Bronson Lakeview Hospital

All Charges

Charge

Type

Setting

Price

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

Facility

$21,512.40

Service Code	APR-DRG 6071
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 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$26,166.53

Service Code	APR-DRG 6133
Min. Negotiated Rate	$24,920.50
Max. Negotiated Rate	$26,166.53
Rate for Payer: BCBS Complete	$26,166.53
Rate for Payer: Mclaren Medicaid	$24,920.50
Rate for Payer: Meridian Medicaid	$26,166.53
Rate for Payer: Priority Health Choice Medicaid	$24,920.50
Rate for Payer: UHCCP Medicaid	$24,920.50

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

Facility

$48,402.90

Service Code	APR-DRG 6134
Min. Negotiated Rate	$46,098.00
Max. Negotiated Rate	$48,402.90
Rate for Payer: BCBS Complete	$48,402.90
Rate for Payer: Mclaren Medicaid	$46,098.00
Rate for Payer: Meridian Medicaid	$48,402.90
Rate for Payer: Priority Health Choice Medicaid	$46,098.00
Rate for Payer: UHCCP Medicaid	$46,098.00

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

Facility

$15,410.33

Service Code	APR-DRG 6132
Min. Negotiated Rate	$14,676.50
Max. Negotiated Rate	$15,410.33
Rate for Payer: BCBS Complete	$15,410.33
Rate for Payer: Mclaren Medicaid	$14,676.50
Rate for Payer: Meridian Medicaid	$15,410.33
Rate for Payer: Priority Health Choice Medicaid	$14,676.50
Rate for Payer: UHCCP Medicaid	$14,676.50

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

Facility

$9,877.09

Service Code	APR-DRG 6131
Min. Negotiated Rate	$9,406.75
Max. Negotiated Rate	$9,877.09
Rate for Payer: BCBS Complete	$9,877.09
Rate for Payer: Mclaren Medicaid	$9,406.75
Rate for Payer: Meridian Medicaid	$9,877.09
Rate for Payer: Priority Health Choice Medicaid	$9,406.75
Rate for Payer: UHCCP Medicaid	$9,406.75

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

Facility

$16,030.88

Service Code	APR-DRG 6112
Min. Negotiated Rate	$15,267.50
Max. Negotiated Rate	$16,030.88
Rate for Payer: BCBS Complete	$16,030.88
Rate for Payer: Mclaren Medicaid	$15,267.50
Rate for Payer: Meridian Medicaid	$16,030.88
Rate for Payer: Priority Health Choice Medicaid	$15,267.50
Rate for Payer: UHCCP Medicaid	$15,267.50

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

Facility

$26,063.10

Service Code	APR-DRG 6113
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 MAJOR ANOMALY

Facility

$48,868.31

Service Code	APR-DRG 6114
Min. Negotiated Rate	$46,541.25
Max. Negotiated Rate	$48,868.31
Rate for Payer: BCBS Complete	$48,868.31
Rate for Payer: Mclaren Medicaid	$46,541.25
Rate for Payer: Meridian Medicaid	$48,868.31
Rate for Payer: Priority Health Choice Medicaid	$46,541.25
Rate for Payer: UHCCP Medicaid	$46,541.25

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

Facility

$8,377.42

Service Code	APR-DRG 6111
Min. Negotiated Rate	$7,978.50
Max. Negotiated Rate	$8,377.42
Rate for Payer: BCBS Complete	$8,377.42
Rate for Payer: Mclaren Medicaid	$7,978.50
Rate for Payer: Meridian Medicaid	$8,377.42
Rate for Payer: Priority Health Choice Medicaid	$7,978.50
Rate for Payer: UHCCP Medicaid	$7,978.50

