Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

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 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

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

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 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

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 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	$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 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 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 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 WATCHPAT

Professional

Both

$5,049.00

Service Code	HCPCS 00604
Hospital Revenue Code	270
Min. Negotiated Rate	$2,019.60
Max. Negotiated Rate	$5,000.00
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: Cash Price	$4,039.20
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$5,000.00
Rate for Payer: Priority Health Cigna Priority Health	$3,281.85

HC DEVICE NOT RETURNED WATCHPAT

Facility

$4,950.00

Hospital Charge Code	27000604
Hospital Revenue Code	270
Min. Negotiated Rate	$1,980.00
Max. Negotiated Rate	$4,455.00
Rate for Payer: Aetna Commercial	$4,207.50
Rate for Payer: Aetna Medicare	$2,475.00
Rate for Payer: Aetna New Business (MI Preferred)	$3,217.50
Rate for Payer: BCBS Complete	$1,980.00
Rate for Payer: Cash Price	$3,960.00
Rate for Payer: Cofinity Commercial	$3,465.00
Rate for Payer: Cofinity Commercial	$4,257.00
Rate for Payer: Cofinity Medicare Advantage	$3,465.00
Rate for Payer: Encore Health Key Benefits Commercial	$3,960.00
Rate for Payer: Healthscope Commercial	$4,455.00
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$4,207.50
Rate for Payer: PHP Commercial	$4,207.50
Rate for Payer: Priority Health Cigna Priority Health	$3,217.50
Rate for Payer: Priority Health SBD	$3,118.50

HC DEVICE NOT RETURNED WATCHPAT

Professional

Both

$5,049.00

Service Code	HCPCS 00604
Hospital Charge Code	27000604
Hospital Revenue Code	270
Min. Negotiated Rate	$2,019.60
Max. Negotiated Rate	$5,000.00
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: Cash Price	$4,039.20
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$5,000.00
Rate for Payer: Priority Health Cigna Priority Health	$3,281.85

HC DEVICE NOT RETURNED WATCHPAT

Facility

$4,950.00

Hospital Charge Code	27000604
Hospital Revenue Code	270
Min. Negotiated Rate	$3,118.50
Max. Negotiated Rate	$4,455.00
Rate for Payer: Aetna Commercial	$4,207.50
Rate for Payer: Aetna New Business (MI Preferred)	$3,217.50
Rate for Payer: Cash Price	$3,960.00
Rate for Payer: Cofinity Commercial	$3,465.00
Rate for Payer: Cofinity Commercial	$4,257.00
Rate for Payer: Cofinity Medicare Advantage	$3,465.00
Rate for Payer: Encore Health Key Benefits Commercial	$3,960.00
Rate for Payer: Healthscope Commercial	$4,455.00
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$4,207.50
Rate for Payer: PHP Commercial	$4,207.50
Rate for Payer: Priority Health Cigna Priority Health	$3,217.50
Rate for Payer: Priority Health SBD	$3,118.50

HC DEXA BONE DENSITY

Facility

$541.62

Service Code	CPT 77080
Hospital Charge Code	32000260
Hospital Revenue Code	320
Min. Negotiated Rate	$341.22
Max. Negotiated Rate	$487.46
Rate for Payer: Aetna Commercial	$460.38
Rate for Payer: Aetna New Business (MI Preferred)	$352.05
Rate for Payer: Cash Price	$433.30
Rate for Payer: Cofinity Commercial	$379.13
Rate for Payer: Cofinity Commercial	$465.79
Rate for Payer: Cofinity Medicare Advantage	$379.13
Rate for Payer: Encore Health Key Benefits Commercial	$433.30
Rate for Payer: Healthscope Commercial	$487.46
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$460.38
Rate for Payer: PHP Commercial	$460.38
Rate for Payer: Priority Health Cigna Priority Health	$352.05
Rate for Payer: Priority Health SBD	$341.22

