Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

HC DES VESSEL/BRANCH

Facility

$24,667.58

Service Code	CPT C9600
Hospital Charge Code	48100075
Hospital Revenue Code	481
Min. Negotiated Rate	$15,540.58
Max. Negotiated Rate	$22,200.82
Rate for Payer: Aetna Commercial	$20,967.44
Rate for Payer: Aetna New Business (MI Preferred)	$16,033.93
Rate for Payer: Cash Price	$19,734.06
Rate for Payer: Cofinity Commercial	$17,267.31
Rate for Payer: Cofinity Commercial	$21,214.12
Rate for Payer: Cofinity Medicare Advantage	$17,267.31
Rate for Payer: Encore Health Key Benefits Commercial	$19,734.06
Rate for Payer: Healthscope Commercial	$22,200.82
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$20,967.44
Rate for Payer: PHP Commercial	$20,967.44
Rate for Payer: Priority Health Cigna Priority Health	$16,033.93
Rate for Payer: Priority Health SBD	$15,540.58

HC DEVELOPMENTAL TESTING

Facility

$379.19

Service Code	CPT 96110
Hospital Charge Code	51000057
Hospital Revenue Code	761
Min. Negotiated Rate	$151.68
Max. Negotiated Rate	$341.27
Rate for Payer: Aetna Commercial	$322.31
Rate for Payer: Aetna Medicare	$189.59
Rate for Payer: Aetna New Business (MI Preferred)	$246.47
Rate for Payer: BCBS Complete	$151.68
Rate for Payer: Cash Price	$303.35
Rate for Payer: Cofinity Commercial	$265.43
Rate for Payer: Cofinity Commercial	$326.10
Rate for Payer: Cofinity Medicare Advantage	$265.43
Rate for Payer: Encore Health Key Benefits Commercial	$303.35
Rate for Payer: Healthscope Commercial	$341.27
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$322.31
Rate for Payer: PHP Commercial	$322.31
Rate for Payer: Priority Health Cigna Priority Health	$246.47
Rate for Payer: Priority Health SBD	$238.89

HC DEVELOPMENTAL TESTING

Facility

$379.19

Service Code	CPT 96110
Hospital Charge Code	51000057
Hospital Revenue Code	761
Min. Negotiated Rate	$238.89
Max. Negotiated Rate	$341.27
Rate for Payer: Aetna Commercial	$322.31
Rate for Payer: Aetna New Business (MI Preferred)	$246.47
Rate for Payer: Cash Price	$303.35
Rate for Payer: Cofinity Commercial	$265.43
Rate for Payer: Cofinity Commercial	$326.10
Rate for Payer: Cofinity Medicare Advantage	$265.43
Rate for Payer: Encore Health Key Benefits Commercial	$303.35
Rate for Payer: Healthscope Commercial	$341.27
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$322.31
Rate for Payer: PHP Commercial	$322.31
Rate for Payer: Priority Health Cigna Priority Health	$246.47
Rate for Payer: Priority Health SBD	$238.89

HC DEVICE NOT RETURNED ACTIWATCH

Professional

Both

$968.00

Service Code	HCPCS 00615
Hospital Revenue Code	270
Min. Negotiated Rate	$387.20
Max. Negotiated Rate	$629.20
Rate for Payer: Aetna Medicare	$484.00
Rate for Payer: BCBS Complete	$387.20
Rate for Payer: Cash Price	$774.40
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$629.20
Rate for Payer: Priority Health Cigna Priority Health	$629.20

HC DEVICE NOT RETURNED ACTIWATCH

Professional

Both

$968.00

Service Code	HCPCS 00615
Hospital Charge Code	27000615
Hospital Revenue Code	270
Min. Negotiated Rate	$387.20
Max. Negotiated Rate	$629.20
Rate for Payer: Aetna Medicare	$484.00
Rate for Payer: BCBS Complete	$387.20
Rate for Payer: Cash Price	$774.40
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$629.20
Rate for Payer: Priority Health Cigna Priority Health	$629.20

