Bronson Lakeview Hospital

All Charges

Charge

Type

Setting

Price

OTHER ESOPHAGEAL DISORDERS

Facility

$6,336.90

Service Code	APR-DRG 2433
Min. Negotiated Rate	$6,035.14
Max. Negotiated Rate	$6,336.90
Rate for Payer: BCBS Complete	$6,336.90
Rate for Payer: Mclaren Medicaid	$6,035.14
Rate for Payer: Meridian Medicaid	$6,336.90
Rate for Payer: Priority Health Choice Medicaid	$6,035.14
Rate for Payer: UHC Medicaid	$6,035.14
Rate for Payer: UHCCP Medicaid	$6,035.14

OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$16,607.60

Service Code	APR-DRG 5184
Min. Negotiated Rate	$15,816.77
Max. Negotiated Rate	$16,607.60
Rate for Payer: BCBS Complete	$16,607.60
Rate for Payer: Mclaren Medicaid	$15,816.77
Rate for Payer: Meridian Medicaid	$16,607.60
Rate for Payer: Priority Health Choice Medicaid	$15,816.77
Rate for Payer: UHC Medicaid	$15,816.77
Rate for Payer: UHCCP Medicaid	$15,816.77

OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$5,482.41

Service Code	APR-DRG 5181
Min. Negotiated Rate	$5,221.34
Max. Negotiated Rate	$5,482.41
Rate for Payer: BCBS Complete	$5,482.41
Rate for Payer: Mclaren Medicaid	$5,221.34
Rate for Payer: Meridian Medicaid	$5,482.41
Rate for Payer: Priority Health Choice Medicaid	$5,221.34
Rate for Payer: UHC Medicaid	$5,221.34
Rate for Payer: UHCCP Medicaid	$5,221.34

OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$7,626.78

Service Code	APR-DRG 5182
Min. Negotiated Rate	$7,263.60
Max. Negotiated Rate	$7,626.78
Rate for Payer: BCBS Complete	$7,626.78
Rate for Payer: Mclaren Medicaid	$7,263.60
Rate for Payer: Meridian Medicaid	$7,626.78
Rate for Payer: Priority Health Choice Medicaid	$7,263.60
Rate for Payer: UHC Medicaid	$7,263.60
Rate for Payer: UHCCP Medicaid	$7,263.60

OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$10,531.00

Service Code	APR-DRG 5183
Min. Negotiated Rate	$10,029.52
Max. Negotiated Rate	$10,531.00
Rate for Payer: BCBS Complete	$10,531.00
Rate for Payer: Mclaren Medicaid	$10,029.52
Rate for Payer: Meridian Medicaid	$10,531.00
Rate for Payer: Priority Health Choice Medicaid	$10,029.52
Rate for Payer: UHC Medicaid	$10,029.52
Rate for Payer: UHCCP Medicaid	$10,029.52

OTHER GASTROENTERITIS, NAUSEA AND VOMITING

Facility

$6,864.32

Service Code	APR-DRG 2494
Min. Negotiated Rate	$6,537.44
Max. Negotiated Rate	$6,864.32
Rate for Payer: BCBS Complete	$6,864.32
Rate for Payer: Mclaren Medicaid	$6,537.44
Rate for Payer: Meridian Medicaid	$6,864.32
Rate for Payer: Priority Health Choice Medicaid	$6,537.44
Rate for Payer: UHC Medicaid	$6,537.44
Rate for Payer: UHCCP Medicaid	$6,537.44

OTHER GASTROENTERITIS, NAUSEA AND VOMITING

Facility

$3,284.92

Service Code	APR-DRG 2491
Min. Negotiated Rate	$3,128.50
Max. Negotiated Rate	$3,284.92
Rate for Payer: BCBS Complete	$3,284.92
Rate for Payer: Mclaren Medicaid	$3,128.50
Rate for Payer: Meridian Medicaid	$3,284.92
Rate for Payer: Priority Health Choice Medicaid	$3,128.50
Rate for Payer: UHC Medicaid	$3,128.50
Rate for Payer: UHCCP Medicaid	$3,128.50

OTHER GASTROENTERITIS, NAUSEA AND VOMITING

Facility

$5,695.37

Service Code	APR-DRG 2493
Min. Negotiated Rate	$5,424.16
Max. Negotiated Rate	$5,695.37
Rate for Payer: BCBS Complete	$5,695.37
Rate for Payer: Mclaren Medicaid	$5,424.16
Rate for Payer: Meridian Medicaid	$5,695.37
Rate for Payer: Priority Health Choice Medicaid	$5,424.16
Rate for Payer: UHC Medicaid	$5,424.16
Rate for Payer: UHCCP Medicaid	$5,424.16

