Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

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

Facility

$18,675.79

Service Code	APR-DRG 6122
Min. Negotiated Rate	$17,786.47
Max. Negotiated Rate	$18,675.79
Rate for Payer: BCBS Complete	$18,675.79
Rate for Payer: Mclaren Medicaid	$17,786.47
Rate for Payer: Meridian Medicaid	$18,675.79
Rate for Payer: PHP Medicaid	$17,786.47
Rate for Payer: Priority Health Choice Medicaid	$17,786.47
Rate for Payer: UHCCP Medicaid	$17,786.47

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

Facility

$38,489.72

Service Code	APR-DRG 6124
Min. Negotiated Rate	$36,656.88
Max. Negotiated Rate	$38,489.72
Rate for Payer: BCBS Complete	$38,489.72
Rate for Payer: Mclaren Medicaid	$36,656.88
Rate for Payer: Meridian Medicaid	$38,489.72
Rate for Payer: PHP Medicaid	$36,656.88
Rate for Payer: Priority Health Choice Medicaid	$36,656.88
Rate for Payer: UHCCP Medicaid	$36,656.88

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

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

Facility

$121,987.59

Service Code	APR-DRG 6094
Min. Negotiated Rate	$116,178.66
Max. Negotiated Rate	$121,987.59
Rate for Payer: BCBS Complete	$121,987.59
Rate for Payer: Mclaren Medicaid	$116,178.66
Rate for Payer: Meridian Medicaid	$121,987.59
Rate for Payer: PHP Medicaid	$116,178.66
Rate for Payer: Priority Health Choice Medicaid	$116,178.66
Rate for Payer: UHCCP Medicaid	$116,178.66

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

Facility

$22,193.67

Service Code	APR-DRG 6091
Min. Negotiated Rate	$21,136.83
Max. Negotiated Rate	$22,193.67
Rate for Payer: BCBS Complete	$22,193.67
Rate for Payer: Mclaren Medicaid	$21,136.83
Rate for Payer: Meridian Medicaid	$22,193.67
Rate for Payer: PHP Medicaid	$21,136.83
Rate for Payer: Priority Health Choice Medicaid	$21,136.83
Rate for Payer: UHCCP Medicaid	$21,136.83

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

Facility

$27,625.69

Service Code	APR-DRG 6092
Min. Negotiated Rate	$26,310.18
Max. Negotiated Rate	$27,625.69
Rate for Payer: BCBS Complete	$27,625.69
Rate for Payer: Mclaren Medicaid	$26,310.18
Rate for Payer: Meridian Medicaid	$27,625.69
Rate for Payer: PHP Medicaid	$26,310.18
Rate for Payer: Priority Health Choice Medicaid	$26,310.18
Rate for Payer: UHCCP Medicaid	$26,310.18

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

Facility

$42,318.00

Service Code	APR-DRG 6093
Min. Negotiated Rate	$40,302.86
Max. Negotiated Rate	$42,318.00
Rate for Payer: BCBS Complete	$42,318.00
Rate for Payer: Mclaren Medicaid	$40,302.86
Rate for Payer: Meridian Medicaid	$42,318.00
Rate for Payer: PHP Medicaid	$40,302.86
Rate for Payer: Priority Health Choice Medicaid	$40,302.86
Rate for Payer: UHCCP Medicaid	$40,302.86

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

Facility

$175,117.90

Service Code	APR-DRG 5884
Min. Negotiated Rate	$166,778.95
Max. Negotiated Rate	$175,117.90
Rate for Payer: BCBS Complete	$175,117.90
Rate for Payer: Mclaren Medicaid	$166,778.95
Rate for Payer: Meridian Medicaid	$175,117.90
Rate for Payer: PHP Medicaid	$166,778.95
Rate for Payer: Priority Health Choice Medicaid	$166,778.95
Rate for Payer: UHCCP Medicaid	$166,778.95

