Bronson Lakeview Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$59,831.36

Service Code	APR-DRG 6034
Min. Negotiated Rate	$56,982.25
Max. Negotiated Rate	$59,831.36
Rate for Payer: BCBS Complete	$59,831.36
Rate for Payer: Mclaren Medicaid	$56,982.25
Rate for Payer: Meridian Medicaid	$59,831.36
Rate for Payer: Priority Health Choice Medicaid	$56,982.25
Rate for Payer: UHCCP Medicaid	$56,982.25

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$25,339.12

Service Code	APR-DRG 6032
Min. Negotiated Rate	$24,132.50
Max. Negotiated Rate	$25,339.12
Rate for Payer: BCBS Complete	$25,339.12
Rate for Payer: Mclaren Medicaid	$24,132.50
Rate for Payer: Meridian Medicaid	$25,339.12
Rate for Payer: Priority Health Choice Medicaid	$24,132.50
Rate for Payer: UHCCP Medicaid	$24,132.50

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$36,715.88

Service Code	APR-DRG 6023
Min. Negotiated Rate	$34,967.50
Max. Negotiated Rate	$36,715.88
Rate for Payer: BCBS Complete	$36,715.88
Rate for Payer: Mclaren Medicaid	$34,967.50
Rate for Payer: Meridian Medicaid	$36,715.88
Rate for Payer: Priority Health Choice Medicaid	$34,967.50
Rate for Payer: UHCCP Medicaid	$34,967.50

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$53,212.16

Service Code	APR-DRG 6024
Min. Negotiated Rate	$50,678.25
Max. Negotiated Rate	$53,212.16
Rate for Payer: BCBS Complete	$53,212.16
Rate for Payer: Mclaren Medicaid	$50,678.25
Rate for Payer: Meridian Medicaid	$53,212.16
Rate for Payer: Priority Health Choice Medicaid	$50,678.25
Rate for Payer: UHCCP Medicaid	$50,678.25

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$25,856.25

Service Code	APR-DRG 6021
Min. Negotiated Rate	$24,625.00
Max. Negotiated Rate	$25,856.25
Rate for Payer: BCBS Complete	$25,856.25
Rate for Payer: Mclaren Medicaid	$24,625.00
Rate for Payer: Meridian Medicaid	$25,856.25
Rate for Payer: Priority Health Choice Medicaid	$24,625.00
Rate for Payer: UHCCP Medicaid	$24,625.00

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$29,424.41

Service Code	APR-DRG 6022
Min. Negotiated Rate	$28,023.25
Max. Negotiated Rate	$29,424.41
Rate for Payer: BCBS Complete	$29,424.41
Rate for Payer: Mclaren Medicaid	$28,023.25
Rate for Payer: Meridian Medicaid	$29,424.41
Rate for Payer: Priority Health Choice Medicaid	$28,023.25
Rate for Payer: UHCCP Medicaid	$28,023.25

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$24,925.42

Service Code	APR-DRG 6084
Min. Negotiated Rate	$23,738.50
Max. Negotiated Rate	$24,925.42
Rate for Payer: BCBS Complete	$24,925.42
Rate for Payer: Mclaren Medicaid	$23,738.50
Rate for Payer: Meridian Medicaid	$24,925.42
Rate for Payer: Priority Health Choice Medicaid	$23,738.50
Rate for Payer: UHCCP Medicaid	$23,738.50

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$14,841.49

Service Code	APR-DRG 6082
Min. Negotiated Rate	$14,134.75
Max. Negotiated Rate	$14,841.49
Rate for Payer: BCBS Complete	$14,841.49
Rate for Payer: Mclaren Medicaid	$14,134.75
Rate for Payer: Meridian Medicaid	$14,841.49
Rate for Payer: Priority Health Choice Medicaid	$14,134.75
Rate for Payer: UHCCP Medicaid	$14,134.75

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$21,512.40

Service Code	APR-DRG 6083
Min. Negotiated Rate	$20,488.00
Max. Negotiated Rate	$21,512.40
Rate for Payer: BCBS Complete	$21,512.40
Rate for Payer: Mclaren Medicaid	$20,488.00
Rate for Payer: Meridian Medicaid	$21,512.40
Rate for Payer: Priority Health Choice Medicaid	$20,488.00
Rate for Payer: UHCCP Medicaid	$20,488.00

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$8,584.28

Service Code	APR-DRG 6081
Min. Negotiated Rate	$8,175.50
Max. Negotiated Rate	$8,584.28
Rate for Payer: BCBS Complete	$8,584.28
Rate for Payer: Mclaren Medicaid	$8,175.50
Rate for Payer: Meridian Medicaid	$8,584.28
Rate for Payer: Priority Health Choice Medicaid	$8,175.50
Rate for Payer: UHCCP Medicaid	$8,175.50

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$14,427.79

Service Code	APR-DRG 6071
Min. Negotiated Rate	$13,740.75
Max. Negotiated Rate	$14,427.79
Rate for Payer: BCBS Complete	$14,427.79
Rate for Payer: Mclaren Medicaid	$13,740.75
Rate for Payer: Meridian Medicaid	$14,427.79
Rate for Payer: Priority Health Choice Medicaid	$13,740.75
Rate for Payer: UHCCP Medicaid	$13,740.75

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$20,374.72

Service Code	APR-DRG 6072
Min. Negotiated Rate	$19,404.50
Max. Negotiated Rate	$20,374.72
Rate for Payer: BCBS Complete	$20,374.72
Rate for Payer: Mclaren Medicaid	$19,404.50
Rate for Payer: Meridian Medicaid	$20,374.72
Rate for Payer: Priority Health Choice Medicaid	$19,404.50
Rate for Payer: UHCCP Medicaid	$19,404.50

