Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: TONSIL AND ADENOID PROCEDURES

Facility

$8,432.56

Service Code	APR-DRG 0973
Min. Negotiated Rate	$8,031.01
Max. Negotiated Rate	$8,432.56
Rate for Payer: BCBS Complete	$8,432.56
Rate for Payer: Mclaren Medicaid	$8,031.01
Rate for Payer: Meridian Medicaid	$8,432.56
Rate for Payer: PHP Medicaid	$8,031.01
Rate for Payer: Priority Health Choice Medicaid	$8,031.01
Rate for Payer: UHCCP Medicaid	$8,031.01

APR-DRG 42.00: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES

Facility

$6,570.15

Service Code	APR-DRG 8163
Min. Negotiated Rate	$6,257.29
Max. Negotiated Rate	$6,570.15
Rate for Payer: BCBS Complete	$6,570.15
Rate for Payer: Mclaren Medicaid	$6,257.29
Rate for Payer: Meridian Medicaid	$6,570.15
Rate for Payer: PHP Medicaid	$6,257.29
Rate for Payer: Priority Health Choice Medicaid	$6,257.29
Rate for Payer: UHCCP Medicaid	$6,257.29

APR-DRG 42.00: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES

Facility

$12,571.24

Service Code	APR-DRG 8164
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: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES

Facility

$3,466.14

Service Code	APR-DRG 8162
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: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES

Facility

$2,534.94

Service Code	APR-DRG 8161
Min. Negotiated Rate	$2,414.23
Max. Negotiated Rate	$2,534.94
Rate for Payer: BCBS Complete	$2,534.94
Rate for Payer: Mclaren Medicaid	$2,414.23
Rate for Payer: Meridian Medicaid	$2,534.94
Rate for Payer: PHP Medicaid	$2,414.23
Rate for Payer: Priority Health Choice Medicaid	$2,414.23
Rate for Payer: UHCCP Medicaid	$2,414.23

APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE

Facility

$40,507.33

Service Code	APR-DRG 0042
Min. Negotiated Rate	$38,578.41
Max. Negotiated Rate	$40,507.33
Rate for Payer: BCBS Complete	$40,507.33
Rate for Payer: Mclaren Medicaid	$38,578.41
Rate for Payer: Meridian Medicaid	$40,507.33
Rate for Payer: PHP Medicaid	$38,578.41
Rate for Payer: Priority Health Choice Medicaid	$38,578.41
Rate for Payer: UHCCP Medicaid	$38,578.41

APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE

Facility

$63,425.27

Service Code	APR-DRG 0043
Min. Negotiated Rate	$60,405.02
Max. Negotiated Rate	$63,425.27
Rate for Payer: BCBS Complete	$63,425.27
Rate for Payer: Mclaren Medicaid	$60,405.02
Rate for Payer: Meridian Medicaid	$63,425.27
Rate for Payer: PHP Medicaid	$60,405.02
Rate for Payer: Priority Health Choice Medicaid	$60,405.02
Rate for Payer: UHCCP Medicaid	$60,405.02

APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE

Facility

$28,039.56

Service Code	APR-DRG 0041
Min. Negotiated Rate	$26,704.34
Max. Negotiated Rate	$28,039.56
Rate for Payer: BCBS Complete	$28,039.56
Rate for Payer: Mclaren Medicaid	$26,704.34
Rate for Payer: Meridian Medicaid	$28,039.56
Rate for Payer: PHP Medicaid	$26,704.34
Rate for Payer: Priority Health Choice Medicaid	$26,704.34
Rate for Payer: UHCCP Medicaid	$26,704.34

APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE

Facility

$91,982.16

Service Code	APR-DRG 0044
Min. Negotiated Rate	$87,602.06
Max. Negotiated Rate	$91,982.16
Rate for Payer: BCBS Complete	$91,982.16
Rate for Payer: Mclaren Medicaid	$87,602.06
Rate for Payer: Meridian Medicaid	$91,982.16
Rate for Payer: PHP Medicaid	$87,602.06
Rate for Payer: Priority Health Choice Medicaid	$87,602.06
Rate for Payer: UHCCP Medicaid	$87,602.06

APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE

Facility

$16,296.05

Service Code	APR-DRG 0051
Min. Negotiated Rate	$15,520.05
Max. Negotiated Rate	$16,296.05
Rate for Payer: BCBS Complete	$16,296.05
Rate for Payer: Mclaren Medicaid	$15,520.05
Rate for Payer: Meridian Medicaid	$16,296.05
Rate for Payer: PHP Medicaid	$15,520.05
Rate for Payer: Priority Health Choice Medicaid	$15,520.05
Rate for Payer: UHCCP Medicaid	$15,520.05

APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE

Facility

$64,046.07

Service Code	APR-DRG 0054
Min. Negotiated Rate	$60,996.26
Max. Negotiated Rate	$64,046.07
Rate for Payer: BCBS Complete	$64,046.07
Rate for Payer: Mclaren Medicaid	$60,996.26
Rate for Payer: Meridian Medicaid	$64,046.07
Rate for Payer: PHP Medicaid	$60,996.26
Rate for Payer: Priority Health Choice Medicaid	$60,996.26
Rate for Payer: UHCCP Medicaid	$60,996.26

APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE

Facility

$46,508.42

Service Code	APR-DRG 0053
Min. Negotiated Rate	$44,293.73
Max. Negotiated Rate	$46,508.42
Rate for Payer: BCBS Complete	$46,508.42
Rate for Payer: Mclaren Medicaid	$44,293.73
Rate for Payer: Meridian Medicaid	$46,508.42
Rate for Payer: PHP Medicaid	$44,293.73
Rate for Payer: Priority Health Choice Medicaid	$44,293.73
Rate for Payer: UHCCP Medicaid	$44,293.73

APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE

Facility

$30,988.37

Service Code	APR-DRG 0052
Min. Negotiated Rate	$29,512.73
Max. Negotiated Rate	$30,988.37
Rate for Payer: BCBS Complete	$30,988.37
Rate for Payer: Mclaren Medicaid	$29,512.73
Rate for Payer: Meridian Medicaid	$30,988.37
Rate for Payer: PHP Medicaid	$29,512.73
Rate for Payer: Priority Health Choice Medicaid	$29,512.73
Rate for Payer: UHCCP Medicaid	$29,512.73

APR-DRG 42.00: TRANSIENT ISCHEMIA

Facility

$4,397.35

Service Code	APR-DRG 0472
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: TRANSIENT ISCHEMIA

Facility

$5,483.75

Service Code	APR-DRG 0473
Min. Negotiated Rate	$5,222.62
Max. Negotiated Rate	$5,483.75
Rate for Payer: BCBS Complete	$5,483.75
Rate for Payer: Mclaren Medicaid	$5,222.62
Rate for Payer: Meridian Medicaid	$5,483.75
Rate for Payer: PHP Medicaid	$5,222.62
Rate for Payer: Priority Health Choice Medicaid	$5,222.62
Rate for Payer: UHCCP Medicaid	$5,222.62

APR-DRG 42.00: TRANSIENT ISCHEMIA

Facility

$8,898.16

Service Code	APR-DRG 0474
Min. Negotiated Rate	$8,474.44
Max. Negotiated Rate	$8,898.16
Rate for Payer: BCBS Complete	$8,898.16
Rate for Payer: Mclaren Medicaid	$8,474.44
Rate for Payer: Meridian Medicaid	$8,898.16
Rate for Payer: PHP Medicaid	$8,474.44
Rate for Payer: Priority Health Choice Medicaid	$8,474.44
Rate for Payer: UHCCP Medicaid	$8,474.44

APR-DRG 42.00: TRANSIENT ISCHEMIA

Facility

$3,828.28

Service Code	APR-DRG 0471
Min. Negotiated Rate	$3,645.98
Max. Negotiated Rate	$3,828.28
Rate for Payer: BCBS Complete	$3,828.28
Rate for Payer: Mclaren Medicaid	$3,645.98
Rate for Payer: Meridian Medicaid	$3,828.28
Rate for Payer: PHP Medicaid	$3,645.98
Rate for Payer: Priority Health Choice Medicaid	$3,645.98
Rate for Payer: UHCCP Medicaid	$3,645.98

