Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 0291: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility

$14,653.68

Service Code	APR-DRG 0291
Hospital Charge Code	APRDRG 0291
Min. Negotiated Rate	$13,955.89
Max. Negotiated Rate	$14,653.68
Rate for Payer: BCBS Complete	$14,653.68
Rate for Payer: Mclaren Medicaid	$13,955.89
Rate for Payer: Meridian Medicaid	$14,653.68
Rate for Payer: PHP Medicaid	$13,955.89
Rate for Payer: Priority Health Choice Medicaid	$13,955.89

INPATIENT APRDRG 0292: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility

$18,195.69

Service Code	APR-DRG 0292
Hospital Charge Code	APRDRG 0292
Min. Negotiated Rate	$17,329.23
Max. Negotiated Rate	$18,195.69
Rate for Payer: BCBS Complete	$18,195.69
Rate for Payer: Mclaren Medicaid	$17,329.23
Rate for Payer: Meridian Medicaid	$18,195.69
Rate for Payer: PHP Medicaid	$17,329.23
Rate for Payer: Priority Health Choice Medicaid	$17,329.23

INPATIENT APRDRG 0293: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility

$20,494.36

Service Code	APR-DRG 0293
Hospital Charge Code	APRDRG 0293
Min. Negotiated Rate	$19,518.44
Max. Negotiated Rate	$20,494.36
Rate for Payer: BCBS Complete	$20,494.36
Rate for Payer: Mclaren Medicaid	$19,518.44
Rate for Payer: Meridian Medicaid	$20,494.36
Rate for Payer: PHP Medicaid	$19,518.44
Rate for Payer: Priority Health Choice Medicaid	$19,518.44

INPATIENT APRDRG 0294: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility

$19,855.02

Service Code	APR-DRG 0294
Hospital Charge Code	APRDRG 0294
Min. Negotiated Rate	$18,909.54
Max. Negotiated Rate	$19,855.02
Rate for Payer: BCBS Complete	$19,855.02
Rate for Payer: Mclaren Medicaid	$18,909.54
Rate for Payer: Meridian Medicaid	$19,855.02
Rate for Payer: PHP Medicaid	$18,909.54
Rate for Payer: Priority Health Choice Medicaid	$18,909.54

INPATIENT APRDRG 0301: PERCUTANEOUS INTRA & EXTRACRANIAL VASCULAR PROCEDURES

Facility

$8,840.16

Service Code	APR-DRG 0301
Hospital Charge Code	APRDRG 0301
Min. Negotiated Rate	$8,419.20
Max. Negotiated Rate	$8,840.16
Rate for Payer: BCBS Complete	$8,840.16
Rate for Payer: Mclaren Medicaid	$8,419.20
Rate for Payer: Meridian Medicaid	$8,840.16
Rate for Payer: PHP Medicaid	$8,419.20
Rate for Payer: Priority Health Choice Medicaid	$8,419.20

INPATIENT APRDRG 0302: PERCUTANEOUS INTRA & EXTRACRANIAL VASCULAR PROCEDURES

Facility

$12,204.40

Service Code	APR-DRG 0302
Hospital Charge Code	APRDRG 0302
Min. Negotiated Rate	$11,623.24
Max. Negotiated Rate	$12,204.40
Rate for Payer: BCBS Complete	$12,204.40
Rate for Payer: Mclaren Medicaid	$11,623.24
Rate for Payer: Meridian Medicaid	$12,204.40
Rate for Payer: PHP Medicaid	$11,623.24
Rate for Payer: Priority Health Choice Medicaid	$11,623.24

INPATIENT APRDRG 0303: PERCUTANEOUS INTRA & EXTRACRANIAL VASCULAR PROCEDURES

Facility

$16,573.25

Service Code	APR-DRG 0303
Hospital Charge Code	APRDRG 0303
Min. Negotiated Rate	$15,784.05
Max. Negotiated Rate	$16,573.25
Rate for Payer: BCBS Complete	$16,573.25
Rate for Payer: Mclaren Medicaid	$15,784.05
Rate for Payer: Meridian Medicaid	$16,573.25
Rate for Payer: PHP Medicaid	$15,784.05
Rate for Payer: Priority Health Choice Medicaid	$15,784.05

INPATIENT APRDRG 0304: PERCUTANEOUS INTRA & EXTRACRANIAL VASCULAR PROCEDURES

Facility

$22,255.12

Service Code	APR-DRG 0304
Hospital Charge Code	APRDRG 0304
Min. Negotiated Rate	$21,195.35
Max. Negotiated Rate	$22,255.12
Rate for Payer: BCBS Complete	$22,255.12
Rate for Payer: Mclaren Medicaid	$21,195.35
Rate for Payer: Meridian Medicaid	$22,255.12
Rate for Payer: PHP Medicaid	$21,195.35
Rate for Payer: Priority Health Choice Medicaid	$21,195.35

