Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

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

Facility

$52,819.90

Service Code	APR-DRG 6023
Min. Negotiated Rate	$50,304.67
Max. Negotiated Rate	$52,819.90
Rate for Payer: BCBS Complete	$52,819.90
Rate for Payer: Mclaren Medicaid	$50,304.67
Rate for Payer: Meridian Medicaid	$52,819.90
Rate for Payer: PHP Medicaid	$50,304.67
Rate for Payer: Priority Health Choice Medicaid	$50,304.67
Rate for Payer: UHCCP Medicaid	$50,304.67

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

Facility

$31,453.97

Service Code	APR-DRG 6021
Min. Negotiated Rate	$29,956.16
Max. Negotiated Rate	$31,453.97
Rate for Payer: BCBS Complete	$31,453.97
Rate for Payer: Mclaren Medicaid	$29,956.16
Rate for Payer: Meridian Medicaid	$31,453.97
Rate for Payer: PHP Medicaid	$29,956.16
Rate for Payer: Priority Health Choice Medicaid	$29,956.16
Rate for Payer: UHCCP Medicaid	$29,956.16

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

Facility

$76,048.24

Service Code	APR-DRG 6024
Min. Negotiated Rate	$72,426.90
Max. Negotiated Rate	$76,048.24
Rate for Payer: BCBS Complete	$76,048.24
Rate for Payer: Mclaren Medicaid	$72,426.90
Rate for Payer: Meridian Medicaid	$76,048.24
Rate for Payer: PHP Medicaid	$72,426.90
Rate for Payer: Priority Health Choice Medicaid	$72,426.90
Rate for Payer: UHCCP Medicaid	$72,426.90

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

Facility

$42,214.54

Service Code	APR-DRG 6022
Min. Negotiated Rate	$40,204.32
Max. Negotiated Rate	$42,214.54
Rate for Payer: BCBS Complete	$42,214.54
Rate for Payer: Mclaren Medicaid	$40,204.32
Rate for Payer: Meridian Medicaid	$42,214.54
Rate for Payer: PHP Medicaid	$40,204.32
Rate for Payer: Priority Health Choice Medicaid	$40,204.32
Rate for Payer: UHCCP Medicaid	$40,204.32

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

Facility

$33,523.31

Service Code	APR-DRG 6084
Min. Negotiated Rate	$31,926.96
Max. Negotiated Rate	$33,523.31
Rate for Payer: BCBS Complete	$33,523.31
Rate for Payer: Mclaren Medicaid	$31,926.96
Rate for Payer: Meridian Medicaid	$33,523.31
Rate for Payer: PHP Medicaid	$31,926.96
Rate for Payer: Priority Health Choice Medicaid	$31,926.96
Rate for Payer: UHCCP Medicaid	$31,926.96

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

Facility

$11,536.57

Service Code	APR-DRG 6081
Min. Negotiated Rate	$10,987.21
Max. Negotiated Rate	$11,536.57
Rate for Payer: BCBS Complete	$11,536.57
Rate for Payer: Mclaren Medicaid	$10,987.21
Rate for Payer: Meridian Medicaid	$11,536.57
Rate for Payer: PHP Medicaid	$10,987.21
Rate for Payer: Priority Health Choice Medicaid	$10,987.21
Rate for Payer: UHCCP Medicaid	$10,987.21

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

Facility

$20,020.86

Service Code	APR-DRG 6082
Min. Negotiated Rate	$19,067.49
Max. Negotiated Rate	$20,020.86
Rate for Payer: BCBS Complete	$20,020.86
Rate for Payer: Mclaren Medicaid	$19,067.49
Rate for Payer: Meridian Medicaid	$20,020.86
Rate for Payer: PHP Medicaid	$19,067.49
Rate for Payer: Priority Health Choice Medicaid	$19,067.49
Rate for Payer: UHCCP Medicaid	$19,067.49

