Bronson Lakeview Hospital

All Charges

Charge

Type

Setting

Price

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

Facility

$40,904.59

Service Code	APR-DRG 6313
Min. Negotiated Rate	$38,956.75
Max. Negotiated Rate	$40,904.59
Rate for Payer: BCBS Complete	$40,904.59
Rate for Payer: Mclaren Medicaid	$38,956.75
Rate for Payer: Meridian Medicaid	$40,904.59
Rate for Payer: Priority Health Choice Medicaid	$38,956.75
Rate for Payer: UHCCP Medicaid	$38,956.75

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

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

Facility

$4,498.99

Service Code	APR-DRG 6311
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 > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$14,634.64

Service Code	APR-DRG 6394
Min. Negotiated Rate	$13,937.75
Max. Negotiated Rate	$14,634.64
Rate for Payer: BCBS Complete	$14,634.64
Rate for Payer: Mclaren Medicaid	$13,937.75
Rate for Payer: Meridian Medicaid	$14,634.64
Rate for Payer: Priority Health Choice Medicaid	$13,937.75
Rate for Payer: UHCCP Medicaid	$13,937.75

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

Facility

$2,895.90

Service Code	APR-DRG 6392
Min. Negotiated Rate	$2,758.00
Max. Negotiated Rate	$2,895.90
Rate for Payer: BCBS Complete	$2,895.90
Rate for Payer: Mclaren Medicaid	$2,758.00
Rate for Payer: Meridian Medicaid	$2,895.90
Rate for Payer: Priority Health Choice Medicaid	$2,758.00
Rate for Payer: UHCCP Medicaid	$2,758.00

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

Facility

$9,773.66

Service Code	APR-DRG 6393
Min. Negotiated Rate	$9,308.25
Max. Negotiated Rate	$9,773.66
Rate for Payer: BCBS Complete	$9,773.66
Rate for Payer: Mclaren Medicaid	$9,308.25
Rate for Payer: Meridian Medicaid	$9,773.66
Rate for Payer: Priority Health Choice Medicaid	$9,308.25
Rate for Payer: UHCCP Medicaid	$9,308.25

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

Facility

$1,706.51

Service Code	APR-DRG 6391
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 > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$3,361.31

Service Code	APR-DRG 6341
Min. Negotiated Rate	$3,201.25
Max. Negotiated Rate	$3,361.31
Rate for Payer: BCBS Complete	$3,361.31
Rate for Payer: Mclaren Medicaid	$3,201.25
Rate for Payer: Meridian Medicaid	$3,361.31
Rate for Payer: Priority Health Choice Medicaid	$3,201.25
Rate for Payer: UHCCP Medicaid	$3,201.25

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

Facility

$7,084.61

Service Code	APR-DRG 6343
Min. Negotiated Rate	$6,747.25
Max. Negotiated Rate	$7,084.61
Rate for Payer: BCBS Complete	$7,084.61
Rate for Payer: Mclaren Medicaid	$6,747.25
Rate for Payer: Meridian Medicaid	$7,084.61
Rate for Payer: Priority Health Choice Medicaid	$6,747.25
Rate for Payer: UHCCP Medicaid	$6,747.25

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

Facility

$3,826.72

Service Code	APR-DRG 6342
Min. Negotiated Rate	$3,644.50
Max. Negotiated Rate	$3,826.72
Rate for Payer: BCBS Complete	$3,826.72
Rate for Payer: Mclaren Medicaid	$3,644.50
Rate for Payer: Meridian Medicaid	$3,826.72
Rate for Payer: Priority Health Choice Medicaid	$3,644.50
Rate for Payer: UHCCP Medicaid	$3,644.50

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

Facility

$14,324.36

Service Code	APR-DRG 6344
Min. Negotiated Rate	$13,642.25
Max. Negotiated Rate	$14,324.36
Rate for Payer: BCBS Complete	$14,324.36
Rate for Payer: Mclaren Medicaid	$13,642.25
Rate for Payer: Meridian Medicaid	$14,324.36
Rate for Payer: Priority Health Choice Medicaid	$13,642.25
Rate for Payer: UHCCP Medicaid	$13,642.25

APR-DRG 42.00: NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$76,637.92

Service Code	APR-DRG 5912
Min. Negotiated Rate	$72,988.50
Max. Negotiated Rate	$76,637.92
Rate for Payer: BCBS Complete	$76,637.92
Rate for Payer: Mclaren Medicaid	$72,988.50
Rate for Payer: Meridian Medicaid	$76,637.92
Rate for Payer: Priority Health Choice Medicaid	$72,988.50
Rate for Payer: UHCCP Medicaid	$72,988.50

APR-DRG 42.00: NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$89,876.32

Service Code	APR-DRG 5913
Min. Negotiated Rate	$85,596.50
Max. Negotiated Rate	$89,876.32
Rate for Payer: BCBS Complete	$89,876.32
Rate for Payer: Mclaren Medicaid	$85,596.50
Rate for Payer: Meridian Medicaid	$89,876.32
Rate for Payer: Priority Health Choice Medicaid	$85,596.50
Rate for Payer: UHCCP Medicaid	$85,596.50

APR-DRG 42.00: NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$15,048.34

Service Code	APR-DRG 5911
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 500-749 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$115,008.60

