Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

HC LAAC IMPLANT

Facility

$18,571.14

Hospital Charge Code	27800117
Hospital Revenue Code	278
Min. Negotiated Rate	$7,428.46
Max. Negotiated Rate	$16,714.03
Rate for Payer: Aetna Commercial	$15,785.47
Rate for Payer: Aetna Medicare	$9,285.57
Rate for Payer: Aetna New Business (MI Preferred)	$12,071.24
Rate for Payer: BCBS Complete	$7,428.46
Rate for Payer: Cash Price	$14,856.91
Rate for Payer: Cofinity Commercial	$12,999.80
Rate for Payer: Cofinity Commercial	$15,971.18
Rate for Payer: Cofinity Medicare Advantage	$12,999.80
Rate for Payer: Encore Health Key Benefits Commercial	$14,856.91
Rate for Payer: Healthscope Commercial	$16,714.03
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$15,785.47
Rate for Payer: PHP Commercial	$15,785.47
Rate for Payer: Priority Health Cigna Priority Health	$12,071.24
Rate for Payer: Priority Health SBD	$11,699.82

HC LAAC IMPLANT

Facility

$18,571.14

Hospital Charge Code	27800117
Hospital Revenue Code	278
Min. Negotiated Rate	$11,699.82
Max. Negotiated Rate	$16,714.03
Rate for Payer: Aetna Commercial	$15,785.47
Rate for Payer: Aetna New Business (MI Preferred)	$12,071.24
Rate for Payer: Cash Price	$14,856.91
Rate for Payer: Cofinity Commercial	$12,999.80
Rate for Payer: Cofinity Commercial	$15,971.18
Rate for Payer: Cofinity Medicare Advantage	$12,999.80
Rate for Payer: Encore Health Key Benefits Commercial	$14,856.91
Rate for Payer: Healthscope Commercial	$16,714.03
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$15,785.47
Rate for Payer: PHP Commercial	$15,785.47
Rate for Payer: Priority Health Cigna Priority Health	$12,071.24
Rate for Payer: Priority Health SBD	$11,699.82

HC LABOR CAT (1) 0-2HRS

Facility

$1,531.01

Hospital Charge Code	72000001
Hospital Revenue Code	720
Min. Negotiated Rate	$612.40
Max. Negotiated Rate	$1,377.91
Rate for Payer: Aetna Commercial	$1,301.36
Rate for Payer: Aetna Medicare	$765.50
Rate for Payer: Aetna New Business (MI Preferred)	$995.16
Rate for Payer: BCBS Complete	$612.40
Rate for Payer: Cash Price	$1,224.81
Rate for Payer: Cofinity Commercial	$1,071.71
Rate for Payer: Cofinity Commercial	$1,316.67
Rate for Payer: Cofinity Medicare Advantage	$1,071.71
Rate for Payer: Encore Health Key Benefits Commercial	$1,224.81
Rate for Payer: Healthscope Commercial	$1,377.91
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,301.36
Rate for Payer: PHP Commercial	$1,301.36
Rate for Payer: Priority Health Cigna Priority Health	$995.16
Rate for Payer: Priority Health SBD	$964.54
Rate for Payer: UHC Core	$1,132.95
Rate for Payer: UHC Exchange	$1,132.95

HC LABOR CAT (1) 0-2HRS

Facility

$1,531.01

Hospital Charge Code	72000001
Hospital Revenue Code	720
Min. Negotiated Rate	$964.54
Max. Negotiated Rate	$1,377.91
Rate for Payer: Aetna Commercial	$1,301.36
Rate for Payer: Aetna New Business (MI Preferred)	$995.16
Rate for Payer: Cash Price	$1,224.81
Rate for Payer: Cofinity Commercial	$1,071.71
Rate for Payer: Cofinity Commercial	$1,316.67
Rate for Payer: Cofinity Medicare Advantage	$1,071.71
Rate for Payer: Encore Health Key Benefits Commercial	$1,224.81
Rate for Payer: Healthscope Commercial	$1,377.91
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,301.36
Rate for Payer: PHP Commercial	$1,301.36
Rate for Payer: Priority Health Cigna Priority Health	$995.16
Rate for Payer: Priority Health SBD	$964.54

