Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

HC LIVER KIDNEY MICROSOME ANTIBODY

Facility

$55.49

Service Code	CPT 86376
Hospital Charge Code	30200208
Hospital Revenue Code	302
Min. Negotiated Rate	$34.96
Max. Negotiated Rate	$49.94
Rate for Payer: Aetna Commercial	$47.17
Rate for Payer: Aetna New Business (MI Preferred)	$36.07
Rate for Payer: Cash Price	$44.39
Rate for Payer: Cofinity Commercial	$38.84
Rate for Payer: Cofinity Commercial	$47.72
Rate for Payer: Healthscope Commercial	$49.94
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$47.17
Rate for Payer: PHP Commercial	$47.17
Rate for Payer: Priority Health Cigna Priority Health	$38.84
Rate for Payer: Priority Health SBD	$34.96

HC LOBSTER IGE

Facility

$24.89

Service Code	CPT 86003
Hospital Charge Code	30200045
Hospital Revenue Code	302
Min. Negotiated Rate	$15.68
Max. Negotiated Rate	$22.40
Rate for Payer: Aetna Commercial	$21.16
Rate for Payer: Aetna New Business (MI Preferred)	$16.18
Rate for Payer: Cash Price	$19.91
Rate for Payer: Cofinity Commercial	$17.42
Rate for Payer: Cofinity Commercial	$21.41
Rate for Payer: Healthscope Commercial	$22.40
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$21.16
Rate for Payer: PHP Commercial	$21.16
Rate for Payer: Priority Health Cigna Priority Health	$17.42
Rate for Payer: Priority Health SBD	$15.68

HC LOBSTER IGE

Facility

$24.89

Service Code	CPT 86003
Hospital Charge Code	30200045
Hospital Revenue Code	302
Min. Negotiated Rate	$2.86
Max. Negotiated Rate	$22.40
Rate for Payer: Aetna Commercial	$21.16
Rate for Payer: Aetna Medicare	$5.43
Rate for Payer: Aetna New Business (MI Preferred)	$16.18
Rate for Payer: Allen County Amish Medical Aid Commercial	$6.52
Rate for Payer: Amish Plain Church Group Commercial	$6.52
Rate for Payer: BCBS Complete	$3.00
Rate for Payer: BCBS MAPPO	$5.22
Rate for Payer: BCBS Trust/PPO	$4.09
Rate for Payer: BCN Medicare Advantage	$5.22
Rate for Payer: Cash Price	$19.91
Rate for Payer: Cash Price	$19.91
Rate for Payer: Cofinity Commercial	$21.41
Rate for Payer: Cofinity Commercial	$17.42
Rate for Payer: Health Alliance Plan Medicare Advantage	$5.22
Rate for Payer: Healthscope Commercial	$22.40
Rate for Payer: Mclaren Medicaid	$2.86
Rate for Payer: Mclaren Medicare	$5.22
Rate for Payer: Meridian Medicaid	$3.00
Rate for Payer: Meridian Wellcare - Medicare Advantage	$5.48
Rate for Payer: MI Amish Medical Board Commercial	$6.00
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$21.16
Rate for Payer: PACE Medicare	$4.96
Rate for Payer: PACE SWMI	$5.22
Rate for Payer: PHP Commercial	$21.16
Rate for Payer: PHP Medicare Advantage	$5.22
Rate for Payer: Priority Health Choice Medicaid	$2.86
Rate for Payer: Priority Health Cigna Priority Health	$17.42
Rate for Payer: Priority Health Medicare	$5.22
Rate for Payer: Priority Health SBD	$15.68
Rate for Payer: Railroad Medicare Medicare	$5.22
Rate for Payer: UHC All Payor (Choice/PPO)	$6.26
Rate for Payer: UHC Core	$8.87
Rate for Payer: UHC Dual Complete DSNP	$5.22
Rate for Payer: UHC Exchange	$5.22
Rate for Payer: UHC Medicare Advantage	$5.38
Rate for Payer: VA VA	$5.22

