Bronson Lakeview Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: OTHER NERVOUS SYSTEM AND RELATED PROCEDURES

Facility

$22,598.36

Service Code	APR-DRG 0264
Min. Negotiated Rate	$21,522.25
Max. Negotiated Rate	$22,598.36
Rate for Payer: BCBS Complete	$22,598.36
Rate for Payer: Mclaren Medicaid	$21,522.25
Rate for Payer: Meridian Medicaid	$22,598.36
Rate for Payer: Priority Health Choice Medicaid	$21,522.25
Rate for Payer: UHCCP Medicaid	$21,522.25

APR-DRG 42.00: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility

$2,482.20

Service Code	APR-DRG 4251
Min. Negotiated Rate	$2,364.00
Max. Negotiated Rate	$2,482.20
Rate for Payer: BCBS Complete	$2,482.20
Rate for Payer: Mclaren Medicaid	$2,364.00
Rate for Payer: Meridian Medicaid	$2,482.20
Rate for Payer: Priority Health Choice Medicaid	$2,364.00
Rate for Payer: UHCCP Medicaid	$2,364.00

APR-DRG 42.00: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility

$4,860.98

Service Code	APR-DRG 4253
Min. Negotiated Rate	$4,629.50
Max. Negotiated Rate	$4,860.98
Rate for Payer: BCBS Complete	$4,860.98
Rate for Payer: Mclaren Medicaid	$4,629.50
Rate for Payer: Meridian Medicaid	$4,860.98
Rate for Payer: Priority Health Choice Medicaid	$4,629.50
Rate for Payer: UHCCP Medicaid	$4,629.50

APR-DRG 42.00: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility

$3,309.60

Service Code	APR-DRG 4252
Min. Negotiated Rate	$3,152.00
Max. Negotiated Rate	$3,309.60
Rate for Payer: BCBS Complete	$3,309.60
Rate for Payer: Mclaren Medicaid	$3,152.00
Rate for Payer: Meridian Medicaid	$3,309.60
Rate for Payer: Priority Health Choice Medicaid	$3,152.00
Rate for Payer: UHCCP Medicaid	$3,152.00

APR-DRG 42.00: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility

$9,566.81

Service Code	APR-DRG 4254
Min. Negotiated Rate	$9,111.25
Max. Negotiated Rate	$9,566.81
Rate for Payer: BCBS Complete	$9,566.81
Rate for Payer: Mclaren Medicaid	$9,111.25
Rate for Payer: Meridian Medicaid	$9,566.81
Rate for Payer: Priority Health Choice Medicaid	$9,111.25
Rate for Payer: UHCCP Medicaid	$9,111.25

APR-DRG 42.00: OTHER OPEN CRANIOTOMY

Facility

$26,787.08

Service Code	APR-DRG 0274
Min. Negotiated Rate	$25,511.50
Max. Negotiated Rate	$26,787.08
Rate for Payer: BCBS Complete	$26,787.08
Rate for Payer: Mclaren Medicaid	$25,511.50
Rate for Payer: Meridian Medicaid	$26,787.08
Rate for Payer: Priority Health Choice Medicaid	$25,511.50
Rate for Payer: UHCCP Medicaid	$25,511.50

APR-DRG 42.00: OTHER OPEN CRANIOTOMY

Facility

$12,928.12

Service Code	APR-DRG 0272
Min. Negotiated Rate	$12,312.50
Max. Negotiated Rate	$12,928.12
Rate for Payer: BCBS Complete	$12,928.12
Rate for Payer: Mclaren Medicaid	$12,312.50
Rate for Payer: Meridian Medicaid	$12,928.12
Rate for Payer: Priority Health Choice Medicaid	$12,312.50
Rate for Payer: UHCCP Medicaid	$12,312.50

APR-DRG 42.00: OTHER OPEN CRANIOTOMY

Facility

$18,823.35

Service Code	APR-DRG 0273
Min. Negotiated Rate	$17,927.00
Max. Negotiated Rate	$18,823.35
Rate for Payer: BCBS Complete	$18,823.35
Rate for Payer: Mclaren Medicaid	$17,927.00
Rate for Payer: Meridian Medicaid	$18,823.35
Rate for Payer: Priority Health Choice Medicaid	$17,927.00
Rate for Payer: UHCCP Medicaid	$17,927.00

