Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

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

Facility

$5,949.35

Service Code	APR-DRG 4653
Min. Negotiated Rate	$5,666.05
Max. Negotiated Rate	$5,949.35
Rate for Payer: BCBS Complete	$5,949.35
Rate for Payer: Mclaren Medicaid	$5,666.05
Rate for Payer: Meridian Medicaid	$5,949.35
Rate for Payer: PHP Medicaid	$5,666.05
Rate for Payer: Priority Health Choice Medicaid	$5,666.05
Rate for Payer: UHCCP Medicaid	$5,666.05

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

Facility

$3,310.94

Service Code	APR-DRG 4651
Min. Negotiated Rate	$3,153.28
Max. Negotiated Rate	$3,310.94
Rate for Payer: BCBS Complete	$3,310.94
Rate for Payer: Mclaren Medicaid	$3,153.28
Rate for Payer: Meridian Medicaid	$3,310.94
Rate for Payer: PHP Medicaid	$3,153.28
Rate for Payer: Priority Health Choice Medicaid	$3,153.28
Rate for Payer: UHCCP Medicaid	$3,153.28

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

Facility

$4,086.95

Service Code	APR-DRG 4652
Min. Negotiated Rate	$3,892.33
Max. Negotiated Rate	$4,086.95
Rate for Payer: BCBS Complete	$4,086.95
Rate for Payer: Mclaren Medicaid	$3,892.33
Rate for Payer: Meridian Medicaid	$4,086.95
Rate for Payer: PHP Medicaid	$3,892.33
Rate for Payer: Priority Health Choice Medicaid	$3,892.33
Rate for Payer: UHCCP Medicaid	$3,892.33

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

Facility

$10,760.57

Service Code	APR-DRG 4654
Min. Negotiated Rate	$10,248.16
Max. Negotiated Rate	$10,760.57
Rate for Payer: BCBS Complete	$10,760.57
Rate for Payer: Mclaren Medicaid	$10,248.16
Rate for Payer: Meridian Medicaid	$10,760.57
Rate for Payer: PHP Medicaid	$10,248.16
Rate for Payer: Priority Health Choice Medicaid	$10,248.16
Rate for Payer: UHCCP Medicaid	$10,248.16

APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA

Facility

$20,331.27

Service Code	APR-DRG 5194
Min. Negotiated Rate	$19,363.11
Max. Negotiated Rate	$20,331.27
Rate for Payer: BCBS Complete	$20,331.27
Rate for Payer: Mclaren Medicaid	$19,363.11
Rate for Payer: Meridian Medicaid	$20,331.27
Rate for Payer: PHP Medicaid	$19,363.11
Rate for Payer: Priority Health Choice Medicaid	$19,363.11
Rate for Payer: UHCCP Medicaid	$19,363.11

APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA

Facility

$12,260.84

Service Code	APR-DRG 5193
Min. Negotiated Rate	$11,676.99
Max. Negotiated Rate	$12,260.84
Rate for Payer: BCBS Complete	$12,260.84
Rate for Payer: Mclaren Medicaid	$11,676.99
Rate for Payer: Meridian Medicaid	$12,260.84
Rate for Payer: PHP Medicaid	$11,676.99
Rate for Payer: Priority Health Choice Medicaid	$11,676.99
Rate for Payer: UHCCP Medicaid	$11,676.99

APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA

Facility

$6,777.09

Service Code	APR-DRG 5192
Min. Negotiated Rate	$6,454.37
Max. Negotiated Rate	$6,777.09
Rate for Payer: BCBS Complete	$6,777.09
Rate for Payer: Mclaren Medicaid	$6,454.37
Rate for Payer: Meridian Medicaid	$6,777.09
Rate for Payer: PHP Medicaid	$6,454.37
Rate for Payer: Priority Health Choice Medicaid	$6,454.37
Rate for Payer: UHCCP Medicaid	$6,454.37

APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA

Facility

$5,121.62

Service Code	APR-DRG 5191
Min. Negotiated Rate	$4,877.73
Max. Negotiated Rate	$5,121.62
Rate for Payer: BCBS Complete	$5,121.62
Rate for Payer: Mclaren Medicaid	$4,877.73
Rate for Payer: Meridian Medicaid	$5,121.62
Rate for Payer: PHP Medicaid	$4,877.73
Rate for Payer: Priority Health Choice Medicaid	$4,877.73
Rate for Payer: UHCCP Medicaid	$4,877.73

