Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 0911: OTHER MAJOR HEAD & NECK PROCEDURES

Facility

$11,409.84

Service Code	APR-DRG 0911
Hospital Charge Code	APRDRG 0911
Min. Negotiated Rate	$10,866.51
Max. Negotiated Rate	$11,409.84
Rate for Payer: BCBS Complete	$11,409.84
Rate for Payer: Mclaren Medicaid	$10,866.51
Rate for Payer: Meridian Medicaid	$11,409.84
Rate for Payer: PHP Medicaid	$10,866.51
Rate for Payer: Priority Health Choice Medicaid	$10,866.51

INPATIENT APRDRG 0912: OTHER MAJOR HEAD & NECK PROCEDURES

Facility

$23,983.09

Service Code	APR-DRG 0912
Hospital Charge Code	APRDRG 0912
Min. Negotiated Rate	$22,841.04
Max. Negotiated Rate	$23,983.09
Rate for Payer: BCBS Complete	$23,983.09
Rate for Payer: Mclaren Medicaid	$22,841.04
Rate for Payer: Meridian Medicaid	$23,983.09
Rate for Payer: PHP Medicaid	$22,841.04
Rate for Payer: Priority Health Choice Medicaid	$22,841.04

INPATIENT APRDRG 0913: OTHER MAJOR HEAD & NECK PROCEDURES

Facility

$37,299.17

Service Code	APR-DRG 0913
Hospital Charge Code	APRDRG 0913
Min. Negotiated Rate	$35,523.02
Max. Negotiated Rate	$37,299.17
Rate for Payer: BCBS Complete	$37,299.17
Rate for Payer: Mclaren Medicaid	$35,523.02
Rate for Payer: Meridian Medicaid	$37,299.17
Rate for Payer: PHP Medicaid	$35,523.02
Rate for Payer: Priority Health Choice Medicaid	$35,523.02

INPATIENT APRDRG 0914: OTHER MAJOR HEAD & NECK PROCEDURES

Facility

$36,915.97

Service Code	APR-DRG 0914
Hospital Charge Code	APRDRG 0914
Min. Negotiated Rate	$35,158.07
Max. Negotiated Rate	$36,915.97
Rate for Payer: BCBS Complete	$36,915.97
Rate for Payer: Mclaren Medicaid	$35,158.07
Rate for Payer: Meridian Medicaid	$36,915.97
Rate for Payer: PHP Medicaid	$35,158.07
Rate for Payer: Priority Health Choice Medicaid	$35,158.07

INPATIENT APRDRG 0921: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES

Facility

$9,249.48

Service Code	APR-DRG 0921
Hospital Charge Code	APRDRG 0921
Min. Negotiated Rate	$8,809.03
Max. Negotiated Rate	$9,249.48
Rate for Payer: BCBS Complete	$9,249.48
Rate for Payer: Mclaren Medicaid	$8,809.03
Rate for Payer: Meridian Medicaid	$9,249.48
Rate for Payer: PHP Medicaid	$8,809.03
Rate for Payer: Priority Health Choice Medicaid	$8,809.03

INPATIENT APRDRG 0922: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES

Facility

$10,893.45

Service Code	APR-DRG 0922
Hospital Charge Code	APRDRG 0922
Min. Negotiated Rate	$10,374.71
Max. Negotiated Rate	$10,893.45
Rate for Payer: BCBS Complete	$10,893.45
Rate for Payer: Mclaren Medicaid	$10,374.71
Rate for Payer: Meridian Medicaid	$10,893.45
Rate for Payer: PHP Medicaid	$10,374.71
Rate for Payer: Priority Health Choice Medicaid	$10,374.71

INPATIENT APRDRG 0923: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES

Facility

$17,920.59

Service Code	APR-DRG 0923
Hospital Charge Code	APRDRG 0923
Min. Negotiated Rate	$17,067.23
Max. Negotiated Rate	$17,920.59
Rate for Payer: BCBS Complete	$17,920.59
Rate for Payer: Mclaren Medicaid	$17,067.23
Rate for Payer: Meridian Medicaid	$17,920.59
Rate for Payer: PHP Medicaid	$17,067.23
Rate for Payer: Priority Health Choice Medicaid	$17,067.23

INPATIENT APRDRG 0924: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES

Facility

$34,025.61

Service Code	APR-DRG 0924
Hospital Charge Code	APRDRG 0924
Min. Negotiated Rate	$32,405.34
Max. Negotiated Rate	$34,025.61
Rate for Payer: BCBS Complete	$34,025.61
Rate for Payer: Mclaren Medicaid	$32,405.34
Rate for Payer: Meridian Medicaid	$34,025.61
Rate for Payer: PHP Medicaid	$32,405.34
Rate for Payer: Priority Health Choice Medicaid	$32,405.34

