Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

HC HEALTH & BEHAV INTERVENT INDIV INIT 30 MIN

Facility

$120.36

Service Code	CPT 96158
Hospital Charge Code	91400010
Hospital Revenue Code	914
Min. Negotiated Rate	$75.83
Max. Negotiated Rate	$108.32
Rate for Payer: Aetna Commercial	$102.31
Rate for Payer: Aetna New Business (MI Preferred)	$78.23
Rate for Payer: Cash Price	$96.29
Rate for Payer: Cofinity Commercial	$103.51
Rate for Payer: Cofinity Commercial	$84.25
Rate for Payer: Healthscope Commercial	$108.32
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$102.31
Rate for Payer: PHP Commercial	$102.31
Rate for Payer: Priority Health Cigna Priority Health	$84.25
Rate for Payer: Priority Health SBD	$75.83

HC HEALTH & BEHAV INTERVENT INDIV INIT 30 MIN

Facility

$120.36

Service Code	CPT 96158
Hospital Charge Code	91400010
Hospital Revenue Code	914
Min. Negotiated Rate	$57.63
Max. Negotiated Rate	$232.97
Rate for Payer: Aetna Commercial	$102.31
Rate for Payer: Aetna Medicare	$147.54
Rate for Payer: Aetna New Business (MI Preferred)	$78.23
Rate for Payer: Allen County Amish Medical Aid Commercial	$177.34
Rate for Payer: Amish Plain Church Group Commercial	$177.34
Rate for Payer: BCBS Complete	$81.49
Rate for Payer: BCBS MAPPO	$141.87
Rate for Payer: BCN Medicare Advantage	$141.87
Rate for Payer: Cash Price	$96.29
Rate for Payer: Cash Price	$96.29
Rate for Payer: Cofinity Commercial	$84.25
Rate for Payer: Cofinity Commercial	$103.51
Rate for Payer: Health Alliance Plan Medicare Advantage	$141.87
Rate for Payer: Healthscope Commercial	$108.32
Rate for Payer: Mclaren Medicaid	$77.60
Rate for Payer: Mclaren Medicare	$141.87
Rate for Payer: Meridian Medicaid	$81.49
Rate for Payer: Meridian Wellcare - Medicare Advantage	$148.96
Rate for Payer: MI Amish Medical Board Commercial	$163.15
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$102.31
Rate for Payer: PACE Medicare	$134.78
Rate for Payer: PACE SWMI	$141.87
Rate for Payer: PHP Commercial	$102.31
Rate for Payer: PHP Medicare Advantage	$141.87
Rate for Payer: Priority Health Choice Medicaid	$77.60
Rate for Payer: Priority Health Cigna Priority Health	$84.25
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$232.97
Rate for Payer: Priority Health Medicare	$141.87
Rate for Payer: Priority Health Narrow Network	$186.38
Rate for Payer: Priority Health SBD	$75.83
Rate for Payer: Railroad Medicare Medicare	$141.87
Rate for Payer: UHC All Payor (Choice/PPO)	$63.39
Rate for Payer: UHC Dual Complete DSNP	$141.87
Rate for Payer: UHC Exchange	$57.63
Rate for Payer: UHC Medicare Advantage	$146.13
Rate for Payer: VA VA	$141.87

HC HEARING AID CHECK BINAURAL

Facility

$60.00

Service Code	CPT 92593
Hospital Charge Code	76100499
Hospital Revenue Code	471
Min. Negotiated Rate	$24.00
Max. Negotiated Rate	$54.00
Rate for Payer: Aetna Commercial	$51.00
Rate for Payer: Aetna New Business (MI Preferred)	$39.00
Rate for Payer: BCBS Complete	$24.00
Rate for Payer: Cash Price	$48.00
Rate for Payer: Cofinity Commercial	$42.00
Rate for Payer: Cofinity Commercial	$51.60
Rate for Payer: Healthscope Commercial	$54.00
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$51.00
Rate for Payer: PHP Commercial	$51.00
Rate for Payer: Priority Health Cigna Priority Health	$42.00
Rate for Payer: Priority Health SBD	$37.80

