Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

HC Z CORDIS BALLOON STENT

Facility

$5,380.54

Service Code	HCPCS C1876
Hospital Charge Code	27800038
Hospital Revenue Code	278
Min. Negotiated Rate	$2,152.22
Max. Negotiated Rate	$4,842.49
Rate for Payer: Aetna Commercial	$4,573.46
Rate for Payer: Aetna New Business (MI Preferred)	$3,497.35
Rate for Payer: BCBS Complete	$2,152.22
Rate for Payer: Cash Price	$4,304.43
Rate for Payer: Cofinity Commercial	$3,766.38
Rate for Payer: Cofinity Commercial	$4,627.26
Rate for Payer: Healthscope Commercial	$4,842.49
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$4,573.46
Rate for Payer: PHP Commercial	$4,573.46
Rate for Payer: Priority Health Cigna Priority Health	$3,766.38
Rate for Payer: Priority Health SBD	$3,389.74

HC Z EMBOLIZATION COILS

Facility

$4,017.54

Hospital Charge Code	27800045
Hospital Revenue Code	278
Min. Negotiated Rate	$2,531.05
Max. Negotiated Rate	$3,615.79
Rate for Payer: Aetna Commercial	$3,414.91
Rate for Payer: Aetna New Business (MI Preferred)	$2,611.40
Rate for Payer: Cash Price	$3,214.03
Rate for Payer: Cofinity Commercial	$2,812.28
Rate for Payer: Cofinity Commercial	$3,455.08
Rate for Payer: Healthscope Commercial	$3,615.79
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$3,414.91
Rate for Payer: PHP Commercial	$3,414.91
Rate for Payer: Priority Health Cigna Priority Health	$2,812.28
Rate for Payer: Priority Health SBD	$2,531.05

HC Z EMBOLIZATION COILS

Facility

$4,017.54

Hospital Charge Code	27800045
Hospital Revenue Code	278
Min. Negotiated Rate	$1,607.02
Max. Negotiated Rate	$3,615.79
Rate for Payer: Aetna Commercial	$3,414.91
Rate for Payer: Aetna New Business (MI Preferred)	$2,611.40
Rate for Payer: BCBS Complete	$1,607.02
Rate for Payer: Cash Price	$3,214.03
Rate for Payer: Cofinity Commercial	$2,812.28
Rate for Payer: Cofinity Commercial	$3,455.08
Rate for Payer: Healthscope Commercial	$3,615.79
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$3,414.91
Rate for Payer: PHP Commercial	$3,414.91
Rate for Payer: Priority Health Cigna Priority Health	$2,812.28
Rate for Payer: Priority Health SBD	$2,531.05

HC Z ENTERPRISE DEVICE

Facility

$7,541.41

Hospital Charge Code	27800047
Hospital Revenue Code	278
Min. Negotiated Rate	$4,751.09
Max. Negotiated Rate	$6,787.27
Rate for Payer: Aetna Commercial	$6,410.20
Rate for Payer: Aetna New Business (MI Preferred)	$4,901.92
Rate for Payer: Cash Price	$6,033.13
Rate for Payer: Cofinity Commercial	$5,278.99
Rate for Payer: Cofinity Commercial	$6,485.61
Rate for Payer: Healthscope Commercial	$6,787.27
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$6,410.20
Rate for Payer: PHP Commercial	$6,410.20
Rate for Payer: Priority Health Cigna Priority Health	$5,278.99
Rate for Payer: Priority Health SBD	$4,751.09

HC Z ENTERPRISE DEVICE

Facility

$7,541.41

Hospital Charge Code	27800047
Hospital Revenue Code	278
Min. Negotiated Rate	$3,016.56
Max. Negotiated Rate	$6,787.27
Rate for Payer: Aetna Commercial	$6,410.20
Rate for Payer: Aetna New Business (MI Preferred)	$4,901.92
Rate for Payer: BCBS Complete	$3,016.56
Rate for Payer: Cash Price	$6,033.13
Rate for Payer: Cofinity Commercial	$5,278.99
Rate for Payer: Cofinity Commercial	$6,485.61
Rate for Payer: Healthscope Commercial	$6,787.27
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$6,410.20
Rate for Payer: PHP Commercial	$6,410.20
Rate for Payer: Priority Health Cigna Priority Health	$5,278.99
Rate for Payer: Priority Health SBD	$4,751.09