HC LOCAL ANES ADDL 15 MIN

Facility

$94.48

Hospital Charge Code	37000009
Hospital Revenue Code	370
Min. Negotiated Rate	$59.52
Max. Negotiated Rate	$85.03
Rate for Payer: Aetna Commercial	$80.31
Rate for Payer: Aetna New Business (MI Preferred)	$61.41
Rate for Payer: Cash Price	$75.58
Rate for Payer: Cofinity Commercial	$66.14
Rate for Payer: Cofinity Commercial	$81.25
Rate for Payer: Healthscope Commercial	$85.03
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$80.31
Rate for Payer: PHP Commercial	$80.31
Rate for Payer: Priority Health Cigna Priority Health	$66.14
Rate for Payer: Priority Health SBD	$59.52

HC LOCAL ANES ADDL 15 MIN

Facility

$94.48

Hospital Charge Code	37000009
Hospital Revenue Code	370
Min. Negotiated Rate	$37.79
Max. Negotiated Rate	$85.03
Rate for Payer: Aetna Commercial	$80.31
Rate for Payer: Aetna New Business (MI Preferred)	$61.41
Rate for Payer: BCBS Complete	$37.79
Rate for Payer: Cash Price	$75.58
Rate for Payer: Cofinity Commercial	$66.14
Rate for Payer: Cofinity Commercial	$81.25
Rate for Payer: Healthscope Commercial	$85.03
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$80.31
Rate for Payer: PHP Commercial	$80.31
Rate for Payer: Priority Health Cigna Priority Health	$66.14
Rate for Payer: Priority Health SBD	$59.52

HC LOCAL ANES INIT 30 MIN

Facility

$342.78

Hospital Charge Code	37000010
Hospital Revenue Code	370
Min. Negotiated Rate	$215.95
Max. Negotiated Rate	$308.50
Rate for Payer: Aetna Commercial	$291.36
Rate for Payer: Aetna New Business (MI Preferred)	$222.81
Rate for Payer: Cash Price	$274.22
Rate for Payer: Cofinity Commercial	$239.95
Rate for Payer: Cofinity Commercial	$294.79
Rate for Payer: Healthscope Commercial	$308.50
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$291.36
Rate for Payer: PHP Commercial	$291.36
Rate for Payer: Priority Health Cigna Priority Health	$239.95
Rate for Payer: Priority Health SBD	$215.95

HC LOCAL ANES INIT 30 MIN

Facility

$342.78

Hospital Charge Code	37000010
Hospital Revenue Code	370
Min. Negotiated Rate	$137.11
Max. Negotiated Rate	$308.50
Rate for Payer: Aetna Commercial	$291.36
Rate for Payer: Aetna New Business (MI Preferred)	$222.81
Rate for Payer: BCBS Complete	$137.11
Rate for Payer: Cash Price	$274.22
Rate for Payer: Cofinity Commercial	$239.95
Rate for Payer: Cofinity Commercial	$294.79
Rate for Payer: Healthscope Commercial	$308.50
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$291.36
Rate for Payer: PHP Commercial	$291.36
Rate for Payer: Priority Health Cigna Priority Health	$239.95
Rate for Payer: Priority Health SBD	$215.95

HC LOCALIZATION CLIP

Facility

$202.77

Service Code	HCPCS A4648
Hospital Charge Code	27800040
Hospital Revenue Code	278
Min. Negotiated Rate	$127.75
Max. Negotiated Rate	$182.49
Rate for Payer: Aetna Commercial	$172.35
Rate for Payer: Aetna New Business (MI Preferred)	$131.80
Rate for Payer: Cash Price	$162.22
Rate for Payer: Cofinity Commercial	$141.94
Rate for Payer: Cofinity Commercial	$174.38
Rate for Payer: Healthscope Commercial	$182.49
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$172.35
Rate for Payer: PHP Commercial	$172.35
Rate for Payer: Priority Health Cigna Priority Health	$141.94
Rate for Payer: Priority Health SBD	$127.75

