Bronson Methodist Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE

Facility

$118,986.14

Service Code	APR-DRG 6304
Min. Negotiated Rate	$113,320.13
Max. Negotiated Rate	$118,986.14
Rate for Payer: BCBS Complete	$118,986.14
Rate for Payer: Mclaren Medicaid	$113,320.13
Rate for Payer: Meridian Medicaid	$118,986.14
Rate for Payer: Priority Health Choice Medicaid	$113,320.13
Rate for Payer: UHCCP Medicaid	$113,320.13

APR-DRG 42.00: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE

Facility

$15,502.33

Service Code	APR-DRG 6301
Min. Negotiated Rate	$14,764.12
Max. Negotiated Rate	$15,502.33
Rate for Payer: BCBS Complete	$15,502.33
Rate for Payer: Mclaren Medicaid	$14,764.12
Rate for Payer: Meridian Medicaid	$15,502.33
Rate for Payer: Priority Health Choice Medicaid	$14,764.12
Rate for Payer: UHCCP Medicaid	$14,764.12

APR-DRG 42.00: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE

Facility

$29,905.61

Service Code	APR-DRG 6302
Min. Negotiated Rate	$28,481.53
Max. Negotiated Rate	$29,905.61
Rate for Payer: BCBS Complete	$29,905.61
Rate for Payer: Mclaren Medicaid	$28,481.53
Rate for Payer: Meridian Medicaid	$29,905.61
Rate for Payer: Priority Health Choice Medicaid	$28,481.53
Rate for Payer: UHCCP Medicaid	$28,481.53

APR-DRG 42.00: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE

Facility

$4,454.03

Service Code	APR-DRG 6311
Min. Negotiated Rate	$4,241.93
Max. Negotiated Rate	$4,454.03
Rate for Payer: BCBS Complete	$4,454.03
Rate for Payer: Mclaren Medicaid	$4,241.93
Rate for Payer: Meridian Medicaid	$4,454.03
Rate for Payer: Priority Health Choice Medicaid	$4,241.93
Rate for Payer: UHCCP Medicaid	$4,241.93

APR-DRG 42.00: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE

Facility

$22,212.29

Service Code	APR-DRG 6312
Min. Negotiated Rate	$21,154.56
Max. Negotiated Rate	$22,212.29
Rate for Payer: BCBS Complete	$22,212.29
Rate for Payer: Mclaren Medicaid	$21,154.56
Rate for Payer: Meridian Medicaid	$22,212.29
Rate for Payer: Priority Health Choice Medicaid	$21,154.56
Rate for Payer: UHCCP Medicaid	$21,154.56

APR-DRG 42.00: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE

Facility

$131,191.33

Service Code	APR-DRG 6314
Min. Negotiated Rate	$124,944.12
Max. Negotiated Rate	$131,191.33
Rate for Payer: BCBS Complete	$131,191.33
Rate for Payer: Mclaren Medicaid	$124,944.12
Rate for Payer: Meridian Medicaid	$131,191.33
Rate for Payer: Priority Health Choice Medicaid	$124,944.12
Rate for Payer: UHCCP Medicaid	$124,944.12

APR-DRG 42.00: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE

Facility

$38,582.28

Service Code	APR-DRG 6313
Min. Negotiated Rate	$36,745.03
Max. Negotiated Rate	$38,582.28
Rate for Payer: BCBS Complete	$38,582.28
Rate for Payer: Mclaren Medicaid	$36,745.03
Rate for Payer: Meridian Medicaid	$38,582.28
Rate for Payer: Priority Health Choice Medicaid	$36,745.03
Rate for Payer: UHCCP Medicaid	$36,745.03

APR-DRG 42.00: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$12,089.50

Service Code	APR-DRG 6393
Min. Negotiated Rate	$11,513.81
Max. Negotiated Rate	$12,089.50
Rate for Payer: BCBS Complete	$12,089.50
Rate for Payer: Mclaren Medicaid	$11,513.81
Rate for Payer: Meridian Medicaid	$12,089.50
Rate for Payer: Priority Health Choice Medicaid	$11,513.81
Rate for Payer: UHCCP Medicaid	$11,513.81