HC ZEVALIN IN-III PER STUDY

Facility

$2,185.41

Service Code	HCPCS A9542
Hospital Charge Code	34300025
Hospital Revenue Code	343
Min. Negotiated Rate	$874.16
Max. Negotiated Rate	$2,891.77
Rate for Payer: Aetna Commercial	$1,857.60
Rate for Payer: Aetna New Business (MI Preferred)	$1,420.52
Rate for Payer: BCBS Complete	$874.16
Rate for Payer: BCBS Trust/PPO	$2,891.77
Rate for Payer: Cash Price	$1,748.33
Rate for Payer: Cash Price	$1,748.33
Rate for Payer: Cofinity Commercial	$1,529.79
Rate for Payer: Cofinity Commercial	$1,879.45
Rate for Payer: Healthscope Commercial	$1,966.87
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$1,857.60
Rate for Payer: PHP Commercial	$1,857.60
Rate for Payer: Priority Health Cigna Priority Health	$1,529.79
Rate for Payer: Priority Health SBD	$1,376.81

HC ZEVALIN IN-III PER STUDY

Facility

$2,185.41

Service Code	HCPCS A9542
Hospital Charge Code	34300025
Hospital Revenue Code	343
Min. Negotiated Rate	$1,376.81
Max. Negotiated Rate	$1,966.87
Rate for Payer: Aetna Commercial	$1,857.60
Rate for Payer: Aetna New Business (MI Preferred)	$1,420.52
Rate for Payer: Cash Price	$1,748.33
Rate for Payer: Cofinity Commercial	$1,529.79
Rate for Payer: Cofinity Commercial	$1,879.45
Rate for Payer: Healthscope Commercial	$1,966.87
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$1,857.60
Rate for Payer: PHP Commercial	$1,857.60
Rate for Payer: Priority Health Cigna Priority Health	$1,529.79
Rate for Payer: Priority Health SBD	$1,376.81

HC ZEVALIN Y-90 PER STUDY

Facility

$60,748.42

Service Code	HCPCS A9543
Hospital Charge Code	34400006
Hospital Revenue Code	344
Min. Negotiated Rate	$35,815.69
Max. Negotiated Rate	$81,845.73
Rate for Payer: Aetna Commercial	$51,636.16
Rate for Payer: Aetna Medicare	$68,095.65
Rate for Payer: Aetna New Business (MI Preferred)	$39,486.47
Rate for Payer: Allen County Amish Medical Aid Commercial	$81,845.73
Rate for Payer: Amish Plain Church Group Commercial	$81,845.73
Rate for Payer: BCBS Complete	$37,609.75
Rate for Payer: BCBS MAPPO	$65,476.58
Rate for Payer: BCBS Trust/PPO	$68,364.10
Rate for Payer: BCN Medicare Advantage	$65,476.58
Rate for Payer: Cash Price	$48,598.74
Rate for Payer: Cash Price	$48,598.74
Rate for Payer: Cofinity Commercial	$42,523.89
Rate for Payer: Cofinity Commercial	$52,243.64
Rate for Payer: Health Alliance Plan Medicare Advantage	$65,476.58
Rate for Payer: Healthscope Commercial	$54,673.58
Rate for Payer: Mclaren Medicaid	$35,815.69
Rate for Payer: Mclaren Medicare	$65,476.58
Rate for Payer: Meridian Medicaid	$37,609.75
Rate for Payer: Meridian Wellcare - Medicare Advantage	$68,750.41
Rate for Payer: MI Amish Medical Board Commercial	$75,298.07
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$51,636.16
Rate for Payer: PACE Medicare	$62,202.75
Rate for Payer: PACE SWMI	$65,476.58
Rate for Payer: PHP Commercial	$51,636.16
Rate for Payer: PHP Medicare Advantage	$65,476.58
Rate for Payer: Priority Health Choice Medicaid	$35,815.69
Rate for Payer: Priority Health Cigna Priority Health	$42,523.89
Rate for Payer: Priority Health Medicare	$65,476.58
Rate for Payer: Priority Health SBD	$38,271.50
Rate for Payer: Railroad Medicare Medicare	$65,476.58
Rate for Payer: UHC Dual Complete DSNP	$65,476.58
Rate for Payer: UHC Medicare Advantage	$67,440.88
Rate for Payer: VA VA	$65,476.58

