Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

HC ENDOSCOPIC SUBMUCOSAL DISSECTION

Facility

$5,102.04

Hospital Charge Code	36000119
Hospital Revenue Code	360
Min. Negotiated Rate	$3,214.29
Max. Negotiated Rate	$4,591.84
Rate for Payer: Aetna Commercial	$4,336.73
Rate for Payer: Aetna New Business (MI Preferred)	$3,316.33
Rate for Payer: Cash Price	$4,081.63
Rate for Payer: Cofinity Commercial	$3,571.43
Rate for Payer: Cofinity Commercial	$4,387.75
Rate for Payer: Cofinity Medicare Advantage	$3,571.43
Rate for Payer: Encore Health Key Benefits Commercial	$4,081.63
Rate for Payer: Healthscope Commercial	$4,591.84
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$4,336.73
Rate for Payer: PHP Commercial	$4,336.73
Rate for Payer: Priority Health Cigna Priority Health	$3,316.33
Rate for Payer: Priority Health SBD	$3,214.29

HC ENDO STENT PLACEMENT

Facility

$788.46

Hospital Charge Code	36000114
Hospital Revenue Code	360
Min. Negotiated Rate	$315.38
Max. Negotiated Rate	$709.61
Rate for Payer: Aetna Commercial	$670.19
Rate for Payer: Aetna Medicare	$394.23
Rate for Payer: Aetna New Business (MI Preferred)	$512.50
Rate for Payer: BCBS Complete	$315.38
Rate for Payer: Cash Price	$630.77
Rate for Payer: Cofinity Commercial	$551.92
Rate for Payer: Cofinity Commercial	$678.08
Rate for Payer: Cofinity Medicare Advantage	$551.92
Rate for Payer: Encore Health Key Benefits Commercial	$630.77
Rate for Payer: Healthscope Commercial	$709.61
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$670.19
Rate for Payer: PHP Commercial	$670.19
Rate for Payer: Priority Health Cigna Priority Health	$512.50
Rate for Payer: Priority Health SBD	$496.73

HC ENDO STENT PLACEMENT

Facility

$788.46

Hospital Charge Code	36000114
Hospital Revenue Code	360
Min. Negotiated Rate	$496.73
Max. Negotiated Rate	$709.61
Rate for Payer: Aetna Commercial	$670.19
Rate for Payer: Aetna New Business (MI Preferred)	$512.50
Rate for Payer: Cash Price	$630.77
Rate for Payer: Cofinity Commercial	$551.92
Rate for Payer: Cofinity Commercial	$678.08
Rate for Payer: Cofinity Medicare Advantage	$551.92
Rate for Payer: Encore Health Key Benefits Commercial	$630.77
Rate for Payer: Healthscope Commercial	$709.61
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$670.19
Rate for Payer: PHP Commercial	$670.19
Rate for Payer: Priority Health Cigna Priority Health	$512.50
Rate for Payer: Priority Health SBD	$496.73

HC ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 2ND+ VEINS

Facility

$2,996.76

Service Code	CPT 36479
Hospital Charge Code	76100407
Hospital Revenue Code	761
Min. Negotiated Rate	$1,198.70
Max. Negotiated Rate	$2,697.08
Rate for Payer: Aetna Commercial	$2,547.25
Rate for Payer: Aetna Medicare	$1,498.38
Rate for Payer: Aetna New Business (MI Preferred)	$1,947.89
Rate for Payer: BCBS Complete	$1,198.70
Rate for Payer: Cash Price	$2,397.41
Rate for Payer: Cofinity Commercial	$2,097.73
Rate for Payer: Cofinity Commercial	$2,577.21
Rate for Payer: Cofinity Medicare Advantage	$2,097.73
Rate for Payer: Encore Health Key Benefits Commercial	$2,397.41
Rate for Payer: Healthscope Commercial	$2,697.08
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$2,547.25
Rate for Payer: PHP Commercial	$2,547.25
Rate for Payer: Priority Health Cigna Priority Health	$1,947.89
Rate for Payer: Priority Health SBD	$1,887.96

