Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: ALCOHOL ABUSE AND DEPENDENCE

Facility

$2,069.34

Service Code	APR-DRG 7751
Min. Negotiated Rate	$1,970.80
Max. Negotiated Rate	$2,069.34
Rate for Payer: BCBS Complete	$2,069.34
Rate for Payer: Mclaren Medicaid	$1,970.80
Rate for Payer: Meridian Medicaid	$2,069.34
Rate for Payer: PHP Medicaid	$1,970.80
Rate for Payer: Priority Health Choice Medicaid	$1,970.80
Rate for Payer: UHCCP Medicaid	$1,970.80

APR-DRG 42.00: ALCOHOL ABUSE AND DEPENDENCE

Facility

$12,985.11

Service Code	APR-DRG 7754
Min. Negotiated Rate	$12,366.77
Max. Negotiated Rate	$12,985.11
Rate for Payer: BCBS Complete	$12,985.11
Rate for Payer: Mclaren Medicaid	$12,366.77
Rate for Payer: Meridian Medicaid	$12,985.11
Rate for Payer: PHP Medicaid	$12,366.77
Rate for Payer: Priority Health Choice Medicaid	$12,366.77
Rate for Payer: UHCCP Medicaid	$12,366.77

APR-DRG 42.00: ALCOHOLIC LIVER DISEASE

Facility

$6,828.82

Service Code	APR-DRG 2803
Min. Negotiated Rate	$6,503.64
Max. Negotiated Rate	$6,828.82
Rate for Payer: BCBS Complete	$6,828.82
Rate for Payer: Mclaren Medicaid	$6,503.64
Rate for Payer: Meridian Medicaid	$6,828.82
Rate for Payer: PHP Medicaid	$6,503.64
Rate for Payer: Priority Health Choice Medicaid	$6,503.64
Rate for Payer: UHCCP Medicaid	$6,503.64

APR-DRG 42.00: ALCOHOLIC LIVER DISEASE

Facility

$13,398.98

Service Code	APR-DRG 2804
Min. Negotiated Rate	$12,760.93
Max. Negotiated Rate	$13,398.98
Rate for Payer: BCBS Complete	$13,398.98
Rate for Payer: Mclaren Medicaid	$12,760.93
Rate for Payer: Meridian Medicaid	$13,398.98
Rate for Payer: PHP Medicaid	$12,760.93
Rate for Payer: Priority Health Choice Medicaid	$12,760.93
Rate for Payer: UHCCP Medicaid	$12,760.93

APR-DRG 42.00: ALCOHOLIC LIVER DISEASE

Facility

$4,345.61

Service Code	APR-DRG 2802
Min. Negotiated Rate	$4,138.68
Max. Negotiated Rate	$4,345.61
Rate for Payer: BCBS Complete	$4,345.61
Rate for Payer: Mclaren Medicaid	$4,138.68
Rate for Payer: Meridian Medicaid	$4,345.61
Rate for Payer: PHP Medicaid	$4,138.68
Rate for Payer: Priority Health Choice Medicaid	$4,138.68
Rate for Payer: UHCCP Medicaid	$4,138.68

APR-DRG 42.00: ALCOHOLIC LIVER DISEASE

Facility

$3,259.21

Service Code	APR-DRG 2801
Min. Negotiated Rate	$3,104.01
Max. Negotiated Rate	$3,259.21
Rate for Payer: BCBS Complete	$3,259.21
Rate for Payer: Mclaren Medicaid	$3,104.01
Rate for Payer: Meridian Medicaid	$3,259.21
Rate for Payer: PHP Medicaid	$3,104.01
Rate for Payer: Priority Health Choice Medicaid	$3,104.01
Rate for Payer: UHCCP Medicaid	$3,104.01

