Bronson Lakeview Hospital

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 6342: NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND

Facility

$4,656.83

Service Code	APR-DRG 6342
Hospital Charge Code	APRDRG 6342
Min. Negotiated Rate	$4,435.08
Max. Negotiated Rate	$4,656.83
Rate for Payer: BCBS Complete	$4,656.83
Rate for Payer: Mclaren Medicaid	$4,435.08
Rate for Payer: Meridian Medicaid	$4,656.83
Rate for Payer: Priority Health Choice Medicaid	$4,435.08

INPATIENT APRDRG 6343: NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND

Facility

$4,897.72

Service Code	APR-DRG 6343
Hospital Charge Code	APRDRG 6343
Min. Negotiated Rate	$4,664.50
Max. Negotiated Rate	$4,897.72
Rate for Payer: BCBS Complete	$4,897.72
Rate for Payer: Mclaren Medicaid	$4,664.50
Rate for Payer: Meridian Medicaid	$4,897.72
Rate for Payer: Priority Health Choice Medicaid	$4,664.50

INPATIENT APRDRG 6344: NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND

Facility

$13,863.26

Service Code	APR-DRG 6344
Hospital Charge Code	APRDRG 6344
Min. Negotiated Rate	$13,203.10
Max. Negotiated Rate	$13,863.26
Rate for Payer: BCBS Complete	$13,863.26
Rate for Payer: Mclaren Medicaid	$13,203.10
Rate for Payer: Meridian Medicaid	$13,863.26
Rate for Payer: Priority Health Choice Medicaid	$13,203.10

INPATIENT APRDRG 6361: NEONATE BIRTHWT >2499G W CONGENITAL/PERINATAL INFECTION

Facility

$2,898.24

Service Code	APR-DRG 6361
Hospital Charge Code	APRDRG 6361
Min. Negotiated Rate	$2,760.23
Max. Negotiated Rate	$2,898.24
Rate for Payer: BCBS Complete	$2,898.24
Rate for Payer: Mclaren Medicaid	$2,760.23
Rate for Payer: Meridian Medicaid	$2,898.24
Rate for Payer: Priority Health Choice Medicaid	$2,760.23

INPATIENT APRDRG 6362: NEONATE BIRTHWT >2499G W CONGENITAL/PERINATAL INFECTION

Facility

$5,736.13

Service Code	APR-DRG 6362
Hospital Charge Code	APRDRG 6362
Min. Negotiated Rate	$5,462.98
Max. Negotiated Rate	$5,736.13
Rate for Payer: BCBS Complete	$5,736.13
Rate for Payer: Mclaren Medicaid	$5,462.98
Rate for Payer: Meridian Medicaid	$5,736.13
Rate for Payer: Priority Health Choice Medicaid	$5,462.98

INPATIENT APRDRG 6363: NEONATE BIRTHWT >2499G W CONGENITAL/PERINATAL INFECTION

Facility

$9,187.97

Service Code	APR-DRG 6363
Hospital Charge Code	APRDRG 6363
Min. Negotiated Rate	$8,750.45
Max. Negotiated Rate	$9,187.97
Rate for Payer: BCBS Complete	$9,187.97
Rate for Payer: Mclaren Medicaid	$8,750.45
Rate for Payer: Meridian Medicaid	$9,187.97
Rate for Payer: Priority Health Choice Medicaid	$8,750.45

INPATIENT APRDRG 6364: NEONATE BIRTHWT >2499G W CONGENITAL/PERINATAL INFECTION

Facility

$12,025.37

Service Code	APR-DRG 6364
Hospital Charge Code	APRDRG 6364
Min. Negotiated Rate	$11,452.73
Max. Negotiated Rate	$12,025.37
Rate for Payer: BCBS Complete	$12,025.37
Rate for Payer: Mclaren Medicaid	$11,452.73
Rate for Payer: Meridian Medicaid	$12,025.37
Rate for Payer: Priority Health Choice Medicaid	$11,452.73

INPATIENT APRDRG 6391: NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION

Facility

$1,621.44

Service Code	APR-DRG 6391
Hospital Charge Code	APRDRG 6391
Min. Negotiated Rate	$1,544.23
Max. Negotiated Rate	$1,621.44
Rate for Payer: BCBS Complete	$1,621.44
Rate for Payer: Mclaren Medicaid	$1,544.23
Rate for Payer: Meridian Medicaid	$1,621.44
Rate for Payer: Priority Health Choice Medicaid	$1,544.23

