Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$9,932.83

Service Code	APR-DRG 6634
Min. Negotiated Rate	$9,459.84
Max. Negotiated Rate	$9,932.83
Rate for Payer: BCBS Complete	$9,932.83
Rate for Payer: Mclaren Medicaid	$9,459.84
Rate for Payer: Meridian Medicaid	$9,932.83
Rate for Payer: PHP Medicaid	$9,459.84
Rate for Payer: Priority Health Choice Medicaid	$9,459.84
Rate for Payer: UHCCP Medicaid	$9,459.84

APR-DRG 42.00: OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES

Facility

$8,846.43

Service Code	APR-DRG 3474
Min. Negotiated Rate	$8,425.17
Max. Negotiated Rate	$8,846.43
Rate for Payer: BCBS Complete	$8,846.43
Rate for Payer: Mclaren Medicaid	$8,425.17
Rate for Payer: Meridian Medicaid	$8,846.43
Rate for Payer: PHP Medicaid	$8,425.17
Rate for Payer: Priority Health Choice Medicaid	$8,425.17
Rate for Payer: UHCCP Medicaid	$8,425.17

APR-DRG 42.00: OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES

Facility

$7,190.96

Service Code	APR-DRG 3473
Min. Negotiated Rate	$6,848.53
Max. Negotiated Rate	$7,190.96
Rate for Payer: BCBS Complete	$7,190.96
Rate for Payer: Mclaren Medicaid	$6,848.53
Rate for Payer: Meridian Medicaid	$7,190.96
Rate for Payer: PHP Medicaid	$6,848.53
Rate for Payer: Priority Health Choice Medicaid	$6,848.53
Rate for Payer: UHCCP Medicaid	$6,848.53

APR-DRG 42.00: OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES

Facility

$4,759.48

Service Code	APR-DRG 3471
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: OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES

Facility

$5,483.75

Service Code	APR-DRG 3472
Min. Negotiated Rate	$5,222.62
Max. Negotiated Rate	$5,483.75
Rate for Payer: BCBS Complete	$5,483.75
Rate for Payer: Mclaren Medicaid	$5,222.62
Rate for Payer: Meridian Medicaid	$5,483.75
Rate for Payer: PHP Medicaid	$5,222.62
Rate for Payer: Priority Health Choice Medicaid	$5,222.62
Rate for Payer: UHCCP Medicaid	$5,222.62

APR-DRG 42.00: OTHER BLADDER PROCEDURES

Facility

$11,691.77

Service Code	APR-DRG 4454
Min. Negotiated Rate	$11,135.02
Max. Negotiated Rate	$11,691.77
Rate for Payer: BCBS Complete	$11,691.77
Rate for Payer: Mclaren Medicaid	$11,135.02
Rate for Payer: Meridian Medicaid	$11,691.77
Rate for Payer: PHP Medicaid	$11,135.02
Rate for Payer: Priority Health Choice Medicaid	$11,135.02
Rate for Payer: UHCCP Medicaid	$11,135.02

APR-DRG 42.00: OTHER BLADDER PROCEDURES

Facility

$9,881.10

Service Code	APR-DRG 4452
Min. Negotiated Rate	$9,410.57
Max. Negotiated Rate	$9,881.10
Rate for Payer: BCBS Complete	$9,881.10
Rate for Payer: Mclaren Medicaid	$9,410.57
Rate for Payer: Meridian Medicaid	$9,881.10
Rate for Payer: PHP Medicaid	$9,410.57
Rate for Payer: Priority Health Choice Medicaid	$9,410.57
Rate for Payer: UHCCP Medicaid	$9,410.57

APR-DRG 42.00: OTHER BLADDER PROCEDURES

Facility

$10,812.30

Service Code	APR-DRG 4453
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: OTHER BLADDER PROCEDURES

