Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

ASPIRIN 81 MG CHEWABLE TABLET

Facility

$50.40

Service Code	NDC 00536100836
Hospital Charge Code	679
Hospital Revenue Code	637
Min. Negotiated Rate	$31.75
Max. Negotiated Rate	$45.36
Rate for Payer: Aetna Commercial	$42.84
Rate for Payer: Aetna New Business (MI Preferred)	$32.76
Rate for Payer: Cash Price	$40.32
Rate for Payer: Cofinity Advantage	$35.28
Rate for Payer: Cofinity Commercial	$43.34
Rate for Payer: Encore Health Key Benefits Commercial	$40.32
Rate for Payer: Healthscope Commercial	$45.36
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$42.84
Rate for Payer: Opus (Opus Packaging Group) HMA	$37.80
Rate for Payer: PHP Commercial	$42.84
Rate for Payer: Priority Health SBD	$31.75

ASPIRIN 81 MG CHEWABLE TABLET

Facility

$47.63

Service Code	NDC 57896091136
Hospital Charge Code	679
Hospital Revenue Code	637
Min. Negotiated Rate	$18.72
Max. Negotiated Rate	$42.87
Rate for Payer: Aetna Commercial	$40.49
Rate for Payer: Aetna Medicare	$23.82
Rate for Payer: Aetna New Business (MI Preferred)	$30.96
Rate for Payer: BCBS Complete	$19.05
Rate for Payer: Cash Price	$38.10
Rate for Payer: Cofinity Advantage	$33.34
Rate for Payer: Cofinity Commercial	$40.96
Rate for Payer: Encore Health Key Benefits Commercial	$38.10
Rate for Payer: Healthscope Commercial	$42.87
Rate for Payer: MI Amish Medical Board Commercial	$38.10
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$40.49
Rate for Payer: Opus (Opus Packaging Group) HMA	$35.72
Rate for Payer: PHP Commercial	$40.49
Rate for Payer: Priority Health SBD	$30.01
Rate for Payer: UHC All Payor (Choice/PPO)	$30.96
Rate for Payer: UHC Core	$24.82
Rate for Payer: UHC Exchange	$18.72

ASPIRIN 81 MG CHEWABLE TABLET

Facility

$1.17

Service Code	NDC 77333004925
Hospital Charge Code	679
Hospital Revenue Code	637
Min. Negotiated Rate	$0.74
Max. Negotiated Rate	$1.05
Rate for Payer: Aetna Commercial	$0.99
Rate for Payer: Aetna New Business (MI Preferred)	$0.76
Rate for Payer: Cash Price	$0.94
Rate for Payer: Cofinity Advantage	$0.82
Rate for Payer: Cofinity Commercial	$1.01
Rate for Payer: Encore Health Key Benefits Commercial	$0.94
Rate for Payer: Healthscope Commercial	$1.05
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$0.99
Rate for Payer: Opus (Opus Packaging Group) HMA	$0.88
Rate for Payer: PHP Commercial	$0.99
Rate for Payer: Priority Health SBD	$0.74

ASPIRIN 81 MG CHEWABLE TABLET

Facility

$174.90

Service Code	NDC 77333004920
Hospital Charge Code	679
Hospital Revenue Code	637
Min. Negotiated Rate	$68.74
Max. Negotiated Rate	$157.41
Rate for Payer: Aetna Commercial	$148.66
Rate for Payer: Aetna Medicare	$87.45
Rate for Payer: Aetna New Business (MI Preferred)	$113.69
Rate for Payer: BCBS Complete	$69.96
Rate for Payer: Cash Price	$139.92
Rate for Payer: Cofinity Advantage	$122.43
Rate for Payer: Cofinity Commercial	$150.41
Rate for Payer: Encore Health Key Benefits Commercial	$139.92
Rate for Payer: Healthscope Commercial	$157.41
Rate for Payer: MI Amish Medical Board Commercial	$139.92
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$148.66
Rate for Payer: Opus (Opus Packaging Group) HMA	$131.18
Rate for Payer: PHP Commercial	$148.66
Rate for Payer: Priority Health SBD	$110.19
Rate for Payer: UHC All Payor (Choice/PPO)	$113.69
Rate for Payer: UHC Core	$91.12
Rate for Payer: UHC Exchange	$68.74

