Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

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

Facility

$24,883.81

Service Code	APR-DRG 5114
Min. Negotiated Rate	$23,698.87
Max. Negotiated Rate	$24,883.81
Rate for Payer: BCBS Complete	$24,883.81
Rate for Payer: Mclaren Medicaid	$23,698.87
Rate for Payer: Meridian Medicaid	$24,883.81
Rate for Payer: PHP Medicaid	$23,698.87
Rate for Payer: Priority Health Choice Medicaid	$23,698.87
Rate for Payer: UHCCP Medicaid	$23,698.87

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

Facility

$13,554.18

Service Code	APR-DRG 5113
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: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY

Facility

$9,829.36

Service Code	APR-DRG 5112
Min. Negotiated Rate	$9,361.30
Max. Negotiated Rate	$9,829.36
Rate for Payer: BCBS Complete	$9,829.36
Rate for Payer: Mclaren Medicaid	$9,361.30
Rate for Payer: Meridian Medicaid	$9,829.36
Rate for Payer: PHP Medicaid	$9,361.30
Rate for Payer: Priority Health Choice Medicaid	$9,361.30
Rate for Payer: UHCCP Medicaid	$9,361.30

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

Facility

$7,346.16

Service Code	APR-DRG 5111
Min. Negotiated Rate	$6,996.34
Max. Negotiated Rate	$7,346.16
Rate for Payer: BCBS Complete	$7,346.16
Rate for Payer: Mclaren Medicaid	$6,996.34
Rate for Payer: Meridian Medicaid	$7,346.16
Rate for Payer: PHP Medicaid	$6,996.34
Rate for Payer: Priority Health Choice Medicaid	$6,996.34
Rate for Payer: UHCCP Medicaid	$6,996.34

APR-DRG 42.00: VAGINAL DELIVERY

Facility

$2,586.68

Service Code	APR-DRG 5602
Min. Negotiated Rate	$2,463.50
Max. Negotiated Rate	$2,586.68
Rate for Payer: BCBS Complete	$2,586.68
Rate for Payer: Mclaren Medicaid	$2,463.50
Rate for Payer: Meridian Medicaid	$2,586.68
Rate for Payer: PHP Medicaid	$2,463.50
Rate for Payer: Priority Health Choice Medicaid	$2,463.50
Rate for Payer: UHCCP Medicaid	$2,463.50

APR-DRG 42.00: VAGINAL DELIVERY

Facility

$7,915.23

Service Code	APR-DRG 5604
Min. Negotiated Rate	$7,538.31
Max. Negotiated Rate	$7,915.23
Rate for Payer: BCBS Complete	$7,915.23
Rate for Payer: Mclaren Medicaid	$7,538.31
Rate for Payer: Meridian Medicaid	$7,915.23
Rate for Payer: PHP Medicaid	$7,538.31
Rate for Payer: Priority Health Choice Medicaid	$7,538.31
Rate for Payer: UHCCP Medicaid	$7,538.31

APR-DRG 42.00: VAGINAL DELIVERY

Facility

$3,621.34

Service Code	APR-DRG 5603
Min. Negotiated Rate	$3,448.90
Max. Negotiated Rate	$3,621.34
Rate for Payer: BCBS Complete	$3,621.34
Rate for Payer: Mclaren Medicaid	$3,448.90
Rate for Payer: Meridian Medicaid	$3,621.34
Rate for Payer: PHP Medicaid	$3,448.90
Rate for Payer: Priority Health Choice Medicaid	$3,448.90
Rate for Payer: UHCCP Medicaid	$3,448.90

APR-DRG 42.00: VAGINAL DELIVERY

Facility

$2,172.81

Service Code	APR-DRG 5601
Min. Negotiated Rate	$2,069.34
Max. Negotiated Rate	$2,172.81
Rate for Payer: BCBS Complete	$2,172.81
Rate for Payer: Mclaren Medicaid	$2,069.34
Rate for Payer: Meridian Medicaid	$2,172.81
Rate for Payer: PHP Medicaid	$2,069.34
Rate for Payer: Priority Health Choice Medicaid	$2,069.34
Rate for Payer: UHCCP Medicaid	$2,069.34

