Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

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

$3,104.01

Service Code	APR-DRG 6361
Min. Negotiated Rate	$2,956.20
Max. Negotiated Rate	$3,104.01
Rate for Payer: BCBS Complete	$3,104.01
Rate for Payer: Mclaren Medicaid	$2,956.20
Rate for Payer: Meridian Medicaid	$3,104.01
Rate for Payer: PHP Medicaid	$2,956.20
Rate for Payer: Priority Health Choice Medicaid	$2,956.20
Rate for Payer: UHCCP Medicaid	$2,956.20

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

Facility

$3,517.88

Service Code	APR-DRG 6332
Min. Negotiated Rate	$3,350.36
Max. Negotiated Rate	$3,517.88
Rate for Payer: BCBS Complete	$3,517.88
Rate for Payer: Mclaren Medicaid	$3,350.36
Rate for Payer: Meridian Medicaid	$3,517.88
Rate for Payer: PHP Medicaid	$3,350.36
Rate for Payer: Priority Health Choice Medicaid	$3,350.36
Rate for Payer: UHCCP Medicaid	$3,350.36

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

Facility

$22,038.47

Service Code	APR-DRG 6334
Min. Negotiated Rate	$20,989.02
Max. Negotiated Rate	$22,038.47
Rate for Payer: BCBS Complete	$22,038.47
Rate for Payer: Mclaren Medicaid	$20,989.02
Rate for Payer: Meridian Medicaid	$22,038.47
Rate for Payer: PHP Medicaid	$20,989.02
Rate for Payer: Priority Health Choice Medicaid	$20,989.02
Rate for Payer: UHCCP Medicaid	$20,989.02

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

Facility

$8,587.76

Service Code	APR-DRG 6333
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 > 2499 GRAMS WITH MAJOR ANOMALY

Facility

$1,086.40

Service Code	APR-DRG 6331
Min. Negotiated Rate	$1,034.67
Max. Negotiated Rate	$1,086.40
Rate for Payer: BCBS Complete	$1,086.40
Rate for Payer: Mclaren Medicaid	$1,034.67
Rate for Payer: Meridian Medicaid	$1,086.40
Rate for Payer: PHP Medicaid	$1,034.67
Rate for Payer: Priority Health Choice Medicaid	$1,034.67
Rate for Payer: UHCCP Medicaid	$1,034.67

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

Facility

$66,270.61

Service Code	APR-DRG 6303
Min. Negotiated Rate	$63,114.87
Max. Negotiated Rate	$66,270.61
Rate for Payer: BCBS Complete	$66,270.61
Rate for Payer: Mclaren Medicaid	$63,114.87
Rate for Payer: Meridian Medicaid	$66,270.61
Rate for Payer: PHP Medicaid	$63,114.87
Rate for Payer: Priority Health Choice Medicaid	$63,114.87
Rate for Payer: UHCCP Medicaid	$63,114.87

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

Facility

$29,229.43

Service Code	APR-DRG 6302
Min. Negotiated Rate	$27,837.55
Max. Negotiated Rate	$29,229.43
Rate for Payer: BCBS Complete	$29,229.43
Rate for Payer: Mclaren Medicaid	$27,837.55
Rate for Payer: Meridian Medicaid	$29,229.43
Rate for Payer: PHP Medicaid	$27,837.55
Rate for Payer: Priority Health Choice Medicaid	$27,837.55
Rate for Payer: UHCCP Medicaid	$27,837.55

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

Facility

$15,054.45

Service Code	APR-DRG 6301
Min. Negotiated Rate	$14,337.57
Max. Negotiated Rate	$15,054.45
Rate for Payer: BCBS Complete	$15,054.45
Rate for Payer: Mclaren Medicaid	$14,337.57
Rate for Payer: Meridian Medicaid	$15,054.45
Rate for Payer: PHP Medicaid	$14,337.57
Rate for Payer: Priority Health Choice Medicaid	$14,337.57
Rate for Payer: UHCCP Medicaid	$14,337.57

