Bronson Lakeview Hospital

All Charges

Charge

Type

Setting

Price

NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$8,937.70

Service Code	APR-DRG 6081
Min. Negotiated Rate	$8,512.10
Max. Negotiated Rate	$8,937.70
Rate for Payer: BCBS Complete	$8,937.70
Rate for Payer: Mclaren Medicaid	$8,512.10
Rate for Payer: Meridian Medicaid	$8,937.70
Rate for Payer: Priority Health Choice Medicaid	$8,512.10
Rate for Payer: UHC Medicaid	$8,512.10
Rate for Payer: UHCCP Medicaid	$8,512.10

NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$25,497.98

Service Code	APR-DRG 6084
Min. Negotiated Rate	$24,283.79
Max. Negotiated Rate	$25,497.98
Rate for Payer: BCBS Complete	$25,497.98
Rate for Payer: Mclaren Medicaid	$24,283.79
Rate for Payer: Meridian Medicaid	$25,497.98
Rate for Payer: Priority Health Choice Medicaid	$24,283.79
Rate for Payer: UHC Medicaid	$24,283.79
Rate for Payer: UHCCP Medicaid	$24,283.79

NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$23,660.70

Service Code	APR-DRG 6083
Min. Negotiated Rate	$22,534.00
Max. Negotiated Rate	$23,660.70
Rate for Payer: BCBS Complete	$23,660.70
Rate for Payer: Mclaren Medicaid	$22,534.00
Rate for Payer: Meridian Medicaid	$23,660.70
Rate for Payer: Priority Health Choice Medicaid	$22,534.00
Rate for Payer: UHC Medicaid	$22,534.00
Rate for Payer: UHCCP Medicaid	$22,534.00

NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJ

Facility

$13,681.31

Service Code	APR-DRG 6071
Min. Negotiated Rate	$13,029.81
Max. Negotiated Rate	$13,681.31
Rate for Payer: BCBS Complete	$13,681.31
Rate for Payer: Mclaren Medicaid	$13,029.81
Rate for Payer: Meridian Medicaid	$13,681.31
Rate for Payer: Priority Health Choice Medicaid	$13,029.81
Rate for Payer: UHC Medicaid	$13,029.81
Rate for Payer: UHCCP Medicaid	$13,029.81

NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJ

Facility

$21,406.95

Service Code	APR-DRG 6072
Min. Negotiated Rate	$20,387.57
Max. Negotiated Rate	$21,406.95
Rate for Payer: BCBS Complete	$21,406.95
Rate for Payer: Mclaren Medicaid	$20,387.57
Rate for Payer: Meridian Medicaid	$21,406.95
Rate for Payer: Priority Health Choice Medicaid	$20,387.57
Rate for Payer: UHC Medicaid	$20,387.57
Rate for Payer: UHCCP Medicaid	$20,387.57

NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJ

Facility

$37,658.03

Service Code	APR-DRG 6074
Min. Negotiated Rate	$35,864.79
Max. Negotiated Rate	$37,658.03
Rate for Payer: BCBS Complete	$37,658.03
Rate for Payer: Mclaren Medicaid	$35,864.79
Rate for Payer: Meridian Medicaid	$37,658.03
Rate for Payer: Priority Health Choice Medicaid	$35,864.79
Rate for Payer: UHC Medicaid	$35,864.79
Rate for Payer: UHCCP Medicaid	$35,864.79

NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJ

Facility

$29,155.20

Service Code	APR-DRG 6073
Min. Negotiated Rate	$27,766.86
Max. Negotiated Rate	$29,155.20
Rate for Payer: BCBS Complete	$29,155.20
Rate for Payer: Mclaren Medicaid	$27,766.86
Rate for Payer: Meridian Medicaid	$29,155.20
Rate for Payer: Priority Health Choice Medicaid	$27,766.86
Rate for Payer: UHC Medicaid	$27,766.86
Rate for Payer: UHCCP Medicaid	$27,766.86

NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$4,283.49

Service Code	APR-DRG 6131
Min. Negotiated Rate	$4,079.52
Max. Negotiated Rate	$4,283.49
Rate for Payer: BCBS Complete	$4,283.49
Rate for Payer: Mclaren Medicaid	$4,079.52
Rate for Payer: Meridian Medicaid	$4,283.49
Rate for Payer: Priority Health Choice Medicaid	$4,079.52
Rate for Payer: UHC Medicaid	$4,079.52
Rate for Payer: UHCCP Medicaid	$4,079.52

NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$56,393.71

Service Code	APR-DRG 6134
Min. Negotiated Rate	$53,708.30
Max. Negotiated Rate	$56,393.71
Rate for Payer: BCBS Complete	$56,393.71
Rate for Payer: Mclaren Medicaid	$53,708.30
Rate for Payer: Meridian Medicaid	$56,393.71
Rate for Payer: Priority Health Choice Medicaid	$53,708.30
Rate for Payer: UHC Medicaid	$53,708.30
Rate for Payer: UHCCP Medicaid	$53,708.30

NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$17,823.87

Service Code	APR-DRG 6132
Min. Negotiated Rate	$16,975.12
Max. Negotiated Rate	$17,823.87
Rate for Payer: BCBS Complete	$17,823.87
Rate for Payer: Mclaren Medicaid	$16,975.12
Rate for Payer: Meridian Medicaid	$17,823.87
Rate for Payer: Priority Health Choice Medicaid	$16,975.12
Rate for Payer: UHC Medicaid	$16,975.12
Rate for Payer: UHCCP Medicaid	$16,975.12

NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$26,808.90

Service Code	APR-DRG 6133
Min. Negotiated Rate	$25,532.29
Max. Negotiated Rate	$26,808.90
Rate for Payer: BCBS Complete	$26,808.90
Rate for Payer: Mclaren Medicaid	$25,532.29
Rate for Payer: Meridian Medicaid	$26,808.90
Rate for Payer: Priority Health Choice Medicaid	$25,532.29
Rate for Payer: UHC Medicaid	$25,532.29
Rate for Payer: UHCCP Medicaid	$25,532.29

NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY

Facility

$4,563.24

Service Code	APR-DRG 6111
Min. Negotiated Rate	$4,345.94
Max. Negotiated Rate	$4,563.24
Rate for Payer: BCBS Complete	$4,563.24
Rate for Payer: Mclaren Medicaid	$4,345.94
Rate for Payer: Meridian Medicaid	$4,563.24
Rate for Payer: Priority Health Choice Medicaid	$4,345.94
Rate for Payer: UHC Medicaid	$4,345.94
Rate for Payer: UHCCP Medicaid	$4,345.94

NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY

Facility

$33,066.40

Service Code	APR-DRG 6114
Min. Negotiated Rate	$31,491.81
Max. Negotiated Rate	$33,066.40
Rate for Payer: BCBS Complete	$33,066.40
Rate for Payer: Mclaren Medicaid	$31,491.81
Rate for Payer: Meridian Medicaid	$33,066.40
Rate for Payer: Priority Health Choice Medicaid	$31,491.81
Rate for Payer: UHC Medicaid	$31,491.81
Rate for Payer: UHCCP Medicaid	$31,491.81

NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY

Facility

$12,832.07

Service Code	APR-DRG 6112
Min. Negotiated Rate	$12,221.02
Max. Negotiated Rate	$12,832.07
Rate for Payer: BCBS Complete	$12,832.07
Rate for Payer: Mclaren Medicaid	$12,221.02
Rate for Payer: Meridian Medicaid	$12,832.07
Rate for Payer: Priority Health Choice Medicaid	$12,221.02
Rate for Payer: UHC Medicaid	$12,221.02
Rate for Payer: UHCCP Medicaid	$12,221.02

NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY

Facility

$16,183.25

Service Code	APR-DRG 6113
Min. Negotiated Rate	$15,412.62
Max. Negotiated Rate	$16,183.25
Rate for Payer: BCBS Complete	$16,183.25
Rate for Payer: Mclaren Medicaid	$15,412.62
Rate for Payer: Meridian Medicaid	$16,183.25
Rate for Payer: Priority Health Choice Medicaid	$15,412.62
Rate for Payer: UHC Medicaid	$15,412.62
Rate for Payer: UHCCP Medicaid	$15,412.62

NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION

Facility

$3,934.86

Service Code	APR-DRG 6141
Min. Negotiated Rate	$3,747.49
Max. Negotiated Rate	$3,934.86
Rate for Payer: BCBS Complete	$3,934.86
Rate for Payer: Mclaren Medicaid	$3,747.49
Rate for Payer: Meridian Medicaid	$3,934.86
Rate for Payer: Priority Health Choice Medicaid	$3,747.49
Rate for Payer: UHC Medicaid	$3,747.49
Rate for Payer: UHCCP Medicaid	$3,747.49

NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION

Facility

$10,574.64

Service Code	APR-DRG 6142
Min. Negotiated Rate	$10,071.09
Max. Negotiated Rate	$10,574.64
Rate for Payer: BCBS Complete	$10,574.64
Rate for Payer: Mclaren Medicaid	$10,071.09
Rate for Payer: Meridian Medicaid	$10,574.64
Rate for Payer: Priority Health Choice Medicaid	$10,071.09
Rate for Payer: UHC Medicaid	$10,071.09
Rate for Payer: UHCCP Medicaid	$10,071.09

NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION

Facility

$26,002.79

Service Code	APR-DRG 6144
Min. Negotiated Rate	$24,764.56
Max. Negotiated Rate	$26,002.79
Rate for Payer: BCBS Complete	$26,002.79
Rate for Payer: Mclaren Medicaid	$24,764.56
Rate for Payer: Meridian Medicaid	$26,002.79
Rate for Payer: Priority Health Choice Medicaid	$24,764.56
Rate for Payer: UHC Medicaid	$24,764.56
Rate for Payer: UHCCP Medicaid	$24,764.56

NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION

Facility

$18,652.07

Service Code	APR-DRG 6143
Min. Negotiated Rate	$17,763.88
Max. Negotiated Rate	$18,652.07
Rate for Payer: BCBS Complete	$18,652.07
Rate for Payer: Mclaren Medicaid	$17,763.88
Rate for Payer: Meridian Medicaid	$18,652.07
Rate for Payer: Priority Health Choice Medicaid	$17,763.88
Rate for Payer: UHC Medicaid	$17,763.88
Rate for Payer: UHCCP Medicaid	$17,763.88

NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJ

Facility

$32,480.61

Service Code	APR-DRG 6123
Min. Negotiated Rate	$30,933.92
Max. Negotiated Rate	$32,480.61
Rate for Payer: BCBS Complete	$32,480.61
Rate for Payer: Mclaren Medicaid	$30,933.92
Rate for Payer: Meridian Medicaid	$32,480.61
Rate for Payer: Priority Health Choice Medicaid	$30,933.92
Rate for Payer: UHC Medicaid	$30,933.92
Rate for Payer: UHCCP Medicaid	$30,933.92

NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJ

Facility

$15,570.65

Service Code	APR-DRG 6122
Min. Negotiated Rate	$14,829.19
Max. Negotiated Rate	$15,570.65
Rate for Payer: BCBS Complete	$15,570.65
Rate for Payer: Mclaren Medicaid	$14,829.19
Rate for Payer: Meridian Medicaid	$15,570.65
Rate for Payer: Priority Health Choice Medicaid	$14,829.19
Rate for Payer: UHC Medicaid	$14,829.19
Rate for Payer: UHCCP Medicaid	$14,829.19

NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJ

Facility

$10,273.86

Service Code	APR-DRG 6121
Min. Negotiated Rate	$9,784.63
Max. Negotiated Rate	$10,273.86
Rate for Payer: BCBS Complete	$10,273.86
Rate for Payer: Mclaren Medicaid	$9,784.63
Rate for Payer: Meridian Medicaid	$10,273.86
Rate for Payer: Priority Health Choice Medicaid	$9,784.63
Rate for Payer: UHC Medicaid	$9,784.63
Rate for Payer: UHCCP Medicaid	$9,784.63

NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJ

Facility

$50,261.89

Service Code	APR-DRG 6124
Min. Negotiated Rate	$47,868.47
Max. Negotiated Rate	$50,261.89
Rate for Payer: BCBS Complete	$50,261.89
Rate for Payer: Mclaren Medicaid	$47,868.47
Rate for Payer: Meridian Medicaid	$50,261.89
Rate for Payer: Priority Health Choice Medicaid	$47,868.47
Rate for Payer: UHC Medicaid	$47,868.47
Rate for Payer: UHCCP Medicaid	$47,868.47

NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE

Facility

$143,698.93

Service Code	APR-DRG 6094
Min. Negotiated Rate	$136,856.12
Max. Negotiated Rate	$143,698.93
Rate for Payer: BCBS Complete	$143,698.93
Rate for Payer: Mclaren Medicaid	$136,856.12
Rate for Payer: Meridian Medicaid	$143,698.93
Rate for Payer: Priority Health Choice Medicaid	$136,856.12
Rate for Payer: UHC Medicaid	$136,856.12
Rate for Payer: UHCCP Medicaid	$136,856.12

NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE

Facility

$46,015.73

Service Code	APR-DRG 6093
Min. Negotiated Rate	$43,824.51
Max. Negotiated Rate	$46,015.73
Rate for Payer: BCBS Complete	$46,015.73
Rate for Payer: Mclaren Medicaid	$43,824.51
Rate for Payer: Meridian Medicaid	$46,015.73
Rate for Payer: Priority Health Choice Medicaid	$43,824.51
Rate for Payer: UHC Medicaid	$43,824.51
Rate for Payer: UHCCP Medicaid	$43,824.51

Know your out-of-pocket cost for care.

All Charges