Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

HC CAST SUP LNG LEG SPLINT PED FBRGLS

Facility

$39.54

Hospital Charge Code	27200382
Hospital Revenue Code	270
Min. Negotiated Rate	$24.91
Max. Negotiated Rate	$35.59
Rate for Payer: Aetna Commercial	$33.61
Rate for Payer: Aetna New Business (MI Preferred)	$25.70
Rate for Payer: Cash Price	$31.63
Rate for Payer: Cofinity Advantage	$27.68
Rate for Payer: Cofinity Commercial	$34.00
Rate for Payer: Encore Health Key Benefits Commercial	$31.63
Rate for Payer: Healthscope Commercial	$35.59
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$33.61
Rate for Payer: Opus (Opus Packaging Group) HMA	$29.66
Rate for Payer: PHP Commercial	$33.61
Rate for Payer: Priority Health SBD	$24.91

HC CAST SUPPLIES UNLISTED

Facility

$106.12

Hospital Charge Code	27200343
Hospital Revenue Code	270
Min. Negotiated Rate	$41.71
Max. Negotiated Rate	$95.51
Rate for Payer: Aetna Commercial	$90.20
Rate for Payer: Aetna Medicare	$53.06
Rate for Payer: Aetna New Business (MI Preferred)	$68.98
Rate for Payer: BCBS Complete	$42.45
Rate for Payer: Cash Price	$84.90
Rate for Payer: Cofinity Advantage	$74.28
Rate for Payer: Cofinity Commercial	$91.26
Rate for Payer: Encore Health Key Benefits Commercial	$84.90
Rate for Payer: Healthscope Commercial	$95.51
Rate for Payer: MI Amish Medical Board Commercial	$84.90
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$90.20
Rate for Payer: Opus (Opus Packaging Group) HMA	$79.59
Rate for Payer: PHP Commercial	$90.20
Rate for Payer: Priority Health SBD	$66.86
Rate for Payer: UHC All Payor (Choice/PPO)	$68.98
Rate for Payer: UHC Core	$55.29
Rate for Payer: UHC Exchange	$41.71

HC CAST SUPPLIES UNLISTED

Facility

$106.12

Hospital Charge Code	27200343
Hospital Revenue Code	270
Min. Negotiated Rate	$66.86
Max. Negotiated Rate	$95.51
Rate for Payer: Aetna Commercial	$90.20
Rate for Payer: Aetna New Business (MI Preferred)	$68.98
Rate for Payer: Cash Price	$84.90
Rate for Payer: Cofinity Advantage	$74.28
Rate for Payer: Cofinity Commercial	$91.26
Rate for Payer: Encore Health Key Benefits Commercial	$84.90
Rate for Payer: Healthscope Commercial	$95.51
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$90.20
Rate for Payer: Opus (Opus Packaging Group) HMA	$79.59
Rate for Payer: PHP Commercial	$90.20
Rate for Payer: Priority Health SBD	$66.86

HC CAST SUP SHRT LEG ADULT FBRGLS

Facility

$63.67

Hospital Charge Code	27200339
Hospital Revenue Code	270
Min. Negotiated Rate	$25.02
Max. Negotiated Rate	$57.30
Rate for Payer: Aetna Commercial	$54.12
Rate for Payer: Aetna Medicare	$31.84
Rate for Payer: Aetna New Business (MI Preferred)	$41.39
Rate for Payer: BCBS Complete	$25.47
Rate for Payer: Cash Price	$50.94
Rate for Payer: Cofinity Advantage	$44.57
Rate for Payer: Cofinity Commercial	$54.76
Rate for Payer: Encore Health Key Benefits Commercial	$50.94
Rate for Payer: Healthscope Commercial	$57.30
Rate for Payer: MI Amish Medical Board Commercial	$50.94
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$54.12
Rate for Payer: Opus (Opus Packaging Group) HMA	$47.75
Rate for Payer: PHP Commercial	$54.12
Rate for Payer: Priority Health SBD	$40.11
Rate for Payer: UHC All Payor (Choice/PPO)	$41.39
Rate for Payer: UHC Core	$33.17
Rate for Payer: UHC Exchange	$25.02

