Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 3173: TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES

Facility

$10,952.86

Service Code	APR-DRG 3173
Hospital Charge Code	APRDRG 3173
Min. Negotiated Rate	$10,431.30
Max. Negotiated Rate	$10,952.86
Rate for Payer: BCBS Complete	$10,952.86
Rate for Payer: Mclaren Medicaid	$10,431.30
Rate for Payer: Meridian Medicaid	$10,952.86
Rate for Payer: PHP Medicaid	$10,431.30
Rate for Payer: Priority Health Choice Medicaid	$10,431.30

INPATIENT APRDRG 3174: TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES

Facility

$18,992.82

Service Code	APR-DRG 3174
Hospital Charge Code	APRDRG 3174
Min. Negotiated Rate	$18,088.40
Max. Negotiated Rate	$18,992.82
Rate for Payer: BCBS Complete	$18,992.82
Rate for Payer: Mclaren Medicaid	$18,088.40
Rate for Payer: Meridian Medicaid	$18,992.82
Rate for Payer: PHP Medicaid	$18,088.40
Rate for Payer: Priority Health Choice Medicaid	$18,088.40

INPATIENT APRDRG 3201: OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES

Facility

$6,794.06

Service Code	APR-DRG 3201
Hospital Charge Code	APRDRG 3201
Min. Negotiated Rate	$6,470.53
Max. Negotiated Rate	$6,794.06
Rate for Payer: BCBS Complete	$6,794.06
Rate for Payer: Mclaren Medicaid	$6,470.53
Rate for Payer: Meridian Medicaid	$6,794.06
Rate for Payer: PHP Medicaid	$6,470.53
Rate for Payer: Priority Health Choice Medicaid	$6,470.53

INPATIENT APRDRG 3202: OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES

Facility

$9,210.55

Service Code	APR-DRG 3202
Hospital Charge Code	APRDRG 3202
Min. Negotiated Rate	$8,771.95
Max. Negotiated Rate	$9,210.55
Rate for Payer: BCBS Complete	$9,210.55
Rate for Payer: Mclaren Medicaid	$8,771.95
Rate for Payer: Meridian Medicaid	$9,210.55
Rate for Payer: PHP Medicaid	$8,771.95
Rate for Payer: Priority Health Choice Medicaid	$8,771.95

INPATIENT APRDRG 3203: OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES

Facility

$11,756.66

Service Code	APR-DRG 3203
Hospital Charge Code	APRDRG 3203
Min. Negotiated Rate	$11,196.82
Max. Negotiated Rate	$11,756.66
Rate for Payer: BCBS Complete	$11,756.66
Rate for Payer: Mclaren Medicaid	$11,196.82
Rate for Payer: Meridian Medicaid	$11,756.66
Rate for Payer: PHP Medicaid	$11,196.82
Rate for Payer: Priority Health Choice Medicaid	$11,196.82

INPATIENT APRDRG 3204: OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES

Facility

$22,400.10

Service Code	APR-DRG 3204
Hospital Charge Code	APRDRG 3204
Min. Negotiated Rate	$21,333.43
Max. Negotiated Rate	$22,400.10
Rate for Payer: BCBS Complete	$22,400.10
Rate for Payer: Mclaren Medicaid	$21,333.43
Rate for Payer: Meridian Medicaid	$22,400.10
Rate for Payer: PHP Medicaid	$21,333.43
Rate for Payer: Priority Health Choice Medicaid	$21,333.43

INPATIENT APRDRG 3211: CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP

Facility

$9,582.99

Service Code	APR-DRG 3211
Hospital Charge Code	APRDRG 3211
Min. Negotiated Rate	$9,126.66
Max. Negotiated Rate	$9,582.99
Rate for Payer: BCBS Complete	$9,582.99
Rate for Payer: Mclaren Medicaid	$9,126.66
Rate for Payer: Meridian Medicaid	$9,582.99
Rate for Payer: PHP Medicaid	$9,126.66
Rate for Payer: Priority Health Choice Medicaid	$9,126.66

INPATIENT APRDRG 3212: CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP

Facility

$11,482.06

Service Code	APR-DRG 3212
Hospital Charge Code	APRDRG 3212
Min. Negotiated Rate	$10,935.30
Max. Negotiated Rate	$11,482.06
Rate for Payer: BCBS Complete	$11,482.06
Rate for Payer: Mclaren Medicaid	$10,935.30
Rate for Payer: Meridian Medicaid	$11,482.06
Rate for Payer: PHP Medicaid	$10,935.30
Rate for Payer: Priority Health Choice Medicaid	$10,935.30

INPATIENT APRDRG 3213: CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP

Facility

$16,941.59

Service Code	APR-DRG 3213
Hospital Charge Code	APRDRG 3213
Min. Negotiated Rate	$16,134.85
Max. Negotiated Rate	$16,941.59
Rate for Payer: BCBS Complete	$16,941.59
Rate for Payer: Mclaren Medicaid	$16,134.85
Rate for Payer: Meridian Medicaid	$16,941.59
Rate for Payer: PHP Medicaid	$16,134.85
Rate for Payer: Priority Health Choice Medicaid	$16,134.85