INPATIENT APRDRG 0401: SPINAL DISORDERS & INJURIES

Facility

$6,451.33

Service Code	APR-DRG 0401
Hospital Charge Code	APRDRG 0401
Min. Negotiated Rate	$6,144.12
Max. Negotiated Rate	$6,451.33
Rate for Payer: BCBS Complete	$6,451.33
Rate for Payer: Mclaren Medicaid	$6,144.12
Rate for Payer: Meridian Medicaid	$6,451.33
Rate for Payer: PHP Medicaid	$6,144.12
Rate for Payer: Priority Health Choice Medicaid	$6,144.12

INPATIENT APRDRG 0402: SPINAL DISORDERS & INJURIES

Facility

$8,096.82

Service Code	APR-DRG 0402
Hospital Charge Code	APRDRG 0402
Min. Negotiated Rate	$7,711.26
Max. Negotiated Rate	$8,096.82
Rate for Payer: BCBS Complete	$8,096.82
Rate for Payer: Mclaren Medicaid	$7,711.26
Rate for Payer: Meridian Medicaid	$8,096.82
Rate for Payer: PHP Medicaid	$7,711.26
Rate for Payer: Priority Health Choice Medicaid	$7,711.26

INPATIENT APRDRG 0403: SPINAL DISORDERS & INJURIES

Facility

$9,470.29

Service Code	APR-DRG 0403
Hospital Charge Code	APRDRG 0403
Min. Negotiated Rate	$9,019.32
Max. Negotiated Rate	$9,470.29
Rate for Payer: BCBS Complete	$9,470.29
Rate for Payer: Mclaren Medicaid	$9,019.32
Rate for Payer: Meridian Medicaid	$9,470.29
Rate for Payer: PHP Medicaid	$9,019.32
Rate for Payer: Priority Health Choice Medicaid	$9,019.32

INPATIENT APRDRG 0404: SPINAL DISORDERS & INJURIES

Facility

$13,142.92

Service Code	APR-DRG 0404
Hospital Charge Code	APRDRG 0404
Min. Negotiated Rate	$12,517.07
Max. Negotiated Rate	$13,142.92
Rate for Payer: BCBS Complete	$13,142.92
Rate for Payer: Mclaren Medicaid	$12,517.07
Rate for Payer: Meridian Medicaid	$13,142.92
Rate for Payer: PHP Medicaid	$12,517.07
Rate for Payer: Priority Health Choice Medicaid	$12,517.07

INPATIENT APRDRG 0411: NERVOUS SYSTEM MALIGNANCY

Facility

$4,581.45

Service Code	APR-DRG 0411
Hospital Charge Code	APRDRG 0411
Min. Negotiated Rate	$4,363.29
Max. Negotiated Rate	$4,581.45
Rate for Payer: BCBS Complete	$4,581.45
Rate for Payer: Mclaren Medicaid	$4,363.29
Rate for Payer: Meridian Medicaid	$4,581.45
Rate for Payer: PHP Medicaid	$4,363.29
Rate for Payer: Priority Health Choice Medicaid	$4,363.29

INPATIENT APRDRG 0412: NERVOUS SYSTEM MALIGNANCY

Facility

$4,758.20

Service Code	APR-DRG 0412
Hospital Charge Code	APRDRG 0412
Min. Negotiated Rate	$4,531.62
Max. Negotiated Rate	$4,758.20
Rate for Payer: BCBS Complete	$4,758.20
Rate for Payer: Mclaren Medicaid	$4,531.62
Rate for Payer: Meridian Medicaid	$4,758.20
Rate for Payer: PHP Medicaid	$4,531.62
Rate for Payer: Priority Health Choice Medicaid	$4,531.62

INPATIENT APRDRG 0413: NERVOUS SYSTEM MALIGNANCY

Facility

$6,836.07

Service Code	APR-DRG 0413
Hospital Charge Code	APRDRG 0413
Min. Negotiated Rate	$6,510.54
Max. Negotiated Rate	$6,836.07
Rate for Payer: BCBS Complete	$6,836.07
Rate for Payer: Mclaren Medicaid	$6,510.54
Rate for Payer: Meridian Medicaid	$6,836.07
Rate for Payer: PHP Medicaid	$6,510.54
Rate for Payer: Priority Health Choice Medicaid	$6,510.54

INPATIENT APRDRG 0414: NERVOUS SYSTEM MALIGNANCY

Facility

$9,074.28

Service Code	APR-DRG 0414
Hospital Charge Code	APRDRG 0414
Min. Negotiated Rate	$8,642.17
Max. Negotiated Rate	$9,074.28
Rate for Payer: BCBS Complete	$9,074.28
Rate for Payer: Mclaren Medicaid	$8,642.17
Rate for Payer: Meridian Medicaid	$9,074.28
Rate for Payer: PHP Medicaid	$8,642.17
Rate for Payer: Priority Health Choice Medicaid	$8,642.17

