Bronson Lakeview Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES

Facility

$4,240.43

Service Code	APR-DRG 1442
Min. Negotiated Rate	$4,038.50
Max. Negotiated Rate	$4,240.43
Rate for Payer: BCBS Complete	$4,240.43
Rate for Payer: Mclaren Medicaid	$4,038.50
Rate for Payer: Meridian Medicaid	$4,240.43
Rate for Payer: Priority Health Choice Medicaid	$4,038.50
Rate for Payer: UHCCP Medicaid	$4,038.50

APR-DRG 42.00: RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES

Facility

$2,999.32

Service Code	APR-DRG 1441
Min. Negotiated Rate	$2,856.50
Max. Negotiated Rate	$2,999.32
Rate for Payer: BCBS Complete	$2,999.32
Rate for Payer: Mclaren Medicaid	$2,856.50
Rate for Payer: Meridian Medicaid	$2,999.32
Rate for Payer: Priority Health Choice Medicaid	$2,856.50
Rate for Payer: UHCCP Medicaid	$2,856.50

APR-DRG 42.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS

Facility

$28,286.74

Service Code	APR-DRG 1304
Min. Negotiated Rate	$26,939.75
Max. Negotiated Rate	$28,286.74
Rate for Payer: BCBS Complete	$28,286.74
Rate for Payer: Mclaren Medicaid	$26,939.75
Rate for Payer: Meridian Medicaid	$28,286.74
Rate for Payer: Priority Health Choice Medicaid	$26,939.75
Rate for Payer: UHCCP Medicaid	$26,939.75

APR-DRG 42.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS

Facility

$21,357.26

Service Code	APR-DRG 1303
Min. Negotiated Rate	$20,340.25
Max. Negotiated Rate	$21,357.26
Rate for Payer: BCBS Complete	$21,357.26
Rate for Payer: Mclaren Medicaid	$20,340.25
Rate for Payer: Meridian Medicaid	$21,357.26
Rate for Payer: Priority Health Choice Medicaid	$20,340.25
Rate for Payer: UHCCP Medicaid	$20,340.25

APR-DRG 42.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS

Facility

$17,478.83

Service Code	APR-DRG 1302
Min. Negotiated Rate	$16,646.50
Max. Negotiated Rate	$17,478.83
Rate for Payer: BCBS Complete	$17,478.83
Rate for Payer: Mclaren Medicaid	$16,646.50
Rate for Payer: Meridian Medicaid	$17,478.83
Rate for Payer: Priority Health Choice Medicaid	$16,646.50
Rate for Payer: UHCCP Medicaid	$16,646.50

APR-DRG 42.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS

Facility

$14,479.50

Service Code	APR-DRG 1301
Min. Negotiated Rate	$13,790.00
Max. Negotiated Rate	$14,479.50
Rate for Payer: BCBS Complete	$14,479.50
Rate for Payer: Mclaren Medicaid	$13,790.00
Rate for Payer: Meridian Medicaid	$14,479.50
Rate for Payer: Priority Health Choice Medicaid	$13,790.00
Rate for Payer: UHCCP Medicaid	$13,790.00

APR-DRG 42.00: SCHIZOAFFECTIVE DISORDERS

Facility

$3,981.86

Service Code	APR-DRG 7611
Min. Negotiated Rate	$3,792.25
Max. Negotiated Rate	$3,981.86
Rate for Payer: BCBS Complete	$3,981.86
Rate for Payer: Mclaren Medicaid	$3,792.25
Rate for Payer: Meridian Medicaid	$3,981.86
Rate for Payer: Priority Health Choice Medicaid	$3,792.25
Rate for Payer: UHCCP Medicaid	$3,792.25

APR-DRG 42.00: SCHIZOAFFECTIVE DISORDERS

Facility

$7,705.16

Service Code	APR-DRG 7613
Min. Negotiated Rate	$7,338.25
Max. Negotiated Rate	$7,705.16
Rate for Payer: BCBS Complete	$7,705.16
Rate for Payer: Mclaren Medicaid	$7,338.25
Rate for Payer: Meridian Medicaid	$7,705.16
Rate for Payer: Priority Health Choice Medicaid	$7,338.25
Rate for Payer: UHCCP Medicaid	$7,338.25

