Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

HC COLD AGGLUTININS

Facility

$61.51

Service Code	CPT 86156
Hospital Charge Code	30200149
Hospital Revenue Code	302
Min. Negotiated Rate	$38.75
Max. Negotiated Rate	$55.36
Rate for Payer: Aetna Commercial	$52.28
Rate for Payer: Aetna New Business (MI Preferred)	$39.98
Rate for Payer: Cash Price	$49.21
Rate for Payer: Cofinity Commercial	$43.06
Rate for Payer: Cofinity Commercial	$52.90
Rate for Payer: Cofinity Medicare Advantage	$43.06
Rate for Payer: Encore Health Key Benefits Commercial	$49.21
Rate for Payer: Healthscope Commercial	$55.36
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$52.28
Rate for Payer: PHP Commercial	$52.28
Rate for Payer: Priority Health Cigna Priority Health	$39.98
Rate for Payer: Priority Health SBD	$38.75

HC COLD SNARE POLYPECTOMY

Facility

$545.16

Hospital Charge Code	36000018
Hospital Revenue Code	360
Min. Negotiated Rate	$343.45
Max. Negotiated Rate	$490.64
Rate for Payer: Aetna Commercial	$463.39
Rate for Payer: Aetna New Business (MI Preferred)	$354.35
Rate for Payer: Cash Price	$436.13
Rate for Payer: Cofinity Commercial	$381.61
Rate for Payer: Cofinity Commercial	$468.84
Rate for Payer: Cofinity Medicare Advantage	$381.61
Rate for Payer: Encore Health Key Benefits Commercial	$436.13
Rate for Payer: Healthscope Commercial	$490.64
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$463.39
Rate for Payer: PHP Commercial	$463.39
Rate for Payer: Priority Health Cigna Priority Health	$354.35
Rate for Payer: Priority Health SBD	$343.45

HC COLD SNARE POLYPECTOMY

Facility

$545.16

Hospital Charge Code	36000018
Hospital Revenue Code	360
Min. Negotiated Rate	$218.06
Max. Negotiated Rate	$490.64
Rate for Payer: Aetna Commercial	$463.39
Rate for Payer: Aetna Medicare	$272.58
Rate for Payer: Aetna New Business (MI Preferred)	$354.35
Rate for Payer: BCBS Complete	$218.06
Rate for Payer: Cash Price	$436.13
Rate for Payer: Cofinity Commercial	$381.61
Rate for Payer: Cofinity Commercial	$468.84
Rate for Payer: Cofinity Medicare Advantage	$381.61
Rate for Payer: Encore Health Key Benefits Commercial	$436.13
Rate for Payer: Healthscope Commercial	$490.64
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$463.39
Rate for Payer: PHP Commercial	$463.39
Rate for Payer: Priority Health Cigna Priority Health	$354.35
Rate for Payer: Priority Health SBD	$343.45

HC COLLAGEN IMPLANT

Facility

$1,880.98

Service Code	HCPCS L8603
Hospital Charge Code	27800005
Hospital Revenue Code	278
Min. Negotiated Rate	$752.39
Max. Negotiated Rate	$1,692.88
Rate for Payer: Aetna Commercial	$1,598.83
Rate for Payer: Aetna Medicare	$940.49
Rate for Payer: Aetna New Business (MI Preferred)	$1,222.64
Rate for Payer: BCBS Complete	$752.39
Rate for Payer: Cash Price	$1,504.78
Rate for Payer: Cofinity Commercial	$1,316.69
Rate for Payer: Cofinity Commercial	$1,617.64
Rate for Payer: Cofinity Medicare Advantage	$1,316.69
Rate for Payer: Encore Health Key Benefits Commercial	$1,504.78
Rate for Payer: Healthscope Commercial	$1,692.88
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,598.83
Rate for Payer: PHP Commercial	$1,598.83
Rate for Payer: Priority Health Cigna Priority Health	$1,222.64
Rate for Payer: Priority Health SBD	$1,185.02

