Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

HC OB DELIVERY R&B

Facility

$1,775.22

Hospital Charge Code	11200001
Hospital Revenue Code	112
Min. Negotiated Rate	$1,118.39
Max. Negotiated Rate	$1,597.70
Rate for Payer: Aetna Commercial	$1,508.94
Rate for Payer: Aetna New Business (MI Preferred)	$1,153.89
Rate for Payer: Cash Price	$1,420.18
Rate for Payer: Cofinity Commercial	$1,242.65
Rate for Payer: Cofinity Commercial	$1,526.69
Rate for Payer: Healthscope Commercial	$1,597.70
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$1,508.94
Rate for Payer: PHP Commercial	$1,508.94
Rate for Payer: Priority Health Cigna Priority Health	$1,242.65
Rate for Payer: Priority Health SBD	$1,118.39

HC OB HIGH RISK R&B

Facility

$3,905.86

Hospital Charge Code	20000004
Hospital Revenue Code	110
Min. Negotiated Rate	$2,460.69
Max. Negotiated Rate	$3,515.27
Rate for Payer: Aetna Commercial	$3,319.98
Rate for Payer: Aetna New Business (MI Preferred)	$2,538.81
Rate for Payer: Cash Price	$3,124.69
Rate for Payer: Cofinity Commercial	$2,734.10
Rate for Payer: Cofinity Commercial	$3,359.04
Rate for Payer: Healthscope Commercial	$3,515.27
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$3,319.98
Rate for Payer: PHP Commercial	$3,319.98
Rate for Payer: Priority Health Cigna Priority Health	$2,734.10
Rate for Payer: Priority Health SBD	$2,460.69

HC OB MED OBSERVATION PER HOUR

Facility

$134.33

Service Code	HCPCS G0378
Hospital Charge Code	76200012
Hospital Revenue Code	762
Min. Negotiated Rate	$84.63
Max. Negotiated Rate	$120.90
Rate for Payer: Aetna Commercial	$114.18
Rate for Payer: Aetna New Business (MI Preferred)	$87.31
Rate for Payer: Cash Price	$107.46
Rate for Payer: Cofinity Commercial	$115.52
Rate for Payer: Cofinity Commercial	$94.03
Rate for Payer: Healthscope Commercial	$120.90
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$114.18
Rate for Payer: PHP Commercial	$114.18
Rate for Payer: Priority Health Cigna Priority Health	$94.03
Rate for Payer: Priority Health SBD	$84.63

HC OB MED OBSERVATION PER HOUR

Facility

$134.33

Service Code	HCPCS G0378
Hospital Charge Code	76200012
Hospital Revenue Code	762
Min. Negotiated Rate	$53.73
Max. Negotiated Rate	$1,000.00
Rate for Payer: Aetna Commercial	$114.18
Rate for Payer: Aetna New Business (MI Preferred)	$87.31
Rate for Payer: BCBS Complete	$53.73
Rate for Payer: BCBS Trust/PPO	$108.91
Rate for Payer: Cash Price	$107.46
Rate for Payer: Cash Price	$107.46
Rate for Payer: Cash Price	$107.46
Rate for Payer: Cofinity Commercial	$115.52
Rate for Payer: Cofinity Commercial	$94.03
Rate for Payer: Healthscope Commercial	$120.90
Rate for Payer: Meridian Medicaid	$1,000.00
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$114.18
Rate for Payer: PHP Commercial	$114.18
Rate for Payer: Priority Health Cigna Priority Health	$94.03
Rate for Payer: Priority Health SBD	$84.63

HC OB POSTPARTUM R&B

Facility

$2,510.09

Hospital Charge Code	11200002
Hospital Revenue Code	112
Min. Negotiated Rate	$1,581.36
Max. Negotiated Rate	$2,259.08
Rate for Payer: Aetna Commercial	$2,133.58
Rate for Payer: Aetna New Business (MI Preferred)	$1,631.56
Rate for Payer: Cash Price	$2,008.07
Rate for Payer: Cofinity Commercial	$1,757.06
Rate for Payer: Cofinity Commercial	$2,158.68
Rate for Payer: Healthscope Commercial	$2,259.08
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$2,133.58
Rate for Payer: PHP Commercial	$2,133.58
Rate for Payer: Priority Health Cigna Priority Health	$1,757.06
Rate for Payer: Priority Health SBD	$1,581.36

