Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

HC GUIDANT CAROTID STENT

Facility

$5,707.26

Hospital Charge Code	27800044
Hospital Revenue Code	278
Min. Negotiated Rate	$3,595.57
Max. Negotiated Rate	$5,136.53
Rate for Payer: Aetna Commercial	$4,851.17
Rate for Payer: Aetna New Business (MI Preferred)	$3,709.72
Rate for Payer: Cash Price	$4,565.81
Rate for Payer: Cofinity Commercial	$3,995.08
Rate for Payer: Cofinity Commercial	$4,908.24
Rate for Payer: Healthscope Commercial	$5,136.53
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$4,851.17
Rate for Payer: PHP Commercial	$4,851.17
Rate for Payer: Priority Health Cigna Priority Health	$3,995.08
Rate for Payer: Priority Health SBD	$3,595.57

HC GUIDANT CAROTID STENT

Facility

$5,707.26

Hospital Charge Code	27800044
Hospital Revenue Code	278
Min. Negotiated Rate	$2,282.90
Max. Negotiated Rate	$5,136.53
Rate for Payer: Aetna Commercial	$4,851.17
Rate for Payer: Aetna New Business (MI Preferred)	$3,709.72
Rate for Payer: BCBS Complete	$2,282.90
Rate for Payer: Cash Price	$4,565.81
Rate for Payer: Cofinity Commercial	$3,995.08
Rate for Payer: Cofinity Commercial	$4,908.24
Rate for Payer: Healthscope Commercial	$5,136.53
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$4,851.17
Rate for Payer: PHP Commercial	$4,851.17
Rate for Payer: Priority Health Cigna Priority Health	$3,995.08
Rate for Payer: Priority Health SBD	$3,595.57

HC GUIDANT CRT LEAD

Facility

$10,150.00

Service Code	HCPCS C1900
Hospital Charge Code	27800013
Hospital Revenue Code	278
Min. Negotiated Rate	$0.03
Max. Negotiated Rate	$9,135.00
Rate for Payer: Aetna Commercial	$8,627.50
Rate for Payer: Aetna New Business (MI Preferred)	$6,597.50
Rate for Payer: BCBS Complete	$4,060.00
Rate for Payer: BCBS Trust/PPO	$0.03
Rate for Payer: Cash Price	$8,120.00
Rate for Payer: Cash Price	$8,120.00
Rate for Payer: Cofinity Commercial	$7,105.00
Rate for Payer: Cofinity Commercial	$8,729.00
Rate for Payer: Healthscope Commercial	$9,135.00
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$8,627.50
Rate for Payer: PHP Commercial	$8,627.50
Rate for Payer: Priority Health Cigna Priority Health	$7,105.00
Rate for Payer: Priority Health SBD	$6,394.50

HC GUIDANT CRT LEAD

Facility

$10,150.00

Service Code	HCPCS C1900
Hospital Charge Code	27800013
Hospital Revenue Code	278
Min. Negotiated Rate	$6,394.50
Max. Negotiated Rate	$9,135.00
Rate for Payer: Aetna Commercial	$8,627.50
Rate for Payer: Aetna New Business (MI Preferred)	$6,597.50
Rate for Payer: Cash Price	$8,120.00
Rate for Payer: Cofinity Commercial	$7,105.00
Rate for Payer: Cofinity Commercial	$8,729.00
Rate for Payer: Healthscope Commercial	$9,135.00
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$8,627.50
Rate for Payer: PHP Commercial	$8,627.50
Rate for Payer: Priority Health Cigna Priority Health	$7,105.00
Rate for Payer: Priority Health SBD	$6,394.50

HC GUIDANT PERIPHERAL BALLOON

Facility

$720.00

Service Code	HCPCS C1725
Hospital Charge Code	27200044
Hospital Revenue Code	272
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 GUIDANT PERIPHERAL BALLOON

Facility

$720.00

Service Code	HCPCS C1725
Hospital Charge Code	27200044
Hospital Revenue Code	272
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 GUIDANT TACHY (ICD) LEAD

