Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 4834: PENIS, TESTES & SCROTAL PROCEDURES

Facility

$21,419.06

Service Code	APR-DRG 4834
Hospital Charge Code	APRDRG 4834
Min. Negotiated Rate	$20,399.10
Max. Negotiated Rate	$21,419.06
Rate for Payer: BCBS Complete	$21,419.06
Rate for Payer: Mclaren Medicaid	$20,399.10
Rate for Payer: Meridian Medicaid	$21,419.06
Rate for Payer: PHP Medicaid	$20,399.10
Rate for Payer: Priority Health Choice Medicaid	$20,399.10

INPATIENT APRDRG 4841: OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES

Facility

$8,218.23

Service Code	APR-DRG 4841
Hospital Charge Code	APRDRG 4841
Min. Negotiated Rate	$7,826.89
Max. Negotiated Rate	$8,218.23
Rate for Payer: BCBS Complete	$8,218.23
Rate for Payer: Mclaren Medicaid	$7,826.89
Rate for Payer: Meridian Medicaid	$8,218.23
Rate for Payer: PHP Medicaid	$7,826.89
Rate for Payer: Priority Health Choice Medicaid	$7,826.89

INPATIENT APRDRG 4842: OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES

Facility

$9,519.47

Service Code	APR-DRG 4842
Hospital Charge Code	APRDRG 4842
Min. Negotiated Rate	$9,066.16
Max. Negotiated Rate	$9,519.47
Rate for Payer: BCBS Complete	$9,519.47
Rate for Payer: Mclaren Medicaid	$9,066.16
Rate for Payer: Meridian Medicaid	$9,519.47
Rate for Payer: PHP Medicaid	$9,066.16
Rate for Payer: Priority Health Choice Medicaid	$9,066.16

INPATIENT APRDRG 4843: OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES

Facility

$10,223.36

Service Code	APR-DRG 4843
Hospital Charge Code	APRDRG 4843
Min. Negotiated Rate	$9,736.53
Max. Negotiated Rate	$10,223.36
Rate for Payer: BCBS Complete	$10,223.36
Rate for Payer: Mclaren Medicaid	$9,736.53
Rate for Payer: Meridian Medicaid	$10,223.36
Rate for Payer: PHP Medicaid	$9,736.53
Rate for Payer: Priority Health Choice Medicaid	$9,736.53

INPATIENT APRDRG 4844: OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES

Facility

$22,580.43

Service Code	APR-DRG 4844
Hospital Charge Code	APRDRG 4844
Min. Negotiated Rate	$21,505.17
Max. Negotiated Rate	$22,580.43
Rate for Payer: BCBS Complete	$22,580.43
Rate for Payer: Mclaren Medicaid	$21,505.17
Rate for Payer: Meridian Medicaid	$22,580.43
Rate for Payer: PHP Medicaid	$21,505.17
Rate for Payer: Priority Health Choice Medicaid	$21,505.17

INPATIENT APRDRG 5001: MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$4,314.04

Service Code	APR-DRG 5001
Hospital Charge Code	APRDRG 5001
Min. Negotiated Rate	$4,108.61
Max. Negotiated Rate	$4,314.04
Rate for Payer: BCBS Complete	$4,314.04
Rate for Payer: Mclaren Medicaid	$4,108.61
Rate for Payer: Meridian Medicaid	$4,314.04
Rate for Payer: PHP Medicaid	$4,108.61
Rate for Payer: Priority Health Choice Medicaid	$4,108.61

INPATIENT APRDRG 5002: MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$6,336.07

Service Code	APR-DRG 5002
Hospital Charge Code	APRDRG 5002
Min. Negotiated Rate	$6,034.35
Max. Negotiated Rate	$6,336.07
Rate for Payer: BCBS Complete	$6,336.07
Rate for Payer: Mclaren Medicaid	$6,034.35
Rate for Payer: Meridian Medicaid	$6,336.07
Rate for Payer: PHP Medicaid	$6,034.35
Rate for Payer: Priority Health Choice Medicaid	$6,034.35

INPATIENT APRDRG 5003: MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$9,427.26

Service Code	APR-DRG 5003
Hospital Charge Code	APRDRG 5003
Min. Negotiated Rate	$8,978.34
Max. Negotiated Rate	$9,427.26
Rate for Payer: BCBS Complete	$9,427.26
Rate for Payer: Mclaren Medicaid	$8,978.34
Rate for Payer: Meridian Medicaid	$9,427.26
Rate for Payer: PHP Medicaid	$8,978.34
Rate for Payer: Priority Health Choice Medicaid	$8,978.34

INPATIENT APRDRG 5004: MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$18,984.12

Service Code	APR-DRG 5004
Hospital Charge Code	APRDRG 5004
Min. Negotiated Rate	$18,080.11
Max. Negotiated Rate	$18,984.12
Rate for Payer: BCBS Complete	$18,984.12
Rate for Payer: Mclaren Medicaid	$18,080.11
Rate for Payer: Meridian Medicaid	$18,984.12
Rate for Payer: PHP Medicaid	$18,080.11
Rate for Payer: Priority Health Choice Medicaid	$18,080.11

