Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

HC ENDO BIOPSY

Facility

$293.24

Hospital Charge Code	36000092
Hospital Revenue Code	360
Min. Negotiated Rate	$184.74
Max. Negotiated Rate	$263.92
Rate for Payer: Aetna Commercial	$249.25
Rate for Payer: Aetna New Business (MI Preferred)	$190.61
Rate for Payer: Cash Price	$234.59
Rate for Payer: Cofinity Advantage	$205.27
Rate for Payer: Cofinity Commercial	$252.19
Rate for Payer: Encore Health Key Benefits Commercial	$234.59
Rate for Payer: Healthscope Commercial	$263.92
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$249.25
Rate for Payer: Opus (Opus Packaging Group) HMA	$219.93
Rate for Payer: PHP Commercial	$249.25
Rate for Payer: Priority Health SBD	$184.74

HC ENDOCERVICAL CURETTAGE

Facility

$689.79

Service Code	CPT 57505
Hospital Charge Code	76100071
Hospital Revenue Code	761
Min. Negotiated Rate	$434.57
Max. Negotiated Rate	$620.81
Rate for Payer: Aetna Commercial	$586.32
Rate for Payer: Aetna New Business (MI Preferred)	$448.36
Rate for Payer: Cash Price	$551.83
Rate for Payer: Cofinity Advantage	$482.85
Rate for Payer: Cofinity Commercial	$593.22
Rate for Payer: Encore Health Key Benefits Commercial	$551.83
Rate for Payer: Healthscope Commercial	$620.81
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$586.32
Rate for Payer: Opus (Opus Packaging Group) HMA	$517.34
Rate for Payer: PHP Commercial	$586.32
Rate for Payer: Priority Health SBD	$434.57

HC ENDOCERVICAL CURETTAGE

Facility

$689.79

Service Code	CPT 57505
Hospital Charge Code	76100071
Hospital Revenue Code	761
Min. Negotiated Rate	$145.60
Max. Negotiated Rate	$2,967.88
Rate for Payer: Aetna Commercial	$586.32
Rate for Payer: Aetna Medicare	$954.45
Rate for Payer: Aetna New Business (MI Preferred)	$448.36
Rate for Payer: Allen County Amish Medical Aid Commercial	$1,147.17
Rate for Payer: Amish Plain Church Group Commercial	$1,147.17
Rate for Payer: BCBS Complete	$504.02
Rate for Payer: BCBS MAPPO	$917.74
Rate for Payer: BCBS Trust/PPO	$580.01
Rate for Payer: BCCCP Commercial	$145.60
Rate for Payer: BCN Commercial	$580.01
Rate for Payer: BCN Medicare Advantage	$917.74
Rate for Payer: Cash Price	$551.83
Rate for Payer: Cash Price	$551.83
Rate for Payer: Cash Price	$551.83
Rate for Payer: Cofinity Advantage	$482.85
Rate for Payer: Cofinity Commercial	$593.22
Rate for Payer: Encore Health Key Benefits Commercial	$551.83
Rate for Payer: Health Alliance Plan Medicare Advantage	$917.74
Rate for Payer: Healthscope Commercial	$620.81
Rate for Payer: Mclaren Medicaid	$479.98
Rate for Payer: Mclaren Medicare	$917.74
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$963.63
Rate for Payer: Meridian Medicaid	$963.63
Rate for Payer: MI Amish Medical Board Commercial	$1,055.40
Rate for Payer: Molina Medicare/Medicaid	$1,009.51
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$586.32
Rate for Payer: Nomi Health Commercial	$2,753.22
Rate for Payer: Opus (Opus Packaging Group) HMA	$517.34
Rate for Payer: PACE Medicare	$871.85
Rate for Payer: PACE SWMI	$917.74
Rate for Payer: PHP Commercial	$586.32
Rate for Payer: PHP Medicare Advantage	$917.74
Rate for Payer: Priority Health Choice Medicaid	$479.98
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$2,967.88
Rate for Payer: Priority Health Medicare	$917.74
Rate for Payer: Priority Health SBD	$434.57
Rate for Payer: Priority Health Tiered Network	$2,374.30
Rate for Payer: Railroad Medicare Medicare	$917.74
Rate for Payer: UHC All Payor (Choice/PPO)	$448.36
Rate for Payer: UHC Core	$359.38
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$917.74
Rate for Payer: UHC Exchange	$271.09
Rate for Payer: UHC Medicaid	$479.98
Rate for Payer: UHCCP Medicaid	$479.98
Rate for Payer: VA VA	$917.74

