Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

HC DUODENOSCOPY (EGD)

Facility

$2,193.58

Hospital Charge Code	36000029
Hospital Revenue Code	360
Min. Negotiated Rate	$1,381.96
Max. Negotiated Rate	$1,974.22
Rate for Payer: Aetna Commercial	$1,864.54
Rate for Payer: Aetna New Business (MI Preferred)	$1,425.83
Rate for Payer: Cash Price	$1,754.86
Rate for Payer: Cofinity Commercial	$1,535.51
Rate for Payer: Cofinity Commercial	$1,886.48
Rate for Payer: Cofinity Medicare Advantage	$1,535.51
Rate for Payer: Encore Health Key Benefits Commercial	$1,754.86
Rate for Payer: Healthscope Commercial	$1,974.22
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,864.54
Rate for Payer: PHP Commercial	$1,864.54
Rate for Payer: Priority Health Cigna Priority Health	$1,425.83
Rate for Payer: Priority Health SBD	$1,381.96

HC DUODENOSCOPY (EGD)

Facility

$2,193.58

Hospital Charge Code	36000029
Hospital Revenue Code	360
Min. Negotiated Rate	$877.43
Max. Negotiated Rate	$1,974.22
Rate for Payer: Aetna Commercial	$1,864.54
Rate for Payer: Aetna Medicare	$1,096.79
Rate for Payer: Aetna New Business (MI Preferred)	$1,425.83
Rate for Payer: BCBS Complete	$877.43
Rate for Payer: Cash Price	$1,754.86
Rate for Payer: Cofinity Commercial	$1,535.51
Rate for Payer: Cofinity Commercial	$1,886.48
Rate for Payer: Cofinity Medicare Advantage	$1,535.51
Rate for Payer: Encore Health Key Benefits Commercial	$1,754.86
Rate for Payer: Healthscope Commercial	$1,974.22
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,864.54
Rate for Payer: PHP Commercial	$1,864.54
Rate for Payer: Priority Health Cigna Priority Health	$1,425.83
Rate for Payer: Priority Health SBD	$1,381.96

HC DUODENUM/FLEX SIGMOID

Facility

$3,894.00

Hospital Charge Code	36000034
Hospital Revenue Code	360
Min. Negotiated Rate	$2,453.22
Max. Negotiated Rate	$3,504.60
Rate for Payer: Aetna Commercial	$3,309.90
Rate for Payer: Aetna New Business (MI Preferred)	$2,531.10
Rate for Payer: Cash Price	$3,115.20
Rate for Payer: Cofinity Commercial	$2,725.80
Rate for Payer: Cofinity Commercial	$3,348.84
Rate for Payer: Cofinity Medicare Advantage	$2,725.80
Rate for Payer: Encore Health Key Benefits Commercial	$3,115.20
Rate for Payer: Healthscope Commercial	$3,504.60
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$3,309.90
Rate for Payer: PHP Commercial	$3,309.90
Rate for Payer: Priority Health Cigna Priority Health	$2,531.10
Rate for Payer: Priority Health SBD	$2,453.22

HC DUODENUM/FLEX SIGMOID

Facility

$3,894.00

Hospital Charge Code	36000034
Hospital Revenue Code	360
Min. Negotiated Rate	$1,557.60
Max. Negotiated Rate	$3,504.60
Rate for Payer: Aetna Commercial	$3,309.90
Rate for Payer: Aetna Medicare	$1,947.00
Rate for Payer: Aetna New Business (MI Preferred)	$2,531.10
Rate for Payer: BCBS Complete	$1,557.60
Rate for Payer: Cash Price	$3,115.20
Rate for Payer: Cofinity Commercial	$2,725.80
Rate for Payer: Cofinity Commercial	$3,348.84
Rate for Payer: Cofinity Medicare Advantage	$2,725.80
Rate for Payer: Encore Health Key Benefits Commercial	$3,115.20
Rate for Payer: Healthscope Commercial	$3,504.60
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$3,309.90
Rate for Payer: PHP Commercial	$3,309.90
Rate for Payer: Priority Health Cigna Priority Health	$2,531.10
Rate for Payer: Priority Health SBD	$2,453.22

