Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$5,552.50

Service Code	APR-DRG 6362
Min. Negotiated Rate	$5,020.12
Max. Negotiated Rate	$5,552.50
Rate for Payer: BCBS Complete	$5,552.50
Rate for Payer: Mclaren Medicaid	$5,288.09
Rate for Payer: Meridian Medicaid	$5,552.50
Rate for Payer: PHP Medicaid	$5,020.12
Rate for Payer: Priority Health Choice Medicaid	$5,288.09
Rate for Payer: UHC Medicaid	$5,288.09
Rate for Payer: UHCCP Medicaid	$5,288.09

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY

Facility

$25,302.03

Service Code	APR-DRG 6334
Min. Negotiated Rate	$22,876.06
Max. Negotiated Rate	$25,302.03
Rate for Payer: BCBS Complete	$25,302.03
Rate for Payer: Mclaren Medicaid	$24,097.17
Rate for Payer: Meridian Medicaid	$25,302.03
Rate for Payer: PHP Medicaid	$22,876.06
Rate for Payer: Priority Health Choice Medicaid	$24,097.17
Rate for Payer: UHC Medicaid	$24,097.17
Rate for Payer: UHCCP Medicaid	$24,097.17

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY

Facility

$3,532.91

Service Code	APR-DRG 6332
Min. Negotiated Rate	$3,194.17
Max. Negotiated Rate	$3,532.91
Rate for Payer: BCBS Complete	$3,532.91
Rate for Payer: Mclaren Medicaid	$3,364.68
Rate for Payer: Meridian Medicaid	$3,532.91
Rate for Payer: PHP Medicaid	$3,194.17
Rate for Payer: Priority Health Choice Medicaid	$3,364.68
Rate for Payer: UHC Medicaid	$3,364.68
Rate for Payer: UHCCP Medicaid	$3,364.68

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY

Facility

$8,696.86

Service Code	APR-DRG 6333
Min. Negotiated Rate	$7,863.00
Max. Negotiated Rate	$8,696.86
Rate for Payer: BCBS Complete	$8,696.86
Rate for Payer: Mclaren Medicaid	$8,282.72
Rate for Payer: Meridian Medicaid	$8,696.86
Rate for Payer: PHP Medicaid	$7,863.00
Rate for Payer: Priority Health Choice Medicaid	$8,282.72
Rate for Payer: UHC Medicaid	$8,282.72
Rate for Payer: UHCCP Medicaid	$8,282.72

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY

Facility

$999.98

Service Code	APR-DRG 6331
Min. Negotiated Rate	$904.10
Max. Negotiated Rate	$999.98
Rate for Payer: BCBS Complete	$999.98
Rate for Payer: Mclaren Medicaid	$952.37
Rate for Payer: Meridian Medicaid	$999.98
Rate for Payer: PHP Medicaid	$904.10
Rate for Payer: Priority Health Choice Medicaid	$952.37
Rate for Payer: UHC Medicaid	$952.37
Rate for Payer: UHCCP Medicaid	$952.37

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE

Facility

$72,121.95

Service Code	APR-DRG 6303
Min. Negotiated Rate	$65,206.87
Max. Negotiated Rate	$72,121.95
Rate for Payer: BCBS Complete	$72,121.95
Rate for Payer: Mclaren Medicaid	$68,687.57
Rate for Payer: Meridian Medicaid	$72,121.95
Rate for Payer: PHP Medicaid	$65,206.87
Rate for Payer: Priority Health Choice Medicaid	$68,687.57
Rate for Payer: UHC Medicaid	$68,687.57
Rate for Payer: UHCCP Medicaid	$68,687.57

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE

Facility

$16,368.12

Service Code	APR-DRG 6301
Min. Negotiated Rate	$14,798.74
Max. Negotiated Rate	$16,368.12
Rate for Payer: BCBS Complete	$16,368.12
Rate for Payer: Mclaren Medicaid	$15,588.68
Rate for Payer: Meridian Medicaid	$16,368.12
Rate for Payer: PHP Medicaid	$14,798.74
Rate for Payer: Priority Health Choice Medicaid	$15,588.68
Rate for Payer: UHC Medicaid	$15,588.68
Rate for Payer: UHCCP Medicaid	$15,588.68

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE

Facility

$128,156.44

Service Code	APR-DRG 6304
Min. Negotiated Rate	$115,868.75
Max. Negotiated Rate	$128,156.44
Rate for Payer: BCBS Complete	$128,156.44
Rate for Payer: Mclaren Medicaid	$122,053.75
Rate for Payer: Meridian Medicaid	$128,156.44
Rate for Payer: PHP Medicaid	$115,868.75
Rate for Payer: Priority Health Choice Medicaid	$122,053.75
Rate for Payer: UHC Medicaid	$122,053.75
Rate for Payer: UHCCP Medicaid	$122,053.75

