Bronson Lakeview Hospital

All Charges

Charge

Type

Setting

Price

NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE

Facility

$24,210.73

Service Code	APR-DRG 6091
Min. Negotiated Rate	$23,057.83
Max. Negotiated Rate	$24,210.73
Rate for Payer: BCBS Complete	$24,210.73
Rate for Payer: Mclaren Medicaid	$23,057.83
Rate for Payer: Meridian Medicaid	$24,210.73
Rate for Payer: Priority Health Choice Medicaid	$23,057.83
Rate for Payer: UHC Medicaid	$23,057.83
Rate for Payer: UHCCP Medicaid	$23,057.83

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

NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE

Facility

$99,193.41

Service Code	APR-DRG 5882
Min. Negotiated Rate	$94,469.91
Max. Negotiated Rate	$99,193.41
Rate for Payer: BCBS Complete	$99,193.41
Rate for Payer: Mclaren Medicaid	$94,469.91
Rate for Payer: Meridian Medicaid	$99,193.41
Rate for Payer: Priority Health Choice Medicaid	$94,469.91
Rate for Payer: UHC Medicaid	$94,469.91
Rate for Payer: UHCCP Medicaid	$94,469.91

NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE

Facility

$107,562.15

Service Code	APR-DRG 5883
Min. Negotiated Rate	$102,440.14
Max. Negotiated Rate	$107,562.15
Rate for Payer: BCBS Complete	$107,562.15
Rate for Payer: Mclaren Medicaid	$102,440.14
Rate for Payer: Meridian Medicaid	$107,562.15
Rate for Payer: Priority Health Choice Medicaid	$102,440.14
Rate for Payer: UHC Medicaid	$102,440.14
Rate for Payer: UHCCP Medicaid	$102,440.14

NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE

Facility

$92,869.65

Service Code	APR-DRG 5881
Min. Negotiated Rate	$88,447.29
Max. Negotiated Rate	$92,869.65
Rate for Payer: BCBS Complete	$92,869.65
Rate for Payer: Mclaren Medicaid	$88,447.29
Rate for Payer: Meridian Medicaid	$92,869.65
Rate for Payer: Priority Health Choice Medicaid	$88,447.29
Rate for Payer: UHC Medicaid	$88,447.29
Rate for Payer: UHCCP Medicaid	$88,447.29

NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE

Facility

$195,128.18

Service Code	APR-DRG 5884
Min. Negotiated Rate	$185,836.36
Max. Negotiated Rate	$195,128.18
Rate for Payer: BCBS Complete	$195,128.18
Rate for Payer: Mclaren Medicaid	$185,836.36
Rate for Payer: Meridian Medicaid	$195,128.18
Rate for Payer: Priority Health Choice Medicaid	$185,836.36
Rate for Payer: UHC Medicaid	$185,836.36
Rate for Payer: UHCCP Medicaid	$185,836.36

NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLE

Facility

$5,749.01

Service Code	APR-DRG 6264
Min. Negotiated Rate	$5,475.25
Max. Negotiated Rate	$5,749.01
Rate for Payer: BCBS Complete	$5,749.01
Rate for Payer: Mclaren Medicaid	$5,475.25
Rate for Payer: Meridian Medicaid	$5,749.01
Rate for Payer: Priority Health Choice Medicaid	$5,475.25
Rate for Payer: UHC Medicaid	$5,475.25
Rate for Payer: UHCCP Medicaid	$5,475.25

NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLE

Facility

$1,344.57

Service Code	APR-DRG 6262
Min. Negotiated Rate	$1,280.55
Max. Negotiated Rate	$1,344.57
Rate for Payer: BCBS Complete	$1,344.57
Rate for Payer: Mclaren Medicaid	$1,280.55
Rate for Payer: Meridian Medicaid	$1,344.57
Rate for Payer: Priority Health Choice Medicaid	$1,280.55
Rate for Payer: UHC Medicaid	$1,280.55
Rate for Payer: UHCCP Medicaid	$1,280.55

NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLE

Facility

$879.73

Service Code	APR-DRG 6261
Min. Negotiated Rate	$837.84
Max. Negotiated Rate	$879.73
Rate for Payer: BCBS Complete	$879.73
Rate for Payer: Mclaren Medicaid	$837.84
Rate for Payer: Meridian Medicaid	$879.73
Rate for Payer: Priority Health Choice Medicaid	$837.84
Rate for Payer: UHC Medicaid	$837.84
Rate for Payer: UHCCP Medicaid	$837.84

NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLE

Facility

$3,445.83

Service Code	APR-DRG 6263
Min. Negotiated Rate	$3,281.74
Max. Negotiated Rate	$3,445.83
Rate for Payer: BCBS Complete	$3,445.83
Rate for Payer: Mclaren Medicaid	$3,281.74
Rate for Payer: Meridian Medicaid	$3,445.83
Rate for Payer: Priority Health Choice Medicaid	$3,281.74
Rate for Payer: UHC Medicaid	$3,281.74
Rate for Payer: UHCCP Medicaid	$3,281.74

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$6,265.91

Service Code	APR-DRG 6232
Min. Negotiated Rate	$5,967.53
Max. Negotiated Rate	$6,265.91
Rate for Payer: BCBS Complete	$6,265.91
Rate for Payer: Mclaren Medicaid	$5,967.53
Rate for Payer: Meridian Medicaid	$6,265.91
Rate for Payer: Priority Health Choice Medicaid	$5,967.53
Rate for Payer: UHC Medicaid	$5,967.53
Rate for Payer: UHCCP Medicaid	$5,967.53

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$28,512.62

Service Code	APR-DRG 6234
Min. Negotiated Rate	$27,154.88
Max. Negotiated Rate	$28,512.62
Rate for Payer: BCBS Complete	$28,512.62
Rate for Payer: Mclaren Medicaid	$27,154.88
Rate for Payer: Meridian Medicaid	$28,512.62
Rate for Payer: Priority Health Choice Medicaid	$27,154.88
Rate for Payer: UHC Medicaid	$27,154.88
Rate for Payer: UHCCP Medicaid	$27,154.88

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$16,143.81

Service Code	APR-DRG 6233
Min. Negotiated Rate	$15,375.06
Max. Negotiated Rate	$16,143.81
Rate for Payer: BCBS Complete	$16,143.81
Rate for Payer: Mclaren Medicaid	$15,375.06
Rate for Payer: Meridian Medicaid	$16,143.81
Rate for Payer: Priority Health Choice Medicaid	$15,375.06
Rate for Payer: UHC Medicaid	$15,375.06
Rate for Payer: UHCCP Medicaid	$15,375.06

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$3,613.57

Service Code	APR-DRG 6231
Min. Negotiated Rate	$3,441.50
Max. Negotiated Rate	$3,613.57
Rate for Payer: BCBS Complete	$3,613.57
Rate for Payer: Mclaren Medicaid	$3,441.50
Rate for Payer: Meridian Medicaid	$3,613.57
Rate for Payer: Priority Health Choice Medicaid	$3,441.50
Rate for Payer: UHC Medicaid	$3,441.50
Rate for Payer: UHCCP Medicaid	$3,441.50

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY

Facility

$1,199.44

Service Code	APR-DRG 6211
Min. Negotiated Rate	$1,142.32
Max. Negotiated Rate	$1,199.44
Rate for Payer: BCBS Complete	$1,199.44
Rate for Payer: Mclaren Medicaid	$1,142.32
Rate for Payer: Meridian Medicaid	$1,199.44
Rate for Payer: Priority Health Choice Medicaid	$1,142.32
Rate for Payer: UHC Medicaid	$1,142.32
Rate for Payer: UHCCP Medicaid	$1,142.32

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY

Facility

$7,113.56

Service Code	APR-DRG 6212
Min. Negotiated Rate	$6,774.82
Max. Negotiated Rate	$7,113.56
Rate for Payer: BCBS Complete	$7,113.56
Rate for Payer: Mclaren Medicaid	$6,774.82
Rate for Payer: Meridian Medicaid	$7,113.56
Rate for Payer: Priority Health Choice Medicaid	$6,774.82
Rate for Payer: UHC Medicaid	$6,774.82
Rate for Payer: UHCCP Medicaid	$6,774.82

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY

Facility

$8,442.89

Service Code	APR-DRG 6213
Min. Negotiated Rate	$8,040.84
Max. Negotiated Rate	$8,442.89
Rate for Payer: BCBS Complete	$8,442.89
Rate for Payer: Mclaren Medicaid	$8,040.84
Rate for Payer: Meridian Medicaid	$8,442.89
Rate for Payer: Priority Health Choice Medicaid	$8,040.84
Rate for Payer: UHC Medicaid	$8,040.84
Rate for Payer: UHCCP Medicaid	$8,040.84

