Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 3102: INTERVERTEBRAL DISC EXCISION & DECOMPRESSION

Facility

$10,529.20

Service Code	APR-DRG 3102
Hospital Charge Code	APRDRG 3102
Min. Negotiated Rate	$10,027.81
Max. Negotiated Rate	$10,529.20
Rate for Payer: BCBS Complete	$10,529.20
Rate for Payer: Mclaren Medicaid	$10,027.81
Rate for Payer: Meridian Medicaid	$10,529.20
Rate for Payer: PHP Medicaid	$10,027.81
Rate for Payer: Priority Health Choice Medicaid	$10,027.81

INPATIENT APRDRG 3103: INTERVERTEBRAL DISC EXCISION & DECOMPRESSION

Facility

$16,159.32

Service Code	APR-DRG 3103
Hospital Charge Code	APRDRG 3103
Min. Negotiated Rate	$15,389.83
Max. Negotiated Rate	$16,159.32
Rate for Payer: BCBS Complete	$16,159.32
Rate for Payer: Mclaren Medicaid	$15,389.83
Rate for Payer: Meridian Medicaid	$16,159.32
Rate for Payer: PHP Medicaid	$15,389.83
Rate for Payer: Priority Health Choice Medicaid	$15,389.83

INPATIENT APRDRG 3104: INTERVERTEBRAL DISC EXCISION & DECOMPRESSION

Facility

$30,047.13

Service Code	APR-DRG 3104
Hospital Charge Code	APRDRG 3104
Min. Negotiated Rate	$28,616.31
Max. Negotiated Rate	$30,047.13
Rate for Payer: BCBS Complete	$30,047.13
Rate for Payer: Mclaren Medicaid	$28,616.31
Rate for Payer: Meridian Medicaid	$30,047.13
Rate for Payer: PHP Medicaid	$28,616.31
Rate for Payer: Priority Health Choice Medicaid	$28,616.31

INPATIENT APRDRG 3121: SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES

Facility

$9,147.54

Service Code	APR-DRG 3121
Hospital Charge Code	APRDRG 3121
Min. Negotiated Rate	$8,711.94
Max. Negotiated Rate	$9,147.54
Rate for Payer: BCBS Complete	$9,147.54
Rate for Payer: Mclaren Medicaid	$8,711.94
Rate for Payer: Meridian Medicaid	$9,147.54
Rate for Payer: PHP Medicaid	$8,711.94
Rate for Payer: Priority Health Choice Medicaid	$8,711.94

INPATIENT APRDRG 3122: SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES

Facility

$13,845.79

Service Code	APR-DRG 3122
Hospital Charge Code	APRDRG 3122
Min. Negotiated Rate	$13,186.47
Max. Negotiated Rate	$13,845.79
Rate for Payer: BCBS Complete	$13,845.79
Rate for Payer: Mclaren Medicaid	$13,186.47
Rate for Payer: Meridian Medicaid	$13,845.79
Rate for Payer: PHP Medicaid	$13,186.47
Rate for Payer: Priority Health Choice Medicaid	$13,186.47

INPATIENT APRDRG 3123: SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES

Facility

$20,149.58

Service Code	APR-DRG 3123
Hospital Charge Code	APRDRG 3123
Min. Negotiated Rate	$19,190.08
Max. Negotiated Rate	$20,149.58
Rate for Payer: BCBS Complete	$20,149.58
Rate for Payer: Mclaren Medicaid	$19,190.08
Rate for Payer: Meridian Medicaid	$20,149.58
Rate for Payer: PHP Medicaid	$19,190.08
Rate for Payer: Priority Health Choice Medicaid	$19,190.08

INPATIENT APRDRG 3124: SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES

Facility

$37,616.80

Service Code	APR-DRG 3124
Hospital Charge Code	APRDRG 3124
Min. Negotiated Rate	$35,825.52
Max. Negotiated Rate	$37,616.80
Rate for Payer: BCBS Complete	$37,616.80
Rate for Payer: Mclaren Medicaid	$35,825.52
Rate for Payer: Meridian Medicaid	$37,616.80
Rate for Payer: PHP Medicaid	$35,825.52
Rate for Payer: Priority Health Choice Medicaid	$35,825.52

INPATIENT APRDRG 3131: KNEE & LOWER LEG PROCEDURES EXCEPT FOOT

Facility

$8,447.74

Service Code	APR-DRG 3131
Hospital Charge Code	APRDRG 3131
Min. Negotiated Rate	$8,045.47
Max. Negotiated Rate	$8,447.74
Rate for Payer: BCBS Complete	$8,447.74
Rate for Payer: Mclaren Medicaid	$8,045.47
Rate for Payer: Meridian Medicaid	$8,447.74
Rate for Payer: PHP Medicaid	$8,045.47
Rate for Payer: Priority Health Choice Medicaid	$8,045.47

