Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

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

Facility

$8,536.03

Service Code	APR-DRG 7921
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: EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$10,812.30

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

Facility

$15,882.18

Service Code	APR-DRG 7923
Min. Negotiated Rate	$15,125.89
Max. Negotiated Rate	$15,882.18
Rate for Payer: BCBS Complete	$15,882.18
Rate for Payer: Mclaren Medicaid	$15,125.89
Rate for Payer: Meridian Medicaid	$15,882.18
Rate for Payer: PHP Medicaid	$15,125.89
Rate for Payer: Priority Health Choice Medicaid	$15,125.89
Rate for Payer: UHCCP Medicaid	$15,125.89

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

Facility

$16,813.39

Service Code	APR-DRG 9503
Min. Negotiated Rate	$16,012.75
Max. Negotiated Rate	$16,813.39
Rate for Payer: BCBS Complete	$16,813.39
Rate for Payer: Mclaren Medicaid	$16,012.75
Rate for Payer: Meridian Medicaid	$16,813.39
Rate for Payer: PHP Medicaid	$16,012.75
Rate for Payer: Priority Health Choice Medicaid	$16,012.75
Rate for Payer: UHCCP Medicaid	$16,012.75

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

Facility

$11,640.04

Service Code	APR-DRG 9502
Min. Negotiated Rate	$11,085.75
Max. Negotiated Rate	$11,640.04
Rate for Payer: BCBS Complete	$11,640.04
Rate for Payer: Mclaren Medicaid	$11,085.75
Rate for Payer: Meridian Medicaid	$11,640.04
Rate for Payer: PHP Medicaid	$11,085.75
Rate for Payer: Priority Health Choice Medicaid	$11,085.75
Rate for Payer: UHCCP Medicaid	$11,085.75

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 O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$26,280.62

Service Code	APR-DRG 9504
Min. Negotiated Rate	$25,029.16
Max. Negotiated Rate	$26,280.62
Rate for Payer: BCBS Complete	$26,280.62
Rate for Payer: Mclaren Medicaid	$25,029.16
Rate for Payer: Meridian Medicaid	$26,280.62
Rate for Payer: PHP Medicaid	$25,029.16
Rate for Payer: Priority Health Choice Medicaid	$25,029.16
Rate for Payer: UHCCP Medicaid	$25,029.16

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

Facility

$5,173.35

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

Facility

$15,830.45

Service Code	APR-DRG 8433
Min. Negotiated Rate	$15,076.62
Max. Negotiated Rate	$15,830.45
Rate for Payer: BCBS Complete	$15,830.45
Rate for Payer: Mclaren Medicaid	$15,076.62
Rate for Payer: Meridian Medicaid	$15,830.45
Rate for Payer: PHP Medicaid	$15,076.62
Rate for Payer: Priority Health Choice Medicaid	$15,076.62
Rate for Payer: UHCCP Medicaid	$15,076.62

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

Facility

$22,762.74

Service Code	APR-DRG 8434
Min. Negotiated Rate	$21,678.80
Max. Negotiated Rate	$22,762.74
Rate for Payer: BCBS Complete	$22,762.74
Rate for Payer: Mclaren Medicaid	$21,678.80
Rate for Payer: Meridian Medicaid	$22,762.74
Rate for Payer: PHP Medicaid	$21,678.80
Rate for Payer: Priority Health Choice Medicaid	$21,678.80
Rate for Payer: UHCCP Medicaid	$21,678.80

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

Facility

$3,207.48

Service Code	APR-DRG 8431
Min. Negotiated Rate	$3,054.74
Max. Negotiated Rate	$3,207.48
Rate for Payer: BCBS Complete	$3,207.48
Rate for Payer: Mclaren Medicaid	$3,054.74
Rate for Payer: Meridian Medicaid	$3,207.48
Rate for Payer: PHP Medicaid	$3,054.74
Rate for Payer: Priority Health Choice Medicaid	$3,054.74
Rate for Payer: UHCCP Medicaid	$3,054.74