HC DEVICE NOT RETURNED ACTIWATCH

Facility

$949.00

Hospital Charge Code	27000615
Hospital Revenue Code	270
Min. Negotiated Rate	$597.87
Max. Negotiated Rate	$854.10
Rate for Payer: Aetna Commercial	$806.65
Rate for Payer: Aetna New Business (MI Preferred)	$616.85
Rate for Payer: Cash Price	$759.20
Rate for Payer: Cofinity Commercial	$664.30
Rate for Payer: Cofinity Commercial	$816.14
Rate for Payer: Cofinity Medicare Advantage	$664.30
Rate for Payer: Encore Health Key Benefits Commercial	$759.20
Rate for Payer: Healthscope Commercial	$854.10
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$806.65
Rate for Payer: PHP Commercial	$806.65
Rate for Payer: Priority Health Cigna Priority Health	$616.85
Rate for Payer: Priority Health SBD	$597.87

HC DEVICE NOT RETURNED ACTIWATCH

Facility

$949.00

Hospital Charge Code	27000615
Hospital Revenue Code	270
Min. Negotiated Rate	$379.60
Max. Negotiated Rate	$854.10
Rate for Payer: Aetna Commercial	$806.65
Rate for Payer: Aetna Medicare	$474.50
Rate for Payer: Aetna New Business (MI Preferred)	$616.85
Rate for Payer: BCBS Complete	$379.60
Rate for Payer: Cash Price	$759.20
Rate for Payer: Cofinity Commercial	$664.30
Rate for Payer: Cofinity Commercial	$816.14
Rate for Payer: Cofinity Medicare Advantage	$664.30
Rate for Payer: Encore Health Key Benefits Commercial	$759.20
Rate for Payer: Healthscope Commercial	$854.10
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$806.65
Rate for Payer: PHP Commercial	$806.65
Rate for Payer: Priority Health Cigna Priority Health	$616.85
Rate for Payer: Priority Health SBD	$597.87

HC DEVICE NOT RETURNED AIR 10 OXIMETRY

Professional

Both

$316.00

Service Code	HCPCS 00616
Hospital Revenue Code	270
Min. Negotiated Rate	$126.40
Max. Negotiated Rate	$205.40
Rate for Payer: Aetna Medicare	$158.00
Rate for Payer: BCBS Complete	$126.40
Rate for Payer: Cash Price	$252.80
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$205.40
Rate for Payer: Priority Health Cigna Priority Health	$205.40

HC DEVICE NOT RETURNED AIR 10 OXIMETRY

Professional

Both

$316.00

Service Code	HCPCS 00616
Hospital Charge Code	27000616
Hospital Revenue Code	270
Min. Negotiated Rate	$126.40
Max. Negotiated Rate	$205.40
Rate for Payer: Aetna Medicare	$158.00
Rate for Payer: BCBS Complete	$126.40
Rate for Payer: Cash Price	$252.80
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$205.40
Rate for Payer: Priority Health Cigna Priority Health	$205.40

HC DEVICE NOT RETURNED AIR 10 OXIMETRY

Facility

$310.00

Hospital Charge Code	27000616
Hospital Revenue Code	270
Min. Negotiated Rate	$124.00
Max. Negotiated Rate	$279.00
Rate for Payer: Aetna Commercial	$263.50
Rate for Payer: Aetna Medicare	$155.00
Rate for Payer: Aetna New Business (MI Preferred)	$201.50
Rate for Payer: BCBS Complete	$124.00
Rate for Payer: Cash Price	$248.00
Rate for Payer: Cofinity Commercial	$217.00
Rate for Payer: Cofinity Commercial	$266.60
Rate for Payer: Cofinity Medicare Advantage	$217.00
Rate for Payer: Encore Health Key Benefits Commercial	$248.00
Rate for Payer: Healthscope Commercial	$279.00
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$263.50
Rate for Payer: PHP Commercial	$263.50
Rate for Payer: Priority Health Cigna Priority Health	$201.50
Rate for Payer: Priority Health SBD	$195.30

