Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

HC CANNULA COR OSTIA RT ANG 7MM

Facility

$313.65

Hospital Charge Code	27006712
Hospital Revenue Code	270
Min. Negotiated Rate	$125.46
Max. Negotiated Rate	$282.28
Rate for Payer: Aetna Commercial	$266.60
Rate for Payer: Aetna Medicare	$156.82
Rate for Payer: Aetna New Business (MI Preferred)	$203.87
Rate for Payer: BCBS Complete	$125.46
Rate for Payer: Cash Price	$250.92
Rate for Payer: Cofinity Commercial	$219.56
Rate for Payer: Cofinity Commercial	$269.74
Rate for Payer: Cofinity Medicare Advantage	$219.56
Rate for Payer: Encore Health Key Benefits Commercial	$250.92
Rate for Payer: Healthscope Commercial	$282.28
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$266.60
Rate for Payer: PHP Commercial	$266.60
Rate for Payer: Priority Health Cigna Priority Health	$203.87
Rate for Payer: Priority Health SBD	$197.60

HC CANNULA COR OSTIA RT ANG 7MM

Facility

$313.65

Hospital Charge Code	27006712
Hospital Revenue Code	270
Min. Negotiated Rate	$197.60
Max. Negotiated Rate	$282.28
Rate for Payer: Aetna Commercial	$266.60
Rate for Payer: Aetna New Business (MI Preferred)	$203.87
Rate for Payer: Cash Price	$250.92
Rate for Payer: Cofinity Commercial	$219.56
Rate for Payer: Cofinity Commercial	$269.74
Rate for Payer: Cofinity Medicare Advantage	$219.56
Rate for Payer: Encore Health Key Benefits Commercial	$250.92
Rate for Payer: Healthscope Commercial	$282.28
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$266.60
Rate for Payer: PHP Commercial	$266.60
Rate for Payer: Priority Health Cigna Priority Health	$203.87
Rate for Payer: Priority Health SBD	$197.60

HC CANNULA COR OSTIA RT ANG 8MM

Facility

$313.65

Hospital Charge Code	27006713
Hospital Revenue Code	270
Min. Negotiated Rate	$197.60
Max. Negotiated Rate	$282.28
Rate for Payer: Aetna Commercial	$266.60
Rate for Payer: Aetna New Business (MI Preferred)	$203.87
Rate for Payer: Cash Price	$250.92
Rate for Payer: Cofinity Commercial	$219.56
Rate for Payer: Cofinity Commercial	$269.74
Rate for Payer: Cofinity Medicare Advantage	$219.56
Rate for Payer: Encore Health Key Benefits Commercial	$250.92
Rate for Payer: Healthscope Commercial	$282.28
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$266.60
Rate for Payer: PHP Commercial	$266.60
Rate for Payer: Priority Health Cigna Priority Health	$203.87
Rate for Payer: Priority Health SBD	$197.60

HC CANNULA COR OSTIA RT ANG 8MM

Facility

$313.65

Hospital Charge Code	27006713
Hospital Revenue Code	270
Min. Negotiated Rate	$125.46
Max. Negotiated Rate	$282.28
Rate for Payer: Aetna Commercial	$266.60
Rate for Payer: Aetna Medicare	$156.82
Rate for Payer: Aetna New Business (MI Preferred)	$203.87
Rate for Payer: BCBS Complete	$125.46
Rate for Payer: Cash Price	$250.92
Rate for Payer: Cofinity Commercial	$219.56
Rate for Payer: Cofinity Commercial	$269.74
Rate for Payer: Cofinity Medicare Advantage	$219.56
Rate for Payer: Encore Health Key Benefits Commercial	$250.92
Rate for Payer: Healthscope Commercial	$282.28
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$266.60
Rate for Payer: PHP Commercial	$266.60
Rate for Payer: Priority Health Cigna Priority Health	$203.87
Rate for Payer: Priority Health SBD	$197.60

HC CANNULA (DUCKBILL)

