Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

HC Z VACUUM BIOPSY DEVICE

Facility

$633.62

Hospital Charge Code	27200129
Hospital Revenue Code	272
Min. Negotiated Rate	$253.45
Max. Negotiated Rate	$570.26
Rate for Payer: Aetna Commercial	$538.58
Rate for Payer: Aetna New Business (MI Preferred)	$411.85
Rate for Payer: BCBS Complete	$253.45
Rate for Payer: Cash Price	$506.90
Rate for Payer: Cofinity Commercial	$443.53
Rate for Payer: Cofinity Commercial	$544.91
Rate for Payer: Healthscope Commercial	$570.26
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$538.58
Rate for Payer: PHP Commercial	$538.58
Rate for Payer: Priority Health Cigna Priority Health	$443.53
Rate for Payer: Priority Health SBD	$399.18

HC Z VASCULAR CLOSURE

Facility

$1,000.88

Service Code	HCPCS C1760
Hospital Charge Code	27200098
Hospital Revenue Code	272
Min. Negotiated Rate	$400.35
Max. Negotiated Rate	$900.79
Rate for Payer: Aetna Commercial	$850.75
Rate for Payer: Aetna New Business (MI Preferred)	$650.57
Rate for Payer: BCBS Complete	$400.35
Rate for Payer: Cash Price	$800.70
Rate for Payer: Cofinity Commercial	$700.62
Rate for Payer: Cofinity Commercial	$860.76
Rate for Payer: Healthscope Commercial	$900.79
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$850.75
Rate for Payer: PHP Commercial	$850.75
Rate for Payer: Priority Health Cigna Priority Health	$700.62
Rate for Payer: Priority Health SBD	$630.55

HC Z VASCULAR CLOSURE

Facility

$1,000.88

Service Code	HCPCS C1760
Hospital Charge Code	27200098
Hospital Revenue Code	272
Min. Negotiated Rate	$630.55
Max. Negotiated Rate	$900.79
Rate for Payer: Aetna Commercial	$850.75
Rate for Payer: Aetna New Business (MI Preferred)	$650.57
Rate for Payer: Cash Price	$800.70
Rate for Payer: Cofinity Commercial	$700.62
Rate for Payer: Cofinity Commercial	$860.76
Rate for Payer: Healthscope Commercial	$900.79
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$850.75
Rate for Payer: PHP Commercial	$850.75
Rate for Payer: Priority Health Cigna Priority Health	$700.62
Rate for Payer: Priority Health SBD	$630.55

HC Z VENA CAVA FILTER

Facility

$5,756.21

Service Code	HCPCS C1880
Hospital Charge Code	27800042
Hospital Revenue Code	278
Min. Negotiated Rate	$3,626.41
Max. Negotiated Rate	$5,180.59
Rate for Payer: Aetna Commercial	$4,892.78
Rate for Payer: Aetna New Business (MI Preferred)	$3,741.54
Rate for Payer: Cash Price	$4,604.97
Rate for Payer: Cofinity Commercial	$4,029.35
Rate for Payer: Cofinity Commercial	$4,950.34
Rate for Payer: Healthscope Commercial	$5,180.59
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$4,892.78
Rate for Payer: PHP Commercial	$4,892.78
Rate for Payer: Priority Health Cigna Priority Health	$4,029.35
Rate for Payer: Priority Health SBD	$3,626.41

HC Z VENA CAVA FILTER

Facility

$5,756.21

Service Code	HCPCS C1880
Hospital Charge Code	27800042
Hospital Revenue Code	278
Min. Negotiated Rate	$2,302.48
Max. Negotiated Rate	$5,180.59
Rate for Payer: Aetna Commercial	$4,892.78
Rate for Payer: Aetna New Business (MI Preferred)	$3,741.54
Rate for Payer: BCBS Complete	$2,302.48
Rate for Payer: Cash Price	$4,604.97
Rate for Payer: Cofinity Commercial	$4,950.34
Rate for Payer: Cofinity Commercial	$4,029.35
Rate for Payer: Healthscope Commercial	$5,180.59
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$4,892.78
Rate for Payer: PHP Commercial	$4,892.78
Rate for Payer: Priority Health Cigna Priority Health	$4,029.35
Rate for Payer: Priority Health SBD	$3,626.41

