Bronson Lakeview Hospital

All Charges

Charge

Type

Setting

Price

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

Facility

$4,395.56

Service Code	APR-DRG 4651
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: URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION

Facility

$5,895.22

Service Code	APR-DRG 4653
Min. Negotiated Rate	$5,614.50
Max. Negotiated Rate	$5,895.22
Rate for Payer: BCBS Complete	$5,895.22
Rate for Payer: Mclaren Medicaid	$5,614.50
Rate for Payer: Meridian Medicaid	$5,895.22
Rate for Payer: Priority Health Choice Medicaid	$5,614.50
Rate for Payer: UHCCP Medicaid	$5,614.50

APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA

Facility

$13,393.54

Service Code	APR-DRG 5193
Min. Negotiated Rate	$12,755.75
Max. Negotiated Rate	$13,393.54
Rate for Payer: BCBS Complete	$13,393.54
Rate for Payer: Mclaren Medicaid	$12,755.75
Rate for Payer: Meridian Medicaid	$13,393.54
Rate for Payer: Priority Health Choice Medicaid	$12,755.75
Rate for Payer: UHCCP Medicaid	$12,755.75

APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA

Facility

$22,339.80

Service Code	APR-DRG 5194
Min. Negotiated Rate	$21,276.00
Max. Negotiated Rate	$22,339.80
Rate for Payer: BCBS Complete	$22,339.80
Rate for Payer: Mclaren Medicaid	$21,276.00
Rate for Payer: Meridian Medicaid	$22,339.80
Rate for Payer: Priority Health Choice Medicaid	$21,276.00
Rate for Payer: UHCCP Medicaid	$21,276.00

APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA

Facility

$8,584.28

Service Code	APR-DRG 5192
Min. Negotiated Rate	$8,175.50
Max. Negotiated Rate	$8,584.28
Rate for Payer: BCBS Complete	$8,584.28
Rate for Payer: Mclaren Medicaid	$8,175.50
Rate for Payer: Meridian Medicaid	$8,584.28
Rate for Payer: Priority Health Choice Medicaid	$8,175.50
Rate for Payer: UHCCP Medicaid	$8,175.50

APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA

Facility

$6,257.21

Service Code	APR-DRG 5191
Min. Negotiated Rate	$5,959.25
Max. Negotiated Rate	$6,257.21
Rate for Payer: BCBS Complete	$6,257.21
Rate for Payer: Mclaren Medicaid	$5,959.25
Rate for Payer: Meridian Medicaid	$6,257.21
Rate for Payer: Priority Health Choice Medicaid	$5,959.25
Rate for Payer: UHCCP Medicaid	$5,959.25

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

Facility

$14,169.22

Service Code	APR-DRG 5133
Min. Negotiated Rate	$13,494.50
Max. Negotiated Rate	$14,169.22
Rate for Payer: BCBS Complete	$14,169.22
Rate for Payer: Mclaren Medicaid	$13,494.50
Rate for Payer: Meridian Medicaid	$14,169.22
Rate for Payer: Priority Health Choice Medicaid	$13,494.50
Rate for Payer: UHCCP Medicaid	$13,494.50

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

Facility

$7,032.90

Service Code	APR-DRG 5131
Min. Negotiated Rate	$6,698.00
Max. Negotiated Rate	$7,032.90
Rate for Payer: BCBS Complete	$7,032.90
Rate for Payer: Mclaren Medicaid	$6,698.00
Rate for Payer: Meridian Medicaid	$7,032.90
Rate for Payer: Priority Health Choice Medicaid	$6,698.00
Rate for Payer: UHCCP Medicaid	$6,698.00

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

Facility

$8,842.84

Service Code	APR-DRG 5132
Min. Negotiated Rate	$8,421.75
Max. Negotiated Rate	$8,842.84
Rate for Payer: BCBS Complete	$8,842.84
Rate for Payer: Mclaren Medicaid	$8,421.75
Rate for Payer: Meridian Medicaid	$8,842.84
Rate for Payer: Priority Health Choice Medicaid	$8,421.75
Rate for Payer: UHCCP Medicaid	$8,421.75