HC LOCALIZATION CLIP

Facility

$202.77

Service Code	HCPCS A4648
Hospital Charge Code	27800040
Hospital Revenue Code	278
Min. Negotiated Rate	$81.11
Max. Negotiated Rate	$182.49
Rate for Payer: Aetna Commercial	$172.35
Rate for Payer: Aetna New Business (MI Preferred)	$131.80
Rate for Payer: BCBS Complete	$81.11
Rate for Payer: Cash Price	$162.22
Rate for Payer: Cofinity Commercial	$141.94
Rate for Payer: Cofinity Commercial	$174.38
Rate for Payer: Healthscope Commercial	$182.49
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$172.35
Rate for Payer: PHP Commercial	$172.35
Rate for Payer: Priority Health Cigna Priority Health	$141.94
Rate for Payer: Priority Health SBD	$127.75

HC LOCALIZATION DEVICE LEVEL 1

Facility

$144.00

Service Code	HCPCS A4648
Hospital Charge Code	27800350
Hospital Revenue Code	278
Min. Negotiated Rate	$90.72
Max. Negotiated Rate	$129.60
Rate for Payer: Aetna Commercial	$122.40
Rate for Payer: Aetna New Business (MI Preferred)	$93.60
Rate for Payer: Cash Price	$115.20
Rate for Payer: Cofinity Commercial	$100.80
Rate for Payer: Cofinity Commercial	$123.84
Rate for Payer: Healthscope Commercial	$129.60
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$122.40
Rate for Payer: PHP Commercial	$122.40
Rate for Payer: Priority Health Cigna Priority Health	$100.80
Rate for Payer: Priority Health SBD	$90.72

HC LOCALIZATION DEVICE LEVEL 1

Facility

$144.00

Service Code	HCPCS A4648
Hospital Charge Code	27800350
Hospital Revenue Code	278
Min. Negotiated Rate	$57.60
Max. Negotiated Rate	$129.60
Rate for Payer: Aetna Commercial	$122.40
Rate for Payer: Aetna New Business (MI Preferred)	$93.60
Rate for Payer: BCBS Complete	$57.60
Rate for Payer: Cash Price	$115.20
Rate for Payer: Cofinity Commercial	$100.80
Rate for Payer: Cofinity Commercial	$123.84
Rate for Payer: Healthscope Commercial	$129.60
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$122.40
Rate for Payer: PHP Commercial	$122.40
Rate for Payer: Priority Health Cigna Priority Health	$100.80
Rate for Payer: Priority Health SBD	$90.72

HC LOC INFIL W/CS 15 MIN

Facility

$141.54

Hospital Charge Code	37000007
Hospital Revenue Code	370
Min. Negotiated Rate	$89.17
Max. Negotiated Rate	$127.39
Rate for Payer: Aetna Commercial	$120.31
Rate for Payer: Aetna New Business (MI Preferred)	$92.00
Rate for Payer: Cash Price	$113.23
Rate for Payer: Cofinity Commercial	$121.72
Rate for Payer: Cofinity Commercial	$99.08
Rate for Payer: Healthscope Commercial	$127.39
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$120.31
Rate for Payer: PHP Commercial	$120.31
Rate for Payer: Priority Health Cigna Priority Health	$99.08
Rate for Payer: Priority Health SBD	$89.17

HC LOC INFIL W/CS 15 MIN

Facility

$141.54

Hospital Charge Code	37000007
Hospital Revenue Code	370
Min. Negotiated Rate	$56.62
Max. Negotiated Rate	$127.39
Rate for Payer: Aetna Commercial	$120.31
Rate for Payer: Aetna New Business (MI Preferred)	$92.00
Rate for Payer: BCBS Complete	$56.62
Rate for Payer: Cash Price	$113.23
Rate for Payer: Cofinity Commercial	$121.72
Rate for Payer: Cofinity Commercial	$99.08
Rate for Payer: Healthscope Commercial	$127.39
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$120.31
Rate for Payer: PHP Commercial	$120.31
Rate for Payer: Priority Health Cigna Priority Health	$99.08
Rate for Payer: Priority Health SBD	$89.17