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

Facility

$32,320.31

Service Code	APR-DRG 6144
Min. Negotiated Rate	$30,781.25
Max. Negotiated Rate	$32,320.31
Rate for Payer: BCBS Complete	$32,320.31
Rate for Payer: Mclaren Medicaid	$30,781.25
Rate for Payer: Meridian Medicaid	$32,320.31
Rate for Payer: Priority Health Choice Medicaid	$30,781.25
Rate for Payer: UHCCP Medicaid	$30,781.25

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

Facility

$6,515.77

Service Code	APR-DRG 6141
Min. Negotiated Rate	$6,205.50
Max. Negotiated Rate	$6,515.77
Rate for Payer: BCBS Complete	$6,515.77
Rate for Payer: Mclaren Medicaid	$6,205.50
Rate for Payer: Meridian Medicaid	$6,515.77
Rate for Payer: Priority Health Choice Medicaid	$6,205.50
Rate for Payer: UHCCP Medicaid	$6,205.50

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

Facility

$21,822.67

Service Code	APR-DRG 6143
Min. Negotiated Rate	$20,783.50
Max. Negotiated Rate	$21,822.67
Rate for Payer: BCBS Complete	$21,822.67
Rate for Payer: Mclaren Medicaid	$20,783.50
Rate for Payer: Meridian Medicaid	$21,822.67
Rate for Payer: Priority Health Choice Medicaid	$20,783.50
Rate for Payer: UHCCP Medicaid	$20,783.50

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

Facility

$12,617.85

Service Code	APR-DRG 6142
Min. Negotiated Rate	$12,017.00
Max. Negotiated Rate	$12,617.85
Rate for Payer: BCBS Complete	$12,617.85
Rate for Payer: Mclaren Medicaid	$12,017.00
Rate for Payer: Meridian Medicaid	$12,617.85
Rate for Payer: Priority Health Choice Medicaid	$12,017.00
Rate for Payer: UHCCP Medicaid	$12,017.00

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$12,876.41

Service Code	APR-DRG 6121
Min. Negotiated Rate	$12,263.25
Max. Negotiated Rate	$12,876.41
Rate for Payer: BCBS Complete	$12,876.41
Rate for Payer: Mclaren Medicaid	$12,263.25
Rate for Payer: Meridian Medicaid	$12,876.41
Rate for Payer: Priority Health Choice Medicaid	$12,263.25
Rate for Payer: UHCCP Medicaid	$12,263.25

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$38,474.10

Service Code	APR-DRG 6124
Min. Negotiated Rate	$36,642.00
Max. Negotiated Rate	$38,474.10
Rate for Payer: BCBS Complete	$38,474.10
Rate for Payer: Mclaren Medicaid	$36,642.00
Rate for Payer: Meridian Medicaid	$38,474.10
Rate for Payer: Priority Health Choice Medicaid	$36,642.00
Rate for Payer: UHCCP Medicaid	$36,642.00

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$18,668.21

Service Code	APR-DRG 6122
Min. Negotiated Rate	$17,779.25
Max. Negotiated Rate	$18,668.21
Rate for Payer: BCBS Complete	$18,668.21
Rate for Payer: Mclaren Medicaid	$17,779.25
Rate for Payer: Meridian Medicaid	$18,668.21
Rate for Payer: Priority Health Choice Medicaid	$17,779.25
Rate for Payer: UHCCP Medicaid	$17,779.25

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$26,683.65

Service Code	APR-DRG 6123
Min. Negotiated Rate	$25,413.00
Max. Negotiated Rate	$26,683.65
Rate for Payer: BCBS Complete	$26,683.65
Rate for Payer: Mclaren Medicaid	$25,413.00
Rate for Payer: Meridian Medicaid	$26,683.65
Rate for Payer: Priority Health Choice Medicaid	$25,413.00
Rate for Payer: UHCCP Medicaid	$25,413.00

