Bronson Methodist Hospital

All Charges

Charge

Type

Setting

Price

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$10,624.06

Service Code	APR-DRG 6251
Min. Negotiated Rate	$10,118.15
Max. Negotiated Rate	$10,624.06
Rate for Payer: BCBS Complete	$10,624.06
Rate for Payer: Mclaren Medicaid	$10,118.15
Rate for Payer: Meridian Medicaid	$10,624.06
Rate for Payer: Priority Health Choice Medicaid	$10,118.15
Rate for Payer: UHC Medicaid	$10,118.15
Rate for Payer: UHCCP Medicaid	$10,118.15

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJ

Facility

$37,545.89

Service Code	APR-DRG 6224
Min. Negotiated Rate	$35,757.99
Max. Negotiated Rate	$37,545.89
Rate for Payer: BCBS Complete	$37,545.89
Rate for Payer: Mclaren Medicaid	$35,757.99
Rate for Payer: Meridian Medicaid	$37,545.89
Rate for Payer: Priority Health Choice Medicaid	$35,757.99
Rate for Payer: UHC Medicaid	$35,757.99
Rate for Payer: UHCCP Medicaid	$35,757.99

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJ

Facility

$28,196.04

Service Code	APR-DRG 6223
Min. Negotiated Rate	$26,853.37
Max. Negotiated Rate	$28,196.04
Rate for Payer: BCBS Complete	$28,196.04
Rate for Payer: Mclaren Medicaid	$26,853.37
Rate for Payer: Meridian Medicaid	$28,196.04
Rate for Payer: Priority Health Choice Medicaid	$26,853.37
Rate for Payer: UHC Medicaid	$26,853.37
Rate for Payer: UHCCP Medicaid	$26,853.37

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJ

Facility

$12,533.25

Service Code	APR-DRG 6221
Min. Negotiated Rate	$11,936.43
Max. Negotiated Rate	$12,533.25
Rate for Payer: BCBS Complete	$12,533.25
Rate for Payer: Mclaren Medicaid	$11,936.43
Rate for Payer: Meridian Medicaid	$12,533.25
Rate for Payer: Priority Health Choice Medicaid	$11,936.43
Rate for Payer: UHC Medicaid	$11,936.43
Rate for Payer: UHCCP Medicaid	$11,936.43

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJ

Facility

$18,910.35

Service Code	APR-DRG 6222
Min. Negotiated Rate	$18,009.86
Max. Negotiated Rate	$18,910.35
Rate for Payer: BCBS Complete	$18,910.35
Rate for Payer: Mclaren Medicaid	$18,009.86
Rate for Payer: Meridian Medicaid	$18,910.35
Rate for Payer: Priority Health Choice Medicaid	$18,009.86
Rate for Payer: UHC Medicaid	$18,009.86
Rate for Payer: UHCCP Medicaid	$18,009.86

NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM

Facility

$6,531.46

Service Code	APR-DRG 6404
Min. Negotiated Rate	$6,220.44
Max. Negotiated Rate	$6,531.46
Rate for Payer: BCBS Complete	$6,531.46
Rate for Payer: Mclaren Medicaid	$6,220.44
Rate for Payer: Meridian Medicaid	$6,531.46
Rate for Payer: Priority Health Choice Medicaid	$6,220.44
Rate for Payer: UHC Medicaid	$6,220.44
Rate for Payer: UHCCP Medicaid	$6,220.44

NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM

Facility

$4,960.64

Service Code	APR-DRG 6403
Min. Negotiated Rate	$4,724.42
Max. Negotiated Rate	$4,960.64
Rate for Payer: BCBS Complete	$4,960.64
Rate for Payer: Mclaren Medicaid	$4,724.42
Rate for Payer: Meridian Medicaid	$4,960.64
Rate for Payer: Priority Health Choice Medicaid	$4,724.42
Rate for Payer: UHC Medicaid	$4,724.42
Rate for Payer: UHCCP Medicaid	$4,724.42

NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM

Facility

$4,477.59

Service Code	APR-DRG 6402
Min. Negotiated Rate	$4,264.37
Max. Negotiated Rate	$4,477.59
Rate for Payer: BCBS Complete	$4,477.59
Rate for Payer: Mclaren Medicaid	$4,264.37
Rate for Payer: Meridian Medicaid	$4,477.59
Rate for Payer: Priority Health Choice Medicaid	$4,264.37
Rate for Payer: UHC Medicaid	$4,264.37
Rate for Payer: UHCCP Medicaid	$4,264.37

NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM

Facility

$3,713.67

Service Code	APR-DRG 6401
Min. Negotiated Rate	$3,536.83
Max. Negotiated Rate	$3,713.67
Rate for Payer: BCBS Complete	$3,713.67
Rate for Payer: Mclaren Medicaid	$3,536.83
Rate for Payer: Meridian Medicaid	$3,713.67
Rate for Payer: Priority Health Choice Medicaid	$3,536.83
Rate for Payer: UHC Medicaid	$3,536.83
Rate for Payer: UHCCP Medicaid	$3,536.83

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$15,437.00

Service Code	APR-DRG 6363
Min. Negotiated Rate	$14,701.90
Max. Negotiated Rate	$15,437.00
Rate for Payer: BCBS Complete	$15,437.00
Rate for Payer: Mclaren Medicaid	$14,701.90
Rate for Payer: Meridian Medicaid	$15,437.00
Rate for Payer: Priority Health Choice Medicaid	$14,701.90
Rate for Payer: UHC Medicaid	$14,701.90
Rate for Payer: UHCCP Medicaid	$14,701.90

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$6,318.38

Service Code	APR-DRG 6361
Min. Negotiated Rate	$6,017.51
Max. Negotiated Rate	$6,318.38
Rate for Payer: BCBS Complete	$6,318.38
Rate for Payer: Mclaren Medicaid	$6,017.51
Rate for Payer: Meridian Medicaid	$6,318.38
Rate for Payer: Priority Health Choice Medicaid	$6,017.51
Rate for Payer: UHC Medicaid	$6,017.51
Rate for Payer: UHCCP Medicaid	$6,017.51

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$28,231.75

Service Code	APR-DRG 6364
Min. Negotiated Rate	$26,887.38
Max. Negotiated Rate	$28,231.75
Rate for Payer: BCBS Complete	$28,231.75
Rate for Payer: Mclaren Medicaid	$26,887.38
Rate for Payer: Meridian Medicaid	$28,231.75
Rate for Payer: Priority Health Choice Medicaid	$26,887.38
Rate for Payer: UHC Medicaid	$26,887.38
Rate for Payer: UHCCP Medicaid	$26,887.38

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$8,581.69

Service Code	APR-DRG 6362
Min. Negotiated Rate	$8,173.04
Max. Negotiated Rate	$8,581.69
Rate for Payer: BCBS Complete	$8,581.69
Rate for Payer: Mclaren Medicaid	$8,173.04
Rate for Payer: Meridian Medicaid	$8,581.69
Rate for Payer: Priority Health Choice Medicaid	$8,173.04
Rate for Payer: UHC Medicaid	$8,173.04
Rate for Payer: UHCCP Medicaid	$8,173.04

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY

Facility

$11,832.29

Service Code	APR-DRG 6332
Min. Negotiated Rate	$11,268.85
Max. Negotiated Rate	$11,832.29
Rate for Payer: BCBS Complete	$11,832.29
Rate for Payer: Mclaren Medicaid	$11,268.85
Rate for Payer: Meridian Medicaid	$11,832.29
Rate for Payer: Priority Health Choice Medicaid	$11,268.85
Rate for Payer: UHC Medicaid	$11,268.85
Rate for Payer: UHCCP Medicaid	$11,268.85

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY

Facility

$21,880.08

Service Code	APR-DRG 6333
Min. Negotiated Rate	$20,838.17
Max. Negotiated Rate	$21,880.08
Rate for Payer: BCBS Complete	$21,880.08
Rate for Payer: Mclaren Medicaid	$20,838.17
Rate for Payer: Meridian Medicaid	$21,880.08
Rate for Payer: Priority Health Choice Medicaid	$20,838.17
Rate for Payer: UHC Medicaid	$20,838.17
Rate for Payer: UHCCP Medicaid	$20,838.17

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY

Facility

$78,250.97

Service Code	APR-DRG 6334
Min. Negotiated Rate	$74,524.73
Max. Negotiated Rate	$78,250.97
Rate for Payer: BCBS Complete	$78,250.97
Rate for Payer: Mclaren Medicaid	$74,524.73
Rate for Payer: Meridian Medicaid	$78,250.97
Rate for Payer: Priority Health Choice Medicaid	$74,524.73
Rate for Payer: UHC Medicaid	$74,524.73
Rate for Payer: UHCCP Medicaid	$74,524.73

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY

Facility

$5,162.21

Service Code	APR-DRG 6331
Min. Negotiated Rate	$4,916.39
Max. Negotiated Rate	$5,162.21
Rate for Payer: BCBS Complete	$5,162.21
Rate for Payer: Mclaren Medicaid	$4,916.39
Rate for Payer: Meridian Medicaid	$5,162.21
Rate for Payer: Priority Health Choice Medicaid	$4,916.39
Rate for Payer: UHC Medicaid	$4,916.39
Rate for Payer: UHCCP Medicaid	$4,916.39