HC ENDO CLIPPING

Facility

$329.81

Hospital Charge Code	36000117
Hospital Revenue Code	360
Min. Negotiated Rate	$131.92
Max. Negotiated Rate	$296.83
Rate for Payer: Aetna Commercial	$280.34
Rate for Payer: Aetna Medicare	$164.91
Rate for Payer: Aetna New Business (MI Preferred)	$214.38
Rate for Payer: BCBS Complete	$131.92
Rate for Payer: Cash Price	$263.85
Rate for Payer: Cofinity Advantage	$230.87
Rate for Payer: Cofinity Commercial	$283.64
Rate for Payer: Encore Health Key Benefits Commercial	$263.85
Rate for Payer: Healthscope Commercial	$296.83
Rate for Payer: MI Amish Medical Board Commercial	$263.85
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$280.34
Rate for Payer: Opus (Opus Packaging Group) HMA	$247.36
Rate for Payer: PHP Commercial	$280.34
Rate for Payer: Priority Health SBD	$207.78

HC ENDO CLIPPING

Facility

$329.81

Hospital Charge Code	36000117
Hospital Revenue Code	360
Min. Negotiated Rate	$207.78
Max. Negotiated Rate	$296.83
Rate for Payer: Aetna Commercial	$280.34
Rate for Payer: Aetna New Business (MI Preferred)	$214.38
Rate for Payer: Cash Price	$263.85
Rate for Payer: Cofinity Advantage	$230.87
Rate for Payer: Cofinity Commercial	$283.64
Rate for Payer: Encore Health Key Benefits Commercial	$263.85
Rate for Payer: Healthscope Commercial	$296.83
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$280.34
Rate for Payer: Opus (Opus Packaging Group) HMA	$247.36
Rate for Payer: PHP Commercial	$280.34
Rate for Payer: Priority Health SBD	$207.78

HC ENDO CYTOLOGY/BRUSHING

Facility

$1,841.57

Hospital Charge Code	36000012
Hospital Revenue Code	360
Min. Negotiated Rate	$1,160.19
Max. Negotiated Rate	$1,657.41
Rate for Payer: Aetna Commercial	$1,565.33
Rate for Payer: Aetna New Business (MI Preferred)	$1,197.02
Rate for Payer: Cash Price	$1,473.26
Rate for Payer: Cofinity Advantage	$1,289.10
Rate for Payer: Cofinity Commercial	$1,583.75
Rate for Payer: Encore Health Key Benefits Commercial	$1,473.26
Rate for Payer: Healthscope Commercial	$1,657.41
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,565.33
Rate for Payer: Opus (Opus Packaging Group) HMA	$1,381.18
Rate for Payer: PHP Commercial	$1,565.33
Rate for Payer: Priority Health SBD	$1,160.19

HC ENDO CYTOLOGY/BRUSHING

Facility

$1,841.57

Hospital Charge Code	36000012
Hospital Revenue Code	360
Min. Negotiated Rate	$736.63
Max. Negotiated Rate	$1,657.41
Rate for Payer: Aetna Commercial	$1,565.33
Rate for Payer: Aetna Medicare	$920.78
Rate for Payer: Aetna New Business (MI Preferred)	$1,197.02
Rate for Payer: BCBS Complete	$736.63
Rate for Payer: Cash Price	$1,473.26
Rate for Payer: Cofinity Advantage	$1,289.10
Rate for Payer: Cofinity Commercial	$1,583.75
Rate for Payer: Encore Health Key Benefits Commercial	$1,473.26
Rate for Payer: Healthscope Commercial	$1,657.41
Rate for Payer: MI Amish Medical Board Commercial	$1,473.26
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,565.33
Rate for Payer: Opus (Opus Packaging Group) HMA	$1,381.18
Rate for Payer: PHP Commercial	$1,565.33
Rate for Payer: Priority Health SBD	$1,160.19

