Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$30,367.56

Service Code	APR-DRG 9124
Min. Negotiated Rate	$28,921.49
Max. Negotiated Rate	$30,367.56
Rate for Payer: BCBS Complete	$30,367.56
Rate for Payer: Mclaren Medicaid	$28,921.49
Rate for Payer: Meridian Medicaid	$30,367.56
Rate for Payer: PHP Medicaid	$28,921.49
Rate for Payer: Priority Health Choice Medicaid	$28,921.49
Rate for Payer: UHCCP Medicaid	$28,921.49

APR-DRG 42.00: MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY

Facility

$15,209.65

Service Code	APR-DRG 3434
Min. Negotiated Rate	$14,485.38
Max. Negotiated Rate	$15,209.65
Rate for Payer: BCBS Complete	$15,209.65
Rate for Payer: Mclaren Medicaid	$14,485.38
Rate for Payer: Meridian Medicaid	$15,209.65
Rate for Payer: PHP Medicaid	$14,485.38
Rate for Payer: Priority Health Choice Medicaid	$14,485.38
Rate for Payer: UHCCP Medicaid	$14,485.38

APR-DRG 42.00: MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY

Facility

$9,570.70

Service Code	APR-DRG 3433
Min. Negotiated Rate	$9,114.95
Max. Negotiated Rate	$9,570.70
Rate for Payer: BCBS Complete	$9,570.70
Rate for Payer: Mclaren Medicaid	$9,114.95
Rate for Payer: Meridian Medicaid	$9,570.70
Rate for Payer: PHP Medicaid	$9,114.95
Rate for Payer: Priority Health Choice Medicaid	$9,114.95
Rate for Payer: UHCCP Medicaid	$9,114.95

APR-DRG 42.00: MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY

Facility

$5,483.75

Service Code	APR-DRG 3431
Min. Negotiated Rate	$5,222.62
Max. Negotiated Rate	$5,483.75
Rate for Payer: BCBS Complete	$5,483.75
Rate for Payer: Mclaren Medicaid	$5,222.62
Rate for Payer: Meridian Medicaid	$5,483.75
Rate for Payer: PHP Medicaid	$5,222.62
Rate for Payer: Priority Health Choice Medicaid	$5,222.62
Rate for Payer: UHCCP Medicaid	$5,222.62

APR-DRG 42.00: MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY

Facility

$6,518.42

Service Code	APR-DRG 3432
Min. Negotiated Rate	$6,208.02
Max. Negotiated Rate	$6,518.42
Rate for Payer: BCBS Complete	$6,518.42
Rate for Payer: Mclaren Medicaid	$6,208.02
Rate for Payer: Meridian Medicaid	$6,518.42
Rate for Payer: PHP Medicaid	$6,208.02
Rate for Payer: Priority Health Choice Medicaid	$6,208.02
Rate for Payer: UHCCP Medicaid	$6,208.02

APR-DRG 42.00: NEONATAL AFTERCARE

Facility

$21,572.87

Service Code	APR-DRG 8633
Min. Negotiated Rate	$20,545.59
Max. Negotiated Rate	$21,572.87
Rate for Payer: BCBS Complete	$21,572.87
Rate for Payer: Mclaren Medicaid	$20,545.59
Rate for Payer: Meridian Medicaid	$21,572.87
Rate for Payer: PHP Medicaid	$20,545.59
Rate for Payer: Priority Health Choice Medicaid	$20,545.59
Rate for Payer: UHCCP Medicaid	$20,545.59

APR-DRG 42.00: NEONATAL AFTERCARE

Facility

$46,198.02

Service Code	APR-DRG 8634
Min. Negotiated Rate	$43,998.11
Max. Negotiated Rate	$46,198.02
Rate for Payer: BCBS Complete	$46,198.02
Rate for Payer: Mclaren Medicaid	$43,998.11
Rate for Payer: Meridian Medicaid	$46,198.02
Rate for Payer: PHP Medicaid	$43,998.11
Rate for Payer: Priority Health Choice Medicaid	$43,998.11
Rate for Payer: UHCCP Medicaid	$43,998.11

APR-DRG 42.00: NEONATAL AFTERCARE

Facility

$12,312.57

Service Code	APR-DRG 8632
Min. Negotiated Rate	$11,726.26
Max. Negotiated Rate	$12,312.57
Rate for Payer: BCBS Complete	$12,312.57
Rate for Payer: Mclaren Medicaid	$11,726.26
Rate for Payer: Meridian Medicaid	$12,312.57
Rate for Payer: PHP Medicaid	$11,726.26
Rate for Payer: Priority Health Choice Medicaid	$11,726.26
Rate for Payer: UHCCP Medicaid	$11,726.26

