Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 8611: SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS

Facility

$2,335.04

Service Code	APR-DRG 8611
Hospital Charge Code	APRDRG 8611
Min. Negotiated Rate	$2,223.85
Max. Negotiated Rate	$2,335.04
Rate for Payer: BCBS Complete	$2,335.04
Rate for Payer: Mclaren Medicaid	$2,223.85
Rate for Payer: Meridian Medicaid	$2,335.04
Rate for Payer: PHP Medicaid	$2,223.85
Rate for Payer: Priority Health Choice Medicaid	$2,223.85

INPATIENT APRDRG 8612: SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS

Facility

$3,597.85

Service Code	APR-DRG 8612
Hospital Charge Code	APRDRG 8612
Min. Negotiated Rate	$3,426.52
Max. Negotiated Rate	$3,597.85
Rate for Payer: BCBS Complete	$3,597.85
Rate for Payer: Mclaren Medicaid	$3,426.52
Rate for Payer: Meridian Medicaid	$3,597.85
Rate for Payer: PHP Medicaid	$3,426.52
Rate for Payer: Priority Health Choice Medicaid	$3,426.52

INPATIENT APRDRG 8613: SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS

Facility

$5,874.49

Service Code	APR-DRG 8613
Hospital Charge Code	APRDRG 8613
Min. Negotiated Rate	$5,594.75
Max. Negotiated Rate	$5,874.49
Rate for Payer: BCBS Complete	$5,874.49
Rate for Payer: Mclaren Medicaid	$5,594.75
Rate for Payer: Meridian Medicaid	$5,874.49
Rate for Payer: PHP Medicaid	$5,594.75
Rate for Payer: Priority Health Choice Medicaid	$5,594.75

INPATIENT APRDRG 8614: SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS

Facility

$8,134.73

Service Code	APR-DRG 8614
Hospital Charge Code	APRDRG 8614
Min. Negotiated Rate	$7,747.36
Max. Negotiated Rate	$8,134.73
Rate for Payer: BCBS Complete	$8,134.73
Rate for Payer: Mclaren Medicaid	$7,747.36
Rate for Payer: Meridian Medicaid	$8,134.73
Rate for Payer: PHP Medicaid	$7,747.36
Rate for Payer: Priority Health Choice Medicaid	$7,747.36

INPATIENT APRDRG 8621: OTHER AFTERCARE & CONVALESCENCE

Facility

$2,870.38

Service Code	APR-DRG 8621
Hospital Charge Code	APRDRG 8621
Min. Negotiated Rate	$2,733.70
Max. Negotiated Rate	$2,870.38
Rate for Payer: BCBS Complete	$2,870.38
Rate for Payer: Mclaren Medicaid	$2,733.70
Rate for Payer: Meridian Medicaid	$2,870.38
Rate for Payer: PHP Medicaid	$2,733.70
Rate for Payer: Priority Health Choice Medicaid	$2,733.70

INPATIENT APRDRG 8622: OTHER AFTERCARE & CONVALESCENCE

Facility

$5,422.13

Service Code	APR-DRG 8622
Hospital Charge Code	APRDRG 8622
Min. Negotiated Rate	$5,163.93
Max. Negotiated Rate	$5,422.13
Rate for Payer: BCBS Complete	$5,422.13
Rate for Payer: Mclaren Medicaid	$5,163.93
Rate for Payer: Meridian Medicaid	$5,422.13
Rate for Payer: PHP Medicaid	$5,163.93
Rate for Payer: Priority Health Choice Medicaid	$5,163.93

INPATIENT APRDRG 8623: OTHER AFTERCARE & CONVALESCENCE

Facility

$5,589.65

Service Code	APR-DRG 8623
Hospital Charge Code	APRDRG 8623
Min. Negotiated Rate	$5,323.48
Max. Negotiated Rate	$5,589.65
Rate for Payer: BCBS Complete	$5,589.65
Rate for Payer: Mclaren Medicaid	$5,323.48
Rate for Payer: Meridian Medicaid	$5,589.65
Rate for Payer: PHP Medicaid	$5,323.48
Rate for Payer: Priority Health Choice Medicaid	$5,323.48

INPATIENT APRDRG 8624: OTHER AFTERCARE & CONVALESCENCE

Facility

$5,817.10

Service Code	APR-DRG 8624
Hospital Charge Code	APRDRG 8624
Min. Negotiated Rate	$5,540.10
Max. Negotiated Rate	$5,817.10
Rate for Payer: BCBS Complete	$5,817.10
Rate for Payer: Mclaren Medicaid	$5,540.10
Rate for Payer: Meridian Medicaid	$5,817.10
Rate for Payer: PHP Medicaid	$5,540.10
Rate for Payer: Priority Health Choice Medicaid	$5,540.10

