Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: SEIZURE

Facility

$6,414.95

Service Code	APR-DRG 0533
Min. Negotiated Rate	$6,109.48
Max. Negotiated Rate	$6,414.95
Rate for Payer: BCBS Complete	$6,414.95
Rate for Payer: Mclaren Medicaid	$6,109.48
Rate for Payer: Meridian Medicaid	$6,414.95
Rate for Payer: PHP Medicaid	$6,109.48
Rate for Payer: Priority Health Choice Medicaid	$6,109.48
Rate for Payer: UHCCP Medicaid	$6,109.48

APR-DRG 42.00: SEIZURE

Facility

$3,000.54

Service Code	APR-DRG 0531
Min. Negotiated Rate	$2,857.66
Max. Negotiated Rate	$3,000.54
Rate for Payer: BCBS Complete	$3,000.54
Rate for Payer: Mclaren Medicaid	$2,857.66
Rate for Payer: Meridian Medicaid	$3,000.54
Rate for Payer: PHP Medicaid	$2,857.66
Rate for Payer: Priority Health Choice Medicaid	$2,857.66
Rate for Payer: UHCCP Medicaid	$2,857.66

APR-DRG 42.00: SEIZURE

Facility

$4,035.21

Service Code	APR-DRG 0532
Min. Negotiated Rate	$3,843.06
Max. Negotiated Rate	$4,035.21
Rate for Payer: BCBS Complete	$4,035.21
Rate for Payer: Mclaren Medicaid	$3,843.06
Rate for Payer: Meridian Medicaid	$4,035.21
Rate for Payer: PHP Medicaid	$3,843.06
Rate for Payer: Priority Health Choice Medicaid	$3,843.06
Rate for Payer: UHCCP Medicaid	$3,843.06

APR-DRG 42.00: SEIZURE

Facility

$12,105.64

Service Code	APR-DRG 0534
Min. Negotiated Rate	$11,529.18
Max. Negotiated Rate	$12,105.64
Rate for Payer: BCBS Complete	$12,105.64
Rate for Payer: Mclaren Medicaid	$11,529.18
Rate for Payer: Meridian Medicaid	$12,105.64
Rate for Payer: PHP Medicaid	$11,529.18
Rate for Payer: Priority Health Choice Medicaid	$11,529.18
Rate for Payer: UHCCP Medicaid	$11,529.18

APR-DRG 42.00: SEPTICEMIA AND DISSEMINATED INFECTIONS

Facility

$3,414.41

Service Code	APR-DRG 7201
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: SEPTICEMIA AND DISSEMINATED INFECTIONS

Facility

$7,553.09

Service Code	APR-DRG 7203
Min. Negotiated Rate	$7,193.42
Max. Negotiated Rate	$7,553.09
Rate for Payer: BCBS Complete	$7,553.09
Rate for Payer: Mclaren Medicaid	$7,193.42
Rate for Payer: Meridian Medicaid	$7,553.09
Rate for Payer: PHP Medicaid	$7,193.42
Rate for Payer: Priority Health Choice Medicaid	$7,193.42
Rate for Payer: UHCCP Medicaid	$7,193.42

APR-DRG 42.00: SEPTICEMIA AND DISSEMINATED INFECTIONS

Facility

$13,968.05

Service Code	APR-DRG 7204
Min. Negotiated Rate	$13,302.90
Max. Negotiated Rate	$13,968.05
Rate for Payer: BCBS Complete	$13,968.05
Rate for Payer: Mclaren Medicaid	$13,302.90
Rate for Payer: Meridian Medicaid	$13,968.05
Rate for Payer: PHP Medicaid	$13,302.90
Rate for Payer: Priority Health Choice Medicaid	$13,302.90
Rate for Payer: UHCCP Medicaid	$13,302.90

APR-DRG 42.00: SEPTICEMIA AND DISSEMINATED INFECTIONS

Facility

$4,759.48

Service Code	APR-DRG 7202
Min. Negotiated Rate	$4,532.84
Max. Negotiated Rate	$4,759.48
Rate for Payer: BCBS Complete	$4,759.48
Rate for Payer: Mclaren Medicaid	$4,532.84
Rate for Payer: Meridian Medicaid	$4,759.48
Rate for Payer: PHP Medicaid	$4,532.84
Rate for Payer: Priority Health Choice Medicaid	$4,532.84
Rate for Payer: UHCCP Medicaid	$4,532.84

