Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

HC STENGER TEST SPEECH

Facility

$1,421.00

Service Code	CPT 92577
Hospital Charge Code	76100488
Hospital Revenue Code	761
Min. Negotiated Rate	$895.23
Max. Negotiated Rate	$1,278.90
Rate for Payer: Aetna Commercial	$1,207.85
Rate for Payer: Aetna New Business (MI Preferred)	$923.65
Rate for Payer: Cash Price	$1,136.80
Rate for Payer: Cofinity Commercial	$1,222.06
Rate for Payer: Cofinity Commercial	$994.70
Rate for Payer: Healthscope Commercial	$1,278.90
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$1,207.85
Rate for Payer: PHP Commercial	$1,207.85
Rate for Payer: Priority Health Cigna Priority Health	$994.70
Rate for Payer: Priority Health SBD	$895.23

HC STENGER TEST SPEECH

Facility

$1,421.00

Service Code	CPT 92577
Hospital Charge Code	76100488
Hospital Revenue Code	761
Min. Negotiated Rate	$21.61
Max. Negotiated Rate	$1,449.57
Rate for Payer: Aetna Commercial	$1,207.85
Rate for Payer: Aetna Medicare	$495.99
Rate for Payer: Aetna New Business (MI Preferred)	$923.65
Rate for Payer: Allen County Amish Medical Aid Commercial	$596.14
Rate for Payer: Amish Plain Church Group Commercial	$596.14
Rate for Payer: BCBS Complete	$273.94
Rate for Payer: BCBS MAPPO	$476.91
Rate for Payer: BCBS Trust/PPO	$92.11
Rate for Payer: BCN Medicare Advantage	$476.91
Rate for Payer: Cash Price	$1,136.80
Rate for Payer: Cash Price	$1,136.80
Rate for Payer: Cofinity Commercial	$994.70
Rate for Payer: Cofinity Commercial	$1,222.06
Rate for Payer: Health Alliance Plan Medicare Advantage	$476.91
Rate for Payer: Healthscope Commercial	$1,278.90
Rate for Payer: Mclaren Medicaid	$260.87
Rate for Payer: Mclaren Medicare	$476.91
Rate for Payer: Meridian Medicaid	$273.94
Rate for Payer: Meridian Wellcare - Medicare Advantage	$500.76
Rate for Payer: MI Amish Medical Board Commercial	$548.45
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$1,207.85
Rate for Payer: PACE Medicare	$453.06
Rate for Payer: PACE SWMI	$476.91
Rate for Payer: PHP Commercial	$1,207.85
Rate for Payer: PHP Medicare Advantage	$476.91
Rate for Payer: Priority Health Choice Medicaid	$260.87
Rate for Payer: Priority Health Cigna Priority Health	$994.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,449.57
Rate for Payer: Priority Health Medicare	$476.91
Rate for Payer: Priority Health Narrow Network	$1,159.66
Rate for Payer: Priority Health SBD	$895.23
Rate for Payer: Railroad Medicare Medicare	$476.91
Rate for Payer: UHC All Payor (Choice/PPO)	$23.77
Rate for Payer: UHC Dual Complete DSNP	$476.91
Rate for Payer: UHC Exchange	$21.61
Rate for Payer: UHC Medicare Advantage	$491.22
Rate for Payer: VA VA	$476.91

HC STENT

Facility

$934.47

Service Code	HCPCS C2617
Hospital Charge Code	27800030
Hospital Revenue Code	278
Min. Negotiated Rate	$373.79
Max. Negotiated Rate	$841.02
Rate for Payer: Aetna Commercial	$794.30
Rate for Payer: Aetna New Business (MI Preferred)	$607.41
Rate for Payer: BCBS Complete	$373.79
Rate for Payer: Cash Price	$747.58
Rate for Payer: Cofinity Commercial	$654.13
Rate for Payer: Cofinity Commercial	$803.64
Rate for Payer: Healthscope Commercial	$841.02
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$794.30
Rate for Payer: PHP Commercial	$794.30
Rate for Payer: Priority Health Cigna Priority Health	$654.13
Rate for Payer: Priority Health SBD	$588.72