ASPIRIN 81 MG CHEWABLE TABLET

Facility

$684.00

Service Code	NDC 00904679430
Hospital Charge Code	679
Hospital Revenue Code	637
Min. Negotiated Rate	$430.92
Max. Negotiated Rate	$615.60
Rate for Payer: Aetna Commercial	$581.40
Rate for Payer: Aetna New Business (MI Preferred)	$444.60
Rate for Payer: Cash Price	$547.20
Rate for Payer: Cofinity Advantage	$478.80
Rate for Payer: Cofinity Commercial	$588.24
Rate for Payer: Encore Health Key Benefits Commercial	$547.20
Rate for Payer: Healthscope Commercial	$615.60
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$581.40
Rate for Payer: Opus (Opus Packaging Group) HMA	$513.00
Rate for Payer: PHP Commercial	$581.40
Rate for Payer: Priority Health SBD	$430.92

ASPIRIN 81 MG CHEWABLE TABLET

Facility

$252.00

Service Code	NDC 16103036611
Hospital Charge Code	679
Hospital Revenue Code	637
Min. Negotiated Rate	$158.76
Max. Negotiated Rate	$226.80
Rate for Payer: Aetna Commercial	$214.20
Rate for Payer: Aetna New Business (MI Preferred)	$163.80
Rate for Payer: Cash Price	$201.60
Rate for Payer: Cofinity Advantage	$176.40
Rate for Payer: Cofinity Commercial	$216.72
Rate for Payer: Encore Health Key Benefits Commercial	$201.60
Rate for Payer: Healthscope Commercial	$226.80
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$214.20
Rate for Payer: Opus (Opus Packaging Group) HMA	$189.00
Rate for Payer: PHP Commercial	$214.20
Rate for Payer: Priority Health SBD	$158.76

ASPIRIN 81 MG CHEWABLE TABLET

Facility

$252.00

Service Code	NDC 16103036611
Hospital Charge Code	679
Hospital Revenue Code	637
Min. Negotiated Rate	$99.04
Max. Negotiated Rate	$226.80
Rate for Payer: Aetna Commercial	$214.20
Rate for Payer: Aetna Medicare	$126.00
Rate for Payer: Aetna New Business (MI Preferred)	$163.80
Rate for Payer: BCBS Complete	$100.80
Rate for Payer: Cash Price	$201.60
Rate for Payer: Cofinity Advantage	$176.40
Rate for Payer: Cofinity Commercial	$216.72
Rate for Payer: Encore Health Key Benefits Commercial	$201.60
Rate for Payer: Healthscope Commercial	$226.80
Rate for Payer: MI Amish Medical Board Commercial	$201.60
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$214.20
Rate for Payer: Opus (Opus Packaging Group) HMA	$189.00
Rate for Payer: PHP Commercial	$214.20
Rate for Payer: Priority Health SBD	$158.76
Rate for Payer: UHC All Payor (Choice/PPO)	$163.80
Rate for Payer: UHC Core	$131.29
Rate for Payer: UHC Exchange	$99.04

ASPIRIN 81 MG CHEWABLE TABLET

Facility

$504.00

Service Code	NDC 00904679480
Hospital Charge Code	679
Hospital Revenue Code	637
Min. Negotiated Rate	$198.07
Max. Negotiated Rate	$453.60
Rate for Payer: Aetna Commercial	$428.40
Rate for Payer: Aetna Medicare	$252.00
Rate for Payer: Aetna New Business (MI Preferred)	$327.60
Rate for Payer: BCBS Complete	$201.60
Rate for Payer: Cash Price	$403.20
Rate for Payer: Cofinity Advantage	$352.80
Rate for Payer: Cofinity Commercial	$433.44
Rate for Payer: Encore Health Key Benefits Commercial	$403.20
Rate for Payer: Healthscope Commercial	$453.60
Rate for Payer: MI Amish Medical Board Commercial	$403.20
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$428.40
Rate for Payer: Opus (Opus Packaging Group) HMA	$378.00
Rate for Payer: PHP Commercial	$428.40
Rate for Payer: Priority Health SBD	$317.52
Rate for Payer: UHC All Payor (Choice/PPO)	$327.60
Rate for Payer: UHC Core	$262.58
Rate for Payer: UHC Exchange	$198.07