Facility

$17.60

Hospital Charge Code	27000059
Hospital Revenue Code	270
Min. Negotiated Rate	$7.04
Max. Negotiated Rate	$15.84
Rate for Payer: Aetna Commercial	$14.96
Rate for Payer: Aetna Medicare	$8.80
Rate for Payer: Aetna New Business (MI Preferred)	$11.44
Rate for Payer: BCBS Complete	$7.04
Rate for Payer: Cash Price	$14.08
Rate for Payer: Cofinity Commercial	$12.32
Rate for Payer: Cofinity Commercial	$15.14
Rate for Payer: Cofinity Medicare Advantage	$12.32
Rate for Payer: Encore Health Key Benefits Commercial	$14.08
Rate for Payer: Healthscope Commercial	$15.84
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$14.96
Rate for Payer: PHP Commercial	$14.96
Rate for Payer: Priority Health Cigna Priority Health	$11.44
Rate for Payer: Priority Health SBD	$11.09

HC CANNULA (DUCKBILL)

Facility

$17.60

Hospital Charge Code	27000059
Hospital Revenue Code	270
Min. Negotiated Rate	$11.09
Max. Negotiated Rate	$15.84
Rate for Payer: Aetna Commercial	$14.96
Rate for Payer: Aetna New Business (MI Preferred)	$11.44
Rate for Payer: Cash Price	$14.08
Rate for Payer: Cofinity Commercial	$12.32
Rate for Payer: Cofinity Commercial	$15.14
Rate for Payer: Cofinity Medicare Advantage	$12.32
Rate for Payer: Encore Health Key Benefits Commercial	$14.08
Rate for Payer: Healthscope Commercial	$15.84
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$14.96
Rate for Payer: PHP Commercial	$14.96
Rate for Payer: Priority Health Cigna Priority Health	$11.44
Rate for Payer: Priority Health SBD	$11.09

HC CANNULA FEM ART

Facility

$741.83

Hospital Charge Code	27000392
Hospital Revenue Code	270
Min. Negotiated Rate	$467.35
Max. Negotiated Rate	$667.65
Rate for Payer: Aetna Commercial	$630.56
Rate for Payer: Aetna New Business (MI Preferred)	$482.19
Rate for Payer: Cash Price	$593.46
Rate for Payer: Cofinity Commercial	$519.28
Rate for Payer: Cofinity Commercial	$637.97
Rate for Payer: Cofinity Medicare Advantage	$519.28
Rate for Payer: Encore Health Key Benefits Commercial	$593.46
Rate for Payer: Healthscope Commercial	$667.65
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$630.56
Rate for Payer: PHP Commercial	$630.56
Rate for Payer: Priority Health Cigna Priority Health	$482.19
Rate for Payer: Priority Health SBD	$467.35

HC CANNULA FEM ART

Facility

$741.83

Hospital Charge Code	27000392
Hospital Revenue Code	270
Min. Negotiated Rate	$296.73
Max. Negotiated Rate	$667.65
Rate for Payer: Aetna Commercial	$630.56
Rate for Payer: Aetna Medicare	$370.92
Rate for Payer: Aetna New Business (MI Preferred)	$482.19
Rate for Payer: BCBS Complete	$296.73
Rate for Payer: Cash Price	$593.46
Rate for Payer: Cofinity Commercial	$519.28
Rate for Payer: Cofinity Commercial	$637.97
Rate for Payer: Cofinity Medicare Advantage	$519.28
Rate for Payer: Encore Health Key Benefits Commercial	$593.46
Rate for Payer: Healthscope Commercial	$667.65
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$630.56
Rate for Payer: PHP Commercial	$630.56
Rate for Payer: Priority Health Cigna Priority Health	$482.19
Rate for Payer: Priority Health SBD	$467.35

