Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

HC NEG PRES CANIST 1000CC

Facility

$237.85

Hospital Charge Code	27200232
Hospital Revenue Code	272
Min. Negotiated Rate	$149.85
Max. Negotiated Rate	$214.06
Rate for Payer: Aetna Commercial	$202.17
Rate for Payer: Aetna New Business (MI Preferred)	$154.60
Rate for Payer: Cash Price	$190.28
Rate for Payer: Cofinity Advantage	$166.50
Rate for Payer: Cofinity Commercial	$204.55
Rate for Payer: Encore Health Key Benefits Commercial	$190.28
Rate for Payer: Healthscope Commercial	$214.06
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$202.17
Rate for Payer: Opus (Opus Packaging Group) HMA	$178.39
Rate for Payer: PHP Commercial	$202.17
Rate for Payer: Priority Health SBD	$149.85

HC NEG PRES CANIST 1000CC

Facility

$237.85

Hospital Charge Code	27200232
Hospital Revenue Code	272
Min. Negotiated Rate	$93.48
Max. Negotiated Rate	$214.06
Rate for Payer: Aetna Commercial	$202.17
Rate for Payer: Aetna Medicare	$118.92
Rate for Payer: Aetna New Business (MI Preferred)	$154.60
Rate for Payer: BCBS Complete	$95.14
Rate for Payer: Cash Price	$190.28
Rate for Payer: Cofinity Advantage	$166.50
Rate for Payer: Cofinity Commercial	$204.55
Rate for Payer: Encore Health Key Benefits Commercial	$190.28
Rate for Payer: Healthscope Commercial	$214.06
Rate for Payer: MI Amish Medical Board Commercial	$190.28
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$202.17
Rate for Payer: Opus (Opus Packaging Group) HMA	$178.39
Rate for Payer: PHP Commercial	$202.17
Rate for Payer: Priority Health SBD	$149.85
Rate for Payer: UHC All Payor (Choice/PPO)	$154.60
Rate for Payer: UHC Core	$123.92
Rate for Payer: UHC Exchange	$93.48

HC NEG PRES CANIST 500CC

Facility

$154.49

Hospital Charge Code	27200136
Hospital Revenue Code	272
Min. Negotiated Rate	$60.71
Max. Negotiated Rate	$139.04
Rate for Payer: Aetna Commercial	$131.32
Rate for Payer: Aetna Medicare	$77.25
Rate for Payer: Aetna New Business (MI Preferred)	$100.42
Rate for Payer: BCBS Complete	$61.80
Rate for Payer: Cash Price	$123.59
Rate for Payer: Cofinity Advantage	$108.14
Rate for Payer: Cofinity Commercial	$132.86
Rate for Payer: Encore Health Key Benefits Commercial	$123.59
Rate for Payer: Healthscope Commercial	$139.04
Rate for Payer: MI Amish Medical Board Commercial	$123.59
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$131.32
Rate for Payer: Opus (Opus Packaging Group) HMA	$115.87
Rate for Payer: PHP Commercial	$131.32
Rate for Payer: Priority Health SBD	$97.33
Rate for Payer: UHC All Payor (Choice/PPO)	$100.42
Rate for Payer: UHC Core	$80.49
Rate for Payer: UHC Exchange	$60.71

HC NEG PRES CANIST 500CC

Facility

$154.49

Hospital Charge Code	27200136
Hospital Revenue Code	272
Min. Negotiated Rate	$97.33
Max. Negotiated Rate	$139.04
Rate for Payer: Aetna Commercial	$131.32
Rate for Payer: Aetna New Business (MI Preferred)	$100.42
Rate for Payer: Cash Price	$123.59
Rate for Payer: Cofinity Advantage	$108.14
Rate for Payer: Cofinity Commercial	$132.86
Rate for Payer: Encore Health Key Benefits Commercial	$123.59
Rate for Payer: Healthscope Commercial	$139.04
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$131.32
Rate for Payer: Opus (Opus Packaging Group) HMA	$115.87
Rate for Payer: PHP Commercial	$131.32
Rate for Payer: Priority Health SBD	$97.33

