Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

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

Facility

$3,571.06

Service Code	APR-DRG 6263
Min. Negotiated Rate	$3,228.66
Max. Negotiated Rate	$3,571.06
Rate for Payer: BCBS Complete	$3,571.06
Rate for Payer: Mclaren Medicaid	$3,401.01
Rate for Payer: Meridian Medicaid	$3,571.06
Rate for Payer: PHP Medicaid	$3,228.66
Rate for Payer: Priority Health Choice Medicaid	$3,401.01
Rate for Payer: UHC Medicaid	$3,401.01
Rate for Payer: UHCCP Medicaid	$3,401.01

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

Facility

$1,393.44

Service Code	APR-DRG 6262
Min. Negotiated Rate	$1,259.83
Max. Negotiated Rate	$1,393.44
Rate for Payer: BCBS Complete	$1,393.44
Rate for Payer: Mclaren Medicaid	$1,327.08
Rate for Payer: Meridian Medicaid	$1,393.44
Rate for Payer: PHP Medicaid	$1,259.83
Rate for Payer: Priority Health Choice Medicaid	$1,327.08
Rate for Payer: UHC Medicaid	$1,327.08
Rate for Payer: UHCCP Medicaid	$1,327.08

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$3,744.90

Service Code	APR-DRG 6231
Min. Negotiated Rate	$3,385.83
Max. Negotiated Rate	$3,744.90
Rate for Payer: BCBS Complete	$3,744.90
Rate for Payer: Mclaren Medicaid	$3,566.57
Rate for Payer: Meridian Medicaid	$3,744.90
Rate for Payer: PHP Medicaid	$3,385.83
Rate for Payer: Priority Health Choice Medicaid	$3,566.57
Rate for Payer: UHC Medicaid	$3,566.57
Rate for Payer: UHCCP Medicaid	$3,566.57

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$6,493.62

Service Code	APR-DRG 6232
Min. Negotiated Rate	$5,871.01
Max. Negotiated Rate	$6,493.62
Rate for Payer: BCBS Complete	$6,493.62
Rate for Payer: Mclaren Medicaid	$6,184.40
Rate for Payer: Meridian Medicaid	$6,493.62
Rate for Payer: PHP Medicaid	$5,871.01
Rate for Payer: Priority Health Choice Medicaid	$6,184.40
Rate for Payer: UHC Medicaid	$6,184.40
Rate for Payer: UHCCP Medicaid	$6,184.40

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$16,730.51

Service Code	APR-DRG 6233
Min. Negotiated Rate	$15,126.38
Max. Negotiated Rate	$16,730.51
Rate for Payer: BCBS Complete	$16,730.51
Rate for Payer: Mclaren Medicaid	$15,933.82
Rate for Payer: Meridian Medicaid	$16,730.51
Rate for Payer: PHP Medicaid	$15,126.38
Rate for Payer: Priority Health Choice Medicaid	$15,933.82
Rate for Payer: UHC Medicaid	$15,933.82
Rate for Payer: UHCCP Medicaid	$15,933.82

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$29,548.82

Service Code	APR-DRG 6234
Min. Negotiated Rate	$26,715.67
Max. Negotiated Rate	$29,548.82
Rate for Payer: BCBS Complete	$29,548.82
Rate for Payer: Mclaren Medicaid	$28,141.74
Rate for Payer: Meridian Medicaid	$29,548.82
Rate for Payer: PHP Medicaid	$26,715.67
Rate for Payer: Priority Health Choice Medicaid	$28,141.74
Rate for Payer: UHC Medicaid	$28,141.74
Rate for Payer: UHCCP Medicaid	$28,141.74

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY

Facility

$1,243.03

Service Code	APR-DRG 6211
Min. Negotiated Rate	$1,123.85
Max. Negotiated Rate	$1,243.03
Rate for Payer: BCBS Complete	$1,243.03
Rate for Payer: Mclaren Medicaid	$1,183.84
Rate for Payer: Meridian Medicaid	$1,243.03
Rate for Payer: PHP Medicaid	$1,123.85
Rate for Payer: Priority Health Choice Medicaid	$1,183.84
Rate for Payer: UHC Medicaid	$1,183.84
Rate for Payer: UHCCP Medicaid	$1,183.84

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY

Facility

$17,828.58

Service Code	APR-DRG 6214
Min. Negotiated Rate	$16,119.17
Max. Negotiated Rate	$17,828.58
Rate for Payer: BCBS Complete	$17,828.58
Rate for Payer: Mclaren Medicaid	$16,979.60
Rate for Payer: Meridian Medicaid	$17,828.58
Rate for Payer: PHP Medicaid	$16,119.17
Rate for Payer: Priority Health Choice Medicaid	$16,979.60
Rate for Payer: UHC Medicaid	$16,979.60
Rate for Payer: UHCCP Medicaid	$16,979.60