APR-DRG 42.00: NEONATAL AFTERCARE

Facility

$6,725.36

Service Code	APR-DRG 8631
Min. Negotiated Rate	$6,405.10
Max. Negotiated Rate	$6,725.36
Rate for Payer: BCBS Complete	$6,725.36
Rate for Payer: Mclaren Medicaid	$6,405.10
Rate for Payer: Meridian Medicaid	$6,725.36
Rate for Payer: PHP Medicaid	$6,405.10
Rate for Payer: Priority Health Choice Medicaid	$6,405.10
Rate for Payer: UHCCP Medicaid	$6,405.10

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$34,247.58

Service Code	APR-DRG 6033
Min. Negotiated Rate	$32,616.74
Max. Negotiated Rate	$34,247.58
Rate for Payer: BCBS Complete	$34,247.58
Rate for Payer: Mclaren Medicaid	$32,616.74
Rate for Payer: Meridian Medicaid	$34,247.58
Rate for Payer: PHP Medicaid	$32,616.74
Rate for Payer: Priority Health Choice Medicaid	$32,616.74
Rate for Payer: UHCCP Medicaid	$32,616.74

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$59,855.66

Service Code	APR-DRG 6034
Min. Negotiated Rate	$57,005.39
Max. Negotiated Rate	$59,855.66
Rate for Payer: BCBS Complete	$59,855.66
Rate for Payer: Mclaren Medicaid	$57,005.39
Rate for Payer: Meridian Medicaid	$59,855.66
Rate for Payer: PHP Medicaid	$57,005.39
Rate for Payer: Priority Health Choice Medicaid	$57,005.39
Rate for Payer: UHCCP Medicaid	$57,005.39

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$3,880.01

Service Code	APR-DRG 6031
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: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$25,349.42

Service Code	APR-DRG 6032
Min. Negotiated Rate	$24,142.30
Max. Negotiated Rate	$25,349.42
Rate for Payer: BCBS Complete	$25,349.42
Rate for Payer: Mclaren Medicaid	$24,142.30
Rate for Payer: Meridian Medicaid	$25,349.42
Rate for Payer: PHP Medicaid	$24,142.30
Rate for Payer: Priority Health Choice Medicaid	$24,142.30
Rate for Payer: UHCCP Medicaid	$24,142.30

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$29,436.36

Service Code	APR-DRG 6022
Min. Negotiated Rate	$28,034.63
Max. Negotiated Rate	$29,436.36
Rate for Payer: BCBS Complete	$29,436.36
Rate for Payer: Mclaren Medicaid	$28,034.63
Rate for Payer: Meridian Medicaid	$29,436.36
Rate for Payer: PHP Medicaid	$28,034.63
Rate for Payer: Priority Health Choice Medicaid	$28,034.63
Rate for Payer: UHCCP Medicaid	$28,034.63

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$25,866.75

Service Code	APR-DRG 6021
Min. Negotiated Rate	$24,635.00
Max. Negotiated Rate	$25,866.75
Rate for Payer: BCBS Complete	$25,866.75
Rate for Payer: Mclaren Medicaid	$24,635.00
Rate for Payer: Meridian Medicaid	$25,866.75
Rate for Payer: PHP Medicaid	$24,635.00
Rate for Payer: Priority Health Choice Medicaid	$24,635.00
Rate for Payer: UHCCP Medicaid	$24,635.00

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$36,730.78

Service Code	APR-DRG 6023
Min. Negotiated Rate	$34,981.70
Max. Negotiated Rate	$36,730.78
Rate for Payer: BCBS Complete	$36,730.78
Rate for Payer: Mclaren Medicaid	$34,981.70
Rate for Payer: Meridian Medicaid	$36,730.78
Rate for Payer: PHP Medicaid	$34,981.70
Rate for Payer: Priority Health Choice Medicaid	$34,981.70
Rate for Payer: UHCCP Medicaid	$34,981.70

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$53,233.77

Service Code	APR-DRG 6024
Min. Negotiated Rate	$50,698.83
Max. Negotiated Rate	$53,233.77
Rate for Payer: BCBS Complete	$53,233.77
Rate for Payer: Mclaren Medicaid	$50,698.83
Rate for Payer: Meridian Medicaid	$53,233.77
Rate for Payer: PHP Medicaid	$50,698.83
Rate for Payer: Priority Health Choice Medicaid	$50,698.83
Rate for Payer: UHCCP Medicaid	$50,698.83

