Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

HC CANNULA FEM VEN 21, 25 FR

Facility

$1,262.50

Hospital Charge Code	27000073
Hospital Revenue Code	270
Min. Negotiated Rate	$795.38
Max. Negotiated Rate	$1,136.25
Rate for Payer: Aetna Commercial	$1,073.12
Rate for Payer: Aetna New Business (MI Preferred)	$820.62
Rate for Payer: Cash Price	$1,010.00
Rate for Payer: Cofinity Commercial	$1,085.75
Rate for Payer: Cofinity Commercial	$883.75
Rate for Payer: Healthscope Commercial	$1,136.25
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$1,073.12
Rate for Payer: PHP Commercial	$1,073.12
Rate for Payer: Priority Health Cigna Priority Health	$883.75
Rate for Payer: Priority Health SBD	$795.38

HC CANNULA FEM VEN 21, 25 FR

Facility

$1,262.50

Hospital Charge Code	27000073
Hospital Revenue Code	270
Min. Negotiated Rate	$505.00
Max. Negotiated Rate	$1,136.25
Rate for Payer: Aetna Commercial	$1,073.12
Rate for Payer: Aetna New Business (MI Preferred)	$820.62
Rate for Payer: BCBS Complete	$505.00
Rate for Payer: Cash Price	$1,010.00
Rate for Payer: Cofinity Commercial	$1,085.75
Rate for Payer: Cofinity Commercial	$883.75
Rate for Payer: Healthscope Commercial	$1,136.25
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$1,073.12
Rate for Payer: PHP Commercial	$1,073.12
Rate for Payer: Priority Health Cigna Priority Health	$883.75
Rate for Payer: Priority Health SBD	$795.38

HC CANNULA LV VENT

Facility

$69.00

Hospital Charge Code	27000104
Hospital Revenue Code	270
Min. Negotiated Rate	$27.60
Max. Negotiated Rate	$62.10
Rate for Payer: Aetna Commercial	$58.65
Rate for Payer: Aetna New Business (MI Preferred)	$44.85
Rate for Payer: BCBS Complete	$27.60
Rate for Payer: Cash Price	$55.20
Rate for Payer: Cofinity Commercial	$48.30
Rate for Payer: Cofinity Commercial	$59.34
Rate for Payer: Healthscope Commercial	$62.10
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$58.65
Rate for Payer: PHP Commercial	$58.65
Rate for Payer: Priority Health Cigna Priority Health	$48.30
Rate for Payer: Priority Health SBD	$43.47

HC CANNULA LV VENT

Facility

$69.00

Hospital Charge Code	27000104
Hospital Revenue Code	270
Min. Negotiated Rate	$43.47
Max. Negotiated Rate	$62.10
Rate for Payer: Aetna Commercial	$58.65
Rate for Payer: Aetna New Business (MI Preferred)	$44.85
Rate for Payer: Cash Price	$55.20
Rate for Payer: Cofinity Commercial	$48.30
Rate for Payer: Cofinity Commercial	$59.34
Rate for Payer: Healthscope Commercial	$62.10
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$58.65
Rate for Payer: PHP Commercial	$58.65
Rate for Payer: Priority Health Cigna Priority Health	$48.30
Rate for Payer: Priority Health SBD	$43.47

HC CANNULA OSTIA

Facility

$57.00

Hospital Charge Code	27000061
Hospital Revenue Code	270
Min. Negotiated Rate	$35.91
Max. Negotiated Rate	$51.30
Rate for Payer: Aetna Commercial	$48.45
Rate for Payer: Aetna New Business (MI Preferred)	$37.05
Rate for Payer: Cash Price	$45.60
Rate for Payer: Cofinity Commercial	$39.90
Rate for Payer: Cofinity Commercial	$49.02
Rate for Payer: Healthscope Commercial	$51.30
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$48.45
Rate for Payer: PHP Commercial	$48.45
Rate for Payer: Priority Health Cigna Priority Health	$39.90
Rate for Payer: Priority Health SBD	$35.91

