Bronson Lakeview Hospital

All Charges

Charge

Type

Setting

Price

NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS

Facility

$3,683.51

Service Code	APR-DRG 0501
Min. Negotiated Rate	$3,508.10
Max. Negotiated Rate	$3,683.51
Rate for Payer: BCBS Complete	$3,683.51
Rate for Payer: Mclaren Medicaid	$3,508.10
Rate for Payer: Meridian Medicaid	$3,683.51
Rate for Payer: Priority Health Choice Medicaid	$3,508.10
Rate for Payer: UHC Medicaid	$3,508.10
Rate for Payer: UHCCP Medicaid	$3,508.10

NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT

Facility

$14,211.88

Service Code	APR-DRG 3233
Min. Negotiated Rate	$13,535.12
Max. Negotiated Rate	$14,211.88
Rate for Payer: BCBS Complete	$14,211.88
Rate for Payer: Mclaren Medicaid	$13,535.12
Rate for Payer: Meridian Medicaid	$14,211.88
Rate for Payer: Priority Health Choice Medicaid	$13,535.12
Rate for Payer: UHC Medicaid	$13,535.12
Rate for Payer: UHCCP Medicaid	$13,535.12

NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT

Facility

$20,568.76

Service Code	APR-DRG 3234
Min. Negotiated Rate	$19,589.29
Max. Negotiated Rate	$20,568.76
Rate for Payer: BCBS Complete	$20,568.76
Rate for Payer: Mclaren Medicaid	$19,589.29
Rate for Payer: Meridian Medicaid	$20,568.76
Rate for Payer: Priority Health Choice Medicaid	$19,589.29
Rate for Payer: UHC Medicaid	$19,589.29
Rate for Payer: UHCCP Medicaid	$19,589.29

NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT

Facility

$10,753.43

Service Code	APR-DRG 3232
Min. Negotiated Rate	$10,241.36
Max. Negotiated Rate	$10,753.43
Rate for Payer: BCBS Complete	$10,753.43
Rate for Payer: Mclaren Medicaid	$10,241.36
Rate for Payer: Meridian Medicaid	$10,753.43
Rate for Payer: Priority Health Choice Medicaid	$10,241.36
Rate for Payer: UHC Medicaid	$10,241.36
Rate for Payer: UHCCP Medicaid	$10,241.36

NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT

Facility

$8,894.06

Service Code	APR-DRG 3231
Min. Negotiated Rate	$8,470.53
Max. Negotiated Rate	$8,894.06
Rate for Payer: BCBS Complete	$8,894.06
Rate for Payer: Mclaren Medicaid	$8,470.53
Rate for Payer: Meridian Medicaid	$8,894.06
Rate for Payer: Priority Health Choice Medicaid	$8,470.53
Rate for Payer: UHC Medicaid	$8,470.53
Rate for Payer: UHCCP Medicaid	$8,470.53

NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT

Facility

$21,936.47

Service Code	APR-DRG 3254
Min. Negotiated Rate	$20,891.87
Max. Negotiated Rate	$21,936.47
Rate for Payer: BCBS Complete	$21,936.47
Rate for Payer: Mclaren Medicaid	$20,891.87
Rate for Payer: Meridian Medicaid	$21,936.47
Rate for Payer: Priority Health Choice Medicaid	$20,891.87
Rate for Payer: UHC Medicaid	$20,891.87
Rate for Payer: UHCCP Medicaid	$20,891.87

NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT

Facility

$14,173.49

Service Code	APR-DRG 3252
Min. Negotiated Rate	$13,498.56
Max. Negotiated Rate	$14,173.49
Rate for Payer: BCBS Complete	$14,173.49
Rate for Payer: Mclaren Medicaid	$13,498.56
Rate for Payer: Meridian Medicaid	$14,173.49
Rate for Payer: Priority Health Choice Medicaid	$13,498.56
Rate for Payer: UHC Medicaid	$13,498.56
Rate for Payer: UHCCP Medicaid	$13,498.56

NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT

Facility

$11,618.43

Service Code	APR-DRG 3251
Min. Negotiated Rate	$11,065.18
Max. Negotiated Rate	$11,618.43
Rate for Payer: BCBS Complete	$11,618.43
Rate for Payer: Mclaren Medicaid	$11,065.18
Rate for Payer: Meridian Medicaid	$11,618.43
Rate for Payer: Priority Health Choice Medicaid	$11,065.18
Rate for Payer: UHC Medicaid	$11,065.18
Rate for Payer: UHCCP Medicaid	$11,065.18

NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT

Facility

$17,624.58

Service Code	APR-DRG 3253
Min. Negotiated Rate	$16,785.31
Max. Negotiated Rate	$17,624.58
Rate for Payer: BCBS Complete	$17,624.58
Rate for Payer: Mclaren Medicaid	$16,785.31
Rate for Payer: Meridian Medicaid	$17,624.58
Rate for Payer: Priority Health Choice Medicaid	$16,785.31
Rate for Payer: UHC Medicaid	$16,785.31
Rate for Payer: UHCCP Medicaid	$16,785.31

NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$10,031.98

Service Code	APR-DRG 7943
Min. Negotiated Rate	$9,554.26
Max. Negotiated Rate	$10,031.98
Rate for Payer: BCBS Complete	$10,031.98
Rate for Payer: Mclaren Medicaid	$9,554.26
Rate for Payer: Meridian Medicaid	$10,031.98
Rate for Payer: Priority Health Choice Medicaid	$9,554.26
Rate for Payer: UHC Medicaid	$9,554.26
Rate for Payer: UHCCP Medicaid	$9,554.26

NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$5,224.75

Service Code	APR-DRG 7941
Min. Negotiated Rate	$4,975.95
Max. Negotiated Rate	$5,224.75
Rate for Payer: BCBS Complete	$5,224.75
Rate for Payer: Mclaren Medicaid	$4,975.95
Rate for Payer: Meridian Medicaid	$5,224.75
Rate for Payer: Priority Health Choice Medicaid	$4,975.95
Rate for Payer: UHC Medicaid	$4,975.95
Rate for Payer: UHCCP Medicaid	$4,975.95

NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$20,135.99

Service Code	APR-DRG 7944
Min. Negotiated Rate	$19,177.13
Max. Negotiated Rate	$20,135.99
Rate for Payer: BCBS Complete	$20,135.99
Rate for Payer: Mclaren Medicaid	$19,177.13
Rate for Payer: Meridian Medicaid	$20,135.99
Rate for Payer: Priority Health Choice Medicaid	$19,177.13
Rate for Payer: UHC Medicaid	$19,177.13
Rate for Payer: UHCCP Medicaid	$19,177.13

NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$7,052.04

Service Code	APR-DRG 7942
Min. Negotiated Rate	$6,716.23
Max. Negotiated Rate	$7,052.04
Rate for Payer: BCBS Complete	$7,052.04
Rate for Payer: Mclaren Medicaid	$6,716.23
Rate for Payer: Meridian Medicaid	$7,052.04
Rate for Payer: Priority Health Choice Medicaid	$6,716.23
Rate for Payer: UHC Medicaid	$6,716.23
Rate for Payer: UHCCP Medicaid	$6,716.23

NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$10,440.03

Service Code	APR-DRG 9523
Min. Negotiated Rate	$9,942.88
Max. Negotiated Rate	$10,440.03
Rate for Payer: BCBS Complete	$10,440.03
Rate for Payer: Mclaren Medicaid	$9,942.88
Rate for Payer: Meridian Medicaid	$10,440.03
Rate for Payer: Priority Health Choice Medicaid	$9,942.88
Rate for Payer: UHC Medicaid	$9,942.88
Rate for Payer: UHCCP Medicaid	$9,942.88

NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$6,140.76

Service Code	APR-DRG 9521
Min. Negotiated Rate	$5,848.34
Max. Negotiated Rate	$6,140.76
Rate for Payer: BCBS Complete	$6,140.76
Rate for Payer: Mclaren Medicaid	$5,848.34
Rate for Payer: Meridian Medicaid	$6,140.76
Rate for Payer: Priority Health Choice Medicaid	$5,848.34
Rate for Payer: UHC Medicaid	$5,848.34
Rate for Payer: UHCCP Medicaid	$5,848.34

NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$8,000.66

Service Code	APR-DRG 9522
Min. Negotiated Rate	$7,619.67
Max. Negotiated Rate	$8,000.66
Rate for Payer: BCBS Complete	$8,000.66
Rate for Payer: Mclaren Medicaid	$7,619.67
Rate for Payer: Meridian Medicaid	$8,000.66
Rate for Payer: Priority Health Choice Medicaid	$7,619.67
Rate for Payer: UHC Medicaid	$7,619.67
Rate for Payer: UHCCP Medicaid	$7,619.67

NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$18,873.98

Service Code	APR-DRG 9524
Min. Negotiated Rate	$17,975.21
Max. Negotiated Rate	$18,873.98
Rate for Payer: BCBS Complete	$18,873.98
Rate for Payer: Mclaren Medicaid	$17,975.21
Rate for Payer: Meridian Medicaid	$18,873.98
Rate for Payer: Priority Health Choice Medicaid	$17,975.21
Rate for Payer: UHC Medicaid	$17,975.21
Rate for Payer: UHCCP Medicaid	$17,975.21