INPATIENT APRDRG 8631: NEONATAL AFTERCARE

Facility

$6,351.43

Service Code	APR-DRG 8631
Hospital Charge Code	APRDRG 8631
Min. Negotiated Rate	$6,048.98
Max. Negotiated Rate	$6,351.43
Rate for Payer: BCBS Complete	$6,351.43
Rate for Payer: Mclaren Medicaid	$6,048.98
Rate for Payer: Meridian Medicaid	$6,351.43
Rate for Payer: PHP Medicaid	$6,048.98
Rate for Payer: Priority Health Choice Medicaid	$6,048.98

INPATIENT APRDRG 8632: NEONATAL AFTERCARE

Facility

$12,306.35

Service Code	APR-DRG 8632
Hospital Charge Code	APRDRG 8632
Min. Negotiated Rate	$11,720.33
Max. Negotiated Rate	$12,306.35
Rate for Payer: BCBS Complete	$12,306.35
Rate for Payer: Mclaren Medicaid	$11,720.33
Rate for Payer: Meridian Medicaid	$12,306.35
Rate for Payer: PHP Medicaid	$11,720.33
Rate for Payer: Priority Health Choice Medicaid	$11,720.33

INPATIENT APRDRG 8633: NEONATAL AFTERCARE

Facility

$21,838.11

Service Code	APR-DRG 8633
Hospital Charge Code	APRDRG 8633
Min. Negotiated Rate	$20,798.20
Max. Negotiated Rate	$21,838.11
Rate for Payer: BCBS Complete	$21,838.11
Rate for Payer: Mclaren Medicaid	$20,798.20
Rate for Payer: Meridian Medicaid	$21,838.11
Rate for Payer: PHP Medicaid	$20,798.20
Rate for Payer: Priority Health Choice Medicaid	$20,798.20

INPATIENT APRDRG 8634: NEONATAL AFTERCARE

Facility

$46,159.83

Service Code	APR-DRG 8634
Hospital Charge Code	APRDRG 8634
Min. Negotiated Rate	$43,961.74
Max. Negotiated Rate	$46,159.83
Rate for Payer: BCBS Complete	$46,159.83
Rate for Payer: Mclaren Medicaid	$43,961.74
Rate for Payer: Meridian Medicaid	$46,159.83
Rate for Payer: PHP Medicaid	$43,961.74
Rate for Payer: Priority Health Choice Medicaid	$43,961.74

INPATIENT APRDRG 8901: HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS

Facility

$4,886.27

Service Code	APR-DRG 8901
Hospital Charge Code	APRDRG 8901
Min. Negotiated Rate	$4,653.59
Max. Negotiated Rate	$4,886.27
Rate for Payer: BCBS Complete	$4,886.27
Rate for Payer: Mclaren Medicaid	$4,653.59
Rate for Payer: Meridian Medicaid	$4,886.27
Rate for Payer: PHP Medicaid	$4,653.59
Rate for Payer: Priority Health Choice Medicaid	$4,653.59

INPATIENT APRDRG 8902: HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS

Facility

$5,154.20

Service Code	APR-DRG 8902
Hospital Charge Code	APRDRG 8902
Min. Negotiated Rate	$4,908.76
Max. Negotiated Rate	$5,154.20
Rate for Payer: BCBS Complete	$5,154.20
Rate for Payer: Mclaren Medicaid	$4,908.76
Rate for Payer: Meridian Medicaid	$5,154.20
Rate for Payer: PHP Medicaid	$4,908.76
Rate for Payer: Priority Health Choice Medicaid	$4,908.76

INPATIENT APRDRG 8903: HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS

Facility

$6,835.55

Service Code	APR-DRG 8903
Hospital Charge Code	APRDRG 8903
Min. Negotiated Rate	$6,510.05
Max. Negotiated Rate	$6,835.55
Rate for Payer: BCBS Complete	$6,835.55
Rate for Payer: Mclaren Medicaid	$6,510.05
Rate for Payer: Meridian Medicaid	$6,835.55
Rate for Payer: PHP Medicaid	$6,510.05
Rate for Payer: Priority Health Choice Medicaid	$6,510.05

INPATIENT APRDRG 8904: HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS

Facility

$12,660.86

Service Code	APR-DRG 8904
Hospital Charge Code	APRDRG 8904
Min. Negotiated Rate	$12,057.96
Max. Negotiated Rate	$12,660.86
Rate for Payer: BCBS Complete	$12,660.86
Rate for Payer: Mclaren Medicaid	$12,057.96
Rate for Payer: Meridian Medicaid	$12,660.86
Rate for Payer: PHP Medicaid	$12,057.96
Rate for Payer: Priority Health Choice Medicaid	$12,057.96

INPATIENT APRDRG 8921: HIV W MAJOR HIV RELATED CONDITION

Facility

$3,156.25

Service Code	APR-DRG 8921
Hospital Charge Code	APRDRG 8921
Min. Negotiated Rate	$3,005.95
Max. Negotiated Rate	$3,156.25
Rate for Payer: BCBS Complete	$3,156.25
Rate for Payer: Mclaren Medicaid	$3,005.95
Rate for Payer: Meridian Medicaid	$3,156.25
Rate for Payer: PHP Medicaid	$3,005.95
Rate for Payer: Priority Health Choice Medicaid	$3,005.95