HC COLLAGEN IMPLANT

Facility

$1,880.98

Service Code	HCPCS L8603
Hospital Charge Code	27800005
Hospital Revenue Code	278
Min. Negotiated Rate	$1,185.02
Max. Negotiated Rate	$1,692.88
Rate for Payer: Aetna Commercial	$1,598.83
Rate for Payer: Aetna New Business (MI Preferred)	$1,222.64
Rate for Payer: Cash Price	$1,504.78
Rate for Payer: Cofinity Commercial	$1,316.69
Rate for Payer: Cofinity Commercial	$1,617.64
Rate for Payer: Cofinity Medicare Advantage	$1,316.69
Rate for Payer: Encore Health Key Benefits Commercial	$1,504.78
Rate for Payer: Healthscope Commercial	$1,692.88
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,598.83
Rate for Payer: PHP Commercial	$1,598.83
Rate for Payer: Priority Health Cigna Priority Health	$1,222.64
Rate for Payer: Priority Health SBD	$1,185.02

HC COLL CAPILLARY BLOOD SPECIMEN

Facility

$8.74

Service Code	CPT 36416
Hospital Charge Code	30000077
Hospital Revenue Code	300
Min. Negotiated Rate	$3.50
Max. Negotiated Rate	$7.87
Rate for Payer: Aetna Commercial	$7.43
Rate for Payer: Aetna Medicare	$4.37
Rate for Payer: Aetna New Business (MI Preferred)	$5.68
Rate for Payer: BCBS Complete	$3.50
Rate for Payer: Cash Price	$6.99
Rate for Payer: Cofinity Commercial	$6.12
Rate for Payer: Cofinity Commercial	$7.52
Rate for Payer: Cofinity Medicare Advantage	$6.12
Rate for Payer: Encore Health Key Benefits Commercial	$6.99
Rate for Payer: Healthscope Commercial	$7.87
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$7.43
Rate for Payer: PHP Commercial	$7.43
Rate for Payer: Priority Health Cigna Priority Health	$5.68
Rate for Payer: Priority Health SBD	$5.51

HC COLL CAPILLARY BLOOD SPECIMEN

Facility

$8.74

Service Code	CPT 36416
Hospital Charge Code	30000077
Hospital Revenue Code	300
Min. Negotiated Rate	$5.51
Max. Negotiated Rate	$7.87
Rate for Payer: Aetna Commercial	$7.43
Rate for Payer: Aetna New Business (MI Preferred)	$5.68
Rate for Payer: Cash Price	$6.99
Rate for Payer: Cofinity Commercial	$6.12
Rate for Payer: Cofinity Commercial	$7.52
Rate for Payer: Cofinity Medicare Advantage	$6.12
Rate for Payer: Encore Health Key Benefits Commercial	$6.99
Rate for Payer: Healthscope Commercial	$7.87
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$7.43
Rate for Payer: PHP Commercial	$7.43
Rate for Payer: Priority Health Cigna Priority Health	$5.68
Rate for Payer: Priority Health SBD	$5.51

HC COLLECT CAPILLARY BLOOD SPECIMEN

Facility

$8.74

Service Code	CPT 36416
Hospital Charge Code	30000175
Hospital Revenue Code	300
Min. Negotiated Rate	$5.51
Max. Negotiated Rate	$7.87
Rate for Payer: Aetna Commercial	$7.43
Rate for Payer: Aetna New Business (MI Preferred)	$5.68
Rate for Payer: Cash Price	$6.99
Rate for Payer: Cofinity Commercial	$6.12
Rate for Payer: Cofinity Commercial	$7.52
Rate for Payer: Cofinity Medicare Advantage	$6.12
Rate for Payer: Encore Health Key Benefits Commercial	$6.99
Rate for Payer: Healthscope Commercial	$7.87
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$7.43
Rate for Payer: PHP Commercial	$7.43
Rate for Payer: Priority Health Cigna Priority Health	$5.68
Rate for Payer: Priority Health SBD	$5.51

