Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

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

Facility

$21,521.14

Service Code	APR-DRG 3003
Min. Negotiated Rate	$20,496.32
Max. Negotiated Rate	$21,521.14
Rate for Payer: BCBS Complete	$21,521.14
Rate for Payer: Mclaren Medicaid	$20,496.32
Rate for Payer: Meridian Medicaid	$21,521.14
Rate for Payer: PHP Medicaid	$20,496.32
Rate for Payer: Priority Health Choice Medicaid	$20,496.32
Rate for Payer: UHCCP Medicaid	$20,496.32

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

Facility

$14,537.11

Service Code	APR-DRG 3001
Min. Negotiated Rate	$13,844.87
Max. Negotiated Rate	$14,537.11
Rate for Payer: BCBS Complete	$14,537.11
Rate for Payer: Mclaren Medicaid	$13,844.87
Rate for Payer: Meridian Medicaid	$14,537.11
Rate for Payer: PHP Medicaid	$13,844.87
Rate for Payer: Priority Health Choice Medicaid	$13,844.87
Rate for Payer: UHCCP Medicaid	$13,844.87

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

Facility

$30,781.43

Service Code	APR-DRG 3004
Min. Negotiated Rate	$29,315.65
Max. Negotiated Rate	$30,781.43
Rate for Payer: BCBS Complete	$30,781.43
Rate for Payer: Mclaren Medicaid	$29,315.65
Rate for Payer: Meridian Medicaid	$30,781.43
Rate for Payer: PHP Medicaid	$29,315.65
Rate for Payer: Priority Health Choice Medicaid	$29,315.65
Rate for Payer: UHCCP Medicaid	$29,315.65

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

Facility

$17,537.66

Service Code	APR-DRG 3123
Min. Negotiated Rate	$16,702.53
Max. Negotiated Rate	$17,537.66
Rate for Payer: BCBS Complete	$17,537.66
Rate for Payer: Mclaren Medicaid	$16,702.53
Rate for Payer: Meridian Medicaid	$17,537.66
Rate for Payer: PHP Medicaid	$16,702.53
Rate for Payer: Priority Health Choice Medicaid	$16,702.53
Rate for Payer: UHCCP Medicaid	$16,702.53

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

Facility

$28,556.89

Service Code	APR-DRG 3124
Min. Negotiated Rate	$27,197.04
Max. Negotiated Rate	$28,556.89
Rate for Payer: BCBS Complete	$28,556.89
Rate for Payer: Mclaren Medicaid	$27,197.04
Rate for Payer: Meridian Medicaid	$28,556.89
Rate for Payer: PHP Medicaid	$27,197.04
Rate for Payer: Priority Health Choice Medicaid	$27,197.04
Rate for Payer: UHCCP Medicaid	$27,197.04

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

Facility

$7,966.96

Service Code	APR-DRG 3121
Min. Negotiated Rate	$7,587.58
Max. Negotiated Rate	$7,966.96
Rate for Payer: BCBS Complete	$7,966.96
Rate for Payer: Mclaren Medicaid	$7,587.58
Rate for Payer: Meridian Medicaid	$7,966.96
Rate for Payer: PHP Medicaid	$7,587.58
Rate for Payer: Priority Health Choice Medicaid	$7,587.58
Rate for Payer: UHCCP Medicaid	$7,587.58

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

Facility

$11,433.10

Service Code	APR-DRG 3122
Min. Negotiated Rate	$10,888.67
Max. Negotiated Rate	$11,433.10
Rate for Payer: BCBS Complete	$11,433.10
Rate for Payer: Mclaren Medicaid	$10,888.67
Rate for Payer: Meridian Medicaid	$11,433.10
Rate for Payer: PHP Medicaid	$10,888.67
Rate for Payer: Priority Health Choice Medicaid	$10,888.67
Rate for Payer: UHCCP Medicaid	$10,888.67