HC CANNULA FEM VEN 19 FR

Facility

$1,338.75

Hospital Charge Code	27000671
Hospital Revenue Code	270
Min. Negotiated Rate	$535.50
Max. Negotiated Rate	$1,204.88
Rate for Payer: Aetna Commercial	$1,137.94
Rate for Payer: Aetna Medicare	$669.38
Rate for Payer: Aetna New Business (MI Preferred)	$870.19
Rate for Payer: BCBS Complete	$535.50
Rate for Payer: Cash Price	$1,071.00
Rate for Payer: Cofinity Commercial	$1,151.32
Rate for Payer: Cofinity Commercial	$937.12
Rate for Payer: Cofinity Medicare Advantage	$937.12
Rate for Payer: Encore Health Key Benefits Commercial	$1,071.00
Rate for Payer: Healthscope Commercial	$1,204.88
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,137.94
Rate for Payer: PHP Commercial	$1,137.94
Rate for Payer: Priority Health Cigna Priority Health	$870.19
Rate for Payer: Priority Health SBD	$843.41

HC CANNULA FEM VEN 19 FR

Facility

$1,338.75

Hospital Charge Code	27000671
Hospital Revenue Code	270
Min. Negotiated Rate	$843.41
Max. Negotiated Rate	$1,204.88
Rate for Payer: Aetna Commercial	$1,137.94
Rate for Payer: Aetna New Business (MI Preferred)	$870.19
Rate for Payer: Cash Price	$1,071.00
Rate for Payer: Cofinity Commercial	$1,151.32
Rate for Payer: Cofinity Commercial	$937.12
Rate for Payer: Cofinity Medicare Advantage	$937.12
Rate for Payer: Encore Health Key Benefits Commercial	$1,071.00
Rate for Payer: Healthscope Commercial	$1,204.88
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,137.94
Rate for Payer: PHP Commercial	$1,137.94
Rate for Payer: Priority Health Cigna Priority Health	$870.19
Rate for Payer: Priority Health SBD	$843.41

HC CANNULA FEM VEN 21, 25 FR

Facility

$1,287.75

Hospital Charge Code	27000073
Hospital Revenue Code	270
Min. Negotiated Rate	$515.10
Max. Negotiated Rate	$1,158.98
Rate for Payer: Aetna Commercial	$1,094.59
Rate for Payer: Aetna Medicare	$643.88
Rate for Payer: Aetna New Business (MI Preferred)	$837.04
Rate for Payer: BCBS Complete	$515.10
Rate for Payer: Cash Price	$1,030.20
Rate for Payer: Cofinity Commercial	$1,107.46
Rate for Payer: Cofinity Commercial	$901.42
Rate for Payer: Cofinity Medicare Advantage	$901.42
Rate for Payer: Encore Health Key Benefits Commercial	$1,030.20
Rate for Payer: Healthscope Commercial	$1,158.98
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,094.59
Rate for Payer: PHP Commercial	$1,094.59
Rate for Payer: Priority Health Cigna Priority Health	$837.04
Rate for Payer: Priority Health SBD	$811.28

HC CANNULA FEM VEN 21, 25 FR

Facility

$1,287.75

Hospital Charge Code	27000073
Hospital Revenue Code	270
Min. Negotiated Rate	$811.28
Max. Negotiated Rate	$1,158.98
Rate for Payer: Aetna Commercial	$1,094.59
Rate for Payer: Aetna New Business (MI Preferred)	$837.04
Rate for Payer: Cash Price	$1,030.20
Rate for Payer: Cofinity Commercial	$1,107.46
Rate for Payer: Cofinity Commercial	$901.42
Rate for Payer: Cofinity Medicare Advantage	$901.42
Rate for Payer: Encore Health Key Benefits Commercial	$1,030.20
Rate for Payer: Healthscope Commercial	$1,158.98
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,094.59
Rate for Payer: PHP Commercial	$1,094.59
Rate for Payer: Priority Health Cigna Priority Health	$837.04
Rate for Payer: Priority Health SBD	$811.28