HC DUODERM CGF 4X4

Facility

$47.73

Hospital Charge Code	27100010
Hospital Revenue Code	271
Min. Negotiated Rate	$30.07
Max. Negotiated Rate	$42.96
Rate for Payer: Aetna Commercial	$40.57
Rate for Payer: Aetna New Business (MI Preferred)	$31.02
Rate for Payer: Cash Price	$38.18
Rate for Payer: Cofinity Commercial	$33.41
Rate for Payer: Cofinity Commercial	$41.05
Rate for Payer: Cofinity Medicare Advantage	$33.41
Rate for Payer: Encore Health Key Benefits Commercial	$38.18
Rate for Payer: Healthscope Commercial	$42.96
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$40.57
Rate for Payer: PHP Commercial	$40.57
Rate for Payer: Priority Health Cigna Priority Health	$31.02
Rate for Payer: Priority Health SBD	$30.07

HC DUODERM CGF 4X4

Facility

$47.73

Hospital Charge Code	27100010
Hospital Revenue Code	271
Min. Negotiated Rate	$19.09
Max. Negotiated Rate	$42.96
Rate for Payer: Aetna Commercial	$40.57
Rate for Payer: Aetna Medicare	$23.86
Rate for Payer: Aetna New Business (MI Preferred)	$31.02
Rate for Payer: BCBS Complete	$19.09
Rate for Payer: Cash Price	$38.18
Rate for Payer: Cofinity Commercial	$33.41
Rate for Payer: Cofinity Commercial	$41.05
Rate for Payer: Cofinity Medicare Advantage	$33.41
Rate for Payer: Encore Health Key Benefits Commercial	$38.18
Rate for Payer: Healthscope Commercial	$42.96
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$40.57
Rate for Payer: PHP Commercial	$40.57
Rate for Payer: Priority Health Cigna Priority Health	$31.02
Rate for Payer: Priority Health SBD	$30.07

HC DUODERM CGF 6X6

Facility

$75.60

Hospital Charge Code	27100011
Hospital Revenue Code	271
Min. Negotiated Rate	$30.24
Max. Negotiated Rate	$68.04
Rate for Payer: Aetna Commercial	$64.26
Rate for Payer: Aetna Medicare	$37.80
Rate for Payer: Aetna New Business (MI Preferred)	$49.14
Rate for Payer: BCBS Complete	$30.24
Rate for Payer: Cash Price	$60.48
Rate for Payer: Cofinity Commercial	$52.92
Rate for Payer: Cofinity Commercial	$65.02
Rate for Payer: Cofinity Medicare Advantage	$52.92
Rate for Payer: Encore Health Key Benefits Commercial	$60.48
Rate for Payer: Healthscope Commercial	$68.04
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$64.26
Rate for Payer: PHP Commercial	$64.26
Rate for Payer: Priority Health Cigna Priority Health	$49.14
Rate for Payer: Priority Health SBD	$47.63

HC DUODERM CGF 6X6

Facility

$75.60

Hospital Charge Code	27100011
Hospital Revenue Code	271
Min. Negotiated Rate	$47.63
Max. Negotiated Rate	$68.04
Rate for Payer: Aetna Commercial	$64.26
Rate for Payer: Aetna New Business (MI Preferred)	$49.14
Rate for Payer: Cash Price	$60.48
Rate for Payer: Cofinity Commercial	$52.92
Rate for Payer: Cofinity Commercial	$65.02
Rate for Payer: Cofinity Medicare Advantage	$52.92
Rate for Payer: Encore Health Key Benefits Commercial	$60.48
Rate for Payer: Healthscope Commercial	$68.04
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$64.26
Rate for Payer: PHP Commercial	$64.26
Rate for Payer: Priority Health Cigna Priority Health	$49.14
Rate for Payer: Priority Health SBD	$47.63

