Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

HC 2D ECHOCARDIOGRAM LIMITED STUDY

Facility

$825.55

Service Code	CPT 93308
Hospital Charge Code	48300002
Hospital Revenue Code	483
Min. Negotiated Rate	$520.10
Max. Negotiated Rate	$743.00
Rate for Payer: Aetna Commercial	$701.72
Rate for Payer: Aetna New Business (MI Preferred)	$536.61
Rate for Payer: Cash Price	$660.44
Rate for Payer: Cofinity Commercial	$577.88
Rate for Payer: Cofinity Commercial	$709.97
Rate for Payer: Cofinity Medicare Advantage	$577.88
Rate for Payer: Encore Health Key Benefits Commercial	$660.44
Rate for Payer: Healthscope Commercial	$743.00
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$701.72
Rate for Payer: PHP Commercial	$701.72
Rate for Payer: Priority Health Cigna Priority Health	$536.61
Rate for Payer: Priority Health SBD	$520.10

HC 2 PIECE WAFER

Facility

$13.42

Hospital Charge Code	27100001
Hospital Revenue Code	271
Min. Negotiated Rate	$8.45
Max. Negotiated Rate	$12.08
Rate for Payer: Aetna Commercial	$11.41
Rate for Payer: Aetna New Business (MI Preferred)	$8.72
Rate for Payer: Cash Price	$10.74
Rate for Payer: Cofinity Commercial	$11.54
Rate for Payer: Cofinity Commercial	$9.39
Rate for Payer: Cofinity Medicare Advantage	$9.39
Rate for Payer: Encore Health Key Benefits Commercial	$10.74
Rate for Payer: Healthscope Commercial	$12.08
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$11.41
Rate for Payer: PHP Commercial	$11.41
Rate for Payer: Priority Health Cigna Priority Health	$8.72
Rate for Payer: Priority Health SBD	$8.45

HC 2 PIECE WAFER

Facility

$13.42

Hospital Charge Code	27100001
Hospital Revenue Code	271
Min. Negotiated Rate	$5.37
Max. Negotiated Rate	$12.08
Rate for Payer: Aetna Commercial	$11.41
Rate for Payer: Aetna Medicare	$6.71
Rate for Payer: Aetna New Business (MI Preferred)	$8.72
Rate for Payer: BCBS Complete	$5.37
Rate for Payer: Cash Price	$10.74
Rate for Payer: Cofinity Commercial	$11.54
Rate for Payer: Cofinity Commercial	$9.39
Rate for Payer: Cofinity Medicare Advantage	$9.39
Rate for Payer: Encore Health Key Benefits Commercial	$10.74
Rate for Payer: Healthscope Commercial	$12.08
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$11.41
Rate for Payer: PHP Commercial	$11.41
Rate for Payer: Priority Health Cigna Priority Health	$8.72
Rate for Payer: Priority Health SBD	$8.45

HC 3D ECHO RENDERING

Facility

$669.19

Service Code	CPT 76376
Hospital Charge Code	32000282
Hospital Revenue Code	320
Min. Negotiated Rate	$421.59
Max. Negotiated Rate	$602.27
Rate for Payer: Aetna Commercial	$568.81
Rate for Payer: Aetna New Business (MI Preferred)	$434.97
Rate for Payer: Cash Price	$535.35
Rate for Payer: Cofinity Commercial	$468.43
Rate for Payer: Cofinity Commercial	$575.50
Rate for Payer: Cofinity Medicare Advantage	$468.43
Rate for Payer: Encore Health Key Benefits Commercial	$535.35
Rate for Payer: Healthscope Commercial	$602.27
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$568.81
Rate for Payer: PHP Commercial	$568.81
Rate for Payer: Priority Health Cigna Priority Health	$434.97
Rate for Payer: Priority Health SBD	$421.59

HC 3D ECHO RENDERING

Facility

$669.19

Service Code	CPT 76376
Hospital Charge Code	32000282
Hospital Revenue Code	320
Min. Negotiated Rate	$25.44
Max. Negotiated Rate	$602.27
Rate for Payer: Aetna Commercial	$568.81
Rate for Payer: Aetna Medicare	$334.60
Rate for Payer: Aetna New Business (MI Preferred)	$434.97
Rate for Payer: BCBS Complete	$267.68
Rate for Payer: BCBS Trust/PPO	$29.54
Rate for Payer: BCN Commercial	$29.54
Rate for Payer: Cash Price	$535.35
Rate for Payer: Cash Price	$535.35
Rate for Payer: Cofinity Commercial	$468.43
Rate for Payer: Cofinity Commercial	$575.50
Rate for Payer: Cofinity Medicare Advantage	$468.43
Rate for Payer: Encore Health Key Benefits Commercial	$535.35
Rate for Payer: Healthscope Commercial	$602.27
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$568.81
Rate for Payer: PHP Commercial	$568.81
Rate for Payer: Priority Health Cigna Priority Health	$434.97
Rate for Payer: Priority Health SBD	$421.59
Rate for Payer: UHC All Payor (Choice/PPO)	$25.44
Rate for Payer: UHC Exchange	$495.20