HC CANNULA LV VENT

Facility

$70.38

Hospital Charge Code	27000104
Hospital Revenue Code	270
Min. Negotiated Rate	$44.34
Max. Negotiated Rate	$63.34
Rate for Payer: Aetna Commercial	$59.82
Rate for Payer: Aetna New Business (MI Preferred)	$45.75
Rate for Payer: Cash Price	$56.30
Rate for Payer: Cofinity Commercial	$49.27
Rate for Payer: Cofinity Commercial	$60.53
Rate for Payer: Cofinity Medicare Advantage	$49.27
Rate for Payer: Encore Health Key Benefits Commercial	$56.30
Rate for Payer: Healthscope Commercial	$63.34
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$59.82
Rate for Payer: PHP Commercial	$59.82
Rate for Payer: Priority Health Cigna Priority Health	$45.75
Rate for Payer: Priority Health SBD	$44.34

HC CANNULA LV VENT

Facility

$70.38

Hospital Charge Code	27000104
Hospital Revenue Code	270
Min. Negotiated Rate	$28.15
Max. Negotiated Rate	$63.34
Rate for Payer: Aetna Commercial	$59.82
Rate for Payer: Aetna Medicare	$35.19
Rate for Payer: Aetna New Business (MI Preferred)	$45.75
Rate for Payer: BCBS Complete	$28.15
Rate for Payer: Cash Price	$56.30
Rate for Payer: Cofinity Commercial	$49.27
Rate for Payer: Cofinity Commercial	$60.53
Rate for Payer: Cofinity Medicare Advantage	$49.27
Rate for Payer: Encore Health Key Benefits Commercial	$56.30
Rate for Payer: Healthscope Commercial	$63.34
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$59.82
Rate for Payer: PHP Commercial	$59.82
Rate for Payer: Priority Health Cigna Priority Health	$45.75
Rate for Payer: Priority Health SBD	$44.34

HC CANNULA OSTIA

Facility

$58.14

Hospital Charge Code	27000061
Hospital Revenue Code	270
Min. Negotiated Rate	$36.63
Max. Negotiated Rate	$52.33
Rate for Payer: Aetna Commercial	$49.42
Rate for Payer: Aetna New Business (MI Preferred)	$37.79
Rate for Payer: Cash Price	$46.51
Rate for Payer: Cofinity Commercial	$40.70
Rate for Payer: Cofinity Commercial	$50.00
Rate for Payer: Cofinity Medicare Advantage	$40.70
Rate for Payer: Encore Health Key Benefits Commercial	$46.51
Rate for Payer: Healthscope Commercial	$52.33
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$49.42
Rate for Payer: PHP Commercial	$49.42
Rate for Payer: Priority Health Cigna Priority Health	$37.79
Rate for Payer: Priority Health SBD	$36.63

HC CANNULA OSTIA

Facility

$58.14

Hospital Charge Code	27000061
Hospital Revenue Code	270
Min. Negotiated Rate	$23.26
Max. Negotiated Rate	$52.33
Rate for Payer: Aetna Commercial	$49.42
Rate for Payer: Aetna Medicare	$29.07
Rate for Payer: Aetna New Business (MI Preferred)	$37.79
Rate for Payer: BCBS Complete	$23.26
Rate for Payer: Cash Price	$46.51
Rate for Payer: Cofinity Commercial	$40.70
Rate for Payer: Cofinity Commercial	$50.00
Rate for Payer: Cofinity Medicare Advantage	$40.70
Rate for Payer: Encore Health Key Benefits Commercial	$46.51
Rate for Payer: Healthscope Commercial	$52.33
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$49.42
Rate for Payer: PHP Commercial	$49.42
Rate for Payer: Priority Health Cigna Priority Health	$37.79
Rate for Payer: Priority Health SBD	$36.63

HC CANNULA OSTIAL SPRIT FLEX ANGLE 6 MM

Facility

$302.94

Hospital Charge Code	27000664
Hospital Revenue Code	270
Min. Negotiated Rate	$190.85
Max. Negotiated Rate	$272.65
Rate for Payer: Aetna Commercial	$257.50
Rate for Payer: Aetna New Business (MI Preferred)	$196.91
Rate for Payer: Cash Price	$242.35
Rate for Payer: Cofinity Commercial	$212.06
Rate for Payer: Cofinity Commercial	$260.53
Rate for Payer: Cofinity Medicare Advantage	$212.06
Rate for Payer: Encore Health Key Benefits Commercial	$242.35
Rate for Payer: Healthscope Commercial	$272.65
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$257.50
Rate for Payer: PHP Commercial	$257.50
Rate for Payer: Priority Health Cigna Priority Health	$196.91
Rate for Payer: Priority Health SBD	$190.85