HC COLLECT CAPILLARY BLOOD SPECIMEN

Facility

$8.74

Service Code	CPT 36416
Hospital Charge Code	30000175
Hospital Revenue Code	300
Min. Negotiated Rate	$3.50
Max. Negotiated Rate	$7.87
Rate for Payer: Aetna Commercial	$7.43
Rate for Payer: Aetna Medicare	$4.37
Rate for Payer: Aetna New Business (MI Preferred)	$5.68
Rate for Payer: BCBS Complete	$3.50
Rate for Payer: Cash Price	$6.99
Rate for Payer: Cofinity Commercial	$6.12
Rate for Payer: Cofinity Commercial	$7.52
Rate for Payer: Cofinity Medicare Advantage	$6.12
Rate for Payer: Encore Health Key Benefits Commercial	$6.99
Rate for Payer: Healthscope Commercial	$7.87
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$7.43
Rate for Payer: PHP Commercial	$7.43
Rate for Payer: Priority Health Cigna Priority Health	$5.68
Rate for Payer: Priority Health SBD	$5.51

HC COLON DECOMPRESSION

Facility

$2,402.54

Hospital Charge Code	36000019
Hospital Revenue Code	360
Min. Negotiated Rate	$961.02
Max. Negotiated Rate	$2,162.29
Rate for Payer: Aetna Commercial	$2,042.16
Rate for Payer: Aetna Medicare	$1,201.27
Rate for Payer: Aetna New Business (MI Preferred)	$1,561.65
Rate for Payer: BCBS Complete	$961.02
Rate for Payer: Cash Price	$1,922.03
Rate for Payer: Cofinity Commercial	$1,681.78
Rate for Payer: Cofinity Commercial	$2,066.18
Rate for Payer: Cofinity Medicare Advantage	$1,681.78
Rate for Payer: Encore Health Key Benefits Commercial	$1,922.03
Rate for Payer: Healthscope Commercial	$2,162.29
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$2,042.16
Rate for Payer: PHP Commercial	$2,042.16
Rate for Payer: Priority Health Cigna Priority Health	$1,561.65
Rate for Payer: Priority Health SBD	$1,513.60

HC COLON DECOMPRESSION

Facility

$2,402.54

Hospital Charge Code	36000019
Hospital Revenue Code	360
Min. Negotiated Rate	$1,513.60
Max. Negotiated Rate	$2,162.29
Rate for Payer: Aetna Commercial	$2,042.16
Rate for Payer: Aetna New Business (MI Preferred)	$1,561.65
Rate for Payer: Cash Price	$1,922.03
Rate for Payer: Cofinity Commercial	$1,681.78
Rate for Payer: Cofinity Commercial	$2,066.18
Rate for Payer: Cofinity Medicare Advantage	$1,681.78
Rate for Payer: Encore Health Key Benefits Commercial	$1,922.03
Rate for Payer: Healthscope Commercial	$2,162.29
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$2,042.16
Rate for Payer: PHP Commercial	$2,042.16
Rate for Payer: Priority Health Cigna Priority Health	$1,561.65
Rate for Payer: Priority Health SBD	$1,513.60

HC COLON MOTILITY STUDY 6 HRS CONT RECORDING

Facility

$366.59

Service Code	CPT 91117
Hospital Charge Code	75000011
Hospital Revenue Code	750
Min. Negotiated Rate	$230.95
Max. Negotiated Rate	$329.93
Rate for Payer: Aetna Commercial	$311.60
Rate for Payer: Aetna New Business (MI Preferred)	$238.28
Rate for Payer: Cash Price	$293.27
Rate for Payer: Cofinity Commercial	$256.61
Rate for Payer: Cofinity Commercial	$315.27
Rate for Payer: Cofinity Medicare Advantage	$256.61
Rate for Payer: Encore Health Key Benefits Commercial	$293.27
Rate for Payer: Healthscope Commercial	$329.93
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$311.60
Rate for Payer: PHP Commercial	$311.60
Rate for Payer: Priority Health Cigna Priority Health	$238.28
Rate for Payer: Priority Health SBD	$230.95

