Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

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

Facility

$5,897.62

Service Code	APR-DRG 3642
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 RELATED PROCEDURES

Facility

$10,967.50

Service Code	APR-DRG 3644
Min. Negotiated Rate	$10,445.24
Max. Negotiated Rate	$10,967.50
Rate for Payer: BCBS Complete	$10,967.50
Rate for Payer: Mclaren Medicaid	$10,445.24
Rate for Payer: Meridian Medicaid	$10,967.50
Rate for Payer: PHP Medicaid	$10,445.24
Rate for Payer: Priority Health Choice Medicaid	$10,445.24
Rate for Payer: UHCCP Medicaid	$10,445.24

APR-DRG 42.00: OTHER SMALL AND LARGE BOWEL PROCEDURES

Facility

$7,346.16

Service Code	APR-DRG 2231
Min. Negotiated Rate	$6,996.34
Max. Negotiated Rate	$7,346.16
Rate for Payer: BCBS Complete	$7,346.16
Rate for Payer: Mclaren Medicaid	$6,996.34
Rate for Payer: Meridian Medicaid	$7,346.16
Rate for Payer: PHP Medicaid	$6,996.34
Rate for Payer: Priority Health Choice Medicaid	$6,996.34
Rate for Payer: UHCCP Medicaid	$6,996.34

APR-DRG 42.00: OTHER SMALL AND LARGE BOWEL PROCEDURES

Facility

$10,346.70

Service Code	APR-DRG 2232
Min. Negotiated Rate	$9,854.00
Max. Negotiated Rate	$10,346.70
Rate for Payer: BCBS Complete	$10,346.70
Rate for Payer: Mclaren Medicaid	$9,854.00
Rate for Payer: Meridian Medicaid	$10,346.70
Rate for Payer: PHP Medicaid	$9,854.00
Rate for Payer: Priority Health Choice Medicaid	$9,854.00
Rate for Payer: UHCCP Medicaid	$9,854.00

APR-DRG 42.00: OTHER SMALL AND LARGE BOWEL PROCEDURES

Facility

$10,657.10

Service Code	APR-DRG 2233
Min. Negotiated Rate	$10,149.62
Max. Negotiated Rate	$10,657.10
Rate for Payer: BCBS Complete	$10,657.10
Rate for Payer: Mclaren Medicaid	$10,149.62
Rate for Payer: Meridian Medicaid	$10,657.10
Rate for Payer: PHP Medicaid	$10,149.62
Rate for Payer: Priority Health Choice Medicaid	$10,149.62
Rate for Payer: UHCCP Medicaid	$10,149.62

APR-DRG 42.00: OTHER SMALL AND LARGE BOWEL PROCEDURES

Facility

$19,400.06

Service Code	APR-DRG 2234
Min. Negotiated Rate	$18,476.25
Max. Negotiated Rate	$19,400.06
Rate for Payer: BCBS Complete	$19,400.06
Rate for Payer: Mclaren Medicaid	$18,476.25
Rate for Payer: Meridian Medicaid	$19,400.06
Rate for Payer: PHP Medicaid	$18,476.25
Rate for Payer: Priority Health Choice Medicaid	$18,476.25
Rate for Payer: UHCCP Medicaid	$18,476.25

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

Facility

$22,711.01

Service Code	APR-DRG 2224
Min. Negotiated Rate	$21,629.53
Max. Negotiated Rate	$22,711.01
Rate for Payer: BCBS Complete	$22,711.01
Rate for Payer: Mclaren Medicaid	$21,629.53
Rate for Payer: Meridian Medicaid	$22,711.01
Rate for Payer: PHP Medicaid	$21,629.53
Rate for Payer: Priority Health Choice Medicaid	$21,629.53
Rate for Payer: UHCCP Medicaid	$21,629.53

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

Facility

$4,811.22

Service Code	APR-DRG 2221
Min. Negotiated Rate	$4,582.11
Max. Negotiated Rate	$4,811.22
Rate for Payer: BCBS Complete	$4,811.22
Rate for Payer: Mclaren Medicaid	$4,582.11
Rate for Payer: Meridian Medicaid	$4,811.22
Rate for Payer: PHP Medicaid	$4,582.11
Rate for Payer: Priority Health Choice Medicaid	$4,582.11
Rate for Payer: UHCCP Medicaid	$4,582.11

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

Facility

$8,329.09

Service Code	APR-DRG 2222
Min. Negotiated Rate	$7,932.47
Max. Negotiated Rate	$8,329.09
Rate for Payer: BCBS Complete	$8,329.09
Rate for Payer: Mclaren Medicaid	$7,932.47
Rate for Payer: Meridian Medicaid	$8,329.09
Rate for Payer: PHP Medicaid	$7,932.47
Rate for Payer: Priority Health Choice Medicaid	$7,932.47
Rate for Payer: UHCCP Medicaid	$7,932.47

