Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

COLCHICINE 0.6 MG TABLET

Facility

$431.02

Service Code	NDC 42292005403
Hospital Charge Code	1821
Hospital Revenue Code	637
Min. Negotiated Rate	$271.54
Max. Negotiated Rate	$387.92
Rate for Payer: Aetna Commercial	$366.37
Rate for Payer: Aetna New Business (MI Preferred)	$280.16
Rate for Payer: Cash Price	$344.82
Rate for Payer: Cofinity Commercial	$301.71
Rate for Payer: Cofinity Commercial	$370.68
Rate for Payer: Cofinity Medicare Advantage	$301.71
Rate for Payer: Encore Health Key Benefits Commercial	$344.82
Rate for Payer: Healthscope Commercial	$387.92
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$366.37
Rate for Payer: PHP Commercial	$366.37
Rate for Payer: Priority Health Cigna Priority Health	$280.16
Rate for Payer: Priority Health SBD	$271.54

COLCHICINE 0.6 MG TABLET

Facility

$431.02

Service Code	NDC 42292005403
Hospital Charge Code	1821
Hospital Revenue Code	637
Min. Negotiated Rate	$172.41
Max. Negotiated Rate	$387.92
Rate for Payer: Aetna Commercial	$366.37
Rate for Payer: Aetna Medicare	$215.51
Rate for Payer: Aetna New Business (MI Preferred)	$280.16
Rate for Payer: BCBS Complete	$172.41
Rate for Payer: Cash Price	$344.82
Rate for Payer: Cofinity Commercial	$301.71
Rate for Payer: Cofinity Commercial	$370.68
Rate for Payer: Cofinity Medicare Advantage	$301.71
Rate for Payer: Encore Health Key Benefits Commercial	$344.82
Rate for Payer: Healthscope Commercial	$387.92
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$366.37
Rate for Payer: PHP Commercial	$366.37
Rate for Payer: Priority Health Cigna Priority Health	$280.16
Rate for Payer: Priority Health SBD	$271.54

COLCHICINE 0.6 MG TABLET

Facility

$25.93

Service Code	NDC 60687038911
Hospital Charge Code	1821
Hospital Revenue Code	637
Min. Negotiated Rate	$16.34
Max. Negotiated Rate	$23.34
Rate for Payer: Aetna Commercial	$22.04
Rate for Payer: Aetna New Business (MI Preferred)	$16.85
Rate for Payer: Cash Price	$20.74
Rate for Payer: Cofinity Commercial	$18.15
Rate for Payer: Cofinity Commercial	$22.30
Rate for Payer: Cofinity Medicare Advantage	$18.15
Rate for Payer: Encore Health Key Benefits Commercial	$20.74
Rate for Payer: Healthscope Commercial	$23.34
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$22.04
Rate for Payer: PHP Commercial	$22.04
Rate for Payer: Priority Health Cigna Priority Health	$16.85
Rate for Payer: Priority Health SBD	$16.34

COLCHICINE 0.6 MG TABLET

Facility

$1,931.77

Service Code	NDC 00254200801
Hospital Charge Code	1821
Hospital Revenue Code	637
Min. Negotiated Rate	$772.71
Max. Negotiated Rate	$1,738.59
Rate for Payer: Aetna Commercial	$1,642.00
Rate for Payer: Aetna Medicare	$965.88
Rate for Payer: Aetna New Business (MI Preferred)	$1,255.65
Rate for Payer: BCBS Complete	$772.71
Rate for Payer: Cash Price	$1,545.42
Rate for Payer: Cofinity Commercial	$1,352.24
Rate for Payer: Cofinity Commercial	$1,661.32
Rate for Payer: Cofinity Medicare Advantage	$1,352.24
Rate for Payer: Encore Health Key Benefits Commercial	$1,545.42
Rate for Payer: Healthscope Commercial	$1,738.59
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,642.00
Rate for Payer: PHP Commercial	$1,642.00
Rate for Payer: Priority Health Cigna Priority Health	$1,255.65
Rate for Payer: Priority Health SBD	$1,217.02

