Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 2331: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS

Facility

$5,789.45

Service Code	APR-DRG 2331
Hospital Charge Code	APRDRG 2331
Min. Negotiated Rate	$5,513.76
Max. Negotiated Rate	$5,789.45
Rate for Payer: BCBS Complete	$5,789.45
Rate for Payer: Mclaren Medicaid	$5,513.76
Rate for Payer: Meridian Medicaid	$5,789.45
Rate for Payer: PHP Medicaid	$5,513.76
Rate for Payer: Priority Health Choice Medicaid	$5,513.76

INPATIENT APRDRG 2332: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS

Facility

$7,378.08

Service Code	APR-DRG 2332
Hospital Charge Code	APRDRG 2332
Min. Negotiated Rate	$7,026.74
Max. Negotiated Rate	$7,378.08
Rate for Payer: BCBS Complete	$7,378.08
Rate for Payer: Mclaren Medicaid	$7,026.74
Rate for Payer: Meridian Medicaid	$7,378.08
Rate for Payer: PHP Medicaid	$7,026.74
Rate for Payer: Priority Health Choice Medicaid	$7,026.74

INPATIENT APRDRG 2333: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS

Facility

$10,333.50

Service Code	APR-DRG 2333
Hospital Charge Code	APRDRG 2333
Min. Negotiated Rate	$9,841.43
Max. Negotiated Rate	$10,333.50
Rate for Payer: BCBS Complete	$10,333.50
Rate for Payer: Mclaren Medicaid	$9,841.43
Rate for Payer: Meridian Medicaid	$10,333.50
Rate for Payer: PHP Medicaid	$9,841.43
Rate for Payer: Priority Health Choice Medicaid	$9,841.43

INPATIENT APRDRG 2334: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS

Facility

$16,203.38

Service Code	APR-DRG 2334
Hospital Charge Code	APRDRG 2334
Min. Negotiated Rate	$15,431.79
Max. Negotiated Rate	$16,203.38
Rate for Payer: BCBS Complete	$16,203.38
Rate for Payer: Mclaren Medicaid	$15,431.79
Rate for Payer: Meridian Medicaid	$16,203.38
Rate for Payer: PHP Medicaid	$15,431.79
Rate for Payer: Priority Health Choice Medicaid	$15,431.79

INPATIENT APRDRG 2341: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS

Facility

$5,308.40

Service Code	APR-DRG 2341
Hospital Charge Code	APRDRG 2341
Min. Negotiated Rate	$5,055.62
Max. Negotiated Rate	$5,308.40
Rate for Payer: BCBS Complete	$5,308.40
Rate for Payer: Mclaren Medicaid	$5,055.62
Rate for Payer: Meridian Medicaid	$5,308.40
Rate for Payer: PHP Medicaid	$5,055.62
Rate for Payer: Priority Health Choice Medicaid	$5,055.62

INPATIENT APRDRG 2342: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS

Facility

$6,428.79

Service Code	APR-DRG 2342
Hospital Charge Code	APRDRG 2342
Min. Negotiated Rate	$6,122.66
Max. Negotiated Rate	$6,428.79
Rate for Payer: BCBS Complete	$6,428.79
Rate for Payer: Mclaren Medicaid	$6,122.66
Rate for Payer: Meridian Medicaid	$6,428.79
Rate for Payer: PHP Medicaid	$6,122.66
Rate for Payer: Priority Health Choice Medicaid	$6,122.66

INPATIENT APRDRG 2343: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS

Facility

$9,671.11

Service Code	APR-DRG 2343
Hospital Charge Code	APRDRG 2343
Min. Negotiated Rate	$9,210.58
Max. Negotiated Rate	$9,671.11
Rate for Payer: BCBS Complete	$9,671.11
Rate for Payer: Mclaren Medicaid	$9,210.58
Rate for Payer: Meridian Medicaid	$9,671.11
Rate for Payer: PHP Medicaid	$9,210.58
Rate for Payer: Priority Health Choice Medicaid	$9,210.58

INPATIENT APRDRG 2344: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS

Facility

$17,101.43

Service Code	APR-DRG 2344
Hospital Charge Code	APRDRG 2344
Min. Negotiated Rate	$16,287.08
Max. Negotiated Rate	$17,101.43
Rate for Payer: BCBS Complete	$17,101.43
Rate for Payer: Mclaren Medicaid	$16,287.08
Rate for Payer: Meridian Medicaid	$17,101.43
Rate for Payer: PHP Medicaid	$16,287.08
Rate for Payer: Priority Health Choice Medicaid	$16,287.08

INPATIENT APRDRG 2401: DIGESTIVE MALIGNANCY

Facility

$4,879.10

Service Code	APR-DRG 2401
Hospital Charge Code	APRDRG 2401
Min. Negotiated Rate	$4,646.76
Max. Negotiated Rate	$4,879.10
Rate for Payer: BCBS Complete	$4,879.10
Rate for Payer: Mclaren Medicaid	$4,646.76
Rate for Payer: Meridian Medicaid	$4,879.10
Rate for Payer: PHP Medicaid	$4,646.76
Rate for Payer: Priority Health Choice Medicaid	$4,646.76

