Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: OTHER CHEMOTHERAPY

Facility

$8,225.63

Service Code	APR-DRG 6963
Min. Negotiated Rate	$7,833.93
Max. Negotiated Rate	$8,225.63
Rate for Payer: BCBS Complete	$8,225.63
Rate for Payer: Mclaren Medicaid	$7,833.93
Rate for Payer: Meridian Medicaid	$8,225.63
Rate for Payer: PHP Medicaid	$7,833.93
Rate for Payer: Priority Health Choice Medicaid	$7,833.93
Rate for Payer: UHCCP Medicaid	$7,833.93

APR-DRG 42.00: OTHER CHEMOTHERAPY

Facility

$5,069.88

Service Code	APR-DRG 6962
Min. Negotiated Rate	$4,828.46
Max. Negotiated Rate	$5,069.88
Rate for Payer: BCBS Complete	$5,069.88
Rate for Payer: Mclaren Medicaid	$4,828.46
Rate for Payer: Meridian Medicaid	$5,069.88
Rate for Payer: PHP Medicaid	$4,828.46
Rate for Payer: Priority Health Choice Medicaid	$4,828.46
Rate for Payer: UHCCP Medicaid	$4,828.46

APR-DRG 42.00: OTHER CHEMOTHERAPY

Facility

$15,106.18

Service Code	APR-DRG 6964
Min. Negotiated Rate	$14,386.84
Max. Negotiated Rate	$15,106.18
Rate for Payer: BCBS Complete	$15,106.18
Rate for Payer: Mclaren Medicaid	$14,386.84
Rate for Payer: Meridian Medicaid	$15,106.18
Rate for Payer: PHP Medicaid	$14,386.84
Rate for Payer: Priority Health Choice Medicaid	$14,386.84
Rate for Payer: UHCCP Medicaid	$14,386.84

APR-DRG 42.00: OTHER CHEMOTHERAPY

Facility

$4,035.21

Service Code	APR-DRG 6961
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

$2,948.81

Service Code	APR-DRG 2071
Min. Negotiated Rate	$2,808.39
Max. Negotiated Rate	$2,948.81
Rate for Payer: BCBS Complete	$2,948.81
Rate for Payer: Mclaren Medicaid	$2,808.39
Rate for Payer: Meridian Medicaid	$2,948.81
Rate for Payer: PHP Medicaid	$2,808.39
Rate for Payer: Priority Health Choice Medicaid	$2,808.39
Rate for Payer: UHCCP Medicaid	$2,808.39

APR-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES

Facility

$5,638.95

Service Code	APR-DRG 2073
Min. Negotiated Rate	$5,370.43
Max. Negotiated Rate	$5,638.95
Rate for Payer: BCBS Complete	$5,638.95
Rate for Payer: Mclaren Medicaid	$5,370.43
Rate for Payer: Meridian Medicaid	$5,638.95
Rate for Payer: PHP Medicaid	$5,370.43
Rate for Payer: Priority Health Choice Medicaid	$5,370.43
Rate for Payer: UHCCP Medicaid	$5,370.43

APR-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES

Facility

$3,880.01

Service Code	APR-DRG 2072
Min. Negotiated Rate	$3,695.25
Max. Negotiated Rate	$3,880.01
Rate for Payer: BCBS Complete	$3,880.01
Rate for Payer: Mclaren Medicaid	$3,695.25
Rate for Payer: Meridian Medicaid	$3,880.01
Rate for Payer: PHP Medicaid	$3,695.25
Rate for Payer: Priority Health Choice Medicaid	$3,695.25
Rate for Payer: UHCCP Medicaid	$3,695.25

APR-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES

Facility

$10,553.63

Service Code	APR-DRG 2074
Min. Negotiated Rate	$10,051.08
Max. Negotiated Rate	$10,553.63
Rate for Payer: BCBS Complete	$10,553.63
Rate for Payer: Mclaren Medicaid	$10,051.08
Rate for Payer: Meridian Medicaid	$10,553.63
Rate for Payer: PHP Medicaid	$10,051.08
Rate for Payer: Priority Health Choice Medicaid	$10,051.08
Rate for Payer: UHCCP Medicaid	$10,051.08

