Bronson Lakeview Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: PEPTIC ULCER AND GASTRITIS

Facility

$12,359.29

Service Code	APR-DRG 2414
Min. Negotiated Rate	$11,770.75
Max. Negotiated Rate	$12,359.29
Rate for Payer: BCBS Complete	$12,359.29
Rate for Payer: Mclaren Medicaid	$11,770.75
Rate for Payer: Meridian Medicaid	$12,359.29
Rate for Payer: Priority Health Choice Medicaid	$11,770.75
Rate for Payer: UHCCP Medicaid	$11,770.75

APR-DRG 42.00: PEPTIC ULCER AND GASTRITIS

Facility

$3,619.88

Service Code	APR-DRG 2411
Min. Negotiated Rate	$3,447.50
Max. Negotiated Rate	$3,619.88
Rate for Payer: BCBS Complete	$3,619.88
Rate for Payer: Mclaren Medicaid	$3,447.50
Rate for Payer: Meridian Medicaid	$3,619.88
Rate for Payer: Priority Health Choice Medicaid	$3,447.50
Rate for Payer: UHCCP Medicaid	$3,447.50

APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITH AMI

Facility

$19,857.60

Service Code	APR-DRG 1744
Min. Negotiated Rate	$18,912.00
Max. Negotiated Rate	$19,857.60
Rate for Payer: BCBS Complete	$19,857.60
Rate for Payer: Mclaren Medicaid	$18,912.00
Rate for Payer: Meridian Medicaid	$19,857.60
Rate for Payer: Priority Health Choice Medicaid	$18,912.00
Rate for Payer: UHCCP Medicaid	$18,912.00

APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITH AMI

Facility

$9,411.67

Service Code	APR-DRG 1741
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: PERCUTANEOUS CARDIAC INTERVENTION WITH AMI

Facility

$11,893.88

Service Code	APR-DRG 1742
Min. Negotiated Rate	$11,327.50
Max. Negotiated Rate	$11,893.88
Rate for Payer: BCBS Complete	$11,893.88
Rate for Payer: Mclaren Medicaid	$11,327.50
Rate for Payer: Meridian Medicaid	$11,893.88
Rate for Payer: Priority Health Choice Medicaid	$11,327.50
Rate for Payer: UHCCP Medicaid	$11,327.50

APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITH AMI

Facility

$14,014.09

Service Code	APR-DRG 1743
Min. Negotiated Rate	$13,346.75
Max. Negotiated Rate	$14,014.09
Rate for Payer: BCBS Complete	$14,014.09
Rate for Payer: Mclaren Medicaid	$13,346.75
Rate for Payer: Meridian Medicaid	$14,014.09
Rate for Payer: Priority Health Choice Medicaid	$13,346.75
Rate for Payer: UHCCP Medicaid	$13,346.75

APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI

Facility

$14,220.94

Service Code	APR-DRG 1752
Min. Negotiated Rate	$13,543.75
Max. Negotiated Rate	$14,220.94
Rate for Payer: BCBS Complete	$14,220.94
Rate for Payer: Mclaren Medicaid	$13,543.75
Rate for Payer: Meridian Medicaid	$14,220.94
Rate for Payer: Priority Health Choice Medicaid	$13,543.75
Rate for Payer: UHCCP Medicaid	$13,543.75

APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI

Facility

$10,756.20

Service Code	APR-DRG 1751
Min. Negotiated Rate	$10,244.00
Max. Negotiated Rate	$10,756.20
Rate for Payer: BCBS Complete	$10,756.20
Rate for Payer: Mclaren Medicaid	$10,244.00
Rate for Payer: Meridian Medicaid	$10,756.20
Rate for Payer: Priority Health Choice Medicaid	$10,244.00
Rate for Payer: UHCCP Medicaid	$10,244.00

APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI

Facility

$22,339.80

Service Code	APR-DRG 1754
Min. Negotiated Rate	$21,276.00
Max. Negotiated Rate	$22,339.80
Rate for Payer: BCBS Complete	$22,339.80
Rate for Payer: Mclaren Medicaid	$21,276.00
Rate for Payer: Meridian Medicaid	$22,339.80
Rate for Payer: Priority Health Choice Medicaid	$21,276.00
Rate for Payer: UHCCP Medicaid	$21,276.00

APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI

Facility

$16,289.44

Service Code	APR-DRG 1753
Min. Negotiated Rate	$15,513.75
Max. Negotiated Rate	$16,289.44
Rate for Payer: BCBS Complete	$16,289.44
Rate for Payer: Mclaren Medicaid	$15,513.75
Rate for Payer: Meridian Medicaid	$16,289.44
Rate for Payer: Priority Health Choice Medicaid	$15,513.75
Rate for Payer: UHCCP Medicaid	$15,513.75

APR-DRG 42.00: PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES

Facility

$17,995.95

Service Code	APR-DRG 0303
Min. Negotiated Rate	$17,139.00
Max. Negotiated Rate	$17,995.95
Rate for Payer: BCBS Complete	$17,995.95
Rate for Payer: Mclaren Medicaid	$17,139.00
Rate for Payer: Meridian Medicaid	$17,995.95
Rate for Payer: Priority Health Choice Medicaid	$17,139.00
Rate for Payer: UHCCP Medicaid	$17,139.00

APR-DRG 42.00: PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES

Facility

$24,304.88

Service Code	APR-DRG 0304
Min. Negotiated Rate	$23,147.50
Max. Negotiated Rate	$24,304.88
Rate for Payer: BCBS Complete	$24,304.88
Rate for Payer: Mclaren Medicaid	$23,147.50
Rate for Payer: Meridian Medicaid	$24,304.88
Rate for Payer: Priority Health Choice Medicaid	$23,147.50
Rate for Payer: UHCCP Medicaid	$23,147.50

APR-DRG 42.00: PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES

Facility

$14,065.80

Service Code	APR-DRG 0302
Min. Negotiated Rate	$13,396.00
Max. Negotiated Rate	$14,065.80
Rate for Payer: BCBS Complete	$14,065.80
Rate for Payer: Mclaren Medicaid	$13,396.00
Rate for Payer: Meridian Medicaid	$14,065.80
Rate for Payer: Priority Health Choice Medicaid	$13,396.00
Rate for Payer: UHCCP Medicaid	$13,396.00

APR-DRG 42.00: PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES

Facility

$8,170.57

Service Code	APR-DRG 0301
Min. Negotiated Rate	$7,781.50
Max. Negotiated Rate	$8,170.57
Rate for Payer: BCBS Complete	$8,170.57
Rate for Payer: Mclaren Medicaid	$7,781.50
Rate for Payer: Meridian Medicaid	$8,170.57
Rate for Payer: Priority Health Choice Medicaid	$7,781.50
Rate for Payer: UHCCP Medicaid	$7,781.50

APR-DRG 42.00: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES

Facility

$35,267.93

Service Code	APR-DRG 1834
Min. Negotiated Rate	$33,588.50
Max. Negotiated Rate	$35,267.93
Rate for Payer: BCBS Complete	$35,267.93
Rate for Payer: Mclaren Medicaid	$33,588.50
Rate for Payer: Meridian Medicaid	$35,267.93
Rate for Payer: Priority Health Choice Medicaid	$33,588.50
Rate for Payer: UHCCP Medicaid	$33,588.50

APR-DRG 42.00: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES

Facility

$20,529.86

Service Code	APR-DRG 1832
Min. Negotiated Rate	$19,552.25
Max. Negotiated Rate	$20,529.86
Rate for Payer: BCBS Complete	$20,529.86
Rate for Payer: Mclaren Medicaid	$19,552.25
Rate for Payer: Meridian Medicaid	$20,529.86
Rate for Payer: Priority Health Choice Medicaid	$19,552.25
Rate for Payer: UHCCP Medicaid	$19,552.25

APR-DRG 42.00: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES

Facility

$18,926.78

Service Code	APR-DRG 1831
Min. Negotiated Rate	$18,025.50
Max. Negotiated Rate	$18,926.78
Rate for Payer: BCBS Complete	$18,926.78
Rate for Payer: Mclaren Medicaid	$18,025.50
Rate for Payer: Meridian Medicaid	$18,926.78
Rate for Payer: Priority Health Choice Medicaid	$18,025.50
Rate for Payer: UHCCP Medicaid	$18,025.50