ASPIRIN 81 MG CHEWABLE TABLET

Facility

$174.90

Service Code	NDC 77333004920
Hospital Charge Code	679
Hospital Revenue Code	637
Min. Negotiated Rate	$110.19
Max. Negotiated Rate	$157.41
Rate for Payer: Aetna Commercial	$148.66
Rate for Payer: Aetna New Business (MI Preferred)	$113.69
Rate for Payer: Cash Price	$139.92
Rate for Payer: Cofinity Advantage	$122.43
Rate for Payer: Cofinity Commercial	$150.41
Rate for Payer: Encore Health Key Benefits Commercial	$139.92
Rate for Payer: Healthscope Commercial	$157.41
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$148.66
Rate for Payer: Opus (Opus Packaging Group) HMA	$131.18
Rate for Payer: PHP Commercial	$148.66
Rate for Payer: Priority Health SBD	$110.19

ASPIRIN 81 MG CHEWABLE TABLET

Facility

$1.17

Service Code	NDC 77333004925
Hospital Charge Code	679
Hospital Revenue Code	637
Min. Negotiated Rate	$0.46
Max. Negotiated Rate	$1.05
Rate for Payer: Aetna Commercial	$0.99
Rate for Payer: Aetna Medicare	$0.59
Rate for Payer: Aetna New Business (MI Preferred)	$0.76
Rate for Payer: BCBS Complete	$0.47
Rate for Payer: Cash Price	$0.94
Rate for Payer: Cofinity Advantage	$0.82
Rate for Payer: Cofinity Commercial	$1.01
Rate for Payer: Encore Health Key Benefits Commercial	$0.94
Rate for Payer: Healthscope Commercial	$1.05
Rate for Payer: MI Amish Medical Board Commercial	$0.94
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$0.99
Rate for Payer: Opus (Opus Packaging Group) HMA	$0.88
Rate for Payer: PHP Commercial	$0.99
Rate for Payer: Priority Health SBD	$0.74
Rate for Payer: UHC All Payor (Choice/PPO)	$0.76
Rate for Payer: UHC Core	$0.61
Rate for Payer: UHC Exchange	$0.46

ASPIRIN-ACETAMINOPHEN-CAFFEINE 250 MG-250 MG-65 MG TABLET

Facility

$46.82

Service Code	NDC 96295012960
Hospital Charge Code	9158
Hospital Revenue Code	637
Min. Negotiated Rate	$18.40
Max. Negotiated Rate	$42.14
Rate for Payer: Aetna Commercial	$39.80
Rate for Payer: Aetna Medicare	$23.41
Rate for Payer: Aetna New Business (MI Preferred)	$30.43
Rate for Payer: BCBS Complete	$18.73
Rate for Payer: Cash Price	$37.46
Rate for Payer: Cofinity Advantage	$32.77
Rate for Payer: Cofinity Commercial	$40.27
Rate for Payer: Encore Health Key Benefits Commercial	$37.46
Rate for Payer: Healthscope Commercial	$42.14
Rate for Payer: MI Amish Medical Board Commercial	$37.46
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$39.80
Rate for Payer: Opus (Opus Packaging Group) HMA	$35.12
Rate for Payer: PHP Commercial	$39.80
Rate for Payer: Priority Health SBD	$29.50
Rate for Payer: UHC All Payor (Choice/PPO)	$30.43
Rate for Payer: UHC Core	$24.39
Rate for Payer: UHC Exchange	$18.40

