Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 0503: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS

Facility

$10,615.77

Service Code	APR-DRG 0503
Hospital Charge Code	APRDRG 0503
Min. Negotiated Rate	$10,110.26
Max. Negotiated Rate	$10,615.77
Rate for Payer: BCBS Complete	$10,615.77
Rate for Payer: Mclaren Medicaid	$10,110.26
Rate for Payer: Meridian Medicaid	$10,615.77
Rate for Payer: PHP Medicaid	$10,110.26
Rate for Payer: Priority Health Choice Medicaid	$10,110.26

INPATIENT APRDRG 0504: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS

Facility

$32,081.96

Service Code	APR-DRG 0504
Hospital Charge Code	APRDRG 0504
Min. Negotiated Rate	$30,554.25
Max. Negotiated Rate	$32,081.96
Rate for Payer: BCBS Complete	$32,081.96
Rate for Payer: Mclaren Medicaid	$30,554.25
Rate for Payer: Meridian Medicaid	$32,081.96
Rate for Payer: PHP Medicaid	$30,554.25
Rate for Payer: Priority Health Choice Medicaid	$30,554.25

INPATIENT APRDRG 0511: VIRAL MENINGITIS

Facility

$2,705.94

Service Code	APR-DRG 0511
Hospital Charge Code	APRDRG 0511
Min. Negotiated Rate	$2,577.09
Max. Negotiated Rate	$2,705.94
Rate for Payer: BCBS Complete	$2,705.94
Rate for Payer: Mclaren Medicaid	$2,577.09
Rate for Payer: Meridian Medicaid	$2,705.94
Rate for Payer: PHP Medicaid	$2,577.09
Rate for Payer: Priority Health Choice Medicaid	$2,577.09

INPATIENT APRDRG 0512: VIRAL MENINGITIS

Facility

$3,461.06

Service Code	APR-DRG 0512
Hospital Charge Code	APRDRG 0512
Min. Negotiated Rate	$3,296.25
Max. Negotiated Rate	$3,461.06
Rate for Payer: BCBS Complete	$3,461.06
Rate for Payer: Mclaren Medicaid	$3,296.25
Rate for Payer: Meridian Medicaid	$3,461.06
Rate for Payer: PHP Medicaid	$3,296.25
Rate for Payer: Priority Health Choice Medicaid	$3,296.25

INPATIENT APRDRG 0513: VIRAL MENINGITIS

Facility

$6,007.68

Service Code	APR-DRG 0513
Hospital Charge Code	APRDRG 0513
Min. Negotiated Rate	$5,721.60
Max. Negotiated Rate	$6,007.68
Rate for Payer: BCBS Complete	$6,007.68
Rate for Payer: Mclaren Medicaid	$5,721.60
Rate for Payer: Meridian Medicaid	$6,007.68
Rate for Payer: PHP Medicaid	$5,721.60
Rate for Payer: Priority Health Choice Medicaid	$5,721.60

INPATIENT APRDRG 0514: VIRAL MENINGITIS

Facility

$11,061.98

Service Code	APR-DRG 0514
Hospital Charge Code	APRDRG 0514
Min. Negotiated Rate	$10,535.22
Max. Negotiated Rate	$11,061.98
Rate for Payer: BCBS Complete	$11,061.98
Rate for Payer: Mclaren Medicaid	$10,535.22
Rate for Payer: Meridian Medicaid	$11,061.98
Rate for Payer: PHP Medicaid	$10,535.22
Rate for Payer: Priority Health Choice Medicaid	$10,535.22

INPATIENT APRDRG 0521: ALTERATION IN CONSCIOUSNESS

Facility

$3,517.93

Service Code	APR-DRG 0521
Hospital Charge Code	APRDRG 0521
Min. Negotiated Rate	$3,350.41
Max. Negotiated Rate	$3,517.93
Rate for Payer: BCBS Complete	$3,517.93
Rate for Payer: Mclaren Medicaid	$3,350.41
Rate for Payer: Meridian Medicaid	$3,517.93
Rate for Payer: PHP Medicaid	$3,350.41
Rate for Payer: Priority Health Choice Medicaid	$3,350.41

INPATIENT APRDRG 0522: ALTERATION IN CONSCIOUSNESS

Facility

$4,151.64

Service Code	APR-DRG 0522
Hospital Charge Code	APRDRG 0522
Min. Negotiated Rate	$3,953.94
Max. Negotiated Rate	$4,151.64
Rate for Payer: BCBS Complete	$4,151.64
Rate for Payer: Mclaren Medicaid	$3,953.94
Rate for Payer: Meridian Medicaid	$4,151.64
Rate for Payer: PHP Medicaid	$3,953.94
Rate for Payer: Priority Health Choice Medicaid	$3,953.94

