Bronson Lakeview Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL

Facility

$12,566.14

Service Code	APR-DRG 3001
Min. Negotiated Rate	$11,967.75
Max. Negotiated Rate	$12,566.14
Rate for Payer: BCBS Complete	$12,566.14
Rate for Payer: Mclaren Medicaid	$11,967.75
Rate for Payer: Meridian Medicaid	$12,566.14
Rate for Payer: Priority Health Choice Medicaid	$11,967.75
Rate for Payer: UHCCP Medicaid	$11,967.75

APR-DRG 42.00: SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES

Facility

$18,668.21

Service Code	APR-DRG 3123
Min. Negotiated Rate	$17,779.25
Max. Negotiated Rate	$18,668.21
Rate for Payer: BCBS Complete	$18,668.21
Rate for Payer: Mclaren Medicaid	$17,779.25
Rate for Payer: Meridian Medicaid	$18,668.21
Rate for Payer: Priority Health Choice Medicaid	$17,779.25
Rate for Payer: UHCCP Medicaid	$17,779.25

APR-DRG 42.00: SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES

Facility

$9,721.95

Service Code	APR-DRG 3121
Min. Negotiated Rate	$9,259.00
Max. Negotiated Rate	$9,721.95
Rate for Payer: BCBS Complete	$9,721.95
Rate for Payer: Mclaren Medicaid	$9,259.00
Rate for Payer: Meridian Medicaid	$9,721.95
Rate for Payer: Priority Health Choice Medicaid	$9,259.00
Rate for Payer: UHCCP Medicaid	$9,259.00

APR-DRG 42.00: SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES

Facility

$30,044.96

Service Code	APR-DRG 3124
Min. Negotiated Rate	$28,614.25
Max. Negotiated Rate	$30,044.96
Rate for Payer: BCBS Complete	$30,044.96
Rate for Payer: Mclaren Medicaid	$28,614.25
Rate for Payer: Meridian Medicaid	$30,044.96
Rate for Payer: Priority Health Choice Medicaid	$28,614.25
Rate for Payer: UHCCP Medicaid	$28,614.25

APR-DRG 42.00: SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES

Facility

$13,807.24

Service Code	APR-DRG 3122
Min. Negotiated Rate	$13,149.75
Max. Negotiated Rate	$13,807.24
Rate for Payer: BCBS Complete	$13,807.24
Rate for Payer: Mclaren Medicaid	$13,149.75
Rate for Payer: Meridian Medicaid	$13,807.24
Rate for Payer: Priority Health Choice Medicaid	$13,149.75
Rate for Payer: UHCCP Medicaid	$13,149.75

APR-DRG 42.00: SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES

Facility

$29,889.82

Service Code	APR-DRG 3614
Min. Negotiated Rate	$28,466.50
Max. Negotiated Rate	$29,889.82
Rate for Payer: BCBS Complete	$29,889.82
Rate for Payer: Mclaren Medicaid	$28,466.50
Rate for Payer: Meridian Medicaid	$29,889.82
Rate for Payer: Priority Health Choice Medicaid	$28,466.50
Rate for Payer: UHCCP Medicaid	$28,466.50

APR-DRG 42.00: SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES

Facility

$16,806.56

Service Code	APR-DRG 3613
Min. Negotiated Rate	$16,006.25
Max. Negotiated Rate	$16,806.56
Rate for Payer: BCBS Complete	$16,806.56
Rate for Payer: Mclaren Medicaid	$16,006.25
Rate for Payer: Meridian Medicaid	$16,806.56
Rate for Payer: Priority Health Choice Medicaid	$16,006.25
Rate for Payer: UHCCP Medicaid	$16,006.25

APR-DRG 42.00: SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES

Facility

$11,066.48

Service Code	APR-DRG 3611
Min. Negotiated Rate	$10,539.50
Max. Negotiated Rate	$11,066.48
Rate for Payer: BCBS Complete	$11,066.48
Rate for Payer: Mclaren Medicaid	$10,539.50
Rate for Payer: Meridian Medicaid	$11,066.48
Rate for Payer: Priority Health Choice Medicaid	$10,539.50
Rate for Payer: UHCCP Medicaid	$10,539.50