ASPIRIN-ACETAMINOPHEN-CAFFEINE 250 MG-250 MG-65 MG TABLET

Facility

$4.85

Service Code	NDC 47682022864
Hospital Charge Code	9158
Hospital Revenue Code	637
Min. Negotiated Rate	$1.91
Max. Negotiated Rate	$4.37
Rate for Payer: Aetna Commercial	$4.12
Rate for Payer: Aetna Medicare	$2.42
Rate for Payer: Aetna New Business (MI Preferred)	$3.15
Rate for Payer: BCBS Complete	$1.94
Rate for Payer: Cash Price	$3.88
Rate for Payer: Cofinity Advantage	$3.40
Rate for Payer: Cofinity Commercial	$4.17
Rate for Payer: Encore Health Key Benefits Commercial	$3.88
Rate for Payer: Healthscope Commercial	$4.37
Rate for Payer: MI Amish Medical Board Commercial	$3.88
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$4.12
Rate for Payer: Opus (Opus Packaging Group) HMA	$3.64
Rate for Payer: PHP Commercial	$4.12
Rate for Payer: Priority Health SBD	$3.06
Rate for Payer: UHC All Payor (Choice/PPO)	$3.15
Rate for Payer: UHC Core	$2.53
Rate for Payer: UHC Exchange	$1.91

ASPIRIN-ACETAMINOPHEN-CAFFEINE 250 MG-250 MG-65 MG TABLET

Facility

$70.50

Service Code	NDC 00536132601
Hospital Charge Code	9158
Hospital Revenue Code	637
Min. Negotiated Rate	$44.41
Max. Negotiated Rate	$63.45
Rate for Payer: Aetna Commercial	$59.92
Rate for Payer: Aetna New Business (MI Preferred)	$45.83
Rate for Payer: Cash Price	$56.40
Rate for Payer: Cofinity Advantage	$49.35
Rate for Payer: Cofinity Commercial	$60.63
Rate for Payer: Encore Health Key Benefits Commercial	$56.40
Rate for Payer: Healthscope Commercial	$63.45
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$59.92
Rate for Payer: Opus (Opus Packaging Group) HMA	$52.88
Rate for Payer: PHP Commercial	$59.92
Rate for Payer: Priority Health SBD	$44.41

ASPIRIN-ACETAMINOPHEN-CAFFEINE 250 MG-250 MG-65 MG TABLET

Facility

$50.76

Service Code	NDC 70000014601
Hospital Charge Code	9158
Hospital Revenue Code	637
Min. Negotiated Rate	$19.95
Max. Negotiated Rate	$45.68
Rate for Payer: Aetna Commercial	$43.15
Rate for Payer: Aetna Medicare	$25.38
Rate for Payer: Aetna New Business (MI Preferred)	$32.99
Rate for Payer: BCBS Complete	$20.30
Rate for Payer: Cash Price	$40.61
Rate for Payer: Cofinity Advantage	$35.53
Rate for Payer: Cofinity Commercial	$43.65
Rate for Payer: Encore Health Key Benefits Commercial	$40.61
Rate for Payer: Healthscope Commercial	$45.68
Rate for Payer: MI Amish Medical Board Commercial	$40.61
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$43.15
Rate for Payer: Opus (Opus Packaging Group) HMA	$38.07
Rate for Payer: PHP Commercial	$43.15
Rate for Payer: Priority Health SBD	$31.98
Rate for Payer: UHC All Payor (Choice/PPO)	$32.99
Rate for Payer: UHC Core	$26.45
Rate for Payer: UHC Exchange	$19.95

ASPIRIN-ACETAMINOPHEN-CAFFEINE 250 MG-250 MG-65 MG TABLET

Facility

$46.82

Service Code	NDC 96295012960
Hospital Charge Code	9158
Hospital Revenue Code	637
Min. Negotiated Rate	$29.50
Max. Negotiated Rate	$42.14
Rate for Payer: Aetna Commercial	$39.80
Rate for Payer: Aetna New Business (MI Preferred)	$30.43
Rate for Payer: Cash Price	$37.46
Rate for Payer: Cofinity Advantage	$32.77
Rate for Payer: Cofinity Commercial	$40.27
Rate for Payer: Encore Health Key Benefits Commercial	$37.46
Rate for Payer: Healthscope Commercial	$42.14
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$39.80
Rate for Payer: Opus (Opus Packaging Group) HMA	$35.12
Rate for Payer: PHP Commercial	$39.80
Rate for Payer: Priority Health SBD	$29.50