HC COLON MOTILITY STUDY 6 HRS CONT RECORDING

Facility

$366.59

Service Code	CPT 91117
Hospital Charge Code	75000011
Hospital Revenue Code	750
Min. Negotiated Rate	$162.78
Max. Negotiated Rate	$854.89
Rate for Payer: Aetna Commercial	$311.60
Rate for Payer: Aetna Medicare	$315.85
Rate for Payer: Aetna New Business (MI Preferred)	$238.28
Rate for Payer: Allen County Amish Medical Aid Commercial	$379.62
Rate for Payer: Amish Plain Church Group Commercial	$379.62
Rate for Payer: BCBS Complete	$170.92
Rate for Payer: BCBS MAPPO	$303.70
Rate for Payer: BCN Medicare Advantage	$303.70
Rate for Payer: Cash Price	$293.27
Rate for Payer: Cash Price	$293.27
Rate for Payer: Cofinity Commercial	$315.27
Rate for Payer: Cofinity Commercial	$256.61
Rate for Payer: Cofinity Medicare Advantage	$256.61
Rate for Payer: Encore Health Key Benefits Commercial	$293.27
Rate for Payer: Health Alliance Plan Medicare Advantage	$303.70
Rate for Payer: Healthscope Commercial	$329.93
Rate for Payer: Mclaren Medicaid	$162.78
Rate for Payer: Mclaren Medicare	$303.70
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$318.88
Rate for Payer: Meridian Medicaid	$170.92
Rate for Payer: MI Amish Medical Board Commercial	$349.25
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$311.60
Rate for Payer: PACE Medicare	$288.51
Rate for Payer: PACE SWMI	$303.70
Rate for Payer: PHP Commercial	$311.60
Rate for Payer: PHP Medicare Advantage	$303.70
Rate for Payer: Priority Health Choice Medicaid	$162.78
Rate for Payer: Priority Health Cigna Priority Health	$238.28
Rate for Payer: Priority Health Medicare	$303.70
Rate for Payer: Priority Health SBD	$230.95
Rate for Payer: Railroad Medicare Medicare	$303.70
Rate for Payer: UHC All Payor (Choice/PPO)	$854.89
Rate for Payer: UHC Dual Complete DSNP	$303.70
Rate for Payer: UHC Medicare Advantage	$303.70
Rate for Payer: UHCCP Medicaid	$170.98
Rate for Payer: VA VA	$303.70

HC COLONOSCOPY

Facility

$2,611.70

Hospital Charge Code	36000020
Hospital Revenue Code	360
Min. Negotiated Rate	$1,044.68
Max. Negotiated Rate	$2,350.53
Rate for Payer: Aetna Commercial	$2,219.95
Rate for Payer: Aetna Medicare	$1,305.85
Rate for Payer: Aetna New Business (MI Preferred)	$1,697.61
Rate for Payer: BCBS Complete	$1,044.68
Rate for Payer: Cash Price	$2,089.36
Rate for Payer: Cofinity Commercial	$1,828.19
Rate for Payer: Cofinity Commercial	$2,246.06
Rate for Payer: Cofinity Medicare Advantage	$1,828.19
Rate for Payer: Encore Health Key Benefits Commercial	$2,089.36
Rate for Payer: Healthscope Commercial	$2,350.53
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$2,219.95
Rate for Payer: PHP Commercial	$2,219.95
Rate for Payer: Priority Health Cigna Priority Health	$1,697.61
Rate for Payer: Priority Health SBD	$1,645.37

HC COLONOSCOPY

Facility

$2,611.70

Hospital Charge Code	36000020
Hospital Revenue Code	360
Min. Negotiated Rate	$1,645.37
Max. Negotiated Rate	$2,350.53
Rate for Payer: Aetna Commercial	$2,219.95
Rate for Payer: Aetna New Business (MI Preferred)	$1,697.61
Rate for Payer: Cash Price	$2,089.36
Rate for Payer: Cofinity Commercial	$1,828.19
Rate for Payer: Cofinity Commercial	$2,246.06
Rate for Payer: Cofinity Medicare Advantage	$1,828.19
Rate for Payer: Encore Health Key Benefits Commercial	$2,089.36
Rate for Payer: Healthscope Commercial	$2,350.53
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$2,219.95
Rate for Payer: PHP Commercial	$2,219.95
Rate for Payer: Priority Health Cigna Priority Health	$1,697.61
Rate for Payer: Priority Health SBD	$1,645.37

