Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

HC CULTURE OTHER SOURCE

Facility

$46.82

Service Code	CPT 87070
Hospital Charge Code	30600075
Hospital Revenue Code	306
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 Commercial	$32.77
Rate for Payer: Cofinity Commercial	$40.27
Rate for Payer: Cofinity Medicare Advantage	$32.77
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: PHP Commercial	$39.80
Rate for Payer: Priority Health Cigna Priority Health	$30.43
Rate for Payer: Priority Health SBD	$29.50

HC CULTURE OTHER SOURCE

Facility

$46.82

Service Code	CPT 87070
Hospital Charge Code	30600075
Hospital Revenue Code	306
Min. Negotiated Rate	$4.62
Max. Negotiated Rate	$42.14
Rate for Payer: Aetna Commercial	$39.80
Rate for Payer: Aetna Medicare	$8.96
Rate for Payer: Aetna New Business (MI Preferred)	$30.43
Rate for Payer: Allen County Amish Medical Aid Commercial	$10.78
Rate for Payer: Amish Plain Church Group Commercial	$10.78
Rate for Payer: BCBS Complete	$4.85
Rate for Payer: BCBS MAPPO	$8.62
Rate for Payer: BCN Medicare Advantage	$8.62
Rate for Payer: Cash Price	$37.46
Rate for Payer: Cash Price	$37.46
Rate for Payer: Cofinity Commercial	$40.27
Rate for Payer: Cofinity Commercial	$32.77
Rate for Payer: Cofinity Medicare Advantage	$32.77
Rate for Payer: Encore Health Key Benefits Commercial	$37.46
Rate for Payer: Health Alliance Plan Medicare Advantage	$8.62
Rate for Payer: Healthscope Commercial	$42.14
Rate for Payer: Mclaren Medicaid	$4.62
Rate for Payer: Mclaren Medicare	$8.62
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$9.05
Rate for Payer: Meridian Medicaid	$4.85
Rate for Payer: MI Amish Medical Board Commercial	$9.91
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$39.80
Rate for Payer: PACE Medicare	$8.19
Rate for Payer: PACE SWMI	$8.62
Rate for Payer: PHP Commercial	$39.80
Rate for Payer: PHP Medicare Advantage	$8.62
Rate for Payer: Priority Health Choice Medicaid	$4.62
Rate for Payer: Priority Health Cigna Priority Health	$30.43
Rate for Payer: Priority Health Medicare	$8.62
Rate for Payer: Priority Health SBD	$29.50
Rate for Payer: Railroad Medicare Medicare	$8.62
Rate for Payer: UHC All Payor (Choice/PPO)	$24.26
Rate for Payer: UHC Dual Complete DSNP	$8.62
Rate for Payer: UHC Medicare Advantage	$8.62
Rate for Payer: UHCCP Medicaid	$4.85
Rate for Payer: VA VA	$8.62

HC CULTURE SCREENING

Facility

$26.01

Service Code	CPT 87081
Hospital Charge Code	30600079
Hospital Revenue Code	306
Min. Negotiated Rate	$3.55
Max. Negotiated Rate	$23.41
Rate for Payer: Aetna Commercial	$22.11
Rate for Payer: Aetna Medicare	$6.90
Rate for Payer: Aetna New Business (MI Preferred)	$16.91
Rate for Payer: Allen County Amish Medical Aid Commercial	$8.29
Rate for Payer: Amish Plain Church Group Commercial	$8.29
Rate for Payer: BCBS Complete	$3.73
Rate for Payer: BCBS MAPPO	$6.63
Rate for Payer: BCN Medicare Advantage	$6.63
Rate for Payer: Cash Price	$20.81
Rate for Payer: Cash Price	$20.81
Rate for Payer: Cofinity Commercial	$22.37
Rate for Payer: Cofinity Commercial	$18.21
Rate for Payer: Cofinity Medicare Advantage	$18.21
Rate for Payer: Encore Health Key Benefits Commercial	$20.81
Rate for Payer: Health Alliance Plan Medicare Advantage	$6.63
Rate for Payer: Healthscope Commercial	$23.41
Rate for Payer: Mclaren Medicaid	$3.55
Rate for Payer: Mclaren Medicare	$6.63
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$6.96
Rate for Payer: Meridian Medicaid	$3.73
Rate for Payer: MI Amish Medical Board Commercial	$7.62
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$22.11
Rate for Payer: PACE Medicare	$6.30
Rate for Payer: PACE SWMI	$6.63
Rate for Payer: PHP Commercial	$22.11
Rate for Payer: PHP Medicare Advantage	$6.63
Rate for Payer: Priority Health Choice Medicaid	$3.55
Rate for Payer: Priority Health Cigna Priority Health	$16.91
Rate for Payer: Priority Health Medicare	$6.63
Rate for Payer: Priority Health SBD	$16.39
Rate for Payer: Railroad Medicare Medicare	$6.63
Rate for Payer: UHC All Payor (Choice/PPO)	$18.66
Rate for Payer: UHC Dual Complete DSNP	$6.63
Rate for Payer: UHC Medicare Advantage	$6.63
Rate for Payer: UHCCP Medicaid	$3.73
Rate for Payer: VA VA	$6.63

