Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: PROCEDURES FOR OBESITY

Facility

$7,087.49

Service Code	APR-DRG 4032
Min. Negotiated Rate	$6,749.99
Max. Negotiated Rate	$7,087.49
Rate for Payer: BCBS Complete	$7,087.49
Rate for Payer: Mclaren Medicaid	$6,749.99
Rate for Payer: Meridian Medicaid	$7,087.49
Rate for Payer: PHP Medicaid	$6,749.99
Rate for Payer: Priority Health Choice Medicaid	$6,749.99
Rate for Payer: UHCCP Medicaid	$6,749.99

APR-DRG 42.00: PROCEDURES FOR OBESITY

Facility

$11,691.77

Service Code	APR-DRG 4033
Min. Negotiated Rate	$11,135.02
Max. Negotiated Rate	$11,691.77
Rate for Payer: BCBS Complete	$11,691.77
Rate for Payer: Mclaren Medicaid	$11,135.02
Rate for Payer: Meridian Medicaid	$11,691.77
Rate for Payer: PHP Medicaid	$11,135.02
Rate for Payer: Priority Health Choice Medicaid	$11,135.02
Rate for Payer: UHCCP Medicaid	$11,135.02

APR-DRG 42.00: PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES

Facility

$17,951.52

Service Code	APR-DRG 8503
Min. Negotiated Rate	$17,096.69
Max. Negotiated Rate	$17,951.52
Rate for Payer: BCBS Complete	$17,951.52
Rate for Payer: Mclaren Medicaid	$17,096.69
Rate for Payer: Meridian Medicaid	$17,951.52
Rate for Payer: PHP Medicaid	$17,096.69
Rate for Payer: Priority Health Choice Medicaid	$17,096.69
Rate for Payer: UHCCP Medicaid	$17,096.69

APR-DRG 42.00: PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES

Facility

$31,867.84

Service Code	APR-DRG 8504
Min. Negotiated Rate	$30,350.32
Max. Negotiated Rate	$31,867.84
Rate for Payer: BCBS Complete	$31,867.84
Rate for Payer: Mclaren Medicaid	$30,350.32
Rate for Payer: Meridian Medicaid	$31,867.84
Rate for Payer: PHP Medicaid	$30,350.32
Rate for Payer: Priority Health Choice Medicaid	$30,350.32
Rate for Payer: UHCCP Medicaid	$30,350.32

APR-DRG 42.00: PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES

Facility

$12,002.17

Service Code	APR-DRG 8502
Min. Negotiated Rate	$11,430.64
Max. Negotiated Rate	$12,002.17
Rate for Payer: BCBS Complete	$12,002.17
Rate for Payer: Mclaren Medicaid	$11,430.64
Rate for Payer: Meridian Medicaid	$12,002.17
Rate for Payer: PHP Medicaid	$11,430.64
Rate for Payer: Priority Health Choice Medicaid	$11,430.64
Rate for Payer: UHCCP Medicaid	$11,430.64

APR-DRG 42.00: PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES

Facility

$7,656.56

Service Code	APR-DRG 8501
Min. Negotiated Rate	$7,291.96
Max. Negotiated Rate	$7,656.56
Rate for Payer: BCBS Complete	$7,656.56
Rate for Payer: Mclaren Medicaid	$7,291.96
Rate for Payer: Meridian Medicaid	$7,656.56
Rate for Payer: PHP Medicaid	$7,291.96
Rate for Payer: Priority Health Choice Medicaid	$7,291.96
Rate for Payer: UHCCP Medicaid	$7,291.96

APR-DRG 42.00: PROSTATECTOMY PROCEDURES

Facility

$22,659.27

Service Code	APR-DRG 4854
Min. Negotiated Rate	$21,580.26
Max. Negotiated Rate	$22,659.27
Rate for Payer: BCBS Complete	$22,659.27
Rate for Payer: Mclaren Medicaid	$21,580.26
Rate for Payer: Meridian Medicaid	$22,659.27
Rate for Payer: PHP Medicaid	$21,580.26
Rate for Payer: Priority Health Choice Medicaid	$21,580.26
Rate for Payer: UHCCP Medicaid	$21,580.26

APR-DRG 42.00: PROSTATECTOMY PROCEDURES

Facility

$13,761.11

Service Code	APR-DRG 4853
Min. Negotiated Rate	$13,105.82
Max. Negotiated Rate	$13,761.11
Rate for Payer: BCBS Complete	$13,761.11
Rate for Payer: Mclaren Medicaid	$13,105.82
Rate for Payer: Meridian Medicaid	$13,761.11
Rate for Payer: PHP Medicaid	$13,105.82
Rate for Payer: Priority Health Choice Medicaid	$13,105.82
Rate for Payer: UHCCP Medicaid	$13,105.82

