Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

GLIMEPIRIDE 1 MG TABLET

Facility

$195.05

Service Code	NDC 16729-001-01
Hospital Charge Code	16355
Hospital Revenue Code	637
Min. Negotiated Rate	$122.88
Max. Negotiated Rate	$175.54
Rate for Payer: Aetna Commercial	$165.79
Rate for Payer: Aetna New Business (MI Preferred)	$126.78
Rate for Payer: Cash Price	$156.04
Rate for Payer: Cofinity Commercial	$136.54
Rate for Payer: Cofinity Commercial	$167.74
Rate for Payer: Healthscope Commercial	$175.54
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$165.79
Rate for Payer: PHP Commercial	$165.79
Rate for Payer: Priority Health Cigna Priority Health	$136.54
Rate for Payer: Priority Health SBD	$122.88

GLIPIZIDE 10 MG TABLET

Facility

$4.62

Service Code	NDC 51079-811-01
Hospital Charge Code	10116
Hospital Revenue Code	637
Min. Negotiated Rate	$2.91
Max. Negotiated Rate	$4.16
Rate for Payer: Aetna Commercial	$3.93
Rate for Payer: Aetna New Business (MI Preferred)	$3.00
Rate for Payer: Cash Price	$3.70
Rate for Payer: Cofinity Commercial	$3.23
Rate for Payer: Cofinity Commercial	$3.97
Rate for Payer: Healthscope Commercial	$4.16
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$3.93
Rate for Payer: PHP Commercial	$3.93
Rate for Payer: Priority Health Cigna Priority Health	$3.23
Rate for Payer: Priority Health SBD	$2.91

GLIPIZIDE 10 MG TABLET

Facility

$4.64

Service Code	NDC 50268-362-11
Hospital Charge Code	10116
Hospital Revenue Code	637
Min. Negotiated Rate	$2.92
Max. Negotiated Rate	$4.18
Rate for Payer: Aetna Commercial	$3.94
Rate for Payer: Aetna New Business (MI Preferred)	$3.02
Rate for Payer: Cash Price	$3.71
Rate for Payer: Cofinity Commercial	$3.25
Rate for Payer: Cofinity Commercial	$3.99
Rate for Payer: Healthscope Commercial	$4.18
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$3.94
Rate for Payer: PHP Commercial	$3.94
Rate for Payer: Priority Health Cigna Priority Health	$3.25
Rate for Payer: Priority Health SBD	$2.92

GLIPIZIDE 10 MG TABLET

Facility

$75.20

Service Code	NDC 60505-0142-0
Hospital Charge Code	10116
Hospital Revenue Code	637
Min. Negotiated Rate	$47.38
Max. Negotiated Rate	$67.68
Rate for Payer: Aetna Commercial	$63.92
Rate for Payer: Aetna New Business (MI Preferred)	$48.88
Rate for Payer: Cash Price	$60.16
Rate for Payer: Cofinity Commercial	$52.64
Rate for Payer: Cofinity Commercial	$64.67
Rate for Payer: Healthscope Commercial	$67.68
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$63.92
Rate for Payer: PHP Commercial	$63.92
Rate for Payer: Priority Health Cigna Priority Health	$52.64
Rate for Payer: Priority Health SBD	$47.38

GLIPIZIDE 10 MG TABLET

Facility

$136.30

Service Code	NDC 0591-0461-01
Hospital Charge Code	10116
Hospital Revenue Code	637
Min. Negotiated Rate	$85.87
Max. Negotiated Rate	$122.67
Rate for Payer: Aetna Commercial	$115.86
Rate for Payer: Aetna New Business (MI Preferred)	$88.60
Rate for Payer: Cash Price	$109.04
Rate for Payer: Cofinity Commercial	$117.22
Rate for Payer: Cofinity Commercial	$95.41
Rate for Payer: Healthscope Commercial	$122.67
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$115.86
Rate for Payer: PHP Commercial	$115.86
Rate for Payer: Priority Health Cigna Priority Health	$95.41
Rate for Payer: Priority Health SBD	$85.87