HC LABOR CAT (2) 2-5HRS

Facility

$2,041.41

Hospital Charge Code	72000002
Hospital Revenue Code	720
Min. Negotiated Rate	$816.56
Max. Negotiated Rate	$1,837.27
Rate for Payer: Aetna Commercial	$1,735.20
Rate for Payer: Aetna Medicare	$1,020.71
Rate for Payer: Aetna New Business (MI Preferred)	$1,326.92
Rate for Payer: BCBS Complete	$816.56
Rate for Payer: Cash Price	$1,633.13
Rate for Payer: Cofinity Commercial	$1,428.99
Rate for Payer: Cofinity Commercial	$1,755.61
Rate for Payer: Cofinity Medicare Advantage	$1,428.99
Rate for Payer: Encore Health Key Benefits Commercial	$1,633.13
Rate for Payer: Healthscope Commercial	$1,837.27
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,735.20
Rate for Payer: PHP Commercial	$1,735.20
Rate for Payer: Priority Health Cigna Priority Health	$1,326.92
Rate for Payer: Priority Health SBD	$1,286.09
Rate for Payer: UHC Core	$1,510.64
Rate for Payer: UHC Exchange	$1,510.64

HC LABOR CAT (2) 2-5HRS

Facility

$2,041.41

Hospital Charge Code	72000002
Hospital Revenue Code	720
Min. Negotiated Rate	$1,286.09
Max. Negotiated Rate	$1,837.27
Rate for Payer: Aetna Commercial	$1,735.20
Rate for Payer: Aetna New Business (MI Preferred)	$1,326.92
Rate for Payer: Cash Price	$1,633.13
Rate for Payer: Cofinity Commercial	$1,428.99
Rate for Payer: Cofinity Commercial	$1,755.61
Rate for Payer: Cofinity Medicare Advantage	$1,428.99
Rate for Payer: Encore Health Key Benefits Commercial	$1,633.13
Rate for Payer: Healthscope Commercial	$1,837.27
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,735.20
Rate for Payer: PHP Commercial	$1,735.20
Rate for Payer: Priority Health Cigna Priority Health	$1,326.92
Rate for Payer: Priority Health SBD	$1,286.09

HC LABOR CAT (3) 5-8HRS

Facility

$2,551.65

Hospital Charge Code	72000003
Hospital Revenue Code	720
Min. Negotiated Rate	$1,020.66
Max. Negotiated Rate	$2,296.49
Rate for Payer: Aetna Commercial	$2,168.90
Rate for Payer: Aetna Medicare	$1,275.83
Rate for Payer: Aetna New Business (MI Preferred)	$1,658.57
Rate for Payer: BCBS Complete	$1,020.66
Rate for Payer: Cash Price	$2,041.32
Rate for Payer: Cofinity Commercial	$1,786.15
Rate for Payer: Cofinity Commercial	$2,194.42
Rate for Payer: Cofinity Medicare Advantage	$1,786.15
Rate for Payer: Encore Health Key Benefits Commercial	$2,041.32
Rate for Payer: Healthscope Commercial	$2,296.49
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$2,168.90
Rate for Payer: PHP Commercial	$2,168.90
Rate for Payer: Priority Health Cigna Priority Health	$1,658.57
Rate for Payer: Priority Health SBD	$1,607.54
Rate for Payer: UHC Core	$1,888.22
Rate for Payer: UHC Exchange	$1,888.22

