Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

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

Facility

$10,708.83

Service Code	APR-DRG 3251
Min. Negotiated Rate	$10,198.89
Max. Negotiated Rate	$10,708.83
Rate for Payer: BCBS Complete	$10,708.83
Rate for Payer: Mclaren Medicaid	$10,198.89
Rate for Payer: Meridian Medicaid	$10,708.83
Rate for Payer: PHP Medicaid	$10,198.89
Rate for Payer: Priority Health Choice Medicaid	$10,198.89
Rate for Payer: UHCCP Medicaid	$10,198.89

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

Facility

$13,295.51

Service Code	APR-DRG 3252
Min. Negotiated Rate	$12,662.39
Max. Negotiated Rate	$13,295.51
Rate for Payer: BCBS Complete	$13,295.51
Rate for Payer: Mclaren Medicaid	$12,662.39
Rate for Payer: Meridian Medicaid	$13,295.51
Rate for Payer: PHP Medicaid	$12,662.39
Rate for Payer: Priority Health Choice Medicaid	$12,662.39
Rate for Payer: UHCCP Medicaid	$12,662.39

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

APR-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$19,037.93

Service Code	APR-DRG 7944
Min. Negotiated Rate	$18,131.36
Max. Negotiated Rate	$19,037.93
Rate for Payer: BCBS Complete	$19,037.93
Rate for Payer: Mclaren Medicaid	$18,131.36
Rate for Payer: Meridian Medicaid	$19,037.93
Rate for Payer: PHP Medicaid	$18,131.36
Rate for Payer: Priority Health Choice Medicaid	$18,131.36
Rate for Payer: UHCCP Medicaid	$18,131.36

APR-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$4,707.75

Service Code	APR-DRG 7941
Min. Negotiated Rate	$4,483.57
Max. Negotiated Rate	$4,707.75
Rate for Payer: BCBS Complete	$4,707.75
Rate for Payer: Mclaren Medicaid	$4,483.57
Rate for Payer: Meridian Medicaid	$4,707.75
Rate for Payer: PHP Medicaid	$4,483.57
Rate for Payer: Priority Health Choice Medicaid	$4,483.57
Rate for Payer: UHCCP Medicaid	$4,483.57

APR-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$6,363.22

Service Code	APR-DRG 7942
Min. Negotiated Rate	$6,060.21
Max. Negotiated Rate	$6,363.22
Rate for Payer: BCBS Complete	$6,363.22
Rate for Payer: Mclaren Medicaid	$6,060.21
Rate for Payer: Meridian Medicaid	$6,363.22
Rate for Payer: PHP Medicaid	$6,060.21
Rate for Payer: Priority Health Choice Medicaid	$6,060.21
Rate for Payer: UHCCP Medicaid	$6,060.21

APR-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$9,156.83

Service Code	APR-DRG 7943
Min. Negotiated Rate	$8,720.79
Max. Negotiated Rate	$9,156.83
Rate for Payer: BCBS Complete	$9,156.83
Rate for Payer: Mclaren Medicaid	$8,720.79
Rate for Payer: Meridian Medicaid	$9,156.83
Rate for Payer: PHP Medicaid	$8,720.79
Rate for Payer: Priority Health Choice Medicaid	$8,720.79
Rate for Payer: UHCCP Medicaid	$8,720.79

APR-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$19,710.46

Service Code	APR-DRG 9524
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-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$5,276.82

Service Code	APR-DRG 9521
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: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$7,449.62

Service Code	APR-DRG 9522
Min. Negotiated Rate	$7,094.88
Max. Negotiated Rate	$7,449.62
Rate for Payer: BCBS Complete	$7,449.62
Rate for Payer: Mclaren Medicaid	$7,094.88
Rate for Payer: Meridian Medicaid	$7,449.62
Rate for Payer: PHP Medicaid	$7,094.88
Rate for Payer: Priority Health Choice Medicaid	$7,094.88
Rate for Payer: UHCCP Medicaid	$7,094.88

