Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

HC DEVICE NOT RETURNED AIR 10 OXIMETRY

Facility

$310.00

Hospital Charge Code	27000616
Hospital Revenue Code	270
Min. Negotiated Rate	$124.00
Max. Negotiated Rate	$279.00
Rate for Payer: Aetna Commercial	$263.50
Rate for Payer: Aetna New Business (MI Preferred)	$201.50
Rate for Payer: BCBS Complete	$124.00
Rate for Payer: Cash Price	$248.00
Rate for Payer: Cofinity Commercial	$217.00
Rate for Payer: Cofinity Commercial	$266.60
Rate for Payer: Healthscope Commercial	$279.00
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$263.50
Rate for Payer: PHP Commercial	$263.50
Rate for Payer: Priority Health Cigna Priority Health	$217.00
Rate for Payer: Priority Health SBD	$195.30

HC DEVICE NOT RETURNED APNEALINK

Professional

Both

$828.00

Service Code	HCPCS 00602
Hospital Revenue Code	270
Min. Negotiated Rate	$331.20
Max. Negotiated Rate	$579.60
Rate for Payer: BCBS Complete	$331.20
Rate for Payer: Cash Price	$662.40
Rate for Payer: Priority Health Cigna Priority Health	$579.60

HC DEVICE NOT RETURNED APNEALINK PLUS

Facility

$1,548.00

Hospital Charge Code	27000603
Hospital Revenue Code	270
Min. Negotiated Rate	$619.20
Max. Negotiated Rate	$1,393.20
Rate for Payer: Aetna Commercial	$1,315.80
Rate for Payer: Aetna New Business (MI Preferred)	$1,006.20
Rate for Payer: BCBS Complete	$619.20
Rate for Payer: Cash Price	$1,238.40
Rate for Payer: Cofinity Commercial	$1,083.60
Rate for Payer: Cofinity Commercial	$1,331.28
Rate for Payer: Healthscope Commercial	$1,393.20
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$1,315.80
Rate for Payer: PHP Commercial	$1,315.80
Rate for Payer: Priority Health Cigna Priority Health	$1,083.60
Rate for Payer: Priority Health SBD	$975.24

HC DEVICE NOT RETURNED APNEALINK PLUS

Facility

$1,548.00

Hospital Charge Code	27000603
Hospital Revenue Code	270
Min. Negotiated Rate	$975.24
Max. Negotiated Rate	$1,393.20
Rate for Payer: Aetna Commercial	$1,315.80
Rate for Payer: Aetna New Business (MI Preferred)	$1,006.20
Rate for Payer: Cash Price	$1,238.40
Rate for Payer: Cofinity Commercial	$1,083.60
Rate for Payer: Cofinity Commercial	$1,331.28
Rate for Payer: Healthscope Commercial	$1,393.20
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$1,315.80
Rate for Payer: PHP Commercial	$1,315.80
Rate for Payer: Priority Health Cigna Priority Health	$1,083.60
Rate for Payer: Priority Health SBD	$975.24

HC DEVICE NOT RETURNED APNEALINK PLUS

Professional

Both

$1,548.00

Service Code	HCPCS 00603
Hospital Charge Code	27000603
Hospital Revenue Code	270
Min. Negotiated Rate	$619.20
Max. Negotiated Rate	$1,083.60
Rate for Payer: BCBS Complete	$619.20
Rate for Payer: Cash Price	$1,238.40
Rate for Payer: Priority Health Cigna Priority Health	$1,083.60

HC DEVICE NOT RETURNED APNEALINK PLUS

Professional

Both

$1,548.00

Service Code	HCPCS 00603
Hospital Revenue Code	270
Min. Negotiated Rate	$619.20
Max. Negotiated Rate	$1,083.60
Rate for Payer: BCBS Complete	$619.20
Rate for Payer: Cash Price	$1,238.40
Rate for Payer: Priority Health Cigna Priority Health	$1,083.60

HC DEVICE NOT RETURNED CADD PUMP

Facility

$3,723.00

Hospital Charge Code	27000642
Hospital Revenue Code	270
Min. Negotiated Rate	$1,489.20
Max. Negotiated Rate	$3,350.70
Rate for Payer: Aetna Commercial	$3,164.55
Rate for Payer: Aetna New Business (MI Preferred)	$2,419.95
Rate for Payer: BCBS Complete	$1,489.20
Rate for Payer: Cash Price	$2,978.40
Rate for Payer: Cofinity Commercial	$2,606.10
Rate for Payer: Cofinity Commercial	$3,201.78
Rate for Payer: Healthscope Commercial	$3,350.70
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$3,164.55
Rate for Payer: PHP Commercial	$3,164.55
Rate for Payer: Priority Health Cigna Priority Health	$2,606.10
Rate for Payer: Priority Health SBD	$2,345.49