HC 3D ECHO REND W/WORKSTATION

Facility

$637.87

Service Code	CPT 76377
Hospital Charge Code	32000283
Hospital Revenue Code	320
Min. Negotiated Rate	$76.70
Max. Negotiated Rate	$574.08
Rate for Payer: Aetna Commercial	$542.19
Rate for Payer: Aetna Medicare	$318.94
Rate for Payer: Aetna New Business (MI Preferred)	$414.62
Rate for Payer: BCBS Complete	$255.15
Rate for Payer: BCBS Trust/PPO	$76.70
Rate for Payer: BCN Commercial	$76.70
Rate for Payer: Cash Price	$510.30
Rate for Payer: Cash Price	$510.30
Rate for Payer: Cofinity Commercial	$446.51
Rate for Payer: Cofinity Commercial	$548.57
Rate for Payer: Cofinity Medicare Advantage	$446.51
Rate for Payer: Encore Health Key Benefits Commercial	$510.30
Rate for Payer: Healthscope Commercial	$574.08
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$542.19
Rate for Payer: PHP Commercial	$542.19
Rate for Payer: Priority Health Cigna Priority Health	$414.62
Rate for Payer: Priority Health SBD	$401.86
Rate for Payer: UHC All Payor (Choice/PPO)	$79.97
Rate for Payer: UHC Exchange	$472.02

HC 3D ECHO REND W/WORKSTATION

Facility

$637.87

Service Code	CPT 76377
Hospital Charge Code	32000283
Hospital Revenue Code	320
Min. Negotiated Rate	$401.86
Max. Negotiated Rate	$574.08
Rate for Payer: Aetna Commercial	$542.19
Rate for Payer: Aetna New Business (MI Preferred)	$414.62
Rate for Payer: Cash Price	$510.30
Rate for Payer: Cofinity Commercial	$446.51
Rate for Payer: Cofinity Commercial	$548.57
Rate for Payer: Cofinity Medicare Advantage	$446.51
Rate for Payer: Encore Health Key Benefits Commercial	$510.30
Rate for Payer: Healthscope Commercial	$574.08
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$542.19
Rate for Payer: PHP Commercial	$542.19
Rate for Payer: Priority Health Cigna Priority Health	$414.62
Rate for Payer: Priority Health SBD	$401.86

HC 4X4 WAFER

Facility

$24.51

Hospital Charge Code	27000023
Hospital Revenue Code	270
Min. Negotiated Rate	$15.44
Max. Negotiated Rate	$22.06
Rate for Payer: Aetna Commercial	$20.83
Rate for Payer: Aetna New Business (MI Preferred)	$15.93
Rate for Payer: Cash Price	$19.61
Rate for Payer: Cofinity Commercial	$17.16
Rate for Payer: Cofinity Commercial	$21.08
Rate for Payer: Cofinity Medicare Advantage	$17.16
Rate for Payer: Encore Health Key Benefits Commercial	$19.61
Rate for Payer: Healthscope Commercial	$22.06
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$20.83
Rate for Payer: PHP Commercial	$20.83
Rate for Payer: Priority Health Cigna Priority Health	$15.93
Rate for Payer: Priority Health SBD	$15.44

HC 4X4 WAFER

Facility

$24.51

Hospital Charge Code	27000023
Hospital Revenue Code	270
Min. Negotiated Rate	$9.80
Max. Negotiated Rate	$22.06
Rate for Payer: Aetna Commercial	$20.83
Rate for Payer: Aetna Medicare	$12.26
Rate for Payer: Aetna New Business (MI Preferred)	$15.93
Rate for Payer: BCBS Complete	$9.80
Rate for Payer: Cash Price	$19.61
Rate for Payer: Cofinity Commercial	$17.16
Rate for Payer: Cofinity Commercial	$21.08
Rate for Payer: Cofinity Medicare Advantage	$17.16
Rate for Payer: Encore Health Key Benefits Commercial	$19.61
Rate for Payer: Healthscope Commercial	$22.06
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$20.83
Rate for Payer: PHP Commercial	$20.83
Rate for Payer: Priority Health Cigna Priority Health	$15.93
Rate for Payer: Priority Health SBD	$15.44

