Bronson Lakeview Hospital

All Charges

Charge

Type

Setting

Price

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

Facility

$7,831.34

Service Code	APR-DRG 6222
Min. Negotiated Rate	$7,458.41
Max. Negotiated Rate	$7,831.34
Rate for Payer: BCBS Complete	$7,831.34
Rate for Payer: Mclaren Medicaid	$7,458.41
Rate for Payer: Meridian Medicaid	$7,831.34
Rate for Payer: Priority Health Choice Medicaid	$7,458.41
Rate for Payer: UHC Medicaid	$7,458.41
Rate for Payer: UHCCP Medicaid	$7,458.41

NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM

Facility

$1,617.48

Service Code	APR-DRG 6403
Min. Negotiated Rate	$1,540.46
Max. Negotiated Rate	$1,617.48
Rate for Payer: BCBS Complete	$1,617.48
Rate for Payer: Mclaren Medicaid	$1,540.46
Rate for Payer: Meridian Medicaid	$1,617.48
Rate for Payer: Priority Health Choice Medicaid	$1,540.46
Rate for Payer: UHC Medicaid	$1,540.46
Rate for Payer: UHCCP Medicaid	$1,540.46

NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM

Facility

$759.84

Service Code	APR-DRG 6401
Min. Negotiated Rate	$723.66
Max. Negotiated Rate	$759.84
Rate for Payer: BCBS Complete	$759.84
Rate for Payer: Mclaren Medicaid	$723.66
Rate for Payer: Meridian Medicaid	$759.84
Rate for Payer: Priority Health Choice Medicaid	$723.66
Rate for Payer: UHC Medicaid	$723.66
Rate for Payer: UHCCP Medicaid	$723.66

NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM

Facility

$3,951.69

Service Code	APR-DRG 6404
Min. Negotiated Rate	$3,763.51
Max. Negotiated Rate	$3,951.69
Rate for Payer: BCBS Complete	$3,951.69
Rate for Payer: Mclaren Medicaid	$3,763.51
Rate for Payer: Meridian Medicaid	$3,951.69
Rate for Payer: Priority Health Choice Medicaid	$3,763.51
Rate for Payer: UHC Medicaid	$3,763.51
Rate for Payer: UHCCP Medicaid	$3,763.51

NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM

Facility

$1,043.79

Service Code	APR-DRG 6402
Min. Negotiated Rate	$994.09
Max. Negotiated Rate	$1,043.79
Rate for Payer: BCBS Complete	$1,043.79
Rate for Payer: Mclaren Medicaid	$994.09
Rate for Payer: Meridian Medicaid	$1,043.79
Rate for Payer: Priority Health Choice Medicaid	$994.09
Rate for Payer: UHC Medicaid	$994.09
Rate for Payer: UHCCP Medicaid	$994.09

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$5,357.78

Service Code	APR-DRG 6362
Min. Negotiated Rate	$5,102.65
Max. Negotiated Rate	$5,357.78
Rate for Payer: BCBS Complete	$5,357.78
Rate for Payer: Mclaren Medicaid	$5,102.65
Rate for Payer: Meridian Medicaid	$5,357.78
Rate for Payer: Priority Health Choice Medicaid	$5,102.65
Rate for Payer: UHC Medicaid	$5,102.65
Rate for Payer: UHCCP Medicaid	$5,102.65

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$2,997.29

Service Code	APR-DRG 6361
Min. Negotiated Rate	$2,854.56
Max. Negotiated Rate	$2,997.29
Rate for Payer: BCBS Complete	$2,997.29
Rate for Payer: Mclaren Medicaid	$2,854.56
Rate for Payer: Meridian Medicaid	$2,997.29
Rate for Payer: Priority Health Choice Medicaid	$2,854.56
Rate for Payer: UHC Medicaid	$2,854.56
Rate for Payer: UHCCP Medicaid	$2,854.56

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$9,298.43

Service Code	APR-DRG 6363
Min. Negotiated Rate	$8,855.65
Max. Negotiated Rate	$9,298.43
Rate for Payer: BCBS Complete	$9,298.43
Rate for Payer: Mclaren Medicaid	$8,855.65
Rate for Payer: Meridian Medicaid	$9,298.43
Rate for Payer: Priority Health Choice Medicaid	$8,855.65
Rate for Payer: UHC Medicaid	$8,855.65
Rate for Payer: UHCCP Medicaid	$8,855.65