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE

Facility

$28,610.42

Service Code	APR-DRG 6302
Min. Negotiated Rate	$25,867.24
Max. Negotiated Rate	$28,610.42
Rate for Payer: BCBS Complete	$28,610.42
Rate for Payer: Mclaren Medicaid	$27,248.02
Rate for Payer: Meridian Medicaid	$28,610.42
Rate for Payer: PHP Medicaid	$25,867.24
Rate for Payer: Priority Health Choice Medicaid	$27,248.02
Rate for Payer: UHC Medicaid	$27,248.02
Rate for Payer: UHCCP Medicaid	$27,248.02

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE

Facility

$6,299.62

Service Code	APR-DRG 6311
Min. Negotiated Rate	$5,695.61
Max. Negotiated Rate	$6,299.62
Rate for Payer: BCBS Complete	$6,299.62
Rate for Payer: Mclaren Medicaid	$5,999.64
Rate for Payer: Meridian Medicaid	$6,299.62
Rate for Payer: PHP Medicaid	$5,695.61
Rate for Payer: Priority Health Choice Medicaid	$5,999.64
Rate for Payer: UHC Medicaid	$5,999.64
Rate for Payer: UHCCP Medicaid	$5,999.64

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE

Facility

$41,317.02

Service Code	APR-DRG 6313
Min. Negotiated Rate	$37,355.53
Max. Negotiated Rate	$41,317.02
Rate for Payer: BCBS Complete	$41,317.02
Rate for Payer: Mclaren Medicaid	$39,349.54
Rate for Payer: Meridian Medicaid	$41,317.02
Rate for Payer: PHP Medicaid	$37,355.53
Rate for Payer: Priority Health Choice Medicaid	$39,349.54
Rate for Payer: UHC Medicaid	$39,349.54
Rate for Payer: UHCCP Medicaid	$39,349.54

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE

Facility

$175,455.37

Service Code	APR-DRG 6314
Min. Negotiated Rate	$158,632.65
Max. Negotiated Rate	$175,455.37
Rate for Payer: BCBS Complete	$175,455.37
Rate for Payer: Mclaren Medicaid	$167,100.35
Rate for Payer: Meridian Medicaid	$175,455.37
Rate for Payer: PHP Medicaid	$158,632.65
Rate for Payer: Priority Health Choice Medicaid	$167,100.35
Rate for Payer: UHC Medicaid	$167,100.35
Rate for Payer: UHCCP Medicaid	$167,100.35

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE

Facility

$11,301.72

Service Code	APR-DRG 6312
Min. Negotiated Rate	$10,218.11
Max. Negotiated Rate	$11,301.72
Rate for Payer: BCBS Complete	$11,301.72
Rate for Payer: Mclaren Medicaid	$10,763.54
Rate for Payer: Meridian Medicaid	$11,301.72
Rate for Payer: PHP Medicaid	$10,218.11
Rate for Payer: Priority Health Choice Medicaid	$10,763.54
Rate for Payer: UHC Medicaid	$10,763.54
Rate for Payer: UHCCP Medicaid	$10,763.54

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$1,560.74

Service Code	APR-DRG 6391
Min. Negotiated Rate	$1,411.09
Max. Negotiated Rate	$1,560.74
Rate for Payer: BCBS Complete	$1,560.74
Rate for Payer: Mclaren Medicaid	$1,486.42
Rate for Payer: Meridian Medicaid	$1,560.74
Rate for Payer: PHP Medicaid	$1,411.09
Rate for Payer: Priority Health Choice Medicaid	$1,486.42
Rate for Payer: UHC Medicaid	$1,486.42
Rate for Payer: UHCCP Medicaid	$1,486.42

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$10,289.20

Service Code	APR-DRG 6393
Min. Negotiated Rate	$9,302.67
Max. Negotiated Rate	$10,289.20
Rate for Payer: BCBS Complete	$10,289.20
Rate for Payer: Mclaren Medicaid	$9,799.24
Rate for Payer: Meridian Medicaid	$10,289.20
Rate for Payer: PHP Medicaid	$9,302.67
Rate for Payer: Priority Health Choice Medicaid	$9,799.24
Rate for Payer: UHC Medicaid	$9,799.24
Rate for Payer: UHCCP Medicaid	$9,799.24

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$12,792.70

Service Code	APR-DRG 6394
Min. Negotiated Rate	$11,566.13
Max. Negotiated Rate	$12,792.70
Rate for Payer: BCBS Complete	$12,792.70
Rate for Payer: Mclaren Medicaid	$12,183.52
Rate for Payer: Meridian Medicaid	$12,792.70
Rate for Payer: PHP Medicaid	$11,566.13
Rate for Payer: Priority Health Choice Medicaid	$12,183.52
Rate for Payer: UHC Medicaid	$12,183.52
Rate for Payer: UHCCP Medicaid	$12,183.52

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$3,006.49

Service Code	APR-DRG 6392
Min. Negotiated Rate	$2,718.23
Max. Negotiated Rate	$3,006.49
Rate for Payer: BCBS Complete	$3,006.49
Rate for Payer: Mclaren Medicaid	$2,863.32
Rate for Payer: Meridian Medicaid	$3,006.49
Rate for Payer: PHP Medicaid	$2,718.23
Rate for Payer: Priority Health Choice Medicaid	$2,863.32
Rate for Payer: UHC Medicaid	$2,863.32
Rate for Payer: UHCCP Medicaid	$2,863.32

