Bronson Lakeview Hospital

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 6094: NEONATE BWT 1500-2499G W MAJOR PROCEDURE

Facility

$120,269.08

Service Code	APR-DRG 6094
Hospital Charge Code	APRDRG 6094
Min. Negotiated Rate	$114,541.98
Max. Negotiated Rate	$120,269.08
Rate for Payer: BCBS Complete	$120,269.08
Rate for Payer: Mclaren Medicaid	$114,541.98
Rate for Payer: Meridian Medicaid	$120,269.08
Rate for Payer: Priority Health Choice Medicaid	$114,541.98

INPATIENT APRDRG 6111: NEONATE BIRTHWT 1500-1999G W MAJOR ANOMALY

Facility

$4,377.03

Service Code	APR-DRG 6111
Hospital Charge Code	APRDRG 6111
Min. Negotiated Rate	$4,168.60
Max. Negotiated Rate	$4,377.03
Rate for Payer: BCBS Complete	$4,377.03
Rate for Payer: Mclaren Medicaid	$4,168.60
Rate for Payer: Meridian Medicaid	$4,377.03
Rate for Payer: Priority Health Choice Medicaid	$4,168.60

INPATIENT APRDRG 6112: NEONATE BIRTHWT 1500-1999G W MAJOR ANOMALY

Facility

$12,794.93

Service Code	APR-DRG 6112
Hospital Charge Code	APRDRG 6112
Min. Negotiated Rate	$12,185.65
Max. Negotiated Rate	$12,794.93
Rate for Payer: BCBS Complete	$12,794.93
Rate for Payer: Mclaren Medicaid	$12,185.65
Rate for Payer: Meridian Medicaid	$12,794.93
Rate for Payer: Priority Health Choice Medicaid	$12,185.65

INPATIENT APRDRG 6113: NEONATE BIRTHWT 1500-1999G W MAJOR ANOMALY

Facility

$17,595.41

Service Code	APR-DRG 6113
Hospital Charge Code	APRDRG 6113
Min. Negotiated Rate	$16,757.53
Max. Negotiated Rate	$17,595.41
Rate for Payer: BCBS Complete	$17,595.41
Rate for Payer: Mclaren Medicaid	$16,757.53
Rate for Payer: Meridian Medicaid	$17,595.41
Rate for Payer: Priority Health Choice Medicaid	$16,757.53

INPATIENT APRDRG 6114: NEONATE BIRTHWT 1500-1999G W MAJOR ANOMALY

Facility

$28,776.38

Service Code	APR-DRG 6114
Hospital Charge Code	APRDRG 6114
Min. Negotiated Rate	$27,406.08
Max. Negotiated Rate	$28,776.38
Rate for Payer: BCBS Complete	$28,776.38
Rate for Payer: Mclaren Medicaid	$27,406.08
Rate for Payer: Meridian Medicaid	$28,776.38
Rate for Payer: Priority Health Choice Medicaid	$27,406.08

INPATIENT APRDRG 6121: NEONATE BWT 1500-1999G W RESP DIST SYND/OTH MAJ RESP COND

Facility

$9,773.50

Service Code	APR-DRG 6121
Hospital Charge Code	APRDRG 6121
Min. Negotiated Rate	$9,308.10
Max. Negotiated Rate	$9,773.50
Rate for Payer: BCBS Complete	$9,773.50
Rate for Payer: Mclaren Medicaid	$9,308.10
Rate for Payer: Meridian Medicaid	$9,773.50
Rate for Payer: Priority Health Choice Medicaid	$9,308.10

INPATIENT APRDRG 6122: NEONATE BWT 1500-1999G W RESP DIST SYND/OTH MAJ RESP COND

Facility

$16,034.32

Service Code	APR-DRG 6122
Hospital Charge Code	APRDRG 6122
Min. Negotiated Rate	$15,270.78
Max. Negotiated Rate	$16,034.32
Rate for Payer: BCBS Complete	$16,034.32
Rate for Payer: Mclaren Medicaid	$15,270.78
Rate for Payer: Meridian Medicaid	$16,034.32
Rate for Payer: Priority Health Choice Medicaid	$15,270.78

INPATIENT APRDRG 6123: NEONATE BWT 1500-1999G W RESP DIST SYND/OTH MAJ RESP COND

Facility

$27,142.97

Service Code	APR-DRG 6123
Hospital Charge Code	APRDRG 6123
Min. Negotiated Rate	$25,850.45
Max. Negotiated Rate	$27,142.97
Rate for Payer: BCBS Complete	$27,142.97
Rate for Payer: Mclaren Medicaid	$25,850.45
Rate for Payer: Meridian Medicaid	$27,142.97
Rate for Payer: Priority Health Choice Medicaid	$25,850.45