APR-DRG 42.00: SCHIZOAFFECTIVE DISORDERS

Facility

$13,290.11

Service Code	APR-DRG 7614
Min. Negotiated Rate	$12,657.25
Max. Negotiated Rate	$13,290.11
Rate for Payer: BCBS Complete	$13,290.11
Rate for Payer: Mclaren Medicaid	$12,657.25
Rate for Payer: Meridian Medicaid	$13,290.11
Rate for Payer: Priority Health Choice Medicaid	$12,657.25
Rate for Payer: UHCCP Medicaid	$12,657.25

APR-DRG 42.00: SCHIZOAFFECTIVE DISORDERS

Facility

$4,188.71

Service Code	APR-DRG 7612
Min. Negotiated Rate	$3,989.25
Max. Negotiated Rate	$4,188.71
Rate for Payer: BCBS Complete	$4,188.71
Rate for Payer: Mclaren Medicaid	$3,989.25
Rate for Payer: Meridian Medicaid	$4,188.71
Rate for Payer: Priority Health Choice Medicaid	$3,989.25
Rate for Payer: UHCCP Medicaid	$3,989.25

APR-DRG 42.00: SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS

Facility

$4,240.43

Service Code	APR-DRG 7502
Min. Negotiated Rate	$4,038.50
Max. Negotiated Rate	$4,240.43
Rate for Payer: BCBS Complete	$4,240.43
Rate for Payer: Mclaren Medicaid	$4,038.50
Rate for Payer: Meridian Medicaid	$4,240.43
Rate for Payer: Priority Health Choice Medicaid	$4,038.50
Rate for Payer: UHCCP Medicaid	$4,038.50

APR-DRG 42.00: SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS

Facility

$12,359.29

Service Code	APR-DRG 7504
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: SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS

Facility

$6,412.35

Service Code	APR-DRG 7503
Min. Negotiated Rate	$6,107.00
Max. Negotiated Rate	$6,412.35
Rate for Payer: BCBS Complete	$6,412.35
Rate for Payer: Mclaren Medicaid	$6,107.00
Rate for Payer: Meridian Medicaid	$6,412.35
Rate for Payer: Priority Health Choice Medicaid	$6,107.00
Rate for Payer: UHCCP Medicaid	$6,107.00

APR-DRG 42.00: SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS

Facility

$3,102.75

Service Code	APR-DRG 7501
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: SEIZURE

Facility

$2,999.32

Service Code	APR-DRG 0531
Min. Negotiated Rate	$2,856.50
Max. Negotiated Rate	$2,999.32
Rate for Payer: BCBS Complete	$2,999.32
Rate for Payer: Mclaren Medicaid	$2,856.50
Rate for Payer: Meridian Medicaid	$2,999.32
Rate for Payer: Priority Health Choice Medicaid	$2,856.50
Rate for Payer: UHCCP Medicaid	$2,856.50

APR-DRG 42.00: SEIZURE

Facility

$12,100.73

Service Code	APR-DRG 0534
Min. Negotiated Rate	$11,524.50
Max. Negotiated Rate	$12,100.73
Rate for Payer: BCBS Complete	$12,100.73
Rate for Payer: Mclaren Medicaid	$11,524.50
Rate for Payer: Meridian Medicaid	$12,100.73
Rate for Payer: Priority Health Choice Medicaid	$11,524.50
Rate for Payer: UHCCP Medicaid	$11,524.50

APR-DRG 42.00: SEIZURE

Facility

$6,412.35

Service Code	APR-DRG 0533
Min. Negotiated Rate	$6,107.00
Max. Negotiated Rate	$6,412.35
Rate for Payer: BCBS Complete	$6,412.35
Rate for Payer: Mclaren Medicaid	$6,107.00
Rate for Payer: Meridian Medicaid	$6,412.35
Rate for Payer: Priority Health Choice Medicaid	$6,107.00
Rate for Payer: UHCCP Medicaid	$6,107.00