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

Facility

$116,607.31

Service Code	APR-DRG 5883
Min. Negotiated Rate	$111,054.58
Max. Negotiated Rate	$116,607.31
Rate for Payer: BCBS Complete	$116,607.31
Rate for Payer: Mclaren Medicaid	$111,054.58
Rate for Payer: Meridian Medicaid	$116,607.31
Rate for Payer: PHP Medicaid	$111,054.58
Rate for Payer: Priority Health Choice Medicaid	$111,054.58
Rate for Payer: UHCCP Medicaid	$111,054.58

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

Facility

$99,949.12

Service Code	APR-DRG 5882
Min. Negotiated Rate	$95,189.64
Max. Negotiated Rate	$99,949.12
Rate for Payer: BCBS Complete	$99,949.12
Rate for Payer: Mclaren Medicaid	$95,189.64
Rate for Payer: Meridian Medicaid	$99,949.12
Rate for Payer: PHP Medicaid	$95,189.64
Rate for Payer: Priority Health Choice Medicaid	$95,189.64
Rate for Payer: UHCCP Medicaid	$95,189.64

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

Facility

$85,670.68

Service Code	APR-DRG 5881
Min. Negotiated Rate	$81,591.12
Max. Negotiated Rate	$85,670.68
Rate for Payer: BCBS Complete	$85,670.68
Rate for Payer: Mclaren Medicaid	$81,591.12
Rate for Payer: Meridian Medicaid	$85,670.68
Rate for Payer: PHP Medicaid	$81,591.12
Rate for Payer: Priority Health Choice Medicaid	$81,591.12
Rate for Payer: UHCCP Medicaid	$81,591.12

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

Facility

$1,707.21

Service Code	APR-DRG 6262
Min. Negotiated Rate	$1,625.91
Max. Negotiated Rate	$1,707.21
Rate for Payer: BCBS Complete	$1,707.21
Rate for Payer: Mclaren Medicaid	$1,625.91
Rate for Payer: Meridian Medicaid	$1,707.21
Rate for Payer: PHP Medicaid	$1,625.91
Rate for Payer: Priority Health Choice Medicaid	$1,625.91
Rate for Payer: UHCCP Medicaid	$1,625.91

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

Facility

$776.00

Service Code	APR-DRG 6261
Min. Negotiated Rate	$739.05
Max. Negotiated Rate	$776.00
Rate for Payer: BCBS Complete	$776.00
Rate for Payer: Mclaren Medicaid	$739.05
Rate for Payer: Meridian Medicaid	$776.00
Rate for Payer: PHP Medicaid	$739.05
Rate for Payer: Priority Health Choice Medicaid	$739.05
Rate for Payer: UHCCP Medicaid	$739.05

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

Facility

$4,914.68

Service Code	APR-DRG 6263
Min. Negotiated Rate	$4,680.65
Max. Negotiated Rate	$4,914.68
Rate for Payer: BCBS Complete	$4,914.68
Rate for Payer: Mclaren Medicaid	$4,680.65
Rate for Payer: Meridian Medicaid	$4,914.68
Rate for Payer: PHP Medicaid	$4,680.65
Rate for Payer: Priority Health Choice Medicaid	$4,680.65
Rate for Payer: UHCCP Medicaid	$4,680.65

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

Facility

$9,881.10

Service Code	APR-DRG 6264
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 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$5,897.62

Service Code	APR-DRG 6231
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: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$27,004.89

Service Code	APR-DRG 6234
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

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

Facility

$20,279.53

Service Code	APR-DRG 6233
Min. Negotiated Rate	$19,313.84
Max. Negotiated Rate	$20,279.53
Rate for Payer: BCBS Complete	$20,279.53
Rate for Payer: Mclaren Medicaid	$19,313.84
Rate for Payer: Meridian Medicaid	$20,279.53
Rate for Payer: PHP Medicaid	$19,313.84
Rate for Payer: Priority Health Choice Medicaid	$19,313.84
Rate for Payer: UHCCP Medicaid	$19,313.84