INPATIENT APRDRG 3132: KNEE & LOWER LEG PROCEDURES EXCEPT FOOT

Facility

$10,170.59

Service Code	APR-DRG 3132
Hospital Charge Code	APRDRG 3132
Min. Negotiated Rate	$9,686.28
Max. Negotiated Rate	$10,170.59
Rate for Payer: BCBS Complete	$10,170.59
Rate for Payer: Mclaren Medicaid	$9,686.28
Rate for Payer: Meridian Medicaid	$10,170.59
Rate for Payer: PHP Medicaid	$9,686.28
Rate for Payer: Priority Health Choice Medicaid	$9,686.28

INPATIENT APRDRG 3133: KNEE & LOWER LEG PROCEDURES EXCEPT FOOT

Facility

$12,907.27

Service Code	APR-DRG 3133
Hospital Charge Code	APRDRG 3133
Min. Negotiated Rate	$12,292.64
Max. Negotiated Rate	$12,907.27
Rate for Payer: BCBS Complete	$12,907.27
Rate for Payer: Mclaren Medicaid	$12,292.64
Rate for Payer: Meridian Medicaid	$12,907.27
Rate for Payer: PHP Medicaid	$12,292.64
Rate for Payer: Priority Health Choice Medicaid	$12,292.64

INPATIENT APRDRG 3134: KNEE & LOWER LEG PROCEDURES EXCEPT FOOT

Facility

$23,103.99

Service Code	APR-DRG 3134
Hospital Charge Code	APRDRG 3134
Min. Negotiated Rate	$22,003.80
Max. Negotiated Rate	$23,103.99
Rate for Payer: BCBS Complete	$23,103.99
Rate for Payer: Mclaren Medicaid	$22,003.80
Rate for Payer: Meridian Medicaid	$23,103.99
Rate for Payer: PHP Medicaid	$22,003.80
Rate for Payer: Priority Health Choice Medicaid	$22,003.80

INPATIENT APRDRG 3141: FOOT & TOE PROCEDURES

Facility

$6,886.27

Service Code	APR-DRG 3141
Hospital Charge Code	APRDRG 3141
Min. Negotiated Rate	$6,558.35
Max. Negotiated Rate	$6,886.27
Rate for Payer: BCBS Complete	$6,886.27
Rate for Payer: Mclaren Medicaid	$6,558.35
Rate for Payer: Meridian Medicaid	$6,886.27
Rate for Payer: PHP Medicaid	$6,558.35
Rate for Payer: Priority Health Choice Medicaid	$6,558.35

INPATIENT APRDRG 3142: FOOT & TOE PROCEDURES

Facility

$7,364.75

Service Code	APR-DRG 3142
Hospital Charge Code	APRDRG 3142
Min. Negotiated Rate	$7,014.05
Max. Negotiated Rate	$7,364.75
Rate for Payer: BCBS Complete	$7,364.75
Rate for Payer: Mclaren Medicaid	$7,014.05
Rate for Payer: Meridian Medicaid	$7,364.75
Rate for Payer: PHP Medicaid	$7,014.05
Rate for Payer: Priority Health Choice Medicaid	$7,014.05

INPATIENT APRDRG 3143: FOOT & TOE PROCEDURES

Facility

$9,181.86

Service Code	APR-DRG 3143
Hospital Charge Code	APRDRG 3143
Min. Negotiated Rate	$8,744.63
Max. Negotiated Rate	$9,181.86
Rate for Payer: BCBS Complete	$9,181.86
Rate for Payer: Mclaren Medicaid	$8,744.63
Rate for Payer: Meridian Medicaid	$9,181.86
Rate for Payer: PHP Medicaid	$8,744.63
Rate for Payer: Priority Health Choice Medicaid	$8,744.63

INPATIENT APRDRG 3144: FOOT & TOE PROCEDURES

Facility

$13,821.20

Service Code	APR-DRG 3144
Hospital Charge Code	APRDRG 3144
Min. Negotiated Rate	$13,163.05
Max. Negotiated Rate	$13,821.20
Rate for Payer: BCBS Complete	$13,821.20
Rate for Payer: Mclaren Medicaid	$13,163.05
Rate for Payer: Meridian Medicaid	$13,821.20
Rate for Payer: PHP Medicaid	$13,163.05
Rate for Payer: Priority Health Choice Medicaid	$13,163.05

INPATIENT APRDRG 3151: SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT

Facility

$6,362.19

Service Code	APR-DRG 3151
Hospital Charge Code	APRDRG 3151
Min. Negotiated Rate	$6,059.23
Max. Negotiated Rate	$6,362.19
Rate for Payer: BCBS Complete	$6,362.19
Rate for Payer: Mclaren Medicaid	$6,059.23
Rate for Payer: Meridian Medicaid	$6,362.19
Rate for Payer: PHP Medicaid	$6,059.23
Rate for Payer: Priority Health Choice Medicaid	$6,059.23

INPATIENT APRDRG 3152: SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT

Facility

$9,296.10

Service Code	APR-DRG 3152
Hospital Charge Code	APRDRG 3152
Min. Negotiated Rate	$8,853.43
Max. Negotiated Rate	$9,296.10
Rate for Payer: BCBS Complete	$9,296.10
Rate for Payer: Mclaren Medicaid	$8,853.43
Rate for Payer: Meridian Medicaid	$9,296.10
Rate for Payer: PHP Medicaid	$8,853.43
Rate for Payer: Priority Health Choice Medicaid	$8,853.43

