Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS

Facility

$10,450.17

Service Code	APR-DRG 2814
Min. Negotiated Rate	$9,952.54
Max. Negotiated Rate	$10,450.17
Rate for Payer: BCBS Complete	$10,450.17
Rate for Payer: Mclaren Medicaid	$9,952.54
Rate for Payer: Meridian Medicaid	$10,450.17
Rate for Payer: PHP Medicaid	$9,952.54
Rate for Payer: Priority Health Choice Medicaid	$9,952.54
Rate for Payer: UHCCP Medicaid	$9,952.54

APR-DRG 42.00: MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS

Facility

$7,035.76

Service Code	APR-DRG 2813
Min. Negotiated Rate	$6,700.72
Max. Negotiated Rate	$7,035.76
Rate for Payer: BCBS Complete	$7,035.76
Rate for Payer: Mclaren Medicaid	$6,700.72
Rate for Payer: Meridian Medicaid	$7,035.76
Rate for Payer: PHP Medicaid	$6,700.72
Rate for Payer: Priority Health Choice Medicaid	$6,700.72
Rate for Payer: UHCCP Medicaid	$6,700.72

APR-DRG 42.00: MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS

Facility

$5,380.28

Service Code	APR-DRG 2812
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: MALIGNANT BREAST DISORDERS

Facility

$13,709.38

Service Code	APR-DRG 3824
Min. Negotiated Rate	$13,056.55
Max. Negotiated Rate	$13,709.38
Rate for Payer: BCBS Complete	$13,709.38
Rate for Payer: Mclaren Medicaid	$13,056.55
Rate for Payer: Meridian Medicaid	$13,709.38
Rate for Payer: PHP Medicaid	$13,056.55
Rate for Payer: Priority Health Choice Medicaid	$13,056.55
Rate for Payer: UHCCP Medicaid	$13,056.55

APR-DRG 42.00: MALIGNANT BREAST DISORDERS

Facility

$3,776.55

Service Code	APR-DRG 3821
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: MALIGNANT BREAST DISORDERS

Facility

$8,277.36

Service Code	APR-DRG 3823
Min. Negotiated Rate	$7,883.20
Max. Negotiated Rate	$8,277.36
Rate for Payer: BCBS Complete	$8,277.36
Rate for Payer: Mclaren Medicaid	$7,883.20
Rate for Payer: Meridian Medicaid	$8,277.36
Rate for Payer: PHP Medicaid	$7,883.20
Rate for Payer: Priority Health Choice Medicaid	$7,883.20
Rate for Payer: UHCCP Medicaid	$7,883.20

APR-DRG 42.00: MALIGNANT BREAST DISORDERS

Facility

$5,018.15

Service Code	APR-DRG 3822
Min. Negotiated Rate	$4,779.19
Max. Negotiated Rate	$5,018.15
Rate for Payer: BCBS Complete	$5,018.15
Rate for Payer: Mclaren Medicaid	$4,779.19
Rate for Payer: Meridian Medicaid	$5,018.15
Rate for Payer: PHP Medicaid	$4,779.19
Rate for Payer: Priority Health Choice Medicaid	$4,779.19
Rate for Payer: UHCCP Medicaid	$4,779.19

APR-DRG 42.00: MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS

Facility

$7,604.82

Service Code	APR-DRG 4213
Min. Negotiated Rate	$7,242.69
Max. Negotiated Rate	$7,604.82
Rate for Payer: BCBS Complete	$7,604.82
Rate for Payer: Mclaren Medicaid	$7,242.69
Rate for Payer: Meridian Medicaid	$7,604.82
Rate for Payer: PHP Medicaid	$7,242.69
Rate for Payer: Priority Health Choice Medicaid	$7,242.69
Rate for Payer: UHCCP Medicaid	$7,242.69

APR-DRG 42.00: MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS

Facility

$4,966.42

Service Code	APR-DRG 4212
Min. Negotiated Rate	$4,729.92
Max. Negotiated Rate	$4,966.42
Rate for Payer: BCBS Complete	$4,966.42
Rate for Payer: Mclaren Medicaid	$4,729.92
Rate for Payer: Meridian Medicaid	$4,966.42
Rate for Payer: PHP Medicaid	$4,729.92
Rate for Payer: Priority Health Choice Medicaid	$4,729.92
Rate for Payer: UHCCP Medicaid	$4,729.92

APR-DRG 42.00: MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS

Facility

$9,622.43

Service Code	APR-DRG 4214
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: MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS

Facility

$2,638.41

Service Code	APR-DRG 4211
Min. Negotiated Rate	$2,512.77
Max. Negotiated Rate	$2,638.41
Rate for Payer: BCBS Complete	$2,638.41
Rate for Payer: Mclaren Medicaid	$2,512.77
Rate for Payer: Meridian Medicaid	$2,638.41
Rate for Payer: PHP Medicaid	$2,512.77
Rate for Payer: Priority Health Choice Medicaid	$2,512.77
Rate for Payer: UHCCP Medicaid	$2,512.77

APR-DRG 42.00: MASTECTOMY PROCEDURES

Facility

$16,709.92

Service Code	APR-DRG 3624
Min. Negotiated Rate	$15,914.21
Max. Negotiated Rate	$16,709.92
Rate for Payer: BCBS Complete	$16,709.92
Rate for Payer: Mclaren Medicaid	$15,914.21
Rate for Payer: Meridian Medicaid	$16,709.92
Rate for Payer: PHP Medicaid	$15,914.21
Rate for Payer: Priority Health Choice Medicaid	$15,914.21
Rate for Payer: UHCCP Medicaid	$15,914.21