HC CANNULA OSTIA

Facility

$57.00

Hospital Charge Code	27000061
Hospital Revenue Code	270
Min. Negotiated Rate	$22.80
Max. Negotiated Rate	$51.30
Rate for Payer: Aetna Commercial	$48.45
Rate for Payer: Aetna New Business (MI Preferred)	$37.05
Rate for Payer: BCBS Complete	$22.80
Rate for Payer: Cash Price	$45.60
Rate for Payer: Cofinity Commercial	$39.90
Rate for Payer: Cofinity Commercial	$49.02
Rate for Payer: Healthscope Commercial	$51.30
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$48.45
Rate for Payer: PHP Commercial	$48.45
Rate for Payer: Priority Health Cigna Priority Health	$39.90
Rate for Payer: Priority Health SBD	$35.91

HC CANNULA OSTIAL SPRIT FLEX ANGLE 6 MM

Facility

$297.00

Hospital Charge Code	27000664
Hospital Revenue Code	270
Min. Negotiated Rate	$118.80
Max. Negotiated Rate	$267.30
Rate for Payer: Aetna Commercial	$252.45
Rate for Payer: Aetna New Business (MI Preferred)	$193.05
Rate for Payer: BCBS Complete	$118.80
Rate for Payer: Cash Price	$237.60
Rate for Payer: Cofinity Commercial	$207.90
Rate for Payer: Cofinity Commercial	$255.42
Rate for Payer: Healthscope Commercial	$267.30
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$252.45
Rate for Payer: PHP Commercial	$252.45
Rate for Payer: Priority Health Cigna Priority Health	$207.90
Rate for Payer: Priority Health SBD	$187.11

HC CANNULA OSTIAL SPRIT FLEX ANGLE 6 MM

Facility

$297.00

Hospital Charge Code	27000664
Hospital Revenue Code	270
Min. Negotiated Rate	$187.11
Max. Negotiated Rate	$267.30
Rate for Payer: Aetna Commercial	$252.45
Rate for Payer: Aetna New Business (MI Preferred)	$193.05
Rate for Payer: Cash Price	$237.60
Rate for Payer: Cofinity Commercial	$207.90
Rate for Payer: Cofinity Commercial	$255.42
Rate for Payer: Healthscope Commercial	$267.30
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$252.45
Rate for Payer: PHP Commercial	$252.45
Rate for Payer: Priority Health Cigna Priority Health	$207.90
Rate for Payer: Priority Health SBD	$187.11

HC CANNULA RCSP PVC AUTO 15 FR

Facility

$255.00

Hospital Charge Code	27000683
Hospital Revenue Code	270
Min. Negotiated Rate	$160.65
Max. Negotiated Rate	$229.50
Rate for Payer: Aetna Commercial	$216.75
Rate for Payer: Aetna New Business (MI Preferred)	$165.75
Rate for Payer: Cash Price	$204.00
Rate for Payer: Cofinity Commercial	$178.50
Rate for Payer: Cofinity Commercial	$219.30
Rate for Payer: Healthscope Commercial	$229.50
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$216.75
Rate for Payer: PHP Commercial	$216.75
Rate for Payer: Priority Health Cigna Priority Health	$178.50
Rate for Payer: Priority Health SBD	$160.65

HC CANNULA RCSP PVC AUTO 15 FR

Facility

$255.00

Hospital Charge Code	27000683
Hospital Revenue Code	270
Min. Negotiated Rate	$102.00
Max. Negotiated Rate	$229.50
Rate for Payer: Aetna Commercial	$216.75
Rate for Payer: Aetna New Business (MI Preferred)	$165.75
Rate for Payer: BCBS Complete	$102.00
Rate for Payer: Cash Price	$204.00
Rate for Payer: Cofinity Commercial	$178.50
Rate for Payer: Cofinity Commercial	$219.30
Rate for Payer: Healthscope Commercial	$229.50
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$216.75
Rate for Payer: PHP Commercial	$216.75
Rate for Payer: Priority Health Cigna Priority Health	$178.50
Rate for Payer: Priority Health SBD	$160.65

HC CANNULA RETROGRADE

Facility

$204.00

Hospital Charge Code	27000142
Hospital Revenue Code	270
Min. Negotiated Rate	$128.52
Max. Negotiated Rate	$183.60
Rate for Payer: Aetna Commercial	$173.40
Rate for Payer: Aetna New Business (MI Preferred)	$132.60
Rate for Payer: Cash Price	$163.20
Rate for Payer: Cofinity Commercial	$142.80
Rate for Payer: Cofinity Commercial	$175.44
Rate for Payer: Healthscope Commercial	$183.60
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$173.40
Rate for Payer: PHP Commercial	$173.40
Rate for Payer: Priority Health Cigna Priority Health	$142.80
Rate for Payer: Priority Health SBD	$128.52

