Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

HC SPECTRAL DOPPLER

Facility

$493.59

Service Code	CPT 93320
Hospital Charge Code	48000006
Hospital Revenue Code	480
Min. Negotiated Rate	$197.44
Max. Negotiated Rate	$444.23
Rate for Payer: Aetna Commercial	$419.55
Rate for Payer: Aetna Medicare	$246.79
Rate for Payer: Aetna New Business (MI Preferred)	$320.83
Rate for Payer: BCBS Complete	$197.44
Rate for Payer: Cash Price	$394.87
Rate for Payer: Cofinity Commercial	$345.51
Rate for Payer: Cofinity Commercial	$424.49
Rate for Payer: Cofinity Medicare Advantage	$345.51
Rate for Payer: Encore Health Key Benefits Commercial	$394.87
Rate for Payer: Healthscope Commercial	$444.23
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$419.55
Rate for Payer: PHP Commercial	$419.55
Rate for Payer: Priority Health Cigna Priority Health	$320.83
Rate for Payer: Priority Health SBD	$310.96
Rate for Payer: UHC Core	$365.26
Rate for Payer: UHC Exchange	$365.26

HC SPEC TX PROCEDURE

Facility

$1,587.65

Service Code	CPT 77470
Hospital Charge Code	33300026
Hospital Revenue Code	333
Min. Negotiated Rate	$302.40
Max. Negotiated Rate	$1,588.08
Rate for Payer: Aetna Commercial	$1,349.50
Rate for Payer: Aetna Medicare	$586.74
Rate for Payer: Aetna New Business (MI Preferred)	$1,031.97
Rate for Payer: Allen County Amish Medical Aid Commercial	$705.21
Rate for Payer: Amish Plain Church Group Commercial	$705.21
Rate for Payer: BCBS Complete	$317.51
Rate for Payer: BCBS MAPPO	$564.17
Rate for Payer: BCN Medicare Advantage	$564.17
Rate for Payer: Cash Price	$1,270.12
Rate for Payer: Cash Price	$1,270.12
Rate for Payer: Cofinity Commercial	$1,111.36
Rate for Payer: Cofinity Commercial	$1,365.38
Rate for Payer: Cofinity Medicare Advantage	$1,111.36
Rate for Payer: Encore Health Key Benefits Commercial	$1,270.12
Rate for Payer: Health Alliance Plan Medicare Advantage	$564.17
Rate for Payer: Healthscope Commercial	$1,428.88
Rate for Payer: Mclaren Medicaid	$302.40
Rate for Payer: Mclaren Medicare	$564.17
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$592.38
Rate for Payer: Meridian Medicaid	$317.51
Rate for Payer: MI Amish Medical Board Commercial	$648.80
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,349.50
Rate for Payer: PACE Medicare	$535.96
Rate for Payer: PACE SWMI	$564.17
Rate for Payer: PHP Commercial	$1,349.50
Rate for Payer: PHP Medicare Advantage	$564.17
Rate for Payer: Priority Health Choice Medicaid	$302.40
Rate for Payer: Priority Health Cigna Priority Health	$1,031.97
Rate for Payer: Priority Health Medicare	$564.17
Rate for Payer: Priority Health SBD	$1,000.22
Rate for Payer: Railroad Medicare Medicare	$564.17
Rate for Payer: UHC All Payor (Choice/PPO)	$1,588.08
Rate for Payer: UHC Core	$1,174.86
Rate for Payer: UHC Dual Complete DSNP	$564.17
Rate for Payer: UHC Exchange	$1,174.86
Rate for Payer: UHC Medicare Advantage	$564.17
Rate for Payer: UHCCP Medicaid	$317.63
Rate for Payer: VA VA	$564.17

HC SPEC TX PROCEDURE

Facility

$1,587.65

Service Code	CPT 77470
Hospital Charge Code	33300026
Hospital Revenue Code	333
Min. Negotiated Rate	$1,000.22
Max. Negotiated Rate	$1,428.88
Rate for Payer: Aetna Commercial	$1,349.50
Rate for Payer: Aetna New Business (MI Preferred)	$1,031.97
Rate for Payer: Cash Price	$1,270.12
Rate for Payer: Cofinity Commercial	$1,111.36
Rate for Payer: Cofinity Commercial	$1,365.38
Rate for Payer: Cofinity Medicare Advantage	$1,111.36
Rate for Payer: Encore Health Key Benefits Commercial	$1,270.12
Rate for Payer: Healthscope Commercial	$1,428.88
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,349.50
Rate for Payer: PHP Commercial	$1,349.50
Rate for Payer: Priority Health Cigna Priority Health	$1,031.97
Rate for Payer: Priority Health SBD	$1,000.22

