Bronson South Haven Hospital — price list
← Hospital overviewVerified from Bronson South Haven Hospital’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
1,500 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Vertebroplasty sacrum bil w without bone bx and imaging Inpatient | 36100298 CDM | $6,263 | $5,010 | $4,071 – $6,263 | — | |
| Vertebroplasty sacrum bil w without bone bx and imaging Outpatient | 36100298 CDM | $6,263 | $5,010 | $3,734 – $10,799 | — | |
| Vertebroplasty sacrum uni w without bone bx and imaging Inpatient | 36100299 CDM | $5,010 | $4,008 | $3,257 – $5,010 | — | |
| Vertebroplasty sacrum uni w without bone bx and imaging Outpatient | 36100299 CDM | $5,010 | $4,008 | $3,257 – $10,799 | — | |
| 1/2 x 1/2 sterile withll Inpatient | 27000680 CDM | $6.89 | $5.51 | $4.48 – $6.89 | — | |
| 1/2 x 1/2 sterile withll Outpatient | 27000680 CDM | $6.89 | $5.51 | $2.76 – $6.89 | — | |
| 2 piece wafer Inpatient | 27100001 CDM | $13.42 | $10.74 | $8.72 – $13.42 | — | |
| 2 piece wafer Outpatient | 27100001 CDM | $13.42 | $10.74 | $5.37 – $13.42 | — | |
| 20cm tl catheter Inpatient | 27200007 CDM | $278 | $223 | $181 – $278 | — | |
| 20cm tl catheter Outpatient | 27200007 CDM | $278 | $223 | $111 – $278 | — | |
| 4x4 wafer Inpatient | 27000023 CDM | $24.51 | $19.61 | $15.93 – $24.51 | — | |
| 4x4 wafer Outpatient | 27000023 CDM | $24.51 | $19.61 | $9.80 – $24.51 | — | |
| 5 fr solo 3cg power PICC Inpatient | 27200169 CDM | $1,127 | $901 | $732 – $1,127 | — | |
| 5 fr solo 3cg power PICC Outpatient | 27200169 CDM | $1,127 | $901 | $451 – $1,127 | — | |
| 5 fr tl 3cg max power PICC Inpatient | 27200178 CDM | $1,229 | $983 | $799 – $1,229 | — | |
| 5 fr tl 3cg max power PICC Outpatient | 27200178 CDM | $1,229 | $983 | $492 – $1,229 | — | |
| 5 fr tl solo max power PICC Inpatient | 27200177 CDM | $1,065 | $852 | $692 – $1,065 | — | |
| 5 fr tl solo max power PICC Outpatient | 27200177 CDM | $1,065 | $852 | $426 – $1,065 | — | |
| 5fr solo power PICC Inpatient | 27200108 CDM | $976 | $781 | $635 – $976 | — | |
| 5fr solo power PICC Outpatient | 27200108 CDM | $976 | $781 | $391 – $976 | — | |
| 6 fr solo 3cg power PICC Inpatient | 27200168 CDM | $1,229 | $983 | $799 – $1,229 | — | |
| 6 fr solo 3cg power PICC Outpatient | 27200168 CDM | $1,229 | $983 | $492 – $1,229 | — | |
| 6fr solo power PICC Inpatient | 27200109 CDM | $1,065 | $852 | $692 – $1,065 | — | |
| 6fr solo power PICC Outpatient | 27200109 CDM | $1,065 | $852 | $426 – $1,065 | — | |
| 8x8 wafer Inpatient | 27000024 CDM | $74.04 | $59.23 | $48.13 – $74.04 | — | |
| 8x8 wafer Outpatient | 27000024 CDM | $74.04 | $59.23 | $29.62 – $74.04 | — | |
| Ablation cath extravasc tissue Inpatient | 27000645 CDM | $7,222 | $5,778 | $4,695 – $7,222 | — | |
| Ablation cath extravasc tissue Outpatient | 27000645 CDM | $7,222 | $5,778 | $2,889 – $7,222 | — | |
| Ablation cath non-card endovasc implant lvl 12 Inpatient | 27200324 CDM | $1,275 | $1,020 | $829 – $1,275 | — | |
| Ablation cath non-card endovasc implant lvl 12 Outpatient | 27200324 CDM | $1,275 | $1,020 | $510 – $1,275 | — |