APR-DRG 42.00: ALLERGIC REACTIONS

Facility

$2,897.08

Service Code	APR-DRG 8112
Min. Negotiated Rate	$2,759.12
Max. Negotiated Rate	$2,897.08
Rate for Payer: BCBS Complete	$2,897.08
Rate for Payer: Mclaren Medicaid	$2,759.12
Rate for Payer: Meridian Medicaid	$2,897.08
Rate for Payer: PHP Medicaid	$2,759.12
Rate for Payer: Priority Health Choice Medicaid	$2,759.12
Rate for Payer: UHCCP Medicaid	$2,759.12

APR-DRG 42.00: ALLERGIC REACTIONS

Facility

$2,017.61

Service Code	APR-DRG 8111
Min. Negotiated Rate	$1,921.53
Max. Negotiated Rate	$2,017.61
Rate for Payer: BCBS Complete	$2,017.61
Rate for Payer: Mclaren Medicaid	$1,921.53
Rate for Payer: Meridian Medicaid	$2,017.61
Rate for Payer: PHP Medicaid	$1,921.53
Rate for Payer: Priority Health Choice Medicaid	$1,921.53
Rate for Payer: UHCCP Medicaid	$1,921.53

APR-DRG 42.00: ALLERGIC REACTIONS

Facility

$5,638.95

Service Code	APR-DRG 8113
Min. Negotiated Rate	$5,370.43
Max. Negotiated Rate	$5,638.95
Rate for Payer: BCBS Complete	$5,638.95
Rate for Payer: Mclaren Medicaid	$5,370.43
Rate for Payer: Meridian Medicaid	$5,638.95
Rate for Payer: PHP Medicaid	$5,370.43
Rate for Payer: Priority Health Choice Medicaid	$5,370.43
Rate for Payer: UHCCP Medicaid	$5,370.43

APR-DRG 42.00: ALLERGIC REACTIONS

Facility

$10,967.50

Service Code	APR-DRG 8114
Min. Negotiated Rate	$10,445.24
Max. Negotiated Rate	$10,967.50
Rate for Payer: BCBS Complete	$10,967.50
Rate for Payer: Mclaren Medicaid	$10,445.24
Rate for Payer: Meridian Medicaid	$10,967.50
Rate for Payer: PHP Medicaid	$10,445.24
Rate for Payer: Priority Health Choice Medicaid	$10,445.24
Rate for Payer: UHCCP Medicaid	$10,445.24

APR-DRG 42.00: ALLOGENEIC BONE MARROW TRANSPLANT

Facility

$43,145.74

Service Code	APR-DRG 0072
Min. Negotiated Rate	$41,091.18
Max. Negotiated Rate	$43,145.74
Rate for Payer: BCBS Complete	$43,145.74
Rate for Payer: Mclaren Medicaid	$41,091.18
Rate for Payer: Meridian Medicaid	$43,145.74
Rate for Payer: PHP Medicaid	$41,091.18
Rate for Payer: Priority Health Choice Medicaid	$41,091.18
Rate for Payer: UHCCP Medicaid	$41,091.18

APR-DRG 42.00: ALLOGENEIC BONE MARROW TRANSPLANT

Facility

$38,075.86

Service Code	APR-DRG 0071
Min. Negotiated Rate	$36,262.72
Max. Negotiated Rate	$38,075.86
Rate for Payer: BCBS Complete	$38,075.86
Rate for Payer: Mclaren Medicaid	$36,262.72
Rate for Payer: Meridian Medicaid	$38,075.86
Rate for Payer: PHP Medicaid	$36,262.72
Rate for Payer: Priority Health Choice Medicaid	$36,262.72
Rate for Payer: UHCCP Medicaid	$36,262.72

APR-DRG 42.00: ALLOGENEIC BONE MARROW TRANSPLANT

Facility

$61,252.46

Service Code	APR-DRG 0073
Min. Negotiated Rate	$58,335.68
Max. Negotiated Rate	$61,252.46
Rate for Payer: BCBS Complete	$61,252.46
Rate for Payer: Mclaren Medicaid	$58,335.68
Rate for Payer: Meridian Medicaid	$61,252.46
Rate for Payer: PHP Medicaid	$58,335.68
Rate for Payer: Priority Health Choice Medicaid	$58,335.68
Rate for Payer: UHCCP Medicaid	$58,335.68

