Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: ALCOHOL ABUSE AND DEPENDENCE

Facility

$2,948.81

Service Code	APR-DRG 7751
Min. Negotiated Rate	$2,808.39
Max. Negotiated Rate	$2,948.81
Rate for Payer: BCBS Complete	$2,948.81
Rate for Payer: Mclaren Medicaid	$2,808.39
Rate for Payer: Meridian Medicaid	$2,948.81
Rate for Payer: PHP Medicaid	$2,808.39
Rate for Payer: Priority Health Choice Medicaid	$2,808.39
Rate for Payer: UHCCP Medicaid	$2,808.39

APR-DRG 42.00: ALCOHOL ABUSE AND DEPENDENCE

Facility

$11,588.30

Service Code	APR-DRG 7754
Min. Negotiated Rate	$11,036.48
Max. Negotiated Rate	$11,588.30
Rate for Payer: BCBS Complete	$11,588.30
Rate for Payer: Mclaren Medicaid	$11,036.48
Rate for Payer: Meridian Medicaid	$11,588.30
Rate for Payer: PHP Medicaid	$11,036.48
Rate for Payer: Priority Health Choice Medicaid	$11,036.48
Rate for Payer: UHCCP Medicaid	$11,036.48

APR-DRG 42.00: ALCOHOLIC LIVER DISEASE

Facility

$3,155.74

Service Code	APR-DRG 2801
Min. Negotiated Rate	$3,005.47
Max. Negotiated Rate	$3,155.74
Rate for Payer: BCBS Complete	$3,155.74
Rate for Payer: Mclaren Medicaid	$3,005.47
Rate for Payer: Meridian Medicaid	$3,155.74
Rate for Payer: PHP Medicaid	$3,005.47
Rate for Payer: Priority Health Choice Medicaid	$3,005.47
Rate for Payer: UHCCP Medicaid	$3,005.47

APR-DRG 42.00: ALCOHOLIC LIVER DISEASE

Facility

$5,638.95

Service Code	APR-DRG 2803
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: ALCOHOLIC LIVER DISEASE

Facility

$4,086.95

Service Code	APR-DRG 2802
Min. Negotiated Rate	$3,892.33
Max. Negotiated Rate	$4,086.95
Rate for Payer: BCBS Complete	$4,086.95
Rate for Payer: Mclaren Medicaid	$3,892.33
Rate for Payer: Meridian Medicaid	$4,086.95
Rate for Payer: PHP Medicaid	$3,892.33
Rate for Payer: Priority Health Choice Medicaid	$3,892.33
Rate for Payer: UHCCP Medicaid	$3,892.33

APR-DRG 42.00: ALCOHOLIC LIVER DISEASE

Facility

$12,985.11

Service Code	APR-DRG 2804
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: ALLERGIC REACTIONS

Facility

$2,172.81

Service Code	APR-DRG 8112
Min. Negotiated Rate	$2,069.34
Max. Negotiated Rate	$2,172.81
Rate for Payer: BCBS Complete	$2,172.81
Rate for Payer: Mclaren Medicaid	$2,069.34
Rate for Payer: Meridian Medicaid	$2,172.81
Rate for Payer: PHP Medicaid	$2,069.34
Rate for Payer: Priority Health Choice Medicaid	$2,069.34
Rate for Payer: UHCCP Medicaid	$2,069.34

APR-DRG 42.00: ALLERGIC REACTIONS

Facility

$4,759.48

Service Code	APR-DRG 8113
Min. Negotiated Rate	$4,532.84
Max. Negotiated Rate	$4,759.48
Rate for Payer: BCBS Complete	$4,759.48
Rate for Payer: Mclaren Medicaid	$4,532.84
Rate for Payer: Meridian Medicaid	$4,759.48
Rate for Payer: PHP Medicaid	$4,532.84
Rate for Payer: Priority Health Choice Medicaid	$4,532.84
Rate for Payer: UHCCP Medicaid	$4,532.84

APR-DRG 42.00: ALLERGIC REACTIONS

Facility

$1,500.27

Service Code	APR-DRG 8111
Min. Negotiated Rate	$1,428.83
Max. Negotiated Rate	$1,500.27
Rate for Payer: BCBS Complete	$1,500.27
Rate for Payer: Mclaren Medicaid	$1,428.83
Rate for Payer: Meridian Medicaid	$1,500.27
Rate for Payer: PHP Medicaid	$1,428.83
Rate for Payer: Priority Health Choice Medicaid	$1,428.83
Rate for Payer: UHCCP Medicaid	$1,428.83

APR-DRG 42.00: ALLERGIC REACTIONS

Facility

$9,053.36

Service Code	APR-DRG 8114
Min. Negotiated Rate	$8,622.25
Max. Negotiated Rate	$9,053.36
Rate for Payer: BCBS Complete	$9,053.36
Rate for Payer: Mclaren Medicaid	$8,622.25
Rate for Payer: Meridian Medicaid	$9,053.36
Rate for Payer: PHP Medicaid	$8,622.25
Rate for Payer: Priority Health Choice Medicaid	$8,622.25
Rate for Payer: UHCCP Medicaid	$8,622.25