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

Facility

$28,919.03

Service Code	APR-DRG 6083
Min. Negotiated Rate	$27,541.93
Max. Negotiated Rate	$28,919.03
Rate for Payer: BCBS Complete	$28,919.03
Rate for Payer: Mclaren Medicaid	$27,541.93
Rate for Payer: Meridian Medicaid	$28,919.03
Rate for Payer: PHP Medicaid	$27,541.93
Rate for Payer: Priority Health Choice Medicaid	$27,541.93
Rate for Payer: UHCCP Medicaid	$27,541.93

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

Facility

$30,108.90

Service Code	APR-DRG 6072
Min. Negotiated Rate	$28,675.14
Max. Negotiated Rate	$30,108.90
Rate for Payer: BCBS Complete	$30,108.90
Rate for Payer: Mclaren Medicaid	$28,675.14
Rate for Payer: Meridian Medicaid	$30,108.90
Rate for Payer: PHP Medicaid	$28,675.14
Rate for Payer: Priority Health Choice Medicaid	$28,675.14
Rate for Payer: UHCCP Medicaid	$28,675.14

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

Facility

$21,521.14

Service Code	APR-DRG 6071
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 RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$58,769.26

Service Code	APR-DRG 6074
Min. Negotiated Rate	$55,970.72
Max. Negotiated Rate	$58,769.26
Rate for Payer: BCBS Complete	$58,769.26
Rate for Payer: Mclaren Medicaid	$55,970.72
Rate for Payer: Meridian Medicaid	$58,769.26
Rate for Payer: PHP Medicaid	$55,970.72
Rate for Payer: Priority Health Choice Medicaid	$55,970.72
Rate for Payer: UHCCP Medicaid	$55,970.72

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

Facility

$40,300.40

Service Code	APR-DRG 6073
Min. Negotiated Rate	$38,381.33
Max. Negotiated Rate	$40,300.40
Rate for Payer: BCBS Complete	$40,300.40
Rate for Payer: Mclaren Medicaid	$38,381.33
Rate for Payer: Meridian Medicaid	$40,300.40
Rate for Payer: PHP Medicaid	$38,381.33
Rate for Payer: Priority Health Choice Medicaid	$38,381.33
Rate for Payer: UHCCP Medicaid	$38,381.33

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

Facility

$9,881.10

Service Code	APR-DRG 6131
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 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$15,416.58

Service Code	APR-DRG 6132
Min. Negotiated Rate	$14,682.46
Max. Negotiated Rate	$15,416.58
Rate for Payer: BCBS Complete	$15,416.58
Rate for Payer: Mclaren Medicaid	$14,682.46
Rate for Payer: Meridian Medicaid	$15,416.58
Rate for Payer: PHP Medicaid	$14,682.46
Rate for Payer: Priority Health Choice Medicaid	$14,682.46
Rate for Payer: UHCCP Medicaid	$14,682.46

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

Facility

$26,177.15

Service Code	APR-DRG 6133
Min. Negotiated Rate	$24,930.62
Max. Negotiated Rate	$26,177.15
Rate for Payer: BCBS Complete	$26,177.15
Rate for Payer: Mclaren Medicaid	$24,930.62
Rate for Payer: Meridian Medicaid	$26,177.15
Rate for Payer: PHP Medicaid	$24,930.62
Rate for Payer: Priority Health Choice Medicaid	$24,930.62
Rate for Payer: UHCCP Medicaid	$24,930.62

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

Facility

$48,422.56

Service Code	APR-DRG 6134
Min. Negotiated Rate	$46,116.72
Max. Negotiated Rate	$48,422.56
Rate for Payer: BCBS Complete	$48,422.56
Rate for Payer: Mclaren Medicaid	$46,116.72
Rate for Payer: Meridian Medicaid	$48,422.56
Rate for Payer: PHP Medicaid	$46,116.72
Rate for Payer: Priority Health Choice Medicaid	$46,116.72
Rate for Payer: UHCCP Medicaid	$46,116.72

