Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: CYSTIC FIBROSIS - PULMONARY DISEASE

Facility

$15,778.72

Service Code	APR-DRG 1314
Min. Negotiated Rate	$15,027.35
Max. Negotiated Rate	$15,778.72
Rate for Payer: BCBS Complete	$15,778.72
Rate for Payer: Mclaren Medicaid	$15,027.35
Rate for Payer: Meridian Medicaid	$15,778.72
Rate for Payer: PHP Medicaid	$15,027.35
Rate for Payer: Priority Health Choice Medicaid	$15,027.35
Rate for Payer: UHCCP Medicaid	$15,027.35

APR-DRG 42.00: CYSTIC FIBROSIS - PULMONARY DISEASE

Facility

$7,190.96

Service Code	APR-DRG 1311
Min. Negotiated Rate	$6,848.53
Max. Negotiated Rate	$7,190.96
Rate for Payer: BCBS Complete	$7,190.96
Rate for Payer: Mclaren Medicaid	$6,848.53
Rate for Payer: Meridian Medicaid	$7,190.96
Rate for Payer: PHP Medicaid	$6,848.53
Rate for Payer: Priority Health Choice Medicaid	$6,848.53
Rate for Payer: UHCCP Medicaid	$6,848.53

APR-DRG 42.00: DEFIBRILLATOR IMPLANTS

Facility

$22,038.47

Service Code	APR-DRG 1793
Min. Negotiated Rate	$20,989.02
Max. Negotiated Rate	$22,038.47
Rate for Payer: BCBS Complete	$22,038.47
Rate for Payer: Mclaren Medicaid	$20,989.02
Rate for Payer: Meridian Medicaid	$22,038.47
Rate for Payer: PHP Medicaid	$20,989.02
Rate for Payer: Priority Health Choice Medicaid	$20,989.02
Rate for Payer: UHCCP Medicaid	$20,989.02

APR-DRG 42.00: DEFIBRILLATOR IMPLANTS

Facility

$15,416.58

Service Code	APR-DRG 1791
Min. Negotiated Rate	$14,682.46
Max. Negotiated Rate	$15,416.58
Rate for Payer: BCBS Complete	$15,416.58
Rate for Payer: Mclaren Medicaid	$14,682.46
Rate for Payer: Meridian Medicaid	$15,416.58
Rate for Payer: PHP Medicaid	$14,682.46
Rate for Payer: Priority Health Choice Medicaid	$14,682.46
Rate for Payer: UHCCP Medicaid	$14,682.46

APR-DRG 42.00: DEFIBRILLATOR IMPLANTS

Facility

$18,210.19

Service Code	APR-DRG 1792
Min. Negotiated Rate	$17,343.04
Max. Negotiated Rate	$18,210.19
Rate for Payer: BCBS Complete	$18,210.19
Rate for Payer: Mclaren Medicaid	$17,343.04
Rate for Payer: Meridian Medicaid	$18,210.19
Rate for Payer: PHP Medicaid	$17,343.04
Rate for Payer: Priority Health Choice Medicaid	$17,343.04
Rate for Payer: UHCCP Medicaid	$17,343.04

APR-DRG 42.00: DEFIBRILLATOR IMPLANTS

Facility

$28,919.03

Service Code	APR-DRG 1794
Min. Negotiated Rate	$27,541.93
Max. Negotiated Rate	$28,919.03
Rate for Payer: BCBS Complete	$28,919.03
Rate for Payer: Mclaren Medicaid	$27,541.93
Rate for Payer: Meridian Medicaid	$28,919.03
Rate for Payer: PHP Medicaid	$27,541.93
Rate for Payer: Priority Health Choice Medicaid	$27,541.93
Rate for Payer: UHCCP Medicaid	$27,541.93

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

Facility

$8,173.89

Service Code	APR-DRG 0423
Min. Negotiated Rate	$7,784.66
Max. Negotiated Rate	$8,173.89
Rate for Payer: BCBS Complete	$8,173.89
Rate for Payer: Mclaren Medicaid	$7,784.66
Rate for Payer: Meridian Medicaid	$8,173.89
Rate for Payer: PHP Medicaid	$7,784.66
Rate for Payer: Priority Health Choice Medicaid	$7,784.66
Rate for Payer: UHCCP Medicaid	$7,784.66

