Price Transparency

Know your out-of-pocket cost for care.

search
Charge Type Setting Price  
Service Code CPT 73721
Hospital Charge Code 61000036
Hospital Revenue Code 610
Min. Negotiated Rate $1,217.73
Max. Negotiated Rate $1,739.61
Rate for Payer: Aetna Commercial $1,642.96
Rate for Payer: Aetna New Business (MI Preferred) $1,256.38
Rate for Payer: Cash Price $1,546.32
Rate for Payer: Cofinity Commercial $1,353.03
Rate for Payer: Cofinity Commercial $1,662.29
Rate for Payer: Healthscope Commercial $1,739.61
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $1,642.96
Rate for Payer: PHP Commercial $1,642.96
Rate for Payer: Priority Health Cigna Priority Health $1,353.03
Rate for Payer: Priority Health SBD $1,217.73
Service Code CPT 73719
Hospital Charge Code 61000032
Hospital Revenue Code 610
Min. Negotiated Rate $187.18
Max. Negotiated Rate $2,608.11
Rate for Payer: Aetna Commercial $2,463.22
Rate for Payer: Aetna Medicare $355.88
Rate for Payer: Aetna New Business (MI Preferred) $1,883.64
Rate for Payer: Allen County Amish Medical Aid Commercial $427.74
Rate for Payer: Amish Plain Church Group Commercial $427.74
Rate for Payer: BCBS Complete $196.55
Rate for Payer: BCBS MAPPO $342.19
Rate for Payer: BCBS Trust/PPO $327.10
Rate for Payer: BCN Medicare Advantage $342.19
Rate for Payer: Cash Price $2,318.32
Rate for Payer: Cash Price $2,318.32
Rate for Payer: Cofinity Commercial $2,028.53
Rate for Payer: Cofinity Commercial $2,492.19
Rate for Payer: Health Alliance Plan Medicare Advantage $342.19
Rate for Payer: Healthscope Commercial $2,608.11
Rate for Payer: Mclaren Medicaid $187.18
Rate for Payer: Mclaren Medicare $342.19
Rate for Payer: Meridian Medicaid $196.55
Rate for Payer: Meridian Wellcare - Medicare Advantage $359.30
Rate for Payer: MI Amish Medical Board Commercial $393.52
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $2,463.22
Rate for Payer: PACE Medicare $325.08
Rate for Payer: PACE SWMI $342.19
Rate for Payer: PHP Commercial $2,463.22
Rate for Payer: PHP Medicare Advantage $342.19
Rate for Payer: Priority Health Choice Medicaid $187.18
Rate for Payer: Priority Health Cigna Priority Health $2,028.53
Rate for Payer: Priority Health HMO/PPO/Tiered Network $1,104.74
Rate for Payer: Priority Health Medicare $342.19
Rate for Payer: Priority Health Narrow Network $883.79
Rate for Payer: Priority Health SBD $1,825.68
Rate for Payer: Railroad Medicare Medicare $342.19
Rate for Payer: UHC All Payor (Choice/PPO) $292.47
Rate for Payer: UHC Dual Complete DSNP $342.19
Rate for Payer: UHC Exchange $265.88
Rate for Payer: UHC Medicare Advantage $352.46
Rate for Payer: VA VA $342.19
Service Code CPT 73719
Hospital Charge Code 61000032
Hospital Revenue Code 610
Min. Negotiated Rate $1,825.68
Max. Negotiated Rate $2,608.11
Rate for Payer: Aetna Commercial $2,463.22
Rate for Payer: Aetna New Business (MI Preferred) $1,883.64
Rate for Payer: Cash Price $2,318.32
Rate for Payer: Cofinity Commercial $2,028.53
Rate for Payer: Cofinity Commercial $2,492.19
Rate for Payer: Healthscope Commercial $2,608.11
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $2,463.22
Rate for Payer: PHP Commercial $2,463.22
Rate for Payer: Priority Health Cigna Priority Health $2,028.53
Rate for Payer: Priority Health SBD $1,825.68
Service Code CPT 73718
Hospital Charge Code 61000030
Hospital Revenue Code 610
Min. Negotiated Rate $1,418.80
Max. Negotiated Rate $2,026.85
Rate for Payer: Aetna Commercial $1,914.25
Rate for Payer: Aetna New Business (MI Preferred) $1,463.84
Rate for Payer: Cash Price $1,801.65
Rate for Payer: Cofinity Commercial $1,576.44
Rate for Payer: Cofinity Commercial $1,936.77
Rate for Payer: Healthscope Commercial $2,026.85
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $1,914.25
Rate for Payer: PHP Commercial $1,914.25
Rate for Payer: Priority Health Cigna Priority Health $1,576.44
Rate for Payer: Priority Health SBD $1,418.80
Service Code CPT 73718
Hospital Charge Code 61000030
Hospital Revenue Code 610
Min. Negotiated Rate $119.26
Max. Negotiated Rate $2,026.85
Rate for Payer: Aetna Commercial $1,914.25
Rate for Payer: Aetna Medicare $226.75
Rate for Payer: Aetna New Business (MI Preferred) $1,463.84
Rate for Payer: Allen County Amish Medical Aid Commercial $272.54
Rate for Payer: Amish Plain Church Group Commercial $272.54
Rate for Payer: BCBS Complete $125.24
Rate for Payer: BCBS MAPPO $218.03
Rate for Payer: BCBS Trust/PPO $280.76
Rate for Payer: BCN Medicare Advantage $218.03
Rate for Payer: Cash Price $1,801.65
Rate for Payer: Cash Price $1,801.65
Rate for Payer: Cofinity Commercial $1,576.44
Rate for Payer: Cofinity Commercial $1,936.77