HC COLONOSCOPY W EUS EXAM

Facility

$2,800.06

Hospital Charge Code	36000022
Hospital Revenue Code	360
Min. Negotiated Rate	$1,120.02
Max. Negotiated Rate	$2,520.05
Rate for Payer: Aetna Commercial	$2,380.05
Rate for Payer: Aetna Medicare	$1,400.03
Rate for Payer: Aetna New Business (MI Preferred)	$1,820.04
Rate for Payer: BCBS Complete	$1,120.02
Rate for Payer: Cash Price	$2,240.05
Rate for Payer: Cofinity Commercial	$1,960.04
Rate for Payer: Cofinity Commercial	$2,408.05
Rate for Payer: Cofinity Medicare Advantage	$1,960.04
Rate for Payer: Encore Health Key Benefits Commercial	$2,240.05
Rate for Payer: Healthscope Commercial	$2,520.05
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$2,380.05
Rate for Payer: PHP Commercial	$2,380.05
Rate for Payer: Priority Health Cigna Priority Health	$1,820.04
Rate for Payer: Priority Health SBD	$1,764.04

HC COLONOSCOPY W EUS EXAM

Facility

$2,800.06

Hospital Charge Code	36000022
Hospital Revenue Code	360
Min. Negotiated Rate	$1,764.04
Max. Negotiated Rate	$2,520.05
Rate for Payer: Aetna Commercial	$2,380.05
Rate for Payer: Aetna New Business (MI Preferred)	$1,820.04
Rate for Payer: Cash Price	$2,240.05
Rate for Payer: Cofinity Commercial	$1,960.04
Rate for Payer: Cofinity Commercial	$2,408.05
Rate for Payer: Cofinity Medicare Advantage	$1,960.04
Rate for Payer: Encore Health Key Benefits Commercial	$2,240.05
Rate for Payer: Healthscope Commercial	$2,520.05
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$2,380.05
Rate for Payer: PHP Commercial	$2,380.05
Rate for Payer: Priority Health Cigna Priority Health	$1,820.04
Rate for Payer: Priority Health SBD	$1,764.04

HC COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX

Facility

$6,969.54

Service Code	CPT 57461
Hospital Charge Code	76100328
Hospital Revenue Code	761
Min. Negotiated Rate	$4,390.81
Max. Negotiated Rate	$6,272.59
Rate for Payer: Aetna Commercial	$5,924.11
Rate for Payer: Aetna New Business (MI Preferred)	$4,530.20
Rate for Payer: Cash Price	$5,575.63
Rate for Payer: Cofinity Commercial	$4,878.68
Rate for Payer: Cofinity Commercial	$5,993.80
Rate for Payer: Cofinity Medicare Advantage	$4,878.68
Rate for Payer: Encore Health Key Benefits Commercial	$5,575.63
Rate for Payer: Healthscope Commercial	$6,272.59
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$5,924.11
Rate for Payer: PHP Commercial	$5,924.11
Rate for Payer: Priority Health Cigna Priority Health	$4,530.20
Rate for Payer: Priority Health SBD	$4,390.81