HC DEVICE NOT RETURNED CADD PUMP

Facility

$3,723.00

Hospital Charge Code	27000642
Hospital Revenue Code	270
Min. Negotiated Rate	$2,345.49
Max. Negotiated Rate	$3,350.70
Rate for Payer: Aetna Commercial	$3,164.55
Rate for Payer: Aetna New Business (MI Preferred)	$2,419.95
Rate for Payer: Cash Price	$2,978.40
Rate for Payer: Cofinity Commercial	$2,606.10
Rate for Payer: Cofinity Commercial	$3,201.78
Rate for Payer: Healthscope Commercial	$3,350.70
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$3,164.55
Rate for Payer: PHP Commercial	$3,164.55
Rate for Payer: Priority Health Cigna Priority Health	$2,606.10
Rate for Payer: Priority Health SBD	$2,345.49

HC DEVICE NOT RETURNED RU SLEEPING

Facility

$495.00

Hospital Charge Code	27000614
Hospital Revenue Code	270
Min. Negotiated Rate	$198.00
Max. Negotiated Rate	$445.50
Rate for Payer: Aetna Commercial	$420.75
Rate for Payer: Aetna New Business (MI Preferred)	$321.75
Rate for Payer: BCBS Complete	$198.00
Rate for Payer: Cash Price	$396.00
Rate for Payer: Cofinity Commercial	$346.50
Rate for Payer: Cofinity Commercial	$425.70
Rate for Payer: Healthscope Commercial	$445.50
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$420.75
Rate for Payer: PHP Commercial	$420.75
Rate for Payer: Priority Health Cigna Priority Health	$346.50
Rate for Payer: Priority Health SBD	$311.85

HC DEVICE NOT RETURNED RU SLEEPING

Professional

Both

$495.00

Service Code	HCPCS 00614
Hospital Charge Code	27000614
Hospital Revenue Code	270
Min. Negotiated Rate	$198.00
Max. Negotiated Rate	$346.50
Rate for Payer: BCBS Complete	$198.00
Rate for Payer: Cash Price	$396.00
Rate for Payer: Priority Health Cigna Priority Health	$346.50

HC DEVICE NOT RETURNED RU SLEEPING

Facility

$495.00

Hospital Charge Code	27000614
Hospital Revenue Code	270
Min. Negotiated Rate	$311.85
Max. Negotiated Rate	$445.50
Rate for Payer: Aetna Commercial	$420.75
Rate for Payer: Aetna New Business (MI Preferred)	$321.75
Rate for Payer: Cash Price	$396.00
Rate for Payer: Cofinity Commercial	$346.50
Rate for Payer: Cofinity Commercial	$425.70
Rate for Payer: Healthscope Commercial	$445.50
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$420.75
Rate for Payer: PHP Commercial	$420.75
Rate for Payer: Priority Health Cigna Priority Health	$346.50
Rate for Payer: Priority Health SBD	$311.85

HC DEVICE NOT RETURNED RU SLEEPING

Professional

Both

$495.00

Service Code	HCPCS 00614
Hospital Revenue Code	270
Min. Negotiated Rate	$198.00
Max. Negotiated Rate	$346.50
Rate for Payer: BCBS Complete	$198.00
Rate for Payer: Cash Price	$396.00
Rate for Payer: Priority Health Cigna Priority Health	$346.50

HC DEVICE NOT RETURNED WATCHPAT

Professional

Both

$4,950.00

Service Code	HCPCS 00604
Hospital Charge Code	27000604
Hospital Revenue Code	270
Min. Negotiated Rate	$1,980.00
Max. Negotiated Rate	$3,465.00
Rate for Payer: BCBS Complete	$1,980.00
Rate for Payer: Cash Price	$3,960.00
Rate for Payer: Priority Health Cigna Priority Health	$3,465.00

