Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 6912: LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA

Facility

$8,169.05

Service Code	APR-DRG 6912
Hospital Charge Code	APRDRG 6912
Min. Negotiated Rate	$7,780.05
Max. Negotiated Rate	$8,169.05
Rate for Payer: BCBS Complete	$8,169.05
Rate for Payer: Mclaren Medicaid	$7,780.05
Rate for Payer: Meridian Medicaid	$8,169.05
Rate for Payer: PHP Medicaid	$7,780.05
Rate for Payer: Priority Health Choice Medicaid	$7,780.05

INPATIENT APRDRG 6913: LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA

Facility

$13,410.86

Service Code	APR-DRG 6913
Hospital Charge Code	APRDRG 6913
Min. Negotiated Rate	$12,772.25
Max. Negotiated Rate	$13,410.86
Rate for Payer: BCBS Complete	$13,410.86
Rate for Payer: Mclaren Medicaid	$12,772.25
Rate for Payer: Meridian Medicaid	$13,410.86
Rate for Payer: PHP Medicaid	$12,772.25
Rate for Payer: Priority Health Choice Medicaid	$12,772.25

INPATIENT APRDRG 6914: LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA

Facility

$20,554.81

Service Code	APR-DRG 6914
Hospital Charge Code	APRDRG 6914
Min. Negotiated Rate	$19,576.01
Max. Negotiated Rate	$20,554.81
Rate for Payer: BCBS Complete	$20,554.81
Rate for Payer: Mclaren Medicaid	$19,576.01
Rate for Payer: Meridian Medicaid	$20,554.81
Rate for Payer: PHP Medicaid	$19,576.01
Rate for Payer: Priority Health Choice Medicaid	$19,576.01

INPATIENT APRDRG 6921: RADIOTHERAPY

Facility

$4,396.00

Service Code	APR-DRG 6921
Hospital Charge Code	APRDRG 6921
Min. Negotiated Rate	$4,186.67
Max. Negotiated Rate	$4,396.00
Rate for Payer: BCBS Complete	$4,396.00
Rate for Payer: Mclaren Medicaid	$4,186.67
Rate for Payer: Meridian Medicaid	$4,396.00
Rate for Payer: PHP Medicaid	$4,186.67
Rate for Payer: Priority Health Choice Medicaid	$4,186.67

INPATIENT APRDRG 6922: RADIOTHERAPY

Facility

$9,143.96

Service Code	APR-DRG 6922
Hospital Charge Code	APRDRG 6922
Min. Negotiated Rate	$8,708.53
Max. Negotiated Rate	$9,143.96
Rate for Payer: BCBS Complete	$9,143.96
Rate for Payer: Mclaren Medicaid	$8,708.53
Rate for Payer: Meridian Medicaid	$9,143.96
Rate for Payer: PHP Medicaid	$8,708.53
Rate for Payer: Priority Health Choice Medicaid	$8,708.53

INPATIENT APRDRG 6923: RADIOTHERAPY

Facility

$12,100.92

Service Code	APR-DRG 6923
Hospital Charge Code	APRDRG 6923
Min. Negotiated Rate	$11,524.69
Max. Negotiated Rate	$12,100.92
Rate for Payer: BCBS Complete	$12,100.92
Rate for Payer: Mclaren Medicaid	$11,524.69
Rate for Payer: Meridian Medicaid	$12,100.92
Rate for Payer: PHP Medicaid	$11,524.69
Rate for Payer: Priority Health Choice Medicaid	$11,524.69

INPATIENT APRDRG 6924: RADIOTHERAPY

Facility

$17,226.44

Service Code	APR-DRG 6924
Hospital Charge Code	APRDRG 6924
Min. Negotiated Rate	$16,406.13
Max. Negotiated Rate	$17,226.44
Rate for Payer: BCBS Complete	$17,226.44
Rate for Payer: Mclaren Medicaid	$16,406.13
Rate for Payer: Meridian Medicaid	$17,226.44
Rate for Payer: PHP Medicaid	$16,406.13
Rate for Payer: Priority Health Choice Medicaid	$16,406.13

INPATIENT APRDRG 6941: LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR

Facility

$4,301.23

Service Code	APR-DRG 6941
Hospital Charge Code	APRDRG 6941
Min. Negotiated Rate	$4,096.41
Max. Negotiated Rate	$4,301.23
Rate for Payer: BCBS Complete	$4,301.23
Rate for Payer: Mclaren Medicaid	$4,096.41
Rate for Payer: Meridian Medicaid	$4,301.23
Rate for Payer: PHP Medicaid	$4,096.41
Rate for Payer: Priority Health Choice Medicaid	$4,096.41

INPATIENT APRDRG 6942: LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR

Facility

$5,358.10

Service Code	APR-DRG 6942
Hospital Charge Code	APRDRG 6942
Min. Negotiated Rate	$5,102.95
Max. Negotiated Rate	$5,358.10
Rate for Payer: BCBS Complete	$5,358.10
Rate for Payer: Mclaren Medicaid	$5,102.95
Rate for Payer: Meridian Medicaid	$5,358.10
Rate for Payer: PHP Medicaid	$5,102.95
Rate for Payer: Priority Health Choice Medicaid	$5,102.95