Rate for Payer: Health Alliance Plan Medicare Advantage $218.03
Rate for Payer: Healthscope Commercial $2,026.85
Rate for Payer: Mclaren Medicaid $119.26
Rate for Payer: Mclaren Medicare $218.03
Rate for Payer: Meridian Medicaid $125.24
Rate for Payer: Meridian Wellcare - Medicare Advantage $228.93
Rate for Payer: MI Amish Medical Board Commercial $250.73
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $1,914.25
Rate for Payer: PACE Medicare $207.13
Rate for Payer: PACE SWMI $218.03
Rate for Payer: PHP Commercial $1,914.25
Rate for Payer: PHP Medicare Advantage $218.03
Rate for Payer: Priority Health Choice Medicaid $119.26
Rate for Payer: Priority Health Cigna Priority Health $1,576.44
Rate for Payer: Priority Health HMO/PPO/Tiered Network $700.21
Rate for Payer: Priority Health Medicare $218.03
Rate for Payer: Priority Health Narrow Network $560.17
Rate for Payer: Priority Health SBD $1,418.80
Rate for Payer: Railroad Medicare Medicare $218.03
Rate for Payer: UHC All Payor (Choice/PPO) $248.17
Rate for Payer: UHC Dual Complete DSNP $218.03
Rate for Payer: UHC Exchange $225.61
Rate for Payer: UHC Medicare Advantage $224.57
Rate for Payer: VA VA $218.03
Service Code CPT 73720
Hospital Charge Code 61000034
Hospital Revenue Code 610
Min. Negotiated Rate $187.18
Max. Negotiated Rate $2,786.96
Rate for Payer: Aetna Commercial $2,632.13
Rate for Payer: Aetna Medicare $355.88
Rate for Payer: Aetna New Business (MI Preferred) $2,012.80
Rate for Payer: Allen County Amish Medical Aid Commercial $427.74
Rate for Payer: Amish Plain Church Group Commercial $427.74
Rate for Payer: BCBS Complete $196.55
Rate for Payer: BCBS MAPPO $342.19
Rate for Payer: BCBS Trust/PPO $415.91
Rate for Payer: BCN Medicare Advantage $342.19
Rate for Payer: Cash Price $2,477.30
Rate for Payer: Cash Price $2,477.30
Rate for Payer: Cofinity Commercial $2,167.63
Rate for Payer: Cofinity Commercial $2,663.09
Rate for Payer: Health Alliance Plan Medicare Advantage $342.19
Rate for Payer: Healthscope Commercial $2,786.96
Rate for Payer: Mclaren Medicaid $187.18
Rate for Payer: Mclaren Medicare $342.19
Rate for Payer: Meridian Medicaid $196.55
Rate for Payer: Meridian Wellcare - Medicare Advantage $359.30
Rate for Payer: MI Amish Medical Board Commercial $393.52
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $2,632.13
Rate for Payer: PACE Medicare $325.08
Rate for Payer: PACE SWMI $342.19
Rate for Payer: PHP Commercial $2,632.13
Rate for Payer: PHP Medicare Advantage $342.19
Rate for Payer: Priority Health Choice Medicaid $187.18
Rate for Payer: Priority Health Cigna Priority Health $2,167.63
Rate for Payer: Priority Health HMO/PPO/Tiered Network $1,104.74
Rate for Payer: Priority Health Medicare $342.19
Rate for Payer: Priority Health Narrow Network $883.79
Rate for Payer: Priority Health SBD $1,950.87
Rate for Payer: Railroad Medicare Medicare $342.19
Rate for Payer: UHC All Payor (Choice/PPO) $374.59
Rate for Payer: UHC Dual Complete DSNP $342.19
Rate for Payer: UHC Exchange $340.54
Rate for Payer: UHC Medicare Advantage $352.46
Rate for Payer: VA VA $342.19
Service Code CPT 73720
Hospital Charge Code 61000034
Hospital Revenue Code 610
Min. Negotiated Rate $1,950.87
Max. Negotiated Rate $2,786.96
Rate for Payer: Aetna Commercial $2,632.13
Rate for Payer: Aetna New Business (MI Preferred) $2,012.80
Rate for Payer: Cash Price $2,477.30
Rate for Payer: Cofinity Commercial $2,167.63
Rate for Payer: Cofinity Commercial $2,663.09
Rate for Payer: Healthscope Commercial $2,786.96
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $2,632.13
Rate for Payer: PHP Commercial $2,632.13
Rate for Payer: Priority Health Cigna Priority Health $2,167.63
Rate for Payer: Priority Health SBD $1,950.87
Service Code CPT 73719
Hospital Charge Code 61000031
Hospital Revenue Code 610
Min. Negotiated Rate $2,234.65
Max. Negotiated Rate $3,192.36
Rate for Payer: Aetna Commercial $3,015.01
Rate for Payer: Aetna Commercial $2,010.00
Rate for Payer: Aetna New Business (MI Preferred) $1,537.06
Rate for Payer: Aetna New Business (MI Preferred) $2,305.60
Rate for Payer: Cash Price $1,891.77
Rate for Payer: Cash Price $2,837.66
Rate for Payer: Cofinity Commercial $2,482.95
Rate for Payer: Cofinity Commercial $1,655.30
Rate for Payer: Cofinity Commercial $2,033.65
Rate for Payer: Cofinity Commercial $3,050.48
Rate for Payer: Healthscope Commercial $2,128.24
Rate for Payer: Healthscope Commercial $3,192.36
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $3,015.01
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $2,010.00
Rate for Payer: PHP Commercial $3,015.01
Rate for Payer: PHP Commercial $2,010.00