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

Facility

$48,888.16

Service Code	APR-DRG 6114
Min. Negotiated Rate	$46,560.15
Max. Negotiated Rate	$48,888.16
Rate for Payer: BCBS Complete	$48,888.16
Rate for Payer: Mclaren Medicaid	$46,560.15
Rate for Payer: Meridian Medicaid	$48,888.16
Rate for Payer: PHP Medicaid	$46,560.15
Rate for Payer: Priority Health Choice Medicaid	$46,560.15
Rate for Payer: UHCCP Medicaid	$46,560.15

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

Facility

$8,380.83

Service Code	APR-DRG 6111
Min. Negotiated Rate	$7,981.74
Max. Negotiated Rate	$8,380.83
Rate for Payer: BCBS Complete	$8,380.83
Rate for Payer: Mclaren Medicaid	$7,981.74
Rate for Payer: Meridian Medicaid	$8,380.83
Rate for Payer: PHP Medicaid	$7,981.74
Rate for Payer: Priority Health Choice Medicaid	$7,981.74
Rate for Payer: UHCCP Medicaid	$7,981.74

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

Facility

$26,073.68

Service Code	APR-DRG 6113
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 MAJOR ANOMALY

Facility

$16,037.39

Service Code	APR-DRG 6112
Min. Negotiated Rate	$15,273.70
Max. Negotiated Rate	$16,037.39
Rate for Payer: BCBS Complete	$16,037.39
Rate for Payer: Mclaren Medicaid	$15,273.70
Rate for Payer: Meridian Medicaid	$16,037.39
Rate for Payer: PHP Medicaid	$15,273.70
Rate for Payer: Priority Health Choice Medicaid	$15,273.70
Rate for Payer: UHCCP Medicaid	$15,273.70

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

Facility

$6,518.42

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

Facility

$32,333.44

Service Code	APR-DRG 6144
Min. Negotiated Rate	$30,793.75
Max. Negotiated Rate	$32,333.44
Rate for Payer: BCBS Complete	$32,333.44
Rate for Payer: Mclaren Medicaid	$30,793.75
Rate for Payer: Meridian Medicaid	$32,333.44
Rate for Payer: PHP Medicaid	$30,793.75
Rate for Payer: Priority Health Choice Medicaid	$30,793.75
Rate for Payer: UHCCP Medicaid	$30,793.75

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

Facility

$12,622.97

Service Code	APR-DRG 6142
Min. Negotiated Rate	$12,021.88
Max. Negotiated Rate	$12,622.97
Rate for Payer: BCBS Complete	$12,622.97
Rate for Payer: Mclaren Medicaid	$12,021.88
Rate for Payer: Meridian Medicaid	$12,622.97
Rate for Payer: PHP Medicaid	$12,021.88
Rate for Payer: Priority Health Choice Medicaid	$12,021.88
Rate for Payer: UHCCP Medicaid	$12,021.88

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

Facility

$21,831.54

Service Code	APR-DRG 6143
Min. Negotiated Rate	$20,791.94
Max. Negotiated Rate	$21,831.54
Rate for Payer: BCBS Complete	$21,831.54
Rate for Payer: Mclaren Medicaid	$20,791.94
Rate for Payer: Meridian Medicaid	$21,831.54
Rate for Payer: PHP Medicaid	$20,791.94
Rate for Payer: Priority Health Choice Medicaid	$20,791.94
Rate for Payer: UHCCP Medicaid	$20,791.94

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

Facility

$12,881.64

Service Code	APR-DRG 6121
Min. Negotiated Rate	$12,268.23
Max. Negotiated Rate	$12,881.64
Rate for Payer: BCBS Complete	$12,881.64
Rate for Payer: Mclaren Medicaid	$12,268.23
Rate for Payer: Meridian Medicaid	$12,881.64
Rate for Payer: PHP Medicaid	$12,268.23
Rate for Payer: Priority Health Choice Medicaid	$12,268.23
Rate for Payer: UHCCP Medicaid	$12,268.23

Know your out-of-pocket cost for care.

All Charges