Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

ANAL AND PERINEAL PROCEDURES

Facility

$12,125.87

Service Code	APR-DRG 2263
Min. Negotiated Rate	$11,548.45
Max. Negotiated Rate	$12,125.87
Rate for Payer: BCBS Complete	$12,125.87
Rate for Payer: Mclaren Medicaid	$11,548.45
Rate for Payer: Meridian Medicaid	$12,125.87
Rate for Payer: Priority Health Choice Medicaid	$11,548.45
Rate for Payer: UHC Medicaid	$11,548.45
Rate for Payer: UHCCP Medicaid	$11,548.45

ANAL AND PERINEAL PROCEDURES

Facility

$19,651.58

Service Code	APR-DRG 2264
Min. Negotiated Rate	$18,715.79
Max. Negotiated Rate	$19,651.58
Rate for Payer: BCBS Complete	$19,651.58
Rate for Payer: Mclaren Medicaid	$18,715.79
Rate for Payer: Meridian Medicaid	$19,651.58
Rate for Payer: Priority Health Choice Medicaid	$18,715.79
Rate for Payer: UHC Medicaid	$18,715.79
Rate for Payer: UHCCP Medicaid	$18,715.79

ANAL AND PERINEAL PROCEDURES

Facility

$6,535.05

Service Code	APR-DRG 2262
Min. Negotiated Rate	$6,223.85
Max. Negotiated Rate	$6,535.05
Rate for Payer: BCBS Complete	$6,535.05
Rate for Payer: Mclaren Medicaid	$6,223.85
Rate for Payer: Meridian Medicaid	$6,535.05
Rate for Payer: Priority Health Choice Medicaid	$6,223.85
Rate for Payer: UHC Medicaid	$6,223.85
Rate for Payer: UHCCP Medicaid	$6,223.85

ANAL AND STOMAL PROCEDURES WITH CC

Facility

$22,169.72

Service Code	MSDRG 348
Min. Negotiated Rate	$10,159.02
Max. Negotiated Rate	$22,169.72
Rate for Payer: Aetna Medicare	$11,121.46
Rate for Payer: Allen County Amish Medical Aid Commercial	$13,367.14
Rate for Payer: Amish Plain Church Group Commercial	$13,367.14
Rate for Payer: BCBS MAPPO	$10,693.71
Rate for Payer: BCBS Trust/PPO	$22,169.72
Rate for Payer: BCN Commercial	$22,169.72
Rate for Payer: BCN Medicare Advantage	$10,693.71
Rate for Payer: Health Alliance Plan Medicare Advantage	$10,693.71
Rate for Payer: Mclaren Medicare	$10,693.71
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$11,228.40
Rate for Payer: MI Amish Medical Board Commercial	$12,297.77
Rate for Payer: Molina Medicare/Medicaid	$11,763.08
Rate for Payer: Nomi Health Commercial	$16,883.52
Rate for Payer: PACE Medicare	$10,159.02
Rate for Payer: PACE SWMI	$10,693.71
Rate for Payer: PHP Medicare Advantage	$10,693.71
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$21,100.66
Rate for Payer: Priority Health Medicare	$10,693.71
Rate for Payer: Priority Health Tiered Network	$16,880.52
Rate for Payer: Railroad Medicare Medicare	$10,693.71
Rate for Payer: UHC All Payor (Choice/PPO)	$21,333.44
Rate for Payer: UHC Core	$17,848.11
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$10,693.71
Rate for Payer: UHC Exchange	$14,576.11
Rate for Payer: VA VA	$10,693.71

