Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 0043: TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE

Facility

$57,034.82

Service Code	APR-DRG 0043
Hospital Charge Code	APRDRG 0043
Min. Negotiated Rate	$54,318.88
Max. Negotiated Rate	$57,034.82
Rate for Payer: BCBS Complete	$57,034.82
Rate for Payer: Mclaren Medicaid	$54,318.88
Rate for Payer: Meridian Medicaid	$57,034.82
Rate for Payer: PHP Medicaid	$54,318.88
Rate for Payer: Priority Health Choice Medicaid	$54,318.88

INPATIENT APRDRG 0044: TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE

Facility

$92,131.14

Service Code	APR-DRG 0044
Hospital Charge Code	APRDRG 0044
Min. Negotiated Rate	$87,743.94
Max. Negotiated Rate	$92,131.14
Rate for Payer: BCBS Complete	$92,131.14
Rate for Payer: Mclaren Medicaid	$87,743.94
Rate for Payer: Meridian Medicaid	$92,131.14
Rate for Payer: PHP Medicaid	$87,743.94
Rate for Payer: Priority Health Choice Medicaid	$87,743.94

INPATIENT APRDRG 0051: TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE

Facility

$16,076.33

Service Code	APR-DRG 0051
Hospital Charge Code	APRDRG 0051
Min. Negotiated Rate	$15,310.79
Max. Negotiated Rate	$16,076.33
Rate for Payer: BCBS Complete	$16,076.33
Rate for Payer: Mclaren Medicaid	$15,310.79
Rate for Payer: Meridian Medicaid	$16,076.33
Rate for Payer: PHP Medicaid	$15,310.79
Rate for Payer: Priority Health Choice Medicaid	$15,310.79

INPATIENT APRDRG 0052: TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE

Facility

$20,706.97

Service Code	APR-DRG 0052
Hospital Charge Code	APRDRG 0052
Min. Negotiated Rate	$19,720.92
Max. Negotiated Rate	$20,706.97
Rate for Payer: BCBS Complete	$20,706.97
Rate for Payer: Mclaren Medicaid	$19,720.92
Rate for Payer: Meridian Medicaid	$20,706.97
Rate for Payer: PHP Medicaid	$19,720.92
Rate for Payer: Priority Health Choice Medicaid	$19,720.92

INPATIENT APRDRG 0053: TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE

Facility

$47,449.78

Service Code	APR-DRG 0053
Hospital Charge Code	APRDRG 0053
Min. Negotiated Rate	$45,190.27
Max. Negotiated Rate	$47,449.78
Rate for Payer: BCBS Complete	$47,449.78
Rate for Payer: Mclaren Medicaid	$45,190.27
Rate for Payer: Meridian Medicaid	$47,449.78
Rate for Payer: PHP Medicaid	$45,190.27
Rate for Payer: Priority Health Choice Medicaid	$45,190.27

INPATIENT APRDRG 0054: TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE

Facility

$55,559.42

Service Code	APR-DRG 0054
Hospital Charge Code	APRDRG 0054
Min. Negotiated Rate	$52,913.73
Max. Negotiated Rate	$55,559.42
Rate for Payer: BCBS Complete	$55,559.42
Rate for Payer: Mclaren Medicaid	$52,913.73
Rate for Payer: Meridian Medicaid	$55,559.42
Rate for Payer: PHP Medicaid	$52,913.73
Rate for Payer: Priority Health Choice Medicaid	$52,913.73

INPATIENT APRDRG 0071: ALLOGENEIC BONE MARROW TRANSPLANT

Facility

$52,157.27

Service Code	APR-DRG 0071
Hospital Charge Code	APRDRG 0071
Min. Negotiated Rate	$49,673.59
Max. Negotiated Rate	$52,157.27
Rate for Payer: BCBS Complete	$52,157.27
Rate for Payer: Mclaren Medicaid	$49,673.59
Rate for Payer: Meridian Medicaid	$52,157.27
Rate for Payer: PHP Medicaid	$49,673.59
Rate for Payer: Priority Health Choice Medicaid	$49,673.59

INPATIENT APRDRG 0072: ALLOGENEIC BONE MARROW TRANSPLANT

Facility

$46,167.51

Service Code	APR-DRG 0072
Hospital Charge Code	APRDRG 0072
Min. Negotiated Rate	$43,969.06
Max. Negotiated Rate	$46,167.51
Rate for Payer: BCBS Complete	$46,167.51
Rate for Payer: Mclaren Medicaid	$43,969.06
Rate for Payer: Meridian Medicaid	$46,167.51
Rate for Payer: PHP Medicaid	$43,969.06
Rate for Payer: Priority Health Choice Medicaid	$43,969.06

