Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

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 WITHOUT AMI

Facility

$8,794.70

Service Code	APR-DRG 1751
Min. Negotiated Rate	$8,375.90
Max. Negotiated Rate	$8,794.70
Rate for Payer: BCBS Complete	$8,794.70
Rate for Payer: Mclaren Medicaid	$8,375.90
Rate for Payer: Meridian Medicaid	$8,794.70
Rate for Payer: PHP Medicaid	$8,375.90
Rate for Payer: Priority Health Choice Medicaid	$8,375.90
Rate for Payer: UHCCP Medicaid	$8,375.90

APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI

Facility

$14,278.45

Service Code	APR-DRG 1753
Min. Negotiated Rate	$13,598.52
Max. Negotiated Rate	$14,278.45
Rate for Payer: BCBS Complete	$14,278.45
Rate for Payer: Mclaren Medicaid	$13,598.52
Rate for Payer: Meridian Medicaid	$14,278.45
Rate for Payer: PHP Medicaid	$13,598.52
Rate for Payer: Priority Health Choice Medicaid	$13,598.52
Rate for Payer: UHCCP Medicaid	$13,598.52

APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI

Facility

$22,400.61

Service Code	APR-DRG 1754
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: PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI

Facility

$11,846.97

Service Code	APR-DRG 1752
Min. Negotiated Rate	$11,282.83
Max. Negotiated Rate	$11,846.97
Rate for Payer: BCBS Complete	$11,846.97
Rate for Payer: Mclaren Medicaid	$11,282.83
Rate for Payer: Meridian Medicaid	$11,846.97
Rate for Payer: PHP Medicaid	$11,282.83
Rate for Payer: Priority Health Choice Medicaid	$11,282.83
Rate for Payer: UHCCP Medicaid	$11,282.83

APR-DRG 42.00: PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES

Facility

$7,294.42

Service Code	APR-DRG 0301
Min. Negotiated Rate	$6,947.07
Max. Negotiated Rate	$7,294.42
Rate for Payer: BCBS Complete	$7,294.42
Rate for Payer: Mclaren Medicaid	$6,947.07
Rate for Payer: Meridian Medicaid	$7,294.42
Rate for Payer: PHP Medicaid	$6,947.07
Rate for Payer: Priority Health Choice Medicaid	$6,947.07
Rate for Payer: UHCCP Medicaid	$6,947.07

APR-DRG 42.00: PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES

Facility

$12,519.51

Service Code	APR-DRG 0302
Min. Negotiated Rate	$11,923.34
Max. Negotiated Rate	$12,519.51
Rate for Payer: BCBS Complete	$12,519.51
Rate for Payer: Mclaren Medicaid	$11,923.34
Rate for Payer: Meridian Medicaid	$12,519.51
Rate for Payer: PHP Medicaid	$11,923.34
Rate for Payer: Priority Health Choice Medicaid	$11,923.34
Rate for Payer: UHCCP Medicaid	$11,923.34

APR-DRG 42.00: PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES

Facility

$16,037.38

Service Code	APR-DRG 0303
Min. Negotiated Rate	$15,273.70
Max. Negotiated Rate	$16,037.38
Rate for Payer: BCBS Complete	$16,037.38
Rate for Payer: Mclaren Medicaid	$15,273.70
Rate for Payer: Meridian Medicaid	$16,037.38
Rate for Payer: PHP Medicaid	$15,273.70
Rate for Payer: Priority Health Choice Medicaid	$15,273.70
Rate for Payer: UHCCP Medicaid	$15,273.70

APR-DRG 42.00: PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES

Facility

$21,572.87

Service Code	APR-DRG 0304
Min. Negotiated Rate	$20,545.59
Max. Negotiated Rate	$21,572.87
Rate for Payer: BCBS Complete	$21,572.87
Rate for Payer: Mclaren Medicaid	$20,545.59
Rate for Payer: Meridian Medicaid	$21,572.87
Rate for Payer: PHP Medicaid	$20,545.59
Rate for Payer: Priority Health Choice Medicaid	$20,545.59
Rate for Payer: UHCCP Medicaid	$20,545.59

APR-DRG 42.00: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES

Facility

$18,261.93

Service Code	APR-DRG 1832
Min. Negotiated Rate	$17,392.31
Max. Negotiated Rate	$18,261.93
Rate for Payer: BCBS Complete	$18,261.93
Rate for Payer: Mclaren Medicaid	$17,392.31
Rate for Payer: Meridian Medicaid	$18,261.93
Rate for Payer: PHP Medicaid	$17,392.31
Rate for Payer: Priority Health Choice Medicaid	$17,392.31
Rate for Payer: UHCCP Medicaid	$17,392.31

