Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

FEMALE REPRODUCTIVE SYSTEM MALIGNANCY

Facility

$14,089.42

Service Code	APR-DRG 5304
Min. Negotiated Rate	$13,418.50
Max. Negotiated Rate	$14,089.42
Rate for Payer: BCBS Complete	$14,089.42
Rate for Payer: Mclaren Medicaid	$13,418.50
Rate for Payer: Meridian Medicaid	$14,089.42
Rate for Payer: Priority Health Choice Medicaid	$13,418.50
Rate for Payer: UHC Medicaid	$13,418.50
Rate for Payer: UHCCP Medicaid	$13,418.50

FEMALE REPRODUCTIVE SYSTEM MALIGNANCY

Facility

$4,672.40

Service Code	APR-DRG 5301
Min. Negotiated Rate	$4,449.90
Max. Negotiated Rate	$4,672.40
Rate for Payer: BCBS Complete	$4,672.40
Rate for Payer: Mclaren Medicaid	$4,449.90
Rate for Payer: Meridian Medicaid	$4,672.40
Rate for Payer: Priority Health Choice Medicaid	$4,449.90
Rate for Payer: UHC Medicaid	$4,449.90
Rate for Payer: UHCCP Medicaid	$4,449.90

FEMALE REPRODUCTIVE SYSTEM MALIGNANCY

Facility

$6,097.05

Service Code	APR-DRG 5302
Min. Negotiated Rate	$5,806.71
Max. Negotiated Rate	$6,097.05
Rate for Payer: BCBS Complete	$6,097.05
Rate for Payer: Mclaren Medicaid	$5,806.71
Rate for Payer: Meridian Medicaid	$6,097.05
Rate for Payer: Priority Health Choice Medicaid	$5,806.71
Rate for Payer: UHC Medicaid	$5,806.71
Rate for Payer: UHCCP Medicaid	$5,806.71

FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES

Facility

$14,298.68

Service Code	APR-DRG 5143
Min. Negotiated Rate	$13,617.79
Max. Negotiated Rate	$14,298.68
Rate for Payer: BCBS Complete	$14,298.68
Rate for Payer: Mclaren Medicaid	$13,617.79
Rate for Payer: Meridian Medicaid	$14,298.68
Rate for Payer: Priority Health Choice Medicaid	$13,617.79
Rate for Payer: UHC Medicaid	$13,617.79
Rate for Payer: UHCCP Medicaid	$13,617.79

FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES

Facility

$12,070.83

Service Code	APR-DRG 5142
Min. Negotiated Rate	$11,496.03
Max. Negotiated Rate	$12,070.83
Rate for Payer: BCBS Complete	$12,070.83
Rate for Payer: Mclaren Medicaid	$11,496.03
Rate for Payer: Meridian Medicaid	$12,070.83
Rate for Payer: Priority Health Choice Medicaid	$11,496.03
Rate for Payer: UHC Medicaid	$11,496.03
Rate for Payer: UHCCP Medicaid	$11,496.03

FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES

Facility

$34,863.88

Service Code	MSDRG 748
Min. Negotiated Rate	$10,735.34
Max. Negotiated Rate	$34,863.88
Rate for Payer: Aetna Medicare	$11,752.37
Rate for Payer: Allen County Amish Medical Aid Commercial	$14,125.45
Rate for Payer: Amish Plain Church Group Commercial	$14,125.45
Rate for Payer: BCBS MAPPO	$11,300.36
Rate for Payer: BCBS Trust/PPO	$34,863.88
Rate for Payer: BCN Commercial	$34,863.88
Rate for Payer: BCN Medicare Advantage	$11,300.36
Rate for Payer: Health Alliance Plan Medicare Advantage	$11,300.36
Rate for Payer: Mclaren Medicare	$11,300.36
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$11,865.38
Rate for Payer: MI Amish Medical Board Commercial	$12,995.41
Rate for Payer: Molina Medicare/Medicaid	$12,430.40
Rate for Payer: Nomi Health Commercial	$17,896.17
Rate for Payer: PACE Medicare	$10,735.34
Rate for Payer: PACE SWMI	$11,300.36
Rate for Payer: PHP Medicare Advantage	$11,300.36
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$22,366.24
Rate for Payer: Priority Health Medicare	$11,300.36
Rate for Payer: Priority Health Tiered Network	$17,892.99
Rate for Payer: Railroad Medicare Medicare	$11,300.36
Rate for Payer: UHC All Payor (Choice/PPO)	$22,612.99
Rate for Payer: UHC Core	$18,918.61
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$11,300.36
Rate for Payer: UHC Exchange	$15,450.36
Rate for Payer: VA VA	$11,300.36

FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES

Facility

$7,896.06

Service Code	APR-DRG 5141
Min. Negotiated Rate	$7,520.06
Max. Negotiated Rate	$7,896.06
Rate for Payer: BCBS Complete	$7,896.06
Rate for Payer: Mclaren Medicaid	$7,520.06
Rate for Payer: Meridian Medicaid	$7,896.06
Rate for Payer: Priority Health Choice Medicaid	$7,520.06
Rate for Payer: UHC Medicaid	$7,520.06
Rate for Payer: UHCCP Medicaid	$7,520.06

FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES

Facility

$29,992.19

Service Code	APR-DRG 5144
Min. Negotiated Rate	$28,563.99
Max. Negotiated Rate	$29,992.19
Rate for Payer: BCBS Complete	$29,992.19
Rate for Payer: Mclaren Medicaid	$28,563.99
Rate for Payer: Meridian Medicaid	$29,992.19
Rate for Payer: Priority Health Choice Medicaid	$28,563.99
Rate for Payer: UHC Medicaid	$28,563.99
Rate for Payer: UHCCP Medicaid	$28,563.99

FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET

Facility

$159.99

Service Code	NDC 00904716104
Hospital Charge Code	40010
Hospital Revenue Code	637
Min. Negotiated Rate	$100.79
Max. Negotiated Rate	$143.99
Rate for Payer: Aetna Commercial	$135.99
Rate for Payer: Aetna New Business (MI Preferred)	$103.99
Rate for Payer: Cash Price	$127.99
Rate for Payer: Cofinity Advantage	$111.99
Rate for Payer: Cofinity Commercial	$137.59
Rate for Payer: Encore Health Key Benefits Commercial	$127.99
Rate for Payer: Healthscope Commercial	$143.99
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$135.99
Rate for Payer: Opus (Opus Packaging Group) HMA	$119.99
Rate for Payer: PHP Commercial	$135.99
Rate for Payer: Priority Health SBD	$100.79

FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET

Facility

$893.18

Service Code	NDC 51079060820
Hospital Charge Code	40010
Hospital Revenue Code	637
Min. Negotiated Rate	$351.02
Max. Negotiated Rate	$803.86
Rate for Payer: Aetna Commercial	$759.20
Rate for Payer: Aetna Medicare	$446.59
Rate for Payer: Aetna New Business (MI Preferred)	$580.57
Rate for Payer: BCBS Complete	$357.27
Rate for Payer: Cash Price	$714.54
Rate for Payer: Cofinity Advantage	$625.23
Rate for Payer: Cofinity Commercial	$768.13
Rate for Payer: Encore Health Key Benefits Commercial	$714.54
Rate for Payer: Healthscope Commercial	$803.86
Rate for Payer: MI Amish Medical Board Commercial	$714.54
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$759.20
Rate for Payer: Opus (Opus Packaging Group) HMA	$669.88
Rate for Payer: PHP Commercial	$759.20
Rate for Payer: Priority Health SBD	$562.70
Rate for Payer: UHC All Payor (Choice/PPO)	$580.57
Rate for Payer: UHC Core	$465.35
Rate for Payer: UHC Exchange	$351.02

FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET

Facility

$159.99

Service Code	NDC 00904716104
Hospital Charge Code	40010
Hospital Revenue Code	637
Min. Negotiated Rate	$62.88
Max. Negotiated Rate	$143.99
Rate for Payer: Aetna Commercial	$135.99
Rate for Payer: Aetna Medicare	$80.00
Rate for Payer: Aetna New Business (MI Preferred)	$103.99
Rate for Payer: BCBS Complete	$64.00
Rate for Payer: Cash Price	$127.99
Rate for Payer: Cofinity Advantage	$111.99
Rate for Payer: Cofinity Commercial	$137.59
Rate for Payer: Encore Health Key Benefits Commercial	$127.99
Rate for Payer: Healthscope Commercial	$143.99
Rate for Payer: MI Amish Medical Board Commercial	$127.99
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$135.99
Rate for Payer: Opus (Opus Packaging Group) HMA	$119.99
Rate for Payer: PHP Commercial	$135.99
Rate for Payer: Priority Health SBD	$100.79
Rate for Payer: UHC All Payor (Choice/PPO)	$103.99
Rate for Payer: UHC Core	$83.35
Rate for Payer: UHC Exchange	$62.88

FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET

Facility

$207.36

Service Code	NDC 00904748004
Hospital Charge Code	40010
Hospital Revenue Code	637
Min. Negotiated Rate	$130.64
Max. Negotiated Rate	$186.62
Rate for Payer: Aetna Commercial	$176.26
Rate for Payer: Aetna New Business (MI Preferred)	$134.78
Rate for Payer: Cash Price	$165.89
Rate for Payer: Cofinity Advantage	$145.15
Rate for Payer: Cofinity Commercial	$178.33
Rate for Payer: Encore Health Key Benefits Commercial	$165.89
Rate for Payer: Healthscope Commercial	$186.62
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$176.26
Rate for Payer: Opus (Opus Packaging Group) HMA	$155.52
Rate for Payer: PHP Commercial	$176.26
Rate for Payer: Priority Health SBD	$130.64

FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET

Facility

$207.36

Service Code	NDC 00904748004
Hospital Charge Code	40010
Hospital Revenue Code	637
Min. Negotiated Rate	$81.49
Max. Negotiated Rate	$186.62
Rate for Payer: Aetna Commercial	$176.26
Rate for Payer: Aetna Medicare	$103.68
Rate for Payer: Aetna New Business (MI Preferred)	$134.78
Rate for Payer: BCBS Complete	$82.94
Rate for Payer: Cash Price	$165.89
Rate for Payer: Cofinity Advantage	$145.15
Rate for Payer: Cofinity Commercial	$178.33
Rate for Payer: Encore Health Key Benefits Commercial	$165.89
Rate for Payer: Healthscope Commercial	$186.62
Rate for Payer: MI Amish Medical Board Commercial	$165.89
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$176.26
Rate for Payer: Opus (Opus Packaging Group) HMA	$155.52
Rate for Payer: PHP Commercial	$176.26
Rate for Payer: Priority Health SBD	$130.64
Rate for Payer: UHC All Payor (Choice/PPO)	$134.78
Rate for Payer: UHC Core	$108.03
Rate for Payer: UHC Exchange	$81.49

FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET

Facility

$893.18

Service Code	NDC 51079060820
Hospital Charge Code	40010
Hospital Revenue Code	637
Min. Negotiated Rate	$562.70
Max. Negotiated Rate	$803.86
Rate for Payer: Aetna Commercial	$759.20
Rate for Payer: Aetna New Business (MI Preferred)	$580.57
Rate for Payer: Cash Price	$714.54
Rate for Payer: Cofinity Advantage	$625.23
Rate for Payer: Cofinity Commercial	$768.13
Rate for Payer: Encore Health Key Benefits Commercial	$714.54
Rate for Payer: Healthscope Commercial	$803.86
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$759.20
Rate for Payer: Opus (Opus Packaging Group) HMA	$669.88
Rate for Payer: PHP Commercial	$759.20
Rate for Payer: Priority Health SBD	$562.70

FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET

Facility

$4.03

Service Code	NDC 60687061811
Hospital Charge Code	40009
Hospital Revenue Code	637
Min. Negotiated Rate	$1.58
Max. Negotiated Rate	$3.63
Rate for Payer: Aetna Commercial	$3.43
Rate for Payer: Aetna Medicare	$2.02
Rate for Payer: Aetna New Business (MI Preferred)	$2.62
Rate for Payer: BCBS Complete	$1.61
Rate for Payer: Cash Price	$3.22
Rate for Payer: Cofinity Advantage	$2.82
Rate for Payer: Cofinity Commercial	$3.47
Rate for Payer: Encore Health Key Benefits Commercial	$3.22
Rate for Payer: Healthscope Commercial	$3.63
Rate for Payer: MI Amish Medical Board Commercial	$3.22
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$3.43
Rate for Payer: Opus (Opus Packaging Group) HMA	$3.02
Rate for Payer: PHP Commercial	$3.43
Rate for Payer: Priority Health SBD	$2.54
Rate for Payer: UHC All Payor (Choice/PPO)	$2.62
Rate for Payer: UHC Core	$2.10
Rate for Payer: UHC Exchange	$1.58

FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET

Facility

$4.03

Service Code	NDC 60687061811
Hospital Charge Code	40009
Hospital Revenue Code	637
Min. Negotiated Rate	$2.54
Max. Negotiated Rate	$3.63
Rate for Payer: Aetna Commercial	$3.43
Rate for Payer: Aetna New Business (MI Preferred)	$2.62
Rate for Payer: Cash Price	$3.22
Rate for Payer: Cofinity Advantage	$2.82
Rate for Payer: Cofinity Commercial	$3.47
Rate for Payer: Encore Health Key Benefits Commercial	$3.22
Rate for Payer: Healthscope Commercial	$3.63
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$3.43
Rate for Payer: Opus (Opus Packaging Group) HMA	$3.02
Rate for Payer: PHP Commercial	$3.43
Rate for Payer: Priority Health SBD	$2.54

FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET

Facility

$120.82

Service Code	NDC 60687061821
Hospital Charge Code	40009
Hospital Revenue Code	637
Min. Negotiated Rate	$47.48
Max. Negotiated Rate	$108.74
Rate for Payer: Aetna Commercial	$102.70
Rate for Payer: Aetna Medicare	$60.41
Rate for Payer: Aetna New Business (MI Preferred)	$78.53
Rate for Payer: BCBS Complete	$48.33
Rate for Payer: Cash Price	$96.66
Rate for Payer: Cofinity Advantage	$84.57
Rate for Payer: Cofinity Commercial	$103.91
Rate for Payer: Encore Health Key Benefits Commercial	$96.66
Rate for Payer: Healthscope Commercial	$108.74
Rate for Payer: MI Amish Medical Board Commercial	$96.66
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$102.70
Rate for Payer: Opus (Opus Packaging Group) HMA	$90.61
Rate for Payer: PHP Commercial	$102.70
Rate for Payer: Priority Health SBD	$76.12
Rate for Payer: UHC All Payor (Choice/PPO)	$78.53
Rate for Payer: UHC Core	$62.95
Rate for Payer: UHC Exchange	$47.48

FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET

Facility

$120.82

Service Code	NDC 60687061821
Hospital Charge Code	40009
Hospital Revenue Code	637
Min. Negotiated Rate	$76.12
Max. Negotiated Rate	$108.74
Rate for Payer: Aetna Commercial	$102.70
Rate for Payer: Aetna New Business (MI Preferred)	$78.53
Rate for Payer: Cash Price	$96.66
Rate for Payer: Cofinity Advantage	$84.57
Rate for Payer: Cofinity Commercial	$103.91
Rate for Payer: Encore Health Key Benefits Commercial	$96.66
Rate for Payer: Healthscope Commercial	$108.74
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$102.70
Rate for Payer: Opus (Opus Packaging Group) HMA	$90.61
Rate for Payer: PHP Commercial	$102.70
Rate for Payer: Priority Health SBD	$76.12