HC DUODERM CGF 8X8

Facility

$105.53

Hospital Charge Code	27100012
Hospital Revenue Code	271
Min. Negotiated Rate	$66.48
Max. Negotiated Rate	$94.98
Rate for Payer: Aetna Commercial	$89.70
Rate for Payer: Aetna New Business (MI Preferred)	$68.59
Rate for Payer: Cash Price	$84.42
Rate for Payer: Cofinity Commercial	$73.87
Rate for Payer: Cofinity Commercial	$90.76
Rate for Payer: Cofinity Medicare Advantage	$73.87
Rate for Payer: Encore Health Key Benefits Commercial	$84.42
Rate for Payer: Healthscope Commercial	$94.98
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$89.70
Rate for Payer: PHP Commercial	$89.70
Rate for Payer: Priority Health Cigna Priority Health	$68.59
Rate for Payer: Priority Health SBD	$66.48

HC DUODERM CGF 8X8

Facility

$105.53

Hospital Charge Code	27100012
Hospital Revenue Code	271
Min. Negotiated Rate	$42.21
Max. Negotiated Rate	$94.98
Rate for Payer: Aetna Commercial	$89.70
Rate for Payer: Aetna Medicare	$52.76
Rate for Payer: Aetna New Business (MI Preferred)	$68.59
Rate for Payer: BCBS Complete	$42.21
Rate for Payer: Cash Price	$84.42
Rate for Payer: Cofinity Commercial	$73.87
Rate for Payer: Cofinity Commercial	$90.76
Rate for Payer: Cofinity Medicare Advantage	$73.87
Rate for Payer: Encore Health Key Benefits Commercial	$84.42
Rate for Payer: Healthscope Commercial	$94.98
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$89.70
Rate for Payer: PHP Commercial	$89.70
Rate for Payer: Priority Health Cigna Priority Health	$68.59
Rate for Payer: Priority Health SBD	$66.48

HC DUOGLIDE CATHETER

Facility

$650.22

Service Code	HCPCS C1752
Hospital Charge Code	27200176
Hospital Revenue Code	272
Min. Negotiated Rate	$260.09
Max. Negotiated Rate	$585.20
Rate for Payer: Aetna Commercial	$552.69
Rate for Payer: Aetna Medicare	$325.11
Rate for Payer: Aetna New Business (MI Preferred)	$422.64
Rate for Payer: BCBS Complete	$260.09
Rate for Payer: Cash Price	$520.18
Rate for Payer: Cofinity Commercial	$455.15
Rate for Payer: Cofinity Commercial	$559.19
Rate for Payer: Cofinity Medicare Advantage	$455.15
Rate for Payer: Encore Health Key Benefits Commercial	$520.18
Rate for Payer: Healthscope Commercial	$585.20
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$552.69
Rate for Payer: PHP Commercial	$552.69
Rate for Payer: Priority Health Cigna Priority Health	$422.64
Rate for Payer: Priority Health SBD	$409.64

HC DUOGLIDE CATHETER

Facility

$650.22

Service Code	HCPCS C1752
Hospital Charge Code	27200176
Hospital Revenue Code	272
Min. Negotiated Rate	$409.64
Max. Negotiated Rate	$585.20
Rate for Payer: Aetna Commercial	$552.69
Rate for Payer: Aetna New Business (MI Preferred)	$422.64
Rate for Payer: Cash Price	$520.18
Rate for Payer: Cofinity Commercial	$455.15
Rate for Payer: Cofinity Commercial	$559.19
Rate for Payer: Cofinity Medicare Advantage	$455.15
Rate for Payer: Encore Health Key Benefits Commercial	$520.18
Rate for Payer: Healthscope Commercial	$585.20
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$552.69
Rate for Payer: PHP Commercial	$552.69
Rate for Payer: Priority Health Cigna Priority Health	$422.64
Rate for Payer: Priority Health SBD	$409.64