HC DEVICE NOT RETURNED WATCHPAT

Facility

$4,950.00

Hospital Charge Code	27000604
Hospital Revenue Code	270
Min. Negotiated Rate	$3,118.50
Max. Negotiated Rate	$4,455.00
Rate for Payer: Aetna Commercial	$4,207.50
Rate for Payer: Aetna New Business (MI Preferred)	$3,217.50
Rate for Payer: Cash Price	$3,960.00
Rate for Payer: Cofinity Commercial	$3,465.00
Rate for Payer: Cofinity Commercial	$4,257.00
Rate for Payer: Healthscope Commercial	$4,455.00
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$4,207.50
Rate for Payer: PHP Commercial	$4,207.50
Rate for Payer: Priority Health Cigna Priority Health	$3,465.00
Rate for Payer: Priority Health SBD	$3,118.50

HC DEVICE NOT RETURNED WATCHPAT

Facility

$4,950.00

Hospital Charge Code	27000604
Hospital Revenue Code	270
Min. Negotiated Rate	$1,980.00
Max. Negotiated Rate	$4,455.00
Rate for Payer: Aetna Commercial	$4,207.50
Rate for Payer: Aetna New Business (MI Preferred)	$3,217.50
Rate for Payer: BCBS Complete	$1,980.00
Rate for Payer: Cash Price	$3,960.00
Rate for Payer: Cofinity Commercial	$3,465.00
Rate for Payer: Cofinity Commercial	$4,257.00
Rate for Payer: Healthscope Commercial	$4,455.00
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$4,207.50
Rate for Payer: PHP Commercial	$4,207.50
Rate for Payer: Priority Health Cigna Priority Health	$3,465.00
Rate for Payer: Priority Health SBD	$3,118.50

HC DEVICE NOT RETURNED WATCHPAT

Professional

Both

$4,950.00

Service Code	HCPCS 00604
Hospital Revenue Code	270
Min. Negotiated Rate	$1,980.00
Max. Negotiated Rate	$3,465.00
Rate for Payer: BCBS Complete	$1,980.00
Rate for Payer: Cash Price	$3,960.00
Rate for Payer: Priority Health Cigna Priority Health	$3,465.00

HC DEXA BONE DENSITY

Facility

$531.00

Service Code	CPT 77080
Hospital Charge Code	32000260
Hospital Revenue Code	320
Min. Negotiated Rate	$334.53
Max. Negotiated Rate	$477.90
Rate for Payer: Aetna Commercial	$451.35
Rate for Payer: Aetna New Business (MI Preferred)	$345.15
Rate for Payer: Cash Price	$424.80
Rate for Payer: Cofinity Commercial	$371.70
Rate for Payer: Cofinity Commercial	$456.66
Rate for Payer: Healthscope Commercial	$477.90
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$451.35
Rate for Payer: PHP Commercial	$451.35
Rate for Payer: Priority Health Cigna Priority Health	$371.70
Rate for Payer: Priority Health SBD	$334.53

HC DEXA BONE DENSITY

Facility

$531.00

Service Code	CPT 77080
Hospital Charge Code	32000260
Hospital Revenue Code	320
Min. Negotiated Rate	$38.31
Max. Negotiated Rate	$477.90
Rate for Payer: Aetna Commercial	$451.35
Rate for Payer: Aetna Medicare	$101.73
Rate for Payer: Aetna New Business (MI Preferred)	$345.15
Rate for Payer: Allen County Amish Medical Aid Commercial	$122.28
Rate for Payer: Amish Plain Church Group Commercial	$122.28
Rate for Payer: BCBS Complete	$56.19
Rate for Payer: BCBS MAPPO	$97.82
Rate for Payer: BCBS Trust/PPO	$47.43
Rate for Payer: BCN Medicare Advantage	$97.82
Rate for Payer: Cash Price	$424.80
Rate for Payer: Cash Price	$424.80
Rate for Payer: Cofinity Commercial	$371.70
Rate for Payer: Cofinity Commercial	$456.66
Rate for Payer: Health Alliance Plan Medicare Advantage	$97.82
Rate for Payer: Healthscope Commercial	$477.90
Rate for Payer: Mclaren Medicaid	$53.51
Rate for Payer: Mclaren Medicare	$97.82
Rate for Payer: Meridian Medicaid	$56.19
Rate for Payer: Meridian Wellcare - Medicare Advantage	$102.71
Rate for Payer: MI Amish Medical Board Commercial	$112.49
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$451.35
Rate for Payer: PACE Medicare	$92.93
Rate for Payer: PACE SWMI	$97.82
Rate for Payer: PHP Commercial	$451.35
Rate for Payer: PHP Medicare Advantage	$97.82
Rate for Payer: Priority Health Choice Medicaid	$53.51
Rate for Payer: Priority Health Cigna Priority Health	$371.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$338.98
Rate for Payer: Priority Health Medicare	$97.82
Rate for Payer: Priority Health Narrow Network	$271.18
Rate for Payer: Priority Health SBD	$334.53
Rate for Payer: Railroad Medicare Medicare	$97.82
Rate for Payer: UHC All Payor (Choice/PPO)	$42.14
Rate for Payer: UHC Dual Complete DSNP	$97.82
Rate for Payer: UHC Exchange	$38.31
Rate for Payer: UHC Medicare Advantage	$100.75
Rate for Payer: VA VA	$97.82

