Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: FOOT AND TOE PROCEDURES

Facility

$5,794.15

Service Code	APR-DRG 3141
Min. Negotiated Rate	$5,518.24
Max. Negotiated Rate	$5,794.15
Rate for Payer: BCBS Complete	$5,794.15
Rate for Payer: Mclaren Medicaid	$5,518.24
Rate for Payer: Meridian Medicaid	$5,794.15
Rate for Payer: PHP Medicaid	$5,518.24
Rate for Payer: Priority Health Choice Medicaid	$5,518.24
Rate for Payer: UHCCP Medicaid	$5,518.24

APR-DRG 42.00: FRACTURE OF FEMUR

Facility

$7,139.22

Service Code	APR-DRG 3403
Min. Negotiated Rate	$6,799.26
Max. Negotiated Rate	$7,139.22
Rate for Payer: BCBS Complete	$7,139.22
Rate for Payer: Mclaren Medicaid	$6,799.26
Rate for Payer: Meridian Medicaid	$7,139.22
Rate for Payer: PHP Medicaid	$6,799.26
Rate for Payer: Priority Health Choice Medicaid	$6,799.26
Rate for Payer: UHCCP Medicaid	$6,799.26

APR-DRG 42.00: FRACTURE OF FEMUR

Facility

$3,104.01

Service Code	APR-DRG 3401
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: FRACTURE OF FEMUR

Facility

$10,657.10

Service Code	APR-DRG 3404
Min. Negotiated Rate	$10,149.62
Max. Negotiated Rate	$10,657.10
Rate for Payer: BCBS Complete	$10,657.10
Rate for Payer: Mclaren Medicaid	$10,149.62
Rate for Payer: Meridian Medicaid	$10,657.10
Rate for Payer: PHP Medicaid	$10,149.62
Rate for Payer: Priority Health Choice Medicaid	$10,149.62
Rate for Payer: UHCCP Medicaid	$10,149.62

APR-DRG 42.00: FRACTURE OF FEMUR

Facility

$3,880.01

Service Code	APR-DRG 3402
Min. Negotiated Rate	$3,695.25
Max. Negotiated Rate	$3,880.01
Rate for Payer: BCBS Complete	$3,880.01
Rate for Payer: Mclaren Medicaid	$3,695.25
Rate for Payer: Meridian Medicaid	$3,880.01
Rate for Payer: PHP Medicaid	$3,695.25
Rate for Payer: Priority Health Choice Medicaid	$3,695.25
Rate for Payer: UHCCP Medicaid	$3,695.25

APR-DRG 42.00: FRACTURE OF PELVIS OR DISLOCATION OF HIP

Facility

$8,536.03

Service Code	APR-DRG 3413
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: FRACTURE OF PELVIS OR DISLOCATION OF HIP

Facility

$2,845.34

Service Code	APR-DRG 3411
Min. Negotiated Rate	$2,709.85
Max. Negotiated Rate	$2,845.34
Rate for Payer: BCBS Complete	$2,845.34
Rate for Payer: Mclaren Medicaid	$2,709.85
Rate for Payer: Meridian Medicaid	$2,845.34
Rate for Payer: PHP Medicaid	$2,709.85
Rate for Payer: Priority Health Choice Medicaid	$2,709.85
Rate for Payer: UHCCP Medicaid	$2,709.85

APR-DRG 42.00: FRACTURE OF PELVIS OR DISLOCATION OF HIP

Facility

$14,692.31

Service Code	APR-DRG 3414
Min. Negotiated Rate	$13,992.68
Max. Negotiated Rate	$14,692.31
Rate for Payer: BCBS Complete	$14,692.31
Rate for Payer: Mclaren Medicaid	$13,992.68
Rate for Payer: Meridian Medicaid	$14,692.31
Rate for Payer: PHP Medicaid	$13,992.68
Rate for Payer: Priority Health Choice Medicaid	$13,992.68
Rate for Payer: UHCCP Medicaid	$13,992.68

APR-DRG 42.00: FRACTURE OF PELVIS OR DISLOCATION OF HIP

Facility

$4,035.21

Service Code	APR-DRG 3412
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: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK

Facility

$4,086.95

Service Code	APR-DRG 3421
Min. Negotiated Rate	$3,892.33
Max. Negotiated Rate	$4,086.95
Rate for Payer: BCBS Complete	$4,086.95
Rate for Payer: Mclaren Medicaid	$3,892.33
Rate for Payer: Meridian Medicaid	$4,086.95
Rate for Payer: PHP Medicaid	$3,892.33
Rate for Payer: Priority Health Choice Medicaid	$3,892.33
Rate for Payer: UHCCP Medicaid	$3,892.33

APR-DRG 42.00: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK

Facility

$6,621.89

Service Code	APR-DRG 3423
Min. Negotiated Rate	$6,306.56
Max. Negotiated Rate	$6,621.89
Rate for Payer: BCBS Complete	$6,621.89
Rate for Payer: Mclaren Medicaid	$6,306.56
Rate for Payer: Meridian Medicaid	$6,621.89
Rate for Payer: PHP Medicaid	$6,306.56
Rate for Payer: Priority Health Choice Medicaid	$6,306.56
Rate for Payer: UHCCP Medicaid	$6,306.56

APR-DRG 42.00: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK

Facility

$4,862.95

Service Code	APR-DRG 3422
Min. Negotiated Rate	$4,631.38
Max. Negotiated Rate	$4,862.95
Rate for Payer: BCBS Complete	$4,862.95
Rate for Payer: Mclaren Medicaid	$4,631.38
Rate for Payer: Meridian Medicaid	$4,862.95
Rate for Payer: PHP Medicaid	$4,631.38
Rate for Payer: Priority Health Choice Medicaid	$4,631.38
Rate for Payer: UHCCP Medicaid	$4,631.38

APR-DRG 42.00: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK

Facility

$11,846.97

Service Code	APR-DRG 3424
Min. Negotiated Rate	$11,282.83
Max. Negotiated Rate	$11,846.97
Rate for Payer: BCBS Complete	$11,846.97
Rate for Payer: Mclaren Medicaid	$11,282.83
Rate for Payer: Meridian Medicaid	$11,846.97
Rate for Payer: PHP Medicaid	$11,282.83
Rate for Payer: Priority Health Choice Medicaid	$11,282.83
Rate for Payer: UHCCP Medicaid	$11,282.83

APR-DRG 42.00: GASTRIC FUNDOPLICATION

Facility

$21,779.80

Service Code	APR-DRG 2324
Min. Negotiated Rate	$20,742.67
Max. Negotiated Rate	$21,779.80
Rate for Payer: BCBS Complete	$21,779.80
Rate for Payer: Mclaren Medicaid	$20,742.67
Rate for Payer: Meridian Medicaid	$21,779.80
Rate for Payer: PHP Medicaid	$20,742.67
Rate for Payer: Priority Health Choice Medicaid	$20,742.67
Rate for Payer: UHCCP Medicaid	$20,742.67

APR-DRG 42.00: GASTRIC FUNDOPLICATION

Facility

$8,536.03

Service Code	APR-DRG 2322
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: GASTRIC FUNDOPLICATION

Facility

$6,828.82

Service Code	APR-DRG 2321
Min. Negotiated Rate	$6,503.64
Max. Negotiated Rate	$6,828.82
Rate for Payer: BCBS Complete	$6,828.82
Rate for Payer: Mclaren Medicaid	$6,503.64
Rate for Payer: Meridian Medicaid	$6,828.82
Rate for Payer: PHP Medicaid	$6,503.64
Rate for Payer: Priority Health Choice Medicaid	$6,503.64
Rate for Payer: UHCCP Medicaid	$6,503.64

APR-DRG 42.00: GASTRIC FUNDOPLICATION

Facility

$13,554.18

Service Code	APR-DRG 2323
Min. Negotiated Rate	$12,908.74
Max. Negotiated Rate	$13,554.18
Rate for Payer: BCBS Complete	$13,554.18
Rate for Payer: Mclaren Medicaid	$12,908.74
Rate for Payer: Meridian Medicaid	$13,554.18
Rate for Payer: PHP Medicaid	$12,908.74
Rate for Payer: Priority Health Choice Medicaid	$12,908.74
Rate for Payer: UHCCP Medicaid	$12,908.74

