Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: CYSTIC FIBROSIS - PULMONARY DISEASE

Facility

$14,381.91

Service Code	APR-DRG 1314
Min. Negotiated Rate	$13,697.06
Max. Negotiated Rate	$14,381.91
Rate for Payer: BCBS Complete	$14,381.91
Rate for Payer: Mclaren Medicaid	$13,697.06
Rate for Payer: Meridian Medicaid	$14,381.91
Rate for Payer: PHP Medicaid	$13,697.06
Rate for Payer: Priority Health Choice Medicaid	$13,697.06
Rate for Payer: UHCCP Medicaid	$13,697.06

APR-DRG 42.00: CYSTIC FIBROSIS - PULMONARY DISEASE

Facility

$12,260.84

Service Code	APR-DRG 1313
Min. Negotiated Rate	$11,676.99
Max. Negotiated Rate	$12,260.84
Rate for Payer: BCBS Complete	$12,260.84
Rate for Payer: Mclaren Medicaid	$11,676.99
Rate for Payer: Meridian Medicaid	$12,260.84
Rate for Payer: PHP Medicaid	$11,676.99
Rate for Payer: Priority Health Choice Medicaid	$11,676.99
Rate for Payer: UHCCP Medicaid	$11,676.99

APR-DRG 42.00: DEFIBRILLATOR IMPLANTS

Facility

$24,832.08

Service Code	APR-DRG 1793
Min. Negotiated Rate	$23,649.60
Max. Negotiated Rate	$24,832.08
Rate for Payer: BCBS Complete	$24,832.08
Rate for Payer: Mclaren Medicaid	$23,649.60
Rate for Payer: Meridian Medicaid	$24,832.08
Rate for Payer: PHP Medicaid	$23,649.60
Rate for Payer: Priority Health Choice Medicaid	$23,649.60
Rate for Payer: UHCCP Medicaid	$23,649.60

APR-DRG 42.00: DEFIBRILLATOR IMPLANTS

Facility

$32,592.10

Service Code	APR-DRG 1794
Min. Negotiated Rate	$31,040.10
Max. Negotiated Rate	$32,592.10
Rate for Payer: BCBS Complete	$32,592.10
Rate for Payer: Mclaren Medicaid	$31,040.10
Rate for Payer: Meridian Medicaid	$32,592.10
Rate for Payer: PHP Medicaid	$31,040.10
Rate for Payer: Priority Health Choice Medicaid	$31,040.10
Rate for Payer: UHCCP Medicaid	$31,040.10

APR-DRG 42.00: DEFIBRILLATOR IMPLANTS

Facility

$17,330.72

Service Code	APR-DRG 1791
Min. Negotiated Rate	$16,505.45
Max. Negotiated Rate	$17,330.72
Rate for Payer: BCBS Complete	$17,330.72
Rate for Payer: Mclaren Medicaid	$16,505.45
Rate for Payer: Meridian Medicaid	$17,330.72
Rate for Payer: PHP Medicaid	$16,505.45
Rate for Payer: Priority Health Choice Medicaid	$16,505.45
Rate for Payer: UHCCP Medicaid	$16,505.45

APR-DRG 42.00: DEFIBRILLATOR IMPLANTS

Facility

$20,486.47

Service Code	APR-DRG 1792
Min. Negotiated Rate	$19,510.92
Max. Negotiated Rate	$20,486.47
Rate for Payer: BCBS Complete	$20,486.47
Rate for Payer: Mclaren Medicaid	$19,510.92
Rate for Payer: Meridian Medicaid	$20,486.47
Rate for Payer: PHP Medicaid	$19,510.92
Rate for Payer: Priority Health Choice Medicaid	$19,510.92
Rate for Payer: UHCCP Medicaid	$19,510.92

APR-DRG 42.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS

Facility

$13,450.71

Service Code	APR-DRG 0424
Min. Negotiated Rate	$12,810.20
Max. Negotiated Rate	$13,450.71
Rate for Payer: BCBS Complete	$13,450.71
Rate for Payer: Mclaren Medicaid	$12,810.20
Rate for Payer: Meridian Medicaid	$13,450.71
Rate for Payer: PHP Medicaid	$12,810.20
Rate for Payer: Priority Health Choice Medicaid	$12,810.20
Rate for Payer: UHCCP Medicaid	$12,810.20

APR-DRG 42.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS

Facility

$7,294.42

Service Code	APR-DRG 0423
Min. Negotiated Rate	$6,947.07
Max. Negotiated Rate	$7,294.42
Rate for Payer: BCBS Complete	$7,294.42
Rate for Payer: Mclaren Medicaid	$6,947.07
Rate for Payer: Meridian Medicaid	$7,294.42
Rate for Payer: PHP Medicaid	$6,947.07
Rate for Payer: Priority Health Choice Medicaid	$6,947.07
Rate for Payer: UHCCP Medicaid	$6,947.07

