Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

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

Facility

$1,552.01

Service Code	APR-DRG 5801
Min. Negotiated Rate	$1,478.10
Max. Negotiated Rate	$1,552.01
Rate for Payer: BCBS Complete	$1,552.01
Rate for Payer: Mclaren Medicaid	$1,478.10
Rate for Payer: Meridian Medicaid	$1,552.01
Rate for Payer: PHP Medicaid	$1,478.10
Rate for Payer: Priority Health Choice Medicaid	$1,478.10
Rate for Payer: UHCCP Medicaid	$1,478.10

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

Facility

$2,431.47

Service Code	APR-DRG 5802
Min. Negotiated Rate	$2,315.69
Max. Negotiated Rate	$2,431.47
Rate for Payer: BCBS Complete	$2,431.47
Rate for Payer: Mclaren Medicaid	$2,315.69
Rate for Payer: Meridian Medicaid	$2,431.47
Rate for Payer: PHP Medicaid	$2,315.69
Rate for Payer: Priority Health Choice Medicaid	$2,315.69
Rate for Payer: UHCCP Medicaid	$2,315.69

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

Facility

$6,104.55

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

Facility

$4,759.48

Service Code	APR-DRG 5803
Min. Negotiated Rate	$4,532.84
Max. Negotiated Rate	$4,759.48
Rate for Payer: BCBS Complete	$4,759.48
Rate for Payer: Mclaren Medicaid	$4,532.84
Rate for Payer: Meridian Medicaid	$4,759.48
Rate for Payer: PHP Medicaid	$4,532.84
Rate for Payer: Priority Health Choice Medicaid	$4,532.84
Rate for Payer: UHCCP Medicaid	$4,532.84

APR-DRG 42.00: NEONATE WITH ECMO

Facility

$112,209.96

Service Code	APR-DRG 5831
Min. Negotiated Rate	$106,866.63
Max. Negotiated Rate	$112,209.96
Rate for Payer: BCBS Complete	$112,209.96
Rate for Payer: Mclaren Medicaid	$106,866.63
Rate for Payer: Meridian Medicaid	$112,209.96
Rate for Payer: PHP Medicaid	$106,866.63
Rate for Payer: Priority Health Choice Medicaid	$106,866.63
Rate for Payer: UHCCP Medicaid	$106,866.63

APR-DRG 42.00: NEONATE WITH ECMO

Facility

$125,039.87

Service Code	APR-DRG 5832
Min. Negotiated Rate	$119,085.59
Max. Negotiated Rate	$125,039.87
Rate for Payer: BCBS Complete	$125,039.87
Rate for Payer: Mclaren Medicaid	$119,085.59
Rate for Payer: Meridian Medicaid	$125,039.87
Rate for Payer: PHP Medicaid	$119,085.59
Rate for Payer: Priority Health Choice Medicaid	$119,085.59
Rate for Payer: UHCCP Medicaid	$119,085.59

APR-DRG 42.00: NEONATE WITH ECMO

Facility

$285,879.32

Service Code	APR-DRG 5834
Min. Negotiated Rate	$272,266.02
Max. Negotiated Rate	$285,879.32
Rate for Payer: BCBS Complete	$285,879.32
Rate for Payer: Mclaren Medicaid	$272,266.02
Rate for Payer: Meridian Medicaid	$285,879.32
Rate for Payer: PHP Medicaid	$272,266.02
Rate for Payer: Priority Health Choice Medicaid	$272,266.02
Rate for Payer: UHCCP Medicaid	$272,266.02

APR-DRG 42.00: NEONATE WITH ECMO

Facility

$162,805.32

Service Code	APR-DRG 5833
Min. Negotiated Rate	$155,052.69
Max. Negotiated Rate	$162,805.32
Rate for Payer: BCBS Complete	$162,805.32
Rate for Payer: Mclaren Medicaid	$155,052.69
Rate for Payer: Meridian Medicaid	$162,805.32
Rate for Payer: PHP Medicaid	$155,052.69
Rate for Payer: Priority Health Choice Medicaid	$155,052.69
Rate for Payer: UHCCP Medicaid	$155,052.69