INPATIENT APRDRG 6124: NEONATE BWT 1500-1999G W RESP DIST SYND/OTH MAJ RESP COND

Facility

$43,310.45

Service Code	APR-DRG 6124
Hospital Charge Code	APRDRG 6124
Min. Negotiated Rate	$41,248.05
Max. Negotiated Rate	$43,310.45
Rate for Payer: BCBS Complete	$43,310.45
Rate for Payer: Mclaren Medicaid	$41,248.05
Rate for Payer: Meridian Medicaid	$43,310.45
Rate for Payer: Priority Health Choice Medicaid	$41,248.05

INPATIENT APRDRG 6131: NEONATE BIRTHWT 1500-1999G W CONGENITAL/PERINATAL INFECTION

Facility

$4,827.41

Service Code	APR-DRG 6131
Hospital Charge Code	APRDRG 6131
Min. Negotiated Rate	$4,597.53
Max. Negotiated Rate	$4,827.41
Rate for Payer: BCBS Complete	$4,827.41
Rate for Payer: Mclaren Medicaid	$4,597.53
Rate for Payer: Meridian Medicaid	$4,827.41
Rate for Payer: Priority Health Choice Medicaid	$4,597.53

INPATIENT APRDRG 6132: NEONATE BIRTHWT 1500-1999G W CONGENITAL/PERINATAL INFECTION

Facility

$15,741.05

Service Code	APR-DRG 6132
Hospital Charge Code	APRDRG 6132
Min. Negotiated Rate	$14,991.48
Max. Negotiated Rate	$15,741.05
Rate for Payer: BCBS Complete	$15,741.05
Rate for Payer: Mclaren Medicaid	$14,991.48
Rate for Payer: Meridian Medicaid	$15,741.05
Rate for Payer: Priority Health Choice Medicaid	$14,991.48

INPATIENT APRDRG 6133: NEONATE BIRTHWT 1500-1999G W CONGENITAL/PERINATAL INFECTION

Facility

$27,406.31

Service Code	APR-DRG 6133
Hospital Charge Code	APRDRG 6133
Min. Negotiated Rate	$26,101.25
Max. Negotiated Rate	$27,406.31
Rate for Payer: BCBS Complete	$27,406.31
Rate for Payer: Mclaren Medicaid	$26,101.25
Rate for Payer: Meridian Medicaid	$27,406.31
Rate for Payer: Priority Health Choice Medicaid	$26,101.25

INPATIENT APRDRG 6134: NEONATE BIRTHWT 1500-1999G W CONGENITAL/PERINATAL INFECTION

Facility

$49,805.18

Service Code	APR-DRG 6134
Hospital Charge Code	APRDRG 6134
Min. Negotiated Rate	$47,433.50
Max. Negotiated Rate	$49,805.18
Rate for Payer: BCBS Complete	$49,805.18
Rate for Payer: Mclaren Medicaid	$47,433.50
Rate for Payer: Meridian Medicaid	$49,805.18
Rate for Payer: Priority Health Choice Medicaid	$47,433.50

INPATIENT APRDRG 6141: NEONATE BWT 1500-1999G W OR W/O OTHER SIGNIFICANT CONDITION

Facility

$3,977.54

Service Code	APR-DRG 6141
Hospital Charge Code	APRDRG 6141
Min. Negotiated Rate	$3,788.13
Max. Negotiated Rate	$3,977.54
Rate for Payer: BCBS Complete	$3,977.54
Rate for Payer: Mclaren Medicaid	$3,788.13
Rate for Payer: Meridian Medicaid	$3,977.54
Rate for Payer: Priority Health Choice Medicaid	$3,788.13

INPATIENT APRDRG 6142: NEONATE BWT 1500-1999G W OR W/O OTHER SIGNIFICANT CONDITION

Facility

$9,957.55

Service Code	APR-DRG 6142
Hospital Charge Code	APRDRG 6142
Min. Negotiated Rate	$9,483.38
Max. Negotiated Rate	$9,957.55
Rate for Payer: BCBS Complete	$9,957.55
Rate for Payer: Mclaren Medicaid	$9,483.38
Rate for Payer: Meridian Medicaid	$9,957.55
Rate for Payer: Priority Health Choice Medicaid	$9,483.38

INPATIENT APRDRG 6143: NEONATE BWT 1500-1999G W OR W/O OTHER SIGNIFICANT CONDITION

Facility

$19,754.99

Service Code	APR-DRG 6143
Hospital Charge Code	APRDRG 6143
Min. Negotiated Rate	$18,814.28
Max. Negotiated Rate	$19,754.99
Rate for Payer: BCBS Complete	$19,754.99
Rate for Payer: Mclaren Medicaid	$18,814.28
Rate for Payer: Meridian Medicaid	$19,754.99
Rate for Payer: Priority Health Choice Medicaid	$18,814.28

INPATIENT APRDRG 6144: NEONATE BWT 1500-1999G W OR W/O OTHER SIGNIFICANT CONDITION

Facility

$26,284.12

Service Code	APR-DRG 6144
Hospital Charge Code	APRDRG 6144
Min. Negotiated Rate	$25,032.50
Max. Negotiated Rate	$26,284.12
Rate for Payer: BCBS Complete	$26,284.12
Rate for Payer: Mclaren Medicaid	$25,032.50
Rate for Payer: Meridian Medicaid	$26,284.12
Rate for Payer: Priority Health Choice Medicaid	$25,032.50