HC DEXA BONE DENSITY

Facility

$541.62

Service Code	CPT 77080
Hospital Charge Code	32000260
Hospital Revenue Code	320
Min. Negotiated Rate	$39.23
Max. Negotiated Rate	$487.46
Rate for Payer: Aetna Commercial	$460.38
Rate for Payer: Aetna Medicare	$108.36
Rate for Payer: Aetna New Business (MI Preferred)	$352.05
Rate for Payer: Allen County Amish Medical Aid Commercial	$130.24
Rate for Payer: Amish Plain Church Group Commercial	$130.24
Rate for Payer: BCBS Complete	$58.64
Rate for Payer: BCBS MAPPO	$104.19
Rate for Payer: BCBS Trust/PPO	$55.95
Rate for Payer: BCN Commercial	$55.95
Rate for Payer: BCN Medicare Advantage	$104.19
Rate for Payer: Cash Price	$433.30
Rate for Payer: Cash Price	$433.30
Rate for Payer: Cofinity Commercial	$465.79
Rate for Payer: Cofinity Commercial	$379.13
Rate for Payer: Cofinity Medicare Advantage	$379.13
Rate for Payer: Encore Health Key Benefits Commercial	$433.30
Rate for Payer: Health Alliance Plan Medicare Advantage	$104.19
Rate for Payer: Healthscope Commercial	$487.46
Rate for Payer: Mclaren Medicaid	$55.85
Rate for Payer: Mclaren Medicare	$104.19
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$109.40
Rate for Payer: Meridian Medicaid	$58.64
Rate for Payer: MI Amish Medical Board Commercial	$119.82
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$460.38
Rate for Payer: Nomi Health Commercial	$312.57
Rate for Payer: PACE Medicare	$98.98
Rate for Payer: PACE SWMI	$104.19
Rate for Payer: PHP Commercial	$460.38
Rate for Payer: PHP Medicare Advantage	$104.19
Rate for Payer: Priority Health Choice Medicaid	$55.85
Rate for Payer: Priority Health Cigna Priority Health	$352.05
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$327.48
Rate for Payer: Priority Health Medicare	$104.19
Rate for Payer: Priority Health Narrow Network	$261.98
Rate for Payer: Priority Health SBD	$341.22
Rate for Payer: Railroad Medicare Medicare	$104.19
Rate for Payer: UHC All Payor (Choice/PPO)	$39.23
Rate for Payer: UHC Dual Complete DSNP	$104.19
Rate for Payer: UHC Exchange	$400.80
Rate for Payer: UHC Medicare Advantage	$104.19
Rate for Payer: UHCCP Medicaid	$58.66
Rate for Payer: VA VA	$104.19

HC DEXA BONE DENSITY APPENDICULAR

Facility

$204.23

Service Code	CPT 77081
Hospital Charge Code	32000261
Hospital Revenue Code	320
Min. Negotiated Rate	$32.00
Max. Negotiated Rate	$271.13
Rate for Payer: Aetna Commercial	$173.60
Rate for Payer: Aetna Medicare	$89.72
Rate for Payer: Aetna New Business (MI Preferred)	$132.75
Rate for Payer: Allen County Amish Medical Aid Commercial	$107.84
Rate for Payer: Amish Plain Church Group Commercial	$107.84
Rate for Payer: BCBS Complete	$48.55
Rate for Payer: BCBS MAPPO	$86.27
Rate for Payer: BCBS Trust/PPO	$42.11
Rate for Payer: BCN Commercial	$42.11
Rate for Payer: BCN Medicare Advantage	$86.27
Rate for Payer: Cash Price	$163.38
Rate for Payer: Cash Price	$163.38
Rate for Payer: Cofinity Commercial	$175.64
Rate for Payer: Cofinity Commercial	$142.96
Rate for Payer: Cofinity Medicare Advantage	$142.96
Rate for Payer: Encore Health Key Benefits Commercial	$163.38
Rate for Payer: Health Alliance Plan Medicare Advantage	$86.27
Rate for Payer: Healthscope Commercial	$183.81
Rate for Payer: Mclaren Medicaid	$46.24
Rate for Payer: Mclaren Medicare	$86.27
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$90.58
Rate for Payer: Meridian Medicaid	$48.55
Rate for Payer: MI Amish Medical Board Commercial	$99.21
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$173.60
Rate for Payer: Nomi Health Commercial	$258.81
Rate for Payer: PACE Medicare	$81.96
Rate for Payer: PACE SWMI	$86.27
Rate for Payer: PHP Commercial	$173.60
Rate for Payer: PHP Medicare Advantage	$86.27
Rate for Payer: Priority Health Choice Medicaid	$46.24
Rate for Payer: Priority Health Cigna Priority Health	$132.75
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$271.13
Rate for Payer: Priority Health Medicare	$86.27
Rate for Payer: Priority Health Narrow Network	$216.90
Rate for Payer: Priority Health SBD	$128.66
Rate for Payer: Railroad Medicare Medicare	$86.27
Rate for Payer: UHC All Payor (Choice/PPO)	$32.00
Rate for Payer: UHC Dual Complete DSNP	$86.27
Rate for Payer: UHC Exchange	$151.13
Rate for Payer: UHC Medicare Advantage	$86.27
Rate for Payer: UHCCP Medicaid	$48.57
Rate for Payer: VA VA	$86.27