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

Facility

$25,287.41

Service Code	APR-DRG 5134
Min. Negotiated Rate	$24,083.25
Max. Negotiated Rate	$25,287.41
Rate for Payer: BCBS Complete	$25,287.41
Rate for Payer: Mclaren Medicaid	$24,083.25
Rate for Payer: Meridian Medicaid	$25,287.41
Rate for Payer: Priority Health Choice Medicaid	$24,083.25
Rate for Payer: UHCCP Medicaid	$24,083.25

APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY

Facility

$14,686.35

Service Code	APR-DRG 5123
Min. Negotiated Rate	$13,987.00
Max. Negotiated Rate	$14,686.35
Rate for Payer: BCBS Complete	$14,686.35
Rate for Payer: Mclaren Medicaid	$13,987.00
Rate for Payer: Meridian Medicaid	$14,686.35
Rate for Payer: Priority Health Choice Medicaid	$13,987.00
Rate for Payer: UHCCP Medicaid	$13,987.00

APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY

Facility

$8,739.41

Service Code	APR-DRG 5121
Min. Negotiated Rate	$8,323.25
Max. Negotiated Rate	$8,739.41
Rate for Payer: BCBS Complete	$8,739.41
Rate for Payer: Mclaren Medicaid	$8,323.25
Rate for Payer: Meridian Medicaid	$8,739.41
Rate for Payer: Priority Health Choice Medicaid	$8,323.25
Rate for Payer: UHCCP Medicaid	$8,323.25

APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY

Facility

$10,290.79

Service Code	APR-DRG 5122
Min. Negotiated Rate	$9,800.75
Max. Negotiated Rate	$10,290.79
Rate for Payer: BCBS Complete	$10,290.79
Rate for Payer: Mclaren Medicaid	$9,800.75
Rate for Payer: Meridian Medicaid	$10,290.79
Rate for Payer: Priority Health Choice Medicaid	$9,800.75
Rate for Payer: UHCCP Medicaid	$9,800.75

APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY

Facility

$24,511.72

Service Code	APR-DRG 5124
Min. Negotiated Rate	$23,344.50
Max. Negotiated Rate	$24,511.72
Rate for Payer: BCBS Complete	$24,511.72
Rate for Payer: Mclaren Medicaid	$23,344.50
Rate for Payer: Meridian Medicaid	$24,511.72
Rate for Payer: Priority Health Choice Medicaid	$23,344.50
Rate for Payer: UHCCP Medicaid	$23,344.50

APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY

Facility

$13,548.68

Service Code	APR-DRG 5113
Min. Negotiated Rate	$12,903.50
Max. Negotiated Rate	$13,548.68
Rate for Payer: BCBS Complete	$13,548.68
Rate for Payer: Mclaren Medicaid	$12,903.50
Rate for Payer: Meridian Medicaid	$13,548.68
Rate for Payer: Priority Health Choice Medicaid	$12,903.50
Rate for Payer: UHCCP Medicaid	$12,903.50

APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY

Facility

$7,343.18

Service Code	APR-DRG 5111
Min. Negotiated Rate	$6,993.50
Max. Negotiated Rate	$7,343.18
Rate for Payer: BCBS Complete	$7,343.18
Rate for Payer: Mclaren Medicaid	$6,993.50
Rate for Payer: Meridian Medicaid	$7,343.18
Rate for Payer: Priority Health Choice Medicaid	$6,993.50
Rate for Payer: UHCCP Medicaid	$6,993.50

APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY

Facility

$24,873.71

Service Code	APR-DRG 5114
Min. Negotiated Rate	$23,689.25
Max. Negotiated Rate	$24,873.71
Rate for Payer: BCBS Complete	$24,873.71
Rate for Payer: Mclaren Medicaid	$23,689.25
Rate for Payer: Meridian Medicaid	$24,873.71
Rate for Payer: Priority Health Choice Medicaid	$23,689.25
Rate for Payer: UHCCP Medicaid	$23,689.25

APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY

Facility

$9,825.38

Service Code	APR-DRG 5112
Min. Negotiated Rate	$9,357.50
Max. Negotiated Rate	$9,825.38
Rate for Payer: BCBS Complete	$9,825.38
Rate for Payer: Mclaren Medicaid	$9,357.50
Rate for Payer: Meridian Medicaid	$9,825.38
Rate for Payer: Priority Health Choice Medicaid	$9,357.50
Rate for Payer: UHCCP Medicaid	$9,357.50

APR-DRG 42.00: VAGINAL DELIVERY

Facility

$3,619.88

Service Code	APR-DRG 5603
Min. Negotiated Rate	$3,447.50
Max. Negotiated Rate	$3,619.88
Rate for Payer: BCBS Complete	$3,619.88
Rate for Payer: Mclaren Medicaid	$3,447.50
Rate for Payer: Meridian Medicaid	$3,619.88
Rate for Payer: Priority Health Choice Medicaid	$3,447.50
Rate for Payer: UHCCP Medicaid	$3,447.50

APR-DRG 42.00: VAGINAL DELIVERY

Facility

$2,171.92

Service Code	APR-DRG 5601
Min. Negotiated Rate	$2,068.50
Max. Negotiated Rate	$2,171.92
Rate for Payer: BCBS Complete	$2,171.92
Rate for Payer: Mclaren Medicaid	$2,068.50
Rate for Payer: Meridian Medicaid	$2,171.92
Rate for Payer: Priority Health Choice Medicaid	$2,068.50
Rate for Payer: UHCCP Medicaid	$2,068.50

APR-DRG 42.00: VAGINAL DELIVERY

Facility

$7,912.01

Service Code	APR-DRG 5604
Min. Negotiated Rate	$7,535.25
Max. Negotiated Rate	$7,912.01
Rate for Payer: BCBS Complete	$7,912.01
Rate for Payer: Mclaren Medicaid	$7,535.25
Rate for Payer: Meridian Medicaid	$7,912.01
Rate for Payer: Priority Health Choice Medicaid	$7,535.25
Rate for Payer: UHCCP Medicaid	$7,535.25

APR-DRG 42.00: VAGINAL DELIVERY

Facility

$2,585.62

Service Code	APR-DRG 5602
Min. Negotiated Rate	$2,462.50
Max. Negotiated Rate	$2,585.62
Rate for Payer: BCBS Complete	$2,585.62
Rate for Payer: Mclaren Medicaid	$2,462.50
Rate for Payer: Meridian Medicaid	$2,585.62
Rate for Payer: Priority Health Choice Medicaid	$2,462.50
Rate for Payer: UHCCP Medicaid	$2,462.50

APR-DRG 42.00: VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C

Facility

$2,637.34

Service Code	APR-DRG 5421
Min. Negotiated Rate	$2,511.75
Max. Negotiated Rate	$2,637.34
Rate for Payer: BCBS Complete	$2,637.34
Rate for Payer: Mclaren Medicaid	$2,511.75
Rate for Payer: Meridian Medicaid	$2,637.34
Rate for Payer: Priority Health Choice Medicaid	$2,511.75
Rate for Payer: UHCCP Medicaid	$2,511.75

APR-DRG 42.00: VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C

Facility

$3,154.46

Service Code	APR-DRG 5422
Min. Negotiated Rate	$3,004.25
Max. Negotiated Rate	$3,154.46
Rate for Payer: BCBS Complete	$3,154.46
Rate for Payer: Mclaren Medicaid	$3,004.25
Rate for Payer: Meridian Medicaid	$3,154.46
Rate for Payer: Priority Health Choice Medicaid	$3,004.25
Rate for Payer: UHCCP Medicaid	$3,004.25

APR-DRG 42.00: VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C

Facility

$4,240.42

Service Code	APR-DRG 5423
Min. Negotiated Rate	$4,038.50
Max. Negotiated Rate	$4,240.42
Rate for Payer: BCBS Complete	$4,240.42
Rate for Payer: Mclaren Medicaid	$4,038.50
Rate for Payer: Meridian Medicaid	$4,240.42
Rate for Payer: Priority Health Choice Medicaid	$4,038.50
Rate for Payer: UHCCP Medicaid	$4,038.50

Know your out-of-pocket cost for care.

All Charges