Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 6611: COAGULATION & PLATELET DISORDERS

Facility

$4,252.56

Service Code	APR-DRG 6611
Hospital Charge Code	APRDRG 6611
Min. Negotiated Rate	$4,050.06
Max. Negotiated Rate	$4,252.56
Rate for Payer: BCBS Complete	$4,252.56
Rate for Payer: Mclaren Medicaid	$4,050.06
Rate for Payer: Meridian Medicaid	$4,252.56
Rate for Payer: PHP Medicaid	$4,050.06
Rate for Payer: Priority Health Choice Medicaid	$4,050.06

INPATIENT APRDRG 6612: COAGULATION & PLATELET DISORDERS

Facility

$6,772.54

Service Code	APR-DRG 6612
Hospital Charge Code	APRDRG 6612
Min. Negotiated Rate	$6,450.04
Max. Negotiated Rate	$6,772.54
Rate for Payer: BCBS Complete	$6,772.54
Rate for Payer: Mclaren Medicaid	$6,450.04
Rate for Payer: Meridian Medicaid	$6,772.54
Rate for Payer: PHP Medicaid	$6,450.04
Rate for Payer: Priority Health Choice Medicaid	$6,450.04

INPATIENT APRDRG 6613: COAGULATION & PLATELET DISORDERS

Facility

$12,457.47

Service Code	APR-DRG 6613
Hospital Charge Code	APRDRG 6613
Min. Negotiated Rate	$11,864.26
Max. Negotiated Rate	$12,457.47
Rate for Payer: BCBS Complete	$12,457.47
Rate for Payer: Mclaren Medicaid	$11,864.26
Rate for Payer: Meridian Medicaid	$12,457.47
Rate for Payer: PHP Medicaid	$11,864.26
Rate for Payer: Priority Health Choice Medicaid	$11,864.26

INPATIENT APRDRG 6614: COAGULATION & PLATELET DISORDERS

Facility

$23,195.70

Service Code	APR-DRG 6614
Hospital Charge Code	APRDRG 6614
Min. Negotiated Rate	$22,091.14
Max. Negotiated Rate	$23,195.70
Rate for Payer: BCBS Complete	$23,195.70
Rate for Payer: Mclaren Medicaid	$22,091.14
Rate for Payer: Meridian Medicaid	$23,195.70
Rate for Payer: PHP Medicaid	$22,091.14
Rate for Payer: Priority Health Choice Medicaid	$22,091.14

INPATIENT APRDRG 6621: SICKLE CELL ANEMIA CRISIS

Facility

$2,816.59

Service Code	APR-DRG 6621
Hospital Charge Code	APRDRG 6621
Min. Negotiated Rate	$2,682.47
Max. Negotiated Rate	$2,816.59
Rate for Payer: BCBS Complete	$2,816.59
Rate for Payer: Mclaren Medicaid	$2,682.47
Rate for Payer: Meridian Medicaid	$2,816.59
Rate for Payer: PHP Medicaid	$2,682.47
Rate for Payer: Priority Health Choice Medicaid	$2,682.47

INPATIENT APRDRG 6622: SICKLE CELL ANEMIA CRISIS

Facility

$4,032.79

Service Code	APR-DRG 6622
Hospital Charge Code	APRDRG 6622
Min. Negotiated Rate	$3,840.75
Max. Negotiated Rate	$4,032.79
Rate for Payer: BCBS Complete	$4,032.79
Rate for Payer: Mclaren Medicaid	$3,840.75
Rate for Payer: Meridian Medicaid	$4,032.79
Rate for Payer: PHP Medicaid	$3,840.75
Rate for Payer: Priority Health Choice Medicaid	$3,840.75

INPATIENT APRDRG 6623: SICKLE CELL ANEMIA CRISIS

Facility

$6,448.26

Service Code	APR-DRG 6623
Hospital Charge Code	APRDRG 6623
Min. Negotiated Rate	$6,141.20
Max. Negotiated Rate	$6,448.26
Rate for Payer: BCBS Complete	$6,448.26
Rate for Payer: Mclaren Medicaid	$6,141.20
Rate for Payer: Meridian Medicaid	$6,448.26
Rate for Payer: PHP Medicaid	$6,141.20
Rate for Payer: Priority Health Choice Medicaid	$6,141.20

INPATIENT APRDRG 6624: SICKLE CELL ANEMIA CRISIS

Facility

$11,248.46

Service Code	APR-DRG 6624
Hospital Charge Code	APRDRG 6624
Min. Negotiated Rate	$10,712.82
Max. Negotiated Rate	$11,248.46
Rate for Payer: BCBS Complete	$11,248.46
Rate for Payer: Mclaren Medicaid	$10,712.82
Rate for Payer: Meridian Medicaid	$11,248.46
Rate for Payer: PHP Medicaid	$10,712.82
Rate for Payer: Priority Health Choice Medicaid	$10,712.82