HC DUPLX HEMODIALYSIS ACCESS

Facility

$967.42

Service Code	CPT 93990
Hospital Charge Code	92100017
Hospital Revenue Code	921
Min. Negotiated Rate	$609.47
Max. Negotiated Rate	$870.68
Rate for Payer: Aetna Commercial	$822.31
Rate for Payer: Aetna New Business (MI Preferred)	$628.82
Rate for Payer: Cash Price	$773.94
Rate for Payer: Cofinity Commercial	$677.19
Rate for Payer: Cofinity Commercial	$831.98
Rate for Payer: Cofinity Medicare Advantage	$677.19
Rate for Payer: Encore Health Key Benefits Commercial	$773.94
Rate for Payer: Healthscope Commercial	$870.68
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$822.31
Rate for Payer: PHP Commercial	$822.31
Rate for Payer: Priority Health Cigna Priority Health	$628.82
Rate for Payer: Priority Health SBD	$609.47

HC DUPLX HEMODIALYSIS ACCESS

Facility

$967.42

Service Code	CPT 93990
Hospital Charge Code	92100017
Hospital Revenue Code	921
Min. Negotiated Rate	$55.85
Max. Negotiated Rate	$870.68
Rate for Payer: Aetna Commercial	$822.31
Rate for Payer: Aetna Medicare	$108.36
Rate for Payer: Aetna New Business (MI Preferred)	$628.82
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	$549.32
Rate for Payer: BCN Commercial	$549.32
Rate for Payer: BCN Medicare Advantage	$104.19
Rate for Payer: Cash Price	$773.94
Rate for Payer: Cash Price	$773.94
Rate for Payer: Cofinity Commercial	$831.98
Rate for Payer: Cofinity Commercial	$677.19
Rate for Payer: Cofinity Medicare Advantage	$677.19
Rate for Payer: Encore Health Key Benefits Commercial	$773.94
Rate for Payer: Health Alliance Plan Medicare Advantage	$104.19
Rate for Payer: Healthscope Commercial	$870.68
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	$822.31
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	$822.31
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	$628.82
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	$609.47
Rate for Payer: Railroad Medicare Medicare	$104.19
Rate for Payer: UHC All Payor (Choice/PPO)	$147.34
Rate for Payer: UHC Dual Complete DSNP	$104.19
Rate for Payer: UHC Exchange	$715.89
Rate for Payer: UHC Medicare Advantage	$104.19
Rate for Payer: UHCCP Medicaid	$58.66
Rate for Payer: VA VA	$104.19

HC DUST MITE DF IGE

Facility

$25.39

Service Code	CPT 86003
Hospital Charge Code	30200039
Hospital Revenue Code	302
Min. Negotiated Rate	$16.00
Max. Negotiated Rate	$22.85
Rate for Payer: Aetna Commercial	$21.58
Rate for Payer: Aetna New Business (MI Preferred)	$16.50
Rate for Payer: Cash Price	$20.31
Rate for Payer: Cofinity Commercial	$17.77
Rate for Payer: Cofinity Commercial	$21.84
Rate for Payer: Cofinity Medicare Advantage	$17.77
Rate for Payer: Encore Health Key Benefits Commercial	$20.31
Rate for Payer: Healthscope Commercial	$22.85
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$21.58
Rate for Payer: PHP Commercial	$21.58
Rate for Payer: Priority Health Cigna Priority Health	$16.50
Rate for Payer: Priority Health SBD	$16.00