HC LABOR CAT (3) 5-8HRS

Facility

$2,551.65

Hospital Charge Code	72000003
Hospital Revenue Code	720
Min. Negotiated Rate	$1,607.54
Max. Negotiated Rate	$2,296.49
Rate for Payer: Aetna Commercial	$2,168.90
Rate for Payer: Aetna New Business (MI Preferred)	$1,658.57
Rate for Payer: Cash Price	$2,041.32
Rate for Payer: Cofinity Commercial	$1,786.15
Rate for Payer: Cofinity Commercial	$2,194.42
Rate for Payer: Cofinity Medicare Advantage	$1,786.15
Rate for Payer: Encore Health Key Benefits Commercial	$2,041.32
Rate for Payer: Healthscope Commercial	$2,296.49
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$2,168.90
Rate for Payer: PHP Commercial	$2,168.90
Rate for Payer: Priority Health Cigna Priority Health	$1,658.57
Rate for Payer: Priority Health SBD	$1,607.54

HC LABOR CAT (4) 8-12HRS

Facility

$3,062.03

Hospital Charge Code	72000004
Hospital Revenue Code	720
Min. Negotiated Rate	$1,929.08
Max. Negotiated Rate	$2,755.83
Rate for Payer: Aetna Commercial	$2,602.73
Rate for Payer: Aetna New Business (MI Preferred)	$1,990.32
Rate for Payer: Cash Price	$2,449.62
Rate for Payer: Cofinity Commercial	$2,143.42
Rate for Payer: Cofinity Commercial	$2,633.35
Rate for Payer: Cofinity Medicare Advantage	$2,143.42
Rate for Payer: Encore Health Key Benefits Commercial	$2,449.62
Rate for Payer: Healthscope Commercial	$2,755.83
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$2,602.73
Rate for Payer: PHP Commercial	$2,602.73
Rate for Payer: Priority Health Cigna Priority Health	$1,990.32
Rate for Payer: Priority Health SBD	$1,929.08

HC LABOR CAT (4) 8-12HRS

Facility

$3,062.03

Hospital Charge Code	72000004
Hospital Revenue Code	720
Min. Negotiated Rate	$1,224.81
Max. Negotiated Rate	$2,755.83
Rate for Payer: Aetna Commercial	$2,602.73
Rate for Payer: Aetna Medicare	$1,531.02
Rate for Payer: Aetna New Business (MI Preferred)	$1,990.32
Rate for Payer: BCBS Complete	$1,224.81
Rate for Payer: Cash Price	$2,449.62
Rate for Payer: Cofinity Commercial	$2,143.42
Rate for Payer: Cofinity Commercial	$2,633.35
Rate for Payer: Cofinity Medicare Advantage	$2,143.42
Rate for Payer: Encore Health Key Benefits Commercial	$2,449.62
Rate for Payer: Healthscope Commercial	$2,755.83
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$2,602.73
Rate for Payer: PHP Commercial	$2,602.73
Rate for Payer: Priority Health Cigna Priority Health	$1,990.32
Rate for Payer: Priority Health SBD	$1,929.08
Rate for Payer: UHC Core	$2,265.90
Rate for Payer: UHC Exchange	$2,265.90

HC LABOR CAT (5) 12-17HRS

Facility

$4,589.55

Hospital Charge Code	72000007
Hospital Revenue Code	720
Min. Negotiated Rate	$1,835.82
Max. Negotiated Rate	$4,130.60
Rate for Payer: Aetna Commercial	$3,901.12
Rate for Payer: Aetna Medicare	$2,294.78
Rate for Payer: Aetna New Business (MI Preferred)	$2,983.21
Rate for Payer: BCBS Complete	$1,835.82
Rate for Payer: Cash Price	$3,671.64
Rate for Payer: Cofinity Commercial	$3,212.68
Rate for Payer: Cofinity Commercial	$3,947.01
Rate for Payer: Cofinity Medicare Advantage	$3,212.68
Rate for Payer: Encore Health Key Benefits Commercial	$3,671.64
Rate for Payer: Healthscope Commercial	$4,130.60
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$3,901.12
Rate for Payer: PHP Commercial	$3,901.12
Rate for Payer: Priority Health Cigna Priority Health	$2,983.21
Rate for Payer: Priority Health SBD	$2,891.42
Rate for Payer: UHC Core	$3,396.27
Rate for Payer: UHC Exchange	$3,396.27

