Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 1112: VERTIGO & OTHER LABYRINTH DISORDERS

Facility

$3,974.39

Service Code	APR-DRG 1112
Hospital Charge Code	APRDRG 1112
Min. Negotiated Rate	$3,785.13
Max. Negotiated Rate	$3,974.39
Rate for Payer: BCBS Complete	$3,974.39
Rate for Payer: Mclaren Medicaid	$3,785.13
Rate for Payer: Meridian Medicaid	$3,974.39
Rate for Payer: PHP Medicaid	$3,785.13
Rate for Payer: Priority Health Choice Medicaid	$3,785.13

INPATIENT APRDRG 1113: VERTIGO & OTHER LABYRINTH DISORDERS

Facility

$4,627.05

Service Code	APR-DRG 1113
Hospital Charge Code	APRDRG 1113
Min. Negotiated Rate	$4,406.71
Max. Negotiated Rate	$4,627.05
Rate for Payer: BCBS Complete	$4,627.05
Rate for Payer: Mclaren Medicaid	$4,406.71
Rate for Payer: Meridian Medicaid	$4,627.05
Rate for Payer: PHP Medicaid	$4,406.71
Rate for Payer: Priority Health Choice Medicaid	$4,406.71

INPATIENT APRDRG 1114: VERTIGO & OTHER LABYRINTH DISORDERS

Facility

$9,839.66

Service Code	APR-DRG 1114
Hospital Charge Code	APRDRG 1114
Min. Negotiated Rate	$9,371.10
Max. Negotiated Rate	$9,839.66
Rate for Payer: BCBS Complete	$9,839.66
Rate for Payer: Mclaren Medicaid	$9,371.10
Rate for Payer: Meridian Medicaid	$9,839.66
Rate for Payer: PHP Medicaid	$9,371.10
Rate for Payer: Priority Health Choice Medicaid	$9,371.10

INPATIENT APRDRG 1131: INFECTIONS OF UPPER RESPIRATORY TRACT

Facility

$2,165.98

Service Code	APR-DRG 1131
Hospital Charge Code	APRDRG 1131
Min. Negotiated Rate	$2,062.84
Max. Negotiated Rate	$2,165.98
Rate for Payer: BCBS Complete	$2,165.98
Rate for Payer: Mclaren Medicaid	$2,062.84
Rate for Payer: Meridian Medicaid	$2,165.98
Rate for Payer: PHP Medicaid	$2,062.84
Rate for Payer: Priority Health Choice Medicaid	$2,062.84

INPATIENT APRDRG 1132: INFECTIONS OF UPPER RESPIRATORY TRACT

Facility

$2,755.63

Service Code	APR-DRG 1132
Hospital Charge Code	APRDRG 1132
Min. Negotiated Rate	$2,624.41
Max. Negotiated Rate	$2,755.63
Rate for Payer: BCBS Complete	$2,755.63
Rate for Payer: Mclaren Medicaid	$2,624.41
Rate for Payer: Meridian Medicaid	$2,755.63
Rate for Payer: PHP Medicaid	$2,624.41
Rate for Payer: Priority Health Choice Medicaid	$2,624.41

INPATIENT APRDRG 1133: INFECTIONS OF UPPER RESPIRATORY TRACT

Facility

$4,171.10

Service Code	APR-DRG 1133
Hospital Charge Code	APRDRG 1133
Min. Negotiated Rate	$3,972.48
Max. Negotiated Rate	$4,171.10
Rate for Payer: BCBS Complete	$4,171.10
Rate for Payer: Mclaren Medicaid	$3,972.48
Rate for Payer: Meridian Medicaid	$4,171.10
Rate for Payer: PHP Medicaid	$3,972.48
Rate for Payer: Priority Health Choice Medicaid	$3,972.48

INPATIENT APRDRG 1134: INFECTIONS OF UPPER RESPIRATORY TRACT

Facility

$8,228.48

Service Code	APR-DRG 1134
Hospital Charge Code	APRDRG 1134
Min. Negotiated Rate	$7,836.65
Max. Negotiated Rate	$8,228.48
Rate for Payer: BCBS Complete	$8,228.48
Rate for Payer: Mclaren Medicaid	$7,836.65
Rate for Payer: Meridian Medicaid	$8,228.48
Rate for Payer: PHP Medicaid	$7,836.65
Rate for Payer: Priority Health Choice Medicaid	$7,836.65

INPATIENT APRDRG 1141: DENTAL DISEASES AND DISORDERS

Facility

$2,743.34

Service Code	APR-DRG 1141
Hospital Charge Code	APRDRG 1141
Min. Negotiated Rate	$2,612.70
Max. Negotiated Rate	$2,743.34
Rate for Payer: BCBS Complete	$2,743.34
Rate for Payer: Mclaren Medicaid	$2,612.70
Rate for Payer: Meridian Medicaid	$2,743.34
Rate for Payer: PHP Medicaid	$2,612.70
Rate for Payer: Priority Health Choice Medicaid	$2,612.70