ANAL AND STOMAL PROCEDURES WITH MCC

Facility

$63,651.03

Service Code	MSDRG 347
Min. Negotiated Rate	$17,403.92
Max. Negotiated Rate	$63,651.03
Rate for Payer: Aetna Medicare	$19,052.72
Rate for Payer: Allen County Amish Medical Aid Commercial	$22,899.90
Rate for Payer: Amish Plain Church Group Commercial	$22,899.90
Rate for Payer: BCBS MAPPO	$18,319.92
Rate for Payer: BCBS Trust/PPO	$63,651.03
Rate for Payer: BCN Commercial	$63,651.03
Rate for Payer: BCN Medicare Advantage	$18,319.92
Rate for Payer: Health Alliance Plan Medicare Advantage	$18,319.92
Rate for Payer: Mclaren Medicare	$18,319.92
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$19,235.92
Rate for Payer: MI Amish Medical Board Commercial	$21,067.91
Rate for Payer: Molina Medicare/Medicaid	$20,151.91
Rate for Payer: Nomi Health Commercial	$29,613.24
Rate for Payer: PACE Medicare	$17,403.92
Rate for Payer: PACE SWMI	$18,319.92
Rate for Payer: PHP Medicare Advantage	$18,319.92
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$37,009.98
Rate for Payer: Priority Health Medicare	$18,319.92
Rate for Payer: Priority Health Tiered Network	$29,607.98
Rate for Payer: Railroad Medicare Medicare	$18,319.92
Rate for Payer: UHC All Payor (Choice/PPO)	$37,418.28
Rate for Payer: UHC Core	$31,305.10
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$18,319.92
Rate for Payer: UHC Exchange	$25,566.10
Rate for Payer: VA VA	$18,319.92

ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC

Facility

$20,732.47

Service Code	MSDRG 349
Min. Negotiated Rate	$6,941.83
Max. Negotiated Rate	$20,732.47
Rate for Payer: Aetna Medicare	$7,599.48
Rate for Payer: Allen County Amish Medical Aid Commercial	$9,133.99
Rate for Payer: Amish Plain Church Group Commercial	$9,133.99
Rate for Payer: BCBS MAPPO	$7,307.19
Rate for Payer: BCBS Trust/PPO	$20,732.47
Rate for Payer: BCN Commercial	$20,732.47
Rate for Payer: BCN Medicare Advantage	$7,307.19
Rate for Payer: Health Alliance Plan Medicare Advantage	$7,307.19
Rate for Payer: Mclaren Medicare	$7,307.19
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$7,672.55
Rate for Payer: MI Amish Medical Board Commercial	$8,403.27
Rate for Payer: Molina Medicare/Medicaid	$8,037.91
Rate for Payer: Nomi Health Commercial	$11,230.74
Rate for Payer: PACE Medicare	$6,941.83
Rate for Payer: PACE SWMI	$7,307.19
Rate for Payer: PHP Medicare Advantage	$7,307.19
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$14,035.94
Rate for Payer: Priority Health Medicare	$7,307.19
Rate for Payer: Priority Health Tiered Network	$11,228.75
Rate for Payer: Railroad Medicare Medicare	$7,307.19
Rate for Payer: UHC All Payor (Choice/PPO)	$14,190.78
Rate for Payer: UHC Core	$11,872.37
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$7,307.19
Rate for Payer: UHC Exchange	$9,695.87
Rate for Payer: VA VA	$7,307.19

ANASTROZOLE 1 MG TABLET

Facility

$88.83

Service Code	NDC 16729003515
Hospital Charge Code	16205
Hospital Revenue Code	637
Min. Negotiated Rate	$34.91
Max. Negotiated Rate	$79.95
Rate for Payer: Aetna Commercial	$75.51
Rate for Payer: Aetna Medicare	$44.41
Rate for Payer: Aetna New Business (MI Preferred)	$57.74
Rate for Payer: BCBS Complete	$35.53
Rate for Payer: Cash Price	$71.06
Rate for Payer: Cofinity Advantage	$62.18
Rate for Payer: Cofinity Commercial	$76.39
Rate for Payer: Encore Health Key Benefits Commercial	$71.06
Rate for Payer: Healthscope Commercial	$79.95
Rate for Payer: MI Amish Medical Board Commercial	$71.06
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$75.51
Rate for Payer: Opus (Opus Packaging Group) HMA	$66.62
Rate for Payer: PHP Commercial	$75.51
Rate for Payer: Priority Health SBD	$55.96
Rate for Payer: UHC All Payor (Choice/PPO)	$57.74
Rate for Payer: UHC Core	$46.28
Rate for Payer: UHC Exchange	$34.91