Service Code	APR-DRG 5914
Min. Negotiated Rate	$109,532.00
Max. Negotiated Rate	$115,008.60
Rate for Payer: BCBS Complete	$115,008.60
Rate for Payer: Mclaren Medicaid	$109,532.00
Rate for Payer: Meridian Medicaid	$115,008.60
Rate for Payer: Priority Health Choice Medicaid	$109,532.00
Rate for Payer: UHCCP Medicaid	$109,532.00

APR-DRG 42.00: NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION

Facility

$89,566.05

Service Code	APR-DRG 5891
Min. Negotiated Rate	$85,301.00
Max. Negotiated Rate	$89,566.05
Rate for Payer: BCBS Complete	$89,566.05
Rate for Payer: Mclaren Medicaid	$85,301.00
Rate for Payer: Meridian Medicaid	$89,566.05
Rate for Payer: Priority Health Choice Medicaid	$85,301.00
Rate for Payer: UHCCP Medicaid	$85,301.00

APR-DRG 42.00: NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION

Facility

$90,807.15

Service Code	APR-DRG 5893
Min. Negotiated Rate	$86,483.00
Max. Negotiated Rate	$90,807.15
Rate for Payer: BCBS Complete	$90,807.15
Rate for Payer: Mclaren Medicaid	$86,483.00
Rate for Payer: Meridian Medicaid	$90,807.15
Rate for Payer: Priority Health Choice Medicaid	$86,483.00
Rate for Payer: UHCCP Medicaid	$86,483.00

APR-DRG 42.00: NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION

Facility

$1,447.95

Service Code	APR-DRG 5894
Min. Negotiated Rate	$1,379.00
Max. Negotiated Rate	$1,447.95
Rate for Payer: BCBS Complete	$1,447.95
Rate for Payer: Mclaren Medicaid	$1,379.00
Rate for Payer: Meridian Medicaid	$1,447.95
Rate for Payer: Priority Health Choice Medicaid	$1,379.00
Rate for Payer: UHCCP Medicaid	$1,379.00

APR-DRG 42.00: NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION

Facility

$90,807.15

Service Code	APR-DRG 5892
Min. Negotiated Rate	$86,483.00
Max. Negotiated Rate	$90,807.15
Rate for Payer: BCBS Complete	$90,807.15
Rate for Payer: Mclaren Medicaid	$86,483.00
Rate for Payer: Meridian Medicaid	$90,807.15
Rate for Payer: Priority Health Choice Medicaid	$86,483.00
Rate for Payer: UHCCP Medicaid	$86,483.00

APR-DRG 42.00: NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$110,147.62

Service Code	APR-DRG 5934
Min. Negotiated Rate	$104,902.50
Max. Negotiated Rate	$110,147.62
Rate for Payer: BCBS Complete	$110,147.62
Rate for Payer: Mclaren Medicaid	$104,902.50
Rate for Payer: Meridian Medicaid	$110,147.62
Rate for Payer: Priority Health Choice Medicaid	$104,902.50
Rate for Payer: UHCCP Medicaid	$104,902.50

APR-DRG 42.00: NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$51,557.36

Service Code	APR-DRG 5932
Min. Negotiated Rate	$49,102.25
Max. Negotiated Rate	$51,557.36
Rate for Payer: BCBS Complete	$51,557.36
Rate for Payer: Mclaren Medicaid	$49,102.25
Rate for Payer: Meridian Medicaid	$51,557.36
Rate for Payer: Priority Health Choice Medicaid	$49,102.25
Rate for Payer: UHCCP Medicaid	$49,102.25

APR-DRG 42.00: NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$80,050.95

Service Code	APR-DRG 5933
Min. Negotiated Rate	$76,239.00
Max. Negotiated Rate	$80,050.95
Rate for Payer: BCBS Complete	$80,050.95
Rate for Payer: Mclaren Medicaid	$76,239.00
Rate for Payer: Meridian Medicaid	$80,050.95
Rate for Payer: Priority Health Choice Medicaid	$76,239.00
Rate for Payer: UHCCP Medicaid	$76,239.00

APR-DRG 42.00: NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$30,200.10

Service Code	APR-DRG 5931
Min. Negotiated Rate	$28,762.00
Max. Negotiated Rate	$30,200.10
Rate for Payer: BCBS Complete	$30,200.10
Rate for Payer: Mclaren Medicaid	$28,762.00
Rate for Payer: Meridian Medicaid	$30,200.10
Rate for Payer: Priority Health Choice Medicaid	$28,762.00
Rate for Payer: UHCCP Medicaid	$28,762.00

APR-DRG 42.00: NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE

Facility

$2,120.21

Service Code	APR-DRG 5813
Min. Negotiated Rate	$2,019.25
Max. Negotiated Rate	$2,120.21
Rate for Payer: BCBS Complete	$2,120.21
Rate for Payer: Mclaren Medicaid	$2,019.25
Rate for Payer: Meridian Medicaid	$2,120.21
Rate for Payer: Priority Health Choice Medicaid	$2,019.25
Rate for Payer: UHCCP Medicaid	$2,019.25

APR-DRG 42.00: NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE

Facility

$10,290.79

Service Code	APR-DRG 5814
Min. Negotiated Rate	$9,800.75
Max. Negotiated Rate	$10,290.79
Rate for Payer: BCBS Complete	$10,290.79
Rate for Payer: Mclaren Medicaid	$9,800.75
Rate for Payer: Meridian Medicaid	$10,290.79
Rate for Payer: Priority Health Choice Medicaid	$9,800.75
Rate for Payer: UHCCP Medicaid	$9,800.75

Know your out-of-pocket cost for care.

All Charges