Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

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

Facility

$6,311.49

Service Code	APR-DRG 6264
Min. Negotiated Rate	$6,010.94
Max. Negotiated Rate	$6,311.49
Rate for Payer: BCBS Complete	$6,311.49
Rate for Payer: Mclaren Medicaid	$6,010.94
Rate for Payer: Meridian Medicaid	$6,311.49
Rate for Payer: PHP Medicaid	$6,010.94
Rate for Payer: Priority Health Choice Medicaid	$6,010.94
Rate for Payer: UHCCP Medicaid	$6,010.94

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

Facility

$1,396.80

Service Code	APR-DRG 6262
Min. Negotiated Rate	$1,330.29
Max. Negotiated Rate	$1,396.80
Rate for Payer: BCBS Complete	$1,396.80
Rate for Payer: Mclaren Medicaid	$1,330.29
Rate for Payer: Meridian Medicaid	$1,396.80
Rate for Payer: PHP Medicaid	$1,330.29
Rate for Payer: Priority Health Choice Medicaid	$1,330.29
Rate for Payer: UHCCP Medicaid	$1,330.29

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

Facility

$3,310.94

Service Code	APR-DRG 6263
Min. Negotiated Rate	$3,153.28
Max. Negotiated Rate	$3,310.94
Rate for Payer: BCBS Complete	$3,310.94
Rate for Payer: Mclaren Medicaid	$3,153.28
Rate for Payer: Meridian Medicaid	$3,310.94
Rate for Payer: PHP Medicaid	$3,153.28
Rate for Payer: Priority Health Choice Medicaid	$3,153.28
Rate for Payer: UHCCP Medicaid	$3,153.28

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$28,143.02

Service Code	APR-DRG 6234
Min. Negotiated Rate	$26,802.88
Max. Negotiated Rate	$28,143.02
Rate for Payer: BCBS Complete	$28,143.02
Rate for Payer: Mclaren Medicaid	$26,802.88
Rate for Payer: Meridian Medicaid	$28,143.02
Rate for Payer: PHP Medicaid	$26,802.88
Rate for Payer: Priority Health Choice Medicaid	$26,802.88
Rate for Payer: UHCCP Medicaid	$26,802.88

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$3,466.14

Service Code	APR-DRG 6231
Min. Negotiated Rate	$3,301.09
Max. Negotiated Rate	$3,466.14
Rate for Payer: BCBS Complete	$3,466.14
Rate for Payer: Mclaren Medicaid	$3,301.09
Rate for Payer: Meridian Medicaid	$3,466.14
Rate for Payer: PHP Medicaid	$3,301.09
Rate for Payer: Priority Health Choice Medicaid	$3,301.09
Rate for Payer: UHCCP Medicaid	$3,301.09

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$6,208.02

Service Code	APR-DRG 6232
Min. Negotiated Rate	$5,912.40
Max. Negotiated Rate	$6,208.02
Rate for Payer: BCBS Complete	$6,208.02
Rate for Payer: Mclaren Medicaid	$5,912.40
Rate for Payer: Meridian Medicaid	$6,208.02
Rate for Payer: PHP Medicaid	$5,912.40
Rate for Payer: Priority Health Choice Medicaid	$5,912.40
Rate for Payer: UHCCP Medicaid	$5,912.40

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$21,314.20

Service Code	APR-DRG 6233
Min. Negotiated Rate	$20,299.24
Max. Negotiated Rate	$21,314.20
Rate for Payer: BCBS Complete	$21,314.20
Rate for Payer: Mclaren Medicaid	$20,299.24
Rate for Payer: Meridian Medicaid	$21,314.20
Rate for Payer: PHP Medicaid	$20,299.24
Rate for Payer: Priority Health Choice Medicaid	$20,299.24
Rate for Payer: UHCCP Medicaid	$20,299.24