INPATIENT APRDRG 2402: DIGESTIVE MALIGNANCY

Facility

$5,693.13

Service Code	APR-DRG 2402
Hospital Charge Code	APRDRG 2402
Min. Negotiated Rate	$5,422.03
Max. Negotiated Rate	$5,693.13
Rate for Payer: BCBS Complete	$5,693.13
Rate for Payer: Mclaren Medicaid	$5,422.03
Rate for Payer: Meridian Medicaid	$5,693.13
Rate for Payer: PHP Medicaid	$5,422.03
Rate for Payer: Priority Health Choice Medicaid	$5,422.03

INPATIENT APRDRG 2403: DIGESTIVE MALIGNANCY

Facility

$7,540.47

Service Code	APR-DRG 2403
Hospital Charge Code	APRDRG 2403
Min. Negotiated Rate	$7,181.40
Max. Negotiated Rate	$7,540.47
Rate for Payer: BCBS Complete	$7,540.47
Rate for Payer: Mclaren Medicaid	$7,181.40
Rate for Payer: Meridian Medicaid	$7,540.47
Rate for Payer: PHP Medicaid	$7,181.40
Rate for Payer: Priority Health Choice Medicaid	$7,181.40

INPATIENT APRDRG 2404: DIGESTIVE MALIGNANCY

Facility

$10,845.80

Service Code	APR-DRG 2404
Hospital Charge Code	APRDRG 2404
Min. Negotiated Rate	$10,329.33
Max. Negotiated Rate	$10,845.80
Rate for Payer: BCBS Complete	$10,845.80
Rate for Payer: Mclaren Medicaid	$10,329.33
Rate for Payer: Meridian Medicaid	$10,845.80
Rate for Payer: PHP Medicaid	$10,329.33
Rate for Payer: Priority Health Choice Medicaid	$10,329.33

INPATIENT APRDRG 2411: PEPTIC ULCER & GASTRITIS

Facility

$3,489.75

Service Code	APR-DRG 2411
Hospital Charge Code	APRDRG 2411
Min. Negotiated Rate	$3,323.57
Max. Negotiated Rate	$3,489.75
Rate for Payer: BCBS Complete	$3,489.75
Rate for Payer: Mclaren Medicaid	$3,323.57
Rate for Payer: Meridian Medicaid	$3,489.75
Rate for Payer: PHP Medicaid	$3,323.57
Rate for Payer: Priority Health Choice Medicaid	$3,323.57

INPATIENT APRDRG 2412: PEPTIC ULCER & GASTRITIS

Facility

$4,215.16

Service Code	APR-DRG 2412
Hospital Charge Code	APRDRG 2412
Min. Negotiated Rate	$4,014.44
Max. Negotiated Rate	$4,215.16
Rate for Payer: BCBS Complete	$4,215.16
Rate for Payer: Mclaren Medicaid	$4,014.44
Rate for Payer: Meridian Medicaid	$4,215.16
Rate for Payer: PHP Medicaid	$4,014.44
Rate for Payer: Priority Health Choice Medicaid	$4,014.44

INPATIENT APRDRG 2413: PEPTIC ULCER & GASTRITIS

Facility

$6,060.45

Service Code	APR-DRG 2413
Hospital Charge Code	APRDRG 2413
Min. Negotiated Rate	$5,771.86
Max. Negotiated Rate	$6,060.45
Rate for Payer: BCBS Complete	$6,060.45
Rate for Payer: Mclaren Medicaid	$5,771.86
Rate for Payer: Meridian Medicaid	$6,060.45
Rate for Payer: PHP Medicaid	$5,771.86
Rate for Payer: Priority Health Choice Medicaid	$5,771.86

INPATIENT APRDRG 2414: PEPTIC ULCER & GASTRITIS

Facility

$12,249.49

Service Code	APR-DRG 2414
Hospital Charge Code	APRDRG 2414
Min. Negotiated Rate	$11,666.18
Max. Negotiated Rate	$12,249.49
Rate for Payer: BCBS Complete	$12,249.49
Rate for Payer: Mclaren Medicaid	$11,666.18
Rate for Payer: Meridian Medicaid	$12,249.49
Rate for Payer: PHP Medicaid	$11,666.18
Rate for Payer: Priority Health Choice Medicaid	$11,666.18

INPATIENT APRDRG 2421: MAJOR ESOPHAGEAL DISORDERS

Facility

$3,240.78

Service Code	APR-DRG 2421
Hospital Charge Code	APRDRG 2421
Min. Negotiated Rate	$3,086.46
Max. Negotiated Rate	$3,240.78
Rate for Payer: BCBS Complete	$3,240.78
Rate for Payer: Mclaren Medicaid	$3,086.46
Rate for Payer: Meridian Medicaid	$3,240.78
Rate for Payer: PHP Medicaid	$3,086.46
Rate for Payer: Priority Health Choice Medicaid	$3,086.46

