Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES

Facility

$10,708.83

Service Code	APR-DRG 1434
Min. Negotiated Rate	$10,198.89
Max. Negotiated Rate	$10,708.83
Rate for Payer: BCBS Complete	$10,708.83
Rate for Payer: Mclaren Medicaid	$10,198.89
Rate for Payer: Meridian Medicaid	$10,708.83
Rate for Payer: PHP Medicaid	$10,198.89
Rate for Payer: Priority Health Choice Medicaid	$10,198.89
Rate for Payer: UHCCP Medicaid	$10,198.89

APR-DRG 42.00: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES

Facility

$6,466.69

Service Code	APR-DRG 1433
Min. Negotiated Rate	$6,158.75
Max. Negotiated Rate	$6,466.69
Rate for Payer: BCBS Complete	$6,466.69
Rate for Payer: Mclaren Medicaid	$6,158.75
Rate for Payer: Meridian Medicaid	$6,466.69
Rate for Payer: PHP Medicaid	$6,158.75
Rate for Payer: Priority Health Choice Medicaid	$6,158.75
Rate for Payer: UHCCP Medicaid	$6,158.75

APR-DRG 42.00: OTHER SIGNIFICANT HIP AND FEMUR SURGERY

Facility

$14,226.71

Service Code	APR-DRG 3093
Min. Negotiated Rate	$13,549.25
Max. Negotiated Rate	$14,226.71
Rate for Payer: BCBS Complete	$14,226.71
Rate for Payer: Mclaren Medicaid	$13,549.25
Rate for Payer: Meridian Medicaid	$14,226.71
Rate for Payer: PHP Medicaid	$13,549.25
Rate for Payer: Priority Health Choice Medicaid	$13,549.25
Rate for Payer: UHCCP Medicaid	$13,549.25

APR-DRG 42.00: OTHER SIGNIFICANT HIP AND FEMUR SURGERY

Facility

$10,450.17

Service Code	APR-DRG 3092
Min. Negotiated Rate	$9,952.54
Max. Negotiated Rate	$10,450.17
Rate for Payer: BCBS Complete	$10,450.17
Rate for Payer: Mclaren Medicaid	$9,952.54
Rate for Payer: Meridian Medicaid	$10,450.17
Rate for Payer: PHP Medicaid	$9,952.54
Rate for Payer: Priority Health Choice Medicaid	$9,952.54
Rate for Payer: UHCCP Medicaid	$9,952.54

APR-DRG 42.00: OTHER SIGNIFICANT HIP AND FEMUR SURGERY

Facility

$7,966.96

Service Code	APR-DRG 3091
Min. Negotiated Rate	$7,587.58
Max. Negotiated Rate	$7,966.96
Rate for Payer: BCBS Complete	$7,966.96
Rate for Payer: Mclaren Medicaid	$7,587.58
Rate for Payer: Meridian Medicaid	$7,966.96
Rate for Payer: PHP Medicaid	$7,587.58
Rate for Payer: Priority Health Choice Medicaid	$7,587.58
Rate for Payer: UHCCP Medicaid	$7,587.58

APR-DRG 42.00: OTHER SIGNIFICANT HIP AND FEMUR SURGERY

Facility

$20,434.73

Service Code	APR-DRG 3094
Min. Negotiated Rate	$19,461.65
Max. Negotiated Rate	$20,434.73
Rate for Payer: BCBS Complete	$20,434.73
Rate for Payer: Mclaren Medicaid	$19,461.65
Rate for Payer: Meridian Medicaid	$20,434.73
Rate for Payer: PHP Medicaid	$19,461.65
Rate for Payer: Priority Health Choice Medicaid	$19,461.65
Rate for Payer: UHCCP Medicaid	$19,461.65

APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS

Facility

$5,897.62

Service Code	APR-DRG 3853
Min. Negotiated Rate	$5,616.78
Max. Negotiated Rate	$5,897.62
Rate for Payer: BCBS Complete	$5,897.62
Rate for Payer: Mclaren Medicaid	$5,616.78
Rate for Payer: Meridian Medicaid	$5,897.62
Rate for Payer: PHP Medicaid	$5,616.78
Rate for Payer: Priority Health Choice Medicaid	$5,616.78
Rate for Payer: UHCCP Medicaid	$5,616.78

APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS

Facility

$2,793.61

Service Code	APR-DRG 3851
Min. Negotiated Rate	$2,660.58
Max. Negotiated Rate	$2,793.61
Rate for Payer: BCBS Complete	$2,793.61
Rate for Payer: Mclaren Medicaid	$2,660.58
Rate for Payer: Meridian Medicaid	$2,793.61
Rate for Payer: PHP Medicaid	$2,660.58
Rate for Payer: Priority Health Choice Medicaid	$2,660.58
Rate for Payer: UHCCP Medicaid	$2,660.58

APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS

Facility

$9,829.36

Service Code	APR-DRG 3854
Min. Negotiated Rate	$9,361.30
Max. Negotiated Rate	$9,829.36
Rate for Payer: BCBS Complete	$9,829.36
Rate for Payer: Mclaren Medicaid	$9,361.30
Rate for Payer: Meridian Medicaid	$9,829.36
Rate for Payer: PHP Medicaid	$9,361.30
Rate for Payer: Priority Health Choice Medicaid	$9,361.30
Rate for Payer: UHCCP Medicaid	$9,361.30

APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS

Facility

$3,621.34

Service Code	APR-DRG 3852
Min. Negotiated Rate	$3,448.90
Max. Negotiated Rate	$3,621.34
Rate for Payer: BCBS Complete	$3,621.34
Rate for Payer: Mclaren Medicaid	$3,448.90
Rate for Payer: Meridian Medicaid	$3,621.34
Rate for Payer: PHP Medicaid	$3,448.90
Rate for Payer: Priority Health Choice Medicaid	$3,448.90
Rate for Payer: UHCCP Medicaid	$3,448.90

APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES

Facility

$9,467.23

Service Code	APR-DRG 3643
Min. Negotiated Rate	$9,016.41
Max. Negotiated Rate	$9,467.23
Rate for Payer: BCBS Complete	$9,467.23
Rate for Payer: Mclaren Medicaid	$9,016.41
Rate for Payer: Meridian Medicaid	$9,467.23
Rate for Payer: PHP Medicaid	$9,016.41
Rate for Payer: Priority Health Choice Medicaid	$9,016.41
Rate for Payer: UHCCP Medicaid	$9,016.41

APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES

Facility

$4,345.61

Service Code	APR-DRG 3641
Min. Negotiated Rate	$4,138.68
Max. Negotiated Rate	$4,345.61
Rate for Payer: BCBS Complete	$4,345.61
Rate for Payer: Mclaren Medicaid	$4,138.68
Rate for Payer: Meridian Medicaid	$4,345.61
Rate for Payer: PHP Medicaid	$4,138.68
Rate for Payer: Priority Health Choice Medicaid	$4,138.68
Rate for Payer: UHCCP Medicaid	$4,138.68

APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES

Facility

$15,933.92

Service Code	APR-DRG 3644
Min. Negotiated Rate	$15,175.16
Max. Negotiated Rate	$15,933.92
Rate for Payer: BCBS Complete	$15,933.92
Rate for Payer: Mclaren Medicaid	$15,175.16
Rate for Payer: Meridian Medicaid	$15,933.92
Rate for Payer: PHP Medicaid	$15,175.16
Rate for Payer: Priority Health Choice Medicaid	$15,175.16
Rate for Payer: UHCCP Medicaid	$15,175.16

APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES

Facility

$5,742.42

Service Code	APR-DRG 3642
Min. Negotiated Rate	$5,468.97
Max. Negotiated Rate	$5,742.42
Rate for Payer: BCBS Complete	$5,742.42
Rate for Payer: Mclaren Medicaid	$5,468.97
Rate for Payer: Meridian Medicaid	$5,742.42
Rate for Payer: PHP Medicaid	$5,468.97
Rate for Payer: Priority Health Choice Medicaid	$5,468.97
Rate for Payer: UHCCP Medicaid	$5,468.97

APR-DRG 42.00: OTHER SMALL AND LARGE BOWEL PROCEDURES

Facility

$11,122.70

Service Code	APR-DRG 2233
Min. Negotiated Rate	$10,593.05
Max. Negotiated Rate	$11,122.70
Rate for Payer: BCBS Complete	$11,122.70
Rate for Payer: Mclaren Medicaid	$10,593.05
Rate for Payer: Meridian Medicaid	$11,122.70
Rate for Payer: PHP Medicaid	$10,593.05
Rate for Payer: Priority Health Choice Medicaid	$10,593.05
Rate for Payer: UHCCP Medicaid	$10,593.05

APR-DRG 42.00: OTHER SMALL AND LARGE BOWEL PROCEDURES

Facility

$7,915.23

Service Code	APR-DRG 2232
Min. Negotiated Rate	$7,538.31
Max. Negotiated Rate	$7,915.23
Rate for Payer: BCBS Complete	$7,915.23
Rate for Payer: Mclaren Medicaid	$7,538.31
Rate for Payer: Meridian Medicaid	$7,915.23
Rate for Payer: PHP Medicaid	$7,538.31
Rate for Payer: Priority Health Choice Medicaid	$7,538.31
Rate for Payer: UHCCP Medicaid	$7,538.31

APR-DRG 42.00: OTHER SMALL AND LARGE BOWEL PROCEDURES

Facility

$6,208.02

Service Code	APR-DRG 2231
Min. Negotiated Rate	$5,912.40
Max. Negotiated Rate	$6,208.02
Rate for Payer: BCBS Complete	$6,208.02
Rate for Payer: Mclaren Medicaid	$5,912.40
Rate for Payer: Meridian Medicaid	$6,208.02
Rate for Payer: PHP Medicaid	$5,912.40
Rate for Payer: Priority Health Choice Medicaid	$5,912.40
Rate for Payer: UHCCP Medicaid	$5,912.40