FENTANYL 100 MCG/HR TRANSDERMAL PATCH

Facility

$84.58

Service Code	NDC 00378912416
Hospital Charge Code	27908
Hospital Revenue Code	637
Min. Negotiated Rate	$53.29
Max. Negotiated Rate	$76.12
Rate for Payer: Aetna Commercial	$71.89
Rate for Payer: Aetna New Business (MI Preferred)	$54.98
Rate for Payer: Cash Price	$67.66
Rate for Payer: Cofinity Advantage	$59.21
Rate for Payer: Cofinity Commercial	$72.74
Rate for Payer: Encore Health Key Benefits Commercial	$67.66
Rate for Payer: Healthscope Commercial	$76.12
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$71.89
Rate for Payer: Opus (Opus Packaging Group) HMA	$63.44
Rate for Payer: PHP Commercial	$71.89
Rate for Payer: Priority Health SBD	$53.29

FENTANYL 100 MCG/HR TRANSDERMAL PATCH

Facility

$84.58

Service Code	NDC 00378912416
Hospital Charge Code	27908
Hospital Revenue Code	637
Min. Negotiated Rate	$33.24
Max. Negotiated Rate	$76.12
Rate for Payer: Aetna Commercial	$71.89
Rate for Payer: Aetna Medicare	$42.29
Rate for Payer: Aetna New Business (MI Preferred)	$54.98
Rate for Payer: BCBS Complete	$33.83
Rate for Payer: Cash Price	$67.66
Rate for Payer: Cofinity Advantage	$59.21
Rate for Payer: Cofinity Commercial	$72.74
Rate for Payer: Encore Health Key Benefits Commercial	$67.66
Rate for Payer: Healthscope Commercial	$76.12
Rate for Payer: MI Amish Medical Board Commercial	$67.66
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$71.89
Rate for Payer: Opus (Opus Packaging Group) HMA	$63.44
Rate for Payer: PHP Commercial	$71.89
Rate for Payer: Priority Health SBD	$53.29
Rate for Payer: UHC All Payor (Choice/PPO)	$54.98
Rate for Payer: UHC Core	$44.07
Rate for Payer: UHC Exchange	$33.24

FENTANYL 100 MCG/HR TRANSDERMAL PATCH

Facility

$422.87

Service Code	NDC 00378912498
Hospital Charge Code	27908
Hospital Revenue Code	637
Min. Negotiated Rate	$166.19
Max. Negotiated Rate	$380.58
Rate for Payer: Aetna Commercial	$359.44
Rate for Payer: Aetna Medicare	$211.44
Rate for Payer: Aetna New Business (MI Preferred)	$274.87
Rate for Payer: BCBS Complete	$169.15
Rate for Payer: Cash Price	$338.30
Rate for Payer: Cofinity Advantage	$296.01
Rate for Payer: Cofinity Commercial	$363.67
Rate for Payer: Encore Health Key Benefits Commercial	$338.30
Rate for Payer: Healthscope Commercial	$380.58
Rate for Payer: MI Amish Medical Board Commercial	$338.30
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$359.44
Rate for Payer: Opus (Opus Packaging Group) HMA	$317.15
Rate for Payer: PHP Commercial	$359.44
Rate for Payer: Priority Health SBD	$266.41
Rate for Payer: UHC All Payor (Choice/PPO)	$274.87
Rate for Payer: UHC Core	$220.32
Rate for Payer: UHC Exchange	$166.19

