Bronson Lakeview Hospital

All Charges

Charge

Type

Setting

Price

MAJOR SKIN DISORDERS

Facility

$5,483.46

Service Code	APR-DRG 3812
Min. Negotiated Rate	$5,222.34
Max. Negotiated Rate	$5,483.46
Rate for Payer: BCBS Complete	$5,483.46
Rate for Payer: Mclaren Medicaid	$5,222.34
Rate for Payer: Meridian Medicaid	$5,483.46
Rate for Payer: Priority Health Choice Medicaid	$5,222.34
Rate for Payer: UHC Medicaid	$5,222.34
Rate for Payer: UHCCP Medicaid	$5,222.34

MAJOR SKIN DISORDERS

Facility

$8,894.58

Service Code	APR-DRG 3813
Min. Negotiated Rate	$8,471.03
Max. Negotiated Rate	$8,894.58
Rate for Payer: BCBS Complete	$8,894.58
Rate for Payer: Mclaren Medicaid	$8,471.03
Rate for Payer: Meridian Medicaid	$8,894.58
Rate for Payer: Priority Health Choice Medicaid	$8,471.03
Rate for Payer: UHC Medicaid	$8,471.03
Rate for Payer: UHCCP Medicaid	$8,471.03

MAJOR SMALL BOWEL PROCEDURES

Facility

$26,015.93

Service Code	APR-DRG 2304
Min. Negotiated Rate	$24,777.08
Max. Negotiated Rate	$26,015.93
Rate for Payer: BCBS Complete	$26,015.93
Rate for Payer: Mclaren Medicaid	$24,777.08
Rate for Payer: Meridian Medicaid	$26,015.93
Rate for Payer: Priority Health Choice Medicaid	$24,777.08
Rate for Payer: UHC Medicaid	$24,777.08
Rate for Payer: UHCCP Medicaid	$24,777.08

MAJOR SMALL BOWEL PROCEDURES

Facility

$16,354.68

Service Code	APR-DRG 2303
Min. Negotiated Rate	$15,575.88
Max. Negotiated Rate	$16,354.68
Rate for Payer: BCBS Complete	$16,354.68
Rate for Payer: Mclaren Medicaid	$15,575.88
Rate for Payer: Meridian Medicaid	$16,354.68
Rate for Payer: Priority Health Choice Medicaid	$15,575.88
Rate for Payer: UHC Medicaid	$15,575.88
Rate for Payer: UHCCP Medicaid	$15,575.88

MAJOR SMALL BOWEL PROCEDURES

Facility

$6,703.41

Service Code	APR-DRG 2301
Min. Negotiated Rate	$6,384.20
Max. Negotiated Rate	$6,703.41
Rate for Payer: BCBS Complete	$6,703.41
Rate for Payer: Mclaren Medicaid	$6,384.20
Rate for Payer: Meridian Medicaid	$6,703.41
Rate for Payer: Priority Health Choice Medicaid	$6,384.20
Rate for Payer: UHC Medicaid	$6,384.20
Rate for Payer: UHCCP Medicaid	$6,384.20

MAJOR SMALL BOWEL PROCEDURES

Facility

$11,115.21

Service Code	APR-DRG 2302
Min. Negotiated Rate	$10,585.91
Max. Negotiated Rate	$11,115.21
Rate for Payer: BCBS Complete	$11,115.21
Rate for Payer: Mclaren Medicaid	$10,585.91
Rate for Payer: Meridian Medicaid	$11,115.21
Rate for Payer: Priority Health Choice Medicaid	$10,585.91
Rate for Payer: UHC Medicaid	$10,585.91
Rate for Payer: UHCCP Medicaid	$10,585.91

MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$25,456.44

Service Code	APR-DRG 2204
Min. Negotiated Rate	$24,244.23
Max. Negotiated Rate	$25,456.44
Rate for Payer: BCBS Complete	$25,456.44
Rate for Payer: Mclaren Medicaid	$24,244.23
Rate for Payer: Meridian Medicaid	$25,456.44
Rate for Payer: Priority Health Choice Medicaid	$24,244.23
Rate for Payer: UHC Medicaid	$24,244.23
Rate for Payer: UHCCP Medicaid	$24,244.23

MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$9,221.13

Service Code	APR-DRG 2201
Min. Negotiated Rate	$8,782.03
Max. Negotiated Rate	$9,221.13
Rate for Payer: BCBS Complete	$9,221.13
Rate for Payer: Mclaren Medicaid	$8,782.03
Rate for Payer: Meridian Medicaid	$9,221.13
Rate for Payer: Priority Health Choice Medicaid	$8,782.03
Rate for Payer: UHC Medicaid	$8,782.03
Rate for Payer: UHCCP Medicaid	$8,782.03

MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$15,629.54

Service Code	APR-DRG 2203
Min. Negotiated Rate	$14,885.28
Max. Negotiated Rate	$15,629.54
Rate for Payer: BCBS Complete	$15,629.54
Rate for Payer: Mclaren Medicaid	$14,885.28
Rate for Payer: Meridian Medicaid	$15,629.54
Rate for Payer: Priority Health Choice Medicaid	$14,885.28
Rate for Payer: UHC Medicaid	$14,885.28
Rate for Payer: UHCCP Medicaid	$14,885.28

MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$11,099.96

Service Code	APR-DRG 2202
Min. Negotiated Rate	$10,571.39
Max. Negotiated Rate	$11,099.96
Rate for Payer: BCBS Complete	$11,099.96
Rate for Payer: Mclaren Medicaid	$10,571.39
Rate for Payer: Meridian Medicaid	$11,099.96
Rate for Payer: Priority Health Choice Medicaid	$10,571.39
Rate for Payer: UHC Medicaid	$10,571.39
Rate for Payer: UHCCP Medicaid	$10,571.39

MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$11,262.97

Service Code	APR-DRG 5014
Min. Negotiated Rate	$10,726.64
Max. Negotiated Rate	$11,262.97
Rate for Payer: BCBS Complete	$11,262.97
Rate for Payer: Mclaren Medicaid	$10,726.64
Rate for Payer: Meridian Medicaid	$11,262.97
Rate for Payer: Priority Health Choice Medicaid	$10,726.64
Rate for Payer: UHC Medicaid	$10,726.64
Rate for Payer: UHCCP Medicaid	$10,726.64

MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$3,154.51

Service Code	APR-DRG 5011
Min. Negotiated Rate	$3,004.30
Max. Negotiated Rate	$3,154.51
Rate for Payer: BCBS Complete	$3,154.51
Rate for Payer: Mclaren Medicaid	$3,004.30
Rate for Payer: Meridian Medicaid	$3,154.51
Rate for Payer: Priority Health Choice Medicaid	$3,004.30
Rate for Payer: UHC Medicaid	$3,004.30
Rate for Payer: UHCCP Medicaid	$3,004.30

MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$3,769.75

Service Code	APR-DRG 5012
Min. Negotiated Rate	$3,590.24
Max. Negotiated Rate	$3,769.75
Rate for Payer: BCBS Complete	$3,769.75
Rate for Payer: Mclaren Medicaid	$3,590.24
Rate for Payer: Meridian Medicaid	$3,769.75
Rate for Payer: Priority Health Choice Medicaid	$3,590.24
Rate for Payer: UHC Medicaid	$3,590.24
Rate for Payer: UHCCP Medicaid	$3,590.24

MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$5,604.93

Service Code	APR-DRG 5013
Min. Negotiated Rate	$5,338.03
Max. Negotiated Rate	$5,604.93
Rate for Payer: BCBS Complete	$5,604.93
Rate for Payer: Mclaren Medicaid	$5,338.03
Rate for Payer: Meridian Medicaid	$5,604.93
Rate for Payer: Priority Health Choice Medicaid	$5,338.03
Rate for Payer: UHC Medicaid	$5,338.03
Rate for Payer: UHCCP Medicaid	$5,338.03

MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility

$3,826.01

Service Code	APR-DRG 2521
Min. Negotiated Rate	$3,643.82
Max. Negotiated Rate	$3,826.01
Rate for Payer: BCBS Complete	$3,826.01
Rate for Payer: Mclaren Medicaid	$3,643.82
Rate for Payer: Meridian Medicaid	$3,826.01
Rate for Payer: Priority Health Choice Medicaid	$3,643.82
Rate for Payer: UHC Medicaid	$3,643.82
Rate for Payer: UHCCP Medicaid	$3,643.82

MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility

$5,502.92

Service Code	APR-DRG 2522
Min. Negotiated Rate	$5,240.87
Max. Negotiated Rate	$5,502.92
Rate for Payer: BCBS Complete	$5,502.92
Rate for Payer: Mclaren Medicaid	$5,240.87
Rate for Payer: Meridian Medicaid	$5,502.92
Rate for Payer: Priority Health Choice Medicaid	$5,240.87
Rate for Payer: UHC Medicaid	$5,240.87
Rate for Payer: UHCCP Medicaid	$5,240.87

MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility

$6,462.57

Service Code	APR-DRG 2523
Min. Negotiated Rate	$6,154.83
Max. Negotiated Rate	$6,462.57
Rate for Payer: BCBS Complete	$6,462.57
Rate for Payer: Mclaren Medicaid	$6,154.83
Rate for Payer: Meridian Medicaid	$6,462.57
Rate for Payer: Priority Health Choice Medicaid	$6,154.83
Rate for Payer: UHC Medicaid	$6,154.83
Rate for Payer: UHCCP Medicaid	$6,154.83

MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility

$10,929.06

Service Code	APR-DRG 2524
Min. Negotiated Rate	$10,408.63
Max. Negotiated Rate	$10,929.06
Rate for Payer: BCBS Complete	$10,929.06
Rate for Payer: Mclaren Medicaid	$10,408.63
Rate for Payer: Meridian Medicaid	$10,929.06
Rate for Payer: Priority Health Choice Medicaid	$10,408.63
Rate for Payer: UHC Medicaid	$10,408.63
Rate for Payer: UHCCP Medicaid	$10,408.63

MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE

Facility

$6,855.90

Service Code	APR-DRG 2063
Min. Negotiated Rate	$6,529.43
Max. Negotiated Rate	$6,855.90
Rate for Payer: BCBS Complete	$6,855.90
Rate for Payer: Mclaren Medicaid	$6,529.43
Rate for Payer: Meridian Medicaid	$6,855.90
Rate for Payer: Priority Health Choice Medicaid	$6,529.43
Rate for Payer: UHC Medicaid	$6,529.43
Rate for Payer: UHCCP Medicaid	$6,529.43

MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE

Facility

$3,903.84

Service Code	APR-DRG 2061
Min. Negotiated Rate	$3,717.94
Max. Negotiated Rate	$3,903.84
Rate for Payer: BCBS Complete	$3,903.84
Rate for Payer: Mclaren Medicaid	$3,717.94
Rate for Payer: Meridian Medicaid	$3,903.84
Rate for Payer: Priority Health Choice Medicaid	$3,717.94
Rate for Payer: UHC Medicaid	$3,717.94
Rate for Payer: UHCCP Medicaid	$3,717.94

MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE

Facility

$12,661.70

Service Code	APR-DRG 2064
Min. Negotiated Rate	$12,058.76
Max. Negotiated Rate	$12,661.70
Rate for Payer: BCBS Complete	$12,661.70
Rate for Payer: Mclaren Medicaid	$12,058.76
Rate for Payer: Meridian Medicaid	$12,661.70
Rate for Payer: Priority Health Choice Medicaid	$12,058.76
Rate for Payer: UHC Medicaid	$12,058.76
Rate for Payer: UHCCP Medicaid	$12,058.76

MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE

Facility

$5,985.11

Service Code	APR-DRG 2062
Min. Negotiated Rate	$5,700.11
Max. Negotiated Rate	$5,985.11
Rate for Payer: BCBS Complete	$5,985.11
Rate for Payer: Mclaren Medicaid	$5,700.11
Rate for Payer: Meridian Medicaid	$5,985.11
Rate for Payer: Priority Health Choice Medicaid	$5,700.11
Rate for Payer: UHC Medicaid	$5,700.11
Rate for Payer: UHCCP Medicaid	$5,700.11

MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE

Facility

$6,274.85

Service Code	APR-DRG 4663
Min. Negotiated Rate	$5,976.05
Max. Negotiated Rate	$6,274.85
Rate for Payer: BCBS Complete	$6,274.85
Rate for Payer: Mclaren Medicaid	$5,976.05
Rate for Payer: Meridian Medicaid	$6,274.85
Rate for Payer: Priority Health Choice Medicaid	$5,976.05
Rate for Payer: UHC Medicaid	$5,976.05
Rate for Payer: UHCCP Medicaid	$5,976.05

MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE

Facility

$9,260.04

Service Code	APR-DRG 4664
Min. Negotiated Rate	$8,819.09
Max. Negotiated Rate	$9,260.04
Rate for Payer: BCBS Complete	$9,260.04
Rate for Payer: Mclaren Medicaid	$8,819.09
Rate for Payer: Meridian Medicaid	$9,260.04
Rate for Payer: Priority Health Choice Medicaid	$8,819.09
Rate for Payer: UHC Medicaid	$8,819.09
Rate for Payer: UHCCP Medicaid	$8,819.09

MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE

Facility

$4,234.06

Service Code	APR-DRG 4662
Min. Negotiated Rate	$4,032.44
Max. Negotiated Rate	$4,234.06
Rate for Payer: BCBS Complete	$4,234.06
Rate for Payer: Mclaren Medicaid	$4,032.44
Rate for Payer: Meridian Medicaid	$4,234.06
Rate for Payer: Priority Health Choice Medicaid	$4,032.44
Rate for Payer: UHC Medicaid	$4,032.44
Rate for Payer: UHCCP Medicaid	$4,032.44

Know your out-of-pocket cost for care.

All Charges