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY

Facility

$7,372.08

Service Code	APR-DRG 6212
Min. Negotiated Rate	$6,665.25
Max. Negotiated Rate	$7,372.08
Rate for Payer: BCBS Complete	$7,372.08
Rate for Payer: Mclaren Medicaid	$7,021.03
Rate for Payer: Meridian Medicaid	$7,372.08
Rate for Payer: PHP Medicaid	$6,665.25
Rate for Payer: Priority Health Choice Medicaid	$7,021.03
Rate for Payer: UHC Medicaid	$7,021.03
Rate for Payer: UHCCP Medicaid	$7,021.03

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY

Facility

$8,749.72

Service Code	APR-DRG 6213
Min. Negotiated Rate	$7,910.79
Max. Negotiated Rate	$8,749.72
Rate for Payer: BCBS Complete	$8,749.72
Rate for Payer: Mclaren Medicaid	$8,333.06
Rate for Payer: Meridian Medicaid	$8,749.72
Rate for Payer: PHP Medicaid	$7,910.79
Rate for Payer: Priority Health Choice Medicaid	$8,333.06
Rate for Payer: UHC Medicaid	$8,333.06
Rate for Payer: UHCCP Medicaid	$8,333.06

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$4,473.49

Service Code	APR-DRG 6251
Min. Negotiated Rate	$4,044.57
Max. Negotiated Rate	$4,473.49
Rate for Payer: BCBS Complete	$4,473.49
Rate for Payer: Mclaren Medicaid	$4,260.47
Rate for Payer: Meridian Medicaid	$4,473.49
Rate for Payer: PHP Medicaid	$4,044.57
Rate for Payer: Priority Health Choice Medicaid	$4,260.47
Rate for Payer: UHC Medicaid	$4,260.47
Rate for Payer: UHCCP Medicaid	$4,260.47

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$8,723.01

Service Code	APR-DRG 6252
Min. Negotiated Rate	$7,886.65
Max. Negotiated Rate	$8,723.01
Rate for Payer: BCBS Complete	$8,723.01
Rate for Payer: Mclaren Medicaid	$8,307.63
Rate for Payer: Meridian Medicaid	$8,723.01
Rate for Payer: PHP Medicaid	$7,886.65
Rate for Payer: Priority Health Choice Medicaid	$8,307.63
Rate for Payer: UHC Medicaid	$8,307.63
Rate for Payer: UHCCP Medicaid	$8,307.63

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$17,849.29

Service Code	APR-DRG 6253
Min. Negotiated Rate	$16,137.90
Max. Negotiated Rate	$17,849.29
Rate for Payer: BCBS Complete	$17,849.29
Rate for Payer: Mclaren Medicaid	$16,999.33
Rate for Payer: Meridian Medicaid	$17,849.29
Rate for Payer: PHP Medicaid	$16,137.90
Rate for Payer: Priority Health Choice Medicaid	$16,999.33
Rate for Payer: UHC Medicaid	$16,999.33
Rate for Payer: UHCCP Medicaid	$16,999.33

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$38,065.30

Service Code	APR-DRG 6254
Min. Negotiated Rate	$34,415.59
Max. Negotiated Rate	$38,065.30
Rate for Payer: BCBS Complete	$38,065.30
Rate for Payer: Mclaren Medicaid	$36,252.67
Rate for Payer: Meridian Medicaid	$38,065.30
Rate for Payer: PHP Medicaid	$34,415.59
Rate for Payer: Priority Health Choice Medicaid	$36,252.67
Rate for Payer: UHC Medicaid	$36,252.67
Rate for Payer: UHCCP Medicaid	$36,252.67

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJ

Facility

$8,115.94

Service Code	APR-DRG 6222
Min. Negotiated Rate	$7,337.78
Max. Negotiated Rate	$8,115.94
Rate for Payer: BCBS Complete	$8,115.94
Rate for Payer: Mclaren Medicaid	$7,729.47
Rate for Payer: Meridian Medicaid	$8,115.94
Rate for Payer: PHP Medicaid	$7,337.78
Rate for Payer: Priority Health Choice Medicaid	$7,729.47
Rate for Payer: UHC Medicaid	$7,729.47
Rate for Payer: UHCCP Medicaid	$7,729.47

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJ

Facility

$6,082.19

Service Code	APR-DRG 6221
Min. Negotiated Rate	$5,499.02
Max. Negotiated Rate	$6,082.19
Rate for Payer: BCBS Complete	$6,082.19
Rate for Payer: Mclaren Medicaid	$5,792.56
Rate for Payer: Meridian Medicaid	$6,082.19
Rate for Payer: PHP Medicaid	$5,499.02
Rate for Payer: Priority Health Choice Medicaid	$5,792.56
Rate for Payer: UHC Medicaid	$5,792.56
Rate for Payer: UHCCP Medicaid	$5,792.56

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJ

Facility

$28,621.86

Service Code	APR-DRG 6224
Min. Negotiated Rate	$25,877.59
Max. Negotiated Rate	$28,621.86
Rate for Payer: BCBS Complete	$28,621.86
Rate for Payer: Mclaren Medicaid	$27,258.92
Rate for Payer: Meridian Medicaid	$28,621.86
Rate for Payer: PHP Medicaid	$25,877.59
Rate for Payer: Priority Health Choice Medicaid	$27,258.92
Rate for Payer: UHC Medicaid	$27,258.92
Rate for Payer: UHCCP Medicaid	$27,258.92