GLIPIZIDE 10 MG TABLET

Facility

$461.70

Service Code	NDC 51079-811-20
Hospital Charge Code	10116
Hospital Revenue Code	637
Min. Negotiated Rate	$290.87
Max. Negotiated Rate	$415.53
Rate for Payer: Aetna Commercial	$392.44
Rate for Payer: Aetna New Business (MI Preferred)	$300.10
Rate for Payer: Cash Price	$369.36
Rate for Payer: Cofinity Commercial	$323.19
Rate for Payer: Cofinity Commercial	$397.06
Rate for Payer: Healthscope Commercial	$415.53
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$392.44
Rate for Payer: PHP Commercial	$392.44
Rate for Payer: Priority Health Cigna Priority Health	$323.19
Rate for Payer: Priority Health SBD	$290.87

GLIPIZIDE 10 MG TABLET

Facility

$231.80

Service Code	NDC 50268-362-15
Hospital Charge Code	10116
Hospital Revenue Code	637
Min. Negotiated Rate	$146.03
Max. Negotiated Rate	$208.62
Rate for Payer: Aetna Commercial	$197.03
Rate for Payer: Aetna New Business (MI Preferred)	$150.67
Rate for Payer: Cash Price	$185.44
Rate for Payer: Cofinity Commercial	$162.26
Rate for Payer: Cofinity Commercial	$199.35
Rate for Payer: Healthscope Commercial	$208.62
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$197.03
Rate for Payer: PHP Commercial	$197.03
Rate for Payer: Priority Health Cigna Priority Health	$162.26
Rate for Payer: Priority Health SBD	$146.03

GLIPIZIDE 5 MG TABLET

Facility

$125.40

Service Code	NDC 50268-361-15
Hospital Charge Code	10117
Hospital Revenue Code	637
Min. Negotiated Rate	$79.00
Max. Negotiated Rate	$112.86
Rate for Payer: Aetna Commercial	$106.59
Rate for Payer: Aetna New Business (MI Preferred)	$81.51
Rate for Payer: Cash Price	$100.32
Rate for Payer: Cofinity Commercial	$107.84
Rate for Payer: Cofinity Commercial	$87.78
Rate for Payer: Healthscope Commercial	$112.86
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$106.59
Rate for Payer: PHP Commercial	$106.59
Rate for Payer: Priority Health Cigna Priority Health	$87.78
Rate for Payer: Priority Health SBD	$79.00

GLIPIZIDE 5 MG TABLET

Facility

$227.05

Service Code	NDC 0904-6637-61
Hospital Charge Code	10117
Hospital Revenue Code	637
Min. Negotiated Rate	$143.04
Max. Negotiated Rate	$204.34
Rate for Payer: Aetna Commercial	$192.99
Rate for Payer: Aetna New Business (MI Preferred)	$147.58
Rate for Payer: Cash Price	$181.64
Rate for Payer: Cofinity Commercial	$158.94
Rate for Payer: Cofinity Commercial	$195.26
Rate for Payer: Healthscope Commercial	$204.34
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$192.99
Rate for Payer: PHP Commercial	$192.99
Rate for Payer: Priority Health Cigna Priority Health	$158.94
Rate for Payer: Priority Health SBD	$143.04

GLIPIZIDE 5 MG TABLET

Facility

$96.35

Service Code	NDC 0781-1452-01
Hospital Charge Code	10117
Hospital Revenue Code	637
Min. Negotiated Rate	$60.70
Max. Negotiated Rate	$86.72
Rate for Payer: Aetna Commercial	$81.90
Rate for Payer: Aetna New Business (MI Preferred)	$62.63
Rate for Payer: Cash Price	$77.08
Rate for Payer: Cofinity Commercial	$67.44
Rate for Payer: Cofinity Commercial	$82.86
Rate for Payer: Healthscope Commercial	$86.72
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$81.90
Rate for Payer: PHP Commercial	$81.90
Rate for Payer: Priority Health Cigna Priority Health	$67.44
Rate for Payer: Priority Health SBD	$60.70

