687.25
Max. Negotiated Rate	$11,221.61
Rate for Payer: BCBS Complete	$11,221.61
Rate for Payer: Mclaren Medicaid	$10,687.25
Rate for Payer: Meridian Medicaid	$11,221.61
Rate for Payer: Priority Health Choice Medicaid	$10,687.25
Rate for Payer: UHCCP Medicaid	$10,687.25

APR-DRG 42.00: MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$6,153.79

Service Code	APR-DRG 9511
Min. Negotiated Rate	$5,860.75
Max. Negotiated Rate	$6,153.79
Rate for Payer: BCBS Complete	$6,153.79
Rate for Payer: Mclaren Medicaid	$5,860.75
Rate for Payer: Meridian Medicaid	$6,153.79
Rate for Payer: Priority Health Choice Medicaid	$5,860.75
Rate for Payer: UHCCP Medicaid	$5,860.75

APR-DRG 42.00: MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$13,083.26

Service Code	APR-DRG 9513
Min. Negotiated Rate	$12,460.25
Max. Negotiated Rate	$13,083.26
Rate for Payer: BCBS Complete	$13,083.26
Rate for Payer: Mclaren Medicaid	$12,460.25
Rate for Payer: Meridian Medicaid	$13,083.26
Rate for Payer: Priority Health Choice Medicaid	$12,460.25
Rate for Payer: UHCCP Medicaid	$12,460.25

APR-DRG 42.00: MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$21,667.54

Service Code	APR-DRG 9514
Min. Negotiated Rate	$20,635.75
Max. Negotiated Rate	$21,667.54
Rate for Payer: BCBS Complete	$21,667.54
Rate for Payer: Mclaren Medicaid	$20,635.75
Rate for Payer: Meridian Medicaid	$21,667.54
Rate for Payer: Priority Health Choice Medicaid	$20,635.75
Rate for Payer: UHCCP Medicaid	$20,635.75

APR-DRG 42.00: MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$8,894.55

Service Code	APR-DRG 9512
Min. Negotiated Rate	$8,471.00
Max. Negotiated Rate	$8,894.55
Rate for Payer: BCBS Complete	$8,894.55
Rate for Payer: Mclaren Medicaid	$8,471.00
Rate for Payer: Meridian Medicaid	$8,894.55
Rate for Payer: Priority Health Choice Medicaid	$8,471.00
Rate for Payer: UHCCP Medicaid	$8,471.00

APR-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL

Facility

$19,288.76

Service Code	APR-DRG 2991
Min. Negotiated Rate	$18,370.25
Max. Negotiated Rate	$19,288.76
Rate for Payer: BCBS Complete	$19,288.76
Rate for Payer: Mclaren Medicaid	$18,370.25
Rate for Payer: Meridian Medicaid	$19,288.76
Rate for Payer: Priority Health Choice Medicaid	$18,370.25
Rate for Payer: UHCCP Medicaid	$18,370.25

APR-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL

Facility

$31,544.62

Service Code	APR-DRG 2993
Min. Negotiated Rate	$30,042.50
Max. Negotiated Rate	$31,544.62
Rate for Payer: BCBS Complete	$31,544.62
Rate for Payer: Mclaren Medicaid	$30,042.50
Rate for Payer: Meridian Medicaid	$31,544.62
Rate for Payer: Priority Health Choice Medicaid	$30,042.50
Rate for Payer: UHCCP Medicaid	$30,042.50

APR-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL

Facility

$40,335.75

Service Code	APR-DRG 2994
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: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL

Facility

$23,218.91

Service Code	APR-DRG 2992
Min. Negotiated Rate	$22,113.25
Max. Negotiated Rate	$23,218.91
Rate for Payer: BCBS Complete	$23,218.91
Rate for Payer: Mclaren Medicaid	$22,113.25
Rate for Payer: Meridian Medicaid	$23,218.91
Rate for Payer: Priority Health Choice Medicaid	$22,113.25
Rate for Payer: UHCCP Medicaid	$22,113.25

APR-DRG 42.00: MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES

Facility

$5,533.24

Service Code	APR-DRG 0431
Min. Negotiated Rate	$5,269.75
Max. Negotiated Rate	$5,533.24
Rate for Payer: BCBS Complete	$5,533.24
Rate for Payer: Mclaren Medicaid	$5,269.75
Rate for Payer: Meridian Medicaid	$5,533.24
Rate for Payer: Priority Health Choice Medicaid	$5,269.75
Rate for Payer: UHCCP Medicaid	$5,269.75

