Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

HC Z INFUSION WIRE

Facility

$874.85

Hospital Charge Code	62100001
Hospital Revenue Code	621
Min. Negotiated Rate	$349.94
Max. Negotiated Rate	$787.37
Rate for Payer: Aetna Commercial	$743.62
Rate for Payer: Aetna Medicare	$437.43
Rate for Payer: Aetna New Business (MI Preferred)	$568.65
Rate for Payer: BCBS Complete	$349.94
Rate for Payer: Cash Price	$699.88
Rate for Payer: Cofinity Commercial	$612.39
Rate for Payer: Cofinity Commercial	$752.37
Rate for Payer: Cofinity Medicare Advantage	$612.39
Rate for Payer: Encore Health Key Benefits Commercial	$699.88
Rate for Payer: Healthscope Commercial	$787.37
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$743.62
Rate for Payer: PHP Commercial	$743.62
Rate for Payer: Priority Health Cigna Priority Health	$568.65
Rate for Payer: Priority Health SBD	$551.16

HC Z INFUSION WIRE

Facility

$874.85

Hospital Charge Code	62100001
Hospital Revenue Code	621
Min. Negotiated Rate	$551.16
Max. Negotiated Rate	$787.37
Rate for Payer: Aetna Commercial	$743.62
Rate for Payer: Aetna New Business (MI Preferred)	$568.65
Rate for Payer: Cash Price	$699.88
Rate for Payer: Cofinity Commercial	$612.39
Rate for Payer: Cofinity Commercial	$752.37
Rate for Payer: Cofinity Medicare Advantage	$612.39
Rate for Payer: Encore Health Key Benefits Commercial	$699.88
Rate for Payer: Healthscope Commercial	$787.37
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$743.62
Rate for Payer: PHP Commercial	$743.62
Rate for Payer: Priority Health Cigna Priority Health	$568.65
Rate for Payer: Priority Health SBD	$551.16

HC Z INTRACRANIAL STENT

Facility

$13,138.47

Hospital Charge Code	27800049
Hospital Revenue Code	278
Min. Negotiated Rate	$5,255.39
Max. Negotiated Rate	$11,824.62
Rate for Payer: Aetna Commercial	$11,167.70
Rate for Payer: Aetna Medicare	$6,569.23
Rate for Payer: Aetna New Business (MI Preferred)	$8,540.01
Rate for Payer: BCBS Complete	$5,255.39
Rate for Payer: Cash Price	$10,510.78
Rate for Payer: Cofinity Commercial	$11,299.08
Rate for Payer: Cofinity Commercial	$9,196.93
Rate for Payer: Cofinity Medicare Advantage	$9,196.93
Rate for Payer: Encore Health Key Benefits Commercial	$10,510.78
Rate for Payer: Healthscope Commercial	$11,824.62
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$11,167.70
Rate for Payer: PHP Commercial	$11,167.70
Rate for Payer: Priority Health Cigna Priority Health	$8,540.01
Rate for Payer: Priority Health SBD	$8,277.24

HC Z INTRACRANIAL STENT

Facility

$13,138.47

Hospital Charge Code	27800049
Hospital Revenue Code	278
Min. Negotiated Rate	$8,277.24
Max. Negotiated Rate	$11,824.62
Rate for Payer: Aetna Commercial	$11,167.70
Rate for Payer: Aetna New Business (MI Preferred)	$8,540.01
Rate for Payer: Cash Price	$10,510.78
Rate for Payer: Cofinity Commercial	$11,299.08
Rate for Payer: Cofinity Commercial	$9,196.93
Rate for Payer: Cofinity Medicare Advantage	$9,196.93
Rate for Payer: Encore Health Key Benefits Commercial	$10,510.78
Rate for Payer: Healthscope Commercial	$11,824.62
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$11,167.70
Rate for Payer: PHP Commercial	$11,167.70
Rate for Payer: Priority Health Cigna Priority Health	$8,540.01
Rate for Payer: Priority Health SBD	$8,277.24

HC Z INTRODUCER SHEATH

Facility

$329.25

Service Code	HCPCS C1894
Hospital Charge Code	27200090
Hospital Revenue Code	272
Min. Negotiated Rate	$207.43
Max. Negotiated Rate	$296.32
Rate for Payer: Aetna Commercial	$279.86
Rate for Payer: Aetna New Business (MI Preferred)	$214.01
Rate for Payer: Cash Price	$263.40
Rate for Payer: Cofinity Commercial	$230.47
Rate for Payer: Cofinity Commercial	$283.15
Rate for Payer: Cofinity Medicare Advantage	$230.47
Rate for Payer: Encore Health Key Benefits Commercial	$263.40
Rate for Payer: Healthscope Commercial	$296.32
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$279.86
Rate for Payer: PHP Commercial	$279.86
Rate for Payer: Priority Health Cigna Priority Health	$214.01
Rate for Payer: Priority Health SBD	$207.43