HC ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 2ND+ VEINS

Facility

$2,996.76

Service Code	CPT 36479
Hospital Charge Code	76100407
Hospital Revenue Code	761
Min. Negotiated Rate	$1,887.96
Max. Negotiated Rate	$2,697.08
Rate for Payer: Aetna Commercial	$2,547.25
Rate for Payer: Aetna New Business (MI Preferred)	$1,947.89
Rate for Payer: Cash Price	$2,397.41
Rate for Payer: Cofinity Commercial	$2,097.73
Rate for Payer: Cofinity Commercial	$2,577.21
Rate for Payer: Cofinity Medicare Advantage	$2,097.73
Rate for Payer: Encore Health Key Benefits Commercial	$2,397.41
Rate for Payer: Healthscope Commercial	$2,697.08
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$2,547.25
Rate for Payer: PHP Commercial	$2,547.25
Rate for Payer: Priority Health Cigna Priority Health	$1,947.89
Rate for Payer: Priority Health SBD	$1,887.96

HC ENDOVENOUS ABLAT EXTR W IMAGING PERC FIRST VEIN

Facility

$4,078.88

Service Code	CPT 36473
Hospital Charge Code	36100523
Hospital Revenue Code	361
Min. Negotiated Rate	$1,645.35
Max. Negotiated Rate	$8,640.87
Rate for Payer: Aetna Commercial	$3,467.05
Rate for Payer: Aetna Medicare	$3,192.48
Rate for Payer: Aetna New Business (MI Preferred)	$2,651.27
Rate for Payer: Allen County Amish Medical Aid Commercial	$3,837.11
Rate for Payer: Amish Plain Church Group Commercial	$3,837.11
Rate for Payer: BCBS Complete	$1,727.62
Rate for Payer: BCBS MAPPO	$3,069.69
Rate for Payer: BCN Medicare Advantage	$3,069.69
Rate for Payer: Cash Price	$3,263.10
Rate for Payer: Cash Price	$3,263.10
Rate for Payer: Cofinity Commercial	$3,507.84
Rate for Payer: Cofinity Commercial	$2,855.22
Rate for Payer: Cofinity Medicare Advantage	$2,855.22
Rate for Payer: Encore Health Key Benefits Commercial	$3,263.10
Rate for Payer: Health Alliance Plan Medicare Advantage	$3,069.69
Rate for Payer: Healthscope Commercial	$3,670.99
Rate for Payer: Mclaren Medicaid	$1,645.35
Rate for Payer: Mclaren Medicare	$3,069.69
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$3,223.17
Rate for Payer: Meridian Medicaid	$1,727.62
Rate for Payer: MI Amish Medical Board Commercial	$3,530.14
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$3,467.05
Rate for Payer: PACE Medicare	$2,916.21
Rate for Payer: PACE SWMI	$3,069.69
Rate for Payer: PHP Commercial	$3,467.05
Rate for Payer: PHP Medicare Advantage	$3,069.69
Rate for Payer: Priority Health Choice Medicaid	$1,645.35
Rate for Payer: Priority Health Cigna Priority Health	$2,651.27
Rate for Payer: Priority Health Medicare	$3,069.69
Rate for Payer: Priority Health SBD	$2,569.69
Rate for Payer: Railroad Medicare Medicare	$3,069.69
Rate for Payer: UHC All Payor (Choice/PPO)	$8,640.87
Rate for Payer: UHC Dual Complete DSNP	$3,069.69
Rate for Payer: UHC Medicare Advantage	$3,069.69
Rate for Payer: UHCCP Medicaid	$1,728.24
Rate for Payer: VA VA	$3,069.69

