Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 1303: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS

Facility

$22,154.71

Service Code	APR-DRG 1303
Hospital Charge Code	APRDRG 1303
Min. Negotiated Rate	$21,099.72
Max. Negotiated Rate	$22,154.71
Rate for Payer: BCBS Complete	$22,154.71
Rate for Payer: Mclaren Medicaid	$21,099.72
Rate for Payer: Meridian Medicaid	$22,154.71
Rate for Payer: PHP Medicaid	$21,099.72
Rate for Payer: Priority Health Choice Medicaid	$21,099.72

INPATIENT APRDRG 1304: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS

Facility

$24,557.37

Service Code	APR-DRG 1304
Hospital Charge Code	APRDRG 1304
Min. Negotiated Rate	$23,387.97
Max. Negotiated Rate	$24,557.37
Rate for Payer: BCBS Complete	$24,557.37
Rate for Payer: Mclaren Medicaid	$23,387.97
Rate for Payer: Meridian Medicaid	$24,557.37
Rate for Payer: PHP Medicaid	$23,387.97
Rate for Payer: Priority Health Choice Medicaid	$23,387.97

INPATIENT APRDRG 1311: CYSTIC FIBROSIS - PULMONARY DISEASE

Facility

$8,768.44

Service Code	APR-DRG 1311
Hospital Charge Code	APRDRG 1311
Min. Negotiated Rate	$8,350.90
Max. Negotiated Rate	$8,768.44
Rate for Payer: BCBS Complete	$8,768.44
Rate for Payer: Mclaren Medicaid	$8,350.90
Rate for Payer: Meridian Medicaid	$8,768.44
Rate for Payer: PHP Medicaid	$8,350.90
Rate for Payer: Priority Health Choice Medicaid	$8,350.90

INPATIENT APRDRG 1312: CYSTIC FIBROSIS - PULMONARY DISEASE

Facility

$11,113.21

Service Code	APR-DRG 1312
Hospital Charge Code	APRDRG 1312
Min. Negotiated Rate	$10,584.01
Max. Negotiated Rate	$11,113.21
Rate for Payer: BCBS Complete	$11,113.21
Rate for Payer: Mclaren Medicaid	$10,584.01
Rate for Payer: Meridian Medicaid	$11,113.21
Rate for Payer: PHP Medicaid	$10,584.01
Rate for Payer: Priority Health Choice Medicaid	$10,584.01

INPATIENT APRDRG 1313: CYSTIC FIBROSIS - PULMONARY DISEASE

Facility

$14,612.19

Service Code	APR-DRG 1313
Hospital Charge Code	APRDRG 1313
Min. Negotiated Rate	$13,916.37
Max. Negotiated Rate	$14,612.19
Rate for Payer: BCBS Complete	$14,612.19
Rate for Payer: Mclaren Medicaid	$13,916.37
Rate for Payer: Meridian Medicaid	$14,612.19
Rate for Payer: PHP Medicaid	$13,916.37
Rate for Payer: Priority Health Choice Medicaid	$13,916.37

INPATIENT APRDRG 1314: CYSTIC FIBROSIS - PULMONARY DISEASE

Facility

$17,172.13

Service Code	APR-DRG 1314
Hospital Charge Code	APRDRG 1314
Min. Negotiated Rate	$16,354.41
Max. Negotiated Rate	$17,172.13
Rate for Payer: BCBS Complete	$17,172.13
Rate for Payer: Mclaren Medicaid	$16,354.41
Rate for Payer: Meridian Medicaid	$17,172.13
Rate for Payer: PHP Medicaid	$16,354.41
Rate for Payer: Priority Health Choice Medicaid	$16,354.41

INPATIENT APRDRG 1321: BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD

Facility

$2,636.78

Service Code	APR-DRG 1321
Hospital Charge Code	APRDRG 1321
Min. Negotiated Rate	$2,511.22
Max. Negotiated Rate	$2,636.78
Rate for Payer: BCBS Complete	$2,636.78
Rate for Payer: Mclaren Medicaid	$2,511.22
Rate for Payer: Meridian Medicaid	$2,636.78
Rate for Payer: PHP Medicaid	$2,511.22
Rate for Payer: Priority Health Choice Medicaid	$2,511.22

INPATIENT APRDRG 1322: BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD

Facility

$3,798.15

Service Code	APR-DRG 1322
Hospital Charge Code	APRDRG 1322
Min. Negotiated Rate	$3,617.29
Max. Negotiated Rate	$3,798.15
Rate for Payer: BCBS Complete	$3,798.15
Rate for Payer: Mclaren Medicaid	$3,617.29
Rate for Payer: Meridian Medicaid	$3,798.15
Rate for Payer: PHP Medicaid	$3,617.29
Rate for Payer: Priority Health Choice Medicaid	$3,617.29

