Bronson Lakeview Hospital

All Charges

Charge

Type

Setting

Price

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

Facility

$64,020.07

Service Code	APR-DRG 0054
Min. Negotiated Rate	$60,971.50
Max. Negotiated Rate	$64,020.07
Rate for Payer: BCBS Complete	$64,020.07
Rate for Payer: Mclaren Medicaid	$60,971.50
Rate for Payer: Meridian Medicaid	$64,020.07
Rate for Payer: Priority Health Choice Medicaid	$60,971.50
Rate for Payer: UHCCP Medicaid	$60,971.50

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

Facility

$16,289.44

Service Code	APR-DRG 0051
Min. Negotiated Rate	$15,513.75
Max. Negotiated Rate	$16,289.44
Rate for Payer: BCBS Complete	$16,289.44
Rate for Payer: Mclaren Medicaid	$15,513.75
Rate for Payer: Meridian Medicaid	$16,289.44
Rate for Payer: Priority Health Choice Medicaid	$15,513.75
Rate for Payer: UHCCP Medicaid	$15,513.75

APR-DRG 42.00: TRANSIENT ISCHEMIA

Facility

$5,481.52

Service Code	APR-DRG 0473
Min. Negotiated Rate	$5,220.50
Max. Negotiated Rate	$5,481.52
Rate for Payer: BCBS Complete	$5,481.52
Rate for Payer: Mclaren Medicaid	$5,220.50
Rate for Payer: Meridian Medicaid	$5,481.52
Rate for Payer: Priority Health Choice Medicaid	$5,220.50
Rate for Payer: UHCCP Medicaid	$5,220.50

APR-DRG 42.00: TRANSIENT ISCHEMIA

Facility

$4,395.56

Service Code	APR-DRG 0472
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

APR-DRG 42.00: TRANSIENT ISCHEMIA

Facility

$3,826.72

Service Code	APR-DRG 0471
Min. Negotiated Rate	$3,644.50
Max. Negotiated Rate	$3,826.72
Rate for Payer: BCBS Complete	$3,826.72
Rate for Payer: Mclaren Medicaid	$3,644.50
Rate for Payer: Meridian Medicaid	$3,826.72
Rate for Payer: Priority Health Choice Medicaid	$3,644.50
Rate for Payer: UHCCP Medicaid	$3,644.50

APR-DRG 42.00: TRANSIENT ISCHEMIA

Facility

$8,894.55

Service Code	APR-DRG 0474
Min. Negotiated Rate	$8,471.00
Max. Negotiated Rate	$8,894.55
Rate for Payer: BCBS Complete	$8,894.55
Rate for Payer: Mclaren Medicaid	$8,471.00
Rate for Payer: Meridian Medicaid	$8,894.55
Rate for Payer: Priority Health Choice Medicaid	$8,471.00
Rate for Payer: UHCCP Medicaid	$8,471.00

APR-DRG 42.00: TRANSURETHRAL PROSTATECTOMY

Facility

$6,102.07

Service Code	APR-DRG 4822
Min. Negotiated Rate	$5,811.50
Max. Negotiated Rate	$6,102.07
Rate for Payer: BCBS Complete	$6,102.07
Rate for Payer: Mclaren Medicaid	$5,811.50
Rate for Payer: Meridian Medicaid	$6,102.07
Rate for Payer: Priority Health Choice Medicaid	$5,811.50
Rate for Payer: UHCCP Medicaid	$5,811.50

APR-DRG 42.00: TRANSURETHRAL PROSTATECTOMY

Facility

$4,292.14

Service Code	APR-DRG 4821
Min. Negotiated Rate	$4,087.75
Max. Negotiated Rate	$4,292.14
Rate for Payer: BCBS Complete	$4,292.14
Rate for Payer: Mclaren Medicaid	$4,087.75
Rate for Payer: Meridian Medicaid	$4,292.14
Rate for Payer: Priority Health Choice Medicaid	$4,087.75
Rate for Payer: UHCCP Medicaid	$4,087.75

APR-DRG 42.00: TRANSURETHRAL PROSTATECTOMY

Facility

$13,548.67

Service Code	APR-DRG 4824
Min. Negotiated Rate	$12,903.50
Max. Negotiated Rate	$13,548.67
Rate for Payer: BCBS Complete	$13,548.67
Rate for Payer: Mclaren Medicaid	$12,903.50
Rate for Payer: Meridian Medicaid	$13,548.67
Rate for Payer: Priority Health Choice Medicaid	$12,903.50
Rate for Payer: UHCCP Medicaid	$12,903.50