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

Facility

$8,536.03

Service Code	APR-DRG 0424
Min. Negotiated Rate	$8,129.55
Max. Negotiated Rate	$8,536.03
Rate for Payer: BCBS Complete	$8,536.03
Rate for Payer: Mclaren Medicaid	$8,129.55
Rate for Payer: Meridian Medicaid	$8,536.03
Rate for Payer: PHP Medicaid	$8,129.55
Rate for Payer: Priority Health Choice Medicaid	$8,129.55
Rate for Payer: UHCCP Medicaid	$8,129.55

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

Facility

$5,380.28

Service Code	APR-DRG 0421
Min. Negotiated Rate	$5,124.08
Max. Negotiated Rate	$5,380.28
Rate for Payer: BCBS Complete	$5,380.28
Rate for Payer: Mclaren Medicaid	$5,124.08
Rate for Payer: Meridian Medicaid	$5,380.28
Rate for Payer: PHP Medicaid	$5,124.08
Rate for Payer: Priority Health Choice Medicaid	$5,124.08
Rate for Payer: UHCCP Medicaid	$5,124.08

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

Facility

$5,742.42

Service Code	APR-DRG 0422
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: DENTAL DISEASES AND DISORDERS

Facility

$3,104.01

Service Code	APR-DRG 1142
Min. Negotiated Rate	$2,956.20
Max. Negotiated Rate	$3,104.01
Rate for Payer: BCBS Complete	$3,104.01
Rate for Payer: Mclaren Medicaid	$2,956.20
Rate for Payer: Meridian Medicaid	$3,104.01
Rate for Payer: PHP Medicaid	$2,956.20
Rate for Payer: Priority Health Choice Medicaid	$2,956.20
Rate for Payer: UHCCP Medicaid	$2,956.20

APR-DRG 42.00: DENTAL DISEASES AND DISORDERS

Facility

$15,778.72

Service Code	APR-DRG 1144
Min. Negotiated Rate	$15,027.35
Max. Negotiated Rate	$15,778.72
Rate for Payer: BCBS Complete	$15,778.72
Rate for Payer: Mclaren Medicaid	$15,027.35
Rate for Payer: Meridian Medicaid	$15,778.72
Rate for Payer: PHP Medicaid	$15,027.35
Rate for Payer: Priority Health Choice Medicaid	$15,027.35
Rate for Payer: UHCCP Medicaid	$15,027.35

APR-DRG 42.00: DENTAL DISEASES AND DISORDERS

Facility

$2,948.81

Service Code	APR-DRG 1141
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: DENTAL DISEASES AND DISORDERS

Facility

$5,225.08

Service Code	APR-DRG 1143
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

$4,656.02

Service Code	APR-DRG 7513
Min. Negotiated Rate	$4,434.30
Max. Negotiated Rate	$4,656.02
Rate for Payer: BCBS Complete	$4,656.02
Rate for Payer: Mclaren Medicaid	$4,434.30
Rate for Payer: Meridian Medicaid	$4,656.02
Rate for Payer: PHP Medicaid	$4,434.30
Rate for Payer: Priority Health Choice Medicaid	$4,434.30
Rate for Payer: UHCCP Medicaid	$4,434.30

APR-DRG 42.00: DEPRESSIVE DISORDERS

Facility

$8,949.90

Service Code	APR-DRG 7514
Min. Negotiated Rate	$8,523.71
Max. Negotiated Rate	$8,949.90
Rate for Payer: BCBS Complete	$8,949.90
Rate for Payer: Mclaren Medicaid	$8,523.71
Rate for Payer: Meridian Medicaid	$8,949.90
Rate for Payer: PHP Medicaid	$8,523.71
Rate for Payer: Priority Health Choice Medicaid	$8,523.71
Rate for Payer: UHCCP Medicaid	$8,523.71

APR-DRG 42.00: DEPRESSIVE DISORDERS

Facility

$2,638.41

Service Code	APR-DRG 7511
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: DEPRESSIVE DISORDERS