APR-DRG 42.00: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$2,140.25

Service Code	APR-DRG 6391
Min. Negotiated Rate	$2,038.33
Max. Negotiated Rate	$2,140.25
Rate for Payer: BCBS Complete	$2,140.25
Rate for Payer: Mclaren Medicaid	$2,038.33
Rate for Payer: Meridian Medicaid	$2,140.25
Rate for Payer: Priority Health Choice Medicaid	$2,038.33
Rate for Payer: UHCCP Medicaid	$2,038.33

APR-DRG 42.00: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$18,163.17

Service Code	APR-DRG 6394
Min. Negotiated Rate	$17,298.26
Max. Negotiated Rate	$18,163.17
Rate for Payer: BCBS Complete	$18,163.17
Rate for Payer: Mclaren Medicaid	$17,298.26
Rate for Payer: Meridian Medicaid	$18,163.17
Rate for Payer: Priority Health Choice Medicaid	$17,298.26
Rate for Payer: UHCCP Medicaid	$17,298.26

APR-DRG 42.00: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$4,106.96

Service Code	APR-DRG 6392
Min. Negotiated Rate	$3,911.39
Max. Negotiated Rate	$4,106.96
Rate for Payer: BCBS Complete	$4,106.96
Rate for Payer: Mclaren Medicaid	$3,911.39
Rate for Payer: Meridian Medicaid	$4,106.96
Rate for Payer: Priority Health Choice Medicaid	$3,911.39
Rate for Payer: UHCCP Medicaid	$3,911.39

APR-DRG 42.00: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$4,164.80

Service Code	APR-DRG 6341
Min. Negotiated Rate	$3,966.48
Max. Negotiated Rate	$4,164.80
Rate for Payer: BCBS Complete	$4,164.80
Rate for Payer: Mclaren Medicaid	$3,966.48
Rate for Payer: Meridian Medicaid	$4,164.80
Rate for Payer: Priority Health Choice Medicaid	$3,966.48
Rate for Payer: UHCCP Medicaid	$3,966.48

APR-DRG 42.00: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$13,593.46

Service Code	APR-DRG 6343
Min. Negotiated Rate	$12,946.15
Max. Negotiated Rate	$13,593.46
Rate for Payer: BCBS Complete	$13,593.46
Rate for Payer: Mclaren Medicaid	$12,946.15
Rate for Payer: Meridian Medicaid	$13,593.46
Rate for Payer: Priority Health Choice Medicaid	$12,946.15
Rate for Payer: UHCCP Medicaid	$12,946.15

APR-DRG 42.00: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$26,030.03

Service Code	APR-DRG 6344
Min. Negotiated Rate	$24,790.50
Max. Negotiated Rate	$26,030.03
Rate for Payer: BCBS Complete	$26,030.03
Rate for Payer: Mclaren Medicaid	$24,790.50
Rate for Payer: Meridian Medicaid	$26,030.03
Rate for Payer: Priority Health Choice Medicaid	$24,790.50
Rate for Payer: UHCCP Medicaid	$24,790.50

APR-DRG 42.00: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$6,825.65

Service Code	APR-DRG 6342
Min. Negotiated Rate	$6,500.62
Max. Negotiated Rate	$6,825.65
Rate for Payer: BCBS Complete	$6,825.65
Rate for Payer: Mclaren Medicaid	$6,500.62
Rate for Payer: Meridian Medicaid	$6,825.65
Rate for Payer: Priority Health Choice Medicaid	$6,500.62
Rate for Payer: UHCCP Medicaid	$6,500.62

APR-DRG 42.00: NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$128,356.95

Service Code	APR-DRG 5914
Min. Negotiated Rate	$122,244.71
Max. Negotiated Rate	$128,356.95
Rate for Payer: BCBS Complete	$128,356.95
Rate for Payer: Mclaren Medicaid	$122,244.71
Rate for Payer: Meridian Medicaid	$128,356.95
Rate for Payer: Priority Health Choice Medicaid	$122,244.71
Rate for Payer: UHCCP Medicaid	$122,244.71

APR-DRG 42.00: NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$96,831.69

Service Code	APR-DRG 5913
Min. Negotiated Rate	$92,220.66
Max. Negotiated Rate	$96,831.69
Rate for Payer: BCBS Complete	$96,831.69
Rate for Payer: Mclaren Medicaid	$92,220.66
Rate for Payer: Meridian Medicaid	$96,831.69
Rate for Payer: Priority Health Choice Medicaid	$92,220.66
Rate for Payer: UHCCP Medicaid	$92,220.66

