Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$16,761.65

Service Code	APR-DRG 6132
Min. Negotiated Rate	$15,963.48
Max. Negotiated Rate	$16,761.65
Rate for Payer: BCBS Complete	$16,761.65
Rate for Payer: Mclaren Medicaid	$15,963.48
Rate for Payer: Meridian Medicaid	$16,761.65
Rate for Payer: PHP Medicaid	$15,963.48
Rate for Payer: Priority Health Choice Medicaid	$15,963.48
Rate for Payer: UHCCP Medicaid	$15,963.48

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$53,026.84

Service Code	APR-DRG 6134
Min. Negotiated Rate	$50,501.75
Max. Negotiated Rate	$53,026.84
Rate for Payer: BCBS Complete	$53,026.84
Rate for Payer: Mclaren Medicaid	$50,501.75
Rate for Payer: Meridian Medicaid	$53,026.84
Rate for Payer: PHP Medicaid	$50,501.75
Rate for Payer: Priority Health Choice Medicaid	$50,501.75
Rate for Payer: UHCCP Medicaid	$50,501.75

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$4,500.81

Service Code	APR-DRG 6131
Min. Negotiated Rate	$4,286.49
Max. Negotiated Rate	$4,500.81
Rate for Payer: BCBS Complete	$4,500.81
Rate for Payer: Mclaren Medicaid	$4,286.49
Rate for Payer: Meridian Medicaid	$4,500.81
Rate for Payer: PHP Medicaid	$4,286.49
Rate for Payer: Priority Health Choice Medicaid	$4,286.49
Rate for Payer: UHCCP Medicaid	$4,286.49

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$25,970.22

Service Code	APR-DRG 6133
Min. Negotiated Rate	$24,733.54
Max. Negotiated Rate	$25,970.22
Rate for Payer: BCBS Complete	$25,970.22
Rate for Payer: Mclaren Medicaid	$24,733.54
Rate for Payer: Meridian Medicaid	$25,970.22
Rate for Payer: PHP Medicaid	$24,733.54
Rate for Payer: Priority Health Choice Medicaid	$24,733.54
Rate for Payer: UHCCP Medicaid	$24,733.54

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY

Facility

$4,604.28

Service Code	APR-DRG 6111
Min. Negotiated Rate	$4,385.03
Max. Negotiated Rate	$4,604.28
Rate for Payer: BCBS Complete	$4,604.28
Rate for Payer: Mclaren Medicaid	$4,385.03
Rate for Payer: Meridian Medicaid	$4,604.28
Rate for Payer: PHP Medicaid	$4,385.03
Rate for Payer: Priority Health Choice Medicaid	$4,385.03
Rate for Payer: UHCCP Medicaid	$4,385.03

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY

Facility

$31,091.83

Service Code	APR-DRG 6114
Min. Negotiated Rate	$29,611.27
Max. Negotiated Rate	$31,091.83
Rate for Payer: BCBS Complete	$31,091.83
Rate for Payer: Mclaren Medicaid	$29,611.27
Rate for Payer: Meridian Medicaid	$31,091.83
Rate for Payer: PHP Medicaid	$29,611.27
Rate for Payer: Priority Health Choice Medicaid	$29,611.27
Rate for Payer: UHCCP Medicaid	$29,611.27

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY

Facility

$16,399.52

Service Code	APR-DRG 6113
Min. Negotiated Rate	$15,618.59
Max. Negotiated Rate	$16,399.52
Rate for Payer: BCBS Complete	$16,399.52
Rate for Payer: Mclaren Medicaid	$15,618.59
Rate for Payer: Meridian Medicaid	$16,399.52
Rate for Payer: PHP Medicaid	$15,618.59
Rate for Payer: Priority Health Choice Medicaid	$15,618.59
Rate for Payer: UHCCP Medicaid	$15,618.59

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY

Facility

$12,933.38

Service Code	APR-DRG 6112
Min. Negotiated Rate	$12,317.50
Max. Negotiated Rate	$12,933.38
Rate for Payer: BCBS Complete	$12,933.38
Rate for Payer: Mclaren Medicaid	$12,317.50
Rate for Payer: Meridian Medicaid	$12,933.38
Rate for Payer: PHP Medicaid	$12,317.50
Rate for Payer: Priority Health Choice Medicaid	$12,317.50
Rate for Payer: UHCCP Medicaid	$12,317.50