HC NEG PRES CLEANSE DRSG MED

Facility

$521.12

Hospital Charge Code	27200229
Hospital Revenue Code	272
Min. Negotiated Rate	$204.80
Max. Negotiated Rate	$469.01
Rate for Payer: Aetna Commercial	$442.95
Rate for Payer: Aetna Medicare	$260.56
Rate for Payer: Aetna New Business (MI Preferred)	$338.73
Rate for Payer: BCBS Complete	$208.45
Rate for Payer: Cash Price	$416.90
Rate for Payer: Cofinity Advantage	$364.78
Rate for Payer: Cofinity Commercial	$448.16
Rate for Payer: Encore Health Key Benefits Commercial	$416.90
Rate for Payer: Healthscope Commercial	$469.01
Rate for Payer: MI Amish Medical Board Commercial	$416.90
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$442.95
Rate for Payer: Opus (Opus Packaging Group) HMA	$390.84
Rate for Payer: PHP Commercial	$442.95
Rate for Payer: Priority Health SBD	$328.31
Rate for Payer: UHC All Payor (Choice/PPO)	$338.73
Rate for Payer: UHC Core	$271.50
Rate for Payer: UHC Exchange	$204.80

HC NEG PRES CLEANSE DRSG MED

Facility

$521.12

Hospital Charge Code	27200229
Hospital Revenue Code	272
Min. Negotiated Rate	$328.31
Max. Negotiated Rate	$469.01
Rate for Payer: Aetna Commercial	$442.95
Rate for Payer: Aetna New Business (MI Preferred)	$338.73
Rate for Payer: Cash Price	$416.90
Rate for Payer: Cofinity Advantage	$364.78
Rate for Payer: Cofinity Commercial	$448.16
Rate for Payer: Encore Health Key Benefits Commercial	$416.90
Rate for Payer: Healthscope Commercial	$469.01
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$442.95
Rate for Payer: Opus (Opus Packaging Group) HMA	$390.84
Rate for Payer: PHP Commercial	$442.95
Rate for Payer: Priority Health SBD	$328.31

HC NEG PRES PEEL & PLACE DSG KIT LRG

Facility

$405.03

Hospital Charge Code	27200404
Hospital Revenue Code	272
Min. Negotiated Rate	$159.18
Max. Negotiated Rate	$364.53
Rate for Payer: Aetna Commercial	$344.28
Rate for Payer: Aetna Medicare	$202.51
Rate for Payer: Aetna New Business (MI Preferred)	$263.27
Rate for Payer: BCBS Complete	$162.01
Rate for Payer: Cash Price	$324.02
Rate for Payer: Cofinity Advantage	$283.52
Rate for Payer: Cofinity Commercial	$348.33
Rate for Payer: Encore Health Key Benefits Commercial	$324.02
Rate for Payer: Healthscope Commercial	$364.53
Rate for Payer: MI Amish Medical Board Commercial	$324.02
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$344.28
Rate for Payer: Opus (Opus Packaging Group) HMA	$303.77
Rate for Payer: PHP Commercial	$344.28
Rate for Payer: Priority Health SBD	$255.17
Rate for Payer: UHC All Payor (Choice/PPO)	$263.27
Rate for Payer: UHC Core	$211.02
Rate for Payer: UHC Exchange	$159.18

HC NEG PRES PEEL & PLACE DSG KIT LRG

Facility

$405.03

Hospital Charge Code	27200404
Hospital Revenue Code	272
Min. Negotiated Rate	$255.17
Max. Negotiated Rate	$364.53
Rate for Payer: Aetna Commercial	$344.28
Rate for Payer: Aetna New Business (MI Preferred)	$263.27
Rate for Payer: Cash Price	$324.02
Rate for Payer: Cofinity Advantage	$283.52
Rate for Payer: Cofinity Commercial	$348.33
Rate for Payer: Encore Health Key Benefits Commercial	$324.02
Rate for Payer: Healthscope Commercial	$364.53
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$344.28
Rate for Payer: Opus (Opus Packaging Group) HMA	$303.77
Rate for Payer: PHP Commercial	$344.28
Rate for Payer: Priority Health SBD	$255.17

