Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$24,832.08

Service Code	APR-DRG 7924
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: EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$9,984.57

Service Code	APR-DRG 7922
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: EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$7,863.49

Service Code	APR-DRG 7921
Min. Negotiated Rate	$7,489.04
Max. Negotiated Rate	$7,863.49
Rate for Payer: BCBS Complete	$7,863.49
Rate for Payer: Mclaren Medicaid	$7,489.04
Rate for Payer: Meridian Medicaid	$7,863.49
Rate for Payer: PHP Medicaid	$7,489.04
Rate for Payer: Priority Health Choice Medicaid	$7,489.04
Rate for Payer: UHCCP Medicaid	$7,489.04

APR-DRG 42.00: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$16,606.45

Service Code	APR-DRG 9503
Min. Negotiated Rate	$15,815.67
Max. Negotiated Rate	$16,606.45
Rate for Payer: BCBS Complete	$16,606.45
Rate for Payer: Mclaren Medicaid	$15,815.67
Rate for Payer: Meridian Medicaid	$16,606.45
Rate for Payer: PHP Medicaid	$15,815.67
Rate for Payer: Priority Health Choice Medicaid	$15,815.67
Rate for Payer: UHCCP Medicaid	$15,815.67

APR-DRG 42.00: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$10,708.83

Service Code	APR-DRG 9502
Min. Negotiated Rate	$10,198.89
Max. Negotiated Rate	$10,708.83
Rate for Payer: BCBS Complete	$10,708.83
Rate for Payer: Mclaren Medicaid	$10,198.89
Rate for Payer: Meridian Medicaid	$10,708.83
Rate for Payer: PHP Medicaid	$10,198.89
Rate for Payer: Priority Health Choice Medicaid	$10,198.89
Rate for Payer: UHCCP Medicaid	$10,198.89

APR-DRG 42.00: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$27,625.69

Service Code	APR-DRG 9504
Min. Negotiated Rate	$26,310.18
Max. Negotiated Rate	$27,625.69
Rate for Payer: BCBS Complete	$27,625.69
Rate for Payer: Mclaren Medicaid	$26,310.18
Rate for Payer: Meridian Medicaid	$27,625.69
Rate for Payer: PHP Medicaid	$26,310.18
Rate for Payer: Priority Health Choice Medicaid	$26,310.18
Rate for Payer: UHCCP Medicaid	$26,310.18

APR-DRG 42.00: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$8,225.63

Service Code	APR-DRG 9501
Min. Negotiated Rate	$7,833.93
Max. Negotiated Rate	$8,225.63
Rate for Payer: BCBS Complete	$8,225.63
Rate for Payer: Mclaren Medicaid	$7,833.93
Rate for Payer: Meridian Medicaid	$8,225.63
Rate for Payer: PHP Medicaid	$7,833.93
Rate for Payer: Priority Health Choice Medicaid	$7,833.93
Rate for Payer: UHCCP Medicaid	$7,833.93

APR-DRG 42.00: EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT

Facility

$3,776.55

Service Code	APR-DRG 8431
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: EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT

Facility

$5,380.28

Service Code	APR-DRG 8432
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: EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT

Facility

$13,916.31

Service Code	APR-DRG 8434
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: EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT

Facility

$9,622.43

Service Code	APR-DRG 8433
Min. Negotiated Rate	$9,164.22
Max. Negotiated Rate	$9,622.43
Rate for Payer: BCBS Complete	$9,622.43
Rate for Payer: Mclaren Medicaid	$9,164.22
Rate for Payer: Meridian Medicaid	$9,622.43
Rate for Payer: PHP Medicaid	$9,164.22
Rate for Payer: Priority Health Choice Medicaid	$9,164.22
Rate for Payer: UHCCP Medicaid	$9,164.22