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

Facility

$119,763.05

Service Code	APR-DRG 6304
Min. Negotiated Rate	$114,060.05
Max. Negotiated Rate	$119,763.05
Rate for Payer: BCBS Complete	$119,763.05
Rate for Payer: Mclaren Medicaid	$114,060.05
Rate for Payer: Meridian Medicaid	$119,763.05
Rate for Payer: PHP Medicaid	$114,060.05
Rate for Payer: Priority Health Choice Medicaid	$114,060.05
Rate for Payer: UHCCP Medicaid	$114,060.05

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

Facility

$40,921.20

Service Code	APR-DRG 6313
Min. Negotiated Rate	$38,972.57
Max. Negotiated Rate	$40,921.20
Rate for Payer: BCBS Complete	$40,921.20
Rate for Payer: Mclaren Medicaid	$38,972.57
Rate for Payer: Meridian Medicaid	$40,921.20
Rate for Payer: PHP Medicaid	$38,972.57
Rate for Payer: Priority Health Choice Medicaid	$38,972.57
Rate for Payer: UHCCP Medicaid	$38,972.57

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

Facility

$162,443.19

Service Code	APR-DRG 6314
Min. Negotiated Rate	$154,707.80
Max. Negotiated Rate	$162,443.19
Rate for Payer: BCBS Complete	$162,443.19
Rate for Payer: Mclaren Medicaid	$154,707.80
Rate for Payer: Meridian Medicaid	$162,443.19
Rate for Payer: PHP Medicaid	$154,707.80
Rate for Payer: Priority Health Choice Medicaid	$154,707.80
Rate for Payer: UHCCP Medicaid	$154,707.80

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

Facility

$4,500.81

Service Code	APR-DRG 6311
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 > 2499 GRAMS WITH OTHER MAJOR PROCEDURE

Facility

$10,657.10

Service Code	APR-DRG 6312
Min. Negotiated Rate	$10,149.62
Max. Negotiated Rate	$10,657.10
Rate for Payer: BCBS Complete	$10,657.10
Rate for Payer: Mclaren Medicaid	$10,149.62
Rate for Payer: Meridian Medicaid	$10,657.10
Rate for Payer: PHP Medicaid	$10,149.62
Rate for Payer: Priority Health Choice Medicaid	$10,149.62
Rate for Payer: UHCCP Medicaid	$10,149.62

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

Facility

$2,897.08

Service Code	APR-DRG 6392
Min. Negotiated Rate	$2,759.12
Max. Negotiated Rate	$2,897.08
Rate for Payer: BCBS Complete	$2,897.08
Rate for Payer: Mclaren Medicaid	$2,759.12
Rate for Payer: Meridian Medicaid	$2,897.08
Rate for Payer: PHP Medicaid	$2,759.12
Rate for Payer: Priority Health Choice Medicaid	$2,759.12
Rate for Payer: UHCCP Medicaid	$2,759.12

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

Facility

$14,640.58

Service Code	APR-DRG 6394
Min. Negotiated Rate	$13,943.41
Max. Negotiated Rate	$14,640.58
Rate for Payer: BCBS Complete	$14,640.58
Rate for Payer: Mclaren Medicaid	$13,943.41
Rate for Payer: Meridian Medicaid	$14,640.58
Rate for Payer: PHP Medicaid	$13,943.41
Rate for Payer: Priority Health Choice Medicaid	$13,943.41
Rate for Payer: UHCCP Medicaid	$13,943.41

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

Facility

$9,777.63

Service Code	APR-DRG 6393
Min. Negotiated Rate	$9,312.03
Max. Negotiated Rate	$9,777.63
Rate for Payer: BCBS Complete	$9,777.63
Rate for Payer: Mclaren Medicaid	$9,312.03
Rate for Payer: Meridian Medicaid	$9,777.63
Rate for Payer: PHP Medicaid	$9,312.03
Rate for Payer: Priority Health Choice Medicaid	$9,312.03
Rate for Payer: UHCCP Medicaid	$9,312.03

