Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 8942: HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND

Facility

$3,744.88

Service Code	APR-DRG 8942
Hospital Charge Code	APRDRG 8942
Min. Negotiated Rate	$3,566.55
Max. Negotiated Rate	$3,744.88
Rate for Payer: BCBS Complete	$3,744.88
Rate for Payer: Mclaren Medicaid	$3,566.55
Rate for Payer: Meridian Medicaid	$3,744.88
Rate for Payer: PHP Medicaid	$3,566.55
Rate for Payer: Priority Health Choice Medicaid	$3,566.55

INPATIENT APRDRG 8943: HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND

Facility

$4,551.22

Service Code	APR-DRG 8943
Hospital Charge Code	APRDRG 8943
Min. Negotiated Rate	$4,334.50
Max. Negotiated Rate	$4,551.22
Rate for Payer: BCBS Complete	$4,551.22
Rate for Payer: Mclaren Medicaid	$4,334.50
Rate for Payer: Meridian Medicaid	$4,551.22
Rate for Payer: PHP Medicaid	$4,334.50
Rate for Payer: Priority Health Choice Medicaid	$4,334.50

INPATIENT APRDRG 8944: HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND

Facility

$6,651.63

Service Code	APR-DRG 8944
Hospital Charge Code	APRDRG 8944
Min. Negotiated Rate	$6,334.89
Max. Negotiated Rate	$6,651.63
Rate for Payer: BCBS Complete	$6,651.63
Rate for Payer: Mclaren Medicaid	$6,334.89
Rate for Payer: Meridian Medicaid	$6,651.63
Rate for Payer: PHP Medicaid	$6,334.89
Rate for Payer: Priority Health Choice Medicaid	$6,334.89

INPATIENT APRDRG 9101: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$14,605.02

Service Code	APR-DRG 9101
Hospital Charge Code	APRDRG 9101
Min. Negotiated Rate	$13,909.54
Max. Negotiated Rate	$14,605.02
Rate for Payer: BCBS Complete	$14,605.02
Rate for Payer: Mclaren Medicaid	$13,909.54
Rate for Payer: Meridian Medicaid	$14,605.02
Rate for Payer: PHP Medicaid	$13,909.54
Rate for Payer: Priority Health Choice Medicaid	$13,909.54

INPATIENT APRDRG 9102: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$15,230.53

Service Code	APR-DRG 9102
Hospital Charge Code	APRDRG 9102
Min. Negotiated Rate	$14,505.27
Max. Negotiated Rate	$15,230.53
Rate for Payer: BCBS Complete	$15,230.53
Rate for Payer: Mclaren Medicaid	$14,505.27
Rate for Payer: Meridian Medicaid	$15,230.53
Rate for Payer: PHP Medicaid	$14,505.27
Rate for Payer: Priority Health Choice Medicaid	$14,505.27

INPATIENT APRDRG 9103: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$26,799.17

Service Code	APR-DRG 9103
Hospital Charge Code	APRDRG 9103
Min. Negotiated Rate	$25,523.02
Max. Negotiated Rate	$26,799.17
Rate for Payer: BCBS Complete	$26,799.17
Rate for Payer: Mclaren Medicaid	$25,523.02
Rate for Payer: Meridian Medicaid	$26,799.17
Rate for Payer: PHP Medicaid	$25,523.02
Rate for Payer: Priority Health Choice Medicaid	$25,523.02

INPATIENT APRDRG 9104: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$23,528.68

Service Code	APR-DRG 9104
Hospital Charge Code	APRDRG 9104
Min. Negotiated Rate	$22,408.27
Max. Negotiated Rate	$23,528.68
Rate for Payer: BCBS Complete	$23,528.68
Rate for Payer: Mclaren Medicaid	$22,408.27
Rate for Payer: Meridian Medicaid	$23,528.68
Rate for Payer: PHP Medicaid	$22,408.27
Rate for Payer: Priority Health Choice Medicaid	$22,408.27

INPATIENT APRDRG 9111: EXTENSIVE ABDOMINAL/THORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA

Facility

$9,755.12

Service Code	APR-DRG 9111
Hospital Charge Code	APRDRG 9111
Min. Negotiated Rate	$9,290.59
Max. Negotiated Rate	$9,755.12
Rate for Payer: BCBS Complete	$9,755.12
Rate for Payer: Mclaren Medicaid	$9,290.59
Rate for Payer: Meridian Medicaid	$9,755.12
Rate for Payer: PHP Medicaid	$9,290.59
Rate for Payer: Priority Health Choice Medicaid	$9,290.59