APR-DRG 42.00: ALLOGENEIC BONE MARROW TRANSPLANT

Facility

$109,364.62

Service Code	APR-DRG 0074
Min. Negotiated Rate	$104,156.78
Max. Negotiated Rate	$109,364.62
Rate for Payer: BCBS Complete	$109,364.62
Rate for Payer: Mclaren Medicaid	$104,156.78
Rate for Payer: Meridian Medicaid	$109,364.62
Rate for Payer: PHP Medicaid	$104,156.78
Rate for Payer: Priority Health Choice Medicaid	$104,156.78
Rate for Payer: UHCCP Medicaid	$104,156.78

APR-DRG 42.00: ALLOGENEIC BONE MARROW TRANSPLANT

Facility

$58,148.45

Service Code	APR-DRG 0073
Min. Negotiated Rate	$55,379.48
Max. Negotiated Rate	$58,148.45
Rate for Payer: BCBS Complete	$58,148.45
Rate for Payer: Mclaren Medicaid	$55,379.48
Rate for Payer: Meridian Medicaid	$58,148.45
Rate for Payer: PHP Medicaid	$55,379.48
Rate for Payer: Priority Health Choice Medicaid	$55,379.48
Rate for Payer: UHCCP Medicaid	$55,379.48

APR-DRG 42.00: ALLOGENEIC BONE MARROW TRANSPLANT

Facility

$51,681.77

Service Code	APR-DRG 0071
Min. Negotiated Rate	$49,220.73
Max. Negotiated Rate	$51,681.77
Rate for Payer: BCBS Complete	$51,681.77
Rate for Payer: Mclaren Medicaid	$49,220.73
Rate for Payer: Meridian Medicaid	$51,681.77
Rate for Payer: PHP Medicaid	$49,220.73
Rate for Payer: Priority Health Choice Medicaid	$49,220.73
Rate for Payer: UHCCP Medicaid	$49,220.73

APR-DRG 42.00: ALLOGENEIC BONE MARROW TRANSPLANT

Facility

$57,527.65

Service Code	APR-DRG 0072
Min. Negotiated Rate	$54,788.24
Max. Negotiated Rate	$57,527.65
Rate for Payer: BCBS Complete	$57,527.65
Rate for Payer: Mclaren Medicaid	$54,788.24
Rate for Payer: Meridian Medicaid	$57,527.65
Rate for Payer: PHP Medicaid	$54,788.24
Rate for Payer: Priority Health Choice Medicaid	$54,788.24
Rate for Payer: UHCCP Medicaid	$54,788.24

APR-DRG 42.00: ALTERATION IN CONSCIOUSNESS

Facility

$4,811.22

Service Code	APR-DRG 0522
Min. Negotiated Rate	$4,582.11
Max. Negotiated Rate	$4,811.22
Rate for Payer: BCBS Complete	$4,811.22
Rate for Payer: Mclaren Medicaid	$4,582.11
Rate for Payer: Meridian Medicaid	$4,811.22
Rate for Payer: PHP Medicaid	$4,582.11
Rate for Payer: Priority Health Choice Medicaid	$4,582.11
Rate for Payer: UHCCP Medicaid	$4,582.11

APR-DRG 42.00: ALTERATION IN CONSCIOUSNESS

Facility

$6,570.15

Service Code	APR-DRG 0523
Min. Negotiated Rate	$6,257.29
Max. Negotiated Rate	$6,570.15
Rate for Payer: BCBS Complete	$6,570.15
Rate for Payer: Mclaren Medicaid	$6,257.29
Rate for Payer: Meridian Medicaid	$6,570.15
Rate for Payer: PHP Medicaid	$6,257.29
Rate for Payer: Priority Health Choice Medicaid	$6,257.29
Rate for Payer: UHCCP Medicaid	$6,257.29

APR-DRG 42.00: ALTERATION IN CONSCIOUSNESS

Facility

$10,864.04

Service Code	APR-DRG 0524
Min. Negotiated Rate	$10,346.70
Max. Negotiated Rate	$10,864.04
Rate for Payer: BCBS Complete	$10,864.04
Rate for Payer: Mclaren Medicaid	$10,346.70
Rate for Payer: Meridian Medicaid	$10,864.04
Rate for Payer: PHP Medicaid	$10,346.70
Rate for Payer: Priority Health Choice Medicaid	$10,346.70
Rate for Payer: UHCCP Medicaid	$10,346.70

