Bronson Lakeview Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES

Facility

$10,911.34

Service Code	APR-DRG 8164
Min. Negotiated Rate	$10,391.75
Max. Negotiated Rate	$10,911.34
Rate for Payer: BCBS Complete	$10,911.34
Rate for Payer: Mclaren Medicaid	$10,391.75
Rate for Payer: Meridian Medicaid	$10,911.34
Rate for Payer: Priority Health Choice Medicaid	$10,391.75
Rate for Payer: UHCCP Medicaid	$10,391.75

APR-DRG 42.00: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES

Facility

$2,895.90

Service Code	APR-DRG 8162
Min. Negotiated Rate	$2,758.00
Max. Negotiated Rate	$2,895.90
Rate for Payer: BCBS Complete	$2,895.90
Rate for Payer: Mclaren Medicaid	$2,758.00
Rate for Payer: Meridian Medicaid	$2,895.90
Rate for Payer: Priority Health Choice Medicaid	$2,758.00
Rate for Payer: UHCCP Medicaid	$2,758.00

APR-DRG 42.00: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES

Facility

$1,913.36

Service Code	APR-DRG 8161
Min. Negotiated Rate	$1,822.25
Max. Negotiated Rate	$1,913.36
Rate for Payer: BCBS Complete	$1,913.36
Rate for Payer: Mclaren Medicaid	$1,822.25
Rate for Payer: Meridian Medicaid	$1,913.36
Rate for Payer: Priority Health Choice Medicaid	$1,822.25
Rate for Payer: UHCCP Medicaid	$1,822.25

APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE

Facility

$63,244.39

Service Code	APR-DRG 0043
Min. Negotiated Rate	$60,232.75
Max. Negotiated Rate	$63,244.39
Rate for Payer: BCBS Complete	$63,244.39
Rate for Payer: Mclaren Medicaid	$60,232.75
Rate for Payer: Meridian Medicaid	$63,244.39
Rate for Payer: Priority Health Choice Medicaid	$60,232.75
Rate for Payer: UHCCP Medicaid	$60,232.75

APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE

Facility

$92,927.36

Service Code	APR-DRG 0044
Min. Negotiated Rate	$88,502.25
Max. Negotiated Rate	$92,927.36
Rate for Payer: BCBS Complete	$92,927.36
Rate for Payer: Mclaren Medicaid	$88,502.25
Rate for Payer: Meridian Medicaid	$92,927.36
Rate for Payer: Priority Health Choice Medicaid	$88,502.25
Rate for Payer: UHCCP Medicaid	$88,502.25

APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE

Facility

$40,284.04

Service Code	APR-DRG 0042
Min. Negotiated Rate	$38,365.75
Max. Negotiated Rate	$40,284.04
Rate for Payer: BCBS Complete	$40,284.04
Rate for Payer: Mclaren Medicaid	$38,365.75
Rate for Payer: Meridian Medicaid	$40,284.04
Rate for Payer: Priority Health Choice Medicaid	$38,365.75
Rate for Payer: UHCCP Medicaid	$38,365.75

APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE

Facility

$28,079.89

Service Code	APR-DRG 0041
Min. Negotiated Rate	$26,742.75
Max. Negotiated Rate	$28,079.89
Rate for Payer: BCBS Complete	$28,079.89
Rate for Payer: Mclaren Medicaid	$26,742.75
Rate for Payer: Meridian Medicaid	$28,079.89
Rate for Payer: Priority Health Choice Medicaid	$26,742.75
Rate for Payer: UHCCP Medicaid	$26,742.75

APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE

Facility

$53,677.58

Service Code	APR-DRG 0053
Min. Negotiated Rate	$51,121.50
Max. Negotiated Rate	$53,677.58
Rate for Payer: BCBS Complete	$53,677.58
Rate for Payer: Mclaren Medicaid	$51,121.50
Rate for Payer: Meridian Medicaid	$53,677.58
Rate for Payer: Priority Health Choice Medicaid	$51,121.50
Rate for Payer: UHCCP Medicaid	$51,121.50

APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE

Facility

$12,411.00

Service Code	APR-DRG 0051
Min. Negotiated Rate	$11,820.00
Max. Negotiated Rate	$12,411.00
Rate for Payer: BCBS Complete	$12,411.00
Rate for Payer: Mclaren Medicaid	$11,820.00
Rate for Payer: Meridian Medicaid	$12,411.00
Rate for Payer: Priority Health Choice Medicaid	$11,820.00
Rate for Payer: UHCCP Medicaid	$11,820.00

APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE

Facility

$23,684.32

Service Code	APR-DRG 0052
Min. Negotiated Rate	$22,556.50
Max. Negotiated Rate	$23,684.32
Rate for Payer: BCBS Complete	$23,684.32
Rate for Payer: Mclaren Medicaid	$22,556.50
Rate for Payer: Meridian Medicaid	$23,684.32
Rate for Payer: Priority Health Choice Medicaid	$22,556.50
Rate for Payer: UHCCP Medicaid	$22,556.50

APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE

Facility

$60,762.19

Service Code	APR-DRG 0054
Min. Negotiated Rate	$57,868.75
Max. Negotiated Rate	$60,762.19
Rate for Payer: BCBS Complete	$60,762.19
Rate for Payer: Mclaren Medicaid	$57,868.75
Rate for Payer: Meridian Medicaid	$60,762.19
Rate for Payer: Priority Health Choice Medicaid	$57,868.75
Rate for Payer: UHCCP Medicaid	$57,868.75

APR-DRG 42.00: TRANSIENT ISCHEMIA

Facility

$3,930.15

Service Code	APR-DRG 0471
Min. Negotiated Rate	$3,743.00
Max. Negotiated Rate	$3,930.15
Rate for Payer: BCBS Complete	$3,930.15
Rate for Payer: Mclaren Medicaid	$3,743.00
Rate for Payer: Meridian Medicaid	$3,930.15
Rate for Payer: Priority Health Choice Medicaid	$3,743.00
Rate for Payer: UHCCP Medicaid	$3,743.00

APR-DRG 42.00: TRANSIENT ISCHEMIA

Facility

$4,705.84

Service Code	APR-DRG 0472
Min. Negotiated Rate	$4,481.75
Max. Negotiated Rate	$4,705.84
Rate for Payer: BCBS Complete	$4,705.84
Rate for Payer: Mclaren Medicaid	$4,481.75
Rate for Payer: Meridian Medicaid	$4,705.84
Rate for Payer: Priority Health Choice Medicaid	$4,481.75
Rate for Payer: UHCCP Medicaid	$4,481.75

APR-DRG 42.00: TRANSIENT ISCHEMIA

Facility

$5,584.95

Service Code	APR-DRG 0473
Min. Negotiated Rate	$5,319.00
Max. Negotiated Rate	$5,584.95
Rate for Payer: BCBS Complete	$5,584.95
Rate for Payer: Mclaren Medicaid	$5,319.00
Rate for Payer: Meridian Medicaid	$5,584.95
Rate for Payer: Priority Health Choice Medicaid	$5,319.00
Rate for Payer: UHCCP Medicaid	$5,319.00

APR-DRG 42.00: TRANSIENT ISCHEMIA

Facility

$8,791.12

Service Code	APR-DRG 0474
Min. Negotiated Rate	$8,372.50
Max. Negotiated Rate	$8,791.12
Rate for Payer: BCBS Complete	$8,791.12
Rate for Payer: Mclaren Medicaid	$8,372.50
Rate for Payer: Meridian Medicaid	$8,791.12
Rate for Payer: Priority Health Choice Medicaid	$8,372.50
Rate for Payer: UHCCP Medicaid	$8,372.50

APR-DRG 42.00: TRANSURETHRAL PROSTATECTOMY

Facility

$4,602.41

Service Code	APR-DRG 4821
Min. Negotiated Rate	$4,383.25
Max. Negotiated Rate	$4,602.41
Rate for Payer: BCBS Complete	$4,602.41
Rate for Payer: Mclaren Medicaid	$4,383.25
Rate for Payer: Meridian Medicaid	$4,602.41
Rate for Payer: Priority Health Choice Medicaid	$4,383.25
Rate for Payer: UHCCP Medicaid	$4,383.25

APR-DRG 42.00: TRANSURETHRAL PROSTATECTOMY

Facility

$6,515.78

Service Code	APR-DRG 4822
Min. Negotiated Rate	$6,205.50
Max. Negotiated Rate	$6,515.78
Rate for Payer: BCBS Complete	$6,515.78
Rate for Payer: Mclaren Medicaid	$6,205.50
Rate for Payer: Meridian Medicaid	$6,515.78
Rate for Payer: Priority Health Choice Medicaid	$6,205.50
Rate for Payer: UHCCP Medicaid	$6,205.50