HC CAST SUP SHRT LEG ADULT FBRGLS

Facility

$63.67

Hospital Charge Code	27200339
Hospital Revenue Code	270
Min. Negotiated Rate	$40.11
Max. Negotiated Rate	$57.30
Rate for Payer: Aetna Commercial	$54.12
Rate for Payer: Aetna New Business (MI Preferred)	$41.39
Rate for Payer: Cash Price	$50.94
Rate for Payer: Cofinity Advantage	$44.57
Rate for Payer: Cofinity Commercial	$54.76
Rate for Payer: Encore Health Key Benefits Commercial	$50.94
Rate for Payer: Healthscope Commercial	$57.30
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$54.12
Rate for Payer: Opus (Opus Packaging Group) HMA	$47.75
Rate for Payer: PHP Commercial	$54.12
Rate for Payer: Priority Health SBD	$40.11

HC CAST SUP SHRT LEG PED FBRGLS

Facility

$22.29

Hospital Charge Code	27200340
Hospital Revenue Code	270
Min. Negotiated Rate	$14.04
Max. Negotiated Rate	$20.06
Rate for Payer: Aetna Commercial	$18.95
Rate for Payer: Aetna New Business (MI Preferred)	$14.49
Rate for Payer: Cash Price	$17.83
Rate for Payer: Cofinity Advantage	$15.60
Rate for Payer: Cofinity Commercial	$19.17
Rate for Payer: Encore Health Key Benefits Commercial	$17.83
Rate for Payer: Healthscope Commercial	$20.06
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$18.95
Rate for Payer: Opus (Opus Packaging Group) HMA	$16.72
Rate for Payer: PHP Commercial	$18.95
Rate for Payer: Priority Health SBD	$14.04

HC CAST SUP SHRT LEG PED FBRGLS

Facility

$22.29

Hospital Charge Code	27200340
Hospital Revenue Code	270
Min. Negotiated Rate	$8.76
Max. Negotiated Rate	$20.06
Rate for Payer: Aetna Commercial	$18.95
Rate for Payer: Aetna Medicare	$11.14
Rate for Payer: Aetna New Business (MI Preferred)	$14.49
Rate for Payer: BCBS Complete	$8.92
Rate for Payer: Cash Price	$17.83
Rate for Payer: Cofinity Advantage	$15.60
Rate for Payer: Cofinity Commercial	$19.17
Rate for Payer: Encore Health Key Benefits Commercial	$17.83
Rate for Payer: Healthscope Commercial	$20.06
Rate for Payer: MI Amish Medical Board Commercial	$17.83
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$18.95
Rate for Payer: Opus (Opus Packaging Group) HMA	$16.72
Rate for Payer: PHP Commercial	$18.95
Rate for Payer: Priority Health SBD	$14.04
Rate for Payer: UHC All Payor (Choice/PPO)	$14.49
Rate for Payer: UHC Core	$11.61
Rate for Payer: UHC Exchange	$8.76

HC CAST SUP SHT ARM ADULT FBRGLS

Facility

$44.57

Hospital Charge Code	27200329
Hospital Revenue Code	270
Min. Negotiated Rate	$17.52
Max. Negotiated Rate	$40.11
Rate for Payer: Aetna Commercial	$37.88
Rate for Payer: Aetna Medicare	$22.29
Rate for Payer: Aetna New Business (MI Preferred)	$28.97
Rate for Payer: BCBS Complete	$17.83
Rate for Payer: Cash Price	$35.66
Rate for Payer: Cofinity Advantage	$31.20
Rate for Payer: Cofinity Commercial	$38.33
Rate for Payer: Encore Health Key Benefits Commercial	$35.66
Rate for Payer: Healthscope Commercial	$40.11
Rate for Payer: MI Amish Medical Board Commercial	$35.66
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$37.88
Rate for Payer: Opus (Opus Packaging Group) HMA	$33.43
Rate for Payer: PHP Commercial	$37.88
Rate for Payer: Priority Health SBD	$28.08
Rate for Payer: UHC All Payor (Choice/PPO)	$28.97
Rate for Payer: UHC Core	$23.22
Rate for Payer: UHC Exchange	$17.52