FENTANYL 100 MCG/HR TRANSDERMAL PATCH

Facility

$422.87

Service Code	NDC 00378912498
Hospital Charge Code	27908
Hospital Revenue Code	637
Min. Negotiated Rate	$266.41
Max. Negotiated Rate	$380.58
Rate for Payer: Aetna Commercial	$359.44
Rate for Payer: Aetna New Business (MI Preferred)	$274.87
Rate for Payer: Cash Price	$338.30
Rate for Payer: Cofinity Advantage	$296.01
Rate for Payer: Cofinity Commercial	$363.67
Rate for Payer: Encore Health Key Benefits Commercial	$338.30
Rate for Payer: Healthscope Commercial	$380.58
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$359.44
Rate for Payer: Opus (Opus Packaging Group) HMA	$317.15
Rate for Payer: PHP Commercial	$359.44
Rate for Payer: Priority Health SBD	$266.41

FENTANYL 12 MCG/HR TRANSDERMAL PATCH

Facility

$263.71

Service Code	NDC 00378911998
Hospital Charge Code	41382
Hospital Revenue Code	637
Min. Negotiated Rate	$166.14
Max. Negotiated Rate	$237.34
Rate for Payer: Aetna Commercial	$224.15
Rate for Payer: Aetna New Business (MI Preferred)	$171.41
Rate for Payer: Cash Price	$210.97
Rate for Payer: Cofinity Advantage	$184.60
Rate for Payer: Cofinity Commercial	$226.79
Rate for Payer: Encore Health Key Benefits Commercial	$210.97
Rate for Payer: Healthscope Commercial	$237.34
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$224.15
Rate for Payer: Opus (Opus Packaging Group) HMA	$197.78
Rate for Payer: PHP Commercial	$224.15
Rate for Payer: Priority Health SBD	$166.14

FENTANYL 12 MCG/HR TRANSDERMAL PATCH

Facility

$263.71

Service Code	NDC 00378911998
Hospital Charge Code	41382
Hospital Revenue Code	637
Min. Negotiated Rate	$103.64
Max. Negotiated Rate	$237.34
Rate for Payer: Aetna Commercial	$224.15
Rate for Payer: Aetna Medicare	$131.85
Rate for Payer: Aetna New Business (MI Preferred)	$171.41
Rate for Payer: BCBS Complete	$105.48
Rate for Payer: Cash Price	$210.97
Rate for Payer: Cofinity Advantage	$184.60
Rate for Payer: Cofinity Commercial	$226.79
Rate for Payer: Encore Health Key Benefits Commercial	$210.97
Rate for Payer: Healthscope Commercial	$237.34
Rate for Payer: MI Amish Medical Board Commercial	$210.97
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$224.15
Rate for Payer: Opus (Opus Packaging Group) HMA	$197.78
Rate for Payer: PHP Commercial	$224.15
Rate for Payer: Priority Health SBD	$166.14
Rate for Payer: UHC All Payor (Choice/PPO)	$171.41
Rate for Payer: UHC Core	$137.39
Rate for Payer: UHC Exchange	$103.64

FENTANYL 25 MCG/HR TRANSDERMAL PATCH

Facility

$109.40

Service Code	NDC 47781042447
Hospital Charge Code	27905
Hospital Revenue Code	637
Min. Negotiated Rate	$68.92
Max. Negotiated Rate	$98.46
Rate for Payer: Aetna Commercial	$92.99
Rate for Payer: Aetna New Business (MI Preferred)	$71.11
Rate for Payer: Cash Price	$87.52
Rate for Payer: Cofinity Advantage	$76.58
Rate for Payer: Cofinity Commercial	$94.08
Rate for Payer: Encore Health Key Benefits Commercial	$87.52
Rate for Payer: Healthscope Commercial	$98.46
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$92.99
Rate for Payer: Opus (Opus Packaging Group) HMA	$82.05
Rate for Payer: PHP Commercial	$92.99
Rate for Payer: Priority Health SBD	$68.92

Know your out-of-pocket cost for care.

All Charges