HC DEVICE NOT RETURNED AIR 10 OXIMETRY

Facility

$310.00

Hospital Charge Code	27000616
Hospital Revenue Code	270
Min. Negotiated Rate	$195.30
Max. Negotiated Rate	$279.00
Rate for Payer: Aetna Commercial	$263.50
Rate for Payer: Aetna New Business (MI Preferred)	$201.50
Rate for Payer: Cash Price	$248.00
Rate for Payer: Cofinity Commercial	$217.00
Rate for Payer: Cofinity Commercial	$266.60
Rate for Payer: Cofinity Medicare Advantage	$217.00
Rate for Payer: Encore Health Key Benefits Commercial	$248.00
Rate for Payer: Healthscope Commercial	$279.00
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$263.50
Rate for Payer: PHP Commercial	$263.50
Rate for Payer: Priority Health Cigna Priority Health	$201.50
Rate for Payer: Priority Health SBD	$195.30

HC DEVICE NOT RETURNED APNEALINK

Professional

Both

$845.00

Service Code	HCPCS 00602
Hospital Revenue Code	270
Min. Negotiated Rate	$338.00
Max. Negotiated Rate	$549.25
Rate for Payer: Aetna Medicare	$422.50
Rate for Payer: BCBS Complete	$338.00
Rate for Payer: Cash Price	$676.00
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$549.25
Rate for Payer: Priority Health Cigna Priority Health	$549.25

HC DEVICE NOT RETURNED APNEALINK PLUS

Professional

Both

$1,579.00

Service Code	HCPCS 00603
Hospital Revenue Code	270
Min. Negotiated Rate	$631.60
Max. Negotiated Rate	$1,026.35
Rate for Payer: Aetna Medicare	$789.50
Rate for Payer: BCBS Complete	$631.60
Rate for Payer: Cash Price	$1,263.20
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,026.35
Rate for Payer: Priority Health Cigna Priority Health	$1,026.35

HC DEVICE NOT RETURNED APNEALINK PLUS

Facility

$1,548.00

Hospital Charge Code	27000603
Hospital Revenue Code	270
Min. Negotiated Rate	$975.24
Max. Negotiated Rate	$1,393.20
Rate for Payer: Aetna Commercial	$1,315.80
Rate for Payer: Aetna New Business (MI Preferred)	$1,006.20
Rate for Payer: Cash Price	$1,238.40
Rate for Payer: Cofinity Commercial	$1,083.60
Rate for Payer: Cofinity Commercial	$1,331.28
Rate for Payer: Cofinity Medicare Advantage	$1,083.60
Rate for Payer: Encore Health Key Benefits Commercial	$1,238.40
Rate for Payer: Healthscope Commercial	$1,393.20
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,315.80
Rate for Payer: PHP Commercial	$1,315.80
Rate for Payer: Priority Health Cigna Priority Health	$1,006.20
Rate for Payer: Priority Health SBD	$975.24

HC DEVICE NOT RETURNED APNEALINK PLUS

Professional

Both

$1,579.00

Service Code	HCPCS 00603
Hospital Charge Code	27000603
Hospital Revenue Code	270
Min. Negotiated Rate	$631.60
Max. Negotiated Rate	$1,026.35
Rate for Payer: Aetna Medicare	$789.50
Rate for Payer: BCBS Complete	$631.60
Rate for Payer: Cash Price	$1,263.20
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,026.35
Rate for Payer: Priority Health Cigna Priority Health	$1,026.35

HC DEVICE NOT RETURNED APNEALINK PLUS

Facility

$1,548.00

Hospital Charge Code	27000603
Hospital Revenue Code	270
Min. Negotiated Rate	$619.20
Max. Negotiated Rate	$1,393.20
Rate for Payer: Aetna Commercial	$1,315.80
Rate for Payer: Aetna Medicare	$774.00
Rate for Payer: Aetna New Business (MI Preferred)	$1,006.20
Rate for Payer: BCBS Complete	$619.20
Rate for Payer: Cash Price	$1,238.40
Rate for Payer: Cofinity Commercial	$1,083.60
Rate for Payer: Cofinity Commercial	$1,331.28
Rate for Payer: Cofinity Medicare Advantage	$1,083.60
Rate for Payer: Encore Health Key Benefits Commercial	$1,238.40
Rate for Payer: Healthscope Commercial	$1,393.20
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,315.80
Rate for Payer: PHP Commercial	$1,315.80
Rate for Payer: Priority Health Cigna Priority Health	$1,006.20
Rate for Payer: Priority Health SBD	$975.24