HC ZEVALIN Y-90 PER STUDY

Facility

$60,748.42

Service Code	HCPCS A9543
Hospital Charge Code	34400006
Hospital Revenue Code	344
Min. Negotiated Rate	$38,271.50
Max. Negotiated Rate	$54,673.58
Rate for Payer: Aetna Commercial	$51,636.16
Rate for Payer: Aetna New Business (MI Preferred)	$39,486.47
Rate for Payer: Cash Price	$48,598.74
Rate for Payer: Cofinity Commercial	$42,523.89
Rate for Payer: Cofinity Commercial	$52,243.64
Rate for Payer: Healthscope Commercial	$54,673.58
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$51,636.16
Rate for Payer: PHP Commercial	$51,636.16
Rate for Payer: Priority Health Cigna Priority Health	$42,523.89
Rate for Payer: Priority Health SBD	$38,271.50

HC Z G J TUBE

Facility

$1,500.87

Hospital Charge Code	27800048
Hospital Revenue Code	278
Min. Negotiated Rate	$945.55
Max. Negotiated Rate	$1,350.78
Rate for Payer: Aetna Commercial	$1,275.74
Rate for Payer: Aetna New Business (MI Preferred)	$975.57
Rate for Payer: Cash Price	$1,200.70
Rate for Payer: Cofinity Commercial	$1,050.61
Rate for Payer: Cofinity Commercial	$1,290.75
Rate for Payer: Healthscope Commercial	$1,350.78
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$1,275.74
Rate for Payer: PHP Commercial	$1,275.74
Rate for Payer: Priority Health Cigna Priority Health	$1,050.61
Rate for Payer: Priority Health SBD	$945.55

HC Z G J TUBE

Facility

$1,500.87

Hospital Charge Code	27800048
Hospital Revenue Code	278
Min. Negotiated Rate	$600.35
Max. Negotiated Rate	$1,350.78
Rate for Payer: Aetna Commercial	$1,275.74
Rate for Payer: Aetna New Business (MI Preferred)	$975.57
Rate for Payer: BCBS Complete	$600.35
Rate for Payer: Cash Price	$1,200.70
Rate for Payer: Cofinity Commercial	$1,050.61
Rate for Payer: Cofinity Commercial	$1,290.75
Rate for Payer: Healthscope Commercial	$1,350.78
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$1,275.74
Rate for Payer: PHP Commercial	$1,275.74
Rate for Payer: Priority Health Cigna Priority Health	$1,050.61
Rate for Payer: Priority Health SBD	$945.55

HC Z HEMODIALYSIS ANGIODYNAMIC

Facility

$1,199.35

Service Code	HCPCS C1881
Hospital Charge Code	27200087
Hospital Revenue Code	272
Min. Negotiated Rate	$479.74
Max. Negotiated Rate	$1,079.42
Rate for Payer: Aetna Commercial	$1,019.45
Rate for Payer: Aetna New Business (MI Preferred)	$779.58
Rate for Payer: BCBS Complete	$479.74
Rate for Payer: Cash Price	$959.48
Rate for Payer: Cofinity Commercial	$1,031.44
Rate for Payer: Cofinity Commercial	$839.54
Rate for Payer: Healthscope Commercial	$1,079.42
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$1,019.45
Rate for Payer: PHP Commercial	$1,019.45
Rate for Payer: Priority Health Cigna Priority Health	$839.54
Rate for Payer: Priority Health SBD	$755.59

