Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

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

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 RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$24,987.28

Service Code	APR-DRG 6224
Min. Negotiated Rate	$23,797.41
Max. Negotiated Rate	$24,987.28
Rate for Payer: BCBS Complete	$24,987.28
Rate for Payer: Mclaren Medicaid	$23,797.41
Rate for Payer: Meridian Medicaid	$24,987.28
Rate for Payer: PHP Medicaid	$23,797.41
Rate for Payer: Priority Health Choice Medicaid	$23,797.41
Rate for Payer: UHCCP Medicaid	$23,797.41

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

Facility

$11,743.50

Service Code	APR-DRG 6222
Min. Negotiated Rate	$11,184.29
Max. Negotiated Rate	$11,743.50
Rate for Payer: BCBS Complete	$11,743.50
Rate for Payer: Mclaren Medicaid	$11,184.29
Rate for Payer: Meridian Medicaid	$11,743.50
Rate for Payer: PHP Medicaid	$11,184.29
Rate for Payer: Priority Health Choice Medicaid	$11,184.29
Rate for Payer: UHCCP Medicaid	$11,184.29

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

Facility

$8,122.16

Service Code	APR-DRG 6221
Min. Negotiated Rate	$7,735.39
Max. Negotiated Rate	$8,122.16
Rate for Payer: BCBS Complete	$8,122.16
Rate for Payer: Mclaren Medicaid	$7,735.39
Rate for Payer: Meridian Medicaid	$8,122.16
Rate for Payer: PHP Medicaid	$7,735.39
Rate for Payer: Priority Health Choice Medicaid	$7,735.39
Rate for Payer: UHCCP Medicaid	$7,735.39

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

Facility

$16,761.65

Service Code	APR-DRG 6223
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 > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM

Facility

$879.47

Service Code	APR-DRG 6402
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

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

Facility

$10,657.10

Service Code	APR-DRG 6404
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, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM

Facility

$1,914.14

Service Code	APR-DRG 6403
Min. Negotiated Rate	$1,822.99
Max. Negotiated Rate	$1,914.14
Rate for Payer: BCBS Complete	$1,914.14
Rate for Payer: Mclaren Medicaid	$1,822.99
Rate for Payer: Meridian Medicaid	$1,914.14
Rate for Payer: PHP Medicaid	$1,822.99
Rate for Payer: Priority Health Choice Medicaid	$1,822.99
Rate for Payer: UHCCP Medicaid	$1,822.99

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

Facility

$569.07

Service Code	APR-DRG 6401
Min. Negotiated Rate	$541.97
Max. Negotiated Rate	$569.07
Rate for Payer: BCBS Complete	$569.07
Rate for Payer: Mclaren Medicaid	$541.97
Rate for Payer: Meridian Medicaid	$569.07
Rate for Payer: PHP Medicaid	$541.97
Rate for Payer: Priority Health Choice Medicaid	$541.97
Rate for Payer: UHCCP Medicaid	$541.97

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

Facility

$6,570.15

Service Code	APR-DRG 6362
Min. Negotiated Rate	$6,257.29
Max. Negotiated Rate	$6,570.15
Rate for Payer: BCBS Complete	$6,570.15
Rate for Payer: Mclaren Medicaid	$6,257.29
Rate for Payer: Meridian Medicaid	$6,570.15
Rate for Payer: PHP Medicaid	$6,257.29
Rate for Payer: Priority Health Choice Medicaid	$6,257.29
Rate for Payer: UHCCP Medicaid	$6,257.29

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

Facility

$13,657.64

Service Code	APR-DRG 6364
Min. Negotiated Rate	$13,007.28
Max. Negotiated Rate	$13,657.64
Rate for Payer: BCBS Complete	$13,657.64
Rate for Payer: Mclaren Medicaid	$13,007.28
Rate for Payer: Meridian Medicaid	$13,657.64
Rate for Payer: PHP Medicaid	$13,007.28
Rate for Payer: Priority Health Choice Medicaid	$13,007.28
Rate for Payer: UHCCP Medicaid	$13,007.28

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

Facility

$4,035.21

Service Code	APR-DRG 6361
Min. Negotiated Rate	$3,843.06
Max. Negotiated Rate	$4,035.21
Rate for Payer: BCBS Complete	$4,035.21
Rate for Payer: Mclaren Medicaid	$3,843.06
Rate for Payer: Meridian Medicaid	$4,035.21
Rate for Payer: PHP Medicaid	$3,843.06
Rate for Payer: Priority Health Choice Medicaid	$3,843.06
Rate for Payer: UHCCP Medicaid	$3,843.06

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

Facility

$13,657.64

Service Code	APR-DRG 6363
Min. Negotiated Rate	$13,007.28
Max. Negotiated Rate	$13,657.64
Rate for Payer: BCBS Complete	$13,657.64
Rate for Payer: Mclaren Medicaid	$13,007.28
Rate for Payer: Meridian Medicaid	$13,657.64
Rate for Payer: PHP Medicaid	$13,007.28
Rate for Payer: Priority Health Choice Medicaid	$13,007.28
Rate for Payer: UHCCP Medicaid	$13,007.28

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

Facility

$38,437.99

Service Code	APR-DRG 6334
Min. Negotiated Rate	$36,607.61
Max. Negotiated Rate	$38,437.99
Rate for Payer: BCBS Complete	$38,437.99
Rate for Payer: Mclaren Medicaid	$36,607.61
Rate for Payer: Meridian Medicaid	$38,437.99
Rate for Payer: PHP Medicaid	$36,607.61
Rate for Payer: Priority Health Choice Medicaid	$36,607.61
Rate for Payer: UHCCP Medicaid	$36,607.61

