Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

HC CAST SHORT LEG WALKING

Facility

$361.62

Service Code	CPT 29425
Hospital Charge Code	70000008
Hospital Revenue Code	700
Min. Negotiated Rate	$227.82
Max. Negotiated Rate	$325.46
Rate for Payer: Aetna Commercial	$307.38
Rate for Payer: Aetna New Business (MI Preferred)	$235.05
Rate for Payer: Cash Price	$289.30
Rate for Payer: Cofinity Commercial	$253.13
Rate for Payer: Cofinity Commercial	$310.99
Rate for Payer: Healthscope Commercial	$325.46
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$307.38
Rate for Payer: PHP Commercial	$307.38
Rate for Payer: Priority Health Cigna Priority Health	$253.13
Rate for Payer: Priority Health SBD	$227.82

HC CAST SHORT LEG WALKING

Facility

$361.62

Service Code	CPT 29425
Hospital Charge Code	70000008
Hospital Revenue Code	700
Min. Negotiated Rate	$53.37
Max. Negotiated Rate	$325.46
Rate for Payer: Aetna Commercial	$307.38
Rate for Payer: Aetna Medicare	$248.52
Rate for Payer: Aetna New Business (MI Preferred)	$235.05
Rate for Payer: Allen County Amish Medical Aid Commercial	$298.70
Rate for Payer: Amish Plain Church Group Commercial	$298.70
Rate for Payer: BCBS Complete	$137.26
Rate for Payer: BCBS MAPPO	$238.96
Rate for Payer: BCBS Trust/PPO	$149.97
Rate for Payer: BCN Medicare Advantage	$238.96
Rate for Payer: Cash Price	$289.30
Rate for Payer: Cash Price	$289.30
Rate for Payer: Cofinity Commercial	$310.99
Rate for Payer: Cofinity Commercial	$253.13
Rate for Payer: Health Alliance Plan Medicare Advantage	$238.96
Rate for Payer: Healthscope Commercial	$325.46
Rate for Payer: Mclaren Medicaid	$130.71
Rate for Payer: Mclaren Medicare	$238.96
Rate for Payer: Meridian Medicaid	$137.26
Rate for Payer: Meridian Wellcare - Medicare Advantage	$250.91
Rate for Payer: MI Amish Medical Board Commercial	$274.80
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$307.38
Rate for Payer: PACE Medicare	$227.01
Rate for Payer: PACE SWMI	$238.96
Rate for Payer: PHP Commercial	$307.38
Rate for Payer: PHP Medicare Advantage	$238.96
Rate for Payer: Priority Health Choice Medicaid	$130.71
Rate for Payer: Priority Health Cigna Priority Health	$253.13
Rate for Payer: Priority Health Medicare	$238.96
Rate for Payer: Priority Health SBD	$227.82
Rate for Payer: Railroad Medicare Medicare	$238.96
Rate for Payer: UHC All Payor (Choice/PPO)	$58.71
Rate for Payer: UHC Dual Complete DSNP	$238.96
Rate for Payer: UHC Exchange	$53.37
Rate for Payer: UHC Medicare Advantage	$246.13
Rate for Payer: VA VA	$238.96

HC CAST SUP LNG ARM SPLINT FBG

Facility

$25.50

Hospital Charge Code	27200332
Hospital Revenue Code	272
Min. Negotiated Rate	$16.06
Max. Negotiated Rate	$22.95
Rate for Payer: Aetna Commercial	$21.68
Rate for Payer: Aetna New Business (MI Preferred)	$16.58
Rate for Payer: Cash Price	$20.40
Rate for Payer: Cofinity Commercial	$17.85
Rate for Payer: Cofinity Commercial	$21.93
Rate for Payer: Healthscope Commercial	$22.95
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$21.68
Rate for Payer: PHP Commercial	$21.68
Rate for Payer: Priority Health Cigna Priority Health	$17.85
Rate for Payer: Priority Health SBD	$16.06