Facility

$3,000.54

Service Code	APR-DRG 7512
Min. Negotiated Rate	$2,857.66
Max. Negotiated Rate	$3,000.54
Rate for Payer: BCBS Complete	$3,000.54
Rate for Payer: Mclaren Medicaid	$2,857.66
Rate for Payer: Meridian Medicaid	$3,000.54
Rate for Payer: PHP Medicaid	$2,857.66
Rate for Payer: Priority Health Choice Medicaid	$2,857.66
Rate for Payer: UHCCP Medicaid	$2,857.66

APR-DRG 42.00: DIABETES

Facility

$5,432.02

Service Code	APR-DRG 4203
Min. Negotiated Rate	$5,173.35
Max. Negotiated Rate	$5,432.02
Rate for Payer: BCBS Complete	$5,432.02
Rate for Payer: Mclaren Medicaid	$5,173.35
Rate for Payer: Meridian Medicaid	$5,432.02
Rate for Payer: PHP Medicaid	$5,173.35
Rate for Payer: Priority Health Choice Medicaid	$5,173.35
Rate for Payer: UHCCP Medicaid	$5,173.35

APR-DRG 42.00: DIABETES

Facility

$2,690.14

Service Code	APR-DRG 4201
Min. Negotiated Rate	$2,562.04
Max. Negotiated Rate	$2,690.14
Rate for Payer: BCBS Complete	$2,690.14
Rate for Payer: Mclaren Medicaid	$2,562.04
Rate for Payer: Meridian Medicaid	$2,690.14
Rate for Payer: PHP Medicaid	$2,562.04
Rate for Payer: Priority Health Choice Medicaid	$2,562.04
Rate for Payer: UHCCP Medicaid	$2,562.04

APR-DRG 42.00: DIABETES

Facility

$8,484.29

Service Code	APR-DRG 4204
Min. Negotiated Rate	$8,080.28
Max. Negotiated Rate	$8,484.29
Rate for Payer: BCBS Complete	$8,484.29
Rate for Payer: Mclaren Medicaid	$8,080.28
Rate for Payer: Meridian Medicaid	$8,484.29
Rate for Payer: PHP Medicaid	$8,080.28
Rate for Payer: Priority Health Choice Medicaid	$8,080.28
Rate for Payer: UHCCP Medicaid	$8,080.28

APR-DRG 42.00: DIABETES

Facility

$3,776.55

Service Code	APR-DRG 4202
Min. Negotiated Rate	$3,596.71
Max. Negotiated Rate	$3,776.55
Rate for Payer: BCBS Complete	$3,776.55
Rate for Payer: Mclaren Medicaid	$3,596.71
Rate for Payer: Meridian Medicaid	$3,776.55
Rate for Payer: PHP Medicaid	$3,596.71
Rate for Payer: Priority Health Choice Medicaid	$3,596.71
Rate for Payer: UHCCP Medicaid	$3,596.71

APR-DRG 42.00: DIGESTIVE MALIGNANCY

Facility

$4,707.75

Service Code	APR-DRG 2401
Min. Negotiated Rate	$4,483.57
Max. Negotiated Rate	$4,707.75
Rate for Payer: BCBS Complete	$4,707.75
Rate for Payer: Mclaren Medicaid	$4,483.57
Rate for Payer: Meridian Medicaid	$4,707.75
Rate for Payer: PHP Medicaid	$4,483.57
Rate for Payer: Priority Health Choice Medicaid	$4,483.57
Rate for Payer: UHCCP Medicaid	$4,483.57

APR-DRG 42.00: DIGESTIVE MALIGNANCY

Facility

$6,001.09

Service Code	APR-DRG 2402
Min. Negotiated Rate	$5,715.32
Max. Negotiated Rate	$6,001.09
Rate for Payer: BCBS Complete	$6,001.09
Rate for Payer: Mclaren Medicaid	$5,715.32
Rate for Payer: Meridian Medicaid	$6,001.09
Rate for Payer: PHP Medicaid	$5,715.32
Rate for Payer: Priority Health Choice Medicaid	$5,715.32
Rate for Payer: UHCCP Medicaid	$5,715.32

APR-DRG 42.00: DIGESTIVE MALIGNANCY

Facility

$10,967.50

Service Code	APR-DRG 2404
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

Know your out-of-pocket cost for care.

All Charges