Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: TRANSIENT ISCHEMIA

Facility

$4,707.75

Service Code	APR-DRG 0472
Min. Negotiated Rate	$4,483.57
Max. Negotiated Rate	$4,707.75
Rate for Payer: BCBS Complete	$4,707.75
Rate for Payer: Mclaren Medicaid	$4,483.57
Rate for Payer: Meridian Medicaid	$4,707.75
Rate for Payer: PHP Medicaid	$4,483.57
Rate for Payer: Priority Health Choice Medicaid	$4,483.57
Rate for Payer: UHCCP Medicaid	$4,483.57

APR-DRG 42.00: TRANSURETHRAL PROSTATECTOMY

Facility

$10,864.04

Service Code	APR-DRG 4823
Min. Negotiated Rate	$10,346.70
Max. Negotiated Rate	$10,864.04
Rate for Payer: BCBS Complete	$10,864.04
Rate for Payer: Mclaren Medicaid	$10,346.70
Rate for Payer: Meridian Medicaid	$10,864.04
Rate for Payer: PHP Medicaid	$10,346.70
Rate for Payer: Priority Health Choice Medicaid	$10,346.70
Rate for Payer: UHCCP Medicaid	$10,346.70

APR-DRG 42.00: TRANSURETHRAL PROSTATECTOMY

Facility

$14,847.51

Service Code	APR-DRG 4824
Min. Negotiated Rate	$14,140.49
Max. Negotiated Rate	$14,847.51
Rate for Payer: BCBS Complete	$14,847.51
Rate for Payer: Mclaren Medicaid	$14,140.49
Rate for Payer: Meridian Medicaid	$14,847.51
Rate for Payer: PHP Medicaid	$14,140.49
Rate for Payer: Priority Health Choice Medicaid	$14,140.49
Rate for Payer: UHCCP Medicaid	$14,140.49

APR-DRG 42.00: TRANSURETHRAL PROSTATECTOMY

Facility

$4,604.28

Service Code	APR-DRG 4821
Min. Negotiated Rate	$4,385.03
Max. Negotiated Rate	$4,604.28
Rate for Payer: BCBS Complete	$4,604.28
Rate for Payer: Mclaren Medicaid	$4,385.03
Rate for Payer: Meridian Medicaid	$4,604.28
Rate for Payer: PHP Medicaid	$4,385.03
Rate for Payer: Priority Health Choice Medicaid	$4,385.03
Rate for Payer: UHCCP Medicaid	$4,385.03

APR-DRG 42.00: TRANSURETHRAL PROSTATECTOMY

Facility

$6,518.42

Service Code	APR-DRG 4822
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: URETHRAL AND TRANSURETHRAL PROCEDURES

Facility

$15,830.45

Service Code	APR-DRG 4464
Min. Negotiated Rate	$15,076.62
Max. Negotiated Rate	$15,830.45
Rate for Payer: BCBS Complete	$15,830.45
Rate for Payer: Mclaren Medicaid	$15,076.62
Rate for Payer: Meridian Medicaid	$15,830.45
Rate for Payer: PHP Medicaid	$15,076.62
Rate for Payer: Priority Health Choice Medicaid	$15,076.62
Rate for Payer: UHCCP Medicaid	$15,076.62

APR-DRG 42.00: URETHRAL AND TRANSURETHRAL PROCEDURES

Facility

$9,984.57

Service Code	APR-DRG 4463
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: URETHRAL AND TRANSURETHRAL PROCEDURES

Facility

$6,104.55

Service Code	APR-DRG 4461
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

$7,087.49

Service Code	APR-DRG 4462
Min. Negotiated Rate	$6,749.99
Max. Negotiated Rate	$7,087.49
Rate for Payer: BCBS Complete	$7,087.49
Rate for Payer: Mclaren Medicaid	$6,749.99
Rate for Payer: Meridian Medicaid	$7,087.49
Rate for Payer: PHP Medicaid	$6,749.99
Rate for Payer: Priority Health Choice Medicaid	$6,749.99
Rate for Payer: UHCCP Medicaid	$6,749.99