ANASTROZOLE 1 MG TABLET

Facility

$40.89

Service Code	NDC 16729003510
Hospital Charge Code	16205
Hospital Revenue Code	637
Min. Negotiated Rate	$16.07
Max. Negotiated Rate	$36.80
Rate for Payer: Aetna Commercial	$34.76
Rate for Payer: Aetna Medicare	$20.45
Rate for Payer: Aetna New Business (MI Preferred)	$26.58
Rate for Payer: BCBS Complete	$16.36
Rate for Payer: Cash Price	$32.71
Rate for Payer: Cofinity Advantage	$28.62
Rate for Payer: Cofinity Commercial	$35.17
Rate for Payer: Encore Health Key Benefits Commercial	$32.71
Rate for Payer: Healthscope Commercial	$36.80
Rate for Payer: MI Amish Medical Board Commercial	$32.71
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$34.76
Rate for Payer: Opus (Opus Packaging Group) HMA	$30.67
Rate for Payer: PHP Commercial	$34.76
Rate for Payer: Priority Health SBD	$25.76
Rate for Payer: UHC All Payor (Choice/PPO)	$26.58
Rate for Payer: UHC Core	$21.30
Rate for Payer: UHC Exchange	$16.07

ANASTROZOLE 1 MG TABLET

Facility

$40.89

Service Code	NDC 16729003510
Hospital Charge Code	16205
Hospital Revenue Code	637
Min. Negotiated Rate	$25.76
Max. Negotiated Rate	$36.80
Rate for Payer: Aetna Commercial	$34.76
Rate for Payer: Aetna New Business (MI Preferred)	$26.58
Rate for Payer: Cash Price	$32.71
Rate for Payer: Cofinity Advantage	$28.62
Rate for Payer: Cofinity Commercial	$35.17
Rate for Payer: Encore Health Key Benefits Commercial	$32.71
Rate for Payer: Healthscope Commercial	$36.80
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$34.76
Rate for Payer: Opus (Opus Packaging Group) HMA	$30.67
Rate for Payer: PHP Commercial	$34.76
Rate for Payer: Priority Health SBD	$25.76

ANASTROZOLE 1 MG TABLET

Facility

$3.96

Service Code	NDC 60687011211
Hospital Charge Code	16205
Hospital Revenue Code	637
Min. Negotiated Rate	$1.56
Max. Negotiated Rate	$3.56
Rate for Payer: Aetna Commercial	$3.37
Rate for Payer: Aetna Medicare	$1.98
Rate for Payer: Aetna New Business (MI Preferred)	$2.57
Rate for Payer: BCBS Complete	$1.58
Rate for Payer: Cash Price	$3.17
Rate for Payer: Cofinity Advantage	$2.77
Rate for Payer: Cofinity Commercial	$3.41
Rate for Payer: Encore Health Key Benefits Commercial	$3.17
Rate for Payer: Healthscope Commercial	$3.56
Rate for Payer: MI Amish Medical Board Commercial	$3.17
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$3.37
Rate for Payer: Opus (Opus Packaging Group) HMA	$2.97
Rate for Payer: PHP Commercial	$3.37
Rate for Payer: Priority Health SBD	$2.49
Rate for Payer: UHC All Payor (Choice/PPO)	$2.57
Rate for Payer: UHC Core	$2.06
Rate for Payer: UHC Exchange	$1.56