HC LABOR CAT (5) 12-17HRS

Facility

$4,589.55

Hospital Charge Code	72000007
Hospital Revenue Code	720
Min. Negotiated Rate	$2,891.42
Max. Negotiated Rate	$4,130.60
Rate for Payer: Aetna Commercial	$3,901.12
Rate for Payer: Aetna New Business (MI Preferred)	$2,983.21
Rate for Payer: Cash Price	$3,671.64
Rate for Payer: Cofinity Commercial	$3,212.68
Rate for Payer: Cofinity Commercial	$3,947.01
Rate for Payer: Cofinity Medicare Advantage	$3,212.68
Rate for Payer: Encore Health Key Benefits Commercial	$3,671.64
Rate for Payer: Healthscope Commercial	$4,130.60
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$3,901.12
Rate for Payer: PHP Commercial	$3,901.12
Rate for Payer: Priority Health Cigna Priority Health	$2,983.21
Rate for Payer: Priority Health SBD	$2,891.42

HC LABOR CAT (6) 17 OR MORE HRS

Facility

$6,790.05

Hospital Charge Code	72000008
Hospital Revenue Code	720
Min. Negotiated Rate	$4,277.73
Max. Negotiated Rate	$6,111.05
Rate for Payer: Aetna Commercial	$5,771.54
Rate for Payer: Aetna New Business (MI Preferred)	$4,413.53
Rate for Payer: Cash Price	$5,432.04
Rate for Payer: Cofinity Commercial	$4,753.03
Rate for Payer: Cofinity Commercial	$5,839.44
Rate for Payer: Cofinity Medicare Advantage	$4,753.03
Rate for Payer: Encore Health Key Benefits Commercial	$5,432.04
Rate for Payer: Healthscope Commercial	$6,111.05
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$5,771.54
Rate for Payer: PHP Commercial	$5,771.54
Rate for Payer: Priority Health Cigna Priority Health	$4,413.53
Rate for Payer: Priority Health SBD	$4,277.73

HC LABOR CAT (6) 17 OR MORE HRS

Facility

$6,790.05

Hospital Charge Code	72000008
Hospital Revenue Code	720
Min. Negotiated Rate	$2,716.02
Max. Negotiated Rate	$6,111.05
Rate for Payer: Aetna Commercial	$5,771.54
Rate for Payer: Aetna Medicare	$3,395.03
Rate for Payer: Aetna New Business (MI Preferred)	$4,413.53
Rate for Payer: BCBS Complete	$2,716.02
Rate for Payer: Cash Price	$5,432.04
Rate for Payer: Cofinity Commercial	$4,753.03
Rate for Payer: Cofinity Commercial	$5,839.44
Rate for Payer: Cofinity Medicare Advantage	$4,753.03
Rate for Payer: Encore Health Key Benefits Commercial	$5,432.04
Rate for Payer: Healthscope Commercial	$6,111.05
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$5,771.54
Rate for Payer: PHP Commercial	$5,771.54
Rate for Payer: Priority Health Cigna Priority Health	$4,413.53
Rate for Payer: Priority Health SBD	$4,277.73
Rate for Payer: UHC Core	$5,024.64
Rate for Payer: UHC Exchange	$5,024.64