APR-DRG 42.00: OTHER OPEN CRANIOTOMY

Facility

$9,411.67

Service Code	APR-DRG 0271
Min. Negotiated Rate	$8,963.50
Max. Negotiated Rate	$9,411.67
Rate for Payer: BCBS Complete	$9,411.67
Rate for Payer: Mclaren Medicaid	$8,963.50
Rate for Payer: Meridian Medicaid	$9,411.67
Rate for Payer: Priority Health Choice Medicaid	$8,963.50
Rate for Payer: UHCCP Medicaid	$8,963.50

APR-DRG 42.00: OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$6,774.34

Service Code	APR-DRG 6811
Min. Negotiated Rate	$6,451.75
Max. Negotiated Rate	$6,774.34
Rate for Payer: BCBS Complete	$6,774.34
Rate for Payer: Mclaren Medicaid	$6,451.75
Rate for Payer: Meridian Medicaid	$6,774.34
Rate for Payer: Priority Health Choice Medicaid	$6,451.75
Rate for Payer: UHCCP Medicaid	$6,451.75

APR-DRG 42.00: OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$9,101.40

Service Code	APR-DRG 6812
Min. Negotiated Rate	$8,668.00
Max. Negotiated Rate	$9,101.40
Rate for Payer: BCBS Complete	$9,101.40
Rate for Payer: Mclaren Medicaid	$8,668.00
Rate for Payer: Meridian Medicaid	$9,101.40
Rate for Payer: Priority Health Choice Medicaid	$8,668.00
Rate for Payer: UHCCP Medicaid	$8,668.00

APR-DRG 42.00: OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$28,597.01

Service Code	APR-DRG 6814
Min. Negotiated Rate	$27,235.25
Max. Negotiated Rate	$28,597.01
Rate for Payer: BCBS Complete	$28,597.01
Rate for Payer: Mclaren Medicaid	$27,235.25
Rate for Payer: Meridian Medicaid	$28,597.01
Rate for Payer: Priority Health Choice Medicaid	$27,235.25
Rate for Payer: UHCCP Medicaid	$27,235.25

APR-DRG 42.00: OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$14,324.36

Service Code	APR-DRG 6813
Min. Negotiated Rate	$13,642.25
Max. Negotiated Rate	$14,324.36
Rate for Payer: BCBS Complete	$14,324.36
Rate for Payer: Mclaren Medicaid	$13,642.25
Rate for Payer: Meridian Medicaid	$14,324.36
Rate for Payer: Priority Health Choice Medicaid	$13,642.25
Rate for Payer: UHCCP Medicaid	$13,642.25

APR-DRG 42.00: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility

$22,701.79

Service Code	APR-DRG 0294
Min. Negotiated Rate	$21,620.75
Max. Negotiated Rate	$22,701.79
Rate for Payer: BCBS Complete	$22,701.79
Rate for Payer: Mclaren Medicaid	$21,620.75
Rate for Payer: Meridian Medicaid	$22,701.79
Rate for Payer: Priority Health Choice Medicaid	$21,620.75
Rate for Payer: UHCCP Medicaid	$21,620.75

APR-DRG 42.00: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility

$11,842.16

Service Code	APR-DRG 0292
Min. Negotiated Rate	$11,278.25
Max. Negotiated Rate	$11,842.16
Rate for Payer: BCBS Complete	$11,842.16
Rate for Payer: Mclaren Medicaid	$11,278.25
Rate for Payer: Meridian Medicaid	$11,842.16
Rate for Payer: Priority Health Choice Medicaid	$11,278.25
Rate for Payer: UHCCP Medicaid	$11,278.25

APR-DRG 42.00: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility

$9,463.39

Service Code	APR-DRG 0291
Min. Negotiated Rate	$9,012.75
Max. Negotiated Rate	$9,463.39
Rate for Payer: BCBS Complete	$9,463.39
Rate for Payer: Mclaren Medicaid	$9,012.75
Rate for Payer: Meridian Medicaid	$9,463.39
Rate for Payer: Priority Health Choice Medicaid	$9,012.75
Rate for Payer: UHCCP Medicaid	$9,012.75

APR-DRG 42.00: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility

$17,013.41

Service Code	APR-DRG 0293
Min. Negotiated Rate	$16,203.25
Max. Negotiated Rate	$17,013.41
Rate for Payer: BCBS Complete	$17,013.41
Rate for Payer: Mclaren Medicaid	$16,203.25
Rate for Payer: Meridian Medicaid	$17,013.41
Rate for Payer: Priority Health Choice Medicaid	$16,203.25
Rate for Payer: UHCCP Medicaid	$16,203.25