HC CAST SUP LNG ARM SPLINT FBG

Facility

$25.50

Hospital Charge Code	27200332
Hospital Revenue Code	272
Min. Negotiated Rate	$10.20
Max. Negotiated Rate	$22.95
Rate for Payer: Aetna Commercial	$21.68
Rate for Payer: Aetna New Business (MI Preferred)	$16.58
Rate for Payer: BCBS Complete	$10.20
Rate for Payer: Cash Price	$20.40
Rate for Payer: Cofinity Commercial	$17.85
Rate for Payer: Cofinity Commercial	$21.93
Rate for Payer: Healthscope Commercial	$22.95
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$21.68
Rate for Payer: PHP Commercial	$21.68
Rate for Payer: Priority Health Cigna Priority Health	$17.85
Rate for Payer: Priority Health SBD	$16.06

HC CAST SUP LNG ARM SPLNT PED F

Facility

$24.48

Hospital Charge Code	27200333
Hospital Revenue Code	272
Min. Negotiated Rate	$15.42
Max. Negotiated Rate	$22.03
Rate for Payer: Aetna Commercial	$20.81
Rate for Payer: Aetna New Business (MI Preferred)	$15.91
Rate for Payer: Cash Price	$19.58
Rate for Payer: Cofinity Commercial	$17.14
Rate for Payer: Cofinity Commercial	$21.05
Rate for Payer: Healthscope Commercial	$22.03
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$20.81
Rate for Payer: PHP Commercial	$20.81
Rate for Payer: Priority Health Cigna Priority Health	$17.14
Rate for Payer: Priority Health SBD	$15.42

HC CAST SUP LNG ARM SPLNT PED F

Facility

$24.48

Hospital Charge Code	27200333
Hospital Revenue Code	272
Min. Negotiated Rate	$9.79
Max. Negotiated Rate	$22.03
Rate for Payer: Aetna Commercial	$20.81
Rate for Payer: Aetna New Business (MI Preferred)	$15.91
Rate for Payer: BCBS Complete	$9.79
Rate for Payer: Cash Price	$19.58
Rate for Payer: Cofinity Commercial	$17.14
Rate for Payer: Cofinity Commercial	$21.05
Rate for Payer: Healthscope Commercial	$22.03
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$20.81
Rate for Payer: PHP Commercial	$20.81
Rate for Payer: Priority Health Cigna Priority Health	$17.14
Rate for Payer: Priority Health SBD	$15.42

HC CAST SUP LNG LEG CYLNDR PED F

Facility

$51.00

Hospital Charge Code	27200338
Hospital Revenue Code	272
Min. Negotiated Rate	$20.40
Max. Negotiated Rate	$45.90
Rate for Payer: Aetna Commercial	$43.35
Rate for Payer: Aetna New Business (MI Preferred)	$33.15
Rate for Payer: BCBS Complete	$20.40
Rate for Payer: Cash Price	$40.80
Rate for Payer: Cofinity Commercial	$35.70
Rate for Payer: Cofinity Commercial	$43.86
Rate for Payer: Healthscope Commercial	$45.90
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$43.35
Rate for Payer: PHP Commercial	$43.35
Rate for Payer: Priority Health Cigna Priority Health	$35.70
Rate for Payer: Priority Health SBD	$32.13

HC CAST SUP LNG LEG CYLNDR PED F

Facility

$51.00

Hospital Charge Code	27200338
Hospital Revenue Code	272
Min. Negotiated Rate	$32.13
Max. Negotiated Rate	$45.90
Rate for Payer: Aetna Commercial	$43.35
Rate for Payer: Aetna New Business (MI Preferred)	$33.15
Rate for Payer: Cash Price	$40.80
Rate for Payer: Cofinity Commercial	$35.70
Rate for Payer: Cofinity Commercial	$43.86
Rate for Payer: Healthscope Commercial	$45.90
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$43.35
Rate for Payer: PHP Commercial	$43.35
Rate for Payer: Priority Health Cigna Priority Health	$35.70
Rate for Payer: Priority Health SBD	$32.13

HC CAST SUP LNG LEG PED FBRGLS

Facility

$53.04

Hospital Charge Code	27200337
Hospital Revenue Code	272
Min. Negotiated Rate	$21.22
Max. Negotiated Rate	$47.74
Rate for Payer: Aetna Commercial	$45.08
Rate for Payer: Aetna New Business (MI Preferred)	$34.48
Rate for Payer: BCBS Complete	$21.22
Rate for Payer: Cash Price	$42.43
Rate for Payer: Cofinity Commercial	$37.13
Rate for Payer: Cofinity Commercial	$45.61
Rate for Payer: Healthscope Commercial	$47.74
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$45.08
Rate for Payer: PHP Commercial	$45.08
Rate for Payer: Priority Health Cigna Priority Health	$37.13
Rate for Payer: Priority Health SBD	$33.42