HC Z ZILVER STENT

Facility

$5,782.90

Service Code	HCPCS C1876
Hospital Charge Code	27800043
Hospital Revenue Code	278
Min. Negotiated Rate	$3,643.23
Max. Negotiated Rate	$5,204.61
Rate for Payer: Aetna Commercial	$4,915.46
Rate for Payer: Aetna New Business (MI Preferred)	$3,758.88
Rate for Payer: Cash Price	$4,626.32
Rate for Payer: Cofinity Commercial	$4,048.03
Rate for Payer: Cofinity Commercial	$4,973.29
Rate for Payer: Healthscope Commercial	$5,204.61
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$4,915.46
Rate for Payer: PHP Commercial	$4,915.46
Rate for Payer: Priority Health Cigna Priority Health	$4,048.03
Rate for Payer: Priority Health SBD	$3,643.23

HC Z ZILVER STENT

Facility

$5,782.90

Service Code	HCPCS C1876
Hospital Charge Code	27800043
Hospital Revenue Code	278
Min. Negotiated Rate	$2,313.16
Max. Negotiated Rate	$5,204.61
Rate for Payer: Aetna Commercial	$4,915.46
Rate for Payer: Aetna New Business (MI Preferred)	$3,758.88
Rate for Payer: BCBS Complete	$2,313.16
Rate for Payer: Cash Price	$4,626.32
Rate for Payer: Cofinity Commercial	$4,048.03
Rate for Payer: Cofinity Commercial	$4,973.29
Rate for Payer: Healthscope Commercial	$5,204.61
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$4,915.46
Rate for Payer: PHP Commercial	$4,915.46
Rate for Payer: Priority Health Cigna Priority Health	$4,048.03
Rate for Payer: Priority Health SBD	$3,643.23

HEADACHES WITH MCC

Facility

$18,509.24

Service Code	MS-DRG 102
Min. Negotiated Rate	$8,723.29
Max. Negotiated Rate	$18,509.24
Rate for Payer: Aetna Medicare	$9,549.71
Rate for Payer: Allen County Amish Medical Aid Commercial	$11,478.01
Rate for Payer: Amish Plain Church Group Commercial	$11,478.01
Rate for Payer: BCBS MAPPO	$9,182.41
Rate for Payer: BCBS Trust/PPO	$18,509.24
Rate for Payer: BCN Medicare Advantage	$9,182.41
Rate for Payer: Health Alliance Plan Medicare Advantage	$9,182.41
Rate for Payer: Mclaren Medicare	$9,182.41
Rate for Payer: Meridian Wellcare - Medicare Advantage	$9,641.53
Rate for Payer: MI Amish Medical Board Commercial	$10,559.77
Rate for Payer: PACE Medicare	$8,723.29
Rate for Payer: PACE SWMI	$9,182.41
Rate for Payer: PHP Medicare Advantage	$9,182.41
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$17,314.61
Rate for Payer: Priority Health Medicare	$9,182.41
Rate for Payer: Priority Health Narrow Network	$13,851.69
Rate for Payer: Railroad Medicare Medicare	$9,182.41
Rate for Payer: UHC All Payor (Choice/PPO)	$18,405.48
Rate for Payer: UHC Core	$11,293.78
Rate for Payer: UHC Dual Complete DSNP	$9,182.41
Rate for Payer: UHC Exchange	$12,096.17
Rate for Payer: UHC Medicare Advantage	$9,457.88
Rate for Payer: VA VA	$9,182.41

HEADACHES WITHOUT MCC

Facility

$16,941.37

Service Code	MS-DRG 103
Min. Negotiated Rate	$6,231.52
Max. Negotiated Rate	$16,941.37
Rate for Payer: Aetna Medicare	$6,821.88
Rate for Payer: Allen County Amish Medical Aid Commercial	$8,199.38
Rate for Payer: Amish Plain Church Group Commercial	$8,199.38
Rate for Payer: BCBS MAPPO	$6,559.50
Rate for Payer: BCBS Trust/PPO	$16,941.37
Rate for Payer: BCN Medicare Advantage	$6,559.50
Rate for Payer: Health Alliance Plan Medicare Advantage	$6,559.50
Rate for Payer: Mclaren Medicare	$6,559.50
Rate for Payer: Meridian Wellcare - Medicare Advantage	$6,887.48
Rate for Payer: MI Amish Medical Board Commercial	$7,543.42
Rate for Payer: PACE Medicare	$6,231.52
Rate for Payer: PACE SWMI	$6,559.50
Rate for Payer: PHP Medicare Advantage	$6,559.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$12,088.37
Rate for Payer: Priority Health Medicare	$6,559.50
Rate for Payer: Priority Health Narrow Network	$9,670.70
Rate for Payer: Railroad Medicare Medicare	$6,559.50
Rate for Payer: UHC All Payor (Choice/PPO)	$12,849.97
Rate for Payer: UHC Core	$7,884.86
Rate for Payer: UHC Dual Complete DSNP	$6,559.50
Rate for Payer: UHC Exchange	$8,445.06
Rate for Payer: UHC Medicare Advantage	$6,756.28
Rate for Payer: VA VA	$6,559.50