HC CULTURE SCREENING

Facility

$26.01

Service Code	CPT 87081
Hospital Charge Code	30600079
Hospital Revenue Code	306
Min. Negotiated Rate	$16.39
Max. Negotiated Rate	$23.41
Rate for Payer: Aetna Commercial	$22.11
Rate for Payer: Aetna New Business (MI Preferred)	$16.91
Rate for Payer: Cash Price	$20.81
Rate for Payer: Cofinity Commercial	$18.21
Rate for Payer: Cofinity Commercial	$22.37
Rate for Payer: Cofinity Medicare Advantage	$18.21
Rate for Payer: Encore Health Key Benefits Commercial	$20.81
Rate for Payer: Healthscope Commercial	$23.41
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$22.11
Rate for Payer: PHP Commercial	$22.11
Rate for Payer: Priority Health Cigna Priority Health	$16.91
Rate for Payer: Priority Health SBD	$16.39

HC CUVETTE HEMOCHRON JR ACT+

Facility

$13.01

Hospital Charge Code	27000657
Hospital Revenue Code	270
Min. Negotiated Rate	$5.20
Max. Negotiated Rate	$11.71
Rate for Payer: Aetna Commercial	$11.06
Rate for Payer: Aetna Medicare	$6.50
Rate for Payer: Aetna New Business (MI Preferred)	$8.46
Rate for Payer: BCBS Complete	$5.20
Rate for Payer: Cash Price	$10.41
Rate for Payer: Cofinity Commercial	$11.19
Rate for Payer: Cofinity Commercial	$9.11
Rate for Payer: Cofinity Medicare Advantage	$9.11
Rate for Payer: Encore Health Key Benefits Commercial	$10.41
Rate for Payer: Healthscope Commercial	$11.71
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$11.06
Rate for Payer: PHP Commercial	$11.06
Rate for Payer: Priority Health Cigna Priority Health	$8.46
Rate for Payer: Priority Health SBD	$8.20

HC CUVETTE HEMOCHRON JR ACT+

Facility

$13.01

Hospital Charge Code	27000657
Hospital Revenue Code	270
Min. Negotiated Rate	$8.20
Max. Negotiated Rate	$11.71
Rate for Payer: Aetna Commercial	$11.06
Rate for Payer: Aetna New Business (MI Preferred)	$8.46
Rate for Payer: Cash Price	$10.41
Rate for Payer: Cofinity Commercial	$11.19
Rate for Payer: Cofinity Commercial	$9.11
Rate for Payer: Cofinity Medicare Advantage	$9.11
Rate for Payer: Encore Health Key Benefits Commercial	$10.41
Rate for Payer: Healthscope Commercial	$11.71
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$11.06
Rate for Payer: PHP Commercial	$11.06
Rate for Payer: Priority Health Cigna Priority Health	$8.46
Rate for Payer: Priority Health SBD	$8.20

