Bronson Lakeview Hospital

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 8101: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION

Facility

$2,790.51

Service Code	APR-DRG 8101
Hospital Charge Code	APRDRG 8101
Min. Negotiated Rate	$2,657.63
Max. Negotiated Rate	$2,790.51
Rate for Payer: BCBS Complete	$2,790.51
Rate for Payer: Mclaren Medicaid	$2,657.63
Rate for Payer: Meridian Medicaid	$2,790.51
Rate for Payer: Priority Health Choice Medicaid	$2,657.63

INPATIENT APRDRG 8102: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION

Facility

$3,729.65

Service Code	APR-DRG 8102
Hospital Charge Code	APRDRG 8102
Min. Negotiated Rate	$3,552.05
Max. Negotiated Rate	$3,729.65
Rate for Payer: BCBS Complete	$3,729.65
Rate for Payer: Mclaren Medicaid	$3,552.05
Rate for Payer: Meridian Medicaid	$3,729.65
Rate for Payer: Priority Health Choice Medicaid	$3,552.05

INPATIENT APRDRG 8103: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION

Facility

$6,030.88

Service Code	APR-DRG 8103
Hospital Charge Code	APRDRG 8103
Min. Negotiated Rate	$5,743.70
Max. Negotiated Rate	$6,030.88
Rate for Payer: BCBS Complete	$6,030.88
Rate for Payer: Mclaren Medicaid	$5,743.70
Rate for Payer: Meridian Medicaid	$6,030.88
Rate for Payer: Priority Health Choice Medicaid	$5,743.70

INPATIENT APRDRG 8104: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION

Facility

$12,666.26

Service Code	APR-DRG 8104
Hospital Charge Code	APRDRG 8104
Min. Negotiated Rate	$12,063.10
Max. Negotiated Rate	$12,666.26
Rate for Payer: BCBS Complete	$12,666.26
Rate for Payer: Mclaren Medicaid	$12,063.10
Rate for Payer: Meridian Medicaid	$12,666.26
Rate for Payer: Priority Health Choice Medicaid	$12,063.10

INPATIENT APRDRG 8111: ALLERGIC REACTIONS

Facility

$1,352.61

Service Code	APR-DRG 8111
Hospital Charge Code	APRDRG 8111
Min. Negotiated Rate	$1,288.20
Max. Negotiated Rate	$1,352.61
Rate for Payer: BCBS Complete	$1,352.61
Rate for Payer: Mclaren Medicaid	$1,288.20
Rate for Payer: Meridian Medicaid	$1,352.61
Rate for Payer: Priority Health Choice Medicaid	$1,288.20

INPATIENT APRDRG 8112: ALLERGIC REACTIONS

Facility

$1,995.00

Service Code	APR-DRG 8112
Hospital Charge Code	APRDRG 8112
Min. Negotiated Rate	$1,900.00
Max. Negotiated Rate	$1,995.00
Rate for Payer: BCBS Complete	$1,995.00
Rate for Payer: Mclaren Medicaid	$1,900.00
Rate for Payer: Meridian Medicaid	$1,995.00
Rate for Payer: Priority Health Choice Medicaid	$1,900.00

INPATIENT APRDRG 8113: ALLERGIC REACTIONS

Facility

$4,520.18

Service Code	APR-DRG 8113
Hospital Charge Code	APRDRG 8113
Min. Negotiated Rate	$4,304.93
Max. Negotiated Rate	$4,520.18
Rate for Payer: BCBS Complete	$4,520.18
Rate for Payer: Mclaren Medicaid	$4,304.93
Rate for Payer: Meridian Medicaid	$4,520.18
Rate for Payer: Priority Health Choice Medicaid	$4,304.93

INPATIENT APRDRG 8114: ALLERGIC REACTIONS

Facility

$9,225.38

Service Code	APR-DRG 8114
Hospital Charge Code	APRDRG 8114
Min. Negotiated Rate	$8,786.08
Max. Negotiated Rate	$9,225.38
Rate for Payer: BCBS Complete	$9,225.38
Rate for Payer: Mclaren Medicaid	$8,786.08
Rate for Payer: Meridian Medicaid	$9,225.38
Rate for Payer: Priority Health Choice Medicaid	$8,786.08