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

Facility

$6,828.82

Service Code	APR-DRG 5132
Min. Negotiated Rate	$6,503.64
Max. Negotiated Rate	$6,828.82
Rate for Payer: BCBS Complete	$6,828.82
Rate for Payer: Mclaren Medicaid	$6,503.64
Rate for Payer: Meridian Medicaid	$6,828.82
Rate for Payer: PHP Medicaid	$6,503.64
Rate for Payer: Priority Health Choice Medicaid	$6,503.64
Rate for Payer: UHCCP Medicaid	$6,503.64

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

Facility

$5,535.48

Service Code	APR-DRG 5131
Min. Negotiated Rate	$5,271.89
Max. Negotiated Rate	$5,535.48
Rate for Payer: BCBS Complete	$5,535.48
Rate for Payer: Mclaren Medicaid	$5,271.89
Rate for Payer: Meridian Medicaid	$5,535.48
Rate for Payer: PHP Medicaid	$5,271.89
Rate for Payer: Priority Health Choice Medicaid	$5,271.89
Rate for Payer: UHCCP Medicaid	$5,271.89

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

Facility

$11,226.17

Service Code	APR-DRG 5133
Min. Negotiated Rate	$10,691.59
Max. Negotiated Rate	$11,226.17
Rate for Payer: BCBS Complete	$11,226.17
Rate for Payer: Mclaren Medicaid	$10,691.59
Rate for Payer: Meridian Medicaid	$11,226.17
Rate for Payer: PHP Medicaid	$10,691.59
Rate for Payer: Priority Health Choice Medicaid	$10,691.59
Rate for Payer: UHCCP Medicaid	$10,691.59

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

Facility

$20,227.80

Service Code	APR-DRG 5134
Min. Negotiated Rate	$19,264.57
Max. Negotiated Rate	$20,227.80
Rate for Payer: BCBS Complete	$20,227.80
Rate for Payer: Mclaren Medicaid	$19,264.57
Rate for Payer: Meridian Medicaid	$20,227.80
Rate for Payer: PHP Medicaid	$19,264.57
Rate for Payer: Priority Health Choice Medicaid	$19,264.57
Rate for Payer: UHCCP Medicaid	$19,264.57

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

Facility

$7,397.89

Service Code	APR-DRG 5121
Min. Negotiated Rate	$7,045.61
Max. Negotiated Rate	$7,397.89
Rate for Payer: BCBS Complete	$7,397.89
Rate for Payer: Mclaren Medicaid	$7,045.61
Rate for Payer: Meridian Medicaid	$7,397.89
Rate for Payer: PHP Medicaid	$7,045.61
Rate for Payer: Priority Health Choice Medicaid	$7,045.61
Rate for Payer: UHCCP Medicaid	$7,045.61

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

Facility

$8,484.29

Service Code	APR-DRG 5122
Min. Negotiated Rate	$8,080.28
Max. Negotiated Rate	$8,484.29
Rate for Payer: BCBS Complete	$8,484.29
Rate for Payer: Mclaren Medicaid	$8,080.28
Rate for Payer: Meridian Medicaid	$8,484.29
Rate for Payer: PHP Medicaid	$8,080.28
Rate for Payer: Priority Health Choice Medicaid	$8,080.28
Rate for Payer: UHCCP Medicaid	$8,080.28

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

Facility

$24,004.34

Service Code	APR-DRG 5124
Min. Negotiated Rate	$22,861.28
Max. Negotiated Rate	$24,004.34
Rate for Payer: BCBS Complete	$24,004.34
Rate for Payer: Mclaren Medicaid	$22,861.28
Rate for Payer: Meridian Medicaid	$24,004.34
Rate for Payer: PHP Medicaid	$22,861.28
Rate for Payer: Priority Health Choice Medicaid	$22,861.28
Rate for Payer: UHCCP Medicaid	$22,861.28

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

Facility

$14,019.78

Service Code	APR-DRG 5123
Min. Negotiated Rate	$13,352.17
Max. Negotiated Rate	$14,019.78
Rate for Payer: BCBS Complete	$14,019.78
Rate for Payer: Mclaren Medicaid	$13,352.17
Rate for Payer: Meridian Medicaid	$14,019.78
Rate for Payer: PHP Medicaid	$13,352.17
Rate for Payer: Priority Health Choice Medicaid	$13,352.17
Rate for Payer: UHCCP Medicaid	$13,352.17