Facility

$7,915.23

Service Code	APR-DRG 4451
Min. Negotiated Rate	$7,538.31
Max. Negotiated Rate	$7,915.23
Rate for Payer: BCBS Complete	$7,915.23
Rate for Payer: Mclaren Medicaid	$7,538.31
Rate for Payer: Meridian Medicaid	$7,915.23
Rate for Payer: PHP Medicaid	$7,538.31
Rate for Payer: Priority Health Choice Medicaid	$7,538.31
Rate for Payer: UHCCP Medicaid	$7,538.31

APR-DRG 42.00: OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES

Facility

$10,346.70

Service Code	APR-DRG 1671
Min. Negotiated Rate	$9,854.00
Max. Negotiated Rate	$10,346.70
Rate for Payer: BCBS Complete	$10,346.70
Rate for Payer: Mclaren Medicaid	$9,854.00
Rate for Payer: Meridian Medicaid	$10,346.70
Rate for Payer: PHP Medicaid	$9,854.00
Rate for Payer: Priority Health Choice Medicaid	$9,854.00
Rate for Payer: UHCCP Medicaid	$9,854.00

APR-DRG 42.00: OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES

Facility

$21,728.07

Service Code	APR-DRG 1673
Min. Negotiated Rate	$20,693.40
Max. Negotiated Rate	$21,728.07
Rate for Payer: BCBS Complete	$21,728.07
Rate for Payer: Mclaren Medicaid	$20,693.40
Rate for Payer: Meridian Medicaid	$21,728.07
Rate for Payer: PHP Medicaid	$20,693.40
Rate for Payer: Priority Health Choice Medicaid	$20,693.40
Rate for Payer: UHCCP Medicaid	$20,693.40

APR-DRG 42.00: OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES

Facility

$14,640.58

Service Code	APR-DRG 1672
Min. Negotiated Rate	$13,943.41
Max. Negotiated Rate	$14,640.58
Rate for Payer: BCBS Complete	$14,640.58
Rate for Payer: Mclaren Medicaid	$13,943.41
Rate for Payer: Meridian Medicaid	$14,640.58
Rate for Payer: PHP Medicaid	$13,943.41
Rate for Payer: Priority Health Choice Medicaid	$13,943.41
Rate for Payer: UHCCP Medicaid	$13,943.41

APR-DRG 42.00: OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES

Facility

$39,627.86

Service Code	APR-DRG 1674
Min. Negotiated Rate	$37,740.82
Max. Negotiated Rate	$39,627.86
Rate for Payer: BCBS Complete	$39,627.86
Rate for Payer: Mclaren Medicaid	$37,740.82
Rate for Payer: Meridian Medicaid	$39,627.86
Rate for Payer: PHP Medicaid	$37,740.82
Rate for Payer: Priority Health Choice Medicaid	$37,740.82
Rate for Payer: UHCCP Medicaid	$37,740.82

APR-DRG 42.00: OTHER CHEMOTHERAPY

Facility

$8,898.16

Service Code	APR-DRG 6963
Min. Negotiated Rate	$8,474.44
Max. Negotiated Rate	$8,898.16
Rate for Payer: BCBS Complete	$8,898.16
Rate for Payer: Mclaren Medicaid	$8,474.44
Rate for Payer: Meridian Medicaid	$8,898.16
Rate for Payer: PHP Medicaid	$8,474.44
Rate for Payer: Priority Health Choice Medicaid	$8,474.44
Rate for Payer: UHCCP Medicaid	$8,474.44

APR-DRG 42.00: OTHER CHEMOTHERAPY

Facility

$5,483.75

Service Code	APR-DRG 6962
Min. Negotiated Rate	$5,222.62
Max. Negotiated Rate	$5,483.75
Rate for Payer: BCBS Complete	$5,483.75
Rate for Payer: Mclaren Medicaid	$5,222.62
Rate for Payer: Meridian Medicaid	$5,483.75
Rate for Payer: PHP Medicaid	$5,222.62
Rate for Payer: Priority Health Choice Medicaid	$5,222.62
Rate for Payer: UHCCP Medicaid	$5,222.62