HC 5 FR SOLO 3CG POWER PICC

Facility

$1,126.57

Service Code	HCPCS C1751
Hospital Charge Code	27200169
Hospital Revenue Code	272
Min. Negotiated Rate	$450.63
Max. Negotiated Rate	$1,013.91
Rate for Payer: Aetna Commercial	$957.58
Rate for Payer: Aetna Medicare	$563.28
Rate for Payer: Aetna New Business (MI Preferred)	$732.27
Rate for Payer: BCBS Complete	$450.63
Rate for Payer: Cash Price	$901.26
Rate for Payer: Cofinity Commercial	$788.60
Rate for Payer: Cofinity Commercial	$968.85
Rate for Payer: Cofinity Medicare Advantage	$788.60
Rate for Payer: Encore Health Key Benefits Commercial	$901.26
Rate for Payer: Healthscope Commercial	$1,013.91
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$957.58
Rate for Payer: PHP Commercial	$957.58
Rate for Payer: Priority Health Cigna Priority Health	$732.27
Rate for Payer: Priority Health SBD	$709.74

HC 5 FR SOLO 3CG POWER PICC

Facility

$1,126.57

Service Code	HCPCS C1751
Hospital Charge Code	27200169
Hospital Revenue Code	272
Min. Negotiated Rate	$709.74
Max. Negotiated Rate	$1,013.91
Rate for Payer: Aetna Commercial	$957.58
Rate for Payer: Aetna New Business (MI Preferred)	$732.27
Rate for Payer: Cash Price	$901.26
Rate for Payer: Cofinity Commercial	$788.60
Rate for Payer: Cofinity Commercial	$968.85
Rate for Payer: Cofinity Medicare Advantage	$788.60
Rate for Payer: Encore Health Key Benefits Commercial	$901.26
Rate for Payer: Healthscope Commercial	$1,013.91
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$957.58
Rate for Payer: PHP Commercial	$957.58
Rate for Payer: Priority Health Cigna Priority Health	$732.27
Rate for Payer: Priority Health SBD	$709.74

HC 5FR SOLO POWER PICC

Facility

$976.26

Service Code	HCPCS C1751
Hospital Charge Code	27200108
Hospital Revenue Code	272
Min. Negotiated Rate	$390.50
Max. Negotiated Rate	$878.63
Rate for Payer: Aetna Commercial	$829.82
Rate for Payer: Aetna Medicare	$488.13
Rate for Payer: Aetna New Business (MI Preferred)	$634.57
Rate for Payer: BCBS Complete	$390.50
Rate for Payer: Cash Price	$781.01
Rate for Payer: Cofinity Commercial	$683.38
Rate for Payer: Cofinity Commercial	$839.58
Rate for Payer: Cofinity Medicare Advantage	$683.38
Rate for Payer: Encore Health Key Benefits Commercial	$781.01
Rate for Payer: Healthscope Commercial	$878.63
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$829.82
Rate for Payer: PHP Commercial	$829.82
Rate for Payer: Priority Health Cigna Priority Health	$634.57
Rate for Payer: Priority Health SBD	$615.04

HC 5FR SOLO POWER PICC

Facility

$976.26

Service Code	HCPCS C1751
Hospital Charge Code	27200108
Hospital Revenue Code	272
Min. Negotiated Rate	$615.04
Max. Negotiated Rate	$878.63
Rate for Payer: Aetna Commercial	$829.82
Rate for Payer: Aetna New Business (MI Preferred)	$634.57
Rate for Payer: Cash Price	$781.01
Rate for Payer: Cofinity Commercial	$683.38
Rate for Payer: Cofinity Commercial	$839.58
Rate for Payer: Cofinity Medicare Advantage	$683.38
Rate for Payer: Encore Health Key Benefits Commercial	$781.01
Rate for Payer: Healthscope Commercial	$878.63
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$829.82
Rate for Payer: PHP Commercial	$829.82
Rate for Payer: Priority Health Cigna Priority Health	$634.57
Rate for Payer: Priority Health SBD	$615.04