HC CVC ACCESS TRAY

Facility

$134.58

Hospital Charge Code	27000052
Hospital Revenue Code	270
Min. Negotiated Rate	$84.79
Max. Negotiated Rate	$121.12
Rate for Payer: Aetna Commercial	$114.39
Rate for Payer: Aetna New Business (MI Preferred)	$87.48
Rate for Payer: Cash Price	$107.66
Rate for Payer: Cofinity Commercial	$115.74
Rate for Payer: Cofinity Commercial	$94.21
Rate for Payer: Cofinity Medicare Advantage	$94.21
Rate for Payer: Encore Health Key Benefits Commercial	$107.66
Rate for Payer: Healthscope Commercial	$121.12
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$114.39
Rate for Payer: PHP Commercial	$114.39
Rate for Payer: Priority Health Cigna Priority Health	$87.48
Rate for Payer: Priority Health SBD	$84.79

HC CVC ACCESS TRAY

Facility

$134.58

Hospital Charge Code	27000052
Hospital Revenue Code	270
Min. Negotiated Rate	$53.83
Max. Negotiated Rate	$121.12
Rate for Payer: Aetna Commercial	$114.39
Rate for Payer: Aetna Medicare	$67.29
Rate for Payer: Aetna New Business (MI Preferred)	$87.48
Rate for Payer: BCBS Complete	$53.83
Rate for Payer: Cash Price	$107.66
Rate for Payer: Cofinity Commercial	$115.74
Rate for Payer: Cofinity Commercial	$94.21
Rate for Payer: Cofinity Medicare Advantage	$94.21
Rate for Payer: Encore Health Key Benefits Commercial	$107.66
Rate for Payer: Healthscope Commercial	$121.12
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$114.39
Rate for Payer: PHP Commercial	$114.39
Rate for Payer: Priority Health Cigna Priority Health	$87.48
Rate for Payer: Priority Health SBD	$84.79

HC CVC INSERT

Facility

$2,545.54

Hospital Charge Code	45000036
Hospital Revenue Code	361
Min. Negotiated Rate	$1,018.22
Max. Negotiated Rate	$2,290.99
Rate for Payer: Aetna Commercial	$2,163.71
Rate for Payer: Aetna Medicare	$1,272.77
Rate for Payer: Aetna New Business (MI Preferred)	$1,654.60
Rate for Payer: BCBS Complete	$1,018.22
Rate for Payer: Cash Price	$2,036.43
Rate for Payer: Cofinity Commercial	$1,781.88
Rate for Payer: Cofinity Commercial	$2,189.16
Rate for Payer: Cofinity Medicare Advantage	$1,781.88
Rate for Payer: Encore Health Key Benefits Commercial	$2,036.43
Rate for Payer: Healthscope Commercial	$2,290.99
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$2,163.71
Rate for Payer: PHP Commercial	$2,163.71
Rate for Payer: Priority Health Cigna Priority Health	$1,654.60
Rate for Payer: Priority Health SBD	$1,603.69

HC CVC INSERT

Facility

$2,545.54

Hospital Charge Code	45000036
Hospital Revenue Code	361
Min. Negotiated Rate	$1,603.69
Max. Negotiated Rate	$2,290.99
Rate for Payer: Aetna Commercial	$2,163.71
Rate for Payer: Aetna New Business (MI Preferred)	$1,654.60
Rate for Payer: Cash Price	$2,036.43
Rate for Payer: Cofinity Commercial	$1,781.88
Rate for Payer: Cofinity Commercial	$2,189.16
Rate for Payer: Cofinity Medicare Advantage	$1,781.88
Rate for Payer: Encore Health Key Benefits Commercial	$2,036.43
Rate for Payer: Healthscope Commercial	$2,290.99
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$2,163.71
Rate for Payer: PHP Commercial	$2,163.71
Rate for Payer: Priority Health Cigna Priority Health	$1,654.60
Rate for Payer: Priority Health SBD	$1,603.69