HC ENDO DILATATION

Facility

$1,357.00

Hospital Charge Code	36000115
Hospital Revenue Code	360
Min. Negotiated Rate	$542.80
Max. Negotiated Rate	$1,221.30
Rate for Payer: Aetna Commercial	$1,153.45
Rate for Payer: Aetna Medicare	$678.50
Rate for Payer: Aetna New Business (MI Preferred)	$882.05
Rate for Payer: BCBS Complete	$542.80
Rate for Payer: Cash Price	$1,085.60
Rate for Payer: Cofinity Advantage	$949.90
Rate for Payer: Cofinity Commercial	$1,167.02
Rate for Payer: Encore Health Key Benefits Commercial	$1,085.60
Rate for Payer: Healthscope Commercial	$1,221.30
Rate for Payer: MI Amish Medical Board Commercial	$1,085.60
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,153.45
Rate for Payer: Opus (Opus Packaging Group) HMA	$1,017.75
Rate for Payer: PHP Commercial	$1,153.45
Rate for Payer: Priority Health SBD	$854.91

HC ENDO DILATATION

Facility

$1,357.00

Hospital Charge Code	36000115
Hospital Revenue Code	360
Min. Negotiated Rate	$854.91
Max. Negotiated Rate	$1,221.30
Rate for Payer: Aetna Commercial	$1,153.45
Rate for Payer: Aetna New Business (MI Preferred)	$882.05
Rate for Payer: Cash Price	$1,085.60
Rate for Payer: Cofinity Advantage	$949.90
Rate for Payer: Cofinity Commercial	$1,167.02
Rate for Payer: Encore Health Key Benefits Commercial	$1,085.60
Rate for Payer: Healthscope Commercial	$1,221.30
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,153.45
Rate for Payer: Opus (Opus Packaging Group) HMA	$1,017.75
Rate for Payer: PHP Commercial	$1,153.45
Rate for Payer: Priority Health SBD	$854.91

HC ENDO FINE NEEDLE ASP/BIOPSY

Facility

$1,096.02

Hospital Charge Code	36000103
Hospital Revenue Code	360
Min. Negotiated Rate	$690.49
Max. Negotiated Rate	$986.42
Rate for Payer: Aetna Commercial	$931.62
Rate for Payer: Aetna New Business (MI Preferred)	$712.41
Rate for Payer: Cash Price	$876.82
Rate for Payer: Cofinity Advantage	$767.21
Rate for Payer: Cofinity Commercial	$942.58
Rate for Payer: Encore Health Key Benefits Commercial	$876.82
Rate for Payer: Healthscope Commercial	$986.42
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$931.62
Rate for Payer: Opus (Opus Packaging Group) HMA	$822.01
Rate for Payer: PHP Commercial	$931.62
Rate for Payer: Priority Health SBD	$690.49

HC ENDO FINE NEEDLE ASP/BIOPSY

Facility

$1,096.02

Hospital Charge Code	36000103
Hospital Revenue Code	360
Min. Negotiated Rate	$438.41
Max. Negotiated Rate	$986.42
Rate for Payer: Aetna Commercial	$931.62
Rate for Payer: Aetna Medicare	$548.01
Rate for Payer: Aetna New Business (MI Preferred)	$712.41
Rate for Payer: BCBS Complete	$438.41
Rate for Payer: Cash Price	$876.82
Rate for Payer: Cofinity Advantage	$767.21
Rate for Payer: Cofinity Commercial	$942.58
Rate for Payer: Encore Health Key Benefits Commercial	$876.82
Rate for Payer: Healthscope Commercial	$986.42
Rate for Payer: MI Amish Medical Board Commercial	$876.82
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$931.62
Rate for Payer: Opus (Opus Packaging Group) HMA	$822.01
Rate for Payer: PHP Commercial	$931.62
Rate for Payer: Priority Health SBD	$690.49