HC SPEECH AUDIOMETRY COMPLETE

Facility

$66.30

Service Code	CPT 92556
Hospital Charge Code	76100502
Hospital Revenue Code	471
Min. Negotiated Rate	$31.05
Max. Negotiated Rate	$163.07
Rate for Payer: Aetna Commercial	$56.35
Rate for Payer: Aetna Medicare	$60.25
Rate for Payer: Aetna New Business (MI Preferred)	$43.09
Rate for Payer: Allen County Amish Medical Aid Commercial	$72.41
Rate for Payer: Amish Plain Church Group Commercial	$72.41
Rate for Payer: BCBS Complete	$32.60
Rate for Payer: BCBS MAPPO	$57.93
Rate for Payer: BCN Medicare Advantage	$57.93
Rate for Payer: Cash Price	$53.04
Rate for Payer: Cash Price	$53.04
Rate for Payer: Cofinity Commercial	$57.02
Rate for Payer: Cofinity Commercial	$46.41
Rate for Payer: Cofinity Medicare Advantage	$46.41
Rate for Payer: Encore Health Key Benefits Commercial	$53.04
Rate for Payer: Health Alliance Plan Medicare Advantage	$57.93
Rate for Payer: Healthscope Commercial	$59.67
Rate for Payer: Mclaren Medicaid	$31.05
Rate for Payer: Mclaren Medicare	$57.93
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$60.83
Rate for Payer: Meridian Medicaid	$32.60
Rate for Payer: MI Amish Medical Board Commercial	$66.62
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$56.35
Rate for Payer: PACE Medicare	$55.03
Rate for Payer: PACE SWMI	$57.93
Rate for Payer: PHP Commercial	$56.35
Rate for Payer: PHP Medicare Advantage	$57.93
Rate for Payer: Priority Health Choice Medicaid	$31.05
Rate for Payer: Priority Health Cigna Priority Health	$43.09
Rate for Payer: Priority Health Medicare	$57.93
Rate for Payer: Priority Health SBD	$41.77
Rate for Payer: Railroad Medicare Medicare	$57.93
Rate for Payer: UHC All Payor (Choice/PPO)	$163.07
Rate for Payer: UHC Core	$49.06
Rate for Payer: UHC Dual Complete DSNP	$57.93
Rate for Payer: UHC Exchange	$49.06
Rate for Payer: UHC Medicare Advantage	$57.93
Rate for Payer: UHCCP Medicaid	$32.61
Rate for Payer: VA VA	$57.93

HC SPEECH AUDIOMETRY COMPLETE

Facility

$66.30

Service Code	CPT 92556
Hospital Charge Code	76100502
Hospital Revenue Code	471
Min. Negotiated Rate	$41.77
Max. Negotiated Rate	$59.67
Rate for Payer: Aetna Commercial	$56.35
Rate for Payer: Aetna New Business (MI Preferred)	$43.09
Rate for Payer: Cash Price	$53.04
Rate for Payer: Cofinity Commercial	$46.41
Rate for Payer: Cofinity Commercial	$57.02
Rate for Payer: Cofinity Medicare Advantage	$46.41
Rate for Payer: Encore Health Key Benefits Commercial	$53.04
Rate for Payer: Healthscope Commercial	$59.67
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$56.35
Rate for Payer: PHP Commercial	$56.35
Rate for Payer: Priority Health Cigna Priority Health	$43.09
Rate for Payer: Priority Health SBD	$41.77

HC SPEECH EVAL

Facility

$599.67

Service Code	CPT 92523
Hospital Charge Code	44400009
Hospital Revenue Code	444
Min. Negotiated Rate	$377.79
Max. Negotiated Rate	$539.70
Rate for Payer: Aetna Commercial	$509.72
Rate for Payer: Aetna New Business (MI Preferred)	$389.79
Rate for Payer: Cash Price	$479.74
Rate for Payer: Cofinity Commercial	$419.77
Rate for Payer: Cofinity Commercial	$515.72
Rate for Payer: Cofinity Medicare Advantage	$419.77
Rate for Payer: Encore Health Key Benefits Commercial	$479.74
Rate for Payer: Healthscope Commercial	$539.70
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$509.72
Rate for Payer: PHP Commercial	$509.72
Rate for Payer: Priority Health Cigna Priority Health	$389.79
Rate for Payer: Priority Health SBD	$377.79