APR-DRG 42.00: ALLOGENEIC BONE MARROW TRANSPLANT

Facility

$96,327.78

Service Code	APR-DRG 0074
Min. Negotiated Rate	$91,740.74
Max. Negotiated Rate	$96,327.78
Rate for Payer: BCBS Complete	$96,327.78
Rate for Payer: Mclaren Medicaid	$91,740.74
Rate for Payer: Meridian Medicaid	$96,327.78
Rate for Payer: PHP Medicaid	$91,740.74
Rate for Payer: Priority Health Choice Medicaid	$91,740.74
Rate for Payer: UHCCP Medicaid	$91,740.74

APR-DRG 42.00: ALTERATION IN CONSCIOUSNESS

Facility

$6,208.02

Service Code	APR-DRG 0523
Min. Negotiated Rate	$5,912.40
Max. Negotiated Rate	$6,208.02
Rate for Payer: BCBS Complete	$6,208.02
Rate for Payer: Mclaren Medicaid	$5,912.40
Rate for Payer: Meridian Medicaid	$6,208.02
Rate for Payer: PHP Medicaid	$5,912.40
Rate for Payer: Priority Health Choice Medicaid	$5,912.40
Rate for Payer: UHCCP Medicaid	$5,912.40

APR-DRG 42.00: ALTERATION IN CONSCIOUSNESS

Facility

$10,812.30

Service Code	APR-DRG 0524
Min. Negotiated Rate	$10,297.43
Max. Negotiated Rate	$10,812.30
Rate for Payer: BCBS Complete	$10,812.30
Rate for Payer: Mclaren Medicaid	$10,297.43
Rate for Payer: Meridian Medicaid	$10,812.30
Rate for Payer: PHP Medicaid	$10,297.43
Rate for Payer: Priority Health Choice Medicaid	$10,297.43
Rate for Payer: UHCCP Medicaid	$10,297.43

APR-DRG 42.00: ALTERATION IN CONSCIOUSNESS

Facility

$4,293.88

Service Code	APR-DRG 0522
Min. Negotiated Rate	$4,089.41
Max. Negotiated Rate	$4,293.88
Rate for Payer: BCBS Complete	$4,293.88
Rate for Payer: Mclaren Medicaid	$4,089.41
Rate for Payer: Meridian Medicaid	$4,293.88
Rate for Payer: PHP Medicaid	$4,089.41
Rate for Payer: Priority Health Choice Medicaid	$4,089.41
Rate for Payer: UHCCP Medicaid	$4,089.41

APR-DRG 42.00: ALTERATION IN CONSCIOUSNESS

Facility

$3,310.94

Service Code	APR-DRG 0521
Min. Negotiated Rate	$3,153.28
Max. Negotiated Rate	$3,310.94
Rate for Payer: BCBS Complete	$3,310.94
Rate for Payer: Mclaren Medicaid	$3,153.28
Rate for Payer: Meridian Medicaid	$3,310.94
Rate for Payer: PHP Medicaid	$3,153.28
Rate for Payer: Priority Health Choice Medicaid	$3,153.28
Rate for Payer: UHCCP Medicaid	$3,153.28

APR-DRG 42.00: AMPUTATION OF LOWER LIMB EXCEPT TOES

Facility

$7,811.76

Service Code	APR-DRG 3052
Min. Negotiated Rate	$7,439.77
Max. Negotiated Rate	$7,811.76
Rate for Payer: BCBS Complete	$7,811.76
Rate for Payer: Mclaren Medicaid	$7,439.77
Rate for Payer: Meridian Medicaid	$7,811.76
Rate for Payer: PHP Medicaid	$7,439.77
Rate for Payer: Priority Health Choice Medicaid	$7,439.77
Rate for Payer: UHCCP Medicaid	$7,439.77