HC Z HEMODIALYSIS ANGIODYNAMIC

Facility

$1,199.35

Service Code	HCPCS C1881
Hospital Charge Code	27200087
Hospital Revenue Code	272
Min. Negotiated Rate	$755.59
Max. Negotiated Rate	$1,079.42
Rate for Payer: Aetna Commercial	$1,019.45
Rate for Payer: Aetna New Business (MI Preferred)	$779.58
Rate for Payer: Cash Price	$959.48
Rate for Payer: Cofinity Commercial	$1,031.44
Rate for Payer: Cofinity Commercial	$839.54
Rate for Payer: Healthscope Commercial	$1,079.42
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$1,019.45
Rate for Payer: PHP Commercial	$1,019.45
Rate for Payer: Priority Health Cigna Priority Health	$839.54
Rate for Payer: Priority Health SBD	$755.59

HC Z HEMODIALYSIS BARD

Facility

$1,552.09

Service Code	HCPCS C1881
Hospital Charge Code	27200088
Hospital Revenue Code	272
Min. Negotiated Rate	$977.82
Max. Negotiated Rate	$1,396.88
Rate for Payer: Aetna Commercial	$1,319.28
Rate for Payer: Aetna New Business (MI Preferred)	$1,008.86
Rate for Payer: Cash Price	$1,241.67
Rate for Payer: Cofinity Commercial	$1,334.80
Rate for Payer: Cofinity Commercial	$1,086.46
Rate for Payer: Healthscope Commercial	$1,396.88
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$1,319.28
Rate for Payer: PHP Commercial	$1,319.28
Rate for Payer: Priority Health Cigna Priority Health	$1,086.46
Rate for Payer: Priority Health SBD	$977.82

HC Z HEMODIALYSIS BARD

Facility

$1,552.09

Service Code	HCPCS C1881
Hospital Charge Code	27200088
Hospital Revenue Code	272
Min. Negotiated Rate	$620.84
Max. Negotiated Rate	$1,396.88
Rate for Payer: Aetna Commercial	$1,319.28
Rate for Payer: Aetna New Business (MI Preferred)	$1,008.86
Rate for Payer: BCBS Complete	$620.84
Rate for Payer: Cash Price	$1,241.67
Rate for Payer: Cofinity Commercial	$1,086.46
Rate for Payer: Cofinity Commercial	$1,334.80
Rate for Payer: Healthscope Commercial	$1,396.88
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$1,319.28
Rate for Payer: PHP Commercial	$1,319.28
Rate for Payer: Priority Health Cigna Priority Health	$1,086.46
Rate for Payer: Priority Health SBD	$977.82

HC Z HYPERGLIDE OCCL BALLOON C

Facility

$2,175.42

Service Code	HCPCS C2628
Hospital Charge Code	27200089
Hospital Revenue Code	272
Min. Negotiated Rate	$1,370.51
Max. Negotiated Rate	$1,957.88
Rate for Payer: Aetna Commercial	$1,849.11
Rate for Payer: Aetna New Business (MI Preferred)	$1,414.02
Rate for Payer: Cash Price	$1,740.34
Rate for Payer: Cofinity Commercial	$1,522.79
Rate for Payer: Cofinity Commercial	$1,870.86
Rate for Payer: Healthscope Commercial	$1,957.88
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$1,849.11
Rate for Payer: PHP Commercial	$1,849.11
Rate for Payer: Priority Health Cigna Priority Health	$1,522.79
Rate for Payer: Priority Health SBD	$1,370.51