COLCHICINE 0.6 MG TABLET

Facility

$777.89

Service Code	NDC 60687038921
Hospital Charge Code	1821
Hospital Revenue Code	637
Min. Negotiated Rate	$490.07
Max. Negotiated Rate	$700.10
Rate for Payer: Aetna Commercial	$661.21
Rate for Payer: Aetna New Business (MI Preferred)	$505.63
Rate for Payer: Cash Price	$622.31
Rate for Payer: Cofinity Commercial	$544.52
Rate for Payer: Cofinity Commercial	$668.99
Rate for Payer: Cofinity Medicare Advantage	$544.52
Rate for Payer: Encore Health Key Benefits Commercial	$622.31
Rate for Payer: Healthscope Commercial	$700.10
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$661.21
Rate for Payer: PHP Commercial	$661.21
Rate for Payer: Priority Health Cigna Priority Health	$505.63
Rate for Payer: Priority Health SBD	$490.07

COLCHICINE 0.6 MG TABLET

Facility

$420.65

Service Code	NDC 67877058901
Hospital Charge Code	1821
Hospital Revenue Code	637
Min. Negotiated Rate	$265.01
Max. Negotiated Rate	$378.58
Rate for Payer: Aetna Commercial	$357.55
Rate for Payer: Aetna New Business (MI Preferred)	$273.42
Rate for Payer: Cash Price	$336.52
Rate for Payer: Cofinity Commercial	$294.45
Rate for Payer: Cofinity Commercial	$361.76
Rate for Payer: Cofinity Medicare Advantage	$294.45
Rate for Payer: Encore Health Key Benefits Commercial	$336.52
Rate for Payer: Healthscope Commercial	$378.58
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$357.55
Rate for Payer: PHP Commercial	$357.55
Rate for Payer: Priority Health Cigna Priority Health	$273.42
Rate for Payer: Priority Health SBD	$265.01

COLCHICINE 0.6 MG TABLET

Facility

$1,931.77

Service Code	NDC 00254200801
Hospital Charge Code	1821
Hospital Revenue Code	637
Min. Negotiated Rate	$1,217.02
Max. Negotiated Rate	$1,738.59
Rate for Payer: Aetna Commercial	$1,642.00
Rate for Payer: Aetna New Business (MI Preferred)	$1,255.65
Rate for Payer: Cash Price	$1,545.42
Rate for Payer: Cofinity Commercial	$1,352.24
Rate for Payer: Cofinity Commercial	$1,661.32
Rate for Payer: Cofinity Medicare Advantage	$1,352.24
Rate for Payer: Encore Health Key Benefits Commercial	$1,545.42
Rate for Payer: Healthscope Commercial	$1,738.59
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,642.00
Rate for Payer: PHP Commercial	$1,642.00
Rate for Payer: Priority Health Cigna Priority Health	$1,255.65
Rate for Payer: Priority Health SBD	$1,217.02

COLCHICINE 0.6 MG TABLET

Facility

$25.93

Service Code	NDC 60687038911
Hospital Charge Code	1821
Hospital Revenue Code	637
Min. Negotiated Rate	$10.37
Max. Negotiated Rate	$23.34
Rate for Payer: Aetna Commercial	$22.04
Rate for Payer: Aetna Medicare	$12.96
Rate for Payer: Aetna New Business (MI Preferred)	$16.85
Rate for Payer: BCBS Complete	$10.37
Rate for Payer: Cash Price	$20.74
Rate for Payer: Cofinity Commercial	$18.15
Rate for Payer: Cofinity Commercial	$22.30
Rate for Payer: Cofinity Medicare Advantage	$18.15
Rate for Payer: Encore Health Key Benefits Commercial	$20.74
Rate for Payer: Healthscope Commercial	$23.34
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$22.04
Rate for Payer: PHP Commercial	$22.04
Rate for Payer: Priority Health Cigna Priority Health	$16.85
Rate for Payer: Priority Health SBD	$16.34

COLCHICINE 0.6 MG TABLET

Facility

$11.91

Service Code	NDC 50268018711
Hospital Charge Code	1821
Hospital Revenue Code	637
Min. Negotiated Rate	$7.50
Max. Negotiated Rate	$10.72
Rate for Payer: Aetna Commercial	$10.12
Rate for Payer: Aetna New Business (MI Preferred)	$7.74
Rate for Payer: Cash Price	$9.53
Rate for Payer: Cofinity Commercial	$10.24
Rate for Payer: Cofinity Commercial	$8.34
Rate for Payer: Cofinity Medicare Advantage	$8.34
Rate for Payer: Encore Health Key Benefits Commercial	$9.53
Rate for Payer: Healthscope Commercial	$10.72
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$10.12
Rate for Payer: PHP Commercial	$10.12
Rate for Payer: Priority Health Cigna Priority Health	$7.74
Rate for Payer: Priority Health SBD	$7.50