HC SPEECH EVAL

Facility

$599.67

Service Code	CPT 92523
Hospital Charge Code	44400009
Hospital Revenue Code	444
Min. Negotiated Rate	$135.00
Max. Negotiated Rate	$539.70
Rate for Payer: Aetna Commercial	$509.72
Rate for Payer: Aetna Medicare	$299.83
Rate for Payer: Aetna New Business (MI Preferred)	$389.79
Rate for Payer: BCBS Complete	$239.87
Rate for Payer: Cash Price	$479.74
Rate for Payer: Cash Price	$479.74
Rate for Payer: Cofinity Commercial	$515.72
Rate for Payer: Cofinity Commercial	$419.77
Rate for Payer: Cofinity Medicare Advantage	$419.77
Rate for Payer: Encore Health Key Benefits Commercial	$479.74
Rate for Payer: Healthscope Commercial	$539.70
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$509.72
Rate for Payer: Nomi Health Commercial	$135.00
Rate for Payer: PHP Commercial	$509.72
Rate for Payer: Priority Health Cigna Priority Health	$389.79
Rate for Payer: Priority Health SBD	$377.79
Rate for Payer: UHC Core	$443.76
Rate for Payer: UHC Exchange	$443.76

HC SPEECH FLUENCY EVAL

Facility

$295.57

Service Code	CPT 92521
Hospital Charge Code	44400012
Hospital Revenue Code	444
Min. Negotiated Rate	$186.21
Max. Negotiated Rate	$266.01
Rate for Payer: Aetna Commercial	$251.23
Rate for Payer: Aetna New Business (MI Preferred)	$192.12
Rate for Payer: Cash Price	$236.46
Rate for Payer: Cofinity Commercial	$206.90
Rate for Payer: Cofinity Commercial	$254.19
Rate for Payer: Cofinity Medicare Advantage	$206.90
Rate for Payer: Encore Health Key Benefits Commercial	$236.46
Rate for Payer: Healthscope Commercial	$266.01
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$251.23
Rate for Payer: PHP Commercial	$251.23
Rate for Payer: Priority Health Cigna Priority Health	$192.12
Rate for Payer: Priority Health SBD	$186.21

HC SPEECH FLUENCY EVAL

Facility

$295.57

Service Code	CPT 92521
Hospital Charge Code	44400012
Hospital Revenue Code	444
Min. Negotiated Rate	$118.23
Max. Negotiated Rate	$266.01
Rate for Payer: Aetna Commercial	$251.23
Rate for Payer: Aetna Medicare	$147.78
Rate for Payer: Aetna New Business (MI Preferred)	$192.12
Rate for Payer: BCBS Complete	$118.23
Rate for Payer: Cash Price	$236.46
Rate for Payer: Cash Price	$236.46
Rate for Payer: Cofinity Commercial	$254.19
Rate for Payer: Cofinity Commercial	$206.90
Rate for Payer: Cofinity Medicare Advantage	$206.90
Rate for Payer: Encore Health Key Benefits Commercial	$236.46
Rate for Payer: Healthscope Commercial	$266.01
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$251.23
Rate for Payer: Nomi Health Commercial	$135.00
Rate for Payer: PHP Commercial	$251.23
Rate for Payer: Priority Health Cigna Priority Health	$192.12
Rate for Payer: Priority Health SBD	$186.21
Rate for Payer: UHC Core	$218.72
Rate for Payer: UHC Exchange	$218.72

HC SPEECH/LANGUAGE/HEARING THERAPY

Facility

$216.40

Service Code	CPT 92507
Hospital Charge Code	44000001
Hospital Revenue Code	440
Min. Negotiated Rate	$136.33
Max. Negotiated Rate	$194.76
Rate for Payer: Aetna Commercial	$183.94
Rate for Payer: Aetna New Business (MI Preferred)	$140.66
Rate for Payer: Cash Price	$173.12
Rate for Payer: Cofinity Commercial	$151.48
Rate for Payer: Cofinity Commercial	$186.10
Rate for Payer: Cofinity Medicare Advantage	$151.48
Rate for Payer: Encore Health Key Benefits Commercial	$173.12
Rate for Payer: Healthscope Commercial	$194.76
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$183.94
Rate for Payer: PHP Commercial	$183.94
Rate for Payer: Priority Health Cigna Priority Health	$140.66
Rate for Payer: Priority Health SBD	$136.33