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJ

Facility

$21,494.46

Service Code	APR-DRG 6223
Min. Negotiated Rate	$19,433.57
Max. Negotiated Rate	$21,494.46
Rate for Payer: BCBS Complete	$21,494.46
Rate for Payer: Mclaren Medicaid	$20,470.92
Rate for Payer: Meridian Medicaid	$21,494.46
Rate for Payer: PHP Medicaid	$19,433.57
Rate for Payer: Priority Health Choice Medicaid	$20,470.92
Rate for Payer: UHC Medicaid	$20,470.92
Rate for Payer: UHCCP Medicaid	$20,470.92

NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM

Facility

$787.45

Service Code	APR-DRG 6401
Min. Negotiated Rate	$711.95
Max. Negotiated Rate	$787.45
Rate for Payer: BCBS Complete	$787.45
Rate for Payer: Mclaren Medicaid	$749.96
Rate for Payer: Meridian Medicaid	$787.45
Rate for Payer: PHP Medicaid	$711.95
Rate for Payer: Priority Health Choice Medicaid	$749.96
Rate for Payer: UHC Medicaid	$749.96
Rate for Payer: UHCCP Medicaid	$749.96

NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM

Facility

$1,081.73

Service Code	APR-DRG 6402
Min. Negotiated Rate	$978.01
Max. Negotiated Rate	$1,081.73
Rate for Payer: BCBS Complete	$1,081.73
Rate for Payer: Mclaren Medicaid	$1,030.21
Rate for Payer: Meridian Medicaid	$1,081.73
Rate for Payer: PHP Medicaid	$978.01
Rate for Payer: Priority Health Choice Medicaid	$1,030.21
Rate for Payer: UHC Medicaid	$1,030.21
Rate for Payer: UHCCP Medicaid	$1,030.21

NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM

Facility

$1,676.27

Service Code	APR-DRG 6403
Min. Negotiated Rate	$1,515.55
Max. Negotiated Rate	$1,676.27
Rate for Payer: BCBS Complete	$1,676.27
Rate for Payer: Mclaren Medicaid	$1,596.44
Rate for Payer: Meridian Medicaid	$1,676.27
Rate for Payer: PHP Medicaid	$1,515.55
Rate for Payer: Priority Health Choice Medicaid	$1,596.44
Rate for Payer: UHC Medicaid	$1,596.44
Rate for Payer: UHCCP Medicaid	$1,596.44

NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM

Facility

$4,095.30

Service Code	APR-DRG 6404
Min. Negotiated Rate	$3,702.64
Max. Negotiated Rate	$4,095.30
Rate for Payer: BCBS Complete	$4,095.30
Rate for Payer: Mclaren Medicaid	$3,900.28
Rate for Payer: Meridian Medicaid	$4,095.30
Rate for Payer: PHP Medicaid	$3,702.64
Rate for Payer: Priority Health Choice Medicaid	$3,900.28
Rate for Payer: UHC Medicaid	$3,900.28
Rate for Payer: UHCCP Medicaid	$3,900.28

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$17,705.43

Service Code	APR-DRG 6364
Min. Negotiated Rate	$16,007.82
Max. Negotiated Rate	$17,705.43
Rate for Payer: BCBS Complete	$17,705.43
Rate for Payer: Mclaren Medicaid	$16,862.31
Rate for Payer: Meridian Medicaid	$17,705.43
Rate for Payer: PHP Medicaid	$16,007.82
Rate for Payer: Priority Health Choice Medicaid	$16,862.31
Rate for Payer: UHC Medicaid	$16,862.31
Rate for Payer: UHCCP Medicaid	$16,862.31

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$3,106.22

Service Code	APR-DRG 6361
Min. Negotiated Rate	$2,808.39
Max. Negotiated Rate	$3,106.22
Rate for Payer: BCBS Complete	$3,106.22
Rate for Payer: Mclaren Medicaid	$2,958.30
Rate for Payer: Meridian Medicaid	$3,106.22
Rate for Payer: PHP Medicaid	$2,808.39
Rate for Payer: Priority Health Choice Medicaid	$2,958.30
Rate for Payer: UHC Medicaid	$2,958.30
Rate for Payer: UHCCP Medicaid	$2,958.30

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$9,636.35

Service Code	APR-DRG 6363
Min. Negotiated Rate	$8,712.41
Max. Negotiated Rate	$9,636.35
Rate for Payer: BCBS Complete	$9,636.35
Rate for Payer: Mclaren Medicaid	$9,177.48
Rate for Payer: Meridian Medicaid	$9,636.35
Rate for Payer: PHP Medicaid	$8,712.41
Rate for Payer: Priority Health Choice Medicaid	$9,177.48
Rate for Payer: UHC Medicaid	$9,177.48
Rate for Payer: UHCCP Medicaid	$9,177.48

Know your out-of-pocket cost for care.

All Charges