HC NEG PRES PEEL & PLACE DSG KIT MED

Facility

$328.89

Hospital Charge Code	27200403
Hospital Revenue Code	272
Min. Negotiated Rate	$129.25
Max. Negotiated Rate	$296.00
Rate for Payer: Aetna Commercial	$279.56
Rate for Payer: Aetna Medicare	$164.44
Rate for Payer: Aetna New Business (MI Preferred)	$213.78
Rate for Payer: BCBS Complete	$131.56
Rate for Payer: Cash Price	$263.11
Rate for Payer: Cofinity Advantage	$230.22
Rate for Payer: Cofinity Commercial	$282.85
Rate for Payer: Encore Health Key Benefits Commercial	$263.11
Rate for Payer: Healthscope Commercial	$296.00
Rate for Payer: MI Amish Medical Board Commercial	$263.11
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$279.56
Rate for Payer: Opus (Opus Packaging Group) HMA	$246.67
Rate for Payer: PHP Commercial	$279.56
Rate for Payer: Priority Health SBD	$207.20
Rate for Payer: UHC All Payor (Choice/PPO)	$213.78
Rate for Payer: UHC Core	$171.35
Rate for Payer: UHC Exchange	$129.25

HC NEG PRES PEEL & PLACE DSG KIT MED

Facility

$328.89

Hospital Charge Code	27200403
Hospital Revenue Code	272
Min. Negotiated Rate	$207.20
Max. Negotiated Rate	$296.00
Rate for Payer: Aetna Commercial	$279.56
Rate for Payer: Aetna New Business (MI Preferred)	$213.78
Rate for Payer: Cash Price	$263.11
Rate for Payer: Cofinity Advantage	$230.22
Rate for Payer: Cofinity Commercial	$282.85
Rate for Payer: Encore Health Key Benefits Commercial	$263.11
Rate for Payer: Healthscope Commercial	$296.00
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$279.56
Rate for Payer: Opus (Opus Packaging Group) HMA	$246.67
Rate for Payer: PHP Commercial	$279.56
Rate for Payer: Priority Health SBD	$207.20

HC NEG PRES PEEL & PLACE DSG KIT SML

Facility

$266.16

Hospital Charge Code	27200402
Hospital Revenue Code	272
Min. Negotiated Rate	$104.60
Max. Negotiated Rate	$239.54
Rate for Payer: Aetna Commercial	$226.24
Rate for Payer: Aetna Medicare	$133.08
Rate for Payer: Aetna New Business (MI Preferred)	$173.00
Rate for Payer: BCBS Complete	$106.46
Rate for Payer: Cash Price	$212.93
Rate for Payer: Cofinity Advantage	$186.31
Rate for Payer: Cofinity Commercial	$228.90
Rate for Payer: Encore Health Key Benefits Commercial	$212.93
Rate for Payer: Healthscope Commercial	$239.54
Rate for Payer: MI Amish Medical Board Commercial	$212.93
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$226.24
Rate for Payer: Opus (Opus Packaging Group) HMA	$199.62
Rate for Payer: PHP Commercial	$226.24
Rate for Payer: Priority Health SBD	$167.68
Rate for Payer: UHC All Payor (Choice/PPO)	$173.00
Rate for Payer: UHC Core	$138.67
Rate for Payer: UHC Exchange	$104.60

HC NEG PRES PEEL & PLACE DSG KIT SML

Facility

$266.16

Hospital Charge Code	27200402
Hospital Revenue Code	272
Min. Negotiated Rate	$167.68
Max. Negotiated Rate	$239.54
Rate for Payer: Aetna Commercial	$226.24
Rate for Payer: Aetna New Business (MI Preferred)	$173.00
Rate for Payer: Cash Price	$212.93
Rate for Payer: Cofinity Advantage	$186.31
Rate for Payer: Cofinity Commercial	$228.90
Rate for Payer: Encore Health Key Benefits Commercial	$212.93
Rate for Payer: Healthscope Commercial	$239.54
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$226.24
Rate for Payer: Opus (Opus Packaging Group) HMA	$199.62
Rate for Payer: PHP Commercial	$226.24
Rate for Payer: Priority Health SBD	$167.68