HC LOC INFIL W/CS 30 MIN

Facility

$707.43

Hospital Charge Code	37000008
Hospital Revenue Code	370
Min. Negotiated Rate	$282.97
Max. Negotiated Rate	$636.69
Rate for Payer: Aetna Commercial	$601.32
Rate for Payer: Aetna New Business (MI Preferred)	$459.83
Rate for Payer: BCBS Complete	$282.97
Rate for Payer: Cash Price	$565.94
Rate for Payer: Cofinity Commercial	$495.20
Rate for Payer: Cofinity Commercial	$608.39
Rate for Payer: Healthscope Commercial	$636.69
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$601.32
Rate for Payer: PHP Commercial	$601.32
Rate for Payer: Priority Health Cigna Priority Health	$495.20
Rate for Payer: Priority Health SBD	$445.68

HC LOC INFIL W/CS 30 MIN

Facility

$707.43

Hospital Charge Code	37000008
Hospital Revenue Code	370
Min. Negotiated Rate	$445.68
Max. Negotiated Rate	$636.69
Rate for Payer: Aetna Commercial	$601.32
Rate for Payer: Aetna New Business (MI Preferred)	$459.83
Rate for Payer: Cash Price	$565.94
Rate for Payer: Cofinity Commercial	$495.20
Rate for Payer: Cofinity Commercial	$608.39
Rate for Payer: Healthscope Commercial	$636.69
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$601.32
Rate for Payer: PHP Commercial	$601.32
Rate for Payer: Priority Health Cigna Priority Health	$495.20
Rate for Payer: Priority Health SBD	$445.68

HC LOCM 100-199 MG/ML IODINE/ML1

Facility

$3.68

Service Code	HCPCS Q9965
Hospital Charge Code	25500002
Hospital Revenue Code	255
Min. Negotiated Rate	$1.39
Max. Negotiated Rate	$3.31
Rate for Payer: Aetna Commercial	$3.13
Rate for Payer: Aetna New Business (MI Preferred)	$2.39
Rate for Payer: BCBS Complete	$1.47
Rate for Payer: BCBS Trust/PPO	$1.39
Rate for Payer: Cash Price	$2.94
Rate for Payer: Cash Price	$2.94
Rate for Payer: Cofinity Commercial	$2.58
Rate for Payer: Cofinity Commercial	$3.16
Rate for Payer: Healthscope Commercial	$3.31
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$3.13
Rate for Payer: PHP Commercial	$3.13
Rate for Payer: Priority Health Cigna Priority Health	$2.58
Rate for Payer: Priority Health SBD	$2.32

HC LOCM 100-199 MG/ML IODINE/ML1

Facility

$3.68

Service Code	HCPCS Q9965
Hospital Charge Code	25500002
Hospital Revenue Code	255
Min. Negotiated Rate	$2.32
Max. Negotiated Rate	$3.31
Rate for Payer: Aetna Commercial	$3.13
Rate for Payer: Aetna New Business (MI Preferred)	$2.39
Rate for Payer: Cash Price	$2.94
Rate for Payer: Cofinity Commercial	$2.58
Rate for Payer: Cofinity Commercial	$3.16
Rate for Payer: Healthscope Commercial	$3.31
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$3.13
Rate for Payer: PHP Commercial	$3.13
Rate for Payer: Priority Health Cigna Priority Health	$2.58
Rate for Payer: Priority Health SBD	$2.32

