Bronson Lakeview Hospital

All Charges

Charge

Type

Setting

Price

OTHER DISORDERS OF NERVOUS SYSTEM

Facility

$7,760.87

Service Code	APR-DRG 0583
Min. Negotiated Rate	$7,391.31
Max. Negotiated Rate	$7,760.87
Rate for Payer: BCBS Complete	$7,760.87
Rate for Payer: Mclaren Medicaid	$7,391.31
Rate for Payer: Meridian Medicaid	$7,760.87
Rate for Payer: Priority Health Choice Medicaid	$7,391.31
Rate for Payer: UHC Medicaid	$7,391.31
Rate for Payer: UHCCP Medicaid	$7,391.31

OTHER DISORDERS OF NERVOUS SYSTEM

Facility

$10,535.73

Service Code	APR-DRG 0584
Min. Negotiated Rate	$10,034.03
Max. Negotiated Rate	$10,535.73
Rate for Payer: BCBS Complete	$10,535.73
Rate for Payer: Mclaren Medicaid	$10,034.03
Rate for Payer: Meridian Medicaid	$10,535.73
Rate for Payer: Priority Health Choice Medicaid	$10,034.03
Rate for Payer: UHC Medicaid	$10,034.03
Rate for Payer: UHCCP Medicaid	$10,034.03

OTHER DISORDERS OF THE LIVER

Facility

$10,602.51

Service Code	APR-DRG 2834
Min. Negotiated Rate	$10,097.63
Max. Negotiated Rate	$10,602.51
Rate for Payer: BCBS Complete	$10,602.51
Rate for Payer: Mclaren Medicaid	$10,097.63
Rate for Payer: Meridian Medicaid	$10,602.51
Rate for Payer: Priority Health Choice Medicaid	$10,097.63
Rate for Payer: UHC Medicaid	$10,097.63
Rate for Payer: UHCCP Medicaid	$10,097.63

OTHER DISORDERS OF THE LIVER

Facility

$4,355.01

Service Code	APR-DRG 2832
Min. Negotiated Rate	$4,147.63
Max. Negotiated Rate	$4,355.01
Rate for Payer: BCBS Complete	$4,355.01
Rate for Payer: Mclaren Medicaid	$4,147.63
Rate for Payer: Meridian Medicaid	$4,355.01
Rate for Payer: Priority Health Choice Medicaid	$4,147.63
Rate for Payer: UHC Medicaid	$4,147.63
Rate for Payer: UHCCP Medicaid	$4,147.63

OTHER DISORDERS OF THE LIVER

Facility

$6,579.84

Service Code	APR-DRG 2833
Min. Negotiated Rate	$6,266.51
Max. Negotiated Rate	$6,579.84
Rate for Payer: BCBS Complete	$6,579.84
Rate for Payer: Mclaren Medicaid	$6,266.51
Rate for Payer: Meridian Medicaid	$6,579.84
Rate for Payer: Priority Health Choice Medicaid	$6,266.51
Rate for Payer: UHC Medicaid	$6,266.51
Rate for Payer: UHCCP Medicaid	$6,266.51

OTHER DISORDERS OF THE LIVER

Facility

$2,910.52

Service Code	APR-DRG 2831
Min. Negotiated Rate	$2,771.93
Max. Negotiated Rate	$2,910.52
Rate for Payer: BCBS Complete	$2,910.52
Rate for Payer: Mclaren Medicaid	$2,771.93
Rate for Payer: Meridian Medicaid	$2,910.52
Rate for Payer: Priority Health Choice Medicaid	$2,771.93
Rate for Payer: UHC Medicaid	$2,771.93
Rate for Payer: UHCCP Medicaid	$2,771.93

OTHER DRUG ABUSE AND DEPENDENCE

Facility

$11,876.62

Service Code	APR-DRG 7764
Min. Negotiated Rate	$11,311.07
Max. Negotiated Rate	$11,876.62
Rate for Payer: BCBS Complete	$11,876.62
Rate for Payer: Mclaren Medicaid	$11,311.07
Rate for Payer: Meridian Medicaid	$11,876.62
Rate for Payer: Priority Health Choice Medicaid	$11,311.07
Rate for Payer: UHC Medicaid	$11,311.07
Rate for Payer: UHCCP Medicaid	$11,311.07

OTHER DRUG ABUSE AND DEPENDENCE

Facility

$3,296.49

Service Code	APR-DRG 7761
Min. Negotiated Rate	$3,139.52
Max. Negotiated Rate	$3,296.49
Rate for Payer: BCBS Complete	$3,296.49
Rate for Payer: Mclaren Medicaid	$3,139.52
Rate for Payer: Meridian Medicaid	$3,296.49
Rate for Payer: Priority Health Choice Medicaid	$3,139.52
Rate for Payer: UHC Medicaid	$3,139.52
Rate for Payer: UHCCP Medicaid	$3,139.52