INPATIENT APRDRG 0073: ALLOGENEIC BONE MARROW TRANSPLANT

Facility

$57,573.25

Service Code	APR-DRG 0073
Hospital Charge Code	APRDRG 0073
Min. Negotiated Rate	$54,831.67
Max. Negotiated Rate	$57,573.25
Rate for Payer: BCBS Complete	$57,573.25
Rate for Payer: Mclaren Medicaid	$54,831.67
Rate for Payer: Meridian Medicaid	$57,573.25
Rate for Payer: PHP Medicaid	$54,831.67
Rate for Payer: Priority Health Choice Medicaid	$54,831.67

INPATIENT APRDRG 0074: ALLOGENEIC BONE MARROW TRANSPLANT

Facility

$117,216.69

Service Code	APR-DRG 0074
Hospital Charge Code	APRDRG 0074
Min. Negotiated Rate	$111,634.94
Max. Negotiated Rate	$117,216.69
Rate for Payer: BCBS Complete	$117,216.69
Rate for Payer: Mclaren Medicaid	$111,634.94
Rate for Payer: Meridian Medicaid	$117,216.69
Rate for Payer: PHP Medicaid	$111,634.94
Rate for Payer: Priority Health Choice Medicaid	$111,634.94

INPATIENT APRDRG 0081: AUTOLOGOUS BONE MARROW TRANSPLANT

Facility

$14,706.46

Service Code	APR-DRG 0081
Hospital Charge Code	APRDRG 0081
Min. Negotiated Rate	$14,006.15
Max. Negotiated Rate	$14,706.46
Rate for Payer: BCBS Complete	$14,706.46
Rate for Payer: Mclaren Medicaid	$14,006.15
Rate for Payer: Meridian Medicaid	$14,706.46
Rate for Payer: PHP Medicaid	$14,006.15
Rate for Payer: Priority Health Choice Medicaid	$14,006.15

INPATIENT APRDRG 0082: AUTOLOGOUS BONE MARROW TRANSPLANT

Facility

$22,354.00

Service Code	APR-DRG 0082
Hospital Charge Code	APRDRG 0082
Min. Negotiated Rate	$21,289.52
Max. Negotiated Rate	$22,354.00
Rate for Payer: BCBS Complete	$22,354.00
Rate for Payer: Mclaren Medicaid	$21,289.52
Rate for Payer: Meridian Medicaid	$22,354.00
Rate for Payer: PHP Medicaid	$21,289.52
Rate for Payer: Priority Health Choice Medicaid	$21,289.52

INPATIENT APRDRG 0083: AUTOLOGOUS BONE MARROW TRANSPLANT

Facility

$30,356.04

Service Code	APR-DRG 0083
Hospital Charge Code	APRDRG 0083
Min. Negotiated Rate	$28,910.51
Max. Negotiated Rate	$30,356.04
Rate for Payer: BCBS Complete	$30,356.04
Rate for Payer: Mclaren Medicaid	$28,910.51
Rate for Payer: Meridian Medicaid	$30,356.04
Rate for Payer: PHP Medicaid	$28,910.51
Rate for Payer: Priority Health Choice Medicaid	$28,910.51

INPATIENT APRDRG 0084: AUTOLOGOUS BONE MARROW TRANSPLANT

Facility

$59,495.38

Service Code	APR-DRG 0084
Hospital Charge Code	APRDRG 0084
Min. Negotiated Rate	$56,662.27
Max. Negotiated Rate	$59,495.38
Rate for Payer: BCBS Complete	$59,495.38
Rate for Payer: Mclaren Medicaid	$56,662.27
Rate for Payer: Meridian Medicaid	$59,495.38
Rate for Payer: PHP Medicaid	$56,662.27
Rate for Payer: Priority Health Choice Medicaid	$56,662.27

INPATIENT APRDRG 0091: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)

Facility

$28,816.60

Service Code	APR-DRG 0091
Hospital Charge Code	APRDRG 0091
Min. Negotiated Rate	$27,444.38
Max. Negotiated Rate	$28,816.60
Rate for Payer: BCBS Complete	$28,816.60
Rate for Payer: Mclaren Medicaid	$27,444.38
Rate for Payer: Meridian Medicaid	$28,816.60
Rate for Payer: PHP Medicaid	$27,444.38
Rate for Payer: Priority Health Choice Medicaid	$27,444.38

INPATIENT APRDRG 0092: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)

Facility

$31,043.03

Service Code	APR-DRG 0092
Hospital Charge Code	APRDRG 0092
Min. Negotiated Rate	$29,564.79
Max. Negotiated Rate	$31,043.03
Rate for Payer: BCBS Complete	$31,043.03
Rate for Payer: Mclaren Medicaid	$29,564.79
Rate for Payer: Meridian Medicaid	$31,043.03
Rate for Payer: PHP Medicaid	$29,564.79
Rate for Payer: Priority Health Choice Medicaid	$29,564.79

INPATIENT APRDRG 0093: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)

Facility

$42,814.54

Service Code	APR-DRG 0093
Hospital Charge Code	APRDRG 0093
Min. Negotiated Rate	$40,775.75
Max. Negotiated Rate	$42,814.54
Rate for Payer: BCBS Complete	$42,814.54
Rate for Payer: Mclaren Medicaid	$40,775.75
Rate for Payer: Meridian Medicaid	$42,814.54
Rate for Payer: PHP Medicaid	$40,775.75
Rate for Payer: Priority Health Choice Medicaid	$40,775.75