HC Z HYPERGLIDE OCCL BALLOON C

Facility

$2,175.42

Service Code	HCPCS C2628
Hospital Charge Code	27200089
Hospital Revenue Code	272
Min. Negotiated Rate	$870.17
Max. Negotiated Rate	$1,957.88
Rate for Payer: Aetna Commercial	$1,849.11
Rate for Payer: Aetna New Business (MI Preferred)	$1,414.02
Rate for Payer: BCBS Complete	$870.17
Rate for Payer: Cash Price	$1,740.34
Rate for Payer: Cofinity Commercial	$1,522.79
Rate for Payer: Cofinity Commercial	$1,870.86
Rate for Payer: Healthscope Commercial	$1,957.88
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$1,849.11
Rate for Payer: PHP Commercial	$1,849.11
Rate for Payer: Priority Health Cigna Priority Health	$1,522.79
Rate for Payer: Priority Health SBD	$1,370.51

HC ZIKA VIRUS MAC ELISA IGM

Facility

$184.00

Service Code	CPT 86794
Hospital Charge Code	30000148
Hospital Revenue Code	300
Min. Negotiated Rate	$9.22
Max. Negotiated Rate	$165.60
Rate for Payer: Aetna Commercial	$156.40
Rate for Payer: Aetna Medicare	$17.52
Rate for Payer: Aetna New Business (MI Preferred)	$119.60
Rate for Payer: Allen County Amish Medical Aid Commercial	$21.06
Rate for Payer: Amish Plain Church Group Commercial	$21.06
Rate for Payer: BCBS Complete	$9.68
Rate for Payer: BCBS MAPPO	$16.85
Rate for Payer: BCBS Trust/PPO	$13.20
Rate for Payer: BCN Medicare Advantage	$16.85
Rate for Payer: Cash Price	$147.20
Rate for Payer: Cash Price	$147.20
Rate for Payer: Cofinity Commercial	$158.24
Rate for Payer: Cofinity Commercial	$128.80
Rate for Payer: Health Alliance Plan Medicare Advantage	$16.85
Rate for Payer: Healthscope Commercial	$165.60
Rate for Payer: Mclaren Medicaid	$9.22
Rate for Payer: Mclaren Medicare	$16.85
Rate for Payer: Meridian Medicaid	$9.68
Rate for Payer: Meridian Wellcare - Medicare Advantage	$17.69
Rate for Payer: MI Amish Medical Board Commercial	$19.38
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$156.40
Rate for Payer: PACE Medicare	$16.01
Rate for Payer: PACE SWMI	$16.85
Rate for Payer: PHP Commercial	$156.40
Rate for Payer: PHP Medicare Advantage	$16.85
Rate for Payer: Priority Health Choice Medicaid	$9.22
Rate for Payer: Priority Health Cigna Priority Health	$128.80
Rate for Payer: Priority Health Medicare	$16.85
Rate for Payer: Priority Health SBD	$115.92
Rate for Payer: Railroad Medicare Medicare	$16.85
Rate for Payer: UHC All Payor (Choice/PPO)	$20.22
Rate for Payer: UHC Core	$24.96
Rate for Payer: UHC Dual Complete DSNP	$16.85
Rate for Payer: UHC Exchange	$16.85
Rate for Payer: UHC Medicare Advantage	$17.36
Rate for Payer: VA VA	$16.85

HC ZIKA VIRUS MAC ELISA IGM

Facility

$184.00

Service Code	CPT 86794
Hospital Charge Code	30000148
Hospital Revenue Code	300
Min. Negotiated Rate	$115.92
Max. Negotiated Rate	$165.60
Rate for Payer: Aetna Commercial	$156.40
Rate for Payer: Aetna New Business (MI Preferred)	$119.60
Rate for Payer: Cash Price	$147.20
Rate for Payer: Cofinity Commercial	$158.24
Rate for Payer: Cofinity Commercial	$128.80
Rate for Payer: Healthscope Commercial	$165.60
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$156.40
Rate for Payer: PHP Commercial	$156.40
Rate for Payer: Priority Health Cigna Priority Health	$128.80
Rate for Payer: Priority Health SBD	$115.92