Rate for Payer: Priority Health Cigna Priority Health $1,655.30
Rate for Payer: Priority Health Cigna Priority Health $2,482.95
Rate for Payer: Priority Health SBD $1,489.77
Rate for Payer: Priority Health SBD $2,234.65
Service Code CPT 73719
Hospital Charge Code 61000031
Hospital Revenue Code 610
Min. Negotiated Rate $187.18
Max. Negotiated Rate $2,128.24
Rate for Payer: Aetna Commercial $2,010.00
Rate for Payer: Aetna Commercial $3,015.01
Rate for Payer: Aetna Medicare $355.88
Rate for Payer: Aetna Medicare $355.88
Rate for Payer: Aetna New Business (MI Preferred) $1,537.06
Rate for Payer: Aetna New Business (MI Preferred) $2,305.60
Rate for Payer: Allen County Amish Medical Aid Commercial $427.74
Rate for Payer: Allen County Amish Medical Aid Commercial $427.74
Rate for Payer: Amish Plain Church Group Commercial $427.74
Rate for Payer: Amish Plain Church Group Commercial $427.74
Rate for Payer: BCBS Complete $196.55
Rate for Payer: BCBS Complete $196.55
Rate for Payer: BCBS MAPPO $342.19
Rate for Payer: BCBS MAPPO $342.19
Rate for Payer: BCBS Trust/PPO $327.10
Rate for Payer: BCBS Trust/PPO $327.10
Rate for Payer: BCN Medicare Advantage $342.19
Rate for Payer: BCN Medicare Advantage $342.19
Rate for Payer: Cash Price $1,891.77
Rate for Payer: Cash Price $2,837.66
Rate for Payer: Cash Price $2,837.66
Rate for Payer: Cash Price $1,891.77
Rate for Payer: Cofinity Commercial $2,033.65
Rate for Payer: Cofinity Commercial $2,482.95
Rate for Payer: Cofinity Commercial $1,655.30
Rate for Payer: Cofinity Commercial $3,050.48
Rate for Payer: Health Alliance Plan Medicare Advantage $342.19
Rate for Payer: Health Alliance Plan Medicare Advantage $342.19
Rate for Payer: Healthscope Commercial $2,128.24
Rate for Payer: Healthscope Commercial $3,192.36
Rate for Payer: Mclaren Medicaid $187.18
Rate for Payer: Mclaren Medicaid $187.18
Rate for Payer: Mclaren Medicare $342.19
Rate for Payer: Mclaren Medicare $342.19
Rate for Payer: Meridian Medicaid $196.55
Rate for Payer: Meridian Medicaid $196.55
Rate for Payer: Meridian Wellcare - Medicare Advantage $359.30
Rate for Payer: Meridian Wellcare - Medicare Advantage $359.30
Rate for Payer: MI Amish Medical Board Commercial $393.52
Rate for Payer: MI Amish Medical Board Commercial $393.52
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $2,010.00
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $3,015.01
Rate for Payer: PACE Medicare $325.08
Rate for Payer: PACE Medicare $325.08
Rate for Payer: PACE SWMI $342.19
Rate for Payer: PACE SWMI $342.19
Rate for Payer: PHP Commercial $2,010.00
Rate for Payer: PHP Commercial $3,015.01
Rate for Payer: PHP Medicare Advantage $342.19
Rate for Payer: PHP Medicare Advantage $342.19
Rate for Payer: Priority Health Choice Medicaid $187.18
Rate for Payer: Priority Health Choice Medicaid $187.18
Rate for Payer: Priority Health Cigna Priority Health $2,482.95
Rate for Payer: Priority Health Cigna Priority Health $1,655.30
Rate for Payer: Priority Health HMO/PPO/Tiered Network $1,104.74
Rate for Payer: Priority Health HMO/PPO/Tiered Network $1,104.74
Rate for Payer: Priority Health Medicare $342.19
Rate for Payer: Priority Health Medicare $342.19
Rate for Payer: Priority Health Narrow Network $883.79
Rate for Payer: Priority Health Narrow Network $883.79
Rate for Payer: Priority Health SBD $2,234.65
Rate for Payer: Priority Health SBD $1,489.77
Rate for Payer: Railroad Medicare Medicare $342.19
Rate for Payer: Railroad Medicare Medicare $342.19
Rate for Payer: UHC All Payor (Choice/PPO) $292.47
Rate for Payer: UHC All Payor (Choice/PPO) $292.47
Rate for Payer: UHC Dual Complete DSNP $342.19
Rate for Payer: UHC Dual Complete DSNP $342.19
Rate for Payer: UHC Exchange $265.88
Rate for Payer: UHC Exchange $265.88
Rate for Payer: UHC Medicare Advantage $352.46
Rate for Payer: UHC Medicare Advantage $352.46
Rate for Payer: VA VA $342.19
Rate for Payer: VA VA $342.19
Service Code CPT 73718
Hospital Charge Code 61000029
Hospital Revenue Code 610
Min. Negotiated Rate $2,015.61
Max. Negotiated Rate $2,879.44
Rate for Payer: Aetna Commercial $2,719.47
Rate for Payer: Aetna Commercial $1,812.98
Rate for Payer: Aetna New Business (MI Preferred) $1,386.40
Rate for Payer: Aetna New Business (MI Preferred) $2,079.60
Rate for Payer: Cash Price $2,559.50
Rate for Payer: Cash Price $1,706.34
Rate for Payer: Cofinity Commercial $2,751.47
Rate for Payer: Cofinity Commercial $2,239.57
Rate for Payer: Cofinity Commercial $1,834.31
Rate for Payer: Cofinity Commercial $1,493.04
Rate for Payer: Healthscope Commercial $1,919.63
Rate for Payer: Healthscope Commercial $2,879.44
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $1,812.98
