Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: SICKLE CELL ANEMIA CRISIS

Facility

$4,397.35

Service Code	APR-DRG 6622
Min. Negotiated Rate	$4,187.95
Max. Negotiated Rate	$4,397.35
Rate for Payer: BCBS Complete	$4,397.35
Rate for Payer: Mclaren Medicaid	$4,187.95
Rate for Payer: Meridian Medicaid	$4,397.35
Rate for Payer: PHP Medicaid	$4,187.95
Rate for Payer: Priority Health Choice Medicaid	$4,187.95
Rate for Payer: UHCCP Medicaid	$4,187.95

APR-DRG 42.00: SICKLE CELL ANEMIA CRISIS

Facility

$11,226.17

Service Code	APR-DRG 6624
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: SICKLE CELL ANEMIA CRISIS

Facility

$7,346.16

Service Code	APR-DRG 6623
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: SICKLE CELL ANEMIA CRISIS

Facility

$3,052.28

Service Code	APR-DRG 6621
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: SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS

Facility

$6,001.09

Service Code	APR-DRG 8613
Min. Negotiated Rate	$5,715.32
Max. Negotiated Rate	$6,001.09
Rate for Payer: BCBS Complete	$6,001.09
Rate for Payer: Mclaren Medicaid	$5,715.32
Rate for Payer: Meridian Medicaid	$6,001.09
Rate for Payer: PHP Medicaid	$5,715.32
Rate for Payer: Priority Health Choice Medicaid	$5,715.32
Rate for Payer: UHCCP Medicaid	$5,715.32

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

Facility

$3,776.55

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

Facility

$8,277.36

Service Code	APR-DRG 8614
Min. Negotiated Rate	$7,883.20
Max. Negotiated Rate	$8,277.36
Rate for Payer: BCBS Complete	$8,277.36
Rate for Payer: Mclaren Medicaid	$7,883.20
Rate for Payer: Meridian Medicaid	$8,277.36
Rate for Payer: PHP Medicaid	$7,883.20
Rate for Payer: Priority Health Choice Medicaid	$7,883.20
Rate for Payer: UHCCP Medicaid	$7,883.20

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

Facility

$2,483.21

Service Code	APR-DRG 8611
Min. Negotiated Rate	$2,364.96
Max. Negotiated Rate	$2,483.21
Rate for Payer: BCBS Complete	$2,483.21
Rate for Payer: Mclaren Medicaid	$2,364.96
Rate for Payer: Meridian Medicaid	$2,483.21
Rate for Payer: PHP Medicaid	$2,364.96
Rate for Payer: Priority Health Choice Medicaid	$2,364.96
Rate for Payer: UHCCP Medicaid	$2,364.96

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

Facility

$12,571.24

Service Code	APR-DRG 3001
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: SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL

Facility

$14,278.45

Service Code	APR-DRG 3002
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: SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL

Facility

$26,694.49

Service Code	APR-DRG 3004
Min. Negotiated Rate	$25,423.32
Max. Negotiated Rate	$26,694.49
Rate for Payer: BCBS Complete	$26,694.49
Rate for Payer: Mclaren Medicaid	$25,423.32
Rate for Payer: Meridian Medicaid	$26,694.49
Rate for Payer: PHP Medicaid	$25,423.32
Rate for Payer: Priority Health Choice Medicaid	$25,423.32
Rate for Payer: UHCCP Medicaid	$25,423.32

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

Facility

$18,624.06

Service Code	APR-DRG 3003
Min. Negotiated Rate	$17,737.20
Max. Negotiated Rate	$18,624.06
Rate for Payer: BCBS Complete	$18,624.06
Rate for Payer: Mclaren Medicaid	$17,737.20
Rate for Payer: Meridian Medicaid	$18,624.06
Rate for Payer: PHP Medicaid	$17,737.20
Rate for Payer: Priority Health Choice Medicaid	$17,737.20
Rate for Payer: UHCCP Medicaid	$17,737.20

APR-DRG 42.00: SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES

Facility

$9,725.90

Service Code	APR-DRG 3121
Min. Negotiated Rate	$9,262.76
Max. Negotiated Rate	$9,725.90
Rate for Payer: BCBS Complete	$9,725.90
Rate for Payer: Mclaren Medicaid	$9,262.76
Rate for Payer: Meridian Medicaid	$9,725.90
Rate for Payer: PHP Medicaid	$9,262.76
Rate for Payer: Priority Health Choice Medicaid	$9,262.76
Rate for Payer: UHCCP Medicaid	$9,262.76

APR-DRG 42.00: SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES

Facility

$18,675.79

Service Code	APR-DRG 3123
Min. Negotiated Rate	$17,786.47
Max. Negotiated Rate	$18,675.79
Rate for Payer: BCBS Complete	$18,675.79
Rate for Payer: Mclaren Medicaid	$17,786.47
Rate for Payer: Meridian Medicaid	$18,675.79
Rate for Payer: PHP Medicaid	$17,786.47
Rate for Payer: Priority Health Choice Medicaid	$17,786.47
Rate for Payer: UHCCP Medicaid	$17,786.47