APR-DRG 42.00: SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES

Facility

$15,151.76

Service Code	APR-DRG 3612
Min. Negotiated Rate	$14,430.25
Max. Negotiated Rate	$15,151.76
Rate for Payer: BCBS Complete	$15,151.76
Rate for Payer: Mclaren Medicaid	$14,430.25
Rate for Payer: Meridian Medicaid	$15,151.76
Rate for Payer: Priority Health Choice Medicaid	$14,430.25
Rate for Payer: UHCCP Medicaid	$14,430.25

APR-DRG 42.00: SKIN ULCERS

Facility

$5,274.68

Service Code	APR-DRG 3803
Min. Negotiated Rate	$5,023.50
Max. Negotiated Rate	$5,274.68
Rate for Payer: BCBS Complete	$5,274.68
Rate for Payer: Mclaren Medicaid	$5,023.50
Rate for Payer: Meridian Medicaid	$5,274.68
Rate for Payer: Priority Health Choice Medicaid	$5,023.50
Rate for Payer: UHCCP Medicaid	$5,023.50

APR-DRG 42.00: SKIN ULCERS

Facility

$4,292.14

Service Code	APR-DRG 3802
Min. Negotiated Rate	$4,087.75
Max. Negotiated Rate	$4,292.14
Rate for Payer: BCBS Complete	$4,292.14
Rate for Payer: Mclaren Medicaid	$4,087.75
Rate for Payer: Meridian Medicaid	$4,292.14
Rate for Payer: Priority Health Choice Medicaid	$4,087.75
Rate for Payer: UHCCP Medicaid	$4,087.75

APR-DRG 42.00: SKIN ULCERS

Facility

$3,257.89

Service Code	APR-DRG 3801
Min. Negotiated Rate	$3,102.75
Max. Negotiated Rate	$3,257.89
Rate for Payer: BCBS Complete	$3,257.89
Rate for Payer: Mclaren Medicaid	$3,102.75
Rate for Payer: Meridian Medicaid	$3,257.89
Rate for Payer: Priority Health Choice Medicaid	$3,102.75
Rate for Payer: UHCCP Medicaid	$3,102.75

APR-DRG 42.00: SKIN ULCERS

Facility

$7,188.04

Service Code	APR-DRG 3804
Min. Negotiated Rate	$6,845.75
Max. Negotiated Rate	$7,188.04
Rate for Payer: BCBS Complete	$7,188.04
Rate for Payer: Mclaren Medicaid	$6,845.75
Rate for Payer: Meridian Medicaid	$7,188.04
Rate for Payer: Priority Health Choice Medicaid	$6,845.75
Rate for Payer: UHCCP Medicaid	$6,845.75

APR-DRG 42.00: SPINAL DISORDERS AND INJURIES

Facility

$8,325.71

Service Code	APR-DRG 0402
Min. Negotiated Rate	$7,929.25
Max. Negotiated Rate	$8,325.71
Rate for Payer: BCBS Complete	$8,325.71
Rate for Payer: Mclaren Medicaid	$7,929.25
Rate for Payer: Meridian Medicaid	$8,325.71
Rate for Payer: Priority Health Choice Medicaid	$7,929.25
Rate for Payer: UHCCP Medicaid	$7,929.25

APR-DRG 42.00: SPINAL DISORDERS AND INJURIES

Facility

$9,515.10

Service Code	APR-DRG 0403
Min. Negotiated Rate	$9,062.00
Max. Negotiated Rate	$9,515.10
Rate for Payer: BCBS Complete	$9,515.10
Rate for Payer: Mclaren Medicaid	$9,062.00
Rate for Payer: Meridian Medicaid	$9,515.10
Rate for Payer: Priority Health Choice Medicaid	$9,062.00
Rate for Payer: UHCCP Medicaid	$9,062.00

APR-DRG 42.00: SPINAL DISORDERS AND INJURIES

Facility

$13,083.26

Service Code	APR-DRG 0404
Min. Negotiated Rate	$12,460.25
Max. Negotiated Rate	$13,083.26
Rate for Payer: BCBS Complete	$13,083.26
Rate for Payer: Mclaren Medicaid	$12,460.25
Rate for Payer: Meridian Medicaid	$13,083.26
Rate for Payer: Priority Health Choice Medicaid	$12,460.25
Rate for Payer: UHCCP Medicaid	$12,460.25