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR

Facility

$2,828.84

Service Code	APR-DRG 6341
Min. Negotiated Rate	$2,557.61
Max. Negotiated Rate	$2,828.84
Rate for Payer: BCBS Complete	$2,828.84
Rate for Payer: Mclaren Medicaid	$2,694.13
Rate for Payer: Meridian Medicaid	$2,828.84
Rate for Payer: PHP Medicaid	$2,557.61
Rate for Payer: Priority Health Choice Medicaid	$2,694.13
Rate for Payer: UHC Medicaid	$2,694.13
Rate for Payer: UHCCP Medicaid	$2,694.13

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR

Facility

$16,460.76

Service Code	APR-DRG 6344
Min. Negotiated Rate	$14,882.50
Max. Negotiated Rate	$16,460.76
Rate for Payer: BCBS Complete	$16,460.76
Rate for Payer: Mclaren Medicaid	$15,676.91
Rate for Payer: Meridian Medicaid	$16,460.76
Rate for Payer: PHP Medicaid	$14,882.50
Rate for Payer: Priority Health Choice Medicaid	$15,676.91
Rate for Payer: UHC Medicaid	$15,676.91
Rate for Payer: UHCCP Medicaid	$15,676.91

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR

Facility

$7,800.41

Service Code	APR-DRG 6343
Min. Negotiated Rate	$7,052.51
Max. Negotiated Rate	$7,800.41
Rate for Payer: BCBS Complete	$7,800.41
Rate for Payer: Mclaren Medicaid	$7,428.97
Rate for Payer: Meridian Medicaid	$7,800.41
Rate for Payer: PHP Medicaid	$7,052.51
Rate for Payer: Priority Health Choice Medicaid	$7,428.97
Rate for Payer: UHC Medicaid	$7,428.97
Rate for Payer: UHCCP Medicaid	$7,428.97

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR

Facility

$3,888.22

Service Code	APR-DRG 6342
Min. Negotiated Rate	$3,515.41
Max. Negotiated Rate	$3,888.22
Rate for Payer: BCBS Complete	$3,888.22
Rate for Payer: Mclaren Medicaid	$3,703.07
Rate for Payer: Meridian Medicaid	$3,888.22
Rate for Payer: PHP Medicaid	$3,515.41
Rate for Payer: Priority Health Choice Medicaid	$3,703.07
Rate for Payer: UHC Medicaid	$3,703.07
Rate for Payer: UHCCP Medicaid	$3,703.07

NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$69,167.78

Service Code	APR-DRG 5912
Min. Negotiated Rate	$62,535.95
Max. Negotiated Rate	$69,167.78
Rate for Payer: BCBS Complete	$69,167.78
Rate for Payer: Mclaren Medicaid	$65,874.07
Rate for Payer: Meridian Medicaid	$69,167.78
Rate for Payer: PHP Medicaid	$62,535.95
Rate for Payer: Priority Health Choice Medicaid	$65,874.07
Rate for Payer: UHC Medicaid	$65,874.07
Rate for Payer: UHCCP Medicaid	$65,874.07

NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$6,280.00

Service Code	APR-DRG 5911
Min. Negotiated Rate	$5,677.87
Max. Negotiated Rate	$6,280.00
Rate for Payer: BCBS Complete	$6,280.00
Rate for Payer: Mclaren Medicaid	$5,980.96
Rate for Payer: Meridian Medicaid	$6,280.00
Rate for Payer: PHP Medicaid	$5,677.87
Rate for Payer: Priority Health Choice Medicaid	$5,980.96
Rate for Payer: UHC Medicaid	$5,980.96
Rate for Payer: UHCCP Medicaid	$5,980.96

NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$119,699.90

Service Code	APR-DRG 5914
Min. Negotiated Rate	$108,223.03
Max. Negotiated Rate	$119,699.90
Rate for Payer: BCBS Complete	$119,699.90
Rate for Payer: Mclaren Medicaid	$113,999.91
Rate for Payer: Meridian Medicaid	$119,699.90
Rate for Payer: PHP Medicaid	$108,223.03
Rate for Payer: Priority Health Choice Medicaid	$113,999.91
Rate for Payer: UHC Medicaid	$113,999.91
Rate for Payer: UHCCP Medicaid	$113,999.91

NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$90,196.31

Service Code	APR-DRG 5913
Min. Negotiated Rate	$81,548.26
Max. Negotiated Rate	$90,196.31
Rate for Payer: BCBS Complete	$90,196.31
Rate for Payer: Mclaren Medicaid	$85,901.25
Rate for Payer: Meridian Medicaid	$90,196.31
Rate for Payer: PHP Medicaid	$81,548.26
Rate for Payer: Priority Health Choice Medicaid	$85,901.25
Rate for Payer: UHC Medicaid	$85,901.25
Rate for Payer: UHCCP Medicaid	$85,901.25

Know your out-of-pocket cost for care.

All Charges