Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: MASTECTOMY PROCEDURES

Facility

$12,726.44

Service Code	APR-DRG 3623
Min. Negotiated Rate	$12,120.42
Max. Negotiated Rate	$12,726.44
Rate for Payer: BCBS Complete	$12,726.44
Rate for Payer: Mclaren Medicaid	$12,120.42
Rate for Payer: Meridian Medicaid	$12,726.44
Rate for Payer: PHP Medicaid	$12,120.42
Rate for Payer: Priority Health Choice Medicaid	$12,120.42
Rate for Payer: UHCCP Medicaid	$12,120.42

APR-DRG 42.00: MASTECTOMY PROCEDURES

Facility

$15,882.18

Service Code	APR-DRG 3624
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: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS

Facility

$8,122.16

Service Code	APR-DRG 5324
Min. Negotiated Rate	$7,735.39
Max. Negotiated Rate	$8,122.16
Rate for Payer: BCBS Complete	$8,122.16
Rate for Payer: Mclaren Medicaid	$7,735.39
Rate for Payer: Meridian Medicaid	$8,122.16
Rate for Payer: PHP Medicaid	$7,735.39
Rate for Payer: Priority Health Choice Medicaid	$7,735.39
Rate for Payer: UHCCP Medicaid	$7,735.39

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

Facility

$3,569.61

Service Code	APR-DRG 5322
Min. Negotiated Rate	$3,399.63
Max. Negotiated Rate	$3,569.61
Rate for Payer: BCBS Complete	$3,569.61
Rate for Payer: Mclaren Medicaid	$3,399.63
Rate for Payer: Meridian Medicaid	$3,569.61
Rate for Payer: PHP Medicaid	$3,399.63
Rate for Payer: Priority Health Choice Medicaid	$3,399.63
Rate for Payer: UHCCP Medicaid	$3,399.63

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

Facility

$5,018.15

Service Code	APR-DRG 5323
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: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS

Facility

$2,690.14

Service Code	APR-DRG 5321
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: MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE

Facility

$13,347.24

Service Code	APR-DRG 7403
Min. Negotiated Rate	$12,711.66
Max. Negotiated Rate	$13,347.24
Rate for Payer: BCBS Complete	$13,347.24
Rate for Payer: Mclaren Medicaid	$12,711.66
Rate for Payer: Meridian Medicaid	$13,347.24
Rate for Payer: PHP Medicaid	$12,711.66
Rate for Payer: Priority Health Choice Medicaid	$12,711.66
Rate for Payer: UHCCP Medicaid	$12,711.66

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

Facility

$7,604.82

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

Facility

$4,552.55

Service Code	APR-DRG 7401
Min. Negotiated Rate	$4,335.76
Max. Negotiated Rate	$4,552.55
Rate for Payer: BCBS Complete	$4,552.55
Rate for Payer: Mclaren Medicaid	$4,335.76
Rate for Payer: Meridian Medicaid	$4,552.55
Rate for Payer: PHP Medicaid	$4,335.76
Rate for Payer: Priority Health Choice Medicaid	$4,335.76
Rate for Payer: UHCCP Medicaid	$4,335.76

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

Facility

$28,970.76

Service Code	APR-DRG 7404
Min. Negotiated Rate	$27,591.20
Max. Negotiated Rate	$28,970.76
Rate for Payer: BCBS Complete	$28,970.76
Rate for Payer: Mclaren Medicaid	$27,591.20
Rate for Payer: Meridian Medicaid	$28,970.76
Rate for Payer: PHP Medicaid	$27,591.20
Rate for Payer: Priority Health Choice Medicaid	$27,591.20
Rate for Payer: UHCCP Medicaid	$27,591.20

APR-DRG 42.00: MIGRAINE AND OTHER HEADACHES

Facility

$5,587.22

Service Code	APR-DRG 0543
Min. Negotiated Rate	$5,321.16
Max. Negotiated Rate	$5,587.22
Rate for Payer: BCBS Complete	$5,587.22
Rate for Payer: Mclaren Medicaid	$5,321.16
Rate for Payer: Meridian Medicaid	$5,587.22
Rate for Payer: PHP Medicaid	$5,321.16
Rate for Payer: Priority Health Choice Medicaid	$5,321.16
Rate for Payer: UHCCP Medicaid	$5,321.16

APR-DRG 42.00: MIGRAINE AND OTHER HEADACHES

Facility

$3,673.08

Service Code	APR-DRG 0541
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: MIGRAINE AND OTHER HEADACHES

Facility

$8,173.89

Service Code	APR-DRG 0544
Min. Negotiated Rate	$7,784.66
Max. Negotiated Rate	$8,173.89
Rate for Payer: BCBS Complete	$8,173.89
Rate for Payer: Mclaren Medicaid	$7,784.66
Rate for Payer: Meridian Medicaid	$8,173.89
Rate for Payer: PHP Medicaid	$7,784.66
Rate for Payer: Priority Health Choice Medicaid	$7,784.66
Rate for Payer: UHCCP Medicaid	$7,784.66

APR-DRG 42.00: MIGRAINE AND OTHER HEADACHES

Facility

$4,397.35

Service Code	APR-DRG 0542
Min. Negotiated Rate	$4,187.95
Max. Negotiated Rate	$4,397.35
Rate for Payer: BCBS Complete	$4,397.35
Rate for Payer: Mclaren Medicaid	$4,187.95
Rate for Payer: Meridian Medicaid	$4,397.35
Rate for Payer: PHP Medicaid	$4,187.95
Rate for Payer: Priority Health Choice Medicaid	$4,187.95
Rate for Payer: UHCCP Medicaid	$4,187.95