COLCHICINE 0.6 MG TABLET

Facility

$420.65

Service Code	NDC 67877058901
Hospital Charge Code	1821
Hospital Revenue Code	637
Min. Negotiated Rate	$168.26
Max. Negotiated Rate	$378.58
Rate for Payer: Aetna Commercial	$357.55
Rate for Payer: Aetna Medicare	$210.32
Rate for Payer: Aetna New Business (MI Preferred)	$273.42
Rate for Payer: BCBS Complete	$168.26
Rate for Payer: Cash Price	$336.52
Rate for Payer: Cofinity Commercial	$294.45
Rate for Payer: Cofinity Commercial	$361.76
Rate for Payer: Cofinity Medicare Advantage	$294.45
Rate for Payer: Encore Health Key Benefits Commercial	$336.52
Rate for Payer: Healthscope Commercial	$378.58
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$357.55
Rate for Payer: PHP Commercial	$357.55
Rate for Payer: Priority Health Cigna Priority Health	$273.42
Rate for Payer: Priority Health SBD	$265.01

COLCHICINE 0.6 MG TABLET

Facility

$2,474.19

Service Code	NDC 64764011901
Hospital Charge Code	1821
Hospital Revenue Code	637
Min. Negotiated Rate	$1,558.74
Max. Negotiated Rate	$2,226.77
Rate for Payer: Aetna Commercial	$2,103.06
Rate for Payer: Aetna New Business (MI Preferred)	$1,608.22
Rate for Payer: Cash Price	$1,979.35
Rate for Payer: Cofinity Commercial	$1,731.93
Rate for Payer: Cofinity Commercial	$2,127.80
Rate for Payer: Cofinity Medicare Advantage	$1,731.93
Rate for Payer: Encore Health Key Benefits Commercial	$1,979.35
Rate for Payer: Healthscope Commercial	$2,226.77
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$2,103.06
Rate for Payer: PHP Commercial	$2,103.06
Rate for Payer: Priority Health Cigna Priority Health	$1,608.22
Rate for Payer: Priority Health SBD	$1,558.74

COLCHICINE 0.6 MG TABLET

Facility

$777.89

Service Code	NDC 60687038921
Hospital Charge Code	1821
Hospital Revenue Code	637
Min. Negotiated Rate	$311.16
Max. Negotiated Rate	$700.10
Rate for Payer: Aetna Commercial	$661.21
Rate for Payer: Aetna Medicare	$388.94
Rate for Payer: Aetna New Business (MI Preferred)	$505.63
Rate for Payer: BCBS Complete	$311.16
Rate for Payer: Cash Price	$622.31
Rate for Payer: Cofinity Commercial	$544.52
Rate for Payer: Cofinity Commercial	$668.99
Rate for Payer: Cofinity Medicare Advantage	$544.52
Rate for Payer: Encore Health Key Benefits Commercial	$622.31
Rate for Payer: Healthscope Commercial	$700.10
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$661.21
Rate for Payer: PHP Commercial	$661.21
Rate for Payer: Priority Health Cigna Priority Health	$505.63
Rate for Payer: Priority Health SBD	$490.07

COLCHICINE 0.6 MG TABLET

Facility

$595.33

Service Code	NDC 50268018715
Hospital Charge Code	1821
Hospital Revenue Code	637
Min. Negotiated Rate	$238.13
Max. Negotiated Rate	$535.80
Rate for Payer: Aetna Commercial	$506.03
Rate for Payer: Aetna Medicare	$297.67
Rate for Payer: Aetna New Business (MI Preferred)	$386.96
Rate for Payer: BCBS Complete	$238.13
Rate for Payer: Cash Price	$476.26
Rate for Payer: Cofinity Commercial	$416.73
Rate for Payer: Cofinity Commercial	$511.98
Rate for Payer: Cofinity Medicare Advantage	$416.73
Rate for Payer: Encore Health Key Benefits Commercial	$476.26
Rate for Payer: Healthscope Commercial	$535.80
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$506.03
Rate for Payer: PHP Commercial	$506.03
Rate for Payer: Priority Health Cigna Priority Health	$386.96
Rate for Payer: Priority Health SBD	$375.06

