Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

HC CATHETER TRANSLUM INTRAVAS LITHOTRIPSY CORONARY

Facility

$9,520.00

Service Code	CPT C1761
Hospital Charge Code	27200350
Hospital Revenue Code	278
Min. Negotiated Rate	$3,351.04
Max. Negotiated Rate	$8,568.00
Rate for Payer: Aetna Commercial	$8,092.00
Rate for Payer: Aetna New Business (MI Preferred)	$6,188.00
Rate for Payer: BCBS Complete	$3,808.00
Rate for Payer: Cash Price	$7,616.00
Rate for Payer: Cofinity Commercial	$6,664.00
Rate for Payer: Cofinity Commercial	$8,187.20
Rate for Payer: Healthscope Commercial	$8,568.00
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$8,092.00
Rate for Payer: PHP Commercial	$8,092.00
Rate for Payer: Priority Health Cigna Priority Health	$6,664.00
Rate for Payer: Priority Health SBD	$5,997.60
Rate for Payer: UHC All Payor (Choice/PPO)	$3,351.04
Rate for Payer: UHC Exchange	$3,903.20

HC CATH LAB STANDBY

Facility

$489.91

Hospital Charge Code	27000042
Hospital Revenue Code	270
Min. Negotiated Rate	$195.96
Max. Negotiated Rate	$440.92
Rate for Payer: Aetna Commercial	$416.42
Rate for Payer: Aetna New Business (MI Preferred)	$318.44
Rate for Payer: BCBS Complete	$195.96
Rate for Payer: Cash Price	$391.93
Rate for Payer: Cofinity Commercial	$342.94
Rate for Payer: Cofinity Commercial	$421.32
Rate for Payer: Healthscope Commercial	$440.92
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$416.42
Rate for Payer: PHP Commercial	$416.42
Rate for Payer: Priority Health Cigna Priority Health	$342.94
Rate for Payer: Priority Health SBD	$308.64

HC CATH LAB STANDBY

Facility

$489.91

Hospital Charge Code	27000042
Hospital Revenue Code	270
Min. Negotiated Rate	$308.64
Max. Negotiated Rate	$440.92
Rate for Payer: Aetna Commercial	$416.42
Rate for Payer: Aetna New Business (MI Preferred)	$318.44
Rate for Payer: Cash Price	$391.93
Rate for Payer: Cofinity Commercial	$342.94
Rate for Payer: Cofinity Commercial	$421.32
Rate for Payer: Healthscope Commercial	$440.92
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$416.42
Rate for Payer: PHP Commercial	$416.42
Rate for Payer: Priority Health Cigna Priority Health	$342.94
Rate for Payer: Priority Health SBD	$308.64

HC CATH PULM ART VENT 14FR

Facility

$150.00

Hospital Charge Code	27000284
Hospital Revenue Code	270
Min. Negotiated Rate	$94.50
Max. Negotiated Rate	$135.00
Rate for Payer: Aetna Commercial	$127.50
Rate for Payer: Aetna New Business (MI Preferred)	$97.50
Rate for Payer: Cash Price	$120.00
Rate for Payer: Cofinity Commercial	$105.00
Rate for Payer: Cofinity Commercial	$129.00
Rate for Payer: Healthscope Commercial	$135.00
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$127.50
Rate for Payer: PHP Commercial	$127.50
Rate for Payer: Priority Health Cigna Priority Health	$105.00
Rate for Payer: Priority Health SBD	$94.50

HC CATH PULM ART VENT 14FR

Facility

$150.00

Hospital Charge Code	27000284
Hospital Revenue Code	270
Min. Negotiated Rate	$60.00
Max. Negotiated Rate	$135.00
Rate for Payer: Aetna Commercial	$127.50
Rate for Payer: Aetna New Business (MI Preferred)	$97.50
Rate for Payer: BCBS Complete	$60.00
Rate for Payer: Cash Price	$120.00
Rate for Payer: Cofinity Commercial	$105.00
Rate for Payer: Cofinity Commercial	$129.00
Rate for Payer: Healthscope Commercial	$135.00
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$127.50
Rate for Payer: PHP Commercial	$127.50
Rate for Payer: Priority Health Cigna Priority Health	$105.00
Rate for Payer: Priority Health SBD	$94.50