HC CAST SUP LNG LEG PED FBRGLS

Facility

$53.04

Hospital Charge Code	27200337
Hospital Revenue Code	272
Min. Negotiated Rate	$33.42
Max. Negotiated Rate	$47.74
Rate for Payer: Aetna Commercial	$45.08
Rate for Payer: Aetna New Business (MI Preferred)	$34.48
Rate for Payer: Cash Price	$42.43
Rate for Payer: Cofinity Commercial	$37.13
Rate for Payer: Cofinity Commercial	$45.61
Rate for Payer: Healthscope Commercial	$47.74
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$45.08
Rate for Payer: PHP Commercial	$45.08
Rate for Payer: Priority Health Cigna Priority Health	$37.13
Rate for Payer: Priority Health SBD	$33.42

HC CAST SUP LONG ARM ADULT FBRG

Facility

$56.10

Hospital Charge Code	27200327
Hospital Revenue Code	272
Min. Negotiated Rate	$22.44
Max. Negotiated Rate	$50.49
Rate for Payer: Aetna Commercial	$47.68
Rate for Payer: Aetna New Business (MI Preferred)	$36.46
Rate for Payer: BCBS Complete	$22.44
Rate for Payer: Cash Price	$44.88
Rate for Payer: Cofinity Commercial	$39.27
Rate for Payer: Cofinity Commercial	$48.25
Rate for Payer: Healthscope Commercial	$50.49
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$47.68
Rate for Payer: PHP Commercial	$47.68
Rate for Payer: Priority Health Cigna Priority Health	$39.27
Rate for Payer: Priority Health SBD	$35.34

HC CAST SUP LONG ARM ADULT FBRG

Facility

$56.10

Hospital Charge Code	27200327
Hospital Revenue Code	272
Min. Negotiated Rate	$35.34
Max. Negotiated Rate	$50.49
Rate for Payer: Aetna Commercial	$47.68
Rate for Payer: Aetna New Business (MI Preferred)	$36.46
Rate for Payer: Cash Price	$44.88
Rate for Payer: Cofinity Commercial	$39.27
Rate for Payer: Cofinity Commercial	$48.25
Rate for Payer: Healthscope Commercial	$50.49
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$47.68
Rate for Payer: PHP Commercial	$47.68
Rate for Payer: Priority Health Cigna Priority Health	$39.27
Rate for Payer: Priority Health SBD	$35.34

HC CAST SUP LONG ARM PED FBRGLS

Facility

$25.50

Hospital Charge Code	27200328
Hospital Revenue Code	272
Min. Negotiated Rate	$10.20
Max. Negotiated Rate	$22.95
Rate for Payer: Aetna Commercial	$21.68
Rate for Payer: Aetna New Business (MI Preferred)	$16.58
Rate for Payer: BCBS Complete	$10.20
Rate for Payer: Cash Price	$20.40
Rate for Payer: Cofinity Commercial	$17.85
Rate for Payer: Cofinity Commercial	$21.93
Rate for Payer: Healthscope Commercial	$22.95
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$21.68
Rate for Payer: PHP Commercial	$21.68
Rate for Payer: Priority Health Cigna Priority Health	$17.85
Rate for Payer: Priority Health SBD	$16.06

HC CAST SUP LONG ARM PED FBRGLS

Facility

$25.50

Hospital Charge Code	27200328
Hospital Revenue Code	272
Min. Negotiated Rate	$16.06
Max. Negotiated Rate	$22.95
Rate for Payer: Aetna Commercial	$21.68
Rate for Payer: Aetna New Business (MI Preferred)	$16.58
Rate for Payer: Cash Price	$20.40
Rate for Payer: Cofinity Commercial	$17.85
Rate for Payer: Cofinity Commercial	$21.93
Rate for Payer: Healthscope Commercial	$22.95
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$21.68
Rate for Payer: PHP Commercial	$21.68
Rate for Payer: Priority Health Cigna Priority Health	$17.85
Rate for Payer: Priority Health SBD	$16.06

