Bronson Lakeview Hospital

All Charges

Charge

Type

Setting

Price

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

Facility

$19,288.76

Service Code	APR-DRG 6143
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: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$15,255.19

Service Code	APR-DRG 6122
Min. Negotiated Rate	$14,528.75
Max. Negotiated Rate	$15,255.19
Rate for Payer: BCBS Complete	$15,255.19
Rate for Payer: Mclaren Medicaid	$14,528.75
Rate for Payer: Meridian Medicaid	$15,255.19
Rate for Payer: Priority Health Choice Medicaid	$14,528.75
Rate for Payer: UHCCP Medicaid	$14,528.75

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

Facility

$9,877.09

Service Code	APR-DRG 6121
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 RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$41,783.70

Service Code	APR-DRG 6124
Min. Negotiated Rate	$39,794.00
Max. Negotiated Rate	$41,783.70
Rate for Payer: BCBS Complete	$41,783.70
Rate for Payer: Mclaren Medicaid	$39,794.00
Rate for Payer: Meridian Medicaid	$41,783.70
Rate for Payer: Priority Health Choice Medicaid	$39,794.00
Rate for Payer: UHCCP Medicaid	$39,794.00

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

Facility

$29,114.14

Service Code	APR-DRG 6123
Min. Negotiated Rate	$27,727.75
Max. Negotiated Rate	$29,114.14
Rate for Payer: BCBS Complete	$29,114.14
Rate for Payer: Mclaren Medicaid	$27,727.75
Rate for Payer: Meridian Medicaid	$29,114.14
Rate for Payer: Priority Health Choice Medicaid	$27,727.75
Rate for Payer: UHCCP Medicaid	$27,727.75

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

Facility

$24,098.02

Service Code	APR-DRG 6091
Min. Negotiated Rate	$22,950.50
Max. Negotiated Rate	$24,098.02
Rate for Payer: BCBS Complete	$24,098.02
Rate for Payer: Mclaren Medicaid	$22,950.50
Rate for Payer: Meridian Medicaid	$24,098.02
Rate for Payer: Priority Health Choice Medicaid	$22,950.50
Rate for Payer: UHCCP Medicaid	$22,950.50

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

Facility

$133,831.95

Service Code	APR-DRG 6094
Min. Negotiated Rate	$127,459.00
Max. Negotiated Rate	$133,831.95
Rate for Payer: BCBS Complete	$133,831.95
Rate for Payer: Mclaren Medicaid	$127,459.00
Rate for Payer: Meridian Medicaid	$133,831.95
Rate for Payer: Priority Health Choice Medicaid	$127,459.00
Rate for Payer: UHCCP Medicaid	$127,459.00

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

Facility

$45,765.56

Service Code	APR-DRG 6093
Min. Negotiated Rate	$43,586.25
Max. Negotiated Rate	$45,765.56
Rate for Payer: BCBS Complete	$45,765.56
Rate for Payer: Mclaren Medicaid	$43,586.25
Rate for Payer: Meridian Medicaid	$45,765.56
Rate for Payer: Priority Health Choice Medicaid	$43,586.25
Rate for Payer: UHCCP Medicaid	$43,586.25

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

Facility

$29,062.42

Service Code	APR-DRG 6092
Min. Negotiated Rate	$27,678.50
Max. Negotiated Rate	$29,062.42
Rate for Payer: BCBS Complete	$29,062.42
Rate for Payer: Mclaren Medicaid	$27,678.50
Rate for Payer: Meridian Medicaid	$29,062.42
Rate for Payer: Priority Health Choice Medicaid	$27,678.50
Rate for Payer: UHCCP Medicaid	$27,678.50

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

Facility

$126,799.05

Service Code	APR-DRG 5883
Min. Negotiated Rate	$120,761.00
Max. Negotiated Rate	$126,799.05
Rate for Payer: BCBS Complete	$126,799.05
Rate for Payer: Mclaren Medicaid	$120,761.00
Rate for Payer: Meridian Medicaid	$126,799.05
Rate for Payer: Priority Health Choice Medicaid	$120,761.00
Rate for Payer: UHCCP Medicaid	$120,761.00

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

Facility

$192,008.51

Service Code	APR-DRG 5884
Min. Negotiated Rate	$182,865.25
Max. Negotiated Rate	$192,008.51
Rate for Payer: BCBS Complete	$192,008.51
Rate for Payer: Mclaren Medicaid	$182,865.25
Rate for Payer: Meridian Medicaid	$192,008.51
Rate for Payer: Priority Health Choice Medicaid	$182,865.25
Rate for Payer: UHCCP Medicaid	$182,865.25

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

Facility

$106,579.46

Service Code	APR-DRG 5882
Min. Negotiated Rate	$101,504.25
Max. Negotiated Rate	$106,579.46
Rate for Payer: BCBS Complete	$106,579.46
Rate for Payer: Mclaren Medicaid	$101,504.25
Rate for Payer: Meridian Medicaid	$106,579.46
Rate for Payer: Priority Health Choice Medicaid	$101,504.25
Rate for Payer: UHCCP Medicaid	$101,504.25