HC CVS PSEUDOANEURYSM COMPRESSION

Facility

$816.54

Service Code	CPT 76936
Hospital Charge Code	40200042
Hospital Revenue Code	402
Min. Negotiated Rate	$514.42
Max. Negotiated Rate	$734.89
Rate for Payer: Aetna Commercial	$694.06
Rate for Payer: Aetna New Business (MI Preferred)	$530.75
Rate for Payer: Cash Price	$653.23
Rate for Payer: Cofinity Commercial	$571.58
Rate for Payer: Cofinity Commercial	$702.22
Rate for Payer: Cofinity Medicare Advantage	$571.58
Rate for Payer: Encore Health Key Benefits Commercial	$653.23
Rate for Payer: Healthscope Commercial	$734.89
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$694.06
Rate for Payer: PHP Commercial	$694.06
Rate for Payer: Priority Health Cigna Priority Health	$530.75
Rate for Payer: Priority Health SBD	$514.42

HC CVS PSEUDOANEURYSM COMPRESSION

Facility

$816.54

Service Code	CPT 76936
Hospital Charge Code	40200042
Hospital Revenue Code	402
Min. Negotiated Rate	$162.78
Max. Negotiated Rate	$854.89
Rate for Payer: Aetna Commercial	$694.06
Rate for Payer: Aetna Medicare	$315.85
Rate for Payer: Aetna New Business (MI Preferred)	$530.75
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	$653.23
Rate for Payer: Cash Price	$653.23
Rate for Payer: Cofinity Commercial	$702.22
Rate for Payer: Cofinity Commercial	$571.58
Rate for Payer: Cofinity Medicare Advantage	$571.58
Rate for Payer: Encore Health Key Benefits Commercial	$653.23
Rate for Payer: Health Alliance Plan Medicare Advantage	$303.70
Rate for Payer: Healthscope Commercial	$734.89
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	$694.06
Rate for Payer: PACE Medicare	$288.51
Rate for Payer: PACE SWMI	$303.70
Rate for Payer: PHP Commercial	$694.06
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	$530.75
Rate for Payer: Priority Health Medicare	$303.70
Rate for Payer: Priority Health SBD	$514.42
Rate for Payer: Railroad Medicare Medicare	$303.70
Rate for Payer: UHC All Payor (Choice/PPO)	$854.89
Rate for Payer: UHC Core	$604.24
Rate for Payer: UHC Dual Complete DSNP	$303.70
Rate for Payer: UHC Exchange	$604.24
Rate for Payer: UHC Medicare Advantage	$303.70
Rate for Payer: UHCCP Medicaid	$170.98
Rate for Payer: VA VA	$303.70

HC CVVHD INSERTION

Facility

$416.84

Hospital Charge Code	27000053
Hospital Revenue Code	270
Min. Negotiated Rate	$262.61
Max. Negotiated Rate	$375.16
Rate for Payer: Aetna Commercial	$354.31
Rate for Payer: Aetna New Business (MI Preferred)	$270.95
Rate for Payer: Cash Price	$333.47
Rate for Payer: Cofinity Commercial	$291.79
Rate for Payer: Cofinity Commercial	$358.48
Rate for Payer: Cofinity Medicare Advantage	$291.79
Rate for Payer: Encore Health Key Benefits Commercial	$333.47
Rate for Payer: Healthscope Commercial	$375.16
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$354.31
Rate for Payer: PHP Commercial	$354.31
Rate for Payer: Priority Health Cigna Priority Health	$270.95
Rate for Payer: Priority Health SBD	$262.61

HC CVVHD INSERTION

Facility

$416.84

Hospital Charge Code	27000053
Hospital Revenue Code	270
Min. Negotiated Rate	$166.74
Max. Negotiated Rate	$375.16
Rate for Payer: Aetna Commercial	$354.31
Rate for Payer: Aetna Medicare	$208.42
Rate for Payer: Aetna New Business (MI Preferred)	$270.95
Rate for Payer: BCBS Complete	$166.74
Rate for Payer: Cash Price	$333.47
Rate for Payer: Cofinity Commercial	$291.79
Rate for Payer: Cofinity Commercial	$358.48
Rate for Payer: Cofinity Medicare Advantage	$291.79
Rate for Payer: Encore Health Key Benefits Commercial	$333.47
Rate for Payer: Healthscope Commercial	$375.16
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$354.31
Rate for Payer: PHP Commercial	$354.31
Rate for Payer: Priority Health Cigna Priority Health	$270.95
Rate for Payer: Priority Health SBD	$262.61