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $2,719.47
Rate for Payer: PHP Commercial $1,812.98
Rate for Payer: PHP Commercial $2,719.47
Rate for Payer: Priority Health Cigna Priority Health $1,493.04
Rate for Payer: Priority Health Cigna Priority Health $2,239.57
Rate for Payer: Priority Health SBD $2,015.61
Rate for Payer: Priority Health SBD $1,343.74
Service Code CPT 73718
Hospital Charge Code 61000029
Hospital Revenue Code 610
Min. Negotiated Rate $119.26
Max. Negotiated Rate $2,879.44
Rate for Payer: Aetna Commercial $2,719.47
Rate for Payer: Aetna Commercial $1,812.98
Rate for Payer: Aetna Medicare $226.75
Rate for Payer: Aetna Medicare $226.75
Rate for Payer: Aetna New Business (MI Preferred) $2,079.60
Rate for Payer: Aetna New Business (MI Preferred) $1,386.40
Rate for Payer: Allen County Amish Medical Aid Commercial $272.54
Rate for Payer: Allen County Amish Medical Aid Commercial $272.54
Rate for Payer: Amish Plain Church Group Commercial $272.54
Rate for Payer: Amish Plain Church Group Commercial $272.54
Rate for Payer: BCBS Complete $125.24
Rate for Payer: BCBS Complete $125.24
Rate for Payer: BCBS MAPPO $218.03
Rate for Payer: BCBS MAPPO $218.03
Rate for Payer: BCBS Trust/PPO $280.76
Rate for Payer: BCBS Trust/PPO $280.76
Rate for Payer: BCN Medicare Advantage $218.03
Rate for Payer: BCN Medicare Advantage $218.03
Rate for Payer: Cash Price $1,706.34
Rate for Payer: Cash Price $1,706.34
Rate for Payer: Cash Price $2,559.50
Rate for Payer: Cash Price $2,559.50
Rate for Payer: Cofinity Commercial $1,493.04
Rate for Payer: Cofinity Commercial $2,751.47
Rate for Payer: Cofinity Commercial $2,239.57
Rate for Payer: Cofinity Commercial $1,834.31
Rate for Payer: Health Alliance Plan Medicare Advantage $218.03
Rate for Payer: Health Alliance Plan Medicare Advantage $218.03
Rate for Payer: Healthscope Commercial $1,919.63
Rate for Payer: Healthscope Commercial $2,879.44
Rate for Payer: Mclaren Medicaid $119.26
Rate for Payer: Mclaren Medicaid $119.26
Rate for Payer: Mclaren Medicare $218.03
Rate for Payer: Mclaren Medicare $218.03
Rate for Payer: Meridian Medicaid $125.24
Rate for Payer: Meridian Medicaid $125.24
Rate for Payer: Meridian Wellcare - Medicare Advantage $228.93
Rate for Payer: Meridian Wellcare - Medicare Advantage $228.93
Rate for Payer: MI Amish Medical Board Commercial $250.73
Rate for Payer: MI Amish Medical Board Commercial $250.73
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $1,812.98
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $2,719.47
Rate for Payer: PACE Medicare $207.13
Rate for Payer: PACE Medicare $207.13
Rate for Payer: PACE SWMI $218.03
Rate for Payer: PACE SWMI $218.03
Rate for Payer: PHP Commercial $1,812.98
Rate for Payer: PHP Commercial $2,719.47
Rate for Payer: PHP Medicare Advantage $218.03
Rate for Payer: PHP Medicare Advantage $218.03
Rate for Payer: Priority Health Choice Medicaid $119.26
Rate for Payer: Priority Health Choice Medicaid $119.26
Rate for Payer: Priority Health Cigna Priority Health $1,493.04
Rate for Payer: Priority Health Cigna Priority Health $2,239.57
Rate for Payer: Priority Health HMO/PPO/Tiered Network $700.21
Rate for Payer: Priority Health HMO/PPO/Tiered Network $700.21
Rate for Payer: Priority Health Medicare $218.03
Rate for Payer: Priority Health Medicare $218.03
Rate for Payer: Priority Health Narrow Network $560.17
Rate for Payer: Priority Health Narrow Network $560.17
Rate for Payer: Priority Health SBD $2,015.61
Rate for Payer: Priority Health SBD $1,343.74
Rate for Payer: Railroad Medicare Medicare $218.03
Rate for Payer: Railroad Medicare Medicare $218.03
Rate for Payer: UHC All Payor (Choice/PPO) $248.17
Rate for Payer: UHC All Payor (Choice/PPO) $248.17
Rate for Payer: UHC Dual Complete DSNP $218.03
Rate for Payer: UHC Dual Complete DSNP $218.03
Rate for Payer: UHC Exchange $225.61
Rate for Payer: UHC Exchange $225.61
Rate for Payer: UHC Medicare Advantage $224.57
Rate for Payer: UHC Medicare Advantage $224.57
Rate for Payer: VA VA $218.03
Rate for Payer: VA VA $218.03
Service Code CPT 73720
Hospital Charge Code 61000033
Hospital Revenue Code 610
Min. Negotiated Rate $187.18
Max. Negotiated Rate $2,726.73
Rate for Payer: Aetna Commercial $2,575.24
Rate for Payer: Aetna Commercial $3,862.87
Rate for Payer: Aetna Medicare $355.88
Rate for Payer: Aetna Medicare $355.88
Rate for Payer: Aetna New Business (MI Preferred) $1,969.30
Rate for Payer: Aetna New Business (MI Preferred) $2,953.96
Rate for Payer: Allen County Amish Medical Aid Commercial $427.74
Rate for Payer: Allen County Amish Medical Aid Commercial $427.74
Rate for Payer: Amish Plain Church Group Commercial $427.74