INPATIENT APRDRG 0951: CLEFT LIP & PALATE REPAIR

Facility

$7,003.07

Service Code	APR-DRG 0951
Hospital Charge Code	APRDRG 0951
Min. Negotiated Rate	$6,669.59
Max. Negotiated Rate	$7,003.07
Rate for Payer: BCBS Complete	$7,003.07
Rate for Payer: Mclaren Medicaid	$6,669.59
Rate for Payer: Meridian Medicaid	$7,003.07
Rate for Payer: PHP Medicaid	$6,669.59
Rate for Payer: Priority Health Choice Medicaid	$6,669.59

INPATIENT APRDRG 0952: CLEFT LIP & PALATE REPAIR

Facility

$9,030.22

Service Code	APR-DRG 0952
Hospital Charge Code	APRDRG 0952
Min. Negotiated Rate	$8,600.21
Max. Negotiated Rate	$9,030.22
Rate for Payer: BCBS Complete	$9,030.22
Rate for Payer: Mclaren Medicaid	$8,600.21
Rate for Payer: Meridian Medicaid	$9,030.22
Rate for Payer: PHP Medicaid	$8,600.21
Rate for Payer: Priority Health Choice Medicaid	$8,600.21

INPATIENT APRDRG 0953: CLEFT LIP & PALATE REPAIR

Facility

$10,403.18

Service Code	APR-DRG 0953
Hospital Charge Code	APRDRG 0953
Min. Negotiated Rate	$9,907.79
Max. Negotiated Rate	$10,403.18
Rate for Payer: BCBS Complete	$10,403.18
Rate for Payer: Mclaren Medicaid	$9,907.79
Rate for Payer: Meridian Medicaid	$10,403.18
Rate for Payer: PHP Medicaid	$9,907.79
Rate for Payer: Priority Health Choice Medicaid	$9,907.79

INPATIENT APRDRG 0954: CLEFT LIP & PALATE REPAIR

Facility

$19,503.07

Service Code	APR-DRG 0954
Hospital Charge Code	APRDRG 0954
Min. Negotiated Rate	$18,574.35
Max. Negotiated Rate	$19,503.07
Rate for Payer: BCBS Complete	$19,503.07
Rate for Payer: Mclaren Medicaid	$18,574.35
Rate for Payer: Meridian Medicaid	$19,503.07
Rate for Payer: PHP Medicaid	$18,574.35
Rate for Payer: Priority Health Choice Medicaid	$18,574.35

INPATIENT APRDRG 0971: TONSIL & ADENOID PROCEDURES

Facility

$4,585.05

Service Code	APR-DRG 0971
Hospital Charge Code	APRDRG 0971
Min. Negotiated Rate	$4,366.71
Max. Negotiated Rate	$4,585.05
Rate for Payer: BCBS Complete	$4,585.05
Rate for Payer: Mclaren Medicaid	$4,366.71
Rate for Payer: Meridian Medicaid	$4,585.05
Rate for Payer: PHP Medicaid	$4,366.71
Rate for Payer: Priority Health Choice Medicaid	$4,366.71

INPATIENT APRDRG 0972: TONSIL & ADENOID PROCEDURES

Facility

$6,152.66

Service Code	APR-DRG 0972
Hospital Charge Code	APRDRG 0972
Min. Negotiated Rate	$5,859.68
Max. Negotiated Rate	$6,152.66
Rate for Payer: BCBS Complete	$6,152.66
Rate for Payer: Mclaren Medicaid	$5,859.68
Rate for Payer: Meridian Medicaid	$6,152.66
Rate for Payer: PHP Medicaid	$5,859.68
Rate for Payer: Priority Health Choice Medicaid	$5,859.68

INPATIENT APRDRG 0973: TONSIL & ADENOID PROCEDURES

Facility

$9,134.22

Service Code	APR-DRG 0973
Hospital Charge Code	APRDRG 0973
Min. Negotiated Rate	$8,699.26
Max. Negotiated Rate	$9,134.22
Rate for Payer: BCBS Complete	$9,134.22
Rate for Payer: Mclaren Medicaid	$8,699.26
Rate for Payer: Meridian Medicaid	$9,134.22
Rate for Payer: PHP Medicaid	$8,699.26
Rate for Payer: Priority Health Choice Medicaid	$8,699.26

INPATIENT APRDRG 0974: TONSIL & ADENOID PROCEDURES

Facility

$15,920.08

Service Code	APR-DRG 0974
Hospital Charge Code	APRDRG 0974
Min. Negotiated Rate	$15,161.98
Max. Negotiated Rate	$15,920.08
Rate for Payer: BCBS Complete	$15,920.08
Rate for Payer: Mclaren Medicaid	$15,161.98
Rate for Payer: Meridian Medicaid	$15,920.08
Rate for Payer: PHP Medicaid	$15,161.98
Rate for Payer: Priority Health Choice Medicaid	$15,161.98

INPATIENT APRDRG 0981: OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES

Facility

$5,669.57

Service Code	APR-DRG 0981
Hospital Charge Code	APRDRG 0981
Min. Negotiated Rate	$5,399.59
Max. Negotiated Rate	$5,669.57
Rate for Payer: BCBS Complete	$5,669.57
Rate for Payer: Mclaren Medicaid	$5,399.59
Rate for Payer: Meridian Medicaid	$5,669.57
Rate for Payer: PHP Medicaid	$5,399.59
Rate for Payer: Priority Health Choice Medicaid	$5,399.59