INPATIENT APRDRG 6392: NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION

Facility

$2,959.09

Service Code	APR-DRG 6392
Hospital Charge Code	APRDRG 6392
Min. Negotiated Rate	$2,818.18
Max. Negotiated Rate	$2,959.09
Rate for Payer: BCBS Complete	$2,959.09
Rate for Payer: Mclaren Medicaid	$2,818.18
Rate for Payer: Meridian Medicaid	$2,959.09
Rate for Payer: Priority Health Choice Medicaid	$2,818.18

INPATIENT APRDRG 6393: NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION

Facility

$9,576.00

Service Code	APR-DRG 6393
Hospital Charge Code	APRDRG 6393
Min. Negotiated Rate	$9,120.00
Max. Negotiated Rate	$9,576.00
Rate for Payer: BCBS Complete	$9,576.00
Rate for Payer: Mclaren Medicaid	$9,120.00
Rate for Payer: Meridian Medicaid	$9,576.00
Rate for Payer: Priority Health Choice Medicaid	$9,120.00

INPATIENT APRDRG 6394: NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION

Facility

$15,023.85

Service Code	APR-DRG 6394
Hospital Charge Code	APRDRG 6394
Min. Negotiated Rate	$14,308.43
Max. Negotiated Rate	$15,023.85
Rate for Payer: BCBS Complete	$15,023.85
Rate for Payer: Mclaren Medicaid	$14,308.43
Rate for Payer: Meridian Medicaid	$15,023.85
Rate for Payer: Priority Health Choice Medicaid	$14,308.43

INPATIENT APRDRG 6401: NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM

Facility

$700.24

Service Code	APR-DRG 6401
Hospital Charge Code	APRDRG 6401
Min. Negotiated Rate	$666.90
Max. Negotiated Rate	$700.24
Rate for Payer: BCBS Complete	$700.24
Rate for Payer: Mclaren Medicaid	$666.90
Rate for Payer: Meridian Medicaid	$700.24
Rate for Payer: Priority Health Choice Medicaid	$666.90

INPATIENT APRDRG 6402: NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM

Facility

$921.69

Service Code	APR-DRG 6402
Hospital Charge Code	APRDRG 6402
Min. Negotiated Rate	$877.80
Max. Negotiated Rate	$921.69
Rate for Payer: BCBS Complete	$921.69
Rate for Payer: Mclaren Medicaid	$877.80
Rate for Payer: Meridian Medicaid	$921.69
Rate for Payer: Priority Health Choice Medicaid	$877.80

INPATIENT APRDRG 6403: NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM

Facility

$1,518.70

Service Code	APR-DRG 6403
Hospital Charge Code	APRDRG 6403
Min. Negotiated Rate	$1,446.38
Max. Negotiated Rate	$1,518.70
Rate for Payer: BCBS Complete	$1,518.70
Rate for Payer: Mclaren Medicaid	$1,446.38
Rate for Payer: Meridian Medicaid	$1,518.70
Rate for Payer: Priority Health Choice Medicaid	$1,446.38

INPATIENT APRDRG 6404: NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM

Facility

$8,620.40

Service Code	APR-DRG 6404
Hospital Charge Code	APRDRG 6404
Min. Negotiated Rate	$8,209.90
Max. Negotiated Rate	$8,620.40
Rate for Payer: BCBS Complete	$8,620.40
Rate for Payer: Mclaren Medicaid	$8,209.90
Rate for Payer: Meridian Medicaid	$8,620.40
Rate for Payer: Priority Health Choice Medicaid	$8,209.90

INPATIENT APRDRG 6501: SPLENECTOMY

Facility

$7,767.53

Service Code	APR-DRG 6501
Hospital Charge Code	APRDRG 6501
Min. Negotiated Rate	$7,397.65
Max. Negotiated Rate	$7,767.53
Rate for Payer: BCBS Complete	$7,767.53
Rate for Payer: Mclaren Medicaid	$7,397.65
Rate for Payer: Meridian Medicaid	$7,767.53
Rate for Payer: Priority Health Choice Medicaid	$7,397.65

INPATIENT APRDRG 6502: SPLENECTOMY

Facility

$10,071.76

Service Code	APR-DRG 6502
Hospital Charge Code	APRDRG 6502
Min. Negotiated Rate	$9,592.15
Max. Negotiated Rate	$10,071.76
Rate for Payer: BCBS Complete	$10,071.76
Rate for Payer: Mclaren Medicaid	$9,592.15
Rate for Payer: Meridian Medicaid	$10,071.76
Rate for Payer: Priority Health Choice Medicaid	$9,592.15