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

Facility

$13,347.24

Service Code	APR-DRG 2223
Min. Negotiated Rate	$12,711.66
Max. Negotiated Rate	$13,347.24
Rate for Payer: BCBS Complete	$13,347.24
Rate for Payer: Mclaren Medicaid	$12,711.66
Rate for Payer: Meridian Medicaid	$13,347.24
Rate for Payer: PHP Medicaid	$12,711.66
Rate for Payer: Priority Health Choice Medicaid	$12,711.66
Rate for Payer: UHCCP Medicaid	$12,711.66

APR-DRG 42.00: PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT

Facility

$9,932.83

Service Code	APR-DRG 8444
Min. Negotiated Rate	$9,459.84
Max. Negotiated Rate	$9,932.83
Rate for Payer: BCBS Complete	$9,932.83
Rate for Payer: Mclaren Medicaid	$9,459.84
Rate for Payer: Meridian Medicaid	$9,932.83
Rate for Payer: PHP Medicaid	$9,459.84
Rate for Payer: Priority Health Choice Medicaid	$9,459.84
Rate for Payer: UHCCP Medicaid	$9,459.84

APR-DRG 42.00: PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT

Facility

$6,570.15

Service Code	APR-DRG 8443
Min. Negotiated Rate	$6,257.29
Max. Negotiated Rate	$6,570.15
Rate for Payer: BCBS Complete	$6,570.15
Rate for Payer: Mclaren Medicaid	$6,257.29
Rate for Payer: Meridian Medicaid	$6,570.15
Rate for Payer: PHP Medicaid	$6,257.29
Rate for Payer: Priority Health Choice Medicaid	$6,257.29
Rate for Payer: UHCCP Medicaid	$6,257.29

APR-DRG 42.00: PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT

Facility

$5,328.55

Service Code	APR-DRG 8442
Min. Negotiated Rate	$5,074.81
Max. Negotiated Rate	$5,328.55
Rate for Payer: BCBS Complete	$5,328.55
Rate for Payer: Mclaren Medicaid	$5,074.81
Rate for Payer: Meridian Medicaid	$5,328.55
Rate for Payer: PHP Medicaid	$5,074.81
Rate for Payer: Priority Health Choice Medicaid	$5,074.81
Rate for Payer: UHCCP Medicaid	$5,074.81

APR-DRG 42.00: PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT

Facility

$3,052.28

Service Code	APR-DRG 8441
Min. Negotiated Rate	$2,906.93
Max. Negotiated Rate	$3,052.28
Rate for Payer: BCBS Complete	$3,052.28
Rate for Payer: Mclaren Medicaid	$2,906.93
Rate for Payer: Meridian Medicaid	$3,052.28
Rate for Payer: PHP Medicaid	$2,906.93
Rate for Payer: Priority Health Choice Medicaid	$2,906.93
Rate for Payer: UHCCP Medicaid	$2,906.93

APR-DRG 42.00: PENIS, TESTES AND SCROTAL PROCEDURES

Facility

$5,587.22

Service Code	APR-DRG 4831
Min. Negotiated Rate	$5,321.16
Max. Negotiated Rate	$5,587.22
Rate for Payer: BCBS Complete	$5,587.22
Rate for Payer: Mclaren Medicaid	$5,321.16
Rate for Payer: Meridian Medicaid	$5,587.22
Rate for Payer: PHP Medicaid	$5,321.16
Rate for Payer: Priority Health Choice Medicaid	$5,321.16
Rate for Payer: UHCCP Medicaid	$5,321.16

APR-DRG 42.00: PENIS, TESTES AND SCROTAL PROCEDURES

Facility

$12,829.91

Service Code	APR-DRG 4833
Min. Negotiated Rate	$12,218.96
Max. Negotiated Rate	$12,829.91
Rate for Payer: BCBS Complete	$12,829.91
Rate for Payer: Mclaren Medicaid	$12,218.96
Rate for Payer: Meridian Medicaid	$12,829.91
Rate for Payer: PHP Medicaid	$12,218.96
Rate for Payer: Priority Health Choice Medicaid	$12,218.96
Rate for Payer: UHCCP Medicaid	$12,218.96

APR-DRG 42.00: PENIS, TESTES AND SCROTAL PROCEDURES

Facility

$8,484.29

Service Code	APR-DRG 4832
Min. Negotiated Rate	$8,080.28
Max. Negotiated Rate	$8,484.29
Rate for Payer: BCBS Complete	$8,484.29
Rate for Payer: Mclaren Medicaid	$8,080.28
Rate for Payer: Meridian Medicaid	$8,484.29
Rate for Payer: PHP Medicaid	$8,080.28
Rate for Payer: Priority Health Choice Medicaid	$8,080.28
Rate for Payer: UHCCP Medicaid	$8,080.28