HC ENDOVENOUS ABLAT EXTR W IMAGING PERC FIRST VEIN

Facility

$4,078.88

Service Code	CPT 36473
Hospital Charge Code	36100523
Hospital Revenue Code	361
Min. Negotiated Rate	$2,569.69
Max. Negotiated Rate	$3,670.99
Rate for Payer: Aetna Commercial	$3,467.05
Rate for Payer: Aetna New Business (MI Preferred)	$2,651.27
Rate for Payer: Cash Price	$3,263.10
Rate for Payer: Cofinity Commercial	$2,855.22
Rate for Payer: Cofinity Commercial	$3,507.84
Rate for Payer: Cofinity Medicare Advantage	$2,855.22
Rate for Payer: Encore Health Key Benefits Commercial	$3,263.10
Rate for Payer: Healthscope Commercial	$3,670.99
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$3,467.05
Rate for Payer: PHP Commercial	$3,467.05
Rate for Payer: Priority Health Cigna Priority Health	$2,651.27
Rate for Payer: Priority Health SBD	$2,569.69

HC ENDOVENOUS ABLAT SUBS VEIN SEP ACCESS SITE EXTR

Facility

$261.53

Service Code	CPT 36474
Hospital Charge Code	36100524
Hospital Revenue Code	361
Min. Negotiated Rate	$104.61
Max. Negotiated Rate	$235.38
Rate for Payer: Aetna Commercial	$222.30
Rate for Payer: Aetna Medicare	$130.76
Rate for Payer: Aetna New Business (MI Preferred)	$169.99
Rate for Payer: BCBS Complete	$104.61
Rate for Payer: Cash Price	$209.22
Rate for Payer: Cofinity Commercial	$183.07
Rate for Payer: Cofinity Commercial	$224.92
Rate for Payer: Cofinity Medicare Advantage	$183.07
Rate for Payer: Encore Health Key Benefits Commercial	$209.22
Rate for Payer: Healthscope Commercial	$235.38
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$222.30
Rate for Payer: PHP Commercial	$222.30
Rate for Payer: Priority Health Cigna Priority Health	$169.99
Rate for Payer: Priority Health SBD	$164.76

HC ENDOVENOUS ABLAT SUBS VEIN SEP ACCESS SITE EXTR

Facility

$261.53

Service Code	CPT 36474
Hospital Charge Code	36100524
Hospital Revenue Code	361
Min. Negotiated Rate	$164.76
Max. Negotiated Rate	$235.38
Rate for Payer: Aetna Commercial	$222.30
Rate for Payer: Aetna New Business (MI Preferred)	$169.99
Rate for Payer: Cash Price	$209.22
Rate for Payer: Cofinity Commercial	$183.07
Rate for Payer: Cofinity Commercial	$224.92
Rate for Payer: Cofinity Medicare Advantage	$183.07
Rate for Payer: Encore Health Key Benefits Commercial	$209.22
Rate for Payer: Healthscope Commercial	$235.38
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$222.30
Rate for Payer: PHP Commercial	$222.30
Rate for Payer: Priority Health Cigna Priority Health	$169.99
Rate for Payer: Priority Health SBD	$164.76

HC ENDOVENOUS LASER 1ST VEIN

Facility

$4,122.36

Service Code	CPT 36478
Hospital Charge Code	76100184
Hospital Revenue Code	761
Min. Negotiated Rate	$2,597.09
Max. Negotiated Rate	$3,710.12
Rate for Payer: Aetna Commercial	$3,504.01
Rate for Payer: Aetna New Business (MI Preferred)	$2,679.53
Rate for Payer: Cash Price	$3,297.89
Rate for Payer: Cofinity Commercial	$2,885.65
Rate for Payer: Cofinity Commercial	$3,545.23
Rate for Payer: Cofinity Medicare Advantage	$2,885.65
Rate for Payer: Encore Health Key Benefits Commercial	$3,297.89
Rate for Payer: Healthscope Commercial	$3,710.12
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$3,504.01
Rate for Payer: PHP Commercial	$3,504.01
Rate for Payer: Priority Health Cigna Priority Health	$2,679.53
Rate for Payer: Priority Health SBD	$2,597.09