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY

Facility

$8,432.56

Service Code	APR-DRG 6213
Min. Negotiated Rate	$8,031.01
Max. Negotiated Rate	$8,432.56
Rate for Payer: BCBS Complete	$8,432.56
Rate for Payer: Mclaren Medicaid	$8,031.01
Rate for Payer: Meridian Medicaid	$8,432.56
Rate for Payer: PHP Medicaid	$8,031.01
Rate for Payer: Priority Health Choice Medicaid	$8,031.01
Rate for Payer: UHCCP Medicaid	$8,031.01

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY

Facility

$1,189.87

Service Code	APR-DRG 6211
Min. Negotiated Rate	$1,133.21
Max. Negotiated Rate	$1,189.87
Rate for Payer: BCBS Complete	$1,189.87
Rate for Payer: Mclaren Medicaid	$1,133.21
Rate for Payer: Meridian Medicaid	$1,189.87
Rate for Payer: PHP Medicaid	$1,133.21
Rate for Payer: Priority Health Choice Medicaid	$1,133.21
Rate for Payer: UHCCP Medicaid	$1,133.21

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY

Facility

$6,932.29

Service Code	APR-DRG 6212
Min. Negotiated Rate	$6,602.18
Max. Negotiated Rate	$6,932.29
Rate for Payer: BCBS Complete	$6,932.29
Rate for Payer: Mclaren Medicaid	$6,602.18
Rate for Payer: Meridian Medicaid	$6,932.29
Rate for Payer: PHP Medicaid	$6,602.18
Rate for Payer: Priority Health Choice Medicaid	$6,602.18
Rate for Payer: UHCCP Medicaid	$6,602.18

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY

Facility

$16,813.39

Service Code	APR-DRG 6214
Min. Negotiated Rate	$16,012.75
Max. Negotiated Rate	$16,813.39
Rate for Payer: BCBS Complete	$16,813.39
Rate for Payer: Mclaren Medicaid	$16,012.75
Rate for Payer: Meridian Medicaid	$16,813.39
Rate for Payer: PHP Medicaid	$16,012.75
Rate for Payer: Priority Health Choice Medicaid	$16,012.75
Rate for Payer: UHCCP Medicaid	$16,012.75

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$36,316.92

Service Code	APR-DRG 6254
Min. Negotiated Rate	$34,587.54
Max. Negotiated Rate	$36,316.92
Rate for Payer: BCBS Complete	$36,316.92
Rate for Payer: Mclaren Medicaid	$34,587.54
Rate for Payer: Meridian Medicaid	$36,316.92
Rate for Payer: PHP Medicaid	$34,587.54
Rate for Payer: Priority Health Choice Medicaid	$34,587.54
Rate for Payer: UHCCP Medicaid	$34,587.54

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$16,658.19

Service Code	APR-DRG 6253
Min. Negotiated Rate	$15,864.94
Max. Negotiated Rate	$16,658.19
Rate for Payer: BCBS Complete	$16,658.19
Rate for Payer: Mclaren Medicaid	$15,864.94
Rate for Payer: Meridian Medicaid	$16,658.19
Rate for Payer: PHP Medicaid	$15,864.94
Rate for Payer: Priority Health Choice Medicaid	$15,864.94
Rate for Payer: UHCCP Medicaid	$15,864.94

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$8,329.09

Service Code	APR-DRG 6252
Min. Negotiated Rate	$7,932.47
Max. Negotiated Rate	$8,329.09
Rate for Payer: BCBS Complete	$8,329.09
Rate for Payer: Mclaren Medicaid	$7,932.47
Rate for Payer: Meridian Medicaid	$8,329.09
Rate for Payer: PHP Medicaid	$7,932.47
Rate for Payer: Priority Health Choice Medicaid	$7,932.47
Rate for Payer: UHCCP Medicaid	$7,932.47

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$4,397.35

Service Code	APR-DRG 6251
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: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$7,604.82

Service Code	APR-DRG 6222
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: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$6,001.09