Facility

$12,993.00

Service Code	HCPCS C1895
Hospital Charge Code	27800014
Hospital Revenue Code	278
Min. Negotiated Rate	$8,185.59
Max. Negotiated Rate	$11,693.70
Rate for Payer: Aetna Commercial	$11,044.05
Rate for Payer: Aetna New Business (MI Preferred)	$8,445.45
Rate for Payer: Cash Price	$10,394.40
Rate for Payer: Cofinity Commercial	$11,173.98
Rate for Payer: Cofinity Commercial	$9,095.10
Rate for Payer: Healthscope Commercial	$11,693.70
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$11,044.05
Rate for Payer: PHP Commercial	$11,044.05
Rate for Payer: Priority Health Cigna Priority Health	$9,095.10
Rate for Payer: Priority Health SBD	$8,185.59

HC GUIDANT TACHY (ICD) LEAD

Facility

$12,993.00

Service Code	HCPCS C1895
Hospital Charge Code	27800014
Hospital Revenue Code	278
Min. Negotiated Rate	$5,197.20
Max. Negotiated Rate	$11,693.70
Rate for Payer: Aetna Commercial	$11,044.05
Rate for Payer: Aetna New Business (MI Preferred)	$8,445.45
Rate for Payer: BCBS Complete	$5,197.20
Rate for Payer: Cash Price	$10,394.40
Rate for Payer: Cofinity Commercial	$11,173.98
Rate for Payer: Cofinity Commercial	$9,095.10
Rate for Payer: Healthscope Commercial	$11,693.70
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$11,044.05
Rate for Payer: PHP Commercial	$11,044.05
Rate for Payer: Priority Health Cigna Priority Health	$9,095.10
Rate for Payer: Priority Health SBD	$8,185.59

HC GUIDED DRAIN CATH PLACEMENT

Facility

$524.10

Service Code	CPT 75989
Hospital Charge Code	32000229
Hospital Revenue Code	320
Min. Negotiated Rate	$95.97
Max. Negotiated Rate	$471.69
Rate for Payer: Aetna Commercial	$445.48
Rate for Payer: Aetna New Business (MI Preferred)	$340.66
Rate for Payer: BCBS Complete	$209.64
Rate for Payer: BCBS Trust/PPO	$95.97
Rate for Payer: Cash Price	$419.28
Rate for Payer: Cash Price	$419.28
Rate for Payer: Cofinity Commercial	$366.87
Rate for Payer: Cofinity Commercial	$450.73
Rate for Payer: Healthscope Commercial	$471.69
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$445.48
Rate for Payer: PHP Commercial	$445.48
Rate for Payer: Priority Health Cigna Priority Health	$366.87
Rate for Payer: Priority Health SBD	$330.18
Rate for Payer: UHC All Payor (Choice/PPO)	$120.31
Rate for Payer: UHC Exchange	$109.37

HC GUIDED DRAIN CATH PLACEMENT

Facility

$524.10

Service Code	CPT 75989
Hospital Charge Code	32000229
Hospital Revenue Code	320
Min. Negotiated Rate	$330.18
Max. Negotiated Rate	$471.69
Rate for Payer: Aetna Commercial	$445.48
Rate for Payer: Aetna New Business (MI Preferred)	$340.66
Rate for Payer: Cash Price	$419.28
Rate for Payer: Cofinity Commercial	$366.87
Rate for Payer: Cofinity Commercial	$450.73
Rate for Payer: Healthscope Commercial	$471.69
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$445.48
Rate for Payer: PHP Commercial	$445.48
Rate for Payer: Priority Health Cigna Priority Health	$366.87
Rate for Payer: Priority Health SBD	$330.18