HC OBSERVATION OVERFLOW PER HOUR

Facility

$134.33

Hospital Charge Code	76900005
Hospital Revenue Code	769
Min. Negotiated Rate	$84.63
Max. Negotiated Rate	$120.90
Rate for Payer: Aetna Commercial	$114.18
Rate for Payer: Aetna New Business (MI Preferred)	$87.31
Rate for Payer: Cash Price	$107.46
Rate for Payer: Cofinity Commercial	$115.52
Rate for Payer: Cofinity Commercial	$94.03
Rate for Payer: Healthscope Commercial	$120.90
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$114.18
Rate for Payer: PHP Commercial	$114.18
Rate for Payer: Priority Health Cigna Priority Health	$94.03
Rate for Payer: Priority Health SBD	$84.63

HC OBSERVATION OVERFLOW PER HOUR

Facility

$134.33

Hospital Charge Code	76900005
Hospital Revenue Code	769
Min. Negotiated Rate	$53.73
Max. Negotiated Rate	$120.90
Rate for Payer: Aetna Commercial	$114.18
Rate for Payer: Aetna New Business (MI Preferred)	$87.31
Rate for Payer: BCBS Complete	$53.73
Rate for Payer: Cash Price	$107.46
Rate for Payer: Cofinity Commercial	$115.52
Rate for Payer: Cofinity Commercial	$94.03
Rate for Payer: Healthscope Commercial	$120.90
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$114.18
Rate for Payer: PHP Commercial	$114.18
Rate for Payer: Priority Health Cigna Priority Health	$94.03
Rate for Payer: Priority Health SBD	$84.63

HC OBSERVATION PER HOUR

Facility

$134.33

Service Code	HCPCS G0378
Hospital Charge Code	76200023
Hospital Revenue Code	762
Min. Negotiated Rate	$84.63
Max. Negotiated Rate	$120.90
Rate for Payer: Aetna Commercial	$114.18
Rate for Payer: Aetna New Business (MI Preferred)	$87.31
Rate for Payer: Cash Price	$107.46
Rate for Payer: Cofinity Commercial	$115.52
Rate for Payer: Cofinity Commercial	$94.03
Rate for Payer: Healthscope Commercial	$120.90
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$114.18
Rate for Payer: PHP Commercial	$114.18
Rate for Payer: Priority Health Cigna Priority Health	$94.03
Rate for Payer: Priority Health SBD	$84.63

HC OBSERVATION PER HOUR

Facility

$134.33

Service Code	HCPCS G0378
Hospital Charge Code	76200023
Hospital Revenue Code	762
Min. Negotiated Rate	$53.73
Max. Negotiated Rate	$1,000.00
Rate for Payer: Aetna Commercial	$114.18
Rate for Payer: Aetna New Business (MI Preferred)	$87.31
Rate for Payer: BCBS Complete	$53.73
Rate for Payer: BCBS Trust/PPO	$108.91
Rate for Payer: Cash Price	$107.46
Rate for Payer: Cash Price	$107.46
Rate for Payer: Cash Price	$107.46
Rate for Payer: Cofinity Commercial	$94.03
Rate for Payer: Cofinity Commercial	$115.52
Rate for Payer: Healthscope Commercial	$120.90
Rate for Payer: Meridian Medicaid	$1,000.00
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$114.18
Rate for Payer: PHP Commercial	$114.18
Rate for Payer: Priority Health Cigna Priority Health	$94.03
Rate for Payer: Priority Health SBD	$84.63

HC OBS OVERFLOW PER HR

Facility

$134.33

Hospital Charge Code	76900002
Hospital Revenue Code	769
Min. Negotiated Rate	$84.63
Max. Negotiated Rate	$120.90
Rate for Payer: Aetna Commercial	$114.18
Rate for Payer: Aetna New Business (MI Preferred)	$87.31
Rate for Payer: Cash Price	$107.46
Rate for Payer: Cofinity Commercial	$115.52
Rate for Payer: Cofinity Commercial	$94.03
Rate for Payer: Healthscope Commercial	$120.90
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$114.18
Rate for Payer: PHP Commercial	$114.18
Rate for Payer: Priority Health Cigna Priority Health	$94.03
Rate for Payer: Priority Health SBD	$84.63

HC OBS OVERFLOW PER HR

Facility

$134.33

Hospital Charge Code	76900002
Hospital Revenue Code	769
Min. Negotiated Rate	$53.73
Max. Negotiated Rate	$120.90
Rate for Payer: Aetna Commercial	$114.18
Rate for Payer: Aetna New Business (MI Preferred)	$87.31
Rate for Payer: BCBS Complete	$53.73
Rate for Payer: Cash Price	$107.46
Rate for Payer: Cofinity Commercial	$115.52
Rate for Payer: Cofinity Commercial	$94.03
Rate for Payer: Healthscope Commercial	$120.90
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$114.18
Rate for Payer: PHP Commercial	$114.18
Rate for Payer: Priority Health Cigna Priority Health	$94.03
Rate for Payer: Priority Health SBD	$84.63

