Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 5131: UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA

Facility

$6,576.84

Service Code	APR-DRG 5131
Hospital Charge Code	APRDRG 5131
Min. Negotiated Rate	$6,263.66
Max. Negotiated Rate	$6,576.84
Rate for Payer: BCBS Complete	$6,576.84
Rate for Payer: Mclaren Medicaid	$6,263.66
Rate for Payer: Meridian Medicaid	$6,576.84
Rate for Payer: PHP Medicaid	$6,263.66
Rate for Payer: Priority Health Choice Medicaid	$6,263.66

INPATIENT APRDRG 5132: UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA

Facility

$7,958.51

Service Code	APR-DRG 5132
Hospital Charge Code	APRDRG 5132
Min. Negotiated Rate	$7,579.53
Max. Negotiated Rate	$7,958.51
Rate for Payer: BCBS Complete	$7,958.51
Rate for Payer: Mclaren Medicaid	$7,579.53
Rate for Payer: Meridian Medicaid	$7,958.51
Rate for Payer: PHP Medicaid	$7,579.53
Rate for Payer: Priority Health Choice Medicaid	$7,579.53

INPATIENT APRDRG 5133: UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA

Facility

$12,667.52

Service Code	APR-DRG 5133
Hospital Charge Code	APRDRG 5133
Min. Negotiated Rate	$12,064.30
Max. Negotiated Rate	$12,667.52
Rate for Payer: BCBS Complete	$12,667.52
Rate for Payer: Mclaren Medicaid	$12,064.30
Rate for Payer: Meridian Medicaid	$12,667.52
Rate for Payer: PHP Medicaid	$12,064.30
Rate for Payer: Priority Health Choice Medicaid	$12,064.30

INPATIENT APRDRG 5134: UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA

Facility

$22,024.59

Service Code	APR-DRG 5134
Hospital Charge Code	APRDRG 5134
Min. Negotiated Rate	$20,975.80
Max. Negotiated Rate	$22,024.59
Rate for Payer: BCBS Complete	$22,024.59
Rate for Payer: Mclaren Medicaid	$20,975.80
Rate for Payer: Meridian Medicaid	$22,024.59
Rate for Payer: PHP Medicaid	$20,975.80
Rate for Payer: Priority Health Choice Medicaid	$20,975.80

INPATIENT APRDRG 5141: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES

Facility

$5,299.70

Service Code	APR-DRG 5141
Hospital Charge Code	APRDRG 5141
Min. Negotiated Rate	$5,047.33
Max. Negotiated Rate	$5,299.70
Rate for Payer: BCBS Complete	$5,299.70
Rate for Payer: Mclaren Medicaid	$5,047.33
Rate for Payer: Meridian Medicaid	$5,299.70
Rate for Payer: PHP Medicaid	$5,047.33
Rate for Payer: Priority Health Choice Medicaid	$5,047.33

INPATIENT APRDRG 5142: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES

Facility

$8,193.64

Service Code	APR-DRG 5142
Hospital Charge Code	APRDRG 5142
Min. Negotiated Rate	$7,803.47
Max. Negotiated Rate	$8,193.64
Rate for Payer: BCBS Complete	$8,193.64
Rate for Payer: Mclaren Medicaid	$7,803.47
Rate for Payer: Meridian Medicaid	$8,193.64
Rate for Payer: PHP Medicaid	$7,803.47
Rate for Payer: Priority Health Choice Medicaid	$7,803.47

INPATIENT APRDRG 5143: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES

Facility

$11,098.36

Service Code	APR-DRG 5143
Hospital Charge Code	APRDRG 5143
Min. Negotiated Rate	$10,569.87
Max. Negotiated Rate	$11,098.36
Rate for Payer: BCBS Complete	$11,098.36
Rate for Payer: Mclaren Medicaid	$10,569.87
Rate for Payer: Meridian Medicaid	$11,098.36
Rate for Payer: PHP Medicaid	$10,569.87
Rate for Payer: Priority Health Choice Medicaid	$10,569.87

INPATIENT APRDRG 5144: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES

Facility

$29,901.64

Service Code	APR-DRG 5144
Hospital Charge Code	APRDRG 5144
Min. Negotiated Rate	$28,477.75
Max. Negotiated Rate	$29,901.64
Rate for Payer: BCBS Complete	$29,901.64
Rate for Payer: Mclaren Medicaid	$28,477.75
Rate for Payer: Meridian Medicaid	$29,901.64
Rate for Payer: PHP Medicaid	$28,477.75
Rate for Payer: Priority Health Choice Medicaid	$28,477.75