HC COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX

Facility

$6,969.54

Service Code	CPT 57461
Hospital Charge Code	76100328
Hospital Revenue Code	761
Min. Negotiated Rate	$1,662.10
Max. Negotiated Rate	$8,728.81
Rate for Payer: Aetna Commercial	$5,924.11
Rate for Payer: Aetna Medicare	$3,224.97
Rate for Payer: Aetna New Business (MI Preferred)	$4,530.20
Rate for Payer: Allen County Amish Medical Aid Commercial	$3,876.16
Rate for Payer: Amish Plain Church Group Commercial	$3,876.16
Rate for Payer: BCBS Complete	$1,745.20
Rate for Payer: BCBS MAPPO	$3,100.93
Rate for Payer: BCN Medicare Advantage	$3,100.93
Rate for Payer: Cash Price	$5,575.63
Rate for Payer: Cash Price	$5,575.63
Rate for Payer: Cofinity Commercial	$5,993.80
Rate for Payer: Cofinity Commercial	$4,878.68
Rate for Payer: Cofinity Medicare Advantage	$4,878.68
Rate for Payer: Encore Health Key Benefits Commercial	$5,575.63
Rate for Payer: Health Alliance Plan Medicare Advantage	$3,100.93
Rate for Payer: Healthscope Commercial	$6,272.59
Rate for Payer: Mclaren Medicaid	$1,662.10
Rate for Payer: Mclaren Medicare	$3,100.93
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$3,255.98
Rate for Payer: Meridian Medicaid	$1,745.20
Rate for Payer: MI Amish Medical Board Commercial	$3,566.07
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$5,924.11
Rate for Payer: PACE Medicare	$2,945.88
Rate for Payer: PACE SWMI	$3,100.93
Rate for Payer: PHP Commercial	$5,924.11
Rate for Payer: PHP Medicare Advantage	$3,100.93
Rate for Payer: Priority Health Choice Medicaid	$1,662.10
Rate for Payer: Priority Health Cigna Priority Health	$4,530.20
Rate for Payer: Priority Health Medicare	$3,100.93
Rate for Payer: Priority Health SBD	$4,390.81
Rate for Payer: Railroad Medicare Medicare	$3,100.93
Rate for Payer: UHC All Payor (Choice/PPO)	$8,728.81
Rate for Payer: UHC Dual Complete DSNP	$3,100.93
Rate for Payer: UHC Medicare Advantage	$3,100.93
Rate for Payer: UHCCP Medicaid	$1,745.82
Rate for Payer: VA VA	$3,100.93

HC COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX

Facility

$8,109.00

Service Code	CPT 57460
Hospital Charge Code	76100395
Hospital Revenue Code	761
Min. Negotiated Rate	$5,108.67
Max. Negotiated Rate	$7,298.10
Rate for Payer: Aetna Commercial	$6,892.65
Rate for Payer: Aetna New Business (MI Preferred)	$5,270.85
Rate for Payer: Cash Price	$6,487.20
Rate for Payer: Cofinity Commercial	$5,676.30
Rate for Payer: Cofinity Commercial	$6,973.74
Rate for Payer: Cofinity Medicare Advantage	$5,676.30
Rate for Payer: Encore Health Key Benefits Commercial	$6,487.20
Rate for Payer: Healthscope Commercial	$7,298.10
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$6,892.65
Rate for Payer: PHP Commercial	$6,892.65
Rate for Payer: Priority Health Cigna Priority Health	$5,270.85
Rate for Payer: Priority Health SBD	$5,108.67