HC ENDOFORM 2X2

Facility

$39.80

Hospital Charge Code	27000459
Hospital Revenue Code	270
Min. Negotiated Rate	$15.64
Max. Negotiated Rate	$35.82
Rate for Payer: Aetna Commercial	$33.83
Rate for Payer: Aetna Medicare	$19.90
Rate for Payer: Aetna New Business (MI Preferred)	$25.87
Rate for Payer: BCBS Complete	$15.92
Rate for Payer: Cash Price	$31.84
Rate for Payer: Cofinity Advantage	$27.86
Rate for Payer: Cofinity Commercial	$34.23
Rate for Payer: Encore Health Key Benefits Commercial	$31.84
Rate for Payer: Healthscope Commercial	$35.82
Rate for Payer: MI Amish Medical Board Commercial	$31.84
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$33.83
Rate for Payer: Opus (Opus Packaging Group) HMA	$29.85
Rate for Payer: PHP Commercial	$33.83
Rate for Payer: Priority Health SBD	$25.07
Rate for Payer: UHC All Payor (Choice/PPO)	$25.87
Rate for Payer: UHC Core	$20.74
Rate for Payer: UHC Exchange	$15.64

HC ENDOFORM 2X2

Facility

$39.80

Hospital Charge Code	27000459
Hospital Revenue Code	270
Min. Negotiated Rate	$25.07
Max. Negotiated Rate	$35.82
Rate for Payer: Aetna Commercial	$33.83
Rate for Payer: Aetna New Business (MI Preferred)	$25.87
Rate for Payer: Cash Price	$31.84
Rate for Payer: Cofinity Advantage	$27.86
Rate for Payer: Cofinity Commercial	$34.23
Rate for Payer: Encore Health Key Benefits Commercial	$31.84
Rate for Payer: Healthscope Commercial	$35.82
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$33.83
Rate for Payer: Opus (Opus Packaging Group) HMA	$29.85
Rate for Payer: PHP Commercial	$33.83
Rate for Payer: Priority Health SBD	$25.07

HC ENDOFORM 4X4

Facility

$138.43

Hospital Charge Code	27000460
Hospital Revenue Code	270
Min. Negotiated Rate	$87.21
Max. Negotiated Rate	$124.59
Rate for Payer: Aetna Commercial	$117.67
Rate for Payer: Aetna New Business (MI Preferred)	$89.98
Rate for Payer: Cash Price	$110.74
Rate for Payer: Cofinity Advantage	$96.90
Rate for Payer: Cofinity Commercial	$119.05
Rate for Payer: Encore Health Key Benefits Commercial	$110.74
Rate for Payer: Healthscope Commercial	$124.59
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$117.67
Rate for Payer: Opus (Opus Packaging Group) HMA	$103.82
Rate for Payer: PHP Commercial	$117.67
Rate for Payer: Priority Health SBD	$87.21

HC ENDOFORM 4X4

Facility

$138.43

Hospital Charge Code	27000460
Hospital Revenue Code	270
Min. Negotiated Rate	$54.40
Max. Negotiated Rate	$124.59
Rate for Payer: Aetna Commercial	$117.67
Rate for Payer: Aetna Medicare	$69.22
Rate for Payer: Aetna New Business (MI Preferred)	$89.98
Rate for Payer: BCBS Complete	$55.37
Rate for Payer: Cash Price	$110.74
Rate for Payer: Cofinity Advantage	$96.90
Rate for Payer: Cofinity Commercial	$119.05
Rate for Payer: Encore Health Key Benefits Commercial	$110.74
Rate for Payer: Healthscope Commercial	$124.59
Rate for Payer: MI Amish Medical Board Commercial	$110.74
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$117.67
Rate for Payer: Opus (Opus Packaging Group) HMA	$103.82
Rate for Payer: PHP Commercial	$117.67
Rate for Payer: Priority Health SBD	$87.21
Rate for Payer: UHC All Payor (Choice/PPO)	$89.98
Rate for Payer: UHC Core	$72.12
Rate for Payer: UHC Exchange	$54.40