APR-DRG 42.00: PROSTATECTOMY PROCEDURES

Facility

$8,587.76

Service Code	APR-DRG 4852
Min. Negotiated Rate	$8,178.82
Max. Negotiated Rate	$8,587.76
Rate for Payer: BCBS Complete	$8,587.76
Rate for Payer: Mclaren Medicaid	$8,178.82
Rate for Payer: Meridian Medicaid	$8,587.76
Rate for Payer: PHP Medicaid	$8,178.82
Rate for Payer: Priority Health Choice Medicaid	$8,178.82
Rate for Payer: UHCCP Medicaid	$8,178.82

APR-DRG 42.00: PROSTATECTOMY PROCEDURES

Facility

$7,449.62

Service Code	APR-DRG 4851
Min. Negotiated Rate	$7,094.88
Max. Negotiated Rate	$7,449.62
Rate for Payer: BCBS Complete	$7,449.62
Rate for Payer: Mclaren Medicaid	$7,094.88
Rate for Payer: Meridian Medicaid	$7,449.62
Rate for Payer: PHP Medicaid	$7,094.88
Rate for Payer: Priority Health Choice Medicaid	$7,094.88
Rate for Payer: UHCCP Medicaid	$7,094.88

APR-DRG 42.00: PULMONARY EMBOLISM

Facility

$10,243.23

Service Code	APR-DRG 1344
Min. Negotiated Rate	$9,755.46
Max. Negotiated Rate	$10,243.23
Rate for Payer: BCBS Complete	$10,243.23
Rate for Payer: Mclaren Medicaid	$9,755.46
Rate for Payer: Meridian Medicaid	$10,243.23
Rate for Payer: PHP Medicaid	$9,755.46
Rate for Payer: Priority Health Choice Medicaid	$9,755.46
Rate for Payer: UHCCP Medicaid	$9,755.46

APR-DRG 42.00: PULMONARY EMBOLISM

Facility

$3,983.48

Service Code	APR-DRG 1342
Min. Negotiated Rate	$3,793.79
Max. Negotiated Rate	$3,983.48
Rate for Payer: BCBS Complete	$3,983.48
Rate for Payer: Mclaren Medicaid	$3,793.79
Rate for Payer: Meridian Medicaid	$3,983.48
Rate for Payer: PHP Medicaid	$3,793.79
Rate for Payer: Priority Health Choice Medicaid	$3,793.79
Rate for Payer: UHCCP Medicaid	$3,793.79

APR-DRG 42.00: PULMONARY EMBOLISM

Facility

$6,311.49

Service Code	APR-DRG 1343
Min. Negotiated Rate	$6,010.94
Max. Negotiated Rate	$6,311.49
Rate for Payer: BCBS Complete	$6,311.49
Rate for Payer: Mclaren Medicaid	$6,010.94
Rate for Payer: Meridian Medicaid	$6,311.49
Rate for Payer: PHP Medicaid	$6,010.94
Rate for Payer: Priority Health Choice Medicaid	$6,010.94
Rate for Payer: UHCCP Medicaid	$6,010.94

APR-DRG 42.00: PULMONARY EMBOLISM

Facility

$2,948.81

Service Code	APR-DRG 1341
Min. Negotiated Rate	$2,808.39
Max. Negotiated Rate	$2,948.81
Rate for Payer: BCBS Complete	$2,948.81
Rate for Payer: Mclaren Medicaid	$2,808.39
Rate for Payer: Meridian Medicaid	$2,948.81
Rate for Payer: PHP Medicaid	$2,808.39
Rate for Payer: Priority Health Choice Medicaid	$2,808.39
Rate for Payer: UHCCP Medicaid	$2,808.39

APR-DRG 42.00: RADIOTHERAPY

Facility

$6,104.55

Service Code	APR-DRG 6921
Min. Negotiated Rate	$5,813.86
Max. Negotiated Rate	$6,104.55
Rate for Payer: BCBS Complete	$6,104.55
Rate for Payer: Mclaren Medicaid	$5,813.86
Rate for Payer: Meridian Medicaid	$6,104.55
Rate for Payer: PHP Medicaid	$5,813.86
Rate for Payer: Priority Health Choice Medicaid	$5,813.86
Rate for Payer: UHCCP Medicaid	$5,813.86

APR-DRG 42.00: RADIOTHERAPY

Facility

$16,865.12

Service Code	APR-DRG 6924
Min. Negotiated Rate	$16,062.02
Max. Negotiated Rate	$16,865.12
Rate for Payer: BCBS Complete	$16,865.12
Rate for Payer: Mclaren Medicaid	$16,062.02
Rate for Payer: Meridian Medicaid	$16,865.12
Rate for Payer: PHP Medicaid	$16,062.02
Rate for Payer: Priority Health Choice Medicaid	$16,062.02
Rate for Payer: UHCCP Medicaid	$16,062.02