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

$7,966.96

Service Code	APR-DRG 4623
Min. Negotiated Rate	$7,587.58
Max. Negotiated Rate	$7,966.96
Rate for Payer: BCBS Complete	$7,966.96
Rate for Payer: Mclaren Medicaid	$7,587.58
Rate for Payer: Meridian Medicaid	$7,966.96
Rate for Payer: PHP Medicaid	$7,587.58
Rate for Payer: Priority Health Choice Medicaid	$7,587.58
Rate for Payer: UHCCP Medicaid	$7,587.58

APR-DRG 42.00: NEPHRITIS AND NEPHROSIS

Facility

$14,226.71

Service Code	APR-DRG 4624
Min. Negotiated Rate	$13,549.25
Max. Negotiated Rate	$14,226.71
Rate for Payer: BCBS Complete	$14,226.71
Rate for Payer: Mclaren Medicaid	$13,549.25
Rate for Payer: Meridian Medicaid	$14,226.71
Rate for Payer: PHP Medicaid	$13,549.25
Rate for Payer: Priority Health Choice Medicaid	$13,549.25
Rate for Payer: UHCCP Medicaid	$13,549.25

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

APR-DRG 42.00: NERVOUS SYSTEM MALIGNANCY

Facility

$4,552.55

Service Code	APR-DRG 0411
Min. Negotiated Rate	$4,335.76
Max. Negotiated Rate	$4,552.55
Rate for Payer: BCBS Complete	$4,552.55
Rate for Payer: Mclaren Medicaid	$4,335.76
Rate for Payer: Meridian Medicaid	$4,552.55
Rate for Payer: PHP Medicaid	$4,335.76
Rate for Payer: Priority Health Choice Medicaid	$4,335.76
Rate for Payer: UHCCP Medicaid	$4,335.76

APR-DRG 42.00: NERVOUS SYSTEM MALIGNANCY

Facility

$5,276.82

Service Code	APR-DRG 0412
Min. Negotiated Rate	$5,025.54
Max. Negotiated Rate	$5,276.82
Rate for Payer: BCBS Complete	$5,276.82
Rate for Payer: Mclaren Medicaid	$5,025.54
Rate for Payer: Meridian Medicaid	$5,276.82
Rate for Payer: PHP Medicaid	$5,025.54
Rate for Payer: Priority Health Choice Medicaid	$5,025.54
Rate for Payer: UHCCP Medicaid	$5,025.54

APR-DRG 42.00: NERVOUS SYSTEM MALIGNANCY

Facility

$7,294.42

Service Code	APR-DRG 0413
Min. Negotiated Rate	$6,947.07
Max. Negotiated Rate	$7,294.42
Rate for Payer: BCBS Complete	$7,294.42
Rate for Payer: Mclaren Medicaid	$6,947.07
Rate for Payer: Meridian Medicaid	$7,294.42
Rate for Payer: PHP Medicaid	$6,947.07
Rate for Payer: Priority Health Choice Medicaid	$6,947.07
Rate for Payer: UHCCP Medicaid	$6,947.07

APR-DRG 42.00: NERVOUS SYSTEM MALIGNANCY

Facility

$10,501.90

Service Code	APR-DRG 0414
Min. Negotiated Rate	$10,001.81
Max. Negotiated Rate	$10,501.90
Rate for Payer: BCBS Complete	$10,501.90
Rate for Payer: Mclaren Medicaid	$10,001.81
Rate for Payer: Meridian Medicaid	$10,501.90
Rate for Payer: PHP Medicaid	$10,001.81
Rate for Payer: Priority Health Choice Medicaid	$10,001.81
Rate for Payer: UHCCP Medicaid	$10,001.81

APR-DRG 42.00: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS

Facility

$4,190.41

Service Code	APR-DRG 0501
Min. Negotiated Rate	$3,990.87
Max. Negotiated Rate	$4,190.41
Rate for Payer: BCBS Complete	$4,190.41
Rate for Payer: Mclaren Medicaid	$3,990.87
Rate for Payer: Meridian Medicaid	$4,190.41
Rate for Payer: PHP Medicaid	$3,990.87
Rate for Payer: Priority Health Choice Medicaid	$3,990.87
Rate for Payer: UHCCP Medicaid	$3,990.87