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

Facility

$5,897.62

Service Code	APR-DRG 7931
Min. Negotiated Rate	$5,616.78
Max. Negotiated Rate	$5,897.62
Rate for Payer: BCBS Complete	$5,897.62
Rate for Payer: Mclaren Medicaid	$5,616.78
Rate for Payer: Meridian Medicaid	$5,897.62
Rate for Payer: PHP Medicaid	$5,616.78
Rate for Payer: Priority Health Choice Medicaid	$5,616.78
Rate for Payer: UHCCP Medicaid	$5,616.78

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

Facility

$7,863.49

Service Code	APR-DRG 7932
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: MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$11,226.17

Service Code	APR-DRG 7933
Min. Negotiated Rate	$10,691.59
Max. Negotiated Rate	$11,226.17
Rate for Payer: BCBS Complete	$11,226.17
Rate for Payer: Mclaren Medicaid	$10,691.59
Rate for Payer: Meridian Medicaid	$11,226.17
Rate for Payer: PHP Medicaid	$10,691.59
Rate for Payer: Priority Health Choice Medicaid	$10,691.59
Rate for Payer: UHCCP Medicaid	$10,691.59

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

Facility

$19,555.26

Service Code	APR-DRG 7934
Min. Negotiated Rate	$18,624.06
Max. Negotiated Rate	$19,555.26
Rate for Payer: BCBS Complete	$19,555.26
Rate for Payer: Mclaren Medicaid	$18,624.06
Rate for Payer: Meridian Medicaid	$19,555.26
Rate for Payer: PHP Medicaid	$18,624.06
Rate for Payer: Priority Health Choice Medicaid	$18,624.06
Rate for Payer: UHCCP Medicaid	$18,624.06

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

Facility

$13,088.58

Service Code	APR-DRG 9513
Min. Negotiated Rate	$12,465.31
Max. Negotiated Rate	$13,088.58
Rate for Payer: BCBS Complete	$13,088.58
Rate for Payer: Mclaren Medicaid	$12,465.31
Rate for Payer: Meridian Medicaid	$13,088.58
Rate for Payer: PHP Medicaid	$12,465.31
Rate for Payer: Priority Health Choice Medicaid	$12,465.31
Rate for Payer: UHCCP Medicaid	$12,465.31

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

Facility

$6,156.29

Service Code	APR-DRG 9511
Min. Negotiated Rate	$5,863.13
Max. Negotiated Rate	$6,156.29
Rate for Payer: BCBS Complete	$6,156.29
Rate for Payer: Mclaren Medicaid	$5,863.13
Rate for Payer: Meridian Medicaid	$6,156.29
Rate for Payer: PHP Medicaid	$5,863.13
Rate for Payer: Priority Health Choice Medicaid	$5,863.13
Rate for Payer: UHCCP Medicaid	$5,863.13

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

Facility

$8,898.16

Service Code	APR-DRG 9512
Min. Negotiated Rate	$8,474.44
Max. Negotiated Rate	$8,898.16
Rate for Payer: BCBS Complete	$8,898.16
Rate for Payer: Mclaren Medicaid	$8,474.44
Rate for Payer: Meridian Medicaid	$8,898.16
Rate for Payer: PHP Medicaid	$8,474.44
Rate for Payer: Priority Health Choice Medicaid	$8,474.44
Rate for Payer: UHCCP Medicaid	$8,474.44

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

Facility

$21,676.34

Service Code	APR-DRG 9514
Min. Negotiated Rate	$20,644.13
Max. Negotiated Rate	$21,676.34
Rate for Payer: BCBS Complete	$21,676.34
Rate for Payer: Mclaren Medicaid	$20,644.13
Rate for Payer: Meridian Medicaid	$21,676.34
Rate for Payer: PHP Medicaid	$20,644.13
Rate for Payer: Priority Health Choice Medicaid	$20,644.13
Rate for Payer: UHCCP Medicaid	$20,644.13

APR-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL

Facility

$23,228.34

Service Code	APR-DRG 2992
Min. Negotiated Rate	$22,122.23
Max. Negotiated Rate	$23,228.34
Rate for Payer: BCBS Complete	$23,228.34
Rate for Payer: Mclaren Medicaid	$22,122.23
Rate for Payer: Meridian Medicaid	$23,228.34
Rate for Payer: PHP Medicaid	$22,122.23
Rate for Payer: Priority Health Choice Medicaid	$22,122.23
Rate for Payer: UHCCP Medicaid	$22,122.23

APR-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL

Facility

$31,557.44

Service Code	APR-DRG 2993
Min. Negotiated Rate	$30,054.70
Max. Negotiated Rate	$31,557.44
Rate for Payer: BCBS Complete	$31,557.44
Rate for Payer: Mclaren Medicaid	$30,054.70
Rate for Payer: Meridian Medicaid	$31,557.44
Rate for Payer: PHP Medicaid	$30,054.70
Rate for Payer: Priority Health Choice Medicaid	$30,054.70
Rate for Payer: UHCCP Medicaid	$30,054.70

APR-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL

Facility

$19,296.60

Service Code	APR-DRG 2991
Min. Negotiated Rate	$18,377.71
Max. Negotiated Rate	$19,296.60
Rate for Payer: BCBS Complete	$19,296.60
Rate for Payer: Mclaren Medicaid	$18,377.71
Rate for Payer: Meridian Medicaid	$19,296.60
Rate for Payer: PHP Medicaid	$18,377.71
Rate for Payer: Priority Health Choice Medicaid	$18,377.71
Rate for Payer: UHCCP Medicaid	$18,377.71

Know your out-of-pocket cost for care.

All Charges