ASPIRIN-ACETAMINOPHEN-CAFFEINE 250 MG-250 MG-65 MG TABLET

Facility

$70.50

Service Code	NDC 00536132601
Hospital Charge Code	9158
Hospital Revenue Code	637
Min. Negotiated Rate	$27.71
Max. Negotiated Rate	$63.45
Rate for Payer: Aetna Commercial	$59.92
Rate for Payer: Aetna Medicare	$35.25
Rate for Payer: Aetna New Business (MI Preferred)	$45.83
Rate for Payer: BCBS Complete	$28.20
Rate for Payer: Cash Price	$56.40
Rate for Payer: Cofinity Advantage	$49.35
Rate for Payer: Cofinity Commercial	$60.63
Rate for Payer: Encore Health Key Benefits Commercial	$56.40
Rate for Payer: Healthscope Commercial	$63.45
Rate for Payer: MI Amish Medical Board Commercial	$56.40
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$59.92
Rate for Payer: Opus (Opus Packaging Group) HMA	$52.88
Rate for Payer: PHP Commercial	$59.92
Rate for Payer: Priority Health SBD	$44.41
Rate for Payer: UHC All Payor (Choice/PPO)	$45.83
Rate for Payer: UHC Core	$36.73
Rate for Payer: UHC Exchange	$27.71

ASPIRIN-ACETAMINOPHEN-CAFFEINE 250 MG-250 MG-65 MG TABLET

Facility

$4.85

Service Code	NDC 47682022864
Hospital Charge Code	9158
Hospital Revenue Code	637
Min. Negotiated Rate	$3.06
Max. Negotiated Rate	$4.37
Rate for Payer: Aetna Commercial	$4.12
Rate for Payer: Aetna New Business (MI Preferred)	$3.15
Rate for Payer: Cash Price	$3.88
Rate for Payer: Cofinity Advantage	$3.40
Rate for Payer: Cofinity Commercial	$4.17
Rate for Payer: Encore Health Key Benefits Commercial	$3.88
Rate for Payer: Healthscope Commercial	$4.37
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$4.12
Rate for Payer: Opus (Opus Packaging Group) HMA	$3.64
Rate for Payer: PHP Commercial	$4.12
Rate for Payer: Priority Health SBD	$3.06

ASPIRIN-ACETAMINOPHEN-CAFFEINE 250 MG-250 MG-65 MG TABLET

Facility

$50.76

Service Code	NDC 70000014601
Hospital Charge Code	9158
Hospital Revenue Code	637
Min. Negotiated Rate	$31.98
Max. Negotiated Rate	$45.68
Rate for Payer: Aetna Commercial	$43.15
Rate for Payer: Aetna New Business (MI Preferred)	$32.99
Rate for Payer: Cash Price	$40.61
Rate for Payer: Cofinity Advantage	$35.53
Rate for Payer: Cofinity Commercial	$43.65
Rate for Payer: Encore Health Key Benefits Commercial	$40.61
Rate for Payer: Healthscope Commercial	$45.68
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$43.15
Rate for Payer: Opus (Opus Packaging Group) HMA	$38.07
Rate for Payer: PHP Commercial	$43.15
Rate for Payer: Priority Health SBD	$31.98

ASTHMA

Facility

$3,127.35

Service Code	APR-DRG 1411
Min. Negotiated Rate	$2,978.43
Max. Negotiated Rate	$3,127.35
Rate for Payer: BCBS Complete	$3,127.35
Rate for Payer: Mclaren Medicaid	$2,978.43
Rate for Payer: Meridian Medicaid	$3,127.35
Rate for Payer: Priority Health Choice Medicaid	$2,978.43
Rate for Payer: UHC Medicaid	$2,978.43
Rate for Payer: UHCCP Medicaid	$2,978.43

ASTHMA

Facility

$4,099.67

Service Code	APR-DRG 1412
Min. Negotiated Rate	$3,904.45
Max. Negotiated Rate	$4,099.67
Rate for Payer: BCBS Complete	$4,099.67
Rate for Payer: Mclaren Medicaid	$3,904.45
Rate for Payer: Meridian Medicaid	$4,099.67
Rate for Payer: Priority Health Choice Medicaid	$3,904.45
Rate for Payer: UHC Medicaid	$3,904.45
Rate for Payer: UHCCP Medicaid	$3,904.45