INPATIENT APRDRG 3153: SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT

Facility

$13,824.28

Service Code	APR-DRG 3153
Hospital Charge Code	APRDRG 3153
Min. Negotiated Rate	$13,165.98
Max. Negotiated Rate	$13,824.28
Rate for Payer: BCBS Complete	$13,824.28
Rate for Payer: Mclaren Medicaid	$13,165.98
Rate for Payer: Meridian Medicaid	$13,824.28
Rate for Payer: PHP Medicaid	$13,165.98
Rate for Payer: Priority Health Choice Medicaid	$13,165.98

INPATIENT APRDRG 3154: SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT

Facility

$24,257.68

Service Code	APR-DRG 3154
Hospital Charge Code	APRDRG 3154
Min. Negotiated Rate	$23,102.55
Max. Negotiated Rate	$24,257.68
Rate for Payer: BCBS Complete	$24,257.68
Rate for Payer: Mclaren Medicaid	$23,102.55
Rate for Payer: Meridian Medicaid	$24,257.68
Rate for Payer: PHP Medicaid	$23,102.55
Rate for Payer: Priority Health Choice Medicaid	$23,102.55

INPATIENT APRDRG 3161: HAND & WRIST PROCEDURES

Facility

$6,098.87

Service Code	APR-DRG 3161
Hospital Charge Code	APRDRG 3161
Min. Negotiated Rate	$5,808.45
Max. Negotiated Rate	$6,098.87
Rate for Payer: BCBS Complete	$6,098.87
Rate for Payer: Mclaren Medicaid	$5,808.45
Rate for Payer: Meridian Medicaid	$6,098.87
Rate for Payer: PHP Medicaid	$5,808.45
Rate for Payer: Priority Health Choice Medicaid	$5,808.45

INPATIENT APRDRG 3162: HAND & WRIST PROCEDURES

Facility

$6,563.01

Service Code	APR-DRG 3162
Hospital Charge Code	APRDRG 3162
Min. Negotiated Rate	$6,250.49
Max. Negotiated Rate	$6,563.01
Rate for Payer: BCBS Complete	$6,563.01
Rate for Payer: Mclaren Medicaid	$6,250.49
Rate for Payer: Meridian Medicaid	$6,563.01
Rate for Payer: PHP Medicaid	$6,250.49
Rate for Payer: Priority Health Choice Medicaid	$6,250.49

INPATIENT APRDRG 3163: HAND & WRIST PROCEDURES

Facility

$10,127.05

Service Code	APR-DRG 3163
Hospital Charge Code	APRDRG 3163
Min. Negotiated Rate	$9,644.81
Max. Negotiated Rate	$10,127.05
Rate for Payer: BCBS Complete	$10,127.05
Rate for Payer: Mclaren Medicaid	$9,644.81
Rate for Payer: Meridian Medicaid	$10,127.05
Rate for Payer: PHP Medicaid	$9,644.81
Rate for Payer: Priority Health Choice Medicaid	$9,644.81

INPATIENT APRDRG 3164: HAND & WRIST PROCEDURES

Facility

$19,081.96

Service Code	APR-DRG 3164
Hospital Charge Code	APRDRG 3164
Min. Negotiated Rate	$18,173.30
Max. Negotiated Rate	$19,081.96
Rate for Payer: BCBS Complete	$19,081.96
Rate for Payer: Mclaren Medicaid	$18,173.30
Rate for Payer: Meridian Medicaid	$19,081.96
Rate for Payer: PHP Medicaid	$18,173.30
Rate for Payer: Priority Health Choice Medicaid	$18,173.30

INPATIENT APRDRG 3171: TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES

Facility

$6,560.97

Service Code	APR-DRG 3171
Hospital Charge Code	APRDRG 3171
Min. Negotiated Rate	$6,248.54
Max. Negotiated Rate	$6,560.97
Rate for Payer: BCBS Complete	$6,560.97
Rate for Payer: Mclaren Medicaid	$6,248.54
Rate for Payer: Meridian Medicaid	$6,560.97
Rate for Payer: PHP Medicaid	$6,248.54
Rate for Payer: Priority Health Choice Medicaid	$6,248.54

INPATIENT APRDRG 3172: TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES

Facility

$8,476.94

Service Code	APR-DRG 3172
Hospital Charge Code	APRDRG 3172
Min. Negotiated Rate	$8,073.28
Max. Negotiated Rate	$8,476.94
Rate for Payer: BCBS Complete	$8,476.94
Rate for Payer: Mclaren Medicaid	$8,073.28
Rate for Payer: Meridian Medicaid	$8,476.94
Rate for Payer: PHP Medicaid	$8,073.28
Rate for Payer: Priority Health Choice Medicaid	$8,073.28

Know your out-of-pocket cost for care.

All Charges