INPATIENT APRDRG 3214: CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP

Facility

$23,672.12

Service Code	APR-DRG 3214
Hospital Charge Code	APRDRG 3214
Min. Negotiated Rate	$22,544.88
Max. Negotiated Rate	$23,672.12
Rate for Payer: BCBS Complete	$23,672.12
Rate for Payer: Mclaren Medicaid	$22,544.88
Rate for Payer: Meridian Medicaid	$23,672.12
Rate for Payer: PHP Medicaid	$22,544.88
Rate for Payer: Priority Health Choice Medicaid	$22,544.88

INPATIENT APRDRG 3221: SHOULDER & ELBOW JOINT REPLACEMENT

Facility

$8,611.68

Service Code	APR-DRG 3221
Hospital Charge Code	APRDRG 3221
Min. Negotiated Rate	$8,201.60
Max. Negotiated Rate	$8,611.68
Rate for Payer: BCBS Complete	$8,611.68
Rate for Payer: Mclaren Medicaid	$8,201.60
Rate for Payer: Meridian Medicaid	$8,611.68
Rate for Payer: PHP Medicaid	$8,201.60
Rate for Payer: Priority Health Choice Medicaid	$8,201.60

INPATIENT APRDRG 3222: SHOULDER & ELBOW JOINT REPLACEMENT

Facility

$9,608.60

Service Code	APR-DRG 3222
Hospital Charge Code	APRDRG 3222
Min. Negotiated Rate	$9,151.05
Max. Negotiated Rate	$9,608.60
Rate for Payer: BCBS Complete	$9,608.60
Rate for Payer: Mclaren Medicaid	$9,151.05
Rate for Payer: Meridian Medicaid	$9,608.60
Rate for Payer: PHP Medicaid	$9,151.05
Rate for Payer: Priority Health Choice Medicaid	$9,151.05

INPATIENT APRDRG 3223: SHOULDER & ELBOW JOINT REPLACEMENT

Facility

$13,867.82

Service Code	APR-DRG 3223
Hospital Charge Code	APRDRG 3223
Min. Negotiated Rate	$13,207.45
Max. Negotiated Rate	$13,867.82
Rate for Payer: BCBS Complete	$13,867.82
Rate for Payer: Mclaren Medicaid	$13,207.45
Rate for Payer: Meridian Medicaid	$13,867.82
Rate for Payer: PHP Medicaid	$13,207.45
Rate for Payer: Priority Health Choice Medicaid	$13,207.45

INPATIENT APRDRG 3224: SHOULDER & ELBOW JOINT REPLACEMENT

Facility

$19,494.88

Service Code	APR-DRG 3224
Hospital Charge Code	APRDRG 3224
Min. Negotiated Rate	$18,566.55
Max. Negotiated Rate	$19,494.88
Rate for Payer: BCBS Complete	$19,494.88
Rate for Payer: Mclaren Medicaid	$18,566.55
Rate for Payer: Meridian Medicaid	$19,494.88
Rate for Payer: PHP Medicaid	$18,566.55
Rate for Payer: Priority Health Choice Medicaid	$18,566.55

INPATIENT APRDRG 3231: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT

Facility

$8,492.83

Service Code	APR-DRG 3231
Hospital Charge Code	APRDRG 3231
Min. Negotiated Rate	$8,088.41
Max. Negotiated Rate	$8,492.83
Rate for Payer: BCBS Complete	$8,492.83
Rate for Payer: Mclaren Medicaid	$8,088.41
Rate for Payer: Meridian Medicaid	$8,492.83
Rate for Payer: PHP Medicaid	$8,088.41
Rate for Payer: Priority Health Choice Medicaid	$8,088.41

INPATIENT APRDRG 3232: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT

Facility

$9,739.24

Service Code	APR-DRG 3232
Hospital Charge Code	APRDRG 3232
Min. Negotiated Rate	$9,275.47
Max. Negotiated Rate	$9,739.24
Rate for Payer: BCBS Complete	$9,739.24
Rate for Payer: Mclaren Medicaid	$9,275.47
Rate for Payer: Meridian Medicaid	$9,739.24
Rate for Payer: PHP Medicaid	$9,275.47
Rate for Payer: Priority Health Choice Medicaid	$9,275.47

INPATIENT APRDRG 3233: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT

Facility

$13,472.84

Service Code	APR-DRG 3233
Hospital Charge Code	APRDRG 3233
Min. Negotiated Rate	$12,831.28
Max. Negotiated Rate	$13,472.84
Rate for Payer: BCBS Complete	$13,472.84
Rate for Payer: Mclaren Medicaid	$12,831.28
Rate for Payer: Meridian Medicaid	$13,472.84
Rate for Payer: PHP Medicaid	$12,831.28
Rate for Payer: Priority Health Choice Medicaid	$12,831.28