COLESTIPOL 1 GRAM TABLET

Facility

$14.35

Service Code	NDC 60687071511
Hospital Charge Code	13884
Hospital Revenue Code	637
Min. Negotiated Rate	$9.04
Max. Negotiated Rate	$12.91
Rate for Payer: Aetna Commercial	$12.20
Rate for Payer: Aetna New Business (MI Preferred)	$9.33
Rate for Payer: Cash Price	$11.48
Rate for Payer: Cofinity Commercial	$10.04
Rate for Payer: Cofinity Commercial	$12.34
Rate for Payer: Cofinity Medicare Advantage	$10.04
Rate for Payer: Encore Health Key Benefits Commercial	$11.48
Rate for Payer: Healthscope Commercial	$12.91
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$12.20
Rate for Payer: PHP Commercial	$12.20
Rate for Payer: Priority Health Cigna Priority Health	$9.33
Rate for Payer: Priority Health SBD	$9.04

COLESTIPOL 1 GRAM TABLET

Facility

$430.46

Service Code	NDC 60687071521
Hospital Charge Code	13884
Hospital Revenue Code	637
Min. Negotiated Rate	$271.19
Max. Negotiated Rate	$387.41
Rate for Payer: Aetna Commercial	$365.89
Rate for Payer: Aetna New Business (MI Preferred)	$279.80
Rate for Payer: Cash Price	$344.37
Rate for Payer: Cofinity Commercial	$301.32
Rate for Payer: Cofinity Commercial	$370.20
Rate for Payer: Cofinity Medicare Advantage	$301.32
Rate for Payer: Encore Health Key Benefits Commercial	$344.37
Rate for Payer: Healthscope Commercial	$387.41
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$365.89
Rate for Payer: PHP Commercial	$365.89
Rate for Payer: Priority Health Cigna Priority Health	$279.80
Rate for Payer: Priority Health SBD	$271.19

COLESTIPOL 1 GRAM TABLET

Facility

$14.35

Service Code	NDC 60687071511
Hospital Charge Code	13884
Hospital Revenue Code	637
Min. Negotiated Rate	$5.74
Max. Negotiated Rate	$12.91
Rate for Payer: Aetna Commercial	$12.20
Rate for Payer: Aetna Medicare	$7.17
Rate for Payer: Aetna New Business (MI Preferred)	$9.33
Rate for Payer: BCBS Complete	$5.74
Rate for Payer: Cash Price	$11.48
Rate for Payer: Cofinity Commercial	$10.04
Rate for Payer: Cofinity Commercial	$12.34
Rate for Payer: Cofinity Medicare Advantage	$10.04
Rate for Payer: Encore Health Key Benefits Commercial	$11.48
Rate for Payer: Healthscope Commercial	$12.91
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$12.20
Rate for Payer: PHP Commercial	$12.20
Rate for Payer: Priority Health Cigna Priority Health	$9.33
Rate for Payer: Priority Health SBD	$9.04

COLESTIPOL 1 GRAM TABLET

Facility

$430.46

Service Code	NDC 60687071521
Hospital Charge Code	13884
Hospital Revenue Code	637
Min. Negotiated Rate	$172.18
Max. Negotiated Rate	$387.41
Rate for Payer: Aetna Commercial	$365.89
Rate for Payer: Aetna Medicare	$215.23
Rate for Payer: Aetna New Business (MI Preferred)	$279.80
Rate for Payer: BCBS Complete	$172.18
Rate for Payer: Cash Price	$344.37
Rate for Payer: Cofinity Commercial	$301.32
Rate for Payer: Cofinity Commercial	$370.20
Rate for Payer: Cofinity Medicare Advantage	$301.32
Rate for Payer: Encore Health Key Benefits Commercial	$344.37
Rate for Payer: Healthscope Commercial	$387.41
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$365.89
Rate for Payer: PHP Commercial	$365.89
Rate for Payer: Priority Health Cigna Priority Health	$279.80
Rate for Payer: Priority Health SBD	$271.19