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$39,870.34

Service Code	APR-DRG 6074
Min. Negotiated Rate	$37,971.75
Max. Negotiated Rate	$39,870.34
Rate for Payer: BCBS Complete	$39,870.34
Rate for Payer: Mclaren Medicaid	$37,971.75
Rate for Payer: Meridian Medicaid	$39,870.34
Rate for Payer: Priority Health Choice Medicaid	$37,971.75
Rate for Payer: UHCCP Medicaid	$37,971.75

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$26,993.92

Service Code	APR-DRG 6073
Min. Negotiated Rate	$25,708.50
Max. Negotiated Rate	$26,993.92
Rate for Payer: BCBS Complete	$26,993.92
Rate for Payer: Mclaren Medicaid	$25,708.50
Rate for Payer: Meridian Medicaid	$26,993.92
Rate for Payer: Priority Health Choice Medicaid	$25,708.50
Rate for Payer: UHCCP Medicaid	$25,708.50

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$25,959.68

Service Code	APR-DRG 6133
Min. Negotiated Rate	$24,723.50
Max. Negotiated Rate	$25,959.68
Rate for Payer: BCBS Complete	$25,959.68
Rate for Payer: Mclaren Medicaid	$24,723.50
Rate for Payer: Meridian Medicaid	$25,959.68
Rate for Payer: Priority Health Choice Medicaid	$24,723.50
Rate for Payer: UHCCP Medicaid	$24,723.50

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$4,498.99

Service Code	APR-DRG 6131
Min. Negotiated Rate	$4,284.75
Max. Negotiated Rate	$4,498.99
Rate for Payer: BCBS Complete	$4,498.99
Rate for Payer: Mclaren Medicaid	$4,284.75
Rate for Payer: Meridian Medicaid	$4,498.99
Rate for Payer: Priority Health Choice Medicaid	$4,284.75
Rate for Payer: UHCCP Medicaid	$4,284.75

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$53,005.31

Service Code	APR-DRG 6134
Min. Negotiated Rate	$50,481.25
Max. Negotiated Rate	$53,005.31
Rate for Payer: BCBS Complete	$53,005.31
Rate for Payer: Mclaren Medicaid	$50,481.25
Rate for Payer: Meridian Medicaid	$53,005.31
Rate for Payer: Priority Health Choice Medicaid	$50,481.25
Rate for Payer: UHCCP Medicaid	$50,481.25

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$16,754.85

Service Code	APR-DRG 6132
Min. Negotiated Rate	$15,957.00
Max. Negotiated Rate	$16,754.85
Rate for Payer: BCBS Complete	$16,754.85
Rate for Payer: Mclaren Medicaid	$15,957.00
Rate for Payer: Meridian Medicaid	$16,754.85
Rate for Payer: Priority Health Choice Medicaid	$15,957.00
Rate for Payer: UHCCP Medicaid	$15,957.00

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY

Facility

$31,079.21

Service Code	APR-DRG 6114
Min. Negotiated Rate	$29,599.25
Max. Negotiated Rate	$31,079.21
Rate for Payer: BCBS Complete	$31,079.21
Rate for Payer: Mclaren Medicaid	$29,599.25
Rate for Payer: Meridian Medicaid	$31,079.21
Rate for Payer: Priority Health Choice Medicaid	$29,599.25
Rate for Payer: UHCCP Medicaid	$29,599.25

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY

Facility

$16,392.86

Service Code	APR-DRG 6113
Min. Negotiated Rate	$15,612.25
Max. Negotiated Rate	$16,392.86
Rate for Payer: BCBS Complete	$16,392.86
Rate for Payer: Mclaren Medicaid	$15,612.25
Rate for Payer: Meridian Medicaid	$16,392.86
Rate for Payer: Priority Health Choice Medicaid	$15,612.25
Rate for Payer: UHCCP Medicaid	$15,612.25

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY

Facility

$12,928.12

Service Code	APR-DRG 6112
Min. Negotiated Rate	$12,312.50
Max. Negotiated Rate	$12,928.12
Rate for Payer: BCBS Complete	$12,928.12
Rate for Payer: Mclaren Medicaid	$12,312.50
Rate for Payer: Meridian Medicaid	$12,928.12
Rate for Payer: Priority Health Choice Medicaid	$12,312.50
Rate for Payer: UHCCP Medicaid	$12,312.50

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY

Facility

$4,602.41

Service Code	APR-DRG 6111
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: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION

Facility

$3,930.15

Service Code	APR-DRG 6141
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: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION

Facility

$26,063.10

Service Code	APR-DRG 6144
Min. Negotiated Rate	$24,822.00
Max. Negotiated Rate	$26,063.10
Rate for Payer: BCBS Complete	$26,063.10
Rate for Payer: Mclaren Medicaid	$24,822.00
Rate for Payer: Meridian Medicaid	$26,063.10
Rate for Payer: Priority Health Choice Medicaid	$24,822.00
Rate for Payer: UHCCP Medicaid	$24,822.00

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION

Facility

$10,083.94

Service Code	APR-DRG 6142
Min. Negotiated Rate	$9,603.75
Max. Negotiated Rate	$10,083.94
Rate for Payer: BCBS Complete	$10,083.94
Rate for Payer: Mclaren Medicaid	$9,603.75
Rate for Payer: Meridian Medicaid	$10,083.94
Rate for Payer: Priority Health Choice Medicaid	$9,603.75
Rate for Payer: UHCCP Medicaid	$9,603.75

Know your out-of-pocket cost for care.

All Charges