HC OB SURGERY ADDL 15 MIN

Facility

$268.65

Hospital Charge Code	36000104
Hospital Revenue Code	360
Min. Negotiated Rate	$169.25
Max. Negotiated Rate	$241.78
Rate for Payer: Aetna Commercial	$228.35
Rate for Payer: Aetna New Business (MI Preferred)	$174.62
Rate for Payer: Cash Price	$214.92
Rate for Payer: Cofinity Commercial	$188.06
Rate for Payer: Cofinity Commercial	$231.04
Rate for Payer: Healthscope Commercial	$241.78
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$228.35
Rate for Payer: PHP Commercial	$228.35
Rate for Payer: Priority Health Cigna Priority Health	$188.06
Rate for Payer: Priority Health SBD	$169.25

HC OB SURGERY ADDL 15 MIN

Facility

$268.65

Hospital Charge Code	36000104
Hospital Revenue Code	360
Min. Negotiated Rate	$107.46
Max. Negotiated Rate	$241.78
Rate for Payer: Aetna Commercial	$228.35
Rate for Payer: Aetna New Business (MI Preferred)	$174.62
Rate for Payer: BCBS Complete	$107.46
Rate for Payer: Cash Price	$214.92
Rate for Payer: Cofinity Commercial	$188.06
Rate for Payer: Cofinity Commercial	$231.04
Rate for Payer: Healthscope Commercial	$241.78
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$228.35
Rate for Payer: PHP Commercial	$228.35
Rate for Payer: Priority Health Cigna Priority Health	$188.06
Rate for Payer: Priority Health SBD	$169.25

HC OB SURGERY INITIAL 30 MIN

Facility

$1,425.06

Hospital Charge Code	36000077
Hospital Revenue Code	360
Min. Negotiated Rate	$897.79
Max. Negotiated Rate	$1,282.55
Rate for Payer: Aetna Commercial	$1,211.30
Rate for Payer: Aetna New Business (MI Preferred)	$926.29
Rate for Payer: Cash Price	$1,140.05
Rate for Payer: Cofinity Commercial	$1,225.55
Rate for Payer: Cofinity Commercial	$997.54
Rate for Payer: Healthscope Commercial	$1,282.55
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$1,211.30
Rate for Payer: PHP Commercial	$1,211.30
Rate for Payer: Priority Health Cigna Priority Health	$997.54
Rate for Payer: Priority Health SBD	$897.79

HC OB SURGERY INITIAL 30 MIN

Facility

$1,425.06

Hospital Charge Code	36000077
Hospital Revenue Code	360
Min. Negotiated Rate	$570.02
Max. Negotiated Rate	$1,282.55
Rate for Payer: Aetna Commercial	$1,211.30
Rate for Payer: Aetna New Business (MI Preferred)	$926.29
Rate for Payer: BCBS Complete	$570.02
Rate for Payer: Cash Price	$1,140.05
Rate for Payer: Cofinity Commercial	$997.54
Rate for Payer: Cofinity Commercial	$1,225.55
Rate for Payer: Healthscope Commercial	$1,282.55
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$1,211.30
Rate for Payer: PHP Commercial	$1,211.30
Rate for Payer: Priority Health Cigna Priority Health	$997.54
Rate for Payer: Priority Health SBD	$897.79

HC OB VAC DEL KIT DISP (OB)

Facility

$252.72

Hospital Charge Code	27000127
Hospital Revenue Code	272
Min. Negotiated Rate	$159.21
Max. Negotiated Rate	$227.45
Rate for Payer: Aetna Commercial	$214.81
Rate for Payer: Aetna New Business (MI Preferred)	$164.27
Rate for Payer: Cash Price	$202.18
Rate for Payer: Cofinity Commercial	$176.90
Rate for Payer: Cofinity Commercial	$217.34
Rate for Payer: Healthscope Commercial	$227.45
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$214.81
Rate for Payer: PHP Commercial	$214.81
Rate for Payer: Priority Health Cigna Priority Health	$176.90
Rate for Payer: Priority Health SBD	$159.21

HC OB VAC DEL KIT DISP (OB)

