Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION

Facility

$13.00

Service Code	NDC 47781-587-20
Hospital Charge Code	5007
Hospital Revenue Code	250
Min. Negotiated Rate	$8.19
Max. Negotiated Rate	$11.70
Rate for Payer: Aetna Commercial	$11.05
Rate for Payer: Aetna New Business (MI Preferred)	$8.45
Rate for Payer: Cash Price	$10.40
Rate for Payer: Cofinity Commercial	$11.18
Rate for Payer: Cofinity Commercial	$9.10
Rate for Payer: Healthscope Commercial	$11.70
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$11.05
Rate for Payer: PHP Commercial	$11.05
Rate for Payer: Priority Health Cigna Priority Health	$9.10
Rate for Payer: Priority Health SBD	$8.19

METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION

Facility

$15.88

Service Code	NDC 72611-740-01
Hospital Charge Code	5007
Hospital Revenue Code	250
Min. Negotiated Rate	$10.00
Max. Negotiated Rate	$14.29
Rate for Payer: Aetna Commercial	$13.50
Rate for Payer: Aetna New Business (MI Preferred)	$10.32
Rate for Payer: Cash Price	$12.70
Rate for Payer: Cofinity Commercial	$11.12
Rate for Payer: Cofinity Commercial	$13.66
Rate for Payer: Healthscope Commercial	$14.29
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$13.50
Rate for Payer: PHP Commercial	$13.50
Rate for Payer: Priority Health Cigna Priority Health	$11.12
Rate for Payer: Priority Health SBD	$10.00

METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION

Facility

$15.88

Service Code	NDC 72611-740-10
Hospital Charge Code	5007
Hospital Revenue Code	250
Min. Negotiated Rate	$10.00
Max. Negotiated Rate	$14.29
Rate for Payer: Aetna Commercial	$13.50
Rate for Payer: Aetna New Business (MI Preferred)	$10.32
Rate for Payer: Cash Price	$12.70
Rate for Payer: Cofinity Commercial	$11.12
Rate for Payer: Cofinity Commercial	$13.66
Rate for Payer: Healthscope Commercial	$14.29
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$13.50
Rate for Payer: PHP Commercial	$13.50
Rate for Payer: Priority Health Cigna Priority Health	$11.12
Rate for Payer: Priority Health SBD	$10.00

METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION

Facility

$16.69

Service Code	NDC 0143-9660-10
Hospital Charge Code	5007
Hospital Revenue Code	250
Min. Negotiated Rate	$10.51
Max. Negotiated Rate	$15.02
Rate for Payer: Aetna Commercial	$14.19
Rate for Payer: Aetna New Business (MI Preferred)	$10.85
Rate for Payer: Cash Price	$13.35
Rate for Payer: Cofinity Commercial	$11.68
Rate for Payer: Cofinity Commercial	$14.35
Rate for Payer: Healthscope Commercial	$15.02
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$14.19
Rate for Payer: PHP Commercial	$14.19
Rate for Payer: Priority Health Cigna Priority Health	$11.68
Rate for Payer: Priority Health SBD	$10.51

METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION

Facility

$13.38

Service Code	NDC 0409-1778-15
Hospital Charge Code	5007
Hospital Revenue Code	250
Min. Negotiated Rate	$8.43
Max. Negotiated Rate	$12.04
Rate for Payer: Aetna Commercial	$11.37
Rate for Payer: Aetna New Business (MI Preferred)	$8.70
Rate for Payer: Cash Price	$10.70
Rate for Payer: Cofinity Commercial	$11.51
Rate for Payer: Cofinity Commercial	$9.37
Rate for Payer: Healthscope Commercial	$12.04
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$11.37
Rate for Payer: PHP Commercial	$11.37
Rate for Payer: Priority Health Cigna Priority Health	$9.37
Rate for Payer: Priority Health SBD	$8.43

METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION

Facility

$24.29

Service Code	NDC 70860-300-05
Hospital Charge Code	5007
Hospital Revenue Code	250
Min. Negotiated Rate	$15.30
Max. Negotiated Rate	$21.86
Rate for Payer: Aetna Commercial	$20.65
Rate for Payer: Aetna New Business (MI Preferred)	$15.79
Rate for Payer: Cash Price	$19.43
Rate for Payer: Cofinity Commercial	$17.00
Rate for Payer: Cofinity Commercial	$20.89
Rate for Payer: Healthscope Commercial	$21.86
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$20.65
Rate for Payer: PHP Commercial	$20.65
Rate for Payer: Priority Health Cigna Priority Health	$17.00
Rate for Payer: Priority Health SBD	$15.30

METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION

Facility

$16.75

Service Code	NDC 36000-033-10
Hospital Charge Code	5007
Hospital Revenue Code	250
Min. Negotiated Rate	$10.55
Max. Negotiated Rate	$15.08
Rate for Payer: Aetna Commercial	$14.24
Rate for Payer: Aetna New Business (MI Preferred)	$10.89
Rate for Payer: Cash Price	$13.40
Rate for Payer: Cofinity Commercial	$11.72
Rate for Payer: Cofinity Commercial	$14.40
Rate for Payer: Healthscope Commercial	$15.08
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$14.24
Rate for Payer: PHP Commercial	$14.24
Rate for Payer: Priority Health Cigna Priority Health	$11.72
Rate for Payer: Priority Health SBD	$10.55

METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION

Facility

$13.38

Service Code	NDC 0409-1778-05
Hospital Charge Code	5007
Hospital Revenue Code	250
Min. Negotiated Rate	$8.43
Max. Negotiated Rate	$12.04
Rate for Payer: Aetna Commercial	$11.37
Rate for Payer: Aetna New Business (MI Preferred)	$8.70
Rate for Payer: Cash Price	$10.70
Rate for Payer: Cofinity Commercial	$11.51
Rate for Payer: Cofinity Commercial	$9.37
Rate for Payer: Healthscope Commercial	$12.04
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$11.37
Rate for Payer: PHP Commercial	$11.37
Rate for Payer: Priority Health Cigna Priority Health	$9.37
Rate for Payer: Priority Health SBD	$8.43

METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION

Facility

$16.69

Service Code	NDC 0143-9660-01
Hospital Charge Code	5007
Hospital Revenue Code	250
Min. Negotiated Rate	$10.51
Max. Negotiated Rate	$15.02
Rate for Payer: Aetna Commercial	$14.19
Rate for Payer: Aetna New Business (MI Preferred)	$10.85
Rate for Payer: Cash Price	$13.35
Rate for Payer: Cofinity Commercial	$11.68
Rate for Payer: Cofinity Commercial	$14.35
Rate for Payer: Healthscope Commercial	$15.02
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$14.19
Rate for Payer: PHP Commercial	$14.19
Rate for Payer: Priority Health Cigna Priority Health	$11.68
Rate for Payer: Priority Health SBD	$10.51

METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK

Facility

$62.93

Service Code	HCPCS J1836
Hospital Charge Code	5018
Hospital Revenue Code	636
Min. Negotiated Rate	$39.65
Max. Negotiated Rate	$56.64
Rate for Payer: Aetna Commercial	$53.49
Rate for Payer: Aetna Commercial	$40.67
Rate for Payer: Aetna Commercial	$49.50
Rate for Payer: Aetna Commercial	$57.11
Rate for Payer: Aetna New Business (MI Preferred)	$43.67
Rate for Payer: Aetna New Business (MI Preferred)	$31.10
Rate for Payer: Aetna New Business (MI Preferred)	$40.90
Rate for Payer: Aetna New Business (MI Preferred)	$37.85
Rate for Payer: Cash Price	$50.34
Rate for Payer: Cash Price	$53.75
Rate for Payer: Cash Price	$46.58
Rate for Payer: Cash Price	$38.28
Rate for Payer: Cofinity Commercial	$33.50
Rate for Payer: Cofinity Commercial	$57.78
Rate for Payer: Cofinity Commercial	$47.03
Rate for Payer: Cofinity Commercial	$44.05
Rate for Payer: Cofinity Commercial	$40.76
Rate for Payer: Cofinity Commercial	$50.08
Rate for Payer: Cofinity Commercial	$54.12
Rate for Payer: Cofinity Commercial	$41.15
Rate for Payer: Healthscope Commercial	$43.06
Rate for Payer: Healthscope Commercial	$52.41
Rate for Payer: Healthscope Commercial	$56.64
Rate for Payer: Healthscope Commercial	$60.47
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$40.67
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$49.50
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$53.49
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$57.11
Rate for Payer: PHP Commercial	$49.50
Rate for Payer: PHP Commercial	$53.49
Rate for Payer: PHP Commercial	$40.67
Rate for Payer: PHP Commercial	$57.11
Rate for Payer: Priority Health Cigna Priority Health	$47.03
Rate for Payer: Priority Health Cigna Priority Health	$40.76
Rate for Payer: Priority Health Cigna Priority Health	$44.05
Rate for Payer: Priority Health Cigna Priority Health	$33.50
Rate for Payer: Priority Health SBD	$30.15
Rate for Payer: Priority Health SBD	$36.68
Rate for Payer: Priority Health SBD	$42.33
Rate for Payer: Priority Health SBD	$39.65