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

Facility

$37,196.39

Service Code	APR-DRG 8413
Min. Negotiated Rate	$35,425.13
Max. Negotiated Rate	$37,196.39
Rate for Payer: BCBS Complete	$37,196.39
Rate for Payer: Mclaren Medicaid	$35,425.13
Rate for Payer: Meridian Medicaid	$37,196.39
Rate for Payer: PHP Medicaid	$35,425.13
Rate for Payer: Priority Health Choice Medicaid	$35,425.13
Rate for Payer: UHCCP Medicaid	$35,425.13

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

Facility

$118,366.25

Service Code	APR-DRG 8414
Min. Negotiated Rate	$112,729.76
Max. Negotiated Rate	$118,366.25
Rate for Payer: BCBS Complete	$118,366.25
Rate for Payer: Mclaren Medicaid	$112,729.76
Rate for Payer: Meridian Medicaid	$118,366.25
Rate for Payer: PHP Medicaid	$112,729.76
Rate for Payer: Priority Health Choice Medicaid	$112,729.76
Rate for Payer: UHCCP Medicaid	$112,729.76

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

Facility

$25,194.21

Service Code	APR-DRG 8411
Min. Negotiated Rate	$23,994.49
Max. Negotiated Rate	$25,194.21
Rate for Payer: BCBS Complete	$25,194.21
Rate for Payer: Mclaren Medicaid	$23,994.49
Rate for Payer: Meridian Medicaid	$25,194.21
Rate for Payer: PHP Medicaid	$23,994.49
Rate for Payer: Priority Health Choice Medicaid	$23,994.49
Rate for Payer: UHCCP Medicaid	$23,994.49

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

Facility

$25,556.35

Service Code	APR-DRG 8412
Min. Negotiated Rate	$24,339.38
Max. Negotiated Rate	$25,556.35
Rate for Payer: BCBS Complete	$25,556.35
Rate for Payer: Mclaren Medicaid	$24,339.38
Rate for Payer: Meridian Medicaid	$25,556.35
Rate for Payer: PHP Medicaid	$24,339.38
Rate for Payer: Priority Health Choice Medicaid	$24,339.38
Rate for Payer: UHCCP Medicaid	$24,339.38

APR-DRG 42.00: EXTERNAL HEART ASSIST DEVICES

Facility

$28,091.29

Service Code	APR-DRG 1783
Min. Negotiated Rate	$26,753.61
Max. Negotiated Rate	$28,091.29
Rate for Payer: BCBS Complete	$28,091.29
Rate for Payer: Mclaren Medicaid	$26,753.61
Rate for Payer: Meridian Medicaid	$28,091.29
Rate for Payer: PHP Medicaid	$26,753.61
Rate for Payer: Priority Health Choice Medicaid	$26,753.61
Rate for Payer: UHCCP Medicaid	$26,753.61

APR-DRG 42.00: EXTERNAL HEART ASSIST DEVICES

Facility

$22,866.21

Service Code	APR-DRG 1782
Min. Negotiated Rate	$21,777.34
Max. Negotiated Rate	$22,866.21
Rate for Payer: BCBS Complete	$22,866.21
Rate for Payer: Mclaren Medicaid	$21,777.34
Rate for Payer: Meridian Medicaid	$22,866.21
Rate for Payer: PHP Medicaid	$21,777.34
Rate for Payer: Priority Health Choice Medicaid	$21,777.34
Rate for Payer: UHCCP Medicaid	$21,777.34

APR-DRG 42.00: EXTERNAL HEART ASSIST DEVICES

Facility

$20,589.93

Service Code	APR-DRG 1781
Min. Negotiated Rate	$19,609.46
Max. Negotiated Rate	$20,589.93
Rate for Payer: BCBS Complete	$20,589.93
Rate for Payer: Mclaren Medicaid	$19,609.46
Rate for Payer: Meridian Medicaid	$20,589.93
Rate for Payer: PHP Medicaid	$19,609.46
Rate for Payer: Priority Health Choice Medicaid	$19,609.46
Rate for Payer: UHCCP Medicaid	$19,609.46