HC CANNULA RETROGRADE

Facility

$204.00

Hospital Charge Code	27000142
Hospital Revenue Code	270
Min. Negotiated Rate	$81.60
Max. Negotiated Rate	$183.60
Rate for Payer: Aetna Commercial	$173.40
Rate for Payer: Aetna New Business (MI Preferred)	$132.60
Rate for Payer: BCBS Complete	$81.60
Rate for Payer: Cash Price	$163.20
Rate for Payer: Cofinity Commercial	$142.80
Rate for Payer: Cofinity Commercial	$175.44
Rate for Payer: Healthscope Commercial	$183.60
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$173.40
Rate for Payer: PHP Commercial	$173.40
Rate for Payer: Priority Health Cigna Priority Health	$142.80
Rate for Payer: Priority Health SBD	$128.52

HC CANNULA RETROGRD 15 FR

Facility

$304.91

Hospital Charge Code	27000447
Hospital Revenue Code	270
Min. Negotiated Rate	$121.96
Max. Negotiated Rate	$274.42
Rate for Payer: Aetna Commercial	$259.17
Rate for Payer: Aetna New Business (MI Preferred)	$198.19
Rate for Payer: BCBS Complete	$121.96
Rate for Payer: Cash Price	$243.93
Rate for Payer: Cofinity Commercial	$213.44
Rate for Payer: Cofinity Commercial	$262.22
Rate for Payer: Healthscope Commercial	$274.42
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$259.17
Rate for Payer: PHP Commercial	$259.17
Rate for Payer: Priority Health Cigna Priority Health	$213.44
Rate for Payer: Priority Health SBD	$192.09

HC CANNULA RETROGRD 15 FR

Facility

$304.91

Hospital Charge Code	27000447
Hospital Revenue Code	270
Min. Negotiated Rate	$192.09
Max. Negotiated Rate	$274.42
Rate for Payer: Aetna Commercial	$259.17
Rate for Payer: Aetna New Business (MI Preferred)	$198.19
Rate for Payer: Cash Price	$243.93
Rate for Payer: Cofinity Commercial	$213.44
Rate for Payer: Cofinity Commercial	$262.22
Rate for Payer: Healthscope Commercial	$274.42
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$259.17
Rate for Payer: PHP Commercial	$259.17
Rate for Payer: Priority Health Cigna Priority Health	$213.44
Rate for Payer: Priority Health SBD	$192.09

HC CANNULA VEIN GRAFT

Facility

$34.50

Hospital Charge Code	27000096
Hospital Revenue Code	270
Min. Negotiated Rate	$13.80
Max. Negotiated Rate	$31.05
Rate for Payer: Aetna Commercial	$29.32
Rate for Payer: Aetna New Business (MI Preferred)	$22.42
Rate for Payer: BCBS Complete	$13.80
Rate for Payer: Cash Price	$27.60
Rate for Payer: Cofinity Commercial	$24.15
Rate for Payer: Cofinity Commercial	$29.67
Rate for Payer: Healthscope Commercial	$31.05
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$29.32
Rate for Payer: PHP Commercial	$29.32
Rate for Payer: Priority Health Cigna Priority Health	$24.15
Rate for Payer: Priority Health SBD	$21.74

HC CANNULA VEIN GRAFT

Facility

$34.50

Hospital Charge Code	27000096
Hospital Revenue Code	270
Min. Negotiated Rate	$21.74
Max. Negotiated Rate	$31.05
Rate for Payer: Aetna Commercial	$29.32
Rate for Payer: Aetna New Business (MI Preferred)	$22.42
Rate for Payer: Cash Price	$27.60
Rate for Payer: Cofinity Commercial	$24.15
Rate for Payer: Cofinity Commercial	$29.67
Rate for Payer: Healthscope Commercial	$31.05
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$29.32
Rate for Payer: PHP Commercial	$29.32
Rate for Payer: Priority Health Cigna Priority Health	$24.15
Rate for Payer: Priority Health SBD	$21.74