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

Facility

$91,375.99

Service Code	APR-DRG 5881
Min. Negotiated Rate	$87,024.75
Max. Negotiated Rate	$91,375.99
Rate for Payer: BCBS Complete	$91,375.99
Rate for Payer: Mclaren Medicaid	$87,024.75
Rate for Payer: Meridian Medicaid	$91,375.99
Rate for Payer: Priority Health Choice Medicaid	$87,024.75
Rate for Payer: UHCCP Medicaid	$87,024.75

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM

Facility

$3,309.60

Service Code	APR-DRG 6263
Min. Negotiated Rate	$3,152.00
Max. Negotiated Rate	$3,309.60
Rate for Payer: BCBS Complete	$3,309.60
Rate for Payer: Mclaren Medicaid	$3,152.00
Rate for Payer: Meridian Medicaid	$3,309.60
Rate for Payer: Priority Health Choice Medicaid	$3,152.00
Rate for Payer: UHCCP Medicaid	$3,152.00

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM

Facility

$879.11

Service Code	APR-DRG 6261
Min. Negotiated Rate	$837.25
Max. Negotiated Rate	$879.11
Rate for Payer: BCBS Complete	$879.11
Rate for Payer: Mclaren Medicaid	$837.25
Rate for Payer: Meridian Medicaid	$879.11
Rate for Payer: Priority Health Choice Medicaid	$837.25
Rate for Payer: UHCCP Medicaid	$837.25

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM

Facility

$6,308.92

Service Code	APR-DRG 6264
Min. Negotiated Rate	$6,008.50
Max. Negotiated Rate	$6,308.92
Rate for Payer: BCBS Complete	$6,308.92
Rate for Payer: Mclaren Medicaid	$6,008.50
Rate for Payer: Meridian Medicaid	$6,308.92
Rate for Payer: Priority Health Choice Medicaid	$6,008.50
Rate for Payer: UHCCP Medicaid	$6,008.50

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM

Facility

$1,396.24

Service Code	APR-DRG 6262
Min. Negotiated Rate	$1,329.75
Max. Negotiated Rate	$1,396.24
Rate for Payer: BCBS Complete	$1,396.24
Rate for Payer: Mclaren Medicaid	$1,329.75
Rate for Payer: Meridian Medicaid	$1,396.24
Rate for Payer: Priority Health Choice Medicaid	$1,329.75
Rate for Payer: UHCCP Medicaid	$1,329.75

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$28,131.60

Service Code	APR-DRG 6234
Min. Negotiated Rate	$26,792.00
Max. Negotiated Rate	$28,131.60
Rate for Payer: BCBS Complete	$28,131.60
Rate for Payer: Mclaren Medicaid	$26,792.00
Rate for Payer: Meridian Medicaid	$28,131.60
Rate for Payer: Priority Health Choice Medicaid	$26,792.00
Rate for Payer: UHCCP Medicaid	$26,792.00

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$3,464.74

Service Code	APR-DRG 6231
Min. Negotiated Rate	$3,299.75
Max. Negotiated Rate	$3,464.74
Rate for Payer: BCBS Complete	$3,464.74
Rate for Payer: Mclaren Medicaid	$3,299.75
Rate for Payer: Meridian Medicaid	$3,464.74
Rate for Payer: Priority Health Choice Medicaid	$3,299.75
Rate for Payer: UHCCP Medicaid	$3,299.75

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$6,205.50

Service Code	APR-DRG 6232
Min. Negotiated Rate	$5,910.00
Max. Negotiated Rate	$6,205.50
Rate for Payer: BCBS Complete	$6,205.50
Rate for Payer: Mclaren Medicaid	$5,910.00
Rate for Payer: Meridian Medicaid	$6,205.50
Rate for Payer: Priority Health Choice Medicaid	$5,910.00
Rate for Payer: UHCCP Medicaid	$5,910.00

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$21,305.55

Service Code	APR-DRG 6233
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: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY

Facility

$8,429.14

Service Code	APR-DRG 6213
Min. Negotiated Rate	$8,027.75
Max. Negotiated Rate	$8,429.14
Rate for Payer: BCBS Complete	$8,429.14
Rate for Payer: Mclaren Medicaid	$8,027.75
Rate for Payer: Meridian Medicaid	$8,429.14
Rate for Payer: Priority Health Choice Medicaid	$8,027.75
Rate for Payer: UHCCP Medicaid	$8,027.75

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY

Facility

$1,189.39

Service Code	APR-DRG 6211
Min. Negotiated Rate	$1,132.75
Max. Negotiated Rate	$1,189.39
Rate for Payer: BCBS Complete	$1,189.39
Rate for Payer: Mclaren Medicaid	$1,132.75
Rate for Payer: Meridian Medicaid	$1,189.39
Rate for Payer: Priority Health Choice Medicaid	$1,132.75
Rate for Payer: UHCCP Medicaid	$1,132.75

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY

Facility

$6,929.48

Service Code	APR-DRG 6212
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: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY

Facility

$16,806.56

Service Code	APR-DRG 6214
Min. Negotiated Rate	$16,006.25
Max. Negotiated Rate	$16,806.56
Rate for Payer: BCBS Complete	$16,806.56
Rate for Payer: Mclaren Medicaid	$16,006.25
Rate for Payer: Meridian Medicaid	$16,806.56
Rate for Payer: Priority Health Choice Medicaid	$16,006.25
Rate for Payer: UHCCP Medicaid	$16,006.25

Know your out-of-pocket cost for care.

All Charges