HC HEARING AID CHECK BINAURAL

Facility

$60.00

Service Code	CPT 92593
Hospital Charge Code	76100499
Hospital Revenue Code	471
Min. Negotiated Rate	$37.80
Max. Negotiated Rate	$54.00
Rate for Payer: Aetna Commercial	$51.00
Rate for Payer: Aetna New Business (MI Preferred)	$39.00
Rate for Payer: Cash Price	$48.00
Rate for Payer: Cofinity Commercial	$42.00
Rate for Payer: Cofinity Commercial	$51.60
Rate for Payer: Healthscope Commercial	$54.00
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$51.00
Rate for Payer: PHP Commercial	$51.00
Rate for Payer: Priority Health Cigna Priority Health	$42.00
Rate for Payer: Priority Health SBD	$37.80

HC HEARING AID CHECK MONAURAL

Facility

$53.00

Service Code	CPT 92592
Hospital Charge Code	47100402
Hospital Revenue Code	471
Min. Negotiated Rate	$21.20
Max. Negotiated Rate	$47.70
Rate for Payer: Aetna Commercial	$45.05
Rate for Payer: Aetna New Business (MI Preferred)	$34.45
Rate for Payer: BCBS Complete	$21.20
Rate for Payer: Cash Price	$42.40
Rate for Payer: Cofinity Commercial	$37.10
Rate for Payer: Cofinity Commercial	$45.58
Rate for Payer: Healthscope Commercial	$47.70
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$45.05
Rate for Payer: PHP Commercial	$45.05
Rate for Payer: Priority Health Cigna Priority Health	$37.10
Rate for Payer: Priority Health SBD	$33.39

HC HEARING AID CHECK MONAURAL

Facility

$53.00

Service Code	CPT 92592
Hospital Charge Code	47100402
Hospital Revenue Code	471
Min. Negotiated Rate	$33.39
Max. Negotiated Rate	$47.70
Rate for Payer: Aetna Commercial	$45.05
Rate for Payer: Aetna New Business (MI Preferred)	$34.45
Rate for Payer: Cash Price	$42.40
Rate for Payer: Cofinity Commercial	$45.58
Rate for Payer: Cofinity Commercial	$37.10
Rate for Payer: Healthscope Commercial	$47.70
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$45.05
Rate for Payer: PHP Commercial	$45.05
Rate for Payer: Priority Health Cigna Priority Health	$37.10
Rate for Payer: Priority Health SBD	$33.39

HC HEARING AID EXAM BOTH EARS

Facility

$119.00

Service Code	CPT 92591
Hospital Charge Code	76100504
Hospital Revenue Code	471
Min. Negotiated Rate	$47.60
Max. Negotiated Rate	$107.10
Rate for Payer: Aetna Commercial	$101.15
Rate for Payer: Aetna New Business (MI Preferred)	$77.35
Rate for Payer: BCBS Complete	$47.60
Rate for Payer: Cash Price	$95.20
Rate for Payer: Cofinity Commercial	$102.34
Rate for Payer: Cofinity Commercial	$83.30
Rate for Payer: Healthscope Commercial	$107.10
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$101.15
Rate for Payer: PHP Commercial	$101.15
Rate for Payer: Priority Health Cigna Priority Health	$83.30
Rate for Payer: Priority Health SBD	$74.97

HC HEARING AID EXAM BOTH EARS

Facility

$119.00

Service Code	CPT 92591
Hospital Charge Code	76100504
Hospital Revenue Code	471
Min. Negotiated Rate	$74.97
Max. Negotiated Rate	$107.10
Rate for Payer: Aetna Commercial	$101.15
Rate for Payer: Aetna New Business (MI Preferred)	$77.35
Rate for Payer: Cash Price	$95.20
Rate for Payer: Cofinity Commercial	$102.34
Rate for Payer: Cofinity Commercial	$83.30
Rate for Payer: Healthscope Commercial	$107.10
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$101.15
Rate for Payer: PHP Commercial	$101.15
Rate for Payer: Priority Health Cigna Priority Health	$83.30
Rate for Payer: Priority Health SBD	$74.97