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

Facility

$14,588.85

Service Code	APR-DRG 6333
Min. Negotiated Rate	$13,894.14
Max. Negotiated Rate	$14,588.85
Rate for Payer: BCBS Complete	$14,588.85
Rate for Payer: Mclaren Medicaid	$13,894.14
Rate for Payer: Meridian Medicaid	$14,588.85
Rate for Payer: PHP Medicaid	$13,894.14
Rate for Payer: Priority Health Choice Medicaid	$13,894.14
Rate for Payer: UHCCP Medicaid	$13,894.14

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

Facility

$1,293.34

Service Code	APR-DRG 6331
Min. Negotiated Rate	$1,231.75
Max. Negotiated Rate	$1,293.34
Rate for Payer: BCBS Complete	$1,293.34
Rate for Payer: Mclaren Medicaid	$1,231.75
Rate for Payer: Meridian Medicaid	$1,293.34
Rate for Payer: PHP Medicaid	$1,231.75
Rate for Payer: Priority Health Choice Medicaid	$1,231.75
Rate for Payer: UHCCP Medicaid	$1,231.75

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

Facility

$5,638.95

Service Code	APR-DRG 6332
Min. Negotiated Rate	$5,370.43
Max. Negotiated Rate	$5,638.95
Rate for Payer: BCBS Complete	$5,638.95
Rate for Payer: Mclaren Medicaid	$5,370.43
Rate for Payer: Meridian Medicaid	$5,638.95
Rate for Payer: PHP Medicaid	$5,370.43
Rate for Payer: Priority Health Choice Medicaid	$5,370.43
Rate for Payer: UHCCP Medicaid	$5,370.43

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

Facility

$58,665.79

Service Code	APR-DRG 6303
Min. Negotiated Rate	$55,872.18
Max. Negotiated Rate	$58,665.79
Rate for Payer: BCBS Complete	$58,665.79
Rate for Payer: Mclaren Medicaid	$55,872.18
Rate for Payer: Meridian Medicaid	$58,665.79
Rate for Payer: PHP Medicaid	$55,872.18
Rate for Payer: Priority Health Choice Medicaid	$55,872.18
Rate for Payer: UHCCP Medicaid	$55,872.18

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

Facility

$26,746.22

Service Code	APR-DRG 6302
Min. Negotiated Rate	$25,472.59
Max. Negotiated Rate	$26,746.22
Rate for Payer: BCBS Complete	$26,746.22
Rate for Payer: Mclaren Medicaid	$25,472.59
Rate for Payer: Meridian Medicaid	$26,746.22
Rate for Payer: PHP Medicaid	$25,472.59
Rate for Payer: Priority Health Choice Medicaid	$25,472.59
Rate for Payer: UHCCP Medicaid	$25,472.59

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

Facility

$13,864.58

Service Code	APR-DRG 6301
Min. Negotiated Rate	$13,204.36
Max. Negotiated Rate	$13,864.58
Rate for Payer: BCBS Complete	$13,864.58
Rate for Payer: Mclaren Medicaid	$13,204.36
Rate for Payer: Meridian Medicaid	$13,864.58
Rate for Payer: PHP Medicaid	$13,204.36
Rate for Payer: Priority Health Choice Medicaid	$13,204.36
Rate for Payer: UHCCP Medicaid	$13,204.36

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

Facility

$106,415.81

Service Code	APR-DRG 6304
Min. Negotiated Rate	$101,348.39
Max. Negotiated Rate	$106,415.81
Rate for Payer: BCBS Complete	$106,415.81
Rate for Payer: Mclaren Medicaid	$101,348.39
Rate for Payer: Meridian Medicaid	$106,415.81
Rate for Payer: PHP Medicaid	$101,348.39
Rate for Payer: Priority Health Choice Medicaid	$101,348.39
Rate for Payer: UHCCP Medicaid	$101,348.39

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

Facility

$3,983.48

Service Code	APR-DRG 6311
Min. Negotiated Rate	$3,793.79
Max. Negotiated Rate	$3,983.48
Rate for Payer: BCBS Complete	$3,983.48
Rate for Payer: Mclaren Medicaid	$3,793.79
Rate for Payer: Meridian Medicaid	$3,983.48
Rate for Payer: PHP Medicaid	$3,793.79
Rate for Payer: Priority Health Choice Medicaid	$3,793.79
Rate for Payer: UHCCP Medicaid	$3,793.79

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

Facility

$117,331.58

Service Code	APR-DRG 6314
Min. Negotiated Rate	$111,744.36
Max. Negotiated Rate	$117,331.58
Rate for Payer: BCBS Complete	$117,331.58
Rate for Payer: Mclaren Medicaid	$111,744.36
Rate for Payer: Meridian Medicaid	$117,331.58
Rate for Payer: PHP Medicaid	$111,744.36
Rate for Payer: Priority Health Choice Medicaid	$111,744.36
Rate for Payer: UHCCP Medicaid	$111,744.36

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

Facility

$34,506.24

Service Code	APR-DRG 6313
Min. Negotiated Rate	$32,863.09
Max. Negotiated Rate	$34,506.24
Rate for Payer: BCBS Complete	$34,506.24
Rate for Payer: Mclaren Medicaid	$32,863.09
Rate for Payer: Meridian Medicaid	$34,506.24
Rate for Payer: PHP Medicaid	$32,863.09
Rate for Payer: Priority Health Choice Medicaid	$32,863.09
Rate for Payer: UHCCP Medicaid	$32,863.09

Know your out-of-pocket cost for care.

All Charges