Facility

$252.72

Hospital Charge Code	27000127
Hospital Revenue Code	272
Min. Negotiated Rate	$101.09
Max. Negotiated Rate	$227.45
Rate for Payer: Aetna Commercial	$214.81
Rate for Payer: Aetna New Business (MI Preferred)	$164.27
Rate for Payer: BCBS Complete	$101.09
Rate for Payer: Cash Price	$202.18
Rate for Payer: Cofinity Commercial	$176.90
Rate for Payer: Cofinity Commercial	$217.34
Rate for Payer: Healthscope Commercial	$227.45
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$214.81
Rate for Payer: PHP Commercial	$214.81
Rate for Payer: Priority Health Cigna Priority Health	$176.90
Rate for Payer: Priority Health SBD	$159.21

HC OCCLUSION CATH

Facility

$4,661.40

Service Code	HCPCS C2628
Hospital Charge Code	27200344
Hospital Revenue Code	272
Min. Negotiated Rate	$1,864.56
Max. Negotiated Rate	$4,195.26
Rate for Payer: Aetna Commercial	$3,962.19
Rate for Payer: Aetna New Business (MI Preferred)	$3,029.91
Rate for Payer: BCBS Complete	$1,864.56
Rate for Payer: Cash Price	$3,729.12
Rate for Payer: Cofinity Commercial	$4,008.80
Rate for Payer: Cofinity Commercial	$3,262.98
Rate for Payer: Healthscope Commercial	$4,195.26
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$3,962.19
Rate for Payer: PHP Commercial	$3,962.19
Rate for Payer: Priority Health Cigna Priority Health	$3,262.98
Rate for Payer: Priority Health SBD	$2,936.68

HC OCCLUSION CATH

Facility

$4,661.40

Service Code	HCPCS C2628
Hospital Charge Code	27200344
Hospital Revenue Code	272
Min. Negotiated Rate	$2,936.68
Max. Negotiated Rate	$4,195.26
Rate for Payer: Aetna Commercial	$3,962.19
Rate for Payer: Aetna New Business (MI Preferred)	$3,029.91
Rate for Payer: Cash Price	$3,729.12
Rate for Payer: Cofinity Commercial	$3,262.98
Rate for Payer: Cofinity Commercial	$4,008.80
Rate for Payer: Healthscope Commercial	$4,195.26
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$3,962.19
Rate for Payer: PHP Commercial	$3,962.19
Rate for Payer: Priority Health Cigna Priority Health	$3,262.98
Rate for Payer: Priority Health SBD	$2,936.68

HC OCCULT BLOOD OTHER SOURCES

Facility

$30.10

Service Code	CPT 82271
Hospital Charge Code	30100122
Hospital Revenue Code	301
Min. Negotiated Rate	$18.96
Max. Negotiated Rate	$27.09
Rate for Payer: Aetna Commercial	$25.58
Rate for Payer: Aetna New Business (MI Preferred)	$19.56
Rate for Payer: Cash Price	$24.08
Rate for Payer: Cofinity Commercial	$25.89
Rate for Payer: Cofinity Commercial	$21.07
Rate for Payer: Healthscope Commercial	$27.09
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$25.58
Rate for Payer: PHP Commercial	$25.58
Rate for Payer: Priority Health Cigna Priority Health	$21.07
Rate for Payer: Priority Health SBD	$18.96

HC OCCULT BLOOD OTHER SOURCES

Facility

$30.10

Service Code	CPT 82271
Hospital Charge Code	30100122
Hospital Revenue Code	301
Min. Negotiated Rate	$2.91
Max. Negotiated Rate	$27.09
Rate for Payer: Aetna Commercial	$25.58
Rate for Payer: Aetna Medicare	$5.53
Rate for Payer: Aetna New Business (MI Preferred)	$19.56
Rate for Payer: Allen County Amish Medical Aid Commercial	$6.65
Rate for Payer: Amish Plain Church Group Commercial	$6.65
Rate for Payer: BCBS Complete	$3.06
Rate for Payer: BCBS MAPPO	$5.32
Rate for Payer: BCBS Trust/PPO	$4.17
Rate for Payer: BCN Medicare Advantage	$5.32
Rate for Payer: Cash Price	$24.08
Rate for Payer: Cash Price	$24.08
Rate for Payer: Cofinity Commercial	$21.07
Rate for Payer: Cofinity Commercial	$25.89
Rate for Payer: Health Alliance Plan Medicare Advantage	$5.32
Rate for Payer: Healthscope Commercial	$27.09
Rate for Payer: Mclaren Medicaid	$2.91
Rate for Payer: Mclaren Medicare	$5.32
Rate for Payer: Meridian Medicaid	$3.06
Rate for Payer: Meridian Wellcare - Medicare Advantage	$5.59
Rate for Payer: MI Amish Medical Board Commercial	$6.12
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$25.58
Rate for Payer: PACE Medicare	$5.05
Rate for Payer: PACE SWMI	$5.32
Rate for Payer: PHP Commercial	$25.58
Rate for Payer: PHP Medicare Advantage	$5.32
Rate for Payer: Priority Health Choice Medicaid	$2.91
Rate for Payer: Priority Health Cigna Priority Health	$21.07
Rate for Payer: Priority Health Medicare	$5.32
Rate for Payer: Priority Health SBD	$18.96
Rate for Payer: Railroad Medicare Medicare	$5.32
Rate for Payer: UHC All Payor (Choice/PPO)	$6.38
Rate for Payer: UHC Core	$5.53
Rate for Payer: UHC Dual Complete DSNP	$5.32
Rate for Payer: UHC Exchange	$5.32
Rate for Payer: UHC Medicare Advantage	$5.48
Rate for Payer: VA VA	$5.32

