Bronson Lakeview Hospital

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 5123: UTERINE & ADNEXA PROCEDURES FOR NON-OVARIAN & NON-ADNEXAL MALIG

Facility

$13,380.97

Service Code	APR-DRG 5123
Hospital Charge Code	APRDRG 5123
Min. Negotiated Rate	$12,743.78
Max. Negotiated Rate	$13,380.97
Rate for Payer: BCBS Complete	$13,380.97
Rate for Payer: Mclaren Medicaid	$12,743.78
Rate for Payer: Meridian Medicaid	$13,380.97
Rate for Payer: Priority Health Choice Medicaid	$12,743.78

INPATIENT APRDRG 5124: UTERINE & ADNEXA PROCEDURES FOR NON-OVARIAN & NON-ADNEXAL MALIG

Facility

$22,767.94

Service Code	APR-DRG 5124
Hospital Charge Code	APRDRG 5124
Min. Negotiated Rate	$21,683.75
Max. Negotiated Rate	$22,767.94
Rate for Payer: BCBS Complete	$22,767.94
Rate for Payer: Mclaren Medicaid	$21,683.75
Rate for Payer: Meridian Medicaid	$22,767.94
Rate for Payer: Priority Health Choice Medicaid	$21,683.75

INPATIENT APRDRG 5131: UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA

Facility

$6,402.95

Service Code	APR-DRG 5131
Hospital Charge Code	APRDRG 5131
Min. Negotiated Rate	$6,098.05
Max. Negotiated Rate	$6,402.95
Rate for Payer: BCBS Complete	$6,402.95
Rate for Payer: Mclaren Medicaid	$6,098.05
Rate for Payer: Meridian Medicaid	$6,402.95
Rate for Payer: Priority Health Choice Medicaid	$6,098.05

INPATIENT APRDRG 5132: UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA

Facility

$7,748.09

Service Code	APR-DRG 5132
Hospital Charge Code	APRDRG 5132
Min. Negotiated Rate	$7,379.13
Max. Negotiated Rate	$7,748.09
Rate for Payer: BCBS Complete	$7,748.09
Rate for Payer: Mclaren Medicaid	$7,379.13
Rate for Payer: Meridian Medicaid	$7,748.09
Rate for Payer: Priority Health Choice Medicaid	$7,379.13

INPATIENT APRDRG 5133: UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA

Facility

$12,332.60

Service Code	APR-DRG 5133
Hospital Charge Code	APRDRG 5133
Min. Negotiated Rate	$11,745.33
Max. Negotiated Rate	$12,332.60
Rate for Payer: BCBS Complete	$12,332.60
Rate for Payer: Mclaren Medicaid	$11,745.33
Rate for Payer: Meridian Medicaid	$12,332.60
Rate for Payer: Priority Health Choice Medicaid	$11,745.33

INPATIENT APRDRG 5134: UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA

Facility

$21,442.26

Service Code	APR-DRG 5134
Hospital Charge Code	APRDRG 5134
Min. Negotiated Rate	$20,421.20
Max. Negotiated Rate	$21,442.26
Rate for Payer: BCBS Complete	$21,442.26
Rate for Payer: Mclaren Medicaid	$20,421.20
Rate for Payer: Meridian Medicaid	$21,442.26
Rate for Payer: Priority Health Choice Medicaid	$20,421.20

INPATIENT APRDRG 5141: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES

Facility

$5,159.57

Service Code	APR-DRG 5141
Hospital Charge Code	APRDRG 5141
Min. Negotiated Rate	$4,913.88
Max. Negotiated Rate	$5,159.57
Rate for Payer: BCBS Complete	$5,159.57
Rate for Payer: Mclaren Medicaid	$4,913.88
Rate for Payer: Meridian Medicaid	$5,159.57
Rate for Payer: Priority Health Choice Medicaid	$4,913.88

INPATIENT APRDRG 5142: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES

Facility

$7,977.01

Service Code	APR-DRG 5142
Hospital Charge Code	APRDRG 5142
Min. Negotiated Rate	$7,597.15
Max. Negotiated Rate	$7,977.01
Rate for Payer: BCBS Complete	$7,977.01
Rate for Payer: Mclaren Medicaid	$7,597.15
Rate for Payer: Meridian Medicaid	$7,977.01
Rate for Payer: Priority Health Choice Medicaid	$7,597.15

