Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 5931: NEONATE BIRTHWT 750-999G W/O MAJOR PROCEDURE

Facility

$8,280.23

Service Code	APR-DRG 5931
Hospital Charge Code	APRDRG 5931
Min. Negotiated Rate	$7,885.93
Max. Negotiated Rate	$8,280.23
Rate for Payer: BCBS Complete	$8,280.23
Rate for Payer: Mclaren Medicaid	$7,885.93
Rate for Payer: Meridian Medicaid	$8,280.23
Rate for Payer: PHP Medicaid	$7,885.93
Rate for Payer: Priority Health Choice Medicaid	$7,885.93

INPATIENT APRDRG 5932: NEONATE BIRTHWT 750-999G W/O MAJOR PROCEDURE

Facility

$49,716.18

Service Code	APR-DRG 5932
Hospital Charge Code	APRDRG 5932
Min. Negotiated Rate	$47,348.74
Max. Negotiated Rate	$49,716.18
Rate for Payer: BCBS Complete	$49,716.18
Rate for Payer: Mclaren Medicaid	$47,348.74
Rate for Payer: Meridian Medicaid	$49,716.18
Rate for Payer: PHP Medicaid	$47,348.74
Rate for Payer: Priority Health Choice Medicaid	$47,348.74

INPATIENT APRDRG 5933: NEONATE BIRTHWT 750-999G W/O MAJOR PROCEDURE

Facility

$75,820.17

Service Code	APR-DRG 5933
Hospital Charge Code	APRDRG 5933
Min. Negotiated Rate	$72,209.69
Max. Negotiated Rate	$75,820.17
Rate for Payer: BCBS Complete	$75,820.17
Rate for Payer: Mclaren Medicaid	$72,209.69
Rate for Payer: Meridian Medicaid	$75,820.17
Rate for Payer: PHP Medicaid	$72,209.69
Rate for Payer: Priority Health Choice Medicaid	$72,209.69

INPATIENT APRDRG 5934: NEONATE BIRTHWT 750-999G W/O MAJOR PROCEDURE

Facility

$110,052.23

Service Code	APR-DRG 5934
Hospital Charge Code	APRDRG 5934
Min. Negotiated Rate	$104,811.65
Max. Negotiated Rate	$110,052.23
Rate for Payer: BCBS Complete	$110,052.23
Rate for Payer: Mclaren Medicaid	$104,811.65
Rate for Payer: Meridian Medicaid	$110,052.23
Rate for Payer: PHP Medicaid	$104,811.65
Rate for Payer: Priority Health Choice Medicaid	$104,811.65

INPATIENT APRDRG 6021: NEONATE BWT 1000-1249G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM

Facility

$10,365.78

Service Code	APR-DRG 6021
Hospital Charge Code	APRDRG 6021
Min. Negotiated Rate	$9,872.17
Max. Negotiated Rate	$10,365.78
Rate for Payer: BCBS Complete	$10,365.78
Rate for Payer: Mclaren Medicaid	$9,872.17
Rate for Payer: Meridian Medicaid	$10,365.78
Rate for Payer: PHP Medicaid	$9,872.17
Rate for Payer: Priority Health Choice Medicaid	$9,872.17

INPATIENT APRDRG 6022: NEONATE BWT 1000-1249G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM

Facility

$29,618.34

Service Code	APR-DRG 6022
Hospital Charge Code	APRDRG 6022
Min. Negotiated Rate	$28,207.94
Max. Negotiated Rate	$29,618.34
Rate for Payer: BCBS Complete	$29,618.34
Rate for Payer: Mclaren Medicaid	$28,207.94
Rate for Payer: Meridian Medicaid	$29,618.34
Rate for Payer: PHP Medicaid	$28,207.94
Rate for Payer: Priority Health Choice Medicaid	$28,207.94

INPATIENT APRDRG 6023: NEONATE BWT 1000-1249G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM

Facility

$36,940.06

Service Code	APR-DRG 6023
Hospital Charge Code	APRDRG 6023
Min. Negotiated Rate	$35,181.01
Max. Negotiated Rate	$36,940.06
Rate for Payer: BCBS Complete	$36,940.06
Rate for Payer: Mclaren Medicaid	$35,181.01
Rate for Payer: Meridian Medicaid	$36,940.06
Rate for Payer: PHP Medicaid	$35,181.01
Rate for Payer: Priority Health Choice Medicaid	$35,181.01

INPATIENT APRDRG 6024: NEONATE BWT 1000-1249G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM

Facility

$52,404.70

Service Code	APR-DRG 6024
Hospital Charge Code	APRDRG 6024
Min. Negotiated Rate	$49,909.24
Max. Negotiated Rate	$52,404.70
Rate for Payer: BCBS Complete	$52,404.70
Rate for Payer: Mclaren Medicaid	$49,909.24
Rate for Payer: Meridian Medicaid	$52,404.70
Rate for Payer: PHP Medicaid	$49,909.24
Rate for Payer: Priority Health Choice Medicaid	$49,909.24

INPATIENT APRDRG 6031: NEONATE BIRTHWT 1000-1249G W OR W/O OTHER SIGNIFICANT CONDITION

Facility

$9,781.24

Service Code	APR-DRG 6031
Hospital Charge Code	APRDRG 6031
Min. Negotiated Rate	$9,315.47
Max. Negotiated Rate	$9,781.24
Rate for Payer: BCBS Complete	$9,781.24
Rate for Payer: Mclaren Medicaid	$9,315.47
Rate for Payer: Meridian Medicaid	$9,781.24
Rate for Payer: PHP Medicaid	$9,315.47
Rate for Payer: Priority Health Choice Medicaid	$9,315.47

INPATIENT APRDRG 6032: NEONATE BIRTHWT 1000-1249G W OR W/O OTHER SIGNIFICANT CONDITION

Facility

$22,662.39

Service Code	APR-DRG 6032
Hospital Charge Code	APRDRG 6032
Min. Negotiated Rate	$21,583.23
Max. Negotiated Rate	$22,662.39
Rate for Payer: BCBS Complete	$22,662.39
Rate for Payer: Mclaren Medicaid	$21,583.23
Rate for Payer: Meridian Medicaid	$22,662.39
Rate for Payer: PHP Medicaid	$21,583.23
Rate for Payer: Priority Health Choice Medicaid	$21,583.23

INPATIENT APRDRG 6033: NEONATE BIRTHWT 1000-1249G W OR W/O OTHER SIGNIFICANT CONDITION

Facility

$44,825.30

Service Code	APR-DRG 6033
Hospital Charge Code	APRDRG 6033
Min. Negotiated Rate	$42,690.76
Max. Negotiated Rate	$44,825.30
Rate for Payer: BCBS Complete	$44,825.30
Rate for Payer: Mclaren Medicaid	$42,690.76
Rate for Payer: Meridian Medicaid	$44,825.30
Rate for Payer: PHP Medicaid	$42,690.76
Rate for Payer: Priority Health Choice Medicaid	$42,690.76

INPATIENT APRDRG 6034: NEONATE BIRTHWT 1000-1249G W OR W/O OTHER SIGNIFICANT CONDITION

Facility

$100,327.34

Service Code	APR-DRG 6034
Hospital Charge Code	APRDRG 6034
Min. Negotiated Rate	$95,549.85
Max. Negotiated Rate	$100,327.34
Rate for Payer: BCBS Complete	$100,327.34
Rate for Payer: Mclaren Medicaid	$95,549.85
Rate for Payer: Meridian Medicaid	$100,327.34
Rate for Payer: PHP Medicaid	$95,549.85
Rate for Payer: Priority Health Choice Medicaid	$95,549.85

