Bronson Lakeview Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$16,651.42

Service Code	APR-DRG 6253
Min. Negotiated Rate	$15,858.50
Max. Negotiated Rate	$16,651.42
Rate for Payer: BCBS Complete	$16,651.42
Rate for Payer: Mclaren Medicaid	$15,858.50
Rate for Payer: Meridian Medicaid	$16,651.42
Rate for Payer: Priority Health Choice Medicaid	$15,858.50
Rate for Payer: UHCCP Medicaid	$15,858.50

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$4,395.56

Service Code	APR-DRG 6251
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: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$36,302.18

Service Code	APR-DRG 6254
Min. Negotiated Rate	$34,573.50
Max. Negotiated Rate	$36,302.18
Rate for Payer: BCBS Complete	$36,302.18
Rate for Payer: Mclaren Medicaid	$34,573.50
Rate for Payer: Meridian Medicaid	$36,302.18
Rate for Payer: Priority Health Choice Medicaid	$34,573.50
Rate for Payer: UHCCP Medicaid	$34,573.50

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$8,325.71

Service Code	APR-DRG 6252
Min. Negotiated Rate	$7,929.25
Max. Negotiated Rate	$8,325.71
Rate for Payer: BCBS Complete	$8,325.71
Rate for Payer: Mclaren Medicaid	$7,929.25
Rate for Payer: Meridian Medicaid	$8,325.71
Rate for Payer: Priority Health Choice Medicaid	$7,929.25
Rate for Payer: UHCCP Medicaid	$7,929.25

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$27,355.91

Service Code	APR-DRG 6224
Min. Negotiated Rate	$26,053.25
Max. Negotiated Rate	$27,355.91
Rate for Payer: BCBS Complete	$27,355.91
Rate for Payer: Mclaren Medicaid	$26,053.25
Rate for Payer: Meridian Medicaid	$27,355.91
Rate for Payer: Priority Health Choice Medicaid	$26,053.25
Rate for Payer: UHCCP Medicaid	$26,053.25

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$5,998.65

Service Code	APR-DRG 6221
Min. Negotiated Rate	$5,713.00
Max. Negotiated Rate	$5,998.65
Rate for Payer: BCBS Complete	$5,998.65
Rate for Payer: Mclaren Medicaid	$5,713.00
Rate for Payer: Meridian Medicaid	$5,998.65
Rate for Payer: Priority Health Choice Medicaid	$5,713.00
Rate for Payer: UHCCP Medicaid	$5,713.00

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$7,601.74

Service Code	APR-DRG 6222
Min. Negotiated Rate	$7,239.75
Max. Negotiated Rate	$7,601.74
Rate for Payer: BCBS Complete	$7,601.74
Rate for Payer: Mclaren Medicaid	$7,239.75
Rate for Payer: Meridian Medicaid	$7,601.74
Rate for Payer: Priority Health Choice Medicaid	$7,239.75
Rate for Payer: UHCCP Medicaid	$7,239.75

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$18,306.22

Service Code	APR-DRG 6223
Min. Negotiated Rate	$17,434.50
Max. Negotiated Rate	$18,306.22
Rate for Payer: BCBS Complete	$18,306.22
Rate for Payer: Mclaren Medicaid	$17,434.50
Rate for Payer: Meridian Medicaid	$18,306.22
Rate for Payer: Priority Health Choice Medicaid	$17,434.50
Rate for Payer: UHCCP Medicaid	$17,434.50

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

Facility

$9,101.40

Service Code	APR-DRG 6404
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: NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM

Facility

$1,654.80

Service Code	APR-DRG 6403
Min. Negotiated Rate	$1,576.00
Max. Negotiated Rate	$1,654.80
Rate for Payer: BCBS Complete	$1,654.80
Rate for Payer: Mclaren Medicaid	$1,576.00
Rate for Payer: Meridian Medicaid	$1,654.80
Rate for Payer: Priority Health Choice Medicaid	$1,576.00
Rate for Payer: UHCCP Medicaid	$1,576.00

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

Facility

$1,034.25

Service Code	APR-DRG 6402
Min. Negotiated Rate	$985.00
Max. Negotiated Rate	$1,034.25
Rate for Payer: BCBS Complete	$1,034.25
Rate for Payer: Mclaren Medicaid	$985.00
Rate for Payer: Meridian Medicaid	$1,034.25
Rate for Payer: Priority Health Choice Medicaid	$985.00
Rate for Payer: UHCCP Medicaid	$985.00

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

Facility

$723.98

Service Code	APR-DRG 6401
Min. Negotiated Rate	$689.50
Max. Negotiated Rate	$723.98
Rate for Payer: BCBS Complete	$723.98
Rate for Payer: Mclaren Medicaid	$689.50
Rate for Payer: Meridian Medicaid	$723.98
Rate for Payer: Priority Health Choice Medicaid	$689.50
Rate for Payer: UHCCP Medicaid	$689.50

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

Facility

$9,566.81

Service Code	APR-DRG 6363
Min. Negotiated Rate	$9,111.25
Max. Negotiated Rate	$9,566.81
Rate for Payer: BCBS Complete	$9,566.81
Rate for Payer: Mclaren Medicaid	$9,111.25
Rate for Payer: Meridian Medicaid	$9,566.81
Rate for Payer: Priority Health Choice Medicaid	$9,111.25
Rate for Payer: UHCCP Medicaid	$9,111.25