HC STENT

Facility

$934.47

Service Code	HCPCS C2617
Hospital Charge Code	27800030
Hospital Revenue Code	278
Min. Negotiated Rate	$588.72
Max. Negotiated Rate	$841.02
Rate for Payer: Aetna Commercial	$794.30
Rate for Payer: Aetna New Business (MI Preferred)	$607.41
Rate for Payer: Cash Price	$747.58
Rate for Payer: Cofinity Commercial	$654.13
Rate for Payer: Cofinity Commercial	$803.64
Rate for Payer: Healthscope Commercial	$841.02
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$794.30
Rate for Payer: PHP Commercial	$794.30
Rate for Payer: Priority Health Cigna Priority Health	$654.13
Rate for Payer: Priority Health SBD	$588.72

HC STENT ADD.BRANCH

Facility

$16,677.03

Service Code	CPT 92929
Hospital Charge Code	48100074
Hospital Revenue Code	481
Min. Negotiated Rate	$493.65
Max. Negotiated Rate	$15,009.33
Rate for Payer: Aetna Commercial	$14,175.48
Rate for Payer: Aetna New Business (MI Preferred)	$10,840.07
Rate for Payer: BCBS Complete	$6,670.81
Rate for Payer: BCBS Trust/PPO	$493.65
Rate for Payer: Cash Price	$13,341.62
Rate for Payer: Cash Price	$13,341.62
Rate for Payer: Cofinity Commercial	$14,342.25
Rate for Payer: Cofinity Commercial	$11,673.92
Rate for Payer: Healthscope Commercial	$15,009.33
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$14,175.48
Rate for Payer: PHP Commercial	$14,175.48
Rate for Payer: Priority Health Cigna Priority Health	$11,673.92
Rate for Payer: Priority Health SBD	$10,506.53
Rate for Payer: UHC Core	$7,632.00

HC STENT ADD.BRANCH

Facility

$16,677.03

Service Code	CPT 92929
Hospital Charge Code	48100074
Hospital Revenue Code	481
Min. Negotiated Rate	$10,506.53
Max. Negotiated Rate	$15,009.33
Rate for Payer: Aetna Commercial	$14,175.48
Rate for Payer: Aetna New Business (MI Preferred)	$10,840.07
Rate for Payer: Cash Price	$13,341.62
Rate for Payer: Cofinity Commercial	$11,673.92
Rate for Payer: Cofinity Commercial	$14,342.25
Rate for Payer: Healthscope Commercial	$15,009.33
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$14,175.48
Rate for Payer: PHP Commercial	$14,175.48
Rate for Payer: Priority Health Cigna Priority Health	$11,673.92
Rate for Payer: Priority Health SBD	$10,506.53

HC STENT COATED W DELIVERY SYSTEM

Facility

$11,642.46

Service Code	HCPCS C1874
Hospital Charge Code	27800111
Hospital Revenue Code	278
Min. Negotiated Rate	$7,334.75
Max. Negotiated Rate	$10,478.21
Rate for Payer: Aetna Commercial	$9,896.09
Rate for Payer: Aetna New Business (MI Preferred)	$7,567.60
Rate for Payer: Cash Price	$9,313.97
Rate for Payer: Cofinity Commercial	$10,012.52
Rate for Payer: Cofinity Commercial	$8,149.72
Rate for Payer: Healthscope Commercial	$10,478.21
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$9,896.09
Rate for Payer: PHP Commercial	$9,896.09
Rate for Payer: Priority Health Cigna Priority Health	$8,149.72
Rate for Payer: Priority Health SBD	$7,334.75