HC ENDOVENOUS LASER 1ST VEIN

Facility

$4,122.36

Service Code	CPT 36478
Hospital Charge Code	76100184
Hospital Revenue Code	761
Min. Negotiated Rate	$1,645.35
Max. Negotiated Rate	$8,640.87
Rate for Payer: Aetna Commercial	$3,504.01
Rate for Payer: Aetna Medicare	$3,192.48
Rate for Payer: Aetna New Business (MI Preferred)	$2,679.53
Rate for Payer: Allen County Amish Medical Aid Commercial	$3,837.11
Rate for Payer: Amish Plain Church Group Commercial	$3,837.11
Rate for Payer: BCBS Complete	$1,727.62
Rate for Payer: BCBS MAPPO	$3,069.69
Rate for Payer: BCN Medicare Advantage	$3,069.69
Rate for Payer: Cash Price	$3,297.89
Rate for Payer: Cash Price	$3,297.89
Rate for Payer: Cofinity Commercial	$3,545.23
Rate for Payer: Cofinity Commercial	$2,885.65
Rate for Payer: Cofinity Medicare Advantage	$2,885.65
Rate for Payer: Encore Health Key Benefits Commercial	$3,297.89
Rate for Payer: Health Alliance Plan Medicare Advantage	$3,069.69
Rate for Payer: Healthscope Commercial	$3,710.12
Rate for Payer: Mclaren Medicaid	$1,645.35
Rate for Payer: Mclaren Medicare	$3,069.69
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$3,223.17
Rate for Payer: Meridian Medicaid	$1,727.62
Rate for Payer: MI Amish Medical Board Commercial	$3,530.14
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$3,504.01
Rate for Payer: PACE Medicare	$2,916.21
Rate for Payer: PACE SWMI	$3,069.69
Rate for Payer: PHP Commercial	$3,504.01
Rate for Payer: PHP Medicare Advantage	$3,069.69
Rate for Payer: Priority Health Choice Medicaid	$1,645.35
Rate for Payer: Priority Health Cigna Priority Health	$2,679.53
Rate for Payer: Priority Health Medicare	$3,069.69
Rate for Payer: Priority Health SBD	$2,597.09
Rate for Payer: Railroad Medicare Medicare	$3,069.69
Rate for Payer: UHC All Payor (Choice/PPO)	$8,640.87
Rate for Payer: UHC Dual Complete DSNP	$3,069.69
Rate for Payer: UHC Medicare Advantage	$3,069.69
Rate for Payer: UHCCP Medicaid	$1,728.24
Rate for Payer: VA VA	$3,069.69

HC ENDOVENT

Facility

$4,805.54

Hospital Charge Code	27000099
Hospital Revenue Code	270
Min. Negotiated Rate	$1,922.22
Max. Negotiated Rate	$4,324.99
Rate for Payer: Aetna Commercial	$4,084.71
Rate for Payer: Aetna Medicare	$2,402.77
Rate for Payer: Aetna New Business (MI Preferred)	$3,123.60
Rate for Payer: BCBS Complete	$1,922.22
Rate for Payer: Cash Price	$3,844.43
Rate for Payer: Cofinity Commercial	$3,363.88
Rate for Payer: Cofinity Commercial	$4,132.76
Rate for Payer: Cofinity Medicare Advantage	$3,363.88
Rate for Payer: Encore Health Key Benefits Commercial	$3,844.43
Rate for Payer: Healthscope Commercial	$4,324.99
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$4,084.71
Rate for Payer: PHP Commercial	$4,084.71
Rate for Payer: Priority Health Cigna Priority Health	$3,123.60
Rate for Payer: Priority Health SBD	$3,027.49

HC ENDOVENT

Facility

$4,805.54

Hospital Charge Code	27000099
Hospital Revenue Code	270
Min. Negotiated Rate	$3,027.49
Max. Negotiated Rate	$4,324.99
Rate for Payer: Aetna Commercial	$4,084.71
Rate for Payer: Aetna New Business (MI Preferred)	$3,123.60
Rate for Payer: Cash Price	$3,844.43
Rate for Payer: Cofinity Commercial	$3,363.88
Rate for Payer: Cofinity Commercial	$4,132.76
Rate for Payer: Cofinity Medicare Advantage	$3,363.88
Rate for Payer: Encore Health Key Benefits Commercial	$3,844.43
Rate for Payer: Healthscope Commercial	$4,324.99
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$4,084.71
Rate for Payer: PHP Commercial	$4,084.71
Rate for Payer: Priority Health Cigna Priority Health	$3,123.60
Rate for Payer: Priority Health SBD	$3,027.49