GLIPIZIDE 5 MG TABLET

Facility

$2.07

Service Code	NDC 51079-810-01
Hospital Charge Code	10117
Hospital Revenue Code	637
Min. Negotiated Rate	$1.30
Max. Negotiated Rate	$1.86
Rate for Payer: Aetna Commercial	$1.76
Rate for Payer: Aetna New Business (MI Preferred)	$1.35
Rate for Payer: Cash Price	$1.66
Rate for Payer: Cofinity Commercial	$1.45
Rate for Payer: Cofinity Commercial	$1.78
Rate for Payer: Healthscope Commercial	$1.86
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$1.76
Rate for Payer: PHP Commercial	$1.76
Rate for Payer: Priority Health Cigna Priority Health	$1.45
Rate for Payer: Priority Health SBD	$1.30

GLIPIZIDE 5 MG TABLET

Facility

$2.51

Service Code	NDC 50268-361-11
Hospital Charge Code	10117
Hospital Revenue Code	637
Min. Negotiated Rate	$1.58
Max. Negotiated Rate	$2.26
Rate for Payer: Aetna Commercial	$2.13
Rate for Payer: Aetna New Business (MI Preferred)	$1.63
Rate for Payer: Cash Price	$2.01
Rate for Payer: Cofinity Commercial	$1.76
Rate for Payer: Cofinity Commercial	$2.16
Rate for Payer: Healthscope Commercial	$2.26
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$2.13
Rate for Payer: PHP Commercial	$2.13
Rate for Payer: Priority Health Cigna Priority Health	$1.76
Rate for Payer: Priority Health SBD	$1.58

GLIPIZIDE 5 MG TABLET

Facility

$206.15

Service Code	NDC 51079-810-20
Hospital Charge Code	10117
Hospital Revenue Code	637
Min. Negotiated Rate	$129.87
Max. Negotiated Rate	$185.54
Rate for Payer: Aetna Commercial	$175.23
Rate for Payer: Aetna New Business (MI Preferred)	$134.00
Rate for Payer: Cash Price	$164.92
Rate for Payer: Cofinity Commercial	$177.29
Rate for Payer: Cofinity Commercial	$144.30
Rate for Payer: Healthscope Commercial	$185.54
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$175.23
Rate for Payer: PHP Commercial	$175.23
Rate for Payer: Priority Health Cigna Priority Health	$144.30
Rate for Payer: Priority Health SBD	$129.87

GLIPIZIDE ER 2.5 MG TABLET, EXTENDED RELEASE 24 HR

Facility

$4.72

Service Code	NDC 68084-295-11
Hospital Charge Code	37648
Hospital Revenue Code	637
Min. Negotiated Rate	$2.97
Max. Negotiated Rate	$4.25
Rate for Payer: Aetna Commercial	$4.01
Rate for Payer: Aetna New Business (MI Preferred)	$3.07
Rate for Payer: Cash Price	$3.78
Rate for Payer: Cofinity Commercial	$3.30
Rate for Payer: Cofinity Commercial	$4.06
Rate for Payer: Healthscope Commercial	$4.25
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$4.01
Rate for Payer: PHP Commercial	$4.01
Rate for Payer: Priority Health Cigna Priority Health	$3.30
Rate for Payer: Priority Health SBD	$2.97

GLIPIZIDE ER 2.5 MG TABLET, EXTENDED RELEASE 24 HR

Facility

$141.56

Service Code	NDC 68084-295-21
Hospital Charge Code	37648
Hospital Revenue Code	637
Min. Negotiated Rate	$89.18
Max. Negotiated Rate	$127.40
Rate for Payer: Aetna Commercial	$120.33
Rate for Payer: Aetna New Business (MI Preferred)	$92.01
Rate for Payer: Cash Price	$113.25
Rate for Payer: Cofinity Commercial	$121.74
Rate for Payer: Cofinity Commercial	$99.09
Rate for Payer: Healthscope Commercial	$127.40
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$120.33
Rate for Payer: PHP Commercial	$120.33
Rate for Payer: Priority Health Cigna Priority Health	$99.09
Rate for Payer: Priority Health SBD	$89.18