OTHER GASTROENTERITIS, NAUSEA AND VOMITING

Facility

$4,105.76

Service Code	APR-DRG 2492
Min. Negotiated Rate	$3,910.25
Max. Negotiated Rate	$4,105.76
Rate for Payer: BCBS Complete	$4,105.76
Rate for Payer: Mclaren Medicaid	$3,910.25
Rate for Payer: Meridian Medicaid	$4,105.76
Rate for Payer: Priority Health Choice Medicaid	$3,910.25
Rate for Payer: UHC Medicaid	$3,910.25
Rate for Payer: UHCCP Medicaid	$3,910.25

OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES

Facility

$12,597.55

Service Code	APR-DRG 2643
Min. Negotiated Rate	$11,997.67
Max. Negotiated Rate	$12,597.55
Rate for Payer: BCBS Complete	$12,597.55
Rate for Payer: Mclaren Medicaid	$11,997.67
Rate for Payer: Meridian Medicaid	$12,597.55
Rate for Payer: Priority Health Choice Medicaid	$11,997.67
Rate for Payer: UHC Medicaid	$11,997.67
Rate for Payer: UHCCP Medicaid	$11,997.67

OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES

Facility

$24,005.65

Service Code	APR-DRG 2644
Min. Negotiated Rate	$22,862.52
Max. Negotiated Rate	$24,005.65
Rate for Payer: BCBS Complete	$24,005.65
Rate for Payer: Mclaren Medicaid	$22,862.52
Rate for Payer: Meridian Medicaid	$24,005.65
Rate for Payer: Priority Health Choice Medicaid	$22,862.52
Rate for Payer: UHC Medicaid	$22,862.52
Rate for Payer: UHCCP Medicaid	$22,862.52

OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES

Facility

$4,768.84

Service Code	APR-DRG 2641
Min. Negotiated Rate	$4,541.76
Max. Negotiated Rate	$4,768.84
Rate for Payer: BCBS Complete	$4,768.84
Rate for Payer: Mclaren Medicaid	$4,541.76
Rate for Payer: Meridian Medicaid	$4,768.84
Rate for Payer: Priority Health Choice Medicaid	$4,541.76
Rate for Payer: UHC Medicaid	$4,541.76
Rate for Payer: UHCCP Medicaid	$4,541.76

OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES

Facility

$6,639.26

Service Code	APR-DRG 2642
Min. Negotiated Rate	$6,323.10
Max. Negotiated Rate	$6,639.26
Rate for Payer: BCBS Complete	$6,639.26
Rate for Payer: Mclaren Medicaid	$6,323.10
Rate for Payer: Meridian Medicaid	$6,639.26
Rate for Payer: Priority Health Choice Medicaid	$6,323.10
Rate for Payer: UHC Medicaid	$6,323.10
Rate for Payer: UHCCP Medicaid	$6,323.10

OTHER INFECTIOUS AND PARASITIC DISEASES

Facility

$9,430.94

Service Code	APR-DRG 7243
Min. Negotiated Rate	$8,981.85
Max. Negotiated Rate	$9,430.94
Rate for Payer: BCBS Complete	$9,430.94
Rate for Payer: Mclaren Medicaid	$8,981.85
Rate for Payer: Meridian Medicaid	$9,430.94
Rate for Payer: Priority Health Choice Medicaid	$8,981.85
Rate for Payer: UHC Medicaid	$8,981.85
Rate for Payer: UHCCP Medicaid	$8,981.85

OTHER INFECTIOUS AND PARASITIC DISEASES

Facility

$5,135.35

Service Code	APR-DRG 7242
Min. Negotiated Rate	$4,890.81
Max. Negotiated Rate	$5,135.35
Rate for Payer: BCBS Complete	$5,135.35
Rate for Payer: Mclaren Medicaid	$4,890.81
Rate for Payer: Meridian Medicaid	$5,135.35
Rate for Payer: Priority Health Choice Medicaid	$4,890.81
Rate for Payer: UHC Medicaid	$4,890.81
Rate for Payer: UHCCP Medicaid	$4,890.81

OTHER INFECTIOUS AND PARASITIC DISEASES

Facility

$2,732.79

Service Code	APR-DRG 7241
Min. Negotiated Rate	$2,602.66
Max. Negotiated Rate	$2,732.79
Rate for Payer: BCBS Complete	$2,732.79
Rate for Payer: Mclaren Medicaid	$2,602.66
Rate for Payer: Meridian Medicaid	$2,732.79
Rate for Payer: Priority Health Choice Medicaid	$2,602.66
Rate for Payer: UHC Medicaid	$2,602.66
Rate for Payer: UHCCP Medicaid	$2,602.66

