Bronson Lakeview Hospital

All Charges

Charge

Type

Setting

Price

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

Facility

$4,033.57

Service Code	APR-DRG 6361
Min. Negotiated Rate	$3,841.50
Max. Negotiated Rate	$4,033.57
Rate for Payer: BCBS Complete	$4,033.57
Rate for Payer: Mclaren Medicaid	$3,841.50
Rate for Payer: Meridian Medicaid	$4,033.57
Rate for Payer: Priority Health Choice Medicaid	$3,841.50
Rate for Payer: UHCCP Medicaid	$3,841.50

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

Facility

$13,652.10

Service Code	APR-DRG 6363
Min. Negotiated Rate	$13,002.00
Max. Negotiated Rate	$13,652.10
Rate for Payer: BCBS Complete	$13,652.10
Rate for Payer: Mclaren Medicaid	$13,002.00
Rate for Payer: Meridian Medicaid	$13,652.10
Rate for Payer: Priority Health Choice Medicaid	$13,002.00
Rate for Payer: UHCCP Medicaid	$13,002.00

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

Facility

$13,652.10

Service Code	APR-DRG 6364
Min. Negotiated Rate	$13,002.00
Max. Negotiated Rate	$13,652.10
Rate for Payer: BCBS Complete	$13,652.10
Rate for Payer: Mclaren Medicaid	$13,002.00
Rate for Payer: Meridian Medicaid	$13,652.10
Rate for Payer: Priority Health Choice Medicaid	$13,002.00
Rate for Payer: UHCCP Medicaid	$13,002.00

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

Facility

$14,582.92

Service Code	APR-DRG 6333
Min. Negotiated Rate	$13,888.50
Max. Negotiated Rate	$14,582.92
Rate for Payer: BCBS Complete	$14,582.92
Rate for Payer: Mclaren Medicaid	$13,888.50
Rate for Payer: Meridian Medicaid	$14,582.92
Rate for Payer: Priority Health Choice Medicaid	$13,888.50
Rate for Payer: UHCCP Medicaid	$13,888.50

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

Facility

$38,422.39

Service Code	APR-DRG 6334
Min. Negotiated Rate	$36,592.75
Max. Negotiated Rate	$38,422.39
Rate for Payer: BCBS Complete	$38,422.39
Rate for Payer: Mclaren Medicaid	$36,592.75
Rate for Payer: Meridian Medicaid	$38,422.39
Rate for Payer: Priority Health Choice Medicaid	$36,592.75
Rate for Payer: UHCCP Medicaid	$36,592.75

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

Facility

$1,292.81

Service Code	APR-DRG 6331
Min. Negotiated Rate	$1,231.25
Max. Negotiated Rate	$1,292.81
Rate for Payer: BCBS Complete	$1,292.81
Rate for Payer: Mclaren Medicaid	$1,231.25
Rate for Payer: Meridian Medicaid	$1,292.81
Rate for Payer: Priority Health Choice Medicaid	$1,231.25
Rate for Payer: UHCCP Medicaid	$1,231.25

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

Facility

$5,636.66

Service Code	APR-DRG 6332
Min. Negotiated Rate	$5,368.25
Max. Negotiated Rate	$5,636.66
Rate for Payer: BCBS Complete	$5,636.66
Rate for Payer: Mclaren Medicaid	$5,368.25
Rate for Payer: Meridian Medicaid	$5,636.66
Rate for Payer: Priority Health Choice Medicaid	$5,368.25
Rate for Payer: UHCCP Medicaid	$5,368.25

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

Facility

$58,641.97

Service Code	APR-DRG 6303
Min. Negotiated Rate	$55,849.50
Max. Negotiated Rate	$58,641.97
Rate for Payer: BCBS Complete	$58,641.97
Rate for Payer: Mclaren Medicaid	$55,849.50
Rate for Payer: Meridian Medicaid	$58,641.97
Rate for Payer: Priority Health Choice Medicaid	$55,849.50
Rate for Payer: UHCCP Medicaid	$55,849.50