HC NEG PRESSURE DERMATAC DRAPE

Facility

$65.79

Hospital Charge Code	27200374
Hospital Revenue Code	272
Min. Negotiated Rate	$25.86
Max. Negotiated Rate	$59.21
Rate for Payer: Aetna Commercial	$55.92
Rate for Payer: Aetna Medicare	$32.90
Rate for Payer: Aetna New Business (MI Preferred)	$42.76
Rate for Payer: BCBS Complete	$26.32
Rate for Payer: Cash Price	$52.63
Rate for Payer: Cofinity Advantage	$46.05
Rate for Payer: Cofinity Commercial	$56.58
Rate for Payer: Encore Health Key Benefits Commercial	$52.63
Rate for Payer: Healthscope Commercial	$59.21
Rate for Payer: MI Amish Medical Board Commercial	$52.63
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$55.92
Rate for Payer: Opus (Opus Packaging Group) HMA	$49.34
Rate for Payer: PHP Commercial	$55.92
Rate for Payer: Priority Health SBD	$41.45
Rate for Payer: UHC All Payor (Choice/PPO)	$42.76
Rate for Payer: UHC Core	$34.28
Rate for Payer: UHC Exchange	$25.86

HC NEG PRESSURE DERMATAC DRAPE

Facility

$65.79

Hospital Charge Code	27200374
Hospital Revenue Code	272
Min. Negotiated Rate	$41.45
Max. Negotiated Rate	$59.21
Rate for Payer: Aetna Commercial	$55.92
Rate for Payer: Aetna New Business (MI Preferred)	$42.76
Rate for Payer: Cash Price	$52.63
Rate for Payer: Cofinity Advantage	$46.05
Rate for Payer: Cofinity Commercial	$56.58
Rate for Payer: Encore Health Key Benefits Commercial	$52.63
Rate for Payer: Healthscope Commercial	$59.21
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$55.92
Rate for Payer: Opus (Opus Packaging Group) HMA	$49.34
Rate for Payer: PHP Commercial	$55.92
Rate for Payer: Priority Health SBD	$41.45

HC NEG PRESSURE WND TX DME GT 50 SQ CM

Facility

$551.65

Service Code	CPT 97606
Hospital Charge Code	76100009
Hospital Revenue Code	761
Min. Negotiated Rate	$68.06
Max. Negotiated Rate	$1,309.90
Rate for Payer: Aetna Commercial	$468.90
Rate for Payer: Aetna Medicare	$421.25
Rate for Payer: Aetna New Business (MI Preferred)	$358.57
Rate for Payer: Allen County Amish Medical Aid Commercial	$506.31
Rate for Payer: Amish Plain Church Group Commercial	$506.31
Rate for Payer: BCBS Complete	$222.45
Rate for Payer: BCBS MAPPO	$405.05
Rate for Payer: BCBS Trust/PPO	$68.06
Rate for Payer: BCN Commercial	$68.06
Rate for Payer: BCN Medicare Advantage	$405.05
Rate for Payer: Cash Price	$441.32
Rate for Payer: Cash Price	$441.32
Rate for Payer: Cash Price	$441.32
Rate for Payer: Cofinity Advantage	$386.15
Rate for Payer: Cofinity Commercial	$474.42
Rate for Payer: Encore Health Key Benefits Commercial	$441.32
Rate for Payer: Health Alliance Plan Medicare Advantage	$405.05
Rate for Payer: Healthscope Commercial	$496.49
Rate for Payer: Mclaren Medicaid	$211.84
Rate for Payer: Mclaren Medicare	$405.05
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$425.30
Rate for Payer: Meridian Medicaid	$425.30
Rate for Payer: MI Amish Medical Board Commercial	$465.81
Rate for Payer: Molina Medicare/Medicaid	$445.56
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$468.90
Rate for Payer: Nomi Health Commercial	$1,215.15
Rate for Payer: Opus (Opus Packaging Group) HMA	$413.74
Rate for Payer: PACE Medicare	$384.80
Rate for Payer: PACE SWMI	$405.05
Rate for Payer: PHP Commercial	$468.90
Rate for Payer: PHP Medicare Advantage	$405.05
Rate for Payer: Priority Health Choice Medicaid	$211.84
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$1,309.90
Rate for Payer: Priority Health Medicare	$405.05
Rate for Payer: Priority Health SBD	$347.54
Rate for Payer: Priority Health Tiered Network	$1,047.92
Rate for Payer: Railroad Medicare Medicare	$405.05
Rate for Payer: UHC All Payor (Choice/PPO)	$358.57
Rate for Payer: UHC Core	$287.41
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$405.05
Rate for Payer: UHC Exchange	$216.80
Rate for Payer: UHC Medicaid	$211.84
Rate for Payer: UHCCP Medicaid	$211.84
Rate for Payer: VA VA	$405.05

