Bronson Lakeview Hospital

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 6231: NEONATE BWT 2000-2499G W CONGENITAL/PERINATAL INFECTION

Facility

$3,599.48

Service Code	APR-DRG 6231
Hospital Charge Code	APRDRG 6231
Min. Negotiated Rate	$3,428.08
Max. Negotiated Rate	$3,599.48
Rate for Payer: BCBS Complete	$3,599.48
Rate for Payer: Mclaren Medicaid	$3,428.08
Rate for Payer: Meridian Medicaid	$3,599.48
Rate for Payer: Priority Health Choice Medicaid	$3,428.08

INPATIENT APRDRG 6232: NEONATE BWT 2000-2499G W CONGENITAL/PERINATAL INFECTION

Facility

$6,155.08

Service Code	APR-DRG 6232
Hospital Charge Code	APRDRG 6232
Min. Negotiated Rate	$5,861.98
Max. Negotiated Rate	$6,155.08
Rate for Payer: BCBS Complete	$6,155.08
Rate for Payer: Mclaren Medicaid	$5,861.98
Rate for Payer: Meridian Medicaid	$6,155.08
Rate for Payer: Priority Health Choice Medicaid	$5,861.98

INPATIENT APRDRG 6233: NEONATE BWT 2000-2499G W CONGENITAL/PERINATAL INFECTION

Facility

$22,532.03

Service Code	APR-DRG 6233
Hospital Charge Code	APRDRG 6233
Min. Negotiated Rate	$21,459.08
Max. Negotiated Rate	$22,532.03
Rate for Payer: BCBS Complete	$22,532.03
Rate for Payer: Mclaren Medicaid	$21,459.08
Rate for Payer: Meridian Medicaid	$22,532.03
Rate for Payer: Priority Health Choice Medicaid	$21,459.08

INPATIENT APRDRG 6234: NEONATE BWT 2000-2499G W CONGENITAL/PERINATAL INFECTION

Facility

$28,011.30

Service Code	APR-DRG 6234
Hospital Charge Code	APRDRG 6234
Min. Negotiated Rate	$26,677.43
Max. Negotiated Rate	$28,011.30
Rate for Payer: BCBS Complete	$28,011.30
Rate for Payer: Mclaren Medicaid	$26,677.43
Rate for Payer: Meridian Medicaid	$28,011.30
Rate for Payer: Priority Health Choice Medicaid	$26,677.43

INPATIENT APRDRG 6251: NEONATE BWT 2000-2499G W OTHER SIGNIFICANT CONDITION

Facility

$4,868.30

Service Code	APR-DRG 6251
Hospital Charge Code	APRDRG 6251
Min. Negotiated Rate	$4,636.48
Max. Negotiated Rate	$4,868.30
Rate for Payer: BCBS Complete	$4,868.30
Rate for Payer: Mclaren Medicaid	$4,636.48
Rate for Payer: Meridian Medicaid	$4,868.30
Rate for Payer: Priority Health Choice Medicaid	$4,636.48

INPATIENT APRDRG 6252: NEONATE BWT 2000-2499G W OTHER SIGNIFICANT CONDITION

Facility

$7,924.64

Service Code	APR-DRG 6252
Hospital Charge Code	APRDRG 6252
Min. Negotiated Rate	$7,547.28
Max. Negotiated Rate	$7,924.64
Rate for Payer: BCBS Complete	$7,924.64
Rate for Payer: Mclaren Medicaid	$7,547.28
Rate for Payer: Meridian Medicaid	$7,924.64
Rate for Payer: Priority Health Choice Medicaid	$7,547.28

INPATIENT APRDRG 6253: NEONATE BWT 2000-2499G W OTHER SIGNIFICANT CONDITION

Facility

$16,899.64

Service Code	APR-DRG 6253
Hospital Charge Code	APRDRG 6253
Min. Negotiated Rate	$16,094.90
Max. Negotiated Rate	$16,899.64
Rate for Payer: BCBS Complete	$16,899.64
Rate for Payer: Mclaren Medicaid	$16,094.90
Rate for Payer: Meridian Medicaid	$16,899.64
Rate for Payer: Priority Health Choice Medicaid	$16,094.90

INPATIENT APRDRG 6254: NEONATE BWT 2000-2499G W OTHER SIGNIFICANT CONDITION

Facility

$34,581.33

Service Code	APR-DRG 6254
Hospital Charge Code	APRDRG 6254
Min. Negotiated Rate	$32,934.60
Max. Negotiated Rate	$34,581.33
Rate for Payer: BCBS Complete	$34,581.33
Rate for Payer: Mclaren Medicaid	$32,934.60
Rate for Payer: Meridian Medicaid	$34,581.33
Rate for Payer: Priority Health Choice Medicaid	$32,934.60