APR-DRG 42.00: EXTERNAL HEART ASSIST DEVICES

Facility

$34,816.65

Service Code	APR-DRG 1784
Min. Negotiated Rate	$33,158.71
Max. Negotiated Rate	$34,816.65
Rate for Payer: BCBS Complete	$34,816.65
Rate for Payer: Mclaren Medicaid	$33,158.71
Rate for Payer: Meridian Medicaid	$34,816.65
Rate for Payer: PHP Medicaid	$33,158.71
Rate for Payer: Priority Health Choice Medicaid	$33,158.71
Rate for Payer: UHCCP Medicaid	$33,158.71

APR-DRG 42.00: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)

Facility

$33,575.04

Service Code	APR-DRG 0091
Min. Negotiated Rate	$31,976.23
Max. Negotiated Rate	$33,575.04
Rate for Payer: BCBS Complete	$33,575.04
Rate for Payer: Mclaren Medicaid	$31,976.23
Rate for Payer: Meridian Medicaid	$33,575.04
Rate for Payer: PHP Medicaid	$31,976.23
Rate for Payer: Priority Health Choice Medicaid	$31,976.23
Rate for Payer: UHCCP Medicaid	$31,976.23

APR-DRG 42.00: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)

Facility

$46,922.28

Service Code	APR-DRG 0092
Min. Negotiated Rate	$44,687.89
Max. Negotiated Rate	$46,922.28
Rate for Payer: BCBS Complete	$46,922.28
Rate for Payer: Mclaren Medicaid	$44,687.89
Rate for Payer: Meridian Medicaid	$46,922.28
Rate for Payer: PHP Medicaid	$44,687.89
Rate for Payer: Priority Health Choice Medicaid	$44,687.89
Rate for Payer: UHCCP Medicaid	$44,687.89

APR-DRG 42.00: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)

Facility

$77,807.18

Service Code	APR-DRG 0093
Min. Negotiated Rate	$74,102.08
Max. Negotiated Rate	$77,807.18
Rate for Payer: BCBS Complete	$77,807.18
Rate for Payer: Mclaren Medicaid	$74,102.08
Rate for Payer: Meridian Medicaid	$77,807.18
Rate for Payer: PHP Medicaid	$74,102.08
Rate for Payer: Priority Health Choice Medicaid	$74,102.08
Rate for Payer: UHCCP Medicaid	$74,102.08

APR-DRG 42.00: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)

Facility

$108,123.02

Service Code	APR-DRG 0094
Min. Negotiated Rate	$102,974.30
Max. Negotiated Rate	$108,123.02
Rate for Payer: BCBS Complete	$108,123.02
Rate for Payer: Mclaren Medicaid	$102,974.30
Rate for Payer: Meridian Medicaid	$108,123.02
Rate for Payer: PHP Medicaid	$102,974.30
Rate for Payer: Priority Health Choice Medicaid	$102,974.30
Rate for Payer: UHCCP Medicaid	$102,974.30

APR-DRG 42.00: EYE INFECTIONS AND OTHER EYE DISORDERS

Facility

$4,914.68

Service Code	APR-DRG 0822
Min. Negotiated Rate	$4,680.65
Max. Negotiated Rate	$4,914.68
Rate for Payer: BCBS Complete	$4,914.68
Rate for Payer: Mclaren Medicaid	$4,680.65
Rate for Payer: Meridian Medicaid	$4,914.68
Rate for Payer: PHP Medicaid	$4,680.65
Rate for Payer: Priority Health Choice Medicaid	$4,680.65
Rate for Payer: UHCCP Medicaid	$4,680.65

APR-DRG 42.00: EYE INFECTIONS AND OTHER EYE DISORDERS

Facility

$13,140.31

Service Code	APR-DRG 0824
Min. Negotiated Rate	$12,514.58
Max. Negotiated Rate	$13,140.31
Rate for Payer: BCBS Complete	$13,140.31
Rate for Payer: Mclaren Medicaid	$12,514.58
Rate for Payer: Meridian Medicaid	$13,140.31
Rate for Payer: PHP Medicaid	$12,514.58
Rate for Payer: Priority Health Choice Medicaid	$12,514.58
Rate for Payer: UHCCP Medicaid	$12,514.58

Know your out-of-pocket cost for care.

All Charges