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

Facility

$15,623.52

Service Code	APR-DRG 3613
Min. Negotiated Rate	$14,879.54
Max. Negotiated Rate	$15,623.52
Rate for Payer: BCBS Complete	$15,623.52
Rate for Payer: Mclaren Medicaid	$14,879.54
Rate for Payer: Meridian Medicaid	$15,623.52
Rate for Payer: PHP Medicaid	$14,879.54
Rate for Payer: Priority Health Choice Medicaid	$14,879.54
Rate for Payer: UHCCP Medicaid	$14,879.54

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

Facility

$8,536.03

Service Code	APR-DRG 3611
Min. Negotiated Rate	$8,129.55
Max. Negotiated Rate	$8,536.03
Rate for Payer: BCBS Complete	$8,536.03
Rate for Payer: Mclaren Medicaid	$8,129.55
Rate for Payer: Meridian Medicaid	$8,536.03
Rate for Payer: PHP Medicaid	$8,129.55
Rate for Payer: Priority Health Choice Medicaid	$8,129.55
Rate for Payer: UHCCP Medicaid	$8,129.55

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

Facility

$27,780.89

Service Code	APR-DRG 3614
Min. Negotiated Rate	$26,457.99
Max. Negotiated Rate	$27,780.89
Rate for Payer: BCBS Complete	$27,780.89
Rate for Payer: Mclaren Medicaid	$26,457.99
Rate for Payer: Meridian Medicaid	$27,780.89
Rate for Payer: PHP Medicaid	$26,457.99
Rate for Payer: Priority Health Choice Medicaid	$26,457.99
Rate for Payer: UHCCP Medicaid	$26,457.99

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

Facility

$11,329.64

Service Code	APR-DRG 3612
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: SKIN ULCERS

Facility

$5,949.35

Service Code	APR-DRG 3803
Min. Negotiated Rate	$5,666.05
Max. Negotiated Rate	$5,949.35
Rate for Payer: BCBS Complete	$5,949.35
Rate for Payer: Mclaren Medicaid	$5,666.05
Rate for Payer: Meridian Medicaid	$5,949.35
Rate for Payer: PHP Medicaid	$5,666.05
Rate for Payer: Priority Health Choice Medicaid	$5,666.05
Rate for Payer: UHCCP Medicaid	$5,666.05

APR-DRG 42.00: SKIN ULCERS

Facility

$10,346.70

Service Code	APR-DRG 3804
Min. Negotiated Rate	$9,854.00
Max. Negotiated Rate	$10,346.70
Rate for Payer: BCBS Complete	$10,346.70
Rate for Payer: Mclaren Medicaid	$9,854.00
Rate for Payer: Meridian Medicaid	$10,346.70
Rate for Payer: PHP Medicaid	$9,854.00
Rate for Payer: Priority Health Choice Medicaid	$9,854.00
Rate for Payer: UHCCP Medicaid	$9,854.00

APR-DRG 42.00: SKIN ULCERS

Facility

$3,880.01

Service Code	APR-DRG 3802
Min. Negotiated Rate	$3,695.25
Max. Negotiated Rate	$3,880.01
Rate for Payer: BCBS Complete	$3,880.01
Rate for Payer: Mclaren Medicaid	$3,695.25
Rate for Payer: Meridian Medicaid	$3,880.01
Rate for Payer: PHP Medicaid	$3,695.25
Rate for Payer: Priority Health Choice Medicaid	$3,695.25
Rate for Payer: UHCCP Medicaid	$3,695.25

APR-DRG 42.00: SKIN ULCERS

Facility

$3,000.54

Service Code	APR-DRG 3801
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: SPINAL DISORDERS AND INJURIES

Facility

$10,501.90

Service Code	APR-DRG 0403
Min. Negotiated Rate	$10,001.81
Max. Negotiated Rate	$10,501.90
Rate for Payer: BCBS Complete	$10,501.90
Rate for Payer: Mclaren Medicaid	$10,001.81
Rate for Payer: Meridian Medicaid	$10,501.90
Rate for Payer: PHP Medicaid	$10,001.81
Rate for Payer: Priority Health Choice Medicaid	$10,001.81
Rate for Payer: UHCCP Medicaid	$10,001.81