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE

Facility

$27,614.47

Service Code	APR-DRG 6092
Min. Negotiated Rate	$26,299.50
Max. Negotiated Rate	$27,614.47
Rate for Payer: BCBS Complete	$27,614.47
Rate for Payer: Mclaren Medicaid	$26,299.50
Rate for Payer: Meridian Medicaid	$27,614.47
Rate for Payer: Priority Health Choice Medicaid	$26,299.50
Rate for Payer: UHCCP Medicaid	$26,299.50

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE

Facility

$121,938.07

Service Code	APR-DRG 6094
Min. Negotiated Rate	$116,131.50
Max. Negotiated Rate	$121,938.07
Rate for Payer: BCBS Complete	$121,938.07
Rate for Payer: Mclaren Medicaid	$116,131.50
Rate for Payer: Meridian Medicaid	$121,938.07
Rate for Payer: Priority Health Choice Medicaid	$116,131.50
Rate for Payer: UHCCP Medicaid	$116,131.50

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE

Facility

$42,300.82

Service Code	APR-DRG 6093
Min. Negotiated Rate	$40,286.50
Max. Negotiated Rate	$42,300.82
Rate for Payer: BCBS Complete	$42,300.82
Rate for Payer: Mclaren Medicaid	$40,286.50
Rate for Payer: Meridian Medicaid	$42,300.82
Rate for Payer: Priority Health Choice Medicaid	$40,286.50
Rate for Payer: UHCCP Medicaid	$40,286.50

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE

Facility

$22,184.66

Service Code	APR-DRG 6091
Min. Negotiated Rate	$21,128.25
Max. Negotiated Rate	$22,184.66
Rate for Payer: BCBS Complete	$22,184.66
Rate for Payer: Mclaren Medicaid	$21,128.25
Rate for Payer: Meridian Medicaid	$22,184.66
Rate for Payer: Priority Health Choice Medicaid	$21,128.25
Rate for Payer: UHCCP Medicaid	$21,128.25

APR-DRG 42.00: NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE

Facility

$116,559.98

Service Code	APR-DRG 5883
Min. Negotiated Rate	$111,009.50
Max. Negotiated Rate	$116,559.98
Rate for Payer: BCBS Complete	$116,559.98
Rate for Payer: Mclaren Medicaid	$111,009.50
Rate for Payer: Meridian Medicaid	$116,559.98
Rate for Payer: Priority Health Choice Medicaid	$111,009.50
Rate for Payer: UHCCP Medicaid	$111,009.50

APR-DRG 42.00: NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE

Facility

$85,635.90

Service Code	APR-DRG 5881
Min. Negotiated Rate	$81,558.00
Max. Negotiated Rate	$85,635.90
Rate for Payer: BCBS Complete	$85,635.90
Rate for Payer: Mclaren Medicaid	$81,558.00
Rate for Payer: Meridian Medicaid	$85,635.90
Rate for Payer: Priority Health Choice Medicaid	$81,558.00
Rate for Payer: UHCCP Medicaid	$81,558.00

APR-DRG 42.00: NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE

Facility

$99,908.55

Service Code	APR-DRG 5882
Min. Negotiated Rate	$95,151.00
Max. Negotiated Rate	$99,908.55
Rate for Payer: BCBS Complete	$99,908.55
Rate for Payer: Mclaren Medicaid	$95,151.00
Rate for Payer: Meridian Medicaid	$99,908.55
Rate for Payer: Priority Health Choice Medicaid	$95,151.00
Rate for Payer: UHCCP Medicaid	$95,151.00

APR-DRG 42.00: NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE

Facility

$175,046.81

Service Code	APR-DRG 5884
Min. Negotiated Rate	$166,711.25
Max. Negotiated Rate	$175,046.81
Rate for Payer: BCBS Complete	$175,046.81
Rate for Payer: Mclaren Medicaid	$166,711.25
Rate for Payer: Meridian Medicaid	$175,046.81
Rate for Payer: Priority Health Choice Medicaid	$166,711.25
Rate for Payer: UHCCP Medicaid	$166,711.25

Know your out-of-pocket cost for care.

All Charges