HC CATHTER NOS LVL 7

Facility

$720.00

Service Code	HCPCS C1889
Hospital Charge Code	27800352
Hospital Revenue Code	278
Min. Negotiated Rate	$453.60
Max. Negotiated Rate	$648.00
Rate for Payer: Aetna Commercial	$612.00
Rate for Payer: Aetna New Business (MI Preferred)	$468.00
Rate for Payer: Cash Price	$576.00
Rate for Payer: Cofinity Commercial	$504.00
Rate for Payer: Cofinity Commercial	$619.20
Rate for Payer: Healthscope Commercial	$648.00
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$612.00
Rate for Payer: PHP Commercial	$612.00
Rate for Payer: Priority Health Cigna Priority Health	$504.00
Rate for Payer: Priority Health SBD	$453.60

HC CATHTER NOS LVL 7

Facility

$720.00

Service Code	HCPCS C1889
Hospital Charge Code	27800352
Hospital Revenue Code	278
Min. Negotiated Rate	$0.03
Max. Negotiated Rate	$648.00
Rate for Payer: Aetna Commercial	$612.00
Rate for Payer: Aetna New Business (MI Preferred)	$468.00
Rate for Payer: BCBS Complete	$288.00
Rate for Payer: BCBS Trust/PPO	$0.03
Rate for Payer: Cash Price	$576.00
Rate for Payer: Cash Price	$576.00
Rate for Payer: Cofinity Commercial	$504.00
Rate for Payer: Cofinity Commercial	$619.20
Rate for Payer: Healthscope Commercial	$648.00
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$612.00
Rate for Payer: PHP Commercial	$612.00
Rate for Payer: Priority Health Cigna Priority Health	$504.00
Rate for Payer: Priority Health SBD	$453.60

HC CAT IGE

Facility

$24.89

Service Code	CPT 86003
Hospital Charge Code	30200031
Hospital Revenue Code	302
Min. Negotiated Rate	$2.86
Max. Negotiated Rate	$22.40
Rate for Payer: Aetna Commercial	$21.16
Rate for Payer: Aetna Medicare	$5.43
Rate for Payer: Aetna New Business (MI Preferred)	$16.18
Rate for Payer: Allen County Amish Medical Aid Commercial	$6.52
Rate for Payer: Amish Plain Church Group Commercial	$6.52
Rate for Payer: BCBS Complete	$3.00
Rate for Payer: BCBS MAPPO	$5.22
Rate for Payer: BCBS Trust/PPO	$4.09
Rate for Payer: BCN Medicare Advantage	$5.22
Rate for Payer: Cash Price	$19.91
Rate for Payer: Cash Price	$19.91
Rate for Payer: Cofinity Commercial	$21.41
Rate for Payer: Cofinity Commercial	$17.42
Rate for Payer: Health Alliance Plan Medicare Advantage	$5.22
Rate for Payer: Healthscope Commercial	$22.40
Rate for Payer: Mclaren Medicaid	$2.86
Rate for Payer: Mclaren Medicare	$5.22
Rate for Payer: Meridian Medicaid	$3.00
Rate for Payer: Meridian Wellcare - Medicare Advantage	$5.48
Rate for Payer: MI Amish Medical Board Commercial	$6.00
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$21.16
Rate for Payer: PACE Medicare	$4.96
Rate for Payer: PACE SWMI	$5.22
Rate for Payer: PHP Commercial	$21.16
Rate for Payer: PHP Medicare Advantage	$5.22
Rate for Payer: Priority Health Choice Medicaid	$2.86
Rate for Payer: Priority Health Cigna Priority Health	$17.42
Rate for Payer: Priority Health Medicare	$5.22
Rate for Payer: Priority Health SBD	$15.68
Rate for Payer: Railroad Medicare Medicare	$5.22
Rate for Payer: UHC All Payor (Choice/PPO)	$6.26
Rate for Payer: UHC Core	$8.87
Rate for Payer: UHC Dual Complete DSNP	$5.22
Rate for Payer: UHC Exchange	$5.22
Rate for Payer: UHC Medicare Advantage	$5.38
Rate for Payer: VA VA	$5.22