HC NEG PRESSURE WND TX DME GT 50 SQ CM

Facility

$551.65

Service Code	CPT 97606
Hospital Charge Code	76100009
Hospital Revenue Code	761
Min. Negotiated Rate	$347.54
Max. Negotiated Rate	$496.49
Rate for Payer: Aetna Commercial	$468.90
Rate for Payer: Aetna New Business (MI Preferred)	$358.57
Rate for Payer: Cash Price	$441.32
Rate for Payer: Cofinity Advantage	$386.15
Rate for Payer: Cofinity Commercial	$474.42
Rate for Payer: Encore Health Key Benefits Commercial	$441.32
Rate for Payer: Healthscope Commercial	$496.49
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$468.90
Rate for Payer: Opus (Opus Packaging Group) HMA	$413.74
Rate for Payer: PHP Commercial	$468.90
Rate for Payer: Priority Health SBD	$347.54

HC NEG PRESSURE WND TX DME UP TO 50 SQ CM

Facility

$436.89

Service Code	CPT 97605
Hospital Charge Code	76100008
Hospital Revenue Code	761
Min. Negotiated Rate	$275.24
Max. Negotiated Rate	$393.20
Rate for Payer: Aetna Commercial	$371.36
Rate for Payer: Aetna New Business (MI Preferred)	$283.98
Rate for Payer: Cash Price	$349.51
Rate for Payer: Cofinity Advantage	$305.82
Rate for Payer: Cofinity Commercial	$375.73
Rate for Payer: Encore Health Key Benefits Commercial	$349.51
Rate for Payer: Healthscope Commercial	$393.20
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$371.36
Rate for Payer: Opus (Opus Packaging Group) HMA	$327.67
Rate for Payer: PHP Commercial	$371.36
Rate for Payer: Priority Health SBD	$275.24

HC NEG PRESSURE WND TX DME UP TO 50 SQ CM

Facility

$436.89

Service Code	CPT 97605
Hospital Charge Code	76100008
Hospital Revenue Code	761
Min. Negotiated Rate	$62.78
Max. Negotiated Rate	$646.50
Rate for Payer: Aetna Commercial	$371.36
Rate for Payer: Aetna Medicare	$207.91
Rate for Payer: Aetna New Business (MI Preferred)	$283.98
Rate for Payer: Allen County Amish Medical Aid Commercial	$249.89
Rate for Payer: Amish Plain Church Group Commercial	$249.89
Rate for Payer: BCBS Complete	$109.79
Rate for Payer: BCBS MAPPO	$199.91
Rate for Payer: BCBS Trust/PPO	$62.78
Rate for Payer: BCN Commercial	$62.78
Rate for Payer: BCN Medicare Advantage	$199.91
Rate for Payer: Cash Price	$349.51
Rate for Payer: Cash Price	$349.51
Rate for Payer: Cash Price	$349.51
Rate for Payer: Cofinity Advantage	$305.82
Rate for Payer: Cofinity Commercial	$375.73
Rate for Payer: Encore Health Key Benefits Commercial	$349.51
Rate for Payer: Health Alliance Plan Medicare Advantage	$199.91
Rate for Payer: Healthscope Commercial	$393.20
Rate for Payer: Mclaren Medicaid	$104.55
Rate for Payer: Mclaren Medicare	$199.91
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$209.91
Rate for Payer: Meridian Medicaid	$209.91
Rate for Payer: MI Amish Medical Board Commercial	$229.90
Rate for Payer: Molina Medicare/Medicaid	$219.90
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$371.36
Rate for Payer: Nomi Health Commercial	$599.73
Rate for Payer: Opus (Opus Packaging Group) HMA	$327.67
Rate for Payer: PACE Medicare	$189.91
Rate for Payer: PACE SWMI	$199.91
Rate for Payer: PHP Commercial	$371.36
Rate for Payer: PHP Medicare Advantage	$199.91
Rate for Payer: Priority Health Choice Medicaid	$104.55
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$646.50
Rate for Payer: Priority Health Medicare	$199.91
Rate for Payer: Priority Health SBD	$275.24
Rate for Payer: Priority Health Tiered Network	$517.20
Rate for Payer: Railroad Medicare Medicare	$199.91
Rate for Payer: UHC All Payor (Choice/PPO)	$283.98
Rate for Payer: UHC Core	$227.62
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$199.91
Rate for Payer: UHC Exchange	$171.70
Rate for Payer: UHC Medicaid	$104.55
Rate for Payer: UHCCP Medicaid	$104.55
Rate for Payer: VA VA	$199.91