Service Code	APR-DRG 6221
Min. Negotiated Rate	$5,715.32
Max. Negotiated Rate	$6,001.09
Rate for Payer: BCBS Complete	$6,001.09
Rate for Payer: Mclaren Medicaid	$5,715.32
Rate for Payer: Meridian Medicaid	$6,001.09
Rate for Payer: PHP Medicaid	$5,715.32
Rate for Payer: Priority Health Choice Medicaid	$5,715.32
Rate for Payer: UHCCP Medicaid	$5,715.32

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$18,313.66

Service Code	APR-DRG 6223
Min. Negotiated Rate	$17,441.58
Max. Negotiated Rate	$18,313.66
Rate for Payer: BCBS Complete	$18,313.66
Rate for Payer: Mclaren Medicaid	$17,441.58
Rate for Payer: Meridian Medicaid	$18,313.66
Rate for Payer: PHP Medicaid	$17,441.58
Rate for Payer: Priority Health Choice Medicaid	$17,441.58
Rate for Payer: UHCCP Medicaid	$17,441.58

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$27,367.02

Service Code	APR-DRG 6224
Min. Negotiated Rate	$26,063.83
Max. Negotiated Rate	$27,367.02
Rate for Payer: BCBS Complete	$27,367.02
Rate for Payer: Mclaren Medicaid	$26,063.83
Rate for Payer: Meridian Medicaid	$27,367.02
Rate for Payer: PHP Medicaid	$26,063.83
Rate for Payer: Priority Health Choice Medicaid	$26,063.83
Rate for Payer: UHCCP Medicaid	$26,063.83

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

Facility

$1,655.47

Service Code	APR-DRG 6403
Min. Negotiated Rate	$1,576.64
Max. Negotiated Rate	$1,655.47
Rate for Payer: BCBS Complete	$1,655.47
Rate for Payer: Mclaren Medicaid	$1,576.64
Rate for Payer: Meridian Medicaid	$1,655.47
Rate for Payer: PHP Medicaid	$1,576.64
Rate for Payer: Priority Health Choice Medicaid	$1,576.64
Rate for Payer: UHCCP Medicaid	$1,576.64

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

Facility

$9,105.10

Service Code	APR-DRG 6404
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: NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM

Facility

$724.27

Service Code	APR-DRG 6401
Min. Negotiated Rate	$689.78
Max. Negotiated Rate	$724.27
Rate for Payer: BCBS Complete	$724.27
Rate for Payer: Mclaren Medicaid	$689.78
Rate for Payer: Meridian Medicaid	$724.27
Rate for Payer: PHP Medicaid	$689.78
Rate for Payer: Priority Health Choice Medicaid	$689.78
Rate for Payer: UHCCP Medicaid	$689.78

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

Facility

$1,034.67

Service Code	APR-DRG 6402
Min. Negotiated Rate	$985.40
Max. Negotiated Rate	$1,034.67
Rate for Payer: BCBS Complete	$1,034.67
Rate for Payer: Mclaren Medicaid	$985.40
Rate for Payer: Meridian Medicaid	$1,034.67
Rate for Payer: PHP Medicaid	$985.40
Rate for Payer: Priority Health Choice Medicaid	$985.40
Rate for Payer: UHCCP Medicaid	$985.40

APR-DRG 42.00: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$9,570.70

Service Code	APR-DRG 6363
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: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$9,674.16

Service Code	APR-DRG 6364
Min. Negotiated Rate	$9,213.49
Max. Negotiated Rate	$9,674.16
Rate for Payer: BCBS Complete	$9,674.16
Rate for Payer: Mclaren Medicaid	$9,213.49
Rate for Payer: Meridian Medicaid	$9,674.16
Rate for Payer: PHP Medicaid	$9,213.49
Rate for Payer: Priority Health Choice Medicaid	$9,213.49
Rate for Payer: UHCCP Medicaid	$9,213.49

Know your out-of-pocket cost for care.

All Charges