METRONIDAZOLE 500 MG TABLET

Facility

$4.23

Service Code	NDC 50268-535-11
Hospital Charge Code	5016
Hospital Revenue Code	637
Min. Negotiated Rate	$2.66
Max. Negotiated Rate	$3.81
Rate for Payer: Aetna Commercial	$3.60
Rate for Payer: Aetna New Business (MI Preferred)	$2.75
Rate for Payer: Cash Price	$3.38
Rate for Payer: Cofinity Commercial	$2.96
Rate for Payer: Cofinity Commercial	$3.64
Rate for Payer: Healthscope Commercial	$3.81
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$3.60
Rate for Payer: PHP Commercial	$3.60
Rate for Payer: Priority Health Cigna Priority Health	$2.96
Rate for Payer: Priority Health SBD	$2.66

METRONIDAZOLE 500 MG TABLET

Facility

$245.76

Service Code	NDC 60687-550-01
Hospital Charge Code	5016
Hospital Revenue Code	637
Min. Negotiated Rate	$154.83
Max. Negotiated Rate	$221.18
Rate for Payer: Aetna Commercial	$208.90
Rate for Payer: Aetna New Business (MI Preferred)	$159.74
Rate for Payer: Cash Price	$196.61
Rate for Payer: Cofinity Commercial	$172.03
Rate for Payer: Cofinity Commercial	$211.35
Rate for Payer: Healthscope Commercial	$221.18
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$208.90
Rate for Payer: PHP Commercial	$208.90
Rate for Payer: Priority Health Cigna Priority Health	$172.03
Rate for Payer: Priority Health SBD	$154.83

METRONIDAZOLE 500 MG TABLET

Facility

$4.45

Service Code	NDC 42292-001-01
Hospital Charge Code	5016
Hospital Revenue Code	637
Min. Negotiated Rate	$2.80
Max. Negotiated Rate	$4.00
Rate for Payer: Aetna Commercial	$3.78
Rate for Payer: Aetna New Business (MI Preferred)	$2.89
Rate for Payer: Cash Price	$3.56
Rate for Payer: Cofinity Commercial	$3.12
Rate for Payer: Cofinity Commercial	$3.83
Rate for Payer: Healthscope Commercial	$4.00
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$3.78
Rate for Payer: PHP Commercial	$3.78
Rate for Payer: Priority Health Cigna Priority Health	$3.12
Rate for Payer: Priority Health SBD	$2.80

METRONIDAZOLE 500 MG TABLET

Facility

$438.90

Service Code	NDC 0904-7126-61
Hospital Charge Code	5016
Hospital Revenue Code	637
Min. Negotiated Rate	$276.51
Max. Negotiated Rate	$395.01
Rate for Payer: Aetna Commercial	$373.06
Rate for Payer: Aetna New Business (MI Preferred)	$285.28
Rate for Payer: Cash Price	$351.12
Rate for Payer: Cofinity Commercial	$307.23
Rate for Payer: Cofinity Commercial	$377.45
Rate for Payer: Healthscope Commercial	$395.01
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$373.06
Rate for Payer: PHP Commercial	$373.06
Rate for Payer: Priority Health Cigna Priority Health	$307.23
Rate for Payer: Priority Health SBD	$276.51

METRONIDAZOLE 500 MG TABLET

Facility

$450.30

Service Code	NDC 23155-652-01
Hospital Charge Code	5016
Hospital Revenue Code	637
Min. Negotiated Rate	$283.69
Max. Negotiated Rate	$405.27
Rate for Payer: Aetna Commercial	$382.76
Rate for Payer: Aetna New Business (MI Preferred)	$292.70
Rate for Payer: Cash Price	$360.24
Rate for Payer: Cofinity Commercial	$315.21
Rate for Payer: Cofinity Commercial	$387.26
Rate for Payer: Healthscope Commercial	$405.27
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$382.76
Rate for Payer: PHP Commercial	$382.76
Rate for Payer: Priority Health Cigna Priority Health	$315.21
Rate for Payer: Priority Health SBD	$283.69