APR-DRG 42.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS

Facility

$5,173.35

Service Code	APR-DRG 0422
Min. Negotiated Rate	$4,927.00
Max. Negotiated Rate	$5,173.35
Rate for Payer: BCBS Complete	$5,173.35
Rate for Payer: Mclaren Medicaid	$4,927.00
Rate for Payer: Meridian Medicaid	$5,173.35
Rate for Payer: PHP Medicaid	$4,927.00
Rate for Payer: Priority Health Choice Medicaid	$4,927.00
Rate for Payer: UHCCP Medicaid	$4,927.00

APR-DRG 42.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS

Facility

$4,035.21

Service Code	APR-DRG 0421
Min. Negotiated Rate	$3,843.06
Max. Negotiated Rate	$4,035.21
Rate for Payer: BCBS Complete	$4,035.21
Rate for Payer: Mclaren Medicaid	$3,843.06
Rate for Payer: Meridian Medicaid	$4,035.21
Rate for Payer: PHP Medicaid	$3,843.06
Rate for Payer: Priority Health Choice Medicaid	$3,843.06
Rate for Payer: UHCCP Medicaid	$3,843.06

APR-DRG 42.00: DENTAL DISEASES AND DISORDERS

Facility

$5,018.15

Service Code	APR-DRG 1143
Min. Negotiated Rate	$4,779.19
Max. Negotiated Rate	$5,018.15
Rate for Payer: BCBS Complete	$5,018.15
Rate for Payer: Mclaren Medicaid	$4,779.19
Rate for Payer: Meridian Medicaid	$5,018.15
Rate for Payer: PHP Medicaid	$4,779.19
Rate for Payer: Priority Health Choice Medicaid	$4,779.19
Rate for Payer: UHCCP Medicaid	$4,779.19

APR-DRG 42.00: DENTAL DISEASES AND DISORDERS

Facility

$13,916.31

Service Code	APR-DRG 1144
Min. Negotiated Rate	$13,253.63
Max. Negotiated Rate	$13,916.31
Rate for Payer: BCBS Complete	$13,916.31
Rate for Payer: Mclaren Medicaid	$13,253.63
Rate for Payer: Meridian Medicaid	$13,916.31
Rate for Payer: PHP Medicaid	$13,253.63
Rate for Payer: Priority Health Choice Medicaid	$13,253.63
Rate for Payer: UHCCP Medicaid	$13,253.63

APR-DRG 42.00: DENTAL DISEASES AND DISORDERS

Facility

$2,431.47

Service Code	APR-DRG 1141
Min. Negotiated Rate	$2,315.69
Max. Negotiated Rate	$2,431.47
Rate for Payer: BCBS Complete	$2,431.47
Rate for Payer: Mclaren Medicaid	$2,315.69
Rate for Payer: Meridian Medicaid	$2,431.47
Rate for Payer: PHP Medicaid	$2,315.69
Rate for Payer: Priority Health Choice Medicaid	$2,315.69
Rate for Payer: UHCCP Medicaid	$2,315.69

APR-DRG 42.00: DENTAL DISEASES AND DISORDERS

Facility

$3,362.68

Service Code	APR-DRG 1142
Min. Negotiated Rate	$3,202.55
Max. Negotiated Rate	$3,362.68
Rate for Payer: BCBS Complete	$3,362.68
Rate for Payer: Mclaren Medicaid	$3,202.55
Rate for Payer: Meridian Medicaid	$3,362.68
Rate for Payer: PHP Medicaid	$3,202.55
Rate for Payer: Priority Health Choice Medicaid	$3,202.55
Rate for Payer: UHCCP Medicaid	$3,202.55

APR-DRG 42.00: DEPRESSIVE DISORDERS

Facility

$1,914.14

Service Code	APR-DRG 7511
Min. Negotiated Rate	$1,822.99
Max. Negotiated Rate	$1,914.14
Rate for Payer: BCBS Complete	$1,914.14
Rate for Payer: Mclaren Medicaid	$1,822.99
Rate for Payer: Meridian Medicaid	$1,914.14
Rate for Payer: PHP Medicaid	$1,822.99
Rate for Payer: Priority Health Choice Medicaid	$1,822.99
Rate for Payer: UHCCP Medicaid	$1,822.99

APR-DRG 42.00: DEPRESSIVE DISORDERS

Facility

$2,586.68

Service Code	APR-DRG 7512
Min. Negotiated Rate	$2,463.50
Max. Negotiated Rate	$2,586.68
Rate for Payer: BCBS Complete	$2,586.68
Rate for Payer: Mclaren Medicaid	$2,463.50
Rate for Payer: Meridian Medicaid	$2,586.68
Rate for Payer: PHP Medicaid	$2,463.50
Rate for Payer: Priority Health Choice Medicaid	$2,463.50
Rate for Payer: UHCCP Medicaid	$2,463.50

APR-DRG 42.00: DEPRESSIVE DISORDERS

Facility

$5,225.08

Service Code	APR-DRG 7513
Min. Negotiated Rate	$4,976.27
Max. Negotiated Rate	$5,225.08
Rate for Payer: BCBS Complete	$5,225.08
Rate for Payer: Mclaren Medicaid	$4,976.27
Rate for Payer: Meridian Medicaid	$5,225.08
Rate for Payer: PHP Medicaid	$4,976.27
Rate for Payer: Priority Health Choice Medicaid	$4,976.27
Rate for Payer: UHCCP Medicaid	$4,976.27

