Bronson Lakeview Hospital

All Charges

Charge

Type

Setting

Price

CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS

Facility

$7,644.14

Service Code	APR-DRG 1922
Min. Negotiated Rate	$7,280.13
Max. Negotiated Rate	$7,644.14
Rate for Payer: BCBS Complete	$7,644.14
Rate for Payer: Mclaren Medicaid	$7,280.13
Rate for Payer: Meridian Medicaid	$7,644.14
Rate for Payer: Priority Health Choice Medicaid	$7,280.13
Rate for Payer: UHC Medicaid	$7,280.13
Rate for Payer: UHCCP Medicaid	$7,280.13

CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS

Facility

$9,690.18

Service Code	APR-DRG 1923
Min. Negotiated Rate	$9,228.74
Max. Negotiated Rate	$9,690.18
Rate for Payer: BCBS Complete	$9,690.18
Rate for Payer: Mclaren Medicaid	$9,228.74
Rate for Payer: Meridian Medicaid	$9,690.18
Rate for Payer: Priority Health Choice Medicaid	$9,228.74
Rate for Payer: UHC Medicaid	$9,228.74
Rate for Payer: UHCCP Medicaid	$9,228.74

CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS

Facility

$6,040.85

Service Code	APR-DRG 1921
Min. Negotiated Rate	$5,753.19
Max. Negotiated Rate	$6,040.85
Rate for Payer: BCBS Complete	$6,040.85
Rate for Payer: Mclaren Medicaid	$5,753.19
Rate for Payer: Meridian Medicaid	$6,040.85
Rate for Payer: Priority Health Choice Medicaid	$5,753.19
Rate for Payer: UHC Medicaid	$5,753.19
Rate for Payer: UHCCP Medicaid	$5,753.19

CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS

Facility

$16,204.81

Service Code	APR-DRG 1924
Min. Negotiated Rate	$15,433.15
Max. Negotiated Rate	$16,204.81
Rate for Payer: BCBS Complete	$16,204.81
Rate for Payer: Mclaren Medicaid	$15,433.15
Rate for Payer: Meridian Medicaid	$16,204.81
Rate for Payer: Priority Health Choice Medicaid	$15,433.15
Rate for Payer: UHC Medicaid	$15,433.15
Rate for Payer: UHCCP Medicaid	$15,433.15

CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT

Facility

$8,043.25

Service Code	APR-DRG 1771
Min. Negotiated Rate	$7,660.24
Max. Negotiated Rate	$8,043.25
Rate for Payer: BCBS Complete	$8,043.25
Rate for Payer: Mclaren Medicaid	$7,660.24
Rate for Payer: Meridian Medicaid	$8,043.25
Rate for Payer: Priority Health Choice Medicaid	$7,660.24
Rate for Payer: UHC Medicaid	$7,660.24
Rate for Payer: UHCCP Medicaid	$7,660.24

CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT

Facility

$20,646.06

Service Code	APR-DRG 1774
Min. Negotiated Rate	$19,662.91
Max. Negotiated Rate	$20,646.06
Rate for Payer: BCBS Complete	$20,646.06
Rate for Payer: Mclaren Medicaid	$19,662.91
Rate for Payer: Meridian Medicaid	$20,646.06
Rate for Payer: Priority Health Choice Medicaid	$19,662.91
Rate for Payer: UHC Medicaid	$19,662.91
Rate for Payer: UHCCP Medicaid	$19,662.91

CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT

Facility

$11,825.09

Service Code	APR-DRG 1772
Min. Negotiated Rate	$11,261.99
Max. Negotiated Rate	$11,825.09
Rate for Payer: BCBS Complete	$11,825.09
Rate for Payer: Mclaren Medicaid	$11,261.99
Rate for Payer: Meridian Medicaid	$11,825.09
Rate for Payer: Priority Health Choice Medicaid	$11,261.99
Rate for Payer: UHC Medicaid	$11,261.99
Rate for Payer: UHCCP Medicaid	$11,261.99

CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT

Facility

$17,123.45

Service Code	APR-DRG 1773
Min. Negotiated Rate	$16,308.05
Max. Negotiated Rate	$17,123.45
Rate for Payer: BCBS Complete	$17,123.45
Rate for Payer: Mclaren Medicaid	$16,308.05
Rate for Payer: Meridian Medicaid	$17,123.45
Rate for Payer: Priority Health Choice Medicaid	$16,308.05
Rate for Payer: UHC Medicaid	$16,308.05
Rate for Payer: UHCCP Medicaid	$16,308.05

CARDIAC STRUCTURAL AND VALVULAR DISORDERS

Facility

$3,712.43

Service Code	APR-DRG 2001
Min. Negotiated Rate	$3,535.65
Max. Negotiated Rate	$3,712.43
Rate for Payer: BCBS Complete	$3,712.43
Rate for Payer: Mclaren Medicaid	$3,535.65
Rate for Payer: Meridian Medicaid	$3,712.43
Rate for Payer: Priority Health Choice Medicaid	$3,535.65
Rate for Payer: UHC Medicaid	$3,535.65
Rate for Payer: UHCCP Medicaid	$3,535.65

CARDIAC STRUCTURAL AND VALVULAR DISORDERS

Facility

$11,068.93

Service Code	APR-DRG 2003
Min. Negotiated Rate	$10,541.84
Max. Negotiated Rate	$11,068.93
Rate for Payer: BCBS Complete	$11,068.93
Rate for Payer: Mclaren Medicaid	$10,541.84
Rate for Payer: Meridian Medicaid	$11,068.93
Rate for Payer: Priority Health Choice Medicaid	$10,541.84
Rate for Payer: UHC Medicaid	$10,541.84
Rate for Payer: UHCCP Medicaid	$10,541.84

CARDIAC STRUCTURAL AND VALVULAR DISORDERS

Facility

$5,063.84

Service Code	APR-DRG 2002
Min. Negotiated Rate	$4,822.70
Max. Negotiated Rate	$5,063.84
Rate for Payer: BCBS Complete	$5,063.84
Rate for Payer: Mclaren Medicaid	$4,822.70
Rate for Payer: Meridian Medicaid	$5,063.84
Rate for Payer: Priority Health Choice Medicaid	$4,822.70
Rate for Payer: UHC Medicaid	$4,822.70
Rate for Payer: UHCCP Medicaid	$4,822.70

CARDIAC STRUCTURAL AND VALVULAR DISORDERS

Facility

$20,784.35

Service Code	APR-DRG 2004
Min. Negotiated Rate	$19,794.62
Max. Negotiated Rate	$20,784.35
Rate for Payer: BCBS Complete	$20,784.35
Rate for Payer: Mclaren Medicaid	$19,794.62
Rate for Payer: Meridian Medicaid	$20,784.35
Rate for Payer: Priority Health Choice Medicaid	$19,794.62
Rate for Payer: UHC Medicaid	$19,794.62
Rate for Payer: UHCCP Medicaid	$19,794.62

CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$29,847.73

Service Code	APR-DRG 1622
Min. Negotiated Rate	$28,426.41
Max. Negotiated Rate	$29,847.73
Rate for Payer: BCBS Complete	$29,847.73
Rate for Payer: Mclaren Medicaid	$28,426.41
Rate for Payer: Meridian Medicaid	$29,847.73
Rate for Payer: Priority Health Choice Medicaid	$28,426.41
Rate for Payer: UHC Medicaid	$28,426.41
Rate for Payer: UHCCP Medicaid	$28,426.41

CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$35,483.68

Service Code	APR-DRG 1623
Min. Negotiated Rate	$33,793.98
Max. Negotiated Rate	$35,483.68
Rate for Payer: BCBS Complete	$35,483.68
Rate for Payer: Mclaren Medicaid	$33,793.98
Rate for Payer: Meridian Medicaid	$35,483.68
Rate for Payer: Priority Health Choice Medicaid	$33,793.98
Rate for Payer: UHC Medicaid	$33,793.98
Rate for Payer: UHCCP Medicaid	$33,793.98

CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$48,342.57

Service Code	APR-DRG 1624
Min. Negotiated Rate	$46,040.55
Max. Negotiated Rate	$48,342.57
Rate for Payer: BCBS Complete	$48,342.57
Rate for Payer: Mclaren Medicaid	$46,040.55
Rate for Payer: Meridian Medicaid	$48,342.57
Rate for Payer: Priority Health Choice Medicaid	$46,040.55
Rate for Payer: UHC Medicaid	$46,040.55
Rate for Payer: UHCCP Medicaid	$46,040.55

CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$24,381.62

Service Code	APR-DRG 1621
Min. Negotiated Rate	$23,220.59
Max. Negotiated Rate	$24,381.62
Rate for Payer: BCBS Complete	$24,381.62
Rate for Payer: Mclaren Medicaid	$23,220.59
Rate for Payer: Meridian Medicaid	$24,381.62
Rate for Payer: Priority Health Choice Medicaid	$23,220.59
Rate for Payer: UHC Medicaid	$23,220.59
Rate for Payer: UHCCP Medicaid	$23,220.59

CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$22,373.44

Service Code	APR-DRG 1632
Min. Negotiated Rate	$21,308.04
Max. Negotiated Rate	$22,373.44
Rate for Payer: BCBS Complete	$22,373.44
Rate for Payer: Mclaren Medicaid	$21,308.04
Rate for Payer: Meridian Medicaid	$22,373.44
Rate for Payer: Priority Health Choice Medicaid	$21,308.04
Rate for Payer: UHC Medicaid	$21,308.04
Rate for Payer: UHCCP Medicaid	$21,308.04

CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$29,301.91

Service Code	APR-DRG 1633
Min. Negotiated Rate	$27,906.58
Max. Negotiated Rate	$29,301.91
Rate for Payer: BCBS Complete	$29,301.91
Rate for Payer: Mclaren Medicaid	$27,906.58
Rate for Payer: Meridian Medicaid	$29,301.91
Rate for Payer: Priority Health Choice Medicaid	$27,906.58
Rate for Payer: UHC Medicaid	$27,906.58
Rate for Payer: UHCCP Medicaid	$27,906.58

CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$47,061.10

Service Code	APR-DRG 1634
Min. Negotiated Rate	$44,820.10
Max. Negotiated Rate	$47,061.10
Rate for Payer: BCBS Complete	$47,061.10
Rate for Payer: Mclaren Medicaid	$44,820.10
Rate for Payer: Meridian Medicaid	$47,061.10
Rate for Payer: Priority Health Choice Medicaid	$44,820.10
Rate for Payer: UHC Medicaid	$44,820.10
Rate for Payer: UHCCP Medicaid	$44,820.10

CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$20,628.18

Service Code	APR-DRG 1631
Min. Negotiated Rate	$19,645.88
Max. Negotiated Rate	$20,628.18
Rate for Payer: BCBS Complete	$20,628.18
Rate for Payer: Mclaren Medicaid	$19,645.88
Rate for Payer: Meridian Medicaid	$20,628.18
Rate for Payer: Priority Health Choice Medicaid	$19,645.88
Rate for Payer: UHC Medicaid	$19,645.88
Rate for Payer: UHCCP Medicaid	$19,645.88

CARDIOMYOPATHY

Facility

$3,230.76

Service Code	APR-DRG 2051
Min. Negotiated Rate	$3,076.92
Max. Negotiated Rate	$3,230.76
Rate for Payer: BCBS Complete	$3,230.76
Rate for Payer: Mclaren Medicaid	$3,076.92
Rate for Payer: Meridian Medicaid	$3,230.76
Rate for Payer: Priority Health Choice Medicaid	$3,076.92
Rate for Payer: UHC Medicaid	$3,076.92
Rate for Payer: UHCCP Medicaid	$3,076.92

CARDIOMYOPATHY

Facility

$5,639.63

Service Code	APR-DRG 2053
Min. Negotiated Rate	$5,371.08
Max. Negotiated Rate	$5,639.63
Rate for Payer: BCBS Complete	$5,639.63
Rate for Payer: Mclaren Medicaid	$5,371.08
Rate for Payer: Meridian Medicaid	$5,639.63
Rate for Payer: Priority Health Choice Medicaid	$5,371.08
Rate for Payer: UHC Medicaid	$5,371.08
Rate for Payer: UHCCP Medicaid	$5,371.08

