Bronson Lakeview Hospital

All Charges

Charge

Type

Setting

Price

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

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

Facility

$14,014.09

Service Code	APR-DRG 5123
Min. Negotiated Rate	$13,346.75
Max. Negotiated Rate	$14,014.09
Rate for Payer: BCBS Complete	$14,014.09
Rate for Payer: Mclaren Medicaid	$13,346.75
Rate for Payer: Meridian Medicaid	$14,014.09
Rate for Payer: Priority Health Choice Medicaid	$13,346.75
Rate for Payer: UHCCP Medicaid	$13,346.75

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

Facility

$7,394.89

Service Code	APR-DRG 5121
Min. Negotiated Rate	$7,042.75
Max. Negotiated Rate	$7,394.89
Rate for Payer: BCBS Complete	$7,394.89
Rate for Payer: Mclaren Medicaid	$7,042.75
Rate for Payer: Meridian Medicaid	$7,394.89
Rate for Payer: Priority Health Choice Medicaid	$7,042.75
Rate for Payer: UHCCP Medicaid	$7,042.75

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

Facility

$23,994.60

Service Code	APR-DRG 5124
Min. Negotiated Rate	$22,852.00
Max. Negotiated Rate	$23,994.60
Rate for Payer: BCBS Complete	$23,994.60
Rate for Payer: Mclaren Medicaid	$22,852.00
Rate for Payer: Meridian Medicaid	$23,994.60
Rate for Payer: Priority Health Choice Medicaid	$22,852.00
Rate for Payer: UHCCP Medicaid	$22,852.00

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

Facility

$8,480.85

Service Code	APR-DRG 5122
Min. Negotiated Rate	$8,077.00
Max. Negotiated Rate	$8,480.85
Rate for Payer: BCBS Complete	$8,480.85
Rate for Payer: Mclaren Medicaid	$8,077.00
Rate for Payer: Meridian Medicaid	$8,480.85
Rate for Payer: Priority Health Choice Medicaid	$8,077.00
Rate for Payer: UHCCP Medicaid	$8,077.00

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

Facility

$8,946.26

Service Code	APR-DRG 5112
Min. Negotiated Rate	$8,520.25
Max. Negotiated Rate	$8,946.26
Rate for Payer: BCBS Complete	$8,946.26
Rate for Payer: Mclaren Medicaid	$8,520.25
Rate for Payer: Meridian Medicaid	$8,946.26
Rate for Payer: Priority Health Choice Medicaid	$8,520.25
Rate for Payer: UHCCP Medicaid	$8,520.25

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

Facility

$25,080.56

Service Code	APR-DRG 5114
Min. Negotiated Rate	$23,886.25
Max. Negotiated Rate	$25,080.56
Rate for Payer: BCBS Complete	$25,080.56
Rate for Payer: Mclaren Medicaid	$23,886.25
Rate for Payer: Meridian Medicaid	$25,080.56
Rate for Payer: Priority Health Choice Medicaid	$23,886.25
Rate for Payer: UHCCP Medicaid	$23,886.25

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

Facility

$7,394.89

Service Code	APR-DRG 5111
Min. Negotiated Rate	$7,042.75
Max. Negotiated Rate	$7,394.89
Rate for Payer: BCBS Complete	$7,394.89
Rate for Payer: Mclaren Medicaid	$7,042.75
Rate for Payer: Meridian Medicaid	$7,394.89
Rate for Payer: Priority Health Choice Medicaid	$7,042.75
Rate for Payer: UHCCP Medicaid	$7,042.75

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

Facility

$13,703.81

Service Code	APR-DRG 5113
Min. Negotiated Rate	$13,051.25
Max. Negotiated Rate	$13,703.81
Rate for Payer: BCBS Complete	$13,703.81
Rate for Payer: Mclaren Medicaid	$13,051.25
Rate for Payer: Meridian Medicaid	$13,703.81
Rate for Payer: Priority Health Choice Medicaid	$13,051.25
Rate for Payer: UHCCP Medicaid	$13,051.25