HEART FAILURE AND SHOCK WITH CC

Facility

$13,283.00

Service Code	MS-DRG 292
Min. Negotiated Rate	$6,328.02
Max. Negotiated Rate	$13,283.00
Rate for Payer: Aetna Medicare	$6,927.51
Rate for Payer: Allen County Amish Medical Aid Commercial	$8,326.34
Rate for Payer: Amish Plain Church Group Commercial	$8,326.34
Rate for Payer: BCBS MAPPO	$6,661.07
Rate for Payer: BCBS Trust/PPO	$13,283.00
Rate for Payer: BCN Medicare Advantage	$6,661.07
Rate for Payer: Health Alliance Plan Medicare Advantage	$6,661.07
Rate for Payer: Mclaren Medicare	$6,661.07
Rate for Payer: Meridian Wellcare - Medicare Advantage	$6,994.12
Rate for Payer: MI Amish Medical Board Commercial	$7,660.23
Rate for Payer: PACE Medicare	$6,328.02
Rate for Payer: PACE SWMI	$6,661.07
Rate for Payer: PHP Medicare Advantage	$6,661.07
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$12,290.71
Rate for Payer: Priority Health Medicare	$6,661.07
Rate for Payer: Priority Health Narrow Network	$9,832.57
Rate for Payer: Railroad Medicare Medicare	$6,661.07
Rate for Payer: UHC All Payor (Choice/PPO)	$13,065.05
Rate for Payer: UHC Core	$8,016.84
Rate for Payer: UHC Dual Complete DSNP	$6,661.07
Rate for Payer: UHC Exchange	$8,586.41
Rate for Payer: UHC Medicare Advantage	$6,860.90
Rate for Payer: VA VA	$6,661.07

HEART FAILURE AND SHOCK WITH MCC

Facility

$19,749.92

Service Code	MS-DRG 291
Min. Negotiated Rate	$9,252.15
Max. Negotiated Rate	$19,749.92
Rate for Payer: Aetna Medicare	$10,128.67
Rate for Payer: Allen County Amish Medical Aid Commercial	$12,173.89
Rate for Payer: Amish Plain Church Group Commercial	$12,173.89
Rate for Payer: BCBS MAPPO	$9,739.11
Rate for Payer: BCBS Trust/PPO	$19,749.92
Rate for Payer: BCN Medicare Advantage	$9,739.11
Rate for Payer: Health Alliance Plan Medicare Advantage	$9,739.11
Rate for Payer: Mclaren Medicare	$9,739.11
Rate for Payer: Meridian Wellcare - Medicare Advantage	$10,226.07
Rate for Payer: MI Amish Medical Board Commercial	$11,199.98
Rate for Payer: PACE Medicare	$9,252.15
Rate for Payer: PACE SWMI	$9,739.11
Rate for Payer: PHP Medicare Advantage	$9,739.11
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$18,423.86
Rate for Payer: Priority Health Medicare	$9,739.11
Rate for Payer: Priority Health Narrow Network	$14,739.09
Rate for Payer: Railroad Medicare Medicare	$9,739.11
Rate for Payer: UHC All Payor (Choice/PPO)	$19,584.61
Rate for Payer: UHC Core	$12,017.30
Rate for Payer: UHC Dual Complete DSNP	$9,739.11
Rate for Payer: UHC Exchange	$12,871.10
Rate for Payer: UHC Medicare Advantage	$10,031.28
Rate for Payer: VA VA	$9,739.11