HC NEG PRES TRAC PAD

Facility

$75.29

Hospital Charge Code	27000158
Hospital Revenue Code	270
Min. Negotiated Rate	$47.43
Max. Negotiated Rate	$67.76
Rate for Payer: Aetna Commercial	$64.00
Rate for Payer: Aetna New Business (MI Preferred)	$48.94
Rate for Payer: Cash Price	$60.23
Rate for Payer: Cofinity Advantage	$52.70
Rate for Payer: Cofinity Commercial	$64.75
Rate for Payer: Encore Health Key Benefits Commercial	$60.23
Rate for Payer: Healthscope Commercial	$67.76
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$64.00
Rate for Payer: Opus (Opus Packaging Group) HMA	$56.47
Rate for Payer: PHP Commercial	$64.00
Rate for Payer: Priority Health SBD	$47.43

HC NEG PRES TRAC PAD

Facility

$75.29

Hospital Charge Code	27000158
Hospital Revenue Code	270
Min. Negotiated Rate	$29.59
Max. Negotiated Rate	$67.76
Rate for Payer: Aetna Commercial	$64.00
Rate for Payer: Aetna Medicare	$37.65
Rate for Payer: Aetna New Business (MI Preferred)	$48.94
Rate for Payer: BCBS Complete	$30.12
Rate for Payer: Cash Price	$60.23
Rate for Payer: Cofinity Advantage	$52.70
Rate for Payer: Cofinity Commercial	$64.75
Rate for Payer: Encore Health Key Benefits Commercial	$60.23
Rate for Payer: Healthscope Commercial	$67.76
Rate for Payer: MI Amish Medical Board Commercial	$60.23
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$64.00
Rate for Payer: Opus (Opus Packaging Group) HMA	$56.47
Rate for Payer: PHP Commercial	$64.00
Rate for Payer: Priority Health SBD	$47.43
Rate for Payer: UHC All Payor (Choice/PPO)	$48.94
Rate for Payer: UHC Core	$39.23
Rate for Payer: UHC Exchange	$29.59

HC NEG PRES VF CASSETTE

Facility

$217.13

Hospital Charge Code	27200230
Hospital Revenue Code	272
Min. Negotiated Rate	$85.33
Max. Negotiated Rate	$195.42
Rate for Payer: Aetna Commercial	$184.56
Rate for Payer: Aetna Medicare	$108.56
Rate for Payer: Aetna New Business (MI Preferred)	$141.13
Rate for Payer: BCBS Complete	$86.85
Rate for Payer: Cash Price	$173.70
Rate for Payer: Cofinity Advantage	$151.99
Rate for Payer: Cofinity Commercial	$186.73
Rate for Payer: Encore Health Key Benefits Commercial	$173.70
Rate for Payer: Healthscope Commercial	$195.42
Rate for Payer: MI Amish Medical Board Commercial	$173.70
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$184.56
Rate for Payer: Opus (Opus Packaging Group) HMA	$162.85
Rate for Payer: PHP Commercial	$184.56
Rate for Payer: Priority Health SBD	$136.79
Rate for Payer: UHC All Payor (Choice/PPO)	$141.13
Rate for Payer: UHC Core	$113.12
Rate for Payer: UHC Exchange	$85.33