HC LOOP AV 3/8 INCH OR 1/2 INCH

Facility

$211.80

Hospital Charge Code	27000444
Hospital Revenue Code	270
Min. Negotiated Rate	$133.43
Max. Negotiated Rate	$190.62
Rate for Payer: Aetna Commercial	$180.03
Rate for Payer: Aetna New Business (MI Preferred)	$137.67
Rate for Payer: Cash Price	$169.44
Rate for Payer: Cofinity Commercial	$148.26
Rate for Payer: Cofinity Commercial	$182.15
Rate for Payer: Healthscope Commercial	$190.62
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$180.03
Rate for Payer: PHP Commercial	$180.03
Rate for Payer: Priority Health Cigna Priority Health	$148.26
Rate for Payer: Priority Health SBD	$133.43

HC LOOP AV 3/8 INCH OR 1/2 INCH

Facility

$211.80

Hospital Charge Code	27000444
Hospital Revenue Code	270
Min. Negotiated Rate	$84.72
Max. Negotiated Rate	$190.62
Rate for Payer: Aetna Commercial	$180.03
Rate for Payer: Aetna New Business (MI Preferred)	$137.67
Rate for Payer: BCBS Complete	$84.72
Rate for Payer: Cash Price	$169.44
Rate for Payer: Cofinity Commercial	$148.26
Rate for Payer: Cofinity Commercial	$182.15
Rate for Payer: Healthscope Commercial	$190.62
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$180.03
Rate for Payer: PHP Commercial	$180.03
Rate for Payer: Priority Health Cigna Priority Health	$148.26
Rate for Payer: Priority Health SBD	$133.43

HC LOW-LEVEL LASER THERAPY

Facility

$90.00

Service Code	CPT 0552T
Hospital Charge Code	43000024
Hospital Revenue Code	420
Min. Negotiated Rate	$56.70
Max. Negotiated Rate	$81.00
Rate for Payer: Aetna Commercial	$76.50
Rate for Payer: Aetna New Business (MI Preferred)	$58.50
Rate for Payer: Cash Price	$72.00
Rate for Payer: Cofinity Commercial	$77.40
Rate for Payer: Cofinity Commercial	$63.00
Rate for Payer: Healthscope Commercial	$81.00
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$76.50
Rate for Payer: PHP Commercial	$76.50
Rate for Payer: Priority Health Cigna Priority Health	$63.00
Rate for Payer: Priority Health SBD	$56.70

HC LOW-LEVEL LASER THERAPY

Facility

$90.00

Service Code	CPT 0552T
Hospital Charge Code	43000024
Hospital Revenue Code	420
Min. Negotiated Rate	$36.00
Max. Negotiated Rate	$81.00
Rate for Payer: Aetna Commercial	$76.50
Rate for Payer: Aetna New Business (MI Preferred)	$58.50
Rate for Payer: BCBS Complete	$36.00
Rate for Payer: Cash Price	$72.00
Rate for Payer: Cofinity Commercial	$63.00
Rate for Payer: Cofinity Commercial	$77.40
Rate for Payer: Healthscope Commercial	$81.00
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$76.50
Rate for Payer: PHP Commercial	$76.50
Rate for Payer: Priority Health Cigna Priority Health	$63.00
Rate for Payer: Priority Health SBD	$56.70

HC LP (A) CHOLESTEROL LMPP

Facility

$23.46

Service Code	CPT 83700
Hospital Charge Code	30100636
Hospital Revenue Code	301
Min. Negotiated Rate	$14.78
Max. Negotiated Rate	$21.11
Rate for Payer: Aetna Commercial	$19.94
Rate for Payer: Aetna New Business (MI Preferred)	$15.25
Rate for Payer: Cash Price	$18.77
Rate for Payer: Cofinity Commercial	$16.42
Rate for Payer: Cofinity Commercial	$20.18
Rate for Payer: Healthscope Commercial	$21.11
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$19.94
Rate for Payer: PHP Commercial	$19.94
Rate for Payer: Priority Health Cigna Priority Health	$16.42
Rate for Payer: Priority Health SBD	$14.78

