Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 4663: MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC

Facility

$5,201.85

Service Code	APR-DRG 4663
Hospital Charge Code	APRDRG 4663
Min. Negotiated Rate	$4,954.14
Max. Negotiated Rate	$5,201.85
Rate for Payer: BCBS Complete	$5,201.85
Rate for Payer: Mclaren Medicaid	$4,954.14
Rate for Payer: Meridian Medicaid	$5,201.85
Rate for Payer: PHP Medicaid	$4,954.14
Rate for Payer: Priority Health Choice Medicaid	$4,954.14

INPATIENT APRDRG 4664: MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC

Facility

$7,263.32

Service Code	APR-DRG 4664
Hospital Charge Code	APRDRG 4664
Min. Negotiated Rate	$6,917.45
Max. Negotiated Rate	$7,263.32
Rate for Payer: BCBS Complete	$7,263.32
Rate for Payer: Mclaren Medicaid	$6,917.45
Rate for Payer: Meridian Medicaid	$7,263.32
Rate for Payer: PHP Medicaid	$6,917.45
Rate for Payer: Priority Health Choice Medicaid	$6,917.45

INPATIENT APRDRG 4681: OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS

Facility

$3,425.20

Service Code	APR-DRG 4681
Hospital Charge Code	APRDRG 4681
Min. Negotiated Rate	$3,262.10
Max. Negotiated Rate	$3,425.20
Rate for Payer: BCBS Complete	$3,425.20
Rate for Payer: Mclaren Medicaid	$3,262.10
Rate for Payer: Meridian Medicaid	$3,425.20
Rate for Payer: PHP Medicaid	$3,262.10
Rate for Payer: Priority Health Choice Medicaid	$3,262.10

INPATIENT APRDRG 4682: OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS

Facility

$3,873.46

Service Code	APR-DRG 4682
Hospital Charge Code	APRDRG 4682
Min. Negotiated Rate	$3,689.01
Max. Negotiated Rate	$3,873.46
Rate for Payer: BCBS Complete	$3,873.46
Rate for Payer: Mclaren Medicaid	$3,689.01
Rate for Payer: Meridian Medicaid	$3,873.46
Rate for Payer: PHP Medicaid	$3,689.01
Rate for Payer: Priority Health Choice Medicaid	$3,689.01

INPATIENT APRDRG 4683: OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS

Facility

$5,440.06

Service Code	APR-DRG 4683
Hospital Charge Code	APRDRG 4683
Min. Negotiated Rate	$5,181.01
Max. Negotiated Rate	$5,440.06
Rate for Payer: BCBS Complete	$5,440.06
Rate for Payer: Mclaren Medicaid	$5,181.01
Rate for Payer: Meridian Medicaid	$5,440.06
Rate for Payer: PHP Medicaid	$5,181.01
Rate for Payer: Priority Health Choice Medicaid	$5,181.01

INPATIENT APRDRG 4684: OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS

Facility

$8,721.82

Service Code	APR-DRG 4684
Hospital Charge Code	APRDRG 4684
Min. Negotiated Rate	$8,306.50
Max. Negotiated Rate	$8,721.82
Rate for Payer: BCBS Complete	$8,721.82
Rate for Payer: Mclaren Medicaid	$8,306.50
Rate for Payer: Meridian Medicaid	$8,721.82
Rate for Payer: PHP Medicaid	$8,306.50
Rate for Payer: Priority Health Choice Medicaid	$8,306.50

INPATIENT APRDRG 4691: ACUTE KIDNEY INJURY

Facility

$2,615.78

Service Code	APR-DRG 4691
Hospital Charge Code	APRDRG 4691
Min. Negotiated Rate	$2,491.22
Max. Negotiated Rate	$2,615.78
Rate for Payer: BCBS Complete	$2,615.78
Rate for Payer: Mclaren Medicaid	$2,491.22
Rate for Payer: Meridian Medicaid	$2,615.78
Rate for Payer: PHP Medicaid	$2,491.22
Rate for Payer: Priority Health Choice Medicaid	$2,491.22

INPATIENT APRDRG 4692: ACUTE KIDNEY INJURY

Facility

$3,544.57

Service Code	APR-DRG 4692
Hospital Charge Code	APRDRG 4692
Min. Negotiated Rate	$3,375.78
Max. Negotiated Rate	$3,544.57
Rate for Payer: BCBS Complete	$3,544.57
Rate for Payer: Mclaren Medicaid	$3,375.78
Rate for Payer: Meridian Medicaid	$3,544.57
Rate for Payer: PHP Medicaid	$3,375.78
Rate for Payer: Priority Health Choice Medicaid	$3,375.78

INPATIENT APRDRG 4693: ACUTE KIDNEY INJURY

Facility

$5,951.33

Service Code	APR-DRG 4693
Hospital Charge Code	APRDRG 4693
Min. Negotiated Rate	$5,667.93
Max. Negotiated Rate	$5,951.33
Rate for Payer: BCBS Complete	$5,951.33
Rate for Payer: Mclaren Medicaid	$5,667.93
Rate for Payer: Meridian Medicaid	$5,951.33
Rate for Payer: PHP Medicaid	$5,667.93
Rate for Payer: Priority Health Choice Medicaid	$5,667.93