HC 5 FR TL 3CG MAX POWER PICC

Facility

$1,229.00

Service Code	HCPCS C1751
Hospital Charge Code	27200178
Hospital Revenue Code	272
Min. Negotiated Rate	$491.60
Max. Negotiated Rate	$1,106.10
Rate for Payer: Aetna Commercial	$1,044.65
Rate for Payer: Aetna Medicare	$614.50
Rate for Payer: Aetna New Business (MI Preferred)	$798.85
Rate for Payer: BCBS Complete	$491.60
Rate for Payer: Cash Price	$983.20
Rate for Payer: Cofinity Commercial	$1,056.94
Rate for Payer: Cofinity Commercial	$860.30
Rate for Payer: Cofinity Medicare Advantage	$860.30
Rate for Payer: Encore Health Key Benefits Commercial	$983.20
Rate for Payer: Healthscope Commercial	$1,106.10
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,044.65
Rate for Payer: PHP Commercial	$1,044.65
Rate for Payer: Priority Health Cigna Priority Health	$798.85
Rate for Payer: Priority Health SBD	$774.27

HC 5 FR TL 3CG MAX POWER PICC

Facility

$1,229.00

Service Code	HCPCS C1751
Hospital Charge Code	27200178
Hospital Revenue Code	272
Min. Negotiated Rate	$774.27
Max. Negotiated Rate	$1,106.10
Rate for Payer: Aetna Commercial	$1,044.65
Rate for Payer: Aetna New Business (MI Preferred)	$798.85
Rate for Payer: Cash Price	$983.20
Rate for Payer: Cofinity Commercial	$1,056.94
Rate for Payer: Cofinity Commercial	$860.30
Rate for Payer: Cofinity Medicare Advantage	$860.30
Rate for Payer: Encore Health Key Benefits Commercial	$983.20
Rate for Payer: Healthscope Commercial	$1,106.10
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,044.65
Rate for Payer: PHP Commercial	$1,044.65
Rate for Payer: Priority Health Cigna Priority Health	$798.85
Rate for Payer: Priority Health SBD	$774.27

HC 5 FR TL SOLO MAX POWER PICC

Facility

$1,065.01

Service Code	HCPCS C1751
Hospital Charge Code	27200177
Hospital Revenue Code	272
Min. Negotiated Rate	$670.96
Max. Negotiated Rate	$958.51
Rate for Payer: Aetna Commercial	$905.26
Rate for Payer: Aetna New Business (MI Preferred)	$692.26
Rate for Payer: Cash Price	$852.01
Rate for Payer: Cofinity Commercial	$745.51
Rate for Payer: Cofinity Commercial	$915.91
Rate for Payer: Cofinity Medicare Advantage	$745.51
Rate for Payer: Encore Health Key Benefits Commercial	$852.01
Rate for Payer: Healthscope Commercial	$958.51
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$905.26
Rate for Payer: PHP Commercial	$905.26
Rate for Payer: Priority Health Cigna Priority Health	$692.26
Rate for Payer: Priority Health SBD	$670.96

HC 5 FR TL SOLO MAX POWER PICC

Facility

$1,065.01

Service Code	HCPCS C1751
Hospital Charge Code	27200177
Hospital Revenue Code	272
Min. Negotiated Rate	$426.00
Max. Negotiated Rate	$958.51
Rate for Payer: Aetna Commercial	$905.26
Rate for Payer: Aetna Medicare	$532.50
Rate for Payer: Aetna New Business (MI Preferred)	$692.26
Rate for Payer: BCBS Complete	$426.00
Rate for Payer: Cash Price	$852.01
Rate for Payer: Cofinity Commercial	$745.51
Rate for Payer: Cofinity Commercial	$915.91
Rate for Payer: Cofinity Medicare Advantage	$745.51
Rate for Payer: Encore Health Key Benefits Commercial	$852.01
Rate for Payer: Healthscope Commercial	$958.51
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$905.26
Rate for Payer: PHP Commercial	$905.26
Rate for Payer: Priority Health Cigna Priority Health	$692.26
Rate for Payer: Priority Health SBD	$670.96

HC 6 FR SOLO 3CG POWER PICC

Facility

$1,229.00

Service Code	HCPCS C1751
Hospital Charge Code	27200168
Hospital Revenue Code	272
Min. Negotiated Rate	$774.27
Max. Negotiated Rate	$1,106.10
Rate for Payer: Aetna Commercial	$1,044.65
Rate for Payer: Aetna New Business (MI Preferred)	$798.85
Rate for Payer: Cash Price	$983.20
Rate for Payer: Cofinity Commercial	$1,056.94
Rate for Payer: Cofinity Commercial	$860.30
Rate for Payer: Cofinity Medicare Advantage	$860.30
Rate for Payer: Encore Health Key Benefits Commercial	$983.20
Rate for Payer: Healthscope Commercial	$1,106.10
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,044.65
Rate for Payer: PHP Commercial	$1,044.65
Rate for Payer: Priority Health Cigna Priority Health	$798.85
Rate for Payer: Priority Health SBD	$774.27