HC DUST MITE DF IGE

Facility

$25.39

Service Code	CPT 86003
Hospital Charge Code	30200039
Hospital Revenue Code	302
Min. Negotiated Rate	$2.80
Max. Negotiated Rate	$22.85
Rate for Payer: Aetna Commercial	$21.58
Rate for Payer: Aetna Medicare	$5.43
Rate for Payer: Aetna New Business (MI Preferred)	$16.50
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	$2.94
Rate for Payer: BCBS MAPPO	$5.22
Rate for Payer: BCBS Trust/PPO	$4.63
Rate for Payer: BCN Commercial	$4.63
Rate for Payer: BCN Medicare Advantage	$5.22
Rate for Payer: Cash Price	$20.31
Rate for Payer: Cash Price	$20.31
Rate for Payer: Cofinity Commercial	$21.84
Rate for Payer: Cofinity Commercial	$17.77
Rate for Payer: Cofinity Medicare Advantage	$17.77
Rate for Payer: Encore Health Key Benefits Commercial	$20.31
Rate for Payer: Health Alliance Plan Medicare Advantage	$5.22
Rate for Payer: Healthscope Commercial	$22.85
Rate for Payer: Mclaren Medicaid	$2.80
Rate for Payer: Mclaren Medicare	$5.22
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$5.48
Rate for Payer: Meridian Medicaid	$2.94
Rate for Payer: MI Amish Medical Board Commercial	$6.00
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$21.58
Rate for Payer: Nomi Health Commercial	$7.83
Rate for Payer: PACE Medicare	$4.96
Rate for Payer: PACE SWMI	$5.22
Rate for Payer: PHP Commercial	$21.58
Rate for Payer: PHP Medicare Advantage	$5.22
Rate for Payer: Priority Health Choice Medicaid	$2.80
Rate for Payer: Priority Health Cigna Priority Health	$16.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$5.37
Rate for Payer: Priority Health Medicare	$5.22
Rate for Payer: Priority Health Narrow Network	$4.30
Rate for Payer: Priority Health SBD	$16.00
Rate for Payer: Railroad Medicare Medicare	$5.22
Rate for Payer: UHC All Payor (Choice/PPO)	$6.26
Rate for Payer: UHC Dual Complete DSNP	$5.22
Rate for Payer: UHC Medicare Advantage	$5.22
Rate for Payer: UHCCP Medicaid	$2.94
Rate for Payer: VA VA	$5.22

HC DUST MITE DP IGE

Facility

$25.39

Service Code	CPT 86003
Hospital Charge Code	30200040
Hospital Revenue Code	302
Min. Negotiated Rate	$2.80
Max. Negotiated Rate	$22.85
Rate for Payer: Aetna Commercial	$21.58
Rate for Payer: Aetna Medicare	$5.43
Rate for Payer: Aetna New Business (MI Preferred)	$16.50
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	$2.94
Rate for Payer: BCBS MAPPO	$5.22
Rate for Payer: BCBS Trust/PPO	$4.63
Rate for Payer: BCN Commercial	$4.63
Rate for Payer: BCN Medicare Advantage	$5.22
Rate for Payer: Cash Price	$20.31
Rate for Payer: Cash Price	$20.31
Rate for Payer: Cofinity Commercial	$21.84
Rate for Payer: Cofinity Commercial	$17.77
Rate for Payer: Cofinity Medicare Advantage	$17.77
Rate for Payer: Encore Health Key Benefits Commercial	$20.31
Rate for Payer: Health Alliance Plan Medicare Advantage	$5.22
Rate for Payer: Healthscope Commercial	$22.85
Rate for Payer: Mclaren Medicaid	$2.80
Rate for Payer: Mclaren Medicare	$5.22
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$5.48
Rate for Payer: Meridian Medicaid	$2.94
Rate for Payer: MI Amish Medical Board Commercial	$6.00
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$21.58
Rate for Payer: Nomi Health Commercial	$7.83
Rate for Payer: PACE Medicare	$4.96
Rate for Payer: PACE SWMI	$5.22
Rate for Payer: PHP Commercial	$21.58
Rate for Payer: PHP Medicare Advantage	$5.22
Rate for Payer: Priority Health Choice Medicaid	$2.80
Rate for Payer: Priority Health Cigna Priority Health	$16.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$5.37
Rate for Payer: Priority Health Medicare	$5.22
Rate for Payer: Priority Health Narrow Network	$4.30
Rate for Payer: Priority Health SBD	$16.00
Rate for Payer: Railroad Medicare Medicare	$5.22
Rate for Payer: UHC All Payor (Choice/PPO)	$6.26
Rate for Payer: UHC Dual Complete DSNP	$5.22
Rate for Payer: UHC Medicare Advantage	$5.22
Rate for Payer: UHCCP Medicaid	$2.94
Rate for Payer: VA VA	$5.22