APR-DRG 42.00: VAGINAL DELIVERY

Facility

$2,068.50

Service Code	APR-DRG 5602
Min. Negotiated Rate	$1,970.00
Max. Negotiated Rate	$2,068.50
Rate for Payer: BCBS Complete	$2,068.50
Rate for Payer: Mclaren Medicaid	$1,970.00
Rate for Payer: Meridian Medicaid	$2,068.50
Rate for Payer: Priority Health Choice Medicaid	$1,970.00
Rate for Payer: UHCCP Medicaid	$1,970.00

APR-DRG 42.00: VAGINAL DELIVERY

Facility

$6,205.50

Service Code	APR-DRG 5604
Min. Negotiated Rate	$5,910.00
Max. Negotiated Rate	$6,205.50
Rate for Payer: BCBS Complete	$6,205.50
Rate for Payer: Mclaren Medicaid	$5,910.00
Rate for Payer: Meridian Medicaid	$6,205.50
Rate for Payer: Priority Health Choice Medicaid	$5,910.00
Rate for Payer: UHCCP Medicaid	$5,910.00

APR-DRG 42.00: VAGINAL DELIVERY

Facility

$1,758.22

Service Code	APR-DRG 5601
Min. Negotiated Rate	$1,674.50
Max. Negotiated Rate	$1,758.22
Rate for Payer: BCBS Complete	$1,758.22
Rate for Payer: Mclaren Medicaid	$1,674.50
Rate for Payer: Meridian Medicaid	$1,758.22
Rate for Payer: Priority Health Choice Medicaid	$1,674.50
Rate for Payer: UHCCP Medicaid	$1,674.50

APR-DRG 42.00: VAGINAL DELIVERY

Facility

$3,102.75

Service Code	APR-DRG 5603
Min. Negotiated Rate	$2,955.00
Max. Negotiated Rate	$3,102.75
Rate for Payer: BCBS Complete	$3,102.75
Rate for Payer: Mclaren Medicaid	$2,955.00
Rate for Payer: Meridian Medicaid	$3,102.75
Rate for Payer: Priority Health Choice Medicaid	$2,955.00
Rate for Payer: UHCCP Medicaid	$2,955.00

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

Facility

$2,016.79

Service Code	APR-DRG 5421
Min. Negotiated Rate	$1,920.75
Max. Negotiated Rate	$2,016.79
Rate for Payer: BCBS Complete	$2,016.79
Rate for Payer: Mclaren Medicaid	$1,920.75
Rate for Payer: Meridian Medicaid	$2,016.79
Rate for Payer: Priority Health Choice Medicaid	$1,920.75
Rate for Payer: UHCCP Medicaid	$1,920.75

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

Facility

$12,772.99

Service Code	APR-DRG 5424
Min. Negotiated Rate	$12,164.75
Max. Negotiated Rate	$12,772.99
Rate for Payer: BCBS Complete	$12,772.99
Rate for Payer: Mclaren Medicaid	$12,164.75
Rate for Payer: Meridian Medicaid	$12,772.99
Rate for Payer: Priority Health Choice Medicaid	$12,164.75
Rate for Payer: UHCCP Medicaid	$12,164.75

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

Facility

$4,654.12

Service Code	APR-DRG 5423
Min. Negotiated Rate	$4,432.50
Max. Negotiated Rate	$4,654.12
Rate for Payer: BCBS Complete	$4,654.12
Rate for Payer: Mclaren Medicaid	$4,432.50
Rate for Payer: Meridian Medicaid	$4,654.12
Rate for Payer: Priority Health Choice Medicaid	$4,432.50
Rate for Payer: UHCCP Medicaid	$4,432.50