INPATIENT APRDRG 6261: NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM

Facility

$978.05

Service Code	APR-DRG 6261
Hospital Charge Code	APRDRG 6261
Min. Negotiated Rate	$931.48
Max. Negotiated Rate	$978.05
Rate for Payer: BCBS Complete	$978.05
Rate for Payer: Mclaren Medicaid	$931.48
Rate for Payer: Meridian Medicaid	$978.05
Rate for Payer: Priority Health Choice Medicaid	$931.48

INPATIENT APRDRG 6262: NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM

Facility

$939.15

Service Code	APR-DRG 6262
Hospital Charge Code	APRDRG 6262
Min. Negotiated Rate	$894.43
Max. Negotiated Rate	$939.15
Rate for Payer: BCBS Complete	$939.15
Rate for Payer: Mclaren Medicaid	$894.43
Rate for Payer: Meridian Medicaid	$939.15
Rate for Payer: Priority Health Choice Medicaid	$894.43

INPATIENT APRDRG 6263: NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM

Facility

$2,309.72

Service Code	APR-DRG 6263
Hospital Charge Code	APRDRG 6263
Min. Negotiated Rate	$2,199.73
Max. Negotiated Rate	$2,309.72
Rate for Payer: BCBS Complete	$2,309.72
Rate for Payer: Mclaren Medicaid	$2,199.73
Rate for Payer: Meridian Medicaid	$2,309.72
Rate for Payer: Priority Health Choice Medicaid	$2,199.73

INPATIENT APRDRG 6264: NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM

Facility

$7,059.31

Service Code	APR-DRG 6264
Hospital Charge Code	APRDRG 6264
Min. Negotiated Rate	$6,723.15
Max. Negotiated Rate	$7,059.31
Rate for Payer: BCBS Complete	$7,059.31
Rate for Payer: Mclaren Medicaid	$6,723.15
Rate for Payer: Meridian Medicaid	$7,059.31
Rate for Payer: Priority Health Choice Medicaid	$6,723.15

INPATIENT APRDRG 6301: NEONATE BIRTHWT >2499G W MAJOR CARDIOVASCULAR PROCEDURE

Facility

$17,178.45

Service Code	APR-DRG 6301
Hospital Charge Code	APRDRG 6301
Min. Negotiated Rate	$16,360.43
Max. Negotiated Rate	$17,178.45
Rate for Payer: BCBS Complete	$17,178.45
Rate for Payer: Mclaren Medicaid	$16,360.43
Rate for Payer: Meridian Medicaid	$17,178.45
Rate for Payer: Priority Health Choice Medicaid	$16,360.43

INPATIENT APRDRG 6302: NEONATE BIRTHWT >2499G W MAJOR CARDIOVASCULAR PROCEDURE

Facility

$36,344.91

Service Code	APR-DRG 6302
Hospital Charge Code	APRDRG 6302
Min. Negotiated Rate	$34,614.20
Max. Negotiated Rate	$36,344.91
Rate for Payer: BCBS Complete	$36,344.91
Rate for Payer: Mclaren Medicaid	$34,614.20
Rate for Payer: Meridian Medicaid	$36,344.91
Rate for Payer: Priority Health Choice Medicaid	$34,614.20

INPATIENT APRDRG 6303: NEONATE BIRTHWT >2499G W MAJOR CARDIOVASCULAR PROCEDURE

Facility

$65,572.16

Service Code	APR-DRG 6303
Hospital Charge Code	APRDRG 6303
Min. Negotiated Rate	$62,449.68
Max. Negotiated Rate	$65,572.16
Rate for Payer: BCBS Complete	$65,572.16
Rate for Payer: Mclaren Medicaid	$62,449.68
Rate for Payer: Meridian Medicaid	$65,572.16
Rate for Payer: Priority Health Choice Medicaid	$62,449.68

INPATIENT APRDRG 6304: NEONATE BIRTHWT >2499G W MAJOR CARDIOVASCULAR PROCEDURE

Facility

$136,794.66

Service Code	APR-DRG 6304
Hospital Charge Code	APRDRG 6304
Min. Negotiated Rate	$130,280.63
Max. Negotiated Rate	$136,794.66
Rate for Payer: BCBS Complete	$136,794.66
Rate for Payer: Mclaren Medicaid	$130,280.63
Rate for Payer: Meridian Medicaid	$136,794.66
Rate for Payer: Priority Health Choice Medicaid	$130,280.63

INPATIENT APRDRG 6311: NEONATE BIRTHWT >2499G W OTHER MAJOR PROCEDURE

Facility

$4,645.86

Service Code	APR-DRG 6311
Hospital Charge Code	APRDRG 6311
Min. Negotiated Rate	$4,424.63
Max. Negotiated Rate	$4,645.86
Rate for Payer: BCBS Complete	$4,645.86
Rate for Payer: Mclaren Medicaid	$4,424.63
Rate for Payer: Meridian Medicaid	$4,645.86
Rate for Payer: Priority Health Choice Medicaid	$4,424.63