GLIPIZIDE ER 2.5 MG TABLET, EXTENDED RELEASE 24 HR

Facility

$76.67

Service Code	NDC 0591-0900-30
Hospital Charge Code	37648
Hospital Revenue Code	637
Min. Negotiated Rate	$48.30
Max. Negotiated Rate	$69.00
Rate for Payer: Aetna Commercial	$65.17
Rate for Payer: Aetna New Business (MI Preferred)	$49.84
Rate for Payer: Cash Price	$61.34
Rate for Payer: Cofinity Commercial	$53.67
Rate for Payer: Cofinity Commercial	$65.94
Rate for Payer: Healthscope Commercial	$69.00
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$65.17
Rate for Payer: PHP Commercial	$65.17
Rate for Payer: Priority Health Cigna Priority Health	$53.67
Rate for Payer: Priority Health SBD	$48.30

GLUCAGON 1 MG SOLUTION FOR INJECTION

Facility

$1,015.87

Service Code	HCPCS J1610
Hospital Charge Code	109673
Hospital Revenue Code	636
Min. Negotiated Rate	$640.00
Max. Negotiated Rate	$914.28
Rate for Payer: Aetna Commercial	$863.49
Rate for Payer: Aetna New Business (MI Preferred)	$660.32
Rate for Payer: Cash Price	$812.70
Rate for Payer: Cofinity Commercial	$711.11
Rate for Payer: Cofinity Commercial	$873.65
Rate for Payer: Healthscope Commercial	$914.28
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$863.49
Rate for Payer: PHP Commercial	$863.49
Rate for Payer: Priority Health Cigna Priority Health	$711.11
Rate for Payer: Priority Health SBD	$640.00

GLUCAGON HCL 1 MG/ML SOLUTION FOR INJECTION

Facility

$407.26

Service Code	HCPCS J1611
Hospital Charge Code	168350
Hospital Revenue Code	636
Min. Negotiated Rate	$256.57
Max. Negotiated Rate	$366.53
Rate for Payer: Aetna Commercial	$346.17
Rate for Payer: Aetna Commercial	$346.19
Rate for Payer: Aetna New Business (MI Preferred)	$264.72
Rate for Payer: Aetna New Business (MI Preferred)	$264.73
Rate for Payer: Cash Price	$325.82
Rate for Payer: Cash Price	$325.81
Rate for Payer: Cofinity Commercial	$350.26
Rate for Payer: Cofinity Commercial	$350.24
Rate for Payer: Cofinity Commercial	$285.08
Rate for Payer: Cofinity Commercial	$285.10
Rate for Payer: Healthscope Commercial	$366.53
Rate for Payer: Healthscope Commercial	$366.55
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$346.17
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$346.19
Rate for Payer: PHP Commercial	$346.17
Rate for Payer: PHP Commercial	$346.19
Rate for Payer: Priority Health Cigna Priority Health	$285.10
Rate for Payer: Priority Health Cigna Priority Health	$285.08
Rate for Payer: Priority Health SBD	$256.59
Rate for Payer: Priority Health SBD	$256.57

GLYBURIDE 5 MG TABLET

Facility

$277.30

Service Code	NDC 63739-119-10
Hospital Charge Code	3489
Hospital Revenue Code	637
Min. Negotiated Rate	$174.70
Max. Negotiated Rate	$249.57
Rate for Payer: Aetna Commercial	$235.70
Rate for Payer: Aetna New Business (MI Preferred)	$180.24
Rate for Payer: Cash Price	$221.84
Rate for Payer: Cofinity Commercial	$194.11
Rate for Payer: Cofinity Commercial	$238.48
Rate for Payer: Healthscope Commercial	$249.57
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$235.70
Rate for Payer: PHP Commercial	$235.70
Rate for Payer: Priority Health Cigna Priority Health	$194.11
Rate for Payer: Priority Health SBD	$174.70