HC ENDO HEMOSTASIS

Facility

$127.97

Hospital Charge Code	36000116
Hospital Revenue Code	360
Min. Negotiated Rate	$80.62
Max. Negotiated Rate	$115.17
Rate for Payer: Aetna Commercial	$108.77
Rate for Payer: Aetna New Business (MI Preferred)	$83.18
Rate for Payer: Cash Price	$102.38
Rate for Payer: Cofinity Advantage	$89.58
Rate for Payer: Cofinity Commercial	$110.05
Rate for Payer: Encore Health Key Benefits Commercial	$102.38
Rate for Payer: Healthscope Commercial	$115.17
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$108.77
Rate for Payer: Opus (Opus Packaging Group) HMA	$95.98
Rate for Payer: PHP Commercial	$108.77
Rate for Payer: Priority Health SBD	$80.62

HC ENDO HEMOSTASIS

Facility

$127.97

Hospital Charge Code	36000116
Hospital Revenue Code	360
Min. Negotiated Rate	$51.19
Max. Negotiated Rate	$115.17
Rate for Payer: Aetna Commercial	$108.77
Rate for Payer: Aetna Medicare	$63.98
Rate for Payer: Aetna New Business (MI Preferred)	$83.18
Rate for Payer: BCBS Complete	$51.19
Rate for Payer: Cash Price	$102.38
Rate for Payer: Cofinity Advantage	$89.58
Rate for Payer: Cofinity Commercial	$110.05
Rate for Payer: Encore Health Key Benefits Commercial	$102.38
Rate for Payer: Healthscope Commercial	$115.17
Rate for Payer: MI Amish Medical Board Commercial	$102.38
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$108.77
Rate for Payer: Opus (Opus Packaging Group) HMA	$95.98
Rate for Payer: PHP Commercial	$108.77
Rate for Payer: Priority Health SBD	$80.62

HC ENDOLUMINAL BIOPSY OF BILIARY TREE

Facility

$675.66

Service Code	CPT 47543
Hospital Charge Code	36100500
Hospital Revenue Code	361
Min. Negotiated Rate	$425.67
Max. Negotiated Rate	$608.09
Rate for Payer: Aetna Commercial	$574.31
Rate for Payer: Aetna New Business (MI Preferred)	$439.18
Rate for Payer: Cash Price	$540.53
Rate for Payer: Cofinity Advantage	$472.96
Rate for Payer: Cofinity Commercial	$581.07
Rate for Payer: Encore Health Key Benefits Commercial	$540.53
Rate for Payer: Healthscope Commercial	$608.09
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$574.31
Rate for Payer: Opus (Opus Packaging Group) HMA	$506.75
Rate for Payer: PHP Commercial	$574.31
Rate for Payer: Priority Health SBD	$425.67

HC ENDOLUMINAL BIOPSY OF BILIARY TREE

Facility

$675.66

Service Code	CPT 47543
Hospital Charge Code	36100500
Hospital Revenue Code	361
Min. Negotiated Rate	$270.26
Max. Negotiated Rate	$1,520.44
Rate for Payer: Aetna Commercial	$574.31
Rate for Payer: Aetna Medicare	$337.83
Rate for Payer: Aetna New Business (MI Preferred)	$439.18
Rate for Payer: BCBS Complete	$270.26
Rate for Payer: BCBS Trust/PPO	$1,520.44
Rate for Payer: BCN Commercial	$1,520.44
Rate for Payer: Cash Price	$540.53
Rate for Payer: Cash Price	$540.53
Rate for Payer: Cofinity Advantage	$472.96
Rate for Payer: Cofinity Commercial	$581.07
Rate for Payer: Encore Health Key Benefits Commercial	$540.53
Rate for Payer: Healthscope Commercial	$608.09
Rate for Payer: MI Amish Medical Board Commercial	$540.53
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$574.31
Rate for Payer: Opus (Opus Packaging Group) HMA	$506.75
Rate for Payer: PHP Commercial	$574.31
Rate for Payer: Priority Health SBD	$425.67