ANASTROZOLE 1 MG TABLET

Facility

$118.66

Service Code	NDC 60687011221
Hospital Charge Code	16205
Hospital Revenue Code	637
Min. Negotiated Rate	$74.76
Max. Negotiated Rate	$106.79
Rate for Payer: Aetna Commercial	$100.86
Rate for Payer: Aetna New Business (MI Preferred)	$77.13
Rate for Payer: Cash Price	$94.93
Rate for Payer: Cofinity Advantage	$83.06
Rate for Payer: Cofinity Commercial	$102.05
Rate for Payer: Encore Health Key Benefits Commercial	$94.93
Rate for Payer: Healthscope Commercial	$106.79
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$100.86
Rate for Payer: Opus (Opus Packaging Group) HMA	$89.00
Rate for Payer: PHP Commercial	$100.86
Rate for Payer: Priority Health SBD	$74.76

ANASTROZOLE 1 MG TABLET

Facility

$3.96

Service Code	NDC 60687011211
Hospital Charge Code	16205
Hospital Revenue Code	637
Min. Negotiated Rate	$2.49
Max. Negotiated Rate	$3.56
Rate for Payer: Aetna Commercial	$3.37
Rate for Payer: Aetna New Business (MI Preferred)	$2.57
Rate for Payer: Cash Price	$3.17
Rate for Payer: Cofinity Advantage	$2.77
Rate for Payer: Cofinity Commercial	$3.41
Rate for Payer: Encore Health Key Benefits Commercial	$3.17
Rate for Payer: Healthscope Commercial	$3.56
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$3.37
Rate for Payer: Opus (Opus Packaging Group) HMA	$2.97
Rate for Payer: PHP Commercial	$3.37
Rate for Payer: Priority Health SBD	$2.49

ANASTROZOLE 1 MG TABLET

Facility

$118.66

Service Code	NDC 60687011221
Hospital Charge Code	16205
Hospital Revenue Code	637
Min. Negotiated Rate	$46.63
Max. Negotiated Rate	$106.79
Rate for Payer: Aetna Commercial	$100.86
Rate for Payer: Aetna Medicare	$59.33
Rate for Payer: Aetna New Business (MI Preferred)	$77.13
Rate for Payer: BCBS Complete	$47.46
Rate for Payer: Cash Price	$94.93
Rate for Payer: Cofinity Advantage	$83.06
Rate for Payer: Cofinity Commercial	$102.05
Rate for Payer: Encore Health Key Benefits Commercial	$94.93
Rate for Payer: Healthscope Commercial	$106.79
Rate for Payer: MI Amish Medical Board Commercial	$94.93
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$100.86
Rate for Payer: Opus (Opus Packaging Group) HMA	$89.00
Rate for Payer: PHP Commercial	$100.86
Rate for Payer: Priority Health SBD	$74.76
Rate for Payer: UHC All Payor (Choice/PPO)	$77.13
Rate for Payer: UHC Core	$61.82
Rate for Payer: UHC Exchange	$46.63

ANASTROZOLE 1 MG TABLET

Facility

$88.83

Service Code	NDC 16729003515
Hospital Charge Code	16205
Hospital Revenue Code	637
Min. Negotiated Rate	$55.96
Max. Negotiated Rate	$79.95
Rate for Payer: Aetna Commercial	$75.51
Rate for Payer: Aetna New Business (MI Preferred)	$57.74
Rate for Payer: Cash Price	$71.06
Rate for Payer: Cofinity Advantage	$62.18
Rate for Payer: Cofinity Commercial	$76.39
Rate for Payer: Encore Health Key Benefits Commercial	$71.06
Rate for Payer: Healthscope Commercial	$79.95
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$75.51
Rate for Payer: Opus (Opus Packaging Group) HMA	$66.62
Rate for Payer: PHP Commercial	$75.51
Rate for Payer: Priority Health SBD	$55.96

