Bronson Lakeview Hospital

All Charges

Charge

Type

Setting

Price

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

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

Facility

$86,566.73

Service Code	APR-DRG 5913
Min. Negotiated Rate	$82,444.50
Max. Negotiated Rate	$86,566.73
Rate for Payer: BCBS Complete	$86,566.73
Rate for Payer: Mclaren Medicaid	$82,444.50
Rate for Payer: Meridian Medicaid	$86,566.73
Rate for Payer: Priority Health Choice Medicaid	$82,444.50
Rate for Payer: UHCCP Medicaid	$82,444.50

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

$81,602.32

Service Code	APR-DRG 5891
Min. Negotiated Rate	$77,716.50
Max. Negotiated Rate	$81,602.32
Rate for Payer: BCBS Complete	$81,602.32
Rate for Payer: Mclaren Medicaid	$77,716.50
Rate for Payer: Meridian Medicaid	$81,602.32
Rate for Payer: Priority Health Choice Medicaid	$77,716.50
Rate for Payer: UHCCP Medicaid	$77,716.50

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

$1,706.51

Service Code	APR-DRG 5894
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 < 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

$81,602.32

Service Code	APR-DRG 5893
Min. Negotiated Rate	$77,716.50
Max. Negotiated Rate	$81,602.32
Rate for Payer: BCBS Complete	$81,602.32
Rate for Payer: Mclaren Medicaid	$77,716.50
Rate for Payer: Meridian Medicaid	$81,602.32
Rate for Payer: Priority Health Choice Medicaid	$77,716.50
Rate for Payer: UHCCP Medicaid	$77,716.50

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

$81,602.32

Service Code	APR-DRG 5892
Min. Negotiated Rate	$77,716.50
Max. Negotiated Rate	$81,602.32
Rate for Payer: BCBS Complete	$81,602.32
Rate for Payer: Mclaren Medicaid	$77,716.50
Rate for Payer: Meridian Medicaid	$81,602.32
Rate for Payer: Priority Health Choice Medicaid	$77,716.50
Rate for Payer: UHCCP Medicaid	$77,716.50

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

Facility

$59,365.95

Service Code	APR-DRG 5932
Min. Negotiated Rate	$56,539.00
Max. Negotiated Rate	$59,365.95
Rate for Payer: BCBS Complete	$59,365.95
Rate for Payer: Mclaren Medicaid	$56,539.00
Rate for Payer: Meridian Medicaid	$59,365.95
Rate for Payer: Priority Health Choice Medicaid	$56,539.00
Rate for Payer: UHCCP Medicaid	$56,539.00

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

Facility

$73,793.74

Service Code	APR-DRG 5933
Min. Negotiated Rate	$70,279.75
Max. Negotiated Rate	$73,793.74
Rate for Payer: BCBS Complete	$73,793.74
Rate for Payer: Mclaren Medicaid	$70,279.75
Rate for Payer: Meridian Medicaid	$73,793.74
Rate for Payer: Priority Health Choice Medicaid	$70,279.75
Rate for Payer: UHCCP Medicaid	$70,279.75

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

Facility

$100,891.09

Service Code	APR-DRG 5934
Min. Negotiated Rate	$96,086.75
Max. Negotiated Rate	$100,891.09
Rate for Payer: BCBS Complete	$100,891.09
Rate for Payer: Mclaren Medicaid	$96,086.75
Rate for Payer: Meridian Medicaid	$100,891.09
Rate for Payer: Priority Health Choice Medicaid	$96,086.75
Rate for Payer: UHCCP Medicaid	$96,086.75

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

Facility

$45,196.72

Service Code	APR-DRG 5931
Min. Negotiated Rate	$43,044.50
Max. Negotiated Rate	$45,196.72
Rate for Payer: BCBS Complete	$45,196.72
Rate for Payer: Mclaren Medicaid	$43,044.50
Rate for Payer: Meridian Medicaid	$45,196.72
Rate for Payer: Priority Health Choice Medicaid	$43,044.50
Rate for Payer: UHCCP Medicaid	$43,044.50

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

Facility

$1,603.09

Service Code	APR-DRG 5813
Min. Negotiated Rate	$1,526.75
Max. Negotiated Rate	$1,603.09
Rate for Payer: BCBS Complete	$1,603.09
Rate for Payer: Mclaren Medicaid	$1,526.75
Rate for Payer: Meridian Medicaid	$1,603.09
Rate for Payer: Priority Health Choice Medicaid	$1,526.75
Rate for Payer: UHCCP Medicaid	$1,526.75

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

Facility

$827.40

Service Code	APR-DRG 5812
Min. Negotiated Rate	$788.00
Max. Negotiated Rate	$827.40
Rate for Payer: BCBS Complete	$827.40
Rate for Payer: Mclaren Medicaid	$788.00
Rate for Payer: Meridian Medicaid	$827.40
Rate for Payer: Priority Health Choice Medicaid	$788.00
Rate for Payer: UHCCP Medicaid	$788.00

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

Facility

$2,895.90

Service Code	APR-DRG 5814
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, TRANSFERRED < 5 DAYS OLD, BORN HERE

Facility

$517.12

Service Code	APR-DRG 5811
Min. Negotiated Rate	$492.50
Max. Negotiated Rate	$517.12
Rate for Payer: BCBS Complete	$517.12
Rate for Payer: Mclaren Medicaid	$492.50
Rate for Payer: Meridian Medicaid	$517.12
Rate for Payer: Priority Health Choice Medicaid	$492.50
Rate for Payer: UHCCP Medicaid	$492.50