APR-DRG 42.00: SHOULDER AND ELBOW JOINT REPLACEMENT

Facility

$9,984.57

Service Code	APR-DRG 3222
Min. Negotiated Rate	$9,509.11
Max. Negotiated Rate	$9,984.57
Rate for Payer: BCBS Complete	$9,984.57
Rate for Payer: Mclaren Medicaid	$9,509.11
Rate for Payer: Meridian Medicaid	$9,984.57
Rate for Payer: PHP Medicaid	$9,509.11
Rate for Payer: Priority Health Choice Medicaid	$9,509.11
Rate for Payer: UHCCP Medicaid	$9,509.11

APR-DRG 42.00: SHOULDER AND ELBOW JOINT REPLACEMENT

Facility

$8,225.63

Service Code	APR-DRG 3221
Min. Negotiated Rate	$7,833.93
Max. Negotiated Rate	$8,225.63
Rate for Payer: BCBS Complete	$8,225.63
Rate for Payer: Mclaren Medicaid	$7,833.93
Rate for Payer: Meridian Medicaid	$8,225.63
Rate for Payer: PHP Medicaid	$7,833.93
Rate for Payer: Priority Health Choice Medicaid	$7,833.93
Rate for Payer: UHCCP Medicaid	$7,833.93

APR-DRG 42.00: SHOULDER AND ELBOW JOINT REPLACEMENT

Facility

$13,605.91

Service Code	APR-DRG 3223
Min. Negotiated Rate	$12,958.01
Max. Negotiated Rate	$13,605.91
Rate for Payer: BCBS Complete	$13,605.91
Rate for Payer: Mclaren Medicaid	$12,958.01
Rate for Payer: Meridian Medicaid	$13,605.91
Rate for Payer: PHP Medicaid	$12,958.01
Rate for Payer: Priority Health Choice Medicaid	$12,958.01
Rate for Payer: UHCCP Medicaid	$12,958.01

APR-DRG 42.00: SHOULDER AND ELBOW JOINT REPLACEMENT

Facility

$17,434.19

Service Code	APR-DRG 3224
Min. Negotiated Rate	$16,603.99
Max. Negotiated Rate	$17,434.19
Rate for Payer: BCBS Complete	$17,434.19
Rate for Payer: Mclaren Medicaid	$16,603.99
Rate for Payer: Meridian Medicaid	$17,434.19
Rate for Payer: PHP Medicaid	$16,603.99
Rate for Payer: Priority Health Choice Medicaid	$16,603.99
Rate for Payer: UHCCP Medicaid	$16,603.99

APR-DRG 42.00: SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT

Facility

$9,518.96

Service Code	APR-DRG 3152
Min. Negotiated Rate	$9,065.68
Max. Negotiated Rate	$9,518.96
Rate for Payer: BCBS Complete	$9,518.96
Rate for Payer: Mclaren Medicaid	$9,065.68
Rate for Payer: Meridian Medicaid	$9,518.96
Rate for Payer: PHP Medicaid	$9,065.68
Rate for Payer: Priority Health Choice Medicaid	$9,065.68
Rate for Payer: UHCCP Medicaid	$9,065.68

APR-DRG 42.00: SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT

Facility

$6,518.42

Service Code	APR-DRG 3151
Min. Negotiated Rate	$6,208.02
Max. Negotiated Rate	$6,518.42
Rate for Payer: BCBS Complete	$6,518.42
Rate for Payer: Mclaren Medicaid	$6,208.02
Rate for Payer: Meridian Medicaid	$6,518.42
Rate for Payer: PHP Medicaid	$6,208.02
Rate for Payer: Priority Health Choice Medicaid	$6,208.02
Rate for Payer: UHCCP Medicaid	$6,208.02

