Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

HC GUIDANT TACHY (ICD) LEAD

Facility

$13,252.86

Service Code	HCPCS C1895
Hospital Charge Code	27800014
Hospital Revenue Code	278
Min. Negotiated Rate	$5,301.14
Max. Negotiated Rate	$11,927.57
Rate for Payer: Aetna Commercial	$11,264.93
Rate for Payer: Aetna Medicare	$6,626.43
Rate for Payer: Aetna New Business (MI Preferred)	$8,614.36
Rate for Payer: BCBS Complete	$5,301.14
Rate for Payer: Cash Price	$10,602.29
Rate for Payer: Cofinity Commercial	$11,397.46
Rate for Payer: Cofinity Commercial	$9,277.00
Rate for Payer: Cofinity Medicare Advantage	$9,277.00
Rate for Payer: Encore Health Key Benefits Commercial	$10,602.29
Rate for Payer: Healthscope Commercial	$11,927.57
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$11,264.93
Rate for Payer: PHP Commercial	$11,264.93
Rate for Payer: Priority Health Cigna Priority Health	$8,614.36
Rate for Payer: Priority Health SBD	$8,349.30

HC GUIDED DRAIN CATH PLACEMENT

Facility

$534.58

Service Code	CPT 75989
Hospital Charge Code	32000229
Hospital Revenue Code	320
Min. Negotiated Rate	$213.83
Max. Negotiated Rate	$481.12
Rate for Payer: Aetna Commercial	$454.39
Rate for Payer: Aetna Medicare	$267.29
Rate for Payer: Aetna New Business (MI Preferred)	$347.48
Rate for Payer: BCBS Complete	$213.83
Rate for Payer: Cash Price	$427.66
Rate for Payer: Cofinity Commercial	$374.21
Rate for Payer: Cofinity Commercial	$459.74
Rate for Payer: Cofinity Medicare Advantage	$374.21
Rate for Payer: Encore Health Key Benefits Commercial	$427.66
Rate for Payer: Healthscope Commercial	$481.12
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$454.39
Rate for Payer: PHP Commercial	$454.39
Rate for Payer: Priority Health Cigna Priority Health	$347.48
Rate for Payer: Priority Health SBD	$336.79
Rate for Payer: UHC Core	$395.59
Rate for Payer: UHC Exchange	$395.59

HC GUIDED DRAIN CATH PLACEMENT

Facility

$534.58

Service Code	CPT 75989
Hospital Charge Code	32000229
Hospital Revenue Code	320
Min. Negotiated Rate	$336.79
Max. Negotiated Rate	$481.12
Rate for Payer: Aetna Commercial	$454.39
Rate for Payer: Aetna New Business (MI Preferred)	$347.48
Rate for Payer: Cash Price	$427.66
Rate for Payer: Cofinity Commercial	$374.21
Rate for Payer: Cofinity Commercial	$459.74
Rate for Payer: Cofinity Medicare Advantage	$374.21
Rate for Payer: Encore Health Key Benefits Commercial	$427.66
Rate for Payer: Healthscope Commercial	$481.12
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$454.39
Rate for Payer: PHP Commercial	$454.39
Rate for Payer: Priority Health Cigna Priority Health	$347.48
Rate for Payer: Priority Health SBD	$336.79

HC GUIDELINER CATHETER

Facility

$1,752.92

Hospital Charge Code	27200126
Hospital Revenue Code	272
Min. Negotiated Rate	$1,104.34
Max. Negotiated Rate	$1,577.63
Rate for Payer: Aetna Commercial	$1,489.98
Rate for Payer: Aetna New Business (MI Preferred)	$1,139.40
Rate for Payer: Cash Price	$1,402.34
Rate for Payer: Cofinity Commercial	$1,227.04
Rate for Payer: Cofinity Commercial	$1,507.51
Rate for Payer: Cofinity Medicare Advantage	$1,227.04
Rate for Payer: Encore Health Key Benefits Commercial	$1,402.34
Rate for Payer: Healthscope Commercial	$1,577.63
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,489.98
Rate for Payer: PHP Commercial	$1,489.98
Rate for Payer: Priority Health Cigna Priority Health	$1,139.40
Rate for Payer: Priority Health SBD	$1,104.34

