Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 5664: OTHER ANTEPARTUM DIAGNOSES

Facility

$6,163.42

Service Code	APR-DRG 5664
Hospital Charge Code	APRDRG 5664
Min. Negotiated Rate	$5,869.92
Max. Negotiated Rate	$6,163.42
Rate for Payer: BCBS Complete	$6,163.42
Rate for Payer: Mclaren Medicaid	$5,869.92
Rate for Payer: Meridian Medicaid	$6,163.42
Rate for Payer: PHP Medicaid	$5,869.92
Rate for Payer: Priority Health Choice Medicaid	$5,869.92

INPATIENT APRDRG 5801: NEONATE, TRANSFERRED <5 DAYS OLD, NOT BORN HERE

Facility

$1,715.16

Service Code	APR-DRG 5801
Hospital Charge Code	APRDRG 5801
Min. Negotiated Rate	$1,633.49
Max. Negotiated Rate	$1,715.16
Rate for Payer: BCBS Complete	$1,715.16
Rate for Payer: Mclaren Medicaid	$1,633.49
Rate for Payer: Meridian Medicaid	$1,715.16
Rate for Payer: PHP Medicaid	$1,633.49
Rate for Payer: Priority Health Choice Medicaid	$1,633.49

INPATIENT APRDRG 5802: NEONATE, TRANSFERRED <5 DAYS OLD, NOT BORN HERE

Facility

$2,452.87

Service Code	APR-DRG 5802
Hospital Charge Code	APRDRG 5802
Min. Negotiated Rate	$2,336.07
Max. Negotiated Rate	$2,452.87
Rate for Payer: BCBS Complete	$2,452.87
Rate for Payer: Mclaren Medicaid	$2,336.07
Rate for Payer: Meridian Medicaid	$2,452.87
Rate for Payer: PHP Medicaid	$2,336.07
Rate for Payer: Priority Health Choice Medicaid	$2,336.07

INPATIENT APRDRG 5803: NEONATE, TRANSFERRED <5 DAYS OLD, NOT BORN HERE

Facility

$3,908.81

Service Code	APR-DRG 5803
Hospital Charge Code	APRDRG 5803
Min. Negotiated Rate	$3,722.68
Max. Negotiated Rate	$3,908.81
Rate for Payer: BCBS Complete	$3,908.81
Rate for Payer: Mclaren Medicaid	$3,722.68
Rate for Payer: Meridian Medicaid	$3,908.81
Rate for Payer: PHP Medicaid	$3,722.68
Rate for Payer: Priority Health Choice Medicaid	$3,722.68

INPATIENT APRDRG 5804: NEONATE, TRANSFERRED <5 DAYS OLD, NOT BORN HERE

Facility

$6,338.63

Service Code	APR-DRG 5804
Hospital Charge Code	APRDRG 5804
Min. Negotiated Rate	$6,036.79
Max. Negotiated Rate	$6,338.63
Rate for Payer: BCBS Complete	$6,338.63
Rate for Payer: Mclaren Medicaid	$6,036.79
Rate for Payer: Meridian Medicaid	$6,338.63
Rate for Payer: PHP Medicaid	$6,036.79
Rate for Payer: Priority Health Choice Medicaid	$6,036.79

INPATIENT APRDRG 5811: NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE

Facility

$633.71

Service Code	APR-DRG 5811
Hospital Charge Code	APRDRG 5811
Min. Negotiated Rate	$603.53
Max. Negotiated Rate	$633.71
Rate for Payer: BCBS Complete	$633.71
Rate for Payer: Mclaren Medicaid	$603.53
Rate for Payer: Meridian Medicaid	$633.71
Rate for Payer: PHP Medicaid	$603.53
Rate for Payer: Priority Health Choice Medicaid	$603.53