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$17,084.54

Service Code	APR-DRG 6364
Min. Negotiated Rate	$16,270.99
Max. Negotiated Rate	$17,084.54
Rate for Payer: BCBS Complete	$17,084.54
Rate for Payer: Mclaren Medicaid	$16,270.99
Rate for Payer: Meridian Medicaid	$17,084.54
Rate for Payer: Priority Health Choice Medicaid	$16,270.99
Rate for Payer: UHC Medicaid	$16,270.99
Rate for Payer: UHCCP Medicaid	$16,270.99

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY

Facility

$3,409.02

Service Code	APR-DRG 6332
Min. Negotiated Rate	$3,246.69
Max. Negotiated Rate	$3,409.02
Rate for Payer: BCBS Complete	$3,409.02
Rate for Payer: Mclaren Medicaid	$3,246.69
Rate for Payer: Meridian Medicaid	$3,409.02
Rate for Payer: Priority Health Choice Medicaid	$3,246.69
Rate for Payer: UHC Medicaid	$3,246.69
Rate for Payer: UHCCP Medicaid	$3,246.69

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY

Facility

$24,414.75

Service Code	APR-DRG 6334
Min. Negotiated Rate	$23,252.14
Max. Negotiated Rate	$24,414.75
Rate for Payer: BCBS Complete	$24,414.75
Rate for Payer: Mclaren Medicaid	$23,252.14
Rate for Payer: Meridian Medicaid	$24,414.75
Rate for Payer: Priority Health Choice Medicaid	$23,252.14
Rate for Payer: UHC Medicaid	$23,252.14
Rate for Payer: UHCCP Medicaid	$23,252.14

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY

Facility

$964.92

Service Code	APR-DRG 6331
Min. Negotiated Rate	$918.97
Max. Negotiated Rate	$964.92
Rate for Payer: BCBS Complete	$964.92
Rate for Payer: Mclaren Medicaid	$918.97
Rate for Payer: Meridian Medicaid	$964.92
Rate for Payer: Priority Health Choice Medicaid	$918.97
Rate for Payer: UHC Medicaid	$918.97
Rate for Payer: UHCCP Medicaid	$918.97

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY

Facility

$8,391.88

Service Code	APR-DRG 6333
Min. Negotiated Rate	$7,992.27
Max. Negotiated Rate	$8,391.88
Rate for Payer: BCBS Complete	$8,391.88
Rate for Payer: Mclaren Medicaid	$7,992.27
Rate for Payer: Meridian Medicaid	$8,391.88
Rate for Payer: Priority Health Choice Medicaid	$7,992.27
Rate for Payer: UHC Medicaid	$7,992.27
Rate for Payer: UHCCP Medicaid	$7,992.27

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE

Facility

$123,662.32

Service Code	APR-DRG 6304
Min. Negotiated Rate	$117,773.64
Max. Negotiated Rate	$123,662.32
Rate for Payer: BCBS Complete	$123,662.32
Rate for Payer: Mclaren Medicaid	$117,773.64
Rate for Payer: Meridian Medicaid	$123,662.32
Rate for Payer: Priority Health Choice Medicaid	$117,773.64
Rate for Payer: UHC Medicaid	$117,773.64
Rate for Payer: UHCCP Medicaid	$117,773.64

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE

Facility

$15,794.13

Service Code	APR-DRG 6301
Min. Negotiated Rate	$15,042.03
Max. Negotiated Rate	$15,794.13
Rate for Payer: BCBS Complete	$15,794.13
Rate for Payer: Mclaren Medicaid	$15,042.03
Rate for Payer: Meridian Medicaid	$15,794.13
Rate for Payer: Priority Health Choice Medicaid	$15,042.03
Rate for Payer: UHC Medicaid	$15,042.03
Rate for Payer: UHCCP Medicaid	$15,042.03

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE

Facility

$27,607.13

Service Code	APR-DRG 6302
Min. Negotiated Rate	$26,292.50
Max. Negotiated Rate	$27,607.13
Rate for Payer: BCBS Complete	$27,607.13
Rate for Payer: Mclaren Medicaid	$26,292.50
Rate for Payer: Meridian Medicaid	$27,607.13
Rate for Payer: Priority Health Choice Medicaid	$26,292.50
Rate for Payer: UHC Medicaid	$26,292.50
Rate for Payer: UHCCP Medicaid	$26,292.50

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE

Facility

$69,592.82

Service Code	APR-DRG 6303
Min. Negotiated Rate	$66,278.88
Max. Negotiated Rate	$69,592.82
Rate for Payer: BCBS Complete	$69,592.82
Rate for Payer: Mclaren Medicaid	$66,278.88
Rate for Payer: Meridian Medicaid	$69,592.82
Rate for Payer: Priority Health Choice Medicaid	$66,278.88
Rate for Payer: UHC Medicaid	$66,278.88
Rate for Payer: UHCCP Medicaid	$66,278.88