INPATIENT APRDRG 5011: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$3,159.32

Service Code	APR-DRG 5011
Hospital Charge Code	APRDRG 5011
Min. Negotiated Rate	$3,008.88
Max. Negotiated Rate	$3,159.32
Rate for Payer: BCBS Complete	$3,159.32
Rate for Payer: Mclaren Medicaid	$3,008.88
Rate for Payer: Meridian Medicaid	$3,159.32
Rate for Payer: PHP Medicaid	$3,008.88
Rate for Payer: Priority Health Choice Medicaid	$3,008.88

INPATIENT APRDRG 5012: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$3,524.59

Service Code	APR-DRG 5012
Hospital Charge Code	APRDRG 5012
Min. Negotiated Rate	$3,356.75
Max. Negotiated Rate	$3,524.59
Rate for Payer: BCBS Complete	$3,524.59
Rate for Payer: Mclaren Medicaid	$3,356.75
Rate for Payer: Meridian Medicaid	$3,524.59
Rate for Payer: PHP Medicaid	$3,356.75
Rate for Payer: Priority Health Choice Medicaid	$3,356.75

INPATIENT APRDRG 5013: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$5,111.17

Service Code	APR-DRG 5013
Hospital Charge Code	APRDRG 5013
Min. Negotiated Rate	$4,867.78
Max. Negotiated Rate	$5,111.17
Rate for Payer: BCBS Complete	$5,111.17
Rate for Payer: Mclaren Medicaid	$4,867.78
Rate for Payer: Meridian Medicaid	$5,111.17
Rate for Payer: PHP Medicaid	$4,867.78
Rate for Payer: Priority Health Choice Medicaid	$4,867.78

INPATIENT APRDRG 5014: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$10,082.48

Service Code	APR-DRG 5014
Hospital Charge Code	APRDRG 5014
Min. Negotiated Rate	$9,602.36
Max. Negotiated Rate	$10,082.48
Rate for Payer: BCBS Complete	$10,082.48
Rate for Payer: Mclaren Medicaid	$9,602.36
Rate for Payer: Meridian Medicaid	$10,082.48
Rate for Payer: PHP Medicaid	$9,602.36
Rate for Payer: Priority Health Choice Medicaid	$9,602.36

INPATIENT APRDRG 5101: PELVIC EVISCERATION, RADICAL HYSTERECTOMY & OTHER RADICAL GYN PROCS

Facility

$7,762.29

Service Code	APR-DRG 5101
Hospital Charge Code	APRDRG 5101
Min. Negotiated Rate	$7,392.66
Max. Negotiated Rate	$7,762.29
Rate for Payer: BCBS Complete	$7,762.29
Rate for Payer: Mclaren Medicaid	$7,392.66
Rate for Payer: Meridian Medicaid	$7,762.29
Rate for Payer: PHP Medicaid	$7,392.66
Rate for Payer: Priority Health Choice Medicaid	$7,392.66

INPATIENT APRDRG 5102: PELVIC EVISCERATION, RADICAL HYSTERECTOMY & OTHER RADICAL GYN PROCS

Facility

$8,940.06

Service Code	APR-DRG 5102
Hospital Charge Code	APRDRG 5102
Min. Negotiated Rate	$8,514.34
Max. Negotiated Rate	$8,940.06
Rate for Payer: BCBS Complete	$8,940.06
Rate for Payer: Mclaren Medicaid	$8,514.34
Rate for Payer: Meridian Medicaid	$8,940.06
Rate for Payer: PHP Medicaid	$8,514.34
Rate for Payer: Priority Health Choice Medicaid	$8,514.34

INPATIENT APRDRG 5103: PELVIC EVISCERATION, RADICAL HYSTERECTOMY & OTHER RADICAL GYN PROCS

Facility

$16,074.28

Service Code	APR-DRG 5103
Hospital Charge Code	APRDRG 5103
Min. Negotiated Rate	$15,308.84
Max. Negotiated Rate	$16,074.28
Rate for Payer: BCBS Complete	$16,074.28
Rate for Payer: Mclaren Medicaid	$15,308.84
Rate for Payer: Meridian Medicaid	$16,074.28
Rate for Payer: PHP Medicaid	$15,308.84
Rate for Payer: Priority Health Choice Medicaid	$15,308.84

INPATIENT APRDRG 5104: PELVIC EVISCERATION, RADICAL HYSTERECTOMY & OTHER RADICAL GYN PROCS

Facility

$30,220.80

Service Code	APR-DRG 5104
Hospital Charge Code	APRDRG 5104
Min. Negotiated Rate	$28,781.71
Max. Negotiated Rate	$30,220.80
Rate for Payer: BCBS Complete	$30,220.80
Rate for Payer: Mclaren Medicaid	$28,781.71
Rate for Payer: Meridian Medicaid	$30,220.80
Rate for Payer: PHP Medicaid	$28,781.71
Rate for Payer: Priority Health Choice Medicaid	$28,781.71