Rate for Payer: Amish Plain Church Group Commercial $427.74
Rate for Payer: BCBS Complete $196.55
Rate for Payer: BCBS Complete $196.55
Rate for Payer: BCBS MAPPO $342.19
Rate for Payer: BCBS MAPPO $342.19
Rate for Payer: BCBS Trust/PPO $415.91
Rate for Payer: BCBS Trust/PPO $415.91
Rate for Payer: BCN Medicare Advantage $342.19
Rate for Payer: BCN Medicare Advantage $342.19
Rate for Payer: Cash Price $3,635.64
Rate for Payer: Cash Price $2,423.76
Rate for Payer: Cash Price $3,635.64
Rate for Payer: Cash Price $2,423.76
Rate for Payer: Cofinity Commercial $2,605.54
Rate for Payer: Cofinity Commercial $3,908.31
Rate for Payer: Cofinity Commercial $3,181.18
Rate for Payer: Cofinity Commercial $2,120.79
Rate for Payer: Health Alliance Plan Medicare Advantage $342.19
Rate for Payer: Health Alliance Plan Medicare Advantage $342.19
Rate for Payer: Healthscope Commercial $4,090.10
Rate for Payer: Healthscope Commercial $2,726.73
Rate for Payer: Mclaren Medicaid $187.18
Rate for Payer: Mclaren Medicaid $187.18
Rate for Payer: Mclaren Medicare $342.19
Rate for Payer: Mclaren Medicare $342.19
Rate for Payer: Meridian Medicaid $196.55
Rate for Payer: Meridian Medicaid $196.55
Rate for Payer: Meridian Wellcare - Medicare Advantage $359.30
Rate for Payer: Meridian Wellcare - Medicare Advantage $359.30
Rate for Payer: MI Amish Medical Board Commercial $393.52
Rate for Payer: MI Amish Medical Board Commercial $393.52
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $3,862.87
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $2,575.24
Rate for Payer: PACE Medicare $325.08
Rate for Payer: PACE Medicare $325.08
Rate for Payer: PACE SWMI $342.19
Rate for Payer: PACE SWMI $342.19
Rate for Payer: PHP Commercial $2,575.24
Rate for Payer: PHP Commercial $3,862.87
Rate for Payer: PHP Medicare Advantage $342.19
Rate for Payer: PHP Medicare Advantage $342.19
Rate for Payer: Priority Health Choice Medicaid $187.18
Rate for Payer: Priority Health Choice Medicaid $187.18
Rate for Payer: Priority Health Cigna Priority Health $2,120.79
Rate for Payer: Priority Health Cigna Priority Health $3,181.18
Rate for Payer: Priority Health HMO/PPO/Tiered Network $1,104.74
Rate for Payer: Priority Health HMO/PPO/Tiered Network $1,104.74
Rate for Payer: Priority Health Medicare $342.19
Rate for Payer: Priority Health Medicare $342.19
Rate for Payer: Priority Health Narrow Network $883.79
Rate for Payer: Priority Health Narrow Network $883.79
Rate for Payer: Priority Health SBD $2,863.07
Rate for Payer: Priority Health SBD $1,908.71
Rate for Payer: Railroad Medicare Medicare $342.19
Rate for Payer: Railroad Medicare Medicare $342.19
Rate for Payer: UHC All Payor (Choice/PPO) $374.59
Rate for Payer: UHC All Payor (Choice/PPO) $374.59
Rate for Payer: UHC Dual Complete DSNP $342.19
Rate for Payer: UHC Dual Complete DSNP $342.19
Rate for Payer: UHC Exchange $340.54
Rate for Payer: UHC Exchange $340.54
Rate for Payer: UHC Medicare Advantage $352.46
Rate for Payer: UHC Medicare Advantage $352.46
Rate for Payer: VA VA $342.19
Rate for Payer: VA VA $342.19
Service Code CPT 73720
Hospital Charge Code 61000033
Hospital Revenue Code 610
Min. Negotiated Rate $1,908.71
Max. Negotiated Rate $2,726.73
Rate for Payer: Aetna Commercial $2,575.24
Rate for Payer: Aetna Commercial $3,862.87
Rate for Payer: Aetna New Business (MI Preferred) $1,969.30
Rate for Payer: Aetna New Business (MI Preferred) $2,953.96
Rate for Payer: Cash Price $2,423.76
Rate for Payer: Cash Price $3,635.64
Rate for Payer: Cofinity Commercial $2,605.54
Rate for Payer: Cofinity Commercial $3,908.31
Rate for Payer: Cofinity Commercial $3,181.18
Rate for Payer: Cofinity Commercial $2,120.79
Rate for Payer: Healthscope Commercial $2,726.73
Rate for Payer: Healthscope Commercial $4,090.10
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $2,575.24
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $3,862.87
Rate for Payer: PHP Commercial $2,575.24
Rate for Payer: PHP Commercial $3,862.87
Rate for Payer: Priority Health Cigna Priority Health $3,181.18
Rate for Payer: Priority Health Cigna Priority Health $2,120.79
Rate for Payer: Priority Health SBD $1,908.71
Rate for Payer: Priority Health SBD $2,863.07
Service Code HCPCS C8900
Hospital Charge Code 61000060
Hospital Revenue Code 610
Min. Negotiated Rate $1,390.98
Max. Negotiated Rate $1,987.11
Rate for Payer: Aetna Commercial $1,876.72
Rate for Payer: Aetna New Business (MI Preferred) $1,435.14
Rate for Payer: Cash Price $1,766.32
Rate for Payer: Cofinity Commercial $1,545.53
Rate for Payer: Cofinity Commercial $1,898.79
Rate for Payer: Healthscope Commercial $1,987.11