APR-DRG 42.00: NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$83,064.70

Service Code	APR-DRG 5912
Min. Negotiated Rate	$79,109.24
Max. Negotiated Rate	$83,064.70
Rate for Payer: BCBS Complete	$83,064.70
Rate for Payer: Mclaren Medicaid	$79,109.24
Rate for Payer: Meridian Medicaid	$83,064.70
Rate for Payer: Priority Health Choice Medicaid	$79,109.24
Rate for Payer: UHCCP Medicaid	$79,109.24

APR-DRG 42.00: NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$17,642.57

Service Code	APR-DRG 5911
Min. Negotiated Rate	$16,802.45
Max. Negotiated Rate	$17,642.57
Rate for Payer: BCBS Complete	$17,642.57
Rate for Payer: Mclaren Medicaid	$16,802.45
Rate for Payer: Meridian Medicaid	$17,642.57
Rate for Payer: Priority Health Choice Medicaid	$16,802.45
Rate for Payer: UHCCP Medicaid	$16,802.45

APR-DRG 42.00: NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION

Facility

$91,278.62

Service Code	APR-DRG 5892
Min. Negotiated Rate	$86,932.02
Max. Negotiated Rate	$91,278.62
Rate for Payer: BCBS Complete	$91,278.62
Rate for Payer: Mclaren Medicaid	$86,932.02
Rate for Payer: Meridian Medicaid	$91,278.62
Rate for Payer: Priority Health Choice Medicaid	$86,932.02
Rate for Payer: UHCCP Medicaid	$86,932.02

APR-DRG 42.00: NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION

Facility

$91,278.62

Service Code	APR-DRG 5891
Min. Negotiated Rate	$86,932.02
Max. Negotiated Rate	$91,278.62
Rate for Payer: BCBS Complete	$91,278.62
Rate for Payer: Mclaren Medicaid	$86,932.02
Rate for Payer: Meridian Medicaid	$91,278.62
Rate for Payer: Priority Health Choice Medicaid	$86,932.02
Rate for Payer: UHCCP Medicaid	$86,932.02

APR-DRG 42.00: NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION

Facility

$91,278.62

Service Code	APR-DRG 5893
Min. Negotiated Rate	$86,932.02
Max. Negotiated Rate	$91,278.62
Rate for Payer: BCBS Complete	$91,278.62
Rate for Payer: Mclaren Medicaid	$86,932.02
Rate for Payer: Meridian Medicaid	$91,278.62
Rate for Payer: Priority Health Choice Medicaid	$86,932.02
Rate for Payer: UHCCP Medicaid	$86,932.02

APR-DRG 42.00: NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION

Facility

$1,908.87

Service Code	APR-DRG 5894
Min. Negotiated Rate	$1,817.97
Max. Negotiated Rate	$1,908.87
Rate for Payer: BCBS Complete	$1,908.87
Rate for Payer: Mclaren Medicaid	$1,817.97
Rate for Payer: Meridian Medicaid	$1,908.87
Rate for Payer: Priority Health Choice Medicaid	$1,817.97
Rate for Payer: UHCCP Medicaid	$1,817.97

APR-DRG 42.00: NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$82,544.10

Service Code	APR-DRG 5933
Min. Negotiated Rate	$78,613.43
Max. Negotiated Rate	$82,544.10
Rate for Payer: BCBS Complete	$82,544.10
Rate for Payer: Mclaren Medicaid	$78,613.43
Rate for Payer: Meridian Medicaid	$82,544.10
Rate for Payer: Priority Health Choice Medicaid	$78,613.43
Rate for Payer: UHCCP Medicaid	$78,613.43

APR-DRG 42.00: NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$50,556.09

Service Code	APR-DRG 5931
Min. Negotiated Rate	$48,148.66
Max. Negotiated Rate	$50,556.09
Rate for Payer: BCBS Complete	$50,556.09
Rate for Payer: Mclaren Medicaid	$48,148.66
Rate for Payer: Meridian Medicaid	$50,556.09
Rate for Payer: Priority Health Choice Medicaid	$48,148.66
Rate for Payer: UHCCP Medicaid	$48,148.66

Know your out-of-pocket cost for care.

All Charges