Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: FOOT AND TOE PROCEDURES

Facility

$10,088.03

Service Code	APR-DRG 3143
Min. Negotiated Rate	$9,607.65
Max. Negotiated Rate	$10,088.03
Rate for Payer: BCBS Complete	$10,088.03
Rate for Payer: Mclaren Medicaid	$9,607.65
Rate for Payer: Meridian Medicaid	$10,088.03
Rate for Payer: PHP Medicaid	$9,607.65
Rate for Payer: Priority Health Choice Medicaid	$9,607.65
Rate for Payer: UHCCP Medicaid	$9,607.65

APR-DRG 42.00: FRACTURE OF FEMUR

Facility

$5,121.62

Service Code	APR-DRG 3403
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: FRACTURE OF FEMUR

Facility

$7,915.23

Service Code	APR-DRG 3404
Min. Negotiated Rate	$7,538.31
Max. Negotiated Rate	$7,915.23
Rate for Payer: BCBS Complete	$7,915.23
Rate for Payer: Mclaren Medicaid	$7,538.31
Rate for Payer: Meridian Medicaid	$7,915.23
Rate for Payer: PHP Medicaid	$7,538.31
Rate for Payer: Priority Health Choice Medicaid	$7,538.31
Rate for Payer: UHCCP Medicaid	$7,538.31

APR-DRG 42.00: FRACTURE OF FEMUR

Facility

$2,690.14

Service Code	APR-DRG 3401
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: FRACTURE OF FEMUR

Facility

$3,414.41

Service Code	APR-DRG 3402
Min. Negotiated Rate	$3,251.82
Max. Negotiated Rate	$3,414.41
Rate for Payer: BCBS Complete	$3,414.41
Rate for Payer: Mclaren Medicaid	$3,251.82
Rate for Payer: Meridian Medicaid	$3,414.41
Rate for Payer: PHP Medicaid	$3,251.82
Rate for Payer: Priority Health Choice Medicaid	$3,251.82
Rate for Payer: UHCCP Medicaid	$3,251.82

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

Facility

$9,932.83

Service Code	APR-DRG 3414
Min. Negotiated Rate	$9,459.84
Max. Negotiated Rate	$9,932.83
Rate for Payer: BCBS Complete	$9,932.83
Rate for Payer: Mclaren Medicaid	$9,459.84
Rate for Payer: Meridian Medicaid	$9,932.83
Rate for Payer: PHP Medicaid	$9,459.84
Rate for Payer: Priority Health Choice Medicaid	$9,459.84
Rate for Payer: UHCCP Medicaid	$9,459.84

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

Facility

$3,673.08

Service Code	APR-DRG 3412
Min. Negotiated Rate	$3,498.17
Max. Negotiated Rate	$3,673.08
Rate for Payer: BCBS Complete	$3,673.08
Rate for Payer: Mclaren Medicaid	$3,498.17
Rate for Payer: Meridian Medicaid	$3,673.08
Rate for Payer: PHP Medicaid	$3,498.17
Rate for Payer: Priority Health Choice Medicaid	$3,498.17
Rate for Payer: UHCCP Medicaid	$3,498.17

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

Facility

$5,432.02

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

Facility

$2,897.08

Service Code	APR-DRG 3411
Min. Negotiated Rate	$2,759.12
Max. Negotiated Rate	$2,897.08
Rate for Payer: BCBS Complete	$2,897.08
Rate for Payer: Mclaren Medicaid	$2,759.12
Rate for Payer: Meridian Medicaid	$2,897.08
Rate for Payer: PHP Medicaid	$2,759.12
Rate for Payer: Priority Health Choice Medicaid	$2,759.12
Rate for Payer: UHCCP Medicaid	$2,759.12

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

Facility

$3,155.74

Service Code	APR-DRG 3421
Min. Negotiated Rate	$3,005.47
Max. Negotiated Rate	$3,155.74
Rate for Payer: BCBS Complete	$3,155.74
Rate for Payer: Mclaren Medicaid	$3,005.47
Rate for Payer: Meridian Medicaid	$3,155.74
Rate for Payer: PHP Medicaid	$3,005.47
Rate for Payer: Priority Health Choice Medicaid	$3,005.47
Rate for Payer: UHCCP Medicaid	$3,005.47

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

Facility

$4,086.95

Service Code	APR-DRG 3422
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

$5,794.15

Service Code	APR-DRG 3423
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: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK

Facility

$10,553.63

Service Code	APR-DRG 3424
Min. Negotiated Rate	$10,051.08
Max. Negotiated Rate	$10,553.63
Rate for Payer: BCBS Complete	$10,553.63
Rate for Payer: Mclaren Medicaid	$10,051.08
Rate for Payer: Meridian Medicaid	$10,553.63
Rate for Payer: PHP Medicaid	$10,051.08
Rate for Payer: Priority Health Choice Medicaid	$10,051.08
Rate for Payer: UHCCP Medicaid	$10,051.08

