Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 4462: URETHRAL & TRANSURETHRAL PROCEDURES

Facility

$6,048.16

Service Code	APR-DRG 4462
Hospital Charge Code	APRDRG 4462
Min. Negotiated Rate	$5,760.15
Max. Negotiated Rate	$6,048.16
Rate for Payer: BCBS Complete	$6,048.16
Rate for Payer: Mclaren Medicaid	$5,760.15
Rate for Payer: Meridian Medicaid	$6,048.16
Rate for Payer: PHP Medicaid	$5,760.15
Rate for Payer: Priority Health Choice Medicaid	$5,760.15

INPATIENT APRDRG 4463: URETHRAL & TRANSURETHRAL PROCEDURES

Facility

$9,226.95

Service Code	APR-DRG 4463
Hospital Charge Code	APRDRG 4463
Min. Negotiated Rate	$8,787.57
Max. Negotiated Rate	$9,226.95
Rate for Payer: BCBS Complete	$9,226.95
Rate for Payer: Mclaren Medicaid	$8,787.57
Rate for Payer: Meridian Medicaid	$9,226.95
Rate for Payer: PHP Medicaid	$8,787.57
Rate for Payer: Priority Health Choice Medicaid	$8,787.57

INPATIENT APRDRG 4464: URETHRAL & TRANSURETHRAL PROCEDURES

Facility

$16,759.22

Service Code	APR-DRG 4464
Hospital Charge Code	APRDRG 4464
Min. Negotiated Rate	$15,961.16
Max. Negotiated Rate	$16,759.22
Rate for Payer: BCBS Complete	$16,759.22
Rate for Payer: Mclaren Medicaid	$15,961.16
Rate for Payer: Meridian Medicaid	$16,759.22
Rate for Payer: PHP Medicaid	$15,961.16
Rate for Payer: Priority Health Choice Medicaid	$15,961.16

INPATIENT APRDRG 4471: OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES

Facility

$7,328.90

Service Code	APR-DRG 4471
Hospital Charge Code	APRDRG 4471
Min. Negotiated Rate	$6,979.90
Max. Negotiated Rate	$7,328.90
Rate for Payer: BCBS Complete	$7,328.90
Rate for Payer: Mclaren Medicaid	$6,979.90
Rate for Payer: Meridian Medicaid	$7,328.90
Rate for Payer: PHP Medicaid	$6,979.90
Rate for Payer: Priority Health Choice Medicaid	$6,979.90

INPATIENT APRDRG 4472: OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES

Facility

$8,784.32

Service Code	APR-DRG 4472
Hospital Charge Code	APRDRG 4472
Min. Negotiated Rate	$8,366.02
Max. Negotiated Rate	$8,784.32
Rate for Payer: BCBS Complete	$8,784.32
Rate for Payer: Mclaren Medicaid	$8,366.02
Rate for Payer: Meridian Medicaid	$8,784.32
Rate for Payer: PHP Medicaid	$8,366.02
Rate for Payer: Priority Health Choice Medicaid	$8,366.02

INPATIENT APRDRG 4473: OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES

Facility

$11,426.74

Service Code	APR-DRG 4473
Hospital Charge Code	APRDRG 4473
Min. Negotiated Rate	$10,882.61
Max. Negotiated Rate	$11,426.74
Rate for Payer: BCBS Complete	$11,426.74
Rate for Payer: Mclaren Medicaid	$10,882.61
Rate for Payer: Meridian Medicaid	$11,426.74
Rate for Payer: PHP Medicaid	$10,882.61
Rate for Payer: Priority Health Choice Medicaid	$10,882.61

INPATIENT APRDRG 4474: OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES

Facility

$20,790.47

Service Code	APR-DRG 4474
Hospital Charge Code	APRDRG 4474
Min. Negotiated Rate	$19,800.45
Max. Negotiated Rate	$20,790.47
Rate for Payer: BCBS Complete	$20,790.47
Rate for Payer: Mclaren Medicaid	$19,800.45
Rate for Payer: Meridian Medicaid	$20,790.47
Rate for Payer: PHP Medicaid	$19,800.45
Rate for Payer: Priority Health Choice Medicaid	$19,800.45

INPATIENT APRDRG 4611: KIDNEY & URINARY TRACT MALIGNANCY

Facility

$4,692.11

Service Code	APR-DRG 4611
Hospital Charge Code	APRDRG 4611
Min. Negotiated Rate	$4,468.68
Max. Negotiated Rate	$4,692.11
Rate for Payer: BCBS Complete	$4,692.11
Rate for Payer: Mclaren Medicaid	$4,468.68
Rate for Payer: Meridian Medicaid	$4,692.11
Rate for Payer: PHP Medicaid	$4,468.68
Rate for Payer: Priority Health Choice Medicaid	$4,468.68