HC SPEECH/LANGUAGE/HEARING THERAPY

Facility

$216.40

Service Code	CPT 92507
Hospital Charge Code	44000001
Hospital Revenue Code	440
Min. Negotiated Rate	$86.56
Max. Negotiated Rate	$194.76
Rate for Payer: Aetna Commercial	$183.94
Rate for Payer: Aetna Medicare	$108.20
Rate for Payer: Aetna New Business (MI Preferred)	$140.66
Rate for Payer: BCBS Complete	$86.56
Rate for Payer: Cash Price	$173.12
Rate for Payer: Cash Price	$173.12
Rate for Payer: Cofinity Commercial	$186.10
Rate for Payer: Cofinity Commercial	$151.48
Rate for Payer: Cofinity Medicare Advantage	$151.48
Rate for Payer: Encore Health Key Benefits Commercial	$173.12
Rate for Payer: Healthscope Commercial	$194.76
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$183.94
Rate for Payer: Nomi Health Commercial	$135.00
Rate for Payer: PHP Commercial	$183.94
Rate for Payer: Priority Health Cigna Priority Health	$140.66
Rate for Payer: Priority Health SBD	$136.33
Rate for Payer: UHC Core	$160.14
Rate for Payer: UHC Exchange	$160.14

HC SPEECH SOUND PRODUCTION EVAL

Facility

$259.56

Service Code	CPT 92522
Hospital Charge Code	44400010
Hospital Revenue Code	444
Min. Negotiated Rate	$163.52
Max. Negotiated Rate	$233.60
Rate for Payer: Aetna Commercial	$220.63
Rate for Payer: Aetna New Business (MI Preferred)	$168.71
Rate for Payer: Cash Price	$207.65
Rate for Payer: Cofinity Commercial	$181.69
Rate for Payer: Cofinity Commercial	$223.22
Rate for Payer: Cofinity Medicare Advantage	$181.69
Rate for Payer: Encore Health Key Benefits Commercial	$207.65
Rate for Payer: Healthscope Commercial	$233.60
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$220.63
Rate for Payer: PHP Commercial	$220.63
Rate for Payer: Priority Health Cigna Priority Health	$168.71
Rate for Payer: Priority Health SBD	$163.52

HC SPEECH SOUND PRODUCTION EVAL

Facility

$259.56

Service Code	CPT 92522
Hospital Charge Code	44400010
Hospital Revenue Code	444
Min. Negotiated Rate	$103.82
Max. Negotiated Rate	$233.60
Rate for Payer: Aetna Commercial	$220.63
Rate for Payer: Aetna Medicare	$129.78
Rate for Payer: Aetna New Business (MI Preferred)	$168.71
Rate for Payer: BCBS Complete	$103.82
Rate for Payer: Cash Price	$207.65
Rate for Payer: Cash Price	$207.65
Rate for Payer: Cofinity Commercial	$223.22
Rate for Payer: Cofinity Commercial	$181.69
Rate for Payer: Cofinity Medicare Advantage	$181.69
Rate for Payer: Encore Health Key Benefits Commercial	$207.65
Rate for Payer: Healthscope Commercial	$233.60
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$220.63
Rate for Payer: Nomi Health Commercial	$135.00
Rate for Payer: PHP Commercial	$220.63
Rate for Payer: Priority Health Cigna Priority Health	$168.71
Rate for Payer: Priority Health SBD	$163.52
Rate for Payer: UHC Core	$192.07
Rate for Payer: UHC Exchange	$192.07

HC SPEECH THRESHOLD AUDIOMETRY

Facility

$50.12

Service Code	CPT 92555
Hospital Charge Code	47100011
Hospital Revenue Code	471
Min. Negotiated Rate	$31.58
Max. Negotiated Rate	$45.11
Rate for Payer: Aetna Commercial	$42.60
Rate for Payer: Aetna New Business (MI Preferred)	$32.58
Rate for Payer: Cash Price	$40.10
Rate for Payer: Cofinity Commercial	$35.08
Rate for Payer: Cofinity Commercial	$43.10
Rate for Payer: Cofinity Medicare Advantage	$35.08
Rate for Payer: Encore Health Key Benefits Commercial	$40.10
Rate for Payer: Healthscope Commercial	$45.11
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$42.60
Rate for Payer: PHP Commercial	$42.60
Rate for Payer: Priority Health Cigna Priority Health	$32.58
Rate for Payer: Priority Health SBD	$31.58

