Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

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

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

Facility

$10,812.30

Service Code	APR-DRG 6393
Min. Negotiated Rate	$10,297.43
Max. Negotiated Rate	$10,812.30
Rate for Payer: BCBS Complete	$10,812.30
Rate for Payer: Mclaren Medicaid	$10,297.43
Rate for Payer: Meridian Medicaid	$10,812.30
Rate for Payer: PHP Medicaid	$10,297.43
Rate for Payer: Priority Health Choice Medicaid	$10,297.43
Rate for Payer: UHCCP Medicaid	$10,297.43

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

Facility

$16,244.32

Service Code	APR-DRG 6394
Min. Negotiated Rate	$15,470.78
Max. Negotiated Rate	$16,244.32
Rate for Payer: BCBS Complete	$16,244.32
Rate for Payer: Mclaren Medicaid	$15,470.78
Rate for Payer: Meridian Medicaid	$16,244.32
Rate for Payer: PHP Medicaid	$15,470.78
Rate for Payer: Priority Health Choice Medicaid	$15,470.78
Rate for Payer: UHCCP Medicaid	$15,470.78

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

Facility

$1,914.14

Service Code	APR-DRG 6391
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 WITH OTHER SIGNIFICANT CONDITION

Facility

$3,673.08

Service Code	APR-DRG 6392
Min. Negotiated Rate	$3,498.17
Max. Negotiated Rate	$3,673.08
Rate for Payer: BCBS Complete	$3,673.08
Rate for Payer: Mclaren Medicaid	$3,498.17
Rate for Payer: Meridian Medicaid	$3,673.08
Rate for Payer: PHP Medicaid	$3,498.17
Rate for Payer: Priority Health Choice Medicaid	$3,498.17
Rate for Payer: UHCCP Medicaid	$3,498.17

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

Facility

$6,104.55

Service Code	APR-DRG 6342
Min. Negotiated Rate	$5,813.86
Max. Negotiated Rate	$6,104.55
Rate for Payer: BCBS Complete	$6,104.55
Rate for Payer: Mclaren Medicaid	$5,813.86
Rate for Payer: Meridian Medicaid	$6,104.55
Rate for Payer: PHP Medicaid	$5,813.86
Rate for Payer: Priority Health Choice Medicaid	$5,813.86
Rate for Payer: UHCCP Medicaid	$5,813.86

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

Facility

$12,157.37

Service Code	APR-DRG 6343
Min. Negotiated Rate	$11,578.45
Max. Negotiated Rate	$12,157.37
Rate for Payer: BCBS Complete	$12,157.37
Rate for Payer: Mclaren Medicaid	$11,578.45
Rate for Payer: Meridian Medicaid	$12,157.37
Rate for Payer: PHP Medicaid	$11,578.45
Rate for Payer: Priority Health Choice Medicaid	$11,578.45
Rate for Payer: UHCCP Medicaid	$11,578.45

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

Facility

$3,724.81

Service Code	APR-DRG 6341
Min. Negotiated Rate	$3,547.44
Max. Negotiated Rate	$3,724.81
Rate for Payer: BCBS Complete	$3,724.81
Rate for Payer: Mclaren Medicaid	$3,547.44
Rate for Payer: Meridian Medicaid	$3,724.81
Rate for Payer: PHP Medicaid	$3,547.44
Rate for Payer: Priority Health Choice Medicaid	$3,547.44
Rate for Payer: UHCCP Medicaid	$3,547.44

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

Facility

$23,280.08

Service Code	APR-DRG 6344
Min. Negotiated Rate	$22,171.50
Max. Negotiated Rate	$23,280.08
Rate for Payer: BCBS Complete	$23,280.08
Rate for Payer: Mclaren Medicaid	$22,171.50
Rate for Payer: Meridian Medicaid	$23,280.08
Rate for Payer: PHP Medicaid	$22,171.50
Rate for Payer: Priority Health Choice Medicaid	$22,171.50
Rate for Payer: UHCCP Medicaid	$22,171.50