INPATIENT APRDRG 6631: OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS

Facility

$2,896.00

Service Code	APR-DRG 6631
Hospital Charge Code	APRDRG 6631
Min. Negotiated Rate	$2,758.10
Max. Negotiated Rate	$2,896.00
Rate for Payer: BCBS Complete	$2,896.00
Rate for Payer: Mclaren Medicaid	$2,758.10
Rate for Payer: Meridian Medicaid	$2,896.00
Rate for Payer: PHP Medicaid	$2,758.10
Rate for Payer: Priority Health Choice Medicaid	$2,758.10

INPATIENT APRDRG 6632: OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS

Facility

$4,093.24

Service Code	APR-DRG 6632
Hospital Charge Code	APRDRG 6632
Min. Negotiated Rate	$3,898.32
Max. Negotiated Rate	$4,093.24
Rate for Payer: BCBS Complete	$4,093.24
Rate for Payer: Mclaren Medicaid	$3,898.32
Rate for Payer: Meridian Medicaid	$4,093.24
Rate for Payer: PHP Medicaid	$3,898.32
Rate for Payer: Priority Health Choice Medicaid	$3,898.32

INPATIENT APRDRG 6633: OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS

Facility

$6,057.38

Service Code	APR-DRG 6633
Hospital Charge Code	APRDRG 6633
Min. Negotiated Rate	$5,768.93
Max. Negotiated Rate	$6,057.38
Rate for Payer: BCBS Complete	$6,057.38
Rate for Payer: Mclaren Medicaid	$5,768.93
Rate for Payer: Meridian Medicaid	$6,057.38
Rate for Payer: PHP Medicaid	$5,768.93
Rate for Payer: Priority Health Choice Medicaid	$5,768.93

INPATIENT APRDRG 6634: OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS

Facility

$9,750.51

Service Code	APR-DRG 6634
Hospital Charge Code	APRDRG 6634
Min. Negotiated Rate	$9,286.20
Max. Negotiated Rate	$9,750.51
Rate for Payer: BCBS Complete	$9,750.51
Rate for Payer: Mclaren Medicaid	$9,286.20
Rate for Payer: Meridian Medicaid	$9,750.51
Rate for Payer: PHP Medicaid	$9,286.20
Rate for Payer: Priority Health Choice Medicaid	$9,286.20

INPATIENT APRDRG 6801: MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS

Facility

$9,836.06

Service Code	APR-DRG 6801
Hospital Charge Code	APRDRG 6801
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 6802: MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS

Facility

$13,202.87

Service Code	APR-DRG 6802
Hospital Charge Code	APRDRG 6802
Min. Negotiated Rate	$12,574.16
Max. Negotiated Rate	$13,202.87
Rate for Payer: BCBS Complete	$13,202.87
Rate for Payer: Mclaren Medicaid	$12,574.16
Rate for Payer: Meridian Medicaid	$13,202.87
Rate for Payer: PHP Medicaid	$12,574.16
Rate for Payer: Priority Health Choice Medicaid	$12,574.16

INPATIENT APRDRG 6803: MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS

Facility

$19,126.02

Service Code	APR-DRG 6803
Hospital Charge Code	APRDRG 6803
Min. Negotiated Rate	$18,215.26
Max. Negotiated Rate	$19,126.02
Rate for Payer: BCBS Complete	$19,126.02
Rate for Payer: Mclaren Medicaid	$18,215.26
Rate for Payer: Meridian Medicaid	$19,126.02
Rate for Payer: PHP Medicaid	$18,215.26
Rate for Payer: Priority Health Choice Medicaid	$18,215.26

INPATIENT APRDRG 6804: MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS

Facility

$42,313.00

Service Code	APR-DRG 6804
Hospital Charge Code	APRDRG 6804
Min. Negotiated Rate	$40,298.10
Max. Negotiated Rate	$42,313.00
Rate for Payer: BCBS Complete	$42,313.00
Rate for Payer: Mclaren Medicaid	$40,298.10
Rate for Payer: Meridian Medicaid	$42,313.00
Rate for Payer: PHP Medicaid	$40,298.10
Rate for Payer: Priority Health Choice Medicaid	$40,298.10

INPATIENT APRDRG 6811: OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS

Facility

$8,217.22

Service Code	APR-DRG 6811
Hospital Charge Code	APRDRG 6811
Min. Negotiated Rate	$7,825.92
Max. Negotiated Rate	$8,217.22
Rate for Payer: BCBS Complete	$8,217.22
Rate for Payer: Mclaren Medicaid	$7,825.92
Rate for Payer: Meridian Medicaid	$8,217.22
Rate for Payer: PHP Medicaid	$7,825.92
Rate for Payer: Priority Health Choice Medicaid	$7,825.92