GLYCERIN (ADULT) RECTAL SUPPOSITORY

Facility

$83.43

Service Code	NDC 0132-0079-50
Hospital Charge Code	15053
Hospital Revenue Code	637
Min. Negotiated Rate	$52.56
Max. Negotiated Rate	$75.09
Rate for Payer: Aetna Commercial	$70.92
Rate for Payer: Aetna New Business (MI Preferred)	$54.23
Rate for Payer: Cash Price	$66.74
Rate for Payer: Cofinity Commercial	$58.40
Rate for Payer: Cofinity Commercial	$71.75
Rate for Payer: Healthscope Commercial	$75.09
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$70.92
Rate for Payer: PHP Commercial	$70.92
Rate for Payer: Priority Health Cigna Priority Health	$58.40
Rate for Payer: Priority Health SBD	$52.56

GLYCERIN (ADULT) RECTAL SUPPOSITORY

Facility

$56.40

Service Code	NDC 0132-0079-24
Hospital Charge Code	15053
Hospital Revenue Code	637
Min. Negotiated Rate	$35.53
Max. Negotiated Rate	$50.76
Rate for Payer: Aetna Commercial	$47.94
Rate for Payer: Aetna New Business (MI Preferred)	$36.66
Rate for Payer: Cash Price	$45.12
Rate for Payer: Cofinity Commercial	$39.48
Rate for Payer: Cofinity Commercial	$48.50
Rate for Payer: Healthscope Commercial	$50.76
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$47.94
Rate for Payer: PHP Commercial	$47.94
Rate for Payer: Priority Health Cigna Priority Health	$39.48
Rate for Payer: Priority Health SBD	$35.53

GLYCERIN (CHILD) RECTAL SUPPOSITORY

Facility

$37.51

Service Code	NDC 0132-0081-12
Hospital Charge Code	3492
Hospital Revenue Code	637
Min. Negotiated Rate	$23.63
Max. Negotiated Rate	$33.76
Rate for Payer: Aetna Commercial	$31.88
Rate for Payer: Aetna New Business (MI Preferred)	$24.38
Rate for Payer: Cash Price	$30.01
Rate for Payer: Cofinity Commercial	$32.26
Rate for Payer: Cofinity Commercial	$26.26
Rate for Payer: Healthscope Commercial	$33.76
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$31.88
Rate for Payer: PHP Commercial	$31.88
Rate for Payer: Priority Health Cigna Priority Health	$26.26
Rate for Payer: Priority Health SBD	$23.63

GLYCERIN (CHILD) RECTAL SUPPOSITORY

Facility

$39.95

Service Code	NDC 70000-0429-1
Hospital Charge Code	3492
Hospital Revenue Code	637
Min. Negotiated Rate	$25.17
Max. Negotiated Rate	$35.96
Rate for Payer: Aetna Commercial	$33.96
Rate for Payer: Aetna New Business (MI Preferred)	$25.97
Rate for Payer: Cash Price	$31.96
Rate for Payer: Cofinity Commercial	$27.96
Rate for Payer: Cofinity Commercial	$34.36
Rate for Payer: Healthscope Commercial	$35.96
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$33.96
Rate for Payer: PHP Commercial	$33.96
Rate for Payer: Priority Health Cigna Priority Health	$27.96
Rate for Payer: Priority Health SBD	$25.17