APR-DRG 42.00: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES

Facility

$25,597.69

Service Code	APR-DRG 1833
Min. Negotiated Rate	$24,378.75
Max. Negotiated Rate	$25,597.69
Rate for Payer: BCBS Complete	$25,597.69
Rate for Payer: Mclaren Medicaid	$24,378.75
Rate for Payer: Meridian Medicaid	$25,597.69
Rate for Payer: Priority Health Choice Medicaid	$24,378.75
Rate for Payer: UHCCP Medicaid	$24,378.75

APR-DRG 42.00: PERIPHERAL AND OTHER VASCULAR DISORDERS

Facility

$3,102.75

Service Code	APR-DRG 1971
Min. Negotiated Rate	$2,955.00
Max. Negotiated Rate	$3,102.75
Rate for Payer: BCBS Complete	$3,102.75
Rate for Payer: Mclaren Medicaid	$2,955.00
Rate for Payer: Meridian Medicaid	$3,102.75
Rate for Payer: Priority Health Choice Medicaid	$2,955.00
Rate for Payer: UHCCP Medicaid	$2,955.00

APR-DRG 42.00: PERIPHERAL AND OTHER VASCULAR DISORDERS

Facility

$6,360.64

Service Code	APR-DRG 1973
Min. Negotiated Rate	$6,057.75
Max. Negotiated Rate	$6,360.64
Rate for Payer: BCBS Complete	$6,360.64
Rate for Payer: Mclaren Medicaid	$6,057.75
Rate for Payer: Meridian Medicaid	$6,360.64
Rate for Payer: Priority Health Choice Medicaid	$6,057.75
Rate for Payer: UHCCP Medicaid	$6,057.75

APR-DRG 42.00: PERIPHERAL AND OTHER VASCULAR DISORDERS

Facility

$4,033.57

Service Code	APR-DRG 1972
Min. Negotiated Rate	$3,841.50
Max. Negotiated Rate	$4,033.57
Rate for Payer: BCBS Complete	$4,033.57
Rate for Payer: Mclaren Medicaid	$3,841.50
Rate for Payer: Meridian Medicaid	$4,033.57
Rate for Payer: Priority Health Choice Medicaid	$3,841.50
Rate for Payer: UHCCP Medicaid	$3,841.50

APR-DRG 42.00: PERIPHERAL AND OTHER VASCULAR DISORDERS

Facility

$11,325.04

Service Code	APR-DRG 1974
Min. Negotiated Rate	$10,785.75
Max. Negotiated Rate	$11,325.04
Rate for Payer: BCBS Complete	$11,325.04
Rate for Payer: Mclaren Medicaid	$10,785.75
Rate for Payer: Meridian Medicaid	$11,325.04
Rate for Payer: Priority Health Choice Medicaid	$10,785.75
Rate for Payer: UHCCP Medicaid	$10,785.75

APR-DRG 42.00: PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS

Facility

$4,550.70

Service Code	APR-DRG 0482
Min. Negotiated Rate	$4,334.00
Max. Negotiated Rate	$4,550.70
Rate for Payer: BCBS Complete	$4,550.70
Rate for Payer: Mclaren Medicaid	$4,334.00
Rate for Payer: Meridian Medicaid	$4,550.70
Rate for Payer: Priority Health Choice Medicaid	$4,334.00
Rate for Payer: UHCCP Medicaid	$4,334.00

APR-DRG 42.00: PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS

Facility

$3,723.30

Service Code	APR-DRG 0481
Min. Negotiated Rate	$3,546.00
Max. Negotiated Rate	$3,723.30
Rate for Payer: BCBS Complete	$3,723.30
Rate for Payer: Mclaren Medicaid	$3,546.00
Rate for Payer: Meridian Medicaid	$3,723.30
Rate for Payer: Priority Health Choice Medicaid	$3,546.00
Rate for Payer: UHCCP Medicaid	$3,546.00

APR-DRG 42.00: PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS

Facility

$6,515.77

Service Code	APR-DRG 0483
Min. Negotiated Rate	$6,205.50
Max. Negotiated Rate	$6,515.77
Rate for Payer: BCBS Complete	$6,515.77
Rate for Payer: Mclaren Medicaid	$6,205.50
Rate for Payer: Meridian Medicaid	$6,515.77
Rate for Payer: Priority Health Choice Medicaid	$6,205.50
Rate for Payer: UHCCP Medicaid	$6,205.50

Know your out-of-pocket cost for care.

All Charges