APR-DRG 42.00: VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C

Facility

$4,242.15

Service Code	APR-DRG 5423
Min. Negotiated Rate	$4,040.14
Max. Negotiated Rate	$4,242.15
Rate for Payer: BCBS Complete	$4,242.15
Rate for Payer: Mclaren Medicaid	$4,040.14
Rate for Payer: Meridian Medicaid	$4,242.15
Rate for Payer: PHP Medicaid	$4,040.14
Rate for Payer: Priority Health Choice Medicaid	$4,040.14
Rate for Payer: UHCCP Medicaid	$4,040.14

APR-DRG 42.00: VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C

Facility

$11,070.97

Service Code	APR-DRG 5424
Min. Negotiated Rate	$10,543.78
Max. Negotiated Rate	$11,070.97
Rate for Payer: BCBS Complete	$11,070.97
Rate for Payer: Mclaren Medicaid	$10,543.78
Rate for Payer: Meridian Medicaid	$11,070.97
Rate for Payer: PHP Medicaid	$10,543.78
Rate for Payer: Priority Health Choice Medicaid	$10,543.78
Rate for Payer: UHCCP Medicaid	$10,543.78

APR-DRG 42.00: VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C

Facility

$3,155.74

Service Code	APR-DRG 5422
Min. Negotiated Rate	$3,005.47
Max. Negotiated Rate	$3,155.74
Rate for Payer: BCBS Complete	$3,155.74
Rate for Payer: Mclaren Medicaid	$3,005.47
Rate for Payer: Meridian Medicaid	$3,155.74
Rate for Payer: PHP Medicaid	$3,005.47
Rate for Payer: Priority Health Choice Medicaid	$3,005.47
Rate for Payer: UHCCP Medicaid	$3,005.47

APR-DRG 42.00: VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C

Facility

$2,638.41

Service Code	APR-DRG 5421
Min. Negotiated Rate	$2,512.77
Max. Negotiated Rate	$2,638.41
Rate for Payer: BCBS Complete	$2,638.41
Rate for Payer: Mclaren Medicaid	$2,512.77
Rate for Payer: Meridian Medicaid	$2,638.41
Rate for Payer: PHP Medicaid	$2,512.77
Rate for Payer: Priority Health Choice Medicaid	$2,512.77
Rate for Payer: UHCCP Medicaid	$2,512.77

APR-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C

Facility

$5,483.75

Service Code	APR-DRG 5413
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: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C

Facility

$4,035.21

Service Code	APR-DRG 5412
Min. Negotiated Rate	$3,843.06
Max. Negotiated Rate	$4,035.21
Rate for Payer: BCBS Complete	$4,035.21
Rate for Payer: Mclaren Medicaid	$3,843.06
Rate for Payer: Meridian Medicaid	$4,035.21
Rate for Payer: PHP Medicaid	$3,843.06
Rate for Payer: Priority Health Choice Medicaid	$3,843.06
Rate for Payer: UHCCP Medicaid	$3,843.06

APR-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C

Facility

$5,638.95

Service Code	APR-DRG 5414
Min. Negotiated Rate	$5,370.43
Max. Negotiated Rate	$5,638.95
Rate for Payer: BCBS Complete	$5,638.95
Rate for Payer: Mclaren Medicaid	$5,370.43
Rate for Payer: Meridian Medicaid	$5,638.95
Rate for Payer: PHP Medicaid	$5,370.43
Rate for Payer: Priority Health Choice Medicaid	$5,370.43
Rate for Payer: UHCCP Medicaid	$5,370.43

APR-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C

Facility

$3,104.01

Service Code	APR-DRG 5411
Min. Negotiated Rate	$2,956.20
Max. Negotiated Rate	$3,104.01
Rate for Payer: BCBS Complete	$3,104.01
Rate for Payer: Mclaren Medicaid	$2,956.20
Rate for Payer: Meridian Medicaid	$3,104.01
Rate for Payer: PHP Medicaid	$2,956.20
Rate for Payer: Priority Health Choice Medicaid	$2,956.20
Rate for Payer: UHCCP Medicaid	$2,956.20

APR-DRG 42.00: VENTRICULAR SHUNT PROCEDURES

Facility

$8,587.76

Service Code	APR-DRG 0223
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: VENTRICULAR SHUNT PROCEDURES

Facility

$20,900.33

Service Code	APR-DRG 0224
Min. Negotiated Rate	$19,905.08
Max. Negotiated Rate	$20,900.33
Rate for Payer: BCBS Complete	$20,900.33
Rate for Payer: Mclaren Medicaid	$19,905.08
Rate for Payer: Meridian Medicaid	$20,900.33
Rate for Payer: PHP Medicaid	$19,905.08
Rate for Payer: Priority Health Choice Medicaid	$19,905.08
Rate for Payer: UHCCP Medicaid	$19,905.08