APR-DRG 42.00: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES

Facility

$22,762.74

Service Code	APR-DRG 1833
Min. Negotiated Rate	$21,678.80
Max. Negotiated Rate	$22,762.74
Rate for Payer: BCBS Complete	$22,762.74
Rate for Payer: Mclaren Medicaid	$21,678.80
Rate for Payer: Meridian Medicaid	$22,762.74
Rate for Payer: PHP Medicaid	$21,678.80
Rate for Payer: Priority Health Choice Medicaid	$21,678.80
Rate for Payer: UHCCP Medicaid	$21,678.80

APR-DRG 42.00: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES

Facility

$31,350.50

Service Code	APR-DRG 1834
Min. Negotiated Rate	$29,857.62
Max. Negotiated Rate	$31,350.50
Rate for Payer: BCBS Complete	$31,350.50
Rate for Payer: Mclaren Medicaid	$29,857.62
Rate for Payer: Meridian Medicaid	$31,350.50
Rate for Payer: PHP Medicaid	$29,857.62
Rate for Payer: Priority Health Choice Medicaid	$29,857.62
Rate for Payer: UHCCP Medicaid	$29,857.62

APR-DRG 42.00: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES

Facility

$16,813.39

Service Code	APR-DRG 1831
Min. Negotiated Rate	$16,012.75
Max. Negotiated Rate	$16,813.39
Rate for Payer: BCBS Complete	$16,813.39
Rate for Payer: Mclaren Medicaid	$16,012.75
Rate for Payer: Meridian Medicaid	$16,813.39
Rate for Payer: PHP Medicaid	$16,012.75
Rate for Payer: Priority Health Choice Medicaid	$16,012.75
Rate for Payer: UHCCP Medicaid	$16,012.75

APR-DRG 42.00: PERIPHERAL AND OTHER VASCULAR DISORDERS

Facility

$6,932.29

Service Code	APR-DRG 1973
Min. Negotiated Rate	$6,602.18
Max. Negotiated Rate	$6,932.29
Rate for Payer: BCBS Complete	$6,932.29
Rate for Payer: Mclaren Medicaid	$6,602.18
Rate for Payer: Meridian Medicaid	$6,932.29
Rate for Payer: PHP Medicaid	$6,602.18
Rate for Payer: Priority Health Choice Medicaid	$6,602.18
Rate for Payer: UHCCP Medicaid	$6,602.18

APR-DRG 42.00: PERIPHERAL AND OTHER VASCULAR DISORDERS

Facility

$4,552.55

Service Code	APR-DRG 1972
Min. Negotiated Rate	$4,335.76
Max. Negotiated Rate	$4,552.55
Rate for Payer: BCBS Complete	$4,552.55
Rate for Payer: Mclaren Medicaid	$4,335.76
Rate for Payer: Meridian Medicaid	$4,552.55
Rate for Payer: PHP Medicaid	$4,335.76
Rate for Payer: Priority Health Choice Medicaid	$4,335.76
Rate for Payer: UHCCP Medicaid	$4,335.76

APR-DRG 42.00: PERIPHERAL AND OTHER VASCULAR DISORDERS

Facility

$3,414.41

Service Code	APR-DRG 1971
Min. Negotiated Rate	$3,251.82
Max. Negotiated Rate	$3,414.41
Rate for Payer: BCBS Complete	$3,414.41
Rate for Payer: Mclaren Medicaid	$3,251.82
Rate for Payer: Meridian Medicaid	$3,414.41
Rate for Payer: PHP Medicaid	$3,251.82
Rate for Payer: Priority Health Choice Medicaid	$3,251.82
Rate for Payer: UHCCP Medicaid	$3,251.82

APR-DRG 42.00: PERIPHERAL AND OTHER VASCULAR DISORDERS

Facility

$10,088.03

Service Code	APR-DRG 1974
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: PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS

Facility

$3,776.55

Service Code	APR-DRG 0481
Min. Negotiated Rate	$3,596.71
Max. Negotiated Rate	$3,776.55
Rate for Payer: BCBS Complete	$3,776.55
Rate for Payer: Mclaren Medicaid	$3,596.71
Rate for Payer: Meridian Medicaid	$3,776.55
Rate for Payer: PHP Medicaid	$3,596.71
Rate for Payer: Priority Health Choice Medicaid	$3,596.71
Rate for Payer: UHCCP Medicaid	$3,596.71