HC ENGLISH PLANTAIN IGE

Facility

$25.39

Service Code	CPT 86003
Hospital Charge Code	30200084
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 ENGLISH PLANTAIN IGE

Facility

$25.39

Service Code	CPT 86003
Hospital Charge Code	30200084
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	$6.53
Rate for Payer: Amish Plain Church Group Commercial	$6.53
Rate for Payer: BCBS Complete	$2.94
Rate for Payer: BCBS MAPPO	$5.22
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: 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 Medicare	$5.22
Rate for Payer: Priority Health SBD	$16.00
Rate for Payer: Railroad Medicare Medicare	$5.22
Rate for Payer: UHC All Payor (Choice/PPO)	$14.69
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 ENSITE NAVX KIT

Facility

$4,801.14

Hospital Charge Code	27200121
Hospital Revenue Code	272
Min. Negotiated Rate	$3,024.72
Max. Negotiated Rate	$4,321.03
Rate for Payer: Aetna Commercial	$4,080.97
Rate for Payer: Aetna New Business (MI Preferred)	$3,120.74
Rate for Payer: Cash Price	$3,840.91
Rate for Payer: Cofinity Commercial	$3,360.80
Rate for Payer: Cofinity Commercial	$4,128.98
Rate for Payer: Cofinity Medicare Advantage	$3,360.80
Rate for Payer: Encore Health Key Benefits Commercial	$3,840.91
Rate for Payer: Healthscope Commercial	$4,321.03
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$4,080.97
Rate for Payer: PHP Commercial	$4,080.97
Rate for Payer: Priority Health Cigna Priority Health	$3,120.74
Rate for Payer: Priority Health SBD	$3,024.72

HC ENSITE NAVX KIT

Facility

$4,801.14

Hospital Charge Code	27200121
Hospital Revenue Code	272
Min. Negotiated Rate	$1,920.46
Max. Negotiated Rate	$4,321.03
Rate for Payer: Aetna Commercial	$4,080.97
Rate for Payer: Aetna Medicare	$2,400.57
Rate for Payer: Aetna New Business (MI Preferred)	$3,120.74
Rate for Payer: BCBS Complete	$1,920.46
Rate for Payer: Cash Price	$3,840.91
Rate for Payer: Cofinity Commercial	$3,360.80
Rate for Payer: Cofinity Commercial	$4,128.98
Rate for Payer: Cofinity Medicare Advantage	$3,360.80
Rate for Payer: Encore Health Key Benefits Commercial	$3,840.91
Rate for Payer: Healthscope Commercial	$4,321.03
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$4,080.97
Rate for Payer: PHP Commercial	$4,080.97
Rate for Payer: Priority Health Cigna Priority Health	$3,120.74
Rate for Payer: Priority Health SBD	$3,024.72

HC ENTEROVIRUS

Facility

$52.02

Service Code	CPT 87498
Hospital Charge Code	30600267
Hospital Revenue Code	306
Min. Negotiated Rate	$32.77
Max. Negotiated Rate	$46.82
Rate for Payer: Aetna Commercial	$44.22
Rate for Payer: Aetna New Business (MI Preferred)	$33.81
Rate for Payer: Cash Price	$41.62
Rate for Payer: Cofinity Commercial	$36.41
Rate for Payer: Cofinity Commercial	$44.74
Rate for Payer: Cofinity Medicare Advantage	$36.41
Rate for Payer: Encore Health Key Benefits Commercial	$41.62
Rate for Payer: Healthscope Commercial	$46.82
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$44.22
Rate for Payer: PHP Commercial	$44.22
Rate for Payer: Priority Health Cigna Priority Health	$33.81
Rate for Payer: Priority Health SBD	$32.77