INPATIENT APRDRG 2422: MAJOR ESOPHAGEAL DISORDERS

Facility

$4,616.80

Service Code	APR-DRG 2422
Hospital Charge Code	APRDRG 2422
Min. Negotiated Rate	$4,396.95
Max. Negotiated Rate	$4,616.80
Rate for Payer: BCBS Complete	$4,616.80
Rate for Payer: Mclaren Medicaid	$4,396.95
Rate for Payer: Meridian Medicaid	$4,616.80
Rate for Payer: PHP Medicaid	$4,396.95
Rate for Payer: Priority Health Choice Medicaid	$4,396.95

INPATIENT APRDRG 2423: MAJOR ESOPHAGEAL DISORDERS

Facility

$6,179.82

Service Code	APR-DRG 2423
Hospital Charge Code	APRDRG 2423
Min. Negotiated Rate	$5,885.54
Max. Negotiated Rate	$6,179.82
Rate for Payer: BCBS Complete	$6,179.82
Rate for Payer: Mclaren Medicaid	$5,885.54
Rate for Payer: Meridian Medicaid	$6,179.82
Rate for Payer: PHP Medicaid	$5,885.54
Rate for Payer: Priority Health Choice Medicaid	$5,885.54

INPATIENT APRDRG 2424: MAJOR ESOPHAGEAL DISORDERS

Facility

$11,006.14

Service Code	APR-DRG 2424
Hospital Charge Code	APRDRG 2424
Min. Negotiated Rate	$10,482.04
Max. Negotiated Rate	$11,006.14
Rate for Payer: BCBS Complete	$11,006.14
Rate for Payer: Mclaren Medicaid	$10,482.04
Rate for Payer: Meridian Medicaid	$11,006.14
Rate for Payer: PHP Medicaid	$10,482.04
Rate for Payer: Priority Health Choice Medicaid	$10,482.04

INPATIENT APRDRG 2431: OTHER ESOPHAGEAL DISORDERS

Facility

$2,870.38

Service Code	APR-DRG 2431
Hospital Charge Code	APRDRG 2431
Min. Negotiated Rate	$2,733.70
Max. Negotiated Rate	$2,870.38
Rate for Payer: BCBS Complete	$2,870.38
Rate for Payer: Mclaren Medicaid	$2,733.70
Rate for Payer: Meridian Medicaid	$2,870.38
Rate for Payer: PHP Medicaid	$2,733.70
Rate for Payer: Priority Health Choice Medicaid	$2,733.70

INPATIENT APRDRG 2432: OTHER ESOPHAGEAL DISORDERS

Facility

$4,127.05

Service Code	APR-DRG 2432
Hospital Charge Code	APRDRG 2432
Min. Negotiated Rate	$3,930.52
Max. Negotiated Rate	$4,127.05
Rate for Payer: BCBS Complete	$4,127.05
Rate for Payer: Mclaren Medicaid	$3,930.52
Rate for Payer: Meridian Medicaid	$4,127.05
Rate for Payer: PHP Medicaid	$3,930.52
Rate for Payer: Priority Health Choice Medicaid	$3,930.52

INPATIENT APRDRG 2433: OTHER ESOPHAGEAL DISORDERS

Facility

$5,661.88

Service Code	APR-DRG 2433
Hospital Charge Code	APRDRG 2433
Min. Negotiated Rate	$5,392.27
Max. Negotiated Rate	$5,661.88
Rate for Payer: BCBS Complete	$5,661.88
Rate for Payer: Mclaren Medicaid	$5,392.27
Rate for Payer: Meridian Medicaid	$5,661.88
Rate for Payer: PHP Medicaid	$5,392.27
Rate for Payer: Priority Health Choice Medicaid	$5,392.27

INPATIENT APRDRG 2434: OTHER ESOPHAGEAL DISORDERS

Facility

$9,089.14

Service Code	APR-DRG 2434
Hospital Charge Code	APRDRG 2434
Min. Negotiated Rate	$8,656.32
Max. Negotiated Rate	$9,089.14
Rate for Payer: BCBS Complete	$9,089.14
Rate for Payer: Mclaren Medicaid	$8,656.32
Rate for Payer: Meridian Medicaid	$9,089.14
Rate for Payer: PHP Medicaid	$8,656.32
Rate for Payer: Priority Health Choice Medicaid	$8,656.32

INPATIENT APRDRG 2441: DIVERTICULITIS & DIVERTICULOSIS

Facility

$2,936.47

Service Code	APR-DRG 2441
Hospital Charge Code	APRDRG 2441
Min. Negotiated Rate	$2,796.64
Max. Negotiated Rate	$2,936.47
Rate for Payer: BCBS Complete	$2,936.47
Rate for Payer: Mclaren Medicaid	$2,796.64
Rate for Payer: Meridian Medicaid	$2,936.47
Rate for Payer: PHP Medicaid	$2,796.64
Rate for Payer: Priority Health Choice Medicaid	$2,796.64

Know your out-of-pocket cost for care.

All Charges