Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: DIGESTIVE MALIGNANCY

Facility

$8,173.89

Service Code	APR-DRG 2403
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: DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES

Facility

$13,036.84

Service Code	APR-DRG 5174
Min. Negotiated Rate	$12,416.04
Max. Negotiated Rate	$13,036.84
Rate for Payer: BCBS Complete	$13,036.84
Rate for Payer: Mclaren Medicaid	$12,416.04
Rate for Payer: Meridian Medicaid	$13,036.84
Rate for Payer: PHP Medicaid	$12,416.04
Rate for Payer: Priority Health Choice Medicaid	$12,416.04
Rate for Payer: UHCCP Medicaid	$12,416.04

APR-DRG 42.00: DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES

Facility

$4,707.75

Service Code	APR-DRG 5171
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: DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES

Facility

$6,052.82

Service Code	APR-DRG 5172
Min. Negotiated Rate	$5,764.59
Max. Negotiated Rate	$6,052.82
Rate for Payer: BCBS Complete	$6,052.82
Rate for Payer: Mclaren Medicaid	$5,764.59
Rate for Payer: Meridian Medicaid	$6,052.82
Rate for Payer: PHP Medicaid	$5,764.59
Rate for Payer: Priority Health Choice Medicaid	$5,764.59
Rate for Payer: UHCCP Medicaid	$5,764.59

APR-DRG 42.00: DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES

Facility

$9,053.36

Service Code	APR-DRG 5173
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: DISORDERS OF GALLBLADDER AND BILIARY TRACT

Facility

$8,639.49

Service Code	APR-DRG 2844
Min. Negotiated Rate	$8,228.09
Max. Negotiated Rate	$8,639.49
Rate for Payer: BCBS Complete	$8,639.49
Rate for Payer: Mclaren Medicaid	$8,228.09
Rate for Payer: Meridian Medicaid	$8,639.49
Rate for Payer: PHP Medicaid	$8,228.09
Rate for Payer: Priority Health Choice Medicaid	$8,228.09
Rate for Payer: UHCCP Medicaid	$8,228.09

APR-DRG 42.00: DISORDERS OF GALLBLADDER AND BILIARY TRACT

Facility

$5,121.62

Service Code	APR-DRG 2842
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

APR-DRG 42.00: DISORDERS OF GALLBLADDER AND BILIARY TRACT

Facility

$6,466.69

Service Code	APR-DRG 2843
Min. Negotiated Rate	$6,158.75
Max. Negotiated Rate	$6,466.69
Rate for Payer: BCBS Complete	$6,466.69
Rate for Payer: Mclaren Medicaid	$6,158.75
Rate for Payer: Meridian Medicaid	$6,466.69
Rate for Payer: PHP Medicaid	$6,158.75
Rate for Payer: Priority Health Choice Medicaid	$6,158.75
Rate for Payer: UHCCP Medicaid	$6,158.75

APR-DRG 42.00: DISORDERS OF GALLBLADDER AND BILIARY TRACT

Facility

$3,983.48

Service Code	APR-DRG 2841
Min. Negotiated Rate	$3,793.79
Max. Negotiated Rate	$3,983.48
Rate for Payer: BCBS Complete	$3,983.48
Rate for Payer: Mclaren Medicaid	$3,793.79
Rate for Payer: Meridian Medicaid	$3,983.48
Rate for Payer: PHP Medicaid	$3,793.79
Rate for Payer: Priority Health Choice Medicaid	$3,793.79
Rate for Payer: UHCCP Medicaid	$3,793.79

APR-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY

Facility

$4,138.68

Service Code	APR-DRG 2822
Min. Negotiated Rate	$3,941.60
Max. Negotiated Rate	$4,138.68
Rate for Payer: BCBS Complete	$4,138.68
Rate for Payer: Mclaren Medicaid	$3,941.60
Rate for Payer: Meridian Medicaid	$4,138.68
Rate for Payer: PHP Medicaid	$3,941.60
Rate for Payer: Priority Health Choice Medicaid	$3,941.60
Rate for Payer: UHCCP Medicaid	$3,941.60

APR-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY

Facility

$3,000.54

Service Code	APR-DRG 2821
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: DISORDERS OF PANCREAS EXCEPT MALIGNANCY

Facility

$12,364.31

Service Code	APR-DRG 2824
Min. Negotiated Rate	$11,775.53
Max. Negotiated Rate	$12,364.31
Rate for Payer: BCBS Complete	$12,364.31
Rate for Payer: Mclaren Medicaid	$11,775.53
Rate for Payer: Meridian Medicaid	$12,364.31
Rate for Payer: PHP Medicaid	$11,775.53
Rate for Payer: Priority Health Choice Medicaid	$11,775.53
Rate for Payer: UHCCP Medicaid	$11,775.53

APR-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY

Facility

$6,001.09

Service Code	APR-DRG 2823
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: DIVERTICULITIS AND DIVERTICULOSIS

Facility

$10,812.30

Service Code	APR-DRG 2444
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: DIVERTICULITIS AND DIVERTICULOSIS