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

Facility

$3,102.75

Service Code	APR-DRG 6361
Min. Negotiated Rate	$2,955.00
Max. Negotiated Rate	$3,102.75
Rate for Payer: BCBS Complete	$3,102.75
Rate for Payer: Mclaren Medicaid	$2,955.00
Rate for Payer: Meridian Medicaid	$3,102.75
Rate for Payer: Priority Health Choice Medicaid	$2,955.00
Rate for Payer: UHCCP Medicaid	$2,955.00

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

Facility

$9,670.24

Service Code	APR-DRG 6364
Min. Negotiated Rate	$9,209.75
Max. Negotiated Rate	$9,670.24
Rate for Payer: BCBS Complete	$9,670.24
Rate for Payer: Mclaren Medicaid	$9,209.75
Rate for Payer: Meridian Medicaid	$9,670.24
Rate for Payer: Priority Health Choice Medicaid	$9,209.75
Rate for Payer: UHCCP Medicaid	$9,209.75

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

Facility

$5,895.22

Service Code	APR-DRG 6362
Min. Negotiated Rate	$5,614.50
Max. Negotiated Rate	$5,895.22
Rate for Payer: BCBS Complete	$5,895.22
Rate for Payer: Mclaren Medicaid	$5,614.50
Rate for Payer: Meridian Medicaid	$5,895.22
Rate for Payer: Priority Health Choice Medicaid	$5,614.50
Rate for Payer: UHCCP Medicaid	$5,614.50

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

Facility

$1,085.96

Service Code	APR-DRG 6331
Min. Negotiated Rate	$1,034.25
Max. Negotiated Rate	$1,085.96
Rate for Payer: BCBS Complete	$1,085.96
Rate for Payer: Mclaren Medicaid	$1,034.25
Rate for Payer: Meridian Medicaid	$1,085.96
Rate for Payer: Priority Health Choice Medicaid	$1,034.25
Rate for Payer: UHCCP Medicaid	$1,034.25

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

Facility

$22,029.52

Service Code	APR-DRG 6334
Min. Negotiated Rate	$20,980.50
Max. Negotiated Rate	$22,029.52
Rate for Payer: BCBS Complete	$22,029.52
Rate for Payer: Mclaren Medicaid	$20,980.50
Rate for Payer: Meridian Medicaid	$22,029.52
Rate for Payer: Priority Health Choice Medicaid	$20,980.50
Rate for Payer: UHCCP Medicaid	$20,980.50

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

Facility

$8,584.28

Service Code	APR-DRG 6333
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 > 2499 GRAMS WITH MAJOR ANOMALY

Facility

$3,516.45

Service Code	APR-DRG 6332
Min. Negotiated Rate	$3,349.00
Max. Negotiated Rate	$3,516.45
Rate for Payer: BCBS Complete	$3,516.45
Rate for Payer: Mclaren Medicaid	$3,349.00
Rate for Payer: Meridian Medicaid	$3,516.45
Rate for Payer: Priority Health Choice Medicaid	$3,349.00
Rate for Payer: UHCCP Medicaid	$3,349.00

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

Facility

$29,217.56

Service Code	APR-DRG 6302
Min. Negotiated Rate	$27,826.25
Max. Negotiated Rate	$29,217.56
Rate for Payer: BCBS Complete	$29,217.56
Rate for Payer: Mclaren Medicaid	$27,826.25
Rate for Payer: Meridian Medicaid	$29,217.56
Rate for Payer: Priority Health Choice Medicaid	$27,826.25
Rate for Payer: UHCCP Medicaid	$27,826.25

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

Facility

$15,048.34

Service Code	APR-DRG 6301
Min. Negotiated Rate	$14,331.75
Max. Negotiated Rate	$15,048.34
Rate for Payer: BCBS Complete	$15,048.34
Rate for Payer: Mclaren Medicaid	$14,331.75
Rate for Payer: Meridian Medicaid	$15,048.34
Rate for Payer: Priority Health Choice Medicaid	$14,331.75
Rate for Payer: UHCCP Medicaid	$14,331.75

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

Facility

$66,243.71

Service Code	APR-DRG 6303
Min. Negotiated Rate	$63,089.25
Max. Negotiated Rate	$66,243.71
Rate for Payer: BCBS Complete	$66,243.71
Rate for Payer: Mclaren Medicaid	$63,089.25
Rate for Payer: Meridian Medicaid	$66,243.71
Rate for Payer: Priority Health Choice Medicaid	$63,089.25
Rate for Payer: UHCCP Medicaid	$63,089.25

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

Facility

$119,714.44

Service Code	APR-DRG 6304
Min. Negotiated Rate	$114,013.75
Max. Negotiated Rate	$119,714.44
Rate for Payer: BCBS Complete	$119,714.44
Rate for Payer: Mclaren Medicaid	$114,013.75
Rate for Payer: Meridian Medicaid	$119,714.44
Rate for Payer: Priority Health Choice Medicaid	$114,013.75
Rate for Payer: UHCCP Medicaid	$114,013.75

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

Facility

$162,377.25

Service Code	APR-DRG 6314
Min. Negotiated Rate	$154,645.00
Max. Negotiated Rate	$162,377.25
Rate for Payer: BCBS Complete	$162,377.25
Rate for Payer: Mclaren Medicaid	$154,645.00
Rate for Payer: Meridian Medicaid	$162,377.25
Rate for Payer: Priority Health Choice Medicaid	$154,645.00
Rate for Payer: UHCCP Medicaid	$154,645.00

Know your out-of-pocket cost for care.

All Charges