ANGINA PECTORIS

Facility

$13,892.65

Service Code	MSDRG 311
Min. Negotiated Rate	$5,703.28
Max. Negotiated Rate	$13,892.65
Rate for Payer: Aetna Medicare	$6,243.59
Rate for Payer: Allen County Amish Medical Aid Commercial	$7,504.31
Rate for Payer: Amish Plain Church Group Commercial	$7,504.31
Rate for Payer: BCBS MAPPO	$6,003.45
Rate for Payer: BCBS Trust/PPO	$13,892.65
Rate for Payer: BCN Commercial	$13,892.65
Rate for Payer: BCN Medicare Advantage	$6,003.45
Rate for Payer: Health Alliance Plan Medicare Advantage	$6,003.45
Rate for Payer: Mclaren Medicare	$6,003.45
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$6,303.62
Rate for Payer: MI Amish Medical Board Commercial	$6,903.97
Rate for Payer: Molina Medicare/Medicaid	$6,603.80
Rate for Payer: Nomi Health Commercial	$9,054.51
Rate for Payer: PACE Medicare	$5,703.28
Rate for Payer: PACE SWMI	$6,003.45
Rate for Payer: PHP Medicare Advantage	$6,003.45
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$11,316.13
Rate for Payer: Priority Health Medicare	$6,003.45
Rate for Payer: Priority Health Tiered Network	$9,052.90
Rate for Payer: Railroad Medicare Medicare	$6,003.45
Rate for Payer: UHC All Payor (Choice/PPO)	$11,440.97
Rate for Payer: UHC Core	$9,571.81
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$6,003.45
Rate for Payer: UHC Exchange	$7,817.06
Rate for Payer: VA VA	$6,003.45

ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS

Facility

$2,978.29

Service Code	APR-DRG 1981
Min. Negotiated Rate	$2,836.47
Max. Negotiated Rate	$2,978.29
Rate for Payer: BCBS Complete	$2,978.29
Rate for Payer: Mclaren Medicaid	$2,836.47
Rate for Payer: Meridian Medicaid	$2,978.29
Rate for Payer: Priority Health Choice Medicaid	$2,836.47
Rate for Payer: UHC Medicaid	$2,836.47
Rate for Payer: UHCCP Medicaid	$2,836.47

ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS

Facility

$9,735.21

Service Code	APR-DRG 1984
Min. Negotiated Rate	$9,271.63
Max. Negotiated Rate	$9,735.21
Rate for Payer: BCBS Complete	$9,735.21
Rate for Payer: Mclaren Medicaid	$9,271.63
Rate for Payer: Meridian Medicaid	$9,735.21
Rate for Payer: Priority Health Choice Medicaid	$9,271.63
Rate for Payer: UHC Medicaid	$9,271.63
Rate for Payer: UHCCP Medicaid	$9,271.63

ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS

Facility

$3,514.33

Service Code	APR-DRG 1982
Min. Negotiated Rate	$3,346.98
Max. Negotiated Rate	$3,514.33
Rate for Payer: BCBS Complete	$3,514.33
Rate for Payer: Mclaren Medicaid	$3,346.98
Rate for Payer: Meridian Medicaid	$3,514.33
Rate for Payer: Priority Health Choice Medicaid	$3,346.98
Rate for Payer: UHC Medicaid	$3,346.98
Rate for Payer: UHCCP Medicaid	$3,346.98

ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS

Facility

$4,650.04

Service Code	APR-DRG 1983
Min. Negotiated Rate	$4,428.61
Max. Negotiated Rate	$4,650.04
Rate for Payer: BCBS Complete	$4,650.04
Rate for Payer: Mclaren Medicaid	$4,428.61
Rate for Payer: Meridian Medicaid	$4,650.04
Rate for Payer: Priority Health Choice Medicaid	$4,428.61
Rate for Payer: UHC Medicaid	$4,428.61
Rate for Payer: UHCCP Medicaid	$4,428.61