HC HEARING AID EXAM ONE EAR

Facility

$109.00

Service Code	CPT 92590
Hospital Charge Code	76100505
Hospital Revenue Code	471
Min. Negotiated Rate	$43.60
Max. Negotiated Rate	$98.10
Rate for Payer: Aetna Commercial	$92.65
Rate for Payer: Aetna New Business (MI Preferred)	$70.85
Rate for Payer: BCBS Complete	$43.60
Rate for Payer: Cash Price	$87.20
Rate for Payer: Cofinity Commercial	$76.30
Rate for Payer: Cofinity Commercial	$93.74
Rate for Payer: Healthscope Commercial	$98.10
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$92.65
Rate for Payer: PHP Commercial	$92.65
Rate for Payer: Priority Health Cigna Priority Health	$76.30
Rate for Payer: Priority Health SBD	$68.67

HC HEARING AID EXAM ONE EAR

Facility

$109.00

Service Code	CPT 92590
Hospital Charge Code	76100505
Hospital Revenue Code	471
Min. Negotiated Rate	$68.67
Max. Negotiated Rate	$98.10
Rate for Payer: Aetna Commercial	$92.65
Rate for Payer: Aetna New Business (MI Preferred)	$70.85
Rate for Payer: Cash Price	$87.20
Rate for Payer: Cofinity Commercial	$76.30
Rate for Payer: Cofinity Commercial	$93.74
Rate for Payer: Healthscope Commercial	$98.10
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$92.65
Rate for Payer: PHP Commercial	$92.65
Rate for Payer: Priority Health Cigna Priority Health	$76.30
Rate for Payer: Priority Health SBD	$68.67

HC HEART CATH CORONARIES CABG'S

Facility

$11,972.93

Service Code	CPT 93459
Hospital Charge Code	48100018
Hospital Revenue Code	481
Min. Negotiated Rate	$7,542.95
Max. Negotiated Rate	$10,775.64
Rate for Payer: Aetna Commercial	$10,176.99
Rate for Payer: Aetna New Business (MI Preferred)	$7,782.40
Rate for Payer: Cash Price	$9,578.34
Rate for Payer: Cofinity Commercial	$10,296.72
Rate for Payer: Cofinity Commercial	$8,381.05
Rate for Payer: Healthscope Commercial	$10,775.64
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$10,176.99
Rate for Payer: PHP Commercial	$10,176.99
Rate for Payer: Priority Health Cigna Priority Health	$8,381.05
Rate for Payer: Priority Health SBD	$7,542.95

HC HEART CATH CORONARIES CABG'S

Facility

$11,972.93

Service Code	CPT 93459
Hospital Charge Code	48100018
Hospital Revenue Code	481
Min. Negotiated Rate	$1,083.51
Max. Negotiated Rate	$10,775.64
Rate for Payer: Aetna Commercial	$10,176.99
Rate for Payer: Aetna Medicare	$3,015.43
Rate for Payer: Aetna New Business (MI Preferred)	$7,782.40
Rate for Payer: Allen County Amish Medical Aid Commercial	$3,624.31
Rate for Payer: Amish Plain Church Group Commercial	$3,624.31
Rate for Payer: BCBS Complete	$1,665.44
Rate for Payer: BCBS MAPPO	$2,899.45
Rate for Payer: BCBS Trust/PPO	$3,655.02
Rate for Payer: BCN Medicare Advantage	$2,899.45
Rate for Payer: Cash Price	$9,578.34
Rate for Payer: Cash Price	$9,578.34
Rate for Payer: Cofinity Commercial	$8,381.05
Rate for Payer: Cofinity Commercial	$10,296.72
Rate for Payer: Health Alliance Plan Medicare Advantage	$2,899.45
Rate for Payer: Healthscope Commercial	$10,775.64
Rate for Payer: Mclaren Medicaid	$1,586.00
Rate for Payer: Mclaren Medicare	$2,899.45
Rate for Payer: Meridian Medicaid	$1,665.44
Rate for Payer: Meridian Wellcare - Medicare Advantage	$3,044.42
Rate for Payer: MI Amish Medical Board Commercial	$3,334.37
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$10,176.99
Rate for Payer: PACE Medicare	$2,754.48
Rate for Payer: PACE SWMI	$2,899.45
Rate for Payer: PHP Commercial	$10,176.99
Rate for Payer: PHP Medicare Advantage	$2,899.45
Rate for Payer: Priority Health Choice Medicaid	$1,586.00
Rate for Payer: Priority Health Cigna Priority Health	$8,381.05
Rate for Payer: Priority Health Medicare	$2,899.45
Rate for Payer: Priority Health SBD	$7,542.95
Rate for Payer: Railroad Medicare Medicare	$2,899.45
Rate for Payer: UHC All Payor (Choice/PPO)	$1,191.86
Rate for Payer: UHC Core	$6,837.00
Rate for Payer: UHC Dual Complete DSNP	$2,899.45
Rate for Payer: UHC Exchange	$1,083.51
Rate for Payer: UHC Medicare Advantage	$2,986.43
Rate for Payer: VA VA	$2,899.45