HC CAT IGE

Facility

$24.89

Service Code	CPT 86003
Hospital Charge Code	30200031
Hospital Revenue Code	302
Min. Negotiated Rate	$15.68
Max. Negotiated Rate	$22.40
Rate for Payer: Aetna Commercial	$21.16
Rate for Payer: Aetna New Business (MI Preferred)	$16.18
Rate for Payer: Cash Price	$19.91
Rate for Payer: Cofinity Commercial	$17.42
Rate for Payer: Cofinity Commercial	$21.41
Rate for Payer: Healthscope Commercial	$22.40
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$21.16
Rate for Payer: PHP Commercial	$21.16
Rate for Payer: Priority Health Cigna Priority Health	$17.42
Rate for Payer: Priority Health SBD	$15.68

HC CBC INCLUDES DIFF & PLATELETS

Facility

$29.85

Service Code	CPT 85025
Hospital Charge Code	30500007
Hospital Revenue Code	305
Min. Negotiated Rate	$4.25
Max. Negotiated Rate	$26.86
Rate for Payer: Aetna Commercial	$25.37
Rate for Payer: Aetna Medicare	$8.08
Rate for Payer: Aetna New Business (MI Preferred)	$19.40
Rate for Payer: Allen County Amish Medical Aid Commercial	$9.71
Rate for Payer: Amish Plain Church Group Commercial	$9.71
Rate for Payer: BCBS Complete	$4.46
Rate for Payer: BCBS MAPPO	$7.77
Rate for Payer: BCBS Trust/PPO	$6.09
Rate for Payer: BCN Medicare Advantage	$7.77
Rate for Payer: Cash Price	$23.88
Rate for Payer: Cash Price	$23.88
Rate for Payer: Cofinity Commercial	$20.90
Rate for Payer: Cofinity Commercial	$25.67
Rate for Payer: Health Alliance Plan Medicare Advantage	$7.77
Rate for Payer: Healthscope Commercial	$26.86
Rate for Payer: Mclaren Medicaid	$4.25
Rate for Payer: Mclaren Medicare	$7.77
Rate for Payer: Meridian Medicaid	$4.46
Rate for Payer: Meridian Wellcare - Medicare Advantage	$8.16
Rate for Payer: MI Amish Medical Board Commercial	$8.94
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$25.37
Rate for Payer: PACE Medicare	$7.38
Rate for Payer: PACE SWMI	$7.77
Rate for Payer: PHP Commercial	$25.37
Rate for Payer: PHP Medicare Advantage	$7.77
Rate for Payer: Priority Health Choice Medicaid	$4.25
Rate for Payer: Priority Health Cigna Priority Health	$20.90
Rate for Payer: Priority Health Medicare	$7.77
Rate for Payer: Priority Health SBD	$18.81
Rate for Payer: Railroad Medicare Medicare	$7.77
Rate for Payer: UHC All Payor (Choice/PPO)	$9.32
Rate for Payer: UHC Core	$13.22
Rate for Payer: UHC Dual Complete DSNP	$7.77
Rate for Payer: UHC Exchange	$7.77
Rate for Payer: UHC Medicare Advantage	$8.00
Rate for Payer: VA VA	$7.77

HC CBC INCLUDES DIFF & PLATELETS

Facility

$29.85

Service Code	CPT 85025
Hospital Charge Code	30500007
Hospital Revenue Code	305
Min. Negotiated Rate	$18.81
Max. Negotiated Rate	$26.86
Rate for Payer: Aetna Commercial	$25.37
Rate for Payer: Aetna New Business (MI Preferred)	$19.40
Rate for Payer: Cash Price	$23.88
Rate for Payer: Cofinity Commercial	$20.90
Rate for Payer: Cofinity Commercial	$25.67
Rate for Payer: Healthscope Commercial	$26.86
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$25.37
Rate for Payer: PHP Commercial	$25.37
Rate for Payer: Priority Health Cigna Priority Health	$20.90
Rate for Payer: Priority Health SBD	$18.81

HC CBC NO DIFF INCLUDES PLATELETS

Facility

$18.36

Service Code	CPT 85027
Hospital Charge Code	30500008
Hospital Revenue Code	305
Min. Negotiated Rate	$11.57
Max. Negotiated Rate	$16.52
Rate for Payer: Aetna Commercial	$15.61
Rate for Payer: Aetna New Business (MI Preferred)	$11.93
Rate for Payer: Cash Price	$14.69
Rate for Payer: Cofinity Commercial	$12.85
Rate for Payer: Cofinity Commercial	$15.79
Rate for Payer: Healthscope Commercial	$16.52
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$15.61
Rate for Payer: PHP Commercial	$15.61
Rate for Payer: Priority Health Cigna Priority Health	$12.85
Rate for Payer: Priority Health SBD	$11.57