GLYCERIN-WITCH HAZEL 12.5 %-50 % TOPICAL PADS

Facility

$11.34

Service Code	NDC 50289-3250-1
Hospital Charge Code	116088
Hospital Revenue Code	637
Min. Negotiated Rate	$7.14
Max. Negotiated Rate	$10.21
Rate for Payer: Aetna Commercial	$9.64
Rate for Payer: Aetna New Business (MI Preferred)	$7.37
Rate for Payer: Cash Price	$9.07
Rate for Payer: Cofinity Commercial	$7.94
Rate for Payer: Cofinity Commercial	$9.75
Rate for Payer: Healthscope Commercial	$10.21
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$9.64
Rate for Payer: PHP Commercial	$9.64
Rate for Payer: Priority Health Cigna Priority Health	$7.94
Rate for Payer: Priority Health SBD	$7.14

GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION

Facility

$45.66

Service Code	HCPCS J1596
Hospital Charge Code	3497
Hospital Revenue Code	636
Min. Negotiated Rate	$28.77
Max. Negotiated Rate	$41.09
Rate for Payer: Aetna Commercial	$38.81
Rate for Payer: Aetna Commercial	$12.65
Rate for Payer: Aetna Commercial	$12.72
Rate for Payer: Aetna Commercial	$13.12
Rate for Payer: Aetna Commercial	$13.57
Rate for Payer: Aetna Commercial	$27.14
Rate for Payer: Aetna Commercial	$13.74
Rate for Payer: Aetna Commercial	$15.68
Rate for Payer: Aetna Commercial	$22.93
Rate for Payer: Aetna Commercial	$16.43
Rate for Payer: Aetna Commercial	$20.41
Rate for Payer: Aetna Commercial	$18.44
Rate for Payer: Aetna Commercial	$21.50
Rate for Payer: Aetna New Business (MI Preferred)	$29.68
Rate for Payer: Aetna New Business (MI Preferred)	$12.56
Rate for Payer: Aetna New Business (MI Preferred)	$10.03
Rate for Payer: Aetna New Business (MI Preferred)	$10.50
Rate for Payer: Aetna New Business (MI Preferred)	$15.61
Rate for Payer: Aetna New Business (MI Preferred)	$10.38
Rate for Payer: Aetna New Business (MI Preferred)	$17.54
Rate for Payer: Aetna New Business (MI Preferred)	$14.10
Rate for Payer: Aetna New Business (MI Preferred)	$9.73
Rate for Payer: Aetna New Business (MI Preferred)	$9.67
Rate for Payer: Aetna New Business (MI Preferred)	$16.44
Rate for Payer: Aetna New Business (MI Preferred)	$11.99
Rate for Payer: Aetna New Business (MI Preferred)	$20.75
Rate for Payer: Cash Price	$14.76
Rate for Payer: Cash Price	$12.93
Rate for Payer: Cash Price	$19.21
Rate for Payer: Cash Price	$11.90
Rate for Payer: Cash Price	$17.36
Rate for Payer: Cash Price	$20.23
Rate for Payer: Cash Price	$11.98
Rate for Payer: Cash Price	$21.58
Rate for Payer: Cash Price	$12.78
Rate for Payer: Cash Price	$12.34
Rate for Payer: Cash Price	$15.46
Rate for Payer: Cash Price	$36.53
Rate for Payer: Cash Price	$25.54
Rate for Payer: Cofinity Commercial	$12.92
Rate for Payer: Cofinity Commercial	$12.87
Rate for Payer: Cofinity Commercial	$21.75
Rate for Payer: Cofinity Commercial	$10.80
Rate for Payer: Cofinity Commercial	$13.27
Rate for Payer: Cofinity Commercial	$20.65
Rate for Payer: Cofinity Commercial	$27.46
Rate for Payer: Cofinity Commercial	$22.35
Rate for Payer: Cofinity Commercial	$17.70
Rate for Payer: Cofinity Commercial	$11.18
Rate for Payer: Cofinity Commercial	$13.73
Rate for Payer: Cofinity Commercial	$16.81
Rate for Payer: Cofinity Commercial	$11.31
Rate for Payer: Cofinity Commercial	$13.90
Rate for Payer: Cofinity Commercial	$23.20
Rate for Payer: Cofinity Commercial	$18.89
Rate for Payer: Cofinity Commercial	$10.48
Rate for Payer: Cofinity Commercial	$15.87
Rate for Payer: Cofinity Commercial	$15.19
Rate for Payer: Cofinity Commercial	$18.66
Rate for Payer: Cofinity Commercial	$13.53