HC ZIKA VIRUS, PCR, SERUM

Facility

$255.00

Service Code	CPT 87662
Hospital Charge Code	30000150
Hospital Revenue Code	300
Min. Negotiated Rate	$160.65
Max. Negotiated Rate	$229.50
Rate for Payer: Aetna Commercial	$216.75
Rate for Payer: Aetna New Business (MI Preferred)	$165.75
Rate for Payer: Cash Price	$204.00
Rate for Payer: Cofinity Commercial	$178.50
Rate for Payer: Cofinity Commercial	$219.30
Rate for Payer: Healthscope Commercial	$229.50
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$216.75
Rate for Payer: PHP Commercial	$216.75
Rate for Payer: Priority Health Cigna Priority Health	$178.50
Rate for Payer: Priority Health SBD	$160.65

HC ZIKA VIRUS, PCR, SERUM

Facility

$255.00

Service Code	CPT 87662
Hospital Charge Code	30000150
Hospital Revenue Code	300
Min. Negotiated Rate	$28.07
Max. Negotiated Rate	$229.50
Rate for Payer: Aetna Commercial	$216.75
Rate for Payer: Aetna Medicare	$53.36
Rate for Payer: Aetna New Business (MI Preferred)	$165.75
Rate for Payer: Allen County Amish Medical Aid Commercial	$64.14
Rate for Payer: Amish Plain Church Group Commercial	$64.14
Rate for Payer: BCBS Complete	$29.47
Rate for Payer: BCBS MAPPO	$51.31
Rate for Payer: BCBS Trust/PPO	$40.18
Rate for Payer: BCN Medicare Advantage	$51.31
Rate for Payer: Cash Price	$204.00
Rate for Payer: Cash Price	$204.00
Rate for Payer: Cofinity Commercial	$219.30
Rate for Payer: Cofinity Commercial	$178.50
Rate for Payer: Health Alliance Plan Medicare Advantage	$51.31
Rate for Payer: Healthscope Commercial	$229.50
Rate for Payer: Mclaren Medicaid	$28.07
Rate for Payer: Mclaren Medicare	$51.31
Rate for Payer: Meridian Medicaid	$29.47
Rate for Payer: Meridian Wellcare - Medicare Advantage	$53.88
Rate for Payer: MI Amish Medical Board Commercial	$59.01
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$216.75
Rate for Payer: PACE Medicare	$48.74
Rate for Payer: PACE SWMI	$51.31
Rate for Payer: PHP Commercial	$216.75
Rate for Payer: PHP Medicare Advantage	$51.31
Rate for Payer: Priority Health Choice Medicaid	$28.07
Rate for Payer: Priority Health Cigna Priority Health	$178.50
Rate for Payer: Priority Health Medicare	$51.31
Rate for Payer: Priority Health SBD	$160.65
Rate for Payer: Railroad Medicare Medicare	$51.31
Rate for Payer: UHC All Payor (Choice/PPO)	$61.57
Rate for Payer: UHC Core	$76.02
Rate for Payer: UHC Dual Complete DSNP	$51.31
Rate for Payer: UHC Exchange	$51.31
Rate for Payer: UHC Medicare Advantage	$52.85
Rate for Payer: VA VA	$51.31