HC CANNULA OSTIAL SPRIT FLEX ANGLE 6 MM

Facility

$302.94

Hospital Charge Code	27000664
Hospital Revenue Code	270
Min. Negotiated Rate	$121.18
Max. Negotiated Rate	$272.65
Rate for Payer: Aetna Commercial	$257.50
Rate for Payer: Aetna Medicare	$151.47
Rate for Payer: Aetna New Business (MI Preferred)	$196.91
Rate for Payer: BCBS Complete	$121.18
Rate for Payer: Cash Price	$242.35
Rate for Payer: Cofinity Commercial	$212.06
Rate for Payer: Cofinity Commercial	$260.53
Rate for Payer: Cofinity Medicare Advantage	$212.06
Rate for Payer: Encore Health Key Benefits Commercial	$242.35
Rate for Payer: Healthscope Commercial	$272.65
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$257.50
Rate for Payer: PHP Commercial	$257.50
Rate for Payer: Priority Health Cigna Priority Health	$196.91
Rate for Payer: Priority Health SBD	$190.85

HC CANNULA RCSP PVC AUTO 15 FR

Facility

$260.10

Hospital Charge Code	27000683
Hospital Revenue Code	270
Min. Negotiated Rate	$163.86
Max. Negotiated Rate	$234.09
Rate for Payer: Aetna Commercial	$221.08
Rate for Payer: Aetna New Business (MI Preferred)	$169.06
Rate for Payer: Cash Price	$208.08
Rate for Payer: Cofinity Commercial	$182.07
Rate for Payer: Cofinity Commercial	$223.69
Rate for Payer: Cofinity Medicare Advantage	$182.07
Rate for Payer: Encore Health Key Benefits Commercial	$208.08
Rate for Payer: Healthscope Commercial	$234.09
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$221.08
Rate for Payer: PHP Commercial	$221.08
Rate for Payer: Priority Health Cigna Priority Health	$169.06
Rate for Payer: Priority Health SBD	$163.86

HC CANNULA RCSP PVC AUTO 15 FR

Facility

$260.10

Hospital Charge Code	27000683
Hospital Revenue Code	270
Min. Negotiated Rate	$104.04
Max. Negotiated Rate	$234.09
Rate for Payer: Aetna Commercial	$221.08
Rate for Payer: Aetna Medicare	$130.05
Rate for Payer: Aetna New Business (MI Preferred)	$169.06
Rate for Payer: BCBS Complete	$104.04
Rate for Payer: Cash Price	$208.08
Rate for Payer: Cofinity Commercial	$182.07
Rate for Payer: Cofinity Commercial	$223.69
Rate for Payer: Cofinity Medicare Advantage	$182.07
Rate for Payer: Encore Health Key Benefits Commercial	$208.08
Rate for Payer: Healthscope Commercial	$234.09
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$221.08
Rate for Payer: PHP Commercial	$221.08
Rate for Payer: Priority Health Cigna Priority Health	$169.06
Rate for Payer: Priority Health SBD	$163.86

HC CANNULA RETROGRADE

Facility

$208.08

Hospital Charge Code	27000142
Hospital Revenue Code	270
Min. Negotiated Rate	$83.23
Max. Negotiated Rate	$187.27
Rate for Payer: Aetna Commercial	$176.87
Rate for Payer: Aetna Medicare	$104.04
Rate for Payer: Aetna New Business (MI Preferred)	$135.25
Rate for Payer: BCBS Complete	$83.23
Rate for Payer: Cash Price	$166.46
Rate for Payer: Cofinity Commercial	$145.66
Rate for Payer: Cofinity Commercial	$178.95
Rate for Payer: Cofinity Medicare Advantage	$145.66
Rate for Payer: Encore Health Key Benefits Commercial	$166.46
Rate for Payer: Healthscope Commercial	$187.27
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$176.87
Rate for Payer: PHP Commercial	$176.87
Rate for Payer: Priority Health Cigna Priority Health	$135.25
Rate for Payer: Priority Health SBD	$131.09