APR-DRG 42.00: TRANSURETHRAL PROSTATECTOMY

Facility

$9,877.09

Service Code	APR-DRG 4823
Min. Negotiated Rate	$9,406.75
Max. Negotiated Rate	$9,877.09
Rate for Payer: BCBS Complete	$9,877.09
Rate for Payer: Mclaren Medicaid	$9,406.75
Rate for Payer: Meridian Medicaid	$9,877.09
Rate for Payer: Priority Health Choice Medicaid	$9,406.75
Rate for Payer: UHCCP Medicaid	$9,406.75

APR-DRG 42.00: URETHRAL AND TRANSURETHRAL PROCEDURES

Facility

$15,358.61

Service Code	APR-DRG 4464
Min. Negotiated Rate	$14,627.25
Max. Negotiated Rate	$15,358.61
Rate for Payer: BCBS Complete	$15,358.61
Rate for Payer: Mclaren Medicaid	$14,627.25
Rate for Payer: Meridian Medicaid	$15,358.61
Rate for Payer: Priority Health Choice Medicaid	$14,627.25
Rate for Payer: UHCCP Medicaid	$14,627.25

APR-DRG 42.00: URETHRAL AND TRANSURETHRAL PROCEDURES

Facility

$6,412.35

Service Code	APR-DRG 4462
Min. Negotiated Rate	$6,107.00
Max. Negotiated Rate	$6,412.35
Rate for Payer: BCBS Complete	$6,412.35
Rate for Payer: Mclaren Medicaid	$6,107.00
Rate for Payer: Meridian Medicaid	$6,412.35
Rate for Payer: Priority Health Choice Medicaid	$6,107.00
Rate for Payer: UHCCP Medicaid	$6,107.00

APR-DRG 42.00: URETHRAL AND TRANSURETHRAL PROCEDURES

Facility

$9,618.52

Service Code	APR-DRG 4463
Min. Negotiated Rate	$9,160.50
Max. Negotiated Rate	$9,618.52
Rate for Payer: BCBS Complete	$9,618.52
Rate for Payer: Mclaren Medicaid	$9,160.50
Rate for Payer: Meridian Medicaid	$9,618.52
Rate for Payer: Priority Health Choice Medicaid	$9,160.50
Rate for Payer: UHCCP Medicaid	$9,160.50

APR-DRG 42.00: URETHRAL AND TRANSURETHRAL PROCEDURES

Facility

$4,912.69

Service Code	APR-DRG 4461
Min. Negotiated Rate	$4,678.75
Max. Negotiated Rate	$4,912.69
Rate for Payer: BCBS Complete	$4,912.69
Rate for Payer: Mclaren Medicaid	$4,678.75
Rate for Payer: Meridian Medicaid	$4,912.69
Rate for Payer: Priority Health Choice Medicaid	$4,678.75
Rate for Payer: UHCCP Medicaid	$4,678.75

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

Facility

$4,085.29

Service Code	APR-DRG 4652
Min. Negotiated Rate	$3,890.75
Max. Negotiated Rate	$4,085.29
Rate for Payer: BCBS Complete	$4,085.29
Rate for Payer: Mclaren Medicaid	$3,890.75
Rate for Payer: Meridian Medicaid	$4,085.29
Rate for Payer: Priority Health Choice Medicaid	$3,890.75
Rate for Payer: UHCCP Medicaid	$3,890.75

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

Facility

$3,309.60

Service Code	APR-DRG 4651
Min. Negotiated Rate	$3,152.00
Max. Negotiated Rate	$3,309.60
Rate for Payer: BCBS Complete	$3,309.60
Rate for Payer: Mclaren Medicaid	$3,152.00
Rate for Payer: Meridian Medicaid	$3,309.60
Rate for Payer: Priority Health Choice Medicaid	$3,152.00
Rate for Payer: UHCCP Medicaid	$3,152.00