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY

Facility

$17,203.38

Service Code	APR-DRG 6214
Min. Negotiated Rate	$16,384.17
Max. Negotiated Rate	$17,203.38
Rate for Payer: BCBS Complete	$17,203.38
Rate for Payer: Mclaren Medicaid	$16,384.17
Rate for Payer: Meridian Medicaid	$17,203.38
Rate for Payer: Priority Health Choice Medicaid	$16,384.17
Rate for Payer: UHC Medicaid	$16,384.17
Rate for Payer: UHCCP Medicaid	$16,384.17

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$4,316.62

Service Code	APR-DRG 6251
Min. Negotiated Rate	$4,111.07
Max. Negotiated Rate	$4,316.62
Rate for Payer: BCBS Complete	$4,316.62
Rate for Payer: Mclaren Medicaid	$4,111.07
Rate for Payer: Meridian Medicaid	$4,316.62
Rate for Payer: Priority Health Choice Medicaid	$4,111.07
Rate for Payer: UHC Medicaid	$4,111.07
Rate for Payer: UHCCP Medicaid	$4,111.07

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$8,417.12

Service Code	APR-DRG 6252
Min. Negotiated Rate	$8,016.31
Max. Negotiated Rate	$8,417.12
Rate for Payer: BCBS Complete	$8,417.12
Rate for Payer: Mclaren Medicaid	$8,016.31
Rate for Payer: Meridian Medicaid	$8,417.12
Rate for Payer: Priority Health Choice Medicaid	$8,016.31
Rate for Payer: UHC Medicaid	$8,016.31
Rate for Payer: UHCCP Medicaid	$8,016.31

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$36,730.45

Service Code	APR-DRG 6254
Min. Negotiated Rate	$34,981.38
Max. Negotiated Rate	$36,730.45
Rate for Payer: BCBS Complete	$36,730.45
Rate for Payer: Mclaren Medicaid	$34,981.38
Rate for Payer: Meridian Medicaid	$36,730.45
Rate for Payer: Priority Health Choice Medicaid	$34,981.38
Rate for Payer: UHC Medicaid	$34,981.38
Rate for Payer: UHCCP Medicaid	$34,981.38

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$17,223.36

Service Code	APR-DRG 6253
Min. Negotiated Rate	$16,403.20
Max. Negotiated Rate	$17,223.36
Rate for Payer: BCBS Complete	$17,223.36
Rate for Payer: Mclaren Medicaid	$16,403.20
Rate for Payer: Meridian Medicaid	$17,223.36
Rate for Payer: Priority Health Choice Medicaid	$16,403.20
Rate for Payer: UHC Medicaid	$16,403.20
Rate for Payer: UHCCP Medicaid	$16,403.20

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJ

Facility

$20,740.71

Service Code	APR-DRG 6223
Min. Negotiated Rate	$19,753.05
Max. Negotiated Rate	$20,740.71
Rate for Payer: BCBS Complete	$20,740.71
Rate for Payer: Mclaren Medicaid	$19,753.05
Rate for Payer: Meridian Medicaid	$20,740.71
Rate for Payer: Priority Health Choice Medicaid	$19,753.05
Rate for Payer: UHC Medicaid	$19,753.05
Rate for Payer: UHCCP Medicaid	$19,753.05

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJ

Facility

$5,868.90

Service Code	APR-DRG 6221
Min. Negotiated Rate	$5,589.43
Max. Negotiated Rate	$5,868.90
Rate for Payer: BCBS Complete	$5,868.90
Rate for Payer: Mclaren Medicaid	$5,589.43
Rate for Payer: Meridian Medicaid	$5,868.90
Rate for Payer: Priority Health Choice Medicaid	$5,589.43
Rate for Payer: UHC Medicaid	$5,589.43
Rate for Payer: UHCCP Medicaid	$5,589.43

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJ

Facility

$27,618.17

Service Code	APR-DRG 6224
Min. Negotiated Rate	$26,303.02
Max. Negotiated Rate	$27,618.17
Rate for Payer: BCBS Complete	$27,618.17
Rate for Payer: Mclaren Medicaid	$26,303.02
Rate for Payer: Meridian Medicaid	$27,618.17
Rate for Payer: Priority Health Choice Medicaid	$26,303.02
Rate for Payer: UHC Medicaid	$26,303.02
Rate for Payer: UHCCP Medicaid	$26,303.02

Know your out-of-pocket cost for care.

All Charges