HC CAST SUP SHT ARM ADULT FBRGLS

Facility

$44.57

Hospital Charge Code	27200329
Hospital Revenue Code	270
Min. Negotiated Rate	$28.08
Max. Negotiated Rate	$40.11
Rate for Payer: Aetna Commercial	$37.88
Rate for Payer: Aetna New Business (MI Preferred)	$28.97
Rate for Payer: Cash Price	$35.66
Rate for Payer: Cofinity Advantage	$31.20
Rate for Payer: Cofinity Commercial	$38.33
Rate for Payer: Encore Health Key Benefits Commercial	$35.66
Rate for Payer: Healthscope Commercial	$40.11
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$37.88
Rate for Payer: Opus (Opus Packaging Group) HMA	$33.43
Rate for Payer: PHP Commercial	$37.88
Rate for Payer: Priority Health SBD	$28.08

HC CAST SUP SHT ARM PED FBRGLS

Facility

$21.23

Hospital Charge Code	27200330
Hospital Revenue Code	270
Min. Negotiated Rate	$8.34
Max. Negotiated Rate	$19.11
Rate for Payer: Aetna Commercial	$18.05
Rate for Payer: Aetna Medicare	$10.62
Rate for Payer: Aetna New Business (MI Preferred)	$13.80
Rate for Payer: BCBS Complete	$8.49
Rate for Payer: Cash Price	$16.98
Rate for Payer: Cofinity Advantage	$14.86
Rate for Payer: Cofinity Commercial	$18.26
Rate for Payer: Encore Health Key Benefits Commercial	$16.98
Rate for Payer: Healthscope Commercial	$19.11
Rate for Payer: MI Amish Medical Board Commercial	$16.98
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$18.05
Rate for Payer: Opus (Opus Packaging Group) HMA	$15.92
Rate for Payer: PHP Commercial	$18.05
Rate for Payer: Priority Health SBD	$13.37
Rate for Payer: UHC All Payor (Choice/PPO)	$13.80
Rate for Payer: UHC Core	$11.06
Rate for Payer: UHC Exchange	$8.34

HC CAST SUP SHT ARM PED FBRGLS

Facility

$21.23

Hospital Charge Code	27200330
Hospital Revenue Code	270
Min. Negotiated Rate	$13.37
Max. Negotiated Rate	$19.11
Rate for Payer: Aetna Commercial	$18.05
Rate for Payer: Aetna New Business (MI Preferred)	$13.80
Rate for Payer: Cash Price	$16.98
Rate for Payer: Cofinity Advantage	$14.86
Rate for Payer: Cofinity Commercial	$18.26
Rate for Payer: Encore Health Key Benefits Commercial	$16.98
Rate for Payer: Healthscope Commercial	$19.11
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$18.05
Rate for Payer: Opus (Opus Packaging Group) HMA	$15.92
Rate for Payer: PHP Commercial	$18.05
Rate for Payer: Priority Health SBD	$13.37

HC CAST SUP SHT ARM SPLINT ADULT FBRGLS

Facility

$26.53

Hospital Charge Code	27200334
Hospital Revenue Code	270
Min. Negotiated Rate	$10.43
Max. Negotiated Rate	$23.88
Rate for Payer: Aetna Commercial	$22.55
Rate for Payer: Aetna Medicare	$13.27
Rate for Payer: Aetna New Business (MI Preferred)	$17.24
Rate for Payer: BCBS Complete	$10.61
Rate for Payer: Cash Price	$21.22
Rate for Payer: Cofinity Advantage	$18.57
Rate for Payer: Cofinity Commercial	$22.82
Rate for Payer: Encore Health Key Benefits Commercial	$21.22
Rate for Payer: Healthscope Commercial	$23.88
Rate for Payer: MI Amish Medical Board Commercial	$21.22
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$22.55
Rate for Payer: Opus (Opus Packaging Group) HMA	$19.90
Rate for Payer: PHP Commercial	$22.55
Rate for Payer: Priority Health SBD	$16.71
Rate for Payer: UHC All Payor (Choice/PPO)	$17.24
Rate for Payer: UHC Core	$13.82
Rate for Payer: UHC Exchange	$10.43