APR-DRG 42.00: EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT

Facility

$23,124.87

Service Code	APR-DRG 8411
Min. Negotiated Rate	$22,023.69
Max. Negotiated Rate	$23,124.87
Rate for Payer: BCBS Complete	$23,124.87
Rate for Payer: Mclaren Medicaid	$22,023.69
Rate for Payer: Meridian Medicaid	$23,124.87
Rate for Payer: PHP Medicaid	$22,023.69
Rate for Payer: Priority Health Choice Medicaid	$22,023.69
Rate for Payer: UHCCP Medicaid	$22,023.69

APR-DRG 42.00: EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT

Facility

$35,333.98

Service Code	APR-DRG 8413
Min. Negotiated Rate	$33,651.41
Max. Negotiated Rate	$35,333.98
Rate for Payer: BCBS Complete	$35,333.98
Rate for Payer: Mclaren Medicaid	$33,651.41
Rate for Payer: Meridian Medicaid	$35,333.98
Rate for Payer: PHP Medicaid	$33,651.41
Rate for Payer: Priority Health Choice Medicaid	$33,651.41
Rate for Payer: UHCCP Medicaid	$33,651.41

APR-DRG 42.00: EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT

Facility

$108,588.62

Service Code	APR-DRG 8414
Min. Negotiated Rate	$103,417.73
Max. Negotiated Rate	$108,588.62
Rate for Payer: BCBS Complete	$108,588.62
Rate for Payer: Mclaren Medicaid	$103,417.73
Rate for Payer: Meridian Medicaid	$108,588.62
Rate for Payer: PHP Medicaid	$103,417.73
Rate for Payer: Priority Health Choice Medicaid	$103,417.73
Rate for Payer: UHCCP Medicaid	$103,417.73

APR-DRG 42.00: EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT

Facility

$23,124.87

Service Code	APR-DRG 8412
Min. Negotiated Rate	$22,023.69
Max. Negotiated Rate	$23,124.87
Rate for Payer: BCBS Complete	$23,124.87
Rate for Payer: Mclaren Medicaid	$22,023.69
Rate for Payer: Meridian Medicaid	$23,124.87
Rate for Payer: PHP Medicaid	$22,023.69
Rate for Payer: Priority Health Choice Medicaid	$22,023.69
Rate for Payer: UHCCP Medicaid	$22,023.69

APR-DRG 42.00: EXTERNAL HEART ASSIST DEVICES

Facility

$31,609.17

Service Code	APR-DRG 1783
Min. Negotiated Rate	$30,103.97
Max. Negotiated Rate	$31,609.17
Rate for Payer: BCBS Complete	$31,609.17
Rate for Payer: Mclaren Medicaid	$30,103.97
Rate for Payer: Meridian Medicaid	$31,609.17
Rate for Payer: PHP Medicaid	$30,103.97
Rate for Payer: Priority Health Choice Medicaid	$30,103.97
Rate for Payer: UHCCP Medicaid	$30,103.97

APR-DRG 42.00: EXTERNAL HEART ASSIST DEVICES

Facility

$25,763.28

Service Code	APR-DRG 1782
Min. Negotiated Rate	$24,536.46
Max. Negotiated Rate	$25,763.28
Rate for Payer: BCBS Complete	$25,763.28
Rate for Payer: Mclaren Medicaid	$24,536.46
Rate for Payer: Meridian Medicaid	$25,763.28
Rate for Payer: PHP Medicaid	$24,536.46
Rate for Payer: Priority Health Choice Medicaid	$24,536.46
Rate for Payer: UHCCP Medicaid	$24,536.46

APR-DRG 42.00: EXTERNAL HEART ASSIST DEVICES

Facility

$23,176.61

Service Code	APR-DRG 1781
Min. Negotiated Rate	$22,072.96
Max. Negotiated Rate	$23,176.61
Rate for Payer: BCBS Complete	$23,176.61
Rate for Payer: Mclaren Medicaid	$22,072.96
Rate for Payer: Meridian Medicaid	$23,176.61
Rate for Payer: PHP Medicaid	$22,072.96
Rate for Payer: Priority Health Choice Medicaid	$22,072.96
Rate for Payer: UHCCP Medicaid	$22,072.96

