Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 8103: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION

Facility

$6,194.67

Service Code	APR-DRG 8103
Hospital Charge Code	APRDRG 8103
Min. Negotiated Rate	$5,899.69
Max. Negotiated Rate	$6,194.67
Rate for Payer: BCBS Complete	$6,194.67
Rate for Payer: Mclaren Medicaid	$5,899.69
Rate for Payer: Meridian Medicaid	$6,194.67
Rate for Payer: PHP Medicaid	$5,899.69
Rate for Payer: Priority Health Choice Medicaid	$5,899.69

INPATIENT APRDRG 8104: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION

Facility

$13,010.25

Service Code	APR-DRG 8104
Hospital Charge Code	APRDRG 8104
Min. Negotiated Rate	$12,390.71
Max. Negotiated Rate	$13,010.25
Rate for Payer: BCBS Complete	$13,010.25
Rate for Payer: Mclaren Medicaid	$12,390.71
Rate for Payer: Meridian Medicaid	$13,010.25
Rate for Payer: PHP Medicaid	$12,390.71
Rate for Payer: Priority Health Choice Medicaid	$12,390.71

INPATIENT APRDRG 8111: ALLERGIC REACTIONS

Facility

$1,389.34

Service Code	APR-DRG 8111
Hospital Charge Code	APRDRG 8111
Min. Negotiated Rate	$1,323.18
Max. Negotiated Rate	$1,389.34
Rate for Payer: BCBS Complete	$1,389.34
Rate for Payer: Mclaren Medicaid	$1,323.18
Rate for Payer: Meridian Medicaid	$1,389.34
Rate for Payer: PHP Medicaid	$1,323.18
Rate for Payer: Priority Health Choice Medicaid	$1,323.18

INPATIENT APRDRG 8112: ALLERGIC REACTIONS

Facility

$2,049.18

Service Code	APR-DRG 8112
Hospital Charge Code	APRDRG 8112
Min. Negotiated Rate	$1,951.60
Max. Negotiated Rate	$2,049.18
Rate for Payer: BCBS Complete	$2,049.18
Rate for Payer: Mclaren Medicaid	$1,951.60
Rate for Payer: Meridian Medicaid	$2,049.18
Rate for Payer: PHP Medicaid	$1,951.60
Rate for Payer: Priority Health Choice Medicaid	$1,951.60

INPATIENT APRDRG 8113: ALLERGIC REACTIONS

Facility

$4,642.93

Service Code	APR-DRG 8113
Hospital Charge Code	APRDRG 8113
Min. Negotiated Rate	$4,421.84
Max. Negotiated Rate	$4,642.93
Rate for Payer: BCBS Complete	$4,642.93
Rate for Payer: Mclaren Medicaid	$4,421.84
Rate for Payer: Meridian Medicaid	$4,642.93
Rate for Payer: PHP Medicaid	$4,421.84
Rate for Payer: Priority Health Choice Medicaid	$4,421.84

INPATIENT APRDRG 8114: ALLERGIC REACTIONS

Facility

$9,475.92

Service Code	APR-DRG 8114
Hospital Charge Code	APRDRG 8114
Min. Negotiated Rate	$9,024.69
Max. Negotiated Rate	$9,475.92
Rate for Payer: BCBS Complete	$9,475.92
Rate for Payer: Mclaren Medicaid	$9,024.69
Rate for Payer: Meridian Medicaid	$9,475.92
Rate for Payer: PHP Medicaid	$9,024.69
Rate for Payer: Priority Health Choice Medicaid	$9,024.69

INPATIENT APRDRG 8121: POISONING OF MEDICINAL AGENTS

Facility

$2,257.69

Service Code	APR-DRG 8121
Hospital Charge Code	APRDRG 8121
Min. Negotiated Rate	$2,150.18
Max. Negotiated Rate	$2,257.69
Rate for Payer: BCBS Complete	$2,257.69
Rate for Payer: Mclaren Medicaid	$2,150.18
Rate for Payer: Meridian Medicaid	$2,257.69
Rate for Payer: PHP Medicaid	$2,150.18
Rate for Payer: Priority Health Choice Medicaid	$2,150.18

INPATIENT APRDRG 8122: POISONING OF MEDICINAL AGENTS

Facility

$3,076.33

Service Code	APR-DRG 8122
Hospital Charge Code	APRDRG 8122
Min. Negotiated Rate	$2,929.84
Max. Negotiated Rate	$3,076.33
Rate for Payer: BCBS Complete	$3,076.33
Rate for Payer: Mclaren Medicaid	$2,929.84
Rate for Payer: Meridian Medicaid	$3,076.33
Rate for Payer: PHP Medicaid	$2,929.84
Rate for Payer: Priority Health Choice Medicaid	$2,929.84