ANIFROLUMAB-FNIA 300 MG/2 ML (150 MG/ML) INTRAVENOUS SOLUTION

Facility

$14,357.85

Service Code	HCPCS J0491
Hospital Charge Code	197996
Hospital Revenue Code	636
Min. Negotiated Rate	$9.58
Max. Negotiated Rate	$12,922.07
Rate for Payer: Aetna Commercial	$12,204.17
Rate for Payer: Aetna Medicare	$19.04
Rate for Payer: Aetna New Business (MI Preferred)	$9,332.60
Rate for Payer: Allen County Amish Medical Aid Commercial	$22.89
Rate for Payer: Amish Plain Church Group Commercial	$22.89
Rate for Payer: BCBS Complete	$10.06
Rate for Payer: BCBS MAPPO	$18.31
Rate for Payer: BCBS Trust/PPO	$46.00
Rate for Payer: BCN Commercial	$46.00
Rate for Payer: BCN Medicare Advantage	$18.31
Rate for Payer: Cash Price	$11,486.28
Rate for Payer: Cash Price	$11,486.28
Rate for Payer: Cofinity Advantage	$10,050.50
Rate for Payer: Cofinity Commercial	$12,347.75
Rate for Payer: Encore Health Key Benefits Commercial	$11,486.28
Rate for Payer: Health Alliance Plan Medicare Advantage	$18.31
Rate for Payer: Healthscope Commercial	$12,922.07
Rate for Payer: Mclaren Medicaid	$9.58
Rate for Payer: Mclaren Medicare	$18.31
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$19.23
Rate for Payer: Meridian Medicaid	$19.23
Rate for Payer: MI Amish Medical Board Commercial	$21.06
Rate for Payer: Molina Medicare/Medicaid	$20.14
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$12,204.17
Rate for Payer: Nomi Health Commercial	$54.93
Rate for Payer: Opus (Opus Packaging Group) HMA	$10,768.39
Rate for Payer: PACE Medicare	$17.39
Rate for Payer: PACE SWMI	$18.31
Rate for Payer: PHP Commercial	$12,204.17
Rate for Payer: PHP Medicare Advantage	$18.31
Rate for Payer: Priority Health Choice Medicaid	$9.58
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$57.03
Rate for Payer: Priority Health Medicare	$18.31
Rate for Payer: Priority Health SBD	$9,045.45
Rate for Payer: Priority Health Tiered Network	$45.62
Rate for Payer: Railroad Medicare Medicare	$18.31
Rate for Payer: UHC All Payor (Choice/PPO)	$30.26
Rate for Payer: UHC Core	$30.26
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$18.31
Rate for Payer: UHC Exchange	$30.26
Rate for Payer: UHC Medicaid	$9.58
Rate for Payer: UHCCP Medicaid	$9.58
Rate for Payer: VA VA	$18.31

ANIFROLUMAB-FNIA 300 MG/2 ML (150 MG/ML) INTRAVENOUS SOLUTION

Facility

$14,357.85

Service Code	HCPCS J0491
Hospital Charge Code	197996
Hospital Revenue Code	636
Min. Negotiated Rate	$9,045.45
Max. Negotiated Rate	$12,922.07
Rate for Payer: Aetna Commercial	$12,204.17
Rate for Payer: Aetna New Business (MI Preferred)	$9,332.60
Rate for Payer: Cash Price	$11,486.28
Rate for Payer: Cofinity Advantage	$10,050.50
Rate for Payer: Cofinity Commercial	$12,347.75
Rate for Payer: Encore Health Key Benefits Commercial	$11,486.28
Rate for Payer: Healthscope Commercial	$12,922.07
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$12,204.17
Rate for Payer: Opus (Opus Packaging Group) HMA	$10,768.39
Rate for Payer: PHP Commercial	$12,204.17
Rate for Payer: Priority Health SBD	$9,045.45