APR-DRG 42.00: PENIS, TESTES AND SCROTAL PROCEDURES

Facility

$22,400.61

Service Code	APR-DRG 4834
Min. Negotiated Rate	$21,333.91
Max. Negotiated Rate	$22,400.61
Rate for Payer: BCBS Complete	$22,400.61
Rate for Payer: Mclaren Medicaid	$21,333.91
Rate for Payer: Meridian Medicaid	$22,400.61
Rate for Payer: PHP Medicaid	$21,333.91
Rate for Payer: Priority Health Choice Medicaid	$21,333.91
Rate for Payer: UHCCP Medicaid	$21,333.91

APR-DRG 42.00: PEPTIC ULCER AND GASTRITIS

Facility

$4,707.75

Service Code	APR-DRG 2412
Min. Negotiated Rate	$4,483.57
Max. Negotiated Rate	$4,707.75
Rate for Payer: BCBS Complete	$4,707.75
Rate for Payer: Mclaren Medicaid	$4,483.57
Rate for Payer: Meridian Medicaid	$4,707.75
Rate for Payer: PHP Medicaid	$4,483.57
Rate for Payer: Priority Health Choice Medicaid	$4,483.57
Rate for Payer: UHCCP Medicaid	$4,483.57

APR-DRG 42.00: PEPTIC ULCER AND GASTRITIS

Facility

$12,467.77

Service Code	APR-DRG 2414
Min. Negotiated Rate	$11,874.07
Max. Negotiated Rate	$12,467.77
Rate for Payer: BCBS Complete	$12,467.77
Rate for Payer: Mclaren Medicaid	$11,874.07
Rate for Payer: Meridian Medicaid	$12,467.77
Rate for Payer: PHP Medicaid	$11,874.07
Rate for Payer: Priority Health Choice Medicaid	$11,874.07
Rate for Payer: UHCCP Medicaid	$11,874.07

APR-DRG 42.00: PEPTIC ULCER AND GASTRITIS

Facility

$6,621.89

Service Code	APR-DRG 2413
Min. Negotiated Rate	$6,306.56
Max. Negotiated Rate	$6,621.89
Rate for Payer: BCBS Complete	$6,621.89
Rate for Payer: Mclaren Medicaid	$6,306.56
Rate for Payer: Meridian Medicaid	$6,621.89
Rate for Payer: PHP Medicaid	$6,306.56
Rate for Payer: Priority Health Choice Medicaid	$6,306.56
Rate for Payer: UHCCP Medicaid	$6,306.56

APR-DRG 42.00: PEPTIC ULCER AND GASTRITIS

Facility

$3,828.28

Service Code	APR-DRG 2411
Min. Negotiated Rate	$3,645.98
Max. Negotiated Rate	$3,828.28
Rate for Payer: BCBS Complete	$3,828.28
Rate for Payer: Mclaren Medicaid	$3,645.98
Rate for Payer: Meridian Medicaid	$3,828.28
Rate for Payer: PHP Medicaid	$3,645.98
Rate for Payer: Priority Health Choice Medicaid	$3,645.98
Rate for Payer: UHCCP Medicaid	$3,645.98

APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITH AMI

Facility

$10,088.03

Service Code	APR-DRG 1741
Min. Negotiated Rate	$9,607.65
Max. Negotiated Rate	$10,088.03
Rate for Payer: BCBS Complete	$10,088.03
Rate for Payer: Mclaren Medicaid	$9,607.65
Rate for Payer: Meridian Medicaid	$10,088.03
Rate for Payer: PHP Medicaid	$9,607.65
Rate for Payer: Priority Health Choice Medicaid	$9,607.65
Rate for Payer: UHCCP Medicaid	$9,607.65

APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITH AMI

Facility

$20,020.86

Service Code	APR-DRG 1744
Min. Negotiated Rate	$19,067.49
Max. Negotiated Rate	$20,020.86
Rate for Payer: BCBS Complete	$20,020.86
Rate for Payer: Mclaren Medicaid	$19,067.49
Rate for Payer: Meridian Medicaid	$20,020.86
Rate for Payer: PHP Medicaid	$19,067.49
Rate for Payer: Priority Health Choice Medicaid	$19,067.49
Rate for Payer: UHCCP Medicaid	$19,067.49

APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITH AMI

Facility

$12,571.24

Service Code	APR-DRG 1742
Min. Negotiated Rate	$11,972.61
Max. Negotiated Rate	$12,571.24
Rate for Payer: BCBS Complete	$12,571.24
Rate for Payer: Mclaren Medicaid	$11,972.61
Rate for Payer: Meridian Medicaid	$12,571.24
Rate for Payer: PHP Medicaid	$11,972.61
Rate for Payer: Priority Health Choice Medicaid	$11,972.61
Rate for Payer: UHCCP Medicaid	$11,972.61

Know your out-of-pocket cost for care.

All Charges