HC COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX

Facility

$8,109.00

Service Code	CPT 57460
Hospital Charge Code	76100395
Hospital Revenue Code	761
Min. Negotiated Rate	$1,662.10
Max. Negotiated Rate	$8,728.81
Rate for Payer: Aetna Commercial	$6,892.65
Rate for Payer: Aetna Medicare	$3,224.97
Rate for Payer: Aetna New Business (MI Preferred)	$5,270.85
Rate for Payer: Allen County Amish Medical Aid Commercial	$3,876.16
Rate for Payer: Amish Plain Church Group Commercial	$3,876.16
Rate for Payer: BCBS Complete	$1,745.20
Rate for Payer: BCBS MAPPO	$3,100.93
Rate for Payer: BCN Medicare Advantage	$3,100.93
Rate for Payer: Cash Price	$6,487.20
Rate for Payer: Cash Price	$6,487.20
Rate for Payer: Cofinity Commercial	$6,973.74
Rate for Payer: Cofinity Commercial	$5,676.30
Rate for Payer: Cofinity Medicare Advantage	$5,676.30
Rate for Payer: Encore Health Key Benefits Commercial	$6,487.20
Rate for Payer: Health Alliance Plan Medicare Advantage	$3,100.93
Rate for Payer: Healthscope Commercial	$7,298.10
Rate for Payer: Mclaren Medicaid	$1,662.10
Rate for Payer: Mclaren Medicare	$3,100.93
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$3,255.98
Rate for Payer: Meridian Medicaid	$1,745.20
Rate for Payer: MI Amish Medical Board Commercial	$3,566.07
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$6,892.65
Rate for Payer: PACE Medicare	$2,945.88
Rate for Payer: PACE SWMI	$3,100.93
Rate for Payer: PHP Commercial	$6,892.65
Rate for Payer: PHP Medicare Advantage	$3,100.93
Rate for Payer: Priority Health Choice Medicaid	$1,662.10
Rate for Payer: Priority Health Cigna Priority Health	$5,270.85
Rate for Payer: Priority Health Medicare	$3,100.93
Rate for Payer: Priority Health SBD	$5,108.67
Rate for Payer: Railroad Medicare Medicare	$3,100.93
Rate for Payer: UHC All Payor (Choice/PPO)	$8,728.81
Rate for Payer: UHC Dual Complete DSNP	$3,100.93
Rate for Payer: UHC Medicare Advantage	$3,100.93
Rate for Payer: UHCCP Medicaid	$1,745.82
Rate for Payer: VA VA	$3,100.93

HC COLPOSCOPY CERVIX W ADJ VAGINA

Facility

$285.07

Service Code	CPT 57452
Hospital Charge Code	76100204
Hospital Revenue Code	761
Min. Negotiated Rate	$179.59
Max. Negotiated Rate	$256.56
Rate for Payer: Aetna Commercial	$242.31
Rate for Payer: Aetna New Business (MI Preferred)	$185.30
Rate for Payer: Cash Price	$228.06
Rate for Payer: Cofinity Commercial	$199.55
Rate for Payer: Cofinity Commercial	$245.16
Rate for Payer: Cofinity Medicare Advantage	$199.55
Rate for Payer: Encore Health Key Benefits Commercial	$228.06
Rate for Payer: Healthscope Commercial	$256.56
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$242.31
Rate for Payer: PHP Commercial	$242.31
Rate for Payer: Priority Health Cigna Priority Health	$185.30
Rate for Payer: Priority Health SBD	$179.59

HC COLPOSCOPY CERVIX W ADJ VAGINA

Facility

$285.07

Service Code	CPT 57452
Hospital Charge Code	76100204
Hospital Revenue Code	761
Min. Negotiated Rate	$105.16
Max. Negotiated Rate	$552.28
Rate for Payer: Aetna Commercial	$242.31
Rate for Payer: Aetna Medicare	$204.05
Rate for Payer: Aetna New Business (MI Preferred)	$185.30
Rate for Payer: Allen County Amish Medical Aid Commercial	$245.25
Rate for Payer: Amish Plain Church Group Commercial	$245.25
Rate for Payer: BCBS Complete	$110.42
Rate for Payer: BCBS MAPPO	$196.20
Rate for Payer: BCN Medicare Advantage	$196.20
Rate for Payer: Cash Price	$228.06
Rate for Payer: Cash Price	$228.06
Rate for Payer: Cofinity Commercial	$245.16
Rate for Payer: Cofinity Commercial	$199.55
Rate for Payer: Cofinity Medicare Advantage	$199.55
Rate for Payer: Encore Health Key Benefits Commercial	$228.06
Rate for Payer: Health Alliance Plan Medicare Advantage	$196.20
Rate for Payer: Healthscope Commercial	$256.56
Rate for Payer: Mclaren Medicaid	$105.16
Rate for Payer: Mclaren Medicare	$196.20
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$206.01
Rate for Payer: Meridian Medicaid	$110.42
Rate for Payer: MI Amish Medical Board Commercial	$225.63
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$242.31
Rate for Payer: PACE Medicare	$186.39
Rate for Payer: PACE SWMI	$196.20
Rate for Payer: PHP Commercial	$242.31
Rate for Payer: PHP Medicare Advantage	$196.20
Rate for Payer: Priority Health Choice Medicaid	$105.16
Rate for Payer: Priority Health Cigna Priority Health	$185.30
Rate for Payer: Priority Health Medicare	$196.20
Rate for Payer: Priority Health SBD	$179.59
Rate for Payer: Railroad Medicare Medicare	$196.20
Rate for Payer: UHC All Payor (Choice/PPO)	$552.28
Rate for Payer: UHC Dual Complete DSNP	$196.20
Rate for Payer: UHC Medicare Advantage	$196.20
Rate for Payer: UHCCP Medicaid	$110.46
Rate for Payer: VA VA	$196.20