HEART FAILURE AND SHOCK WITHOUT CC/MCC

Facility

$8,708.94

Service Code	MS-DRG 293
Min. Negotiated Rate	$4,309.71
Max. Negotiated Rate	$8,708.94
Rate for Payer: Aetna Medicare	$4,718.00
Rate for Payer: Allen County Amish Medical Aid Commercial	$5,670.68
Rate for Payer: Amish Plain Church Group Commercial	$5,670.68
Rate for Payer: BCBS MAPPO	$4,536.54
Rate for Payer: BCBS Trust/PPO	$8,708.94
Rate for Payer: BCN Medicare Advantage	$4,536.54
Rate for Payer: Health Alliance Plan Medicare Advantage	$4,536.54
Rate for Payer: Mclaren Medicare	$4,536.54
Rate for Payer: Meridian Wellcare - Medicare Advantage	$4,763.37
Rate for Payer: MI Amish Medical Board Commercial	$5,217.02
Rate for Payer: PACE Medicare	$4,309.71
Rate for Payer: PACE SWMI	$4,536.54
Rate for Payer: PHP Medicare Advantage	$4,536.54
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$8,057.48
Rate for Payer: Priority Health Medicare	$4,536.54
Rate for Payer: Priority Health Narrow Network	$6,445.98
Rate for Payer: Railroad Medicare Medicare	$4,536.54
Rate for Payer: UHC All Payor (Choice/PPO)	$8,565.12
Rate for Payer: UHC Core	$5,255.64
Rate for Payer: UHC Dual Complete DSNP	$4,536.54
Rate for Payer: UHC Exchange	$5,629.04
Rate for Payer: UHC Medicare Advantage	$4,672.64
Rate for Payer: VA VA	$4,536.54

HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC

Facility

$538,149.21

Service Code	MS-DRG 001
Min. Negotiated Rate	$185,868.64
Max. Negotiated Rate	$538,149.21
Rate for Payer: Aetna Medicare	$203,477.25
Rate for Payer: Allen County Amish Medical Aid Commercial	$244,564.00
Rate for Payer: Amish Plain Church Group Commercial	$244,564.00
Rate for Payer: BCBS MAPPO	$195,651.20
Rate for Payer: BCBS Trust/PPO	$538,149.21
Rate for Payer: BCN Medicare Advantage	$195,651.20
Rate for Payer: Health Alliance Plan Medicare Advantage	$195,651.20
Rate for Payer: Mclaren Medicare	$195,651.20
Rate for Payer: Meridian Wellcare - Medicare Advantage	$205,433.76
Rate for Payer: MI Amish Medical Board Commercial	$224,998.88
Rate for Payer: PACE Medicare	$185,868.64
Rate for Payer: PACE SWMI	$195,651.20
Rate for Payer: PHP Medicare Advantage	$195,651.20
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$388,862.74
Rate for Payer: Priority Health Medicare	$195,651.20
Rate for Payer: Priority Health Narrow Network	$311,090.19
Rate for Payer: Railroad Medicare Medicare	$195,651.20
Rate for Payer: UHC All Payor (Choice/PPO)	$413,362.04
Rate for Payer: UHC Core	$253,642.90
Rate for Payer: UHC Dual Complete DSNP	$195,651.20
Rate for Payer: UHC Exchange	$271,663.47
Rate for Payer: UHC Medicare Advantage	$201,520.74
Rate for Payer: VA VA	$195,651.20

HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC

Facility

$198,151.43

Service Code	MS-DRG 002
Min. Negotiated Rate	$84,238.59
Max. Negotiated Rate	$198,151.43
Rate for Payer: Aetna Medicare	$92,219.09
Rate for Payer: Allen County Amish Medical Aid Commercial	$110,840.25
Rate for Payer: Amish Plain Church Group Commercial	$110,840.25
Rate for Payer: BCBS MAPPO	$88,672.20
Rate for Payer: BCBS Trust/PPO	$198,151.43
Rate for Payer: BCN Medicare Advantage	$88,672.20
Rate for Payer: Health Alliance Plan Medicare Advantage	$88,672.20
Rate for Payer: Mclaren Medicare	$88,672.20
Rate for Payer: Meridian Wellcare - Medicare Advantage	$93,105.81
Rate for Payer: MI Amish Medical Board Commercial	$101,973.03
Rate for Payer: PACE Medicare	$84,238.59
Rate for Payer: PACE SWMI	$88,672.20
Rate for Payer: PHP Medicare Advantage	$88,672.20
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$175,701.86
Rate for Payer: Priority Health Medicare	$88,672.20
Rate for Payer: Priority Health Narrow Network	$140,561.49
Rate for Payer: Railroad Medicare Medicare	$88,672.20
Rate for Payer: UHC All Payor (Choice/PPO)	$186,771.50
Rate for Payer: UHC Core	$114,604.78
Rate for Payer: UHC Dual Complete DSNP	$88,672.20
Rate for Payer: UHC Exchange	$122,747.10
Rate for Payer: UHC Medicare Advantage	$91,332.37
Rate for Payer: VA VA	$88,672.20

