Bronson Methodist Hospital

All Charges

Charge

Type

Setting

Price

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$17,756.00

Service Code	APR-DRG 6393
Min. Negotiated Rate	$16,910.47
Max. Negotiated Rate	$17,756.00
Rate for Payer: BCBS Complete	$17,756.00
Rate for Payer: Mclaren Medicaid	$16,910.47
Rate for Payer: Meridian Medicaid	$17,756.00
Rate for Payer: Priority Health Choice Medicaid	$16,910.47
Rate for Payer: UHC Medicaid	$16,910.47
Rate for Payer: UHCCP Medicaid	$16,910.47

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$20,397.64

Service Code	APR-DRG 6394
Min. Negotiated Rate	$19,426.32
Max. Negotiated Rate	$20,397.64
Rate for Payer: BCBS Complete	$20,397.64
Rate for Payer: Mclaren Medicaid	$19,426.32
Rate for Payer: Meridian Medicaid	$20,397.64
Rate for Payer: Priority Health Choice Medicaid	$19,426.32
Rate for Payer: UHC Medicaid	$19,426.32
Rate for Payer: UHCCP Medicaid	$19,426.32

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$3,414.03

Service Code	APR-DRG 6391
Min. Negotiated Rate	$3,251.46
Max. Negotiated Rate	$3,414.03
Rate for Payer: BCBS Complete	$3,414.03
Rate for Payer: Mclaren Medicaid	$3,251.46
Rate for Payer: Meridian Medicaid	$3,414.03
Rate for Payer: Priority Health Choice Medicaid	$3,251.46
Rate for Payer: UHC Medicaid	$3,251.46
Rate for Payer: UHCCP Medicaid	$3,251.46

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$6,478.79

Service Code	APR-DRG 6392
Min. Negotiated Rate	$6,170.28
Max. Negotiated Rate	$6,478.79
Rate for Payer: BCBS Complete	$6,478.79
Rate for Payer: Mclaren Medicaid	$6,170.28
Rate for Payer: Meridian Medicaid	$6,478.79
Rate for Payer: Priority Health Choice Medicaid	$6,170.28
Rate for Payer: UHC Medicaid	$6,170.28
Rate for Payer: UHCCP Medicaid	$6,170.28

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR

Facility

$10,530.23

Service Code	APR-DRG 6342
Min. Negotiated Rate	$10,028.79
Max. Negotiated Rate	$10,530.23
Rate for Payer: BCBS Complete	$10,530.23
Rate for Payer: Mclaren Medicaid	$10,028.79
Rate for Payer: Meridian Medicaid	$10,530.23
Rate for Payer: Priority Health Choice Medicaid	$10,028.79
Rate for Payer: UHC Medicaid	$10,028.79
Rate for Payer: UHCCP Medicaid	$10,028.79

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR

Facility

$33,218.42

Service Code	APR-DRG 6344
Min. Negotiated Rate	$31,636.59
Max. Negotiated Rate	$33,218.42
Rate for Payer: BCBS Complete	$33,218.42
Rate for Payer: Mclaren Medicaid	$31,636.59
Rate for Payer: Meridian Medicaid	$33,218.42
Rate for Payer: Priority Health Choice Medicaid	$31,636.59
Rate for Payer: UHC Medicaid	$31,636.59
Rate for Payer: UHCCP Medicaid	$31,636.59

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR

Facility

$15,841.36

Service Code	APR-DRG 6343
Min. Negotiated Rate	$15,087.00
Max. Negotiated Rate	$15,841.36
Rate for Payer: BCBS Complete	$15,841.36
Rate for Payer: Mclaren Medicaid	$15,087.00
Rate for Payer: Meridian Medicaid	$15,841.36
Rate for Payer: Priority Health Choice Medicaid	$15,087.00
Rate for Payer: UHC Medicaid	$15,087.00
Rate for Payer: UHCCP Medicaid	$15,087.00

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR

Facility

$7,098.65

Service Code	APR-DRG 6341
Min. Negotiated Rate	$6,760.62
Max. Negotiated Rate	$7,098.65
Rate for Payer: BCBS Complete	$7,098.65
Rate for Payer: Mclaren Medicaid	$6,760.62
Rate for Payer: Meridian Medicaid	$7,098.65
Rate for Payer: Priority Health Choice Medicaid	$6,760.62
Rate for Payer: UHC Medicaid	$6,760.62
Rate for Payer: UHCCP Medicaid	$6,760.62

NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$143,825.22

Service Code	APR-DRG 5913
Min. Negotiated Rate	$136,976.40
Max. Negotiated Rate	$143,825.22
Rate for Payer: BCBS Complete	$143,825.22
Rate for Payer: Mclaren Medicaid	$136,976.40
Rate for Payer: Meridian Medicaid	$143,825.22
Rate for Payer: Priority Health Choice Medicaid	$136,976.40
Rate for Payer: UHC Medicaid	$136,976.40
Rate for Payer: UHCCP Medicaid	$136,976.40

NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$10,014.50

Service Code	APR-DRG 5911
Min. Negotiated Rate	$9,537.62
Max. Negotiated Rate	$10,014.50
Rate for Payer: BCBS Complete	$10,014.50
Rate for Payer: Mclaren Medicaid	$9,537.62
Rate for Payer: Meridian Medicaid	$10,014.50
Rate for Payer: Priority Health Choice Medicaid	$9,537.62
Rate for Payer: UHC Medicaid	$9,537.62
Rate for Payer: UHCCP Medicaid	$9,537.62

NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$190,872.29

Service Code	APR-DRG 5914
Min. Negotiated Rate	$181,783.13
Max. Negotiated Rate	$190,872.29
Rate for Payer: BCBS Complete	$190,872.29
Rate for Payer: Mclaren Medicaid	$181,783.13
Rate for Payer: Meridian Medicaid	$190,872.29
Rate for Payer: Priority Health Choice Medicaid	$181,783.13
Rate for Payer: UHC Medicaid	$181,783.13
Rate for Payer: UHCCP Medicaid	$181,783.13

NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$110,292.64

Service Code	APR-DRG 5912
Min. Negotiated Rate	$105,040.61
Max. Negotiated Rate	$110,292.64
Rate for Payer: BCBS Complete	$110,292.64
Rate for Payer: Mclaren Medicaid	$105,040.61
Rate for Payer: Meridian Medicaid	$110,292.64
Rate for Payer: Priority Health Choice Medicaid	$105,040.61
Rate for Payer: UHC Medicaid	$105,040.61
Rate for Payer: UHCCP Medicaid	$105,040.61

NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <

Facility

$148,692.64

Service Code	APR-DRG 5891
Min. Negotiated Rate	$141,612.04
Max. Negotiated Rate	$148,692.64
Rate for Payer: BCBS Complete	$148,692.64
Rate for Payer: Mclaren Medicaid	$141,612.04
Rate for Payer: Meridian Medicaid	$148,692.64
Rate for Payer: Priority Health Choice Medicaid	$141,612.04
Rate for Payer: UHC Medicaid	$141,612.04
Rate for Payer: UHCCP Medicaid	$141,612.04

NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <

Facility

$2,871.06

Service Code	APR-DRG 5894
Min. Negotiated Rate	$2,734.34
Max. Negotiated Rate	$2,871.06
Rate for Payer: BCBS Complete	$2,871.06
Rate for Payer: Mclaren Medicaid	$2,734.34
Rate for Payer: Meridian Medicaid	$2,871.06
Rate for Payer: Priority Health Choice Medicaid	$2,734.34
Rate for Payer: UHC Medicaid	$2,734.34
Rate for Payer: UHCCP Medicaid	$2,734.34

NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <

Facility

$150,527.98

Service Code	APR-DRG 5893
Min. Negotiated Rate	$143,359.98
Max. Negotiated Rate	$150,527.98
Rate for Payer: BCBS Complete	$150,527.98
Rate for Payer: Mclaren Medicaid	$143,359.98
Rate for Payer: Meridian Medicaid	$150,527.98
Rate for Payer: Priority Health Choice Medicaid	$143,359.98
Rate for Payer: UHC Medicaid	$143,359.98
Rate for Payer: UHCCP Medicaid	$143,359.98

NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <

Facility

$150,638.15

Service Code	APR-DRG 5892
Min. Negotiated Rate	$143,464.91
Max. Negotiated Rate	$150,638.15
Rate for Payer: BCBS Complete	$150,638.15
Rate for Payer: Mclaren Medicaid	$143,464.91
Rate for Payer: Meridian Medicaid	$150,638.15
Rate for Payer: Priority Health Choice Medicaid	$143,464.91
Rate for Payer: UHC Medicaid	$143,464.91
Rate for Payer: UHCCP Medicaid	$143,464.91

NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$86,308.45

Service Code	APR-DRG 5932
Min. Negotiated Rate	$82,198.52
Max. Negotiated Rate	$86,308.45
Rate for Payer: BCBS Complete	$86,308.45
Rate for Payer: Mclaren Medicaid	$82,198.52
Rate for Payer: Meridian Medicaid	$86,308.45
Rate for Payer: Priority Health Choice Medicaid	$82,198.52
Rate for Payer: UHC Medicaid	$82,198.52
Rate for Payer: UHCCP Medicaid	$82,198.52

NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$104,082.00

Service Code	APR-DRG 5933
Min. Negotiated Rate	$99,125.72
Max. Negotiated Rate	$104,082.00
Rate for Payer: BCBS Complete	$104,082.00
Rate for Payer: Mclaren Medicaid	$99,125.72
Rate for Payer: Meridian Medicaid	$104,082.00
Rate for Payer: Priority Health Choice Medicaid	$99,125.72
Rate for Payer: UHC Medicaid	$99,125.72
Rate for Payer: UHCCP Medicaid	$99,125.72

NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$143,733.82

Service Code	APR-DRG 5934
Min. Negotiated Rate	$136,889.35
Max. Negotiated Rate	$143,733.82
Rate for Payer: BCBS Complete	$143,733.82
Rate for Payer: Mclaren Medicaid	$136,889.35
Rate for Payer: Meridian Medicaid	$143,733.82
Rate for Payer: Priority Health Choice Medicaid	$136,889.35
Rate for Payer: UHC Medicaid	$136,889.35
Rate for Payer: UHCCP Medicaid	$136,889.35

NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$41,847.93

Service Code	APR-DRG 5931
Min. Negotiated Rate	$39,855.17
Max. Negotiated Rate	$41,847.93
Rate for Payer: BCBS Complete	$41,847.93
Rate for Payer: Mclaren Medicaid	$39,855.17
Rate for Payer: Meridian Medicaid	$41,847.93
Rate for Payer: Priority Health Choice Medicaid	$39,855.17
Rate for Payer: UHC Medicaid	$39,855.17
Rate for Payer: UHCCP Medicaid	$39,855.17

NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY

Facility

$90,634.97

Service Code	MSDRG 789
Min. Negotiated Rate	$14,880.99
Max. Negotiated Rate	$90,634.97
Rate for Payer: Aetna Medicare	$16,290.77
Rate for Payer: Allen County Amish Medical Aid Commercial	$19,580.25
Rate for Payer: Amish Plain Church Group Commercial	$19,580.25
Rate for Payer: BCBS MAPPO	$15,664.20
Rate for Payer: BCBS Trust/PPO	$90,634.97
Rate for Payer: BCN Commercial	$90,634.97
Rate for Payer: BCN Medicare Advantage	$15,664.20
Rate for Payer: Health Alliance Plan Medicare Advantage	$15,664.20
Rate for Payer: Mclaren Medicare	$15,664.20
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$16,447.41
Rate for Payer: MI Amish Medical Board Commercial	$18,013.83
Rate for Payer: Molina Medicare/Medicaid	$17,230.62
Rate for Payer: Nomi Health Commercial	$23,248.38
Rate for Payer: PACE Medicare	$14,880.99
Rate for Payer: PACE SWMI	$15,664.20
Rate for Payer: PHP Medicare Advantage	$15,664.20
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$36,855.21
Rate for Payer: Priority Health Medicare	$15,664.20
Rate for Payer: Priority Health Tiered Network	$29,484.17
Rate for Payer: Railroad Medicare Medicare	$15,664.20
Rate for Payer: UHC All Payor (Choice/PPO)	$29,375.86
Rate for Payer: UHC Core	$24,576.60
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$15,664.20
Rate for Payer: UHC Exchange	$20,071.10
Rate for Payer: VA VA	$15,664.20

NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE

Facility

$25,878.85

Service Code	APR-DRG 5813
Min. Negotiated Rate	$24,646.53
Max. Negotiated Rate	$25,878.85
Rate for Payer: BCBS Complete	$25,878.85
Rate for Payer: Mclaren Medicaid	$24,646.53
Rate for Payer: Meridian Medicaid	$25,878.85
Rate for Payer: Priority Health Choice Medicaid	$24,646.53
Rate for Payer: UHC Medicaid	$24,646.53
Rate for Payer: UHCCP Medicaid	$24,646.53

NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE

Facility

$1,041.76

Service Code	APR-DRG 5811
Min. Negotiated Rate	$992.16
Max. Negotiated Rate	$1,041.76
Rate for Payer: BCBS Complete	$1,041.76
Rate for Payer: Mclaren Medicaid	$992.16
Rate for Payer: Meridian Medicaid	$1,041.76
Rate for Payer: Priority Health Choice Medicaid	$992.16
Rate for Payer: UHC Medicaid	$992.16
Rate for Payer: UHCCP Medicaid	$992.16

NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE

Facility

$77,134.14

Service Code	APR-DRG 5814
Min. Negotiated Rate	$73,461.09
Max. Negotiated Rate	$77,134.14
Rate for Payer: BCBS Complete	$77,134.14
Rate for Payer: Mclaren Medicaid	$73,461.09
Rate for Payer: Meridian Medicaid	$77,134.14
Rate for Payer: Priority Health Choice Medicaid	$73,461.09
Rate for Payer: UHC Medicaid	$73,461.09
Rate for Payer: UHCCP Medicaid	$73,461.09

NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE

Facility

$4,148.29

Service Code	APR-DRG 5812
Min. Negotiated Rate	$3,950.75
Max. Negotiated Rate	$4,148.29
Rate for Payer: BCBS Complete	$4,148.29
Rate for Payer: Mclaren Medicaid	$3,950.75
Rate for Payer: Meridian Medicaid	$4,148.29
Rate for Payer: Priority Health Choice Medicaid	$3,950.75
Rate for Payer: UHC Medicaid	$3,950.75
Rate for Payer: UHCCP Medicaid	$3,950.75

Know your out-of-pocket cost for care.

All Charges