INPATIENT APRDRG 0982: OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES

Facility

$8,072.75

Service Code	APR-DRG 0982
Hospital Charge Code	APRDRG 0982
Min. Negotiated Rate	$7,688.33
Max. Negotiated Rate	$8,072.75
Rate for Payer: BCBS Complete	$8,072.75
Rate for Payer: Mclaren Medicaid	$7,688.33
Rate for Payer: Meridian Medicaid	$8,072.75
Rate for Payer: PHP Medicaid	$7,688.33
Rate for Payer: Priority Health Choice Medicaid	$7,688.33

INPATIENT APRDRG 0983: OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES

Facility

$12,967.21

Service Code	APR-DRG 0983
Hospital Charge Code	APRDRG 0983
Min. Negotiated Rate	$12,349.72
Max. Negotiated Rate	$12,967.21
Rate for Payer: BCBS Complete	$12,967.21
Rate for Payer: Mclaren Medicaid	$12,349.72
Rate for Payer: Meridian Medicaid	$12,967.21
Rate for Payer: PHP Medicaid	$12,349.72
Rate for Payer: Priority Health Choice Medicaid	$12,349.72

INPATIENT APRDRG 0984: OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES

Facility

$19,285.35

Service Code	APR-DRG 0984
Hospital Charge Code	APRDRG 0984
Min. Negotiated Rate	$18,367.00
Max. Negotiated Rate	$19,285.35
Rate for Payer: BCBS Complete	$19,285.35
Rate for Payer: Mclaren Medicaid	$18,367.00
Rate for Payer: Meridian Medicaid	$19,285.35
Rate for Payer: PHP Medicaid	$18,367.00
Rate for Payer: Priority Health Choice Medicaid	$18,367.00

INPATIENT APRDRG 1101: EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES

Facility

$4,472.34

Service Code	APR-DRG 1101
Hospital Charge Code	APRDRG 1101
Min. Negotiated Rate	$4,259.37
Max. Negotiated Rate	$4,472.34
Rate for Payer: BCBS Complete	$4,472.34
Rate for Payer: Mclaren Medicaid	$4,259.37
Rate for Payer: Meridian Medicaid	$4,472.34
Rate for Payer: PHP Medicaid	$4,259.37
Rate for Payer: Priority Health Choice Medicaid	$4,259.37

INPATIENT APRDRG 1102: EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES

Facility

$5,191.08

Service Code	APR-DRG 1102
Hospital Charge Code	APRDRG 1102
Min. Negotiated Rate	$4,943.89
Max. Negotiated Rate	$5,191.08
Rate for Payer: BCBS Complete	$5,191.08
Rate for Payer: Mclaren Medicaid	$4,943.89
Rate for Payer: Meridian Medicaid	$5,191.08
Rate for Payer: PHP Medicaid	$4,943.89
Rate for Payer: Priority Health Choice Medicaid	$4,943.89

INPATIENT APRDRG 1103: EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES

Facility

$8,924.18

Service Code	APR-DRG 1103
Hospital Charge Code	APRDRG 1103
Min. Negotiated Rate	$8,499.22
Max. Negotiated Rate	$8,924.18
Rate for Payer: BCBS Complete	$8,924.18
Rate for Payer: Mclaren Medicaid	$8,499.22
Rate for Payer: Meridian Medicaid	$8,924.18
Rate for Payer: PHP Medicaid	$8,499.22
Rate for Payer: Priority Health Choice Medicaid	$8,499.22

INPATIENT APRDRG 1104: EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES

Facility

$12,398.05

Service Code	APR-DRG 1104
Hospital Charge Code	APRDRG 1104
Min. Negotiated Rate	$11,807.67
Max. Negotiated Rate	$12,398.05
Rate for Payer: BCBS Complete	$12,398.05
Rate for Payer: Mclaren Medicaid	$11,807.67
Rate for Payer: Meridian Medicaid	$12,398.05
Rate for Payer: PHP Medicaid	$11,807.67
Rate for Payer: Priority Health Choice Medicaid	$11,807.67

INPATIENT APRDRG 1111: VERTIGO & OTHER LABYRINTH DISORDERS

Facility

$3,498.98

Service Code	APR-DRG 1111
Hospital Charge Code	APRDRG 1111
Min. Negotiated Rate	$3,332.36
Max. Negotiated Rate	$3,498.98
Rate for Payer: BCBS Complete	$3,498.98
Rate for Payer: Mclaren Medicaid	$3,332.36
Rate for Payer: Meridian Medicaid	$3,498.98
Rate for Payer: PHP Medicaid	$3,332.36
Rate for Payer: Priority Health Choice Medicaid	$3,332.36

Know your out-of-pocket cost for care.

All Charges