INPATIENT APRDRG 5812: NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE

Facility

$984.12

Service Code	APR-DRG 5812
Hospital Charge Code	APRDRG 5812
Min. Negotiated Rate	$937.26
Max. Negotiated Rate	$984.12
Rate for Payer: BCBS Complete	$984.12
Rate for Payer: Mclaren Medicaid	$937.26
Rate for Payer: Meridian Medicaid	$984.12
Rate for Payer: PHP Medicaid	$937.26
Rate for Payer: Priority Health Choice Medicaid	$937.26

INPATIENT APRDRG 5813: NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE

Facility

$1,956.45

Service Code	APR-DRG 5813
Hospital Charge Code	APRDRG 5813
Min. Negotiated Rate	$1,863.29
Max. Negotiated Rate	$1,956.45
Rate for Payer: BCBS Complete	$1,956.45
Rate for Payer: Mclaren Medicaid	$1,863.29
Rate for Payer: Meridian Medicaid	$1,956.45
Rate for Payer: PHP Medicaid	$1,863.29
Rate for Payer: Priority Health Choice Medicaid	$1,863.29

INPATIENT APRDRG 5814: NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE

Facility

$9,562.50

Service Code	APR-DRG 5814
Hospital Charge Code	APRDRG 5814
Min. Negotiated Rate	$9,107.14
Max. Negotiated Rate	$9,562.50
Rate for Payer: BCBS Complete	$9,562.50
Rate for Payer: Mclaren Medicaid	$9,107.14
Rate for Payer: Meridian Medicaid	$9,562.50
Rate for Payer: PHP Medicaid	$9,107.14
Rate for Payer: Priority Health Choice Medicaid	$9,107.14

INPATIENT APRDRG 5831: NEONATE W ECMO

Facility

$75,063.51

Service Code	APR-DRG 5831
Hospital Charge Code	APRDRG 5831
Min. Negotiated Rate	$71,489.06
Max. Negotiated Rate	$75,063.51
Rate for Payer: BCBS Complete	$75,063.51
Rate for Payer: Mclaren Medicaid	$71,489.06
Rate for Payer: Meridian Medicaid	$75,063.51
Rate for Payer: PHP Medicaid	$71,489.06
Rate for Payer: Priority Health Choice Medicaid	$71,489.06

INPATIENT APRDRG 5832: NEONATE W ECMO

Facility

$103,268.42

Service Code	APR-DRG 5832
Hospital Charge Code	APRDRG 5832
Min. Negotiated Rate	$98,350.88
Max. Negotiated Rate	$103,268.42
Rate for Payer: BCBS Complete	$103,268.42
Rate for Payer: Mclaren Medicaid	$98,350.88
Rate for Payer: Meridian Medicaid	$103,268.42
Rate for Payer: PHP Medicaid	$98,350.88
Rate for Payer: Priority Health Choice Medicaid	$98,350.88

INPATIENT APRDRG 5833: NEONATE W ECMO

Facility

$186,264.82

Service Code	APR-DRG 5833
Hospital Charge Code	APRDRG 5833
Min. Negotiated Rate	$177,395.07
Max. Negotiated Rate	$186,264.82
Rate for Payer: BCBS Complete	$186,264.82
Rate for Payer: Mclaren Medicaid	$177,395.07
Rate for Payer: Meridian Medicaid	$186,264.82
Rate for Payer: PHP Medicaid	$177,395.07
Rate for Payer: Priority Health Choice Medicaid	$177,395.07

INPATIENT APRDRG 5834: NEONATE W ECMO

Facility

$287,567.57

Service Code	APR-DRG 5834
Hospital Charge Code	APRDRG 5834
Min. Negotiated Rate	$273,873.88
Max. Negotiated Rate	$287,567.57
Rate for Payer: BCBS Complete	$287,567.57
Rate for Payer: Mclaren Medicaid	$273,873.88
Rate for Payer: Meridian Medicaid	$287,567.57
Rate for Payer: PHP Medicaid	$273,873.88
Rate for Payer: Priority Health Choice Medicaid	$273,873.88