HC DEVICE NOT RETURNED CADD PUMP

Facility

$3,723.00

Hospital Charge Code	27000642
Hospital Revenue Code	270
Min. Negotiated Rate	$2,345.49
Max. Negotiated Rate	$3,350.70
Rate for Payer: Aetna Commercial	$3,164.55
Rate for Payer: Aetna New Business (MI Preferred)	$2,419.95
Rate for Payer: Cash Price	$2,978.40
Rate for Payer: Cofinity Commercial	$2,606.10
Rate for Payer: Cofinity Commercial	$3,201.78
Rate for Payer: Cofinity Medicare Advantage	$2,606.10
Rate for Payer: Encore Health Key Benefits Commercial	$2,978.40
Rate for Payer: Healthscope Commercial	$3,350.70
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$3,164.55
Rate for Payer: PHP Commercial	$3,164.55
Rate for Payer: Priority Health Cigna Priority Health	$2,419.95
Rate for Payer: Priority Health SBD	$2,345.49

HC DEVICE NOT RETURNED CADD PUMP

Facility

$3,723.00

Hospital Charge Code	27000642
Hospital Revenue Code	270
Min. Negotiated Rate	$1,489.20
Max. Negotiated Rate	$3,350.70
Rate for Payer: Aetna Commercial	$3,164.55
Rate for Payer: Aetna Medicare	$1,861.50
Rate for Payer: Aetna New Business (MI Preferred)	$2,419.95
Rate for Payer: BCBS Complete	$1,489.20
Rate for Payer: Cash Price	$2,978.40
Rate for Payer: Cofinity Commercial	$2,606.10
Rate for Payer: Cofinity Commercial	$3,201.78
Rate for Payer: Cofinity Medicare Advantage	$2,606.10
Rate for Payer: Encore Health Key Benefits Commercial	$2,978.40
Rate for Payer: Healthscope Commercial	$3,350.70
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$3,164.55
Rate for Payer: PHP Commercial	$3,164.55
Rate for Payer: Priority Health Cigna Priority Health	$2,419.95
Rate for Payer: Priority Health SBD	$2,345.49

HC DEVICE NOT RETURNED HOLTER MONITOR

Facility

$652.00

Hospital Charge Code	27000705
Hospital Revenue Code	270
Min. Negotiated Rate	$260.80
Max. Negotiated Rate	$586.80
Rate for Payer: Aetna Commercial	$554.20
Rate for Payer: Aetna Medicare	$326.00
Rate for Payer: Aetna New Business (MI Preferred)	$423.80
Rate for Payer: BCBS Complete	$260.80
Rate for Payer: Cash Price	$521.60
Rate for Payer: Cofinity Commercial	$456.40
Rate for Payer: Cofinity Commercial	$560.72
Rate for Payer: Cofinity Medicare Advantage	$456.40
Rate for Payer: Encore Health Key Benefits Commercial	$521.60
Rate for Payer: Healthscope Commercial	$586.80
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$554.20
Rate for Payer: PHP Commercial	$554.20
Rate for Payer: Priority Health Cigna Priority Health	$423.80
Rate for Payer: Priority Health SBD	$410.76