ANORECTAL EXAM, SURGICAL, REQUIRING ANESTHESIA (GENERAL, SPINAL, OR EPIDURAL), DIAGNOSTIC

Facility

$8,943.95

Service Code	CPT 45990
Hospital Revenue Code	360
Min. Negotiated Rate	$1,446.45
Max. Negotiated Rate	$8,943.95
Rate for Payer: Aetna Medicare	$2,876.31
Rate for Payer: Allen County Amish Medical Aid Commercial	$3,457.10
Rate for Payer: Amish Plain Church Group Commercial	$3,457.10
Rate for Payer: BCBS Complete	$1,518.91
Rate for Payer: BCBS MAPPO	$2,765.68
Rate for Payer: BCBS Trust/PPO	$2,093.80
Rate for Payer: BCN Commercial	$2,093.80
Rate for Payer: BCN Medicare Advantage	$2,765.68
Rate for Payer: Health Alliance Plan Medicare Advantage	$2,765.68
Rate for Payer: Mclaren Medicaid	$1,446.45
Rate for Payer: Mclaren Medicare	$2,765.68
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$2,903.96
Rate for Payer: Meridian Medicaid	$2,903.96
Rate for Payer: MI Amish Medical Board Commercial	$3,180.53
Rate for Payer: Molina Medicare/Medicaid	$3,042.25
Rate for Payer: Nomi Health Commercial	$8,297.04
Rate for Payer: PACE Medicare	$2,627.40
Rate for Payer: PACE SWMI	$2,765.68
Rate for Payer: PHP Medicare Advantage	$2,765.68
Rate for Payer: Priority Health Choice Medicaid	$1,446.45
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$8,943.95
Rate for Payer: Priority Health Medicare	$2,765.68
Rate for Payer: Priority Health Tiered Network	$7,155.16
Rate for Payer: Railroad Medicare Medicare	$2,765.68
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$2,765.68
Rate for Payer: UHC Medicaid	$1,446.45
Rate for Payer: UHCCP Medicaid	$1,446.45
Rate for Payer: VA VA	$2,765.68

ANOSCOPY; DIAGNOSTIC, WITH HIGH-RESOLUTION MAGNIFICATION (HRA) (EG, COLPOSCOPE, OPERATING MICROSCOPE) AND CHEMICAL AGENT ENHANCEMENT, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED

Facility

$1,439.47

Service Code	CPT 46601
Hospital Revenue Code	360
Min. Negotiated Rate	$37.45
Max. Negotiated Rate	$1,439.47
Rate for Payer: Aetna Medicare	$462.92
Rate for Payer: Allen County Amish Medical Aid Commercial	$556.40
Rate for Payer: Amish Plain Church Group Commercial	$556.40
Rate for Payer: BCBS Complete	$244.46
Rate for Payer: BCBS MAPPO	$445.12
Rate for Payer: BCBS Trust/PPO	$37.45
Rate for Payer: BCN Commercial	$37.45
Rate for Payer: BCN Medicare Advantage	$445.12
Rate for Payer: Health Alliance Plan Medicare Advantage	$445.12
Rate for Payer: Mclaren Medicaid	$232.80
Rate for Payer: Mclaren Medicare	$445.12
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$467.38
Rate for Payer: Meridian Medicaid	$467.38
Rate for Payer: MI Amish Medical Board Commercial	$511.89
Rate for Payer: Molina Medicare/Medicaid	$489.63
Rate for Payer: Nomi Health Commercial	$1,335.36
Rate for Payer: PACE Medicare	$422.86
Rate for Payer: PACE SWMI	$445.12
Rate for Payer: PHP Medicare Advantage	$445.12
Rate for Payer: Priority Health Choice Medicaid	$232.80
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$1,439.47
Rate for Payer: Priority Health Medicare	$445.12
Rate for Payer: Priority Health Tiered Network	$1,151.58
Rate for Payer: Railroad Medicare Medicare	$445.12
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$445.12
Rate for Payer: UHC Medicaid	$232.80
Rate for Payer: UHCCP Medicaid	$232.80
Rate for Payer: VA VA	$445.12