INPATIENT APRDRG 4612: KIDNEY & URINARY TRACT MALIGNANCY

Facility

$5,252.56

Service Code	APR-DRG 4612
Hospital Charge Code	APRDRG 4612
Min. Negotiated Rate	$5,002.44
Max. Negotiated Rate	$5,252.56
Rate for Payer: BCBS Complete	$5,252.56
Rate for Payer: Mclaren Medicaid	$5,002.44
Rate for Payer: Meridian Medicaid	$5,252.56
Rate for Payer: PHP Medicaid	$5,002.44
Rate for Payer: Priority Health Choice Medicaid	$5,002.44

INPATIENT APRDRG 4613: KIDNEY & URINARY TRACT MALIGNANCY

Facility

$7,013.32

Service Code	APR-DRG 4613
Hospital Charge Code	APRDRG 4613
Min. Negotiated Rate	$6,679.35
Max. Negotiated Rate	$7,013.32
Rate for Payer: BCBS Complete	$7,013.32
Rate for Payer: Mclaren Medicaid	$6,679.35
Rate for Payer: Meridian Medicaid	$7,013.32
Rate for Payer: PHP Medicaid	$6,679.35
Rate for Payer: Priority Health Choice Medicaid	$6,679.35

INPATIENT APRDRG 4614: KIDNEY & URINARY TRACT MALIGNANCY

Facility

$11,525.61

Service Code	APR-DRG 4614
Hospital Charge Code	APRDRG 4614
Min. Negotiated Rate	$10,976.77
Max. Negotiated Rate	$11,525.61
Rate for Payer: BCBS Complete	$11,525.61
Rate for Payer: Mclaren Medicaid	$10,976.77
Rate for Payer: Meridian Medicaid	$11,525.61
Rate for Payer: PHP Medicaid	$10,976.77
Rate for Payer: Priority Health Choice Medicaid	$10,976.77

INPATIENT APRDRG 4621: NEPHRITIS & NEPHROSIS

Facility

$2,776.13

Service Code	APR-DRG 4621
Hospital Charge Code	APRDRG 4621
Min. Negotiated Rate	$2,643.93
Max. Negotiated Rate	$2,776.13
Rate for Payer: BCBS Complete	$2,776.13
Rate for Payer: Mclaren Medicaid	$2,643.93
Rate for Payer: Meridian Medicaid	$2,776.13
Rate for Payer: PHP Medicaid	$2,643.93
Rate for Payer: Priority Health Choice Medicaid	$2,643.93

INPATIENT APRDRG 4622: NEPHRITIS & NEPHROSIS

Facility

$3,850.41

Service Code	APR-DRG 4622
Hospital Charge Code	APRDRG 4622
Min. Negotiated Rate	$3,667.06
Max. Negotiated Rate	$3,850.41
Rate for Payer: BCBS Complete	$3,850.41
Rate for Payer: Mclaren Medicaid	$3,667.06
Rate for Payer: Meridian Medicaid	$3,850.41
Rate for Payer: PHP Medicaid	$3,667.06
Rate for Payer: Priority Health Choice Medicaid	$3,667.06

INPATIENT APRDRG 4623: NEPHRITIS & NEPHROSIS

Facility

$6,256.66

Service Code	APR-DRG 4623
Hospital Charge Code	APRDRG 4623
Min. Negotiated Rate	$5,958.72
Max. Negotiated Rate	$6,256.66
Rate for Payer: BCBS Complete	$6,256.66
Rate for Payer: Mclaren Medicaid	$5,958.72
Rate for Payer: Meridian Medicaid	$6,256.66
Rate for Payer: PHP Medicaid	$5,958.72
Rate for Payer: Priority Health Choice Medicaid	$5,958.72

INPATIENT APRDRG 4624: NEPHRITIS & NEPHROSIS

Facility

$16,817.10

Service Code	APR-DRG 4624
Hospital Charge Code	APRDRG 4624
Min. Negotiated Rate	$16,016.29
Max. Negotiated Rate	$16,817.10
Rate for Payer: BCBS Complete	$16,817.10
Rate for Payer: Mclaren Medicaid	$16,016.29
Rate for Payer: Meridian Medicaid	$16,817.10
Rate for Payer: PHP Medicaid	$16,016.29
Rate for Payer: Priority Health Choice Medicaid	$16,016.29

INPATIENT APRDRG 4631: KIDNEY & URINARY TRACT INFECTIONS

Facility

$2,733.60

Service Code	APR-DRG 4631
Hospital Charge Code	APRDRG 4631
Min. Negotiated Rate	$2,603.43
Max. Negotiated Rate	$2,733.60
Rate for Payer: BCBS Complete	$2,733.60
Rate for Payer: Mclaren Medicaid	$2,603.43
Rate for Payer: Meridian Medicaid	$2,733.60
Rate for Payer: PHP Medicaid	$2,603.43
Rate for Payer: Priority Health Choice Medicaid	$2,603.43

INPATIENT APRDRG 4632: KIDNEY & URINARY TRACT INFECTIONS

Facility

$3,204.40

Service Code	APR-DRG 4632
Hospital Charge Code	APRDRG 4632
Min. Negotiated Rate	$3,051.81
Max. Negotiated Rate	$3,204.40
Rate for Payer: BCBS Complete	$3,204.40
Rate for Payer: Mclaren Medicaid	$3,051.81
Rate for Payer: Meridian Medicaid	$3,204.40
Rate for Payer: PHP Medicaid	$3,051.81
Rate for Payer: Priority Health Choice Medicaid	$3,051.81