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $1,876.72
Rate for Payer: PHP Commercial $1,876.72
Rate for Payer: Priority Health Cigna Priority Health $1,545.53
Rate for Payer: Priority Health SBD $1,390.98
Service Code HCPCS C8900
Hospital Charge Code 61000060
Hospital Revenue Code 610
Min. Negotiated Rate $187.18
Max. Negotiated Rate $1,987.11
Rate for Payer: Aetna Commercial $1,876.72
Rate for Payer: Aetna Medicare $355.88
Rate for Payer: Aetna New Business (MI Preferred) $1,435.14
Rate for Payer: Allen County Amish Medical Aid Commercial $427.74
Rate for Payer: Amish Plain Church Group Commercial $427.74
Rate for Payer: BCBS Complete $196.55
Rate for Payer: BCBS MAPPO $342.19
Rate for Payer: BCN Medicare Advantage $342.19
Rate for Payer: Cash Price $1,766.32
Rate for Payer: Cash Price $1,766.32
Rate for Payer: Cofinity Commercial $1,545.53
Rate for Payer: Cofinity Commercial $1,898.79
Rate for Payer: Health Alliance Plan Medicare Advantage $342.19
Rate for Payer: Healthscope Commercial $1,987.11
Rate for Payer: Mclaren Medicaid $187.18
Rate for Payer: Mclaren Medicare $342.19
Rate for Payer: Meridian Medicaid $196.55
Rate for Payer: Meridian Wellcare - Medicare Advantage $359.30
Rate for Payer: MI Amish Medical Board Commercial $393.52
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $1,876.72
Rate for Payer: PACE Medicare $325.08
Rate for Payer: PACE SWMI $342.19
Rate for Payer: PHP Commercial $1,876.72
Rate for Payer: PHP Medicare Advantage $342.19
Rate for Payer: Priority Health Choice Medicaid $187.18
Rate for Payer: Priority Health Cigna Priority Health $1,545.53
Rate for Payer: Priority Health Medicare $342.19
Rate for Payer: Priority Health SBD $1,390.98
Rate for Payer: Railroad Medicare Medicare $342.19
Rate for Payer: UHC All Payor (Choice/PPO) $959.40
Rate for Payer: UHC Dual Complete DSNP $342.19
Rate for Payer: UHC Exchange $653.96
Rate for Payer: UHC Medicare Advantage $352.46
Rate for Payer: VA VA $342.19
Service Code HCPCS C8901
Hospital Charge Code 61000061
Hospital Revenue Code 610
Min. Negotiated Rate $1,304.10
Max. Negotiated Rate $1,863.00
Rate for Payer: Aetna Commercial $1,759.50
Rate for Payer: Aetna New Business (MI Preferred) $1,345.50
Rate for Payer: Cash Price $1,656.00
Rate for Payer: Cofinity Commercial $1,449.00
Rate for Payer: Cofinity Commercial $1,780.20
Rate for Payer: Healthscope Commercial $1,863.00
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $1,759.50
Rate for Payer: PHP Commercial $1,759.50
Rate for Payer: Priority Health Cigna Priority Health $1,449.00
Rate for Payer: Priority Health SBD $1,304.10
Service Code HCPCS C8901
Hospital Charge Code 61000061
Hospital Revenue Code 610
Min. Negotiated Rate $119.26
Max. Negotiated Rate $1,863.00
Rate for Payer: Aetna Commercial $1,759.50
Rate for Payer: Aetna Medicare $226.75
Rate for Payer: Aetna New Business (MI Preferred) $1,345.50
Rate for Payer: Allen County Amish Medical Aid Commercial $272.54
Rate for Payer: Amish Plain Church Group Commercial $272.54
Rate for Payer: BCBS Complete $125.24
Rate for Payer: BCBS MAPPO $218.03
Rate for Payer: BCN Medicare Advantage $218.03
Rate for Payer: Cash Price $1,656.00
Rate for Payer: Cash Price $1,656.00
Rate for Payer: Cofinity Commercial $1,780.20
Rate for Payer: Cofinity Commercial $1,449.00
Rate for Payer: Health Alliance Plan Medicare Advantage $218.03
Rate for Payer: Healthscope Commercial $1,863.00
Rate for Payer: Mclaren Medicaid $119.26
Rate for Payer: Mclaren Medicare $218.03
Rate for Payer: Meridian Medicaid $125.24
Rate for Payer: Meridian Wellcare - Medicare Advantage $228.93
Rate for Payer: MI Amish Medical Board Commercial $250.73
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $1,759.50
Rate for Payer: PACE Medicare $207.13
Rate for Payer: PACE SWMI $218.03
Rate for Payer: PHP Commercial $1,759.50
Rate for Payer: PHP Medicare Advantage $218.03
Rate for Payer: Priority Health Choice Medicaid $119.26
Rate for Payer: Priority Health Cigna Priority Health $1,449.00
Rate for Payer: Priority Health Medicare $218.03
Rate for Payer: Priority Health SBD $1,304.10
Rate for Payer: Railroad Medicare Medicare $218.03
Rate for Payer: UHC All Payor (Choice/PPO) $611.29
Rate for Payer: UHC Dual Complete DSNP $218.03
Rate for Payer: UHC Exchange $416.68
Rate for Payer: UHC Medicare Advantage $224.57
Rate for Payer: VA VA $218.03
Service Code HCPCS C8902
Hospital Charge Code 61000062
Hospital Revenue Code 610
Min. Negotiated Rate $187.18
Max. Negotiated Rate $2,406.91
Rate for Payer: Aetna Commercial $2,273.19
Rate for Payer: Aetna Medicare $355.88
Rate for Payer: Aetna New Business (MI Preferred) $1,738.32