APR-DRG 42.00: TRANSURETHRAL PROSTATECTOMY

Facility

$9,881.10

Service Code	APR-DRG 4823
Min. Negotiated Rate	$9,410.57
Max. Negotiated Rate	$9,881.10
Rate for Payer: BCBS Complete	$9,881.10
Rate for Payer: Mclaren Medicaid	$9,410.57
Rate for Payer: Meridian Medicaid	$9,881.10
Rate for Payer: PHP Medicaid	$9,410.57
Rate for Payer: Priority Health Choice Medicaid	$9,410.57
Rate for Payer: UHCCP Medicaid	$9,410.57

APR-DRG 42.00: TRANSURETHRAL PROSTATECTOMY

Facility

$4,293.88

Service Code	APR-DRG 4821
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: TRANSURETHRAL PROSTATECTOMY

Facility

$13,554.18

Service Code	APR-DRG 4824
Min. Negotiated Rate	$12,908.74
Max. Negotiated Rate	$13,554.18
Rate for Payer: BCBS Complete	$13,554.18
Rate for Payer: Mclaren Medicaid	$12,908.74
Rate for Payer: Meridian Medicaid	$13,554.18
Rate for Payer: PHP Medicaid	$12,908.74
Rate for Payer: Priority Health Choice Medicaid	$12,908.74
Rate for Payer: UHCCP Medicaid	$12,908.74

APR-DRG 42.00: TRANSURETHRAL PROSTATECTOMY

Facility

$6,104.55

Service Code	APR-DRG 4822
Min. Negotiated Rate	$5,813.86
Max. Negotiated Rate	$6,104.55
Rate for Payer: BCBS Complete	$6,104.55
Rate for Payer: Mclaren Medicaid	$5,813.86
Rate for Payer: Meridian Medicaid	$6,104.55
Rate for Payer: PHP Medicaid	$5,813.86
Rate for Payer: Priority Health Choice Medicaid	$5,813.86
Rate for Payer: UHCCP Medicaid	$5,813.86

APR-DRG 42.00: URETHRAL AND TRANSURETHRAL PROCEDURES

Facility

$6,414.95

Service Code	APR-DRG 4462
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: URETHRAL AND TRANSURETHRAL PROCEDURES

Facility

$4,914.68

Service Code	APR-DRG 4461
Min. Negotiated Rate	$4,680.65
Max. Negotiated Rate	$4,914.68
Rate for Payer: BCBS Complete	$4,914.68
Rate for Payer: Mclaren Medicaid	$4,680.65
Rate for Payer: Meridian Medicaid	$4,914.68
Rate for Payer: PHP Medicaid	$4,680.65
Rate for Payer: Priority Health Choice Medicaid	$4,680.65
Rate for Payer: UHCCP Medicaid	$4,680.65

APR-DRG 42.00: URETHRAL AND TRANSURETHRAL PROCEDURES

Facility

$9,622.43

Service Code	APR-DRG 4463
Min. Negotiated Rate	$9,164.22
Max. Negotiated Rate	$9,622.43
Rate for Payer: BCBS Complete	$9,622.43
Rate for Payer: Mclaren Medicaid	$9,164.22
Rate for Payer: Meridian Medicaid	$9,622.43
Rate for Payer: PHP Medicaid	$9,164.22
Rate for Payer: Priority Health Choice Medicaid	$9,164.22
Rate for Payer: UHCCP Medicaid	$9,164.22

APR-DRG 42.00: URETHRAL AND TRANSURETHRAL PROCEDURES

Facility

$15,364.85

Service Code	APR-DRG 4464
Min. Negotiated Rate	$14,633.19
Max. Negotiated Rate	$15,364.85
Rate for Payer: BCBS Complete	$15,364.85
Rate for Payer: Mclaren Medicaid	$14,633.19
Rate for Payer: Meridian Medicaid	$15,364.85
Rate for Payer: PHP Medicaid	$14,633.19
Rate for Payer: Priority Health Choice Medicaid	$14,633.19
Rate for Payer: UHCCP Medicaid	$14,633.19

Know your out-of-pocket cost for care.

All Charges