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

Facility

$106,372.61

Service Code	APR-DRG 6304
Min. Negotiated Rate	$101,307.25
Max. Negotiated Rate	$106,372.61
Rate for Payer: BCBS Complete	$106,372.61
Rate for Payer: Mclaren Medicaid	$101,307.25
Rate for Payer: Meridian Medicaid	$106,372.61
Rate for Payer: Priority Health Choice Medicaid	$101,307.25
Rate for Payer: UHCCP Medicaid	$101,307.25

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

Facility

$26,735.36

Service Code	APR-DRG 6302
Min. Negotiated Rate	$25,462.25
Max. Negotiated Rate	$26,735.36
Rate for Payer: BCBS Complete	$26,735.36
Rate for Payer: Mclaren Medicaid	$25,462.25
Rate for Payer: Meridian Medicaid	$26,735.36
Rate for Payer: Priority Health Choice Medicaid	$25,462.25
Rate for Payer: UHCCP Medicaid	$25,462.25

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

Facility

$13,858.95

Service Code	APR-DRG 6301
Min. Negotiated Rate	$13,199.00
Max. Negotiated Rate	$13,858.95
Rate for Payer: BCBS Complete	$13,858.95
Rate for Payer: Mclaren Medicaid	$13,199.00
Rate for Payer: Meridian Medicaid	$13,858.95
Rate for Payer: Priority Health Choice Medicaid	$13,199.00
Rate for Payer: UHCCP Medicaid	$13,199.00

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

Facility

$117,283.95

Service Code	APR-DRG 6314
Min. Negotiated Rate	$111,699.00
Max. Negotiated Rate	$117,283.95
Rate for Payer: BCBS Complete	$117,283.95
Rate for Payer: Mclaren Medicaid	$111,699.00
Rate for Payer: Meridian Medicaid	$117,283.95
Rate for Payer: Priority Health Choice Medicaid	$111,699.00
Rate for Payer: UHCCP Medicaid	$111,699.00

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

Facility

$19,857.60

Service Code	APR-DRG 6312
Min. Negotiated Rate	$18,912.00
Max. Negotiated Rate	$19,857.60
Rate for Payer: BCBS Complete	$19,857.60
Rate for Payer: Mclaren Medicaid	$18,912.00
Rate for Payer: Meridian Medicaid	$19,857.60
Rate for Payer: Priority Health Choice Medicaid	$18,912.00
Rate for Payer: UHCCP Medicaid	$18,912.00

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

Facility

$3,981.86

Service Code	APR-DRG 6311
Min. Negotiated Rate	$3,792.25
Max. Negotiated Rate	$3,981.86
Rate for Payer: BCBS Complete	$3,981.86
Rate for Payer: Mclaren Medicaid	$3,792.25
Rate for Payer: Meridian Medicaid	$3,981.86
Rate for Payer: Priority Health Choice Medicaid	$3,792.25
Rate for Payer: UHCCP Medicaid	$3,792.25

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

Facility

$34,492.24

Service Code	APR-DRG 6313
Min. Negotiated Rate	$32,849.75
Max. Negotiated Rate	$34,492.24
Rate for Payer: BCBS Complete	$34,492.24
Rate for Payer: Mclaren Medicaid	$32,849.75
Rate for Payer: Meridian Medicaid	$34,492.24
Rate for Payer: Priority Health Choice Medicaid	$32,849.75
Rate for Payer: UHCCP Medicaid	$32,849.75

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

Facility

$3,671.59

Service Code	APR-DRG 6392
Min. Negotiated Rate	$3,496.75
Max. Negotiated Rate	$3,671.59
Rate for Payer: BCBS Complete	$3,671.59
Rate for Payer: Mclaren Medicaid	$3,496.75
Rate for Payer: Meridian Medicaid	$3,671.59
Rate for Payer: Priority Health Choice Medicaid	$3,496.75
Rate for Payer: UHCCP Medicaid	$3,496.75

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

Facility

$1,913.36

Service Code	APR-DRG 6391
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 WITH OTHER SIGNIFICANT CONDITION