CARDIOMYOPATHY

Facility

$4,149.93

Service Code	APR-DRG 2052
Min. Negotiated Rate	$3,952.31
Max. Negotiated Rate	$4,149.93
Rate for Payer: BCBS Complete	$4,149.93
Rate for Payer: Mclaren Medicaid	$3,952.31
Rate for Payer: Meridian Medicaid	$4,149.93
Rate for Payer: Priority Health Choice Medicaid	$3,952.31
Rate for Payer: UHC Medicaid	$3,952.31
Rate for Payer: UHCCP Medicaid	$3,952.31

CARDIOMYOPATHY

Facility

$11,603.19

Service Code	APR-DRG 2054
Min. Negotiated Rate	$11,050.65
Max. Negotiated Rate	$11,603.19
Rate for Payer: BCBS Complete	$11,603.19
Rate for Payer: Mclaren Medicaid	$11,050.65
Rate for Payer: Meridian Medicaid	$11,603.19
Rate for Payer: Priority Health Choice Medicaid	$11,050.65
Rate for Payer: UHC Medicaid	$11,050.65
Rate for Payer: UHCCP Medicaid	$11,050.65

CARVEDILOL 12.5 MG TABLET

Facility

$72.85

Service Code	NDC 68382009401
Hospital Charge Code	15749
Hospital Revenue Code	637
Min. Negotiated Rate	$12.84
Max. Negotiated Rate	$65.56
Rate for Payer: Aetna Commercial	$61.92
Rate for Payer: Aetna Medicare	$18.94
Rate for Payer: Allen County Amish Medical Aid Commercial	$22.77
Rate for Payer: Amish Plain Church Group Commercial	$22.77
Rate for Payer: BCBS Complete	$13.48
Rate for Payer: BCBS MAPPO	$18.21
Rate for Payer: BCBS Trust/PPO	$59.89
Rate for Payer: BCN Commercial	$59.89
Rate for Payer: BCN Medicare Advantage	$18.21
Rate for Payer: Cash Price	$58.28
Rate for Payer: Cofinity Commercial	$62.65
Rate for Payer: Encore Health Key Benefits Commercial	$58.28
Rate for Payer: Health Alliance Plan Medicare Advantage	$18.21
Rate for Payer: Healthscope Commercial	$65.56
Rate for Payer: Lakeland Regional Health Systems Commercial	$54.64
Rate for Payer: Mclaren Medicaid	$12.84
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$19.12
Rate for Payer: Meridian Medicaid	$13.48
Rate for Payer: MI Amish Medical Board Commercial	$20.94
Rate for Payer: Molina Medicare/Medicaid	$20.03
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$61.92
Rate for Payer: Nomi Health Commercial	$59.74
Rate for Payer: Opus (Opus Packaging Group) HMA	$54.64
Rate for Payer: PACE Senior Care Partners	$17.30
Rate for Payer: PACE SWMI	$18.21
Rate for Payer: PHP Commercial	$61.92
Rate for Payer: PHP Medicare Advantage	$18.21
Rate for Payer: Priority Health Choice Medicaid	$12.84
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$63.38
Rate for Payer: Priority Health Medicare	$18.39
Rate for Payer: Priority Health Narrow/Tiered Network	$50.70
Rate for Payer: Railroad Medicare Medicare	$18.21
Rate for Payer: UHC All Payor (Choice/PPO)	$64.11
Rate for Payer: UHC Core	$60.83
Rate for Payer: UHC Exchange	$18.21
Rate for Payer: UHC Medicaid	$12.84
Rate for Payer: UHC Medicare Advantage	$18.21
Rate for Payer: UHCCP Medicaid	$12.84
Rate for Payer: VA VA	$18.21
Rate for Payer: Van Buren County Sheriff Dept. Commercial	$54.64

Know your out-of-pocket cost for care.

All Charges