HC DUST MITE DP IGE

Facility

$25.39

Service Code	CPT 86003
Hospital Charge Code	30200040
Hospital Revenue Code	302
Min. Negotiated Rate	$16.00
Max. Negotiated Rate	$22.85
Rate for Payer: Aetna Commercial	$21.58
Rate for Payer: Aetna New Business (MI Preferred)	$16.50
Rate for Payer: Cash Price	$20.31
Rate for Payer: Cofinity Commercial	$17.77
Rate for Payer: Cofinity Commercial	$21.84
Rate for Payer: Cofinity Medicare Advantage	$17.77
Rate for Payer: Encore Health Key Benefits Commercial	$20.31
Rate for Payer: Healthscope Commercial	$22.85
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$21.58
Rate for Payer: PHP Commercial	$21.58
Rate for Payer: Priority Health Cigna Priority Health	$16.50
Rate for Payer: Priority Health SBD	$16.00

HC DXA BONE DENSITY W FX ASSESS

Facility

$782.86

Service Code	CPT 77085
Hospital Charge Code	32000304
Hospital Revenue Code	320
Min. Negotiated Rate	$53.75
Max. Negotiated Rate	$704.57
Rate for Payer: Aetna Commercial	$665.43
Rate for Payer: Aetna Medicare	$108.36
Rate for Payer: Aetna New Business (MI Preferred)	$508.86
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	$74.18
Rate for Payer: BCN Commercial	$74.18
Rate for Payer: BCN Medicare Advantage	$104.19
Rate for Payer: Cash Price	$626.29
Rate for Payer: Cash Price	$626.29
Rate for Payer: Cofinity Commercial	$673.26
Rate for Payer: Cofinity Commercial	$548.00
Rate for Payer: Cofinity Medicare Advantage	$548.00
Rate for Payer: Encore Health Key Benefits Commercial	$626.29
Rate for Payer: Health Alliance Plan Medicare Advantage	$104.19
Rate for Payer: Healthscope Commercial	$704.57
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	$665.43
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	$665.43
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	$508.86
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	$493.20
Rate for Payer: Railroad Medicare Medicare	$104.19
Rate for Payer: UHC All Payor (Choice/PPO)	$53.75
Rate for Payer: UHC Dual Complete DSNP	$104.19
Rate for Payer: UHC Exchange	$579.32
Rate for Payer: UHC Medicare Advantage	$104.19
Rate for Payer: UHCCP Medicaid	$58.66
Rate for Payer: VA VA	$104.19

HC DXA BONE DENSITY W FX ASSESS

Facility

$782.86

Service Code	CPT 77085
Hospital Charge Code	32000304
Hospital Revenue Code	320
Min. Negotiated Rate	$493.20
Max. Negotiated Rate	$704.57
Rate for Payer: Aetna Commercial	$665.43
Rate for Payer: Aetna New Business (MI Preferred)	$508.86
Rate for Payer: Cash Price	$626.29
Rate for Payer: Cofinity Commercial	$548.00
Rate for Payer: Cofinity Commercial	$673.26
Rate for Payer: Cofinity Medicare Advantage	$548.00
Rate for Payer: Encore Health Key Benefits Commercial	$626.29
Rate for Payer: Healthscope Commercial	$704.57
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$665.43
Rate for Payer: PHP Commercial	$665.43
Rate for Payer: Priority Health Cigna Priority Health	$508.86
Rate for Payer: Priority Health SBD	$493.20