HC LABYRINTHOTOMY TRANSCANAL

Facility

$4,015.74

Service Code	CPT 69801
Hospital Charge Code	76100487
Hospital Revenue Code	761
Min. Negotiated Rate	$774.34
Max. Negotiated Rate	$4,066.57
Rate for Payer: Aetna Commercial	$3,413.38
Rate for Payer: Aetna Medicare	$1,502.45
Rate for Payer: Aetna New Business (MI Preferred)	$2,610.23
Rate for Payer: Allen County Amish Medical Aid Commercial	$1,805.83
Rate for Payer: Amish Plain Church Group Commercial	$1,805.83
Rate for Payer: BCBS Complete	$813.05
Rate for Payer: BCBS MAPPO	$1,444.66
Rate for Payer: BCN Medicare Advantage	$1,444.66
Rate for Payer: Cash Price	$3,212.59
Rate for Payer: Cash Price	$3,212.59
Rate for Payer: Cofinity Commercial	$3,453.54
Rate for Payer: Cofinity Commercial	$2,811.02
Rate for Payer: Cofinity Medicare Advantage	$2,811.02
Rate for Payer: Encore Health Key Benefits Commercial	$3,212.59
Rate for Payer: Health Alliance Plan Medicare Advantage	$1,444.66
Rate for Payer: Healthscope Commercial	$3,614.17
Rate for Payer: Mclaren Medicaid	$774.34
Rate for Payer: Mclaren Medicare	$1,444.66
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$1,516.89
Rate for Payer: Meridian Medicaid	$813.05
Rate for Payer: MI Amish Medical Board Commercial	$1,661.36
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$3,413.38
Rate for Payer: PACE Medicare	$1,372.43
Rate for Payer: PACE SWMI	$1,444.66
Rate for Payer: PHP Commercial	$3,413.38
Rate for Payer: PHP Medicare Advantage	$1,444.66
Rate for Payer: Priority Health Choice Medicaid	$774.34
Rate for Payer: Priority Health Cigna Priority Health	$2,610.23
Rate for Payer: Priority Health Medicare	$1,444.66
Rate for Payer: Priority Health SBD	$2,529.92
Rate for Payer: Railroad Medicare Medicare	$1,444.66
Rate for Payer: UHC All Payor (Choice/PPO)	$4,066.57
Rate for Payer: UHC Dual Complete DSNP	$1,444.66
Rate for Payer: UHC Medicare Advantage	$1,444.66
Rate for Payer: UHCCP Medicaid	$813.34
Rate for Payer: VA VA	$1,444.66

HC LABYRINTHOTOMY TRANSCANAL

Facility

$4,015.74

Service Code	CPT 69801
Hospital Charge Code	76100487
Hospital Revenue Code	761
Min. Negotiated Rate	$2,529.92
Max. Negotiated Rate	$3,614.17
Rate for Payer: Aetna Commercial	$3,413.38
Rate for Payer: Aetna New Business (MI Preferred)	$2,610.23
Rate for Payer: Cash Price	$3,212.59
Rate for Payer: Cofinity Commercial	$2,811.02
Rate for Payer: Cofinity Commercial	$3,453.54
Rate for Payer: Cofinity Medicare Advantage	$2,811.02
Rate for Payer: Encore Health Key Benefits Commercial	$3,212.59
Rate for Payer: Healthscope Commercial	$3,614.17
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$3,413.38
Rate for Payer: PHP Commercial	$3,413.38
Rate for Payer: Priority Health Cigna Priority Health	$2,610.23
Rate for Payer: Priority Health SBD	$2,529.92

HC LA/CS PACING + RECORDING

Facility

$1,555.91

Service Code	CPT 93621
Hospital Charge Code	48100038
Hospital Revenue Code	481
Min. Negotiated Rate	$980.22
Max. Negotiated Rate	$1,400.32
Rate for Payer: Aetna Commercial	$1,322.52
Rate for Payer: Aetna New Business (MI Preferred)	$1,011.34
Rate for Payer: Cash Price	$1,244.73
Rate for Payer: Cofinity Commercial	$1,089.14
Rate for Payer: Cofinity Commercial	$1,338.08
Rate for Payer: Cofinity Medicare Advantage	$1,089.14
Rate for Payer: Encore Health Key Benefits Commercial	$1,244.73
Rate for Payer: Healthscope Commercial	$1,400.32
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,322.52
Rate for Payer: PHP Commercial	$1,322.52
Rate for Payer: Priority Health Cigna Priority Health	$1,011.34
Rate for Payer: Priority Health SBD	$980.22