APR-DRG 42.00: RADIOTHERAPY

Facility

$9,312.03

Service Code	APR-DRG 6922
Min. Negotiated Rate	$8,868.60
Max. Negotiated Rate	$9,312.03
Rate for Payer: BCBS Complete	$9,312.03
Rate for Payer: Mclaren Medicaid	$8,868.60
Rate for Payer: Meridian Medicaid	$9,312.03
Rate for Payer: PHP Medicaid	$8,868.60
Rate for Payer: Priority Health Choice Medicaid	$8,868.60
Rate for Payer: UHCCP Medicaid	$8,868.60

APR-DRG 42.00: RADIOTHERAPY

Facility

$13,450.71

Service Code	APR-DRG 6923
Min. Negotiated Rate	$12,810.20
Max. Negotiated Rate	$13,450.71
Rate for Payer: BCBS Complete	$13,450.71
Rate for Payer: Mclaren Medicaid	$12,810.20
Rate for Payer: Meridian Medicaid	$13,450.71
Rate for Payer: PHP Medicaid	$12,810.20
Rate for Payer: Priority Health Choice Medicaid	$12,810.20
Rate for Payer: UHCCP Medicaid	$12,810.20

APR-DRG 42.00: REHABILITATION

Facility

$7,604.82

Service Code	APR-DRG 8602
Min. Negotiated Rate	$7,242.69
Max. Negotiated Rate	$7,604.82
Rate for Payer: BCBS Complete	$7,604.82
Rate for Payer: Mclaren Medicaid	$7,242.69
Rate for Payer: Meridian Medicaid	$7,604.82
Rate for Payer: PHP Medicaid	$7,242.69
Rate for Payer: Priority Health Choice Medicaid	$7,242.69
Rate for Payer: UHCCP Medicaid	$7,242.69

APR-DRG 42.00: REHABILITATION

Facility

$12,467.77

Service Code	APR-DRG 8604
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: REHABILITATION

Facility

$10,036.30

Service Code	APR-DRG 8603
Min. Negotiated Rate	$9,558.38
Max. Negotiated Rate	$10,036.30
Rate for Payer: BCBS Complete	$10,036.30
Rate for Payer: Mclaren Medicaid	$9,558.38
Rate for Payer: Meridian Medicaid	$10,036.30
Rate for Payer: PHP Medicaid	$9,558.38
Rate for Payer: Priority Health Choice Medicaid	$9,558.38
Rate for Payer: UHCCP Medicaid	$9,558.38

APR-DRG 42.00: REHABILITATION

Facility

$5,845.89

Service Code	APR-DRG 8601
Min. Negotiated Rate	$5,567.51
Max. Negotiated Rate	$5,845.89
Rate for Payer: BCBS Complete	$5,845.89
Rate for Payer: Mclaren Medicaid	$5,567.51
Rate for Payer: Meridian Medicaid	$5,845.89
Rate for Payer: PHP Medicaid	$5,567.51
Rate for Payer: Priority Health Choice Medicaid	$5,567.51
Rate for Payer: UHCCP Medicaid	$5,567.51

APR-DRG 42.00: RENAL DIALYSIS ACCESS DEVICE PROCEDURES

Facility

$9,156.83

Service Code	APR-DRG 4442
Min. Negotiated Rate	$8,720.79
Max. Negotiated Rate	$9,156.83
Rate for Payer: BCBS Complete	$9,156.83
Rate for Payer: Mclaren Medicaid	$8,720.79
Rate for Payer: Meridian Medicaid	$9,156.83
Rate for Payer: PHP Medicaid	$8,720.79
Rate for Payer: Priority Health Choice Medicaid	$8,720.79
Rate for Payer: UHCCP Medicaid	$8,720.79

APR-DRG 42.00: RENAL DIALYSIS ACCESS DEVICE PROCEDURES

Facility

$20,745.13

Service Code	APR-DRG 4444
Min. Negotiated Rate	$19,757.27
Max. Negotiated Rate	$20,745.13
Rate for Payer: BCBS Complete	$20,745.13
Rate for Payer: Mclaren Medicaid	$19,757.27
Rate for Payer: Meridian Medicaid	$20,745.13
Rate for Payer: PHP Medicaid	$19,757.27
Rate for Payer: Priority Health Choice Medicaid	$19,757.27
Rate for Payer: UHCCP Medicaid	$19,757.27

APR-DRG 42.00: RENAL DIALYSIS ACCESS DEVICE PROCEDURES

Facility

$6,621.89

Service Code	APR-DRG 4441
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

Know your out-of-pocket cost for care.

All Charges