APR-DRG 42.00: MASTECTOMY PROCEDURES

Facility

$10,139.77

Service Code	APR-DRG 3621
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

APR-DRG 42.00: MASTECTOMY PROCEDURES

Facility

$13,554.18

Service Code	APR-DRG 3622
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: MASTECTOMY PROCEDURES

Facility

$13,968.04

Service Code	APR-DRG 3623
Min. Negotiated Rate	$13,302.90
Max. Negotiated Rate	$13,968.04
Rate for Payer: BCBS Complete	$13,968.04
Rate for Payer: Mclaren Medicaid	$13,302.90
Rate for Payer: Meridian Medicaid	$13,968.04
Rate for Payer: PHP Medicaid	$13,302.90
Rate for Payer: Priority Health Choice Medicaid	$13,302.90
Rate for Payer: UHCCP Medicaid	$13,302.90

APR-DRG 42.00: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS

Facility

$5,638.95

Service Code	APR-DRG 5323
Min. Negotiated Rate	$5,370.43
Max. Negotiated Rate	$5,638.95
Rate for Payer: BCBS Complete	$5,638.95
Rate for Payer: Mclaren Medicaid	$5,370.43
Rate for Payer: Meridian Medicaid	$5,638.95
Rate for Payer: PHP Medicaid	$5,370.43
Rate for Payer: Priority Health Choice Medicaid	$5,370.43
Rate for Payer: UHCCP Medicaid	$5,370.43

APR-DRG 42.00: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS

Facility

$2,845.34

Service Code	APR-DRG 5322
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: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS

Facility

$2,017.61

Service Code	APR-DRG 5321
Min. Negotiated Rate	$1,921.53
Max. Negotiated Rate	$2,017.61
Rate for Payer: BCBS Complete	$2,017.61
Rate for Payer: Mclaren Medicaid	$1,921.53
Rate for Payer: Meridian Medicaid	$2,017.61
Rate for Payer: PHP Medicaid	$1,921.53
Rate for Payer: Priority Health Choice Medicaid	$1,921.53
Rate for Payer: UHCCP Medicaid	$1,921.53

APR-DRG 42.00: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS

Facility

$9,105.10

Service Code	APR-DRG 5324
Min. Negotiated Rate	$8,671.52
Max. Negotiated Rate	$9,105.10
Rate for Payer: BCBS Complete	$9,105.10
Rate for Payer: Mclaren Medicaid	$8,671.52
Rate for Payer: Meridian Medicaid	$9,105.10
Rate for Payer: PHP Medicaid	$8,671.52
Rate for Payer: Priority Health Choice Medicaid	$8,671.52
Rate for Payer: UHCCP Medicaid	$8,671.52

APR-DRG 42.00: MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE

Facility

$4,966.42

Service Code	APR-DRG 7401
Min. Negotiated Rate	$4,729.92
Max. Negotiated Rate	$4,966.42
Rate for Payer: BCBS Complete	$4,966.42
Rate for Payer: Mclaren Medicaid	$4,729.92
Rate for Payer: Meridian Medicaid	$4,966.42
Rate for Payer: PHP Medicaid	$4,729.92
Rate for Payer: Priority Health Choice Medicaid	$4,729.92
Rate for Payer: UHCCP Medicaid	$4,729.92

APR-DRG 42.00: MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE

Facility

$29,177.69

Service Code	APR-DRG 7404
Min. Negotiated Rate	$27,788.28
Max. Negotiated Rate	$29,177.69
Rate for Payer: BCBS Complete	$29,177.69
Rate for Payer: Mclaren Medicaid	$27,788.28
Rate for Payer: Meridian Medicaid	$29,177.69
Rate for Payer: PHP Medicaid	$27,788.28
Rate for Payer: Priority Health Choice Medicaid	$27,788.28
Rate for Payer: UHCCP Medicaid	$27,788.28

APR-DRG 42.00: MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE

Facility

$8,225.63

Service Code	APR-DRG 7402
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: MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE

Facility

$14,640.58

Service Code	APR-DRG 7403
Min. Negotiated Rate	$13,943.41
Max. Negotiated Rate	$14,640.58
Rate for Payer: BCBS Complete	$14,640.58
Rate for Payer: Mclaren Medicaid	$13,943.41
Rate for Payer: Meridian Medicaid	$14,640.58
Rate for Payer: PHP Medicaid	$13,943.41
Rate for Payer: Priority Health Choice Medicaid	$13,943.41
Rate for Payer: UHCCP Medicaid	$13,943.41

APR-DRG 42.00: MIGRAINE AND OTHER HEADACHES

Facility

$4,811.22

Service Code	APR-DRG 0542
Min. Negotiated Rate	$4,582.11
Max. Negotiated Rate	$4,811.22
Rate for Payer: BCBS Complete	$4,811.22
Rate for Payer: Mclaren Medicaid	$4,582.11
Rate for Payer: Meridian Medicaid	$4,811.22
Rate for Payer: PHP Medicaid	$4,582.11
Rate for Payer: Priority Health Choice Medicaid	$4,582.11
Rate for Payer: UHCCP Medicaid	$4,582.11

APR-DRG 42.00: MIGRAINE AND OTHER HEADACHES

Facility

$7,863.49

Service Code	APR-DRG 0544
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

Know your out-of-pocket cost for care.

All Charges