Facility

$10,807.91

Service Code	APR-DRG 6393
Min. Negotiated Rate	$10,293.25
Max. Negotiated Rate	$10,807.91
Rate for Payer: BCBS Complete	$10,807.91
Rate for Payer: Mclaren Medicaid	$10,293.25
Rate for Payer: Meridian Medicaid	$10,807.91
Rate for Payer: Priority Health Choice Medicaid	$10,293.25
Rate for Payer: UHCCP Medicaid	$10,293.25

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

Facility

$16,237.73

Service Code	APR-DRG 6394
Min. Negotiated Rate	$15,464.50
Max. Negotiated Rate	$16,237.73
Rate for Payer: BCBS Complete	$16,237.73
Rate for Payer: Mclaren Medicaid	$15,464.50
Rate for Payer: Meridian Medicaid	$16,237.73
Rate for Payer: Priority Health Choice Medicaid	$15,464.50
Rate for Payer: UHCCP Medicaid	$15,464.50

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

Facility

$3,723.30

Service Code	APR-DRG 6341
Min. Negotiated Rate	$3,546.00
Max. Negotiated Rate	$3,723.30
Rate for Payer: BCBS Complete	$3,723.30
Rate for Payer: Mclaren Medicaid	$3,546.00
Rate for Payer: Meridian Medicaid	$3,723.30
Rate for Payer: Priority Health Choice Medicaid	$3,546.00
Rate for Payer: UHCCP Medicaid	$3,546.00

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

Facility

$23,270.62

Service Code	APR-DRG 6344
Min. Negotiated Rate	$22,162.50
Max. Negotiated Rate	$23,270.62
Rate for Payer: BCBS Complete	$23,270.62
Rate for Payer: Mclaren Medicaid	$22,162.50
Rate for Payer: Meridian Medicaid	$23,270.62
Rate for Payer: Priority Health Choice Medicaid	$22,162.50
Rate for Payer: UHCCP Medicaid	$22,162.50

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

Facility

$12,152.44

Service Code	APR-DRG 6343
Min. Negotiated Rate	$11,573.75
Max. Negotiated Rate	$12,152.44
Rate for Payer: BCBS Complete	$12,152.44
Rate for Payer: Mclaren Medicaid	$11,573.75
Rate for Payer: Meridian Medicaid	$12,152.44
Rate for Payer: Priority Health Choice Medicaid	$11,573.75
Rate for Payer: UHCCP Medicaid	$11,573.75

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

Facility

$6,102.07

Service Code	APR-DRG 6342
Min. Negotiated Rate	$5,811.50
Max. Negotiated Rate	$6,102.07
Rate for Payer: BCBS Complete	$6,102.07
Rate for Payer: Mclaren Medicaid	$5,811.50
Rate for Payer: Meridian Medicaid	$6,102.07
Rate for Payer: Priority Health Choice Medicaid	$5,811.50
Rate for Payer: UHCCP Medicaid	$5,811.50

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

Facility

$15,772.31

Service Code	APR-DRG 5911
Min. Negotiated Rate	$15,021.25
Max. Negotiated Rate	$15,772.31
Rate for Payer: BCBS Complete	$15,772.31
Rate for Payer: Mclaren Medicaid	$15,021.25
Rate for Payer: Meridian Medicaid	$15,772.31
Rate for Payer: Priority Health Choice Medicaid	$15,021.25
Rate for Payer: UHCCP Medicaid	$15,021.25

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

Facility

$74,259.15

Service Code	APR-DRG 5912
Min. Negotiated Rate	$70,723.00
Max. Negotiated Rate	$74,259.15
Rate for Payer: BCBS Complete	$74,259.15
Rate for Payer: Mclaren Medicaid	$70,723.00
Rate for Payer: Meridian Medicaid	$74,259.15
Rate for Payer: Priority Health Choice Medicaid	$70,723.00
Rate for Payer: UHCCP Medicaid	$70,723.00

Know your out-of-pocket cost for care.

All Charges