HC GUIDELINER CATHETER

Facility

$1,752.92

Hospital Charge Code	27200126
Hospital Revenue Code	272
Min. Negotiated Rate	$701.17
Max. Negotiated Rate	$1,577.63
Rate for Payer: Aetna Commercial	$1,489.98
Rate for Payer: Aetna Medicare	$876.46
Rate for Payer: Aetna New Business (MI Preferred)	$1,139.40
Rate for Payer: BCBS Complete	$701.17
Rate for Payer: Cash Price	$1,402.34
Rate for Payer: Cofinity Commercial	$1,227.04
Rate for Payer: Cofinity Commercial	$1,507.51
Rate for Payer: Cofinity Medicare Advantage	$1,227.04
Rate for Payer: Encore Health Key Benefits Commercial	$1,402.34
Rate for Payer: Healthscope Commercial	$1,577.63
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,489.98
Rate for Payer: PHP Commercial	$1,489.98
Rate for Payer: Priority Health Cigna Priority Health	$1,139.40
Rate for Payer: Priority Health SBD	$1,104.34

HC GUIDEWIRE

Facility

$49.38

Service Code	HCPCS C1769
Hospital Charge Code	27200045
Hospital Revenue Code	272
Min. Negotiated Rate	$19.75
Max. Negotiated Rate	$44.44
Rate for Payer: Aetna Commercial	$41.97
Rate for Payer: Aetna Medicare	$24.69
Rate for Payer: Aetna New Business (MI Preferred)	$32.10
Rate for Payer: BCBS Complete	$19.75
Rate for Payer: Cash Price	$39.50
Rate for Payer: Cofinity Commercial	$34.57
Rate for Payer: Cofinity Commercial	$42.47
Rate for Payer: Cofinity Medicare Advantage	$34.57
Rate for Payer: Encore Health Key Benefits Commercial	$39.50
Rate for Payer: Healthscope Commercial	$44.44
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$41.97
Rate for Payer: PHP Commercial	$41.97
Rate for Payer: Priority Health Cigna Priority Health	$32.10
Rate for Payer: Priority Health SBD	$31.11

HC GUIDEWIRE

Facility

$49.38

Service Code	HCPCS C1769
Hospital Charge Code	27200045
Hospital Revenue Code	272
Min. Negotiated Rate	$31.11
Max. Negotiated Rate	$44.44
Rate for Payer: Aetna Commercial	$41.97
Rate for Payer: Aetna New Business (MI Preferred)	$32.10
Rate for Payer: Cash Price	$39.50
Rate for Payer: Cofinity Commercial	$34.57
Rate for Payer: Cofinity Commercial	$42.47
Rate for Payer: Cofinity Medicare Advantage	$34.57
Rate for Payer: Encore Health Key Benefits Commercial	$39.50
Rate for Payer: Healthscope Commercial	$44.44
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$41.97
Rate for Payer: PHP Commercial	$41.97
Rate for Payer: Priority Health Cigna Priority Health	$32.10
Rate for Payer: Priority Health SBD	$31.11

HC GUIDE WIRE DILATATION

Facility

$1,345.45

Hospital Charge Code	36000050
Hospital Revenue Code	360
Min. Negotiated Rate	$847.63
Max. Negotiated Rate	$1,210.90
Rate for Payer: Aetna Commercial	$1,143.63
Rate for Payer: Aetna New Business (MI Preferred)	$874.54
Rate for Payer: Cash Price	$1,076.36
Rate for Payer: Cofinity Commercial	$1,157.09
Rate for Payer: Cofinity Commercial	$941.82
Rate for Payer: Cofinity Medicare Advantage	$941.82
Rate for Payer: Encore Health Key Benefits Commercial	$1,076.36
Rate for Payer: Healthscope Commercial	$1,210.90
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,143.63
Rate for Payer: PHP Commercial	$1,143.63
Rate for Payer: Priority Health Cigna Priority Health	$874.54
Rate for Payer: Priority Health SBD	$847.63