HC ENTEROVIRUS

Facility

$52.02

Service Code	CPT 87498
Hospital Charge Code	30600267
Hospital Revenue Code	306
Min. Negotiated Rate	$18.81
Max. Negotiated Rate	$98.77
Rate for Payer: Aetna Commercial	$44.22
Rate for Payer: Aetna Medicare	$36.49
Rate for Payer: Aetna New Business (MI Preferred)	$33.81
Rate for Payer: Allen County Amish Medical Aid Commercial	$43.86
Rate for Payer: Amish Plain Church Group Commercial	$43.86
Rate for Payer: BCBS Complete	$19.75
Rate for Payer: BCBS MAPPO	$35.09
Rate for Payer: BCN Medicare Advantage	$35.09
Rate for Payer: Cash Price	$41.62
Rate for Payer: Cash Price	$41.62
Rate for Payer: Cofinity Commercial	$44.74
Rate for Payer: Cofinity Commercial	$36.41
Rate for Payer: Cofinity Medicare Advantage	$36.41
Rate for Payer: Encore Health Key Benefits Commercial	$41.62
Rate for Payer: Health Alliance Plan Medicare Advantage	$35.09
Rate for Payer: Healthscope Commercial	$46.82
Rate for Payer: Mclaren Medicaid	$18.81
Rate for Payer: Mclaren Medicare	$35.09
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$36.84
Rate for Payer: Meridian Medicaid	$19.75
Rate for Payer: MI Amish Medical Board Commercial	$40.35
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$44.22
Rate for Payer: PACE Medicare	$33.34
Rate for Payer: PACE SWMI	$35.09
Rate for Payer: PHP Commercial	$44.22
Rate for Payer: PHP Medicare Advantage	$35.09
Rate for Payer: Priority Health Choice Medicaid	$18.81
Rate for Payer: Priority Health Cigna Priority Health	$33.81
Rate for Payer: Priority Health Medicare	$35.09
Rate for Payer: Priority Health SBD	$32.77
Rate for Payer: Railroad Medicare Medicare	$35.09
Rate for Payer: UHC All Payor (Choice/PPO)	$98.77
Rate for Payer: UHC Dual Complete DSNP	$35.09
Rate for Payer: UHC Medicare Advantage	$35.09
Rate for Payer: UHCCP Medicaid	$19.76
Rate for Payer: VA VA	$35.09

HC ENTEROVIRUS BY PCR

Facility

$244.80

Service Code	CPT 87498
Hospital Charge Code	30600168
Hospital Revenue Code	306
Min. Negotiated Rate	$154.22
Max. Negotiated Rate	$220.32
Rate for Payer: Aetna Commercial	$208.08
Rate for Payer: Aetna New Business (MI Preferred)	$159.12
Rate for Payer: Cash Price	$195.84
Rate for Payer: Cofinity Commercial	$171.36
Rate for Payer: Cofinity Commercial	$210.53
Rate for Payer: Cofinity Medicare Advantage	$171.36
Rate for Payer: Encore Health Key Benefits Commercial	$195.84
Rate for Payer: Healthscope Commercial	$220.32
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$208.08
Rate for Payer: PHP Commercial	$208.08
Rate for Payer: Priority Health Cigna Priority Health	$159.12
Rate for Payer: Priority Health SBD	$154.22