HC GUIDELINER CATHETER

Facility

$1,718.55

Hospital Charge Code	27200126
Hospital Revenue Code	272
Min. Negotiated Rate	$687.42
Max. Negotiated Rate	$1,546.70
Rate for Payer: Aetna Commercial	$1,460.77
Rate for Payer: Aetna New Business (MI Preferred)	$1,117.06
Rate for Payer: BCBS Complete	$687.42
Rate for Payer: Cash Price	$1,374.84
Rate for Payer: Cofinity Commercial	$1,202.98
Rate for Payer: Cofinity Commercial	$1,477.95
Rate for Payer: Healthscope Commercial	$1,546.70
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$1,460.77
Rate for Payer: PHP Commercial	$1,460.77
Rate for Payer: Priority Health Cigna Priority Health	$1,202.98
Rate for Payer: Priority Health SBD	$1,082.69

HC GUIDELINER CATHETER

Facility

$1,718.55

Hospital Charge Code	27200126
Hospital Revenue Code	272
Min. Negotiated Rate	$1,082.69
Max. Negotiated Rate	$1,546.70
Rate for Payer: Aetna Commercial	$1,460.77
Rate for Payer: Aetna New Business (MI Preferred)	$1,117.06
Rate for Payer: Cash Price	$1,374.84
Rate for Payer: Cofinity Commercial	$1,202.98
Rate for Payer: Cofinity Commercial	$1,477.95
Rate for Payer: Healthscope Commercial	$1,546.70
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$1,460.77
Rate for Payer: PHP Commercial	$1,460.77
Rate for Payer: Priority Health Cigna Priority Health	$1,202.98
Rate for Payer: Priority Health SBD	$1,082.69

HC GUIDEWIRE

Facility

$48.41

Service Code	HCPCS C1769
Hospital Charge Code	27200045
Hospital Revenue Code	272
Min. Negotiated Rate	$19.36
Max. Negotiated Rate	$43.57
Rate for Payer: Aetna Commercial	$41.15
Rate for Payer: Aetna New Business (MI Preferred)	$31.47
Rate for Payer: BCBS Complete	$19.36
Rate for Payer: Cash Price	$38.73
Rate for Payer: Cofinity Commercial	$33.89
Rate for Payer: Cofinity Commercial	$41.63
Rate for Payer: Healthscope Commercial	$43.57
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$41.15
Rate for Payer: PHP Commercial	$41.15
Rate for Payer: Priority Health Cigna Priority Health	$33.89
Rate for Payer: Priority Health SBD	$30.50

HC GUIDEWIRE

Facility

$48.41

Service Code	HCPCS C1769
Hospital Charge Code	27200045
Hospital Revenue Code	272
Min. Negotiated Rate	$30.50
Max. Negotiated Rate	$43.57
Rate for Payer: Aetna Commercial	$41.15
Rate for Payer: Aetna New Business (MI Preferred)	$31.47
Rate for Payer: Cash Price	$38.73
Rate for Payer: Cofinity Commercial	$33.89
Rate for Payer: Cofinity Commercial	$41.63
Rate for Payer: Healthscope Commercial	$43.57
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$41.15
Rate for Payer: PHP Commercial	$41.15
Rate for Payer: Priority Health Cigna Priority Health	$33.89
Rate for Payer: Priority Health SBD	$30.50

HC GUIDE WIRE DILATATION

Facility

$1,319.07

Hospital Charge Code	36000050
Hospital Revenue Code	360
Min. Negotiated Rate	$527.63
Max. Negotiated Rate	$1,187.16
Rate for Payer: Aetna Commercial	$1,121.21
Rate for Payer: Aetna New Business (MI Preferred)	$857.40
Rate for Payer: BCBS Complete	$527.63
Rate for Payer: Cash Price	$1,055.26
Rate for Payer: Cofinity Commercial	$1,134.40
Rate for Payer: Cofinity Commercial	$923.35
Rate for Payer: Healthscope Commercial	$1,187.16
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$1,121.21
Rate for Payer: PHP Commercial	$1,121.21
Rate for Payer: Priority Health Cigna Priority Health	$923.35
Rate for Payer: Priority Health SBD	$831.01