HC CVVH SUBSEQUENT CARTRIDGE

Facility

$631.45

Hospital Charge Code	27000611
Hospital Revenue Code	270
Min. Negotiated Rate	$252.58
Max. Negotiated Rate	$568.30
Rate for Payer: Aetna Commercial	$536.73
Rate for Payer: Aetna Medicare	$315.73
Rate for Payer: Aetna New Business (MI Preferred)	$410.44
Rate for Payer: BCBS Complete	$252.58
Rate for Payer: Cash Price	$505.16
Rate for Payer: Cofinity Commercial	$442.01
Rate for Payer: Cofinity Commercial	$543.05
Rate for Payer: Cofinity Medicare Advantage	$442.01
Rate for Payer: Encore Health Key Benefits Commercial	$505.16
Rate for Payer: Healthscope Commercial	$568.30
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$536.73
Rate for Payer: PHP Commercial	$536.73
Rate for Payer: Priority Health Cigna Priority Health	$410.44
Rate for Payer: Priority Health SBD	$397.81

HC CVVH SUBSEQUENT CARTRIDGE

Facility

$631.45

Hospital Charge Code	27000611
Hospital Revenue Code	270
Min. Negotiated Rate	$397.81
Max. Negotiated Rate	$568.30
Rate for Payer: Aetna Commercial	$536.73
Rate for Payer: Aetna New Business (MI Preferred)	$410.44
Rate for Payer: Cash Price	$505.16
Rate for Payer: Cofinity Commercial	$442.01
Rate for Payer: Cofinity Commercial	$543.05
Rate for Payer: Cofinity Medicare Advantage	$442.01
Rate for Payer: Encore Health Key Benefits Commercial	$505.16
Rate for Payer: Healthscope Commercial	$568.30
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$536.73
Rate for Payer: PHP Commercial	$536.73
Rate for Payer: Priority Health Cigna Priority Health	$410.44
Rate for Payer: Priority Health SBD	$397.81

HC CX ID BY PCR AMP, ENTEROBACTERIACEA

Facility

$57.48

Service Code	CPT 87150
Hospital Charge Code	30600240
Hospital Revenue Code	306
Min. Negotiated Rate	$36.21
Max. Negotiated Rate	$51.73
Rate for Payer: Aetna Commercial	$48.86
Rate for Payer: Aetna New Business (MI Preferred)	$37.36
Rate for Payer: Cash Price	$45.98
Rate for Payer: Cofinity Commercial	$40.24
Rate for Payer: Cofinity Commercial	$49.43
Rate for Payer: Cofinity Medicare Advantage	$40.24
Rate for Payer: Encore Health Key Benefits Commercial	$45.98
Rate for Payer: Healthscope Commercial	$51.73
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$48.86
Rate for Payer: PHP Commercial	$48.86
Rate for Payer: Priority Health Cigna Priority Health	$37.36
Rate for Payer: Priority Health SBD	$36.21