APR-DRG 42.00: OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES

Facility

$13,393.54

Service Code	APR-DRG 1823
Min. Negotiated Rate	$12,755.75
Max. Negotiated Rate	$13,393.54
Rate for Payer: BCBS Complete	$13,393.54
Rate for Payer: Mclaren Medicaid	$12,755.75
Rate for Payer: Meridian Medicaid	$13,393.54
Rate for Payer: Priority Health Choice Medicaid	$12,755.75
Rate for Payer: UHCCP Medicaid	$12,755.75

APR-DRG 42.00: OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES

Facility

$20,943.56

Service Code	APR-DRG 1824
Min. Negotiated Rate	$19,946.25
Max. Negotiated Rate	$20,943.56
Rate for Payer: BCBS Complete	$20,943.56
Rate for Payer: Mclaren Medicaid	$19,946.25
Rate for Payer: Meridian Medicaid	$20,943.56
Rate for Payer: Priority Health Choice Medicaid	$19,946.25
Rate for Payer: UHCCP Medicaid	$19,946.25

APR-DRG 42.00: OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES

Facility

$8,532.56

Service Code	APR-DRG 1821
Min. Negotiated Rate	$8,126.25
Max. Negotiated Rate	$8,532.56
Rate for Payer: BCBS Complete	$8,532.56
Rate for Payer: Mclaren Medicaid	$8,126.25
Rate for Payer: Meridian Medicaid	$8,532.56
Rate for Payer: Priority Health Choice Medicaid	$8,126.25
Rate for Payer: UHCCP Medicaid	$8,126.25

APR-DRG 42.00: OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES

Facility

$10,497.64

Service Code	APR-DRG 1822
Min. Negotiated Rate	$9,997.75
Max. Negotiated Rate	$10,497.64
Rate for Payer: BCBS Complete	$10,497.64
Rate for Payer: Mclaren Medicaid	$9,997.75
Rate for Payer: Meridian Medicaid	$10,497.64
Rate for Payer: Priority Health Choice Medicaid	$9,997.75
Rate for Payer: UHCCP Medicaid	$9,997.75

APR-DRG 42.00: OTHER PNEUMONIA

Facility

$8,429.14

Service Code	APR-DRG 1394
Min. Negotiated Rate	$8,027.75
Max. Negotiated Rate	$8,429.14
Rate for Payer: BCBS Complete	$8,429.14
Rate for Payer: Mclaren Medicaid	$8,027.75
Rate for Payer: Meridian Medicaid	$8,429.14
Rate for Payer: Priority Health Choice Medicaid	$8,027.75
Rate for Payer: UHCCP Medicaid	$8,027.75

APR-DRG 42.00: OTHER PNEUMONIA

Facility

$5,171.25

Service Code	APR-DRG 1393
Min. Negotiated Rate	$4,925.00
Max. Negotiated Rate	$5,171.25
Rate for Payer: BCBS Complete	$5,171.25
Rate for Payer: Mclaren Medicaid	$4,925.00
Rate for Payer: Meridian Medicaid	$5,171.25
Rate for Payer: Priority Health Choice Medicaid	$4,925.00
Rate for Payer: UHCCP Medicaid	$4,925.00

APR-DRG 42.00: OTHER PNEUMONIA

Facility

$2,482.20

Service Code	APR-DRG 1391
Min. Negotiated Rate	$2,364.00
Max. Negotiated Rate	$2,482.20
Rate for Payer: BCBS Complete	$2,482.20
Rate for Payer: Mclaren Medicaid	$2,364.00
Rate for Payer: Meridian Medicaid	$2,482.20
Rate for Payer: Priority Health Choice Medicaid	$2,364.00
Rate for Payer: UHCCP Medicaid	$2,364.00

APR-DRG 42.00: OTHER PNEUMONIA

Facility

$3,413.03

Service Code	APR-DRG 1392
Min. Negotiated Rate	$3,250.50
Max. Negotiated Rate	$3,413.03
Rate for Payer: BCBS Complete	$3,413.03
Rate for Payer: Mclaren Medicaid	$3,250.50
Rate for Payer: Meridian Medicaid	$3,413.03
Rate for Payer: Priority Health Choice Medicaid	$3,250.50
Rate for Payer: UHCCP Medicaid	$3,250.50

Know your out-of-pocket cost for care.

All Charges