HC HEART CATH EXCHANGE WIRE

Facility

$53.51

Service Code	HCPCS C1769
Hospital Charge Code	27200047
Hospital Revenue Code	272
Min. Negotiated Rate	$21.40
Max. Negotiated Rate	$48.16
Rate for Payer: Aetna Commercial	$45.48
Rate for Payer: Aetna New Business (MI Preferred)	$34.78
Rate for Payer: BCBS Complete	$21.40
Rate for Payer: Cash Price	$42.81
Rate for Payer: Cofinity Commercial	$37.46
Rate for Payer: Cofinity Commercial	$46.02
Rate for Payer: Healthscope Commercial	$48.16
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$45.48
Rate for Payer: PHP Commercial	$45.48
Rate for Payer: Priority Health Cigna Priority Health	$37.46
Rate for Payer: Priority Health SBD	$33.71

HC HEART CATH EXCHANGE WIRE

Facility

$53.51

Service Code	HCPCS C1769
Hospital Charge Code	27200047
Hospital Revenue Code	272
Min. Negotiated Rate	$33.71
Max. Negotiated Rate	$48.16
Rate for Payer: Aetna Commercial	$45.48
Rate for Payer: Aetna New Business (MI Preferred)	$34.78
Rate for Payer: Cash Price	$42.81
Rate for Payer: Cofinity Commercial	$37.46
Rate for Payer: Cofinity Commercial	$46.02
Rate for Payer: Healthscope Commercial	$48.16
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$45.48
Rate for Payer: PHP Commercial	$45.48
Rate for Payer: Priority Health Cigna Priority Health	$37.46
Rate for Payer: Priority Health SBD	$33.71

HC HEART CATH LT ONLY

Facility

$8,314.74

Service Code	CPT 93452
Hospital Charge Code	48100011
Hospital Revenue Code	481
Min. Negotiated Rate	$868.38
Max. Negotiated Rate	$7,483.27
Rate for Payer: Aetna Commercial	$7,067.53
Rate for Payer: Aetna Medicare	$3,015.43
Rate for Payer: Aetna New Business (MI Preferred)	$5,404.58
Rate for Payer: Allen County Amish Medical Aid Commercial	$3,624.31
Rate for Payer: Amish Plain Church Group Commercial	$3,624.31
Rate for Payer: BCBS Complete	$1,665.44
Rate for Payer: BCBS MAPPO	$2,899.45
Rate for Payer: BCBS Trust/PPO	$3,091.66
Rate for Payer: BCN Medicare Advantage	$2,899.45
Rate for Payer: Cash Price	$6,651.79
Rate for Payer: Cash Price	$6,651.79
Rate for Payer: Cofinity Commercial	$5,820.32
Rate for Payer: Cofinity Commercial	$7,150.68
Rate for Payer: Health Alliance Plan Medicare Advantage	$2,899.45
Rate for Payer: Healthscope Commercial	$7,483.27
Rate for Payer: Mclaren Medicaid	$1,586.00
Rate for Payer: Mclaren Medicare	$2,899.45
Rate for Payer: Meridian Medicaid	$1,665.44
Rate for Payer: Meridian Wellcare - Medicare Advantage	$3,044.42
Rate for Payer: MI Amish Medical Board Commercial	$3,334.37
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$7,067.53
Rate for Payer: PACE Medicare	$2,754.48
Rate for Payer: PACE SWMI	$2,899.45
Rate for Payer: PHP Commercial	$7,067.53
Rate for Payer: PHP Medicare Advantage	$2,899.45
Rate for Payer: Priority Health Choice Medicaid	$1,586.00
Rate for Payer: Priority Health Cigna Priority Health	$5,820.32
Rate for Payer: Priority Health Medicare	$2,899.45
Rate for Payer: Priority Health SBD	$5,238.29
Rate for Payer: Railroad Medicare Medicare	$2,899.45
Rate for Payer: UHC All Payor (Choice/PPO)	$955.22
Rate for Payer: UHC Core	$6,837.00
Rate for Payer: UHC Dual Complete DSNP	$2,899.45
Rate for Payer: UHC Exchange	$868.38
Rate for Payer: UHC Medicare Advantage	$2,986.43
Rate for Payer: VA VA	$2,899.45