APR-DRG 42.00: NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE

Facility

$4,757.55

Service Code	APR-DRG 5803
Min. Negotiated Rate	$4,531.00
Max. Negotiated Rate	$4,757.55
Rate for Payer: BCBS Complete	$4,757.55
Rate for Payer: Mclaren Medicaid	$4,531.00
Rate for Payer: Meridian Medicaid	$4,757.55
Rate for Payer: Priority Health Choice Medicaid	$4,531.00
Rate for Payer: UHCCP Medicaid	$4,531.00

APR-DRG 42.00: NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE

Facility

$6,102.07

Service Code	APR-DRG 5804
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, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE

Facility

$1,551.38

Service Code	APR-DRG 5801
Min. Negotiated Rate	$1,477.50
Max. Negotiated Rate	$1,551.38
Rate for Payer: BCBS Complete	$1,551.38
Rate for Payer: Mclaren Medicaid	$1,477.50
Rate for Payer: Meridian Medicaid	$1,551.38
Rate for Payer: Priority Health Choice Medicaid	$1,477.50
Rate for Payer: UHCCP Medicaid	$1,477.50

APR-DRG 42.00: NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE

Facility

$2,430.49

Service Code	APR-DRG 5802
Min. Negotiated Rate	$2,314.75
Max. Negotiated Rate	$2,430.49
Rate for Payer: BCBS Complete	$2,430.49
Rate for Payer: Mclaren Medicaid	$2,314.75
Rate for Payer: Meridian Medicaid	$2,430.49
Rate for Payer: Priority Health Choice Medicaid	$2,314.75
Rate for Payer: UHCCP Medicaid	$2,314.75

APR-DRG 42.00: NEONATE WITH ECMO

Facility

$285,763.28

Service Code	APR-DRG 5834
Min. Negotiated Rate	$272,155.50
Max. Negotiated Rate	$285,763.28
Rate for Payer: BCBS Complete	$285,763.28
Rate for Payer: Mclaren Medicaid	$272,155.50
Rate for Payer: Meridian Medicaid	$285,763.28
Rate for Payer: Priority Health Choice Medicaid	$272,155.50
Rate for Payer: UHCCP Medicaid	$272,155.50

APR-DRG 42.00: NEONATE WITH ECMO

Facility

$112,164.41

Service Code	APR-DRG 5831
Min. Negotiated Rate	$106,823.25
Max. Negotiated Rate	$112,164.41
Rate for Payer: BCBS Complete	$112,164.41
Rate for Payer: Mclaren Medicaid	$106,823.25
Rate for Payer: Meridian Medicaid	$112,164.41
Rate for Payer: Priority Health Choice Medicaid	$106,823.25
Rate for Payer: UHCCP Medicaid	$106,823.25

APR-DRG 42.00: NEONATE WITH ECMO

Facility

$162,739.24

Service Code	APR-DRG 5833
Min. Negotiated Rate	$154,989.75
Max. Negotiated Rate	$162,739.24
Rate for Payer: BCBS Complete	$162,739.24
Rate for Payer: Mclaren Medicaid	$154,989.75
Rate for Payer: Meridian Medicaid	$162,739.24
Rate for Payer: Priority Health Choice Medicaid	$154,989.75
Rate for Payer: UHCCP Medicaid	$154,989.75

APR-DRG 42.00: NEONATE WITH ECMO

Facility

$124,989.11

Service Code	APR-DRG 5832
Min. Negotiated Rate	$119,037.25
Max. Negotiated Rate	$124,989.11
Rate for Payer: BCBS Complete	$124,989.11
Rate for Payer: Mclaren Medicaid	$119,037.25
Rate for Payer: Meridian Medicaid	$124,989.11
Rate for Payer: Priority Health Choice Medicaid	$119,037.25
Rate for Payer: UHCCP Medicaid	$119,037.25

APR-DRG 42.00: NEPHRITIS AND NEPHROSIS

Facility

$14,220.94

Service Code	APR-DRG 4624
Min. Negotiated Rate	$13,543.75
Max. Negotiated Rate	$14,220.94
Rate for Payer: BCBS Complete	$14,220.94
Rate for Payer: Mclaren Medicaid	$13,543.75
Rate for Payer: Meridian Medicaid	$14,220.94
Rate for Payer: Priority Health Choice Medicaid	$13,543.75
Rate for Payer: UHCCP Medicaid	$13,543.75

APR-DRG 42.00: NEPHRITIS AND NEPHROSIS

Facility

$4,240.43

Service Code	APR-DRG 4622
Min. Negotiated Rate	$4,038.50
Max. Negotiated Rate	$4,240.43
Rate for Payer: BCBS Complete	$4,240.43
Rate for Payer: Mclaren Medicaid	$4,038.50
Rate for Payer: Meridian Medicaid	$4,240.43
Rate for Payer: Priority Health Choice Medicaid	$4,038.50
Rate for Payer: UHCCP Medicaid	$4,038.50

APR-DRG 42.00: NEPHRITIS AND NEPHROSIS

Facility

$2,999.32

Service Code	APR-DRG 4621
Min. Negotiated Rate	$2,856.50
Max. Negotiated Rate	$2,999.32
Rate for Payer: BCBS Complete	$2,999.32
Rate for Payer: Mclaren Medicaid	$2,856.50
Rate for Payer: Meridian Medicaid	$2,999.32
Rate for Payer: Priority Health Choice Medicaid	$2,856.50
Rate for Payer: UHCCP Medicaid	$2,856.50

Know your out-of-pocket cost for care.

All Charges