INPATIENT APRDRG 0094: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)

Facility

$92,807.36

Service Code	APR-DRG 0094
Hospital Charge Code	APRDRG 0094
Min. Negotiated Rate	$88,387.96
Max. Negotiated Rate	$92,807.36
Rate for Payer: BCBS Complete	$92,807.36
Rate for Payer: Mclaren Medicaid	$88,387.96
Rate for Payer: Meridian Medicaid	$92,807.36
Rate for Payer: PHP Medicaid	$88,387.96
Rate for Payer: Priority Health Choice Medicaid	$88,387.96

INPATIENT APRDRG 0111: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES

Facility

$32,634.72

Service Code	APR-DRG 0111
Hospital Charge Code	APRDRG 0111
Min. Negotiated Rate	$31,080.69
Max. Negotiated Rate	$32,634.72
Rate for Payer: BCBS Complete	$32,634.72
Rate for Payer: Mclaren Medicaid	$31,080.69
Rate for Payer: Meridian Medicaid	$32,634.72
Rate for Payer: PHP Medicaid	$31,080.69
Rate for Payer: Priority Health Choice Medicaid	$31,080.69

INPATIENT APRDRG 0112: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES

Facility

$71,567.61

Service Code	APR-DRG 0112
Hospital Charge Code	APRDRG 0112
Min. Negotiated Rate	$68,159.63
Max. Negotiated Rate	$71,567.61
Rate for Payer: BCBS Complete	$71,567.61
Rate for Payer: Mclaren Medicaid	$68,159.63
Rate for Payer: Meridian Medicaid	$71,567.61
Rate for Payer: PHP Medicaid	$68,159.63
Rate for Payer: Priority Health Choice Medicaid	$68,159.63

INPATIENT APRDRG 0113: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES

Facility

$83,350.40

Service Code	APR-DRG 0113
Hospital Charge Code	APRDRG 0113
Min. Negotiated Rate	$79,381.33
Max. Negotiated Rate	$83,350.40
Rate for Payer: BCBS Complete	$83,350.40
Rate for Payer: Mclaren Medicaid	$79,381.33
Rate for Payer: Meridian Medicaid	$83,350.40
Rate for Payer: PHP Medicaid	$79,381.33
Rate for Payer: Priority Health Choice Medicaid	$79,381.33

INPATIENT APRDRG 0114: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES

Facility

$142,918.52

Service Code	APR-DRG 0114
Hospital Charge Code	APRDRG 0114
Min. Negotiated Rate	$136,112.88
Max. Negotiated Rate	$142,918.52
Rate for Payer: BCBS Complete	$142,918.52
Rate for Payer: Mclaren Medicaid	$136,112.88
Rate for Payer: Meridian Medicaid	$142,918.52
Rate for Payer: PHP Medicaid	$136,112.88
Rate for Payer: Priority Health Choice Medicaid	$136,112.88

INPATIENT APRDRG 0201: CRANIOTOMY FOR TRAUMA

Facility

$10,018.95

Service Code	APR-DRG 0201
Hospital Charge Code	APRDRG 0201
Min. Negotiated Rate	$9,541.86
Max. Negotiated Rate	$10,018.95
Rate for Payer: BCBS Complete	$10,018.95
Rate for Payer: Mclaren Medicaid	$9,541.86
Rate for Payer: Meridian Medicaid	$10,018.95
Rate for Payer: PHP Medicaid	$9,541.86
Rate for Payer: Priority Health Choice Medicaid	$9,541.86

INPATIENT APRDRG 0202: CRANIOTOMY FOR TRAUMA

Facility

$13,984.12

Service Code	APR-DRG 0202
Hospital Charge Code	APRDRG 0202
Min. Negotiated Rate	$13,318.21
Max. Negotiated Rate	$13,984.12
Rate for Payer: BCBS Complete	$13,984.12
Rate for Payer: Mclaren Medicaid	$13,318.21
Rate for Payer: Meridian Medicaid	$13,984.12
Rate for Payer: PHP Medicaid	$13,318.21
Rate for Payer: Priority Health Choice Medicaid	$13,318.21

INPATIENT APRDRG 0203: CRANIOTOMY FOR TRAUMA

Facility

$23,366.29

Service Code	APR-DRG 0203
Hospital Charge Code	APRDRG 0203
Min. Negotiated Rate	$22,253.61
Max. Negotiated Rate	$23,366.29
Rate for Payer: BCBS Complete	$23,366.29
Rate for Payer: Mclaren Medicaid	$22,253.61
Rate for Payer: Meridian Medicaid	$23,366.29
Rate for Payer: PHP Medicaid	$22,253.61
Rate for Payer: Priority Health Choice Medicaid	$22,253.61

Know your out-of-pocket cost for care.

All Charges