APR-DRG 42.00: OTHER CHEMOTHERAPY

Facility

$16,399.52

Service Code	APR-DRG 6964
Min. Negotiated Rate	$15,618.59
Max. Negotiated Rate	$16,399.52
Rate for Payer: BCBS Complete	$16,399.52
Rate for Payer: Mclaren Medicaid	$15,618.59
Rate for Payer: Meridian Medicaid	$16,399.52
Rate for Payer: PHP Medicaid	$15,618.59
Rate for Payer: Priority Health Choice Medicaid	$15,618.59
Rate for Payer: UHCCP Medicaid	$15,618.59

APR-DRG 42.00: OTHER CHEMOTHERAPY

Facility

$4,397.35

Service Code	APR-DRG 6961
Min. Negotiated Rate	$4,187.95
Max. Negotiated Rate	$4,397.35
Rate for Payer: BCBS Complete	$4,397.35
Rate for Payer: Mclaren Medicaid	$4,187.95
Rate for Payer: Meridian Medicaid	$4,397.35
Rate for Payer: PHP Medicaid	$4,187.95
Rate for Payer: Priority Health Choice Medicaid	$4,187.95
Rate for Payer: UHCCP Medicaid	$4,187.95

APR-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES

Facility

$4,035.21

Service Code	APR-DRG 2072
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: OTHER CIRCULATORY SYSTEM DIAGNOSES

Facility

$3,000.54

Service Code	APR-DRG 2071
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: OTHER CIRCULATORY SYSTEM DIAGNOSES

Facility

$6,518.42

Service Code	APR-DRG 2073
Min. Negotiated Rate	$6,208.02
Max. Negotiated Rate	$6,518.42
Rate for Payer: BCBS Complete	$6,518.42
Rate for Payer: Mclaren Medicaid	$6,208.02
Rate for Payer: Meridian Medicaid	$6,518.42
Rate for Payer: PHP Medicaid	$6,208.02
Rate for Payer: Priority Health Choice Medicaid	$6,208.02
Rate for Payer: UHCCP Medicaid	$6,208.02

APR-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES

Facility

$11,019.24

Service Code	APR-DRG 2074
Min. Negotiated Rate	$10,494.51
Max. Negotiated Rate	$11,019.24
Rate for Payer: BCBS Complete	$11,019.24
Rate for Payer: Mclaren Medicaid	$10,494.51
Rate for Payer: Meridian Medicaid	$11,019.24
Rate for Payer: PHP Medicaid	$10,494.51
Rate for Payer: Priority Health Choice Medicaid	$10,494.51
Rate for Payer: UHCCP Medicaid	$10,494.51

APR-DRG 42.00: OTHER CIRCULATORY SYSTEM PROCEDURES

Facility

$11,743.50

Service Code	APR-DRG 1803
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: OTHER CIRCULATORY SYSTEM PROCEDURES

Facility

$8,122.16

Service Code	APR-DRG 1801
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: OTHER CIRCULATORY SYSTEM PROCEDURES

Facility

$8,277.36

Service Code	APR-DRG 1802
Min. Negotiated Rate	$7,883.20
Max. Negotiated Rate	$8,277.36
Rate for Payer: BCBS Complete	$8,277.36
Rate for Payer: Mclaren Medicaid	$7,883.20
Rate for Payer: Meridian Medicaid	$8,277.36
Rate for Payer: PHP Medicaid	$7,883.20
Rate for Payer: Priority Health Choice Medicaid	$7,883.20
Rate for Payer: UHCCP Medicaid	$7,883.20

APR-DRG 42.00: OTHER CIRCULATORY SYSTEM PROCEDURES

Facility

$18,468.86

Service Code	APR-DRG 1804
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

Know your out-of-pocket cost for care.

All Charges