HC ENTEROVIRUS BY PCR

Facility

$244.80

Service Code	CPT 87498
Hospital Charge Code	30600168
Hospital Revenue Code	306
Min. Negotiated Rate	$18.81
Max. Negotiated Rate	$220.32
Rate for Payer: Aetna Commercial	$208.08
Rate for Payer: Aetna Medicare	$36.49
Rate for Payer: Aetna New Business (MI Preferred)	$159.12
Rate for Payer: Allen County Amish Medical Aid Commercial	$43.86
Rate for Payer: Amish Plain Church Group Commercial	$43.86
Rate for Payer: BCBS Complete	$19.75
Rate for Payer: BCBS MAPPO	$35.09
Rate for Payer: BCN Medicare Advantage	$35.09
Rate for Payer: Cash Price	$195.84
Rate for Payer: Cash Price	$195.84
Rate for Payer: Cofinity Commercial	$210.53
Rate for Payer: Cofinity Commercial	$171.36
Rate for Payer: Cofinity Medicare Advantage	$171.36
Rate for Payer: Encore Health Key Benefits Commercial	$195.84
Rate for Payer: Health Alliance Plan Medicare Advantage	$35.09
Rate for Payer: Healthscope Commercial	$220.32
Rate for Payer: Mclaren Medicaid	$18.81
Rate for Payer: Mclaren Medicare	$35.09
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$36.84
Rate for Payer: Meridian Medicaid	$19.75
Rate for Payer: MI Amish Medical Board Commercial	$40.35
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$208.08
Rate for Payer: PACE Medicare	$33.34
Rate for Payer: PACE SWMI	$35.09
Rate for Payer: PHP Commercial	$208.08
Rate for Payer: PHP Medicare Advantage	$35.09
Rate for Payer: Priority Health Choice Medicaid	$18.81
Rate for Payer: Priority Health Cigna Priority Health	$159.12
Rate for Payer: Priority Health Medicare	$35.09
Rate for Payer: Priority Health SBD	$154.22
Rate for Payer: Railroad Medicare Medicare	$35.09
Rate for Payer: UHC All Payor (Choice/PPO)	$98.77
Rate for Payer: UHC Dual Complete DSNP	$35.09
Rate for Payer: UHC Medicare Advantage	$35.09
Rate for Payer: UHCCP Medicaid	$19.76
Rate for Payer: VA VA	$35.09

HC ENTEROVIRUS BY PCR CSF

Facility

$205.73

Service Code	CPT 87498
Hospital Charge Code	30600153
Hospital Revenue Code	306
Min. Negotiated Rate	$18.81
Max. Negotiated Rate	$185.16
Rate for Payer: Aetna Commercial	$174.87
Rate for Payer: Aetna Medicare	$36.49
Rate for Payer: Aetna New Business (MI Preferred)	$133.72
Rate for Payer: Allen County Amish Medical Aid Commercial	$43.86
Rate for Payer: Amish Plain Church Group Commercial	$43.86
Rate for Payer: BCBS Complete	$19.75
Rate for Payer: BCBS MAPPO	$35.09
Rate for Payer: BCN Medicare Advantage	$35.09
Rate for Payer: Cash Price	$164.58
Rate for Payer: Cash Price	$164.58
Rate for Payer: Cofinity Commercial	$176.93
Rate for Payer: Cofinity Commercial	$144.01
Rate for Payer: Cofinity Medicare Advantage	$144.01
Rate for Payer: Encore Health Key Benefits Commercial	$164.58
Rate for Payer: Health Alliance Plan Medicare Advantage	$35.09
Rate for Payer: Healthscope Commercial	$185.16
Rate for Payer: Mclaren Medicaid	$18.81
Rate for Payer: Mclaren Medicare	$35.09
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$36.84
Rate for Payer: Meridian Medicaid	$19.75
Rate for Payer: MI Amish Medical Board Commercial	$40.35
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$174.87
Rate for Payer: PACE Medicare	$33.34
Rate for Payer: PACE SWMI	$35.09
Rate for Payer: PHP Commercial	$174.87
Rate for Payer: PHP Medicare Advantage	$35.09
Rate for Payer: Priority Health Choice Medicaid	$18.81
Rate for Payer: Priority Health Cigna Priority Health	$133.72
Rate for Payer: Priority Health Medicare	$35.09
Rate for Payer: Priority Health SBD	$129.61
Rate for Payer: Railroad Medicare Medicare	$35.09
Rate for Payer: UHC All Payor (Choice/PPO)	$98.77
Rate for Payer: UHC Dual Complete DSNP	$35.09
Rate for Payer: UHC Medicare Advantage	$35.09
Rate for Payer: UHCCP Medicaid	$19.76
Rate for Payer: VA VA	$35.09