HC STENT COATED W DELIVERY SYSTEM

Facility

$11,642.46

Service Code	HCPCS C1874
Hospital Charge Code	27800111
Hospital Revenue Code	278
Min. Negotiated Rate	$4,656.98
Max. Negotiated Rate	$10,478.21
Rate for Payer: Aetna Commercial	$9,896.09
Rate for Payer: Aetna New Business (MI Preferred)	$7,567.60
Rate for Payer: BCBS Complete	$4,656.98
Rate for Payer: Cash Price	$9,313.97
Rate for Payer: Cofinity Commercial	$10,012.52
Rate for Payer: Cofinity Commercial	$8,149.72
Rate for Payer: Healthscope Commercial	$10,478.21
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$9,896.09
Rate for Payer: PHP Commercial	$9,896.09
Rate for Payer: Priority Health Cigna Priority Health	$8,149.72
Rate for Payer: Priority Health SBD	$7,334.75

HC STENT COATED W DELIVERY SYSTEM LVL 12

Facility

$5,463.15

Service Code	HCPCS C1874
Hospital Charge Code	27800096
Hospital Revenue Code	278
Min. Negotiated Rate	$3,441.78
Max. Negotiated Rate	$4,916.84
Rate for Payer: Aetna Commercial	$4,643.68
Rate for Payer: Aetna New Business (MI Preferred)	$3,551.05
Rate for Payer: Cash Price	$4,370.52
Rate for Payer: Cofinity Commercial	$3,824.20
Rate for Payer: Cofinity Commercial	$4,698.31
Rate for Payer: Healthscope Commercial	$4,916.84
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$4,643.68
Rate for Payer: PHP Commercial	$4,643.68
Rate for Payer: Priority Health Cigna Priority Health	$3,824.20
Rate for Payer: Priority Health SBD	$3,441.78

HC STENT COATED W DELIVERY SYSTEM LVL 12

Facility

$5,463.15

Service Code	HCPCS C1874
Hospital Charge Code	27800096
Hospital Revenue Code	278
Min. Negotiated Rate	$2,185.26
Max. Negotiated Rate	$4,916.84
Rate for Payer: Aetna Commercial	$4,643.68
Rate for Payer: Aetna New Business (MI Preferred)	$3,551.05
Rate for Payer: BCBS Complete	$2,185.26
Rate for Payer: Cash Price	$4,370.52
Rate for Payer: Cofinity Commercial	$3,824.20
Rate for Payer: Cofinity Commercial	$4,698.31
Rate for Payer: Healthscope Commercial	$4,916.84
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$4,643.68
Rate for Payer: PHP Commercial	$4,643.68
Rate for Payer: Priority Health Cigna Priority Health	$3,824.20
Rate for Payer: Priority Health SBD	$3,441.78

HC STENT COATED W DELIVERY SYSTEM LVL 13

Facility

$6,349.98

Service Code	HCPCS C1874
Hospital Charge Code	27800016
Hospital Revenue Code	278
Min. Negotiated Rate	$4,000.49
Max. Negotiated Rate	$5,714.98
Rate for Payer: Aetna Commercial	$5,397.48
Rate for Payer: Aetna New Business (MI Preferred)	$4,127.49
Rate for Payer: Cash Price	$5,079.98
Rate for Payer: Cofinity Commercial	$4,444.99
Rate for Payer: Cofinity Commercial	$5,460.98
Rate for Payer: Healthscope Commercial	$5,714.98
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$5,397.48
Rate for Payer: PHP Commercial	$5,397.48
Rate for Payer: Priority Health Cigna Priority Health	$4,444.99
Rate for Payer: Priority Health SBD	$4,000.49

HC STENT COATED W DELIVERY SYSTEM LVL 13

Facility

$6,349.98

Service Code	HCPCS C1874
Hospital Charge Code	27800016
Hospital Revenue Code	278
Min. Negotiated Rate	$2,539.99
Max. Negotiated Rate	$5,714.98
Rate for Payer: Aetna Commercial	$5,397.48
Rate for Payer: Aetna New Business (MI Preferred)	$4,127.49
Rate for Payer: BCBS Complete	$2,539.99
Rate for Payer: Cash Price	$5,079.98
Rate for Payer: Cofinity Commercial	$4,444.99
Rate for Payer: Cofinity Commercial	$5,460.98
Rate for Payer: Healthscope Commercial	$5,714.98
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$5,397.48
Rate for Payer: PHP Commercial	$5,397.48
Rate for Payer: Priority Health Cigna Priority Health	$4,444.99
Rate for Payer: Priority Health SBD	$4,000.49