HC CANNULA RETROGRADE

Facility

$208.08

Hospital Charge Code	27000142
Hospital Revenue Code	270
Min. Negotiated Rate	$131.09
Max. Negotiated Rate	$187.27
Rate for Payer: Aetna Commercial	$176.87
Rate for Payer: Aetna New Business (MI Preferred)	$135.25
Rate for Payer: Cash Price	$166.46
Rate for Payer: Cofinity Commercial	$145.66
Rate for Payer: Cofinity Commercial	$178.95
Rate for Payer: Cofinity Medicare Advantage	$145.66
Rate for Payer: Encore Health Key Benefits Commercial	$166.46
Rate for Payer: Healthscope Commercial	$187.27
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$176.87
Rate for Payer: PHP Commercial	$176.87
Rate for Payer: Priority Health Cigna Priority Health	$135.25
Rate for Payer: Priority Health SBD	$131.09

HC CANNULA RETROGRD 15 FR

Facility

$311.01

Hospital Charge Code	27000447
Hospital Revenue Code	270
Min. Negotiated Rate	$124.40
Max. Negotiated Rate	$279.91
Rate for Payer: Aetna Commercial	$264.36
Rate for Payer: Aetna Medicare	$155.50
Rate for Payer: Aetna New Business (MI Preferred)	$202.16
Rate for Payer: BCBS Complete	$124.40
Rate for Payer: Cash Price	$248.81
Rate for Payer: Cofinity Commercial	$217.71
Rate for Payer: Cofinity Commercial	$267.47
Rate for Payer: Cofinity Medicare Advantage	$217.71
Rate for Payer: Encore Health Key Benefits Commercial	$248.81
Rate for Payer: Healthscope Commercial	$279.91
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$264.36
Rate for Payer: PHP Commercial	$264.36
Rate for Payer: Priority Health Cigna Priority Health	$202.16
Rate for Payer: Priority Health SBD	$195.94

HC CANNULA RETROGRD 15 FR

Facility

$311.01

Hospital Charge Code	27000447
Hospital Revenue Code	270
Min. Negotiated Rate	$195.94
Max. Negotiated Rate	$279.91
Rate for Payer: Aetna Commercial	$264.36
Rate for Payer: Aetna New Business (MI Preferred)	$202.16
Rate for Payer: Cash Price	$248.81
Rate for Payer: Cofinity Commercial	$217.71
Rate for Payer: Cofinity Commercial	$267.47
Rate for Payer: Cofinity Medicare Advantage	$217.71
Rate for Payer: Encore Health Key Benefits Commercial	$248.81
Rate for Payer: Healthscope Commercial	$279.91
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$264.36
Rate for Payer: PHP Commercial	$264.36
Rate for Payer: Priority Health Cigna Priority Health	$202.16
Rate for Payer: Priority Health SBD	$195.94

HC CANNULA VEIN GRAFT

Facility

$35.19

Hospital Charge Code	27000096
Hospital Revenue Code	270
Min. Negotiated Rate	$22.17
Max. Negotiated Rate	$31.67
Rate for Payer: Aetna Commercial	$29.91
Rate for Payer: Aetna New Business (MI Preferred)	$22.87
Rate for Payer: Cash Price	$28.15
Rate for Payer: Cofinity Commercial	$24.63
Rate for Payer: Cofinity Commercial	$30.26
Rate for Payer: Cofinity Medicare Advantage	$24.63
Rate for Payer: Encore Health Key Benefits Commercial	$28.15
Rate for Payer: Healthscope Commercial	$31.67
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$29.91
Rate for Payer: PHP Commercial	$29.91
Rate for Payer: Priority Health Cigna Priority Health	$22.87
Rate for Payer: Priority Health SBD	$22.17

Know your out-of-pocket cost for care.

All Charges