HC GUIDE WIRE DILATATION

Facility

$1,345.45

Hospital Charge Code	36000050
Hospital Revenue Code	360
Min. Negotiated Rate	$538.18
Max. Negotiated Rate	$1,210.90
Rate for Payer: Aetna Commercial	$1,143.63
Rate for Payer: Aetna Medicare	$672.73
Rate for Payer: Aetna New Business (MI Preferred)	$874.54
Rate for Payer: BCBS Complete	$538.18
Rate for Payer: Cash Price	$1,076.36
Rate for Payer: Cofinity Commercial	$1,157.09
Rate for Payer: Cofinity Commercial	$941.82
Rate for Payer: Cofinity Medicare Advantage	$941.82
Rate for Payer: Encore Health Key Benefits Commercial	$1,076.36
Rate for Payer: Healthscope Commercial	$1,210.90
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,143.63
Rate for Payer: PHP Commercial	$1,143.63
Rate for Payer: Priority Health Cigna Priority Health	$874.54
Rate for Payer: Priority Health SBD	$847.63

HC GUIDEWIRE GLIDEWIRE LVL 1

Facility

$79.56

Service Code	HCPCS C1769
Hospital Charge Code	27200273
Hospital Revenue Code	272
Min. Negotiated Rate	$50.12
Max. Negotiated Rate	$71.60
Rate for Payer: Aetna Commercial	$67.63
Rate for Payer: Aetna New Business (MI Preferred)	$51.71
Rate for Payer: Cash Price	$63.65
Rate for Payer: Cofinity Commercial	$55.69
Rate for Payer: Cofinity Commercial	$68.42
Rate for Payer: Cofinity Medicare Advantage	$55.69
Rate for Payer: Encore Health Key Benefits Commercial	$63.65
Rate for Payer: Healthscope Commercial	$71.60
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$67.63
Rate for Payer: PHP Commercial	$67.63
Rate for Payer: Priority Health Cigna Priority Health	$51.71
Rate for Payer: Priority Health SBD	$50.12

HC GUIDEWIRE GLIDEWIRE LVL 1

Facility

$79.56

Service Code	HCPCS C1769
Hospital Charge Code	27200273
Hospital Revenue Code	272
Min. Negotiated Rate	$31.82
Max. Negotiated Rate	$71.60
Rate for Payer: Aetna Commercial	$67.63
Rate for Payer: Aetna Medicare	$39.78
Rate for Payer: Aetna New Business (MI Preferred)	$51.71
Rate for Payer: BCBS Complete	$31.82
Rate for Payer: Cash Price	$63.65
Rate for Payer: Cofinity Commercial	$55.69
Rate for Payer: Cofinity Commercial	$68.42
Rate for Payer: Cofinity Medicare Advantage	$55.69
Rate for Payer: Encore Health Key Benefits Commercial	$63.65
Rate for Payer: Healthscope Commercial	$71.60
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$67.63
Rate for Payer: PHP Commercial	$67.63
Rate for Payer: Priority Health Cigna Priority Health	$51.71
Rate for Payer: Priority Health SBD	$50.12

HC GUIDEWIRE GLIDEWIRE LVL 14

Facility

$1,475.00

Service Code	HCPCS C1769
Hospital Charge Code	27200391
Hospital Revenue Code	272
Min. Negotiated Rate	$929.25
Max. Negotiated Rate	$1,327.50
Rate for Payer: Aetna Commercial	$1,253.75
Rate for Payer: Aetna New Business (MI Preferred)	$958.75
Rate for Payer: Cash Price	$1,180.00
Rate for Payer: Cofinity Commercial	$1,032.50
Rate for Payer: Cofinity Commercial	$1,268.50
Rate for Payer: Cofinity Medicare Advantage	$1,032.50
Rate for Payer: Encore Health Key Benefits Commercial	$1,180.00
Rate for Payer: Healthscope Commercial	$1,327.50
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,253.75
Rate for Payer: PHP Commercial	$1,253.75
Rate for Payer: Priority Health Cigna Priority Health	$958.75
Rate for Payer: Priority Health SBD	$929.25