INPATIENT APRDRG 6071: NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM

Facility

$10,900.10

Service Code	APR-DRG 6071
Hospital Charge Code	APRDRG 6071
Min. Negotiated Rate	$10,381.05
Max. Negotiated Rate	$10,900.10
Rate for Payer: BCBS Complete	$10,900.10
Rate for Payer: Mclaren Medicaid	$10,381.05
Rate for Payer: Meridian Medicaid	$10,900.10
Rate for Payer: PHP Medicaid	$10,381.05
Rate for Payer: Priority Health Choice Medicaid	$10,381.05

INPATIENT APRDRG 6072: NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM

Facility

$19,874.48

Service Code	APR-DRG 6072
Hospital Charge Code	APRDRG 6072
Min. Negotiated Rate	$18,928.08
Max. Negotiated Rate	$19,874.48
Rate for Payer: BCBS Complete	$19,874.48
Rate for Payer: Mclaren Medicaid	$18,928.08
Rate for Payer: Meridian Medicaid	$19,874.48
Rate for Payer: PHP Medicaid	$18,928.08
Rate for Payer: Priority Health Choice Medicaid	$18,928.08

INPATIENT APRDRG 6073: NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM

Facility

$26,601.94

Service Code	APR-DRG 6073
Hospital Charge Code	APRDRG 6073
Min. Negotiated Rate	$25,335.18
Max. Negotiated Rate	$26,601.94
Rate for Payer: BCBS Complete	$26,601.94
Rate for Payer: Mclaren Medicaid	$25,335.18
Rate for Payer: Meridian Medicaid	$26,601.94
Rate for Payer: PHP Medicaid	$25,335.18
Rate for Payer: Priority Health Choice Medicaid	$25,335.18

INPATIENT APRDRG 6074: NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM

Facility

$38,940.56

Service Code	APR-DRG 6074
Hospital Charge Code	APRDRG 6074
Min. Negotiated Rate	$37,086.25
Max. Negotiated Rate	$38,940.56
Rate for Payer: BCBS Complete	$38,940.56
Rate for Payer: Mclaren Medicaid	$37,086.25
Rate for Payer: Meridian Medicaid	$38,940.56
Rate for Payer: PHP Medicaid	$37,086.25
Rate for Payer: Priority Health Choice Medicaid	$37,086.25

INPATIENT APRDRG 6081: NEONATE BWT 1250-1499G W OR W/O OTHER SIGNIFICANT CONDITION

Facility

$6,910.86

Service Code	APR-DRG 6081
Hospital Charge Code	APRDRG 6081
Min. Negotiated Rate	$6,581.77
Max. Negotiated Rate	$6,910.86
Rate for Payer: BCBS Complete	$6,910.86
Rate for Payer: Mclaren Medicaid	$6,581.77
Rate for Payer: Meridian Medicaid	$6,910.86
Rate for Payer: PHP Medicaid	$6,581.77
Rate for Payer: Priority Health Choice Medicaid	$6,581.77

INPATIENT APRDRG 6082: NEONATE BWT 1250-1499G W OR W/O OTHER SIGNIFICANT CONDITION

Facility

$16,062.50

Service Code	APR-DRG 6082
Hospital Charge Code	APRDRG 6082
Min. Negotiated Rate	$15,297.62
Max. Negotiated Rate	$16,062.50
Rate for Payer: BCBS Complete	$16,062.50
Rate for Payer: Mclaren Medicaid	$15,297.62
Rate for Payer: Meridian Medicaid	$16,062.50
Rate for Payer: PHP Medicaid	$15,297.62
Rate for Payer: Priority Health Choice Medicaid	$15,297.62

INPATIENT APRDRG 6083: NEONATE BWT 1250-1499G W OR W/O OTHER SIGNIFICANT CONDITION

Facility

$21,446.72

Service Code	APR-DRG 6083
Hospital Charge Code	APRDRG 6083
Min. Negotiated Rate	$20,425.45
Max. Negotiated Rate	$21,446.72
Rate for Payer: BCBS Complete	$21,446.72
Rate for Payer: Mclaren Medicaid	$20,425.45
Rate for Payer: Meridian Medicaid	$21,446.72
Rate for Payer: PHP Medicaid	$20,425.45
Rate for Payer: Priority Health Choice Medicaid	$20,425.45