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

Facility

$8,949.90

Service Code	APR-DRG 5112
Min. Negotiated Rate	$8,523.71
Max. Negotiated Rate	$8,949.90
Rate for Payer: BCBS Complete	$8,949.90
Rate for Payer: Mclaren Medicaid	$8,523.71
Rate for Payer: Meridian Medicaid	$8,949.90
Rate for Payer: PHP Medicaid	$8,523.71
Rate for Payer: Priority Health Choice Medicaid	$8,523.71
Rate for Payer: UHCCP Medicaid	$8,523.71

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

Facility

$25,090.75

Service Code	APR-DRG 5114
Min. Negotiated Rate	$23,895.95
Max. Negotiated Rate	$25,090.75
Rate for Payer: BCBS Complete	$25,090.75
Rate for Payer: Mclaren Medicaid	$23,895.95
Rate for Payer: Meridian Medicaid	$25,090.75
Rate for Payer: PHP Medicaid	$23,895.95
Rate for Payer: Priority Health Choice Medicaid	$23,895.95
Rate for Payer: UHCCP Medicaid	$23,895.95

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

Facility

$13,709.38

Service Code	APR-DRG 5113
Min. Negotiated Rate	$13,056.55
Max. Negotiated Rate	$13,709.38
Rate for Payer: BCBS Complete	$13,709.38
Rate for Payer: Mclaren Medicaid	$13,056.55
Rate for Payer: Meridian Medicaid	$13,709.38
Rate for Payer: PHP Medicaid	$13,056.55
Rate for Payer: Priority Health Choice Medicaid	$13,056.55
Rate for Payer: UHCCP Medicaid	$13,056.55

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

Facility

$7,397.89

Service Code	APR-DRG 5111
Min. Negotiated Rate	$7,045.61
Max. Negotiated Rate	$7,397.89
Rate for Payer: BCBS Complete	$7,397.89
Rate for Payer: Mclaren Medicaid	$7,045.61
Rate for Payer: Meridian Medicaid	$7,397.89
Rate for Payer: PHP Medicaid	$7,045.61
Rate for Payer: Priority Health Choice Medicaid	$7,045.61
Rate for Payer: UHCCP Medicaid	$7,045.61

APR-DRG 42.00: VAGINAL DELIVERY

Facility

$2,069.34

Service Code	APR-DRG 5602
Min. Negotiated Rate	$1,970.80
Max. Negotiated Rate	$2,069.34
Rate for Payer: BCBS Complete	$2,069.34
Rate for Payer: Mclaren Medicaid	$1,970.80
Rate for Payer: Meridian Medicaid	$2,069.34
Rate for Payer: PHP Medicaid	$1,970.80
Rate for Payer: Priority Health Choice Medicaid	$1,970.80
Rate for Payer: UHCCP Medicaid	$1,970.80

APR-DRG 42.00: VAGINAL DELIVERY

Facility

$6,208.02

Service Code	APR-DRG 5604
Min. Negotiated Rate	$5,912.40
Max. Negotiated Rate	$6,208.02
Rate for Payer: BCBS Complete	$6,208.02
Rate for Payer: Mclaren Medicaid	$5,912.40
Rate for Payer: Meridian Medicaid	$6,208.02
Rate for Payer: PHP Medicaid	$5,912.40
Rate for Payer: Priority Health Choice Medicaid	$5,912.40
Rate for Payer: UHCCP Medicaid	$5,912.40

APR-DRG 42.00: VAGINAL DELIVERY

Facility

$3,104.01

Service Code	APR-DRG 5603
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: VAGINAL DELIVERY

Facility

$1,758.94

Service Code	APR-DRG 5601
Min. Negotiated Rate	$1,675.18
Max. Negotiated Rate	$1,758.94
Rate for Payer: BCBS Complete	$1,758.94
Rate for Payer: Mclaren Medicaid	$1,675.18
Rate for Payer: Meridian Medicaid	$1,758.94
Rate for Payer: PHP Medicaid	$1,675.18
Rate for Payer: Priority Health Choice Medicaid	$1,675.18
Rate for Payer: UHCCP Medicaid	$1,675.18

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

Facility

$12,778.17

Service Code	APR-DRG 5424
Min. Negotiated Rate	$12,169.69
Max. Negotiated Rate	$12,778.17
Rate for Payer: BCBS Complete	$12,778.17
Rate for Payer: Mclaren Medicaid	$12,169.69
Rate for Payer: Meridian Medicaid	$12,778.17
Rate for Payer: PHP Medicaid	$12,169.69
Rate for Payer: Priority Health Choice Medicaid	$12,169.69
Rate for Payer: UHCCP Medicaid	$12,169.69

Know your out-of-pocket cost for care.

All Charges