HC GUIDEWIRE GLIDEWIRE LVL 14

Facility

$1,475.00

Service Code	HCPCS C1769
Hospital Charge Code	27200391
Hospital Revenue Code	272
Min. Negotiated Rate	$590.00
Max. Negotiated Rate	$1,327.50
Rate for Payer: Aetna Commercial	$1,253.75
Rate for Payer: Aetna Medicare	$737.50
Rate for Payer: Aetna New Business (MI Preferred)	$958.75
Rate for Payer: BCBS Complete	$590.00
Rate for Payer: Cash Price	$1,180.00
Rate for Payer: Cofinity Commercial	$1,032.50
Rate for Payer: Cofinity Commercial	$1,268.50
Rate for Payer: Cofinity Medicare Advantage	$1,032.50
Rate for Payer: Encore Health Key Benefits Commercial	$1,180.00
Rate for Payer: Healthscope Commercial	$1,327.50
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,253.75
Rate for Payer: PHP Commercial	$1,253.75
Rate for Payer: Priority Health Cigna Priority Health	$958.75
Rate for Payer: Priority Health SBD	$929.25

HC GUIDEWIRE GLIDEWIRE LVL 2

Facility

$156.06

Service Code	HCPCS C1769
Hospital Charge Code	27200086
Hospital Revenue Code	272
Min. Negotiated Rate	$98.32
Max. Negotiated Rate	$140.45
Rate for Payer: Aetna Commercial	$132.65
Rate for Payer: Aetna New Business (MI Preferred)	$101.44
Rate for Payer: Cash Price	$124.85
Rate for Payer: Cofinity Commercial	$109.24
Rate for Payer: Cofinity Commercial	$134.21
Rate for Payer: Cofinity Medicare Advantage	$109.24
Rate for Payer: Encore Health Key Benefits Commercial	$124.85
Rate for Payer: Healthscope Commercial	$140.45
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$132.65
Rate for Payer: PHP Commercial	$132.65
Rate for Payer: Priority Health Cigna Priority Health	$101.44
Rate for Payer: Priority Health SBD	$98.32

HC GUIDEWIRE GLIDEWIRE LVL 2

Facility

$156.06

Service Code	HCPCS C1769
Hospital Charge Code	27200086
Hospital Revenue Code	272
Min. Negotiated Rate	$62.42
Max. Negotiated Rate	$140.45
Rate for Payer: Aetna Commercial	$132.65
Rate for Payer: Aetna Medicare	$78.03
Rate for Payer: Aetna New Business (MI Preferred)	$101.44
Rate for Payer: BCBS Complete	$62.42
Rate for Payer: Cash Price	$124.85
Rate for Payer: Cofinity Commercial	$109.24
Rate for Payer: Cofinity Commercial	$134.21
Rate for Payer: Cofinity Medicare Advantage	$109.24
Rate for Payer: Encore Health Key Benefits Commercial	$124.85
Rate for Payer: Healthscope Commercial	$140.45
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$132.65
Rate for Payer: PHP Commercial	$132.65
Rate for Payer: Priority Health Cigna Priority Health	$101.44
Rate for Payer: Priority Health SBD	$98.32

HC GUIDEWIRE GLIDEWIRE LVL 3

Facility

$324.51

Service Code	HCPCS C1769
Hospital Charge Code	27200274
Hospital Revenue Code	272
Min. Negotiated Rate	$129.80
Max. Negotiated Rate	$292.06
Rate for Payer: Aetna Commercial	$275.83
Rate for Payer: Aetna Medicare	$162.25
Rate for Payer: Aetna New Business (MI Preferred)	$210.93
Rate for Payer: BCBS Complete	$129.80
Rate for Payer: Cash Price	$259.61
Rate for Payer: Cofinity Commercial	$227.16
Rate for Payer: Cofinity Commercial	$279.08
Rate for Payer: Cofinity Medicare Advantage	$227.16
Rate for Payer: Encore Health Key Benefits Commercial	$259.61
Rate for Payer: Healthscope Commercial	$292.06
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$275.83
Rate for Payer: PHP Commercial	$275.83
Rate for Payer: Priority Health Cigna Priority Health	$210.93
Rate for Payer: Priority Health SBD	$204.44

HC GUIDEWIRE GLIDEWIRE LVL 3

Facility

$324.51

Service Code	HCPCS C1769
Hospital Charge Code	27200274
Hospital Revenue Code	272
Min. Negotiated Rate	$204.44
Max. Negotiated Rate	$292.06
Rate for Payer: Aetna Commercial	$275.83
Rate for Payer: Aetna New Business (MI Preferred)	$210.93
Rate for Payer: Cash Price	$259.61
Rate for Payer: Cofinity Commercial	$227.16
Rate for Payer: Cofinity Commercial	$279.08
Rate for Payer: Cofinity Medicare Advantage	$227.16
Rate for Payer: Encore Health Key Benefits Commercial	$259.61
Rate for Payer: Healthscope Commercial	$292.06
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$275.83
Rate for Payer: PHP Commercial	$275.83
Rate for Payer: Priority Health Cigna Priority Health	$210.93
Rate for Payer: Priority Health SBD	$204.44