INPATIENT APRDRG 3234: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT

Facility

$19,471.30

Service Code	APR-DRG 3234
Hospital Charge Code	APRDRG 3234
Min. Negotiated Rate	$18,544.10
Max. Negotiated Rate	$19,471.30
Rate for Payer: BCBS Complete	$19,471.30
Rate for Payer: Mclaren Medicaid	$18,544.10
Rate for Payer: Meridian Medicaid	$19,471.30
Rate for Payer: PHP Medicaid	$18,544.10
Rate for Payer: Priority Health Choice Medicaid	$18,544.10

INPATIENT APRDRG 3241: ELECTIVE HIP JOINT REPLACEMENT

Facility

$7,128.59

Service Code	APR-DRG 3241
Hospital Charge Code	APRDRG 3241
Min. Negotiated Rate	$6,789.13
Max. Negotiated Rate	$7,128.59
Rate for Payer: BCBS Complete	$7,128.59
Rate for Payer: Mclaren Medicaid	$6,789.13
Rate for Payer: Meridian Medicaid	$7,128.59
Rate for Payer: PHP Medicaid	$6,789.13
Rate for Payer: Priority Health Choice Medicaid	$6,789.13

INPATIENT APRDRG 3242: ELECTIVE HIP JOINT REPLACEMENT

Facility

$8,141.90

Service Code	APR-DRG 3242
Hospital Charge Code	APRDRG 3242
Min. Negotiated Rate	$7,754.19
Max. Negotiated Rate	$8,141.90
Rate for Payer: BCBS Complete	$8,141.90
Rate for Payer: Mclaren Medicaid	$7,754.19
Rate for Payer: Meridian Medicaid	$8,141.90
Rate for Payer: PHP Medicaid	$7,754.19
Rate for Payer: Priority Health Choice Medicaid	$7,754.19

INPATIENT APRDRG 3243: ELECTIVE HIP JOINT REPLACEMENT

Facility

$12,155.22

Service Code	APR-DRG 3243
Hospital Charge Code	APRDRG 3243
Min. Negotiated Rate	$11,576.40
Max. Negotiated Rate	$12,155.22
Rate for Payer: BCBS Complete	$12,155.22
Rate for Payer: Mclaren Medicaid	$11,576.40
Rate for Payer: Meridian Medicaid	$12,155.22
Rate for Payer: PHP Medicaid	$11,576.40
Rate for Payer: Priority Health Choice Medicaid	$11,576.40

INPATIENT APRDRG 3244: ELECTIVE HIP JOINT REPLACEMENT

Facility

$20,490.77

Service Code	APR-DRG 3244
Hospital Charge Code	APRDRG 3244
Min. Negotiated Rate	$19,515.02
Max. Negotiated Rate	$20,490.77
Rate for Payer: BCBS Complete	$20,490.77
Rate for Payer: Mclaren Medicaid	$19,515.02
Rate for Payer: Meridian Medicaid	$20,490.77
Rate for Payer: PHP Medicaid	$19,515.02
Rate for Payer: Priority Health Choice Medicaid	$19,515.02

INPATIENT APRDRG 3251: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT

Facility

$11,163.42

Service Code	APR-DRG 3251
Hospital Charge Code	APRDRG 3251
Min. Negotiated Rate	$10,631.83
Max. Negotiated Rate	$11,163.42
Rate for Payer: BCBS Complete	$11,163.42
Rate for Payer: Mclaren Medicaid	$10,631.83
Rate for Payer: Meridian Medicaid	$11,163.42
Rate for Payer: PHP Medicaid	$10,631.83
Rate for Payer: Priority Health Choice Medicaid	$10,631.83

INPATIENT APRDRG 3252: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT

Facility

$12,999.48

Service Code	APR-DRG 3252
Hospital Charge Code	APRDRG 3252
Min. Negotiated Rate	$12,380.46
Max. Negotiated Rate	$12,999.48
Rate for Payer: BCBS Complete	$12,999.48
Rate for Payer: Mclaren Medicaid	$12,380.46
Rate for Payer: Meridian Medicaid	$12,999.48
Rate for Payer: PHP Medicaid	$12,380.46
Rate for Payer: Priority Health Choice Medicaid	$12,380.46

INPATIENT APRDRG 3253: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT

Facility

$17,269.47

Service Code	APR-DRG 3253
Hospital Charge Code	APRDRG 3253
Min. Negotiated Rate	$16,447.11
Max. Negotiated Rate	$17,269.47
Rate for Payer: BCBS Complete	$17,269.47
Rate for Payer: Mclaren Medicaid	$16,447.11
Rate for Payer: Meridian Medicaid	$17,269.47
Rate for Payer: PHP Medicaid	$16,447.11
Rate for Payer: Priority Health Choice Medicaid	$16,447.11

Know your out-of-pocket cost for care.

All Charges