Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 6344: NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND

Facility

$14,239.75

Service Code	APR-DRG 6344
Hospital Charge Code	APRDRG 6344
Min. Negotiated Rate	$13,561.67
Max. Negotiated Rate	$14,239.75
Rate for Payer: BCBS Complete	$14,239.75
Rate for Payer: Mclaren Medicaid	$13,561.67
Rate for Payer: Meridian Medicaid	$14,239.75
Rate for Payer: PHP Medicaid	$13,561.67
Rate for Payer: Priority Health Choice Medicaid	$13,561.67

INPATIENT APRDRG 6361: NEONATE BIRTHWT >2499G W CONGENITAL/PERINATAL INFECTION

Facility

$2,976.95

Service Code	APR-DRG 6361
Hospital Charge Code	APRDRG 6361
Min. Negotiated Rate	$2,835.19
Max. Negotiated Rate	$2,976.95
Rate for Payer: BCBS Complete	$2,976.95
Rate for Payer: Mclaren Medicaid	$2,835.19
Rate for Payer: Meridian Medicaid	$2,976.95
Rate for Payer: PHP Medicaid	$2,835.19
Rate for Payer: Priority Health Choice Medicaid	$2,835.19

INPATIENT APRDRG 6362: NEONATE BIRTHWT >2499G W CONGENITAL/PERINATAL INFECTION

Facility

$5,891.91

Service Code	APR-DRG 6362
Hospital Charge Code	APRDRG 6362
Min. Negotiated Rate	$5,611.34
Max. Negotiated Rate	$5,891.91
Rate for Payer: BCBS Complete	$5,891.91
Rate for Payer: Mclaren Medicaid	$5,611.34
Rate for Payer: Meridian Medicaid	$5,891.91
Rate for Payer: PHP Medicaid	$5,611.34
Rate for Payer: Priority Health Choice Medicaid	$5,611.34

INPATIENT APRDRG 6363: NEONATE BIRTHWT >2499G W CONGENITAL/PERINATAL INFECTION

Facility

$9,437.49

Service Code	APR-DRG 6363
Hospital Charge Code	APRDRG 6363
Min. Negotiated Rate	$8,988.09
Max. Negotiated Rate	$9,437.49
Rate for Payer: BCBS Complete	$9,437.49
Rate for Payer: Mclaren Medicaid	$8,988.09
Rate for Payer: Meridian Medicaid	$9,437.49
Rate for Payer: PHP Medicaid	$8,988.09
Rate for Payer: Priority Health Choice Medicaid	$8,988.09

INPATIENT APRDRG 6364: NEONATE BIRTHWT >2499G W CONGENITAL/PERINATAL INFECTION

Facility

$12,351.95

Service Code	APR-DRG 6364
Hospital Charge Code	APRDRG 6364
Min. Negotiated Rate	$11,763.76
Max. Negotiated Rate	$12,351.95
Rate for Payer: BCBS Complete	$12,351.95
Rate for Payer: Mclaren Medicaid	$11,763.76
Rate for Payer: Meridian Medicaid	$12,351.95
Rate for Payer: PHP Medicaid	$11,763.76
Rate for Payer: Priority Health Choice Medicaid	$11,763.76

INPATIENT APRDRG 6391: NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION

Facility

$1,665.47

Service Code	APR-DRG 6391
Hospital Charge Code	APRDRG 6391
Min. Negotiated Rate	$1,586.16
Max. Negotiated Rate	$1,665.47
Rate for Payer: BCBS Complete	$1,665.47
Rate for Payer: Mclaren Medicaid	$1,586.16
Rate for Payer: Meridian Medicaid	$1,665.47
Rate for Payer: PHP Medicaid	$1,586.16
Rate for Payer: Priority Health Choice Medicaid	$1,586.16

INPATIENT APRDRG 6392: NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION

Facility

$3,039.45

Service Code	APR-DRG 6392
Hospital Charge Code	APRDRG 6392
Min. Negotiated Rate	$2,894.71
Max. Negotiated Rate	$3,039.45
Rate for Payer: BCBS Complete	$3,039.45
Rate for Payer: Mclaren Medicaid	$2,894.71
Rate for Payer: Meridian Medicaid	$3,039.45
Rate for Payer: PHP Medicaid	$2,894.71
Rate for Payer: Priority Health Choice Medicaid	$2,894.71

INPATIENT APRDRG 6393: NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION

Facility

$9,836.06

Service Code	APR-DRG 6393
Hospital Charge Code	APRDRG 6393
Min. Negotiated Rate	$9,367.68
Max. Negotiated Rate	$9,836.06
Rate for Payer: BCBS Complete	$9,836.06
Rate for Payer: Mclaren Medicaid	$9,367.68
Rate for Payer: Meridian Medicaid	$9,836.06
Rate for Payer: PHP Medicaid	$9,367.68
Rate for Payer: Priority Health Choice Medicaid	$9,367.68

