Bronson Lakeview Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: SHOULDER AND ELBOW JOINT REPLACEMENT

Facility

$9,980.51

Service Code	APR-DRG 3222
Min. Negotiated Rate	$9,505.25
Max. Negotiated Rate	$9,980.51
Rate for Payer: BCBS Complete	$9,980.51
Rate for Payer: Mclaren Medicaid	$9,505.25
Rate for Payer: Meridian Medicaid	$9,980.51
Rate for Payer: Priority Health Choice Medicaid	$9,505.25
Rate for Payer: UHCCP Medicaid	$9,505.25

APR-DRG 42.00: SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT

Facility

$20,116.16

Service Code	APR-DRG 3154
Min. Negotiated Rate	$19,158.25
Max. Negotiated Rate	$20,116.16
Rate for Payer: BCBS Complete	$20,116.16
Rate for Payer: Mclaren Medicaid	$19,158.25
Rate for Payer: Meridian Medicaid	$20,116.16
Rate for Payer: Priority Health Choice Medicaid	$19,158.25
Rate for Payer: UHCCP Medicaid	$19,158.25

APR-DRG 42.00: SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT

Facility

$6,515.77

Service Code	APR-DRG 3151
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

APR-DRG 42.00: SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT

Facility

$12,876.41

Service Code	APR-DRG 3153
Min. Negotiated Rate	$12,263.25
Max. Negotiated Rate	$12,876.41
Rate for Payer: BCBS Complete	$12,876.41
Rate for Payer: Mclaren Medicaid	$12,263.25
Rate for Payer: Meridian Medicaid	$12,876.41
Rate for Payer: Priority Health Choice Medicaid	$12,263.25
Rate for Payer: UHCCP Medicaid	$12,263.25

APR-DRG 42.00: SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT

Facility

$9,515.10

Service Code	APR-DRG 3152
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: SICKLE CELL ANEMIA CRISIS

Facility

$6,929.48

Service Code	APR-DRG 6623
Min. Negotiated Rate	$6,599.50
Max. Negotiated Rate	$6,929.48
Rate for Payer: BCBS Complete	$6,929.48
Rate for Payer: Mclaren Medicaid	$6,599.50
Rate for Payer: Meridian Medicaid	$6,929.48
Rate for Payer: Priority Health Choice Medicaid	$6,599.50
Rate for Payer: UHCCP Medicaid	$6,599.50

APR-DRG 42.00: SICKLE CELL ANEMIA CRISIS

Facility

$12,566.14

Service Code	APR-DRG 6624
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: SICKLE CELL ANEMIA CRISIS

Facility

$4,343.85

Service Code	APR-DRG 6622
Min. Negotiated Rate	$4,137.00
Max. Negotiated Rate	$4,343.85
Rate for Payer: BCBS Complete	$4,343.85
Rate for Payer: Mclaren Medicaid	$4,137.00
Rate for Payer: Meridian Medicaid	$4,343.85
Rate for Payer: Priority Health Choice Medicaid	$4,137.00
Rate for Payer: UHCCP Medicaid	$4,137.00

APR-DRG 42.00: SICKLE CELL ANEMIA CRISIS

Facility

$3,154.46

Service Code	APR-DRG 6621
Min. Negotiated Rate	$3,004.25
Max. Negotiated Rate	$3,154.46
Rate for Payer: BCBS Complete	$3,154.46
Rate for Payer: Mclaren Medicaid	$3,004.25
Rate for Payer: Meridian Medicaid	$3,154.46
Rate for Payer: Priority Health Choice Medicaid	$3,004.25
Rate for Payer: UHCCP Medicaid	$3,004.25

APR-DRG 42.00: SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS

Facility

$5,274.68

Service Code	APR-DRG 8613
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: SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS

Facility

$3,619.88

Service Code	APR-DRG 8612
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: SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS

Facility

$2,740.76

Service Code	APR-DRG 8611
Min. Negotiated Rate	$2,610.25
Max. Negotiated Rate	$2,740.76
Rate for Payer: BCBS Complete	$2,740.76
Rate for Payer: Mclaren Medicaid	$2,610.25
Rate for Payer: Meridian Medicaid	$2,740.76
Rate for Payer: Priority Health Choice Medicaid	$2,610.25
Rate for Payer: UHCCP Medicaid	$2,610.25

APR-DRG 42.00: SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS

Facility

$8,635.99

Service Code	APR-DRG 8614
Min. Negotiated Rate	$8,224.75
Max. Negotiated Rate	$8,635.99
Rate for Payer: BCBS Complete	$8,635.99
Rate for Payer: Mclaren Medicaid	$8,224.75
Rate for Payer: Meridian Medicaid	$8,635.99
Rate for Payer: Priority Health Choice Medicaid	$8,224.75
Rate for Payer: UHCCP Medicaid	$8,224.75