APR-DRG 42.00: MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES

Facility

$8,170.57

Service Code	APR-DRG 0432
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: MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES

Facility

$11,997.30

Service Code	APR-DRG 0433
Min. Negotiated Rate	$11,426.00
Max. Negotiated Rate	$11,997.30
Rate for Payer: BCBS Complete	$11,997.30
Rate for Payer: Mclaren Medicaid	$11,426.00
Rate for Payer: Meridian Medicaid	$11,997.30
Rate for Payer: Priority Health Choice Medicaid	$11,426.00
Rate for Payer: UHCCP Medicaid	$11,426.00

APR-DRG 42.00: MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES

Facility

$21,305.55

Service Code	APR-DRG 0434
Min. Negotiated Rate	$20,291.00
Max. Negotiated Rate	$21,305.55
Rate for Payer: BCBS Complete	$21,305.55
Rate for Payer: Mclaren Medicaid	$20,291.00
Rate for Payer: Meridian Medicaid	$21,305.55
Rate for Payer: Priority Health Choice Medicaid	$20,291.00
Rate for Payer: UHCCP Medicaid	$20,291.00

APR-DRG 42.00: MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE

Facility

$16,134.30

Service Code	APR-DRG 9304
Min. Negotiated Rate	$15,366.00
Max. Negotiated Rate	$16,134.30
Rate for Payer: BCBS Complete	$16,134.30
Rate for Payer: Mclaren Medicaid	$15,366.00
Rate for Payer: Meridian Medicaid	$16,134.30
Rate for Payer: Priority Health Choice Medicaid	$15,366.00
Rate for Payer: UHCCP Medicaid	$15,366.00

APR-DRG 42.00: MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE

Facility

$9,101.40

Service Code	APR-DRG 9303
Min. Negotiated Rate	$8,668.00
Max. Negotiated Rate	$9,101.40
Rate for Payer: BCBS Complete	$9,101.40
Rate for Payer: Mclaren Medicaid	$8,668.00
Rate for Payer: Meridian Medicaid	$9,101.40
Rate for Payer: Priority Health Choice Medicaid	$8,668.00
Rate for Payer: UHCCP Medicaid	$8,668.00

APR-DRG 42.00: MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE

Facility

$4,654.12

Service Code	APR-DRG 9301
Min. Negotiated Rate	$4,432.50
Max. Negotiated Rate	$4,654.12
Rate for Payer: BCBS Complete	$4,654.12
Rate for Payer: Mclaren Medicaid	$4,432.50
Rate for Payer: Meridian Medicaid	$4,654.12
Rate for Payer: Priority Health Choice Medicaid	$4,432.50
Rate for Payer: UHCCP Medicaid	$4,432.50

APR-DRG 42.00: MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE

Facility

$5,895.23

Service Code	APR-DRG 9302
Min. Negotiated Rate	$5,614.50
Max. Negotiated Rate	$5,895.23
Rate for Payer: BCBS Complete	$5,895.23
Rate for Payer: Mclaren Medicaid	$5,614.50
Rate for Payer: Meridian Medicaid	$5,895.23
Rate for Payer: Priority Health Choice Medicaid	$5,614.50
Rate for Payer: UHCCP Medicaid	$5,614.50

APR-DRG 42.00: MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$19,702.46

Service Code	APR-DRG 9123
Min. Negotiated Rate	$18,764.25
Max. Negotiated Rate	$19,702.46
Rate for Payer: BCBS Complete	$19,702.46
Rate for Payer: Mclaren Medicaid	$18,764.25
Rate for Payer: Meridian Medicaid	$19,702.46
Rate for Payer: Priority Health Choice Medicaid	$18,764.25
Rate for Payer: UHCCP Medicaid	$18,764.25

APR-DRG 42.00: MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$10,445.92

Service Code	APR-DRG 9121
Min. Negotiated Rate	$9,948.50
Max. Negotiated Rate	$10,445.92
Rate for Payer: BCBS Complete	$10,445.92
Rate for Payer: Mclaren Medicaid	$9,948.50
Rate for Payer: Meridian Medicaid	$10,445.92
Rate for Payer: Priority Health Choice Medicaid	$9,948.50
Rate for Payer: UHCCP Medicaid	$9,948.50

Know your out-of-pocket cost for care.

All Charges