INPATIENT APRDRG 8123: POISONING OF MEDICINAL AGENTS

Facility

$4,314.54

Service Code	APR-DRG 8123
Hospital Charge Code	APRDRG 8123
Min. Negotiated Rate	$4,109.09
Max. Negotiated Rate	$4,314.54
Rate for Payer: BCBS Complete	$4,314.54
Rate for Payer: Mclaren Medicaid	$4,109.09
Rate for Payer: Meridian Medicaid	$4,314.54
Rate for Payer: PHP Medicaid	$4,109.09
Rate for Payer: Priority Health Choice Medicaid	$4,109.09

INPATIENT APRDRG 8124: POISONING OF MEDICINAL AGENTS

Facility

$8,461.07

Service Code	APR-DRG 8124
Hospital Charge Code	APRDRG 8124
Min. Negotiated Rate	$8,058.16
Max. Negotiated Rate	$8,461.07
Rate for Payer: BCBS Complete	$8,461.07
Rate for Payer: Mclaren Medicaid	$8,058.16
Rate for Payer: Meridian Medicaid	$8,461.07
Rate for Payer: PHP Medicaid	$8,058.16
Rate for Payer: Priority Health Choice Medicaid	$8,058.16

INPATIENT APRDRG 8131: OTHER COMPLICATIONS OF TREATMENT

Facility

$3,690.06

Service Code	APR-DRG 8131
Hospital Charge Code	APRDRG 8131
Min. Negotiated Rate	$3,514.34
Max. Negotiated Rate	$3,690.06
Rate for Payer: BCBS Complete	$3,690.06
Rate for Payer: Mclaren Medicaid	$3,514.34
Rate for Payer: Meridian Medicaid	$3,690.06
Rate for Payer: PHP Medicaid	$3,514.34
Rate for Payer: Priority Health Choice Medicaid	$3,514.34

INPATIENT APRDRG 8132: OTHER COMPLICATIONS OF TREATMENT

Facility

$4,393.96

Service Code	APR-DRG 8132
Hospital Charge Code	APRDRG 8132
Min. Negotiated Rate	$4,184.72
Max. Negotiated Rate	$4,393.96
Rate for Payer: BCBS Complete	$4,393.96
Rate for Payer: Mclaren Medicaid	$4,184.72
Rate for Payer: Meridian Medicaid	$4,393.96
Rate for Payer: PHP Medicaid	$4,184.72
Rate for Payer: Priority Health Choice Medicaid	$4,184.72

INPATIENT APRDRG 8133: OTHER COMPLICATIONS OF TREATMENT

Facility

$6,131.66

Service Code	APR-DRG 8133
Hospital Charge Code	APRDRG 8133
Min. Negotiated Rate	$5,839.68
Max. Negotiated Rate	$6,131.66
Rate for Payer: BCBS Complete	$6,131.66
Rate for Payer: Mclaren Medicaid	$5,839.68
Rate for Payer: Meridian Medicaid	$6,131.66
Rate for Payer: PHP Medicaid	$5,839.68
Rate for Payer: Priority Health Choice Medicaid	$5,839.68

INPATIENT APRDRG 8134: OTHER COMPLICATIONS OF TREATMENT

Facility

$9,636.78

Service Code	APR-DRG 8134
Hospital Charge Code	APRDRG 8134
Min. Negotiated Rate	$9,177.89
Max. Negotiated Rate	$9,636.78
Rate for Payer: BCBS Complete	$9,636.78
Rate for Payer: Mclaren Medicaid	$9,177.89
Rate for Payer: Meridian Medicaid	$9,636.78
Rate for Payer: PHP Medicaid	$9,177.89
Rate for Payer: Priority Health Choice Medicaid	$9,177.89

INPATIENT APRDRG 8151: OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES

Facility

$2,113.73

Service Code	APR-DRG 8151
Hospital Charge Code	APRDRG 8151
Min. Negotiated Rate	$2,013.08
Max. Negotiated Rate	$2,113.73
Rate for Payer: BCBS Complete	$2,113.73
Rate for Payer: Mclaren Medicaid	$2,013.08
Rate for Payer: Meridian Medicaid	$2,113.73
Rate for Payer: PHP Medicaid	$2,013.08
Rate for Payer: Priority Health Choice Medicaid	$2,013.08

INPATIENT APRDRG 8152: OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES

Facility

$3,939.03

Service Code	APR-DRG 8152
Hospital Charge Code	APRDRG 8152
Min. Negotiated Rate	$3,751.46
Max. Negotiated Rate	$3,939.03
Rate for Payer: BCBS Complete	$3,939.03
Rate for Payer: Mclaren Medicaid	$3,751.46
Rate for Payer: Meridian Medicaid	$3,939.03
Rate for Payer: PHP Medicaid	$3,751.46
Rate for Payer: Priority Health Choice Medicaid	$3,751.46

INPATIENT APRDRG 8153: OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES

Facility

$7,286.37

Service Code	APR-DRG 8153
Hospital Charge Code	APRDRG 8153
Min. Negotiated Rate	$6,939.40
Max. Negotiated Rate	$7,286.37
Rate for Payer: BCBS Complete	$7,286.37
Rate for Payer: Mclaren Medicaid	$6,939.40
Rate for Payer: Meridian Medicaid	$7,286.37
Rate for Payer: PHP Medicaid	$6,939.40
Rate for Payer: Priority Health Choice Medicaid	$6,939.40