INPATIENT APRDRG 0421: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS

Facility

$4,934.94

Service Code	APR-DRG 0421
Hospital Charge Code	APRDRG 0421
Min. Negotiated Rate	$4,699.94
Max. Negotiated Rate	$4,934.94
Rate for Payer: BCBS Complete	$4,934.94
Rate for Payer: Mclaren Medicaid	$4,699.94
Rate for Payer: Meridian Medicaid	$4,934.94
Rate for Payer: PHP Medicaid	$4,699.94
Rate for Payer: Priority Health Choice Medicaid	$4,699.94

INPATIENT APRDRG 0422: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS

Facility

$5,201.85

Service Code	APR-DRG 0422
Hospital Charge Code	APRDRG 0422
Min. Negotiated Rate	$4,954.14
Max. Negotiated Rate	$5,201.85
Rate for Payer: BCBS Complete	$5,201.85
Rate for Payer: Mclaren Medicaid	$4,954.14
Rate for Payer: Meridian Medicaid	$5,201.85
Rate for Payer: PHP Medicaid	$4,954.14
Rate for Payer: Priority Health Choice Medicaid	$4,954.14

INPATIENT APRDRG 0423: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS

Facility

$7,746.92

Service Code	APR-DRG 0423
Hospital Charge Code	APRDRG 0423
Min. Negotiated Rate	$7,378.02
Max. Negotiated Rate	$7,746.92
Rate for Payer: BCBS Complete	$7,746.92
Rate for Payer: Mclaren Medicaid	$7,378.02
Rate for Payer: Meridian Medicaid	$7,746.92
Rate for Payer: PHP Medicaid	$7,378.02
Rate for Payer: Priority Health Choice Medicaid	$7,378.02

INPATIENT APRDRG 0424: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS

Facility

$8,346.82

Service Code	APR-DRG 0424
Hospital Charge Code	APRDRG 0424
Min. Negotiated Rate	$7,949.35
Max. Negotiated Rate	$8,346.82
Rate for Payer: BCBS Complete	$8,346.82
Rate for Payer: Mclaren Medicaid	$7,949.35
Rate for Payer: Meridian Medicaid	$8,346.82
Rate for Payer: PHP Medicaid	$7,949.35
Rate for Payer: Priority Health Choice Medicaid	$7,949.35

INPATIENT APRDRG 0431: MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES

Facility

$4,405.74

Service Code	APR-DRG 0431
Hospital Charge Code	APRDRG 0431
Min. Negotiated Rate	$4,195.94
Max. Negotiated Rate	$4,405.74
Rate for Payer: BCBS Complete	$4,405.74
Rate for Payer: Mclaren Medicaid	$4,195.94
Rate for Payer: Meridian Medicaid	$4,405.74
Rate for Payer: PHP Medicaid	$4,195.94
Rate for Payer: Priority Health Choice Medicaid	$4,195.94

INPATIENT APRDRG 0432: MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES

Facility

$6,128.59

Service Code	APR-DRG 0432
Hospital Charge Code	APRDRG 0432
Min. Negotiated Rate	$5,836.75
Max. Negotiated Rate	$6,128.59
Rate for Payer: BCBS Complete	$6,128.59
Rate for Payer: Mclaren Medicaid	$5,836.75
Rate for Payer: Meridian Medicaid	$6,128.59
Rate for Payer: PHP Medicaid	$5,836.75
Rate for Payer: Priority Health Choice Medicaid	$5,836.75

INPATIENT APRDRG 0433: MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES

Facility

$9,909.32

Service Code	APR-DRG 0433
Hospital Charge Code	APRDRG 0433
Min. Negotiated Rate	$9,437.45
Max. Negotiated Rate	$9,909.32
Rate for Payer: BCBS Complete	$9,909.32
Rate for Payer: Mclaren Medicaid	$9,437.45
Rate for Payer: Meridian Medicaid	$9,909.32
Rate for Payer: PHP Medicaid	$9,437.45
Rate for Payer: Priority Health Choice Medicaid	$9,437.45

INPATIENT APRDRG 0434: MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES

Facility

$20,774.59

Service Code	APR-DRG 0434
Hospital Charge Code	APRDRG 0434
Min. Negotiated Rate	$19,785.32
Max. Negotiated Rate	$20,774.59
Rate for Payer: BCBS Complete	$20,774.59
Rate for Payer: Mclaren Medicaid	$19,785.32
Rate for Payer: Meridian Medicaid	$20,774.59
Rate for Payer: PHP Medicaid	$19,785.32
Rate for Payer: Priority Health Choice Medicaid	$19,785.32

INPATIENT APRDRG 0441: INTRACRANIAL HEMORRHAGE

Facility

$4,823.77

Service Code	APR-DRG 0441
Hospital Charge Code	APRDRG 0441
Min. Negotiated Rate	$4,594.07
Max. Negotiated Rate	$4,823.77
Rate for Payer: BCBS Complete	$4,823.77
Rate for Payer: Mclaren Medicaid	$4,594.07
Rate for Payer: Meridian Medicaid	$4,823.77
Rate for Payer: PHP Medicaid	$4,594.07
Rate for Payer: Priority Health Choice Medicaid	$4,594.07

Know your out-of-pocket cost for care.

All Charges