HC ZIKA VIRUS, PCR, URINE

Facility

$255.00

Service Code	CPT 87662
Hospital Charge Code	30000151
Hospital Revenue Code	300
Min. Negotiated Rate	$28.07
Max. Negotiated Rate	$229.50
Rate for Payer: Aetna Commercial	$216.75
Rate for Payer: Aetna Medicare	$53.36
Rate for Payer: Aetna New Business (MI Preferred)	$165.75
Rate for Payer: Allen County Amish Medical Aid Commercial	$64.14
Rate for Payer: Amish Plain Church Group Commercial	$64.14
Rate for Payer: BCBS Complete	$29.47
Rate for Payer: BCBS MAPPO	$51.31
Rate for Payer: BCBS Trust/PPO	$40.18
Rate for Payer: BCN Medicare Advantage	$51.31
Rate for Payer: Cash Price	$204.00
Rate for Payer: Cash Price	$204.00
Rate for Payer: Cofinity Commercial	$219.30
Rate for Payer: Cofinity Commercial	$178.50
Rate for Payer: Health Alliance Plan Medicare Advantage	$51.31
Rate for Payer: Healthscope Commercial	$229.50
Rate for Payer: Mclaren Medicaid	$28.07
Rate for Payer: Mclaren Medicare	$51.31
Rate for Payer: Meridian Medicaid	$29.47
Rate for Payer: Meridian Wellcare - Medicare Advantage	$53.88
Rate for Payer: MI Amish Medical Board Commercial	$59.01
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$216.75
Rate for Payer: PACE Medicare	$48.74
Rate for Payer: PACE SWMI	$51.31
Rate for Payer: PHP Commercial	$216.75
Rate for Payer: PHP Medicare Advantage	$51.31
Rate for Payer: Priority Health Choice Medicaid	$28.07
Rate for Payer: Priority Health Cigna Priority Health	$178.50
Rate for Payer: Priority Health Medicare	$51.31
Rate for Payer: Priority Health SBD	$160.65
Rate for Payer: Railroad Medicare Medicare	$51.31
Rate for Payer: UHC All Payor (Choice/PPO)	$61.57
Rate for Payer: UHC Core	$76.02
Rate for Payer: UHC Dual Complete DSNP	$51.31
Rate for Payer: UHC Exchange	$51.31
Rate for Payer: UHC Medicare Advantage	$52.85
Rate for Payer: VA VA	$51.31

HC ZIKA VIRUS, PCR, URINE

Facility

$255.00

Service Code	CPT 87662
Hospital Charge Code	30000151
Hospital Revenue Code	300
Min. Negotiated Rate	$160.65
Max. Negotiated Rate	$229.50
Rate for Payer: Aetna Commercial	$216.75
Rate for Payer: Aetna New Business (MI Preferred)	$165.75
Rate for Payer: Cash Price	$204.00
Rate for Payer: Cofinity Commercial	$178.50
Rate for Payer: Cofinity Commercial	$219.30
Rate for Payer: Healthscope Commercial	$229.50
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$216.75
Rate for Payer: PHP Commercial	$216.75
Rate for Payer: Priority Health Cigna Priority Health	$178.50
Rate for Payer: Priority Health SBD	$160.65

HC Z IMPLANTABLE PORT

Facility

$3,037.66

Service Code	HCPCS C1788
Hospital Charge Code	27800039
Hospital Revenue Code	278
Min. Negotiated Rate	$1,913.73
Max. Negotiated Rate	$2,733.89
Rate for Payer: Aetna Commercial	$2,582.01
Rate for Payer: Aetna New Business (MI Preferred)	$1,974.48
Rate for Payer: Cash Price	$2,430.13
Rate for Payer: Cofinity Commercial	$2,126.36
Rate for Payer: Cofinity Commercial	$2,612.39
Rate for Payer: Healthscope Commercial	$2,733.89
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$2,582.01
Rate for Payer: PHP Commercial	$2,582.01
Rate for Payer: Priority Health Cigna Priority Health	$2,126.36
Rate for Payer: Priority Health SBD	$1,913.73

HC Z IMPLANTABLE PORT

Facility

$3,037.66

Service Code	HCPCS C1788
Hospital Charge Code	27800039
Hospital Revenue Code	278
Min. Negotiated Rate	$1,215.06
Max. Negotiated Rate	$2,733.89
Rate for Payer: Aetna Commercial	$2,582.01
Rate for Payer: Aetna New Business (MI Preferred)	$1,974.48
Rate for Payer: BCBS Complete	$1,215.06
Rate for Payer: Cash Price	$2,430.13
Rate for Payer: Cofinity Commercial	$2,126.36
Rate for Payer: Cofinity Commercial	$2,612.39
Rate for Payer: Healthscope Commercial	$2,733.89
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$2,582.01
Rate for Payer: PHP Commercial	$2,582.01
Rate for Payer: Priority Health Cigna Priority Health	$2,126.36
Rate for Payer: Priority Health SBD	$1,913.73

Know your out-of-pocket cost for care.

All Charges