HC CAST SUP SHT ARM SPLINT ADULT FBRGLS

Facility

$26.53

Hospital Charge Code	27200334
Hospital Revenue Code	270
Min. Negotiated Rate	$16.71
Max. Negotiated Rate	$23.88
Rate for Payer: Aetna Commercial	$22.55
Rate for Payer: Aetna New Business (MI Preferred)	$17.24
Rate for Payer: Cash Price	$21.22
Rate for Payer: Cofinity Advantage	$18.57
Rate for Payer: Cofinity Commercial	$22.82
Rate for Payer: Encore Health Key Benefits Commercial	$21.22
Rate for Payer: Healthscope Commercial	$23.88
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$22.55
Rate for Payer: Opus (Opus Packaging Group) HMA	$19.90
Rate for Payer: PHP Commercial	$22.55
Rate for Payer: Priority Health SBD	$16.71

HC CAST SUP SHT ARM SPLINT ADULT PLST

Facility

$10.20

Hospital Charge Code	27200359
Hospital Revenue Code	270
Min. Negotiated Rate	$4.01
Max. Negotiated Rate	$9.18
Rate for Payer: Aetna Commercial	$8.67
Rate for Payer: Aetna Medicare	$5.10
Rate for Payer: Aetna New Business (MI Preferred)	$6.63
Rate for Payer: BCBS Complete	$4.08
Rate for Payer: Cash Price	$8.16
Rate for Payer: Cofinity Advantage	$7.14
Rate for Payer: Cofinity Commercial	$8.77
Rate for Payer: Encore Health Key Benefits Commercial	$8.16
Rate for Payer: Healthscope Commercial	$9.18
Rate for Payer: MI Amish Medical Board Commercial	$8.16
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$8.67
Rate for Payer: Opus (Opus Packaging Group) HMA	$7.65
Rate for Payer: PHP Commercial	$8.67
Rate for Payer: Priority Health SBD	$6.43
Rate for Payer: UHC All Payor (Choice/PPO)	$6.63
Rate for Payer: UHC Core	$5.31
Rate for Payer: UHC Exchange	$4.01

HC CAST SUP SHT ARM SPLINT ADULT PLST

Facility

$10.20

Hospital Charge Code	27200359
Hospital Revenue Code	270
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 Advantage	$7.14
Rate for Payer: Cofinity Commercial	$8.77
Rate for Payer: Encore Health Key Benefits Commercial	$8.16
Rate for Payer: Healthscope Commercial	$9.18
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$8.67
Rate for Payer: Opus (Opus Packaging Group) HMA	$7.65
Rate for Payer: PHP Commercial	$8.67
Rate for Payer: Priority Health SBD	$6.43

HC CAST SUP SHT ARM SPLINT PED FBRGLS

Facility

$28.65

Hospital Charge Code	27200335
Hospital Revenue Code	270
Min. Negotiated Rate	$11.26
Max. Negotiated Rate	$25.79
Rate for Payer: Aetna Commercial	$24.35
Rate for Payer: Aetna Medicare	$14.32
Rate for Payer: Aetna New Business (MI Preferred)	$18.62
Rate for Payer: BCBS Complete	$11.46
Rate for Payer: Cash Price	$22.92
Rate for Payer: Cofinity Advantage	$20.05
Rate for Payer: Cofinity Commercial	$24.64
Rate for Payer: Encore Health Key Benefits Commercial	$22.92
Rate for Payer: Healthscope Commercial	$25.79
Rate for Payer: MI Amish Medical Board Commercial	$22.92
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$24.35
Rate for Payer: Opus (Opus Packaging Group) HMA	$21.49
Rate for Payer: PHP Commercial	$24.35
Rate for Payer: Priority Health SBD	$18.05
Rate for Payer: UHC All Payor (Choice/PPO)	$18.62
Rate for Payer: UHC Core	$14.93
Rate for Payer: UHC Exchange	$11.26

HC CAST SUP SHT ARM SPLINT PED FBRGLS

Facility

$28.65

Hospital Charge Code	27200335
Hospital Revenue Code	270
Min. Negotiated Rate	$18.05
Max. Negotiated Rate	$25.79
Rate for Payer: Aetna Commercial	$24.35
Rate for Payer: Aetna New Business (MI Preferred)	$18.62
Rate for Payer: Cash Price	$22.92
Rate for Payer: Cofinity Advantage	$20.05
Rate for Payer: Cofinity Commercial	$24.64
Rate for Payer: Encore Health Key Benefits Commercial	$22.92
Rate for Payer: Healthscope Commercial	$25.79
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$24.35
Rate for Payer: Opus (Opus Packaging Group) HMA	$21.49
Rate for Payer: PHP Commercial	$24.35
Rate for Payer: Priority Health SBD	$18.05