METRONIDAZOLE 500 MG TABLET

Facility

$2.46

Service Code	NDC 60687-550-11
Hospital Charge Code	5016
Hospital Revenue Code	637
Min. Negotiated Rate	$1.55
Max. Negotiated Rate	$2.21
Rate for Payer: Aetna Commercial	$2.09
Rate for Payer: Aetna New Business (MI Preferred)	$1.60
Rate for Payer: Cash Price	$1.97
Rate for Payer: Cofinity Commercial	$1.72
Rate for Payer: Cofinity Commercial	$2.12
Rate for Payer: Healthscope Commercial	$2.21
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$2.09
Rate for Payer: PHP Commercial	$2.09
Rate for Payer: Priority Health Cigna Priority Health	$1.72
Rate for Payer: Priority Health SBD	$1.55

METRONIDAZOLE 500 MG TABLET

Facility

$211.38

Service Code	NDC 50268-535-15
Hospital Charge Code	5016
Hospital Revenue Code	637
Min. Negotiated Rate	$133.17
Max. Negotiated Rate	$190.24
Rate for Payer: Aetna Commercial	$179.67
Rate for Payer: Aetna New Business (MI Preferred)	$137.40
Rate for Payer: Cash Price	$169.10
Rate for Payer: Cofinity Commercial	$147.97
Rate for Payer: Cofinity Commercial	$181.79
Rate for Payer: Healthscope Commercial	$190.24
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$179.67
Rate for Payer: PHP Commercial	$179.67
Rate for Payer: Priority Health Cigna Priority Health	$147.97
Rate for Payer: Priority Health SBD	$133.17

METRONIDAZOLE 500 MG TABLET

Facility

$244.32

Service Code	NDC 50111-334-01
Hospital Charge Code	5016
Hospital Revenue Code	637
Min. Negotiated Rate	$153.92
Max. Negotiated Rate	$219.89
Rate for Payer: Aetna Commercial	$207.67
Rate for Payer: Aetna New Business (MI Preferred)	$158.81
Rate for Payer: Cash Price	$195.46
Rate for Payer: Cofinity Commercial	$171.02
Rate for Payer: Cofinity Commercial	$210.12
Rate for Payer: Healthscope Commercial	$219.89
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$207.67
Rate for Payer: PHP Commercial	$207.67
Rate for Payer: Priority Health Cigna Priority Health	$171.02
Rate for Payer: Priority Health SBD	$153.92

METRONIDAZOLE 500 MG TABLET

Facility

$450.30

Service Code	NDC 29300-227-01
Hospital Charge Code	5016
Hospital Revenue Code	637
Min. Negotiated Rate	$283.69
Max. Negotiated Rate	$405.27
Rate for Payer: Aetna Commercial	$382.76
Rate for Payer: Aetna New Business (MI Preferred)	$292.70
Rate for Payer: Cash Price	$360.24
Rate for Payer: Cofinity Commercial	$315.21
Rate for Payer: Cofinity Commercial	$387.26
Rate for Payer: Healthscope Commercial	$405.27
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$382.76
Rate for Payer: PHP Commercial	$382.76
Rate for Payer: Priority Health Cigna Priority Health	$315.21
Rate for Payer: Priority Health SBD	$283.69

METRONIDAZOLE 500 MG TABLET

Facility

$444.60

Service Code	NDC 42292-001-20
Hospital Charge Code	5016
Hospital Revenue Code	637
Min. Negotiated Rate	$280.10
Max. Negotiated Rate	$400.14
Rate for Payer: Aetna Commercial	$377.91
Rate for Payer: Aetna New Business (MI Preferred)	$288.99
Rate for Payer: Cash Price	$355.68
Rate for Payer: Cofinity Commercial	$311.22
Rate for Payer: Cofinity Commercial	$382.36
Rate for Payer: Healthscope Commercial	$400.14
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$377.91
Rate for Payer: PHP Commercial	$377.91
Rate for Payer: Priority Health Cigna Priority Health	$311.22
Rate for Payer: Priority Health SBD	$280.10

MEXILETINE 150 MG CAPSULE

Facility

$353.76

Service Code	NDC 0527-4107-37
Hospital Charge Code	10595
Hospital Revenue Code	637
Min. Negotiated Rate	$222.87
Max. Negotiated Rate	$318.38
Rate for Payer: Aetna Commercial	$300.70
Rate for Payer: Aetna New Business (MI Preferred)	$229.94
Rate for Payer: Cash Price	$283.01
Rate for Payer: Cofinity Commercial	$247.63
Rate for Payer: Cofinity Commercial	$304.23
Rate for Payer: Healthscope Commercial	$318.38
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$300.70
Rate for Payer: PHP Commercial	$300.70
Rate for Payer: Priority Health Cigna Priority Health	$247.63
Rate for Payer: Priority Health SBD	$222.87