APR-DRG 42.00: ALTERATION IN CONSCIOUSNESS

Facility

$3,569.61

Service Code	APR-DRG 0521
Min. Negotiated Rate	$3,399.63
Max. Negotiated Rate	$3,569.61
Rate for Payer: BCBS Complete	$3,569.61
Rate for Payer: Mclaren Medicaid	$3,399.63
Rate for Payer: Meridian Medicaid	$3,569.61
Rate for Payer: PHP Medicaid	$3,399.63
Rate for Payer: Priority Health Choice Medicaid	$3,399.63
Rate for Payer: UHCCP Medicaid	$3,399.63

APR-DRG 42.00: AMPUTATION OF LOWER LIMB EXCEPT TOES

Facility

$9,260.30

Service Code	APR-DRG 3052
Min. Negotiated Rate	$8,819.33
Max. Negotiated Rate	$9,260.30
Rate for Payer: BCBS Complete	$9,260.30
Rate for Payer: Mclaren Medicaid	$8,819.33
Rate for Payer: Meridian Medicaid	$9,260.30
Rate for Payer: PHP Medicaid	$8,819.33
Rate for Payer: Priority Health Choice Medicaid	$8,819.33
Rate for Payer: UHCCP Medicaid	$8,819.33

APR-DRG 42.00: AMPUTATION OF LOWER LIMB EXCEPT TOES

Facility

$8,329.09

Service Code	APR-DRG 3051
Min. Negotiated Rate	$7,932.47
Max. Negotiated Rate	$8,329.09
Rate for Payer: BCBS Complete	$8,329.09
Rate for Payer: Mclaren Medicaid	$7,932.47
Rate for Payer: Meridian Medicaid	$8,329.09
Rate for Payer: PHP Medicaid	$7,932.47
Rate for Payer: Priority Health Choice Medicaid	$7,932.47
Rate for Payer: UHCCP Medicaid	$7,932.47

APR-DRG 42.00: AMPUTATION OF LOWER LIMB EXCEPT TOES

Facility

$13,657.64

Service Code	APR-DRG 3053
Min. Negotiated Rate	$13,007.28
Max. Negotiated Rate	$13,657.64
Rate for Payer: BCBS Complete	$13,657.64
Rate for Payer: Mclaren Medicaid	$13,007.28
Rate for Payer: Meridian Medicaid	$13,657.64
Rate for Payer: PHP Medicaid	$13,007.28
Rate for Payer: Priority Health Choice Medicaid	$13,007.28
Rate for Payer: UHCCP Medicaid	$13,007.28

APR-DRG 42.00: AMPUTATION OF LOWER LIMB EXCEPT TOES

Facility

$17,951.52

Service Code	APR-DRG 3054
Min. Negotiated Rate	$17,096.69
Max. Negotiated Rate	$17,951.52
Rate for Payer: BCBS Complete	$17,951.52
Rate for Payer: Mclaren Medicaid	$17,096.69
Rate for Payer: Meridian Medicaid	$17,951.52
Rate for Payer: PHP Medicaid	$17,096.69
Rate for Payer: Priority Health Choice Medicaid	$17,096.69
Rate for Payer: UHCCP Medicaid	$17,096.69

APR-DRG 42.00: ANAL AND PERINEAL PROCEDURES

Facility

$5,328.55

Service Code	APR-DRG 2261
Min. Negotiated Rate	$5,074.81
Max. Negotiated Rate	$5,328.55
Rate for Payer: BCBS Complete	$5,328.55
Rate for Payer: Mclaren Medicaid	$5,074.81
Rate for Payer: Meridian Medicaid	$5,328.55
Rate for Payer: PHP Medicaid	$5,074.81
Rate for Payer: Priority Health Choice Medicaid	$5,074.81
Rate for Payer: UHCCP Medicaid	$5,074.81

APR-DRG 42.00: ANAL AND PERINEAL PROCEDURES

Facility

$11,277.90

Service Code	APR-DRG 2263
Min. Negotiated Rate	$10,740.86
Max. Negotiated Rate	$11,277.90
Rate for Payer: BCBS Complete	$11,277.90
Rate for Payer: Mclaren Medicaid	$10,740.86
Rate for Payer: Meridian Medicaid	$11,277.90
Rate for Payer: PHP Medicaid	$10,740.86
Rate for Payer: Priority Health Choice Medicaid	$10,740.86
Rate for Payer: UHCCP Medicaid	$10,740.86

APR-DRG 42.00: ANAL AND PERINEAL PROCEDURES

Facility

$16,865.12

Service Code	APR-DRG 2264
Min. Negotiated Rate	$16,062.02
Max. Negotiated Rate	$16,865.12
Rate for Payer: BCBS Complete	$16,865.12
Rate for Payer: Mclaren Medicaid	$16,062.02
Rate for Payer: Meridian Medicaid	$16,865.12
Rate for Payer: PHP Medicaid	$16,062.02
Rate for Payer: Priority Health Choice Medicaid	$16,062.02
Rate for Payer: UHCCP Medicaid	$16,062.02

Know your out-of-pocket cost for care.

All Charges