APR-DRG 42.00: VENTRICULAR SHUNT PROCEDURES

Facility

$8,173.89

Service Code	APR-DRG 0221
Min. Negotiated Rate	$7,784.66
Max. Negotiated Rate	$8,173.89
Rate for Payer: BCBS Complete	$8,173.89
Rate for Payer: Mclaren Medicaid	$7,784.66
Rate for Payer: Meridian Medicaid	$8,173.89
Rate for Payer: PHP Medicaid	$7,784.66
Rate for Payer: Priority Health Choice Medicaid	$7,784.66
Rate for Payer: UHCCP Medicaid	$7,784.66

APR-DRG 42.00: VENTRICULAR SHUNT PROCEDURES

Facility

$8,329.09

Service Code	APR-DRG 0222
Min. Negotiated Rate	$7,932.47
Max. Negotiated Rate	$8,329.09
Rate for Payer: BCBS Complete	$8,329.09
Rate for Payer: Mclaren Medicaid	$7,932.47
Rate for Payer: Meridian Medicaid	$8,329.09
Rate for Payer: PHP Medicaid	$7,932.47
Rate for Payer: Priority Health Choice Medicaid	$7,932.47
Rate for Payer: UHCCP Medicaid	$7,932.47

APR-DRG 42.00: VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES

Facility

$18,313.66

Service Code	APR-DRG 3103
Min. Negotiated Rate	$17,441.58
Max. Negotiated Rate	$18,313.66
Rate for Payer: BCBS Complete	$18,313.66
Rate for Payer: Mclaren Medicaid	$17,441.58
Rate for Payer: Meridian Medicaid	$18,313.66
Rate for Payer: PHP Medicaid	$17,441.58
Rate for Payer: Priority Health Choice Medicaid	$17,441.58
Rate for Payer: UHCCP Medicaid	$17,441.58

APR-DRG 42.00: VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES

Facility

$11,433.10

Service Code	APR-DRG 3102
Min. Negotiated Rate	$10,888.67
Max. Negotiated Rate	$11,433.10
Rate for Payer: BCBS Complete	$11,433.10
Rate for Payer: Mclaren Medicaid	$10,888.67
Rate for Payer: Meridian Medicaid	$11,433.10
Rate for Payer: PHP Medicaid	$10,888.67
Rate for Payer: Priority Health Choice Medicaid	$10,888.67
Rate for Payer: UHCCP Medicaid	$10,888.67

APR-DRG 42.00: VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES

Facility

$7,656.56

Service Code	APR-DRG 3101
Min. Negotiated Rate	$7,291.96
Max. Negotiated Rate	$7,656.56
Rate for Payer: BCBS Complete	$7,656.56
Rate for Payer: Mclaren Medicaid	$7,291.96
Rate for Payer: Meridian Medicaid	$7,656.56
Rate for Payer: PHP Medicaid	$7,291.96
Rate for Payer: Priority Health Choice Medicaid	$7,291.96
Rate for Payer: UHCCP Medicaid	$7,291.96

APR-DRG 42.00: VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES

Facility

$25,970.22

Service Code	APR-DRG 3104
Min. Negotiated Rate	$24,733.54
Max. Negotiated Rate	$25,970.22
Rate for Payer: BCBS Complete	$25,970.22
Rate for Payer: Mclaren Medicaid	$24,733.54
Rate for Payer: Meridian Medicaid	$25,970.22
Rate for Payer: PHP Medicaid	$24,733.54
Rate for Payer: Priority Health Choice Medicaid	$24,733.54
Rate for Payer: UHCCP Medicaid	$24,733.54

APR-DRG 42.00: VERTIGO AND OTHER LABYRINTH DISORDERS

Facility

$4,242.15

Service Code	APR-DRG 1112
Min. Negotiated Rate	$4,040.14
Max. Negotiated Rate	$4,242.15
Rate for Payer: BCBS Complete	$4,242.15
Rate for Payer: Mclaren Medicaid	$4,040.14
Rate for Payer: Meridian Medicaid	$4,242.15
Rate for Payer: PHP Medicaid	$4,040.14
Rate for Payer: Priority Health Choice Medicaid	$4,040.14
Rate for Payer: UHCCP Medicaid	$4,040.14

Know your out-of-pocket cost for care.

All Charges