HC LA/CS PACING + RECORDING

Facility

$1,555.91

Service Code	CPT 93621
Hospital Charge Code	48100038
Hospital Revenue Code	481
Min. Negotiated Rate	$622.36
Max. Negotiated Rate	$1,400.32
Rate for Payer: Aetna Commercial	$1,322.52
Rate for Payer: Aetna Medicare	$777.96
Rate for Payer: Aetna New Business (MI Preferred)	$1,011.34
Rate for Payer: BCBS Complete	$622.36
Rate for Payer: Cash Price	$1,244.73
Rate for Payer: Cofinity Commercial	$1,089.14
Rate for Payer: Cofinity Commercial	$1,338.08
Rate for Payer: Cofinity Medicare Advantage	$1,089.14
Rate for Payer: Encore Health Key Benefits Commercial	$1,244.73
Rate for Payer: Healthscope Commercial	$1,400.32
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,322.52
Rate for Payer: PHP Commercial	$1,322.52
Rate for Payer: Priority Health Cigna Priority Health	$1,011.34
Rate for Payer: Priority Health SBD	$980.22

HC LACTATE DEHYDROGENASE

Facility

$22.20

Service Code	CPT 83615
Hospital Charge Code	30100272
Hospital Revenue Code	301
Min. Negotiated Rate	$13.99
Max. Negotiated Rate	$19.98
Rate for Payer: Aetna Commercial	$18.87
Rate for Payer: Aetna New Business (MI Preferred)	$14.43
Rate for Payer: Cash Price	$17.76
Rate for Payer: Cofinity Commercial	$15.54
Rate for Payer: Cofinity Commercial	$19.09
Rate for Payer: Cofinity Medicare Advantage	$15.54
Rate for Payer: Encore Health Key Benefits Commercial	$17.76
Rate for Payer: Healthscope Commercial	$19.98
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$18.87
Rate for Payer: PHP Commercial	$18.87
Rate for Payer: Priority Health Cigna Priority Health	$14.43
Rate for Payer: Priority Health SBD	$13.99

HC LACTATE DEHYDROGENASE

Facility

$22.20

Service Code	CPT 83615
Hospital Charge Code	30100272
Hospital Revenue Code	301
Min. Negotiated Rate	$3.24
Max. Negotiated Rate	$19.98
Rate for Payer: Aetna Commercial	$18.87
Rate for Payer: Aetna Medicare	$6.28
Rate for Payer: Aetna New Business (MI Preferred)	$14.43
Rate for Payer: Allen County Amish Medical Aid Commercial	$7.55
Rate for Payer: Amish Plain Church Group Commercial	$7.55
Rate for Payer: BCBS Complete	$3.40
Rate for Payer: BCBS MAPPO	$6.04
Rate for Payer: BCN Medicare Advantage	$6.04
Rate for Payer: Cash Price	$17.76
Rate for Payer: Cash Price	$17.76
Rate for Payer: Cofinity Commercial	$19.09
Rate for Payer: Cofinity Commercial	$15.54
Rate for Payer: Cofinity Medicare Advantage	$15.54
Rate for Payer: Encore Health Key Benefits Commercial	$17.76
Rate for Payer: Health Alliance Plan Medicare Advantage	$6.04
Rate for Payer: Healthscope Commercial	$19.98
Rate for Payer: Mclaren Medicaid	$3.24
Rate for Payer: Mclaren Medicare	$6.04
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$6.34
Rate for Payer: Meridian Medicaid	$3.40
Rate for Payer: MI Amish Medical Board Commercial	$6.95
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$18.87
Rate for Payer: PACE Medicare	$5.74
Rate for Payer: PACE SWMI	$6.04
Rate for Payer: PHP Commercial	$18.87
Rate for Payer: PHP Medicare Advantage	$6.04
Rate for Payer: Priority Health Choice Medicaid	$3.24
Rate for Payer: Priority Health Cigna Priority Health	$14.43
Rate for Payer: Priority Health Medicare	$6.04
Rate for Payer: Priority Health SBD	$13.99
Rate for Payer: Railroad Medicare Medicare	$6.04
Rate for Payer: UHC All Payor (Choice/PPO)	$17.00
Rate for Payer: UHC Dual Complete DSNP	$6.04
Rate for Payer: UHC Medicare Advantage	$6.04
Rate for Payer: UHCCP Medicaid	$3.40
Rate for Payer: VA VA	$6.04