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

Facility

$14,531.21

Service Code	APR-DRG 3001
Min. Negotiated Rate	$13,839.25
Max. Negotiated Rate	$14,531.21
Rate for Payer: BCBS Complete	$14,531.21
Rate for Payer: Mclaren Medicaid	$13,839.25
Rate for Payer: Meridian Medicaid	$14,531.21
Rate for Payer: Priority Health Choice Medicaid	$13,839.25
Rate for Payer: UHCCP Medicaid	$13,839.25

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

Facility

$21,512.40

Service Code	APR-DRG 3003
Min. Negotiated Rate	$20,488.00
Max. Negotiated Rate	$21,512.40
Rate for Payer: BCBS Complete	$21,512.40
Rate for Payer: Mclaren Medicaid	$20,488.00
Rate for Payer: Meridian Medicaid	$21,512.40
Rate for Payer: Priority Health Choice Medicaid	$20,488.00
Rate for Payer: UHCCP Medicaid	$20,488.00

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

Facility

$30,768.94

Service Code	APR-DRG 3004
Min. Negotiated Rate	$29,303.75
Max. Negotiated Rate	$30,768.94
Rate for Payer: BCBS Complete	$30,768.94
Rate for Payer: Mclaren Medicaid	$29,303.75
Rate for Payer: Meridian Medicaid	$30,768.94
Rate for Payer: Priority Health Choice Medicaid	$29,303.75
Rate for Payer: UHCCP Medicaid	$29,303.75

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

Facility

$16,496.29

Service Code	APR-DRG 3002
Min. Negotiated Rate	$15,710.75
Max. Negotiated Rate	$16,496.29
Rate for Payer: BCBS Complete	$16,496.29
Rate for Payer: Mclaren Medicaid	$15,710.75
Rate for Payer: Meridian Medicaid	$16,496.29
Rate for Payer: Priority Health Choice Medicaid	$15,710.75
Rate for Payer: UHCCP Medicaid	$15,710.75

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

Facility

$7,963.73

Service Code	APR-DRG 3121
Min. Negotiated Rate	$7,584.50
Max. Negotiated Rate	$7,963.73
Rate for Payer: BCBS Complete	$7,963.73
Rate for Payer: Mclaren Medicaid	$7,584.50
Rate for Payer: Meridian Medicaid	$7,963.73
Rate for Payer: Priority Health Choice Medicaid	$7,584.50
Rate for Payer: UHCCP Medicaid	$7,584.50

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

Facility

$11,428.46

Service Code	APR-DRG 3122
Min. Negotiated Rate	$10,884.25
Max. Negotiated Rate	$11,428.46
Rate for Payer: BCBS Complete	$11,428.46
Rate for Payer: Mclaren Medicaid	$10,884.25
Rate for Payer: Meridian Medicaid	$11,428.46
Rate for Payer: Priority Health Choice Medicaid	$10,884.25
Rate for Payer: UHCCP Medicaid	$10,884.25

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

Facility

$17,530.54

Service Code	APR-DRG 3123
Min. Negotiated Rate	$16,695.75
Max. Negotiated Rate	$17,530.54
Rate for Payer: BCBS Complete	$17,530.54
Rate for Payer: Mclaren Medicaid	$16,695.75
Rate for Payer: Meridian Medicaid	$17,530.54
Rate for Payer: Priority Health Choice Medicaid	$16,695.75
Rate for Payer: UHCCP Medicaid	$16,695.75

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

Facility

$28,545.30

Service Code	APR-DRG 3124
Min. Negotiated Rate	$27,186.00
Max. Negotiated Rate	$28,545.30
Rate for Payer: BCBS Complete	$28,545.30
Rate for Payer: Mclaren Medicaid	$27,186.00
Rate for Payer: Meridian Medicaid	$28,545.30
Rate for Payer: Priority Health Choice Medicaid	$27,186.00
Rate for Payer: UHCCP Medicaid	$27,186.00

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

Facility

$27,769.61

Service Code	APR-DRG 3614
Min. Negotiated Rate	$26,447.25
Max. Negotiated Rate	$27,769.61
Rate for Payer: BCBS Complete	$27,769.61
Rate for Payer: Mclaren Medicaid	$26,447.25
Rate for Payer: Meridian Medicaid	$27,769.61
Rate for Payer: Priority Health Choice Medicaid	$26,447.25
Rate for Payer: UHCCP Medicaid	$26,447.25

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

Facility

$8,532.56

Service Code	APR-DRG 3611
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: SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES

Facility

$11,325.04

Service Code	APR-DRG 3612
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: SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES

Facility

$15,617.17

Service Code	APR-DRG 3613
Min. Negotiated Rate	$14,873.50
Max. Negotiated Rate	$15,617.17
Rate for Payer: BCBS Complete	$15,617.17
Rate for Payer: Mclaren Medicaid	$14,873.50
Rate for Payer: Meridian Medicaid	$15,617.17
Rate for Payer: Priority Health Choice Medicaid	$14,873.50
Rate for Payer: UHCCP Medicaid	$14,873.50

Know your out-of-pocket cost for care.

All Charges