Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

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

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

$89,602.42

Service Code	APR-DRG 5891
Min. Negotiated Rate	$85,335.64
Max. Negotiated Rate	$89,602.42
Rate for Payer: BCBS Complete	$89,602.42
Rate for Payer: Mclaren Medicaid	$85,335.64
Rate for Payer: Meridian Medicaid	$89,602.42
Rate for Payer: PHP Medicaid	$85,335.64
Rate for Payer: Priority Health Choice Medicaid	$85,335.64
Rate for Payer: UHCCP Medicaid	$85,335.64

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

$90,844.03

Service Code	APR-DRG 5892
Min. Negotiated Rate	$86,518.12
Max. Negotiated Rate	$90,844.03
Rate for Payer: BCBS Complete	$90,844.03
Rate for Payer: Mclaren Medicaid	$86,518.12
Rate for Payer: Meridian Medicaid	$90,844.03
Rate for Payer: PHP Medicaid	$86,518.12
Rate for Payer: Priority Health Choice Medicaid	$86,518.12
Rate for Payer: UHCCP Medicaid	$86,518.12

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

$1,448.54

Service Code	APR-DRG 5894
Min. Negotiated Rate	$1,379.56
Max. Negotiated Rate	$1,448.54
Rate for Payer: BCBS Complete	$1,448.54
Rate for Payer: Mclaren Medicaid	$1,379.56
Rate for Payer: Meridian Medicaid	$1,448.54
Rate for Payer: PHP Medicaid	$1,379.56
Rate for Payer: Priority Health Choice Medicaid	$1,379.56
Rate for Payer: UHCCP Medicaid	$1,379.56

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

$90,844.03

Service Code	APR-DRG 5893
Min. Negotiated Rate	$86,518.12
Max. Negotiated Rate	$90,844.03
Rate for Payer: BCBS Complete	$90,844.03
Rate for Payer: Mclaren Medicaid	$86,518.12
Rate for Payer: Meridian Medicaid	$90,844.03
Rate for Payer: PHP Medicaid	$86,518.12
Rate for Payer: Priority Health Choice Medicaid	$86,518.12
Rate for Payer: UHCCP Medicaid	$86,518.12

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

Facility

$80,083.46

Service Code	APR-DRG 5933
Min. Negotiated Rate	$76,269.96
Max. Negotiated Rate	$80,083.46
Rate for Payer: BCBS Complete	$80,083.46
Rate for Payer: Mclaren Medicaid	$76,269.96
Rate for Payer: Meridian Medicaid	$80,083.46
Rate for Payer: PHP Medicaid	$76,269.96
Rate for Payer: Priority Health Choice Medicaid	$76,269.96
Rate for Payer: UHCCP Medicaid	$76,269.96

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

Facility

$51,578.30

Service Code	APR-DRG 5932
Min. Negotiated Rate	$49,122.19
Max. Negotiated Rate	$51,578.30
Rate for Payer: BCBS Complete	$51,578.30
Rate for Payer: Mclaren Medicaid	$49,122.19
Rate for Payer: Meridian Medicaid	$51,578.30
Rate for Payer: PHP Medicaid	$49,122.19
Rate for Payer: Priority Health Choice Medicaid	$49,122.19
Rate for Payer: UHCCP Medicaid	$49,122.19

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

Facility

$110,192.36

Service Code	APR-DRG 5934
Min. Negotiated Rate	$104,945.10
Max. Negotiated Rate	$110,192.36
Rate for Payer: BCBS Complete	$110,192.36
Rate for Payer: Mclaren Medicaid	$104,945.10
Rate for Payer: Meridian Medicaid	$110,192.36
Rate for Payer: PHP Medicaid	$104,945.10
Rate for Payer: Priority Health Choice Medicaid	$104,945.10
Rate for Payer: UHCCP Medicaid	$104,945.10