APR-DRG 42.00: GASTRIC FUNDOPLICATION

Facility

$6,311.49

Service Code	APR-DRG 2321
Min. Negotiated Rate	$6,010.94
Max. Negotiated Rate	$6,311.49
Rate for Payer: BCBS Complete	$6,311.49
Rate for Payer: Mclaren Medicaid	$6,010.94
Rate for Payer: Meridian Medicaid	$6,311.49
Rate for Payer: PHP Medicaid	$6,010.94
Rate for Payer: Priority Health Choice Medicaid	$6,010.94
Rate for Payer: UHCCP Medicaid	$6,010.94

APR-DRG 42.00: GASTRIC FUNDOPLICATION

Facility

$20,072.60

Service Code	APR-DRG 2324
Min. Negotiated Rate	$19,116.76
Max. Negotiated Rate	$20,072.60
Rate for Payer: BCBS Complete	$20,072.60
Rate for Payer: Mclaren Medicaid	$19,116.76
Rate for Payer: Meridian Medicaid	$20,072.60
Rate for Payer: PHP Medicaid	$19,116.76
Rate for Payer: Priority Health Choice Medicaid	$19,116.76
Rate for Payer: UHCCP Medicaid	$19,116.76

APR-DRG 42.00: GASTRIC FUNDOPLICATION

Facility

$7,863.49

Service Code	APR-DRG 2322
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: GASTRIC FUNDOPLICATION

Facility

$12,519.51

Service Code	APR-DRG 2323
Min. Negotiated Rate	$11,923.34
Max. Negotiated Rate	$12,519.51
Rate for Payer: BCBS Complete	$12,519.51
Rate for Payer: Mclaren Medicaid	$11,923.34
Rate for Payer: Meridian Medicaid	$12,519.51
Rate for Payer: PHP Medicaid	$11,923.34
Rate for Payer: Priority Health Choice Medicaid	$11,923.34
Rate for Payer: UHCCP Medicaid	$11,923.34

APR-DRG 42.00: GASTROINTESTINAL VASCULAR INSUFFICIENCY

Facility

$3,207.48

Service Code	APR-DRG 2461
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: GASTROINTESTINAL VASCULAR INSUFFICIENCY

Facility

$4,086.95

Service Code	APR-DRG 2462
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: GASTROINTESTINAL VASCULAR INSUFFICIENCY

Facility

$9,984.57

Service Code	APR-DRG 2464
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: GASTROINTESTINAL VASCULAR INSUFFICIENCY

Facility

$6,208.02

Service Code	APR-DRG 2463
Min. Negotiated Rate	$5,912.40
Max. Negotiated Rate	$6,208.02
Rate for Payer: BCBS Complete	$6,208.02
Rate for Payer: Mclaren Medicaid	$5,912.40
Rate for Payer: Meridian Medicaid	$6,208.02
Rate for Payer: PHP Medicaid	$5,912.40
Rate for Payer: Priority Health Choice Medicaid	$5,912.40
Rate for Payer: UHCCP Medicaid	$5,912.40

APR-DRG 42.00: GENDER RELATED PROCEDURES

Facility

$56,079.11

Service Code	APR-DRG 8513
Min. Negotiated Rate	$53,408.68
Max. Negotiated Rate	$56,079.11
Rate for Payer: BCBS Complete	$56,079.11
Rate for Payer: Mclaren Medicaid	$53,408.68
Rate for Payer: Meridian Medicaid	$56,079.11
Rate for Payer: PHP Medicaid	$53,408.68
Rate for Payer: Priority Health Choice Medicaid	$53,408.68
Rate for Payer: UHCCP Medicaid	$53,408.68

APR-DRG 42.00: GENDER RELATED PROCEDURES

Facility

$17,330.72

Service Code	APR-DRG 8512
Min. Negotiated Rate	$16,505.45
Max. Negotiated Rate	$17,330.72
Rate for Payer: BCBS Complete	$17,330.72
Rate for Payer: Mclaren Medicaid	$16,505.45
Rate for Payer: Meridian Medicaid	$17,330.72
Rate for Payer: PHP Medicaid	$16,505.45
Rate for Payer: Priority Health Choice Medicaid	$16,505.45
Rate for Payer: UHCCP Medicaid	$16,505.45

APR-DRG 42.00: GENDER RELATED PROCEDURES

Facility

$56,079.11

Service Code	APR-DRG 8514
Min. Negotiated Rate	$53,408.68
Max. Negotiated Rate	$56,079.11
Rate for Payer: BCBS Complete	$56,079.11
Rate for Payer: Mclaren Medicaid	$53,408.68
Rate for Payer: Meridian Medicaid	$56,079.11
Rate for Payer: PHP Medicaid	$53,408.68
Rate for Payer: Priority Health Choice Medicaid	$53,408.68
Rate for Payer: UHCCP Medicaid	$53,408.68

APR-DRG 42.00: GENDER RELATED PROCEDURES

Facility

$10,139.77

Service Code	APR-DRG 8511
Min. Negotiated Rate	$9,656.92
Max. Negotiated Rate	$10,139.77
Rate for Payer: BCBS Complete	$10,139.77
Rate for Payer: Mclaren Medicaid	$9,656.92
Rate for Payer: Meridian Medicaid	$10,139.77
Rate for Payer: PHP Medicaid	$9,656.92
Rate for Payer: Priority Health Choice Medicaid	$9,656.92
Rate for Payer: UHCCP Medicaid	$9,656.92

Know your out-of-pocket cost for care.

All Charges