HC SPEECH THRESHOLD AUDIOMETRY

Facility

$50.12

Service Code	CPT 92555
Hospital Charge Code	47100011
Hospital Revenue Code	471
Min. Negotiated Rate	$31.05
Max. Negotiated Rate	$163.07
Rate for Payer: Aetna Commercial	$42.60
Rate for Payer: Aetna Medicare	$60.25
Rate for Payer: Aetna New Business (MI Preferred)	$32.58
Rate for Payer: Allen County Amish Medical Aid Commercial	$72.41
Rate for Payer: Amish Plain Church Group Commercial	$72.41
Rate for Payer: BCBS Complete	$32.60
Rate for Payer: BCBS MAPPO	$57.93
Rate for Payer: BCN Medicare Advantage	$57.93
Rate for Payer: Cash Price	$40.10
Rate for Payer: Cash Price	$40.10
Rate for Payer: Cofinity Commercial	$43.10
Rate for Payer: Cofinity Commercial	$35.08
Rate for Payer: Cofinity Medicare Advantage	$35.08
Rate for Payer: Encore Health Key Benefits Commercial	$40.10
Rate for Payer: Health Alliance Plan Medicare Advantage	$57.93
Rate for Payer: Healthscope Commercial	$45.11
Rate for Payer: Mclaren Medicaid	$31.05
Rate for Payer: Mclaren Medicare	$57.93
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$60.83
Rate for Payer: Meridian Medicaid	$32.60
Rate for Payer: MI Amish Medical Board Commercial	$66.62
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$42.60
Rate for Payer: PACE Medicare	$55.03
Rate for Payer: PACE SWMI	$57.93
Rate for Payer: PHP Commercial	$42.60
Rate for Payer: PHP Medicare Advantage	$57.93
Rate for Payer: Priority Health Choice Medicaid	$31.05
Rate for Payer: Priority Health Cigna Priority Health	$32.58
Rate for Payer: Priority Health Medicare	$57.93
Rate for Payer: Priority Health SBD	$31.58
Rate for Payer: Railroad Medicare Medicare	$57.93
Rate for Payer: UHC All Payor (Choice/PPO)	$163.07
Rate for Payer: UHC Core	$37.09
Rate for Payer: UHC Dual Complete DSNP	$57.93
Rate for Payer: UHC Exchange	$37.09
Rate for Payer: UHC Medicare Advantage	$57.93
Rate for Payer: UHCCP Medicaid	$32.61
Rate for Payer: VA VA	$57.93

HC SPEECH VIDEO FLUORO EVAL

Facility

$397.01

Service Code	CPT 92611
Hospital Charge Code	44000004
Hospital Revenue Code	440
Min. Negotiated Rate	$135.00
Max. Negotiated Rate	$357.31
Rate for Payer: Aetna Commercial	$337.46
Rate for Payer: Aetna Medicare	$198.50
Rate for Payer: Aetna New Business (MI Preferred)	$258.06
Rate for Payer: BCBS Complete	$158.80
Rate for Payer: Cash Price	$317.61
Rate for Payer: Cash Price	$317.61
Rate for Payer: Cofinity Commercial	$341.43
Rate for Payer: Cofinity Commercial	$277.91
Rate for Payer: Cofinity Medicare Advantage	$277.91
Rate for Payer: Encore Health Key Benefits Commercial	$317.61
Rate for Payer: Healthscope Commercial	$357.31
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$337.46
Rate for Payer: Nomi Health Commercial	$135.00
Rate for Payer: PHP Commercial	$337.46
Rate for Payer: Priority Health Cigna Priority Health	$258.06
Rate for Payer: Priority Health SBD	$250.12
Rate for Payer: UHC Core	$293.79
Rate for Payer: UHC Exchange	$293.79