INPATIENT APRDRG 5171: DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES

Facility

$4,379.61

Service Code	APR-DRG 5171
Hospital Charge Code	APRDRG 5171
Min. Negotiated Rate	$4,171.06
Max. Negotiated Rate	$4,379.61
Rate for Payer: BCBS Complete	$4,379.61
Rate for Payer: Mclaren Medicaid	$4,171.06
Rate for Payer: Meridian Medicaid	$4,379.61
Rate for Payer: PHP Medicaid	$4,171.06
Rate for Payer: Priority Health Choice Medicaid	$4,171.06

INPATIENT APRDRG 5172: DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES

Facility

$5,088.63

Service Code	APR-DRG 5172
Hospital Charge Code	APRDRG 5172
Min. Negotiated Rate	$4,846.31
Max. Negotiated Rate	$5,088.63
Rate for Payer: BCBS Complete	$5,088.63
Rate for Payer: Mclaren Medicaid	$4,846.31
Rate for Payer: Meridian Medicaid	$5,088.63
Rate for Payer: PHP Medicaid	$4,846.31
Rate for Payer: Priority Health Choice Medicaid	$4,846.31

INPATIENT APRDRG 5173: DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES

Facility

$8,074.79

Service Code	APR-DRG 5173
Hospital Charge Code	APRDRG 5173
Min. Negotiated Rate	$7,690.28
Max. Negotiated Rate	$8,074.79
Rate for Payer: BCBS Complete	$8,074.79
Rate for Payer: Mclaren Medicaid	$7,690.28
Rate for Payer: Meridian Medicaid	$8,074.79
Rate for Payer: PHP Medicaid	$7,690.28
Rate for Payer: Priority Health Choice Medicaid	$7,690.28

INPATIENT APRDRG 5174: DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES

Facility

$13,383.20

Service Code	APR-DRG 5174
Hospital Charge Code	APRDRG 5174
Min. Negotiated Rate	$12,745.90
Max. Negotiated Rate	$13,383.20
Rate for Payer: BCBS Complete	$13,383.20
Rate for Payer: Mclaren Medicaid	$12,745.90
Rate for Payer: Meridian Medicaid	$13,383.20
Rate for Payer: PHP Medicaid	$12,745.90
Rate for Payer: Priority Health Choice Medicaid	$12,745.90

INPATIENT APRDRG 5181: OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES

Facility

$5,494.88

Service Code	APR-DRG 5181
Hospital Charge Code	APRDRG 5181
Min. Negotiated Rate	$5,233.22
Max. Negotiated Rate	$5,494.88
Rate for Payer: BCBS Complete	$5,494.88
Rate for Payer: Mclaren Medicaid	$5,233.22
Rate for Payer: Meridian Medicaid	$5,494.88
Rate for Payer: PHP Medicaid	$5,233.22
Rate for Payer: Priority Health Choice Medicaid	$5,233.22

INPATIENT APRDRG 5182: OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES

Facility

$6,459.53

Service Code	APR-DRG 5182
Hospital Charge Code	APRDRG 5182
Min. Negotiated Rate	$6,151.93
Max. Negotiated Rate	$6,459.53
Rate for Payer: BCBS Complete	$6,459.53
Rate for Payer: Mclaren Medicaid	$6,151.93
Rate for Payer: Meridian Medicaid	$6,459.53
Rate for Payer: PHP Medicaid	$6,151.93
Rate for Payer: Priority Health Choice Medicaid	$6,151.93

INPATIENT APRDRG 5183: OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES

Facility

$10,179.30

Service Code	APR-DRG 5183
Hospital Charge Code	APRDRG 5183
Min. Negotiated Rate	$9,694.57
Max. Negotiated Rate	$10,179.30
Rate for Payer: BCBS Complete	$10,179.30
Rate for Payer: Mclaren Medicaid	$9,694.57
Rate for Payer: Meridian Medicaid	$10,179.30
Rate for Payer: PHP Medicaid	$9,694.57
Rate for Payer: Priority Health Choice Medicaid	$9,694.57

INPATIENT APRDRG 5184: OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES

Facility

$21,390.37

Service Code	APR-DRG 5184
Hospital Charge Code	APRDRG 5184
Min. Negotiated Rate	$20,371.78
Max. Negotiated Rate	$21,390.37
Rate for Payer: BCBS Complete	$21,390.37
Rate for Payer: Mclaren Medicaid	$20,371.78
Rate for Payer: Meridian Medicaid	$21,390.37
Rate for Payer: PHP Medicaid	$20,371.78
Rate for Payer: Priority Health Choice Medicaid	$20,371.78

INPATIENT APRDRG 5191: UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA

Facility

$6,008.71

Service Code	APR-DRG 5191
Hospital Charge Code	APRDRG 5191
Min. Negotiated Rate	$5,722.58
Max. Negotiated Rate	$6,008.71
Rate for Payer: BCBS Complete	$6,008.71
Rate for Payer: Mclaren Medicaid	$5,722.58
Rate for Payer: Meridian Medicaid	$6,008.71
Rate for Payer: PHP Medicaid	$5,722.58
Rate for Payer: Priority Health Choice Medicaid	$5,722.58