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE

Facility

$6,078.71

Service Code	APR-DRG 6311
Min. Negotiated Rate	$5,789.25
Max. Negotiated Rate	$6,078.71
Rate for Payer: BCBS Complete	$6,078.71
Rate for Payer: Mclaren Medicaid	$5,789.25
Rate for Payer: Meridian Medicaid	$6,078.71
Rate for Payer: Priority Health Choice Medicaid	$5,789.25
Rate for Payer: UHC Medicaid	$5,789.25
Rate for Payer: UHCCP Medicaid	$5,789.25

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE

Facility

$10,905.40

Service Code	APR-DRG 6312
Min. Negotiated Rate	$10,386.09
Max. Negotiated Rate	$10,905.40
Rate for Payer: BCBS Complete	$10,905.40
Rate for Payer: Mclaren Medicaid	$10,386.09
Rate for Payer: Meridian Medicaid	$10,905.40
Rate for Payer: Priority Health Choice Medicaid	$10,386.09
Rate for Payer: UHC Medicaid	$10,386.09
Rate for Payer: UHCCP Medicaid	$10,386.09

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE

Facility

$39,868.14

Service Code	APR-DRG 6313
Min. Negotiated Rate	$37,969.65
Max. Negotiated Rate	$39,868.14
Rate for Payer: BCBS Complete	$39,868.14
Rate for Payer: Mclaren Medicaid	$37,969.65
Rate for Payer: Meridian Medicaid	$39,868.14
Rate for Payer: Priority Health Choice Medicaid	$37,969.65
Rate for Payer: UHC Medicaid	$37,969.65
Rate for Payer: UHCCP Medicaid	$37,969.65

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE

Facility

$169,302.60

Service Code	APR-DRG 6314
Min. Negotiated Rate	$161,240.57
Max. Negotiated Rate	$169,302.60
Rate for Payer: BCBS Complete	$169,302.60
Rate for Payer: Mclaren Medicaid	$161,240.57
Rate for Payer: Meridian Medicaid	$169,302.60
Rate for Payer: Priority Health Choice Medicaid	$161,240.57
Rate for Payer: UHC Medicaid	$161,240.57
Rate for Payer: UHCCP Medicaid	$161,240.57

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$2,901.06

Service Code	APR-DRG 6392
Min. Negotiated Rate	$2,762.91
Max. Negotiated Rate	$2,901.06
Rate for Payer: BCBS Complete	$2,901.06
Rate for Payer: Mclaren Medicaid	$2,762.91
Rate for Payer: Meridian Medicaid	$2,901.06
Rate for Payer: Priority Health Choice Medicaid	$2,762.91
Rate for Payer: UHC Medicaid	$2,762.91
Rate for Payer: UHCCP Medicaid	$2,762.91

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$1,506.01

Service Code	APR-DRG 6391
Min. Negotiated Rate	$1,434.29
Max. Negotiated Rate	$1,506.01
Rate for Payer: BCBS Complete	$1,506.01
Rate for Payer: Mclaren Medicaid	$1,434.29
Rate for Payer: Meridian Medicaid	$1,506.01
Rate for Payer: Priority Health Choice Medicaid	$1,434.29
Rate for Payer: UHC Medicaid	$1,434.29
Rate for Payer: UHCCP Medicaid	$1,434.29

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$9,928.39

Service Code	APR-DRG 6393
Min. Negotiated Rate	$9,455.60
Max. Negotiated Rate	$9,928.39
Rate for Payer: BCBS Complete	$9,928.39
Rate for Payer: Mclaren Medicaid	$9,455.60
Rate for Payer: Meridian Medicaid	$9,928.39
Rate for Payer: Priority Health Choice Medicaid	$9,455.60
Rate for Payer: UHC Medicaid	$9,455.60
Rate for Payer: UHCCP Medicaid	$9,455.60

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$12,344.09

Service Code	APR-DRG 6394
Min. Negotiated Rate	$11,756.28
Max. Negotiated Rate	$12,344.09
Rate for Payer: BCBS Complete	$12,344.09
Rate for Payer: Mclaren Medicaid	$11,756.28
Rate for Payer: Meridian Medicaid	$12,344.09
Rate for Payer: Priority Health Choice Medicaid	$11,756.28
Rate for Payer: UHC Medicaid	$11,756.28
Rate for Payer: UHCCP Medicaid	$11,756.28

Know your out-of-pocket cost for care.

All Charges