HEMIN 350 MG INTRAVENOUS POWDER FOR SOLUTION

Facility

$27,074.74

Service Code	HCPCS J1640
Hospital Charge Code	183624
Hospital Revenue Code	636
Min. Negotiated Rate	$17,057.09
Max. Negotiated Rate	$24,367.27
Rate for Payer: Aetna Commercial	$23,013.53
Rate for Payer: Aetna New Business (MI Preferred)	$17,598.58
Rate for Payer: Cash Price	$21,659.79
Rate for Payer: Cofinity Commercial	$18,952.32
Rate for Payer: Cofinity Commercial	$23,284.28
Rate for Payer: Healthscope Commercial	$24,367.27
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$23,013.53
Rate for Payer: PHP Commercial	$23,013.53
Rate for Payer: Priority Health Cigna Priority Health	$18,952.32
Rate for Payer: Priority Health SBD	$17,057.09

HEMIN 350 MG INTRAVENOUS POWDER FOR SOLUTION

Facility

$27,074.74

Service Code	HCPCS J1640
Hospital Charge Code	183624
Hospital Revenue Code	636
Min. Negotiated Rate	$17.15
Max. Negotiated Rate	$24,367.27
Rate for Payer: Aetna Commercial	$23,013.53
Rate for Payer: Aetna Medicare	$32.60
Rate for Payer: Aetna New Business (MI Preferred)	$17,598.58
Rate for Payer: Allen County Amish Medical Aid Commercial	$39.18
Rate for Payer: Amish Plain Church Group Commercial	$39.18
Rate for Payer: BCBS Complete	$18.01
Rate for Payer: BCBS MAPPO	$31.35
Rate for Payer: BCBS Trust/PPO	$92.78
Rate for Payer: BCN Medicare Advantage	$31.35
Rate for Payer: Cash Price	$21,659.79
Rate for Payer: Cash Price	$21,659.79
Rate for Payer: Cofinity Commercial	$18,952.32
Rate for Payer: Cofinity Commercial	$23,284.28
Rate for Payer: Health Alliance Plan Medicare Advantage	$31.35
Rate for Payer: Healthscope Commercial	$24,367.27
Rate for Payer: Mclaren Medicaid	$17.15
Rate for Payer: Mclaren Medicare	$31.35
Rate for Payer: Meridian Medicaid	$18.01
Rate for Payer: Meridian Wellcare - Medicare Advantage	$32.92
Rate for Payer: MI Amish Medical Board Commercial	$36.05
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$23,013.53
Rate for Payer: PACE Medicare	$29.78
Rate for Payer: PACE SWMI	$31.35
Rate for Payer: PHP Commercial	$23,013.53
Rate for Payer: PHP Medicare Advantage	$31.35
Rate for Payer: Priority Health Choice Medicaid	$17.15
Rate for Payer: Priority Health Cigna Priority Health	$18,952.32
Rate for Payer: Priority Health Medicare	$31.35
Rate for Payer: Priority Health SBD	$17,057.09
Rate for Payer: Railroad Medicare Medicare	$31.35
Rate for Payer: UHC Dual Complete DSNP	$31.35
Rate for Payer: UHC Medicare Advantage	$32.29
Rate for Payer: VA VA	$31.35