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$21,521.14

Service Code	APR-DRG 6083
Min. Negotiated Rate	$20,496.32
Max. Negotiated Rate	$21,521.14
Rate for Payer: BCBS Complete	$21,521.14
Rate for Payer: Mclaren Medicaid	$20,496.32
Rate for Payer: Meridian Medicaid	$21,521.14
Rate for Payer: PHP Medicaid	$20,496.32
Rate for Payer: Priority Health Choice Medicaid	$20,496.32
Rate for Payer: UHCCP Medicaid	$20,496.32

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$8,587.76

Service Code	APR-DRG 6081
Min. Negotiated Rate	$8,178.82
Max. Negotiated Rate	$8,587.76
Rate for Payer: BCBS Complete	$8,587.76
Rate for Payer: Mclaren Medicaid	$8,178.82
Rate for Payer: Meridian Medicaid	$8,587.76
Rate for Payer: PHP Medicaid	$8,178.82
Rate for Payer: Priority Health Choice Medicaid	$8,178.82
Rate for Payer: UHCCP Medicaid	$8,178.82

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$14,847.51

Service Code	APR-DRG 6082
Min. Negotiated Rate	$14,140.49
Max. Negotiated Rate	$14,847.51
Rate for Payer: BCBS Complete	$14,847.51
Rate for Payer: Mclaren Medicaid	$14,140.49
Rate for Payer: Meridian Medicaid	$14,847.51
Rate for Payer: PHP Medicaid	$14,140.49
Rate for Payer: Priority Health Choice Medicaid	$14,140.49
Rate for Payer: UHCCP Medicaid	$14,140.49

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$24,935.55

Service Code	APR-DRG 6084
Min. Negotiated Rate	$23,748.14
Max. Negotiated Rate	$24,935.55
Rate for Payer: BCBS Complete	$24,935.55
Rate for Payer: Mclaren Medicaid	$23,748.14
Rate for Payer: Meridian Medicaid	$24,935.55
Rate for Payer: PHP Medicaid	$23,748.14
Rate for Payer: Priority Health Choice Medicaid	$23,748.14
Rate for Payer: UHCCP Medicaid	$23,748.14

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$39,886.53

Service Code	APR-DRG 6074
Min. Negotiated Rate	$37,987.17
Max. Negotiated Rate	$39,886.53
Rate for Payer: BCBS Complete	$39,886.53
Rate for Payer: Mclaren Medicaid	$37,987.17
Rate for Payer: Meridian Medicaid	$39,886.53
Rate for Payer: PHP Medicaid	$37,987.17
Rate for Payer: Priority Health Choice Medicaid	$37,987.17
Rate for Payer: UHCCP Medicaid	$37,987.17

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$14,433.65

Service Code	APR-DRG 6071
Min. Negotiated Rate	$13,746.33
Max. Negotiated Rate	$14,433.65
Rate for Payer: BCBS Complete	$14,433.65
Rate for Payer: Mclaren Medicaid	$13,746.33
Rate for Payer: Meridian Medicaid	$14,433.65
Rate for Payer: PHP Medicaid	$13,746.33
Rate for Payer: Priority Health Choice Medicaid	$13,746.33
Rate for Payer: UHCCP Medicaid	$13,746.33

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$20,383.00

Service Code	APR-DRG 6072
Min. Negotiated Rate	$19,412.38
Max. Negotiated Rate	$20,383.00
Rate for Payer: BCBS Complete	$20,383.00
Rate for Payer: Mclaren Medicaid	$19,412.38
Rate for Payer: Meridian Medicaid	$20,383.00
Rate for Payer: PHP Medicaid	$19,412.38
Rate for Payer: Priority Health Choice Medicaid	$19,412.38
Rate for Payer: UHCCP Medicaid	$19,412.38

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$27,004.89

Service Code	APR-DRG 6073
Min. Negotiated Rate	$25,718.94
Max. Negotiated Rate	$27,004.89
Rate for Payer: BCBS Complete	$27,004.89
Rate for Payer: Mclaren Medicaid	$25,718.94
Rate for Payer: Meridian Medicaid	$27,004.89
Rate for Payer: PHP Medicaid	$25,718.94
Rate for Payer: Priority Health Choice Medicaid	$25,718.94
Rate for Payer: UHCCP Medicaid	$25,718.94

Know your out-of-pocket cost for care.

All Charges