Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: RADIOTHERAPY

Facility

$12,985.11

Service Code	APR-DRG 6923
Min. Negotiated Rate	$12,366.77
Max. Negotiated Rate	$12,985.11
Rate for Payer: BCBS Complete	$12,985.11
Rate for Payer: Mclaren Medicaid	$12,366.77
Rate for Payer: Meridian Medicaid	$12,985.11
Rate for Payer: PHP Medicaid	$12,366.77
Rate for Payer: Priority Health Choice Medicaid	$12,366.77
Rate for Payer: UHCCP Medicaid	$12,366.77

APR-DRG 42.00: RADIOTHERAPY

Facility

$10,191.50

Service Code	APR-DRG 6922
Min. Negotiated Rate	$9,706.19
Max. Negotiated Rate	$10,191.50
Rate for Payer: BCBS Complete	$10,191.50
Rate for Payer: Mclaren Medicaid	$9,706.19
Rate for Payer: Meridian Medicaid	$10,191.50
Rate for Payer: PHP Medicaid	$9,706.19
Rate for Payer: Priority Health Choice Medicaid	$9,706.19
Rate for Payer: UHCCP Medicaid	$9,706.19

APR-DRG 42.00: REHABILITATION

Facility

$11,329.64

Service Code	APR-DRG 8603
Min. Negotiated Rate	$10,790.13
Max. Negotiated Rate	$11,329.64
Rate for Payer: BCBS Complete	$11,329.64
Rate for Payer: Mclaren Medicaid	$10,790.13
Rate for Payer: Meridian Medicaid	$11,329.64
Rate for Payer: PHP Medicaid	$10,790.13
Rate for Payer: Priority Health Choice Medicaid	$10,790.13
Rate for Payer: UHCCP Medicaid	$10,790.13

APR-DRG 42.00: REHABILITATION

Facility

$13,295.51

Service Code	APR-DRG 8604
Min. Negotiated Rate	$12,662.39
Max. Negotiated Rate	$13,295.51
Rate for Payer: BCBS Complete	$13,295.51
Rate for Payer: Mclaren Medicaid	$12,662.39
Rate for Payer: Meridian Medicaid	$13,295.51
Rate for Payer: PHP Medicaid	$12,662.39
Rate for Payer: Priority Health Choice Medicaid	$12,662.39
Rate for Payer: UHCCP Medicaid	$12,662.39

APR-DRG 42.00: REHABILITATION

Facility

$11,226.17

Service Code	APR-DRG 8602
Min. Negotiated Rate	$10,691.59
Max. Negotiated Rate	$11,226.17
Rate for Payer: BCBS Complete	$11,226.17
Rate for Payer: Mclaren Medicaid	$10,691.59
Rate for Payer: Meridian Medicaid	$11,226.17
Rate for Payer: PHP Medicaid	$10,691.59
Rate for Payer: Priority Health Choice Medicaid	$10,691.59
Rate for Payer: UHCCP Medicaid	$10,691.59

APR-DRG 42.00: REHABILITATION

Facility

$8,742.96

Service Code	APR-DRG 8601
Min. Negotiated Rate	$8,326.63
Max. Negotiated Rate	$8,742.96
Rate for Payer: BCBS Complete	$8,742.96
Rate for Payer: Mclaren Medicaid	$8,326.63
Rate for Payer: Meridian Medicaid	$8,742.96
Rate for Payer: PHP Medicaid	$8,326.63
Rate for Payer: Priority Health Choice Medicaid	$8,326.63
Rate for Payer: UHCCP Medicaid	$8,326.63

APR-DRG 42.00: RENAL DIALYSIS ACCESS DEVICE PROCEDURES

Facility

$11,381.37

Service Code	APR-DRG 4443
Min. Negotiated Rate	$10,839.40
Max. Negotiated Rate	$11,381.37
Rate for Payer: BCBS Complete	$11,381.37
Rate for Payer: Mclaren Medicaid	$10,839.40
Rate for Payer: Meridian Medicaid	$11,381.37
Rate for Payer: PHP Medicaid	$10,839.40
Rate for Payer: Priority Health Choice Medicaid	$10,839.40
Rate for Payer: UHCCP Medicaid	$10,839.40

APR-DRG 42.00: RENAL DIALYSIS ACCESS DEVICE PROCEDURES

Facility

$19,503.53

Service Code	APR-DRG 4444
Min. Negotiated Rate	$18,574.79
Max. Negotiated Rate	$19,503.53
Rate for Payer: BCBS Complete	$19,503.53
Rate for Payer: Mclaren Medicaid	$18,574.79
Rate for Payer: Meridian Medicaid	$19,503.53
Rate for Payer: PHP Medicaid	$18,574.79
Rate for Payer: Priority Health Choice Medicaid	$18,574.79
Rate for Payer: UHCCP Medicaid	$18,574.79

APR-DRG 42.00: RENAL DIALYSIS ACCESS DEVICE PROCEDURES

Facility

$6,777.09

Service Code	APR-DRG 4441
Min. Negotiated Rate	$6,454.37
Max. Negotiated Rate	$6,777.09
Rate for Payer: BCBS Complete	$6,777.09
Rate for Payer: Mclaren Medicaid	$6,454.37
Rate for Payer: Meridian Medicaid	$6,777.09
Rate for Payer: PHP Medicaid	$6,454.37
Rate for Payer: Priority Health Choice Medicaid	$6,454.37
Rate for Payer: UHCCP Medicaid	$6,454.37