HC GUIDE WIRE DILATATION

Facility

$1,319.07

Hospital Charge Code	36000050
Hospital Revenue Code	360
Min. Negotiated Rate	$831.01
Max. Negotiated Rate	$1,187.16
Rate for Payer: Aetna Commercial	$1,121.21
Rate for Payer: Aetna New Business (MI Preferred)	$857.40
Rate for Payer: Cash Price	$1,055.26
Rate for Payer: Cofinity Commercial	$1,134.40
Rate for Payer: Cofinity Commercial	$923.35
Rate for Payer: Healthscope Commercial	$1,187.16
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$1,121.21
Rate for Payer: PHP Commercial	$1,121.21
Rate for Payer: Priority Health Cigna Priority Health	$923.35
Rate for Payer: Priority Health SBD	$831.01

HC GUIDEWIRE GLIDEWIRE LVL 1

Facility

$78.00

Service Code	HCPCS C1769
Hospital Charge Code	27200273
Hospital Revenue Code	272
Min. Negotiated Rate	$49.14
Max. Negotiated Rate	$70.20
Rate for Payer: Aetna Commercial	$66.30
Rate for Payer: Aetna New Business (MI Preferred)	$50.70
Rate for Payer: Cash Price	$62.40
Rate for Payer: Cofinity Commercial	$54.60
Rate for Payer: Cofinity Commercial	$67.08
Rate for Payer: Healthscope Commercial	$70.20
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$66.30
Rate for Payer: PHP Commercial	$66.30
Rate for Payer: Priority Health Cigna Priority Health	$54.60
Rate for Payer: Priority Health SBD	$49.14

HC GUIDEWIRE GLIDEWIRE LVL 1

Facility

$78.00

Service Code	HCPCS C1769
Hospital Charge Code	27200273
Hospital Revenue Code	272
Min. Negotiated Rate	$31.20
Max. Negotiated Rate	$70.20
Rate for Payer: Aetna Commercial	$66.30
Rate for Payer: Aetna New Business (MI Preferred)	$50.70
Rate for Payer: BCBS Complete	$31.20
Rate for Payer: Cash Price	$62.40
Rate for Payer: Cofinity Commercial	$54.60
Rate for Payer: Cofinity Commercial	$67.08
Rate for Payer: Healthscope Commercial	$70.20
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$66.30
Rate for Payer: PHP Commercial	$66.30
Rate for Payer: Priority Health Cigna Priority Health	$54.60
Rate for Payer: Priority Health SBD	$49.14

HC GUIDEWIRE GLIDEWIRE LVL 2

Facility

$153.00

Service Code	HCPCS C1769
Hospital Charge Code	27200086
Hospital Revenue Code	272
Min. Negotiated Rate	$61.20
Max. Negotiated Rate	$137.70
Rate for Payer: Aetna Commercial	$130.05
Rate for Payer: Aetna New Business (MI Preferred)	$99.45
Rate for Payer: BCBS Complete	$61.20
Rate for Payer: Cash Price	$122.40
Rate for Payer: Cofinity Commercial	$107.10
Rate for Payer: Cofinity Commercial	$131.58
Rate for Payer: Healthscope Commercial	$137.70
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$130.05
Rate for Payer: PHP Commercial	$130.05
Rate for Payer: Priority Health Cigna Priority Health	$107.10
Rate for Payer: Priority Health SBD	$96.39

HC GUIDEWIRE GLIDEWIRE LVL 2

Facility

$153.00

Service Code	HCPCS C1769
Hospital Charge Code	27200086
Hospital Revenue Code	272
Min. Negotiated Rate	$96.39
Max. Negotiated Rate	$137.70
Rate for Payer: Aetna Commercial	$130.05
Rate for Payer: Aetna New Business (MI Preferred)	$99.45
Rate for Payer: Cash Price	$122.40
Rate for Payer: Cofinity Commercial	$107.10
Rate for Payer: Cofinity Commercial	$131.58
Rate for Payer: Healthscope Commercial	$137.70
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$130.05
Rate for Payer: PHP Commercial	$130.05
Rate for Payer: Priority Health Cigna Priority Health	$107.10
Rate for Payer: Priority Health SBD	$96.39