HC CANNULA VENOUS RT PVC

Facility

$84.00

Hospital Charge Code	27000681
Hospital Revenue Code	270
Min. Negotiated Rate	$33.60
Max. Negotiated Rate	$75.60
Rate for Payer: Aetna Commercial	$71.40
Rate for Payer: Aetna New Business (MI Preferred)	$54.60
Rate for Payer: BCBS Complete	$33.60
Rate for Payer: Cash Price	$67.20
Rate for Payer: Cofinity Commercial	$58.80
Rate for Payer: Cofinity Commercial	$72.24
Rate for Payer: Healthscope Commercial	$75.60
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$71.40
Rate for Payer: PHP Commercial	$71.40
Rate for Payer: Priority Health Cigna Priority Health	$58.80
Rate for Payer: Priority Health SBD	$52.92

HC CANNULA VENOUS RT PVC

Facility

$84.00

Hospital Charge Code	27000681
Hospital Revenue Code	270
Min. Negotiated Rate	$52.92
Max. Negotiated Rate	$75.60
Rate for Payer: Aetna Commercial	$71.40
Rate for Payer: Aetna New Business (MI Preferred)	$54.60
Rate for Payer: Cash Price	$67.20
Rate for Payer: Cofinity Commercial	$58.80
Rate for Payer: Cofinity Commercial	$72.24
Rate for Payer: Healthscope Commercial	$75.60
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$71.40
Rate for Payer: PHP Commercial	$71.40
Rate for Payer: Priority Health Cigna Priority Health	$58.80
Rate for Payer: Priority Health SBD	$52.92

HC CANNULA VEN SINGLE STAGE

Facility

$72.00

Hospital Charge Code	27000263
Hospital Revenue Code	270
Min. Negotiated Rate	$28.80
Max. Negotiated Rate	$64.80
Rate for Payer: Aetna Commercial	$61.20
Rate for Payer: Aetna New Business (MI Preferred)	$46.80
Rate for Payer: BCBS Complete	$28.80
Rate for Payer: Cash Price	$57.60
Rate for Payer: Cofinity Commercial	$50.40
Rate for Payer: Cofinity Commercial	$61.92
Rate for Payer: Healthscope Commercial	$64.80
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$61.20
Rate for Payer: PHP Commercial	$61.20
Rate for Payer: Priority Health Cigna Priority Health	$50.40
Rate for Payer: Priority Health SBD	$45.36

HC CANNULA VEN SINGLE STAGE

Facility

$72.00

Hospital Charge Code	27000263
Hospital Revenue Code	270
Min. Negotiated Rate	$45.36
Max. Negotiated Rate	$64.80
Rate for Payer: Aetna Commercial	$61.20
Rate for Payer: Aetna New Business (MI Preferred)	$46.80
Rate for Payer: Cash Price	$57.60
Rate for Payer: Cofinity Commercial	$50.40
Rate for Payer: Cofinity Commercial	$61.92
Rate for Payer: Healthscope Commercial	$64.80
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$61.20
Rate for Payer: PHP Commercial	$61.20
Rate for Payer: Priority Health Cigna Priority Health	$50.40
Rate for Payer: Priority Health SBD	$45.36

HC CANNULA VEN SNGL STG RT ANG

Facility

$96.00

Hospital Charge Code	27000267
Hospital Revenue Code	270
Min. Negotiated Rate	$38.40
Max. Negotiated Rate	$86.40
Rate for Payer: Aetna Commercial	$81.60
Rate for Payer: Aetna New Business (MI Preferred)	$62.40
Rate for Payer: BCBS Complete	$38.40
Rate for Payer: Cash Price	$76.80
Rate for Payer: Cofinity Commercial	$67.20
Rate for Payer: Cofinity Commercial	$82.56
Rate for Payer: Healthscope Commercial	$86.40
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$81.60
Rate for Payer: PHP Commercial	$81.60
Rate for Payer: Priority Health Cigna Priority Health	$67.20
Rate for Payer: Priority Health SBD	$60.48

HC CANNULA VEN SNGL STG RT ANG

Facility

$96.00

Hospital Charge Code	27000267
Hospital Revenue Code	270
Min. Negotiated Rate	$60.48
Max. Negotiated Rate	$86.40
Rate for Payer: Aetna Commercial	$81.60
Rate for Payer: Aetna New Business (MI Preferred)	$62.40
Rate for Payer: Cash Price	$76.80
Rate for Payer: Cofinity Commercial	$67.20
Rate for Payer: Cofinity Commercial	$82.56
Rate for Payer: Healthscope Commercial	$86.40
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$81.60
Rate for Payer: PHP Commercial	$81.60
Rate for Payer: Priority Health Cigna Priority Health	$67.20
Rate for Payer: Priority Health SBD	$60.48