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

Facility

$30,212.36

Service Code	APR-DRG 5931
Min. Negotiated Rate	$28,773.68
Max. Negotiated Rate	$30,212.36
Rate for Payer: BCBS Complete	$30,212.36
Rate for Payer: Mclaren Medicaid	$28,773.68
Rate for Payer: Meridian Medicaid	$30,212.36
Rate for Payer: PHP Medicaid	$28,773.68
Rate for Payer: Priority Health Choice Medicaid	$28,773.68
Rate for Payer: UHCCP Medicaid	$28,773.68

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

Facility

$982.94

Service Code	APR-DRG 5812
Min. Negotiated Rate	$936.13
Max. Negotiated Rate	$982.94
Rate for Payer: BCBS Complete	$982.94
Rate for Payer: Mclaren Medicaid	$936.13
Rate for Payer: Meridian Medicaid	$982.94
Rate for Payer: PHP Medicaid	$936.13
Rate for Payer: Priority Health Choice Medicaid	$936.13
Rate for Payer: UHCCP Medicaid	$936.13

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

Facility

$10,294.97

Service Code	APR-DRG 5814
Min. Negotiated Rate	$9,804.73
Max. Negotiated Rate	$10,294.97
Rate for Payer: BCBS Complete	$10,294.97
Rate for Payer: Mclaren Medicaid	$9,804.73
Rate for Payer: Meridian Medicaid	$10,294.97
Rate for Payer: PHP Medicaid	$9,804.73
Rate for Payer: Priority Health Choice Medicaid	$9,804.73
Rate for Payer: UHCCP Medicaid	$9,804.73

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

Facility

$620.80

Service Code	APR-DRG 5811
Min. Negotiated Rate	$591.24
Max. Negotiated Rate	$620.80
Rate for Payer: BCBS Complete	$620.80
Rate for Payer: Mclaren Medicaid	$591.24
Rate for Payer: Meridian Medicaid	$620.80
Rate for Payer: PHP Medicaid	$591.24
Rate for Payer: Priority Health Choice Medicaid	$591.24
Rate for Payer: UHCCP Medicaid	$591.24

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

Facility

$2,121.07

Service Code	APR-DRG 5813
Min. Negotiated Rate	$2,020.07
Max. Negotiated Rate	$2,121.07
Rate for Payer: BCBS Complete	$2,121.07
Rate for Payer: Mclaren Medicaid	$2,020.07
Rate for Payer: Meridian Medicaid	$2,121.07
Rate for Payer: PHP Medicaid	$2,020.07
Rate for Payer: Priority Health Choice Medicaid	$2,020.07
Rate for Payer: UHCCP Medicaid	$2,020.07

APR-DRG 42.00: NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE

Facility

$6,570.15

Service Code	APR-DRG 5804
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, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE

Facility

$2,586.68

Service Code	APR-DRG 5802
Min. Negotiated Rate	$2,463.50
Max. Negotiated Rate	$2,586.68
Rate for Payer: BCBS Complete	$2,586.68
Rate for Payer: Mclaren Medicaid	$2,463.50
Rate for Payer: Meridian Medicaid	$2,586.68
Rate for Payer: PHP Medicaid	$2,463.50
Rate for Payer: Priority Health Choice Medicaid	$2,463.50
Rate for Payer: UHCCP Medicaid	$2,463.50

APR-DRG 42.00: NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE

Facility

$1,707.21

Service Code	APR-DRG 5801
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, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE

Facility

$4,966.42

Service Code	APR-DRG 5803
Min. Negotiated Rate	$4,729.92
Max. Negotiated Rate	$4,966.42
Rate for Payer: BCBS Complete	$4,966.42
Rate for Payer: Mclaren Medicaid	$4,729.92
Rate for Payer: Meridian Medicaid	$4,966.42
Rate for Payer: PHP Medicaid	$4,729.92
Rate for Payer: Priority Health Choice Medicaid	$4,729.92
Rate for Payer: UHCCP Medicaid	$4,729.92

APR-DRG 42.00: NEONATE WITH ECMO

Facility

$313,349.81

Service Code	APR-DRG 5834
Min. Negotiated Rate	$298,428.39
Max. Negotiated Rate	$313,349.81
Rate for Payer: BCBS Complete	$313,349.81
Rate for Payer: Mclaren Medicaid	$298,428.39
Rate for Payer: Meridian Medicaid	$313,349.81
Rate for Payer: PHP Medicaid	$298,428.39
Rate for Payer: Priority Health Choice Medicaid	$298,428.39
Rate for Payer: UHCCP Medicaid	$298,428.39