HC CBC NO DIFF INCLUDES PLATELETS

Facility

$18.36

Service Code	CPT 85027
Hospital Charge Code	30500008
Hospital Revenue Code	305
Min. Negotiated Rate	$3.54
Max. Negotiated Rate	$16.52
Rate for Payer: Aetna Commercial	$15.61
Rate for Payer: Aetna Medicare	$6.73
Rate for Payer: Aetna New Business (MI Preferred)	$11.93
Rate for Payer: Allen County Amish Medical Aid Commercial	$8.09
Rate for Payer: Amish Plain Church Group Commercial	$8.09
Rate for Payer: BCBS Complete	$3.72
Rate for Payer: BCBS MAPPO	$6.47
Rate for Payer: BCBS Trust/PPO	$5.06
Rate for Payer: BCN Medicare Advantage	$6.47
Rate for Payer: Cash Price	$14.69
Rate for Payer: Cash Price	$14.69
Rate for Payer: Cofinity Commercial	$12.85
Rate for Payer: Cofinity Commercial	$15.79
Rate for Payer: Health Alliance Plan Medicare Advantage	$6.47
Rate for Payer: Healthscope Commercial	$16.52
Rate for Payer: Mclaren Medicaid	$3.54
Rate for Payer: Mclaren Medicare	$6.47
Rate for Payer: Meridian Medicaid	$3.72
Rate for Payer: Meridian Wellcare - Medicare Advantage	$6.79
Rate for Payer: MI Amish Medical Board Commercial	$7.44
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$15.61
Rate for Payer: PACE Medicare	$6.15
Rate for Payer: PACE SWMI	$6.47
Rate for Payer: PHP Commercial	$15.61
Rate for Payer: PHP Medicare Advantage	$6.47
Rate for Payer: Priority Health Choice Medicaid	$3.54
Rate for Payer: Priority Health Cigna Priority Health	$12.85
Rate for Payer: Priority Health Medicare	$6.47
Rate for Payer: Priority Health SBD	$11.57
Rate for Payer: Railroad Medicare Medicare	$6.47
Rate for Payer: UHC All Payor (Choice/PPO)	$7.76
Rate for Payer: UHC Core	$11.00
Rate for Payer: UHC Dual Complete DSNP	$6.47
Rate for Payer: UHC Exchange	$6.47
Rate for Payer: UHC Medicare Advantage	$6.66
Rate for Payer: VA VA	$6.47

HC C DIFFICILE PCR

Facility

$137.90

Service Code	CPT 87493
Hospital Charge Code	30600183
Hospital Revenue Code	306
Min. Negotiated Rate	$20.39
Max. Negotiated Rate	$124.11
Rate for Payer: Aetna Commercial	$117.22
Rate for Payer: Aetna Medicare	$38.76
Rate for Payer: Aetna New Business (MI Preferred)	$89.64
Rate for Payer: Allen County Amish Medical Aid Commercial	$46.59
Rate for Payer: Amish Plain Church Group Commercial	$46.59
Rate for Payer: BCBS Complete	$21.41
Rate for Payer: BCBS MAPPO	$37.27
Rate for Payer: BCBS Trust/PPO	$29.18
Rate for Payer: BCN Medicare Advantage	$37.27
Rate for Payer: Cash Price	$110.32
Rate for Payer: Cash Price	$110.32
Rate for Payer: Cofinity Commercial	$96.53
Rate for Payer: Cofinity Commercial	$118.59
Rate for Payer: Health Alliance Plan Medicare Advantage	$37.27
Rate for Payer: Healthscope Commercial	$124.11
Rate for Payer: Mclaren Medicaid	$20.39
Rate for Payer: Mclaren Medicare	$37.27
Rate for Payer: Meridian Medicaid	$21.41
Rate for Payer: Meridian Wellcare - Medicare Advantage	$39.13
Rate for Payer: MI Amish Medical Board Commercial	$42.86
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$117.22
Rate for Payer: PACE Medicare	$35.41
Rate for Payer: PACE SWMI	$37.27
Rate for Payer: PHP Commercial	$117.22
Rate for Payer: PHP Medicare Advantage	$37.27
Rate for Payer: Priority Health Choice Medicaid	$20.39
Rate for Payer: Priority Health Cigna Priority Health	$96.53
Rate for Payer: Priority Health Medicare	$37.27
Rate for Payer: Priority Health SBD	$86.88
Rate for Payer: Railroad Medicare Medicare	$37.27
Rate for Payer: UHC All Payor (Choice/PPO)	$44.72
Rate for Payer: UHC Core	$59.65
Rate for Payer: UHC Dual Complete DSNP	$37.27
Rate for Payer: UHC Exchange	$37.27
Rate for Payer: UHC Medicare Advantage	$38.39
Rate for Payer: VA VA	$37.27