HC COLPOSCOPY CERVIX W ADJ VAGINA CURETTAGE

Facility

$426.04

Service Code	CPT 57456
Hospital Charge Code	76100206
Hospital Revenue Code	761
Min. Negotiated Rate	$159.02
Max. Negotiated Rate	$835.10
Rate for Payer: Aetna Commercial	$362.13
Rate for Payer: Aetna Medicare	$308.54
Rate for Payer: Aetna New Business (MI Preferred)	$276.93
Rate for Payer: Allen County Amish Medical Aid Commercial	$370.84
Rate for Payer: Amish Plain Church Group Commercial	$370.84
Rate for Payer: BCBS Complete	$166.97
Rate for Payer: BCBS MAPPO	$296.67
Rate for Payer: BCN Medicare Advantage	$296.67
Rate for Payer: Cash Price	$340.83
Rate for Payer: Cash Price	$340.83
Rate for Payer: Cofinity Commercial	$366.39
Rate for Payer: Cofinity Commercial	$298.23
Rate for Payer: Cofinity Medicare Advantage	$298.23
Rate for Payer: Encore Health Key Benefits Commercial	$340.83
Rate for Payer: Health Alliance Plan Medicare Advantage	$296.67
Rate for Payer: Healthscope Commercial	$383.44
Rate for Payer: Mclaren Medicaid	$159.02
Rate for Payer: Mclaren Medicare	$296.67
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$311.50
Rate for Payer: Meridian Medicaid	$166.97
Rate for Payer: MI Amish Medical Board Commercial	$341.17
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$362.13
Rate for Payer: PACE Medicare	$281.84
Rate for Payer: PACE SWMI	$296.67
Rate for Payer: PHP Commercial	$362.13
Rate for Payer: PHP Medicare Advantage	$296.67
Rate for Payer: Priority Health Choice Medicaid	$159.02
Rate for Payer: Priority Health Cigna Priority Health	$276.93
Rate for Payer: Priority Health Medicare	$296.67
Rate for Payer: Priority Health SBD	$268.41
Rate for Payer: Railroad Medicare Medicare	$296.67
Rate for Payer: UHC All Payor (Choice/PPO)	$835.10
Rate for Payer: UHC Dual Complete DSNP	$296.67
Rate for Payer: UHC Medicare Advantage	$296.67
Rate for Payer: UHCCP Medicaid	$167.03
Rate for Payer: VA VA	$296.67

HC COLPOSCOPY CERVIX W ADJ VAGINA CURETTAGE

Facility

$426.04

Service Code	CPT 57456
Hospital Charge Code	76100206
Hospital Revenue Code	761
Min. Negotiated Rate	$268.41
Max. Negotiated Rate	$383.44
Rate for Payer: Aetna Commercial	$362.13
Rate for Payer: Aetna New Business (MI Preferred)	$276.93
Rate for Payer: Cash Price	$340.83
Rate for Payer: Cofinity Commercial	$298.23
Rate for Payer: Cofinity Commercial	$366.39
Rate for Payer: Cofinity Medicare Advantage	$298.23
Rate for Payer: Encore Health Key Benefits Commercial	$340.83
Rate for Payer: Healthscope Commercial	$383.44
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$362.13
Rate for Payer: PHP Commercial	$362.13
Rate for Payer: Priority Health Cigna Priority Health	$276.93
Rate for Payer: Priority Health SBD	$268.41

Know your out-of-pocket cost for care.

All Charges