APR-DRG 42.00: NEONATE WITH ECMO

Facility

$178,428.84

Service Code	APR-DRG 5833
Min. Negotiated Rate	$169,932.23
Max. Negotiated Rate	$178,428.84
Rate for Payer: BCBS Complete	$178,428.84
Rate for Payer: Mclaren Medicaid	$169,932.23
Rate for Payer: Meridian Medicaid	$178,428.84
Rate for Payer: PHP Medicaid	$169,932.23
Rate for Payer: Priority Health Choice Medicaid	$169,932.23
Rate for Payer: UHCCP Medicaid	$169,932.23

APR-DRG 42.00: NEONATE WITH ECMO

Facility

$98,914.45

Service Code	APR-DRG 5832
Min. Negotiated Rate	$94,204.24
Max. Negotiated Rate	$98,914.45
Rate for Payer: BCBS Complete	$98,914.45
Rate for Payer: Mclaren Medicaid	$94,204.24
Rate for Payer: Meridian Medicaid	$98,914.45
Rate for Payer: PHP Medicaid	$94,204.24
Rate for Payer: Priority Health Choice Medicaid	$94,204.24
Rate for Payer: UHCCP Medicaid	$94,204.24

APR-DRG 42.00: NEONATE WITH ECMO

Facility

$88,774.69

Service Code	APR-DRG 5831
Min. Negotiated Rate	$84,547.32
Max. Negotiated Rate	$88,774.69
Rate for Payer: BCBS Complete	$88,774.69
Rate for Payer: Mclaren Medicaid	$84,547.32
Rate for Payer: Meridian Medicaid	$88,774.69
Rate for Payer: PHP Medicaid	$84,547.32
Rate for Payer: Priority Health Choice Medicaid	$84,547.32
Rate for Payer: UHCCP Medicaid	$84,547.32

APR-DRG 42.00: NEPHRITIS AND NEPHROSIS

Facility

$18,158.46

Service Code	APR-DRG 4624
Min. Negotiated Rate	$17,293.77
Max. Negotiated Rate	$18,158.46
Rate for Payer: BCBS Complete	$18,158.46
Rate for Payer: Mclaren Medicaid	$17,293.77
Rate for Payer: Meridian Medicaid	$18,158.46
Rate for Payer: PHP Medicaid	$17,293.77
Rate for Payer: Priority Health Choice Medicaid	$17,293.77
Rate for Payer: UHCCP Medicaid	$17,293.77

APR-DRG 42.00: NEPHRITIS AND NEPHROSIS

Facility

$4,242.15

Service Code	APR-DRG 4622
Min. Negotiated Rate	$4,040.14
Max. Negotiated Rate	$4,242.15
Rate for Payer: BCBS Complete	$4,242.15
Rate for Payer: Mclaren Medicaid	$4,040.14
Rate for Payer: Meridian Medicaid	$4,242.15
Rate for Payer: PHP Medicaid	$4,040.14
Rate for Payer: Priority Health Choice Medicaid	$4,040.14
Rate for Payer: UHCCP Medicaid	$4,040.14

APR-DRG 42.00: NEPHRITIS AND NEPHROSIS

Facility

$6,932.29

Service Code	APR-DRG 4623
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: NEPHRITIS AND NEPHROSIS

Facility

$3,000.54

Service Code	APR-DRG 4621
Min. Negotiated Rate	$2,857.66
Max. Negotiated Rate	$3,000.54
Rate for Payer: BCBS Complete	$3,000.54
Rate for Payer: Mclaren Medicaid	$2,857.66
Rate for Payer: Meridian Medicaid	$3,000.54
Rate for Payer: PHP Medicaid	$2,857.66
Rate for Payer: Priority Health Choice Medicaid	$2,857.66
Rate for Payer: UHCCP Medicaid	$2,857.66

Know your out-of-pocket cost for care.

All Charges