HC ENDOLUMINAL BX URTR &/RNL PELVIS NONENDOSCOPIC

Facility

$5,199.92

Service Code	CPT 50606
Hospital Charge Code	36100615
Hospital Revenue Code	361
Min. Negotiated Rate	$3,275.95
Max. Negotiated Rate	$4,679.93
Rate for Payer: Aetna Commercial	$4,419.93
Rate for Payer: Aetna New Business (MI Preferred)	$3,379.95
Rate for Payer: Cash Price	$4,159.94
Rate for Payer: Cofinity Advantage	$3,639.94
Rate for Payer: Cofinity Commercial	$4,471.93
Rate for Payer: Encore Health Key Benefits Commercial	$4,159.94
Rate for Payer: Healthscope Commercial	$4,679.93
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$4,419.93
Rate for Payer: Opus (Opus Packaging Group) HMA	$3,899.94
Rate for Payer: PHP Commercial	$4,419.93
Rate for Payer: Priority Health SBD	$3,275.95

HC ENDOLUMINAL BX URTR &/RNL PELVIS NONENDOSCOPIC

Facility

$5,199.92

Service Code	CPT 50606
Hospital Charge Code	36100615
Hospital Revenue Code	361
Min. Negotiated Rate	$1,855.74
Max. Negotiated Rate	$4,679.93
Rate for Payer: Aetna Commercial	$4,419.93
Rate for Payer: Aetna Medicare	$2,599.96
Rate for Payer: Aetna New Business (MI Preferred)	$3,379.95
Rate for Payer: BCBS Complete	$2,079.97
Rate for Payer: BCBS Trust/PPO	$1,855.74
Rate for Payer: BCN Commercial	$1,855.74
Rate for Payer: Cash Price	$4,159.94
Rate for Payer: Cash Price	$4,159.94
Rate for Payer: Cofinity Advantage	$3,639.94
Rate for Payer: Cofinity Commercial	$4,471.93
Rate for Payer: Encore Health Key Benefits Commercial	$4,159.94
Rate for Payer: Healthscope Commercial	$4,679.93
Rate for Payer: MI Amish Medical Board Commercial	$4,159.94
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$4,419.93
Rate for Payer: Opus (Opus Packaging Group) HMA	$3,899.94
Rate for Payer: PHP Commercial	$4,419.93
Rate for Payer: Priority Health SBD	$3,275.95

HC ENDOMETR ABLATE THERMAL

Facility

$13,620.60

Service Code	CPT 58353
Hospital Charge Code	76100336
Hospital Revenue Code	761
Min. Negotiated Rate	$2,606.87
Max. Negotiated Rate	$16,119.31
Rate for Payer: Aetna Commercial	$11,577.51
Rate for Payer: Aetna Medicare	$5,183.84
Rate for Payer: Aetna New Business (MI Preferred)	$8,853.39
Rate for Payer: Allen County Amish Medical Aid Commercial	$6,230.57
Rate for Payer: Amish Plain Church Group Commercial	$6,230.57
Rate for Payer: BCBS Complete	$2,737.47
Rate for Payer: BCBS MAPPO	$4,984.46
Rate for Payer: BCBS Trust/PPO	$2,651.35
Rate for Payer: BCN Commercial	$2,651.35
Rate for Payer: BCN Medicare Advantage	$4,984.46
Rate for Payer: Cash Price	$10,896.48
Rate for Payer: Cash Price	$10,896.48
Rate for Payer: Cash Price	$10,896.48
Rate for Payer: Cofinity Advantage	$9,534.42
Rate for Payer: Cofinity Commercial	$11,713.72
Rate for Payer: Encore Health Key Benefits Commercial	$10,896.48
Rate for Payer: Health Alliance Plan Medicare Advantage	$4,984.46
Rate for Payer: Healthscope Commercial	$12,258.54
Rate for Payer: Mclaren Medicaid	$2,606.87
Rate for Payer: Mclaren Medicare	$4,984.46
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$5,233.68
Rate for Payer: Meridian Medicaid	$5,233.68
Rate for Payer: MI Amish Medical Board Commercial	$5,732.13
Rate for Payer: Molina Medicare/Medicaid	$5,482.91
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$11,577.51
Rate for Payer: Nomi Health Commercial	$14,953.38
Rate for Payer: Opus (Opus Packaging Group) HMA	$10,215.45
Rate for Payer: PACE Medicare	$4,735.24
Rate for Payer: PACE SWMI	$4,984.46
Rate for Payer: PHP Commercial	$11,577.51
Rate for Payer: PHP Medicare Advantage	$4,984.46
Rate for Payer: Priority Health Choice Medicaid	$2,606.87
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$16,119.31
Rate for Payer: Priority Health Medicare	$4,984.46
Rate for Payer: Priority Health SBD	$8,580.98
Rate for Payer: Priority Health Tiered Network	$12,895.45
Rate for Payer: Railroad Medicare Medicare	$4,984.46
Rate for Payer: UHC All Payor (Choice/PPO)	$8,853.39
Rate for Payer: UHC Core	$7,096.33
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$4,984.46
Rate for Payer: UHC Exchange	$5,352.90
Rate for Payer: UHC Medicaid	$2,606.87
Rate for Payer: UHCCP Medicaid	$2,606.87
Rate for Payer: VA VA	$4,984.46