INPATIENT APRDRG 8922: HIV W MAJOR HIV RELATED CONDITION

Facility

$3,783.81

Service Code	APR-DRG 8922
Hospital Charge Code	APRDRG 8922
Min. Negotiated Rate	$3,603.63
Max. Negotiated Rate	$3,783.81
Rate for Payer: BCBS Complete	$3,783.81
Rate for Payer: Mclaren Medicaid	$3,603.63
Rate for Payer: Meridian Medicaid	$3,783.81
Rate for Payer: PHP Medicaid	$3,603.63
Rate for Payer: Priority Health Choice Medicaid	$3,603.63

INPATIENT APRDRG 8923: HIV W MAJOR HIV RELATED CONDITION

Facility

$6,069.16

Service Code	APR-DRG 8923
Hospital Charge Code	APRDRG 8923
Min. Negotiated Rate	$5,780.15
Max. Negotiated Rate	$6,069.16
Rate for Payer: BCBS Complete	$6,069.16
Rate for Payer: Mclaren Medicaid	$5,780.15
Rate for Payer: Meridian Medicaid	$6,069.16
Rate for Payer: PHP Medicaid	$5,780.15
Rate for Payer: Priority Health Choice Medicaid	$5,780.15

INPATIENT APRDRG 8924: HIV W MAJOR HIV RELATED CONDITION

Facility

$10,096.82

Service Code	APR-DRG 8924
Hospital Charge Code	APRDRG 8924
Min. Negotiated Rate	$9,616.02
Max. Negotiated Rate	$10,096.82
Rate for Payer: BCBS Complete	$10,096.82
Rate for Payer: Mclaren Medicaid	$9,616.02
Rate for Payer: Meridian Medicaid	$10,096.82
Rate for Payer: PHP Medicaid	$9,616.02
Rate for Payer: Priority Health Choice Medicaid	$9,616.02

INPATIENT APRDRG 8931: HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS

Facility

$4,762.81

Service Code	APR-DRG 8931
Hospital Charge Code	APRDRG 8931
Min. Negotiated Rate	$4,536.01
Max. Negotiated Rate	$4,762.81
Rate for Payer: BCBS Complete	$4,762.81
Rate for Payer: Mclaren Medicaid	$4,536.01
Rate for Payer: Meridian Medicaid	$4,762.81
Rate for Payer: PHP Medicaid	$4,536.01
Rate for Payer: Priority Health Choice Medicaid	$4,536.01

INPATIENT APRDRG 8932: HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS

Facility

$5,072.75

Service Code	APR-DRG 8932
Hospital Charge Code	APRDRG 8932
Min. Negotiated Rate	$4,831.19
Max. Negotiated Rate	$5,072.75
Rate for Payer: BCBS Complete	$5,072.75
Rate for Payer: Mclaren Medicaid	$4,831.19
Rate for Payer: Meridian Medicaid	$5,072.75
Rate for Payer: PHP Medicaid	$4,831.19
Rate for Payer: Priority Health Choice Medicaid	$4,831.19

INPATIENT APRDRG 8933: HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS

Facility

$6,261.27

Service Code	APR-DRG 8933
Hospital Charge Code	APRDRG 8933
Min. Negotiated Rate	$5,963.11
Max. Negotiated Rate	$6,261.27
Rate for Payer: BCBS Complete	$6,261.27
Rate for Payer: Mclaren Medicaid	$5,963.11
Rate for Payer: Meridian Medicaid	$6,261.27
Rate for Payer: PHP Medicaid	$5,963.11
Rate for Payer: Priority Health Choice Medicaid	$5,963.11

INPATIENT APRDRG 8934: HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS

Facility

$9,058.40

Service Code	APR-DRG 8934
Hospital Charge Code	APRDRG 8934
Min. Negotiated Rate	$8,627.05
Max. Negotiated Rate	$9,058.40
Rate for Payer: BCBS Complete	$9,058.40
Rate for Payer: Mclaren Medicaid	$8,627.05
Rate for Payer: Meridian Medicaid	$9,058.40
Rate for Payer: PHP Medicaid	$8,627.05
Rate for Payer: Priority Health Choice Medicaid	$8,627.05

INPATIENT APRDRG 8941: HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND

Facility

$3,531.76

Service Code	APR-DRG 8941
Hospital Charge Code	APRDRG 8941
Min. Negotiated Rate	$3,363.58
Max. Negotiated Rate	$3,531.76
Rate for Payer: BCBS Complete	$3,531.76
Rate for Payer: Mclaren Medicaid	$3,363.58
Rate for Payer: Meridian Medicaid	$3,531.76
Rate for Payer: PHP Medicaid	$3,363.58
Rate for Payer: Priority Health Choice Medicaid	$3,363.58

Know your out-of-pocket cost for care.

All Charges