HC DEVICE NOT RETURNED HOLTER MONITOR

Facility

$652.00

Hospital Charge Code	27000705
Hospital Revenue Code	270
Min. Negotiated Rate	$410.76
Max. Negotiated Rate	$586.80
Rate for Payer: Aetna Commercial	$554.20
Rate for Payer: Aetna New Business (MI Preferred)	$423.80
Rate for Payer: Cash Price	$521.60
Rate for Payer: Cofinity Commercial	$456.40
Rate for Payer: Cofinity Commercial	$560.72
Rate for Payer: Cofinity Medicare Advantage	$456.40
Rate for Payer: Encore Health Key Benefits Commercial	$521.60
Rate for Payer: Healthscope Commercial	$586.80
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$554.20
Rate for Payer: PHP Commercial	$554.20
Rate for Payer: Priority Health Cigna Priority Health	$423.80
Rate for Payer: Priority Health SBD	$410.76

HC DEVICE NOT RETURNED RU SLEEPING

Facility

$495.00

Hospital Charge Code	27000614
Hospital Revenue Code	270
Min. Negotiated Rate	$311.85
Max. Negotiated Rate	$445.50
Rate for Payer: Aetna Commercial	$420.75
Rate for Payer: Aetna New Business (MI Preferred)	$321.75
Rate for Payer: Cash Price	$396.00
Rate for Payer: Cofinity Commercial	$346.50
Rate for Payer: Cofinity Commercial	$425.70
Rate for Payer: Cofinity Medicare Advantage	$346.50
Rate for Payer: Encore Health Key Benefits Commercial	$396.00
Rate for Payer: Healthscope Commercial	$445.50
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$420.75
Rate for Payer: PHP Commercial	$420.75
Rate for Payer: Priority Health Cigna Priority Health	$321.75
Rate for Payer: Priority Health SBD	$311.85

HC DEVICE NOT RETURNED RU SLEEPING

Professional

Both

$505.00

Service Code	HCPCS 00614
Hospital Charge Code	27000614
Hospital Revenue Code	270
Min. Negotiated Rate	$202.00
Max. Negotiated Rate	$328.25
Rate for Payer: Aetna Medicare	$252.50
Rate for Payer: BCBS Complete	$202.00
Rate for Payer: Cash Price	$404.00
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$328.25
Rate for Payer: Priority Health Cigna Priority Health	$328.25

HC DEVICE NOT RETURNED RU SLEEPING

Professional

Both

$505.00

Service Code	HCPCS 00614
Hospital Revenue Code	270
Min. Negotiated Rate	$202.00
Max. Negotiated Rate	$328.25
Rate for Payer: Aetna Medicare	$252.50
Rate for Payer: BCBS Complete	$202.00
Rate for Payer: Cash Price	$404.00
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$328.25
Rate for Payer: Priority Health Cigna Priority Health	$328.25

HC DEVICE NOT RETURNED RU SLEEPING

Facility

$495.00

Hospital Charge Code	27000614
Hospital Revenue Code	270
Min. Negotiated Rate	$198.00
Max. Negotiated Rate	$445.50
Rate for Payer: Aetna Commercial	$420.75
Rate for Payer: Aetna Medicare	$247.50
Rate for Payer: Aetna New Business (MI Preferred)	$321.75
Rate for Payer: BCBS Complete	$198.00
Rate for Payer: Cash Price	$396.00
Rate for Payer: Cofinity Commercial	$346.50
Rate for Payer: Cofinity Commercial	$425.70
Rate for Payer: Cofinity Medicare Advantage	$346.50
Rate for Payer: Encore Health Key Benefits Commercial	$396.00
Rate for Payer: Healthscope Commercial	$445.50
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$420.75
Rate for Payer: PHP Commercial	$420.75
Rate for Payer: Priority Health Cigna Priority Health	$321.75
Rate for Payer: Priority Health SBD	$311.85

HC DEVICE NOT RETURNED WATCHPAT

Professional

Both

$5,049.00

Service Code	HCPCS 00604
Hospital Revenue Code	270
Min. Negotiated Rate	$2,019.60
Max. Negotiated Rate	$3,281.85
Rate for Payer: Aetna Medicare	$2,524.50
Rate for Payer: BCBS Complete	$2,019.60
Rate for Payer: Cash Price	$4,039.20
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$3,281.85
Rate for Payer: Priority Health Cigna Priority Health	$3,281.85

Know your out-of-pocket cost for care.

All Charges