OTHER DRUG ABUSE AND DEPENDENCE

Facility

$4,115.22

Service Code	APR-DRG 7762
Min. Negotiated Rate	$3,919.26
Max. Negotiated Rate	$4,115.22
Rate for Payer: BCBS Complete	$4,115.22
Rate for Payer: Mclaren Medicaid	$3,919.26
Rate for Payer: Meridian Medicaid	$4,115.22
Rate for Payer: Priority Health Choice Medicaid	$3,919.26
Rate for Payer: UHC Medicaid	$3,919.26
Rate for Payer: UHCCP Medicaid	$3,919.26

OTHER DRUG ABUSE AND DEPENDENCE

Facility

$6,483.08

Service Code	APR-DRG 7763
Min. Negotiated Rate	$6,174.36
Max. Negotiated Rate	$6,483.08
Rate for Payer: BCBS Complete	$6,483.08
Rate for Payer: Mclaren Medicaid	$6,174.36
Rate for Payer: Meridian Medicaid	$6,483.08
Rate for Payer: Priority Health Choice Medicaid	$6,174.36
Rate for Payer: UHC Medicaid	$6,174.36
Rate for Payer: UHCCP Medicaid	$6,174.36

OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES

Facility

$3,288.08

Service Code	APR-DRG 1151
Min. Negotiated Rate	$3,131.50
Max. Negotiated Rate	$3,288.08
Rate for Payer: BCBS Complete	$3,288.08
Rate for Payer: Mclaren Medicaid	$3,131.50
Rate for Payer: Meridian Medicaid	$3,288.08
Rate for Payer: Priority Health Choice Medicaid	$3,131.50
Rate for Payer: UHC Medicaid	$3,131.50
Rate for Payer: UHCCP Medicaid	$3,131.50

OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES

Facility

$4,196.73

Service Code	APR-DRG 1152
Min. Negotiated Rate	$3,996.88
Max. Negotiated Rate	$4,196.73
Rate for Payer: BCBS Complete	$4,196.73
Rate for Payer: Mclaren Medicaid	$3,996.88
Rate for Payer: Meridian Medicaid	$4,196.73
Rate for Payer: Priority Health Choice Medicaid	$3,996.88
Rate for Payer: UHC Medicaid	$3,996.88
Rate for Payer: UHCCP Medicaid	$3,996.88

OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES

Facility

$6,938.46

Service Code	APR-DRG 1153
Min. Negotiated Rate	$6,608.06
Max. Negotiated Rate	$6,938.46
Rate for Payer: BCBS Complete	$6,938.46
Rate for Payer: Mclaren Medicaid	$6,608.06
Rate for Payer: Meridian Medicaid	$6,938.46
Rate for Payer: Priority Health Choice Medicaid	$6,608.06
Rate for Payer: UHC Medicaid	$6,608.06
Rate for Payer: UHCCP Medicaid	$6,608.06

OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES

Facility

$11,621.59

Service Code	APR-DRG 1154
Min. Negotiated Rate	$11,068.18
Max. Negotiated Rate	$11,621.59
Rate for Payer: BCBS Complete	$11,621.59
Rate for Payer: Mclaren Medicaid	$11,068.18
Rate for Payer: Meridian Medicaid	$11,621.59
Rate for Payer: Priority Health Choice Medicaid	$11,068.18
Rate for Payer: UHC Medicaid	$11,068.18
Rate for Payer: UHCCP Medicaid	$11,068.18

OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES

Facility

$5,644.37

Service Code	APR-DRG 0981
Min. Negotiated Rate	$5,375.59
Max. Negotiated Rate	$5,644.37
Rate for Payer: BCBS Complete	$5,644.37
Rate for Payer: Mclaren Medicaid	$5,375.59
Rate for Payer: Meridian Medicaid	$5,644.37
Rate for Payer: Priority Health Choice Medicaid	$5,375.59
Rate for Payer: UHC Medicaid	$5,375.59
Rate for Payer: UHCCP Medicaid	$5,375.59

OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES

Facility

$14,230.28

Service Code	APR-DRG 0983
Min. Negotiated Rate	$13,552.65
Max. Negotiated Rate	$14,230.28
Rate for Payer: BCBS Complete	$14,230.28
Rate for Payer: Mclaren Medicaid	$13,552.65
Rate for Payer: Meridian Medicaid	$14,230.28
Rate for Payer: Priority Health Choice Medicaid	$13,552.65
Rate for Payer: UHC Medicaid	$13,552.65
Rate for Payer: UHCCP Medicaid	$13,552.65

OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES

Facility

$9,391.50

Service Code	APR-DRG 0982
Min. Negotiated Rate	$8,944.29
Max. Negotiated Rate	$9,391.50
Rate for Payer: BCBS Complete	$9,391.50
Rate for Payer: Mclaren Medicaid	$8,944.29
Rate for Payer: Meridian Medicaid	$9,391.50
Rate for Payer: Priority Health Choice Medicaid	$8,944.29
Rate for Payer: UHC Medicaid	$8,944.29
Rate for Payer: UHCCP Medicaid	$8,944.29

OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES

Facility

$18,369.17

Service Code	APR-DRG 0984
Min. Negotiated Rate	$17,494.45
Max. Negotiated Rate	$18,369.17
Rate for Payer: BCBS Complete	$18,369.17
Rate for Payer: Mclaren Medicaid	$17,494.45
Rate for Payer: Meridian Medicaid	$18,369.17
Rate for Payer: Priority Health Choice Medicaid	$17,494.45
Rate for Payer: UHC Medicaid	$17,494.45
Rate for Payer: UHCCP Medicaid	$17,494.45

OTHER ENDOCRINE DISORDERS

Facility

$13,190.17

Service Code	APR-DRG 4244
Min. Negotiated Rate	$12,562.07
Max. Negotiated Rate	$13,190.17
Rate for Payer: BCBS Complete	$13,190.17
Rate for Payer: Mclaren Medicaid	$12,562.07
Rate for Payer: Meridian Medicaid	$13,190.17
Rate for Payer: Priority Health Choice Medicaid	$12,562.07
Rate for Payer: UHC Medicaid	$12,562.07
Rate for Payer: UHCCP Medicaid	$12,562.07

OTHER ENDOCRINE DISORDERS

Facility

$4,372.36

Service Code	APR-DRG 4242
Min. Negotiated Rate	$4,164.15
Max. Negotiated Rate	$4,372.36
Rate for Payer: BCBS Complete	$4,372.36
Rate for Payer: Mclaren Medicaid	$4,164.15
Rate for Payer: Meridian Medicaid	$4,372.36
Rate for Payer: Priority Health Choice Medicaid	$4,164.15
Rate for Payer: UHC Medicaid	$4,164.15
Rate for Payer: UHCCP Medicaid	$4,164.15

OTHER ENDOCRINE DISORDERS

Facility

$7,204.01

Service Code	APR-DRG 4243
Min. Negotiated Rate	$6,860.96
Max. Negotiated Rate	$7,204.01
Rate for Payer: BCBS Complete	$7,204.01
Rate for Payer: Mclaren Medicaid	$6,860.96
Rate for Payer: Meridian Medicaid	$7,204.01
Rate for Payer: Priority Health Choice Medicaid	$6,860.96
Rate for Payer: UHC Medicaid	$6,860.96
Rate for Payer: UHCCP Medicaid	$6,860.96

OTHER ENDOCRINE DISORDERS

Facility

$3,682.46

Service Code	APR-DRG 4241
Min. Negotiated Rate	$3,507.10
Max. Negotiated Rate	$3,682.46
Rate for Payer: BCBS Complete	$3,682.46
Rate for Payer: Mclaren Medicaid	$3,507.10
Rate for Payer: Meridian Medicaid	$3,682.46
Rate for Payer: Priority Health Choice Medicaid	$3,507.10
Rate for Payer: UHC Medicaid	$3,507.10
Rate for Payer: UHCCP Medicaid	$3,507.10

OTHER ESOPHAGEAL DISORDERS

Facility

$9,667.57

Service Code	APR-DRG 2434
Min. Negotiated Rate	$9,207.21
Max. Negotiated Rate	$9,667.57
Rate for Payer: BCBS Complete	$9,667.57
Rate for Payer: Mclaren Medicaid	$9,207.21
Rate for Payer: Meridian Medicaid	$9,667.57
Rate for Payer: Priority Health Choice Medicaid	$9,207.21
Rate for Payer: UHC Medicaid	$9,207.21
Rate for Payer: UHCCP Medicaid	$9,207.21

OTHER ESOPHAGEAL DISORDERS

Facility

$2,939.97

Service Code	APR-DRG 2431
Min. Negotiated Rate	$2,799.97
Max. Negotiated Rate	$2,939.97
Rate for Payer: BCBS Complete	$2,939.97
Rate for Payer: Mclaren Medicaid	$2,799.97
Rate for Payer: Meridian Medicaid	$2,939.97
Rate for Payer: Priority Health Choice Medicaid	$2,799.97
Rate for Payer: UHC Medicaid	$2,799.97
Rate for Payer: UHCCP Medicaid	$2,799.97

OTHER ESOPHAGEAL DISORDERS

Facility

$4,620.03

Service Code	APR-DRG 2432
Min. Negotiated Rate	$4,400.03
Max. Negotiated Rate	$4,620.03
Rate for Payer: BCBS Complete	$4,620.03
Rate for Payer: Mclaren Medicaid	$4,400.03
Rate for Payer: Meridian Medicaid	$4,620.03
Rate for Payer: Priority Health Choice Medicaid	$4,400.03
Rate for Payer: UHC Medicaid	$4,400.03
Rate for Payer: UHCCP Medicaid	$4,400.03

Know your out-of-pocket cost for care.

All Charges