HC STENT COATED W DELIVERY SYSTEM LVL 14

Facility

$8,602.78

Service Code	HCPCS C1874
Hospital Charge Code	27800060
Hospital Revenue Code	278
Min. Negotiated Rate	$5,419.75
Max. Negotiated Rate	$7,742.50
Rate for Payer: Aetna Commercial	$7,312.36
Rate for Payer: Aetna New Business (MI Preferred)	$5,591.81
Rate for Payer: Cash Price	$6,882.22
Rate for Payer: Cofinity Commercial	$6,021.95
Rate for Payer: Cofinity Commercial	$7,398.39
Rate for Payer: Healthscope Commercial	$7,742.50
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$7,312.36
Rate for Payer: PHP Commercial	$7,312.36
Rate for Payer: Priority Health Cigna Priority Health	$6,021.95
Rate for Payer: Priority Health SBD	$5,419.75

HC STENT COATED W DELIVERY SYSTEM LVL 14

Facility

$8,602.78

Service Code	HCPCS C1874
Hospital Charge Code	27800060
Hospital Revenue Code	278
Min. Negotiated Rate	$3,441.11
Max. Negotiated Rate	$7,742.50
Rate for Payer: Aetna Commercial	$7,312.36
Rate for Payer: Aetna New Business (MI Preferred)	$5,591.81
Rate for Payer: BCBS Complete	$3,441.11
Rate for Payer: Cash Price	$6,882.22
Rate for Payer: Cofinity Commercial	$6,021.95
Rate for Payer: Cofinity Commercial	$7,398.39
Rate for Payer: Healthscope Commercial	$7,742.50
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$7,312.36
Rate for Payer: PHP Commercial	$7,312.36
Rate for Payer: Priority Health Cigna Priority Health	$6,021.95
Rate for Payer: Priority Health SBD	$5,419.75

HC STENT NON COATED NON CVD NO DELIV SYS

Facility

$2,767.74

Service Code	HCPCS C1877
Hospital Charge Code	27800083
Hospital Revenue Code	278
Min. Negotiated Rate	$1,107.10
Max. Negotiated Rate	$2,490.97
Rate for Payer: Aetna Commercial	$2,352.58
Rate for Payer: Aetna New Business (MI Preferred)	$1,799.03
Rate for Payer: BCBS Complete	$1,107.10
Rate for Payer: Cash Price	$2,214.19
Rate for Payer: Cofinity Commercial	$1,937.42
Rate for Payer: Cofinity Commercial	$2,380.26
Rate for Payer: Healthscope Commercial	$2,490.97
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$2,352.58
Rate for Payer: PHP Commercial	$2,352.58
Rate for Payer: Priority Health Cigna Priority Health	$1,937.42
Rate for Payer: Priority Health SBD	$1,743.68

HC STENT NON COATED NON CVD NO DELIV SYS

Facility

$2,767.74

Service Code	HCPCS C1877
Hospital Charge Code	27800083
Hospital Revenue Code	278
Min. Negotiated Rate	$1,743.68
Max. Negotiated Rate	$2,490.97
Rate for Payer: Aetna Commercial	$2,352.58
Rate for Payer: Aetna New Business (MI Preferred)	$1,799.03
Rate for Payer: Cash Price	$2,214.19
Rate for Payer: Cofinity Commercial	$1,937.42
Rate for Payer: Cofinity Commercial	$2,380.26
Rate for Payer: Healthscope Commercial	$2,490.97
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$2,352.58
Rate for Payer: PHP Commercial	$2,352.58
Rate for Payer: Priority Health Cigna Priority Health	$1,937.42
Rate for Payer: Priority Health SBD	$1,743.68