INPATIENT APRDRG 0523: ALTERATION IN CONSCIOUSNESS

Facility

$5,362.19

Service Code	APR-DRG 0523
Hospital Charge Code	APRDRG 0523
Min. Negotiated Rate	$5,106.85
Max. Negotiated Rate	$5,362.19
Rate for Payer: BCBS Complete	$5,362.19
Rate for Payer: Mclaren Medicaid	$5,106.85
Rate for Payer: Meridian Medicaid	$5,362.19
Rate for Payer: PHP Medicaid	$5,106.85
Rate for Payer: Priority Health Choice Medicaid	$5,106.85

INPATIENT APRDRG 0524: ALTERATION IN CONSCIOUSNESS

Facility

$10,973.36

Service Code	APR-DRG 0524
Hospital Charge Code	APRDRG 0524
Min. Negotiated Rate	$10,450.82
Max. Negotiated Rate	$10,973.36
Rate for Payer: BCBS Complete	$10,973.36
Rate for Payer: Mclaren Medicaid	$10,450.82
Rate for Payer: Meridian Medicaid	$10,973.36
Rate for Payer: PHP Medicaid	$10,450.82
Rate for Payer: Priority Health Choice Medicaid	$10,450.82

INPATIENT APRDRG 0531: SEIZURE

Facility

$3,307.37

Service Code	APR-DRG 0531
Hospital Charge Code	APRDRG 0531
Min. Negotiated Rate	$3,149.88
Max. Negotiated Rate	$3,307.37
Rate for Payer: BCBS Complete	$3,307.37
Rate for Payer: Mclaren Medicaid	$3,149.88
Rate for Payer: Meridian Medicaid	$3,307.37
Rate for Payer: PHP Medicaid	$3,149.88
Rate for Payer: Priority Health Choice Medicaid	$3,149.88

INPATIENT APRDRG 0532: SEIZURE

Facility

$3,852.98

Service Code	APR-DRG 0532
Hospital Charge Code	APRDRG 0532
Min. Negotiated Rate	$3,669.50
Max. Negotiated Rate	$3,852.98
Rate for Payer: BCBS Complete	$3,852.98
Rate for Payer: Mclaren Medicaid	$3,669.50
Rate for Payer: Meridian Medicaid	$3,852.98
Rate for Payer: PHP Medicaid	$3,669.50
Rate for Payer: Priority Health Choice Medicaid	$3,669.50

INPATIENT APRDRG 0533: SEIZURE

Facility

$5,162.91

Service Code	APR-DRG 0533
Hospital Charge Code	APRDRG 0533
Min. Negotiated Rate	$4,917.06
Max. Negotiated Rate	$5,162.91
Rate for Payer: BCBS Complete	$5,162.91
Rate for Payer: Mclaren Medicaid	$4,917.06
Rate for Payer: Meridian Medicaid	$5,162.91
Rate for Payer: PHP Medicaid	$4,917.06
Rate for Payer: Priority Health Choice Medicaid	$4,917.06

INPATIENT APRDRG 0534: SEIZURE

Facility

$11,941.60

Service Code	APR-DRG 0534
Hospital Charge Code	APRDRG 0534
Min. Negotiated Rate	$11,372.95
Max. Negotiated Rate	$11,941.60
Rate for Payer: BCBS Complete	$11,941.60
Rate for Payer: Mclaren Medicaid	$11,372.95
Rate for Payer: Meridian Medicaid	$11,941.60
Rate for Payer: PHP Medicaid	$11,372.95
Rate for Payer: Priority Health Choice Medicaid	$11,372.95

INPATIENT APRDRG 0541: MIGRAINE & OTHER HEADACHES

Facility

$3,524.07

Service Code	APR-DRG 0541
Hospital Charge Code	APRDRG 0541
Min. Negotiated Rate	$3,356.26
Max. Negotiated Rate	$3,524.07
Rate for Payer: BCBS Complete	$3,524.07
Rate for Payer: Mclaren Medicaid	$3,356.26
Rate for Payer: Meridian Medicaid	$3,524.07
Rate for Payer: PHP Medicaid	$3,356.26
Rate for Payer: Priority Health Choice Medicaid	$3,356.26

INPATIENT APRDRG 0542: MIGRAINE & OTHER HEADACHES

Facility

$4,340.16

Service Code	APR-DRG 0542
Hospital Charge Code	APRDRG 0542
Min. Negotiated Rate	$4,133.49
Max. Negotiated Rate	$4,340.16
Rate for Payer: BCBS Complete	$4,340.16
Rate for Payer: Mclaren Medicaid	$4,133.49
Rate for Payer: Meridian Medicaid	$4,340.16
Rate for Payer: PHP Medicaid	$4,133.49
Rate for Payer: Priority Health Choice Medicaid	$4,133.49

INPATIENT APRDRG 0543: MIGRAINE & OTHER HEADACHES

Facility

$5,246.41

Service Code	APR-DRG 0543
Hospital Charge Code	APRDRG 0543
Min. Negotiated Rate	$4,996.58
Max. Negotiated Rate	$5,246.41
Rate for Payer: BCBS Complete	$5,246.41
Rate for Payer: Mclaren Medicaid	$4,996.58
Rate for Payer: Meridian Medicaid	$5,246.41
Rate for Payer: PHP Medicaid	$4,996.58
Rate for Payer: Priority Health Choice Medicaid	$4,996.58