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE

Facility

$112,164.30

Service Code	APR-DRG 6303
Min. Negotiated Rate	$106,823.14
Max. Negotiated Rate	$112,164.30
Rate for Payer: BCBS Complete	$112,164.30
Rate for Payer: Mclaren Medicaid	$106,823.14
Rate for Payer: Meridian Medicaid	$112,164.30
Rate for Payer: Priority Health Choice Medicaid	$106,823.14
Rate for Payer: UHC Medicaid	$106,823.14
Rate for Payer: UHCCP Medicaid	$106,823.14

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE

Facility

$26,099.80

Service Code	APR-DRG 6301
Min. Negotiated Rate	$24,856.95
Max. Negotiated Rate	$26,099.80
Rate for Payer: BCBS Complete	$26,099.80
Rate for Payer: Mclaren Medicaid	$24,856.95
Rate for Payer: Meridian Medicaid	$26,099.80
Rate for Payer: Priority Health Choice Medicaid	$24,856.95
Rate for Payer: UHC Medicaid	$24,856.95
Rate for Payer: UHCCP Medicaid	$24,856.95

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE

Facility

$196,151.33

Service Code	APR-DRG 6304
Min. Negotiated Rate	$186,810.79
Max. Negotiated Rate	$196,151.33
Rate for Payer: BCBS Complete	$196,151.33
Rate for Payer: Mclaren Medicaid	$186,810.79
Rate for Payer: Meridian Medicaid	$196,151.33
Rate for Payer: Priority Health Choice Medicaid	$186,810.79
Rate for Payer: UHC Medicaid	$186,810.79
Rate for Payer: UHCCP Medicaid	$186,810.79

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE

Facility

$45,622.74

Service Code	APR-DRG 6302
Min. Negotiated Rate	$43,450.23
Max. Negotiated Rate	$45,622.74
Rate for Payer: BCBS Complete	$45,622.74
Rate for Payer: Mclaren Medicaid	$43,450.23
Rate for Payer: Meridian Medicaid	$45,622.74
Rate for Payer: Priority Health Choice Medicaid	$43,450.23
Rate for Payer: UHC Medicaid	$43,450.23
Rate for Payer: UHCCP Medicaid	$43,450.23

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE

Facility

$57,700.79

Service Code	APR-DRG 6313
Min. Negotiated Rate	$54,953.13
Max. Negotiated Rate	$57,700.79
Rate for Payer: BCBS Complete	$57,700.79
Rate for Payer: Mclaren Medicaid	$54,953.13
Rate for Payer: Meridian Medicaid	$57,700.79
Rate for Payer: Priority Health Choice Medicaid	$54,953.13
Rate for Payer: UHC Medicaid	$54,953.13
Rate for Payer: UHCCP Medicaid	$54,953.13

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE

Facility

$21,118.58

Service Code	APR-DRG 6312
Min. Negotiated Rate	$20,112.93
Max. Negotiated Rate	$21,118.58
Rate for Payer: BCBS Complete	$21,118.58
Rate for Payer: Mclaren Medicaid	$20,112.93
Rate for Payer: Meridian Medicaid	$21,118.58
Rate for Payer: Priority Health Choice Medicaid	$20,112.93
Rate for Payer: UHC Medicaid	$20,112.93
Rate for Payer: UHCCP Medicaid	$20,112.93

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE

Facility

$327,094.02

Service Code	APR-DRG 6314
Min. Negotiated Rate	$311,518.12
Max. Negotiated Rate	$327,094.02
Rate for Payer: BCBS Complete	$327,094.02
Rate for Payer: Mclaren Medicaid	$311,518.12
Rate for Payer: Meridian Medicaid	$327,094.02
Rate for Payer: Priority Health Choice Medicaid	$311,518.12
Rate for Payer: UHC Medicaid	$311,518.12
Rate for Payer: UHCCP Medicaid	$311,518.12

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE

Facility

$9,641.62

Service Code	APR-DRG 6311
Min. Negotiated Rate	$9,182.49
Max. Negotiated Rate	$9,641.62
Rate for Payer: BCBS Complete	$9,641.62
Rate for Payer: Mclaren Medicaid	$9,182.49
Rate for Payer: Meridian Medicaid	$9,641.62
Rate for Payer: Priority Health Choice Medicaid	$9,182.49
Rate for Payer: UHC Medicaid	$9,182.49
Rate for Payer: UHCCP Medicaid	$9,182.49

Know your out-of-pocket cost for care.

All Charges