INPATIENT APRDRG 9112: EXTENSIVE ABDOMINAL/THORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA

Facility

$11,300.72

Service Code	APR-DRG 9112
Hospital Charge Code	APRDRG 9112
Min. Negotiated Rate	$10,762.59
Max. Negotiated Rate	$11,300.72
Rate for Payer: BCBS Complete	$11,300.72
Rate for Payer: Mclaren Medicaid	$10,762.59
Rate for Payer: Meridian Medicaid	$11,300.72
Rate for Payer: PHP Medicaid	$10,762.59
Rate for Payer: Priority Health Choice Medicaid	$10,762.59

INPATIENT APRDRG 9113: EXTENSIVE ABDOMINAL/THORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA

Facility

$15,573.25

Service Code	APR-DRG 9113
Hospital Charge Code	APRDRG 9113
Min. Negotiated Rate	$14,831.67
Max. Negotiated Rate	$15,573.25
Rate for Payer: BCBS Complete	$15,573.25
Rate for Payer: Mclaren Medicaid	$14,831.67
Rate for Payer: Meridian Medicaid	$15,573.25
Rate for Payer: PHP Medicaid	$14,831.67
Rate for Payer: Priority Health Choice Medicaid	$14,831.67

INPATIENT APRDRG 9114: EXTENSIVE ABDOMINAL/THORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA

Facility

$35,885.76

Service Code	APR-DRG 9114
Hospital Charge Code	APRDRG 9114
Min. Negotiated Rate	$34,176.91
Max. Negotiated Rate	$35,885.76
Rate for Payer: BCBS Complete	$35,885.76
Rate for Payer: Mclaren Medicaid	$34,176.91
Rate for Payer: Meridian Medicaid	$35,885.76
Rate for Payer: PHP Medicaid	$34,176.91
Rate for Payer: Priority Health Choice Medicaid	$34,176.91

INPATIENT APRDRG 9121: MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$11,522.54

Service Code	APR-DRG 9121
Hospital Charge Code	APRDRG 9121
Min. Negotiated Rate	$10,973.85
Max. Negotiated Rate	$11,522.54
Rate for Payer: BCBS Complete	$11,522.54
Rate for Payer: Mclaren Medicaid	$10,973.85
Rate for Payer: Meridian Medicaid	$11,522.54
Rate for Payer: PHP Medicaid	$10,973.85
Rate for Payer: Priority Health Choice Medicaid	$10,973.85

INPATIENT APRDRG 9122: MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$12,124.49

Service Code	APR-DRG 9122
Hospital Charge Code	APRDRG 9122
Min. Negotiated Rate	$11,547.13
Max. Negotiated Rate	$12,124.49
Rate for Payer: BCBS Complete	$12,124.49
Rate for Payer: Mclaren Medicaid	$11,547.13
Rate for Payer: Meridian Medicaid	$12,124.49
Rate for Payer: PHP Medicaid	$11,547.13
Rate for Payer: Priority Health Choice Medicaid	$11,547.13

INPATIENT APRDRG 9123: MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$18,532.27

Service Code	APR-DRG 9123
Hospital Charge Code	APRDRG 9123
Min. Negotiated Rate	$17,649.78
Max. Negotiated Rate	$18,532.27
Rate for Payer: BCBS Complete	$18,532.27
Rate for Payer: Mclaren Medicaid	$17,649.78
Rate for Payer: Meridian Medicaid	$18,532.27
Rate for Payer: PHP Medicaid	$17,649.78
Rate for Payer: Priority Health Choice Medicaid	$17,649.78

INPATIENT APRDRG 9124: MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$31,209.01

Service Code	APR-DRG 9124
Hospital Charge Code	APRDRG 9124
Min. Negotiated Rate	$29,722.87
Max. Negotiated Rate	$31,209.01
Rate for Payer: BCBS Complete	$31,209.01
Rate for Payer: Mclaren Medicaid	$29,722.87
Rate for Payer: Meridian Medicaid	$31,209.01
Rate for Payer: PHP Medicaid	$29,722.87
Rate for Payer: Priority Health Choice Medicaid	$29,722.87

INPATIENT APRDRG 9301: MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE

Facility

$4,079.41

Service Code	APR-DRG 9301
Hospital Charge Code	APRDRG 9301
Min. Negotiated Rate	$3,885.15
Max. Negotiated Rate	$4,079.41
Rate for Payer: BCBS Complete	$4,079.41
Rate for Payer: Mclaren Medicaid	$3,885.15
Rate for Payer: Meridian Medicaid	$4,079.41
Rate for Payer: PHP Medicaid	$3,885.15
Rate for Payer: Priority Health Choice Medicaid	$3,885.15

INPATIENT APRDRG 9302: MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE

Facility

$4,775.11

Service Code	APR-DRG 9302
Hospital Charge Code	APRDRG 9302
Min. Negotiated Rate	$4,547.72
Max. Negotiated Rate	$4,775.11
Rate for Payer: BCBS Complete	$4,775.11
Rate for Payer: Mclaren Medicaid	$4,547.72
Rate for Payer: Meridian Medicaid	$4,775.11
Rate for Payer: PHP Medicaid	$4,547.72
Rate for Payer: Priority Health Choice Medicaid	$4,547.72