HC DEXA BONE DENSITY APPENDICULAR

Facility

$200.23

Service Code	CPT 77081
Hospital Charge Code	32000261
Hospital Revenue Code	320
Min. Negotiated Rate	$31.11
Max. Negotiated Rate	$251.86
Rate for Payer: Aetna Commercial	$170.20
Rate for Payer: Aetna Medicare	$84.09
Rate for Payer: Aetna New Business (MI Preferred)	$130.15
Rate for Payer: Allen County Amish Medical Aid Commercial	$101.08
Rate for Payer: Amish Plain Church Group Commercial	$101.08
Rate for Payer: BCBS Complete	$46.45
Rate for Payer: BCBS MAPPO	$80.86
Rate for Payer: BCBS Trust/PPO	$35.85
Rate for Payer: BCN Medicare Advantage	$80.86
Rate for Payer: Cash Price	$160.18
Rate for Payer: Cash Price	$160.18
Rate for Payer: Cofinity Commercial	$140.16
Rate for Payer: Cofinity Commercial	$172.20
Rate for Payer: Health Alliance Plan Medicare Advantage	$80.86
Rate for Payer: Healthscope Commercial	$180.21
Rate for Payer: Mclaren Medicaid	$44.23
Rate for Payer: Mclaren Medicare	$80.86
Rate for Payer: Meridian Medicaid	$46.45
Rate for Payer: Meridian Wellcare - Medicare Advantage	$84.90
Rate for Payer: MI Amish Medical Board Commercial	$92.99
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$170.20
Rate for Payer: PACE Medicare	$76.82
Rate for Payer: PACE SWMI	$80.86
Rate for Payer: PHP Commercial	$170.20
Rate for Payer: PHP Medicare Advantage	$80.86
Rate for Payer: Priority Health Choice Medicaid	$44.23
Rate for Payer: Priority Health Cigna Priority Health	$140.16
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$251.86
Rate for Payer: Priority Health Medicare	$80.86
Rate for Payer: Priority Health Narrow Network	$201.49
Rate for Payer: Priority Health SBD	$126.14
Rate for Payer: Railroad Medicare Medicare	$80.86
Rate for Payer: UHC All Payor (Choice/PPO)	$34.22
Rate for Payer: UHC Dual Complete DSNP	$80.86
Rate for Payer: UHC Exchange	$31.11
Rate for Payer: UHC Medicare Advantage	$83.29
Rate for Payer: VA VA	$80.86

HC DEXA BONE DENSITY APPENDICULAR

Facility

$200.23

Service Code	CPT 77081
Hospital Charge Code	32000261
Hospital Revenue Code	320
Min. Negotiated Rate	$126.14
Max. Negotiated Rate	$180.21
Rate for Payer: Aetna Commercial	$170.20
Rate for Payer: Aetna New Business (MI Preferred)	$130.15
Rate for Payer: Cash Price	$160.18
Rate for Payer: Cofinity Commercial	$140.16
Rate for Payer: Cofinity Commercial	$172.20
Rate for Payer: Healthscope Commercial	$180.21
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$170.20
Rate for Payer: PHP Commercial	$170.20
Rate for Payer: Priority Health Cigna Priority Health	$140.16
Rate for Payer: Priority Health SBD	$126.14