HC E72 MOUSE URINE

Facility

$25.39

Service Code	CPT 86003
Hospital Charge Code	30200452
Hospital Revenue Code	302
Min. Negotiated Rate	$2.80
Max. Negotiated Rate	$22.85
Rate for Payer: Aetna Commercial	$21.58
Rate for Payer: Aetna Medicare	$5.43
Rate for Payer: Aetna New Business (MI Preferred)	$16.50
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	$2.94
Rate for Payer: BCBS MAPPO	$5.22
Rate for Payer: BCBS Trust/PPO	$4.63
Rate for Payer: BCN Commercial	$4.63
Rate for Payer: BCN Medicare Advantage	$5.22
Rate for Payer: Cash Price	$20.31
Rate for Payer: Cash Price	$20.31
Rate for Payer: Cofinity Commercial	$21.84
Rate for Payer: Cofinity Commercial	$17.77
Rate for Payer: Cofinity Medicare Advantage	$17.77
Rate for Payer: Encore Health Key Benefits Commercial	$20.31
Rate for Payer: Health Alliance Plan Medicare Advantage	$5.22
Rate for Payer: Healthscope Commercial	$22.85
Rate for Payer: Mclaren Medicaid	$2.80
Rate for Payer: Mclaren Medicare	$5.22
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$5.48
Rate for Payer: Meridian Medicaid	$2.94
Rate for Payer: MI Amish Medical Board Commercial	$6.00
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$21.58
Rate for Payer: Nomi Health Commercial	$7.83
Rate for Payer: PACE Medicare	$4.96
Rate for Payer: PACE SWMI	$5.22
Rate for Payer: PHP Commercial	$21.58
Rate for Payer: PHP Medicare Advantage	$5.22
Rate for Payer: Priority Health Choice Medicaid	$2.80
Rate for Payer: Priority Health Cigna Priority Health	$16.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$5.37
Rate for Payer: Priority Health Medicare	$5.22
Rate for Payer: Priority Health Narrow Network	$4.30
Rate for Payer: Priority Health SBD	$16.00
Rate for Payer: Railroad Medicare Medicare	$5.22
Rate for Payer: UHC All Payor (Choice/PPO)	$6.26
Rate for Payer: UHC Dual Complete DSNP	$5.22
Rate for Payer: UHC Medicare Advantage	$5.22
Rate for Payer: UHCCP Medicaid	$2.94
Rate for Payer: VA VA	$5.22

HC E72 MOUSE URINE

Facility

$25.39

Service Code	CPT 86003
Hospital Charge Code	30200452
Hospital Revenue Code	302
Min. Negotiated Rate	$16.00
Max. Negotiated Rate	$22.85
Rate for Payer: Aetna Commercial	$21.58
Rate for Payer: Aetna New Business (MI Preferred)	$16.50
Rate for Payer: Cash Price	$20.31
Rate for Payer: Cofinity Commercial	$17.77
Rate for Payer: Cofinity Commercial	$21.84
Rate for Payer: Cofinity Medicare Advantage	$17.77
Rate for Payer: Encore Health Key Benefits Commercial	$20.31
Rate for Payer: Healthscope Commercial	$22.85
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$21.58
Rate for Payer: PHP Commercial	$21.58
Rate for Payer: Priority Health Cigna Priority Health	$16.50
Rate for Payer: Priority Health SBD	$16.00

HC EAKIN SEAL 2"

Facility

$12.54

Hospital Charge Code	27100013
Hospital Revenue Code	271
Min. Negotiated Rate	$5.02
Max. Negotiated Rate	$11.29
Rate for Payer: Aetna Commercial	$10.66
Rate for Payer: Aetna Medicare	$6.27
Rate for Payer: Aetna New Business (MI Preferred)	$8.15
Rate for Payer: BCBS Complete	$5.02
Rate for Payer: Cash Price	$10.03
Rate for Payer: Cofinity Commercial	$10.78
Rate for Payer: Cofinity Commercial	$8.78
Rate for Payer: Cofinity Medicare Advantage	$8.78
Rate for Payer: Encore Health Key Benefits Commercial	$10.03
Rate for Payer: Healthscope Commercial	$11.29
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$10.66
Rate for Payer: PHP Commercial	$10.66
Rate for Payer: Priority Health Cigna Priority Health	$8.15
Rate for Payer: Priority Health SBD	$7.90