INPATIENT APRDRG 4694: ACUTE KIDNEY INJURY

Facility

$12,277.15

Service Code	APR-DRG 4694
Hospital Charge Code	APRDRG 4694
Min. Negotiated Rate	$11,692.52
Max. Negotiated Rate	$12,277.15
Rate for Payer: BCBS Complete	$12,277.15
Rate for Payer: Mclaren Medicaid	$11,692.52
Rate for Payer: Meridian Medicaid	$12,277.15
Rate for Payer: PHP Medicaid	$11,692.52
Rate for Payer: Priority Health Choice Medicaid	$11,692.52

INPATIENT APRDRG 4701: CHRONIC KIDNEY DISEASE

Facility

$2,658.30

Service Code	APR-DRG 4701
Hospital Charge Code	APRDRG 4701
Min. Negotiated Rate	$2,531.71
Max. Negotiated Rate	$2,658.30
Rate for Payer: BCBS Complete	$2,658.30
Rate for Payer: Mclaren Medicaid	$2,531.71
Rate for Payer: Meridian Medicaid	$2,658.30
Rate for Payer: PHP Medicaid	$2,531.71
Rate for Payer: Priority Health Choice Medicaid	$2,531.71

INPATIENT APRDRG 4702: CHRONIC KIDNEY DISEASE

Facility

$3,489.24

Service Code	APR-DRG 4702
Hospital Charge Code	APRDRG 4702
Min. Negotiated Rate	$3,323.09
Max. Negotiated Rate	$3,489.24
Rate for Payer: BCBS Complete	$3,489.24
Rate for Payer: Mclaren Medicaid	$3,323.09
Rate for Payer: Meridian Medicaid	$3,489.24
Rate for Payer: PHP Medicaid	$3,323.09
Rate for Payer: Priority Health Choice Medicaid	$3,323.09

INPATIENT APRDRG 4703: CHRONIC KIDNEY DISEASE

Facility

$5,685.96

Service Code	APR-DRG 4703
Hospital Charge Code	APRDRG 4703
Min. Negotiated Rate	$5,415.20
Max. Negotiated Rate	$5,685.96
Rate for Payer: BCBS Complete	$5,685.96
Rate for Payer: Mclaren Medicaid	$5,415.20
Rate for Payer: Meridian Medicaid	$5,685.96
Rate for Payer: PHP Medicaid	$5,415.20
Rate for Payer: Priority Health Choice Medicaid	$5,415.20

INPATIENT APRDRG 4704: CHRONIC KIDNEY DISEASE

Facility

$11,763.32

Service Code	APR-DRG 4704
Hospital Charge Code	APRDRG 4704
Min. Negotiated Rate	$11,203.16
Max. Negotiated Rate	$11,763.32
Rate for Payer: BCBS Complete	$11,763.32
Rate for Payer: Mclaren Medicaid	$11,203.16
Rate for Payer: Meridian Medicaid	$11,763.32
Rate for Payer: PHP Medicaid	$11,203.16
Rate for Payer: Priority Health Choice Medicaid	$11,203.16

INPATIENT APRDRG 4801: MAJOR MALE PELVIC PROCEDURES

Facility

$9,259.73

Service Code	APR-DRG 4801
Hospital Charge Code	APRDRG 4801
Min. Negotiated Rate	$8,818.79
Max. Negotiated Rate	$9,259.73
Rate for Payer: BCBS Complete	$9,259.73
Rate for Payer: Mclaren Medicaid	$8,818.79
Rate for Payer: Meridian Medicaid	$9,259.73
Rate for Payer: PHP Medicaid	$8,818.79
Rate for Payer: Priority Health Choice Medicaid	$8,818.79

INPATIENT APRDRG 4802: MAJOR MALE PELVIC PROCEDURES

Facility

$9,872.44

Service Code	APR-DRG 4802
Hospital Charge Code	APRDRG 4802
Min. Negotiated Rate	$9,402.32
Max. Negotiated Rate	$9,872.44
Rate for Payer: BCBS Complete	$9,872.44
Rate for Payer: Mclaren Medicaid	$9,402.32
Rate for Payer: Meridian Medicaid	$9,872.44
Rate for Payer: PHP Medicaid	$9,402.32
Rate for Payer: Priority Health Choice Medicaid	$9,402.32

INPATIENT APRDRG 4803: MAJOR MALE PELVIC PROCEDURES

Facility

$14,522.54

Service Code	APR-DRG 4803
Hospital Charge Code	APRDRG 4803
Min. Negotiated Rate	$13,830.99
Max. Negotiated Rate	$14,522.54
Rate for Payer: BCBS Complete	$14,522.54
Rate for Payer: Mclaren Medicaid	$13,830.99
Rate for Payer: Meridian Medicaid	$14,522.54
Rate for Payer: PHP Medicaid	$13,830.99
Rate for Payer: Priority Health Choice Medicaid	$13,830.99