APR-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$11,329.64

Service Code	APR-DRG 9523
Min. Negotiated Rate	$10,790.13
Max. Negotiated Rate	$11,329.64
Rate for Payer: BCBS Complete	$11,329.64
Rate for Payer: Mclaren Medicaid	$10,790.13
Rate for Payer: Meridian Medicaid	$11,329.64
Rate for Payer: PHP Medicaid	$10,790.13
Rate for Payer: Priority Health Choice Medicaid	$10,790.13
Rate for Payer: UHCCP Medicaid	$10,790.13

APR-DRG 42.00: NON-HYPOVOLEMIC SODIUM DISORDERS

Facility

$5,328.55

Service Code	APR-DRG 4263
Min. Negotiated Rate	$5,074.81
Max. Negotiated Rate	$5,328.55
Rate for Payer: BCBS Complete	$5,328.55
Rate for Payer: Mclaren Medicaid	$5,074.81
Rate for Payer: Meridian Medicaid	$5,328.55
Rate for Payer: PHP Medicaid	$5,074.81
Rate for Payer: Priority Health Choice Medicaid	$5,074.81
Rate for Payer: UHCCP Medicaid	$5,074.81

APR-DRG 42.00: NON-HYPOVOLEMIC SODIUM DISORDERS

Facility

$9,415.50

Service Code	APR-DRG 4264
Min. Negotiated Rate	$8,967.14
Max. Negotiated Rate	$9,415.50
Rate for Payer: BCBS Complete	$9,415.50
Rate for Payer: Mclaren Medicaid	$8,967.14
Rate for Payer: Meridian Medicaid	$9,415.50
Rate for Payer: PHP Medicaid	$8,967.14
Rate for Payer: Priority Health Choice Medicaid	$8,967.14
Rate for Payer: UHCCP Medicaid	$8,967.14

APR-DRG 42.00: NON-HYPOVOLEMIC SODIUM DISORDERS

Facility

$3,466.14

Service Code	APR-DRG 4262
Min. Negotiated Rate	$3,301.09
Max. Negotiated Rate	$3,466.14
Rate for Payer: BCBS Complete	$3,466.14
Rate for Payer: Mclaren Medicaid	$3,301.09
Rate for Payer: Meridian Medicaid	$3,466.14
Rate for Payer: PHP Medicaid	$3,301.09
Rate for Payer: Priority Health Choice Medicaid	$3,301.09
Rate for Payer: UHCCP Medicaid	$3,301.09

APR-DRG 42.00: NON-HYPOVOLEMIC SODIUM DISORDERS

Facility

$2,586.68

Service Code	APR-DRG 4261
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: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION

Facility

$5,173.35

Service Code	APR-DRG 0462
Min. Negotiated Rate	$4,927.00
Max. Negotiated Rate	$5,173.35
Rate for Payer: BCBS Complete	$5,173.35
Rate for Payer: Mclaren Medicaid	$4,927.00
Rate for Payer: Meridian Medicaid	$5,173.35
Rate for Payer: PHP Medicaid	$4,927.00
Rate for Payer: Priority Health Choice Medicaid	$4,927.00
Rate for Payer: UHCCP Medicaid	$4,927.00

APR-DRG 42.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION

Facility

$12,105.64

Service Code	APR-DRG 0464
Min. Negotiated Rate	$11,529.18
Max. Negotiated Rate	$12,105.64
Rate for Payer: BCBS Complete	$12,105.64
Rate for Payer: Mclaren Medicaid	$11,529.18
Rate for Payer: Meridian Medicaid	$12,105.64
Rate for Payer: PHP Medicaid	$11,529.18
Rate for Payer: Priority Health Choice Medicaid	$11,529.18
Rate for Payer: UHCCP Medicaid	$11,529.18