INPATIENT APRDRG 5881: NEONATE BWT <1500G W MAJOR PROCEDURE

Facility

$89,362.18

Service Code	APR-DRG 5881
Hospital Charge Code	APRDRG 5881
Min. Negotiated Rate	$85,106.84
Max. Negotiated Rate	$89,362.18
Rate for Payer: BCBS Complete	$89,362.18
Rate for Payer: Mclaren Medicaid	$85,106.84
Rate for Payer: Meridian Medicaid	$89,362.18
Rate for Payer: PHP Medicaid	$85,106.84
Rate for Payer: Priority Health Choice Medicaid	$85,106.84

INPATIENT APRDRG 5882: NEONATE BWT <1500G W MAJOR PROCEDURE

Facility

$104,257.16

Service Code	APR-DRG 5882
Hospital Charge Code	APRDRG 5882
Min. Negotiated Rate	$99,292.53
Max. Negotiated Rate	$104,257.16
Rate for Payer: BCBS Complete	$104,257.16
Rate for Payer: Mclaren Medicaid	$99,292.53
Rate for Payer: Meridian Medicaid	$104,257.16
Rate for Payer: PHP Medicaid	$99,292.53
Rate for Payer: Priority Health Choice Medicaid	$99,292.53

INPATIENT APRDRG 5883: NEONATE BWT <1500G W MAJOR PROCEDURE

Facility

$121,119.35

Service Code	APR-DRG 5883
Hospital Charge Code	APRDRG 5883
Min. Negotiated Rate	$115,351.76
Max. Negotiated Rate	$121,119.35
Rate for Payer: BCBS Complete	$121,119.35
Rate for Payer: Mclaren Medicaid	$115,351.76
Rate for Payer: Meridian Medicaid	$121,119.35
Rate for Payer: PHP Medicaid	$115,351.76
Rate for Payer: Priority Health Choice Medicaid	$115,351.76

INPATIENT APRDRG 5884: NEONATE BWT <1500G W MAJOR PROCEDURE

Facility

$187,758.16

Service Code	APR-DRG 5884
Hospital Charge Code	APRDRG 5884
Min. Negotiated Rate	$178,817.30
Max. Negotiated Rate	$187,758.16
Rate for Payer: BCBS Complete	$187,758.16
Rate for Payer: Mclaren Medicaid	$178,817.30
Rate for Payer: Meridian Medicaid	$187,758.16
Rate for Payer: PHP Medicaid	$178,817.30
Rate for Payer: Priority Health Choice Medicaid	$178,817.30

INPATIENT APRDRG 5891: NEONATE BWT <500G OR GA <24 WEEKS

Facility

$73,406.24

Service Code	APR-DRG 5891
Hospital Charge Code	APRDRG 5891
Min. Negotiated Rate	$69,910.70
Max. Negotiated Rate	$73,406.24
Rate for Payer: BCBS Complete	$73,406.24
Rate for Payer: Mclaren Medicaid	$69,910.70
Rate for Payer: Meridian Medicaid	$73,406.24
Rate for Payer: PHP Medicaid	$69,910.70
Rate for Payer: Priority Health Choice Medicaid	$69,910.70

INPATIENT APRDRG 5892: NEONATE BWT <500G OR GA <24 WEEKS

Facility

$72,225.39

Service Code	APR-DRG 5892
Hospital Charge Code	APRDRG 5892
Min. Negotiated Rate	$68,786.09
Max. Negotiated Rate	$72,225.39
Rate for Payer: BCBS Complete	$72,225.39
Rate for Payer: Mclaren Medicaid	$68,786.09
Rate for Payer: Meridian Medicaid	$72,225.39
Rate for Payer: PHP Medicaid	$68,786.09
Rate for Payer: Priority Health Choice Medicaid	$68,786.09