HC ENTEROVIRUS BY PCR CSF

Facility

$205.73

Service Code	CPT 87498
Hospital Charge Code	30600153
Hospital Revenue Code	306
Min. Negotiated Rate	$129.61
Max. Negotiated Rate	$185.16
Rate for Payer: Aetna Commercial	$174.87
Rate for Payer: Aetna New Business (MI Preferred)	$133.72
Rate for Payer: Cash Price	$164.58
Rate for Payer: Cofinity Commercial	$144.01
Rate for Payer: Cofinity Commercial	$176.93
Rate for Payer: Cofinity Medicare Advantage	$144.01
Rate for Payer: Encore Health Key Benefits Commercial	$164.58
Rate for Payer: Healthscope Commercial	$185.16
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$174.87
Rate for Payer: PHP Commercial	$174.87
Rate for Payer: Priority Health Cigna Priority Health	$133.72
Rate for Payer: Priority Health SBD	$129.61

HC ENTEROVIRUS PCR

Facility

$98.84

Service Code	CPT 87498
Hospital Charge Code	30600292
Hospital Revenue Code	306
Min. Negotiated Rate	$18.81
Max. Negotiated Rate	$98.77
Rate for Payer: Aetna Commercial	$84.01
Rate for Payer: Aetna Medicare	$36.49
Rate for Payer: Aetna New Business (MI Preferred)	$64.25
Rate for Payer: Allen County Amish Medical Aid Commercial	$43.86
Rate for Payer: Amish Plain Church Group Commercial	$43.86
Rate for Payer: BCBS Complete	$19.75
Rate for Payer: BCBS MAPPO	$35.09
Rate for Payer: BCN Medicare Advantage	$35.09
Rate for Payer: Cash Price	$79.07
Rate for Payer: Cash Price	$79.07
Rate for Payer: Cofinity Commercial	$85.00
Rate for Payer: Cofinity Commercial	$69.19
Rate for Payer: Cofinity Medicare Advantage	$69.19
Rate for Payer: Encore Health Key Benefits Commercial	$79.07
Rate for Payer: Health Alliance Plan Medicare Advantage	$35.09
Rate for Payer: Healthscope Commercial	$88.96
Rate for Payer: Mclaren Medicaid	$18.81
Rate for Payer: Mclaren Medicare	$35.09
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$36.84
Rate for Payer: Meridian Medicaid	$19.75
Rate for Payer: MI Amish Medical Board Commercial	$40.35
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$84.01
Rate for Payer: PACE Medicare	$33.34
Rate for Payer: PACE SWMI	$35.09
Rate for Payer: PHP Commercial	$84.01
Rate for Payer: PHP Medicare Advantage	$35.09
Rate for Payer: Priority Health Choice Medicaid	$18.81
Rate for Payer: Priority Health Cigna Priority Health	$64.25
Rate for Payer: Priority Health Medicare	$35.09
Rate for Payer: Priority Health SBD	$62.27
Rate for Payer: Railroad Medicare Medicare	$35.09
Rate for Payer: UHC All Payor (Choice/PPO)	$98.77
Rate for Payer: UHC Dual Complete DSNP	$35.09
Rate for Payer: UHC Medicare Advantage	$35.09
Rate for Payer: UHCCP Medicaid	$19.76
Rate for Payer: VA VA	$35.09

HC ENTEROVIRUS PCR

Facility

$98.84

Service Code	CPT 87498
Hospital Charge Code	30600292
Hospital Revenue Code	306
Min. Negotiated Rate	$62.27
Max. Negotiated Rate	$88.96
Rate for Payer: Aetna Commercial	$84.01
Rate for Payer: Aetna New Business (MI Preferred)	$64.25
Rate for Payer: Cash Price	$79.07
Rate for Payer: Cofinity Commercial	$69.19
Rate for Payer: Cofinity Commercial	$85.00
Rate for Payer: Cofinity Medicare Advantage	$69.19
Rate for Payer: Encore Health Key Benefits Commercial	$79.07
Rate for Payer: Healthscope Commercial	$88.96
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$84.01
Rate for Payer: PHP Commercial	$84.01
Rate for Payer: Priority Health Cigna Priority Health	$64.25
Rate for Payer: Priority Health SBD	$62.27

Know your out-of-pocket cost for care.

All Charges