HC LP (A) CHOLESTEROL LMPP

Facility

$23.46

Service Code	CPT 83700
Hospital Charge Code	30100636
Hospital Revenue Code	301
Min. Negotiated Rate	$6.16
Max. Negotiated Rate	$21.11
Rate for Payer: Aetna Commercial	$19.94
Rate for Payer: Aetna Medicare	$11.71
Rate for Payer: Aetna New Business (MI Preferred)	$15.25
Rate for Payer: Allen County Amish Medical Aid Commercial	$14.08
Rate for Payer: Amish Plain Church Group Commercial	$14.08
Rate for Payer: BCBS Complete	$6.47
Rate for Payer: BCBS MAPPO	$11.26
Rate for Payer: BCBS Trust/PPO	$8.82
Rate for Payer: BCN Medicare Advantage	$11.26
Rate for Payer: Cash Price	$18.77
Rate for Payer: Cash Price	$18.77
Rate for Payer: Cofinity Commercial	$20.18
Rate for Payer: Cofinity Commercial	$16.42
Rate for Payer: Health Alliance Plan Medicare Advantage	$11.26
Rate for Payer: Healthscope Commercial	$21.11
Rate for Payer: Mclaren Medicaid	$6.16
Rate for Payer: Mclaren Medicare	$11.26
Rate for Payer: Meridian Medicaid	$6.47
Rate for Payer: Meridian Wellcare - Medicare Advantage	$11.82
Rate for Payer: MI Amish Medical Board Commercial	$12.95
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$19.94
Rate for Payer: PACE Medicare	$10.70
Rate for Payer: PACE SWMI	$11.26
Rate for Payer: PHP Commercial	$19.94
Rate for Payer: PHP Medicare Advantage	$11.26
Rate for Payer: Priority Health Choice Medicaid	$6.16
Rate for Payer: Priority Health Cigna Priority Health	$16.42
Rate for Payer: Priority Health Medicare	$11.26
Rate for Payer: Priority Health SBD	$14.78
Rate for Payer: Railroad Medicare Medicare	$11.26
Rate for Payer: UHC All Payor (Choice/PPO)	$13.51
Rate for Payer: UHC Core	$19.14
Rate for Payer: UHC Dual Complete DSNP	$11.26
Rate for Payer: UHC Exchange	$11.26
Rate for Payer: UHC Medicare Advantage	$11.60
Rate for Payer: VA VA	$11.26

HC LTC ROOM AND BOARD

Facility

$377.40

Hospital Charge Code	11000003
Hospital Revenue Code	110
Min. Negotiated Rate	$237.76
Max. Negotiated Rate	$339.66
Rate for Payer: Aetna Commercial	$320.79
Rate for Payer: Aetna New Business (MI Preferred)	$245.31
Rate for Payer: Cash Price	$301.92
Rate for Payer: Cofinity Commercial	$264.18
Rate for Payer: Cofinity Commercial	$324.56
Rate for Payer: Healthscope Commercial	$339.66
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$320.79
Rate for Payer: PHP Commercial	$320.79
Rate for Payer: Priority Health Cigna Priority Health	$264.18
Rate for Payer: Priority Health SBD	$237.76

HC LT/RT/C'S/CABG'S W INTERVENTION

Facility

$12,115.61

Service Code	CPT 93461
Hospital Charge Code	48100051
Hospital Revenue Code	481
Min. Negotiated Rate	$7,632.83
Max. Negotiated Rate	$10,904.05
Rate for Payer: Aetna Commercial	$10,298.27
Rate for Payer: Aetna New Business (MI Preferred)	$7,875.15
Rate for Payer: Cash Price	$9,692.49
Rate for Payer: Cofinity Commercial	$8,480.93
Rate for Payer: Cofinity Commercial	$10,419.42
Rate for Payer: Healthscope Commercial	$10,904.05
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$10,298.27
Rate for Payer: PHP Commercial	$10,298.27
Rate for Payer: Priority Health Cigna Priority Health	$8,480.93
Rate for Payer: Priority Health SBD	$7,632.83

Know your out-of-pocket cost for care.

All Charges