APR-DRG 42.00: AMPUTATION OF LOWER LIMB EXCEPT TOES

Facility

$5,742.42

Service Code	APR-DRG 3051
Min. Negotiated Rate	$5,468.97
Max. Negotiated Rate	$5,742.42
Rate for Payer: BCBS Complete	$5,742.42
Rate for Payer: Mclaren Medicaid	$5,468.97
Rate for Payer: Meridian Medicaid	$5,742.42
Rate for Payer: PHP Medicaid	$5,468.97
Rate for Payer: Priority Health Choice Medicaid	$5,468.97
Rate for Payer: UHCCP Medicaid	$5,468.97

APR-DRG 42.00: AMPUTATION OF LOWER LIMB EXCEPT TOES

Facility

$19,762.20

Service Code	APR-DRG 3054
Min. Negotiated Rate	$18,821.14
Max. Negotiated Rate	$19,762.20
Rate for Payer: BCBS Complete	$19,762.20
Rate for Payer: Mclaren Medicaid	$18,821.14
Rate for Payer: Meridian Medicaid	$19,762.20
Rate for Payer: PHP Medicaid	$18,821.14
Rate for Payer: Priority Health Choice Medicaid	$18,821.14
Rate for Payer: UHCCP Medicaid	$18,821.14

APR-DRG 42.00: AMPUTATION OF LOWER LIMB EXCEPT TOES

Facility

$12,002.17

Service Code	APR-DRG 3053
Min. Negotiated Rate	$11,430.64
Max. Negotiated Rate	$12,002.17
Rate for Payer: BCBS Complete	$12,002.17
Rate for Payer: Mclaren Medicaid	$11,430.64
Rate for Payer: Meridian Medicaid	$12,002.17
Rate for Payer: PHP Medicaid	$11,430.64
Rate for Payer: Priority Health Choice Medicaid	$11,430.64
Rate for Payer: UHCCP Medicaid	$11,430.64

APR-DRG 42.00: ANAL AND PERINEAL PROCEDURES

Facility

$8,898.16

Service Code	APR-DRG 2263
Min. Negotiated Rate	$8,474.44
Max. Negotiated Rate	$8,898.16
Rate for Payer: BCBS Complete	$8,898.16
Rate for Payer: Mclaren Medicaid	$8,474.44
Rate for Payer: Meridian Medicaid	$8,898.16
Rate for Payer: PHP Medicaid	$8,474.44
Rate for Payer: Priority Health Choice Medicaid	$8,474.44
Rate for Payer: UHCCP Medicaid	$8,474.44

APR-DRG 42.00: ANAL AND PERINEAL PROCEDURES

Facility

$4,552.55

Service Code	APR-DRG 2261
Min. Negotiated Rate	$4,335.76
Max. Negotiated Rate	$4,552.55
Rate for Payer: BCBS Complete	$4,552.55
Rate for Payer: Mclaren Medicaid	$4,335.76
Rate for Payer: Meridian Medicaid	$4,552.55
Rate for Payer: PHP Medicaid	$4,335.76
Rate for Payer: Priority Health Choice Medicaid	$4,335.76
Rate for Payer: UHCCP Medicaid	$4,335.76

APR-DRG 42.00: ANAL AND PERINEAL PROCEDURES

Facility

$13,295.51

Service Code	APR-DRG 2264
Min. Negotiated Rate	$12,662.39
Max. Negotiated Rate	$13,295.51
Rate for Payer: BCBS Complete	$13,295.51
Rate for Payer: Mclaren Medicaid	$12,662.39
Rate for Payer: Meridian Medicaid	$13,295.51
Rate for Payer: PHP Medicaid	$12,662.39
Rate for Payer: Priority Health Choice Medicaid	$12,662.39
Rate for Payer: UHCCP Medicaid	$12,662.39

Know your out-of-pocket cost for care.

All Charges