Bronson Lakeview Hospital

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 4832: PENIS, TESTES & SCROTAL PROCEDURES

Facility

$7,555.06

Service Code	APR-DRG 4832
Hospital Charge Code	APRDRG 4832
Min. Negotiated Rate	$7,195.30
Max. Negotiated Rate	$7,555.06
Rate for Payer: BCBS Complete	$7,555.06
Rate for Payer: Mclaren Medicaid	$7,195.30
Rate for Payer: Meridian Medicaid	$7,555.06
Rate for Payer: Priority Health Choice Medicaid	$7,195.30

INPATIENT APRDRG 4833: PENIS, TESTES & SCROTAL PROCEDURES

Facility

$11,337.09

Service Code	APR-DRG 4833
Hospital Charge Code	APRDRG 4833
Min. Negotiated Rate	$10,797.23
Max. Negotiated Rate	$11,337.09
Rate for Payer: BCBS Complete	$11,337.09
Rate for Payer: Mclaren Medicaid	$10,797.23
Rate for Payer: Meridian Medicaid	$11,337.09
Rate for Payer: Priority Health Choice Medicaid	$10,797.23

INPATIENT APRDRG 4834: PENIS, TESTES & SCROTAL PROCEDURES

Facility

$20,852.74

Service Code	APR-DRG 4834
Hospital Charge Code	APRDRG 4834
Min. Negotiated Rate	$19,859.75
Max. Negotiated Rate	$20,852.74
Rate for Payer: BCBS Complete	$20,852.74
Rate for Payer: Mclaren Medicaid	$19,859.75
Rate for Payer: Meridian Medicaid	$20,852.74
Rate for Payer: Priority Health Choice Medicaid	$19,859.75

INPATIENT APRDRG 4841: OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES

Facility

$8,000.95

Service Code	APR-DRG 4841
Hospital Charge Code	APRDRG 4841
Min. Negotiated Rate	$7,619.95
Max. Negotiated Rate	$8,000.95
Rate for Payer: BCBS Complete	$8,000.95
Rate for Payer: Mclaren Medicaid	$7,619.95
Rate for Payer: Meridian Medicaid	$8,000.95
Rate for Payer: Priority Health Choice Medicaid	$7,619.95

INPATIENT APRDRG 4842: OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES

Facility

$9,267.77

Service Code	APR-DRG 4842
Hospital Charge Code	APRDRG 4842
Min. Negotiated Rate	$8,826.45
Max. Negotiated Rate	$9,267.77
Rate for Payer: BCBS Complete	$9,267.77
Rate for Payer: Mclaren Medicaid	$8,826.45
Rate for Payer: Meridian Medicaid	$9,267.77
Rate for Payer: Priority Health Choice Medicaid	$8,826.45

INPATIENT APRDRG 4843: OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES

Facility

$9,953.06

Service Code	APR-DRG 4843
Hospital Charge Code	APRDRG 4843
Min. Negotiated Rate	$9,479.10
Max. Negotiated Rate	$9,953.06
Rate for Payer: BCBS Complete	$9,953.06
Rate for Payer: Mclaren Medicaid	$9,479.10
Rate for Payer: Meridian Medicaid	$9,953.06
Rate for Payer: Priority Health Choice Medicaid	$9,479.10

INPATIENT APRDRG 4844: OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES

Facility

$21,983.41

Service Code	APR-DRG 4844
Hospital Charge Code	APRDRG 4844
Min. Negotiated Rate	$20,936.58
Max. Negotiated Rate	$21,983.41
Rate for Payer: BCBS Complete	$21,983.41
Rate for Payer: Mclaren Medicaid	$20,936.58
Rate for Payer: Meridian Medicaid	$21,983.41
Rate for Payer: Priority Health Choice Medicaid	$20,936.58

INPATIENT APRDRG 5001: MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$4,199.98

Service Code	APR-DRG 5001
Hospital Charge Code	APRDRG 5001
Min. Negotiated Rate	$3,999.98
Max. Negotiated Rate	$4,199.98
Rate for Payer: BCBS Complete	$4,199.98
Rate for Payer: Mclaren Medicaid	$3,999.98
Rate for Payer: Meridian Medicaid	$4,199.98
Rate for Payer: Priority Health Choice Medicaid	$3,999.98

INPATIENT APRDRG 5002: MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$6,168.54