INPATIENT APRDRG 4633: KIDNEY & URINARY TRACT INFECTIONS

Facility

$4,486.68

Service Code	APR-DRG 4633
Hospital Charge Code	APRDRG 4633
Min. Negotiated Rate	$4,273.03
Max. Negotiated Rate	$4,486.68
Rate for Payer: BCBS Complete	$4,486.68
Rate for Payer: Mclaren Medicaid	$4,273.03
Rate for Payer: Meridian Medicaid	$4,486.68
Rate for Payer: PHP Medicaid	$4,273.03
Rate for Payer: Priority Health Choice Medicaid	$4,273.03

INPATIENT APRDRG 4634: KIDNEY & URINARY TRACT INFECTIONS

Facility

$7,229.50

Service Code	APR-DRG 4634
Hospital Charge Code	APRDRG 4634
Min. Negotiated Rate	$6,885.24
Max. Negotiated Rate	$7,229.50
Rate for Payer: BCBS Complete	$7,229.50
Rate for Payer: Mclaren Medicaid	$6,885.24
Rate for Payer: Meridian Medicaid	$7,229.50
Rate for Payer: PHP Medicaid	$6,885.24
Rate for Payer: Priority Health Choice Medicaid	$6,885.24

INPATIENT APRDRG 4651: URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION

Facility

$3,849.90

Service Code	APR-DRG 4651
Hospital Charge Code	APRDRG 4651
Min. Negotiated Rate	$3,666.57
Max. Negotiated Rate	$3,849.90
Rate for Payer: BCBS Complete	$3,849.90
Rate for Payer: Mclaren Medicaid	$3,666.57
Rate for Payer: Meridian Medicaid	$3,849.90
Rate for Payer: PHP Medicaid	$3,666.57
Rate for Payer: Priority Health Choice Medicaid	$3,666.57

INPATIENT APRDRG 4652: URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION

Facility

$4,027.15

Service Code	APR-DRG 4652
Hospital Charge Code	APRDRG 4652
Min. Negotiated Rate	$3,835.38
Max. Negotiated Rate	$4,027.15
Rate for Payer: BCBS Complete	$4,027.15
Rate for Payer: Mclaren Medicaid	$3,835.38
Rate for Payer: Meridian Medicaid	$4,027.15
Rate for Payer: PHP Medicaid	$3,835.38
Rate for Payer: Priority Health Choice Medicaid	$3,835.38

INPATIENT APRDRG 4653: URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION

Facility

$5,477.97

Service Code	APR-DRG 4653
Hospital Charge Code	APRDRG 4653
Min. Negotiated Rate	$5,217.11
Max. Negotiated Rate	$5,477.97
Rate for Payer: BCBS Complete	$5,477.97
Rate for Payer: Mclaren Medicaid	$5,217.11
Rate for Payer: Meridian Medicaid	$5,477.97
Rate for Payer: PHP Medicaid	$5,217.11
Rate for Payer: Priority Health Choice Medicaid	$5,217.11

INPATIENT APRDRG 4654: URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION

Facility

$9,552.76

Service Code	APR-DRG 4654
Hospital Charge Code	APRDRG 4654
Min. Negotiated Rate	$9,097.87
Max. Negotiated Rate	$9,552.76
Rate for Payer: BCBS Complete	$9,552.76
Rate for Payer: Mclaren Medicaid	$9,097.87
Rate for Payer: Meridian Medicaid	$9,552.76
Rate for Payer: PHP Medicaid	$9,097.87
Rate for Payer: Priority Health Choice Medicaid	$9,097.87

INPATIENT APRDRG 4661: MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC

Facility

$2,786.37

Service Code	APR-DRG 4661
Hospital Charge Code	APRDRG 4661
Min. Negotiated Rate	$2,653.69
Max. Negotiated Rate	$2,786.37
Rate for Payer: BCBS Complete	$2,786.37
Rate for Payer: Mclaren Medicaid	$2,653.69
Rate for Payer: Meridian Medicaid	$2,786.37
Rate for Payer: PHP Medicaid	$2,653.69
Rate for Payer: Priority Health Choice Medicaid	$2,653.69

INPATIENT APRDRG 4662: MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC

Facility

$3,678.28

Service Code	APR-DRG 4662
Hospital Charge Code	APRDRG 4662
Min. Negotiated Rate	$3,503.12
Max. Negotiated Rate	$3,678.28
Rate for Payer: BCBS Complete	$3,678.28
Rate for Payer: Mclaren Medicaid	$3,503.12
Rate for Payer: Meridian Medicaid	$3,678.28
Rate for Payer: PHP Medicaid	$3,503.12
Rate for Payer: Priority Health Choice Medicaid	$3,503.12

Know your out-of-pocket cost for care.

All Charges