HC OCT CATHETER

Facility

$2,529.70

Service Code	HCPCS C1753
Hospital Charge Code	27200243
Hospital Revenue Code	272
Min. Negotiated Rate	$1,011.88
Max. Negotiated Rate	$2,276.73
Rate for Payer: Aetna Commercial	$2,150.24
Rate for Payer: Aetna New Business (MI Preferred)	$1,644.30
Rate for Payer: BCBS Complete	$1,011.88
Rate for Payer: Cash Price	$2,023.76
Rate for Payer: Cofinity Commercial	$1,770.79
Rate for Payer: Cofinity Commercial	$2,175.54
Rate for Payer: Healthscope Commercial	$2,276.73
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$2,150.24
Rate for Payer: PHP Commercial	$2,150.24
Rate for Payer: Priority Health Cigna Priority Health	$1,770.79
Rate for Payer: Priority Health SBD	$1,593.71

HC OCT CATHETER

Facility

$2,529.70

Service Code	HCPCS C1753
Hospital Charge Code	27200243
Hospital Revenue Code	272
Min. Negotiated Rate	$1,593.71
Max. Negotiated Rate	$2,276.73
Rate for Payer: Aetna Commercial	$2,150.24
Rate for Payer: Aetna New Business (MI Preferred)	$1,644.30
Rate for Payer: Cash Price	$2,023.76
Rate for Payer: Cofinity Commercial	$1,770.79
Rate for Payer: Cofinity Commercial	$2,175.54
Rate for Payer: Healthscope Commercial	$2,276.73
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$2,150.24
Rate for Payer: PHP Commercial	$2,150.24
Rate for Payer: Priority Health Cigna Priority Health	$1,770.79
Rate for Payer: Priority Health SBD	$1,593.71

HC OCTOPUS SET CARDIOPLEGIA

Facility

$45.00

Hospital Charge Code	27000106
Hospital Revenue Code	270
Min. Negotiated Rate	$28.35
Max. Negotiated Rate	$40.50
Rate for Payer: Aetna Commercial	$38.25
Rate for Payer: Aetna New Business (MI Preferred)	$29.25
Rate for Payer: Cash Price	$36.00
Rate for Payer: Cofinity Commercial	$31.50
Rate for Payer: Cofinity Commercial	$38.70
Rate for Payer: Healthscope Commercial	$40.50
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$38.25
Rate for Payer: PHP Commercial	$38.25
Rate for Payer: Priority Health Cigna Priority Health	$31.50
Rate for Payer: Priority Health SBD	$28.35

HC OCTOPUS SET CARDIOPLEGIA

Facility

$45.00

Hospital Charge Code	27000106
Hospital Revenue Code	270
Min. Negotiated Rate	$18.00
Max. Negotiated Rate	$40.50
Rate for Payer: Aetna Commercial	$38.25
Rate for Payer: Aetna New Business (MI Preferred)	$29.25
Rate for Payer: BCBS Complete	$18.00
Rate for Payer: Cash Price	$36.00
Rate for Payer: Cofinity Commercial	$31.50
Rate for Payer: Cofinity Commercial	$38.70
Rate for Payer: Healthscope Commercial	$40.50
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$38.25
Rate for Payer: PHP Commercial	$38.25
Rate for Payer: Priority Health Cigna Priority Health	$31.50
Rate for Payer: Priority Health SBD	$28.35

Know your out-of-pocket cost for care.

All Charges