HC C DIFFICILE PCR

Facility

$137.90

Service Code	CPT 87493
Hospital Charge Code	30600183
Hospital Revenue Code	306
Min. Negotiated Rate	$86.88
Max. Negotiated Rate	$124.11
Rate for Payer: Aetna Commercial	$117.22
Rate for Payer: Aetna New Business (MI Preferred)	$89.64
Rate for Payer: Cash Price	$110.32
Rate for Payer: Cofinity Commercial	$118.59
Rate for Payer: Cofinity Commercial	$96.53
Rate for Payer: Healthscope Commercial	$124.11
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$117.22
Rate for Payer: PHP Commercial	$117.22
Rate for Payer: Priority Health Cigna Priority Health	$96.53
Rate for Payer: Priority Health SBD	$86.88

HC C DIFF TOXIN

Facility

$40.80

Service Code	CPT 87324
Hospital Charge Code	30600327
Hospital Revenue Code	306
Min. Negotiated Rate	$6.55
Max. Negotiated Rate	$36.72
Rate for Payer: Aetna Commercial	$34.68
Rate for Payer: Aetna Medicare	$12.46
Rate for Payer: Aetna New Business (MI Preferred)	$26.52
Rate for Payer: Allen County Amish Medical Aid Commercial	$14.98
Rate for Payer: Amish Plain Church Group Commercial	$14.98
Rate for Payer: BCBS Complete	$6.88
Rate for Payer: BCBS MAPPO	$11.98
Rate for Payer: BCBS Trust/PPO	$9.39
Rate for Payer: BCN Medicare Advantage	$11.98
Rate for Payer: Cash Price	$32.64
Rate for Payer: Cash Price	$32.64
Rate for Payer: Cofinity Commercial	$35.09
Rate for Payer: Cofinity Commercial	$28.56
Rate for Payer: Health Alliance Plan Medicare Advantage	$11.98
Rate for Payer: Healthscope Commercial	$36.72
Rate for Payer: Mclaren Medicaid	$6.55
Rate for Payer: Mclaren Medicare	$11.98
Rate for Payer: Meridian Medicaid	$6.88
Rate for Payer: Meridian Wellcare - Medicare Advantage	$12.58
Rate for Payer: MI Amish Medical Board Commercial	$13.78
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$34.68
Rate for Payer: PACE Medicare	$11.38
Rate for Payer: PACE SWMI	$11.98
Rate for Payer: PHP Commercial	$34.68
Rate for Payer: PHP Medicare Advantage	$11.98
Rate for Payer: Priority Health Choice Medicaid	$6.55
Rate for Payer: Priority Health Cigna Priority Health	$28.56
Rate for Payer: Priority Health Medicare	$11.98
Rate for Payer: Priority Health SBD	$25.70
Rate for Payer: Railroad Medicare Medicare	$11.98
Rate for Payer: UHC All Payor (Choice/PPO)	$14.38
Rate for Payer: UHC Core	$20.39
Rate for Payer: UHC Dual Complete DSNP	$11.98
Rate for Payer: UHC Exchange	$11.98
Rate for Payer: UHC Medicare Advantage	$12.34
Rate for Payer: VA VA	$11.98

HC C DIFF TOXIN

Facility

$40.80

Service Code	CPT 87324
Hospital Charge Code	30600327
Hospital Revenue Code	306
Min. Negotiated Rate	$25.70
Max. Negotiated Rate	$36.72
Rate for Payer: Aetna Commercial	$34.68
Rate for Payer: Aetna New Business (MI Preferred)	$26.52
Rate for Payer: Cash Price	$32.64
Rate for Payer: Cofinity Commercial	$28.56
Rate for Payer: Cofinity Commercial	$35.09
Rate for Payer: Healthscope Commercial	$36.72
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$34.68
Rate for Payer: PHP Commercial	$34.68
Rate for Payer: Priority Health Cigna Priority Health	$28.56
Rate for Payer: Priority Health SBD	$25.70