APR-DRG 42.00: DEPRESSIVE DISORDERS

Facility

$9,984.57

Service Code	APR-DRG 7514
Min. Negotiated Rate	$9,509.11
Max. Negotiated Rate	$9,984.57
Rate for Payer: BCBS Complete	$9,984.57
Rate for Payer: Mclaren Medicaid	$9,509.11
Rate for Payer: Meridian Medicaid	$9,984.57
Rate for Payer: PHP Medicaid	$9,509.11
Rate for Payer: Priority Health Choice Medicaid	$9,509.11
Rate for Payer: UHCCP Medicaid	$9,509.11

APR-DRG 42.00: DIABETES

Facility

$5,276.82

Service Code	APR-DRG 4203
Min. Negotiated Rate	$5,025.54
Max. Negotiated Rate	$5,276.82
Rate for Payer: BCBS Complete	$5,276.82
Rate for Payer: Mclaren Medicaid	$5,025.54
Rate for Payer: Meridian Medicaid	$5,276.82
Rate for Payer: PHP Medicaid	$5,025.54
Rate for Payer: Priority Health Choice Medicaid	$5,025.54
Rate for Payer: UHCCP Medicaid	$5,025.54

APR-DRG 42.00: DIABETES

Facility

$9,881.10

Service Code	APR-DRG 4204
Min. Negotiated Rate	$9,410.57
Max. Negotiated Rate	$9,881.10
Rate for Payer: BCBS Complete	$9,881.10
Rate for Payer: Mclaren Medicaid	$9,410.57
Rate for Payer: Meridian Medicaid	$9,881.10
Rate for Payer: PHP Medicaid	$9,410.57
Rate for Payer: Priority Health Choice Medicaid	$9,410.57
Rate for Payer: UHCCP Medicaid	$9,410.57

APR-DRG 42.00: DIABETES

Facility

$3,466.14

Service Code	APR-DRG 4202
Min. Negotiated Rate	$3,301.09
Max. Negotiated Rate	$3,466.14
Rate for Payer: BCBS Complete	$3,466.14
Rate for Payer: Mclaren Medicaid	$3,301.09
Rate for Payer: Meridian Medicaid	$3,466.14
Rate for Payer: PHP Medicaid	$3,301.09
Rate for Payer: Priority Health Choice Medicaid	$3,301.09
Rate for Payer: UHCCP Medicaid	$3,301.09

APR-DRG 42.00: DIABETES

Facility

$2,638.41

Service Code	APR-DRG 4201
Min. Negotiated Rate	$2,512.77
Max. Negotiated Rate	$2,638.41
Rate for Payer: BCBS Complete	$2,638.41
Rate for Payer: Mclaren Medicaid	$2,512.77
Rate for Payer: Meridian Medicaid	$2,638.41
Rate for Payer: PHP Medicaid	$2,512.77
Rate for Payer: Priority Health Choice Medicaid	$2,512.77
Rate for Payer: UHCCP Medicaid	$2,512.77

APR-DRG 42.00: DIGESTIVE MALIGNANCY

Facility

$11,950.44

Service Code	APR-DRG 2404
Min. Negotiated Rate	$11,381.37
Max. Negotiated Rate	$11,950.44
Rate for Payer: BCBS Complete	$11,950.44
Rate for Payer: Mclaren Medicaid	$11,381.37
Rate for Payer: Meridian Medicaid	$11,950.44
Rate for Payer: PHP Medicaid	$11,381.37
Rate for Payer: Priority Health Choice Medicaid	$11,381.37
Rate for Payer: UHCCP Medicaid	$11,381.37

APR-DRG 42.00: DIGESTIVE MALIGNANCY

Facility

$7,501.36

Service Code	APR-DRG 2403
Min. Negotiated Rate	$7,144.15
Max. Negotiated Rate	$7,501.36
Rate for Payer: BCBS Complete	$7,501.36
Rate for Payer: Mclaren Medicaid	$7,144.15
Rate for Payer: Meridian Medicaid	$7,501.36
Rate for Payer: PHP Medicaid	$7,144.15
Rate for Payer: Priority Health Choice Medicaid	$7,144.15
Rate for Payer: UHCCP Medicaid	$7,144.15

APR-DRG 42.00: DIGESTIVE MALIGNANCY

Facility

$5,121.62

Service Code	APR-DRG 2402
Min. Negotiated Rate	$4,877.73
Max. Negotiated Rate	$5,121.62
Rate for Payer: BCBS Complete	$5,121.62
Rate for Payer: Mclaren Medicaid	$4,877.73
Rate for Payer: Meridian Medicaid	$5,121.62
Rate for Payer: PHP Medicaid	$4,877.73
Rate for Payer: Priority Health Choice Medicaid	$4,877.73
Rate for Payer: UHCCP Medicaid	$4,877.73

Know your out-of-pocket cost for care.

All Charges