INPATIENT APRDRG 0544: MIGRAINE & OTHER HEADACHES

Facility

$8,237.19

Service Code	APR-DRG 0544
Hospital Charge Code	APRDRG 0544
Min. Negotiated Rate	$7,844.94
Max. Negotiated Rate	$8,237.19
Rate for Payer: BCBS Complete	$8,237.19
Rate for Payer: Mclaren Medicaid	$7,844.94
Rate for Payer: Meridian Medicaid	$8,237.19
Rate for Payer: PHP Medicaid	$7,844.94
Rate for Payer: Priority Health Choice Medicaid	$7,844.94

INPATIENT APRDRG 0551: HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE

Facility

$3,966.19

Service Code	APR-DRG 0551
Hospital Charge Code	APRDRG 0551
Min. Negotiated Rate	$3,777.32
Max. Negotiated Rate	$3,966.19
Rate for Payer: BCBS Complete	$3,966.19
Rate for Payer: Mclaren Medicaid	$3,777.32
Rate for Payer: Meridian Medicaid	$3,966.19
Rate for Payer: PHP Medicaid	$3,777.32
Rate for Payer: Priority Health Choice Medicaid	$3,777.32

INPATIENT APRDRG 0552: HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE

Facility

$5,730.02

Service Code	APR-DRG 0552
Hospital Charge Code	APRDRG 0552
Min. Negotiated Rate	$5,457.16
Max. Negotiated Rate	$5,730.02
Rate for Payer: BCBS Complete	$5,730.02
Rate for Payer: Mclaren Medicaid	$5,457.16
Rate for Payer: Meridian Medicaid	$5,730.02
Rate for Payer: PHP Medicaid	$5,457.16
Rate for Payer: Priority Health Choice Medicaid	$5,457.16

INPATIENT APRDRG 0553: HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE

Facility

$9,353.48

Service Code	APR-DRG 0553
Hospital Charge Code	APRDRG 0553
Min. Negotiated Rate	$8,908.08
Max. Negotiated Rate	$9,353.48
Rate for Payer: BCBS Complete	$9,353.48
Rate for Payer: Mclaren Medicaid	$8,908.08
Rate for Payer: Meridian Medicaid	$9,353.48
Rate for Payer: PHP Medicaid	$8,908.08
Rate for Payer: Priority Health Choice Medicaid	$8,908.08

INPATIENT APRDRG 0554: HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE

Facility

$13,950.81

Service Code	APR-DRG 0554
Hospital Charge Code	APRDRG 0554
Min. Negotiated Rate	$13,286.49
Max. Negotiated Rate	$13,950.81
Rate for Payer: BCBS Complete	$13,950.81
Rate for Payer: Mclaren Medicaid	$13,286.49
Rate for Payer: Meridian Medicaid	$13,950.81
Rate for Payer: PHP Medicaid	$13,286.49
Rate for Payer: Priority Health Choice Medicaid	$13,286.49

INPATIENT APRDRG 0561: BRAIN CONTUSION/LACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA

Facility

$3,923.67

Service Code	APR-DRG 0561
Hospital Charge Code	APRDRG 0561
Min. Negotiated Rate	$3,736.83
Max. Negotiated Rate	$3,923.67
Rate for Payer: BCBS Complete	$3,923.67
Rate for Payer: Mclaren Medicaid	$3,736.83
Rate for Payer: Meridian Medicaid	$3,923.67
Rate for Payer: PHP Medicaid	$3,736.83
Rate for Payer: Priority Health Choice Medicaid	$3,736.83

INPATIENT APRDRG 0562: BRAIN CONTUSION/LACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA

Facility

$4,543.55

Service Code	APR-DRG 0562
Hospital Charge Code	APRDRG 0562
Min. Negotiated Rate	$4,327.19
Max. Negotiated Rate	$4,543.55
Rate for Payer: BCBS Complete	$4,543.55
Rate for Payer: Mclaren Medicaid	$4,327.19
Rate for Payer: Meridian Medicaid	$4,543.55
Rate for Payer: PHP Medicaid	$4,327.19
Rate for Payer: Priority Health Choice Medicaid	$4,327.19

INPATIENT APRDRG 0563: BRAIN CONTUSION/LACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA

Facility

$8,009.74

Service Code	APR-DRG 0563
Hospital Charge Code	APRDRG 0563
Min. Negotiated Rate	$7,628.32
Max. Negotiated Rate	$8,009.74
Rate for Payer: BCBS Complete	$8,009.74
Rate for Payer: Mclaren Medicaid	$7,628.32
Rate for Payer: Meridian Medicaid	$8,009.74
Rate for Payer: PHP Medicaid	$7,628.32
Rate for Payer: Priority Health Choice Medicaid	$7,628.32

Know your out-of-pocket cost for care.

All Charges