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

Facility

$10,756.20

Service Code	APR-DRG 4654
Min. Negotiated Rate	$10,244.00
Max. Negotiated Rate	$10,756.20
Rate for Payer: BCBS Complete	$10,756.20
Rate for Payer: Mclaren Medicaid	$10,244.00
Rate for Payer: Meridian Medicaid	$10,756.20
Rate for Payer: Priority Health Choice Medicaid	$10,244.00
Rate for Payer: UHCCP Medicaid	$10,244.00

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

Facility

$5,946.94

Service Code	APR-DRG 4653
Min. Negotiated Rate	$5,663.75
Max. Negotiated Rate	$5,946.94
Rate for Payer: BCBS Complete	$5,946.94
Rate for Payer: Mclaren Medicaid	$5,663.75
Rate for Payer: Meridian Medicaid	$5,946.94
Rate for Payer: Priority Health Choice Medicaid	$5,663.75
Rate for Payer: UHCCP Medicaid	$5,663.75

APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA

Facility

$5,119.54

Service Code	APR-DRG 5191
Min. Negotiated Rate	$4,875.75
Max. Negotiated Rate	$5,119.54
Rate for Payer: BCBS Complete	$5,119.54
Rate for Payer: Mclaren Medicaid	$4,875.75
Rate for Payer: Meridian Medicaid	$5,119.54
Rate for Payer: Priority Health Choice Medicaid	$4,875.75
Rate for Payer: UHCCP Medicaid	$4,875.75

APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA

Facility

$12,255.86

Service Code	APR-DRG 5193
Min. Negotiated Rate	$11,672.25
Max. Negotiated Rate	$12,255.86
Rate for Payer: BCBS Complete	$12,255.86
Rate for Payer: Mclaren Medicaid	$11,672.25
Rate for Payer: Meridian Medicaid	$12,255.86
Rate for Payer: Priority Health Choice Medicaid	$11,672.25
Rate for Payer: UHCCP Medicaid	$11,672.25

APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA

Facility

$6,774.34

Service Code	APR-DRG 5192
Min. Negotiated Rate	$6,451.75
Max. Negotiated Rate	$6,774.34
Rate for Payer: BCBS Complete	$6,774.34
Rate for Payer: Mclaren Medicaid	$6,451.75
Rate for Payer: Meridian Medicaid	$6,774.34
Rate for Payer: Priority Health Choice Medicaid	$6,451.75
Rate for Payer: UHCCP Medicaid	$6,451.75

APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA

Facility

$20,323.01

Service Code	APR-DRG 5194
Min. Negotiated Rate	$19,355.25
Max. Negotiated Rate	$20,323.01
Rate for Payer: BCBS Complete	$20,323.01
Rate for Payer: Mclaren Medicaid	$19,355.25
Rate for Payer: Meridian Medicaid	$20,323.01
Rate for Payer: Priority Health Choice Medicaid	$19,355.25
Rate for Payer: UHCCP Medicaid	$19,355.25

APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA

Facility

$11,221.61

Service Code	APR-DRG 5133
Min. Negotiated Rate	$10,687.25
Max. Negotiated Rate	$11,221.61
Rate for Payer: BCBS Complete	$11,221.61
Rate for Payer: Mclaren Medicaid	$10,687.25
Rate for Payer: Meridian Medicaid	$11,221.61
Rate for Payer: Priority Health Choice Medicaid	$10,687.25
Rate for Payer: UHCCP Medicaid	$10,687.25

APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA

Facility

$20,219.59

Service Code	APR-DRG 5134
Min. Negotiated Rate	$19,256.75
Max. Negotiated Rate	$20,219.59
Rate for Payer: BCBS Complete	$20,219.59
Rate for Payer: Mclaren Medicaid	$19,256.75
Rate for Payer: Meridian Medicaid	$20,219.59
Rate for Payer: Priority Health Choice Medicaid	$19,256.75
Rate for Payer: UHCCP Medicaid	$19,256.75

APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA

Facility

$5,533.24

Service Code	APR-DRG 5131
Min. Negotiated Rate	$5,269.75
Max. Negotiated Rate	$5,533.24
Rate for Payer: BCBS Complete	$5,533.24
Rate for Payer: Mclaren Medicaid	$5,269.75
Rate for Payer: Meridian Medicaid	$5,533.24
Rate for Payer: Priority Health Choice Medicaid	$5,269.75
Rate for Payer: UHCCP Medicaid	$5,269.75

Know your out-of-pocket cost for care.

All Charges