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION

Facility

$26,073.68

Service Code	APR-DRG 6144
Min. Negotiated Rate	$24,832.08
Max. Negotiated Rate	$26,073.68
Rate for Payer: BCBS Complete	$26,073.68
Rate for Payer: Mclaren Medicaid	$24,832.08
Rate for Payer: Meridian Medicaid	$26,073.68
Rate for Payer: PHP Medicaid	$24,832.08
Rate for Payer: Priority Health Choice Medicaid	$24,832.08
Rate for Payer: UHCCP Medicaid	$24,832.08

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION

Facility

$3,931.75

Service Code	APR-DRG 6141
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: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION

Facility

$19,296.60

Service Code	APR-DRG 6143
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

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION

Facility

$10,088.03

Service Code	APR-DRG 6142
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: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$29,125.96

Service Code	APR-DRG 6123
Min. Negotiated Rate	$27,739.01
Max. Negotiated Rate	$29,125.96
Rate for Payer: BCBS Complete	$29,125.96
Rate for Payer: Mclaren Medicaid	$27,739.01
Rate for Payer: Meridian Medicaid	$29,125.96
Rate for Payer: PHP Medicaid	$27,739.01
Rate for Payer: Priority Health Choice Medicaid	$27,739.01
Rate for Payer: UHCCP Medicaid	$27,739.01

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$41,800.67

Service Code	APR-DRG 6124
Min. Negotiated Rate	$39,810.16
Max. Negotiated Rate	$41,800.67
Rate for Payer: BCBS Complete	$41,800.67
Rate for Payer: Mclaren Medicaid	$39,810.16
Rate for Payer: Meridian Medicaid	$41,800.67
Rate for Payer: PHP Medicaid	$39,810.16
Rate for Payer: Priority Health Choice Medicaid	$39,810.16
Rate for Payer: UHCCP Medicaid	$39,810.16

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$15,261.38

Service Code	APR-DRG 6122
Min. Negotiated Rate	$14,534.65
Max. Negotiated Rate	$15,261.38
Rate for Payer: BCBS Complete	$15,261.38
Rate for Payer: Mclaren Medicaid	$14,534.65
Rate for Payer: Meridian Medicaid	$15,261.38
Rate for Payer: PHP Medicaid	$14,534.65
Rate for Payer: Priority Health Choice Medicaid	$14,534.65
Rate for Payer: UHCCP Medicaid	$14,534.65

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$9,881.10

Service Code	APR-DRG 6121
Min. Negotiated Rate	$9,410.57
Max. Negotiated Rate	$9,881.10
Rate for Payer: BCBS Complete	$9,881.10
Rate for Payer: Mclaren Medicaid	$9,410.57
Rate for Payer: Meridian Medicaid	$9,881.10
Rate for Payer: PHP Medicaid	$9,410.57
Rate for Payer: Priority Health Choice Medicaid	$9,410.57
Rate for Payer: UHCCP Medicaid	$9,410.57

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE

Facility

$24,107.81

Service Code	APR-DRG 6091
Min. Negotiated Rate	$22,959.82
Max. Negotiated Rate	$24,107.81
Rate for Payer: BCBS Complete	$24,107.81
Rate for Payer: Mclaren Medicaid	$22,959.82
Rate for Payer: Meridian Medicaid	$24,107.81
Rate for Payer: PHP Medicaid	$22,959.82
Rate for Payer: Priority Health Choice Medicaid	$22,959.82
Rate for Payer: UHCCP Medicaid	$22,959.82

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE

Facility

$29,074.23

Service Code	APR-DRG 6092
Min. Negotiated Rate	$27,689.74
Max. Negotiated Rate	$29,074.23
Rate for Payer: BCBS Complete	$29,074.23
Rate for Payer: Mclaren Medicaid	$27,689.74
Rate for Payer: Meridian Medicaid	$29,074.23
Rate for Payer: PHP Medicaid	$27,689.74
Rate for Payer: Priority Health Choice Medicaid	$27,689.74
Rate for Payer: UHCCP Medicaid	$27,689.74