INPATIENT APRDRG 5143: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES

Facility

$10,804.92

Service Code	APR-DRG 5143
Hospital Charge Code	APRDRG 5143
Min. Negotiated Rate	$10,290.40
Max. Negotiated Rate	$10,804.92
Rate for Payer: BCBS Complete	$10,804.92
Rate for Payer: Mclaren Medicaid	$10,290.40
Rate for Payer: Meridian Medicaid	$10,804.92
Rate for Payer: Priority Health Choice Medicaid	$10,290.40

INPATIENT APRDRG 5144: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES

Facility

$29,111.04

Service Code	APR-DRG 5144
Hospital Charge Code	APRDRG 5144
Min. Negotiated Rate	$27,724.80
Max. Negotiated Rate	$29,111.04
Rate for Payer: BCBS Complete	$29,111.04
Rate for Payer: Mclaren Medicaid	$27,724.80
Rate for Payer: Meridian Medicaid	$29,111.04
Rate for Payer: Priority Health Choice Medicaid	$27,724.80

INPATIENT APRDRG 5171: DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES

Facility

$4,263.82

Service Code	APR-DRG 5171
Hospital Charge Code	APRDRG 5171
Min. Negotiated Rate	$4,060.78
Max. Negotiated Rate	$4,263.82
Rate for Payer: BCBS Complete	$4,263.82
Rate for Payer: Mclaren Medicaid	$4,060.78
Rate for Payer: Meridian Medicaid	$4,263.82
Rate for Payer: Priority Health Choice Medicaid	$4,060.78

INPATIENT APRDRG 5172: DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES

Facility

$4,954.09

Service Code	APR-DRG 5172
Hospital Charge Code	APRDRG 5172
Min. Negotiated Rate	$4,718.18
Max. Negotiated Rate	$4,954.09
Rate for Payer: BCBS Complete	$4,954.09
Rate for Payer: Mclaren Medicaid	$4,718.18
Rate for Payer: Meridian Medicaid	$4,954.09
Rate for Payer: Priority Health Choice Medicaid	$4,718.18

INPATIENT APRDRG 5173: DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES

Facility

$7,861.30

Service Code	APR-DRG 5173
Hospital Charge Code	APRDRG 5173
Min. Negotiated Rate	$7,486.95
Max. Negotiated Rate	$7,861.30
Rate for Payer: BCBS Complete	$7,861.30
Rate for Payer: Mclaren Medicaid	$7,486.95
Rate for Payer: Meridian Medicaid	$7,861.30
Rate for Payer: Priority Health Choice Medicaid	$7,486.95

INPATIENT APRDRG 5174: DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES

Facility

$13,029.34

Service Code	APR-DRG 5174
Hospital Charge Code	APRDRG 5174
Min. Negotiated Rate	$12,408.90
Max. Negotiated Rate	$13,029.34
Rate for Payer: BCBS Complete	$13,029.34
Rate for Payer: Mclaren Medicaid	$12,408.90
Rate for Payer: Meridian Medicaid	$13,029.34
Rate for Payer: Priority Health Choice Medicaid	$12,408.90

INPATIENT APRDRG 5181: OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES

Facility

$5,349.59

Service Code	APR-DRG 5181
Hospital Charge Code	APRDRG 5181
Min. Negotiated Rate	$5,094.85
Max. Negotiated Rate	$5,349.59
Rate for Payer: BCBS Complete	$5,349.59
Rate for Payer: Mclaren Medicaid	$5,094.85
Rate for Payer: Meridian Medicaid	$5,349.59
Rate for Payer: Priority Health Choice Medicaid	$5,094.85

INPATIENT APRDRG 5182: OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES

Facility

$6,288.74

Service Code	APR-DRG 5182
Hospital Charge Code	APRDRG 5182
Min. Negotiated Rate	$5,989.28
Max. Negotiated Rate	$6,288.74
Rate for Payer: BCBS Complete	$6,288.74
Rate for Payer: Mclaren Medicaid	$5,989.28
Rate for Payer: Meridian Medicaid	$6,288.74
Rate for Payer: Priority Health Choice Medicaid	$5,989.28

INPATIENT APRDRG 5183: OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES

Facility

$9,910.16

Service Code	APR-DRG 5183
Hospital Charge Code	APRDRG 5183
Min. Negotiated Rate	$9,438.25
Max. Negotiated Rate	$9,910.16
Rate for Payer: BCBS Complete	$9,910.16
Rate for Payer: Mclaren Medicaid	$9,438.25
Rate for Payer: Meridian Medicaid	$9,910.16
Rate for Payer: Priority Health Choice Medicaid	$9,438.25