HC STENT NON-COATED W/DELIVERY SYS

Facility

$4,962.00

Service Code	HCPCS C1876
Hospital Charge Code	27800031
Hospital Revenue Code	278
Min. Negotiated Rate	$3,126.06
Max. Negotiated Rate	$4,465.80
Rate for Payer: Aetna Commercial	$4,217.70
Rate for Payer: Aetna New Business (MI Preferred)	$3,225.30
Rate for Payer: Cash Price	$3,969.60
Rate for Payer: Cofinity Commercial	$3,473.40
Rate for Payer: Cofinity Commercial	$4,267.32
Rate for Payer: Healthscope Commercial	$4,465.80
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$4,217.70
Rate for Payer: PHP Commercial	$4,217.70
Rate for Payer: Priority Health Cigna Priority Health	$3,473.40
Rate for Payer: Priority Health SBD	$3,126.06

HC STENT NON-COATED W/DELIVERY SYS

Facility

$4,962.00

Service Code	HCPCS C1876
Hospital Charge Code	27800031
Hospital Revenue Code	278
Min. Negotiated Rate	$1,984.80
Max. Negotiated Rate	$4,465.80
Rate for Payer: Aetna Commercial	$4,217.70
Rate for Payer: Aetna New Business (MI Preferred)	$3,225.30
Rate for Payer: BCBS Complete	$1,984.80
Rate for Payer: Cash Price	$3,969.60
Rate for Payer: Cofinity Commercial	$3,473.40
Rate for Payer: Cofinity Commercial	$4,267.32
Rate for Payer: Healthscope Commercial	$4,465.80
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$4,217.70
Rate for Payer: PHP Commercial	$4,217.70
Rate for Payer: Priority Health Cigna Priority Health	$3,473.40
Rate for Payer: Priority Health SBD	$3,126.06

HC STENT NONCOATED W SYS LVL 19

Facility

$19,625.00

Service Code	CPT C1876
Hospital Charge Code	27800145
Hospital Revenue Code	278
Min. Negotiated Rate	$7,850.00
Max. Negotiated Rate	$17,662.50
Rate for Payer: Aetna Commercial	$16,681.25
Rate for Payer: Aetna New Business (MI Preferred)	$12,756.25
Rate for Payer: BCBS Complete	$7,850.00
Rate for Payer: Cash Price	$15,700.00
Rate for Payer: Cofinity Commercial	$13,737.50
Rate for Payer: Cofinity Commercial	$16,877.50
Rate for Payer: Healthscope Commercial	$17,662.50
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$16,681.25
Rate for Payer: PHP Commercial	$16,681.25
Rate for Payer: Priority Health Cigna Priority Health	$13,737.50
Rate for Payer: Priority Health SBD	$12,363.75

HC STENT NONCOATED W SYS LVL 19

Facility

$19,625.00

Service Code	CPT C1876
Hospital Charge Code	27800145
Hospital Revenue Code	278
Min. Negotiated Rate	$12,363.75
Max. Negotiated Rate	$17,662.50
Rate for Payer: Aetna Commercial	$16,681.25
Rate for Payer: Aetna New Business (MI Preferred)	$12,756.25
Rate for Payer: Cash Price	$15,700.00
Rate for Payer: Cofinity Commercial	$13,737.50
Rate for Payer: Cofinity Commercial	$16,877.50
Rate for Payer: Healthscope Commercial	$17,662.50
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$16,681.25
Rate for Payer: PHP Commercial	$16,681.25
Rate for Payer: Priority Health Cigna Priority Health	$13,737.50
Rate for Payer: Priority Health SBD	$12,363.75

HC STENT NON COATED W SYS LVL 5

Facility

$1,420.65

Service Code	HCPCS C1876
Hospital Charge Code	27800097
Hospital Revenue Code	278
Min. Negotiated Rate	$895.01
Max. Negotiated Rate	$1,278.58
Rate for Payer: Aetna Commercial	$1,207.55
Rate for Payer: Aetna New Business (MI Preferred)	$923.42
Rate for Payer: Cash Price	$1,136.52
Rate for Payer: Cofinity Commercial	$1,221.76
Rate for Payer: Cofinity Commercial	$994.46
Rate for Payer: Healthscope Commercial	$1,278.58
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$1,207.55
Rate for Payer: PHP Commercial	$1,207.55
Rate for Payer: Priority Health Cigna Priority Health	$994.46
Rate for Payer: Priority Health SBD	$895.01