Facility

$3,931.75

Service Code	APR-DRG 2442
Min. Negotiated Rate	$3,744.52
Max. Negotiated Rate	$3,931.75
Rate for Payer: BCBS Complete	$3,931.75
Rate for Payer: Mclaren Medicaid	$3,744.52
Rate for Payer: Meridian Medicaid	$3,931.75
Rate for Payer: PHP Medicaid	$3,744.52
Rate for Payer: Priority Health Choice Medicaid	$3,744.52
Rate for Payer: UHCCP Medicaid	$3,744.52

APR-DRG 42.00: DIVERTICULITIS AND DIVERTICULOSIS

Facility

$3,000.54

Service Code	APR-DRG 2441
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: DIVERTICULITIS AND DIVERTICULOSIS

Facility

$6,466.69

Service Code	APR-DRG 2443
Min. Negotiated Rate	$6,158.75
Max. Negotiated Rate	$6,466.69
Rate for Payer: BCBS Complete	$6,466.69
Rate for Payer: Mclaren Medicaid	$6,158.75
Rate for Payer: Meridian Medicaid	$6,466.69
Rate for Payer: PHP Medicaid	$6,158.75
Rate for Payer: Priority Health Choice Medicaid	$6,158.75
Rate for Payer: UHCCP Medicaid	$6,158.75

APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK

Facility

$28,556.89

Service Code	APR-DRG 3044
Min. Negotiated Rate	$27,197.04
Max. Negotiated Rate	$28,556.89
Rate for Payer: BCBS Complete	$28,556.89
Rate for Payer: Mclaren Medicaid	$27,197.04
Rate for Payer: Meridian Medicaid	$28,556.89
Rate for Payer: PHP Medicaid	$27,197.04
Rate for Payer: Priority Health Choice Medicaid	$27,197.04
Rate for Payer: UHCCP Medicaid	$27,197.04

APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK

Facility

$15,778.72

Service Code	APR-DRG 3042
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: DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK

Facility

$22,969.67

Service Code	APR-DRG 3043
Min. Negotiated Rate	$21,875.88
Max. Negotiated Rate	$22,969.67
Rate for Payer: BCBS Complete	$22,969.67
Rate for Payer: Mclaren Medicaid	$21,875.88
Rate for Payer: Meridian Medicaid	$22,969.67
Rate for Payer: PHP Medicaid	$21,875.88
Rate for Payer: Priority Health Choice Medicaid	$21,875.88
Rate for Payer: UHCCP Medicaid	$21,875.88

APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK

Facility

$12,312.57

Service Code	APR-DRG 3041
Min. Negotiated Rate	$11,726.26
Max. Negotiated Rate	$12,312.57
Rate for Payer: BCBS Complete	$12,312.57
Rate for Payer: Mclaren Medicaid	$11,726.26
Rate for Payer: Meridian Medicaid	$12,312.57
Rate for Payer: PHP Medicaid	$11,726.26
Rate for Payer: Priority Health Choice Medicaid	$11,726.26
Rate for Payer: UHCCP Medicaid	$11,726.26

APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK

Facility

$21,935.00

Service Code	APR-DRG 3031
Min. Negotiated Rate	$20,890.48
Max. Negotiated Rate	$21,935.00
Rate for Payer: BCBS Complete	$21,935.00
Rate for Payer: Mclaren Medicaid	$20,890.48
Rate for Payer: Meridian Medicaid	$21,935.00
Rate for Payer: PHP Medicaid	$20,890.48
Rate for Payer: Priority Health Choice Medicaid	$20,890.48
Rate for Payer: UHCCP Medicaid	$20,890.48

APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK

Facility

$51,423.10

Service Code	APR-DRG 3034
Min. Negotiated Rate	$48,974.38
Max. Negotiated Rate	$51,423.10
Rate for Payer: BCBS Complete	$51,423.10
Rate for Payer: Mclaren Medicaid	$48,974.38
Rate for Payer: Meridian Medicaid	$51,423.10
Rate for Payer: PHP Medicaid	$48,974.38
Rate for Payer: Priority Health Choice Medicaid	$48,974.38
Rate for Payer: UHCCP Medicaid	$48,974.38

APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK

Facility

$23,849.14

Service Code	APR-DRG 3032
Min. Negotiated Rate	$22,713.47
Max. Negotiated Rate	$23,849.14
Rate for Payer: BCBS Complete	$23,849.14
Rate for Payer: Mclaren Medicaid	$22,713.47
Rate for Payer: Meridian Medicaid	$23,849.14
Rate for Payer: PHP Medicaid	$22,713.47
Rate for Payer: Priority Health Choice Medicaid	$22,713.47
Rate for Payer: UHCCP Medicaid	$22,713.47

APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK

Facility

$35,644.38

Service Code	APR-DRG 3033
Min. Negotiated Rate	$33,947.03
Max. Negotiated Rate	$35,644.38
Rate for Payer: BCBS Complete	$35,644.38
Rate for Payer: Mclaren Medicaid	$33,947.03
Rate for Payer: Meridian Medicaid	$35,644.38
Rate for Payer: PHP Medicaid	$33,947.03
Rate for Payer: Priority Health Choice Medicaid	$33,947.03
Rate for Payer: UHCCP Medicaid	$33,947.03

Know your out-of-pocket cost for care.

All Charges