APR-DRG 42.00: PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS

Facility

$7,190.96

Service Code	APR-DRG 0483
Min. Negotiated Rate	$6,848.53
Max. Negotiated Rate	$7,190.96
Rate for Payer: BCBS Complete	$7,190.96
Rate for Payer: Mclaren Medicaid	$6,848.53
Rate for Payer: Meridian Medicaid	$7,190.96
Rate for Payer: PHP Medicaid	$6,848.53
Rate for Payer: Priority Health Choice Medicaid	$6,848.53
Rate for Payer: UHCCP Medicaid	$6,848.53

APR-DRG 42.00: PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS

Facility

$4,862.95

Service Code	APR-DRG 0482
Min. Negotiated Rate	$4,631.38
Max. Negotiated Rate	$4,862.95
Rate for Payer: BCBS Complete	$4,862.95
Rate for Payer: Mclaren Medicaid	$4,631.38
Rate for Payer: Meridian Medicaid	$4,862.95
Rate for Payer: PHP Medicaid	$4,631.38
Rate for Payer: Priority Health Choice Medicaid	$4,631.38
Rate for Payer: UHCCP Medicaid	$4,631.38

APR-DRG 42.00: PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS

Facility

$11,898.70

Service Code	APR-DRG 0484
Min. Negotiated Rate	$11,332.10
Max. Negotiated Rate	$11,898.70
Rate for Payer: BCBS Complete	$11,898.70
Rate for Payer: Mclaren Medicaid	$11,332.10
Rate for Payer: Meridian Medicaid	$11,898.70
Rate for Payer: PHP Medicaid	$11,332.10
Rate for Payer: Priority Health Choice Medicaid	$11,332.10
Rate for Payer: UHCCP Medicaid	$11,332.10

APR-DRG 42.00: PERITONEAL ADHESIOLYSIS

Facility

$8,122.16

Service Code	APR-DRG 2241
Min. Negotiated Rate	$7,735.39
Max. Negotiated Rate	$8,122.16
Rate for Payer: BCBS Complete	$8,122.16
Rate for Payer: Mclaren Medicaid	$7,735.39
Rate for Payer: Meridian Medicaid	$8,122.16
Rate for Payer: PHP Medicaid	$7,735.39
Rate for Payer: Priority Health Choice Medicaid	$7,735.39
Rate for Payer: UHCCP Medicaid	$7,735.39

APR-DRG 42.00: PERITONEAL ADHESIOLYSIS

Facility

$24,728.61

Service Code	APR-DRG 2244
Min. Negotiated Rate	$23,551.06
Max. Negotiated Rate	$24,728.61
Rate for Payer: BCBS Complete	$24,728.61
Rate for Payer: Mclaren Medicaid	$23,551.06
Rate for Payer: Meridian Medicaid	$24,728.61
Rate for Payer: PHP Medicaid	$23,551.06
Rate for Payer: Priority Health Choice Medicaid	$23,551.06
Rate for Payer: UHCCP Medicaid	$23,551.06

APR-DRG 42.00: PERITONEAL ADHESIOLYSIS

Facility

$13,812.84

Service Code	APR-DRG 2243
Min. Negotiated Rate	$13,155.09
Max. Negotiated Rate	$13,812.84
Rate for Payer: BCBS Complete	$13,812.84
Rate for Payer: Mclaren Medicaid	$13,155.09
Rate for Payer: Meridian Medicaid	$13,812.84
Rate for Payer: PHP Medicaid	$13,155.09
Rate for Payer: Priority Health Choice Medicaid	$13,155.09
Rate for Payer: UHCCP Medicaid	$13,155.09

APR-DRG 42.00: PERITONEAL ADHESIOLYSIS

Facility

$10,501.90

Service Code	APR-DRG 2242
Min. Negotiated Rate	$10,001.81
Max. Negotiated Rate	$10,501.90
Rate for Payer: BCBS Complete	$10,501.90
Rate for Payer: Mclaren Medicaid	$10,001.81
Rate for Payer: Meridian Medicaid	$10,501.90
Rate for Payer: PHP Medicaid	$10,001.81
Rate for Payer: Priority Health Choice Medicaid	$10,001.81
Rate for Payer: UHCCP Medicaid	$10,001.81

Know your out-of-pocket cost for care.

All Charges