APR-DRG 42.00: URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION

Facility

$10,605.37

Service Code	APR-DRG 4654
Min. Negotiated Rate	$10,100.35
Max. Negotiated Rate	$10,605.37
Rate for Payer: BCBS Complete	$10,605.37
Rate for Payer: Mclaren Medicaid	$10,100.35
Rate for Payer: Meridian Medicaid	$10,605.37
Rate for Payer: PHP Medicaid	$10,100.35
Rate for Payer: Priority Health Choice Medicaid	$10,100.35
Rate for Payer: UHCCP Medicaid	$10,100.35

APR-DRG 42.00: URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION

Facility

$4,397.35

Service Code	APR-DRG 4651
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: URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION

Facility

$5,897.62

Service Code	APR-DRG 4653
Min. Negotiated Rate	$5,616.78
Max. Negotiated Rate	$5,897.62
Rate for Payer: BCBS Complete	$5,897.62
Rate for Payer: Mclaren Medicaid	$5,616.78
Rate for Payer: Meridian Medicaid	$5,897.62
Rate for Payer: PHP Medicaid	$5,616.78
Rate for Payer: Priority Health Choice Medicaid	$5,616.78
Rate for Payer: UHCCP Medicaid	$5,616.78

APR-DRG 42.00: URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION

Facility

$4,759.48

Service Code	APR-DRG 4652
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: UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA

Facility

$22,348.87

Service Code	APR-DRG 5194
Min. Negotiated Rate	$21,284.64
Max. Negotiated Rate	$22,348.87
Rate for Payer: BCBS Complete	$22,348.87
Rate for Payer: Mclaren Medicaid	$21,284.64
Rate for Payer: Meridian Medicaid	$22,348.87
Rate for Payer: PHP Medicaid	$21,284.64
Rate for Payer: Priority Health Choice Medicaid	$21,284.64
Rate for Payer: UHCCP Medicaid	$21,284.64

APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA

Facility

$13,398.98

Service Code	APR-DRG 5193
Min. Negotiated Rate	$12,760.93
Max. Negotiated Rate	$13,398.98
Rate for Payer: BCBS Complete	$13,398.98
Rate for Payer: Mclaren Medicaid	$12,760.93
Rate for Payer: Meridian Medicaid	$13,398.98
Rate for Payer: PHP Medicaid	$12,760.93
Rate for Payer: Priority Health Choice Medicaid	$12,760.93
Rate for Payer: UHCCP Medicaid	$12,760.93

APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA

Facility

$8,587.76

Service Code	APR-DRG 5192
Min. Negotiated Rate	$8,178.82
Max. Negotiated Rate	$8,587.76
Rate for Payer: BCBS Complete	$8,587.76
Rate for Payer: Mclaren Medicaid	$8,178.82
Rate for Payer: Meridian Medicaid	$8,587.76
Rate for Payer: PHP Medicaid	$8,178.82
Rate for Payer: Priority Health Choice Medicaid	$8,178.82
Rate for Payer: UHCCP Medicaid	$8,178.82

APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA

Facility

$6,259.75

Service Code	APR-DRG 5191
Min. Negotiated Rate	$5,961.67
Max. Negotiated Rate	$6,259.75
Rate for Payer: BCBS Complete	$6,259.75
Rate for Payer: Mclaren Medicaid	$5,961.67
Rate for Payer: Meridian Medicaid	$6,259.75
Rate for Payer: PHP Medicaid	$5,961.67
Rate for Payer: Priority Health Choice Medicaid	$5,961.67
Rate for Payer: UHCCP Medicaid	$5,961.67

APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA

Facility

$8,846.43

Service Code	APR-DRG 5132
Min. Negotiated Rate	$8,425.17
Max. Negotiated Rate	$8,846.43
Rate for Payer: BCBS Complete	$8,846.43
Rate for Payer: Mclaren Medicaid	$8,425.17
Rate for Payer: Meridian Medicaid	$8,846.43
Rate for Payer: PHP Medicaid	$8,425.17
Rate for Payer: Priority Health Choice Medicaid	$8,425.17
Rate for Payer: UHCCP Medicaid	$8,425.17

APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA

Facility

$7,035.76

Service Code	APR-DRG 5131
Min. Negotiated Rate	$6,700.72
Max. Negotiated Rate	$7,035.76
Rate for Payer: BCBS Complete	$7,035.76
Rate for Payer: Mclaren Medicaid	$6,700.72
Rate for Payer: Meridian Medicaid	$7,035.76
Rate for Payer: PHP Medicaid	$6,700.72
Rate for Payer: Priority Health Choice Medicaid	$6,700.72
Rate for Payer: UHCCP Medicaid	$6,700.72

APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA

Facility

$14,174.98

Service Code	APR-DRG 5133
Min. Negotiated Rate	$13,499.98
Max. Negotiated Rate	$14,174.98
Rate for Payer: BCBS Complete	$14,174.98
Rate for Payer: Mclaren Medicaid	$13,499.98
Rate for Payer: Meridian Medicaid	$14,174.98
Rate for Payer: PHP Medicaid	$13,499.98
Rate for Payer: Priority Health Choice Medicaid	$13,499.98
Rate for Payer: UHCCP Medicaid	$13,499.98

APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA

Facility

$25,297.68

Service Code	APR-DRG 5134
Min. Negotiated Rate	$24,093.03
Max. Negotiated Rate	$25,297.68
Rate for Payer: BCBS Complete	$25,297.68
Rate for Payer: Mclaren Medicaid	$24,093.03
Rate for Payer: Meridian Medicaid	$25,297.68
Rate for Payer: PHP Medicaid	$24,093.03
Rate for Payer: Priority Health Choice Medicaid	$24,093.03
Rate for Payer: UHCCP Medicaid	$24,093.03

APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY

Facility

$24,521.68

Service Code	APR-DRG 5124
Min. Negotiated Rate	$23,353.98
Max. Negotiated Rate	$24,521.68
Rate for Payer: BCBS Complete	$24,521.68
Rate for Payer: Mclaren Medicaid	$23,353.98
Rate for Payer: Meridian Medicaid	$24,521.68
Rate for Payer: PHP Medicaid	$23,353.98
Rate for Payer: Priority Health Choice Medicaid	$23,353.98
Rate for Payer: UHCCP Medicaid	$23,353.98

APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY

Facility

$8,742.96

Service Code	APR-DRG 5121
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: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY

Facility

$10,294.97

Service Code	APR-DRG 5122
Min. Negotiated Rate	$9,804.73
Max. Negotiated Rate	$10,294.97
Rate for Payer: BCBS Complete	$10,294.97
Rate for Payer: Mclaren Medicaid	$9,804.73
Rate for Payer: Meridian Medicaid	$10,294.97
Rate for Payer: PHP Medicaid	$9,804.73
Rate for Payer: Priority Health Choice Medicaid	$9,804.73
Rate for Payer: UHCCP Medicaid	$9,804.73

APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY

Facility

$14,692.31

Service Code	APR-DRG 5123
Min. Negotiated Rate	$13,992.68
Max. Negotiated Rate	$14,692.31
Rate for Payer: BCBS Complete	$14,692.31
Rate for Payer: Mclaren Medicaid	$13,992.68
Rate for Payer: Meridian Medicaid	$14,692.31
Rate for Payer: PHP Medicaid	$13,992.68
Rate for Payer: Priority Health Choice Medicaid	$13,992.68
Rate for Payer: UHCCP Medicaid	$13,992.68

Know your out-of-pocket cost for care.

All Charges