Bronson Lakeview Hospital

All Charges

Charge

Type

Setting

Price

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

Facility

$4,912.69

Service Code	APR-DRG 6263
Min. Negotiated Rate	$4,678.75
Max. Negotiated Rate	$4,912.69
Rate for Payer: BCBS Complete	$4,912.69
Rate for Payer: Mclaren Medicaid	$4,678.75
Rate for Payer: Meridian Medicaid	$4,912.69
Rate for Payer: Priority Health Choice Medicaid	$4,678.75
Rate for Payer: UHCCP Medicaid	$4,678.75

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

Facility

$775.69

Service Code	APR-DRG 6261
Min. Negotiated Rate	$738.75
Max. Negotiated Rate	$775.69
Rate for Payer: BCBS Complete	$775.69
Rate for Payer: Mclaren Medicaid	$738.75
Rate for Payer: Meridian Medicaid	$775.69
Rate for Payer: Priority Health Choice Medicaid	$738.75
Rate for Payer: UHCCP Medicaid	$738.75

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

Facility

$9,877.09

Service Code	APR-DRG 6264
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 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM

Facility

$1,706.51

Service Code	APR-DRG 6262
Min. Negotiated Rate	$1,625.25
Max. Negotiated Rate	$1,706.51
Rate for Payer: BCBS Complete	$1,706.51
Rate for Payer: Mclaren Medicaid	$1,625.25
Rate for Payer: Meridian Medicaid	$1,706.51
Rate for Payer: Priority Health Choice Medicaid	$1,625.25
Rate for Payer: UHCCP Medicaid	$1,625.25

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

Facility

$20,271.30

Service Code	APR-DRG 6233
Min. Negotiated Rate	$19,306.00
Max. Negotiated Rate	$20,271.30
Rate for Payer: BCBS Complete	$20,271.30
Rate for Payer: Mclaren Medicaid	$19,306.00
Rate for Payer: Meridian Medicaid	$20,271.30
Rate for Payer: Priority Health Choice Medicaid	$19,306.00
Rate for Payer: UHCCP Medicaid	$19,306.00

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

Facility

$5,895.23

Service Code	APR-DRG 6231
Min. Negotiated Rate	$5,614.50
Max. Negotiated Rate	$5,895.23
Rate for Payer: BCBS Complete	$5,895.23
Rate for Payer: Mclaren Medicaid	$5,614.50
Rate for Payer: Meridian Medicaid	$5,895.23
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 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$10,187.36

Service Code	APR-DRG 6232
Min. Negotiated Rate	$9,702.25
Max. Negotiated Rate	$10,187.36
Rate for Payer: BCBS Complete	$10,187.36
Rate for Payer: Mclaren Medicaid	$9,702.25
Rate for Payer: Meridian Medicaid	$10,187.36
Rate for Payer: Priority Health Choice Medicaid	$9,702.25
Rate for Payer: UHCCP Medicaid	$9,702.25

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

Facility

$26,993.92

Service Code	APR-DRG 6234
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 2000-2499 GRAMS WITH MAJOR ANOMALY

Facility

$9,515.10

Service Code	APR-DRG 6212
Min. Negotiated Rate	$9,062.00
Max. Negotiated Rate	$9,515.10
Rate for Payer: BCBS Complete	$9,515.10
Rate for Payer: Mclaren Medicaid	$9,062.00
Rate for Payer: Meridian Medicaid	$9,515.10
Rate for Payer: Priority Health Choice Medicaid	$9,062.00
Rate for Payer: UHCCP Medicaid	$9,062.00

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

Facility

$18,978.49

Service Code	APR-DRG 6213
Min. Negotiated Rate	$18,074.75
Max. Negotiated Rate	$18,978.49
Rate for Payer: BCBS Complete	$18,978.49
Rate for Payer: Mclaren Medicaid	$18,074.75
Rate for Payer: Meridian Medicaid	$18,978.49
Rate for Payer: Priority Health Choice Medicaid	$18,074.75
Rate for Payer: UHCCP Medicaid	$18,074.75

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

Facility

$3,154.46

Service Code	APR-DRG 6211
Min. Negotiated Rate	$3,004.25
Max. Negotiated Rate	$3,154.46
Rate for Payer: BCBS Complete	$3,154.46
Rate for Payer: Mclaren Medicaid	$3,004.25
Rate for Payer: Meridian Medicaid	$3,154.46
Rate for Payer: Priority Health Choice Medicaid	$3,004.25
Rate for Payer: UHCCP Medicaid	$3,004.25

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

Facility

$37,750.12

Service Code	APR-DRG 6214
Min. Negotiated Rate	$35,952.50
Max. Negotiated Rate	$37,750.12
Rate for Payer: BCBS Complete	$37,750.12
Rate for Payer: Mclaren Medicaid	$35,952.50
Rate for Payer: Meridian Medicaid	$37,750.12
Rate for Payer: Priority Health Choice Medicaid	$35,952.50
Rate for Payer: UHCCP Medicaid	$35,952.50

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

Facility

$9,256.54

Service Code	APR-DRG 6252
Min. Negotiated Rate	$8,815.75
Max. Negotiated Rate	$9,256.54
Rate for Payer: BCBS Complete	$9,256.54
Rate for Payer: Mclaren Medicaid	$8,815.75
Rate for Payer: Meridian Medicaid	$9,256.54
Rate for Payer: Priority Health Choice Medicaid	$8,815.75
Rate for Payer: UHCCP Medicaid	$8,815.75