INPATIENT APRDRG 8154: OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES

Facility

$12,040.47

Service Code	APR-DRG 8154
Hospital Charge Code	APRDRG 8154
Min. Negotiated Rate	$11,467.11
Max. Negotiated Rate	$12,040.47
Rate for Payer: BCBS Complete	$12,040.47
Rate for Payer: Mclaren Medicaid	$11,467.11
Rate for Payer: Meridian Medicaid	$12,040.47
Rate for Payer: PHP Medicaid	$11,467.11
Rate for Payer: Priority Health Choice Medicaid	$11,467.11

INPATIENT APRDRG 8161: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES

Facility

$2,565.07

Service Code	APR-DRG 8161
Hospital Charge Code	APRDRG 8161
Min. Negotiated Rate	$2,442.92
Max. Negotiated Rate	$2,565.07
Rate for Payer: BCBS Complete	$2,565.07
Rate for Payer: Mclaren Medicaid	$2,442.92
Rate for Payer: Meridian Medicaid	$2,565.07
Rate for Payer: PHP Medicaid	$2,442.92
Rate for Payer: Priority Health Choice Medicaid	$2,442.92

INPATIENT APRDRG 8162: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES

Facility

$2,985.14

Service Code	APR-DRG 8162
Hospital Charge Code	APRDRG 8162
Min. Negotiated Rate	$2,842.99
Max. Negotiated Rate	$2,985.14
Rate for Payer: BCBS Complete	$2,985.14
Rate for Payer: Mclaren Medicaid	$2,842.99
Rate for Payer: Meridian Medicaid	$2,985.14
Rate for Payer: PHP Medicaid	$2,842.99
Rate for Payer: Priority Health Choice Medicaid	$2,842.99

INPATIENT APRDRG 8163: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES

Facility

$4,411.88

Service Code	APR-DRG 8163
Hospital Charge Code	APRDRG 8163
Min. Negotiated Rate	$4,201.79
Max. Negotiated Rate	$4,411.88
Rate for Payer: BCBS Complete	$4,411.88
Rate for Payer: Mclaren Medicaid	$4,201.79
Rate for Payer: Meridian Medicaid	$4,411.88
Rate for Payer: PHP Medicaid	$4,201.79
Rate for Payer: Priority Health Choice Medicaid	$4,201.79

INPATIENT APRDRG 8164: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES

Facility

$7,425.20

Service Code	APR-DRG 8164
Hospital Charge Code	APRDRG 8164
Min. Negotiated Rate	$7,071.62
Max. Negotiated Rate	$7,425.20
Rate for Payer: BCBS Complete	$7,425.20
Rate for Payer: Mclaren Medicaid	$7,071.62
Rate for Payer: Meridian Medicaid	$7,425.20
Rate for Payer: PHP Medicaid	$7,071.62
Rate for Payer: Priority Health Choice Medicaid	$7,071.62

INPATIENT APRDRG 8171: OVERDOSE

Facility

$2,168.54

Service Code	APR-DRG 8171
Hospital Charge Code	APRDRG 8171
Min. Negotiated Rate	$2,065.28
Max. Negotiated Rate	$2,168.54
Rate for Payer: BCBS Complete	$2,168.54
Rate for Payer: Mclaren Medicaid	$2,065.28
Rate for Payer: Meridian Medicaid	$2,168.54
Rate for Payer: PHP Medicaid	$2,065.28
Rate for Payer: Priority Health Choice Medicaid	$2,065.28

INPATIENT APRDRG 8172: OVERDOSE

Facility

$2,850.41

Service Code	APR-DRG 8172
Hospital Charge Code	APRDRG 8172
Min. Negotiated Rate	$2,714.68
Max. Negotiated Rate	$2,850.41
Rate for Payer: BCBS Complete	$2,850.41
Rate for Payer: Mclaren Medicaid	$2,714.68
Rate for Payer: Meridian Medicaid	$2,850.41
Rate for Payer: PHP Medicaid	$2,714.68
Rate for Payer: Priority Health Choice Medicaid	$2,714.68

INPATIENT APRDRG 8173: OVERDOSE

Facility

$4,952.36

Service Code	APR-DRG 8173
Hospital Charge Code	APRDRG 8173
Min. Negotiated Rate	$4,716.53
Max. Negotiated Rate	$4,952.36
Rate for Payer: BCBS Complete	$4,952.36
Rate for Payer: Mclaren Medicaid	$4,716.53
Rate for Payer: Meridian Medicaid	$4,952.36
Rate for Payer: PHP Medicaid	$4,716.53
Rate for Payer: Priority Health Choice Medicaid	$4,716.53

Know your out-of-pocket cost for care.

All Charges