Rate for Payer: Allen County Amish Medical Aid Commercial $427.74
Rate for Payer: Amish Plain Church Group Commercial $427.74
Rate for Payer: BCBS Complete $196.55
Rate for Payer: BCBS MAPPO $342.19
Rate for Payer: BCN Medicare Advantage $342.19
Rate for Payer: Cash Price $2,139.47
Rate for Payer: Cash Price $2,139.47
Rate for Payer: Cofinity Commercial $1,872.04
Rate for Payer: Cofinity Commercial $2,299.93
Rate for Payer: Health Alliance Plan Medicare Advantage $342.19
Rate for Payer: Healthscope Commercial $2,406.91
Rate for Payer: Mclaren Medicaid $187.18
Rate for Payer: Mclaren Medicare $342.19
Rate for Payer: Meridian Medicaid $196.55
Rate for Payer: Meridian Wellcare - Medicare Advantage $359.30
Rate for Payer: MI Amish Medical Board Commercial $393.52
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $2,273.19
Rate for Payer: PACE Medicare $325.08
Rate for Payer: PACE SWMI $342.19
Rate for Payer: PHP Commercial $2,273.19
Rate for Payer: PHP Medicare Advantage $342.19
Rate for Payer: Priority Health Choice Medicaid $187.18
Rate for Payer: Priority Health Cigna Priority Health $1,872.04
Rate for Payer: Priority Health Medicare $342.19
Rate for Payer: Priority Health SBD $1,684.83
Rate for Payer: Railroad Medicare Medicare $342.19
Rate for Payer: UHC All Payor (Choice/PPO) $959.40
Rate for Payer: UHC Dual Complete DSNP $342.19
Rate for Payer: UHC Exchange $653.96
Rate for Payer: UHC Medicare Advantage $352.46
Rate for Payer: VA VA $342.19
Service Code HCPCS C8902
Hospital Charge Code 61000062
Hospital Revenue Code 610
Min. Negotiated Rate $1,684.83
Max. Negotiated Rate $2,406.91
Rate for Payer: Aetna Commercial $2,273.19
Rate for Payer: Aetna New Business (MI Preferred) $1,738.32
Rate for Payer: Cash Price $2,139.47
Rate for Payer: Cofinity Commercial $1,872.04
Rate for Payer: Cofinity Commercial $2,299.93
Rate for Payer: Healthscope Commercial $2,406.91
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $2,273.19
Rate for Payer: PHP Commercial $2,273.19
Rate for Payer: Priority Health Cigna Priority Health $1,872.04
Rate for Payer: Priority Health SBD $1,684.83
Service Code HCPCS C8909
Hospital Charge Code 61000063
Hospital Revenue Code 610
Min. Negotiated Rate $187.18
Max. Negotiated Rate $1,987.11
Rate for Payer: Aetna Commercial $1,876.72
Rate for Payer: Aetna Medicare $355.88
Rate for Payer: Aetna New Business (MI Preferred) $1,435.14
Rate for Payer: Allen County Amish Medical Aid Commercial $427.74
Rate for Payer: Amish Plain Church Group Commercial $427.74
Rate for Payer: BCBS Complete $196.55
Rate for Payer: BCBS MAPPO $342.19
Rate for Payer: BCN Medicare Advantage $342.19
Rate for Payer: Cash Price $1,766.32
Rate for Payer: Cash Price $1,766.32
Rate for Payer: Cofinity Commercial $1,898.79
Rate for Payer: Cofinity Commercial $1,545.53
Rate for Payer: Health Alliance Plan Medicare Advantage $342.19
Rate for Payer: Healthscope Commercial $1,987.11
Rate for Payer: Mclaren Medicaid $187.18
Rate for Payer: Mclaren Medicare $342.19
Rate for Payer: Meridian Medicaid $196.55
Rate for Payer: Meridian Wellcare - Medicare Advantage $359.30
Rate for Payer: MI Amish Medical Board Commercial $393.52
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $1,876.72
Rate for Payer: PACE Medicare $325.08
Rate for Payer: PACE SWMI $342.19
Rate for Payer: PHP Commercial $1,876.72
Rate for Payer: PHP Medicare Advantage $342.19
Rate for Payer: Priority Health Choice Medicaid $187.18
Rate for Payer: Priority Health Cigna Priority Health $1,545.53
Rate for Payer: Priority Health Medicare $342.19
Rate for Payer: Priority Health SBD $1,390.98
Rate for Payer: Railroad Medicare Medicare $342.19
Rate for Payer: UHC All Payor (Choice/PPO) $959.40
Rate for Payer: UHC Dual Complete DSNP $342.19
Rate for Payer: UHC Exchange $653.96
Rate for Payer: UHC Medicare Advantage $352.46
Rate for Payer: VA VA $342.19
Service Code HCPCS C8909
Hospital Charge Code 61000063
Hospital Revenue Code 610
Min. Negotiated Rate $1,390.98
Max. Negotiated Rate $1,987.11
Rate for Payer: Aetna Commercial $1,876.72
Rate for Payer: Aetna New Business (MI Preferred) $1,435.14
Rate for Payer: Cash Price $1,766.32
Rate for Payer: Cofinity Commercial $1,545.53
Rate for Payer: Cofinity Commercial $1,898.79
Rate for Payer: Healthscope Commercial $1,987.11
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $1,876.72
Rate for Payer: PHP Commercial $1,876.72
Rate for Payer: Priority Health Cigna Priority Health $1,545.53
Rate for Payer: Priority Health SBD $1,390.98
Service Code HCPCS C8910
Hospital Charge Code 61000064
Hospital Revenue Code 610
Min. Negotiated Rate $119.26
Max. Negotiated Rate $1,863.00