HC HEART CATH LT ONLY

Facility

$8,314.74

Service Code	CPT 93452
Hospital Charge Code	48100011
Hospital Revenue Code	481
Min. Negotiated Rate	$5,238.29
Max. Negotiated Rate	$7,483.27
Rate for Payer: Aetna Commercial	$7,067.53
Rate for Payer: Aetna New Business (MI Preferred)	$5,404.58
Rate for Payer: Cash Price	$6,651.79
Rate for Payer: Cofinity Commercial	$5,820.32
Rate for Payer: Cofinity Commercial	$7,150.68
Rate for Payer: Healthscope Commercial	$7,483.27
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$7,067.53
Rate for Payer: PHP Commercial	$7,067.53
Rate for Payer: Priority Health Cigna Priority Health	$5,820.32
Rate for Payer: Priority Health SBD	$5,238.29

HC HEART CATH LT/RT/C/CABGS

Facility

$14,804.56

Service Code	CPT 93461
Hospital Charge Code	48100052
Hospital Revenue Code	481
Min. Negotiated Rate	$9,326.87
Max. Negotiated Rate	$13,324.10
Rate for Payer: Aetna Commercial	$12,583.88
Rate for Payer: Aetna New Business (MI Preferred)	$9,622.96
Rate for Payer: Cash Price	$11,843.65
Rate for Payer: Cofinity Commercial	$10,363.19
Rate for Payer: Cofinity Commercial	$12,731.92
Rate for Payer: Healthscope Commercial	$13,324.10
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$12,583.88
Rate for Payer: PHP Commercial	$12,583.88
Rate for Payer: Priority Health Cigna Priority Health	$10,363.19
Rate for Payer: Priority Health SBD	$9,326.87

HC HEART CATH LT/RT/C/CABGS

Facility

$14,804.56

Service Code	CPT 93461
Hospital Charge Code	48100052
Hospital Revenue Code	481
Min. Negotiated Rate	$1,326.14
Max. Negotiated Rate	$13,324.10
Rate for Payer: Aetna Commercial	$12,583.88
Rate for Payer: Aetna Medicare	$3,015.43
Rate for Payer: Aetna New Business (MI Preferred)	$9,622.96
Rate for Payer: Allen County Amish Medical Aid Commercial	$3,624.31
Rate for Payer: Amish Plain Church Group Commercial	$3,624.31
Rate for Payer: BCBS Complete	$1,665.44
Rate for Payer: BCBS MAPPO	$2,899.45
Rate for Payer: BCBS Trust/PPO	$4,459.41
Rate for Payer: BCN Medicare Advantage	$2,899.45
Rate for Payer: Cash Price	$11,843.65
Rate for Payer: Cash Price	$11,843.65
Rate for Payer: Cofinity Commercial	$10,363.19
Rate for Payer: Cofinity Commercial	$12,731.92
Rate for Payer: Health Alliance Plan Medicare Advantage	$2,899.45
Rate for Payer: Healthscope Commercial	$13,324.10
Rate for Payer: Mclaren Medicaid	$1,586.00
Rate for Payer: Mclaren Medicare	$2,899.45
Rate for Payer: Meridian Medicaid	$1,665.44
Rate for Payer: Meridian Wellcare - Medicare Advantage	$3,044.42
Rate for Payer: MI Amish Medical Board Commercial	$3,334.37
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$12,583.88
Rate for Payer: PACE Medicare	$2,754.48
Rate for Payer: PACE SWMI	$2,899.45
Rate for Payer: PHP Commercial	$12,583.88
Rate for Payer: PHP Medicare Advantage	$2,899.45
Rate for Payer: Priority Health Choice Medicaid	$1,586.00
Rate for Payer: Priority Health Cigna Priority Health	$10,363.19
Rate for Payer: Priority Health Medicare	$2,899.45
Rate for Payer: Priority Health SBD	$9,326.87
Rate for Payer: Railroad Medicare Medicare	$2,899.45
Rate for Payer: UHC All Payor (Choice/PPO)	$1,458.75
Rate for Payer: UHC Core	$6,837.00
Rate for Payer: UHC Dual Complete DSNP	$2,899.45
Rate for Payer: UHC Exchange	$1,326.14
Rate for Payer: UHC Medicare Advantage	$2,986.43
Rate for Payer: VA VA	$2,899.45