OTHER INFECTIOUS AND PARASITIC DISEASES

Facility

$13,555.10

Service Code	APR-DRG 7244
Min. Negotiated Rate	$12,909.62
Max. Negotiated Rate	$13,555.10
Rate for Payer: BCBS Complete	$13,555.10
Rate for Payer: Mclaren Medicaid	$12,909.62
Rate for Payer: Meridian Medicaid	$13,555.10
Rate for Payer: Priority Health Choice Medicaid	$12,909.62
Rate for Payer: UHC Medicaid	$12,909.62
Rate for Payer: UHCCP Medicaid	$12,909.62

OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES

Facility

$4,745.71

Service Code	APR-DRG 8152
Min. Negotiated Rate	$4,519.72
Max. Negotiated Rate	$4,745.71
Rate for Payer: BCBS Complete	$4,745.71
Rate for Payer: Mclaren Medicaid	$4,519.72
Rate for Payer: Meridian Medicaid	$4,745.71
Rate for Payer: Priority Health Choice Medicaid	$4,519.72
Rate for Payer: UHC Medicaid	$4,519.72
Rate for Payer: UHCCP Medicaid	$4,519.72

OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES

Facility

$8,065.33

Service Code	APR-DRG 8153
Min. Negotiated Rate	$7,681.27
Max. Negotiated Rate	$8,065.33
Rate for Payer: BCBS Complete	$8,065.33
Rate for Payer: Mclaren Medicaid	$7,681.27
Rate for Payer: Meridian Medicaid	$8,065.33
Rate for Payer: Priority Health Choice Medicaid	$7,681.27
Rate for Payer: UHC Medicaid	$7,681.27
Rate for Payer: UHCCP Medicaid	$7,681.27

OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES

Facility

$12,277.84

Service Code	APR-DRG 8154
Min. Negotiated Rate	$11,693.18
Max. Negotiated Rate	$12,277.84
Rate for Payer: BCBS Complete	$12,277.84
Rate for Payer: Mclaren Medicaid	$11,693.18
Rate for Payer: Meridian Medicaid	$12,277.84
Rate for Payer: Priority Health Choice Medicaid	$11,693.18
Rate for Payer: UHC Medicaid	$11,693.18
Rate for Payer: UHCCP Medicaid	$11,693.18

OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES

Facility

$2,130.18

Service Code	APR-DRG 8151
Min. Negotiated Rate	$2,028.74
Max. Negotiated Rate	$2,130.18
Rate for Payer: BCBS Complete	$2,130.18
Rate for Payer: Mclaren Medicaid	$2,028.74
Rate for Payer: Meridian Medicaid	$2,130.18
Rate for Payer: Priority Health Choice Medicaid	$2,028.74
Rate for Payer: UHC Medicaid	$2,028.74
Rate for Payer: UHCCP Medicaid	$2,028.74

OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS

Facility

$4,083.67

Service Code	APR-DRG 4682
Min. Negotiated Rate	$3,889.21
Max. Negotiated Rate	$4,083.67
Rate for Payer: BCBS Complete	$4,083.67
Rate for Payer: Mclaren Medicaid	$3,889.21
Rate for Payer: Meridian Medicaid	$4,083.67
Rate for Payer: Priority Health Choice Medicaid	$3,889.21
Rate for Payer: UHC Medicaid	$3,889.21
Rate for Payer: UHCCP Medicaid	$3,889.21

OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS

Facility

$3,523.13

Service Code	APR-DRG 4681
Min. Negotiated Rate	$3,355.36
Max. Negotiated Rate	$3,523.13
Rate for Payer: BCBS Complete	$3,523.13
Rate for Payer: Mclaren Medicaid	$3,355.36
Rate for Payer: Meridian Medicaid	$3,523.13
Rate for Payer: Priority Health Choice Medicaid	$3,355.36
Rate for Payer: UHC Medicaid	$3,355.36
Rate for Payer: UHCCP Medicaid	$3,355.36

OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS

Facility

$5,906.23

Service Code	APR-DRG 4683
Min. Negotiated Rate	$5,624.99
Max. Negotiated Rate	$5,906.23
Rate for Payer: BCBS Complete	$5,906.23
Rate for Payer: Mclaren Medicaid	$5,624.99
Rate for Payer: Meridian Medicaid	$5,906.23
Rate for Payer: Priority Health Choice Medicaid	$5,624.99
Rate for Payer: UHC Medicaid	$5,624.99
Rate for Payer: UHCCP Medicaid	$5,624.99

OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS

Facility

$9,684.40

Service Code	APR-DRG 4684
Min. Negotiated Rate	$9,223.23
Max. Negotiated Rate	$9,684.40
Rate for Payer: BCBS Complete	$9,684.40
Rate for Payer: Mclaren Medicaid	$9,223.23
Rate for Payer: Meridian Medicaid	$9,684.40
Rate for Payer: Priority Health Choice Medicaid	$9,223.23
Rate for Payer: UHC Medicaid	$9,223.23
Rate for Payer: UHCCP Medicaid	$9,223.23

Know your out-of-pocket cost for care.

All Charges