Rate for Payer: Aetna Commercial $1,759.50
Rate for Payer: Aetna Medicare $226.75
Rate for Payer: Aetna New Business (MI Preferred) $1,345.50
Rate for Payer: Allen County Amish Medical Aid Commercial $272.54
Rate for Payer: Amish Plain Church Group Commercial $272.54
Rate for Payer: BCBS Complete $125.24
Rate for Payer: BCBS MAPPO $218.03
Rate for Payer: BCN Medicare Advantage $218.03
Rate for Payer: Cash Price $1,656.00
Rate for Payer: Cash Price $1,656.00
Rate for Payer: Cofinity Commercial $1,449.00
Rate for Payer: Cofinity Commercial $1,780.20
Rate for Payer: Health Alliance Plan Medicare Advantage $218.03
Rate for Payer: Healthscope Commercial $1,863.00
Rate for Payer: Mclaren Medicaid $119.26
Rate for Payer: Mclaren Medicare $218.03
Rate for Payer: Meridian Medicaid $125.24
Rate for Payer: Meridian Wellcare - Medicare Advantage $228.93
Rate for Payer: MI Amish Medical Board Commercial $250.73
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $1,759.50
Rate for Payer: PACE Medicare $207.13
Rate for Payer: PACE SWMI $218.03
Rate for Payer: PHP Commercial $1,759.50
Rate for Payer: PHP Medicare Advantage $218.03
Rate for Payer: Priority Health Choice Medicaid $119.26
Rate for Payer: Priority Health Cigna Priority Health $1,449.00
Rate for Payer: Priority Health Medicare $218.03
Rate for Payer: Priority Health SBD $1,304.10
Rate for Payer: Railroad Medicare Medicare $218.03
Rate for Payer: UHC All Payor (Choice/PPO) $611.29
Rate for Payer: UHC Dual Complete DSNP $218.03
Rate for Payer: UHC Exchange $416.68
Rate for Payer: UHC Medicare Advantage $224.57
Rate for Payer: VA VA $218.03
Service Code HCPCS C8910
Hospital Charge Code 61000064
Hospital Revenue Code 610
Min. Negotiated Rate $1,304.10
Max. Negotiated Rate $1,863.00
Rate for Payer: Aetna Commercial $1,759.50
Rate for Payer: Aetna New Business (MI Preferred) $1,345.50
Rate for Payer: Cash Price $1,656.00
Rate for Payer: Cofinity Commercial $1,780.20
Rate for Payer: Cofinity Commercial $1,449.00
Rate for Payer: Healthscope Commercial $1,863.00
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $1,759.50
Rate for Payer: PHP Commercial $1,759.50
Rate for Payer: Priority Health Cigna Priority Health $1,449.00
Rate for Payer: Priority Health SBD $1,304.10
Service Code HCPCS C8911
Hospital Charge Code 61000065
Hospital Revenue Code 618
Min. Negotiated Rate $1,684.83
Max. Negotiated Rate $2,406.91
Rate for Payer: Aetna Commercial $2,273.19
Rate for Payer: Aetna New Business (MI Preferred) $1,738.32
Rate for Payer: Cash Price $2,139.47
Rate for Payer: Cofinity Commercial $1,872.04
Rate for Payer: Cofinity Commercial $2,299.93
Rate for Payer: Healthscope Commercial $2,406.91
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $2,273.19
Rate for Payer: PHP Commercial $2,273.19
Rate for Payer: Priority Health Cigna Priority Health $1,872.04
Rate for Payer: Priority Health SBD $1,684.83
Service Code HCPCS C8911
Hospital Charge Code 61000065
Hospital Revenue Code 618
Min. Negotiated Rate $187.18
Max. Negotiated Rate $2,406.91
Rate for Payer: Aetna Commercial $2,273.19
Rate for Payer: Aetna Medicare $355.88
Rate for Payer: Aetna New Business (MI Preferred) $1,738.32
Rate for Payer: Allen County Amish Medical Aid Commercial $427.74
Rate for Payer: Amish Plain Church Group Commercial $427.74
Rate for Payer: BCBS Complete $196.55
Rate for Payer: BCBS MAPPO $342.19
Rate for Payer: BCN Medicare Advantage $342.19
Rate for Payer: Cash Price $2,139.47
Rate for Payer: Cash Price $2,139.47
Rate for Payer: Cofinity Commercial $2,299.93
Rate for Payer: Cofinity Commercial $1,872.04
Rate for Payer: Health Alliance Plan Medicare Advantage $342.19
Rate for Payer: Healthscope Commercial $2,406.91
Rate for Payer: Mclaren Medicaid $187.18
Rate for Payer: Mclaren Medicare $342.19
Rate for Payer: Meridian Medicaid $196.55
Rate for Payer: Meridian Wellcare - Medicare Advantage $359.30
Rate for Payer: MI Amish Medical Board Commercial $393.52
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $2,273.19
Rate for Payer: PACE Medicare $325.08
Rate for Payer: PACE SWMI $342.19
Rate for Payer: PHP Commercial $2,273.19
Rate for Payer: PHP Medicare Advantage $342.19
Rate for Payer: Priority Health Choice Medicaid $187.18
Rate for Payer: Priority Health Cigna Priority Health $1,872.04
Rate for Payer: Priority Health Medicare $342.19
Rate for Payer: Priority Health SBD $1,684.83
Rate for Payer: Railroad Medicare Medicare $342.19
Rate for Payer: UHC All Payor (Choice/PPO) $959.40
Rate for Payer: UHC Dual Complete DSNP $342.19
Rate for Payer: UHC Exchange $653.96
Rate for Payer: UHC Medicare Advantage $352.46
Rate for Payer: VA VA $342.19