Service Code	APR-DRG 5002
Hospital Charge Code	APRDRG 5002
Min. Negotiated Rate	$5,874.80
Max. Negotiated Rate	$6,168.54
Rate for Payer: BCBS Complete	$6,168.54
Rate for Payer: Mclaren Medicaid	$5,874.80
Rate for Payer: Meridian Medicaid	$6,168.54
Rate for Payer: Priority Health Choice Medicaid	$5,874.80

INPATIENT APRDRG 5003: MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$9,178.00

Service Code	APR-DRG 5003
Hospital Charge Code	APRDRG 5003
Min. Negotiated Rate	$8,740.95
Max. Negotiated Rate	$9,178.00
Rate for Payer: BCBS Complete	$9,178.00
Rate for Payer: Mclaren Medicaid	$8,740.95
Rate for Payer: Meridian Medicaid	$9,178.00
Rate for Payer: Priority Health Choice Medicaid	$8,740.95

INPATIENT APRDRG 5004: MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$18,482.18

Service Code	APR-DRG 5004
Hospital Charge Code	APRDRG 5004
Min. Negotiated Rate	$17,602.08
Max. Negotiated Rate	$18,482.18
Rate for Payer: BCBS Complete	$18,482.18
Rate for Payer: Mclaren Medicaid	$17,602.08
Rate for Payer: Meridian Medicaid	$18,482.18
Rate for Payer: Priority Health Choice Medicaid	$17,602.08

INPATIENT APRDRG 5011: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$3,075.80

Service Code	APR-DRG 5011
Hospital Charge Code	APRDRG 5011
Min. Negotiated Rate	$2,929.33
Max. Negotiated Rate	$3,075.80
Rate for Payer: BCBS Complete	$3,075.80
Rate for Payer: Mclaren Medicaid	$2,929.33
Rate for Payer: Meridian Medicaid	$3,075.80
Rate for Payer: Priority Health Choice Medicaid	$2,929.33

INPATIENT APRDRG 5012: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$3,431.40

Service Code	APR-DRG 5012
Hospital Charge Code	APRDRG 5012
Min. Negotiated Rate	$3,268.00
Max. Negotiated Rate	$3,431.40
Rate for Payer: BCBS Complete	$3,431.40
Rate for Payer: Mclaren Medicaid	$3,268.00
Rate for Payer: Meridian Medicaid	$3,431.40
Rate for Payer: Priority Health Choice Medicaid	$3,268.00

INPATIENT APRDRG 5013: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$4,976.03

Service Code	APR-DRG 5013
Hospital Charge Code	APRDRG 5013
Min. Negotiated Rate	$4,739.08
Max. Negotiated Rate	$4,976.03
Rate for Payer: BCBS Complete	$4,976.03
Rate for Payer: Mclaren Medicaid	$4,739.08
Rate for Payer: Meridian Medicaid	$4,976.03
Rate for Payer: Priority Health Choice Medicaid	$4,739.08

INPATIENT APRDRG 5014: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$9,815.90

Service Code	APR-DRG 5014
Hospital Charge Code	APRDRG 5014
Min. Negotiated Rate	$9,348.48
Max. Negotiated Rate	$9,815.90
Rate for Payer: BCBS Complete	$9,815.90
Rate for Payer: Mclaren Medicaid	$9,348.48
Rate for Payer: Meridian Medicaid	$9,815.90
Rate for Payer: Priority Health Choice Medicaid	$9,348.48

INPATIENT APRDRG 5101: PELVIC EVISCERATION, RADICAL HYSTERECTOMY & OTHER RADICAL GYN PROCS

Facility

$7,557.06

Service Code	APR-DRG 5101
Hospital Charge Code	APRDRG 5101
Min. Negotiated Rate	$7,197.20
Max. Negotiated Rate	$7,557.06
Rate for Payer: BCBS Complete	$7,557.06
Rate for Payer: Mclaren Medicaid	$7,197.20
Rate for Payer: Meridian Medicaid	$7,557.06
Rate for Payer: Priority Health Choice Medicaid	$7,197.20

INPATIENT APRDRG 5102: PELVIC EVISCERATION, RADICAL HYSTERECTOMY & OTHER RADICAL GYN PROCS

Facility

$8,703.69

Service Code	APR-DRG 5102
Hospital Charge Code	APRDRG 5102
Min. Negotiated Rate	$8,289.23
Max. Negotiated Rate	$8,703.69
Rate for Payer: BCBS Complete	$8,703.69
Rate for Payer: Mclaren Medicaid	$8,289.23
Rate for Payer: Meridian Medicaid	$8,703.69
Rate for Payer: Priority Health Choice Medicaid	$8,289.23