APR-DRG 42.00: SEIZURE

Facility

$4,033.57

Service Code	APR-DRG 0532
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: SEPTICEMIA AND DISSEMINATED INFECTIONS

Facility

$13,962.38

Service Code	APR-DRG 7204
Min. Negotiated Rate	$13,297.50
Max. Negotiated Rate	$13,962.38
Rate for Payer: BCBS Complete	$13,962.38
Rate for Payer: Mclaren Medicaid	$13,297.50
Rate for Payer: Meridian Medicaid	$13,962.38
Rate for Payer: Priority Health Choice Medicaid	$13,297.50
Rate for Payer: UHCCP Medicaid	$13,297.50

APR-DRG 42.00: SEPTICEMIA AND DISSEMINATED INFECTIONS

Facility

$7,550.02

Service Code	APR-DRG 7203
Min. Negotiated Rate	$7,190.50
Max. Negotiated Rate	$7,550.02
Rate for Payer: BCBS Complete	$7,550.02
Rate for Payer: Mclaren Medicaid	$7,190.50
Rate for Payer: Meridian Medicaid	$7,550.02
Rate for Payer: Priority Health Choice Medicaid	$7,190.50
Rate for Payer: UHCCP Medicaid	$7,190.50

APR-DRG 42.00: SEPTICEMIA AND DISSEMINATED INFECTIONS

Facility

$3,413.03

Service Code	APR-DRG 7201
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

APR-DRG 42.00: SEPTICEMIA AND DISSEMINATED INFECTIONS

Facility

$4,757.55

Service Code	APR-DRG 7202
Min. Negotiated Rate	$4,531.00
Max. Negotiated Rate	$4,757.55
Rate for Payer: BCBS Complete	$4,757.55
Rate for Payer: Mclaren Medicaid	$4,531.00
Rate for Payer: Meridian Medicaid	$4,757.55
Rate for Payer: Priority Health Choice Medicaid	$4,531.00
Rate for Payer: UHCCP Medicaid	$4,531.00

APR-DRG 42.00: SHOULDER AND ELBOW JOINT REPLACEMENT

Facility

$13,600.39

Service Code	APR-DRG 3223
Min. Negotiated Rate	$12,952.75
Max. Negotiated Rate	$13,600.39
Rate for Payer: BCBS Complete	$13,600.39
Rate for Payer: Mclaren Medicaid	$12,952.75
Rate for Payer: Meridian Medicaid	$13,600.39
Rate for Payer: Priority Health Choice Medicaid	$12,952.75
Rate for Payer: UHCCP Medicaid	$12,952.75

APR-DRG 42.00: SHOULDER AND ELBOW JOINT REPLACEMENT

Facility

$17,427.11

Service Code	APR-DRG 3224
Min. Negotiated Rate	$16,597.25
Max. Negotiated Rate	$17,427.11
Rate for Payer: BCBS Complete	$17,427.11
Rate for Payer: Mclaren Medicaid	$16,597.25
Rate for Payer: Meridian Medicaid	$17,427.11
Rate for Payer: Priority Health Choice Medicaid	$16,597.25
Rate for Payer: UHCCP Medicaid	$16,597.25

APR-DRG 42.00: SHOULDER AND ELBOW JOINT REPLACEMENT

Facility

$8,222.29

Service Code	APR-DRG 3221
Min. Negotiated Rate	$7,830.75
Max. Negotiated Rate	$8,222.29
Rate for Payer: BCBS Complete	$8,222.29
Rate for Payer: Mclaren Medicaid	$7,830.75
Rate for Payer: Meridian Medicaid	$8,222.29
Rate for Payer: Priority Health Choice Medicaid	$7,830.75
Rate for Payer: UHCCP Medicaid	$7,830.75

Know your out-of-pocket cost for care.

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