COLISTIN (COLISTIMETHATE SODIUM) 150 MG SOLUTION FOR INJECTION

Facility

$116.64

Service Code	HCPCS J0770
Hospital Charge Code	9681
Hospital Revenue Code	636
Min. Negotiated Rate	$73.48
Max. Negotiated Rate	$104.98
Rate for Payer: Aetna Commercial	$99.14
Rate for Payer: Aetna Commercial	$36.96
Rate for Payer: Aetna New Business (MI Preferred)	$75.82
Rate for Payer: Aetna New Business (MI Preferred)	$28.26
Rate for Payer: Cash Price	$93.31
Rate for Payer: Cash Price	$34.78
Rate for Payer: Cofinity Commercial	$100.31
Rate for Payer: Cofinity Commercial	$30.44
Rate for Payer: Cofinity Commercial	$37.39
Rate for Payer: Cofinity Commercial	$81.65
Rate for Payer: Cofinity Medicare Advantage	$30.44
Rate for Payer: Cofinity Medicare Advantage	$81.65
Rate for Payer: Encore Health Key Benefits Commercial	$93.31
Rate for Payer: Encore Health Key Benefits Commercial	$34.78
Rate for Payer: Healthscope Commercial	$104.98
Rate for Payer: Healthscope Commercial	$39.13
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$99.14
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$36.96
Rate for Payer: PHP Commercial	$99.14
Rate for Payer: PHP Commercial	$36.96
Rate for Payer: Priority Health Cigna Priority Health	$28.26
Rate for Payer: Priority Health Cigna Priority Health	$75.82
Rate for Payer: Priority Health SBD	$27.39
Rate for Payer: Priority Health SBD	$73.48

COLISTIN (COLISTIMETHATE SODIUM) 150 MG SOLUTION FOR INJECTION

Facility

$43.48

Service Code	HCPCS J0770
Hospital Charge Code	9681
Hospital Revenue Code	636
Min. Negotiated Rate	$17.39
Max. Negotiated Rate	$39.13
Rate for Payer: Aetna Commercial	$36.96
Rate for Payer: Aetna Commercial	$99.14
Rate for Payer: Aetna Medicare	$58.32
Rate for Payer: Aetna Medicare	$21.74
Rate for Payer: Aetna New Business (MI Preferred)	$28.26
Rate for Payer: Aetna New Business (MI Preferred)	$75.82
Rate for Payer: BCBS Complete	$17.39
Rate for Payer: BCBS Complete	$46.66
Rate for Payer: Cash Price	$34.78
Rate for Payer: Cash Price	$93.31
Rate for Payer: Cofinity Commercial	$37.39
Rate for Payer: Cofinity Commercial	$100.31
Rate for Payer: Cofinity Commercial	$81.65
Rate for Payer: Cofinity Commercial	$30.44
Rate for Payer: Cofinity Medicare Advantage	$81.65
Rate for Payer: Cofinity Medicare Advantage	$30.44
Rate for Payer: Encore Health Key Benefits Commercial	$93.31
Rate for Payer: Encore Health Key Benefits Commercial	$34.78
Rate for Payer: Healthscope Commercial	$39.13
Rate for Payer: Healthscope Commercial	$104.98
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$36.96
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$99.14
Rate for Payer: PHP Commercial	$36.96
Rate for Payer: PHP Commercial	$99.14
Rate for Payer: Priority Health Cigna Priority Health	$75.82
Rate for Payer: Priority Health Cigna Priority Health	$28.26
Rate for Payer: Priority Health SBD	$73.48
Rate for Payer: Priority Health SBD	$27.39

COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 250 UNIT/GRAM TOPICAL OINTMENT

Facility

$964.01

Service Code	NDC 50484001030
Hospital Charge Code	9682
Hospital Revenue Code	637
Min. Negotiated Rate	$607.33
Max. Negotiated Rate	$867.61
Rate for Payer: Aetna Commercial	$819.41
Rate for Payer: Aetna New Business (MI Preferred)	$626.61
Rate for Payer: Cash Price	$771.21
Rate for Payer: Cofinity Commercial	$674.81
Rate for Payer: Cofinity Commercial	$829.05
Rate for Payer: Cofinity Medicare Advantage	$674.81
Rate for Payer: Encore Health Key Benefits Commercial	$771.21
Rate for Payer: Healthscope Commercial	$867.61
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$819.41
Rate for Payer: PHP Commercial	$819.41
Rate for Payer: Priority Health Cigna Priority Health	$626.61
Rate for Payer: Priority Health SBD	$607.33

COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 250 UNIT/GRAM TOPICAL OINTMENT

Facility

$964.01

Service Code	NDC 50484001030
Hospital Charge Code	9682
Hospital Revenue Code	637
Min. Negotiated Rate	$385.60
Max. Negotiated Rate	$867.61
Rate for Payer: Aetna Commercial	$819.41
Rate for Payer: Aetna Medicare	$482.00
Rate for Payer: Aetna New Business (MI Preferred)	$626.61
Rate for Payer: BCBS Complete	$385.60
Rate for Payer: Cash Price	$771.21
Rate for Payer: Cofinity Commercial	$674.81
Rate for Payer: Cofinity Commercial	$829.05
Rate for Payer: Cofinity Medicare Advantage	$674.81
Rate for Payer: Encore Health Key Benefits Commercial	$771.21
Rate for Payer: Healthscope Commercial	$867.61
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$819.41
Rate for Payer: PHP Commercial	$819.41
Rate for Payer: Priority Health Cigna Priority Health	$626.61
Rate for Payer: Priority Health SBD	$607.33

COLONOSCOPY, FLEXIBLE; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)

Facility

$2,502.92

Service Code	CPT 45378
Hospital Revenue Code	360
Min. Negotiated Rate	$476.60
Max. Negotiated Rate	$2,502.92
Rate for Payer: Aetna Medicare	$924.74
Rate for Payer: Allen County Amish Medical Aid Commercial	$1,111.46
Rate for Payer: Amish Plain Church Group Commercial	$1,111.46
Rate for Payer: BCBS Complete	$500.42
Rate for Payer: BCBS MAPPO	$889.17
Rate for Payer: BCN Medicare Advantage	$889.17
Rate for Payer: Health Alliance Plan Medicare Advantage	$889.17
Rate for Payer: Mclaren Medicaid	$476.60
Rate for Payer: Mclaren Medicare	$889.17
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$933.63
Rate for Payer: Meridian Medicaid	$500.42
Rate for Payer: MI Amish Medical Board Commercial	$1,022.55
Rate for Payer: PACE Medicare	$844.71
Rate for Payer: PACE SWMI	$889.17
Rate for Payer: PHP Medicare Advantage	$889.17
Rate for Payer: Priority Health Choice Medicaid	$476.60
Rate for Payer: Priority Health Medicare	$889.17
Rate for Payer: Railroad Medicare Medicare	$889.17
Rate for Payer: UHC All Payor (Choice/PPO)	$2,502.92
Rate for Payer: UHC Dual Complete DSNP	$889.17
Rate for Payer: UHC Medicare Advantage	$889.17
Rate for Payer: UHCCP Medicaid	$500.60
Rate for Payer: VA VA	$889.17

COLONOSCOPY, FLEXIBLE; WITH ABLATION OF TUMOR(S), POLYP(S), OR OTHER LESION(S) (INCLUDES PRE- AND POST-DILATION AND GUIDE WIRE PASSAGE, WHEN PERFORMED)

Facility

$3,236.94

Service Code	CPT 45388
Hospital Revenue Code	360
Min. Negotiated Rate	$616.36
Max. Negotiated Rate	$3,236.94
Rate for Payer: Aetna Medicare	$1,195.93
Rate for Payer: Allen County Amish Medical Aid Commercial	$1,437.41
Rate for Payer: Amish Plain Church Group Commercial	$1,437.41
Rate for Payer: BCBS Complete	$647.18
Rate for Payer: BCBS MAPPO	$1,149.93
Rate for Payer: BCN Medicare Advantage	$1,149.93
Rate for Payer: Health Alliance Plan Medicare Advantage	$1,149.93
Rate for Payer: Mclaren Medicaid	$616.36
Rate for Payer: Mclaren Medicare	$1,149.93
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$1,207.43
Rate for Payer: Meridian Medicaid	$647.18
Rate for Payer: MI Amish Medical Board Commercial	$1,322.42
Rate for Payer: PACE Medicare	$1,092.43
Rate for Payer: PACE SWMI	$1,149.93
Rate for Payer: PHP Medicare Advantage	$1,149.93
Rate for Payer: Priority Health Choice Medicaid	$616.36
Rate for Payer: Priority Health Medicare	$1,149.93
Rate for Payer: Railroad Medicare Medicare	$1,149.93
Rate for Payer: UHC All Payor (Choice/PPO)	$3,236.94
Rate for Payer: UHC Dual Complete DSNP	$1,149.93
Rate for Payer: UHC Medicare Advantage	$1,149.93
Rate for Payer: UHCCP Medicaid	$647.41
Rate for Payer: VA VA	$1,149.93