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

Facility

$10,191.50

Service Code	APR-DRG 6232
Min. Negotiated Rate	$9,706.19
Max. Negotiated Rate	$10,191.50
Rate for Payer: BCBS Complete	$10,191.50
Rate for Payer: Mclaren Medicaid	$9,706.19
Rate for Payer: Meridian Medicaid	$10,191.50
Rate for Payer: PHP Medicaid	$9,706.19
Rate for Payer: Priority Health Choice Medicaid	$9,706.19
Rate for Payer: UHCCP Medicaid	$9,706.19

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

Facility

$37,765.46

Service Code	APR-DRG 6214
Min. Negotiated Rate	$35,967.10
Max. Negotiated Rate	$37,765.46
Rate for Payer: BCBS Complete	$37,765.46
Rate for Payer: Mclaren Medicaid	$35,967.10
Rate for Payer: Meridian Medicaid	$37,765.46
Rate for Payer: PHP Medicaid	$35,967.10
Rate for Payer: Priority Health Choice Medicaid	$35,967.10
Rate for Payer: UHCCP Medicaid	$35,967.10

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

Facility

$3,155.74

Service Code	APR-DRG 6211
Min. Negotiated Rate	$3,005.47
Max. Negotiated Rate	$3,155.74
Rate for Payer: BCBS Complete	$3,155.74
Rate for Payer: Mclaren Medicaid	$3,005.47
Rate for Payer: Meridian Medicaid	$3,155.74
Rate for Payer: PHP Medicaid	$3,005.47
Rate for Payer: Priority Health Choice Medicaid	$3,005.47
Rate for Payer: UHCCP Medicaid	$3,005.47

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

Facility

$18,986.19

Service Code	APR-DRG 6213
Min. Negotiated Rate	$18,082.09
Max. Negotiated Rate	$18,986.19
Rate for Payer: BCBS Complete	$18,986.19
Rate for Payer: Mclaren Medicaid	$18,082.09
Rate for Payer: Meridian Medicaid	$18,986.19
Rate for Payer: PHP Medicaid	$18,082.09
Rate for Payer: Priority Health Choice Medicaid	$18,082.09
Rate for Payer: UHCCP Medicaid	$18,082.09

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

Facility

$9,518.96

Service Code	APR-DRG 6212
Min. Negotiated Rate	$9,065.68
Max. Negotiated Rate	$9,518.96
Rate for Payer: BCBS Complete	$9,518.96
Rate for Payer: Mclaren Medicaid	$9,065.68
Rate for Payer: Meridian Medicaid	$9,518.96
Rate for Payer: PHP Medicaid	$9,065.68
Rate for Payer: Priority Health Choice Medicaid	$9,065.68
Rate for Payer: UHCCP Medicaid	$9,065.68

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

Facility

$33,471.57

Service Code	APR-DRG 6254
Min. Negotiated Rate	$31,877.69
Max. Negotiated Rate	$33,471.57
Rate for Payer: BCBS Complete	$33,471.57
Rate for Payer: Mclaren Medicaid	$31,877.69
Rate for Payer: Meridian Medicaid	$33,471.57
Rate for Payer: PHP Medicaid	$31,877.69
Rate for Payer: Priority Health Choice Medicaid	$31,877.69
Rate for Payer: UHCCP Medicaid	$31,877.69

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

Facility

$15,364.85

Service Code	APR-DRG 6253
Min. Negotiated Rate	$14,633.19
Max. Negotiated Rate	$15,364.85
Rate for Payer: BCBS Complete	$15,364.85
Rate for Payer: Mclaren Medicaid	$14,633.19
Rate for Payer: Meridian Medicaid	$15,364.85
Rate for Payer: PHP Medicaid	$14,633.19
Rate for Payer: Priority Health Choice Medicaid	$14,633.19
Rate for Payer: UHCCP Medicaid	$14,633.19

Know your out-of-pocket cost for care.

All Charges