MEXILETINE 150 MG CAPSULE

Facility

$577.44

Service Code	NDC 0093-8739-01
Hospital Charge Code	10595
Hospital Revenue Code	637
Min. Negotiated Rate	$363.79
Max. Negotiated Rate	$519.70
Rate for Payer: Aetna Commercial	$490.82
Rate for Payer: Aetna New Business (MI Preferred)	$375.34
Rate for Payer: Cash Price	$461.95
Rate for Payer: Cofinity Commercial	$404.21
Rate for Payer: Cofinity Commercial	$496.60
Rate for Payer: Healthscope Commercial	$519.70
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$490.82
Rate for Payer: PHP Commercial	$490.82
Rate for Payer: Priority Health Cigna Priority Health	$404.21
Rate for Payer: Priority Health SBD	$363.79

MEXILETINE 200 MG CAPSULE

Facility

$702.24

Service Code	NDC 0093-8740-01
Hospital Charge Code	10596
Hospital Revenue Code	637
Min. Negotiated Rate	$442.41
Max. Negotiated Rate	$632.02
Rate for Payer: Aetna Commercial	$596.90
Rate for Payer: Aetna New Business (MI Preferred)	$456.46
Rate for Payer: Cash Price	$561.79
Rate for Payer: Cofinity Commercial	$491.57
Rate for Payer: Cofinity Commercial	$603.93
Rate for Payer: Healthscope Commercial	$632.02
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$596.90
Rate for Payer: PHP Commercial	$596.90
Rate for Payer: Priority Health Cigna Priority Health	$491.57
Rate for Payer: Priority Health SBD	$442.41

MICAFUNGIN 100 MG INTRAVENOUS SOLUTION

Facility

$617.39

Service Code	HCPCS J2248
Hospital Charge Code	77685
Hospital Revenue Code	636
Min. Negotiated Rate	$388.96
Max. Negotiated Rate	$555.65
Rate for Payer: Aetna Commercial	$524.78
Rate for Payer: Aetna Commercial	$119.57
Rate for Payer: Aetna Commercial	$155.36
Rate for Payer: Aetna New Business (MI Preferred)	$118.81
Rate for Payer: Aetna New Business (MI Preferred)	$91.44
Rate for Payer: Aetna New Business (MI Preferred)	$401.30
Rate for Payer: Cash Price	$146.22
Rate for Payer: Cash Price	$493.91
Rate for Payer: Cash Price	$112.54
Rate for Payer: Cofinity Commercial	$530.96
Rate for Payer: Cofinity Commercial	$120.98
Rate for Payer: Cofinity Commercial	$98.47
Rate for Payer: Cofinity Commercial	$127.95
Rate for Payer: Cofinity Commercial	$157.19
Rate for Payer: Cofinity Commercial	$432.17
Rate for Payer: Healthscope Commercial	$164.50
Rate for Payer: Healthscope Commercial	$555.65
Rate for Payer: Healthscope Commercial	$126.60
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$155.36
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$119.57
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$524.78
Rate for Payer: PHP Commercial	$155.36
Rate for Payer: PHP Commercial	$119.57
Rate for Payer: PHP Commercial	$524.78
Rate for Payer: Priority Health Cigna Priority Health	$98.47
Rate for Payer: Priority Health Cigna Priority Health	$127.95
Rate for Payer: Priority Health Cigna Priority Health	$432.17
Rate for Payer: Priority Health SBD	$88.62
Rate for Payer: Priority Health SBD	$115.15
Rate for Payer: Priority Health SBD	$388.96

MICONAZOLE NITRATE 100 MG VAGINAL SUPPOSITORY

Facility

$21.14

Service Code	NDC 61269-736-07
Hospital Charge Code	10603
Hospital Revenue Code	637
Min. Negotiated Rate	$13.32
Max. Negotiated Rate	$19.03
Rate for Payer: Aetna Commercial	$17.97
Rate for Payer: Aetna New Business (MI Preferred)	$13.74
Rate for Payer: Cash Price	$16.91
Rate for Payer: Cofinity Commercial	$14.80
Rate for Payer: Cofinity Commercial	$18.18
Rate for Payer: Healthscope Commercial	$19.03
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$17.97
Rate for Payer: PHP Commercial	$17.97
Rate for Payer: Priority Health Cigna Priority Health	$14.80
Rate for Payer: Priority Health SBD	$13.32

Know your out-of-pocket cost for care.

All Charges