APR-DRG 42.00: EXTERNAL HEART ASSIST DEVICES

Facility

$39,162.26

Service Code	APR-DRG 1784
Min. Negotiated Rate	$37,297.39
Max. Negotiated Rate	$39,162.26
Rate for Payer: BCBS Complete	$39,162.26
Rate for Payer: Mclaren Medicaid	$37,297.39
Rate for Payer: Meridian Medicaid	$39,162.26
Rate for Payer: PHP Medicaid	$37,297.39
Rate for Payer: Priority Health Choice Medicaid	$37,297.39
Rate for Payer: UHCCP Medicaid	$37,297.39

APR-DRG 42.00: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)

Facility

$29,539.83

Service Code	APR-DRG 0091
Min. Negotiated Rate	$28,133.17
Max. Negotiated Rate	$29,539.83
Rate for Payer: BCBS Complete	$29,539.83
Rate for Payer: Mclaren Medicaid	$28,133.17
Rate for Payer: Meridian Medicaid	$29,539.83
Rate for Payer: PHP Medicaid	$28,133.17
Rate for Payer: Priority Health Choice Medicaid	$28,133.17
Rate for Payer: UHCCP Medicaid	$28,133.17

APR-DRG 42.00: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)

Facility

$40,352.13

Service Code	APR-DRG 0092
Min. Negotiated Rate	$38,430.60
Max. Negotiated Rate	$40,352.13
Rate for Payer: BCBS Complete	$40,352.13
Rate for Payer: Mclaren Medicaid	$38,430.60
Rate for Payer: Meridian Medicaid	$40,352.13
Rate for Payer: PHP Medicaid	$38,430.60
Rate for Payer: Priority Health Choice Medicaid	$38,430.60
Rate for Payer: UHCCP Medicaid	$38,430.60

APR-DRG 42.00: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)

Facility

$80,445.59

Service Code	APR-DRG 0093
Min. Negotiated Rate	$76,614.85
Max. Negotiated Rate	$80,445.59
Rate for Payer: BCBS Complete	$80,445.59
Rate for Payer: Mclaren Medicaid	$76,614.85
Rate for Payer: Meridian Medicaid	$80,445.59
Rate for Payer: PHP Medicaid	$76,614.85
Rate for Payer: Priority Health Choice Medicaid	$76,614.85
Rate for Payer: UHCCP Medicaid	$76,614.85

APR-DRG 42.00: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)

Facility

$119,659.59

Service Code	APR-DRG 0094
Min. Negotiated Rate	$113,961.51
Max. Negotiated Rate	$119,659.59
Rate for Payer: BCBS Complete	$119,659.59
Rate for Payer: Mclaren Medicaid	$113,961.51
Rate for Payer: Meridian Medicaid	$119,659.59
Rate for Payer: PHP Medicaid	$113,961.51
Rate for Payer: Priority Health Choice Medicaid	$113,961.51
Rate for Payer: UHCCP Medicaid	$113,961.51

APR-DRG 42.00: EYE INFECTIONS AND OTHER EYE DISORDERS

Facility

$3,259.21

Service Code	APR-DRG 0821
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: EYE INFECTIONS AND OTHER EYE DISORDERS

Facility

$10,605.37

Service Code	APR-DRG 0824
Min. Negotiated Rate	$10,100.35
Max. Negotiated Rate	$10,605.37
Rate for Payer: BCBS Complete	$10,605.37
Rate for Payer: Mclaren Medicaid	$10,100.35
Rate for Payer: Meridian Medicaid	$10,605.37
Rate for Payer: PHP Medicaid	$10,100.35
Rate for Payer: Priority Health Choice Medicaid	$10,100.35
Rate for Payer: UHCCP Medicaid	$10,100.35

Know your out-of-pocket cost for care.

All Charges