INPATIENT APRDRG 6943: LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR

Facility

$6,780.73

Service Code	APR-DRG 6943
Hospital Charge Code	APRDRG 6943
Min. Negotiated Rate	$6,457.84
Max. Negotiated Rate	$6,780.73
Rate for Payer: BCBS Complete	$6,780.73
Rate for Payer: Mclaren Medicaid	$6,457.84
Rate for Payer: Meridian Medicaid	$6,780.73
Rate for Payer: PHP Medicaid	$6,457.84
Rate for Payer: Priority Health Choice Medicaid	$6,457.84

INPATIENT APRDRG 6944: LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR

Facility

$11,087.60

Service Code	APR-DRG 6944
Hospital Charge Code	APRDRG 6944
Min. Negotiated Rate	$10,559.62
Max. Negotiated Rate	$11,087.60
Rate for Payer: BCBS Complete	$11,087.60
Rate for Payer: Mclaren Medicaid	$10,559.62
Rate for Payer: Meridian Medicaid	$11,087.60
Rate for Payer: PHP Medicaid	$10,559.62
Rate for Payer: Priority Health Choice Medicaid	$10,559.62

INPATIENT APRDRG 6951: CHEMOTHERAPY FOR ACUTE LEUKEMIA

Facility

$3,116.30

Service Code	APR-DRG 6951
Hospital Charge Code	APRDRG 6951
Min. Negotiated Rate	$2,967.90
Max. Negotiated Rate	$3,116.30
Rate for Payer: BCBS Complete	$3,116.30
Rate for Payer: Mclaren Medicaid	$2,967.90
Rate for Payer: Meridian Medicaid	$3,116.30
Rate for Payer: PHP Medicaid	$2,967.90
Rate for Payer: Priority Health Choice Medicaid	$2,967.90

INPATIENT APRDRG 6952: CHEMOTHERAPY FOR ACUTE LEUKEMIA

Facility

$5,244.88

Service Code	APR-DRG 6952
Hospital Charge Code	APRDRG 6952
Min. Negotiated Rate	$4,995.12
Max. Negotiated Rate	$5,244.88
Rate for Payer: BCBS Complete	$5,244.88
Rate for Payer: Mclaren Medicaid	$4,995.12
Rate for Payer: Meridian Medicaid	$5,244.88
Rate for Payer: PHP Medicaid	$4,995.12
Rate for Payer: Priority Health Choice Medicaid	$4,995.12

INPATIENT APRDRG 6953: CHEMOTHERAPY FOR ACUTE LEUKEMIA

Facility

$12,479.50

Service Code	APR-DRG 6953
Hospital Charge Code	APRDRG 6953
Min. Negotiated Rate	$11,885.24
Max. Negotiated Rate	$12,479.50
Rate for Payer: BCBS Complete	$12,479.50
Rate for Payer: Mclaren Medicaid	$11,885.24
Rate for Payer: Meridian Medicaid	$12,479.50
Rate for Payer: PHP Medicaid	$11,885.24
Rate for Payer: Priority Health Choice Medicaid	$11,885.24

INPATIENT APRDRG 6954: CHEMOTHERAPY FOR ACUTE LEUKEMIA

Facility

$34,138.83

Service Code	APR-DRG 6954
Hospital Charge Code	APRDRG 6954
Min. Negotiated Rate	$32,513.17
Max. Negotiated Rate	$34,138.83
Rate for Payer: BCBS Complete	$34,138.83
Rate for Payer: Mclaren Medicaid	$32,513.17
Rate for Payer: Meridian Medicaid	$34,138.83
Rate for Payer: PHP Medicaid	$32,513.17
Rate for Payer: Priority Health Choice Medicaid	$32,513.17

INPATIENT APRDRG 6961: OTHER CHEMOTHERAPY

Facility

$4,359.63

Service Code	APR-DRG 6961
Hospital Charge Code	APRDRG 6961
Min. Negotiated Rate	$4,152.03
Max. Negotiated Rate	$4,359.63
Rate for Payer: BCBS Complete	$4,359.63
Rate for Payer: Mclaren Medicaid	$4,152.03
Rate for Payer: Meridian Medicaid	$4,359.63
Rate for Payer: PHP Medicaid	$4,152.03
Rate for Payer: Priority Health Choice Medicaid	$4,152.03

INPATIENT APRDRG 6962: OTHER CHEMOTHERAPY

Facility

$5,321.73

Service Code	APR-DRG 6962
Hospital Charge Code	APRDRG 6962
Min. Negotiated Rate	$5,068.31
Max. Negotiated Rate	$5,321.73
Rate for Payer: BCBS Complete	$5,321.73
Rate for Payer: Mclaren Medicaid	$5,068.31
Rate for Payer: Meridian Medicaid	$5,321.73
Rate for Payer: PHP Medicaid	$5,068.31
Rate for Payer: Priority Health Choice Medicaid	$5,068.31