INPATIENT APRDRG 1142: DENTAL DISEASES AND DISORDERS

Facility

$3,002.04

Service Code	APR-DRG 1142
Hospital Charge Code	APRDRG 1142
Min. Negotiated Rate	$2,859.09
Max. Negotiated Rate	$3,002.04
Rate for Payer: BCBS Complete	$3,002.04
Rate for Payer: Mclaren Medicaid	$2,859.09
Rate for Payer: Meridian Medicaid	$3,002.04
Rate for Payer: PHP Medicaid	$2,859.09
Rate for Payer: Priority Health Choice Medicaid	$2,859.09

INPATIENT APRDRG 1143: DENTAL DISEASES AND DISORDERS

Facility

$5,027.15

Service Code	APR-DRG 1143
Hospital Charge Code	APRDRG 1143
Min. Negotiated Rate	$4,787.76
Max. Negotiated Rate	$5,027.15
Rate for Payer: BCBS Complete	$5,027.15
Rate for Payer: Mclaren Medicaid	$4,787.76
Rate for Payer: Meridian Medicaid	$5,027.15
Rate for Payer: PHP Medicaid	$4,787.76
Rate for Payer: Priority Health Choice Medicaid	$4,787.76

INPATIENT APRDRG 1144: DENTAL DISEASES AND DISORDERS

Facility

$11,212.09

Service Code	APR-DRG 1144
Hospital Charge Code	APRDRG 1144
Min. Negotiated Rate	$10,678.18
Max. Negotiated Rate	$11,212.09
Rate for Payer: BCBS Complete	$11,212.09
Rate for Payer: Mclaren Medicaid	$10,678.18
Rate for Payer: Meridian Medicaid	$11,212.09
Rate for Payer: PHP Medicaid	$10,678.18
Rate for Payer: Priority Health Choice Medicaid	$10,678.18

INPATIENT APRDRG 1151: OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES

Facility

$3,226.94

Service Code	APR-DRG 1151
Hospital Charge Code	APRDRG 1151
Min. Negotiated Rate	$3,073.28
Max. Negotiated Rate	$3,226.94
Rate for Payer: BCBS Complete	$3,226.94
Rate for Payer: Mclaren Medicaid	$3,073.28
Rate for Payer: Meridian Medicaid	$3,226.94
Rate for Payer: PHP Medicaid	$3,073.28
Rate for Payer: Priority Health Choice Medicaid	$3,073.28

INPATIENT APRDRG 1152: OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES

Facility

$3,968.23

Service Code	APR-DRG 1152
Hospital Charge Code	APRDRG 1152
Min. Negotiated Rate	$3,779.27
Max. Negotiated Rate	$3,968.23
Rate for Payer: BCBS Complete	$3,968.23
Rate for Payer: Mclaren Medicaid	$3,779.27
Rate for Payer: Meridian Medicaid	$3,968.23
Rate for Payer: PHP Medicaid	$3,779.27
Rate for Payer: Priority Health Choice Medicaid	$3,779.27

INPATIENT APRDRG 1153: OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES

Facility

$6,516.39

Service Code	APR-DRG 1153
Hospital Charge Code	APRDRG 1153
Min. Negotiated Rate	$6,206.09
Max. Negotiated Rate	$6,516.39
Rate for Payer: BCBS Complete	$6,516.39
Rate for Payer: Mclaren Medicaid	$6,206.09
Rate for Payer: Meridian Medicaid	$6,516.39
Rate for Payer: PHP Medicaid	$6,206.09
Rate for Payer: Priority Health Choice Medicaid	$6,206.09

INPATIENT APRDRG 1154: OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES

Facility

$9,767.42

Service Code	APR-DRG 1154
Hospital Charge Code	APRDRG 1154
Min. Negotiated Rate	$9,302.30
Max. Negotiated Rate	$9,767.42
Rate for Payer: BCBS Complete	$9,767.42
Rate for Payer: Mclaren Medicaid	$9,302.30
Rate for Payer: Meridian Medicaid	$9,767.42
Rate for Payer: PHP Medicaid	$9,302.30
Rate for Payer: Priority Health Choice Medicaid	$9,302.30

INPATIENT APRDRG 1201: MAJOR RESPIRATORY & CHEST PROCEDURES

Facility

$9,634.74

Service Code	APR-DRG 1201
Hospital Charge Code	APRDRG 1201
Min. Negotiated Rate	$9,175.94
Max. Negotiated Rate	$9,634.74
Rate for Payer: BCBS Complete	$9,634.74
Rate for Payer: Mclaren Medicaid	$9,175.94
Rate for Payer: Meridian Medicaid	$9,634.74
Rate for Payer: PHP Medicaid	$9,175.94
Rate for Payer: Priority Health Choice Medicaid	$9,175.94

INPATIENT APRDRG 1202: MAJOR RESPIRATORY & CHEST PROCEDURES

Facility

$13,139.86

Service Code	APR-DRG 1202
Hospital Charge Code	APRDRG 1202
Min. Negotiated Rate	$12,514.15
Max. Negotiated Rate	$13,139.86
Rate for Payer: BCBS Complete	$13,139.86
Rate for Payer: Mclaren Medicaid	$12,514.15
Rate for Payer: Meridian Medicaid	$13,139.86
Rate for Payer: PHP Medicaid	$12,514.15
Rate for Payer: Priority Health Choice Medicaid	$12,514.15