HC CX ID BY PCR AMP, ENTEROBACTERIACEA

Facility

$57.48

Service Code	CPT 87150
Hospital Charge Code	30600240
Hospital Revenue Code	306
Min. Negotiated Rate	$18.81
Max. Negotiated Rate	$98.77
Rate for Payer: Aetna Commercial	$48.86
Rate for Payer: Aetna Medicare	$36.49
Rate for Payer: Aetna New Business (MI Preferred)	$37.36
Rate for Payer: Allen County Amish Medical Aid Commercial	$43.86
Rate for Payer: Amish Plain Church Group Commercial	$43.86
Rate for Payer: BCBS Complete	$19.75
Rate for Payer: BCBS MAPPO	$35.09
Rate for Payer: BCN Medicare Advantage	$35.09
Rate for Payer: Cash Price	$45.98
Rate for Payer: Cash Price	$45.98
Rate for Payer: Cofinity Commercial	$49.43
Rate for Payer: Cofinity Commercial	$40.24
Rate for Payer: Cofinity Medicare Advantage	$40.24
Rate for Payer: Encore Health Key Benefits Commercial	$45.98
Rate for Payer: Health Alliance Plan Medicare Advantage	$35.09
Rate for Payer: Healthscope Commercial	$51.73
Rate for Payer: Mclaren Medicaid	$18.81
Rate for Payer: Mclaren Medicare	$35.09
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$36.84
Rate for Payer: Meridian Medicaid	$19.75
Rate for Payer: MI Amish Medical Board Commercial	$40.35
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$48.86
Rate for Payer: PACE Medicare	$33.34
Rate for Payer: PACE SWMI	$35.09
Rate for Payer: PHP Commercial	$48.86
Rate for Payer: PHP Medicare Advantage	$35.09
Rate for Payer: Priority Health Choice Medicaid	$18.81
Rate for Payer: Priority Health Cigna Priority Health	$37.36
Rate for Payer: Priority Health Medicare	$35.09
Rate for Payer: Priority Health SBD	$36.21
Rate for Payer: Railroad Medicare Medicare	$35.09
Rate for Payer: UHC All Payor (Choice/PPO)	$98.77
Rate for Payer: UHC Dual Complete DSNP	$35.09
Rate for Payer: UHC Medicare Advantage	$35.09
Rate for Payer: UHCCP Medicaid	$19.76
Rate for Payer: VA VA	$35.09

HC CX ID BY PCR AMPLIFED, C GLA

Facility

$57.48

Service Code	CPT 87150
Hospital Charge Code	30600248
Hospital Revenue Code	306
Min. Negotiated Rate	$18.81
Max. Negotiated Rate	$98.77
Rate for Payer: Aetna Commercial	$48.86
Rate for Payer: Aetna Medicare	$36.49
Rate for Payer: Aetna New Business (MI Preferred)	$37.36
Rate for Payer: Allen County Amish Medical Aid Commercial	$43.86
Rate for Payer: Amish Plain Church Group Commercial	$43.86
Rate for Payer: BCBS Complete	$19.75
Rate for Payer: BCBS MAPPO	$35.09
Rate for Payer: BCN Medicare Advantage	$35.09
Rate for Payer: Cash Price	$45.98
Rate for Payer: Cash Price	$45.98
Rate for Payer: Cofinity Commercial	$49.43
Rate for Payer: Cofinity Commercial	$40.24
Rate for Payer: Cofinity Medicare Advantage	$40.24
Rate for Payer: Encore Health Key Benefits Commercial	$45.98
Rate for Payer: Health Alliance Plan Medicare Advantage	$35.09
Rate for Payer: Healthscope Commercial	$51.73
Rate for Payer: Mclaren Medicaid	$18.81
Rate for Payer: Mclaren Medicare	$35.09
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$36.84
Rate for Payer: Meridian Medicaid	$19.75
Rate for Payer: MI Amish Medical Board Commercial	$40.35
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$48.86
Rate for Payer: PACE Medicare	$33.34
Rate for Payer: PACE SWMI	$35.09
Rate for Payer: PHP Commercial	$48.86
Rate for Payer: PHP Medicare Advantage	$35.09
Rate for Payer: Priority Health Choice Medicaid	$18.81
Rate for Payer: Priority Health Cigna Priority Health	$37.36
Rate for Payer: Priority Health Medicare	$35.09
Rate for Payer: Priority Health SBD	$36.21
Rate for Payer: Railroad Medicare Medicare	$35.09
Rate for Payer: UHC All Payor (Choice/PPO)	$98.77
Rate for Payer: UHC Dual Complete DSNP	$35.09
Rate for Payer: UHC Medicare Advantage	$35.09
Rate for Payer: UHCCP Medicaid	$19.76
Rate for Payer: VA VA	$35.09