APR-DRG 42.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION

Facility

$6,725.35

Service Code	APR-DRG 0463
Min. Negotiated Rate	$6,405.10
Max. Negotiated Rate	$6,725.35
Rate for Payer: BCBS Complete	$6,725.35
Rate for Payer: Mclaren Medicaid	$6,405.10
Rate for Payer: Meridian Medicaid	$6,725.35
Rate for Payer: PHP Medicaid	$6,405.10
Rate for Payer: Priority Health Choice Medicaid	$6,405.10
Rate for Payer: UHCCP Medicaid	$6,405.10

APR-DRG 42.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION

Facility

$4,190.41

Service Code	APR-DRG 0461
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: OBSESSIVE COMPULSIVE DISORDERS

Facility

$6,880.56

Service Code	APR-DRG 7624
Min. Negotiated Rate	$6,552.91
Max. Negotiated Rate	$6,880.56
Rate for Payer: BCBS Complete	$6,880.56
Rate for Payer: Mclaren Medicaid	$6,552.91
Rate for Payer: Meridian Medicaid	$6,880.56
Rate for Payer: PHP Medicaid	$6,552.91
Rate for Payer: Priority Health Choice Medicaid	$6,552.91
Rate for Payer: UHCCP Medicaid	$6,552.91

APR-DRG 42.00: OBSESSIVE COMPULSIVE DISORDERS

Facility

$5,949.35

Service Code	APR-DRG 7623
Min. Negotiated Rate	$5,666.05
Max. Negotiated Rate	$5,949.35
Rate for Payer: BCBS Complete	$5,949.35
Rate for Payer: Mclaren Medicaid	$5,666.05
Rate for Payer: Meridian Medicaid	$5,949.35
Rate for Payer: PHP Medicaid	$5,666.05
Rate for Payer: Priority Health Choice Medicaid	$5,666.05
Rate for Payer: UHCCP Medicaid	$5,666.05

APR-DRG 42.00: OBSESSIVE COMPULSIVE DISORDERS

Facility

$3,155.74

Service Code	APR-DRG 7621
Min. Negotiated Rate	$3,005.47
Max. Negotiated Rate	$3,155.74
Rate for Payer: BCBS Complete	$3,155.74
Rate for Payer: Mclaren Medicaid	$3,005.47
Rate for Payer: Meridian Medicaid	$3,155.74
Rate for Payer: PHP Medicaid	$3,005.47
Rate for Payer: Priority Health Choice Medicaid	$3,005.47
Rate for Payer: UHCCP Medicaid	$3,005.47

APR-DRG 42.00: OBSESSIVE COMPULSIVE DISORDERS

Facility

$3,724.81

Service Code	APR-DRG 7622
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: OPEN CRANIOTOMY EXCEPT TRAUMA

Facility

$12,260.84

Service Code	APR-DRG 0211
Min. Negotiated Rate	$11,676.99
Max. Negotiated Rate	$12,260.84
Rate for Payer: BCBS Complete	$12,260.84
Rate for Payer: Mclaren Medicaid	$11,676.99
Rate for Payer: Meridian Medicaid	$12,260.84
Rate for Payer: PHP Medicaid	$11,676.99
Rate for Payer: Priority Health Choice Medicaid	$11,676.99
Rate for Payer: UHCCP Medicaid	$11,676.99

APR-DRG 42.00: OPEN CRANIOTOMY EXCEPT TRAUMA

Facility

$22,400.61

Service Code	APR-DRG 0213
Min. Negotiated Rate	$21,333.91
Max. Negotiated Rate	$22,400.61
Rate for Payer: BCBS Complete	$22,400.61
Rate for Payer: Mclaren Medicaid	$21,333.91
Rate for Payer: Meridian Medicaid	$22,400.61
Rate for Payer: PHP Medicaid	$21,333.91
Rate for Payer: Priority Health Choice Medicaid	$21,333.91
Rate for Payer: UHCCP Medicaid	$21,333.91

Know your out-of-pocket cost for care.

All Charges