INPATIENT APRDRG 1203: MAJOR RESPIRATORY & CHEST PROCEDURES

Facility

$18,671.10

Service Code	APR-DRG 1203
Hospital Charge Code	APRDRG 1203
Min. Negotiated Rate	$17,782.00
Max. Negotiated Rate	$18,671.10
Rate for Payer: BCBS Complete	$18,671.10
Rate for Payer: Mclaren Medicaid	$17,782.00
Rate for Payer: Meridian Medicaid	$18,671.10
Rate for Payer: PHP Medicaid	$17,782.00
Rate for Payer: Priority Health Choice Medicaid	$17,782.00

INPATIENT APRDRG 1204: MAJOR RESPIRATORY & CHEST PROCEDURES

Facility

$31,509.22

Service Code	APR-DRG 1204
Hospital Charge Code	APRDRG 1204
Min. Negotiated Rate	$30,008.78
Max. Negotiated Rate	$31,509.22
Rate for Payer: BCBS Complete	$31,509.22
Rate for Payer: Mclaren Medicaid	$30,008.78
Rate for Payer: Meridian Medicaid	$31,509.22
Rate for Payer: PHP Medicaid	$30,008.78
Rate for Payer: Priority Health Choice Medicaid	$30,008.78

INPATIENT APRDRG 1211: OTHER RESPIRATORY & CHEST PROCEDURES

Facility

$8,224.39

Service Code	APR-DRG 1211
Hospital Charge Code	APRDRG 1211
Min. Negotiated Rate	$7,832.75
Max. Negotiated Rate	$8,224.39
Rate for Payer: BCBS Complete	$8,224.39
Rate for Payer: Mclaren Medicaid	$7,832.75
Rate for Payer: Meridian Medicaid	$8,224.39
Rate for Payer: PHP Medicaid	$7,832.75
Rate for Payer: Priority Health Choice Medicaid	$7,832.75

INPATIENT APRDRG 1212: OTHER RESPIRATORY & CHEST PROCEDURES

Facility

$10,892.42

Service Code	APR-DRG 1212
Hospital Charge Code	APRDRG 1212
Min. Negotiated Rate	$10,373.73
Max. Negotiated Rate	$10,892.42
Rate for Payer: BCBS Complete	$10,892.42
Rate for Payer: Mclaren Medicaid	$10,373.73
Rate for Payer: Meridian Medicaid	$10,892.42
Rate for Payer: PHP Medicaid	$10,373.73
Rate for Payer: Priority Health Choice Medicaid	$10,373.73

INPATIENT APRDRG 1213: OTHER RESPIRATORY & CHEST PROCEDURES

Facility

$13,762.30

Service Code	APR-DRG 1213
Hospital Charge Code	APRDRG 1213
Min. Negotiated Rate	$13,106.95
Max. Negotiated Rate	$13,762.30
Rate for Payer: BCBS Complete	$13,762.30
Rate for Payer: Mclaren Medicaid	$13,106.95
Rate for Payer: Meridian Medicaid	$13,762.30
Rate for Payer: PHP Medicaid	$13,106.95
Rate for Payer: Priority Health Choice Medicaid	$13,106.95

INPATIENT APRDRG 1214: OTHER RESPIRATORY & CHEST PROCEDURES

Facility

$24,534.32

Service Code	APR-DRG 1214
Hospital Charge Code	APRDRG 1214
Min. Negotiated Rate	$23,366.02
Max. Negotiated Rate	$24,534.32
Rate for Payer: BCBS Complete	$24,534.32
Rate for Payer: Mclaren Medicaid	$23,366.02
Rate for Payer: Meridian Medicaid	$24,534.32
Rate for Payer: PHP Medicaid	$23,366.02
Rate for Payer: Priority Health Choice Medicaid	$23,366.02

INPATIENT APRDRG 1301: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS

Facility

$15,257.17

Service Code	APR-DRG 1301
Hospital Charge Code	APRDRG 1301
Min. Negotiated Rate	$14,530.64
Max. Negotiated Rate	$15,257.17
Rate for Payer: BCBS Complete	$15,257.17
Rate for Payer: Mclaren Medicaid	$14,530.64
Rate for Payer: Meridian Medicaid	$15,257.17
Rate for Payer: PHP Medicaid	$14,530.64
Rate for Payer: Priority Health Choice Medicaid	$14,530.64

INPATIENT APRDRG 1302: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS

Facility

$17,050.20

Service Code	APR-DRG 1302
Hospital Charge Code	APRDRG 1302
Min. Negotiated Rate	$16,238.29
Max. Negotiated Rate	$17,050.20
Rate for Payer: BCBS Complete	$17,050.20
Rate for Payer: Mclaren Medicaid	$16,238.29
Rate for Payer: Meridian Medicaid	$17,050.20
Rate for Payer: PHP Medicaid	$16,238.29
Rate for Payer: Priority Health Choice Medicaid	$16,238.29

Know your out-of-pocket cost for care.

All Charges