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

Facility

$2,482.20

Service Code	APR-DRG 5422
Min. Negotiated Rate	$2,364.00
Max. Negotiated Rate	$2,482.20
Rate for Payer: BCBS Complete	$2,482.20
Rate for Payer: Mclaren Medicaid	$2,364.00
Rate for Payer: Meridian Medicaid	$2,482.20
Rate for Payer: Priority Health Choice Medicaid	$2,364.00
Rate for Payer: UHCCP Medicaid	$2,364.00

APR-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C

Facility

$3,309.60

Service Code	APR-DRG 5412
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: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C

Facility

$2,947.61

Service Code	APR-DRG 5411
Min. Negotiated Rate	$2,807.25
Max. Negotiated Rate	$2,947.61
Rate for Payer: BCBS Complete	$2,947.61
Rate for Payer: Mclaren Medicaid	$2,807.25
Rate for Payer: Meridian Medicaid	$2,947.61
Rate for Payer: Priority Health Choice Medicaid	$2,807.25
Rate for Payer: UHCCP Medicaid	$2,807.25

APR-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C

Facility

$9,980.51

Service Code	APR-DRG 5414
Min. Negotiated Rate	$9,505.25
Max. Negotiated Rate	$9,980.51
Rate for Payer: BCBS Complete	$9,980.51
Rate for Payer: Mclaren Medicaid	$9,505.25
Rate for Payer: Meridian Medicaid	$9,980.51
Rate for Payer: Priority Health Choice Medicaid	$9,505.25
Rate for Payer: UHCCP Medicaid	$9,505.25

APR-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C

Facility

$4,860.98

Service Code	APR-DRG 5413
Min. Negotiated Rate	$4,629.50
Max. Negotiated Rate	$4,860.98
Rate for Payer: BCBS Complete	$4,860.98
Rate for Payer: Mclaren Medicaid	$4,629.50
Rate for Payer: Meridian Medicaid	$4,860.98
Rate for Payer: Priority Health Choice Medicaid	$4,629.50
Rate for Payer: UHCCP Medicaid	$4,629.50

APR-DRG 42.00: VENTRICULAR SHUNT PROCEDURES

Facility

$7,446.60

Service Code	APR-DRG 0221
Min. Negotiated Rate	$7,092.00
Max. Negotiated Rate	$7,446.60
Rate for Payer: BCBS Complete	$7,446.60
Rate for Payer: Mclaren Medicaid	$7,092.00
Rate for Payer: Meridian Medicaid	$7,446.60
Rate for Payer: Priority Health Choice Medicaid	$7,092.00
Rate for Payer: UHCCP Medicaid	$7,092.00

APR-DRG 42.00: VENTRICULAR SHUNT PROCEDURES

Facility

$24,873.71

Service Code	APR-DRG 0224
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: VENTRICULAR SHUNT PROCEDURES

Facility

$9,359.96

Service Code	APR-DRG 0222
Min. Negotiated Rate	$8,914.25
Max. Negotiated Rate	$9,359.96
Rate for Payer: BCBS Complete	$9,359.96
Rate for Payer: Mclaren Medicaid	$8,914.25
Rate for Payer: Meridian Medicaid	$9,359.96
Rate for Payer: Priority Health Choice Medicaid	$8,914.25
Rate for Payer: UHCCP Medicaid	$8,914.25

APR-DRG 42.00: VENTRICULAR SHUNT PROCEDURES

Facility

$13,755.52

Service Code	APR-DRG 0223
Min. Negotiated Rate	$13,100.50
Max. Negotiated Rate	$13,755.52
Rate for Payer: BCBS Complete	$13,755.52
Rate for Payer: Mclaren Medicaid	$13,100.50
Rate for Payer: Meridian Medicaid	$13,755.52
Rate for Payer: Priority Health Choice Medicaid	$13,100.50
Rate for Payer: UHCCP Medicaid	$13,100.50

Know your out-of-pocket cost for care.

All Charges