INPATIENT APRDRG 6084: NEONATE BWT 1250-1499G W OR W/O OTHER SIGNIFICANT CONDITION

Facility

$26,934.94

Service Code	APR-DRG 6084
Hospital Charge Code	APRDRG 6084
Min. Negotiated Rate	$25,652.32
Max. Negotiated Rate	$26,934.94
Rate for Payer: BCBS Complete	$26,934.94
Rate for Payer: Mclaren Medicaid	$25,652.32
Rate for Payer: Meridian Medicaid	$26,934.94
Rate for Payer: PHP Medicaid	$25,652.32
Rate for Payer: Priority Health Choice Medicaid	$25,652.32

INPATIENT APRDRG 6091: NEONATE BWT 1500-2499G W MAJOR PROCEDURE

Facility

$23,930.83

Service Code	APR-DRG 6091
Hospital Charge Code	APRDRG 6091
Min. Negotiated Rate	$22,791.27
Max. Negotiated Rate	$23,930.83
Rate for Payer: BCBS Complete	$23,930.83
Rate for Payer: Mclaren Medicaid	$22,791.27
Rate for Payer: Meridian Medicaid	$23,930.83
Rate for Payer: PHP Medicaid	$22,791.27
Rate for Payer: Priority Health Choice Medicaid	$22,791.27

INPATIENT APRDRG 6092: NEONATE BWT 1500-2499G W MAJOR PROCEDURE

Facility

$24,425.20

Service Code	APR-DRG 6092
Hospital Charge Code	APRDRG 6092
Min. Negotiated Rate	$23,262.10
Max. Negotiated Rate	$24,425.20
Rate for Payer: BCBS Complete	$24,425.20
Rate for Payer: Mclaren Medicaid	$23,262.10
Rate for Payer: Meridian Medicaid	$24,425.20
Rate for Payer: PHP Medicaid	$23,262.10
Rate for Payer: Priority Health Choice Medicaid	$23,262.10

INPATIENT APRDRG 6093: NEONATE BWT 1500-2499G W MAJOR PROCEDURE

Facility

$45,484.11

Service Code	APR-DRG 6093
Hospital Charge Code	APRDRG 6093
Min. Negotiated Rate	$43,318.20
Max. Negotiated Rate	$45,484.11
Rate for Payer: BCBS Complete	$45,484.11
Rate for Payer: Mclaren Medicaid	$43,318.20
Rate for Payer: Meridian Medicaid	$45,484.11
Rate for Payer: PHP Medicaid	$43,318.20
Rate for Payer: Priority Health Choice Medicaid	$43,318.20

INPATIENT APRDRG 6094: NEONATE BWT 1500-2499G W MAJOR PROCEDURE

Facility

$123,535.32

Service Code	APR-DRG 6094
Hospital Charge Code	APRDRG 6094
Min. Negotiated Rate	$117,652.69
Max. Negotiated Rate	$123,535.32
Rate for Payer: BCBS Complete	$123,535.32
Rate for Payer: Mclaren Medicaid	$117,652.69
Rate for Payer: Meridian Medicaid	$123,535.32
Rate for Payer: PHP Medicaid	$117,652.69
Rate for Payer: Priority Health Choice Medicaid	$117,652.69

INPATIENT APRDRG 6111: NEONATE BIRTHWT 1500-1999G W MAJOR ANOMALY

Facility

$4,495.90

Service Code	APR-DRG 6111
Hospital Charge Code	APRDRG 6111
Min. Negotiated Rate	$4,281.81
Max. Negotiated Rate	$4,495.90
Rate for Payer: BCBS Complete	$4,495.90
Rate for Payer: Mclaren Medicaid	$4,281.81
Rate for Payer: Meridian Medicaid	$4,495.90
Rate for Payer: PHP Medicaid	$4,281.81
Rate for Payer: Priority Health Choice Medicaid	$4,281.81

Know your out-of-pocket cost for care.

All Charges