INPATIENT APRDRG 1323: BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD

Facility

$7,105.02

Service Code	APR-DRG 1323
Hospital Charge Code	APRDRG 1323
Min. Negotiated Rate	$6,766.69
Max. Negotiated Rate	$7,105.02
Rate for Payer: BCBS Complete	$7,105.02
Rate for Payer: Mclaren Medicaid	$6,766.69
Rate for Payer: Meridian Medicaid	$7,105.02
Rate for Payer: PHP Medicaid	$6,766.69
Rate for Payer: Priority Health Choice Medicaid	$6,766.69

INPATIENT APRDRG 1324: BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD

Facility

$8,491.29

Service Code	APR-DRG 1324
Hospital Charge Code	APRDRG 1324
Min. Negotiated Rate	$8,086.94
Max. Negotiated Rate	$8,491.29
Rate for Payer: BCBS Complete	$8,491.29
Rate for Payer: Mclaren Medicaid	$8,086.94
Rate for Payer: Meridian Medicaid	$8,491.29
Rate for Payer: PHP Medicaid	$8,086.94
Rate for Payer: Priority Health Choice Medicaid	$8,086.94

INPATIENT APRDRG 1331: RESPIRATORY FAILURE

Facility

$2,409.83

Service Code	APR-DRG 1331
Hospital Charge Code	APRDRG 1331
Min. Negotiated Rate	$2,295.08
Max. Negotiated Rate	$2,409.83
Rate for Payer: BCBS Complete	$2,409.83
Rate for Payer: Mclaren Medicaid	$2,295.08
Rate for Payer: Meridian Medicaid	$2,409.83
Rate for Payer: PHP Medicaid	$2,295.08
Rate for Payer: Priority Health Choice Medicaid	$2,295.08

INPATIENT APRDRG 1332: RESPIRATORY FAILURE

Facility

$4,231.55

Service Code	APR-DRG 1332
Hospital Charge Code	APRDRG 1332
Min. Negotiated Rate	$4,030.05
Max. Negotiated Rate	$4,231.55
Rate for Payer: BCBS Complete	$4,231.55
Rate for Payer: Mclaren Medicaid	$4,030.05
Rate for Payer: Meridian Medicaid	$4,231.55
Rate for Payer: PHP Medicaid	$4,030.05
Rate for Payer: Priority Health Choice Medicaid	$4,030.05

INPATIENT APRDRG 1333: RESPIRATORY FAILURE

Facility

$6,431.36

Service Code	APR-DRG 1333
Hospital Charge Code	APRDRG 1333
Min. Negotiated Rate	$6,125.10
Max. Negotiated Rate	$6,431.36
Rate for Payer: BCBS Complete	$6,431.36
Rate for Payer: Mclaren Medicaid	$6,125.10
Rate for Payer: Meridian Medicaid	$6,431.36
Rate for Payer: PHP Medicaid	$6,125.10
Rate for Payer: Priority Health Choice Medicaid	$6,125.10

INPATIENT APRDRG 1334: RESPIRATORY FAILURE

Facility

$10,288.93

Service Code	APR-DRG 1334
Hospital Charge Code	APRDRG 1334
Min. Negotiated Rate	$9,798.98
Max. Negotiated Rate	$10,288.93
Rate for Payer: BCBS Complete	$10,288.93
Rate for Payer: Mclaren Medicaid	$9,798.98
Rate for Payer: Meridian Medicaid	$10,288.93
Rate for Payer: PHP Medicaid	$9,798.98
Rate for Payer: Priority Health Choice Medicaid	$9,798.98

INPATIENT APRDRG 1341: PULMONARY EMBOLISM

Facility

$3,148.56

Service Code	APR-DRG 1341
Hospital Charge Code	APRDRG 1341
Min. Negotiated Rate	$2,998.63
Max. Negotiated Rate	$3,148.56
Rate for Payer: BCBS Complete	$3,148.56
Rate for Payer: Mclaren Medicaid	$2,998.63
Rate for Payer: Meridian Medicaid	$3,148.56
Rate for Payer: PHP Medicaid	$2,998.63
Rate for Payer: Priority Health Choice Medicaid	$2,998.63

INPATIENT APRDRG 1342: PULMONARY EMBOLISM

Facility

$3,913.42

Service Code	APR-DRG 1342
Hospital Charge Code	APRDRG 1342
Min. Negotiated Rate	$3,727.07
Max. Negotiated Rate	$3,913.42
Rate for Payer: BCBS Complete	$3,913.42
Rate for Payer: Mclaren Medicaid	$3,727.07
Rate for Payer: Meridian Medicaid	$3,913.42
Rate for Payer: PHP Medicaid	$3,727.07
Rate for Payer: Priority Health Choice Medicaid	$3,727.07

INPATIENT APRDRG 1343: PULMONARY EMBOLISM

Facility

$6,027.15

Service Code	APR-DRG 1343
Hospital Charge Code	APRDRG 1343
Min. Negotiated Rate	$5,740.14
Max. Negotiated Rate	$6,027.15
Rate for Payer: BCBS Complete	$6,027.15
Rate for Payer: Mclaren Medicaid	$5,740.14
Rate for Payer: Meridian Medicaid	$6,027.15
Rate for Payer: PHP Medicaid	$5,740.14
Rate for Payer: Priority Health Choice Medicaid	$5,740.14