HC GUIDEWIRE GLIDEWIRE LVL4

Facility

$462.06

Service Code	HCPCS C1769
Hospital Charge Code	27200080
Hospital Revenue Code	272
Min. Negotiated Rate	$184.82
Max. Negotiated Rate	$415.85
Rate for Payer: Aetna Commercial	$392.75
Rate for Payer: Aetna Medicare	$231.03
Rate for Payer: Aetna New Business (MI Preferred)	$300.34
Rate for Payer: BCBS Complete	$184.82
Rate for Payer: Cash Price	$369.65
Rate for Payer: Cofinity Commercial	$323.44
Rate for Payer: Cofinity Commercial	$397.37
Rate for Payer: Cofinity Medicare Advantage	$323.44
Rate for Payer: Encore Health Key Benefits Commercial	$369.65
Rate for Payer: Healthscope Commercial	$415.85
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$392.75
Rate for Payer: PHP Commercial	$392.75
Rate for Payer: Priority Health Cigna Priority Health	$300.34
Rate for Payer: Priority Health SBD	$291.10

HC GUIDEWIRE GLIDEWIRE LVL4

Facility

$462.06

Service Code	HCPCS C1769
Hospital Charge Code	27200080
Hospital Revenue Code	272
Min. Negotiated Rate	$291.10
Max. Negotiated Rate	$415.85
Rate for Payer: Aetna Commercial	$392.75
Rate for Payer: Aetna New Business (MI Preferred)	$300.34
Rate for Payer: Cash Price	$369.65
Rate for Payer: Cofinity Commercial	$323.44
Rate for Payer: Cofinity Commercial	$397.37
Rate for Payer: Cofinity Medicare Advantage	$323.44
Rate for Payer: Encore Health Key Benefits Commercial	$369.65
Rate for Payer: Healthscope Commercial	$415.85
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$392.75
Rate for Payer: PHP Commercial	$392.75
Rate for Payer: Priority Health Cigna Priority Health	$300.34
Rate for Payer: Priority Health SBD	$291.10

HC GUIDEWIRE GLIDWIRE LVL 5

Facility

$671.65

Service Code	HCPCS C1769
Hospital Charge Code	27200275
Hospital Revenue Code	272
Min. Negotiated Rate	$268.66
Max. Negotiated Rate	$604.49
Rate for Payer: Aetna Commercial	$570.90
Rate for Payer: Aetna Medicare	$335.82
Rate for Payer: Aetna New Business (MI Preferred)	$436.57
Rate for Payer: BCBS Complete	$268.66
Rate for Payer: Cash Price	$537.32
Rate for Payer: Cofinity Commercial	$470.15
Rate for Payer: Cofinity Commercial	$577.62
Rate for Payer: Cofinity Medicare Advantage	$470.15
Rate for Payer: Encore Health Key Benefits Commercial	$537.32
Rate for Payer: Healthscope Commercial	$604.49
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$570.90
Rate for Payer: PHP Commercial	$570.90
Rate for Payer: Priority Health Cigna Priority Health	$436.57
Rate for Payer: Priority Health SBD	$423.14

HC GUIDEWIRE GLIDWIRE LVL 5

Facility

$671.65

Service Code	HCPCS C1769
Hospital Charge Code	27200275
Hospital Revenue Code	272
Min. Negotiated Rate	$423.14
Max. Negotiated Rate	$604.49
Rate for Payer: Aetna Commercial	$570.90
Rate for Payer: Aetna New Business (MI Preferred)	$436.57
Rate for Payer: Cash Price	$537.32
Rate for Payer: Cofinity Commercial	$470.15
Rate for Payer: Cofinity Commercial	$577.62
Rate for Payer: Cofinity Medicare Advantage	$470.15
Rate for Payer: Encore Health Key Benefits Commercial	$537.32
Rate for Payer: Healthscope Commercial	$604.49
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$570.90
Rate for Payer: PHP Commercial	$570.90
Rate for Payer: Priority Health Cigna Priority Health	$436.57
Rate for Payer: Priority Health SBD	$423.14