HC 6 FR SOLO 3CG POWER PICC

Facility

$1,229.00

Service Code	HCPCS C1751
Hospital Charge Code	27200168
Hospital Revenue Code	272
Min. Negotiated Rate	$491.60
Max. Negotiated Rate	$1,106.10
Rate for Payer: Aetna Commercial	$1,044.65
Rate for Payer: Aetna Medicare	$614.50
Rate for Payer: Aetna New Business (MI Preferred)	$798.85
Rate for Payer: BCBS Complete	$491.60
Rate for Payer: Cash Price	$983.20
Rate for Payer: Cofinity Commercial	$1,056.94
Rate for Payer: Cofinity Commercial	$860.30
Rate for Payer: Cofinity Medicare Advantage	$860.30
Rate for Payer: Encore Health Key Benefits Commercial	$983.20
Rate for Payer: Healthscope Commercial	$1,106.10
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,044.65
Rate for Payer: PHP Commercial	$1,044.65
Rate for Payer: Priority Health Cigna Priority Health	$798.85
Rate for Payer: Priority Health SBD	$774.27

HC 6FR SOLO POWER PICC

Facility

$1,065.01

Hospital Charge Code	27200109
Hospital Revenue Code	272
Min. Negotiated Rate	$426.00
Max. Negotiated Rate	$958.51
Rate for Payer: Aetna Commercial	$905.26
Rate for Payer: Aetna Medicare	$532.50
Rate for Payer: Aetna New Business (MI Preferred)	$692.26
Rate for Payer: BCBS Complete	$426.00
Rate for Payer: Cash Price	$852.01
Rate for Payer: Cofinity Commercial	$745.51
Rate for Payer: Cofinity Commercial	$915.91
Rate for Payer: Cofinity Medicare Advantage	$745.51
Rate for Payer: Encore Health Key Benefits Commercial	$852.01
Rate for Payer: Healthscope Commercial	$958.51
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$905.26
Rate for Payer: PHP Commercial	$905.26
Rate for Payer: Priority Health Cigna Priority Health	$692.26
Rate for Payer: Priority Health SBD	$670.96

HC 6FR SOLO POWER PICC

Facility

$1,065.01

Hospital Charge Code	27200109
Hospital Revenue Code	272
Min. Negotiated Rate	$670.96
Max. Negotiated Rate	$958.51
Rate for Payer: Aetna Commercial	$905.26
Rate for Payer: Aetna New Business (MI Preferred)	$692.26
Rate for Payer: Cash Price	$852.01
Rate for Payer: Cofinity Commercial	$745.51
Rate for Payer: Cofinity Commercial	$915.91
Rate for Payer: Cofinity Medicare Advantage	$745.51
Rate for Payer: Encore Health Key Benefits Commercial	$852.01
Rate for Payer: Healthscope Commercial	$958.51
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$905.26
Rate for Payer: PHP Commercial	$905.26
Rate for Payer: Priority Health Cigna Priority Health	$692.26
Rate for Payer: Priority Health SBD	$670.96

HC 8X8 WAFER

Facility

$74.04

Hospital Charge Code	27000024
Hospital Revenue Code	270
Min. Negotiated Rate	$29.62
Max. Negotiated Rate	$66.64
Rate for Payer: Aetna Commercial	$62.93
Rate for Payer: Aetna Medicare	$37.02
Rate for Payer: Aetna New Business (MI Preferred)	$48.13
Rate for Payer: BCBS Complete	$29.62
Rate for Payer: Cash Price	$59.23
Rate for Payer: Cofinity Commercial	$51.83
Rate for Payer: Cofinity Commercial	$63.67
Rate for Payer: Cofinity Medicare Advantage	$51.83
Rate for Payer: Encore Health Key Benefits Commercial	$59.23
Rate for Payer: Healthscope Commercial	$66.64
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$62.93
Rate for Payer: PHP Commercial	$62.93
Rate for Payer: Priority Health Cigna Priority Health	$48.13
Rate for Payer: Priority Health SBD	$46.65