INPATIENT APRDRG 5192: UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA

Facility

$8,170.08

Service Code	APR-DRG 5192
Hospital Charge Code	APRDRG 5192
Min. Negotiated Rate	$7,781.03
Max. Negotiated Rate	$8,170.08
Rate for Payer: BCBS Complete	$8,170.08
Rate for Payer: Mclaren Medicaid	$7,781.03
Rate for Payer: Meridian Medicaid	$8,170.08
Rate for Payer: PHP Medicaid	$7,781.03
Rate for Payer: Priority Health Choice Medicaid	$7,781.03

INPATIENT APRDRG 5193: UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA

Facility

$12,011.78

Service Code	APR-DRG 5193
Hospital Charge Code	APRDRG 5193
Min. Negotiated Rate	$11,439.79
Max. Negotiated Rate	$12,011.78
Rate for Payer: BCBS Complete	$12,011.78
Rate for Payer: Mclaren Medicaid	$11,439.79
Rate for Payer: Meridian Medicaid	$12,011.78
Rate for Payer: PHP Medicaid	$11,439.79
Rate for Payer: Priority Health Choice Medicaid	$11,439.79

INPATIENT APRDRG 5194: UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA

Facility

$23,586.57

Service Code	APR-DRG 5194
Hospital Charge Code	APRDRG 5194
Min. Negotiated Rate	$22,463.40
Max. Negotiated Rate	$23,586.57
Rate for Payer: BCBS Complete	$23,586.57
Rate for Payer: Mclaren Medicaid	$22,463.40
Rate for Payer: Meridian Medicaid	$23,586.57
Rate for Payer: PHP Medicaid	$22,463.40
Rate for Payer: Priority Health Choice Medicaid	$22,463.40

INPATIENT APRDRG 5301: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY

Facility

$4,237.71

Service Code	APR-DRG 5301
Hospital Charge Code	APRDRG 5301
Min. Negotiated Rate	$4,035.91
Max. Negotiated Rate	$4,237.71
Rate for Payer: BCBS Complete	$4,237.71
Rate for Payer: Mclaren Medicaid	$4,035.91
Rate for Payer: Meridian Medicaid	$4,237.71
Rate for Payer: PHP Medicaid	$4,035.91
Rate for Payer: Priority Health Choice Medicaid	$4,035.91

INPATIENT APRDRG 5302: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY

Facility

$5,175.21

Service Code	APR-DRG 5302
Hospital Charge Code	APRDRG 5302
Min. Negotiated Rate	$4,928.77
Max. Negotiated Rate	$5,175.21
Rate for Payer: BCBS Complete	$5,175.21
Rate for Payer: Mclaren Medicaid	$4,928.77
Rate for Payer: Meridian Medicaid	$5,175.21
Rate for Payer: PHP Medicaid	$4,928.77
Rate for Payer: Priority Health Choice Medicaid	$4,928.77

INPATIENT APRDRG 5303: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY

Facility

$6,735.14

Service Code	APR-DRG 5303
Hospital Charge Code	APRDRG 5303
Min. Negotiated Rate	$6,414.42
Max. Negotiated Rate	$6,735.14
Rate for Payer: BCBS Complete	$6,735.14
Rate for Payer: Mclaren Medicaid	$6,414.42
Rate for Payer: Meridian Medicaid	$6,735.14
Rate for Payer: PHP Medicaid	$6,414.42
Rate for Payer: Priority Health Choice Medicaid	$6,414.42

INPATIENT APRDRG 5304: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY

Facility

$12,704.92

Service Code	APR-DRG 5304
Hospital Charge Code	APRDRG 5304
Min. Negotiated Rate	$12,099.92
Max. Negotiated Rate	$12,704.92
Rate for Payer: BCBS Complete	$12,704.92
Rate for Payer: Mclaren Medicaid	$12,099.92
Rate for Payer: Meridian Medicaid	$12,704.92
Rate for Payer: PHP Medicaid	$12,099.92
Rate for Payer: Priority Health Choice Medicaid	$12,099.92

INPATIENT APRDRG 5311: FEMALE REPRODUCTIVE SYSTEM INFECTIONS

Facility

$2,845.29

Service Code	APR-DRG 5311
Hospital Charge Code	APRDRG 5311
Min. Negotiated Rate	$2,709.80
Max. Negotiated Rate	$2,845.29
Rate for Payer: BCBS Complete	$2,845.29
Rate for Payer: Mclaren Medicaid	$2,709.80
Rate for Payer: Meridian Medicaid	$2,845.29
Rate for Payer: PHP Medicaid	$2,709.80
Rate for Payer: Priority Health Choice Medicaid	$2,709.80

Know your out-of-pocket cost for care.

All Charges