INPATIENT APRDRG 5111: UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY

Facility

$7,110.65

Service Code	APR-DRG 5111
Hospital Charge Code	APRDRG 5111
Min. Negotiated Rate	$6,772.05
Max. Negotiated Rate	$7,110.65
Rate for Payer: BCBS Complete	$7,110.65
Rate for Payer: Mclaren Medicaid	$6,772.05
Rate for Payer: Meridian Medicaid	$7,110.65
Rate for Payer: PHP Medicaid	$6,772.05
Rate for Payer: Priority Health Choice Medicaid	$6,772.05

INPATIENT APRDRG 5112: UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY

Facility

$9,616.80

Service Code	APR-DRG 5112
Hospital Charge Code	APRDRG 5112
Min. Negotiated Rate	$9,158.86
Max. Negotiated Rate	$9,616.80
Rate for Payer: BCBS Complete	$9,616.80
Rate for Payer: Mclaren Medicaid	$9,158.86
Rate for Payer: Meridian Medicaid	$9,616.80
Rate for Payer: PHP Medicaid	$9,158.86
Rate for Payer: Priority Health Choice Medicaid	$9,158.86

INPATIENT APRDRG 5113: UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY

Facility

$12,913.42

Service Code	APR-DRG 5113
Hospital Charge Code	APRDRG 5113
Min. Negotiated Rate	$12,298.50
Max. Negotiated Rate	$12,913.42
Rate for Payer: BCBS Complete	$12,913.42
Rate for Payer: Mclaren Medicaid	$12,298.50
Rate for Payer: Meridian Medicaid	$12,913.42
Rate for Payer: PHP Medicaid	$12,298.50
Rate for Payer: Priority Health Choice Medicaid	$12,298.50

INPATIENT APRDRG 5114: UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY

Facility

$25,639.34

Service Code	APR-DRG 5114
Hospital Charge Code	APRDRG 5114
Min. Negotiated Rate	$24,418.42
Max. Negotiated Rate	$25,639.34
Rate for Payer: BCBS Complete	$25,639.34
Rate for Payer: Mclaren Medicaid	$24,418.42
Rate for Payer: Meridian Medicaid	$25,639.34
Rate for Payer: PHP Medicaid	$24,418.42
Rate for Payer: Priority Health Choice Medicaid	$24,418.42

INPATIENT APRDRG 5121: UTERINE & ADNEXA PROCEDURES FOR NON-OVARIAN & NON-ADNEXAL MALIG

Facility

$8,223.36

Service Code	APR-DRG 5121
Hospital Charge Code	APRDRG 5121
Min. Negotiated Rate	$7,831.77
Max. Negotiated Rate	$8,223.36
Rate for Payer: BCBS Complete	$8,223.36
Rate for Payer: Mclaren Medicaid	$7,831.77
Rate for Payer: Meridian Medicaid	$8,223.36
Rate for Payer: PHP Medicaid	$7,831.77
Rate for Payer: Priority Health Choice Medicaid	$7,831.77

INPATIENT APRDRG 5122: UTERINE & ADNEXA PROCEDURES FOR NON-OVARIAN & NON-ADNEXAL MALIG

Facility

$9,492.83

Service Code	APR-DRG 5122
Hospital Charge Code	APRDRG 5122
Min. Negotiated Rate	$9,040.79
Max. Negotiated Rate	$9,492.83
Rate for Payer: BCBS Complete	$9,492.83
Rate for Payer: Mclaren Medicaid	$9,040.79
Rate for Payer: Meridian Medicaid	$9,492.83
Rate for Payer: PHP Medicaid	$9,040.79
Rate for Payer: Priority Health Choice Medicaid	$9,040.79

INPATIENT APRDRG 5123: UTERINE & ADNEXA PROCEDURES FOR NON-OVARIAN & NON-ADNEXAL MALIG

Facility

$13,744.36

Service Code	APR-DRG 5123
Hospital Charge Code	APRDRG 5123
Min. Negotiated Rate	$13,089.87
Max. Negotiated Rate	$13,744.36
Rate for Payer: BCBS Complete	$13,744.36
Rate for Payer: Mclaren Medicaid	$13,089.87
Rate for Payer: Meridian Medicaid	$13,744.36
Rate for Payer: PHP Medicaid	$13,089.87
Rate for Payer: Priority Health Choice Medicaid	$13,089.87

INPATIENT APRDRG 5124: UTERINE & ADNEXA PROCEDURES FOR NON-OVARIAN & NON-ADNEXAL MALIG

Facility

$23,386.27

Service Code	APR-DRG 5124
Hospital Charge Code	APRDRG 5124
Min. Negotiated Rate	$22,272.64
Max. Negotiated Rate	$23,386.27
Rate for Payer: BCBS Complete	$23,386.27
Rate for Payer: Mclaren Medicaid	$22,272.64
Rate for Payer: Meridian Medicaid	$23,386.27
Rate for Payer: PHP Medicaid	$22,272.64
Rate for Payer: Priority Health Choice Medicaid	$22,272.64

Know your out-of-pocket cost for care.

All Charges