APR-DRG 42.00: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS

Facility

$19,710.46

Service Code	APR-DRG 0504
Min. Negotiated Rate	$18,771.87
Max. Negotiated Rate	$19,710.46
Rate for Payer: BCBS Complete	$19,710.46
Rate for Payer: Mclaren Medicaid	$18,771.87
Rate for Payer: Meridian Medicaid	$19,710.46
Rate for Payer: PHP Medicaid	$18,771.87
Rate for Payer: Priority Health Choice Medicaid	$18,771.87
Rate for Payer: UHCCP Medicaid	$18,771.87

APR-DRG 42.00: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS

Facility

$11,484.84

Service Code	APR-DRG 0503
Min. Negotiated Rate	$10,937.94
Max. Negotiated Rate	$11,484.84
Rate for Payer: BCBS Complete	$11,484.84
Rate for Payer: Mclaren Medicaid	$10,937.94
Rate for Payer: Meridian Medicaid	$11,484.84
Rate for Payer: PHP Medicaid	$10,937.94
Rate for Payer: Priority Health Choice Medicaid	$10,937.94
Rate for Payer: UHCCP Medicaid	$10,937.94

APR-DRG 42.00: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS

Facility

$7,553.09

Service Code	APR-DRG 0502
Min. Negotiated Rate	$7,193.42
Max. Negotiated Rate	$7,553.09
Rate for Payer: BCBS Complete	$7,553.09
Rate for Payer: Mclaren Medicaid	$7,193.42
Rate for Payer: Meridian Medicaid	$7,553.09
Rate for Payer: PHP Medicaid	$7,193.42
Rate for Payer: Priority Health Choice Medicaid	$7,193.42
Rate for Payer: UHCCP Medicaid	$7,193.42

APR-DRG 42.00: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT

Facility

$18,468.86

Service Code	APR-DRG 3234
Min. Negotiated Rate	$17,589.39
Max. Negotiated Rate	$18,468.86
Rate for Payer: BCBS Complete	$18,468.86
Rate for Payer: Mclaren Medicaid	$17,589.39
Rate for Payer: Meridian Medicaid	$18,468.86
Rate for Payer: PHP Medicaid	$17,589.39
Rate for Payer: Priority Health Choice Medicaid	$17,589.39
Rate for Payer: UHCCP Medicaid	$17,589.39

APR-DRG 42.00: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT

Facility

$8,122.16

Service Code	APR-DRG 3231
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: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT

Facility

$13,192.04

Service Code	APR-DRG 3233
Min. Negotiated Rate	$12,563.85
Max. Negotiated Rate	$13,192.04
Rate for Payer: BCBS Complete	$13,192.04
Rate for Payer: Mclaren Medicaid	$12,563.85
Rate for Payer: Meridian Medicaid	$13,192.04
Rate for Payer: PHP Medicaid	$12,563.85
Rate for Payer: Priority Health Choice Medicaid	$12,563.85
Rate for Payer: UHCCP Medicaid	$12,563.85

APR-DRG 42.00: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT

Facility

$9,829.36

Service Code	APR-DRG 3232
Min. Negotiated Rate	$9,361.30
Max. Negotiated Rate	$9,829.36
Rate for Payer: BCBS Complete	$9,829.36
Rate for Payer: Mclaren Medicaid	$9,361.30
Rate for Payer: Meridian Medicaid	$9,829.36
Rate for Payer: PHP Medicaid	$9,361.30
Rate for Payer: Priority Health Choice Medicaid	$9,361.30
Rate for Payer: UHCCP Medicaid	$9,361.30

APR-DRG 42.00: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT

Facility

$20,124.33

Service Code	APR-DRG 3254
Min. Negotiated Rate	$19,166.03
Max. Negotiated Rate	$20,124.33
Rate for Payer: BCBS Complete	$20,124.33
Rate for Payer: Mclaren Medicaid	$19,166.03
Rate for Payer: Meridian Medicaid	$20,124.33
Rate for Payer: PHP Medicaid	$19,166.03
Rate for Payer: Priority Health Choice Medicaid	$19,166.03
Rate for Payer: UHCCP Medicaid	$19,166.03

Know your out-of-pocket cost for care.

All Charges