HC 8X8 WAFER

Facility

$74.04

Hospital Charge Code	27000024
Hospital Revenue Code	270
Min. Negotiated Rate	$46.65
Max. Negotiated Rate	$66.64
Rate for Payer: Aetna Commercial	$62.93
Rate for Payer: Aetna New Business (MI Preferred)	$48.13
Rate for Payer: Cash Price	$59.23
Rate for Payer: Cofinity Commercial	$51.83
Rate for Payer: Cofinity Commercial	$63.67
Rate for Payer: Cofinity Medicare Advantage	$51.83
Rate for Payer: Encore Health Key Benefits Commercial	$59.23
Rate for Payer: Healthscope Commercial	$66.64
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$62.93
Rate for Payer: PHP Commercial	$62.93
Rate for Payer: Priority Health Cigna Priority Health	$48.13
Rate for Payer: Priority Health SBD	$46.65

HC A1AT PROTEOTYPE

Facility

$48.90

Service Code	CPT 82542
Hospital Charge Code	30100610
Hospital Revenue Code	301
Min. Negotiated Rate	$12.91
Max. Negotiated Rate	$44.01
Rate for Payer: Aetna Commercial	$41.56
Rate for Payer: Aetna Medicare	$25.05
Rate for Payer: Aetna New Business (MI Preferred)	$31.78
Rate for Payer: Allen County Amish Medical Aid Commercial	$30.11
Rate for Payer: Amish Plain Church Group Commercial	$30.11
Rate for Payer: BCBS Complete	$13.56
Rate for Payer: BCBS MAPPO	$24.09
Rate for Payer: BCBS Trust/PPO	$21.33
Rate for Payer: BCN Commercial	$21.33
Rate for Payer: BCN Medicare Advantage	$24.09
Rate for Payer: Cash Price	$39.12
Rate for Payer: Cash Price	$39.12
Rate for Payer: Cofinity Commercial	$42.05
Rate for Payer: Cofinity Commercial	$34.23
Rate for Payer: Cofinity Medicare Advantage	$34.23
Rate for Payer: Encore Health Key Benefits Commercial	$39.12
Rate for Payer: Health Alliance Plan Medicare Advantage	$24.09
Rate for Payer: Healthscope Commercial	$44.01
Rate for Payer: Mclaren Medicaid	$12.91
Rate for Payer: Mclaren Medicare	$24.09
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$25.29
Rate for Payer: Meridian Medicaid	$13.56
Rate for Payer: MI Amish Medical Board Commercial	$27.70
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$41.56
Rate for Payer: Nomi Health Commercial	$36.14
Rate for Payer: PACE Medicare	$22.89
Rate for Payer: PACE SWMI	$24.09
Rate for Payer: PHP Commercial	$41.56
Rate for Payer: PHP Medicare Advantage	$24.09
Rate for Payer: Priority Health Choice Medicaid	$12.91
Rate for Payer: Priority Health Cigna Priority Health	$31.78
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$24.09
Rate for Payer: Priority Health Medicare	$24.09
Rate for Payer: Priority Health Narrow Network	$19.27
Rate for Payer: Priority Health SBD	$30.81
Rate for Payer: Railroad Medicare Medicare	$24.09
Rate for Payer: UHC All Payor (Choice/PPO)	$28.91
Rate for Payer: UHC Core	$16.50
Rate for Payer: UHC Dual Complete DSNP	$24.09
Rate for Payer: UHC Exchange	$16.50
Rate for Payer: UHC Medicare Advantage	$24.09
Rate for Payer: UHCCP Medicaid	$13.56
Rate for Payer: VA VA	$24.09

HC A1AT PROTEOTYPE

Facility

$48.90

Service Code	CPT 82542
Hospital Charge Code	30100610
Hospital Revenue Code	301
Min. Negotiated Rate	$30.81
Max. Negotiated Rate	$44.01
Rate for Payer: Aetna Commercial	$41.56
Rate for Payer: Aetna New Business (MI Preferred)	$31.78
Rate for Payer: Cash Price	$39.12
Rate for Payer: Cofinity Commercial	$34.23
Rate for Payer: Cofinity Commercial	$42.05
Rate for Payer: Cofinity Medicare Advantage	$34.23
Rate for Payer: Encore Health Key Benefits Commercial	$39.12
Rate for Payer: Healthscope Commercial	$44.01
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$41.56
Rate for Payer: PHP Commercial	$41.56
Rate for Payer: Priority Health Cigna Priority Health	$31.78
Rate for Payer: Priority Health SBD	$30.81

Know your out-of-pocket cost for care.

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