INPATIENT APRDRG 6394: NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION

Facility

$15,431.86

Service Code	APR-DRG 6394
Hospital Charge Code	APRDRG 6394
Min. Negotiated Rate	$14,697.01
Max. Negotiated Rate	$15,431.86
Rate for Payer: BCBS Complete	$15,431.86
Rate for Payer: Mclaren Medicaid	$14,697.01
Rate for Payer: Meridian Medicaid	$15,431.86
Rate for Payer: PHP Medicaid	$14,697.01
Rate for Payer: Priority Health Choice Medicaid	$14,697.01

INPATIENT APRDRG 6401: NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM

Facility

$719.26

Service Code	APR-DRG 6401
Hospital Charge Code	APRDRG 6401
Min. Negotiated Rate	$685.01
Max. Negotiated Rate	$719.26
Rate for Payer: BCBS Complete	$719.26
Rate for Payer: Mclaren Medicaid	$685.01
Rate for Payer: Meridian Medicaid	$719.26
Rate for Payer: PHP Medicaid	$685.01
Rate for Payer: Priority Health Choice Medicaid	$685.01

INPATIENT APRDRG 6402: NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM

Facility

$946.72

Service Code	APR-DRG 6402
Hospital Charge Code	APRDRG 6402
Min. Negotiated Rate	$901.64
Max. Negotiated Rate	$946.72
Rate for Payer: BCBS Complete	$946.72
Rate for Payer: Mclaren Medicaid	$901.64
Rate for Payer: Meridian Medicaid	$946.72
Rate for Payer: PHP Medicaid	$901.64
Rate for Payer: Priority Health Choice Medicaid	$901.64

INPATIENT APRDRG 6403: NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM

Facility

$1,559.94

Service Code	APR-DRG 6403
Hospital Charge Code	APRDRG 6403
Min. Negotiated Rate	$1,485.66
Max. Negotiated Rate	$1,559.94
Rate for Payer: BCBS Complete	$1,559.94
Rate for Payer: Mclaren Medicaid	$1,485.66
Rate for Payer: Meridian Medicaid	$1,559.94
Rate for Payer: PHP Medicaid	$1,485.66
Rate for Payer: Priority Health Choice Medicaid	$1,485.66

INPATIENT APRDRG 6404: NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM

Facility

$8,854.50

Service Code	APR-DRG 6404
Hospital Charge Code	APRDRG 6404
Min. Negotiated Rate	$8,432.86
Max. Negotiated Rate	$8,854.50
Rate for Payer: BCBS Complete	$8,854.50
Rate for Payer: Mclaren Medicaid	$8,432.86
Rate for Payer: Meridian Medicaid	$8,854.50
Rate for Payer: PHP Medicaid	$8,432.86
Rate for Payer: Priority Health Choice Medicaid	$8,432.86

INPATIENT APRDRG 6501: SPLENECTOMY

Facility

$7,978.48

Service Code	APR-DRG 6501
Hospital Charge Code	APRDRG 6501
Min. Negotiated Rate	$7,598.55
Max. Negotiated Rate	$7,978.48
Rate for Payer: BCBS Complete	$7,978.48
Rate for Payer: Mclaren Medicaid	$7,598.55
Rate for Payer: Meridian Medicaid	$7,978.48
Rate for Payer: PHP Medicaid	$7,598.55
Rate for Payer: Priority Health Choice Medicaid	$7,598.55

INPATIENT APRDRG 6502: SPLENECTOMY

Facility

$10,345.28

Service Code	APR-DRG 6502
Hospital Charge Code	APRDRG 6502
Min. Negotiated Rate	$9,852.65
Max. Negotiated Rate	$10,345.28
Rate for Payer: BCBS Complete	$10,345.28
Rate for Payer: Mclaren Medicaid	$9,852.65
Rate for Payer: Meridian Medicaid	$10,345.28
Rate for Payer: PHP Medicaid	$9,852.65
Rate for Payer: Priority Health Choice Medicaid	$9,852.65

INPATIENT APRDRG 6503: SPLENECTOMY

Facility

$13,926.74

Service Code	APR-DRG 6503
Hospital Charge Code	APRDRG 6503
Min. Negotiated Rate	$13,263.56
Max. Negotiated Rate	$13,926.74
Rate for Payer: BCBS Complete	$13,926.74
Rate for Payer: Mclaren Medicaid	$13,263.56
Rate for Payer: Meridian Medicaid	$13,926.74
Rate for Payer: PHP Medicaid	$13,263.56
Rate for Payer: Priority Health Choice Medicaid	$13,263.56

INPATIENT APRDRG 6504: SPLENECTOMY

Facility

$22,268.96

Service Code	APR-DRG 6504
Hospital Charge Code	APRDRG 6504
Min. Negotiated Rate	$21,208.53
Max. Negotiated Rate	$22,268.96
Rate for Payer: BCBS Complete	$22,268.96
Rate for Payer: Mclaren Medicaid	$21,208.53
Rate for Payer: Meridian Medicaid	$22,268.96
Rate for Payer: PHP Medicaid	$21,208.53
Rate for Payer: Priority Health Choice Medicaid	$21,208.53