HC DEXA BONE DENSITY APPENDICULAR

Facility

$204.23

Service Code	CPT 77081
Hospital Charge Code	32000261
Hospital Revenue Code	320
Min. Negotiated Rate	$128.66
Max. Negotiated Rate	$183.81
Rate for Payer: Aetna Commercial	$173.60
Rate for Payer: Aetna New Business (MI Preferred)	$132.75
Rate for Payer: Cash Price	$163.38
Rate for Payer: Cofinity Commercial	$142.96
Rate for Payer: Cofinity Commercial	$175.64
Rate for Payer: Cofinity Medicare Advantage	$142.96
Rate for Payer: Encore Health Key Benefits Commercial	$163.38
Rate for Payer: Healthscope Commercial	$183.81
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$173.60
Rate for Payer: PHP Commercial	$173.60
Rate for Payer: Priority Health Cigna Priority Health	$132.75
Rate for Payer: Priority Health SBD	$128.66

HC DEXAMETHASONE DEXA

Facility

$150.43

Service Code	CPT 80299
Hospital Charge Code	30100751
Hospital Revenue Code	301
Min. Negotiated Rate	$9.99
Max. Negotiated Rate	$135.39
Rate for Payer: Aetna Commercial	$127.87
Rate for Payer: Aetna Medicare	$19.39
Rate for Payer: Aetna New Business (MI Preferred)	$97.78
Rate for Payer: Allen County Amish Medical Aid Commercial	$23.30
Rate for Payer: Amish Plain Church Group Commercial	$23.30
Rate for Payer: BCBS Complete	$10.49
Rate for Payer: BCBS MAPPO	$18.64
Rate for Payer: BCBS Trust/PPO	$16.50
Rate for Payer: BCN Commercial	$16.50
Rate for Payer: BCN Medicare Advantage	$18.64
Rate for Payer: Cash Price	$120.34
Rate for Payer: Cash Price	$120.34
Rate for Payer: Cofinity Commercial	$105.30
Rate for Payer: Cofinity Commercial	$129.37
Rate for Payer: Cofinity Medicare Advantage	$105.30
Rate for Payer: Encore Health Key Benefits Commercial	$120.34
Rate for Payer: Health Alliance Plan Medicare Advantage	$18.64
Rate for Payer: Healthscope Commercial	$135.39
Rate for Payer: Mclaren Medicaid	$9.99
Rate for Payer: Mclaren Medicare	$18.64
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$19.57
Rate for Payer: Meridian Medicaid	$10.49
Rate for Payer: MI Amish Medical Board Commercial	$21.44
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$127.87
Rate for Payer: Nomi Health Commercial	$27.96
Rate for Payer: PACE Medicare	$17.71
Rate for Payer: PACE SWMI	$18.64
Rate for Payer: PHP Commercial	$127.87
Rate for Payer: PHP Medicare Advantage	$18.64
Rate for Payer: Priority Health Choice Medicaid	$9.99
Rate for Payer: Priority Health Cigna Priority Health	$97.78
Rate for Payer: Priority Health Medicare	$18.64
Rate for Payer: Priority Health SBD	$94.77
Rate for Payer: Railroad Medicare Medicare	$18.64
Rate for Payer: UHC All Payor (Choice/PPO)	$22.37
Rate for Payer: UHC Dual Complete DSNP	$18.64
Rate for Payer: UHC Medicare Advantage	$18.64
Rate for Payer: UHCCP Medicaid	$10.49
Rate for Payer: VA VA	$18.64

HC DEXAMETHASONE DEXA

Facility

$150.43

Service Code	CPT 80299
Hospital Charge Code	30100751
Hospital Revenue Code	301
Min. Negotiated Rate	$94.77
Max. Negotiated Rate	$135.39
Rate for Payer: Aetna Commercial	$127.87
Rate for Payer: Aetna New Business (MI Preferred)	$97.78
Rate for Payer: Cash Price	$120.34
Rate for Payer: Cofinity Commercial	$105.30
Rate for Payer: Cofinity Commercial	$129.37
Rate for Payer: Cofinity Medicare Advantage	$105.30
Rate for Payer: Encore Health Key Benefits Commercial	$120.34
Rate for Payer: Healthscope Commercial	$135.39
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$127.87
Rate for Payer: PHP Commercial	$127.87
Rate for Payer: Priority Health Cigna Priority Health	$97.78
Rate for Payer: Priority Health SBD	$94.77

Know your out-of-pocket cost for care.

All Charges