ASTHMA

Facility

$11,240.69

Service Code	APR-DRG 1414
Min. Negotiated Rate	$10,705.42
Max. Negotiated Rate	$11,240.69
Rate for Payer: BCBS Complete	$11,240.69
Rate for Payer: Mclaren Medicaid	$10,705.42
Rate for Payer: Meridian Medicaid	$11,240.69
Rate for Payer: Priority Health Choice Medicaid	$10,705.42
Rate for Payer: UHC Medicaid	$10,705.42
Rate for Payer: UHCCP Medicaid	$10,705.42

ASTHMA

Facility

$5,730.71

Service Code	APR-DRG 1413
Min. Negotiated Rate	$5,457.82
Max. Negotiated Rate	$5,730.71
Rate for Payer: BCBS Complete	$5,730.71
Rate for Payer: Mclaren Medicaid	$5,457.82
Rate for Payer: Meridian Medicaid	$5,730.71
Rate for Payer: Priority Health Choice Medicaid	$5,457.82
Rate for Payer: UHC Medicaid	$5,457.82
Rate for Payer: UHCCP Medicaid	$5,457.82

ATENOLOL 25 MG TABLET

Facility

$705.00

Service Code	NDC 00093078710
Hospital Charge Code	717
Hospital Revenue Code	637
Min. Negotiated Rate	$444.15
Max. Negotiated Rate	$634.50
Rate for Payer: Aetna Commercial	$599.25
Rate for Payer: Aetna New Business (MI Preferred)	$458.25
Rate for Payer: Cash Price	$564.00
Rate for Payer: Cofinity Advantage	$493.50
Rate for Payer: Cofinity Commercial	$606.30
Rate for Payer: Encore Health Key Benefits Commercial	$564.00
Rate for Payer: Healthscope Commercial	$634.50
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$599.25
Rate for Payer: Opus (Opus Packaging Group) HMA	$528.75
Rate for Payer: PHP Commercial	$599.25
Rate for Payer: Priority Health SBD	$444.15

ATENOLOL 25 MG TABLET

Facility

$75.20

Service Code	NDC 00093078701
Hospital Charge Code	717
Hospital Revenue Code	637
Min. Negotiated Rate	$29.55
Max. Negotiated Rate	$67.68
Rate for Payer: Aetna Commercial	$63.92
Rate for Payer: Aetna Medicare	$37.60
Rate for Payer: Aetna New Business (MI Preferred)	$48.88
Rate for Payer: BCBS Complete	$30.08
Rate for Payer: Cash Price	$60.16
Rate for Payer: Cofinity Advantage	$52.64
Rate for Payer: Cofinity Commercial	$64.67
Rate for Payer: Encore Health Key Benefits Commercial	$60.16
Rate for Payer: Healthscope Commercial	$67.68
Rate for Payer: MI Amish Medical Board Commercial	$60.16
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$63.92
Rate for Payer: Opus (Opus Packaging Group) HMA	$56.40
Rate for Payer: PHP Commercial	$63.92
Rate for Payer: Priority Health SBD	$47.38
Rate for Payer: UHC All Payor (Choice/PPO)	$48.88
Rate for Payer: UHC Core	$39.18
Rate for Payer: UHC Exchange	$29.55

ATENOLOL 25 MG TABLET

Facility

$75.20

Service Code	NDC 00093078701
Hospital Charge Code	717
Hospital Revenue Code	637
Min. Negotiated Rate	$47.38
Max. Negotiated Rate	$67.68
Rate for Payer: Aetna Commercial	$63.92
Rate for Payer: Aetna New Business (MI Preferred)	$48.88
Rate for Payer: Cash Price	$60.16
Rate for Payer: Cofinity Advantage	$52.64
Rate for Payer: Cofinity Commercial	$64.67
Rate for Payer: Encore Health Key Benefits Commercial	$60.16
Rate for Payer: Healthscope Commercial	$67.68
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$63.92
Rate for Payer: Opus (Opus Packaging Group) HMA	$56.40
Rate for Payer: PHP Commercial	$63.92
Rate for Payer: Priority Health SBD	$47.38

Know your out-of-pocket cost for care.

All Charges