HC GUIDEWIRE GLIDEWIRE LVL 3

Facility

$318.15

Service Code	HCPCS C1769
Hospital Charge Code	27200274
Hospital Revenue Code	272
Min. Negotiated Rate	$127.26
Max. Negotiated Rate	$286.34
Rate for Payer: Aetna Commercial	$270.43
Rate for Payer: Aetna New Business (MI Preferred)	$206.80
Rate for Payer: BCBS Complete	$127.26
Rate for Payer: Cash Price	$254.52
Rate for Payer: Cofinity Commercial	$222.70
Rate for Payer: Cofinity Commercial	$273.61
Rate for Payer: Healthscope Commercial	$286.34
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$270.43
Rate for Payer: PHP Commercial	$270.43
Rate for Payer: Priority Health Cigna Priority Health	$222.70
Rate for Payer: Priority Health SBD	$200.43

HC GUIDEWIRE GLIDEWIRE LVL 3

Facility

$318.15

Service Code	HCPCS C1769
Hospital Charge Code	27200274
Hospital Revenue Code	272
Min. Negotiated Rate	$200.43
Max. Negotiated Rate	$286.34
Rate for Payer: Aetna Commercial	$270.43
Rate for Payer: Aetna New Business (MI Preferred)	$206.80
Rate for Payer: Cash Price	$254.52
Rate for Payer: Cofinity Commercial	$222.70
Rate for Payer: Cofinity Commercial	$273.61
Rate for Payer: Healthscope Commercial	$286.34
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$270.43
Rate for Payer: PHP Commercial	$270.43
Rate for Payer: Priority Health Cigna Priority Health	$222.70
Rate for Payer: Priority Health SBD	$200.43

HC GUIDEWIRE GLIDEWIRE LVL4

Facility

$453.00

Service Code	HCPCS C1769
Hospital Charge Code	27200080
Hospital Revenue Code	272
Min. Negotiated Rate	$181.20
Max. Negotiated Rate	$407.70
Rate for Payer: Aetna Commercial	$385.05
Rate for Payer: Aetna New Business (MI Preferred)	$294.45
Rate for Payer: BCBS Complete	$181.20
Rate for Payer: Cash Price	$362.40
Rate for Payer: Cofinity Commercial	$317.10
Rate for Payer: Cofinity Commercial	$389.58
Rate for Payer: Healthscope Commercial	$407.70
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$385.05
Rate for Payer: PHP Commercial	$385.05
Rate for Payer: Priority Health Cigna Priority Health	$317.10
Rate for Payer: Priority Health SBD	$285.39

HC GUIDEWIRE GLIDEWIRE LVL4

Facility

$453.00

Service Code	HCPCS C1769
Hospital Charge Code	27200080
Hospital Revenue Code	272
Min. Negotiated Rate	$285.39
Max. Negotiated Rate	$407.70
Rate for Payer: Aetna Commercial	$385.05
Rate for Payer: Aetna New Business (MI Preferred)	$294.45
Rate for Payer: Cash Price	$362.40
Rate for Payer: Cofinity Commercial	$317.10
Rate for Payer: Cofinity Commercial	$389.58
Rate for Payer: Healthscope Commercial	$407.70
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$385.05
Rate for Payer: PHP Commercial	$385.05
Rate for Payer: Priority Health Cigna Priority Health	$317.10
Rate for Payer: Priority Health SBD	$285.39

HC GUIDEWIRE GLIDWIRE LVL 5

Facility

$658.48

Service Code	HCPCS C1769
Hospital Charge Code	27200275
Hospital Revenue Code	272
Min. Negotiated Rate	$414.84
Max. Negotiated Rate	$592.63
Rate for Payer: Aetna Commercial	$559.71
Rate for Payer: Aetna New Business (MI Preferred)	$428.01
Rate for Payer: Cash Price	$526.78
Rate for Payer: Cofinity Commercial	$460.94
Rate for Payer: Cofinity Commercial	$566.29
Rate for Payer: Healthscope Commercial	$592.63
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$559.71
Rate for Payer: PHP Commercial	$559.71
Rate for Payer: Priority Health Cigna Priority Health	$460.94
Rate for Payer: Priority Health SBD	$414.84

Know your out-of-pocket cost for care.

All Charges