HEMIPHALANGECTOMY OR INTERPHALANGEAL JOINT EXCISION, TOE, PROXIMAL END OF PHALANX, EACH

Facility

$4,155.00

Service Code	CPT 28160
Hospital Revenue Code	360
Min. Negotiated Rate	$265.23
Max. Negotiated Rate	$4,155.00
Rate for Payer: Aetna Medicare	$2,995.31
Rate for Payer: Allen County Amish Medical Aid Commercial	$3,600.14
Rate for Payer: Amish Plain Church Group Commercial	$3,600.14
Rate for Payer: BCBS Complete	$1,654.34
Rate for Payer: BCBS MAPPO	$2,880.11
Rate for Payer: BCBS Trust/PPO	$1,058.03
Rate for Payer: BCN Medicare Advantage	$2,880.11
Rate for Payer: Health Alliance Plan Medicare Advantage	$2,880.11
Rate for Payer: Mclaren Medicaid	$1,575.42
Rate for Payer: Mclaren Medicare	$2,880.11
Rate for Payer: Meridian Medicaid	$1,654.34
Rate for Payer: Meridian Wellcare - Medicare Advantage	$3,024.12
Rate for Payer: MI Amish Medical Board Commercial	$3,312.13
Rate for Payer: PACE Medicare	$2,736.10
Rate for Payer: PACE SWMI	$2,880.11
Rate for Payer: PHP Medicare Advantage	$2,880.11
Rate for Payer: Priority Health Choice Medicaid	$1,575.42
Rate for Payer: Priority Health Medicare	$2,880.11
Rate for Payer: Railroad Medicare Medicare	$2,880.11
Rate for Payer: UHC All Payor (Choice/PPO)	$291.75
Rate for Payer: UHC Core	$4,155.00
Rate for Payer: UHC Dual Complete DSNP	$2,880.11
Rate for Payer: UHC Exchange	$265.23
Rate for Payer: UHC Medicare Advantage	$2,966.51
Rate for Payer: VA VA	$2,880.11

HEMORRHOIDECTOMY, EXTERNAL, 2 OR MORE COLUMNS/GROUPS

Facility

$4,155.00

Service Code	CPT 46250
Hospital Revenue Code	360
Min. Negotiated Rate	$315.33
Max. Negotiated Rate	$4,155.00
Rate for Payer: Aetna Medicare	$2,598.28
Rate for Payer: Allen County Amish Medical Aid Commercial	$3,122.94
Rate for Payer: Amish Plain Church Group Commercial	$3,122.94
Rate for Payer: BCBS Complete	$1,435.05
Rate for Payer: BCBS MAPPO	$2,498.35
Rate for Payer: BCBS Trust/PPO	$1,667.71
Rate for Payer: BCN Medicare Advantage	$2,498.35
Rate for Payer: Health Alliance Plan Medicare Advantage	$2,498.35
Rate for Payer: Mclaren Medicaid	$1,366.60
Rate for Payer: Mclaren Medicare	$2,498.35
Rate for Payer: Meridian Medicaid	$1,435.05
Rate for Payer: Meridian Wellcare - Medicare Advantage	$2,623.27
Rate for Payer: MI Amish Medical Board Commercial	$2,873.10
Rate for Payer: PACE Medicare	$2,373.43
Rate for Payer: PACE SWMI	$2,498.35
Rate for Payer: PHP Medicare Advantage	$2,498.35
Rate for Payer: Priority Health Choice Medicaid	$1,366.60
Rate for Payer: Priority Health Medicare	$2,498.35
Rate for Payer: Railroad Medicare Medicare	$2,498.35
Rate for Payer: UHC All Payor (Choice/PPO)	$346.86
Rate for Payer: UHC Core	$4,155.00
Rate for Payer: UHC Dual Complete DSNP	$2,498.35
Rate for Payer: UHC Exchange	$315.33
Rate for Payer: UHC Medicare Advantage	$2,573.30
Rate for Payer: VA VA	$2,498.35

HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL, 2 OR MORE COLUMNS/GROUPS;

Facility

$4,155.00

Service Code	CPT 46260
Hospital Revenue Code	360
Min. Negotiated Rate	$476.76
Max. Negotiated Rate	$4,155.00
Rate for Payer: Aetna Medicare	$2,598.28
Rate for Payer: Allen County Amish Medical Aid Commercial	$3,122.94
Rate for Payer: Amish Plain Church Group Commercial	$3,122.94
Rate for Payer: BCBS Complete	$1,435.05
Rate for Payer: BCBS MAPPO	$2,498.35
Rate for Payer: BCBS Trust/PPO	$1,610.64
Rate for Payer: BCN Medicare Advantage	$2,498.35
Rate for Payer: Health Alliance Plan Medicare Advantage	$2,498.35
Rate for Payer: Mclaren Medicaid	$1,366.60
Rate for Payer: Mclaren Medicare	$2,498.35
Rate for Payer: Meridian Medicaid	$1,435.05
Rate for Payer: Meridian Wellcare - Medicare Advantage	$2,623.27
Rate for Payer: MI Amish Medical Board Commercial	$2,873.10
Rate for Payer: PACE Medicare	$2,373.43
Rate for Payer: PACE SWMI	$2,498.35
Rate for Payer: PHP Medicare Advantage	$2,498.35
Rate for Payer: Priority Health Choice Medicaid	$1,366.60
Rate for Payer: Priority Health Medicare	$2,498.35
Rate for Payer: Railroad Medicare Medicare	$2,498.35
Rate for Payer: UHC All Payor (Choice/PPO)	$524.44
Rate for Payer: UHC Core	$4,155.00
Rate for Payer: UHC Dual Complete DSNP	$2,498.35
Rate for Payer: UHC Exchange	$476.76
Rate for Payer: UHC Medicare Advantage	$2,573.30
Rate for Payer: VA VA	$2,498.35

HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL, 2 OR MORE COLUMNS/GROUPS; WITH FISSURECTOMY

Facility

$4,155.00

Service Code	CPT 46261
Hospital Revenue Code	360
Min. Negotiated Rate	$527.51
Max. Negotiated Rate	$4,155.00
Rate for Payer: Aetna Medicare	$2,598.28
Rate for Payer: Allen County Amish Medical Aid Commercial	$3,122.94
Rate for Payer: Amish Plain Church Group Commercial	$3,122.94
Rate for Payer: BCBS Complete	$1,435.05
Rate for Payer: BCBS MAPPO	$2,498.35
Rate for Payer: BCBS Trust/PPO	$967.07
Rate for Payer: BCN Medicare Advantage	$2,498.35
Rate for Payer: Health Alliance Plan Medicare Advantage	$2,498.35
Rate for Payer: Mclaren Medicaid	$1,366.60
Rate for Payer: Mclaren Medicare	$2,498.35
Rate for Payer: Meridian Medicaid	$1,435.05
Rate for Payer: Meridian Wellcare - Medicare Advantage	$2,623.27
Rate for Payer: MI Amish Medical Board Commercial	$2,873.10
Rate for Payer: PACE Medicare	$2,373.43
Rate for Payer: PACE SWMI	$2,498.35
Rate for Payer: PHP Medicare Advantage	$2,498.35
Rate for Payer: Priority Health Choice Medicaid	$1,366.60
Rate for Payer: Priority Health Medicare	$2,498.35
Rate for Payer: Railroad Medicare Medicare	$2,498.35
Rate for Payer: UHC All Payor (Choice/PPO)	$580.26
Rate for Payer: UHC Core	$4,155.00
Rate for Payer: UHC Dual Complete DSNP	$2,498.35
Rate for Payer: UHC Exchange	$527.51
Rate for Payer: UHC Medicare Advantage	$2,573.30
Rate for Payer: VA VA	$2,498.35

HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL, SINGLE COLUMN/GROUP;

Facility

$4,155.00

Service Code	CPT 46255
Hospital Revenue Code	360
Min. Negotiated Rate	$351.02
Max. Negotiated Rate	$4,155.00
Rate for Payer: Aetna Medicare	$2,598.28
Rate for Payer: Allen County Amish Medical Aid Commercial	$3,122.94
Rate for Payer: Amish Plain Church Group Commercial	$3,122.94
Rate for Payer: BCBS Complete	$1,435.05
Rate for Payer: BCBS MAPPO	$2,498.35
Rate for Payer: BCBS Trust/PPO	$1,585.67
Rate for Payer: BCN Medicare Advantage	$2,498.35
Rate for Payer: Health Alliance Plan Medicare Advantage	$2,498.35
Rate for Payer: Mclaren Medicaid	$1,366.60
Rate for Payer: Mclaren Medicare	$2,498.35
Rate for Payer: Meridian Medicaid	$1,435.05
Rate for Payer: Meridian Wellcare - Medicare Advantage	$2,623.27
Rate for Payer: MI Amish Medical Board Commercial	$2,873.10
Rate for Payer: PACE Medicare	$2,373.43
Rate for Payer: PACE SWMI	$2,498.35
Rate for Payer: PHP Medicare Advantage	$2,498.35
Rate for Payer: Priority Health Choice Medicaid	$1,366.60
Rate for Payer: Priority Health Medicare	$2,498.35
Rate for Payer: Railroad Medicare Medicare	$2,498.35
Rate for Payer: UHC All Payor (Choice/PPO)	$386.12
Rate for Payer: UHC Core	$4,155.00
Rate for Payer: UHC Dual Complete DSNP	$2,498.35
Rate for Payer: UHC Exchange	$351.02
Rate for Payer: UHC Medicare Advantage	$2,573.30
Rate for Payer: VA VA	$2,498.35