HC HEART CATH LT/RT CORONARIES

Facility

$12,514.29

Service Code	CPT 93460
Hospital Charge Code	48100019
Hospital Revenue Code	481
Min. Negotiated Rate	$1,202.04
Max. Negotiated Rate	$11,262.86
Rate for Payer: Aetna Commercial	$10,637.15
Rate for Payer: Aetna Medicare	$3,015.43
Rate for Payer: Aetna New Business (MI Preferred)	$8,134.29
Rate for Payer: Allen County Amish Medical Aid Commercial	$3,624.31
Rate for Payer: Amish Plain Church Group Commercial	$3,624.31
Rate for Payer: BCBS Complete	$1,665.44
Rate for Payer: BCBS MAPPO	$2,899.45
Rate for Payer: BCBS Trust/PPO	$4,046.48
Rate for Payer: BCN Medicare Advantage	$2,899.45
Rate for Payer: Cash Price	$10,011.43
Rate for Payer: Cash Price	$10,011.43
Rate for Payer: Cofinity Commercial	$8,760.00
Rate for Payer: Cofinity Commercial	$10,762.29
Rate for Payer: Health Alliance Plan Medicare Advantage	$2,899.45
Rate for Payer: Healthscope Commercial	$11,262.86
Rate for Payer: Mclaren Medicaid	$1,586.00
Rate for Payer: Mclaren Medicare	$2,899.45
Rate for Payer: Meridian Medicaid	$1,665.44
Rate for Payer: Meridian Wellcare - Medicare Advantage	$3,044.42
Rate for Payer: MI Amish Medical Board Commercial	$3,334.37
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$10,637.15
Rate for Payer: PACE Medicare	$2,754.48
Rate for Payer: PACE SWMI	$2,899.45
Rate for Payer: PHP Commercial	$10,637.15
Rate for Payer: PHP Medicare Advantage	$2,899.45
Rate for Payer: Priority Health Choice Medicaid	$1,586.00
Rate for Payer: Priority Health Cigna Priority Health	$8,760.00
Rate for Payer: Priority Health Medicare	$2,899.45
Rate for Payer: Priority Health SBD	$7,884.00
Rate for Payer: Railroad Medicare Medicare	$2,899.45
Rate for Payer: UHC All Payor (Choice/PPO)	$1,322.24
Rate for Payer: UHC Core	$6,837.00
Rate for Payer: UHC Dual Complete DSNP	$2,899.45
Rate for Payer: UHC Exchange	$1,202.04
Rate for Payer: UHC Medicare Advantage	$2,986.43
Rate for Payer: VA VA	$2,899.45

