Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

MAJOR LARGE BOWEL PROCEDURES

Facility

$15,847.15

Service Code	APR-DRG 2313
Min. Negotiated Rate	$14,327.72
Max. Negotiated Rate	$15,847.15
Rate for Payer: BCBS Complete	$15,847.15
Rate for Payer: Mclaren Medicaid	$15,092.52
Rate for Payer: Meridian Medicaid	$15,847.15
Rate for Payer: PHP Medicaid	$14,327.72
Rate for Payer: Priority Health Choice Medicaid	$15,092.52
Rate for Payer: UHC Medicaid	$15,092.52
Rate for Payer: UHCCP Medicaid	$15,092.52

MAJOR MALE PELVIC PROCEDURES WITH CC/MCC

Facility

$27,481.72

Service Code	MSDRG 707
Min. Negotiated Rate	$15,351.15
Max. Negotiated Rate	$27,481.72
Rate for Payer: Aetna Medicare	$16,159.11
Rate for Payer: Allen County Amish Medical Aid Commercial	$20,198.89
Rate for Payer: Amish Plain Church Group Commercial	$20,198.89
Rate for Payer: BCBS MAPPO	$16,159.11
Rate for Payer: BCN Medicare Advantage	$16,159.11
Rate for Payer: Health Alliance Plan Medicare Advantage	$16,159.11
Rate for Payer: Humana Choice PPO Medicare	$16,159.11
Rate for Payer: Mclaren Medicare	$16,159.11
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$16,967.07
Rate for Payer: MI Amish Medical Board Commercial	$18,582.98
Rate for Payer: Molina Medicare/Medicaid	$17,775.02
Rate for Payer: PACE Medicare	$15,351.15
Rate for Payer: PACE SWMI	$16,159.11
Rate for Payer: PHP Commercial	$17,775.02
Rate for Payer: PHP Medicare Advantage	$16,159.11
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network	$27,481.72
Rate for Payer: Priority Health Medicare	$16,159.11
Rate for Payer: Priority Health Narrow Network	$21,985.38
Rate for Payer: Railroad Medicare Medicare	$16,159.11
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$16,159.11
Rate for Payer: UHC Exchange	$25,046.62
Rate for Payer: UHCCP DNSP	$16,159.11
Rate for Payer: VA VA	$16,159.11

MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC

Facility

$21,078.07

Service Code	MSDRG 708
Min. Negotiated Rate	$12,162.48
Max. Negotiated Rate	$21,078.07
Rate for Payer: Aetna Medicare	$12,802.61
Rate for Payer: Allen County Amish Medical Aid Commercial	$16,003.26
Rate for Payer: Amish Plain Church Group Commercial	$16,003.26
Rate for Payer: BCBS MAPPO	$12,802.61
Rate for Payer: BCN Medicare Advantage	$12,802.61
Rate for Payer: Health Alliance Plan Medicare Advantage	$12,802.61
Rate for Payer: Humana Choice PPO Medicare	$12,802.61
Rate for Payer: Mclaren Medicare	$12,802.61
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$13,442.74
Rate for Payer: MI Amish Medical Board Commercial	$14,723.00
Rate for Payer: Molina Medicare/Medicaid	$14,082.87
Rate for Payer: PACE Medicare	$12,162.48
Rate for Payer: PACE SWMI	$12,802.61
Rate for Payer: PHP Commercial	$14,082.87
Rate for Payer: PHP Medicare Advantage	$12,802.61
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network	$21,078.07
Rate for Payer: Priority Health Medicare	$12,802.61
Rate for Payer: Priority Health Narrow Network	$16,862.45
Rate for Payer: Railroad Medicare Medicare	$12,802.61
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$12,802.61
Rate for Payer: UHC Exchange	$19,844.05
Rate for Payer: UHCCP DNSP	$12,802.61
Rate for Payer: VA VA	$12,802.61

MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$20,205.66

Service Code	APR-DRG 6803
Min. Negotiated Rate	$18,268.33
Max. Negotiated Rate	$20,205.66
Rate for Payer: BCBS Complete	$20,205.66
Rate for Payer: Mclaren Medicaid	$19,243.48
Rate for Payer: Meridian Medicaid	$20,205.66
Rate for Payer: PHP Medicaid	$18,268.33
Rate for Payer: Priority Health Choice Medicaid	$19,243.48
Rate for Payer: UHC Medicaid	$19,243.48
Rate for Payer: UHCCP Medicaid	$19,243.48

MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$10,374.21

Service Code	APR-DRG 6801
Min. Negotiated Rate	$9,379.53
Max. Negotiated Rate	$10,374.21
Rate for Payer: BCBS Complete	$10,374.21
Rate for Payer: Mclaren Medicaid	$9,880.20
Rate for Payer: Meridian Medicaid	$10,374.21
Rate for Payer: PHP Medicaid	$9,379.53
Rate for Payer: Priority Health Choice Medicaid	$9,880.20
Rate for Payer: UHC Medicaid	$9,880.20
Rate for Payer: UHCCP Medicaid	$9,880.20

MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$40,178.62

Service Code	APR-DRG 6804
Min. Negotiated Rate	$36,326.28
Max. Negotiated Rate	$40,178.62
Rate for Payer: BCBS Complete	$40,178.62
Rate for Payer: Mclaren Medicaid	$38,265.35
Rate for Payer: Meridian Medicaid	$40,178.62
Rate for Payer: PHP Medicaid	$36,326.28
Rate for Payer: Priority Health Choice Medicaid	$38,265.35
Rate for Payer: UHC Medicaid	$38,265.35
Rate for Payer: UHCCP Medicaid	$38,265.35

MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$13,865.16

Service Code	APR-DRG 6802
Min. Negotiated Rate	$12,535.77
Max. Negotiated Rate	$13,865.16
Rate for Payer: BCBS Complete	$13,865.16
Rate for Payer: Mclaren Medicaid	$13,204.92
Rate for Payer: Meridian Medicaid	$13,865.16
Rate for Payer: PHP Medicaid	$12,535.77
Rate for Payer: Priority Health Choice Medicaid	$13,204.92
Rate for Payer: UHC Medicaid	$13,204.92
Rate for Payer: UHCCP Medicaid	$13,204.92

MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES

Facility

$9,536.62

Service Code	APR-DRG 2601
Min. Negotiated Rate	$8,622.25
Max. Negotiated Rate	$9,536.62
Rate for Payer: BCBS Complete	$9,536.62
Rate for Payer: Mclaren Medicaid	$9,082.50
Rate for Payer: Meridian Medicaid	$9,536.62
Rate for Payer: PHP Medicaid	$8,622.25
Rate for Payer: Priority Health Choice Medicaid	$9,082.50
Rate for Payer: UHC Medicaid	$9,082.50
Rate for Payer: UHCCP Medicaid	$9,082.50

MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES

Facility

$22,012.71

Service Code	APR-DRG 2604
Min. Negotiated Rate	$19,902.12
Max. Negotiated Rate	$22,012.71
Rate for Payer: BCBS Complete	$22,012.71
Rate for Payer: Mclaren Medicaid	$20,964.49
Rate for Payer: Meridian Medicaid	$22,012.71
Rate for Payer: PHP Medicaid	$19,902.12
Rate for Payer: Priority Health Choice Medicaid	$20,964.49
Rate for Payer: UHC Medicaid	$20,964.49
Rate for Payer: UHCCP Medicaid	$20,964.49

MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES

Facility

$12,629.76

Service Code	APR-DRG 2602
Min. Negotiated Rate	$11,418.82
Max. Negotiated Rate	$12,629.76
Rate for Payer: BCBS Complete	$12,629.76
Rate for Payer: Mclaren Medicaid	$12,028.34
Rate for Payer: Meridian Medicaid	$12,629.76
Rate for Payer: PHP Medicaid	$11,418.82
Rate for Payer: Priority Health Choice Medicaid	$12,028.34
Rate for Payer: UHC Medicaid	$12,028.34
Rate for Payer: UHCCP Medicaid	$12,028.34

MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES

Facility

$18,515.77

Service Code	APR-DRG 2603
Min. Negotiated Rate	$16,740.47
Max. Negotiated Rate	$18,515.77
Rate for Payer: BCBS Complete	$18,515.77
Rate for Payer: Mclaren Medicaid	$17,634.06
Rate for Payer: Meridian Medicaid	$18,515.77
Rate for Payer: PHP Medicaid	$16,740.47
Rate for Payer: Priority Health Choice Medicaid	$17,634.06
Rate for Payer: UHC Medicaid	$17,634.06
Rate for Payer: UHCCP Medicaid	$17,634.06

MAJOR RESPIRATORY AND CHEST PROCEDURES

Facility

$20,202.39

Service Code	APR-DRG 1203
Min. Negotiated Rate	$18,265.37
Max. Negotiated Rate	$20,202.39
Rate for Payer: BCBS Complete	$20,202.39
Rate for Payer: Mclaren Medicaid	$19,240.37
Rate for Payer: Meridian Medicaid	$20,202.39
Rate for Payer: PHP Medicaid	$18,265.37
Rate for Payer: Priority Health Choice Medicaid	$19,240.37
Rate for Payer: UHC Medicaid	$19,240.37
Rate for Payer: UHCCP Medicaid	$19,240.37

MAJOR RESPIRATORY AND CHEST PROCEDURES

Facility

$31,659.42

Service Code	APR-DRG 1204
Min. Negotiated Rate	$28,623.90
Max. Negotiated Rate	$31,659.42
Rate for Payer: BCBS Complete	$31,659.42
Rate for Payer: Mclaren Medicaid	$30,151.82
Rate for Payer: Meridian Medicaid	$31,659.42
Rate for Payer: PHP Medicaid	$28,623.90
Rate for Payer: Priority Health Choice Medicaid	$30,151.82
Rate for Payer: UHC Medicaid	$30,151.82
Rate for Payer: UHCCP Medicaid	$30,151.82

MAJOR RESPIRATORY AND CHEST PROCEDURES

Facility

$14,409.57

Service Code	APR-DRG 1202
Min. Negotiated Rate	$13,027.97
Max. Negotiated Rate	$14,409.57
Rate for Payer: BCBS Complete	$14,409.57
Rate for Payer: Mclaren Medicaid	$13,723.40
Rate for Payer: Meridian Medicaid	$14,409.57
Rate for Payer: PHP Medicaid	$13,027.97
Rate for Payer: Priority Health Choice Medicaid	$13,723.40
Rate for Payer: UHC Medicaid	$13,723.40
Rate for Payer: UHCCP Medicaid	$13,723.40

MAJOR RESPIRATORY AND CHEST PROCEDURES

Facility

$10,692.46

Service Code	APR-DRG 1201
Min. Negotiated Rate	$9,667.27
Max. Negotiated Rate	$10,692.46
Rate for Payer: BCBS Complete	$10,692.46
Rate for Payer: Mclaren Medicaid	$10,183.30
Rate for Payer: Meridian Medicaid	$10,692.46
Rate for Payer: PHP Medicaid	$9,667.27
Rate for Payer: Priority Health Choice Medicaid	$10,183.30
Rate for Payer: UHC Medicaid	$10,183.30
Rate for Payer: UHCCP Medicaid	$10,183.30

MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS

Facility

$3,929.63

Service Code	APR-DRG 1372
Min. Negotiated Rate	$3,552.86
Max. Negotiated Rate	$3,929.63
Rate for Payer: BCBS Complete	$3,929.63
Rate for Payer: Mclaren Medicaid	$3,742.51
Rate for Payer: Meridian Medicaid	$3,929.63
Rate for Payer: PHP Medicaid	$3,552.86
Rate for Payer: Priority Health Choice Medicaid	$3,742.51
Rate for Payer: UHC Medicaid	$3,742.51
Rate for Payer: UHCCP Medicaid	$3,742.51

MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS

Facility

$2,354.73

Service Code	APR-DRG 1371
Min. Negotiated Rate	$2,128.96
Max. Negotiated Rate	$2,354.73
Rate for Payer: BCBS Complete	$2,354.73
Rate for Payer: Mclaren Medicaid	$2,242.60
Rate for Payer: Meridian Medicaid	$2,354.73
Rate for Payer: PHP Medicaid	$2,128.96
Rate for Payer: Priority Health Choice Medicaid	$2,242.60
Rate for Payer: UHC Medicaid	$2,242.60
Rate for Payer: UHCCP Medicaid	$2,242.60

MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS

Facility

$10,613.99

Service Code	APR-DRG 1374
Min. Negotiated Rate	$9,596.32
Max. Negotiated Rate	$10,613.99
Rate for Payer: BCBS Complete	$10,613.99
Rate for Payer: Mclaren Medicaid	$10,108.56
Rate for Payer: Meridian Medicaid	$10,613.99
Rate for Payer: PHP Medicaid	$9,596.32
Rate for Payer: Priority Health Choice Medicaid	$10,108.56
Rate for Payer: UHC Medicaid	$10,108.56
Rate for Payer: UHCCP Medicaid	$10,108.56

MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS

Facility

$5,893.63

Service Code	APR-DRG 1373
Min. Negotiated Rate	$5,328.55
Max. Negotiated Rate	$5,893.63
Rate for Payer: BCBS Complete	$5,893.63
Rate for Payer: Mclaren Medicaid	$5,612.98
Rate for Payer: Meridian Medicaid	$5,893.63
Rate for Payer: PHP Medicaid	$5,328.55
Rate for Payer: Priority Health Choice Medicaid	$5,612.98
Rate for Payer: UHC Medicaid	$5,612.98
Rate for Payer: UHCCP Medicaid	$5,612.98

MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC

Facility

$24,817.77

Service Code	MSDRG 507
Min. Negotiated Rate	$14,024.65
Max. Negotiated Rate	$24,817.77
Rate for Payer: Aetna Medicare	$14,762.79
Rate for Payer: Allen County Amish Medical Aid Commercial	$18,453.49
Rate for Payer: Amish Plain Church Group Commercial	$18,453.49
Rate for Payer: BCBS MAPPO	$14,762.79
Rate for Payer: BCN Medicare Advantage	$14,762.79
Rate for Payer: Health Alliance Plan Medicare Advantage	$14,762.79
Rate for Payer: Humana Choice PPO Medicare	$14,762.79
Rate for Payer: Mclaren Medicare	$14,762.79
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$15,500.93
Rate for Payer: MI Amish Medical Board Commercial	$16,977.21
Rate for Payer: Molina Medicare/Medicaid	$16,239.07
Rate for Payer: PACE Medicare	$14,024.65
Rate for Payer: PACE SWMI	$14,762.79
Rate for Payer: PHP Commercial	$16,239.07
Rate for Payer: PHP Medicare Advantage	$14,762.79
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network	$24,817.77
Rate for Payer: Priority Health Medicare	$14,762.79
Rate for Payer: Priority Health Narrow Network	$19,854.21
Rate for Payer: Railroad Medicare Medicare	$14,762.79
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$14,762.79
Rate for Payer: UHC Exchange	$22,882.32
Rate for Payer: UHCCP DNSP	$14,762.79
Rate for Payer: VA VA	$14,762.79

MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC

Facility

$20,806.04

Service Code	MSDRG 508
Min. Negotiated Rate	$12,027.02
Max. Negotiated Rate	$20,806.04
Rate for Payer: Aetna Medicare	$12,660.02
Rate for Payer: Allen County Amish Medical Aid Commercial	$15,825.02
Rate for Payer: Amish Plain Church Group Commercial	$15,825.02
Rate for Payer: BCBS MAPPO	$12,660.02
Rate for Payer: BCN Medicare Advantage	$12,660.02
Rate for Payer: Health Alliance Plan Medicare Advantage	$12,660.02
Rate for Payer: Humana Choice PPO Medicare	$12,660.02
Rate for Payer: Mclaren Medicare	$12,660.02
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$13,293.02
Rate for Payer: MI Amish Medical Board Commercial	$14,559.02
Rate for Payer: Molina Medicare/Medicaid	$13,926.02
Rate for Payer: PACE Medicare	$12,027.02
Rate for Payer: PACE SWMI	$12,660.02
Rate for Payer: PHP Commercial	$13,926.02
Rate for Payer: PHP Medicare Advantage	$12,660.02
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network	$20,806.04
Rate for Payer: Priority Health Medicare	$12,660.02
Rate for Payer: Priority Health Narrow Network	$16,644.83
Rate for Payer: Railroad Medicare Medicare	$12,660.02
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$12,660.02
Rate for Payer: UHC Exchange	$19,623.03
Rate for Payer: UHCCP DNSP	$12,660.02
Rate for Payer: VA VA	$12,660.02

MAJOR SKIN DISORDERS

Facility

$2,434.29

Service Code	APR-DRG 3811
Min. Negotiated Rate	$2,200.89
Max. Negotiated Rate	$2,434.29
Rate for Payer: BCBS Complete	$2,434.29
Rate for Payer: Mclaren Medicaid	$2,318.37
Rate for Payer: Meridian Medicaid	$2,434.29
Rate for Payer: PHP Medicaid	$2,200.89
Rate for Payer: Priority Health Choice Medicaid	$2,318.37
Rate for Payer: UHC Medicaid	$2,318.37
Rate for Payer: UHCCP Medicaid	$2,318.37

MAJOR SKIN DISORDERS

Facility

$5,682.74

Service Code	APR-DRG 3812
Min. Negotiated Rate	$5,137.88
Max. Negotiated Rate	$5,682.74
Rate for Payer: BCBS Complete	$5,682.74
Rate for Payer: Mclaren Medicaid	$5,412.13
Rate for Payer: Meridian Medicaid	$5,682.74
Rate for Payer: PHP Medicaid	$5,137.88
Rate for Payer: Priority Health Choice Medicaid	$5,412.13
Rate for Payer: UHC Medicaid	$5,412.13
Rate for Payer: UHCCP Medicaid	$5,412.13

MAJOR SKIN DISORDERS

Facility

$9,217.83

Service Code	APR-DRG 3813
Min. Negotiated Rate	$8,334.02
Max. Negotiated Rate	$9,217.83
Rate for Payer: BCBS Complete	$9,217.83
Rate for Payer: Mclaren Medicaid	$8,778.89
Rate for Payer: Meridian Medicaid	$9,217.83
Rate for Payer: PHP Medicaid	$8,334.02
Rate for Payer: Priority Health Choice Medicaid	$8,778.89
Rate for Payer: UHC Medicaid	$8,778.89
Rate for Payer: UHCCP Medicaid	$8,778.89

MAJOR SKIN DISORDERS

Facility

$20,391.48

Service Code	APR-DRG 3814
Min. Negotiated Rate	$18,436.34
Max. Negotiated Rate	$20,391.48
Rate for Payer: BCBS Complete	$20,391.48
Rate for Payer: Mclaren Medicaid	$19,420.46
Rate for Payer: Meridian Medicaid	$20,391.48
Rate for Payer: PHP Medicaid	$18,436.34
Rate for Payer: Priority Health Choice Medicaid	$19,420.46
Rate for Payer: UHC Medicaid	$19,420.46
Rate for Payer: UHCCP Medicaid	$19,420.46

Know your out-of-pocket cost for care.

All Charges