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

Facility

$33,457.99

Service Code	APR-DRG 6254
Min. Negotiated Rate	$31,864.75
Max. Negotiated Rate	$33,457.99
Rate for Payer: BCBS Complete	$33,457.99
Rate for Payer: Mclaren Medicaid	$31,864.75
Rate for Payer: Meridian Medicaid	$33,457.99
Rate for Payer: Priority Health Choice Medicaid	$31,864.75
Rate for Payer: UHCCP Medicaid	$31,864.75

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

Facility

$6,360.64

Service Code	APR-DRG 6251
Min. Negotiated Rate	$6,057.75
Max. Negotiated Rate	$6,360.64
Rate for Payer: BCBS Complete	$6,360.64
Rate for Payer: Mclaren Medicaid	$6,057.75
Rate for Payer: Meridian Medicaid	$6,360.64
Rate for Payer: Priority Health Choice Medicaid	$6,057.75
Rate for Payer: UHCCP Medicaid	$6,057.75

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

Facility

$15,358.61

Service Code	APR-DRG 6253
Min. Negotiated Rate	$14,627.25
Max. Negotiated Rate	$15,358.61
Rate for Payer: BCBS Complete	$15,358.61
Rate for Payer: Mclaren Medicaid	$14,627.25
Rate for Payer: Meridian Medicaid	$15,358.61
Rate for Payer: Priority Health Choice Medicaid	$14,627.25
Rate for Payer: UHCCP Medicaid	$14,627.25

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

Facility

$8,118.86

Service Code	APR-DRG 6221
Min. Negotiated Rate	$7,732.25
Max. Negotiated Rate	$8,118.86
Rate for Payer: BCBS Complete	$8,118.86
Rate for Payer: Mclaren Medicaid	$7,732.25
Rate for Payer: Meridian Medicaid	$8,118.86
Rate for Payer: Priority Health Choice Medicaid	$7,732.25
Rate for Payer: UHCCP Medicaid	$7,732.25

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

Facility

$16,754.85

Service Code	APR-DRG 6223
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 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$24,977.14

Service Code	APR-DRG 6224
Min. Negotiated Rate	$23,787.75
Max. Negotiated Rate	$24,977.14
Rate for Payer: BCBS Complete	$24,977.14
Rate for Payer: Mclaren Medicaid	$23,787.75
Rate for Payer: Meridian Medicaid	$24,977.14
Rate for Payer: Priority Health Choice Medicaid	$23,787.75
Rate for Payer: UHCCP Medicaid	$23,787.75

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

Facility

$11,738.74

Service Code	APR-DRG 6222
Min. Negotiated Rate	$11,179.75
Max. Negotiated Rate	$11,738.74
Rate for Payer: BCBS Complete	$11,738.74
Rate for Payer: Mclaren Medicaid	$11,179.75
Rate for Payer: Meridian Medicaid	$11,738.74
Rate for Payer: Priority Health Choice Medicaid	$11,179.75
Rate for Payer: UHCCP Medicaid	$11,179.75

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

Facility

$568.84

Service Code	APR-DRG 6401
Min. Negotiated Rate	$541.75
Max. Negotiated Rate	$568.84
Rate for Payer: BCBS Complete	$568.84
Rate for Payer: Mclaren Medicaid	$541.75
Rate for Payer: Meridian Medicaid	$568.84
Rate for Payer: Priority Health Choice Medicaid	$541.75
Rate for Payer: UHCCP Medicaid	$541.75

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

Facility

$1,913.36

Service Code	APR-DRG 6403
Min. Negotiated Rate	$1,822.25
Max. Negotiated Rate	$1,913.36
Rate for Payer: BCBS Complete	$1,913.36
Rate for Payer: Mclaren Medicaid	$1,822.25
Rate for Payer: Meridian Medicaid	$1,913.36
Rate for Payer: Priority Health Choice Medicaid	$1,822.25
Rate for Payer: UHCCP Medicaid	$1,822.25

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

Facility

$10,652.77

Service Code	APR-DRG 6404
Min. Negotiated Rate	$10,145.50
Max. Negotiated Rate	$10,652.77
Rate for Payer: BCBS Complete	$10,652.77
Rate for Payer: Mclaren Medicaid	$10,145.50
Rate for Payer: Meridian Medicaid	$10,652.77
Rate for Payer: Priority Health Choice Medicaid	$10,145.50
Rate for Payer: UHCCP Medicaid	$10,145.50

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

Facility

$879.11

Service Code	APR-DRG 6402
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 > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$6,567.49

Service Code	APR-DRG 6362
Min. Negotiated Rate	$6,254.75
Max. Negotiated Rate	$6,567.49
Rate for Payer: BCBS Complete	$6,567.49
Rate for Payer: Mclaren Medicaid	$6,254.75
Rate for Payer: Meridian Medicaid	$6,567.49
Rate for Payer: Priority Health Choice Medicaid	$6,254.75
Rate for Payer: UHCCP Medicaid	$6,254.75

Know your out-of-pocket cost for care.

All Charges