APR-DRG 42.00: OTHER CIRCULATORY SYSTEM PROCEDURES

Facility

$7,501.36

Service Code	APR-DRG 1801
Min. Negotiated Rate	$7,144.15
Max. Negotiated Rate	$7,501.36
Rate for Payer: BCBS Complete	$7,501.36
Rate for Payer: Mclaren Medicaid	$7,144.15
Rate for Payer: Meridian Medicaid	$7,501.36
Rate for Payer: PHP Medicaid	$7,144.15
Rate for Payer: Priority Health Choice Medicaid	$7,144.15
Rate for Payer: UHCCP Medicaid	$7,144.15

APR-DRG 42.00: OTHER CIRCULATORY SYSTEM PROCEDURES

Facility

$19,917.40

Service Code	APR-DRG 1804
Min. Negotiated Rate	$18,968.95
Max. Negotiated Rate	$19,917.40
Rate for Payer: BCBS Complete	$19,917.40
Rate for Payer: Mclaren Medicaid	$18,968.95
Rate for Payer: Meridian Medicaid	$19,917.40
Rate for Payer: PHP Medicaid	$18,968.95
Rate for Payer: Priority Health Choice Medicaid	$18,968.95
Rate for Payer: UHCCP Medicaid	$18,968.95

APR-DRG 42.00: OTHER CIRCULATORY SYSTEM PROCEDURES

Facility

$8,536.03

Service Code	APR-DRG 1802
Min. Negotiated Rate	$8,129.55
Max. Negotiated Rate	$8,536.03
Rate for Payer: BCBS Complete	$8,536.03
Rate for Payer: Mclaren Medicaid	$8,129.55
Rate for Payer: Meridian Medicaid	$8,536.03
Rate for Payer: PHP Medicaid	$8,129.55
Rate for Payer: Priority Health Choice Medicaid	$8,129.55
Rate for Payer: UHCCP Medicaid	$8,129.55

APR-DRG 42.00: OTHER CIRCULATORY SYSTEM PROCEDURES

Facility

$12,364.31

Service Code	APR-DRG 1803
Min. Negotiated Rate	$11,775.53
Max. Negotiated Rate	$12,364.31
Rate for Payer: BCBS Complete	$12,364.31
Rate for Payer: Mclaren Medicaid	$11,775.53
Rate for Payer: Meridian Medicaid	$12,364.31
Rate for Payer: PHP Medicaid	$11,775.53
Rate for Payer: Priority Health Choice Medicaid	$11,775.53
Rate for Payer: UHCCP Medicaid	$11,775.53

APR-DRG 42.00: OTHER COMPLICATIONS OF TREATMENT

Facility

$3,155.74

Service Code	APR-DRG 8131
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: OTHER COMPLICATIONS OF TREATMENT

Facility

$4,293.88

Service Code	APR-DRG 8132
Min. Negotiated Rate	$4,089.41
Max. Negotiated Rate	$4,293.88
Rate for Payer: BCBS Complete	$4,293.88
Rate for Payer: Mclaren Medicaid	$4,089.41
Rate for Payer: Meridian Medicaid	$4,293.88
Rate for Payer: PHP Medicaid	$4,089.41
Rate for Payer: Priority Health Choice Medicaid	$4,089.41
Rate for Payer: UHCCP Medicaid	$4,089.41

APR-DRG 42.00: OTHER COMPLICATIONS OF TREATMENT

Facility

$6,259.75

Service Code	APR-DRG 8133
Min. Negotiated Rate	$5,961.67
Max. Negotiated Rate	$6,259.75
Rate for Payer: BCBS Complete	$6,259.75
Rate for Payer: Mclaren Medicaid	$5,961.67
Rate for Payer: Meridian Medicaid	$6,259.75
Rate for Payer: PHP Medicaid	$5,961.67
Rate for Payer: Priority Health Choice Medicaid	$5,961.67
Rate for Payer: UHCCP Medicaid	$5,961.67