HC LACTATE LACTIC ACID

Facility

$59.30

Service Code	CPT 83605
Hospital Charge Code	30100270
Hospital Revenue Code	301
Min. Negotiated Rate	$6.20
Max. Negotiated Rate	$53.37
Rate for Payer: Aetna Commercial	$50.41
Rate for Payer: Aetna Medicare	$12.03
Rate for Payer: Aetna New Business (MI Preferred)	$38.55
Rate for Payer: Allen County Amish Medical Aid Commercial	$14.46
Rate for Payer: Amish Plain Church Group Commercial	$14.46
Rate for Payer: BCBS Complete	$6.51
Rate for Payer: BCBS MAPPO	$11.57
Rate for Payer: BCN Medicare Advantage	$11.57
Rate for Payer: Cash Price	$47.44
Rate for Payer: Cash Price	$47.44
Rate for Payer: Cofinity Commercial	$51.00
Rate for Payer: Cofinity Commercial	$41.51
Rate for Payer: Cofinity Medicare Advantage	$41.51
Rate for Payer: Encore Health Key Benefits Commercial	$47.44
Rate for Payer: Health Alliance Plan Medicare Advantage	$11.57
Rate for Payer: Healthscope Commercial	$53.37
Rate for Payer: Mclaren Medicaid	$6.20
Rate for Payer: Mclaren Medicare	$11.57
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$12.15
Rate for Payer: Meridian Medicaid	$6.51
Rate for Payer: MI Amish Medical Board Commercial	$13.31
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$50.41
Rate for Payer: PACE Medicare	$10.99
Rate for Payer: PACE SWMI	$11.57
Rate for Payer: PHP Commercial	$50.41
Rate for Payer: PHP Medicare Advantage	$11.57
Rate for Payer: Priority Health Choice Medicaid	$6.20
Rate for Payer: Priority Health Cigna Priority Health	$38.55
Rate for Payer: Priority Health Medicare	$11.57
Rate for Payer: Priority Health SBD	$37.36
Rate for Payer: Railroad Medicare Medicare	$11.57
Rate for Payer: UHC All Payor (Choice/PPO)	$32.57
Rate for Payer: UHC Dual Complete DSNP	$11.57
Rate for Payer: UHC Medicare Advantage	$11.57
Rate for Payer: UHCCP Medicaid	$6.51
Rate for Payer: VA VA	$11.57

HC LACTATE LACTIC ACID

Facility

$59.30

Service Code	CPT 83605
Hospital Charge Code	30100270
Hospital Revenue Code	301
Min. Negotiated Rate	$37.36
Max. Negotiated Rate	$53.37
Rate for Payer: Aetna Commercial	$50.41
Rate for Payer: Aetna New Business (MI Preferred)	$38.55
Rate for Payer: Cash Price	$47.44
Rate for Payer: Cofinity Commercial	$41.51
Rate for Payer: Cofinity Commercial	$51.00
Rate for Payer: Cofinity Medicare Advantage	$41.51
Rate for Payer: Encore Health Key Benefits Commercial	$47.44
Rate for Payer: Healthscope Commercial	$53.37
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$50.41
Rate for Payer: PHP Commercial	$50.41
Rate for Payer: Priority Health Cigna Priority Health	$38.55
Rate for Payer: Priority Health SBD	$37.36