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE

Facility

$45,784.15

Service Code	APR-DRG 6093
Min. Negotiated Rate	$43,603.95
Max. Negotiated Rate	$45,784.15
Rate for Payer: BCBS Complete	$45,784.15
Rate for Payer: Mclaren Medicaid	$43,603.95
Rate for Payer: Meridian Medicaid	$45,784.15
Rate for Payer: PHP Medicaid	$43,603.95
Rate for Payer: Priority Health Choice Medicaid	$43,603.95
Rate for Payer: UHCCP Medicaid	$43,603.95

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE

Facility

$133,886.30

Service Code	APR-DRG 6094
Min. Negotiated Rate	$127,510.76
Max. Negotiated Rate	$133,886.30
Rate for Payer: BCBS Complete	$133,886.30
Rate for Payer: Mclaren Medicaid	$127,510.76
Rate for Payer: Meridian Medicaid	$133,886.30
Rate for Payer: PHP Medicaid	$127,510.76
Rate for Payer: Priority Health Choice Medicaid	$127,510.76
Rate for Payer: UHCCP Medicaid	$127,510.76

APR-DRG 42.00: NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE

Facility

$91,413.09

Service Code	APR-DRG 5881
Min. Negotiated Rate	$87,060.09
Max. Negotiated Rate	$91,413.09
Rate for Payer: BCBS Complete	$91,413.09
Rate for Payer: Mclaren Medicaid	$87,060.09
Rate for Payer: Meridian Medicaid	$91,413.09
Rate for Payer: PHP Medicaid	$87,060.09
Rate for Payer: Priority Health Choice Medicaid	$87,060.09
Rate for Payer: UHCCP Medicaid	$87,060.09

APR-DRG 42.00: NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE

Facility

$106,622.74

Service Code	APR-DRG 5882
Min. Negotiated Rate	$101,545.47
Max. Negotiated Rate	$106,622.74
Rate for Payer: BCBS Complete	$106,622.74
Rate for Payer: Mclaren Medicaid	$101,545.47
Rate for Payer: Meridian Medicaid	$106,622.74
Rate for Payer: PHP Medicaid	$101,545.47
Rate for Payer: Priority Health Choice Medicaid	$101,545.47
Rate for Payer: UHCCP Medicaid	$101,545.47

APR-DRG 42.00: NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE

Facility

$192,086.49

Service Code	APR-DRG 5884
Min. Negotiated Rate	$182,939.51
Max. Negotiated Rate	$192,086.49
Rate for Payer: BCBS Complete	$192,086.49
Rate for Payer: Mclaren Medicaid	$182,939.51
Rate for Payer: Meridian Medicaid	$192,086.49
Rate for Payer: PHP Medicaid	$182,939.51
Rate for Payer: Priority Health Choice Medicaid	$182,939.51
Rate for Payer: UHCCP Medicaid	$182,939.51

APR-DRG 42.00: NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE

Facility

$126,850.54

Service Code	APR-DRG 5883
Min. Negotiated Rate	$120,810.04
Max. Negotiated Rate	$126,850.54
Rate for Payer: BCBS Complete	$126,850.54
Rate for Payer: Mclaren Medicaid	$120,810.04
Rate for Payer: Meridian Medicaid	$126,850.54
Rate for Payer: PHP Medicaid	$120,810.04
Rate for Payer: Priority Health Choice Medicaid	$120,810.04
Rate for Payer: UHCCP Medicaid	$120,810.04

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM

Facility

$879.47

Service Code	APR-DRG 6261
Min. Negotiated Rate	$837.59
Max. Negotiated Rate	$879.47
Rate for Payer: BCBS Complete	$879.47
Rate for Payer: Mclaren Medicaid	$837.59
Rate for Payer: Meridian Medicaid	$879.47
Rate for Payer: PHP Medicaid	$837.59
Rate for Payer: Priority Health Choice Medicaid	$837.59
Rate for Payer: UHCCP Medicaid	$837.59

Know your out-of-pocket cost for care.

All Charges