INPATIENT APRDRG 5103: PELVIC EVISCERATION, RADICAL HYSTERECTOMY & OTHER RADICAL GYN PROCS

Facility

$15,649.28

Service Code	APR-DRG 5103
Hospital Charge Code	APRDRG 5103
Min. Negotiated Rate	$14,904.08
Max. Negotiated Rate	$15,649.28
Rate for Payer: BCBS Complete	$15,649.28
Rate for Payer: Mclaren Medicaid	$14,904.08
Rate for Payer: Meridian Medicaid	$15,649.28
Rate for Payer: Priority Health Choice Medicaid	$14,904.08

INPATIENT APRDRG 5104: PELVIC EVISCERATION, RADICAL HYSTERECTOMY & OTHER RADICAL GYN PROCS

Facility

$29,421.77

Service Code	APR-DRG 5104
Hospital Charge Code	APRDRG 5104
Min. Negotiated Rate	$28,020.73
Max. Negotiated Rate	$29,421.77
Rate for Payer: BCBS Complete	$29,421.77
Rate for Payer: Mclaren Medicaid	$28,020.73
Rate for Payer: Meridian Medicaid	$29,421.77
Rate for Payer: Priority Health Choice Medicaid	$28,020.73

INPATIENT APRDRG 5111: UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY

Facility

$6,922.65

Service Code	APR-DRG 5111
Hospital Charge Code	APRDRG 5111
Min. Negotiated Rate	$6,593.00
Max. Negotiated Rate	$6,922.65
Rate for Payer: BCBS Complete	$6,922.65
Rate for Payer: Mclaren Medicaid	$6,593.00
Rate for Payer: Meridian Medicaid	$6,922.65
Rate for Payer: Priority Health Choice Medicaid	$6,593.00

INPATIENT APRDRG 5112: UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY

Facility

$9,362.54

Service Code	APR-DRG 5112
Hospital Charge Code	APRDRG 5112
Min. Negotiated Rate	$8,916.70
Max. Negotiated Rate	$9,362.54
Rate for Payer: BCBS Complete	$9,362.54
Rate for Payer: Mclaren Medicaid	$8,916.70
Rate for Payer: Meridian Medicaid	$9,362.54
Rate for Payer: Priority Health Choice Medicaid	$8,916.70

INPATIENT APRDRG 5113: UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY

Facility

$12,572.00

Service Code	APR-DRG 5113
Hospital Charge Code	APRDRG 5113
Min. Negotiated Rate	$11,973.33
Max. Negotiated Rate	$12,572.00
Rate for Payer: BCBS Complete	$12,572.00
Rate for Payer: Mclaren Medicaid	$11,973.33
Rate for Payer: Meridian Medicaid	$12,572.00
Rate for Payer: Priority Health Choice Medicaid	$11,973.33

INPATIENT APRDRG 5114: UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY

Facility

$24,961.44

Service Code	APR-DRG 5114
Hospital Charge Code	APRDRG 5114
Min. Negotiated Rate	$23,772.80
Max. Negotiated Rate	$24,961.44
Rate for Payer: BCBS Complete	$24,961.44
Rate for Payer: Mclaren Medicaid	$23,772.80
Rate for Payer: Meridian Medicaid	$24,961.44
Rate for Payer: Priority Health Choice Medicaid	$23,772.80

INPATIENT APRDRG 5121: UTERINE & ADNEXA PROCEDURES FOR NON-OVARIAN & NON-ADNEXAL MALIG

Facility

$8,005.94

Service Code	APR-DRG 5121
Hospital Charge Code	APRDRG 5121
Min. Negotiated Rate	$7,624.70
Max. Negotiated Rate	$8,005.94
Rate for Payer: BCBS Complete	$8,005.94
Rate for Payer: Mclaren Medicaid	$7,624.70
Rate for Payer: Meridian Medicaid	$8,005.94
Rate for Payer: Priority Health Choice Medicaid	$7,624.70

INPATIENT APRDRG 5122: UTERINE & ADNEXA PROCEDURES FOR NON-OVARIAN & NON-ADNEXAL MALIG

Facility

$9,241.84

Service Code	APR-DRG 5122
Hospital Charge Code	APRDRG 5122
Min. Negotiated Rate	$8,801.75
Max. Negotiated Rate	$9,241.84
Rate for Payer: BCBS Complete	$9,241.84
Rate for Payer: Mclaren Medicaid	$8,801.75
Rate for Payer: Meridian Medicaid	$9,241.84
Rate for Payer: Priority Health Choice Medicaid	$8,801.75

Know your out-of-pocket cost for care.

All Charges