HC LACTOSE TOLERANCE

Facility

$94.05

Service Code	CPT 82951
Hospital Charge Code	30100226
Hospital Revenue Code	301
Min. Negotiated Rate	$6.90
Max. Negotiated Rate	$84.64
Rate for Payer: Aetna Commercial	$79.94
Rate for Payer: Aetna Medicare	$13.38
Rate for Payer: Aetna New Business (MI Preferred)	$61.13
Rate for Payer: Allen County Amish Medical Aid Commercial	$16.09
Rate for Payer: Amish Plain Church Group Commercial	$16.09
Rate for Payer: BCBS Complete	$7.24
Rate for Payer: BCBS MAPPO	$12.87
Rate for Payer: BCN Medicare Advantage	$12.87
Rate for Payer: Cash Price	$75.24
Rate for Payer: Cash Price	$75.24
Rate for Payer: Cofinity Commercial	$80.88
Rate for Payer: Cofinity Commercial	$65.83
Rate for Payer: Cofinity Medicare Advantage	$65.83
Rate for Payer: Encore Health Key Benefits Commercial	$75.24
Rate for Payer: Health Alliance Plan Medicare Advantage	$12.87
Rate for Payer: Healthscope Commercial	$84.64
Rate for Payer: Mclaren Medicaid	$6.90
Rate for Payer: Mclaren Medicare	$12.87
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$13.51
Rate for Payer: Meridian Medicaid	$7.24
Rate for Payer: MI Amish Medical Board Commercial	$14.80
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$79.94
Rate for Payer: PACE Medicare	$12.23
Rate for Payer: PACE SWMI	$12.87
Rate for Payer: PHP Commercial	$79.94
Rate for Payer: PHP Medicare Advantage	$12.87
Rate for Payer: Priority Health Choice Medicaid	$6.90
Rate for Payer: Priority Health Cigna Priority Health	$61.13
Rate for Payer: Priority Health Medicare	$12.87
Rate for Payer: Priority Health SBD	$59.25
Rate for Payer: Railroad Medicare Medicare	$12.87
Rate for Payer: UHC All Payor (Choice/PPO)	$36.23
Rate for Payer: UHC Dual Complete DSNP	$12.87
Rate for Payer: UHC Medicare Advantage	$12.87
Rate for Payer: UHCCP Medicaid	$7.25
Rate for Payer: VA VA	$12.87

HC LACTOSE TOLERANCE

Facility

$94.05

Service Code	CPT 82951
Hospital Charge Code	30100226
Hospital Revenue Code	301
Min. Negotiated Rate	$59.25
Max. Negotiated Rate	$84.64
Rate for Payer: Aetna Commercial	$79.94
Rate for Payer: Aetna New Business (MI Preferred)	$61.13
Rate for Payer: Cash Price	$75.24
Rate for Payer: Cofinity Commercial	$65.83
Rate for Payer: Cofinity Commercial	$80.88
Rate for Payer: Cofinity Medicare Advantage	$65.83
Rate for Payer: Encore Health Key Benefits Commercial	$75.24
Rate for Payer: Healthscope Commercial	$84.64
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$79.94
Rate for Payer: PHP Commercial	$79.94
Rate for Payer: Priority Health Cigna Priority Health	$61.13
Rate for Payer: Priority Health SBD	$59.25

HC LAMBDA FREE LIGHT CHAIN SERUM

Facility

$77.42

Service Code	CPT 83521
Hospital Charge Code	30100308
Hospital Revenue Code	301
Min. Negotiated Rate	$48.77
Max. Negotiated Rate	$69.68
Rate for Payer: Aetna Commercial	$65.81
Rate for Payer: Aetna New Business (MI Preferred)	$50.32
Rate for Payer: Cash Price	$61.94
Rate for Payer: Cofinity Commercial	$54.19
Rate for Payer: Cofinity Commercial	$66.58
Rate for Payer: Cofinity Medicare Advantage	$54.19
Rate for Payer: Encore Health Key Benefits Commercial	$61.94
Rate for Payer: Healthscope Commercial	$69.68
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$65.81
Rate for Payer: PHP Commercial	$65.81
Rate for Payer: Priority Health Cigna Priority Health	$50.32
Rate for Payer: Priority Health SBD	$48.77

Know your out-of-pocket cost for care.

All Charges