INPATIENT APRDRG 6511: OTHER PROCEDURES OF BLOOD & BLOOD-FORMING ORGANS

Facility

$6,357.07

Service Code	APR-DRG 6511
Hospital Charge Code	APRDRG 6511
Min. Negotiated Rate	$6,054.35
Max. Negotiated Rate	$6,357.07
Rate for Payer: BCBS Complete	$6,357.07
Rate for Payer: Mclaren Medicaid	$6,054.35
Rate for Payer: Meridian Medicaid	$6,357.07
Rate for Payer: PHP Medicaid	$6,054.35
Rate for Payer: Priority Health Choice Medicaid	$6,054.35

INPATIENT APRDRG 6512: OTHER PROCEDURES OF BLOOD & BLOOD-FORMING ORGANS

Facility

$9,277.66

Service Code	APR-DRG 6512
Hospital Charge Code	APRDRG 6512
Min. Negotiated Rate	$8,835.87
Max. Negotiated Rate	$9,277.66
Rate for Payer: BCBS Complete	$9,277.66
Rate for Payer: Mclaren Medicaid	$8,835.87
Rate for Payer: Meridian Medicaid	$9,277.66
Rate for Payer: PHP Medicaid	$8,835.87
Rate for Payer: Priority Health Choice Medicaid	$8,835.87

INPATIENT APRDRG 6513: OTHER PROCEDURES OF BLOOD & BLOOD-FORMING ORGANS

Facility

$14,251.02

Service Code	APR-DRG 6513
Hospital Charge Code	APRDRG 6513
Min. Negotiated Rate	$13,572.40
Max. Negotiated Rate	$14,251.02
Rate for Payer: BCBS Complete	$14,251.02
Rate for Payer: Mclaren Medicaid	$13,572.40
Rate for Payer: Meridian Medicaid	$14,251.02
Rate for Payer: PHP Medicaid	$13,572.40
Rate for Payer: Priority Health Choice Medicaid	$13,572.40

INPATIENT APRDRG 6514: OTHER PROCEDURES OF BLOOD & BLOOD-FORMING ORGANS

Facility

$30,529.71

Service Code	APR-DRG 6514
Hospital Charge Code	APRDRG 6514
Min. Negotiated Rate	$29,075.91
Max. Negotiated Rate	$30,529.71
Rate for Payer: BCBS Complete	$30,529.71
Rate for Payer: Mclaren Medicaid	$29,075.91
Rate for Payer: Meridian Medicaid	$30,529.71
Rate for Payer: PHP Medicaid	$29,075.91
Rate for Payer: Priority Health Choice Medicaid	$29,075.91

INPATIENT APRDRG 6601: MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL

Facility

$4,348.87

Service Code	APR-DRG 6601
Hospital Charge Code	APRDRG 6601
Min. Negotiated Rate	$4,141.78
Max. Negotiated Rate	$4,348.87
Rate for Payer: BCBS Complete	$4,348.87
Rate for Payer: Mclaren Medicaid	$4,141.78
Rate for Payer: Meridian Medicaid	$4,348.87
Rate for Payer: PHP Medicaid	$4,141.78
Rate for Payer: Priority Health Choice Medicaid	$4,141.78

INPATIENT APRDRG 6602: MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL

Facility

$4,495.39

Service Code	APR-DRG 6602
Hospital Charge Code	APRDRG 6602
Min. Negotiated Rate	$4,281.32
Max. Negotiated Rate	$4,495.39
Rate for Payer: BCBS Complete	$4,495.39
Rate for Payer: Mclaren Medicaid	$4,281.32
Rate for Payer: Meridian Medicaid	$4,495.39
Rate for Payer: PHP Medicaid	$4,281.32
Rate for Payer: Priority Health Choice Medicaid	$4,281.32

INPATIENT APRDRG 6603: MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL

Facility

$7,254.09

Service Code	APR-DRG 6603
Hospital Charge Code	APRDRG 6603
Min. Negotiated Rate	$6,908.66
Max. Negotiated Rate	$7,254.09
Rate for Payer: BCBS Complete	$7,254.09
Rate for Payer: Mclaren Medicaid	$6,908.66
Rate for Payer: Meridian Medicaid	$7,254.09
Rate for Payer: PHP Medicaid	$6,908.66
Rate for Payer: Priority Health Choice Medicaid	$6,908.66

INPATIENT APRDRG 6604: MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL

Facility

$17,939.54

Service Code	APR-DRG 6604
Hospital Charge Code	APRDRG 6604
Min. Negotiated Rate	$17,085.28
Max. Negotiated Rate	$17,939.54
Rate for Payer: BCBS Complete	$17,939.54
Rate for Payer: Mclaren Medicaid	$17,085.28
Rate for Payer: Meridian Medicaid	$17,939.54
Rate for Payer: PHP Medicaid	$17,085.28
Rate for Payer: Priority Health Choice Medicaid	$17,085.28

Know your out-of-pocket cost for care.

All Charges