Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 3461: CONNECTIVE TISSUE DISORDERS

Facility

$4,584.53

Service Code	APR-DRG 3461
Hospital Charge Code	APRDRG 3461
Min. Negotiated Rate	$4,366.22
Max. Negotiated Rate	$4,584.53
Rate for Payer: BCBS Complete	$4,584.53
Rate for Payer: Mclaren Medicaid	$4,366.22
Rate for Payer: Meridian Medicaid	$4,584.53
Rate for Payer: PHP Medicaid	$4,366.22
Rate for Payer: Priority Health Choice Medicaid	$4,366.22

INPATIENT APRDRG 3462: CONNECTIVE TISSUE DISORDERS

Facility

$5,323.26

Service Code	APR-DRG 3462
Hospital Charge Code	APRDRG 3462
Min. Negotiated Rate	$5,069.77
Max. Negotiated Rate	$5,323.26
Rate for Payer: BCBS Complete	$5,323.26
Rate for Payer: Mclaren Medicaid	$5,069.77
Rate for Payer: Meridian Medicaid	$5,323.26
Rate for Payer: PHP Medicaid	$5,069.77
Rate for Payer: Priority Health Choice Medicaid	$5,069.77

INPATIENT APRDRG 3463: CONNECTIVE TISSUE DISORDERS

Facility

$7,213.11

Service Code	APR-DRG 3463
Hospital Charge Code	APRDRG 3463
Min. Negotiated Rate	$6,869.63
Max. Negotiated Rate	$7,213.11
Rate for Payer: BCBS Complete	$7,213.11
Rate for Payer: Mclaren Medicaid	$6,869.63
Rate for Payer: Meridian Medicaid	$7,213.11
Rate for Payer: PHP Medicaid	$6,869.63
Rate for Payer: Priority Health Choice Medicaid	$6,869.63

INPATIENT APRDRG 3464: CONNECTIVE TISSUE DISORDERS

Facility

$15,067.11

Service Code	APR-DRG 3464
Hospital Charge Code	APRDRG 3464
Min. Negotiated Rate	$14,349.63
Max. Negotiated Rate	$15,067.11
Rate for Payer: BCBS Complete	$15,067.11
Rate for Payer: Mclaren Medicaid	$14,349.63
Rate for Payer: Meridian Medicaid	$15,067.11
Rate for Payer: PHP Medicaid	$14,349.63
Rate for Payer: Priority Health Choice Medicaid	$14,349.63

INPATIENT APRDRG 3471: OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES

Facility

$4,622.44

Service Code	APR-DRG 3471
Hospital Charge Code	APRDRG 3471
Min. Negotiated Rate	$4,402.32
Max. Negotiated Rate	$4,622.44
Rate for Payer: BCBS Complete	$4,622.44
Rate for Payer: Mclaren Medicaid	$4,402.32
Rate for Payer: Meridian Medicaid	$4,622.44
Rate for Payer: PHP Medicaid	$4,402.32
Rate for Payer: Priority Health Choice Medicaid	$4,402.32

INPATIENT APRDRG 3472: OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES

Facility

$5,060.45

Service Code	APR-DRG 3472
Hospital Charge Code	APRDRG 3472
Min. Negotiated Rate	$4,819.48
Max. Negotiated Rate	$5,060.45
Rate for Payer: BCBS Complete	$5,060.45
Rate for Payer: Mclaren Medicaid	$4,819.48
Rate for Payer: Meridian Medicaid	$5,060.45
Rate for Payer: PHP Medicaid	$4,819.48
Rate for Payer: Priority Health Choice Medicaid	$4,819.48

INPATIENT APRDRG 3473: OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES

Facility

$6,410.86

Service Code	APR-DRG 3473
Hospital Charge Code	APRDRG 3473
Min. Negotiated Rate	$6,105.58
Max. Negotiated Rate	$6,410.86
Rate for Payer: BCBS Complete	$6,410.86
Rate for Payer: Mclaren Medicaid	$6,105.58
Rate for Payer: Meridian Medicaid	$6,410.86
Rate for Payer: PHP Medicaid	$6,105.58
Rate for Payer: Priority Health Choice Medicaid	$6,105.58

INPATIENT APRDRG 3474: OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES

Facility

$8,815.57

Service Code	APR-DRG 3474
Hospital Charge Code	APRDRG 3474
Min. Negotiated Rate	$8,395.78
Max. Negotiated Rate	$8,815.57
Rate for Payer: BCBS Complete	$8,815.57
Rate for Payer: Mclaren Medicaid	$8,395.78
Rate for Payer: Meridian Medicaid	$8,815.57
Rate for Payer: PHP Medicaid	$8,395.78
Rate for Payer: Priority Health Choice Medicaid	$8,395.78

INPATIENT APRDRG 3491: MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility

$3,987.70

Service Code	APR-DRG 3491
Hospital Charge Code	APRDRG 3491
Min. Negotiated Rate	$3,797.81
Max. Negotiated Rate	$3,987.70
Rate for Payer: BCBS Complete	$3,987.70
Rate for Payer: Mclaren Medicaid	$3,797.81
Rate for Payer: Meridian Medicaid	$3,987.70
Rate for Payer: PHP Medicaid	$3,797.81
Rate for Payer: Priority Health Choice Medicaid	$3,797.81

INPATIENT APRDRG 3492: MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility

$5,612.70

Service Code	APR-DRG 3492
Hospital Charge Code	APRDRG 3492
Min. Negotiated Rate	$5,345.43
Max. Negotiated Rate	$5,612.70
Rate for Payer: BCBS Complete	$5,612.70
Rate for Payer: Mclaren Medicaid	$5,345.43
Rate for Payer: Meridian Medicaid	$5,612.70
Rate for Payer: PHP Medicaid	$5,345.43
Rate for Payer: Priority Health Choice Medicaid	$5,345.43

INPATIENT APRDRG 3493: MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility

$5,900.10

Service Code	APR-DRG 3493
Hospital Charge Code	APRDRG 3493
Min. Negotiated Rate	$5,619.14
Max. Negotiated Rate	$5,900.10
Rate for Payer: BCBS Complete	$5,900.10
Rate for Payer: Mclaren Medicaid	$5,619.14
Rate for Payer: Meridian Medicaid	$5,900.10
Rate for Payer: PHP Medicaid	$5,619.14
Rate for Payer: Priority Health Choice Medicaid	$5,619.14

INPATIENT APRDRG 3494: MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility

$10,796.61

Service Code	APR-DRG 3494
Hospital Charge Code	APRDRG 3494
Min. Negotiated Rate	$10,282.49
Max. Negotiated Rate	$10,796.61
Rate for Payer: BCBS Complete	$10,796.61
Rate for Payer: Mclaren Medicaid	$10,282.49
Rate for Payer: Meridian Medicaid	$10,796.61
Rate for Payer: PHP Medicaid	$10,282.49
Rate for Payer: Priority Health Choice Medicaid	$10,282.49

INPATIENT APRDRG 3511: OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES

Facility

$2,676.74

Service Code	APR-DRG 3511
Hospital Charge Code	APRDRG 3511
Min. Negotiated Rate	$2,549.28
Max. Negotiated Rate	$2,676.74
Rate for Payer: BCBS Complete	$2,676.74
Rate for Payer: Mclaren Medicaid	$2,549.28
Rate for Payer: Meridian Medicaid	$2,676.74
Rate for Payer: PHP Medicaid	$2,549.28
Rate for Payer: Priority Health Choice Medicaid	$2,549.28

INPATIENT APRDRG 3512: OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES

Facility

$3,040.98

Service Code	APR-DRG 3512
Hospital Charge Code	APRDRG 3512
Min. Negotiated Rate	$2,896.17
Max. Negotiated Rate	$3,040.98
Rate for Payer: BCBS Complete	$3,040.98
Rate for Payer: Mclaren Medicaid	$2,896.17
Rate for Payer: Meridian Medicaid	$3,040.98
Rate for Payer: PHP Medicaid	$2,896.17
Rate for Payer: Priority Health Choice Medicaid	$2,896.17

INPATIENT APRDRG 3513: OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES

Facility

$5,015.88

Service Code	APR-DRG 3513
Hospital Charge Code	APRDRG 3513
Min. Negotiated Rate	$4,777.03
Max. Negotiated Rate	$5,015.88
Rate for Payer: BCBS Complete	$5,015.88
Rate for Payer: Mclaren Medicaid	$4,777.03
Rate for Payer: Meridian Medicaid	$5,015.88
Rate for Payer: PHP Medicaid	$4,777.03
Rate for Payer: Priority Health Choice Medicaid	$4,777.03

INPATIENT APRDRG 3514: OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES

Facility

$7,434.93

Service Code	APR-DRG 3514
Hospital Charge Code	APRDRG 3514
Min. Negotiated Rate	$7,080.89
Max. Negotiated Rate	$7,434.93
Rate for Payer: BCBS Complete	$7,434.93
Rate for Payer: Mclaren Medicaid	$7,080.89
Rate for Payer: Meridian Medicaid	$7,434.93
Rate for Payer: PHP Medicaid	$7,080.89
Rate for Payer: Priority Health Choice Medicaid	$7,080.89

INPATIENT APRDRG 3611: SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES

Facility

$10,852.97

Service Code	APR-DRG 3611
Hospital Charge Code	APRDRG 3611
Min. Negotiated Rate	$10,336.16
Max. Negotiated Rate	$10,852.97
Rate for Payer: BCBS Complete	$10,852.97
Rate for Payer: Mclaren Medicaid	$10,336.16
Rate for Payer: Meridian Medicaid	$10,852.97
Rate for Payer: PHP Medicaid	$10,336.16
Rate for Payer: Priority Health Choice Medicaid	$10,336.16