NON-HYPOVOLEMIC SODIUM DISORDERS

Facility

$2,844.27

Service Code	APR-DRG 4261
Min. Negotiated Rate	$2,708.83
Max. Negotiated Rate	$2,844.27
Rate for Payer: BCBS Complete	$2,844.27
Rate for Payer: Mclaren Medicaid	$2,708.83
Rate for Payer: Meridian Medicaid	$2,844.27
Rate for Payer: Priority Health Choice Medicaid	$2,708.83
Rate for Payer: UHC Medicaid	$2,708.83
Rate for Payer: UHCCP Medicaid	$2,708.83

NON-HYPOVOLEMIC SODIUM DISORDERS

Facility

$10,518.38

Service Code	APR-DRG 4264
Min. Negotiated Rate	$10,017.50
Max. Negotiated Rate	$10,518.38
Rate for Payer: BCBS Complete	$10,518.38
Rate for Payer: Mclaren Medicaid	$10,017.50
Rate for Payer: Meridian Medicaid	$10,518.38
Rate for Payer: Priority Health Choice Medicaid	$10,017.50
Rate for Payer: UHC Medicaid	$10,017.50
Rate for Payer: UHCCP Medicaid	$10,017.50

NON-HYPOVOLEMIC SODIUM DISORDERS

Facility

$3,824.96

Service Code	APR-DRG 4262
Min. Negotiated Rate	$3,642.82
Max. Negotiated Rate	$3,824.96
Rate for Payer: BCBS Complete	$3,824.96
Rate for Payer: Mclaren Medicaid	$3,642.82
Rate for Payer: Meridian Medicaid	$3,824.96
Rate for Payer: Priority Health Choice Medicaid	$3,642.82
Rate for Payer: UHC Medicaid	$3,642.82
Rate for Payer: UHCCP Medicaid	$3,642.82

NON-HYPOVOLEMIC SODIUM DISORDERS

Facility

$5,983.53

Service Code	APR-DRG 4263
Min. Negotiated Rate	$5,698.60
Max. Negotiated Rate	$5,983.53
Rate for Payer: BCBS Complete	$5,983.53
Rate for Payer: Mclaren Medicaid	$5,698.60
Rate for Payer: Meridian Medicaid	$5,983.53
Rate for Payer: Priority Health Choice Medicaid	$5,698.60
Rate for Payer: UHC Medicaid	$5,698.60
Rate for Payer: UHCCP Medicaid	$5,698.60

NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION

Facility

$14,148.78

Service Code	APR-DRG 0464
Min. Negotiated Rate	$13,475.03
Max. Negotiated Rate	$14,148.78
Rate for Payer: BCBS Complete	$14,148.78
Rate for Payer: Mclaren Medicaid	$13,475.03
Rate for Payer: Meridian Medicaid	$14,148.78
Rate for Payer: Priority Health Choice Medicaid	$13,475.03
Rate for Payer: UHC Medicaid	$13,475.03
Rate for Payer: UHCCP Medicaid	$13,475.03

NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION

Facility

$5,137.46

Service Code	APR-DRG 0461
Min. Negotiated Rate	$4,892.82
Max. Negotiated Rate	$5,137.46
Rate for Payer: BCBS Complete	$5,137.46
Rate for Payer: Mclaren Medicaid	$4,892.82
Rate for Payer: Meridian Medicaid	$5,137.46
Rate for Payer: Priority Health Choice Medicaid	$4,892.82
Rate for Payer: UHC Medicaid	$4,892.82
Rate for Payer: UHCCP Medicaid	$4,892.82

NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION

Facility

$8,215.72

Service Code	APR-DRG 0463
Min. Negotiated Rate	$7,824.50
Max. Negotiated Rate	$8,215.72
Rate for Payer: BCBS Complete	$8,215.72
Rate for Payer: Mclaren Medicaid	$7,824.50
Rate for Payer: Meridian Medicaid	$8,215.72
Rate for Payer: Priority Health Choice Medicaid	$7,824.50
Rate for Payer: UHC Medicaid	$7,824.50
Rate for Payer: UHCCP Medicaid	$7,824.50

NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION

Facility

$6,339.53

Service Code	APR-DRG 0462
Min. Negotiated Rate	$6,037.64
Max. Negotiated Rate	$6,339.53
Rate for Payer: BCBS Complete	$6,339.53
Rate for Payer: Mclaren Medicaid	$6,037.64
Rate for Payer: Meridian Medicaid	$6,339.53
Rate for Payer: Priority Health Choice Medicaid	$6,037.64
Rate for Payer: UHC Medicaid	$6,037.64
Rate for Payer: UHCCP Medicaid	$6,037.64

Know your out-of-pocket cost for care.

All Charges