INPATIENT APRDRG 8121: POISONING OF MEDICINAL AGENTS

Facility

$2,198.00

Service Code	APR-DRG 8121
Hospital Charge Code	APRDRG 8121
Min. Negotiated Rate	$2,093.33
Max. Negotiated Rate	$2,198.00
Rate for Payer: BCBS Complete	$2,198.00
Rate for Payer: Mclaren Medicaid	$2,093.33
Rate for Payer: Meridian Medicaid	$2,198.00
Rate for Payer: Priority Health Choice Medicaid	$2,093.33

INPATIENT APRDRG 8122: POISONING OF MEDICINAL AGENTS

Facility

$2,995.00

Service Code	APR-DRG 8122
Hospital Charge Code	APRDRG 8122
Min. Negotiated Rate	$2,852.38
Max. Negotiated Rate	$2,995.00
Rate for Payer: BCBS Complete	$2,995.00
Rate for Payer: Mclaren Medicaid	$2,852.38
Rate for Payer: Meridian Medicaid	$2,995.00
Rate for Payer: Priority Health Choice Medicaid	$2,852.38

INPATIENT APRDRG 8123: POISONING OF MEDICINAL AGENTS

Facility

$4,200.47

Service Code	APR-DRG 8123
Hospital Charge Code	APRDRG 8123
Min. Negotiated Rate	$4,000.45
Max. Negotiated Rate	$4,200.47
Rate for Payer: BCBS Complete	$4,200.47
Rate for Payer: Mclaren Medicaid	$4,000.45
Rate for Payer: Meridian Medicaid	$4,200.47
Rate for Payer: Priority Health Choice Medicaid	$4,000.45

INPATIENT APRDRG 8124: POISONING OF MEDICINAL AGENTS

Facility

$8,237.36

Service Code	APR-DRG 8124
Hospital Charge Code	APRDRG 8124
Min. Negotiated Rate	$7,845.10
Max. Negotiated Rate	$8,237.36
Rate for Payer: BCBS Complete	$8,237.36
Rate for Payer: Mclaren Medicaid	$7,845.10
Rate for Payer: Meridian Medicaid	$8,237.36
Rate for Payer: Priority Health Choice Medicaid	$7,845.10

INPATIENT APRDRG 8131: OTHER COMPLICATIONS OF TREATMENT

Facility

$3,592.50

Service Code	APR-DRG 8131
Hospital Charge Code	APRDRG 8131
Min. Negotiated Rate	$3,421.43
Max. Negotiated Rate	$3,592.50
Rate for Payer: BCBS Complete	$3,592.50
Rate for Payer: Mclaren Medicaid	$3,421.43
Rate for Payer: Meridian Medicaid	$3,592.50
Rate for Payer: Priority Health Choice Medicaid	$3,421.43

INPATIENT APRDRG 8132: OTHER COMPLICATIONS OF TREATMENT

Facility

$4,277.78

Service Code	APR-DRG 8132
Hospital Charge Code	APRDRG 8132
Min. Negotiated Rate	$4,074.08
Max. Negotiated Rate	$4,277.78
Rate for Payer: BCBS Complete	$4,277.78
Rate for Payer: Mclaren Medicaid	$4,074.08
Rate for Payer: Meridian Medicaid	$4,277.78
Rate for Payer: Priority Health Choice Medicaid	$4,074.08

INPATIENT APRDRG 8133: OTHER COMPLICATIONS OF TREATMENT

Facility

$5,969.54

Service Code	APR-DRG 8133
Hospital Charge Code	APRDRG 8133
Min. Negotiated Rate	$5,685.28
Max. Negotiated Rate	$5,969.54
Rate for Payer: BCBS Complete	$5,969.54
Rate for Payer: Mclaren Medicaid	$5,685.28
Rate for Payer: Meridian Medicaid	$5,969.54
Rate for Payer: Priority Health Choice Medicaid	$5,685.28

INPATIENT APRDRG 8134: OTHER COMPLICATIONS OF TREATMENT

Facility

$9,381.99

Service Code	APR-DRG 8134
Hospital Charge Code	APRDRG 8134
Min. Negotiated Rate	$8,935.23
Max. Negotiated Rate	$9,381.99
Rate for Payer: BCBS Complete	$9,381.99
Rate for Payer: Mclaren Medicaid	$8,935.23
Rate for Payer: Meridian Medicaid	$9,381.99
Rate for Payer: Priority Health Choice Medicaid	$8,935.23