INPATIENT APRDRG 5893: NEONATE BWT <500G OR GA <24 WEEKS

Facility

$70,686.46

Service Code	APR-DRG 5893
Hospital Charge Code	APRDRG 5893
Min. Negotiated Rate	$67,320.44
Max. Negotiated Rate	$70,686.46
Rate for Payer: BCBS Complete	$70,686.46
Rate for Payer: Mclaren Medicaid	$67,320.44
Rate for Payer: Meridian Medicaid	$70,686.46
Rate for Payer: PHP Medicaid	$67,320.44
Rate for Payer: Priority Health Choice Medicaid	$67,320.44

INPATIENT APRDRG 5894: NEONATE BWT <500G OR GA <24 WEEKS

Facility

$2,166.50

Service Code	APR-DRG 5894
Hospital Charge Code	APRDRG 5894
Min. Negotiated Rate	$2,063.33
Max. Negotiated Rate	$2,166.50
Rate for Payer: BCBS Complete	$2,166.50
Rate for Payer: Mclaren Medicaid	$2,063.33
Rate for Payer: Meridian Medicaid	$2,166.50
Rate for Payer: PHP Medicaid	$2,063.33
Rate for Payer: Priority Health Choice Medicaid	$2,063.33

INPATIENT APRDRG 5911: NEONATE BIRTHWT 500-749G W/O MAJOR PROCEDURE

Facility

$35,149.08

Service Code	APR-DRG 5911
Hospital Charge Code	APRDRG 5911
Min. Negotiated Rate	$33,475.31
Max. Negotiated Rate	$35,149.08
Rate for Payer: BCBS Complete	$35,149.08
Rate for Payer: Mclaren Medicaid	$33,475.31
Rate for Payer: Meridian Medicaid	$35,149.08
Rate for Payer: PHP Medicaid	$33,475.31
Rate for Payer: Priority Health Choice Medicaid	$33,475.31

INPATIENT APRDRG 5912: NEONATE BIRTHWT 500-749G W/O MAJOR PROCEDURE

Facility

$63,174.68

Service Code	APR-DRG 5912
Hospital Charge Code	APRDRG 5912
Min. Negotiated Rate	$60,166.36
Max. Negotiated Rate	$63,174.68
Rate for Payer: BCBS Complete	$63,174.68
Rate for Payer: Mclaren Medicaid	$60,166.36
Rate for Payer: Meridian Medicaid	$63,174.68
Rate for Payer: PHP Medicaid	$60,166.36
Rate for Payer: Priority Health Choice Medicaid	$60,166.36

INPATIENT APRDRG 5913: NEONATE BIRTHWT 500-749G W/O MAJOR PROCEDURE

Facility

$83,782.78

Service Code	APR-DRG 5913
Hospital Charge Code	APRDRG 5913
Min. Negotiated Rate	$79,793.12
Max. Negotiated Rate	$83,782.78
Rate for Payer: BCBS Complete	$83,782.78
Rate for Payer: Mclaren Medicaid	$79,793.12
Rate for Payer: Meridian Medicaid	$83,782.78
Rate for Payer: PHP Medicaid	$79,793.12
Rate for Payer: Priority Health Choice Medicaid	$79,793.12

INPATIENT APRDRG 5914: NEONATE BIRTHWT 500-749G W/O MAJOR PROCEDURE

Facility

$108,972.32

Service Code	APR-DRG 5914
Hospital Charge Code	APRDRG 5914
Min. Negotiated Rate	$103,783.16
Max. Negotiated Rate	$108,972.32
Rate for Payer: BCBS Complete	$108,972.32
Rate for Payer: Mclaren Medicaid	$103,783.16
Rate for Payer: Meridian Medicaid	$108,972.32
Rate for Payer: PHP Medicaid	$103,783.16
Rate for Payer: Priority Health Choice Medicaid	$103,783.16

Know your out-of-pocket cost for care.

All Charges