INPATIENT APRDRG 3612: SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES

Facility

$13,799.17

Service Code	APR-DRG 3612
Hospital Charge Code	APRDRG 3612
Min. Negotiated Rate	$13,142.07
Max. Negotiated Rate	$13,799.17
Rate for Payer: BCBS Complete	$13,799.17
Rate for Payer: Mclaren Medicaid	$13,142.07
Rate for Payer: Meridian Medicaid	$13,799.17
Rate for Payer: PHP Medicaid	$13,142.07
Rate for Payer: Priority Health Choice Medicaid	$13,142.07

INPATIENT APRDRG 3613: SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES

Facility

$17,328.38

Service Code	APR-DRG 3613
Hospital Charge Code	APRDRG 3613
Min. Negotiated Rate	$16,503.22
Max. Negotiated Rate	$17,328.38
Rate for Payer: BCBS Complete	$17,328.38
Rate for Payer: Mclaren Medicaid	$16,503.22
Rate for Payer: Meridian Medicaid	$17,328.38
Rate for Payer: PHP Medicaid	$16,503.22
Rate for Payer: Priority Health Choice Medicaid	$16,503.22

INPATIENT APRDRG 3614: SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES

Facility

$37,301.22

Service Code	APR-DRG 3614
Hospital Charge Code	APRDRG 3614
Min. Negotiated Rate	$35,524.97
Max. Negotiated Rate	$37,301.22
Rate for Payer: BCBS Complete	$37,301.22
Rate for Payer: Mclaren Medicaid	$35,524.97
Rate for Payer: Meridian Medicaid	$37,301.22
Rate for Payer: PHP Medicaid	$35,524.97
Rate for Payer: Priority Health Choice Medicaid	$35,524.97

INPATIENT APRDRG 3621: MASTECTOMY PROCEDURES

Facility

$9,404.20

Service Code	APR-DRG 3621
Hospital Charge Code	APRDRG 3621
Min. Negotiated Rate	$8,956.38
Max. Negotiated Rate	$9,404.20
Rate for Payer: BCBS Complete	$9,404.20
Rate for Payer: Mclaren Medicaid	$8,956.38
Rate for Payer: Meridian Medicaid	$9,404.20
Rate for Payer: PHP Medicaid	$8,956.38
Rate for Payer: Priority Health Choice Medicaid	$8,956.38

INPATIENT APRDRG 3622: MASTECTOMY PROCEDURES

Facility

$13,164.45

Service Code	APR-DRG 3622
Hospital Charge Code	APRDRG 3622
Min. Negotiated Rate	$12,537.57
Max. Negotiated Rate	$13,164.45
Rate for Payer: BCBS Complete	$13,164.45
Rate for Payer: Mclaren Medicaid	$12,537.57
Rate for Payer: Meridian Medicaid	$13,164.45
Rate for Payer: PHP Medicaid	$12,537.57
Rate for Payer: Priority Health Choice Medicaid	$12,537.57

INPATIENT APRDRG 3623: MASTECTOMY PROCEDURES

Facility

$13,613.72

Service Code	APR-DRG 3623
Hospital Charge Code	APRDRG 3623
Min. Negotiated Rate	$12,965.45
Max. Negotiated Rate	$13,613.72
Rate for Payer: BCBS Complete	$13,613.72
Rate for Payer: Mclaren Medicaid	$12,965.45
Rate for Payer: Meridian Medicaid	$13,613.72
Rate for Payer: PHP Medicaid	$12,965.45
Rate for Payer: Priority Health Choice Medicaid	$12,965.45

INPATIENT APRDRG 3624: MASTECTOMY PROCEDURES

Facility

$17,736.67

Service Code	APR-DRG 3624
Hospital Charge Code	APRDRG 3624
Min. Negotiated Rate	$16,892.07
Max. Negotiated Rate	$17,736.67
Rate for Payer: BCBS Complete	$17,736.67
Rate for Payer: Mclaren Medicaid	$16,892.07
Rate for Payer: Meridian Medicaid	$17,736.67
Rate for Payer: PHP Medicaid	$16,892.07
Rate for Payer: Priority Health Choice Medicaid	$16,892.07

INPATIENT APRDRG 3631: BREAST PROCEDURES EXCEPT MASTECTOMY

Facility

$7,150.10

Service Code	APR-DRG 3631
Hospital Charge Code	APRDRG 3631
Min. Negotiated Rate	$6,809.62
Max. Negotiated Rate	$7,150.10
Rate for Payer: BCBS Complete	$7,150.10
Rate for Payer: Mclaren Medicaid	$6,809.62
Rate for Payer: Meridian Medicaid	$7,150.10
Rate for Payer: PHP Medicaid	$6,809.62
Rate for Payer: Priority Health Choice Medicaid	$6,809.62

Know your out-of-pocket cost for care.

All Charges