INPATIENT APRDRG 8151: OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES

Facility

$2,057.84

Service Code	APR-DRG 8151
Hospital Charge Code	APRDRG 8151
Min. Negotiated Rate	$1,959.85
Max. Negotiated Rate	$2,057.84
Rate for Payer: BCBS Complete	$2,057.84
Rate for Payer: Mclaren Medicaid	$1,959.85
Rate for Payer: Meridian Medicaid	$2,057.84
Rate for Payer: Priority Health Choice Medicaid	$1,959.85

INPATIENT APRDRG 8152: OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES

Facility

$3,834.89

Service Code	APR-DRG 8152
Hospital Charge Code	APRDRG 8152
Min. Negotiated Rate	$3,652.28
Max. Negotiated Rate	$3,834.89
Rate for Payer: BCBS Complete	$3,834.89
Rate for Payer: Mclaren Medicaid	$3,652.28
Rate for Payer: Meridian Medicaid	$3,834.89
Rate for Payer: Priority Health Choice Medicaid	$3,652.28

INPATIENT APRDRG 8153: OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES

Facility

$7,093.73

Service Code	APR-DRG 8153
Hospital Charge Code	APRDRG 8153
Min. Negotiated Rate	$6,755.93
Max. Negotiated Rate	$7,093.73
Rate for Payer: BCBS Complete	$7,093.73
Rate for Payer: Mclaren Medicaid	$6,755.93
Rate for Payer: Meridian Medicaid	$7,093.73
Rate for Payer: Priority Health Choice Medicaid	$6,755.93

INPATIENT APRDRG 8154: OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES

Facility

$11,722.13

Service Code	APR-DRG 8154
Hospital Charge Code	APRDRG 8154
Min. Negotiated Rate	$11,163.93
Max. Negotiated Rate	$11,722.13
Rate for Payer: BCBS Complete	$11,722.13
Rate for Payer: Mclaren Medicaid	$11,163.93
Rate for Payer: Meridian Medicaid	$11,722.13
Rate for Payer: Priority Health Choice Medicaid	$11,163.93

INPATIENT APRDRG 8161: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES

Facility

$2,497.25

Service Code	APR-DRG 8161
Hospital Charge Code	APRDRG 8161
Min. Negotiated Rate	$2,378.33
Max. Negotiated Rate	$2,497.25
Rate for Payer: BCBS Complete	$2,497.25
Rate for Payer: Mclaren Medicaid	$2,378.33
Rate for Payer: Meridian Medicaid	$2,497.25
Rate for Payer: Priority Health Choice Medicaid	$2,378.33

INPATIENT APRDRG 8162: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES

Facility

$2,906.22

Service Code	APR-DRG 8162
Hospital Charge Code	APRDRG 8162
Min. Negotiated Rate	$2,767.83
Max. Negotiated Rate	$2,906.22
Rate for Payer: BCBS Complete	$2,906.22
Rate for Payer: Mclaren Medicaid	$2,767.83
Rate for Payer: Meridian Medicaid	$2,906.22
Rate for Payer: Priority Health Choice Medicaid	$2,767.83

INPATIENT APRDRG 8163: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES

Facility

$4,295.24

Service Code	APR-DRG 8163
Hospital Charge Code	APRDRG 8163
Min. Negotiated Rate	$4,090.70
Max. Negotiated Rate	$4,295.24
Rate for Payer: BCBS Complete	$4,295.24
Rate for Payer: Mclaren Medicaid	$4,090.70
Rate for Payer: Meridian Medicaid	$4,295.24
Rate for Payer: Priority Health Choice Medicaid	$4,090.70

INPATIENT APRDRG 8164: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES

Facility

$7,228.88

Service Code	APR-DRG 8164
Hospital Charge Code	APRDRG 8164
Min. Negotiated Rate	$6,884.65
Max. Negotiated Rate	$7,228.88
Rate for Payer: BCBS Complete	$7,228.88
Rate for Payer: Mclaren Medicaid	$6,884.65
Rate for Payer: Meridian Medicaid	$7,228.88
Rate for Payer: Priority Health Choice Medicaid	$6,884.65

INPATIENT APRDRG 8171: OVERDOSE

Facility

$2,111.21

Service Code	APR-DRG 8171
Hospital Charge Code	APRDRG 8171
Min. Negotiated Rate	$2,010.68
Max. Negotiated Rate	$2,111.21
Rate for Payer: BCBS Complete	$2,111.21
Rate for Payer: Mclaren Medicaid	$2,010.68
Rate for Payer: Meridian Medicaid	$2,111.21
Rate for Payer: Priority Health Choice Medicaid	$2,010.68

Know your out-of-pocket cost for care.

All Charges