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: RESPIRATORY FAILURE

Facility

$4,707.75

Service Code	APR-DRG 1332
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: RESPIRATORY FAILURE

Facility

$3,466.14

Service Code	APR-DRG 1331
Min. Negotiated Rate	$3,301.09
Max. Negotiated Rate	$3,466.14
Rate for Payer: BCBS Complete	$3,466.14
Rate for Payer: Mclaren Medicaid	$3,301.09
Rate for Payer: Meridian Medicaid	$3,466.14
Rate for Payer: PHP Medicaid	$3,301.09
Rate for Payer: Priority Health Choice Medicaid	$3,301.09
Rate for Payer: UHCCP Medicaid	$3,301.09

APR-DRG 42.00: RESPIRATORY FAILURE

Facility

$6,828.82

Service Code	APR-DRG 1333
Min. Negotiated Rate	$6,503.64
Max. Negotiated Rate	$6,828.82
Rate for Payer: BCBS Complete	$6,828.82
Rate for Payer: Mclaren Medicaid	$6,503.64
Rate for Payer: Meridian Medicaid	$6,828.82
Rate for Payer: PHP Medicaid	$6,503.64
Rate for Payer: Priority Health Choice Medicaid	$6,503.64
Rate for Payer: UHCCP Medicaid	$6,503.64

APR-DRG 42.00: RESPIRATORY FAILURE

Facility

$10,398.43

Service Code	APR-DRG 1334
Min. Negotiated Rate	$9,903.27
Max. Negotiated Rate	$10,398.43
Rate for Payer: BCBS Complete	$10,398.43
Rate for Payer: Mclaren Medicaid	$9,903.27
Rate for Payer: Meridian Medicaid	$10,398.43
Rate for Payer: PHP Medicaid	$9,903.27
Rate for Payer: Priority Health Choice Medicaid	$9,903.27
Rate for Payer: UHCCP Medicaid	$9,903.27

APR-DRG 42.00: RESPIRATORY MALIGNANCY

Facility

$6,156.29

Service Code	APR-DRG 1362
Min. Negotiated Rate	$5,863.13
Max. Negotiated Rate	$6,156.29
Rate for Payer: BCBS Complete	$6,156.29
Rate for Payer: Mclaren Medicaid	$5,863.13
Rate for Payer: Meridian Medicaid	$6,156.29
Rate for Payer: PHP Medicaid	$5,863.13
Rate for Payer: Priority Health Choice Medicaid	$5,863.13
Rate for Payer: UHCCP Medicaid	$5,863.13

APR-DRG 42.00: RESPIRATORY MALIGNANCY

Facility

$5,276.82

Service Code	APR-DRG 1361
Min. Negotiated Rate	$5,025.54
Max. Negotiated Rate	$5,276.82
Rate for Payer: BCBS Complete	$5,276.82
Rate for Payer: Mclaren Medicaid	$5,025.54
Rate for Payer: Meridian Medicaid	$5,276.82
Rate for Payer: PHP Medicaid	$5,025.54
Rate for Payer: Priority Health Choice Medicaid	$5,025.54
Rate for Payer: UHCCP Medicaid	$5,025.54

APR-DRG 42.00: RESPIRATORY MALIGNANCY

Facility

$7,656.56

Service Code	APR-DRG 1363
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: RESPIRATORY MALIGNANCY

Facility

$11,122.70

Service Code	APR-DRG 1364
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: RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES

Facility

$4,811.22

Service Code	APR-DRG 1442
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: RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES

Facility

$9,156.83

Service Code	APR-DRG 1444
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: RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES

Facility

$2,948.81

Service Code	APR-DRG 1441
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: RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES

Facility

$6,466.69

Service Code	APR-DRG 1443
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: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS

Facility

$14,278.45

Service Code	APR-DRG 1301
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: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS

Facility

$17,278.99

Service Code	APR-DRG 1302
Min. Negotiated Rate	$16,456.18
Max. Negotiated Rate	$17,278.99
Rate for Payer: BCBS Complete	$17,278.99
Rate for Payer: Mclaren Medicaid	$16,456.18
Rate for Payer: Meridian Medicaid	$17,278.99
Rate for Payer: PHP Medicaid	$16,456.18
Rate for Payer: Priority Health Choice Medicaid	$16,456.18
Rate for Payer: UHCCP Medicaid	$16,456.18

APR-DRG 42.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS

Facility

$22,607.54

Service Code	APR-DRG 1303
Min. Negotiated Rate	$21,530.99
Max. Negotiated Rate	$22,607.54
Rate for Payer: BCBS Complete	$22,607.54
Rate for Payer: Mclaren Medicaid	$21,530.99
Rate for Payer: Meridian Medicaid	$22,607.54
Rate for Payer: PHP Medicaid	$21,530.99
Rate for Payer: Priority Health Choice Medicaid	$21,530.99
Rate for Payer: UHCCP Medicaid	$21,530.99

Know your out-of-pocket cost for care.

All Charges