HC HEART CATH LT/RT CORONARIES

Facility

$12,514.29

Service Code	CPT 93460
Hospital Charge Code	48100019
Hospital Revenue Code	481
Min. Negotiated Rate	$7,884.00
Max. Negotiated Rate	$11,262.86
Rate for Payer: Aetna Commercial	$10,637.15
Rate for Payer: Aetna New Business (MI Preferred)	$8,134.29
Rate for Payer: Cash Price	$10,011.43
Rate for Payer: Cofinity Commercial	$10,762.29
Rate for Payer: Cofinity Commercial	$8,760.00
Rate for Payer: Healthscope Commercial	$11,262.86
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$10,637.15
Rate for Payer: PHP Commercial	$10,637.15
Rate for Payer: Priority Health Cigna Priority Health	$8,760.00
Rate for Payer: Priority Health SBD	$7,884.00

HC HEART CATH LT/RT ONLY

Facility

$8,785.89

Service Code	CPT 93453
Hospital Charge Code	48100012
Hospital Revenue Code	481
Min. Negotiated Rate	$1,108.06
Max. Negotiated Rate	$7,907.30
Rate for Payer: Aetna Commercial	$7,468.01
Rate for Payer: Aetna Medicare	$3,015.43
Rate for Payer: Aetna New Business (MI Preferred)	$5,710.83
Rate for Payer: Allen County Amish Medical Aid Commercial	$3,624.31
Rate for Payer: Amish Plain Church Group Commercial	$3,624.31
Rate for Payer: BCBS Complete	$1,665.44
Rate for Payer: BCBS MAPPO	$2,899.45
Rate for Payer: BCBS Trust/PPO	$3,862.26
Rate for Payer: BCN Medicare Advantage	$2,899.45
Rate for Payer: Cash Price	$7,028.71
Rate for Payer: Cash Price	$7,028.71
Rate for Payer: Cofinity Commercial	$6,150.12
Rate for Payer: Cofinity Commercial	$7,555.87
Rate for Payer: Health Alliance Plan Medicare Advantage	$2,899.45
Rate for Payer: Healthscope Commercial	$7,907.30
Rate for Payer: Mclaren Medicaid	$1,586.00
Rate for Payer: Mclaren Medicare	$2,899.45
Rate for Payer: Meridian Medicaid	$1,665.44
Rate for Payer: Meridian Wellcare - Medicare Advantage	$3,044.42
Rate for Payer: MI Amish Medical Board Commercial	$3,334.37
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$7,468.01
Rate for Payer: PACE Medicare	$2,754.48
Rate for Payer: PACE SWMI	$2,899.45
Rate for Payer: PHP Commercial	$7,468.01
Rate for Payer: PHP Medicare Advantage	$2,899.45
Rate for Payer: Priority Health Choice Medicaid	$1,586.00
Rate for Payer: Priority Health Cigna Priority Health	$6,150.12
Rate for Payer: Priority Health Medicare	$2,899.45
Rate for Payer: Priority Health SBD	$5,535.11
Rate for Payer: Railroad Medicare Medicare	$2,899.45
Rate for Payer: UHC All Payor (Choice/PPO)	$1,218.87
Rate for Payer: UHC Core	$6,837.00
Rate for Payer: UHC Dual Complete DSNP	$2,899.45
Rate for Payer: UHC Exchange	$1,108.06
Rate for Payer: UHC Medicare Advantage	$2,986.43
Rate for Payer: VA VA	$2,899.45

HC HEART CATH LT/RT ONLY

Facility

$8,785.89

Service Code	CPT 93453
Hospital Charge Code	48100012
Hospital Revenue Code	481
Min. Negotiated Rate	$5,535.11
Max. Negotiated Rate	$7,907.30
Rate for Payer: Aetna Commercial	$7,468.01
Rate for Payer: Aetna New Business (MI Preferred)	$5,710.83
Rate for Payer: Cash Price	$7,028.71
Rate for Payer: Cofinity Commercial	$6,150.12
Rate for Payer: Cofinity Commercial	$7,555.87
Rate for Payer: Healthscope Commercial	$7,907.30
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$7,468.01
Rate for Payer: PHP Commercial	$7,468.01
Rate for Payer: Priority Health Cigna Priority Health	$6,150.12
Rate for Payer: Priority Health SBD	$5,535.11