INPATIENT APRDRG 5184: OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES

Facility

$20,824.81

Service Code	APR-DRG 5184
Hospital Charge Code	APRDRG 5184
Min. Negotiated Rate	$19,833.15
Max. Negotiated Rate	$20,824.81
Rate for Payer: BCBS Complete	$20,824.81
Rate for Payer: Mclaren Medicaid	$19,833.15
Rate for Payer: Meridian Medicaid	$20,824.81
Rate for Payer: Priority Health Choice Medicaid	$19,833.15

INPATIENT APRDRG 5191: UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA

Facility

$5,849.84

Service Code	APR-DRG 5191
Hospital Charge Code	APRDRG 5191
Min. Negotiated Rate	$5,571.28
Max. Negotiated Rate	$5,849.84
Rate for Payer: BCBS Complete	$5,849.84
Rate for Payer: Mclaren Medicaid	$5,571.28
Rate for Payer: Meridian Medicaid	$5,849.84
Rate for Payer: Priority Health Choice Medicaid	$5,571.28

INPATIENT APRDRG 5192: UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA

Facility

$7,954.06

Service Code	APR-DRG 5192
Hospital Charge Code	APRDRG 5192
Min. Negotiated Rate	$7,575.30
Max. Negotiated Rate	$7,954.06
Rate for Payer: BCBS Complete	$7,954.06
Rate for Payer: Mclaren Medicaid	$7,575.30
Rate for Payer: Meridian Medicaid	$7,954.06
Rate for Payer: Priority Health Choice Medicaid	$7,575.30

INPATIENT APRDRG 5193: UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA

Facility

$11,694.20

Service Code	APR-DRG 5193
Hospital Charge Code	APRDRG 5193
Min. Negotiated Rate	$11,137.33
Max. Negotiated Rate	$11,694.20
Rate for Payer: BCBS Complete	$11,694.20
Rate for Payer: Mclaren Medicaid	$11,137.33
Rate for Payer: Meridian Medicaid	$11,694.20
Rate for Payer: Priority Health Choice Medicaid	$11,137.33

INPATIENT APRDRG 5194: UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA

Facility

$22,962.95

Service Code	APR-DRG 5194
Hospital Charge Code	APRDRG 5194
Min. Negotiated Rate	$21,869.48
Max. Negotiated Rate	$22,962.95
Rate for Payer: BCBS Complete	$22,962.95
Rate for Payer: Mclaren Medicaid	$21,869.48
Rate for Payer: Meridian Medicaid	$22,962.95
Rate for Payer: Priority Health Choice Medicaid	$21,869.48

INPATIENT APRDRG 5301: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY

Facility

$4,125.66

Service Code	APR-DRG 5301
Hospital Charge Code	APRDRG 5301
Min. Negotiated Rate	$3,929.20
Max. Negotiated Rate	$4,125.66
Rate for Payer: BCBS Complete	$4,125.66
Rate for Payer: Mclaren Medicaid	$3,929.20
Rate for Payer: Meridian Medicaid	$4,125.66
Rate for Payer: Priority Health Choice Medicaid	$3,929.20

INPATIENT APRDRG 5302: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY

Facility

$5,038.37

Service Code	APR-DRG 5302
Hospital Charge Code	APRDRG 5302
Min. Negotiated Rate	$4,798.45
Max. Negotiated Rate	$5,038.37
Rate for Payer: BCBS Complete	$5,038.37
Rate for Payer: Mclaren Medicaid	$4,798.45
Rate for Payer: Meridian Medicaid	$5,038.37
Rate for Payer: Priority Health Choice Medicaid	$4,798.45

INPATIENT APRDRG 5303: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY

Facility

$6,557.07

Service Code	APR-DRG 5303
Hospital Charge Code	APRDRG 5303
Min. Negotiated Rate	$6,244.83
Max. Negotiated Rate	$6,557.07
Rate for Payer: BCBS Complete	$6,557.07
Rate for Payer: Mclaren Medicaid	$6,244.83
Rate for Payer: Meridian Medicaid	$6,557.07
Rate for Payer: Priority Health Choice Medicaid	$6,244.83

Know your out-of-pocket cost for care.

All Charges