APR-DRG 42.00: TRANSURETHRAL PROSTATECTOMY

Facility

$14,841.49

Service Code	APR-DRG 4824
Min. Negotiated Rate	$14,134.75
Max. Negotiated Rate	$14,841.49
Rate for Payer: BCBS Complete	$14,841.49
Rate for Payer: Mclaren Medicaid	$14,134.75
Rate for Payer: Meridian Medicaid	$14,841.49
Rate for Payer: Priority Health Choice Medicaid	$14,134.75
Rate for Payer: UHCCP Medicaid	$14,134.75

APR-DRG 42.00: TRANSURETHRAL PROSTATECTOMY

Facility

$10,859.62

Service Code	APR-DRG 4823
Min. Negotiated Rate	$10,342.50
Max. Negotiated Rate	$10,859.62
Rate for Payer: BCBS Complete	$10,859.62
Rate for Payer: Mclaren Medicaid	$10,342.50
Rate for Payer: Meridian Medicaid	$10,859.62
Rate for Payer: Priority Health Choice Medicaid	$10,342.50
Rate for Payer: UHCCP Medicaid	$10,342.50

APR-DRG 42.00: URETHRAL AND TRANSURETHRAL PROCEDURES

Facility

$7,084.61

Service Code	APR-DRG 4462
Min. Negotiated Rate	$6,747.25
Max. Negotiated Rate	$7,084.61
Rate for Payer: BCBS Complete	$7,084.61
Rate for Payer: Mclaren Medicaid	$6,747.25
Rate for Payer: Meridian Medicaid	$7,084.61
Rate for Payer: Priority Health Choice Medicaid	$6,747.25
Rate for Payer: UHCCP Medicaid	$6,747.25

APR-DRG 42.00: URETHRAL AND TRANSURETHRAL PROCEDURES

Facility

$6,102.08

Service Code	APR-DRG 4461
Min. Negotiated Rate	$5,811.50
Max. Negotiated Rate	$6,102.08
Rate for Payer: BCBS Complete	$6,102.08
Rate for Payer: Mclaren Medicaid	$5,811.50
Rate for Payer: Meridian Medicaid	$6,102.08
Rate for Payer: Priority Health Choice Medicaid	$5,811.50
Rate for Payer: UHCCP Medicaid	$5,811.50

APR-DRG 42.00: URETHRAL AND TRANSURETHRAL PROCEDURES

Facility

$15,824.02

Service Code	APR-DRG 4464
Min. Negotiated Rate	$15,070.50
Max. Negotiated Rate	$15,824.02
Rate for Payer: BCBS Complete	$15,824.02
Rate for Payer: Mclaren Medicaid	$15,070.50
Rate for Payer: Meridian Medicaid	$15,824.02
Rate for Payer: Priority Health Choice Medicaid	$15,070.50
Rate for Payer: UHCCP Medicaid	$15,070.50

APR-DRG 42.00: URETHRAL AND TRANSURETHRAL PROCEDURES

Facility

$9,980.51

Service Code	APR-DRG 4463
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: URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION

Facility

$10,601.06

Service Code	APR-DRG 4654
Min. Negotiated Rate	$10,096.25
Max. Negotiated Rate	$10,601.06
Rate for Payer: BCBS Complete	$10,601.06
Rate for Payer: Mclaren Medicaid	$10,096.25
Rate for Payer: Meridian Medicaid	$10,601.06
Rate for Payer: Priority Health Choice Medicaid	$10,096.25
Rate for Payer: UHCCP Medicaid	$10,096.25

APR-DRG 42.00: URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION

Facility

$4,395.56

Service Code	APR-DRG 4651
Min. Negotiated Rate	$4,186.25
Max. Negotiated Rate	$4,395.56
Rate for Payer: BCBS Complete	$4,395.56
Rate for Payer: Mclaren Medicaid	$4,186.25
Rate for Payer: Meridian Medicaid	$4,395.56
Rate for Payer: Priority Health Choice Medicaid	$4,186.25
Rate for Payer: UHCCP Medicaid	$4,186.25

Know your out-of-pocket cost for care.

All Charges