ANOSCOPY; WITH BIOPSY, SINGLE OR MULTIPLE

Facility

$3,855.91

Service Code	CPT 46606
Hospital Revenue Code	360
Min. Negotiated Rate	$175.92
Max. Negotiated Rate	$3,855.91
Rate for Payer: Aetna Medicare	$1,240.03
Rate for Payer: Allen County Amish Medical Aid Commercial	$1,490.42
Rate for Payer: Amish Plain Church Group Commercial	$1,490.42
Rate for Payer: BCBS Complete	$654.83
Rate for Payer: BCBS MAPPO	$1,192.34
Rate for Payer: BCBS Trust/PPO	$175.92
Rate for Payer: BCN Commercial	$175.92
Rate for Payer: BCN Medicare Advantage	$1,192.34
Rate for Payer: Health Alliance Plan Medicare Advantage	$1,192.34
Rate for Payer: Mclaren Medicaid	$623.59
Rate for Payer: Mclaren Medicare	$1,192.34
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$1,251.96
Rate for Payer: Meridian Medicaid	$1,251.96
Rate for Payer: MI Amish Medical Board Commercial	$1,371.19
Rate for Payer: Molina Medicare/Medicaid	$1,311.57
Rate for Payer: Nomi Health Commercial	$3,577.02
Rate for Payer: PACE Medicare	$1,132.72
Rate for Payer: PACE SWMI	$1,192.34
Rate for Payer: PHP Medicare Advantage	$1,192.34
Rate for Payer: Priority Health Choice Medicaid	$623.59
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$3,855.91
Rate for Payer: Priority Health Medicare	$1,192.34
Rate for Payer: Priority Health Tiered Network	$3,084.73
Rate for Payer: Railroad Medicare Medicare	$1,192.34
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$1,192.34
Rate for Payer: UHC Medicaid	$623.59
Rate for Payer: UHCCP Medicaid	$623.59
Rate for Payer: VA VA	$1,192.34

ANOSCOPY; WITH HIGH-RESOLUTION MAGNIFICATION (HRA) (EG, COLPOSCOPE, OPERATING MICROSCOPE) AND CHEMICAL AGENT ENHANCEMENT, WITH BIOPSY, SINGLE OR MULTIPLE

Facility

$3,855.91

Service Code	CPT 46607
Hospital Revenue Code	360
Min. Negotiated Rate	$623.59
Max. Negotiated Rate	$3,855.91
Rate for Payer: Aetna Medicare	$1,240.03
Rate for Payer: Allen County Amish Medical Aid Commercial	$1,490.42
Rate for Payer: Amish Plain Church Group Commercial	$1,490.42
Rate for Payer: BCBS Complete	$654.83
Rate for Payer: BCBS MAPPO	$1,192.34
Rate for Payer: BCBS Trust/PPO	$633.48
Rate for Payer: BCN Commercial	$633.48
Rate for Payer: BCN Medicare Advantage	$1,192.34
Rate for Payer: Health Alliance Plan Medicare Advantage	$1,192.34
Rate for Payer: Mclaren Medicaid	$623.59
Rate for Payer: Mclaren Medicare	$1,192.34
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$1,251.96
Rate for Payer: Meridian Medicaid	$1,251.96
Rate for Payer: MI Amish Medical Board Commercial	$1,371.19
Rate for Payer: Molina Medicare/Medicaid	$1,311.57
Rate for Payer: Nomi Health Commercial	$3,577.02
Rate for Payer: PACE Medicare	$1,132.72
Rate for Payer: PACE SWMI	$1,192.34
Rate for Payer: PHP Medicare Advantage	$1,192.34
Rate for Payer: Priority Health Choice Medicaid	$623.59
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$3,855.91
Rate for Payer: Priority Health Medicare	$1,192.34
Rate for Payer: Priority Health Tiered Network	$3,084.73
Rate for Payer: Railroad Medicare Medicare	$1,192.34
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$1,192.34
Rate for Payer: UHC Medicaid	$623.59
Rate for Payer: UHCCP Medicaid	$623.59
Rate for Payer: VA VA	$1,192.34

Know your out-of-pocket cost for care.

All Charges