HC CAST SUP SHT ARM SPLINT PED PLST

Facility

$16.00

Hospital Charge Code	27000713
Hospital Revenue Code	270
Min. Negotiated Rate	$10.08
Max. Negotiated Rate	$14.40
Rate for Payer: Aetna Commercial	$13.60
Rate for Payer: Aetna New Business (MI Preferred)	$10.40
Rate for Payer: Cash Price	$12.80
Rate for Payer: Cofinity Advantage	$11.20
Rate for Payer: Cofinity Commercial	$13.76
Rate for Payer: Encore Health Key Benefits Commercial	$12.80
Rate for Payer: Healthscope Commercial	$14.40
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$13.60
Rate for Payer: Opus (Opus Packaging Group) HMA	$12.00
Rate for Payer: PHP Commercial	$13.60
Rate for Payer: Priority Health SBD	$10.08

HC CAST SUP SHT ARM SPLINT PED PLST

Facility

$16.00

Hospital Charge Code	27000713
Hospital Revenue Code	270
Min. Negotiated Rate	$6.29
Max. Negotiated Rate	$14.40
Rate for Payer: Aetna Commercial	$13.60
Rate for Payer: Aetna Medicare	$8.00
Rate for Payer: Aetna New Business (MI Preferred)	$10.40
Rate for Payer: BCBS Complete	$6.40
Rate for Payer: Cash Price	$12.80
Rate for Payer: Cofinity Advantage	$11.20
Rate for Payer: Cofinity Commercial	$13.76
Rate for Payer: Encore Health Key Benefits Commercial	$12.80
Rate for Payer: Healthscope Commercial	$14.40
Rate for Payer: MI Amish Medical Board Commercial	$12.80
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$13.60
Rate for Payer: Opus (Opus Packaging Group) HMA	$12.00
Rate for Payer: PHP Commercial	$13.60
Rate for Payer: Priority Health SBD	$10.08
Rate for Payer: UHC All Payor (Choice/PPO)	$10.40
Rate for Payer: UHC Core	$8.34
Rate for Payer: UHC Exchange	$6.29

HC CAST SUP SHT GAUNTLET FBRGLS

Facility

$58.36

Hospital Charge Code	27200331
Hospital Revenue Code	270
Min. Negotiated Rate	$22.94
Max. Negotiated Rate	$52.52
Rate for Payer: Aetna Commercial	$49.61
Rate for Payer: Aetna Medicare	$29.18
Rate for Payer: Aetna New Business (MI Preferred)	$37.93
Rate for Payer: BCBS Complete	$23.34
Rate for Payer: Cash Price	$46.69
Rate for Payer: Cofinity Advantage	$40.85
Rate for Payer: Cofinity Commercial	$50.19
Rate for Payer: Encore Health Key Benefits Commercial	$46.69
Rate for Payer: Healthscope Commercial	$52.52
Rate for Payer: MI Amish Medical Board Commercial	$46.69
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$49.61
Rate for Payer: Opus (Opus Packaging Group) HMA	$43.77
Rate for Payer: PHP Commercial	$49.61
Rate for Payer: Priority Health SBD	$36.77
Rate for Payer: UHC All Payor (Choice/PPO)	$37.93
Rate for Payer: UHC Core	$30.41
Rate for Payer: UHC Exchange	$22.94

HC CAST SUP SHT GAUNTLET FBRGLS

Facility

$58.36

Hospital Charge Code	27200331
Hospital Revenue Code	270
Min. Negotiated Rate	$36.77
Max. Negotiated Rate	$52.52
Rate for Payer: Aetna Commercial	$49.61
Rate for Payer: Aetna New Business (MI Preferred)	$37.93
Rate for Payer: Cash Price	$46.69
Rate for Payer: Cofinity Advantage	$40.85
Rate for Payer: Cofinity Commercial	$50.19
Rate for Payer: Encore Health Key Benefits Commercial	$46.69
Rate for Payer: Healthscope Commercial	$52.52
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$49.61
Rate for Payer: Opus (Opus Packaging Group) HMA	$43.77
Rate for Payer: PHP Commercial	$49.61
Rate for Payer: Priority Health SBD	$36.77