HC CAST SUP LONG LEG FIBERGLASS

Facility

$116.28

Hospital Charge Code	27200336
Hospital Revenue Code	272
Min. Negotiated Rate	$46.51
Max. Negotiated Rate	$104.65
Rate for Payer: Aetna Commercial	$98.84
Rate for Payer: Aetna New Business (MI Preferred)	$75.58
Rate for Payer: BCBS Complete	$46.51
Rate for Payer: Cash Price	$93.02
Rate for Payer: Cofinity Commercial	$100.00
Rate for Payer: Cofinity Commercial	$81.40
Rate for Payer: Healthscope Commercial	$104.65
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$98.84
Rate for Payer: PHP Commercial	$98.84
Rate for Payer: Priority Health Cigna Priority Health	$81.40
Rate for Payer: Priority Health SBD	$73.26

HC CAST SUP LONG LEG FIBERGLASS

Facility

$116.28

Hospital Charge Code	27200336
Hospital Revenue Code	272
Min. Negotiated Rate	$73.26
Max. Negotiated Rate	$104.65
Rate for Payer: Aetna Commercial	$98.84
Rate for Payer: Aetna New Business (MI Preferred)	$75.58
Rate for Payer: Cash Price	$93.02
Rate for Payer: Cofinity Commercial	$100.00
Rate for Payer: Cofinity Commercial	$81.40
Rate for Payer: Healthscope Commercial	$104.65
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$98.84
Rate for Payer: PHP Commercial	$98.84
Rate for Payer: Priority Health Cigna Priority Health	$81.40
Rate for Payer: Priority Health SBD	$73.26

HC CAST SUPPLIES UNLISTED

Facility

$102.00

Hospital Charge Code	27200343
Hospital Revenue Code	272
Min. Negotiated Rate	$40.80
Max. Negotiated Rate	$91.80
Rate for Payer: Aetna Commercial	$86.70
Rate for Payer: Aetna New Business (MI Preferred)	$66.30
Rate for Payer: BCBS Complete	$40.80
Rate for Payer: Cash Price	$81.60
Rate for Payer: Cofinity Commercial	$71.40
Rate for Payer: Cofinity Commercial	$87.72
Rate for Payer: Healthscope Commercial	$91.80
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$86.70
Rate for Payer: PHP Commercial	$86.70
Rate for Payer: Priority Health Cigna Priority Health	$71.40
Rate for Payer: Priority Health SBD	$64.26

HC CAST SUPPLIES UNLISTED

Facility

$102.00

Hospital Charge Code	27200343
Hospital Revenue Code	272
Min. Negotiated Rate	$64.26
Max. Negotiated Rate	$91.80
Rate for Payer: Aetna Commercial	$86.70
Rate for Payer: Aetna New Business (MI Preferred)	$66.30
Rate for Payer: Cash Price	$81.60
Rate for Payer: Cofinity Commercial	$71.40
Rate for Payer: Cofinity Commercial	$87.72
Rate for Payer: Healthscope Commercial	$91.80
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$86.70
Rate for Payer: PHP Commercial	$86.70
Rate for Payer: Priority Health Cigna Priority Health	$71.40
Rate for Payer: Priority Health SBD	$64.26

HC CAST SUP SHRT LEG FIBERGLASS

Facility

$61.20

Hospital Charge Code	27200339
Hospital Revenue Code	272
Min. Negotiated Rate	$24.48
Max. Negotiated Rate	$55.08
Rate for Payer: Aetna Commercial	$52.02
Rate for Payer: Aetna New Business (MI Preferred)	$39.78
Rate for Payer: BCBS Complete	$24.48
Rate for Payer: Cash Price	$48.96
Rate for Payer: Cofinity Commercial	$42.84
Rate for Payer: Cofinity Commercial	$52.63
Rate for Payer: Healthscope Commercial	$55.08
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$52.02
Rate for Payer: PHP Commercial	$52.02
Rate for Payer: Priority Health Cigna Priority Health	$42.84
Rate for Payer: Priority Health SBD	$38.56

HC CAST SUP SHRT LEG FIBERGLASS

Facility

$61.20

Hospital Charge Code	27200339
Hospital Revenue Code	272
Min. Negotiated Rate	$38.56
Max. Negotiated Rate	$55.08
Rate for Payer: Aetna Commercial	$52.02
Rate for Payer: Aetna New Business (MI Preferred)	$39.78
Rate for Payer: Cash Price	$48.96
Rate for Payer: Cofinity Commercial	$42.84
Rate for Payer: Cofinity Commercial	$52.63
Rate for Payer: Healthscope Commercial	$55.08
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$52.02
Rate for Payer: PHP Commercial	$52.02
Rate for Payer: Priority Health Cigna Priority Health	$42.84
Rate for Payer: Priority Health SBD	$38.56