HC DEXAMETHASONE DEXA

Facility

$147.48

Service Code	CPT 80299
Hospital Charge Code	30100751
Hospital Revenue Code	301
Min. Negotiated Rate	$10.20
Max. Negotiated Rate	$132.73
Rate for Payer: Aetna Commercial	$125.36
Rate for Payer: Aetna Medicare	$19.39
Rate for Payer: Aetna New Business (MI Preferred)	$95.86
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	$117.98
Rate for Payer: Cash Price	$117.98
Rate for Payer: Cofinity Commercial	$103.24
Rate for Payer: Cofinity Commercial	$126.83
Rate for Payer: Health Alliance Plan Medicare Advantage	$18.64
Rate for Payer: Healthscope Commercial	$132.73
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	$125.36
Rate for Payer: PACE Medicare	$17.71
Rate for Payer: PACE SWMI	$18.64
Rate for Payer: PHP Commercial	$125.36
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	$103.24
Rate for Payer: Priority Health Medicare	$18.64
Rate for Payer: Priority Health SBD	$92.91
Rate for Payer: Railroad Medicare Medicare	$18.64
Rate for Payer: UHC All Payor (Choice/PPO)	$22.37
Rate for Payer: UHC Core	$23.28
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

HC DEXAMETHASONE DEXA

Facility

$147.48

Service Code	CPT 80299
Hospital Charge Code	30100751
Hospital Revenue Code	301
Min. Negotiated Rate	$92.91
Max. Negotiated Rate	$132.73
Rate for Payer: Aetna Commercial	$125.36
Rate for Payer: Aetna New Business (MI Preferred)	$95.86
Rate for Payer: Cash Price	$117.98
Rate for Payer: Cofinity Commercial	$126.83
Rate for Payer: Cofinity Commercial	$103.24
Rate for Payer: Healthscope Commercial	$132.73
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$125.36
Rate for Payer: PHP Commercial	$125.36
Rate for Payer: Priority Health Cigna Priority Health	$103.24
Rate for Payer: Priority Health SBD	$92.91

HC DEXAMETHASONE SODIUM PHOS, PER 1 MG

Facility

$10.20

Service Code	HCPCS J1100
Hospital Charge Code	63600138
Hospital Revenue Code	636
Min. Negotiated Rate	$6.43
Max. Negotiated Rate	$9.18
Rate for Payer: Aetna Commercial	$8.67
Rate for Payer: Aetna New Business (MI Preferred)	$6.63
Rate for Payer: Cash Price	$8.16
Rate for Payer: Cofinity Commercial	$7.14
Rate for Payer: Cofinity Commercial	$8.77
Rate for Payer: Healthscope Commercial	$9.18
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$8.67
Rate for Payer: PHP Commercial	$8.67
Rate for Payer: Priority Health Cigna Priority Health	$7.14
Rate for Payer: Priority Health SBD	$6.43

HC DEXAMETHASONE SODIUM PHOS, PER 1 MG

Facility

$10.20

Service Code	HCPCS J1100
Hospital Charge Code	63600138
Hospital Revenue Code	636
Min. Negotiated Rate	$0.35
Max. Negotiated Rate	$9.18
Rate for Payer: Aetna Commercial	$8.67
Rate for Payer: Aetna New Business (MI Preferred)	$6.63
Rate for Payer: BCBS Complete	$4.08
Rate for Payer: BCBS Trust/PPO	$0.35
Rate for Payer: Cash Price	$8.16
Rate for Payer: Cash Price	$8.16
Rate for Payer: Cofinity Commercial	$8.77
Rate for Payer: Cofinity Commercial	$7.14
Rate for Payer: Healthscope Commercial	$9.18
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$8.67
Rate for Payer: PHP Commercial	$8.67
Rate for Payer: Priority Health Cigna Priority Health	$7.14
Rate for Payer: Priority Health SBD	$6.43

HC DHEA

Facility

$49.98

Service Code	CPT 82626
Hospital Charge Code	30100187
Hospital Revenue Code	301
Min. Negotiated Rate	$31.49
Max. Negotiated Rate	$44.98
Rate for Payer: Aetna Commercial	$42.48
Rate for Payer: Aetna New Business (MI Preferred)	$32.49
Rate for Payer: Cash Price	$39.98
Rate for Payer: Cofinity Commercial	$34.99
Rate for Payer: Cofinity Commercial	$42.98
Rate for Payer: Healthscope Commercial	$44.98
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$42.48
Rate for Payer: PHP Commercial	$42.48
Rate for Payer: Priority Health Cigna Priority Health	$34.99
Rate for Payer: Priority Health SBD	$31.49

Know your out-of-pocket cost for care.

All Charges