APR-DRG 42.00: SPINAL DISORDERS AND INJURIES

Facility

$5,587.22

Service Code	APR-DRG 0401
Min. Negotiated Rate	$5,321.16
Max. Negotiated Rate	$5,587.22
Rate for Payer: BCBS Complete	$5,587.22
Rate for Payer: Mclaren Medicaid	$5,321.16
Rate for Payer: Meridian Medicaid	$5,587.22
Rate for Payer: PHP Medicaid	$5,321.16
Rate for Payer: Priority Health Choice Medicaid	$5,321.16
Rate for Payer: UHCCP Medicaid	$5,321.16

APR-DRG 42.00: SPINAL DISORDERS AND INJURIES

Facility

$7,604.82

Service Code	APR-DRG 0402
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: SPINAL DISORDERS AND INJURIES

Facility

$14,744.05

Service Code	APR-DRG 0404
Min. Negotiated Rate	$14,041.95
Max. Negotiated Rate	$14,744.05
Rate for Payer: BCBS Complete	$14,744.05
Rate for Payer: Mclaren Medicaid	$14,041.95
Rate for Payer: Meridian Medicaid	$14,744.05
Rate for Payer: PHP Medicaid	$14,041.95
Rate for Payer: Priority Health Choice Medicaid	$14,041.95
Rate for Payer: UHCCP Medicaid	$14,041.95

APR-DRG 42.00: SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES

Facility

$8,742.96

Service Code	APR-DRG 3211
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: SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES

Facility

$11,898.70

Service Code	APR-DRG 3212
Min. Negotiated Rate	$11,332.10
Max. Negotiated Rate	$11,898.70
Rate for Payer: BCBS Complete	$11,898.70
Rate for Payer: Mclaren Medicaid	$11,332.10
Rate for Payer: Meridian Medicaid	$11,898.70
Rate for Payer: PHP Medicaid	$11,332.10
Rate for Payer: Priority Health Choice Medicaid	$11,332.10
Rate for Payer: UHCCP Medicaid	$11,332.10

APR-DRG 42.00: SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES

Facility

$24,883.81

Service Code	APR-DRG 3214
Min. Negotiated Rate	$23,698.87
Max. Negotiated Rate	$24,883.81
Rate for Payer: BCBS Complete	$24,883.81
Rate for Payer: Mclaren Medicaid	$23,698.87
Rate for Payer: Meridian Medicaid	$24,883.81
Rate for Payer: PHP Medicaid	$23,698.87
Rate for Payer: Priority Health Choice Medicaid	$23,698.87
Rate for Payer: UHCCP Medicaid	$23,698.87

APR-DRG 42.00: SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES

Facility

$18,675.79

Service Code	APR-DRG 3213
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: SPINAL PROCEDURES

Facility

$12,674.71

Service Code	APR-DRG 0232
Min. Negotiated Rate	$12,071.15
Max. Negotiated Rate	$12,674.71
Rate for Payer: BCBS Complete	$12,674.71
Rate for Payer: Mclaren Medicaid	$12,071.15
Rate for Payer: Meridian Medicaid	$12,674.71
Rate for Payer: PHP Medicaid	$12,071.15
Rate for Payer: Priority Health Choice Medicaid	$12,071.15
Rate for Payer: UHCCP Medicaid	$12,071.15

APR-DRG 42.00: SPINAL PROCEDURES

Facility

$20,020.86

Service Code	APR-DRG 0233
Min. Negotiated Rate	$19,067.49
Max. Negotiated Rate	$20,020.86
Rate for Payer: BCBS Complete	$20,020.86
Rate for Payer: Mclaren Medicaid	$19,067.49
Rate for Payer: Meridian Medicaid	$20,020.86
Rate for Payer: PHP Medicaid	$19,067.49
Rate for Payer: Priority Health Choice Medicaid	$19,067.49
Rate for Payer: UHCCP Medicaid	$19,067.49

Know your out-of-pocket cost for care.

All Charges