COLONOSCOPY, FLEXIBLE; WITH BAND LIGATION(S) (EG, HEMORRHOIDS)

Facility

$3,236.94

Service Code	CPT 45398
Hospital Revenue Code	360
Min. Negotiated Rate	$616.36
Max. Negotiated Rate	$3,236.94
Rate for Payer: Aetna Medicare	$1,195.93
Rate for Payer: Allen County Amish Medical Aid Commercial	$1,437.41
Rate for Payer: Amish Plain Church Group Commercial	$1,437.41
Rate for Payer: BCBS Complete	$647.18
Rate for Payer: BCBS MAPPO	$1,149.93
Rate for Payer: BCN Medicare Advantage	$1,149.93
Rate for Payer: Health Alliance Plan Medicare Advantage	$1,149.93
Rate for Payer: Mclaren Medicaid	$616.36
Rate for Payer: Mclaren Medicare	$1,149.93
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$1,207.43
Rate for Payer: Meridian Medicaid	$647.18
Rate for Payer: MI Amish Medical Board Commercial	$1,322.42
Rate for Payer: PACE Medicare	$1,092.43
Rate for Payer: PACE SWMI	$1,149.93
Rate for Payer: PHP Medicare Advantage	$1,149.93
Rate for Payer: Priority Health Choice Medicaid	$616.36
Rate for Payer: Priority Health Medicare	$1,149.93
Rate for Payer: Railroad Medicare Medicare	$1,149.93
Rate for Payer: UHC All Payor (Choice/PPO)	$3,236.94
Rate for Payer: UHC Dual Complete DSNP	$1,149.93
Rate for Payer: UHC Medicare Advantage	$1,149.93
Rate for Payer: UHCCP Medicaid	$647.41
Rate for Payer: VA VA	$1,149.93

COLONOSCOPY, FLEXIBLE; WITH BIOPSY, SINGLE OR MULTIPLE

Facility

$3,236.94

Service Code	CPT 45380
Hospital Revenue Code	360
Min. Negotiated Rate	$616.36
Max. Negotiated Rate	$3,236.94
Rate for Payer: Aetna Medicare	$1,195.93
Rate for Payer: Allen County Amish Medical Aid Commercial	$1,437.41
Rate for Payer: Amish Plain Church Group Commercial	$1,437.41
Rate for Payer: BCBS Complete	$647.18
Rate for Payer: BCBS MAPPO	$1,149.93
Rate for Payer: BCN Medicare Advantage	$1,149.93
Rate for Payer: Health Alliance Plan Medicare Advantage	$1,149.93
Rate for Payer: Mclaren Medicaid	$616.36
Rate for Payer: Mclaren Medicare	$1,149.93
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$1,207.43
Rate for Payer: Meridian Medicaid	$647.18
Rate for Payer: MI Amish Medical Board Commercial	$1,322.42
Rate for Payer: PACE Medicare	$1,092.43
Rate for Payer: PACE SWMI	$1,149.93
Rate for Payer: PHP Medicare Advantage	$1,149.93
Rate for Payer: Priority Health Choice Medicaid	$616.36
Rate for Payer: Priority Health Medicare	$1,149.93
Rate for Payer: Railroad Medicare Medicare	$1,149.93
Rate for Payer: UHC All Payor (Choice/PPO)	$3,236.94
Rate for Payer: UHC Dual Complete DSNP	$1,149.93
Rate for Payer: UHC Medicare Advantage	$1,149.93
Rate for Payer: UHCCP Medicaid	$647.41
Rate for Payer: VA VA	$1,149.93

Know your out-of-pocket cost for care.

All Charges