HC HEART CATH LT W CORONARIES

Facility

$12,598.15

Service Code	CPT 93458
Hospital Charge Code	48100017
Hospital Revenue Code	481
Min. Negotiated Rate	$1,007.21
Max. Negotiated Rate	$11,338.34
Rate for Payer: Aetna Commercial	$10,708.43
Rate for Payer: Aetna Medicare	$3,015.43
Rate for Payer: Aetna New Business (MI Preferred)	$8,188.80
Rate for Payer: Allen County Amish Medical Aid Commercial	$3,624.31
Rate for Payer: Amish Plain Church Group Commercial	$3,624.31
Rate for Payer: BCBS Complete	$1,665.44
Rate for Payer: BCBS MAPPO	$2,899.45
Rate for Payer: BCBS Trust/PPO	$3,469.29
Rate for Payer: BCN Medicare Advantage	$2,899.45
Rate for Payer: Cash Price	$10,078.52
Rate for Payer: Cash Price	$10,078.52
Rate for Payer: Cofinity Commercial	$8,818.70
Rate for Payer: Cofinity Commercial	$10,834.41
Rate for Payer: Health Alliance Plan Medicare Advantage	$2,899.45
Rate for Payer: Healthscope Commercial	$11,338.34
Rate for Payer: Mclaren Medicaid	$1,586.00
Rate for Payer: Mclaren Medicare	$2,899.45
Rate for Payer: Meridian Medicaid	$1,665.44
Rate for Payer: Meridian Wellcare - Medicare Advantage	$3,044.42
Rate for Payer: MI Amish Medical Board Commercial	$3,334.37
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$10,708.43
Rate for Payer: PACE Medicare	$2,754.48
Rate for Payer: PACE SWMI	$2,899.45
Rate for Payer: PHP Commercial	$10,708.43
Rate for Payer: PHP Medicare Advantage	$2,899.45
Rate for Payer: Priority Health Choice Medicaid	$1,586.00
Rate for Payer: Priority Health Cigna Priority Health	$8,818.70
Rate for Payer: Priority Health Medicare	$2,899.45
Rate for Payer: Priority Health SBD	$7,936.83
Rate for Payer: Railroad Medicare Medicare	$2,899.45
Rate for Payer: UHC All Payor (Choice/PPO)	$1,107.93
Rate for Payer: UHC Core	$6,837.00
Rate for Payer: UHC Dual Complete DSNP	$2,899.45
Rate for Payer: UHC Exchange	$1,007.21
Rate for Payer: UHC Medicare Advantage	$2,986.43
Rate for Payer: VA VA	$2,899.45

HC HEART CATH LT W CORONARIES

Facility

$12,598.15

Service Code	CPT 93458
Hospital Charge Code	48100017
Hospital Revenue Code	481
Min. Negotiated Rate	$7,936.83
Max. Negotiated Rate	$11,338.34
Rate for Payer: Aetna Commercial	$10,708.43
Rate for Payer: Aetna New Business (MI Preferred)	$8,188.80
Rate for Payer: Cash Price	$10,078.52
Rate for Payer: Cofinity Commercial	$10,834.41
Rate for Payer: Cofinity Commercial	$8,818.70
Rate for Payer: Healthscope Commercial	$11,338.34
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$10,708.43
Rate for Payer: PHP Commercial	$10,708.43
Rate for Payer: Priority Health Cigna Priority Health	$8,818.70
Rate for Payer: Priority Health SBD	$7,936.83

HC HEART CATH NEEDLE

Facility

$42.25

Hospital Charge Code	62200006
Hospital Revenue Code	270
Min. Negotiated Rate	$26.62
Max. Negotiated Rate	$38.02
Rate for Payer: Aetna Commercial	$35.91
Rate for Payer: Aetna New Business (MI Preferred)	$27.46
Rate for Payer: Cash Price	$33.80
Rate for Payer: Cofinity Commercial	$29.58
Rate for Payer: Cofinity Commercial	$36.34
Rate for Payer: Healthscope Commercial	$38.02
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$35.91
Rate for Payer: PHP Commercial	$35.91
Rate for Payer: Priority Health Cigna Priority Health	$29.58
Rate for Payer: Priority Health SBD	$26.62

Know your out-of-pocket cost for care.

All Charges