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

Facility

$15,778.72

Service Code	APR-DRG 5911
Min. Negotiated Rate	$15,027.35
Max. Negotiated Rate	$15,778.72
Rate for Payer: BCBS Complete	$15,778.72
Rate for Payer: Mclaren Medicaid	$15,027.35
Rate for Payer: Meridian Medicaid	$15,778.72
Rate for Payer: PHP Medicaid	$15,027.35
Rate for Payer: Priority Health Choice Medicaid	$15,027.35
Rate for Payer: UHCCP Medicaid	$15,027.35

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

Facility

$86,601.88

Service Code	APR-DRG 5913
Min. Negotiated Rate	$82,477.98
Max. Negotiated Rate	$86,601.88
Rate for Payer: BCBS Complete	$86,601.88
Rate for Payer: Mclaren Medicaid	$82,477.98
Rate for Payer: Meridian Medicaid	$86,601.88
Rate for Payer: PHP Medicaid	$82,477.98
Rate for Payer: Priority Health Choice Medicaid	$82,477.98
Rate for Payer: UHCCP Medicaid	$82,477.98

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

Facility

$74,289.31

Service Code	APR-DRG 5912
Min. Negotiated Rate	$70,751.72
Max. Negotiated Rate	$74,289.31
Rate for Payer: BCBS Complete	$74,289.31
Rate for Payer: Mclaren Medicaid	$70,751.72
Rate for Payer: Meridian Medicaid	$74,289.31
Rate for Payer: PHP Medicaid	$70,751.72
Rate for Payer: Priority Health Choice Medicaid	$70,751.72
Rate for Payer: UHCCP Medicaid	$70,751.72

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

Facility

$114,796.64

Service Code	APR-DRG 5914
Min. Negotiated Rate	$109,330.13
Max. Negotiated Rate	$114,796.64
Rate for Payer: BCBS Complete	$114,796.64
Rate for Payer: Mclaren Medicaid	$109,330.13
Rate for Payer: Meridian Medicaid	$114,796.64
Rate for Payer: PHP Medicaid	$109,330.13
Rate for Payer: Priority Health Choice Medicaid	$109,330.13
Rate for Payer: UHCCP Medicaid	$109,330.13

APR-DRG 42.00: NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION

Facility

$81,635.46

Service Code	APR-DRG 5891
Min. Negotiated Rate	$77,748.06
Max. Negotiated Rate	$81,635.46
Rate for Payer: BCBS Complete	$81,635.46
Rate for Payer: Mclaren Medicaid	$77,748.06
Rate for Payer: Meridian Medicaid	$81,635.46
Rate for Payer: PHP Medicaid	$77,748.06
Rate for Payer: Priority Health Choice Medicaid	$77,748.06
Rate for Payer: UHCCP Medicaid	$77,748.06

APR-DRG 42.00: NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION

Facility

$81,635.46

Service Code	APR-DRG 5893
Min. Negotiated Rate	$77,748.06
Max. Negotiated Rate	$81,635.46
Rate for Payer: BCBS Complete	$81,635.46
Rate for Payer: Mclaren Medicaid	$77,748.06
Rate for Payer: Meridian Medicaid	$81,635.46
Rate for Payer: PHP Medicaid	$77,748.06
Rate for Payer: Priority Health Choice Medicaid	$77,748.06
Rate for Payer: UHCCP Medicaid	$77,748.06

APR-DRG 42.00: NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION

Facility

$81,635.46

Service Code	APR-DRG 5892
Min. Negotiated Rate	$77,748.06
Max. Negotiated Rate	$81,635.46
Rate for Payer: BCBS Complete	$81,635.46
Rate for Payer: Mclaren Medicaid	$77,748.06
Rate for Payer: Meridian Medicaid	$81,635.46
Rate for Payer: PHP Medicaid	$77,748.06
Rate for Payer: Priority Health Choice Medicaid	$77,748.06
Rate for Payer: UHCCP Medicaid	$77,748.06

APR-DRG 42.00: NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION

Facility

$1,707.21

Service Code	APR-DRG 5894
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 750-999 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$59,390.06