INPATIENT APRDRG 6211: NEONATE BWT 2000-2499G W MAJOR ANOMALY

Facility

$1,179.55

Service Code	APR-DRG 6211
Hospital Charge Code	APRDRG 6211
Min. Negotiated Rate	$1,123.38
Max. Negotiated Rate	$1,179.55
Rate for Payer: BCBS Complete	$1,179.55
Rate for Payer: Mclaren Medicaid	$1,123.38
Rate for Payer: Meridian Medicaid	$1,179.55
Rate for Payer: Priority Health Choice Medicaid	$1,123.38

INPATIENT APRDRG 6212: NEONATE BWT 2000-2499G W MAJOR ANOMALY

Facility

$6,946.10

Service Code	APR-DRG 6212
Hospital Charge Code	APRDRG 6212
Min. Negotiated Rate	$6,615.33
Max. Negotiated Rate	$6,946.10
Rate for Payer: BCBS Complete	$6,946.10
Rate for Payer: Mclaren Medicaid	$6,615.33
Rate for Payer: Meridian Medicaid	$6,946.10
Rate for Payer: Priority Health Choice Medicaid	$6,615.33

INPATIENT APRDRG 6213: NEONATE BWT 2000-2499G W MAJOR ANOMALY

Facility

$8,405.93

Service Code	APR-DRG 6213
Hospital Charge Code	APRDRG 6213
Min. Negotiated Rate	$8,005.65
Max. Negotiated Rate	$8,405.93
Rate for Payer: BCBS Complete	$8,405.93
Rate for Payer: Mclaren Medicaid	$8,005.65
Rate for Payer: Meridian Medicaid	$8,405.93
Rate for Payer: Priority Health Choice Medicaid	$8,005.65

INPATIENT APRDRG 6214: NEONATE BWT 2000-2499G W MAJOR ANOMALY

Facility

$17,084.18

Service Code	APR-DRG 6214
Hospital Charge Code	APRDRG 6214
Min. Negotiated Rate	$16,270.65
Max. Negotiated Rate	$17,084.18
Rate for Payer: BCBS Complete	$17,084.18
Rate for Payer: Mclaren Medicaid	$16,270.65
Rate for Payer: Meridian Medicaid	$17,084.18
Rate for Payer: Priority Health Choice Medicaid	$16,270.65

INPATIENT APRDRG 6221: NEONATE BWT 2000-2499G W RESP DIST SYND/OTH MAJ RESP COND

Facility

$6,083.26

Service Code	APR-DRG 6221
Hospital Charge Code	APRDRG 6221
Min. Negotiated Rate	$5,793.58
Max. Negotiated Rate	$6,083.26
Rate for Payer: BCBS Complete	$6,083.26
Rate for Payer: Mclaren Medicaid	$5,793.58
Rate for Payer: Meridian Medicaid	$6,083.26
Rate for Payer: Priority Health Choice Medicaid	$5,793.58

INPATIENT APRDRG 6222: NEONATE BWT 2000-2499G W RESP DIST SYND/OTH MAJ RESP COND

Facility

$7,939.61

Service Code	APR-DRG 6222
Hospital Charge Code	APRDRG 6222
Min. Negotiated Rate	$7,561.53
Max. Negotiated Rate	$7,939.61
Rate for Payer: BCBS Complete	$7,939.61
Rate for Payer: Mclaren Medicaid	$7,561.53
Rate for Payer: Meridian Medicaid	$7,939.61
Rate for Payer: Priority Health Choice Medicaid	$7,561.53

INPATIENT APRDRG 6223: NEONATE BWT 2000-2499G W RESP DIST SYND/OTH MAJ RESP COND

Facility

$15,436.82

Service Code	APR-DRG 6223
Hospital Charge Code	APRDRG 6223
Min. Negotiated Rate	$14,701.73
Max. Negotiated Rate	$15,436.82
Rate for Payer: BCBS Complete	$15,436.82
Rate for Payer: Mclaren Medicaid	$14,701.73
Rate for Payer: Meridian Medicaid	$15,436.82
Rate for Payer: Priority Health Choice Medicaid	$14,701.73

INPATIENT APRDRG 6224: NEONATE BWT 2000-2499G W RESP DIST SYND/OTH MAJ RESP COND

Facility

$26,118.05

Service Code	APR-DRG 6224
Hospital Charge Code	APRDRG 6224
Min. Negotiated Rate	$24,874.33
Max. Negotiated Rate	$26,118.05
Rate for Payer: BCBS Complete	$26,118.05
Rate for Payer: Mclaren Medicaid	$24,874.33
Rate for Payer: Meridian Medicaid	$26,118.05
Rate for Payer: Priority Health Choice Medicaid	$24,874.33

Know your out-of-pocket cost for care.

All Charges