HC CEA (CARCINOEMBRYONIC ANTIGEN)

Facility

$128.20

Service Code	CPT 82378
Hospital Charge Code	30100135
Hospital Revenue Code	301
Min. Negotiated Rate	$80.77
Max. Negotiated Rate	$115.38
Rate for Payer: Aetna Commercial	$108.97
Rate for Payer: Aetna New Business (MI Preferred)	$83.33
Rate for Payer: Cash Price	$102.56
Rate for Payer: Cofinity Commercial	$110.25
Rate for Payer: Cofinity Commercial	$89.74
Rate for Payer: Healthscope Commercial	$115.38
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$108.97
Rate for Payer: PHP Commercial	$108.97
Rate for Payer: Priority Health Cigna Priority Health	$89.74
Rate for Payer: Priority Health SBD	$80.77

HC CEA (CARCINOEMBRYONIC ANTIGEN)

Facility

$128.20

Service Code	CPT 82378
Hospital Charge Code	30100135
Hospital Revenue Code	301
Min. Negotiated Rate	$10.37
Max. Negotiated Rate	$115.38
Rate for Payer: Aetna Commercial	$108.97
Rate for Payer: Aetna Medicare	$19.72
Rate for Payer: Aetna New Business (MI Preferred)	$83.33
Rate for Payer: Allen County Amish Medical Aid Commercial	$23.70
Rate for Payer: Amish Plain Church Group Commercial	$23.70
Rate for Payer: BCBS Complete	$10.89
Rate for Payer: BCBS MAPPO	$18.96
Rate for Payer: BCBS Trust/PPO	$14.85
Rate for Payer: BCN Medicare Advantage	$18.96
Rate for Payer: Cash Price	$102.56
Rate for Payer: Cash Price	$102.56
Rate for Payer: Cofinity Commercial	$89.74
Rate for Payer: Cofinity Commercial	$110.25
Rate for Payer: Health Alliance Plan Medicare Advantage	$18.96
Rate for Payer: Healthscope Commercial	$115.38
Rate for Payer: Mclaren Medicaid	$10.37
Rate for Payer: Mclaren Medicare	$18.96
Rate for Payer: Meridian Medicaid	$10.89
Rate for Payer: Meridian Wellcare - Medicare Advantage	$19.91
Rate for Payer: MI Amish Medical Board Commercial	$21.80
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$108.97
Rate for Payer: PACE Medicare	$18.01
Rate for Payer: PACE SWMI	$18.96
Rate for Payer: PHP Commercial	$108.97
Rate for Payer: PHP Medicare Advantage	$18.96
Rate for Payer: Priority Health Choice Medicaid	$10.37
Rate for Payer: Priority Health Cigna Priority Health	$89.74
Rate for Payer: Priority Health Medicare	$18.96
Rate for Payer: Priority Health SBD	$80.77
Rate for Payer: Railroad Medicare Medicare	$18.96
Rate for Payer: UHC All Payor (Choice/PPO)	$22.75
Rate for Payer: UHC Core	$32.24
Rate for Payer: UHC Dual Complete DSNP	$18.96
Rate for Payer: UHC Exchange	$18.96
Rate for Payer: UHC Medicare Advantage	$19.53
Rate for Payer: VA VA	$18.96