APR-DRG 42.00: GASTROINTESTINAL VASCULAR INSUFFICIENCY

Facility

$3,931.75

Service Code	APR-DRG 2461
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: GASTROINTESTINAL VASCULAR INSUFFICIENCY

Facility

$5,173.35

Service Code	APR-DRG 2462
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: GASTROINTESTINAL VASCULAR INSUFFICIENCY

Facility

$7,553.09

Service Code	APR-DRG 2463
Min. Negotiated Rate	$7,193.42
Max. Negotiated Rate	$7,553.09
Rate for Payer: BCBS Complete	$7,553.09
Rate for Payer: Mclaren Medicaid	$7,193.42
Rate for Payer: Meridian Medicaid	$7,553.09
Rate for Payer: PHP Medicaid	$7,193.42
Rate for Payer: Priority Health Choice Medicaid	$7,193.42
Rate for Payer: UHCCP Medicaid	$7,193.42

APR-DRG 42.00: GASTROINTESTINAL VASCULAR INSUFFICIENCY

Facility

$13,812.84

Service Code	APR-DRG 2464
Min. Negotiated Rate	$13,155.09
Max. Negotiated Rate	$13,812.84
Rate for Payer: BCBS Complete	$13,812.84
Rate for Payer: Mclaren Medicaid	$13,155.09
Rate for Payer: Meridian Medicaid	$13,812.84
Rate for Payer: PHP Medicaid	$13,155.09
Rate for Payer: Priority Health Choice Medicaid	$13,155.09
Rate for Payer: UHCCP Medicaid	$13,155.09

APR-DRG 42.00: GENDER RELATED PROCEDURES

Facility

$48,577.76

Service Code	APR-DRG 8513
Min. Negotiated Rate	$46,264.53
Max. Negotiated Rate	$48,577.76
Rate for Payer: BCBS Complete	$48,577.76
Rate for Payer: Mclaren Medicaid	$46,264.53
Rate for Payer: Meridian Medicaid	$48,577.76
Rate for Payer: PHP Medicaid	$46,264.53
Rate for Payer: Priority Health Choice Medicaid	$46,264.53
Rate for Payer: UHCCP Medicaid	$46,264.53

APR-DRG 42.00: GENDER RELATED PROCEDURES

Facility

$8,794.70

Service Code	APR-DRG 8511
Min. Negotiated Rate	$8,375.90
Max. Negotiated Rate	$8,794.70
Rate for Payer: BCBS Complete	$8,794.70
Rate for Payer: Mclaren Medicaid	$8,375.90
Rate for Payer: Meridian Medicaid	$8,794.70
Rate for Payer: PHP Medicaid	$8,375.90
Rate for Payer: Priority Health Choice Medicaid	$8,375.90
Rate for Payer: UHCCP Medicaid	$8,375.90

APR-DRG 42.00: GENDER RELATED PROCEDURES

Facility

$48,577.76

Service Code	APR-DRG 8514
Min. Negotiated Rate	$46,264.53
Max. Negotiated Rate	$48,577.76
Rate for Payer: BCBS Complete	$48,577.76
Rate for Payer: Mclaren Medicaid	$46,264.53
Rate for Payer: Meridian Medicaid	$48,577.76
Rate for Payer: PHP Medicaid	$46,264.53
Rate for Payer: Priority Health Choice Medicaid	$46,264.53
Rate for Payer: UHCCP Medicaid	$46,264.53

APR-DRG 42.00: GENDER RELATED PROCEDURES

Facility

$15,002.72

Service Code	APR-DRG 8512
Min. Negotiated Rate	$14,288.30
Max. Negotiated Rate	$15,002.72
Rate for Payer: BCBS Complete	$15,002.72
Rate for Payer: Mclaren Medicaid	$14,288.30
Rate for Payer: Meridian Medicaid	$15,002.72
Rate for Payer: PHP Medicaid	$14,288.30
Rate for Payer: Priority Health Choice Medicaid	$14,288.30
Rate for Payer: UHCCP Medicaid	$14,288.30

Know your out-of-pocket cost for care.

All Charges