APR-DRG 42.00: OTHER SMALL AND LARGE BOWEL PROCEDURES

Facility

$19,969.13

Service Code	APR-DRG 2234
Min. Negotiated Rate	$19,018.22
Max. Negotiated Rate	$19,969.13
Rate for Payer: BCBS Complete	$19,969.13
Rate for Payer: Mclaren Medicaid	$19,018.22
Rate for Payer: Meridian Medicaid	$19,969.13
Rate for Payer: PHP Medicaid	$19,018.22
Rate for Payer: Priority Health Choice Medicaid	$19,018.22
Rate for Payer: UHCCP Medicaid	$19,018.22

APR-DRG 42.00: OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$20,900.33

Service Code	APR-DRG 2224
Min. Negotiated Rate	$19,905.08
Max. Negotiated Rate	$20,900.33
Rate for Payer: BCBS Complete	$20,900.33
Rate for Payer: Mclaren Medicaid	$19,905.08
Rate for Payer: Meridian Medicaid	$20,900.33
Rate for Payer: PHP Medicaid	$19,905.08
Rate for Payer: Priority Health Choice Medicaid	$19,905.08
Rate for Payer: UHCCP Medicaid	$19,905.08

APR-DRG 42.00: OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$7,708.29

Service Code	APR-DRG 2222
Min. Negotiated Rate	$7,341.23
Max. Negotiated Rate	$7,708.29
Rate for Payer: BCBS Complete	$7,708.29
Rate for Payer: Mclaren Medicaid	$7,341.23
Rate for Payer: Meridian Medicaid	$7,708.29
Rate for Payer: PHP Medicaid	$7,341.23
Rate for Payer: Priority Health Choice Medicaid	$7,341.23
Rate for Payer: UHCCP Medicaid	$7,341.23

APR-DRG 42.00: OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$12,312.57

Service Code	APR-DRG 2223
Min. Negotiated Rate	$11,726.26
Max. Negotiated Rate	$12,312.57
Rate for Payer: BCBS Complete	$12,312.57
Rate for Payer: Mclaren Medicaid	$11,726.26
Rate for Payer: Meridian Medicaid	$12,312.57
Rate for Payer: PHP Medicaid	$11,726.26
Rate for Payer: Priority Health Choice Medicaid	$11,726.26
Rate for Payer: UHCCP Medicaid	$11,726.26

APR-DRG 42.00: OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$4,397.35

Service Code	APR-DRG 2221
Min. Negotiated Rate	$4,187.95
Max. Negotiated Rate	$4,397.35
Rate for Payer: BCBS Complete	$4,397.35
Rate for Payer: Mclaren Medicaid	$4,187.95
Rate for Payer: Meridian Medicaid	$4,397.35
Rate for Payer: PHP Medicaid	$4,187.95
Rate for Payer: Priority Health Choice Medicaid	$4,187.95
Rate for Payer: UHCCP Medicaid	$4,187.95

APR-DRG 42.00: PANCREAS TRANSPLANT

Facility

$27,470.49

Service Code	APR-DRG 0061
Min. Negotiated Rate	$26,162.37
Max. Negotiated Rate	$27,470.49
Rate for Payer: BCBS Complete	$27,470.49
Rate for Payer: Mclaren Medicaid	$26,162.37
Rate for Payer: Meridian Medicaid	$27,470.49
Rate for Payer: PHP Medicaid	$26,162.37
Rate for Payer: Priority Health Choice Medicaid	$26,162.37
Rate for Payer: UHCCP Medicaid	$26,162.37

APR-DRG 42.00: PANCREAS TRANSPLANT

Facility

$39,524.39

Service Code	APR-DRG 0062
Min. Negotiated Rate	$37,642.28
Max. Negotiated Rate	$39,524.39
Rate for Payer: BCBS Complete	$39,524.39
Rate for Payer: Mclaren Medicaid	$37,642.28
Rate for Payer: Meridian Medicaid	$39,524.39
Rate for Payer: PHP Medicaid	$37,642.28
Rate for Payer: Priority Health Choice Medicaid	$37,642.28
Rate for Payer: UHCCP Medicaid	$37,642.28

APR-DRG 42.00: PANCREAS TRANSPLANT

Facility

$59,493.53

Service Code	APR-DRG 0064
Min. Negotiated Rate	$56,660.50
Max. Negotiated Rate	$59,493.53
Rate for Payer: BCBS Complete	$59,493.53
Rate for Payer: Mclaren Medicaid	$56,660.50
Rate for Payer: Meridian Medicaid	$59,493.53
Rate for Payer: PHP Medicaid	$56,660.50
Rate for Payer: Priority Health Choice Medicaid	$56,660.50
Rate for Payer: UHCCP Medicaid	$56,660.50

Know your out-of-pocket cost for care.

All Charges