Service Code	APR-DRG 5932
Min. Negotiated Rate	$56,561.96
Max. Negotiated Rate	$59,390.06
Rate for Payer: BCBS Complete	$59,390.06
Rate for Payer: Mclaren Medicaid	$56,561.96
Rate for Payer: Meridian Medicaid	$59,390.06
Rate for Payer: PHP Medicaid	$56,561.96
Rate for Payer: Priority Health Choice Medicaid	$56,561.96
Rate for Payer: UHCCP Medicaid	$56,561.96

APR-DRG 42.00: NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$100,932.06

Service Code	APR-DRG 5934
Min. Negotiated Rate	$96,125.77
Max. Negotiated Rate	$100,932.06
Rate for Payer: BCBS Complete	$100,932.06
Rate for Payer: Mclaren Medicaid	$96,125.77
Rate for Payer: Meridian Medicaid	$100,932.06
Rate for Payer: PHP Medicaid	$96,125.77
Rate for Payer: Priority Health Choice Medicaid	$96,125.77
Rate for Payer: UHCCP Medicaid	$96,125.77

APR-DRG 42.00: NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$73,823.70

Service Code	APR-DRG 5933
Min. Negotiated Rate	$70,308.29
Max. Negotiated Rate	$73,823.70
Rate for Payer: BCBS Complete	$73,823.70
Rate for Payer: Mclaren Medicaid	$70,308.29
Rate for Payer: Meridian Medicaid	$73,823.70
Rate for Payer: PHP Medicaid	$70,308.29
Rate for Payer: Priority Health Choice Medicaid	$70,308.29
Rate for Payer: UHCCP Medicaid	$70,308.29

APR-DRG 42.00: NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$45,215.08

Service Code	APR-DRG 5931
Min. Negotiated Rate	$43,061.98
Max. Negotiated Rate	$45,215.08
Rate for Payer: BCBS Complete	$45,215.08
Rate for Payer: Mclaren Medicaid	$43,061.98
Rate for Payer: Meridian Medicaid	$45,215.08
Rate for Payer: PHP Medicaid	$43,061.98
Rate for Payer: Priority Health Choice Medicaid	$43,061.98
Rate for Payer: UHCCP Medicaid	$43,061.98

APR-DRG 42.00: NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE

Facility

$1,603.74

Service Code	APR-DRG 5813
Min. Negotiated Rate	$1,527.37
Max. Negotiated Rate	$1,603.74
Rate for Payer: BCBS Complete	$1,603.74
Rate for Payer: Mclaren Medicaid	$1,527.37
Rate for Payer: Meridian Medicaid	$1,603.74
Rate for Payer: PHP Medicaid	$1,527.37
Rate for Payer: Priority Health Choice Medicaid	$1,527.37
Rate for Payer: UHCCP Medicaid	$1,527.37

APR-DRG 42.00: NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE

Facility

$827.74

Service Code	APR-DRG 5812
Min. Negotiated Rate	$788.32
Max. Negotiated Rate	$827.74
Rate for Payer: BCBS Complete	$827.74
Rate for Payer: Mclaren Medicaid	$788.32
Rate for Payer: Meridian Medicaid	$827.74
Rate for Payer: PHP Medicaid	$788.32
Rate for Payer: Priority Health Choice Medicaid	$788.32
Rate for Payer: UHCCP Medicaid	$788.32

APR-DRG 42.00: NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE

Facility

$2,897.08

Service Code	APR-DRG 5814
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, TRANSFERRED < 5 DAYS OLD, BORN HERE

Facility

$517.34

Service Code	APR-DRG 5811
Min. Negotiated Rate	$492.70
Max. Negotiated Rate	$517.34
Rate for Payer: BCBS Complete	$517.34
Rate for Payer: Mclaren Medicaid	$492.70
Rate for Payer: Meridian Medicaid	$517.34
Rate for Payer: PHP Medicaid	$492.70
Rate for Payer: Priority Health Choice Medicaid	$492.70
Rate for Payer: UHCCP Medicaid	$492.70

Know your out-of-pocket cost for care.

All Charges