APR-DRG 42.00: SPINAL DISORDERS AND INJURIES

Facility

$6,567.49

Service Code	APR-DRG 0401
Min. Negotiated Rate	$6,254.75
Max. Negotiated Rate	$6,567.49
Rate for Payer: BCBS Complete	$6,567.49
Rate for Payer: Mclaren Medicaid	$6,254.75
Rate for Payer: Meridian Medicaid	$6,567.49
Rate for Payer: Priority Health Choice Medicaid	$6,254.75
Rate for Payer: UHCCP Medicaid	$6,254.75

APR-DRG 42.00: SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES

Facility

$19,754.18

Service Code	APR-DRG 3213
Min. Negotiated Rate	$18,813.50
Max. Negotiated Rate	$19,754.18
Rate for Payer: BCBS Complete	$19,754.18
Rate for Payer: Mclaren Medicaid	$18,813.50
Rate for Payer: Meridian Medicaid	$19,754.18
Rate for Payer: Priority Health Choice Medicaid	$18,813.50
Rate for Payer: UHCCP Medicaid	$18,813.50

APR-DRG 42.00: SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES

Facility

$12,049.01

Service Code	APR-DRG 3212
Min. Negotiated Rate	$11,475.25
Max. Negotiated Rate	$12,049.01
Rate for Payer: BCBS Complete	$12,049.01
Rate for Payer: Mclaren Medicaid	$11,475.25
Rate for Payer: Meridian Medicaid	$12,049.01
Rate for Payer: Priority Health Choice Medicaid	$11,475.25
Rate for Payer: UHCCP Medicaid	$11,475.25

APR-DRG 42.00: SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES

Facility

$22,856.92

Service Code	APR-DRG 3214
Min. Negotiated Rate	$21,768.50
Max. Negotiated Rate	$22,856.92
Rate for Payer: BCBS Complete	$22,856.92
Rate for Payer: Mclaren Medicaid	$21,768.50
Rate for Payer: Meridian Medicaid	$22,856.92
Rate for Payer: Priority Health Choice Medicaid	$21,768.50
Rate for Payer: UHCCP Medicaid	$21,768.50

APR-DRG 42.00: SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES

Facility

$9,101.40

Service Code	APR-DRG 3211
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: SPINAL PROCEDURES

Facility

$20,581.58

Service Code	APR-DRG 0233
Min. Negotiated Rate	$19,601.50
Max. Negotiated Rate	$20,581.58
Rate for Payer: BCBS Complete	$20,581.58
Rate for Payer: Mclaren Medicaid	$19,601.50
Rate for Payer: Meridian Medicaid	$20,581.58
Rate for Payer: Priority Health Choice Medicaid	$19,601.50
Rate for Payer: UHCCP Medicaid	$19,601.50

APR-DRG 42.00: SPINAL PROCEDURES

Facility

$8,894.55

Service Code	APR-DRG 0231
Min. Negotiated Rate	$8,471.00
Max. Negotiated Rate	$8,894.55
Rate for Payer: BCBS Complete	$8,894.55
Rate for Payer: Mclaren Medicaid	$8,471.00
Rate for Payer: Meridian Medicaid	$8,894.55
Rate for Payer: Priority Health Choice Medicaid	$8,471.00
Rate for Payer: UHCCP Medicaid	$8,471.00

APR-DRG 42.00: SPINAL PROCEDURES

Facility

$13,496.96

Service Code	APR-DRG 0232
Min. Negotiated Rate	$12,854.25
Max. Negotiated Rate	$13,496.96
Rate for Payer: BCBS Complete	$13,496.96
Rate for Payer: Mclaren Medicaid	$12,854.25
Rate for Payer: Meridian Medicaid	$13,496.96
Rate for Payer: Priority Health Choice Medicaid	$12,854.25
Rate for Payer: UHCCP Medicaid	$12,854.25

APR-DRG 42.00: SPINAL PROCEDURES

Facility

$25,390.84

Service Code	APR-DRG 0234
Min. Negotiated Rate	$24,181.75
Max. Negotiated Rate	$25,390.84
Rate for Payer: BCBS Complete	$25,390.84
Rate for Payer: Mclaren Medicaid	$24,181.75
Rate for Payer: Meridian Medicaid	$25,390.84
Rate for Payer: Priority Health Choice Medicaid	$24,181.75
Rate for Payer: UHCCP Medicaid	$24,181.75

Know your out-of-pocket cost for care.

All Charges