APR-DRG 42.00: SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES

Facility

$30,057.16

Service Code	APR-DRG 3124
Min. Negotiated Rate	$28,625.87
Max. Negotiated Rate	$30,057.16
Rate for Payer: BCBS Complete	$30,057.16
Rate for Payer: Mclaren Medicaid	$28,625.87
Rate for Payer: Meridian Medicaid	$30,057.16
Rate for Payer: PHP Medicaid	$28,625.87
Rate for Payer: Priority Health Choice Medicaid	$28,625.87
Rate for Payer: UHCCP Medicaid	$28,625.87

APR-DRG 42.00: SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES

Facility

$13,812.84

Service Code	APR-DRG 3122
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: SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES

Facility

$11,070.97

Service Code	APR-DRG 3611
Min. Negotiated Rate	$10,543.78
Max. Negotiated Rate	$11,070.97
Rate for Payer: BCBS Complete	$11,070.97
Rate for Payer: Mclaren Medicaid	$10,543.78
Rate for Payer: Meridian Medicaid	$11,070.97
Rate for Payer: PHP Medicaid	$10,543.78
Rate for Payer: Priority Health Choice Medicaid	$10,543.78
Rate for Payer: UHCCP Medicaid	$10,543.78

APR-DRG 42.00: SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES

Facility

$15,157.92

Service Code	APR-DRG 3612
Min. Negotiated Rate	$14,436.11
Max. Negotiated Rate	$15,157.92
Rate for Payer: BCBS Complete	$15,157.92
Rate for Payer: Mclaren Medicaid	$14,436.11
Rate for Payer: Meridian Medicaid	$15,157.92
Rate for Payer: PHP Medicaid	$14,436.11
Rate for Payer: Priority Health Choice Medicaid	$14,436.11
Rate for Payer: UHCCP Medicaid	$14,436.11

APR-DRG 42.00: SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES

Facility

$29,901.96

Service Code	APR-DRG 3614
Min. Negotiated Rate	$28,478.06
Max. Negotiated Rate	$29,901.96
Rate for Payer: BCBS Complete	$29,901.96
Rate for Payer: Mclaren Medicaid	$28,478.06
Rate for Payer: Meridian Medicaid	$29,901.96
Rate for Payer: PHP Medicaid	$28,478.06
Rate for Payer: Priority Health Choice Medicaid	$28,478.06
Rate for Payer: UHCCP Medicaid	$28,478.06

APR-DRG 42.00: SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES

Facility

$16,813.39

Service Code	APR-DRG 3613
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: SKIN ULCERS

Facility

$5,276.82

Service Code	APR-DRG 3803
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: SKIN ULCERS

Facility

$4,293.88

Service Code	APR-DRG 3802
Min. Negotiated Rate	$4,089.41
Max. Negotiated Rate	$4,293.88
Rate for Payer: BCBS Complete	$4,293.88
Rate for Payer: Mclaren Medicaid	$4,089.41
Rate for Payer: Meridian Medicaid	$4,293.88
Rate for Payer: PHP Medicaid	$4,089.41
Rate for Payer: Priority Health Choice Medicaid	$4,089.41
Rate for Payer: UHCCP Medicaid	$4,089.41

APR-DRG 42.00: SKIN ULCERS

Facility

$3,259.21

Service Code	APR-DRG 3801
Min. Negotiated Rate	$3,104.01
Max. Negotiated Rate	$3,259.21
Rate for Payer: BCBS Complete	$3,259.21
Rate for Payer: Mclaren Medicaid	$3,104.01
Rate for Payer: Meridian Medicaid	$3,259.21
Rate for Payer: PHP Medicaid	$3,104.01
Rate for Payer: Priority Health Choice Medicaid	$3,104.01
Rate for Payer: UHCCP Medicaid	$3,104.01

APR-DRG 42.00: SKIN ULCERS

Facility

$7,190.96

Service Code	APR-DRG 3804
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: SPINAL DISORDERS AND INJURIES

Facility

$13,088.58

Service Code	APR-DRG 0404
Min. Negotiated Rate	$12,465.31
Max. Negotiated Rate	$13,088.58
Rate for Payer: BCBS Complete	$13,088.58
Rate for Payer: Mclaren Medicaid	$12,465.31
Rate for Payer: Meridian Medicaid	$13,088.58
Rate for Payer: PHP Medicaid	$12,465.31
Rate for Payer: Priority Health Choice Medicaid	$12,465.31
Rate for Payer: UHCCP Medicaid	$12,465.31

Know your out-of-pocket cost for care.

All Charges