HC CAST SUP SHT GAUNTLET PLST

Facility

$34.68

Hospital Charge Code	27000710
Hospital Revenue Code	270
Min. Negotiated Rate	$21.85
Max. Negotiated Rate	$31.21
Rate for Payer: Aetna Commercial	$29.48
Rate for Payer: Aetna New Business (MI Preferred)	$22.54
Rate for Payer: Cash Price	$27.74
Rate for Payer: Cofinity Advantage	$24.28
Rate for Payer: Cofinity Commercial	$29.82
Rate for Payer: Encore Health Key Benefits Commercial	$27.74
Rate for Payer: Healthscope Commercial	$31.21
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$29.48
Rate for Payer: Opus (Opus Packaging Group) HMA	$26.01
Rate for Payer: PHP Commercial	$29.48
Rate for Payer: Priority Health SBD	$21.85

HC CAST SUP SHT GAUNTLET PLST

Facility

$34.68

Hospital Charge Code	27000710
Hospital Revenue Code	270
Min. Negotiated Rate	$13.63
Max. Negotiated Rate	$31.21
Rate for Payer: Aetna Commercial	$29.48
Rate for Payer: Aetna Medicare	$17.34
Rate for Payer: Aetna New Business (MI Preferred)	$22.54
Rate for Payer: BCBS Complete	$13.87
Rate for Payer: Cash Price	$27.74
Rate for Payer: Cofinity Advantage	$24.28
Rate for Payer: Cofinity Commercial	$29.82
Rate for Payer: Encore Health Key Benefits Commercial	$27.74
Rate for Payer: Healthscope Commercial	$31.21
Rate for Payer: MI Amish Medical Board Commercial	$27.74
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$29.48
Rate for Payer: Opus (Opus Packaging Group) HMA	$26.01
Rate for Payer: PHP Commercial	$29.48
Rate for Payer: Priority Health SBD	$21.85
Rate for Payer: UHC All Payor (Choice/PPO)	$22.54
Rate for Payer: UHC Core	$18.07
Rate for Payer: UHC Exchange	$13.63

HC CAST SUP SHT LEG SPLINT ADULT FBRGLS

Facility

$31.83

Hospital Charge Code	27200341
Hospital Revenue Code	270
Min. Negotiated Rate	$20.05
Max. Negotiated Rate	$28.65
Rate for Payer: Aetna Commercial	$27.06
Rate for Payer: Aetna New Business (MI Preferred)	$20.69
Rate for Payer: Cash Price	$25.46
Rate for Payer: Cofinity Advantage	$22.28
Rate for Payer: Cofinity Commercial	$27.37
Rate for Payer: Encore Health Key Benefits Commercial	$25.46
Rate for Payer: Healthscope Commercial	$28.65
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$27.06
Rate for Payer: Opus (Opus Packaging Group) HMA	$23.87
Rate for Payer: PHP Commercial	$27.06
Rate for Payer: Priority Health SBD	$20.05

HC CAST SUP SHT LEG SPLINT ADULT FBRGLS

Facility

$31.83

Hospital Charge Code	27200341
Hospital Revenue Code	270
Min. Negotiated Rate	$12.51
Max. Negotiated Rate	$28.65
Rate for Payer: Aetna Commercial	$27.06
Rate for Payer: Aetna Medicare	$15.91
Rate for Payer: Aetna New Business (MI Preferred)	$20.69
Rate for Payer: BCBS Complete	$12.73
Rate for Payer: Cash Price	$25.46
Rate for Payer: Cofinity Advantage	$22.28
Rate for Payer: Cofinity Commercial	$27.37
Rate for Payer: Encore Health Key Benefits Commercial	$25.46
Rate for Payer: Healthscope Commercial	$28.65
Rate for Payer: MI Amish Medical Board Commercial	$25.46
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$27.06
Rate for Payer: Opus (Opus Packaging Group) HMA	$23.87
Rate for Payer: PHP Commercial	$27.06
Rate for Payer: Priority Health SBD	$20.05
Rate for Payer: UHC All Payor (Choice/PPO)	$20.69
Rate for Payer: UHC Core	$16.58
Rate for Payer: UHC Exchange	$12.51

Know your out-of-pocket cost for care.

All Charges