INPATIENT APRDRG 1344: PULMONARY EMBOLISM

Facility

$9,414.96

Service Code	APR-DRG 1344
Hospital Charge Code	APRDRG 1344
Min. Negotiated Rate	$8,966.63
Max. Negotiated Rate	$9,414.96
Rate for Payer: BCBS Complete	$9,414.96
Rate for Payer: Mclaren Medicaid	$8,966.63
Rate for Payer: Meridian Medicaid	$9,414.96
Rate for Payer: PHP Medicaid	$8,966.63
Rate for Payer: Priority Health Choice Medicaid	$8,966.63

INPATIENT APRDRG 1351: MAJOR CHEST & RESPIRAZORY TRAUMA

Facility

$4,415.98

Service Code	APR-DRG 1351
Hospital Charge Code	APRDRG 1351
Min. Negotiated Rate	$4,205.70
Max. Negotiated Rate	$4,415.98
Rate for Payer: BCBS Complete	$4,415.98
Rate for Payer: Mclaren Medicaid	$4,205.70
Rate for Payer: Meridian Medicaid	$4,415.98
Rate for Payer: PHP Medicaid	$4,205.70
Rate for Payer: Priority Health Choice Medicaid	$4,205.70

INPATIENT APRDRG 1352: MAJOR CHEST & RESPIRATORY TRAUMA

Facility

$4,923.16

Service Code	APR-DRG 1352
Hospital Charge Code	APRDRG 1352
Min. Negotiated Rate	$4,688.72
Max. Negotiated Rate	$4,923.16
Rate for Payer: BCBS Complete	$4,923.16
Rate for Payer: Mclaren Medicaid	$4,688.72
Rate for Payer: Meridian Medicaid	$4,923.16
Rate for Payer: PHP Medicaid	$4,688.72
Rate for Payer: Priority Health Choice Medicaid	$4,688.72

INPATIENT APRDRG 1353: MAJOR CHEST & RESPIRATORY TRAUMA

Facility

$6,787.40

Service Code	APR-DRG 1353
Hospital Charge Code	APRDRG 1353
Min. Negotiated Rate	$6,464.19
Max. Negotiated Rate	$6,787.40
Rate for Payer: BCBS Complete	$6,787.40
Rate for Payer: Mclaren Medicaid	$6,464.19
Rate for Payer: Meridian Medicaid	$6,787.40
Rate for Payer: PHP Medicaid	$6,464.19
Rate for Payer: Priority Health Choice Medicaid	$6,464.19

INPATIENT APRDRG 1354: MAJOR CHEST & RESPIRATORY TRAUMA

Facility

$10,644.97

Service Code	APR-DRG 1354
Hospital Charge Code	APRDRG 1354
Min. Negotiated Rate	$10,138.07
Max. Negotiated Rate	$10,644.97
Rate for Payer: BCBS Complete	$10,644.97
Rate for Payer: Mclaren Medicaid	$10,138.07
Rate for Payer: Meridian Medicaid	$10,644.97
Rate for Payer: PHP Medicaid	$10,138.07
Rate for Payer: Priority Health Choice Medicaid	$10,138.07

INPATIENT APRDRG 1361: RESPIRATORY MALIGNANCY

Facility

$4,886.78

Service Code	APR-DRG 1361
Hospital Charge Code	APRDRG 1361
Min. Negotiated Rate	$4,654.08
Max. Negotiated Rate	$4,886.78
Rate for Payer: BCBS Complete	$4,886.78
Rate for Payer: Mclaren Medicaid	$4,654.08
Rate for Payer: Meridian Medicaid	$4,886.78
Rate for Payer: PHP Medicaid	$4,654.08
Rate for Payer: Priority Health Choice Medicaid	$4,654.08

INPATIENT APRDRG 1362: RESPIRATORY MALIGNANCY

Facility

$6,042.52

Service Code	APR-DRG 1362
Hospital Charge Code	APRDRG 1362
Min. Negotiated Rate	$5,754.78
Max. Negotiated Rate	$6,042.52
Rate for Payer: BCBS Complete	$6,042.52
Rate for Payer: Mclaren Medicaid	$5,754.78
Rate for Payer: Meridian Medicaid	$6,042.52
Rate for Payer: PHP Medicaid	$5,754.78
Rate for Payer: Priority Health Choice Medicaid	$5,754.78

INPATIENT APRDRG 1363: RESPIRATORY MALIGNANCY

Facility

$7,729.00

Service Code	APR-DRG 1363
Hospital Charge Code	APRDRG 1363
Min. Negotiated Rate	$7,360.95
Max. Negotiated Rate	$7,729.00
Rate for Payer: BCBS Complete	$7,729.00
Rate for Payer: Mclaren Medicaid	$7,360.95
Rate for Payer: Meridian Medicaid	$7,729.00
Rate for Payer: PHP Medicaid	$7,360.95
Rate for Payer: Priority Health Choice Medicaid	$7,360.95

Know your out-of-pocket cost for care.

All Charges