Rate for Payer: Cofinity Commercial	$16.62
Rate for Payer: Cofinity Commercial	$10.42
Rate for Payer: Cofinity Commercial	$12.80
Rate for Payer: Cofinity Commercial	$39.27
Rate for Payer: Cofinity Commercial	$31.96
Rate for Payer: Healthscope Commercial	$17.40
Rate for Payer: Healthscope Commercial	$19.53
Rate for Payer: Healthscope Commercial	$28.74
Rate for Payer: Healthscope Commercial	$13.47
Rate for Payer: Healthscope Commercial	$22.76
Rate for Payer: Healthscope Commercial	$16.60
Rate for Payer: Healthscope Commercial	$24.28
Rate for Payer: Healthscope Commercial	$13.39
Rate for Payer: Healthscope Commercial	$13.89
Rate for Payer: Healthscope Commercial	$14.54
Rate for Payer: Healthscope Commercial	$14.37
Rate for Payer: Healthscope Commercial	$41.09
Rate for Payer: Healthscope Commercial	$21.61
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$12.72
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$12.65
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$13.12
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$13.57
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$13.74
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$15.68
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$16.43
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$18.44
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$20.41
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$21.50
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$22.93
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$27.14
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$38.81
Rate for Payer: PHP Commercial	$15.68
Rate for Payer: PHP Commercial	$13.74
Rate for Payer: PHP Commercial	$21.50
Rate for Payer: PHP Commercial	$22.93
Rate for Payer: PHP Commercial	$16.43
Rate for Payer: PHP Commercial	$12.65
Rate for Payer: PHP Commercial	$20.41
Rate for Payer: PHP Commercial	$38.81
Rate for Payer: PHP Commercial	$13.57
Rate for Payer: PHP Commercial	$12.72
Rate for Payer: PHP Commercial	$18.44
Rate for Payer: PHP Commercial	$13.12
Rate for Payer: PHP Commercial	$27.14
Rate for Payer: Priority Health Cigna Priority Health	$16.81
Rate for Payer: Priority Health Cigna Priority Health	$22.35
Rate for Payer: Priority Health Cigna Priority Health	$12.92
Rate for Payer: Priority Health Cigna Priority Health	$10.48
Rate for Payer: Priority Health Cigna Priority Health	$10.42
Rate for Payer: Priority Health Cigna Priority Health	$31.96
Rate for Payer: Priority Health Cigna Priority Health	$11.31
Rate for Payer: Priority Health Cigna Priority Health	$18.89
Rate for Payer: Priority Health Cigna Priority Health	$15.19
Rate for Payer: Priority Health Cigna Priority Health	$17.70
Rate for Payer: Priority Health Cigna Priority Health	$11.18
Rate for Payer: Priority Health Cigna Priority Health	$13.53
Rate for Payer: Priority Health Cigna Priority Health	$10.80
Rate for Payer: Priority Health SBD	$17.00
Rate for Payer: Priority Health SBD	$12.18
Rate for Payer: Priority Health SBD	$13.67
Rate for Payer: Priority Health SBD	$15.93
Rate for Payer: Priority Health SBD	$11.62
Rate for Payer: Priority Health SBD	$10.18
Rate for Payer: Priority Health SBD	$15.13
Rate for Payer: Priority Health SBD	$10.06
Rate for Payer: Priority Health SBD	$9.72
Rate for Payer: Priority Health SBD	$20.12
Rate for Payer: Priority Health SBD	$9.43
Rate for Payer: Priority Health SBD	$9.37
Rate for Payer: Priority Health SBD	$28.77

Know your out-of-pocket cost for care.

All Charges