INPATIENT APRDRG 6503: SPLENECTOMY

Facility

$13,558.52

Service Code	APR-DRG 6503
Hospital Charge Code	APRDRG 6503
Min. Negotiated Rate	$12,912.88
Max. Negotiated Rate	$13,558.52
Rate for Payer: BCBS Complete	$13,558.52
Rate for Payer: Mclaren Medicaid	$12,912.88
Rate for Payer: Meridian Medicaid	$13,558.52
Rate for Payer: Priority Health Choice Medicaid	$12,912.88

INPATIENT APRDRG 6504: SPLENECTOMY

Facility

$21,680.17

Service Code	APR-DRG 6504
Hospital Charge Code	APRDRG 6504
Min. Negotiated Rate	$20,647.78
Max. Negotiated Rate	$21,680.17
Rate for Payer: BCBS Complete	$21,680.17
Rate for Payer: Mclaren Medicaid	$20,647.78
Rate for Payer: Meridian Medicaid	$21,680.17
Rate for Payer: Priority Health Choice Medicaid	$20,647.78

INPATIENT APRDRG 6511: OTHER PROCEDURES OF BLOOD & BLOOD-FORMING ORGANS

Facility

$6,188.99

Service Code	APR-DRG 6511
Hospital Charge Code	APRDRG 6511
Min. Negotiated Rate	$5,894.28
Max. Negotiated Rate	$6,188.99
Rate for Payer: BCBS Complete	$6,188.99
Rate for Payer: Mclaren Medicaid	$5,894.28
Rate for Payer: Meridian Medicaid	$6,188.99
Rate for Payer: Priority Health Choice Medicaid	$5,894.28

INPATIENT APRDRG 6512: OTHER PROCEDURES OF BLOOD & BLOOD-FORMING ORGANS

Facility

$9,032.36

Service Code	APR-DRG 6512
Hospital Charge Code	APRDRG 6512
Min. Negotiated Rate	$8,602.25
Max. Negotiated Rate	$9,032.36
Rate for Payer: BCBS Complete	$9,032.36
Rate for Payer: Mclaren Medicaid	$8,602.25
Rate for Payer: Meridian Medicaid	$9,032.36
Rate for Payer: Priority Health Choice Medicaid	$8,602.25

INPATIENT APRDRG 6513: OTHER PROCEDURES OF BLOOD & BLOOD-FORMING ORGANS

Facility

$13,874.23

Service Code	APR-DRG 6513
Hospital Charge Code	APRDRG 6513
Min. Negotiated Rate	$13,213.55
Max. Negotiated Rate	$13,874.23
Rate for Payer: BCBS Complete	$13,874.23
Rate for Payer: Mclaren Medicaid	$13,213.55
Rate for Payer: Meridian Medicaid	$13,874.23
Rate for Payer: Priority Health Choice Medicaid	$13,213.55

INPATIENT APRDRG 6514: OTHER PROCEDURES OF BLOOD & BLOOD-FORMING ORGANS

Facility

$29,722.51

Service Code	APR-DRG 6514
Hospital Charge Code	APRDRG 6514
Min. Negotiated Rate	$28,307.15
Max. Negotiated Rate	$29,722.51
Rate for Payer: BCBS Complete	$29,722.51
Rate for Payer: Mclaren Medicaid	$28,307.15
Rate for Payer: Meridian Medicaid	$29,722.51
Rate for Payer: Priority Health Choice Medicaid	$28,307.15

INPATIENT APRDRG 6601: MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL

Facility

$4,233.89

Service Code	APR-DRG 6601
Hospital Charge Code	APRDRG 6601
Min. Negotiated Rate	$4,032.28
Max. Negotiated Rate	$4,233.89
Rate for Payer: BCBS Complete	$4,233.89
Rate for Payer: Mclaren Medicaid	$4,032.28
Rate for Payer: Meridian Medicaid	$4,233.89
Rate for Payer: Priority Health Choice Medicaid	$4,032.28

INPATIENT APRDRG 6602: MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL

Facility

$4,376.54

Service Code	APR-DRG 6602
Hospital Charge Code	APRDRG 6602
Min. Negotiated Rate	$4,168.13
Max. Negotiated Rate	$4,376.54
Rate for Payer: BCBS Complete	$4,376.54
Rate for Payer: Mclaren Medicaid	$4,168.13
Rate for Payer: Meridian Medicaid	$4,376.54
Rate for Payer: Priority Health Choice Medicaid	$4,168.13

Know your out-of-pocket cost for care.

All Charges