APR-DRG 42.00: SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT

Facility

$12,881.64

Service Code	APR-DRG 3153
Min. Negotiated Rate	$12,268.23
Max. Negotiated Rate	$12,881.64
Rate for Payer: BCBS Complete	$12,881.64
Rate for Payer: Mclaren Medicaid	$12,268.23
Rate for Payer: Meridian Medicaid	$12,881.64
Rate for Payer: PHP Medicaid	$12,268.23
Rate for Payer: Priority Health Choice Medicaid	$12,268.23
Rate for Payer: UHCCP Medicaid	$12,268.23

APR-DRG 42.00: SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT

Facility

$20,124.33

Service Code	APR-DRG 3154
Min. Negotiated Rate	$19,166.03
Max. Negotiated Rate	$20,124.33
Rate for Payer: BCBS Complete	$20,124.33
Rate for Payer: Mclaren Medicaid	$19,166.03
Rate for Payer: Meridian Medicaid	$20,124.33
Rate for Payer: PHP Medicaid	$19,166.03
Rate for Payer: Priority Health Choice Medicaid	$19,166.03
Rate for Payer: UHCCP Medicaid	$19,166.03

APR-DRG 42.00: SICKLE CELL ANEMIA CRISIS

Facility

$6,932.29

Service Code	APR-DRG 6623
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: SICKLE CELL ANEMIA CRISIS

Facility

$12,571.24

Service Code	APR-DRG 6624
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

APR-DRG 42.00: SICKLE CELL ANEMIA CRISIS

Facility

$4,345.61

Service Code	APR-DRG 6622
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: SICKLE CELL ANEMIA CRISIS

Facility

$3,155.74

Service Code	APR-DRG 6621
Min. Negotiated Rate	$3,005.47
Max. Negotiated Rate	$3,155.74
Rate for Payer: BCBS Complete	$3,155.74
Rate for Payer: Mclaren Medicaid	$3,005.47
Rate for Payer: Meridian Medicaid	$3,155.74
Rate for Payer: PHP Medicaid	$3,005.47
Rate for Payer: Priority Health Choice Medicaid	$3,005.47
Rate for Payer: UHCCP Medicaid	$3,005.47

APR-DRG 42.00: SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS

Facility

$5,276.82

Service Code	APR-DRG 8613
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: SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS

Facility

$2,741.88

Service Code	APR-DRG 8611
Min. Negotiated Rate	$2,611.31
Max. Negotiated Rate	$2,741.88
Rate for Payer: BCBS Complete	$2,741.88
Rate for Payer: Mclaren Medicaid	$2,611.31
Rate for Payer: Meridian Medicaid	$2,741.88
Rate for Payer: PHP Medicaid	$2,611.31
Rate for Payer: Priority Health Choice Medicaid	$2,611.31
Rate for Payer: UHCCP Medicaid	$2,611.31

APR-DRG 42.00: SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS

Facility

$3,621.34

Service Code	APR-DRG 8612
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: SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS

Facility

$8,639.49

Service Code	APR-DRG 8614
Min. Negotiated Rate	$8,228.09
Max. Negotiated Rate	$8,639.49
Rate for Payer: BCBS Complete	$8,639.49
Rate for Payer: Mclaren Medicaid	$8,228.09
Rate for Payer: Meridian Medicaid	$8,639.49
Rate for Payer: PHP Medicaid	$8,228.09
Rate for Payer: Priority Health Choice Medicaid	$8,228.09
Rate for Payer: UHCCP Medicaid	$8,228.09

APR-DRG 42.00: SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL

Facility

$16,502.99

Service Code	APR-DRG 3002
Min. Negotiated Rate	$15,717.13
Max. Negotiated Rate	$16,502.99
Rate for Payer: BCBS Complete	$16,502.99
Rate for Payer: Mclaren Medicaid	$15,717.13
Rate for Payer: Meridian Medicaid	$16,502.99
Rate for Payer: PHP Medicaid	$15,717.13
Rate for Payer: Priority Health Choice Medicaid	$15,717.13
Rate for Payer: UHCCP Medicaid	$15,717.13

Know your out-of-pocket cost for care.

All Charges