HC CX ID BY PCR AMPLIFED, C GLA

Facility

$57.48

Service Code	CPT 87150
Hospital Charge Code	30600248
Hospital Revenue Code	306
Min. Negotiated Rate	$36.21
Max. Negotiated Rate	$51.73
Rate for Payer: Aetna Commercial	$48.86
Rate for Payer: Aetna New Business (MI Preferred)	$37.36
Rate for Payer: Cash Price	$45.98
Rate for Payer: Cofinity Commercial	$40.24
Rate for Payer: Cofinity Commercial	$49.43
Rate for Payer: Cofinity Medicare Advantage	$40.24
Rate for Payer: Encore Health Key Benefits Commercial	$45.98
Rate for Payer: Healthscope Commercial	$51.73
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$48.86
Rate for Payer: PHP Commercial	$48.86
Rate for Payer: Priority Health Cigna Priority Health	$37.36
Rate for Payer: Priority Health SBD	$36.21

HC CX ID BY PCR AMPLIFIED, ACIN

Facility

$57.48

Service Code	CPT 87150
Hospital Charge Code	30600236
Hospital Revenue Code	306
Min. Negotiated Rate	$18.81
Max. Negotiated Rate	$98.77
Rate for Payer: Aetna Commercial	$48.86
Rate for Payer: Aetna Medicare	$36.49
Rate for Payer: Aetna New Business (MI Preferred)	$37.36
Rate for Payer: Allen County Amish Medical Aid Commercial	$43.86
Rate for Payer: Amish Plain Church Group Commercial	$43.86
Rate for Payer: BCBS Complete	$19.75
Rate for Payer: BCBS MAPPO	$35.09
Rate for Payer: BCN Medicare Advantage	$35.09
Rate for Payer: Cash Price	$45.98
Rate for Payer: Cash Price	$45.98
Rate for Payer: Cofinity Commercial	$49.43
Rate for Payer: Cofinity Commercial	$40.24
Rate for Payer: Cofinity Medicare Advantage	$40.24
Rate for Payer: Encore Health Key Benefits Commercial	$45.98
Rate for Payer: Health Alliance Plan Medicare Advantage	$35.09
Rate for Payer: Healthscope Commercial	$51.73
Rate for Payer: Mclaren Medicaid	$18.81
Rate for Payer: Mclaren Medicare	$35.09
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$36.84
Rate for Payer: Meridian Medicaid	$19.75
Rate for Payer: MI Amish Medical Board Commercial	$40.35
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$48.86
Rate for Payer: PACE Medicare	$33.34
Rate for Payer: PACE SWMI	$35.09
Rate for Payer: PHP Commercial	$48.86
Rate for Payer: PHP Medicare Advantage	$35.09
Rate for Payer: Priority Health Choice Medicaid	$18.81
Rate for Payer: Priority Health Cigna Priority Health	$37.36
Rate for Payer: Priority Health Medicare	$35.09
Rate for Payer: Priority Health SBD	$36.21
Rate for Payer: Railroad Medicare Medicare	$35.09
Rate for Payer: UHC All Payor (Choice/PPO)	$98.77
Rate for Payer: UHC Dual Complete DSNP	$35.09
Rate for Payer: UHC Medicare Advantage	$35.09
Rate for Payer: UHCCP Medicaid	$19.76
Rate for Payer: VA VA	$35.09

HC CX ID BY PCR AMPLIFIED, ACIN

Facility

$57.48

Service Code	CPT 87150
Hospital Charge Code	30600236
Hospital Revenue Code	306
Min. Negotiated Rate	$36.21
Max. Negotiated Rate	$51.73
Rate for Payer: Aetna Commercial	$48.86
Rate for Payer: Aetna New Business (MI Preferred)	$37.36
Rate for Payer: Cash Price	$45.98
Rate for Payer: Cofinity Commercial	$40.24
Rate for Payer: Cofinity Commercial	$49.43
Rate for Payer: Cofinity Medicare Advantage	$40.24
Rate for Payer: Encore Health Key Benefits Commercial	$45.98
Rate for Payer: Healthscope Commercial	$51.73
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$48.86
Rate for Payer: PHP Commercial	$48.86
Rate for Payer: Priority Health Cigna Priority Health	$37.36
Rate for Payer: Priority Health SBD	$36.21