HC SPEECH VIDEO FLUORO EVAL

Facility

$397.01

Service Code	CPT 92611
Hospital Charge Code	44000004
Hospital Revenue Code	440
Min. Negotiated Rate	$250.12
Max. Negotiated Rate	$357.31
Rate for Payer: Aetna Commercial	$337.46
Rate for Payer: Aetna New Business (MI Preferred)	$258.06
Rate for Payer: Cash Price	$317.61
Rate for Payer: Cofinity Commercial	$277.91
Rate for Payer: Cofinity Commercial	$341.43
Rate for Payer: Cofinity Medicare Advantage	$277.91
Rate for Payer: Encore Health Key Benefits Commercial	$317.61
Rate for Payer: Healthscope Commercial	$357.31
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$337.46
Rate for Payer: PHP Commercial	$337.46
Rate for Payer: Priority Health Cigna Priority Health	$258.06
Rate for Payer: Priority Health SBD	$250.12

HC SPEECH VOICE EVALUATION

Facility

$288.45

Service Code	CPT 92524
Hospital Charge Code	44400011
Hospital Revenue Code	444
Min. Negotiated Rate	$181.72
Max. Negotiated Rate	$259.61
Rate for Payer: Aetna Commercial	$245.18
Rate for Payer: Aetna New Business (MI Preferred)	$187.49
Rate for Payer: Cash Price	$230.76
Rate for Payer: Cofinity Commercial	$201.91
Rate for Payer: Cofinity Commercial	$248.07
Rate for Payer: Cofinity Medicare Advantage	$201.91
Rate for Payer: Encore Health Key Benefits Commercial	$230.76
Rate for Payer: Healthscope Commercial	$259.61
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$245.18
Rate for Payer: PHP Commercial	$245.18
Rate for Payer: Priority Health Cigna Priority Health	$187.49
Rate for Payer: Priority Health SBD	$181.72

HC SPEECH VOICE EVALUATION

Facility

$288.45

Service Code	CPT 92524
Hospital Charge Code	44400011
Hospital Revenue Code	444
Min. Negotiated Rate	$115.38
Max. Negotiated Rate	$259.61
Rate for Payer: Aetna Commercial	$245.18
Rate for Payer: Aetna Medicare	$144.22
Rate for Payer: Aetna New Business (MI Preferred)	$187.49
Rate for Payer: BCBS Complete	$115.38
Rate for Payer: Cash Price	$230.76
Rate for Payer: Cash Price	$230.76
Rate for Payer: Cofinity Commercial	$248.07
Rate for Payer: Cofinity Commercial	$201.91
Rate for Payer: Cofinity Medicare Advantage	$201.91
Rate for Payer: Encore Health Key Benefits Commercial	$230.76
Rate for Payer: Healthscope Commercial	$259.61
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$245.18
Rate for Payer: Nomi Health Commercial	$135.00
Rate for Payer: PHP Commercial	$245.18
Rate for Payer: Priority Health Cigna Priority Health	$187.49
Rate for Payer: Priority Health SBD	$181.72
Rate for Payer: UHC Core	$213.45
Rate for Payer: UHC Exchange	$213.45

HC SPIKE BLOOD ACCESS

Facility

$16.07

Hospital Charge Code	27000669
Hospital Revenue Code	270
Min. Negotiated Rate	$6.43
Max. Negotiated Rate	$14.46
Rate for Payer: Aetna Commercial	$13.66
Rate for Payer: Aetna Medicare	$8.04
Rate for Payer: Aetna New Business (MI Preferred)	$10.45
Rate for Payer: BCBS Complete	$6.43
Rate for Payer: Cash Price	$12.86
Rate for Payer: Cofinity Commercial	$11.25
Rate for Payer: Cofinity Commercial	$13.82
Rate for Payer: Cofinity Medicare Advantage	$11.25
Rate for Payer: Encore Health Key Benefits Commercial	$12.86
Rate for Payer: Healthscope Commercial	$14.46
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$13.66
Rate for Payer: PHP Commercial	$13.66
Rate for Payer: Priority Health Cigna Priority Health	$10.45
Rate for Payer: Priority Health SBD	$10.12

HC SPIKE BLOOD ACCESS

Facility

$16.07

Hospital Charge Code	27000669
Hospital Revenue Code	270
Min. Negotiated Rate	$10.12
Max. Negotiated Rate	$14.46
Rate for Payer: Aetna Commercial	$13.66
Rate for Payer: Aetna New Business (MI Preferred)	$10.45
Rate for Payer: Cash Price	$12.86
Rate for Payer: Cofinity Commercial	$11.25
Rate for Payer: Cofinity Commercial	$13.82
Rate for Payer: Cofinity Medicare Advantage	$11.25
Rate for Payer: Encore Health Key Benefits Commercial	$12.86
Rate for Payer: Healthscope Commercial	$14.46
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$13.66
Rate for Payer: PHP Commercial	$13.66
Rate for Payer: Priority Health Cigna Priority Health	$10.45
Rate for Payer: Priority Health SBD	$10.12