HEMORRHOIDECTOMY, INTERNAL, BY LIGATION OTHER THAN RUBBER BAND; SINGLE HEMORRHOID COLUMN/GROUP, WITHOUT IMAGING GUIDANCE

Facility

$4,155.00

Service Code	CPT 46945
Hospital Revenue Code	360
Min. Negotiated Rate	$164.35
Max. Negotiated Rate	$4,155.00
Rate for Payer: Aetna Medicare	$2,598.28
Rate for Payer: Allen County Amish Medical Aid Commercial	$3,122.94
Rate for Payer: Amish Plain Church Group Commercial	$3,122.94
Rate for Payer: BCBS Complete	$1,435.05
Rate for Payer: BCBS MAPPO	$2,498.35
Rate for Payer: BCBS Trust/PPO	$164.35
Rate for Payer: BCN Medicare Advantage	$2,498.35
Rate for Payer: Health Alliance Plan Medicare Advantage	$2,498.35
Rate for Payer: Mclaren Medicaid	$1,366.60
Rate for Payer: Mclaren Medicare	$2,498.35
Rate for Payer: Meridian Medicaid	$1,435.05
Rate for Payer: Meridian Wellcare - Medicare Advantage	$2,623.27
Rate for Payer: MI Amish Medical Board Commercial	$2,873.10
Rate for Payer: PACE Medicare	$2,373.43
Rate for Payer: PACE SWMI	$2,498.35
Rate for Payer: PHP Medicare Advantage	$2,498.35
Rate for Payer: Priority Health Choice Medicaid	$1,366.60
Rate for Payer: Priority Health Medicare	$2,498.35
Rate for Payer: Railroad Medicare Medicare	$2,498.35
Rate for Payer: UHC All Payor (Choice/PPO)	$370.27
Rate for Payer: UHC Core	$4,155.00
Rate for Payer: UHC Dual Complete DSNP	$2,498.35
Rate for Payer: UHC Exchange	$336.61
Rate for Payer: UHC Medicare Advantage	$2,573.30
Rate for Payer: VA VA	$2,498.35

HEPARIN 1,000 UNIT/ML FOR FLUSH MIXTURES

Facility

$21.46

Service Code	HCPCS J1643
Hospital Charge Code	168888
Hospital Revenue Code	636
Min. Negotiated Rate	$13.52
Max. Negotiated Rate	$19.31
Rate for Payer: Aetna Commercial	$18.24
Rate for Payer: Aetna New Business (MI Preferred)	$13.95
Rate for Payer: Cash Price	$17.17
Rate for Payer: Cofinity Commercial	$15.02
Rate for Payer: Cofinity Commercial	$18.46
Rate for Payer: Healthscope Commercial	$19.31
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$18.24
Rate for Payer: PHP Commercial	$18.24
Rate for Payer: Priority Health Cigna Priority Health	$15.02
Rate for Payer: Priority Health SBD	$13.52

HEPARIN 1,000 UNIT/ML FOR FLUSH MIXTURES

Facility

$25.39

Service Code	HCPCS J1644
Hospital Charge Code	168888
Hospital Revenue Code	636
Min. Negotiated Rate	$16.00
Max. Negotiated Rate	$22.85
Rate for Payer: Aetna Commercial	$21.58
Rate for Payer: Aetna New Business (MI Preferred)	$16.50
Rate for Payer: Cash Price	$20.31
Rate for Payer: Cofinity Commercial	$17.77
Rate for Payer: Cofinity Commercial	$21.84
Rate for Payer: Healthscope Commercial	$22.85
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$21.58
Rate for Payer: PHP Commercial	$21.58
Rate for Payer: Priority Health Cigna Priority Health	$17.77
Rate for Payer: Priority Health SBD	$16.00

HEPARIN 1,000 UNIT/ML INJECTION-DIALYSIS BOLUS ONLY

Facility

$72.50

Service Code	HCPCS J1643
Hospital Charge Code	161558
Hospital Revenue Code	636
Min. Negotiated Rate	$45.68
Max. Negotiated Rate	$65.25
Rate for Payer: Aetna Commercial	$61.62
Rate for Payer: Aetna New Business (MI Preferred)	$47.12
Rate for Payer: Cash Price	$58.00
Rate for Payer: Cofinity Commercial	$50.75
Rate for Payer: Cofinity Commercial	$62.35
Rate for Payer: Healthscope Commercial	$65.25
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$61.62
Rate for Payer: PHP Commercial	$61.62
Rate for Payer: Priority Health Cigna Priority Health	$50.75
Rate for Payer: Priority Health SBD	$45.68

Know your out-of-pocket cost for care.

All Charges