APR-DRG 42.00: OTHER COMPLICATIONS OF TREATMENT

Facility

$11,070.97

Service Code	APR-DRG 8134
Min. Negotiated Rate	$10,543.78
Max. Negotiated Rate	$11,070.97
Rate for Payer: BCBS Complete	$11,070.97
Rate for Payer: Mclaren Medicaid	$10,543.78
Rate for Payer: Meridian Medicaid	$11,070.97
Rate for Payer: PHP Medicaid	$10,543.78
Rate for Payer: Priority Health Choice Medicaid	$10,543.78
Rate for Payer: UHCCP Medicaid	$10,543.78

APR-DRG 42.00: OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES

Facility

$12,985.11

Service Code	APR-DRG 2293
Min. Negotiated Rate	$12,366.77
Max. Negotiated Rate	$12,985.11
Rate for Payer: BCBS Complete	$12,985.11
Rate for Payer: Mclaren Medicaid	$12,366.77
Rate for Payer: Meridian Medicaid	$12,985.11
Rate for Payer: PHP Medicaid	$12,366.77
Rate for Payer: Priority Health Choice Medicaid	$12,366.77
Rate for Payer: UHCCP Medicaid	$12,366.77

APR-DRG 42.00: OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES

Facility

$8,742.96

Service Code	APR-DRG 2292
Min. Negotiated Rate	$8,326.63
Max. Negotiated Rate	$8,742.96
Rate for Payer: BCBS Complete	$8,742.96
Rate for Payer: Mclaren Medicaid	$8,326.63
Rate for Payer: Meridian Medicaid	$8,742.96
Rate for Payer: PHP Medicaid	$8,326.63
Rate for Payer: Priority Health Choice Medicaid	$8,326.63
Rate for Payer: UHCCP Medicaid	$8,326.63

APR-DRG 42.00: OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES

Facility

$20,796.87

Service Code	APR-DRG 2294
Min. Negotiated Rate	$19,806.54
Max. Negotiated Rate	$20,796.87
Rate for Payer: BCBS Complete	$20,796.87
Rate for Payer: Mclaren Medicaid	$19,806.54
Rate for Payer: Meridian Medicaid	$20,796.87
Rate for Payer: PHP Medicaid	$19,806.54
Rate for Payer: Priority Health Choice Medicaid	$19,806.54
Rate for Payer: UHCCP Medicaid	$19,806.54

APR-DRG 42.00: OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES

Facility

$6,156.29

Service Code	APR-DRG 2291
Min. Negotiated Rate	$5,863.13
Max. Negotiated Rate	$6,156.29
Rate for Payer: BCBS Complete	$6,156.29
Rate for Payer: Mclaren Medicaid	$5,863.13
Rate for Payer: Meridian Medicaid	$6,156.29
Rate for Payer: PHP Medicaid	$5,863.13
Rate for Payer: Priority Health Choice Medicaid	$5,863.13
Rate for Payer: UHCCP Medicaid	$5,863.13

APR-DRG 42.00: OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility

$6,104.55

Service Code	APR-DRG 2543
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: OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility

$4,086.95

Service Code	APR-DRG 2542
Min. Negotiated Rate	$3,892.33
Max. Negotiated Rate	$4,086.95
Rate for Payer: BCBS Complete	$4,086.95
Rate for Payer: Mclaren Medicaid	$3,892.33
Rate for Payer: Meridian Medicaid	$4,086.95
Rate for Payer: PHP Medicaid	$3,892.33
Rate for Payer: Priority Health Choice Medicaid	$3,892.33
Rate for Payer: UHCCP Medicaid	$3,892.33

APR-DRG 42.00: OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility

$10,294.97

Service Code	APR-DRG 2544
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: OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility

$3,155.74

Service Code	APR-DRG 2541
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: OTHER DISORDERS OF NERVOUS SYSTEM

Facility

$8,536.03

Service Code	APR-DRG 0583
Min. Negotiated Rate	$8,129.55
Max. Negotiated Rate	$8,536.03
Rate for Payer: BCBS Complete	$8,536.03
Rate for Payer: Mclaren Medicaid	$8,129.55
Rate for Payer: Meridian Medicaid	$8,536.03
Rate for Payer: PHP Medicaid	$8,129.55
Rate for Payer: Priority Health Choice Medicaid	$8,129.55
Rate for Payer: UHCCP Medicaid	$8,129.55

Know your out-of-pocket cost for care.

All Charges