INPATIENT APRDRG 6312: NEONATE BIRTHWT >2499G W OTHER MAJOR PROCEDURE

Facility

$11,250.31

Service Code	APR-DRG 6312
Hospital Charge Code	APRDRG 6312
Min. Negotiated Rate	$10,714.58
Max. Negotiated Rate	$11,250.31
Rate for Payer: BCBS Complete	$11,250.31
Rate for Payer: Mclaren Medicaid	$10,714.58
Rate for Payer: Meridian Medicaid	$11,250.31
Rate for Payer: Priority Health Choice Medicaid	$10,714.58

INPATIENT APRDRG 6313: NEONATE BIRTHWT >2499G W OTHER MAJOR PROCEDURE

Facility

$38,344.40

Service Code	APR-DRG 6313
Hospital Charge Code	APRDRG 6313
Min. Negotiated Rate	$36,518.48
Max. Negotiated Rate	$38,344.40
Rate for Payer: BCBS Complete	$38,344.40
Rate for Payer: Mclaren Medicaid	$36,518.48
Rate for Payer: Meridian Medicaid	$38,344.40
Rate for Payer: Priority Health Choice Medicaid	$36,518.48

INPATIENT APRDRG 6314: NEONATE BIRTHWT >2499G W OTHER MAJOR PROCEDURE

Facility

$148,911.79

Service Code	APR-DRG 6314
Hospital Charge Code	APRDRG 6314
Min. Negotiated Rate	$141,820.75
Max. Negotiated Rate	$148,911.79
Rate for Payer: BCBS Complete	$148,911.79
Rate for Payer: Mclaren Medicaid	$141,820.75
Rate for Payer: Meridian Medicaid	$148,911.79
Rate for Payer: Priority Health Choice Medicaid	$141,820.75

INPATIENT APRDRG 6331: NEONATE BIRTHWT >2499G W MAJOR ANOMALY

Facility

$996.50

Service Code	APR-DRG 6331
Hospital Charge Code	APRDRG 6331
Min. Negotiated Rate	$949.05
Max. Negotiated Rate	$996.50
Rate for Payer: BCBS Complete	$996.50
Rate for Payer: Mclaren Medicaid	$949.05
Rate for Payer: Meridian Medicaid	$996.50
Rate for Payer: Priority Health Choice Medicaid	$949.05

INPATIENT APRDRG 6332: NEONATE BIRTHWT >2499G W MAJOR ANOMALY

Facility

$2,883.77

Service Code	APR-DRG 6332
Hospital Charge Code	APRDRG 6332
Min. Negotiated Rate	$2,746.45
Max. Negotiated Rate	$2,883.77
Rate for Payer: BCBS Complete	$2,883.77
Rate for Payer: Mclaren Medicaid	$2,746.45
Rate for Payer: Meridian Medicaid	$2,883.77
Rate for Payer: Priority Health Choice Medicaid	$2,746.45

INPATIENT APRDRG 6333: NEONATE BIRTHWT >2499G W MAJOR ANOMALY

Facility

$8,251.82

Service Code	APR-DRG 6333
Hospital Charge Code	APRDRG 6333
Min. Negotiated Rate	$7,858.88
Max. Negotiated Rate	$8,251.82
Rate for Payer: BCBS Complete	$8,251.82
Rate for Payer: Mclaren Medicaid	$7,858.88
Rate for Payer: Meridian Medicaid	$8,251.82
Rate for Payer: Priority Health Choice Medicaid	$7,858.88

INPATIENT APRDRG 6334: NEONATE BIRTHWT >2499G W MAJOR ANOMALY

Facility

$21,744.50

Service Code	APR-DRG 6334
Hospital Charge Code	APRDRG 6334
Min. Negotiated Rate	$20,709.05
Max. Negotiated Rate	$21,744.50
Rate for Payer: BCBS Complete	$21,744.50
Rate for Payer: Mclaren Medicaid	$20,709.05
Rate for Payer: Meridian Medicaid	$21,744.50
Rate for Payer: Priority Health Choice Medicaid	$20,709.05

INPATIENT APRDRG 6341: NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND

Facility

$3,128.66

Service Code	APR-DRG 6341
Hospital Charge Code	APRDRG 6341
Min. Negotiated Rate	$2,979.68
Max. Negotiated Rate	$3,128.66
Rate for Payer: BCBS Complete	$3,128.66
Rate for Payer: Mclaren Medicaid	$2,979.68
Rate for Payer: Meridian Medicaid	$3,128.66
Rate for Payer: Priority Health Choice Medicaid	$2,979.68

Know your out-of-pocket cost for care.

All Charges