INPATIENT APRDRG 4804: MAJOR MALE PELVIC PROCEDURES

Facility

$24,271.00

Service Code	APR-DRG 4804
Hospital Charge Code	APRDRG 4804
Min. Negotiated Rate	$23,115.24
Max. Negotiated Rate	$24,271.00
Rate for Payer: BCBS Complete	$24,271.00
Rate for Payer: Mclaren Medicaid	$23,115.24
Rate for Payer: Meridian Medicaid	$24,271.00
Rate for Payer: PHP Medicaid	$23,115.24
Rate for Payer: Priority Health Choice Medicaid	$23,115.24

INPATIENT APRDRG 4821: TRANSURETHRAL PROSTATECTOMY

Facility

$4,433.91

Service Code	APR-DRG 4821
Hospital Charge Code	APRDRG 4821
Min. Negotiated Rate	$4,222.77
Max. Negotiated Rate	$4,433.91
Rate for Payer: BCBS Complete	$4,433.91
Rate for Payer: Mclaren Medicaid	$4,222.77
Rate for Payer: Meridian Medicaid	$4,433.91
Rate for Payer: PHP Medicaid	$4,222.77
Rate for Payer: Priority Health Choice Medicaid	$4,222.77

INPATIENT APRDRG 4822: TRANSURETHRAL PROSTATECTOMY

Facility

$5,448.76

Service Code	APR-DRG 4822
Hospital Charge Code	APRDRG 4822
Min. Negotiated Rate	$5,189.30
Max. Negotiated Rate	$5,448.76
Rate for Payer: BCBS Complete	$5,448.76
Rate for Payer: Mclaren Medicaid	$5,189.30
Rate for Payer: Meridian Medicaid	$5,448.76
Rate for Payer: PHP Medicaid	$5,189.30
Rate for Payer: Priority Health Choice Medicaid	$5,189.30

INPATIENT APRDRG 4823: TRANSURETHRAL PROSTATECTOMY

Facility

$10,102.46

Service Code	APR-DRG 4823
Hospital Charge Code	APRDRG 4823
Min. Negotiated Rate	$9,621.39
Max. Negotiated Rate	$10,102.46
Rate for Payer: BCBS Complete	$10,102.46
Rate for Payer: Mclaren Medicaid	$9,621.39
Rate for Payer: Meridian Medicaid	$10,102.46
Rate for Payer: PHP Medicaid	$9,621.39
Rate for Payer: Priority Health Choice Medicaid	$9,621.39

INPATIENT APRDRG 4824: TRANSURETHRAL PROSTATECTOMY

Facility

$17,575.81

Service Code	APR-DRG 4824
Hospital Charge Code	APRDRG 4824
Min. Negotiated Rate	$16,738.87
Max. Negotiated Rate	$17,575.81
Rate for Payer: BCBS Complete	$17,575.81
Rate for Payer: Mclaren Medicaid	$16,738.87
Rate for Payer: Meridian Medicaid	$17,575.81
Rate for Payer: PHP Medicaid	$16,738.87
Rate for Payer: Priority Health Choice Medicaid	$16,738.87

INPATIENT APRDRG 4831: PENIS, TESTES & SCROTAL PROCEDURES

Facility

$6,106.04

Service Code	APR-DRG 4831
Hospital Charge Code	APRDRG 4831
Min. Negotiated Rate	$5,815.28
Max. Negotiated Rate	$6,106.04
Rate for Payer: BCBS Complete	$6,106.04
Rate for Payer: Mclaren Medicaid	$5,815.28
Rate for Payer: Meridian Medicaid	$6,106.04
Rate for Payer: PHP Medicaid	$5,815.28
Rate for Payer: Priority Health Choice Medicaid	$5,815.28

INPATIENT APRDRG 4832: PENIS, TESTES & SCROTAL PROCEDURES

Facility

$7,760.25

Service Code	APR-DRG 4832
Hospital Charge Code	APRDRG 4832
Min. Negotiated Rate	$7,390.71
Max. Negotiated Rate	$7,760.25
Rate for Payer: BCBS Complete	$7,760.25
Rate for Payer: Mclaren Medicaid	$7,390.71
Rate for Payer: Meridian Medicaid	$7,760.25
Rate for Payer: PHP Medicaid	$7,390.71
Rate for Payer: Priority Health Choice Medicaid	$7,390.71

INPATIENT APRDRG 4833: PENIS, TESTES & SCROTAL PROCEDURES

Facility

$11,644.97

Service Code	APR-DRG 4833
Hospital Charge Code	APRDRG 4833
Min. Negotiated Rate	$11,090.45
Max. Negotiated Rate	$11,644.97
Rate for Payer: BCBS Complete	$11,644.97
Rate for Payer: Mclaren Medicaid	$11,090.45
Rate for Payer: Meridian Medicaid	$11,644.97
Rate for Payer: PHP Medicaid	$11,090.45
Rate for Payer: Priority Health Choice Medicaid	$11,090.45

Know your out-of-pocket cost for care.

All Charges