HC CEA PANCREATIC CYST

Facility

$180.75

Service Code	CPT 82378
Hospital Charge Code	30100712
Hospital Revenue Code	301
Min. Negotiated Rate	$10.37
Max. Negotiated Rate	$162.68
Rate for Payer: Aetna Commercial	$153.64
Rate for Payer: Aetna Medicare	$19.72
Rate for Payer: Aetna New Business (MI Preferred)	$117.49
Rate for Payer: Allen County Amish Medical Aid Commercial	$23.70
Rate for Payer: Amish Plain Church Group Commercial	$23.70
Rate for Payer: BCBS Complete	$10.89
Rate for Payer: BCBS MAPPO	$18.96
Rate for Payer: BCBS Trust/PPO	$14.85
Rate for Payer: BCN Medicare Advantage	$18.96
Rate for Payer: Cash Price	$144.60
Rate for Payer: Cash Price	$144.60
Rate for Payer: Cofinity Commercial	$155.44
Rate for Payer: Cofinity Commercial	$126.52
Rate for Payer: Health Alliance Plan Medicare Advantage	$18.96
Rate for Payer: Healthscope Commercial	$162.68
Rate for Payer: Mclaren Medicaid	$10.37
Rate for Payer: Mclaren Medicare	$18.96
Rate for Payer: Meridian Medicaid	$10.89
Rate for Payer: Meridian Wellcare - Medicare Advantage	$19.91
Rate for Payer: MI Amish Medical Board Commercial	$21.80
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$153.64
Rate for Payer: PACE Medicare	$18.01
Rate for Payer: PACE SWMI	$18.96
Rate for Payer: PHP Commercial	$153.64
Rate for Payer: PHP Medicare Advantage	$18.96
Rate for Payer: Priority Health Choice Medicaid	$10.37
Rate for Payer: Priority Health Cigna Priority Health	$126.52
Rate for Payer: Priority Health Medicare	$18.96
Rate for Payer: Priority Health SBD	$113.87
Rate for Payer: Railroad Medicare Medicare	$18.96
Rate for Payer: UHC All Payor (Choice/PPO)	$22.75
Rate for Payer: UHC Core	$32.24
Rate for Payer: UHC Dual Complete DSNP	$18.96
Rate for Payer: UHC Exchange	$18.96
Rate for Payer: UHC Medicare Advantage	$19.53
Rate for Payer: VA VA	$18.96

HC CEA PANCREATIC CYST

Facility

$180.75

Service Code	CPT 82378
Hospital Charge Code	30100712
Hospital Revenue Code	301
Min. Negotiated Rate	$113.87
Max. Negotiated Rate	$162.68
Rate for Payer: Aetna Commercial	$153.64
Rate for Payer: Aetna New Business (MI Preferred)	$117.49
Rate for Payer: Cash Price	$144.60
Rate for Payer: Cofinity Commercial	$155.44
Rate for Payer: Cofinity Commercial	$126.52
Rate for Payer: Healthscope Commercial	$162.68
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$153.64
Rate for Payer: PHP Commercial	$153.64
Rate for Payer: Priority Health Cigna Priority Health	$126.52
Rate for Payer: Priority Health SBD	$113.87

HC CELIAC ASSOCIATED HLA DQ TYPING

Facility

$187.00

Service Code	CPT 86812
Hospital Charge Code	30200339
Hospital Revenue Code	302
Min. Negotiated Rate	$14.12
Max. Negotiated Rate	$168.30
Rate for Payer: Aetna Commercial	$158.95
Rate for Payer: Aetna Medicare	$26.84
Rate for Payer: Aetna New Business (MI Preferred)	$121.55
Rate for Payer: Allen County Amish Medical Aid Commercial	$32.26
Rate for Payer: Amish Plain Church Group Commercial	$32.26
Rate for Payer: BCBS Complete	$14.83
Rate for Payer: BCBS MAPPO	$25.81
Rate for Payer: BCBS Trust/PPO	$20.21
Rate for Payer: BCN Medicare Advantage	$25.81
Rate for Payer: Cash Price	$149.60
Rate for Payer: Cash Price	$149.60
Rate for Payer: Cofinity Commercial	$130.90
Rate for Payer: Cofinity Commercial	$160.82
Rate for Payer: Health Alliance Plan Medicare Advantage	$25.81
Rate for Payer: Healthscope Commercial	$168.30
Rate for Payer: Mclaren Medicaid	$14.12
Rate for Payer: Mclaren Medicare	$25.81
Rate for Payer: Meridian Medicaid	$14.83
Rate for Payer: Meridian Wellcare - Medicare Advantage	$27.10
Rate for Payer: MI Amish Medical Board Commercial	$29.68
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$158.95
Rate for Payer: PACE Medicare	$24.52
Rate for Payer: PACE SWMI	$25.81
Rate for Payer: PHP Commercial	$158.95
Rate for Payer: PHP Medicare Advantage	$25.81
Rate for Payer: Priority Health Choice Medicaid	$14.12
Rate for Payer: Priority Health Cigna Priority Health	$130.90
Rate for Payer: Priority Health Medicare	$25.81
Rate for Payer: Priority Health SBD	$117.81
Rate for Payer: Railroad Medicare Medicare	$25.81
Rate for Payer: UHC All Payor (Choice/PPO)	$30.97
Rate for Payer: UHC Core	$43.87
Rate for Payer: UHC Dual Complete DSNP	$25.81
Rate for Payer: UHC Exchange	$25.81
Rate for Payer: UHC Medicare Advantage	$26.58
Rate for Payer: VA VA	$25.81