INPATIENT APRDRG 9303: MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE

Facility

$9,157.27

Service Code	APR-DRG 9303
Hospital Charge Code	APRDRG 9303
Min. Negotiated Rate	$8,721.21
Max. Negotiated Rate	$9,157.27
Rate for Payer: BCBS Complete	$9,157.27
Rate for Payer: Mclaren Medicaid	$8,721.21
Rate for Payer: Meridian Medicaid	$9,157.27
Rate for Payer: PHP Medicaid	$8,721.21
Rate for Payer: Priority Health Choice Medicaid	$8,721.21

INPATIENT APRDRG 9304: MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE

Facility

$13,954.41

Service Code	APR-DRG 9304
Hospital Charge Code	APRDRG 9304
Min. Negotiated Rate	$13,289.91
Max. Negotiated Rate	$13,954.41
Rate for Payer: BCBS Complete	$13,954.41
Rate for Payer: Mclaren Medicaid	$13,289.91
Rate for Payer: Meridian Medicaid	$13,954.41
Rate for Payer: PHP Medicaid	$13,289.91
Rate for Payer: Priority Health Choice Medicaid	$13,289.91

INPATIENT APRDRG 9501: EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$8,003.58

Service Code	APR-DRG 9501
Hospital Charge Code	APRDRG 9501
Min. Negotiated Rate	$7,622.46
Max. Negotiated Rate	$8,003.58
Rate for Payer: BCBS Complete	$8,003.58
Rate for Payer: Mclaren Medicaid	$7,622.46
Rate for Payer: Meridian Medicaid	$8,003.58
Rate for Payer: PHP Medicaid	$7,622.46
Rate for Payer: Priority Health Choice Medicaid	$7,622.46

INPATIENT APRDRG 9502: EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$11,488.73

Service Code	APR-DRG 9502
Hospital Charge Code	APRDRG 9502
Min. Negotiated Rate	$10,941.65
Max. Negotiated Rate	$11,488.73
Rate for Payer: BCBS Complete	$11,488.73
Rate for Payer: Mclaren Medicaid	$10,941.65
Rate for Payer: Meridian Medicaid	$11,488.73
Rate for Payer: PHP Medicaid	$10,941.65
Rate for Payer: Priority Health Choice Medicaid	$10,941.65

INPATIENT APRDRG 9503: EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$16,386.78

Service Code	APR-DRG 9503
Hospital Charge Code	APRDRG 9503
Min. Negotiated Rate	$15,606.46
Max. Negotiated Rate	$16,386.78
Rate for Payer: BCBS Complete	$16,386.78
Rate for Payer: Mclaren Medicaid	$15,606.46
Rate for Payer: Meridian Medicaid	$16,386.78
Rate for Payer: PHP Medicaid	$15,606.46
Rate for Payer: Priority Health Choice Medicaid	$15,606.46

INPATIENT APRDRG 9504: EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$28,592.72

Service Code	APR-DRG 9504
Hospital Charge Code	APRDRG 9504
Min. Negotiated Rate	$27,231.16
Max. Negotiated Rate	$28,592.72
Rate for Payer: BCBS Complete	$28,592.72
Rate for Payer: Mclaren Medicaid	$27,231.16
Rate for Payer: Meridian Medicaid	$28,592.72
Rate for Payer: PHP Medicaid	$27,231.16
Rate for Payer: Priority Health Choice Medicaid	$27,231.16

INPATIENT APRDRG 9511: MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$7,077.87

Service Code	APR-DRG 9511
Hospital Charge Code	APRDRG 9511
Min. Negotiated Rate	$6,740.83
Max. Negotiated Rate	$7,077.87
Rate for Payer: BCBS Complete	$7,077.87
Rate for Payer: Mclaren Medicaid	$6,740.83
Rate for Payer: Meridian Medicaid	$7,077.87
Rate for Payer: PHP Medicaid	$6,740.83
Rate for Payer: Priority Health Choice Medicaid	$6,740.83

INPATIENT APRDRG 9512: MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$8,563.53

Service Code	APR-DRG 9512
Hospital Charge Code	APRDRG 9512
Min. Negotiated Rate	$8,155.74
Max. Negotiated Rate	$8,563.53
Rate for Payer: BCBS Complete	$8,563.53
Rate for Payer: Mclaren Medicaid	$8,155.74
Rate for Payer: Meridian Medicaid	$8,563.53
Rate for Payer: PHP Medicaid	$8,155.74
Rate for Payer: Priority Health Choice Medicaid	$8,155.74

Know your out-of-pocket cost for care.

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