HC EAKIN SEAL 2"

Facility

$12.54

Hospital Charge Code	27100013
Hospital Revenue Code	271
Min. Negotiated Rate	$7.90
Max. Negotiated Rate	$11.29
Rate for Payer: Aetna Commercial	$10.66
Rate for Payer: Aetna New Business (MI Preferred)	$8.15
Rate for Payer: Cash Price	$10.03
Rate for Payer: Cofinity Commercial	$10.78
Rate for Payer: Cofinity Commercial	$8.78
Rate for Payer: Cofinity Medicare Advantage	$8.78
Rate for Payer: Encore Health Key Benefits Commercial	$10.03
Rate for Payer: Healthscope Commercial	$11.29
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$10.66
Rate for Payer: PHP Commercial	$10.66
Rate for Payer: Priority Health Cigna Priority Health	$8.15
Rate for Payer: Priority Health SBD	$7.90

HC EBV ANTIBODY PANEL CMPT

Facility

$29.68

Service Code	CPT 86665
Hospital Charge Code	30200508
Hospital Revenue Code	302
Min. Negotiated Rate	$9.72
Max. Negotiated Rate	$27.21
Rate for Payer: Aetna Commercial	$25.23
Rate for Payer: Aetna Medicare	$18.87
Rate for Payer: Aetna New Business (MI Preferred)	$19.29
Rate for Payer: Allen County Amish Medical Aid Commercial	$22.68
Rate for Payer: Amish Plain Church Group Commercial	$22.68
Rate for Payer: BCBS Complete	$10.21
Rate for Payer: BCBS MAPPO	$18.14
Rate for Payer: BCBS Trust/PPO	$16.06
Rate for Payer: BCN Commercial	$16.06
Rate for Payer: BCN Medicare Advantage	$18.14
Rate for Payer: Cash Price	$23.74
Rate for Payer: Cash Price	$23.74
Rate for Payer: Cofinity Commercial	$25.52
Rate for Payer: Cofinity Commercial	$20.78
Rate for Payer: Cofinity Medicare Advantage	$20.78
Rate for Payer: Encore Health Key Benefits Commercial	$23.74
Rate for Payer: Health Alliance Plan Medicare Advantage	$18.14
Rate for Payer: Healthscope Commercial	$26.71
Rate for Payer: Mclaren Medicaid	$9.72
Rate for Payer: Mclaren Medicare	$18.14
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$19.05
Rate for Payer: Meridian Medicaid	$10.21
Rate for Payer: MI Amish Medical Board Commercial	$20.86
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$25.23
Rate for Payer: Nomi Health Commercial	$27.21
Rate for Payer: PACE Medicare	$17.23
Rate for Payer: PACE SWMI	$18.14
Rate for Payer: PHP Commercial	$25.23
Rate for Payer: PHP Medicare Advantage	$18.14
Rate for Payer: Priority Health Choice Medicaid	$9.72
Rate for Payer: Priority Health Cigna Priority Health	$19.29
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$18.14
Rate for Payer: Priority Health Medicare	$18.14
Rate for Payer: Priority Health Narrow Network	$14.51
Rate for Payer: Priority Health SBD	$18.70
Rate for Payer: Railroad Medicare Medicare	$18.14
Rate for Payer: UHC All Payor (Choice/PPO)	$21.77
Rate for Payer: UHC Dual Complete DSNP	$18.14
Rate for Payer: UHC Medicare Advantage	$18.14
Rate for Payer: UHCCP Medicaid	$10.21
Rate for Payer: VA VA	$18.14

Know your out-of-pocket cost for care.

All Charges