HC CAST SUP SHRT LEG PED FBRGLS

Facility

$21.42

Hospital Charge Code	27200340
Hospital Revenue Code	272
Min. Negotiated Rate	$8.57
Max. Negotiated Rate	$19.28
Rate for Payer: Aetna Commercial	$18.21
Rate for Payer: Aetna New Business (MI Preferred)	$13.92
Rate for Payer: BCBS Complete	$8.57
Rate for Payer: Cash Price	$17.14
Rate for Payer: Cofinity Commercial	$14.99
Rate for Payer: Cofinity Commercial	$18.42
Rate for Payer: Healthscope Commercial	$19.28
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$18.21
Rate for Payer: PHP Commercial	$18.21
Rate for Payer: Priority Health Cigna Priority Health	$14.99
Rate for Payer: Priority Health SBD	$13.49

HC CAST SUP SHRT LEG PED FBRGLS

Facility

$21.42

Hospital Charge Code	27200340
Hospital Revenue Code	272
Min. Negotiated Rate	$13.49
Max. Negotiated Rate	$19.28
Rate for Payer: Aetna Commercial	$18.21
Rate for Payer: Aetna New Business (MI Preferred)	$13.92
Rate for Payer: Cash Price	$17.14
Rate for Payer: Cofinity Commercial	$14.99
Rate for Payer: Cofinity Commercial	$18.42
Rate for Payer: Healthscope Commercial	$19.28
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$18.21
Rate for Payer: PHP Commercial	$18.21
Rate for Payer: Priority Health Cigna Priority Health	$14.99
Rate for Payer: Priority Health SBD	$13.49

HC CAST SUP SHT ARM ADULT FBRGL

Facility

$42.84

Hospital Charge Code	27200329
Hospital Revenue Code	272
Min. Negotiated Rate	$17.14
Max. Negotiated Rate	$38.56
Rate for Payer: Aetna Commercial	$36.41
Rate for Payer: Aetna New Business (MI Preferred)	$27.85
Rate for Payer: BCBS Complete	$17.14
Rate for Payer: Cash Price	$34.27
Rate for Payer: Cofinity Commercial	$29.99
Rate for Payer: Cofinity Commercial	$36.84
Rate for Payer: Healthscope Commercial	$38.56
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$36.41
Rate for Payer: PHP Commercial	$36.41
Rate for Payer: Priority Health Cigna Priority Health	$29.99
Rate for Payer: Priority Health SBD	$26.99

HC CAST SUP SHT ARM ADULT FBRGL

Facility

$42.84

Hospital Charge Code	27200329
Hospital Revenue Code	272
Min. Negotiated Rate	$26.99
Max. Negotiated Rate	$38.56
Rate for Payer: Aetna Commercial	$36.41
Rate for Payer: Aetna New Business (MI Preferred)	$27.85
Rate for Payer: Cash Price	$34.27
Rate for Payer: Cofinity Commercial	$29.99
Rate for Payer: Cofinity Commercial	$36.84
Rate for Payer: Healthscope Commercial	$38.56
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$36.41
Rate for Payer: PHP Commercial	$36.41
Rate for Payer: Priority Health Cigna Priority Health	$29.99
Rate for Payer: Priority Health SBD	$26.99

HC CAST SUP SHT ARM PED FBRGLAS

Facility

$20.40

Hospital Charge Code	27200330
Hospital Revenue Code	272
Min. Negotiated Rate	$12.85
Max. Negotiated Rate	$18.36
Rate for Payer: Aetna Commercial	$17.34
Rate for Payer: Aetna New Business (MI Preferred)	$13.26
Rate for Payer: Cash Price	$16.32
Rate for Payer: Cofinity Commercial	$14.28
Rate for Payer: Cofinity Commercial	$17.54
Rate for Payer: Healthscope Commercial	$18.36
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$17.34
Rate for Payer: PHP Commercial	$17.34
Rate for Payer: Priority Health Cigna Priority Health	$14.28
Rate for Payer: Priority Health SBD	$12.85

Know your out-of-pocket cost for care.

All Charges