HC GUIDING CATHETER LVL 1

Facility

$43.89

Service Code	HCPCS C1887
Hospital Charge Code	27200022
Hospital Revenue Code	272
Min. Negotiated Rate	$17.56
Max. Negotiated Rate	$39.50
Rate for Payer: Aetna Commercial	$37.31
Rate for Payer: Aetna Medicare	$21.95
Rate for Payer: Aetna New Business (MI Preferred)	$28.53
Rate for Payer: BCBS Complete	$17.56
Rate for Payer: Cash Price	$35.11
Rate for Payer: Cofinity Commercial	$30.72
Rate for Payer: Cofinity Commercial	$37.75
Rate for Payer: Cofinity Medicare Advantage	$30.72
Rate for Payer: Encore Health Key Benefits Commercial	$35.11
Rate for Payer: Healthscope Commercial	$39.50
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$37.31
Rate for Payer: PHP Commercial	$37.31
Rate for Payer: Priority Health Cigna Priority Health	$28.53
Rate for Payer: Priority Health SBD	$27.65

HC GUIDING CATHETER LVL 1

Facility

$43.89

Service Code	HCPCS C1887
Hospital Charge Code	27200022
Hospital Revenue Code	272
Min. Negotiated Rate	$27.65
Max. Negotiated Rate	$39.50
Rate for Payer: Aetna Commercial	$37.31
Rate for Payer: Aetna New Business (MI Preferred)	$28.53
Rate for Payer: Cash Price	$35.11
Rate for Payer: Cofinity Commercial	$30.72
Rate for Payer: Cofinity Commercial	$37.75
Rate for Payer: Cofinity Medicare Advantage	$30.72
Rate for Payer: Encore Health Key Benefits Commercial	$35.11
Rate for Payer: Healthscope Commercial	$39.50
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$37.31
Rate for Payer: PHP Commercial	$37.31
Rate for Payer: Priority Health Cigna Priority Health	$28.53
Rate for Payer: Priority Health SBD	$27.65

HC GUIDING CATHETER LVL 17

Facility

$1,789.01

Service Code	HCPCS C1887
Hospital Charge Code	27800082
Hospital Revenue Code	278
Min. Negotiated Rate	$1,127.08
Max. Negotiated Rate	$1,610.11
Rate for Payer: Aetna Commercial	$1,520.66
Rate for Payer: Aetna New Business (MI Preferred)	$1,162.86
Rate for Payer: Cash Price	$1,431.21
Rate for Payer: Cofinity Commercial	$1,252.31
Rate for Payer: Cofinity Commercial	$1,538.55
Rate for Payer: Cofinity Medicare Advantage	$1,252.31
Rate for Payer: Encore Health Key Benefits Commercial	$1,431.21
Rate for Payer: Healthscope Commercial	$1,610.11
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,520.66
Rate for Payer: PHP Commercial	$1,520.66
Rate for Payer: Priority Health Cigna Priority Health	$1,162.86
Rate for Payer: Priority Health SBD	$1,127.08

HC GUIDING CATHETER LVL 17

Facility

$1,789.01

Service Code	HCPCS C1887
Hospital Charge Code	27800082
Hospital Revenue Code	278
Min. Negotiated Rate	$715.60
Max. Negotiated Rate	$1,610.11
Rate for Payer: Aetna Commercial	$1,520.66
Rate for Payer: Aetna Medicare	$894.50
Rate for Payer: Aetna New Business (MI Preferred)	$1,162.86
Rate for Payer: BCBS Complete	$715.60
Rate for Payer: Cash Price	$1,431.21
Rate for Payer: Cofinity Commercial	$1,252.31
Rate for Payer: Cofinity Commercial	$1,538.55
Rate for Payer: Cofinity Medicare Advantage	$1,252.31
Rate for Payer: Encore Health Key Benefits Commercial	$1,431.21
Rate for Payer: Healthscope Commercial	$1,610.11
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,520.66
Rate for Payer: PHP Commercial	$1,520.66
Rate for Payer: Priority Health Cigna Priority Health	$1,162.86
Rate for Payer: Priority Health SBD	$1,127.08

Know your out-of-pocket cost for care.

All Charges