INPATIENT APRDRG 6812: OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS

Facility

$10,496.92

Service Code	APR-DRG 6812
Hospital Charge Code	APRDRG 6812
Min. Negotiated Rate	$9,997.07
Max. Negotiated Rate	$10,496.92
Rate for Payer: BCBS Complete	$10,496.92
Rate for Payer: Mclaren Medicaid	$9,997.07
Rate for Payer: Meridian Medicaid	$10,496.92
Rate for Payer: PHP Medicaid	$9,997.07
Rate for Payer: Priority Health Choice Medicaid	$9,997.07

INPATIENT APRDRG 6813: OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS

Facility

$13,710.04

Service Code	APR-DRG 6813
Hospital Charge Code	APRDRG 6813
Min. Negotiated Rate	$13,057.18
Max. Negotiated Rate	$13,710.04
Rate for Payer: BCBS Complete	$13,710.04
Rate for Payer: Mclaren Medicaid	$13,057.18
Rate for Payer: Meridian Medicaid	$13,710.04
Rate for Payer: PHP Medicaid	$13,057.18
Rate for Payer: Priority Health Choice Medicaid	$13,057.18

INPATIENT APRDRG 6814: OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS

Facility

$34,609.11

Service Code	APR-DRG 6814
Hospital Charge Code	APRDRG 6814
Min. Negotiated Rate	$32,961.06
Max. Negotiated Rate	$34,609.11
Rate for Payer: BCBS Complete	$34,609.11
Rate for Payer: Mclaren Medicaid	$32,961.06
Rate for Payer: Meridian Medicaid	$34,609.11
Rate for Payer: PHP Medicaid	$32,961.06
Rate for Payer: Priority Health Choice Medicaid	$32,961.06

INPATIENT APRDRG 6901: ACUTE LEUKEMIA

Facility

$10,005.12

Service Code	APR-DRG 6901
Hospital Charge Code	APRDRG 6901
Min. Negotiated Rate	$9,528.69
Max. Negotiated Rate	$10,005.12
Rate for Payer: BCBS Complete	$10,005.12
Rate for Payer: Mclaren Medicaid	$9,528.69
Rate for Payer: Meridian Medicaid	$10,005.12
Rate for Payer: PHP Medicaid	$9,528.69
Rate for Payer: Priority Health Choice Medicaid	$9,528.69

INPATIENT APRDRG 6902: ACUTE LEUKEMIA

Facility

$15,042.52

Service Code	APR-DRG 6902
Hospital Charge Code	APRDRG 6902
Min. Negotiated Rate	$14,326.21
Max. Negotiated Rate	$15,042.52
Rate for Payer: BCBS Complete	$15,042.52
Rate for Payer: Mclaren Medicaid	$14,326.21
Rate for Payer: Meridian Medicaid	$15,042.52
Rate for Payer: PHP Medicaid	$14,326.21
Rate for Payer: Priority Health Choice Medicaid	$14,326.21

INPATIENT APRDRG 6903: ACUTE LEUKEMIA

Facility

$25,870.90

Service Code	APR-DRG 6903
Hospital Charge Code	APRDRG 6903
Min. Negotiated Rate	$24,638.95
Max. Negotiated Rate	$25,870.90
Rate for Payer: BCBS Complete	$25,870.90
Rate for Payer: Mclaren Medicaid	$24,638.95
Rate for Payer: Meridian Medicaid	$25,870.90
Rate for Payer: PHP Medicaid	$24,638.95
Rate for Payer: Priority Health Choice Medicaid	$24,638.95

INPATIENT APRDRG 6904: ACUTE LEUKEMIA

Facility

$39,459.01

Service Code	APR-DRG 6904
Hospital Charge Code	APRDRG 6904
Min. Negotiated Rate	$37,580.01
Max. Negotiated Rate	$39,459.01
Rate for Payer: BCBS Complete	$39,459.01
Rate for Payer: Mclaren Medicaid	$37,580.01
Rate for Payer: Meridian Medicaid	$39,459.01
Rate for Payer: PHP Medicaid	$37,580.01
Rate for Payer: Priority Health Choice Medicaid	$37,580.01

INPATIENT APRDRG 6911: LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA

Facility

$5,879.10

Service Code	APR-DRG 6911
Hospital Charge Code	APRDRG 6911
Min. Negotiated Rate	$5,599.14
Max. Negotiated Rate	$5,879.10
Rate for Payer: BCBS Complete	$5,879.10
Rate for Payer: Mclaren Medicaid	$5,599.14
Rate for Payer: Meridian Medicaid	$5,879.10
Rate for Payer: PHP Medicaid	$5,599.14
Rate for Payer: Priority Health Choice Medicaid	$5,599.14

Know your out-of-pocket cost for care.

All Charges