INPATIENT APRDRG 6963: OTHER CHEMOTHERAPY

Facility

$8,611.68

Service Code	APR-DRG 6963
Hospital Charge Code	APRDRG 6963
Min. Negotiated Rate	$8,201.60
Max. Negotiated Rate	$8,611.68
Rate for Payer: BCBS Complete	$8,611.68
Rate for Payer: Mclaren Medicaid	$8,201.60
Rate for Payer: Meridian Medicaid	$8,611.68
Rate for Payer: PHP Medicaid	$8,201.60
Rate for Payer: Priority Health Choice Medicaid	$8,201.60

INPATIENT APRDRG 6964: OTHER CHEMOTHERAPY

Facility

$18,738.22

Service Code	APR-DRG 6964
Hospital Charge Code	APRDRG 6964
Min. Negotiated Rate	$17,845.92
Max. Negotiated Rate	$18,738.22
Rate for Payer: BCBS Complete	$18,738.22
Rate for Payer: Mclaren Medicaid	$17,845.92
Rate for Payer: Meridian Medicaid	$18,738.22
Rate for Payer: PHP Medicaid	$17,845.92
Rate for Payer: Priority Health Choice Medicaid	$17,845.92

INPATIENT APRDRG 7101: INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE

Facility

$5,954.40

Service Code	APR-DRG 7101
Hospital Charge Code	APRDRG 7101
Min. Negotiated Rate	$5,670.86
Max. Negotiated Rate	$5,954.40
Rate for Payer: BCBS Complete	$5,954.40
Rate for Payer: Mclaren Medicaid	$5,670.86
Rate for Payer: Meridian Medicaid	$5,954.40
Rate for Payer: PHP Medicaid	$5,670.86
Rate for Payer: Priority Health Choice Medicaid	$5,670.86

INPATIENT APRDRG 7102: INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE

Facility

$7,843.24

Service Code	APR-DRG 7102
Hospital Charge Code	APRDRG 7102
Min. Negotiated Rate	$7,469.75
Max. Negotiated Rate	$7,843.24
Rate for Payer: BCBS Complete	$7,843.24
Rate for Payer: Mclaren Medicaid	$7,469.75
Rate for Payer: Meridian Medicaid	$7,843.24
Rate for Payer: PHP Medicaid	$7,469.75
Rate for Payer: Priority Health Choice Medicaid	$7,469.75

INPATIENT APRDRG 7103: INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE

Facility

$13,053.79

Service Code	APR-DRG 7103
Hospital Charge Code	APRDRG 7103
Min. Negotiated Rate	$12,432.18
Max. Negotiated Rate	$13,053.79
Rate for Payer: BCBS Complete	$13,053.79
Rate for Payer: Mclaren Medicaid	$12,432.18
Rate for Payer: Meridian Medicaid	$13,053.79
Rate for Payer: PHP Medicaid	$12,432.18
Rate for Payer: Priority Health Choice Medicaid	$12,432.18

INPATIENT APRDRG 7104: INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE

Facility

$19,700.81

Service Code	APR-DRG 7104
Hospital Charge Code	APRDRG 7104
Min. Negotiated Rate	$18,762.68
Max. Negotiated Rate	$19,700.81
Rate for Payer: BCBS Complete	$19,700.81
Rate for Payer: Mclaren Medicaid	$18,762.68
Rate for Payer: Meridian Medicaid	$19,700.81
Rate for Payer: PHP Medicaid	$18,762.68
Rate for Payer: Priority Health Choice Medicaid	$18,762.68

INPATIENT APRDRG 7111: POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE

Facility

$7,172.13

Service Code	APR-DRG 7111
Hospital Charge Code	APRDRG 7111
Min. Negotiated Rate	$6,830.60
Max. Negotiated Rate	$7,172.13
Rate for Payer: BCBS Complete	$7,172.13
Rate for Payer: Mclaren Medicaid	$6,830.60
Rate for Payer: Meridian Medicaid	$7,172.13
Rate for Payer: PHP Medicaid	$6,830.60
Rate for Payer: Priority Health Choice Medicaid	$6,830.60

INPATIENT APRDRG 7112: POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE

Facility

$8,581.45

Service Code	APR-DRG 7112
Hospital Charge Code	APRDRG 7112
Min. Negotiated Rate	$8,172.81
Max. Negotiated Rate	$8,581.45
Rate for Payer: BCBS Complete	$8,581.45
Rate for Payer: Mclaren Medicaid	$8,172.81
Rate for Payer: Meridian Medicaid	$8,581.45
Rate for Payer: PHP Medicaid	$8,172.81
Rate for Payer: Priority Health Choice Medicaid	$8,172.81

Know your out-of-pocket cost for care.

All Charges