Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$4,439.16

Service Code	APR-DRG 6131
Min. Negotiated Rate	$4,013.53
Max. Negotiated Rate	$4,439.16
Rate for Payer: BCBS Complete	$4,439.16
Rate for Payer: Mclaren Medicaid	$4,227.77
Rate for Payer: Meridian Medicaid	$4,439.16
Rate for Payer: PHP Medicaid	$4,013.53
Rate for Payer: Priority Health Choice Medicaid	$4,227.77
Rate for Payer: UHC Medicaid	$4,227.77
Rate for Payer: UHCCP Medicaid	$4,227.77

NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$58,443.16

Service Code	APR-DRG 6134
Min. Negotiated Rate	$52,839.61
Max. Negotiated Rate	$58,443.16
Rate for Payer: BCBS Complete	$58,443.16
Rate for Payer: Mclaren Medicaid	$55,660.15
Rate for Payer: Meridian Medicaid	$58,443.16
Rate for Payer: PHP Medicaid	$52,839.61
Rate for Payer: Priority Health Choice Medicaid	$55,660.15
Rate for Payer: UHC Medicaid	$55,660.15
Rate for Payer: UHCCP Medicaid	$55,660.15

NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$18,471.63

Service Code	APR-DRG 6132
Min. Negotiated Rate	$16,700.56
Max. Negotiated Rate	$18,471.63
Rate for Payer: BCBS Complete	$18,471.63
Rate for Payer: Mclaren Medicaid	$17,592.02
Rate for Payer: Meridian Medicaid	$18,471.63
Rate for Payer: PHP Medicaid	$16,700.56
Rate for Payer: Priority Health Choice Medicaid	$17,592.02
Rate for Payer: UHC Medicaid	$17,592.02
Rate for Payer: UHCCP Medicaid	$17,592.02

NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY

Facility

$16,771.38

Service Code	APR-DRG 6113
Min. Negotiated Rate	$15,163.34
Max. Negotiated Rate	$16,771.38
Rate for Payer: BCBS Complete	$16,771.38
Rate for Payer: Mclaren Medicaid	$15,972.74
Rate for Payer: Meridian Medicaid	$16,771.38
Rate for Payer: PHP Medicaid	$15,163.34
Rate for Payer: Priority Health Choice Medicaid	$15,972.74
Rate for Payer: UHC Medicaid	$15,972.74
Rate for Payer: UHCCP Medicaid	$15,972.74

NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY

Facility

$4,729.08

Service Code	APR-DRG 6111
Min. Negotiated Rate	$4,275.65
Max. Negotiated Rate	$4,729.08
Rate for Payer: BCBS Complete	$4,729.08
Rate for Payer: Mclaren Medicaid	$4,503.88
Rate for Payer: Meridian Medicaid	$4,729.08
Rate for Payer: PHP Medicaid	$4,275.65
Rate for Payer: Priority Health Choice Medicaid	$4,503.88
Rate for Payer: UHC Medicaid	$4,503.88
Rate for Payer: UHCCP Medicaid	$4,503.88

NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY

Facility

$34,268.09

Service Code	APR-DRG 6114
Min. Negotiated Rate	$30,982.45
Max. Negotiated Rate	$34,268.09
Rate for Payer: BCBS Complete	$34,268.09
Rate for Payer: Mclaren Medicaid	$32,636.28
Rate for Payer: Meridian Medicaid	$34,268.09
Rate for Payer: PHP Medicaid	$30,982.45
Rate for Payer: Priority Health Choice Medicaid	$32,636.28
Rate for Payer: UHC Medicaid	$32,636.28
Rate for Payer: UHCCP Medicaid	$32,636.28

NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY

Facility

$13,298.41

Service Code	APR-DRG 6112
Min. Negotiated Rate	$12,023.36
Max. Negotiated Rate	$13,298.41
Rate for Payer: BCBS Complete	$13,298.41
Rate for Payer: Mclaren Medicaid	$12,665.16
Rate for Payer: Meridian Medicaid	$13,298.41
Rate for Payer: PHP Medicaid	$12,023.36
Rate for Payer: Priority Health Choice Medicaid	$12,665.16
Rate for Payer: UHC Medicaid	$12,665.16
Rate for Payer: UHCCP Medicaid	$12,665.16

NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION

Facility

$10,958.94

Service Code	APR-DRG 6142
Min. Negotiated Rate	$9,908.20
Max. Negotiated Rate	$10,958.94
Rate for Payer: BCBS Complete	$10,958.94
Rate for Payer: Mclaren Medicaid	$10,437.09
Rate for Payer: Meridian Medicaid	$10,958.94
Rate for Payer: PHP Medicaid	$9,908.20
Rate for Payer: Priority Health Choice Medicaid	$10,437.09
Rate for Payer: UHC Medicaid	$10,437.09
Rate for Payer: UHCCP Medicaid	$10,437.09

NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION

Facility

$4,077.86

Service Code	APR-DRG 6141
Min. Negotiated Rate	$3,686.87
Max. Negotiated Rate	$4,077.86
Rate for Payer: BCBS Complete	$4,077.86
Rate for Payer: Mclaren Medicaid	$3,883.68
Rate for Payer: Meridian Medicaid	$4,077.86
Rate for Payer: PHP Medicaid	$3,686.87
Rate for Payer: Priority Health Choice Medicaid	$3,883.68
Rate for Payer: UHC Medicaid	$3,883.68
Rate for Payer: UHCCP Medicaid	$3,883.68

NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION

Facility

$19,329.92

Service Code	APR-DRG 6143
Min. Negotiated Rate	$17,476.56
Max. Negotiated Rate	$19,329.92
Rate for Payer: BCBS Complete	$19,329.92
Rate for Payer: Mclaren Medicaid	$18,409.45
Rate for Payer: Meridian Medicaid	$19,329.92
Rate for Payer: PHP Medicaid	$17,476.56
Rate for Payer: Priority Health Choice Medicaid	$18,409.45
Rate for Payer: UHC Medicaid	$18,409.45
Rate for Payer: UHCCP Medicaid	$18,409.45

NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION

Facility

$26,947.78

Service Code	APR-DRG 6144
Min. Negotiated Rate	$24,364.01
Max. Negotiated Rate	$26,947.78
Rate for Payer: BCBS Complete	$26,947.78
Rate for Payer: Mclaren Medicaid	$25,664.55
Rate for Payer: Meridian Medicaid	$26,947.78
Rate for Payer: PHP Medicaid	$24,364.01
Rate for Payer: Priority Health Choice Medicaid	$25,664.55
Rate for Payer: UHC Medicaid	$25,664.55
Rate for Payer: UHCCP Medicaid	$25,664.55

NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJ

Facility

$16,136.51

Service Code	APR-DRG 6122
Min. Negotiated Rate	$14,589.34
Max. Negotiated Rate	$16,136.51
Rate for Payer: BCBS Complete	$16,136.51
Rate for Payer: Mclaren Medicaid	$15,368.11
Rate for Payer: Meridian Medicaid	$16,136.51
Rate for Payer: PHP Medicaid	$14,589.34
Rate for Payer: Priority Health Choice Medicaid	$15,368.11
Rate for Payer: UHC Medicaid	$15,368.11
Rate for Payer: UHCCP Medicaid	$15,368.11

NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJ

Facility

$52,088.50

Service Code	APR-DRG 6124
Min. Negotiated Rate	$47,094.24
Max. Negotiated Rate	$52,088.50
Rate for Payer: BCBS Complete	$52,088.50
Rate for Payer: Mclaren Medicaid	$49,608.10
Rate for Payer: Meridian Medicaid	$52,088.50
Rate for Payer: PHP Medicaid	$47,094.24
Rate for Payer: Priority Health Choice Medicaid	$49,608.10
Rate for Payer: UHC Medicaid	$49,608.10
Rate for Payer: UHCCP Medicaid	$49,608.10

NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJ

Facility

$33,661.02

Service Code	APR-DRG 6123
Min. Negotiated Rate	$30,433.59
Max. Negotiated Rate	$33,661.02
Rate for Payer: BCBS Complete	$33,661.02
Rate for Payer: Mclaren Medicaid	$32,058.11
Rate for Payer: Meridian Medicaid	$33,661.02
Rate for Payer: PHP Medicaid	$30,433.59
Rate for Payer: Priority Health Choice Medicaid	$32,058.11
Rate for Payer: UHC Medicaid	$32,058.11
Rate for Payer: UHCCP Medicaid	$32,058.11

NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJ

Facility

$10,647.23

Service Code	APR-DRG 6121
Min. Negotiated Rate	$9,626.37
Max. Negotiated Rate	$10,647.23
Rate for Payer: BCBS Complete	$10,647.23
Rate for Payer: Mclaren Medicaid	$10,140.22
Rate for Payer: Meridian Medicaid	$10,647.23
Rate for Payer: PHP Medicaid	$9,626.37
Rate for Payer: Priority Health Choice Medicaid	$10,140.22
Rate for Payer: UHC Medicaid	$10,140.22
Rate for Payer: UHCCP Medicaid	$10,140.22

NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE

Facility

$30,405.49

Service Code	APR-DRG 6092
Min. Negotiated Rate	$27,490.20
Max. Negotiated Rate	$30,405.49
Rate for Payer: BCBS Complete	$30,405.49
Rate for Payer: Mclaren Medicaid	$28,957.60
Rate for Payer: Meridian Medicaid	$30,405.49
Rate for Payer: PHP Medicaid	$27,490.20
Rate for Payer: Priority Health Choice Medicaid	$28,957.60
Rate for Payer: UHC Medicaid	$28,957.60
Rate for Payer: UHCCP Medicaid	$28,957.60

NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE

Facility

$148,921.21

Service Code	APR-DRG 6094
Min. Negotiated Rate	$134,642.59
Max. Negotiated Rate	$148,921.21
Rate for Payer: BCBS Complete	$148,921.21
Rate for Payer: Mclaren Medicaid	$141,829.73
Rate for Payer: Meridian Medicaid	$148,921.21
Rate for Payer: PHP Medicaid	$134,642.59
Rate for Payer: Priority Health Choice Medicaid	$141,829.73
Rate for Payer: UHC Medicaid	$141,829.73
Rate for Payer: UHCCP Medicaid	$141,829.73

NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE

Facility

$47,688.03

Service Code	APR-DRG 6093
Min. Negotiated Rate	$43,115.68
Max. Negotiated Rate	$47,688.03
Rate for Payer: BCBS Complete	$47,688.03
Rate for Payer: Mclaren Medicaid	$45,417.17
Rate for Payer: Meridian Medicaid	$47,688.03
Rate for Payer: PHP Medicaid	$43,115.68
Rate for Payer: Priority Health Choice Medicaid	$45,417.17
Rate for Payer: UHC Medicaid	$45,417.17
Rate for Payer: UHCCP Medicaid	$45,417.17

NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE

Facility

$25,090.59

Service Code	APR-DRG 6091
Min. Negotiated Rate	$22,684.89
Max. Negotiated Rate	$25,090.59
Rate for Payer: BCBS Complete	$25,090.59
Rate for Payer: Mclaren Medicaid	$23,895.80
Rate for Payer: Meridian Medicaid	$25,090.59
Rate for Payer: PHP Medicaid	$22,684.89
Rate for Payer: Priority Health Choice Medicaid	$23,895.80
Rate for Payer: UHC Medicaid	$23,895.80
Rate for Payer: UHCCP Medicaid	$23,895.80

NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE

Facility

$96,244.71

Service Code	APR-DRG 5881
Min. Negotiated Rate	$87,016.73
Max. Negotiated Rate	$96,244.71
Rate for Payer: BCBS Complete	$96,244.71
Rate for Payer: Mclaren Medicaid	$91,661.63
Rate for Payer: Meridian Medicaid	$96,244.71
Rate for Payer: PHP Medicaid	$87,016.73
Rate for Payer: Priority Health Choice Medicaid	$91,661.63
Rate for Payer: UHC Medicaid	$91,661.63
Rate for Payer: UHCCP Medicaid	$91,661.63

NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE

Facility

$111,471.16

Service Code	APR-DRG 5883
Min. Negotiated Rate	$100,783.26
Max. Negotiated Rate	$111,471.16
Rate for Payer: BCBS Complete	$111,471.16
Rate for Payer: Mclaren Medicaid	$106,163.01
Rate for Payer: Meridian Medicaid	$111,471.16
Rate for Payer: PHP Medicaid	$100,783.26
Rate for Payer: Priority Health Choice Medicaid	$106,163.01
Rate for Payer: UHC Medicaid	$106,163.01
Rate for Payer: UHCCP Medicaid	$106,163.01

NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE

Facility

$102,798.28

Service Code	APR-DRG 5882
Min. Negotiated Rate	$92,941.94
Max. Negotiated Rate	$102,798.28
Rate for Payer: BCBS Complete	$102,798.28
Rate for Payer: Mclaren Medicaid	$97,903.12
Rate for Payer: Meridian Medicaid	$102,798.28
Rate for Payer: PHP Medicaid	$92,941.94
Rate for Payer: Priority Health Choice Medicaid	$97,903.12
Rate for Payer: UHC Medicaid	$97,903.12
Rate for Payer: UHCCP Medicaid	$97,903.12

NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE

Facility

$202,219.50

Service Code	APR-DRG 5884
Min. Negotiated Rate	$182,830.62
Max. Negotiated Rate	$202,219.50
Rate for Payer: BCBS Complete	$202,219.50
Rate for Payer: Mclaren Medicaid	$192,590.00
Rate for Payer: Meridian Medicaid	$202,219.50
Rate for Payer: PHP Medicaid	$182,830.62
Rate for Payer: Priority Health Choice Medicaid	$192,590.00
Rate for Payer: UHC Medicaid	$192,590.00
Rate for Payer: UHCCP Medicaid	$192,590.00

NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLE

Facility

$911.70

Service Code	APR-DRG 6261
Min. Negotiated Rate	$824.29
Max. Negotiated Rate	$911.70
Rate for Payer: BCBS Complete	$911.70
Rate for Payer: Mclaren Medicaid	$868.29
Rate for Payer: Meridian Medicaid	$911.70
Rate for Payer: PHP Medicaid	$824.29
Rate for Payer: Priority Health Choice Medicaid	$868.29
Rate for Payer: UHC Medicaid	$868.29
Rate for Payer: UHCCP Medicaid	$868.29

NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLE

Facility

$5,957.94

Service Code	APR-DRG 6264
Min. Negotiated Rate	$5,386.69
Max. Negotiated Rate	$5,957.94
Rate for Payer: BCBS Complete	$5,957.94
Rate for Payer: Mclaren Medicaid	$5,674.23
Rate for Payer: Meridian Medicaid	$5,957.94
Rate for Payer: PHP Medicaid	$5,386.69
Rate for Payer: Priority Health Choice Medicaid	$5,674.23
Rate for Payer: UHC Medicaid	$5,674.23
Rate for Payer: UHCCP Medicaid	$5,674.23

Know your out-of-pocket cost for care.

All Charges