HC ENDOMETR ABLATE THERMAL

Facility

$13,620.60

Service Code	CPT 58353
Hospital Charge Code	76100336
Hospital Revenue Code	761
Min. Negotiated Rate	$8,580.98
Max. Negotiated Rate	$12,258.54
Rate for Payer: Aetna Commercial	$11,577.51
Rate for Payer: Aetna New Business (MI Preferred)	$8,853.39
Rate for Payer: Cash Price	$10,896.48
Rate for Payer: Cofinity Advantage	$9,534.42
Rate for Payer: Cofinity Commercial	$11,713.72
Rate for Payer: Encore Health Key Benefits Commercial	$10,896.48
Rate for Payer: Healthscope Commercial	$12,258.54
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$11,577.51
Rate for Payer: Opus (Opus Packaging Group) HMA	$10,215.45
Rate for Payer: PHP Commercial	$11,577.51
Rate for Payer: Priority Health SBD	$8,580.98

HC ENDOMETR BX CONJUNCT W/COLP

Facility

$737.54

Service Code	CPT 58110
Hospital Charge Code	76100335
Hospital Revenue Code	761
Min. Negotiated Rate	$49.12
Max. Negotiated Rate	$663.79
Rate for Payer: Aetna Commercial	$626.91
Rate for Payer: Aetna Medicare	$368.77
Rate for Payer: Aetna New Business (MI Preferred)	$479.40
Rate for Payer: BCBS Complete	$295.02
Rate for Payer: BCBS Trust/PPO	$126.31
Rate for Payer: BCCCP Commercial	$49.12
Rate for Payer: BCN Commercial	$126.31
Rate for Payer: Cash Price	$590.03
Rate for Payer: Cash Price	$590.03
Rate for Payer: Cash Price	$590.03
Rate for Payer: Cofinity Advantage	$516.28
Rate for Payer: Cofinity Commercial	$634.28
Rate for Payer: Encore Health Key Benefits Commercial	$590.03
Rate for Payer: Healthscope Commercial	$663.79
Rate for Payer: MI Amish Medical Board Commercial	$590.03
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$626.91
Rate for Payer: Opus (Opus Packaging Group) HMA	$553.15
Rate for Payer: PHP Commercial	$626.91
Rate for Payer: Priority Health SBD	$464.65
Rate for Payer: UHC All Payor (Choice/PPO)	$479.40
Rate for Payer: UHC Core	$384.26
Rate for Payer: UHC Exchange	$289.85

HC ENDOMETR BX CONJUNCT W/COLP

Facility

$737.54

Service Code	CPT 58110
Hospital Charge Code	76100335
Hospital Revenue Code	761
Min. Negotiated Rate	$464.65
Max. Negotiated Rate	$663.79
Rate for Payer: Aetna Commercial	$626.91
Rate for Payer: Aetna New Business (MI Preferred)	$479.40
Rate for Payer: Cash Price	$590.03
Rate for Payer: Cofinity Advantage	$516.28
Rate for Payer: Cofinity Commercial	$634.28
Rate for Payer: Encore Health Key Benefits Commercial	$590.03
Rate for Payer: Healthscope Commercial	$663.79
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$626.91
Rate for Payer: Opus (Opus Packaging Group) HMA	$553.15
Rate for Payer: PHP Commercial	$626.91
Rate for Payer: Priority Health SBD	$464.65

Know your out-of-pocket cost for care.

All Charges