Bronson Lakeview Hospital

All Charges

Charge

Type

Setting

Price

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR

Facility

$2,729.64

Service Code	APR-DRG 6341
Min. Negotiated Rate	$2,599.65
Max. Negotiated Rate	$2,729.64
Rate for Payer: BCBS Complete	$2,729.64
Rate for Payer: Mclaren Medicaid	$2,599.65
Rate for Payer: Meridian Medicaid	$2,729.64
Rate for Payer: Priority Health Choice Medicaid	$2,599.65
Rate for Payer: UHC Medicaid	$2,599.65
Rate for Payer: UHCCP Medicaid	$2,599.65

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR

Facility

$7,526.87

Service Code	APR-DRG 6343
Min. Negotiated Rate	$7,168.45
Max. Negotiated Rate	$7,526.87
Rate for Payer: BCBS Complete	$7,526.87
Rate for Payer: Mclaren Medicaid	$7,168.45
Rate for Payer: Meridian Medicaid	$7,526.87
Rate for Payer: Priority Health Choice Medicaid	$7,168.45
Rate for Payer: UHC Medicaid	$7,168.45
Rate for Payer: UHCCP Medicaid	$7,168.45

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR

Facility

$15,883.52

Service Code	APR-DRG 6344
Min. Negotiated Rate	$15,127.16
Max. Negotiated Rate	$15,883.52
Rate for Payer: BCBS Complete	$15,883.52
Rate for Payer: Mclaren Medicaid	$15,127.16
Rate for Payer: Meridian Medicaid	$15,883.52
Rate for Payer: Priority Health Choice Medicaid	$15,127.16
Rate for Payer: UHC Medicaid	$15,127.16
Rate for Payer: UHCCP Medicaid	$15,127.16

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR

Facility

$3,751.87

Service Code	APR-DRG 6342
Min. Negotiated Rate	$3,573.21
Max. Negotiated Rate	$3,751.87
Rate for Payer: BCBS Complete	$3,751.87
Rate for Payer: Mclaren Medicaid	$3,573.21
Rate for Payer: Meridian Medicaid	$3,751.87
Rate for Payer: Priority Health Choice Medicaid	$3,573.21
Rate for Payer: UHC Medicaid	$3,573.21
Rate for Payer: UHCCP Medicaid	$3,573.21

NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$66,742.24

Service Code	APR-DRG 5912
Min. Negotiated Rate	$63,564.04
Max. Negotiated Rate	$66,742.24
Rate for Payer: BCBS Complete	$66,742.24
Rate for Payer: Mclaren Medicaid	$63,564.04
Rate for Payer: Meridian Medicaid	$66,742.24
Rate for Payer: Priority Health Choice Medicaid	$63,564.04
Rate for Payer: UHC Medicaid	$63,564.04
Rate for Payer: UHCCP Medicaid	$63,564.04

NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$6,059.78

Service Code	APR-DRG 5911
Min. Negotiated Rate	$5,771.22
Max. Negotiated Rate	$6,059.78
Rate for Payer: BCBS Complete	$6,059.78
Rate for Payer: Mclaren Medicaid	$5,771.22
Rate for Payer: Meridian Medicaid	$6,059.78
Rate for Payer: Priority Health Choice Medicaid	$5,771.22
Rate for Payer: UHC Medicaid	$5,771.22
Rate for Payer: UHCCP Medicaid	$5,771.22

NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$87,033.36

Service Code	APR-DRG 5913
Min. Negotiated Rate	$82,888.91
Max. Negotiated Rate	$87,033.36
Rate for Payer: BCBS Complete	$87,033.36
Rate for Payer: Mclaren Medicaid	$82,888.91
Rate for Payer: Meridian Medicaid	$87,033.36
Rate for Payer: Priority Health Choice Medicaid	$82,888.91
Rate for Payer: UHC Medicaid	$82,888.91
Rate for Payer: UHCCP Medicaid	$82,888.91

NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$115,502.33

Service Code	APR-DRG 5914
Min. Negotiated Rate	$110,002.22
Max. Negotiated Rate	$115,502.33
Rate for Payer: BCBS Complete	$115,502.33
Rate for Payer: Mclaren Medicaid	$110,002.22
Rate for Payer: Meridian Medicaid	$115,502.33
Rate for Payer: Priority Health Choice Medicaid	$110,002.22
Rate for Payer: UHC Medicaid	$110,002.22
Rate for Payer: UHCCP Medicaid	$110,002.22

NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <

Facility

$1,747.37

Service Code	APR-DRG 5894
Min. Negotiated Rate	$1,664.16
Max. Negotiated Rate	$1,747.37
Rate for Payer: BCBS Complete	$1,747.37
Rate for Payer: Mclaren Medicaid	$1,664.16
Rate for Payer: Meridian Medicaid	$1,747.37
Rate for Payer: Priority Health Choice Medicaid	$1,664.16
Rate for Payer: UHC Medicaid	$1,664.16
Rate for Payer: UHCCP Medicaid	$1,664.16

NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <

Facility

$91,089.16

Service Code	APR-DRG 5893
Min. Negotiated Rate	$86,751.58
Max. Negotiated Rate	$91,089.16
Rate for Payer: BCBS Complete	$91,089.16
Rate for Payer: Mclaren Medicaid	$86,751.58
Rate for Payer: Meridian Medicaid	$91,089.16
Rate for Payer: Priority Health Choice Medicaid	$86,751.58
Rate for Payer: UHC Medicaid	$86,751.58
Rate for Payer: UHCCP Medicaid	$86,751.58

NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <

Facility

$89,978.59

Service Code	APR-DRG 5891
Min. Negotiated Rate	$85,693.89
Max. Negotiated Rate	$89,978.59
Rate for Payer: BCBS Complete	$89,978.59
Rate for Payer: Mclaren Medicaid	$85,693.89
Rate for Payer: Meridian Medicaid	$89,978.59
Rate for Payer: Priority Health Choice Medicaid	$85,693.89
Rate for Payer: UHC Medicaid	$85,693.89
Rate for Payer: UHCCP Medicaid	$85,693.89

NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <

Facility

$91,154.89

Service Code	APR-DRG 5892
Min. Negotiated Rate	$86,814.18
Max. Negotiated Rate	$91,154.89
Rate for Payer: BCBS Complete	$91,154.89
Rate for Payer: Mclaren Medicaid	$86,814.18
Rate for Payer: Meridian Medicaid	$91,154.89
Rate for Payer: Priority Health Choice Medicaid	$86,814.18
Rate for Payer: UHC Medicaid	$86,814.18
Rate for Payer: UHCCP Medicaid	$86,814.18

NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$116,956.81

Service Code	APR-DRG 5934
Min. Negotiated Rate	$111,387.44
Max. Negotiated Rate	$116,956.81
Rate for Payer: BCBS Complete	$116,956.81
Rate for Payer: Mclaren Medicaid	$111,387.44
Rate for Payer: Meridian Medicaid	$116,956.81
Rate for Payer: Priority Health Choice Medicaid	$111,387.44
Rate for Payer: UHC Medicaid	$111,387.44
Rate for Payer: UHCCP Medicaid	$111,387.44

NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$79,066.35

Service Code	APR-DRG 5933
Min. Negotiated Rate	$75,301.29
Max. Negotiated Rate	$79,066.35
Rate for Payer: BCBS Complete	$79,066.35
Rate for Payer: Mclaren Medicaid	$75,301.29
Rate for Payer: Meridian Medicaid	$79,066.35
Rate for Payer: Priority Health Choice Medicaid	$75,301.29
Rate for Payer: UHC Medicaid	$75,301.29
Rate for Payer: UHCCP Medicaid	$75,301.29

NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$48,972.01

Service Code	APR-DRG 5932
Min. Negotiated Rate	$46,640.00
Max. Negotiated Rate	$48,972.01
Rate for Payer: BCBS Complete	$48,972.01
Rate for Payer: Mclaren Medicaid	$46,640.00
Rate for Payer: Meridian Medicaid	$48,972.01
Rate for Payer: Priority Health Choice Medicaid	$46,640.00
Rate for Payer: UHC Medicaid	$46,640.00
Rate for Payer: UHCCP Medicaid	$46,640.00

NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$25,322.35

Service Code	APR-DRG 5931
Min. Negotiated Rate	$24,116.52
Max. Negotiated Rate	$25,322.35
Rate for Payer: BCBS Complete	$25,322.35
Rate for Payer: Mclaren Medicaid	$24,116.52
Rate for Payer: Meridian Medicaid	$25,322.35
Rate for Payer: Priority Health Choice Medicaid	$24,116.52
Rate for Payer: UHC Medicaid	$24,116.52
Rate for Payer: UHCCP Medicaid	$24,116.52

NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE

Facility

$630.48

Service Code	APR-DRG 5811
Min. Negotiated Rate	$600.46
Max. Negotiated Rate	$630.48
Rate for Payer: BCBS Complete	$630.48
Rate for Payer: Mclaren Medicaid	$600.46
Rate for Payer: Meridian Medicaid	$630.48
Rate for Payer: Priority Health Choice Medicaid	$600.46
Rate for Payer: UHC Medicaid	$600.46
Rate for Payer: UHCCP Medicaid	$600.46

NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE

Facility

$12,366.71

Service Code	APR-DRG 5814
Min. Negotiated Rate	$11,777.81
Max. Negotiated Rate	$12,366.71
Rate for Payer: BCBS Complete	$12,366.71
Rate for Payer: Mclaren Medicaid	$11,777.81
Rate for Payer: Meridian Medicaid	$12,366.71
Rate for Payer: Priority Health Choice Medicaid	$11,777.81
Rate for Payer: UHC Medicaid	$11,777.81
Rate for Payer: UHCCP Medicaid	$11,777.81

NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE

Facility

$2,531.39

Service Code	APR-DRG 5813
Min. Negotiated Rate	$2,410.85
Max. Negotiated Rate	$2,531.39
Rate for Payer: BCBS Complete	$2,531.39
Rate for Payer: Mclaren Medicaid	$2,410.85
Rate for Payer: Meridian Medicaid	$2,531.39
Rate for Payer: Priority Health Choice Medicaid	$2,410.85
Rate for Payer: UHC Medicaid	$2,410.85
Rate for Payer: UHCCP Medicaid	$2,410.85

NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE

Facility

$1,074.82

Service Code	APR-DRG 5812
Min. Negotiated Rate	$1,023.64
Max. Negotiated Rate	$1,074.82
Rate for Payer: BCBS Complete	$1,074.82
Rate for Payer: Mclaren Medicaid	$1,023.64
Rate for Payer: Meridian Medicaid	$1,074.82
Rate for Payer: Priority Health Choice Medicaid	$1,023.64
Rate for Payer: UHC Medicaid	$1,023.64
Rate for Payer: UHCCP Medicaid	$1,023.64

NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE

Facility

$8,887.75

Service Code	APR-DRG 5804
Min. Negotiated Rate	$8,464.52
Max. Negotiated Rate	$8,887.75
Rate for Payer: BCBS Complete	$8,887.75
Rate for Payer: Mclaren Medicaid	$8,464.52
Rate for Payer: Meridian Medicaid	$8,887.75
Rate for Payer: Priority Health Choice Medicaid	$8,464.52
Rate for Payer: UHC Medicaid	$8,464.52
Rate for Payer: UHCCP Medicaid	$8,464.52

NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE

Facility

$1,740.00

Service Code	APR-DRG 5801
Min. Negotiated Rate	$1,657.15
Max. Negotiated Rate	$1,740.00
Rate for Payer: BCBS Complete	$1,740.00
Rate for Payer: Mclaren Medicaid	$1,657.15
Rate for Payer: Meridian Medicaid	$1,740.00
Rate for Payer: Priority Health Choice Medicaid	$1,657.15
Rate for Payer: UHC Medicaid	$1,657.15
Rate for Payer: UHCCP Medicaid	$1,657.15

NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE

Facility

$4,575.86

Service Code	APR-DRG 5803
Min. Negotiated Rate	$4,357.96
Max. Negotiated Rate	$4,575.86
Rate for Payer: BCBS Complete	$4,575.86
Rate for Payer: Mclaren Medicaid	$4,357.96
Rate for Payer: Meridian Medicaid	$4,575.86
Rate for Payer: Priority Health Choice Medicaid	$4,357.96
Rate for Payer: UHC Medicaid	$4,357.96
Rate for Payer: UHCCP Medicaid	$4,357.96

NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE

Facility

$2,355.24

Service Code	APR-DRG 5802
Min. Negotiated Rate	$2,243.08
Max. Negotiated Rate	$2,355.24
Rate for Payer: BCBS Complete	$2,355.24
Rate for Payer: Mclaren Medicaid	$2,243.08
Rate for Payer: Meridian Medicaid	$2,355.24
Rate for Payer: Priority Health Choice Medicaid	$2,243.08
Rate for Payer: UHC Medicaid	$2,243.08
Rate for Payer: UHCCP Medicaid	$2,243.08

NEONATE WITH ECMO

Facility

$83,376.14

Service Code	APR-DRG 5831
Min. Negotiated Rate	$79,405.85
Max. Negotiated Rate	$83,376.14
Rate for Payer: BCBS Complete	$83,376.14
Rate for Payer: Mclaren Medicaid	$79,405.85
Rate for Payer: Meridian Medicaid	$83,376.14
Rate for Payer: Priority Health Choice Medicaid	$79,405.85
Rate for Payer: UHC Medicaid	$79,405.85
Rate for Payer: UHCCP Medicaid	$79,405.85

Know your out-of-pocket cost for care.

All Charges