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

Facility

$1,707.21

Service Code	APR-DRG 6391
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 > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$14,330.18

Service Code	APR-DRG 6344
Min. Negotiated Rate	$13,647.79
Max. Negotiated Rate	$14,330.18
Rate for Payer: BCBS Complete	$14,330.18
Rate for Payer: Mclaren Medicaid	$13,647.79
Rate for Payer: Meridian Medicaid	$14,330.18
Rate for Payer: PHP Medicaid	$13,647.79
Rate for Payer: Priority Health Choice Medicaid	$13,647.79
Rate for Payer: UHCCP Medicaid	$13,647.79

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

Facility

$3,828.28

Service Code	APR-DRG 6342
Min. Negotiated Rate	$3,645.98
Max. Negotiated Rate	$3,828.28
Rate for Payer: BCBS Complete	$3,828.28
Rate for Payer: Mclaren Medicaid	$3,645.98
Rate for Payer: Meridian Medicaid	$3,828.28
Rate for Payer: PHP Medicaid	$3,645.98
Rate for Payer: Priority Health Choice Medicaid	$3,645.98
Rate for Payer: UHCCP Medicaid	$3,645.98

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

Facility

$3,362.68

Service Code	APR-DRG 6341
Min. Negotiated Rate	$3,202.55
Max. Negotiated Rate	$3,362.68
Rate for Payer: BCBS Complete	$3,362.68
Rate for Payer: Mclaren Medicaid	$3,202.55
Rate for Payer: Meridian Medicaid	$3,362.68
Rate for Payer: PHP Medicaid	$3,202.55
Rate for Payer: Priority Health Choice Medicaid	$3,202.55
Rate for Payer: UHCCP Medicaid	$3,202.55

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

Facility

$7,087.49

Service Code	APR-DRG 6343
Min. Negotiated Rate	$6,749.99
Max. Negotiated Rate	$7,087.49
Rate for Payer: BCBS Complete	$7,087.49
Rate for Payer: Mclaren Medicaid	$6,749.99
Rate for Payer: Meridian Medicaid	$7,087.49
Rate for Payer: PHP Medicaid	$6,749.99
Rate for Payer: Priority Health Choice Medicaid	$6,749.99
Rate for Payer: UHCCP Medicaid	$6,749.99

APR-DRG 42.00: NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$115,055.30

Service Code	APR-DRG 5914
Min. Negotiated Rate	$109,576.48
Max. Negotiated Rate	$115,055.30
Rate for Payer: BCBS Complete	$115,055.30
Rate for Payer: Mclaren Medicaid	$109,576.48
Rate for Payer: Meridian Medicaid	$115,055.30
Rate for Payer: PHP Medicaid	$109,576.48
Rate for Payer: Priority Health Choice Medicaid	$109,576.48
Rate for Payer: UHCCP Medicaid	$109,576.48

APR-DRG 42.00: NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$89,912.82

Service Code	APR-DRG 5913
Min. Negotiated Rate	$85,631.26
Max. Negotiated Rate	$89,912.82
Rate for Payer: BCBS Complete	$89,912.82
Rate for Payer: Mclaren Medicaid	$85,631.26
Rate for Payer: Meridian Medicaid	$89,912.82
Rate for Payer: PHP Medicaid	$85,631.26
Rate for Payer: Priority Health Choice Medicaid	$85,631.26
Rate for Payer: UHCCP Medicaid	$85,631.26

APR-DRG 42.00: NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$15,054.45

Service Code	APR-DRG 5911
Min. Negotiated Rate	$14,337.57
Max. Negotiated Rate	$15,054.45
Rate for Payer: BCBS Complete	$15,054.45
Rate for Payer: Mclaren Medicaid	$14,337.57
Rate for Payer: Meridian Medicaid	$15,054.45
Rate for Payer: PHP Medicaid	$14,337.57
Rate for Payer: Priority Health Choice Medicaid	$14,337.57
Rate for Payer: UHCCP Medicaid	$14,337.57

Know your out-of-pocket cost for care.

All Charges