HC SPINAL/EPI ADDL 15 MIN

Facility

$159.71

Hospital Charge Code	37000013
Hospital Revenue Code	370
Min. Negotiated Rate	$100.62
Max. Negotiated Rate	$143.74
Rate for Payer: Aetna Commercial	$135.75
Rate for Payer: Aetna New Business (MI Preferred)	$103.81
Rate for Payer: Cash Price	$127.77
Rate for Payer: Cofinity Commercial	$111.80
Rate for Payer: Cofinity Commercial	$137.35
Rate for Payer: Cofinity Medicare Advantage	$111.80
Rate for Payer: Encore Health Key Benefits Commercial	$127.77
Rate for Payer: Healthscope Commercial	$143.74
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$135.75
Rate for Payer: PHP Commercial	$135.75
Rate for Payer: Priority Health Cigna Priority Health	$103.81
Rate for Payer: Priority Health SBD	$100.62

HC SPINAL/EPI ADDL 15 MIN

Facility

$159.71

Hospital Charge Code	37000013
Hospital Revenue Code	370
Min. Negotiated Rate	$63.88
Max. Negotiated Rate	$143.74
Rate for Payer: Aetna Commercial	$135.75
Rate for Payer: Aetna Medicare	$79.86
Rate for Payer: Aetna New Business (MI Preferred)	$103.81
Rate for Payer: BCBS Complete	$63.88
Rate for Payer: Cash Price	$127.77
Rate for Payer: Cofinity Commercial	$111.80
Rate for Payer: Cofinity Commercial	$137.35
Rate for Payer: Cofinity Medicare Advantage	$111.80
Rate for Payer: Encore Health Key Benefits Commercial	$127.77
Rate for Payer: Healthscope Commercial	$143.74
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$135.75
Rate for Payer: PHP Commercial	$135.75
Rate for Payer: Priority Health Cigna Priority Health	$103.81
Rate for Payer: Priority Health SBD	$100.62

HC SPINAL/EPI INIT 30 MIN

Facility

$436.73

Hospital Charge Code	37000014
Hospital Revenue Code	370
Min. Negotiated Rate	$174.69
Max. Negotiated Rate	$393.06
Rate for Payer: Aetna Commercial	$371.22
Rate for Payer: Aetna Medicare	$218.37
Rate for Payer: Aetna New Business (MI Preferred)	$283.87
Rate for Payer: BCBS Complete	$174.69
Rate for Payer: Cash Price	$349.38
Rate for Payer: Cofinity Commercial	$305.71
Rate for Payer: Cofinity Commercial	$375.59
Rate for Payer: Cofinity Medicare Advantage	$305.71
Rate for Payer: Encore Health Key Benefits Commercial	$349.38
Rate for Payer: Healthscope Commercial	$393.06
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$371.22
Rate for Payer: PHP Commercial	$371.22
Rate for Payer: Priority Health Cigna Priority Health	$283.87
Rate for Payer: Priority Health SBD	$275.14

HC SPINAL/EPI INIT 30 MIN

Facility

$436.73

Hospital Charge Code	37000014
Hospital Revenue Code	370
Min. Negotiated Rate	$275.14
Max. Negotiated Rate	$393.06
Rate for Payer: Aetna Commercial	$371.22
Rate for Payer: Aetna New Business (MI Preferred)	$283.87
Rate for Payer: Cash Price	$349.38
Rate for Payer: Cofinity Commercial	$305.71
Rate for Payer: Cofinity Commercial	$375.59
Rate for Payer: Cofinity Medicare Advantage	$305.71
Rate for Payer: Encore Health Key Benefits Commercial	$349.38
Rate for Payer: Healthscope Commercial	$393.06
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$371.22
Rate for Payer: PHP Commercial	$371.22
Rate for Payer: Priority Health Cigna Priority Health	$283.87
Rate for Payer: Priority Health SBD	$275.14

Know your out-of-pocket cost for care.

All Charges