HC NEG PRES VF CASSETTE

Facility

$217.13

Hospital Charge Code	27200230
Hospital Revenue Code	272
Min. Negotiated Rate	$136.79
Max. Negotiated Rate	$195.42
Rate for Payer: Aetna Commercial	$184.56
Rate for Payer: Aetna New Business (MI Preferred)	$141.13
Rate for Payer: Cash Price	$173.70
Rate for Payer: Cofinity Advantage	$151.99
Rate for Payer: Cofinity Commercial	$186.73
Rate for Payer: Encore Health Key Benefits Commercial	$173.70
Rate for Payer: Healthscope Commercial	$195.42
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$184.56
Rate for Payer: Opus (Opus Packaging Group) HMA	$162.85
Rate for Payer: PHP Commercial	$184.56
Rate for Payer: Priority Health SBD	$136.79

HC NEG PRES VF DRSG MED

Facility

$454.00

Hospital Charge Code	27200228
Hospital Revenue Code	272
Min. Negotiated Rate	$178.42
Max. Negotiated Rate	$408.60
Rate for Payer: Aetna Commercial	$385.90
Rate for Payer: Aetna Medicare	$227.00
Rate for Payer: Aetna New Business (MI Preferred)	$295.10
Rate for Payer: BCBS Complete	$181.60
Rate for Payer: Cash Price	$363.20
Rate for Payer: Cofinity Advantage	$317.80
Rate for Payer: Cofinity Commercial	$390.44
Rate for Payer: Encore Health Key Benefits Commercial	$363.20
Rate for Payer: Healthscope Commercial	$408.60
Rate for Payer: MI Amish Medical Board Commercial	$363.20
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$385.90
Rate for Payer: Opus (Opus Packaging Group) HMA	$340.50
Rate for Payer: PHP Commercial	$385.90
Rate for Payer: Priority Health SBD	$286.02
Rate for Payer: UHC All Payor (Choice/PPO)	$295.10
Rate for Payer: UHC Core	$236.53
Rate for Payer: UHC Exchange	$178.42

HC NEG PRES VF DRSG MED

Facility

$454.00

Hospital Charge Code	27200228
Hospital Revenue Code	272
Min. Negotiated Rate	$286.02
Max. Negotiated Rate	$408.60
Rate for Payer: Aetna Commercial	$385.90
Rate for Payer: Aetna New Business (MI Preferred)	$295.10
Rate for Payer: Cash Price	$363.20
Rate for Payer: Cofinity Advantage	$317.80
Rate for Payer: Cofinity Commercial	$390.44
Rate for Payer: Encore Health Key Benefits Commercial	$363.20
Rate for Payer: Healthscope Commercial	$408.60
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$385.90
Rate for Payer: Opus (Opus Packaging Group) HMA	$340.50
Rate for Payer: PHP Commercial	$385.90
Rate for Payer: Priority Health SBD	$286.02

HC NEG PRES VF DRSG SMA

Facility

$386.89

Hospital Charge Code	27200227
Hospital Revenue Code	272
Min. Negotiated Rate	$152.05
Max. Negotiated Rate	$348.20
Rate for Payer: Aetna Commercial	$328.86
Rate for Payer: Aetna Medicare	$193.44
Rate for Payer: Aetna New Business (MI Preferred)	$251.48
Rate for Payer: BCBS Complete	$154.76
Rate for Payer: Cash Price	$309.51
Rate for Payer: Cofinity Advantage	$270.82
Rate for Payer: Cofinity Commercial	$332.73
Rate for Payer: Encore Health Key Benefits Commercial	$309.51
Rate for Payer: Healthscope Commercial	$348.20
Rate for Payer: MI Amish Medical Board Commercial	$309.51
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$328.86
Rate for Payer: Opus (Opus Packaging Group) HMA	$290.17
Rate for Payer: PHP Commercial	$328.86
Rate for Payer: Priority Health SBD	$243.74
Rate for Payer: UHC All Payor (Choice/PPO)	$251.48
Rate for Payer: UHC Core	$201.57
Rate for Payer: UHC Exchange	$152.05

Know your out-of-pocket cost for care.

All Charges