HC CANNULA VEN TRIPLE STAGE

Facility

$72.00

Hospital Charge Code	27000035
Hospital Revenue Code	270
Min. Negotiated Rate	$28.80
Max. Negotiated Rate	$64.80
Rate for Payer: Aetna Commercial	$61.20
Rate for Payer: Aetna New Business (MI Preferred)	$46.80
Rate for Payer: BCBS Complete	$28.80
Rate for Payer: Cash Price	$57.60
Rate for Payer: Cofinity Commercial	$50.40
Rate for Payer: Cofinity Commercial	$61.92
Rate for Payer: Healthscope Commercial	$64.80
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$61.20
Rate for Payer: PHP Commercial	$61.20
Rate for Payer: Priority Health Cigna Priority Health	$50.40
Rate for Payer: Priority Health SBD	$45.36

HC CANNULA VEN TRIPLE STAGE

Facility

$72.00

Hospital Charge Code	27000035
Hospital Revenue Code	270
Min. Negotiated Rate	$45.36
Max. Negotiated Rate	$64.80
Rate for Payer: Aetna Commercial	$61.20
Rate for Payer: Aetna New Business (MI Preferred)	$46.80
Rate for Payer: Cash Price	$57.60
Rate for Payer: Cofinity Commercial	$50.40
Rate for Payer: Cofinity Commercial	$61.92
Rate for Payer: Healthscope Commercial	$64.80
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$61.20
Rate for Payer: PHP Commercial	$61.20
Rate for Payer: Priority Health Cigna Priority Health	$50.40
Rate for Payer: Priority Health SBD	$45.36

HC CARB 10,11 EPXID

Facility

$43.88

Service Code	CPT 80161
Hospital Charge Code	30100742
Hospital Revenue Code	301
Min. Negotiated Rate	$10.20
Max. Negotiated Rate	$39.49
Rate for Payer: Aetna Commercial	$37.30
Rate for Payer: Aetna Medicare	$19.39
Rate for Payer: Aetna New Business (MI Preferred)	$28.52
Rate for Payer: Allen County Amish Medical Aid Commercial	$23.30
Rate for Payer: Amish Plain Church Group Commercial	$23.30
Rate for Payer: BCBS Complete	$10.71
Rate for Payer: BCBS MAPPO	$18.64
Rate for Payer: BCBS Trust/PPO	$14.60
Rate for Payer: BCN Medicare Advantage	$18.64
Rate for Payer: Cash Price	$35.10
Rate for Payer: Cash Price	$35.10
Rate for Payer: Cofinity Commercial	$37.74
Rate for Payer: Cofinity Commercial	$30.72
Rate for Payer: Health Alliance Plan Medicare Advantage	$18.64
Rate for Payer: Healthscope Commercial	$39.49
Rate for Payer: Mclaren Medicaid	$10.20
Rate for Payer: Mclaren Medicare	$18.64
Rate for Payer: Meridian Medicaid	$10.71
Rate for Payer: Meridian Wellcare - Medicare Advantage	$19.57
Rate for Payer: MI Amish Medical Board Commercial	$21.44
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$37.30
Rate for Payer: PACE Medicare	$17.71
Rate for Payer: PACE SWMI	$18.64
Rate for Payer: PHP Commercial	$37.30
Rate for Payer: PHP Medicare Advantage	$18.64
Rate for Payer: Priority Health Choice Medicaid	$10.20
Rate for Payer: Priority Health Cigna Priority Health	$30.72
Rate for Payer: Priority Health Medicare	$18.64
Rate for Payer: Priority Health SBD	$27.64
Rate for Payer: Railroad Medicare Medicare	$18.64
Rate for Payer: UHC All Payor (Choice/PPO)	$22.37
Rate for Payer: UHC Core	$22.37
Rate for Payer: UHC Dual Complete DSNP	$18.64
Rate for Payer: UHC Exchange	$18.64
Rate for Payer: UHC Medicare Advantage	$19.20
Rate for Payer: VA VA	$18.64

Know your out-of-pocket cost for care.

All Charges