HC CELIAC ASSOCIATED HLA DQ TYPING

Facility

$187.00

Service Code	CPT 86812
Hospital Charge Code	30200339
Hospital Revenue Code	302
Min. Negotiated Rate	$117.81
Max. Negotiated Rate	$168.30
Rate for Payer: Aetna Commercial	$158.95
Rate for Payer: Aetna New Business (MI Preferred)	$121.55
Rate for Payer: Cash Price	$149.60
Rate for Payer: Cofinity Commercial	$130.90
Rate for Payer: Cofinity Commercial	$160.82
Rate for Payer: Healthscope Commercial	$168.30
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$158.95
Rate for Payer: PHP Commercial	$158.95
Rate for Payer: Priority Health Cigna Priority Health	$130.90
Rate for Payer: Priority Health SBD	$117.81

HC CELIAC ASSOCIATED HLA DQ TYPING

Facility

$193.07

Service Code	CPT 81376
Hospital Charge Code	31000097
Hospital Revenue Code	310
Min. Negotiated Rate	$66.85
Max. Negotiated Rate	$200.09
Rate for Payer: Aetna Commercial	$164.11
Rate for Payer: Aetna Medicare	$127.11
Rate for Payer: Aetna New Business (MI Preferred)	$125.50
Rate for Payer: Allen County Amish Medical Aid Commercial	$152.78
Rate for Payer: Amish Plain Church Group Commercial	$152.78
Rate for Payer: BCBS Complete	$70.20
Rate for Payer: BCBS MAPPO	$122.22
Rate for Payer: BCBS Trust/PPO	$95.71
Rate for Payer: BCN Medicare Advantage	$122.22
Rate for Payer: Cash Price	$154.46
Rate for Payer: Cash Price	$154.46
Rate for Payer: Cofinity Commercial	$166.04
Rate for Payer: Cofinity Commercial	$135.15
Rate for Payer: Health Alliance Plan Medicare Advantage	$122.22
Rate for Payer: Healthscope Commercial	$173.76
Rate for Payer: Mclaren Medicaid	$66.85
Rate for Payer: Mclaren Medicare	$122.22
Rate for Payer: Meridian Medicaid	$70.20
Rate for Payer: Meridian Wellcare - Medicare Advantage	$128.33
Rate for Payer: MI Amish Medical Board Commercial	$140.55
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$164.11
Rate for Payer: PACE Medicare	$116.11
Rate for Payer: PACE SWMI	$122.22
Rate for Payer: PHP Commercial	$164.11
Rate for Payer: PHP Medicare Advantage	$122.22
Rate for Payer: Priority Health Choice Medicaid	$66.85
Rate for Payer: Priority Health Cigna Priority Health	$135.15
Rate for Payer: Priority Health Medicare	$122.22
Rate for Payer: Priority Health SBD	$121.63
Rate for Payer: Railroad Medicare Medicare	$122.22
Rate for Payer: UHC All Payor (Choice/PPO)	$146.66
Rate for Payer: UHC Core	$200.09
Rate for Payer: UHC Dual Complete DSNP	$122.22
Rate for Payer: UHC Exchange	$122.22
Rate for Payer: UHC Medicare Advantage	$125.89
Rate for Payer: VA VA	$122.22

HC CELIAC ASSOCIATED HLA DQ TYPING

Facility

$193.07

Service Code	CPT 81376
Hospital Charge Code	31000097
Hospital Revenue Code	310
Min. Negotiated Rate	$121.63
Max. Negotiated Rate	$173.76
Rate for Payer: Aetna Commercial	$164.11
Rate for Payer: Aetna New Business (MI Preferred)	$125.50
Rate for Payer: Cash Price	$154.46
Rate for Payer: Cofinity Commercial	$135.15
Rate for Payer: Cofinity Commercial	$166.04
Rate for Payer: Healthscope Commercial	$173.76
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$164.11
Rate for Payer: PHP Commercial	$164.11
Rate for Payer: Priority Health Cigna Priority Health	$135.15
Rate for Payer: Priority Health SBD	$121.63

Know your out-of-pocket cost for care.

All Charges