HC CX ID BY PCR AMPLIFIED, BSA

Facility

$57.48

Service Code	CPT 87150
Hospital Charge Code	30600235
Hospital Revenue Code	306
Min. Negotiated Rate	$36.21
Max. Negotiated Rate	$51.73
Rate for Payer: Aetna Commercial	$48.86
Rate for Payer: Aetna New Business (MI Preferred)	$37.36
Rate for Payer: Cash Price	$45.98
Rate for Payer: Cofinity Commercial	$40.24
Rate for Payer: Cofinity Commercial	$49.43
Rate for Payer: Cofinity Medicare Advantage	$40.24
Rate for Payer: Encore Health Key Benefits Commercial	$45.98
Rate for Payer: Healthscope Commercial	$51.73
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$48.86
Rate for Payer: PHP Commercial	$48.86
Rate for Payer: Priority Health Cigna Priority Health	$37.36
Rate for Payer: Priority Health SBD	$36.21

HC CX ID BY PCR AMPLIFIED, BSA

Facility

$57.48

Service Code	CPT 87150
Hospital Charge Code	30600235
Hospital Revenue Code	306
Min. Negotiated Rate	$18.81
Max. Negotiated Rate	$98.77
Rate for Payer: Aetna Commercial	$48.86
Rate for Payer: Aetna Medicare	$36.49
Rate for Payer: Aetna New Business (MI Preferred)	$37.36
Rate for Payer: Allen County Amish Medical Aid Commercial	$43.86
Rate for Payer: Amish Plain Church Group Commercial	$43.86
Rate for Payer: BCBS Complete	$19.75
Rate for Payer: BCBS MAPPO	$35.09
Rate for Payer: BCN Medicare Advantage	$35.09
Rate for Payer: Cash Price	$45.98
Rate for Payer: Cash Price	$45.98
Rate for Payer: Cofinity Commercial	$49.43
Rate for Payer: Cofinity Commercial	$40.24
Rate for Payer: Cofinity Medicare Advantage	$40.24
Rate for Payer: Encore Health Key Benefits Commercial	$45.98
Rate for Payer: Health Alliance Plan Medicare Advantage	$35.09
Rate for Payer: Healthscope Commercial	$51.73
Rate for Payer: Mclaren Medicaid	$18.81
Rate for Payer: Mclaren Medicare	$35.09
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$36.84
Rate for Payer: Meridian Medicaid	$19.75
Rate for Payer: MI Amish Medical Board Commercial	$40.35
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$48.86
Rate for Payer: PACE Medicare	$33.34
Rate for Payer: PACE SWMI	$35.09
Rate for Payer: PHP Commercial	$48.86
Rate for Payer: PHP Medicare Advantage	$35.09
Rate for Payer: Priority Health Choice Medicaid	$18.81
Rate for Payer: Priority Health Cigna Priority Health	$37.36
Rate for Payer: Priority Health Medicare	$35.09
Rate for Payer: Priority Health SBD	$36.21
Rate for Payer: Railroad Medicare Medicare	$35.09
Rate for Payer: UHC All Payor (Choice/PPO)	$98.77
Rate for Payer: UHC Dual Complete DSNP	$35.09
Rate for Payer: UHC Medicare Advantage	$35.09
Rate for Payer: UHCCP Medicaid	$19.76
Rate for Payer: VA VA	$35.09

HC CX ID BY PCR AMPLIFIED, BSB

Facility

$57.48

Service Code	CPT 87150
Hospital Charge Code	30600234
Hospital Revenue Code	306
Min. Negotiated Rate	$36.21
Max. Negotiated Rate	$51.73
Rate for Payer: Aetna Commercial	$48.86
Rate for Payer: Aetna New Business (MI Preferred)	$37.36
Rate for Payer: Cash Price	$45.98
Rate for Payer: Cofinity Commercial	$40.24
Rate for Payer: Cofinity Commercial	$49.43
Rate for Payer: Cofinity Medicare Advantage	$40.24
Rate for Payer: Encore Health Key Benefits Commercial	$45.98
Rate for Payer: Healthscope Commercial	$51.73
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$48.86
Rate for Payer: PHP Commercial	$48.86
Rate for Payer: Priority Health Cigna Priority Health	$37.36
Rate for Payer: Priority Health SBD	$36.21

Know your out-of-pocket cost for care.

All Charges