HC STENT NON COATED W SYS LVL 5

Facility

$1,420.65

Service Code	HCPCS C1876
Hospital Charge Code	27800097
Hospital Revenue Code	278
Min. Negotiated Rate	$568.26
Max. Negotiated Rate	$1,278.58
Rate for Payer: Aetna Commercial	$1,207.55
Rate for Payer: Aetna New Business (MI Preferred)	$923.42
Rate for Payer: BCBS Complete	$568.26
Rate for Payer: Cash Price	$1,136.52
Rate for Payer: Cofinity Commercial	$1,221.76
Rate for Payer: Cofinity Commercial	$994.46
Rate for Payer: Healthscope Commercial	$1,278.58
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$1,207.55
Rate for Payer: PHP Commercial	$1,207.55
Rate for Payer: Priority Health Cigna Priority Health	$994.46
Rate for Payer: Priority Health SBD	$895.01

HC STENT NONCOATED W SYS LVL 6

Facility

$2,011.34

Service Code	HCPCS C1876
Hospital Charge Code	27800098
Hospital Revenue Code	278
Min. Negotiated Rate	$804.54
Max. Negotiated Rate	$1,810.21
Rate for Payer: Aetna Commercial	$1,709.64
Rate for Payer: Aetna New Business (MI Preferred)	$1,307.37
Rate for Payer: BCBS Complete	$804.54
Rate for Payer: Cash Price	$1,609.07
Rate for Payer: Cofinity Commercial	$1,407.94
Rate for Payer: Cofinity Commercial	$1,729.75
Rate for Payer: Healthscope Commercial	$1,810.21
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$1,709.64
Rate for Payer: PHP Commercial	$1,709.64
Rate for Payer: Priority Health Cigna Priority Health	$1,407.94
Rate for Payer: Priority Health SBD	$1,267.14

HC STENT NONCOATED W SYS LVL 6

Facility

$2,011.34

Service Code	HCPCS C1876
Hospital Charge Code	27800098
Hospital Revenue Code	278
Min. Negotiated Rate	$1,267.14
Max. Negotiated Rate	$1,810.21
Rate for Payer: Aetna Commercial	$1,709.64
Rate for Payer: Aetna New Business (MI Preferred)	$1,307.37
Rate for Payer: Cash Price	$1,609.07
Rate for Payer: Cofinity Commercial	$1,407.94
Rate for Payer: Cofinity Commercial	$1,729.75
Rate for Payer: Healthscope Commercial	$1,810.21
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$1,709.64
Rate for Payer: PHP Commercial	$1,709.64
Rate for Payer: Priority Health Cigna Priority Health	$1,407.94
Rate for Payer: Priority Health SBD	$1,267.14

HC STENT NONCOATED W SYS LVL 7

Facility

$2,444.40

Service Code	HCPCS c1876
Hospital Charge Code	27800099
Hospital Revenue Code	278
Min. Negotiated Rate	$977.76
Max. Negotiated Rate	$2,199.96
Rate for Payer: Aetna Commercial	$2,077.74
Rate for Payer: Aetna New Business (MI Preferred)	$1,588.86
Rate for Payer: BCBS Complete	$977.76
Rate for Payer: Cash Price	$1,955.52
Rate for Payer: Cofinity Commercial	$1,711.08
Rate for Payer: Cofinity Commercial	$2,102.18
Rate for Payer: Healthscope Commercial	$2,199.96
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$2,077.74
Rate for Payer: PHP Commercial	$2,077.74
Rate for Payer: Priority Health Cigna Priority Health	$1,711.08
Rate for Payer: Priority Health SBD	$1,539.97

Know your out-of-pocket cost for care.

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