HC Z INTRODUCER SHEATH

Facility

$329.25

Service Code	HCPCS C1894
Hospital Charge Code	27200090
Hospital Revenue Code	272
Min. Negotiated Rate	$131.70
Max. Negotiated Rate	$296.32
Rate for Payer: Aetna Commercial	$279.86
Rate for Payer: Aetna Medicare	$164.62
Rate for Payer: Aetna New Business (MI Preferred)	$214.01
Rate for Payer: BCBS Complete	$131.70
Rate for Payer: Cash Price	$263.40
Rate for Payer: Cofinity Commercial	$230.47
Rate for Payer: Cofinity Commercial	$283.15
Rate for Payer: Cofinity Medicare Advantage	$230.47
Rate for Payer: Encore Health Key Benefits Commercial	$263.40
Rate for Payer: Healthscope Commercial	$296.32
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$279.86
Rate for Payer: PHP Commercial	$279.86
Rate for Payer: Priority Health Cigna Priority Health	$214.01
Rate for Payer: Priority Health SBD	$207.43

HC Z ITERPRET VISCERAL PTRA

Facility

$3,775.49

Hospital Charge Code	32000272
Hospital Revenue Code	320
Min. Negotiated Rate	$1,510.20
Max. Negotiated Rate	$3,397.94
Rate for Payer: Aetna Commercial	$3,209.17
Rate for Payer: Aetna Medicare	$1,887.74
Rate for Payer: Aetna New Business (MI Preferred)	$2,454.07
Rate for Payer: BCBS Complete	$1,510.20
Rate for Payer: Cash Price	$3,020.39
Rate for Payer: Cofinity Commercial	$2,642.84
Rate for Payer: Cofinity Commercial	$3,246.92
Rate for Payer: Cofinity Medicare Advantage	$2,642.84
Rate for Payer: Encore Health Key Benefits Commercial	$3,020.39
Rate for Payer: Healthscope Commercial	$3,397.94
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$3,209.17
Rate for Payer: PHP Commercial	$3,209.17
Rate for Payer: Priority Health Cigna Priority Health	$2,454.07
Rate for Payer: Priority Health SBD	$2,378.56
Rate for Payer: UHC Core	$2,793.86
Rate for Payer: UHC Exchange	$2,793.86

HC Z ITERPRET VISCERAL PTRA

Facility

$3,775.49

Hospital Charge Code	32000272
Hospital Revenue Code	320
Min. Negotiated Rate	$2,378.56
Max. Negotiated Rate	$3,397.94
Rate for Payer: Aetna Commercial	$3,209.17
Rate for Payer: Aetna New Business (MI Preferred)	$2,454.07
Rate for Payer: Cash Price	$3,020.39
Rate for Payer: Cofinity Commercial	$2,642.84
Rate for Payer: Cofinity Commercial	$3,246.92
Rate for Payer: Cofinity Medicare Advantage	$2,642.84
Rate for Payer: Encore Health Key Benefits Commercial	$3,020.39
Rate for Payer: Healthscope Commercial	$3,397.94
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$3,209.17
Rate for Payer: PHP Commercial	$3,209.17
Rate for Payer: Priority Health Cigna Priority Health	$2,454.07
Rate for Payer: Priority Health SBD	$2,378.56

HC Z NEPHROSTOMY CATH

Facility

$775.77

Service Code	HCPCS C1729
Hospital Charge Code	27200092
Hospital Revenue Code	272
Min. Negotiated Rate	$310.31
Max. Negotiated Rate	$698.19
Rate for Payer: Aetna Commercial	$659.40
Rate for Payer: Aetna Medicare	$387.88
Rate for Payer: Aetna New Business (MI Preferred)	$504.25
Rate for Payer: BCBS Complete	$310.31
Rate for Payer: Cash Price	$620.62
Rate for Payer: Cofinity Commercial	$543.04
Rate for Payer: Cofinity Commercial	$667.16
Rate for Payer: Cofinity Medicare Advantage	$543.04
Rate for Payer: Encore Health Key Benefits Commercial	$620.62
Rate for Payer: Healthscope Commercial	$698.19
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$659.40
Rate for Payer: PHP Commercial	$659.40
Rate for Payer: Priority Health Cigna Priority Health	$504.25
Rate for Payer: Priority Health SBD	$488.74

HC Z NEPHROSTOMY CATH

Facility

$775.77

Service Code	HCPCS C1729
Hospital Charge Code	27200092
Hospital Revenue Code	272
Min. Negotiated Rate	$488.74
Max. Negotiated Rate	$698.19
Rate for Payer: Aetna Commercial	$659.40
Rate for Payer: Aetna New Business (MI Preferred)	$504.25
Rate for Payer: Cash Price	$620.62
Rate for Payer: Cofinity Commercial	$543.04
Rate for Payer: Cofinity Commercial	$667.16
Rate for Payer: Cofinity Medicare Advantage	$543.04
Rate for Payer: Encore Health Key Benefits Commercial	$620.62
Rate for Payer: Healthscope Commercial	$698.19
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$659.40
Rate for Payer: PHP Commercial	$659.40
Rate for Payer: Priority Health Cigna Priority Health	$504.25
Rate for Payer: Priority Health SBD	$488.74

HC ZONISAMIDE

Facility

$76.50

Service Code	CPT 80203
Hospital Charge Code	30100052
Hospital Revenue Code	301
Min. Negotiated Rate	$48.20
Max. Negotiated Rate	$68.85
Rate for Payer: Aetna Commercial	$65.03
Rate for Payer: Aetna New Business (MI Preferred)	$49.73
Rate for Payer: Cash Price	$61.20
Rate for Payer: Cofinity Commercial	$53.55
Rate for Payer: Cofinity Commercial	$65.79
Rate for Payer: Cofinity Medicare Advantage	$53.55
Rate for Payer: Encore Health Key Benefits Commercial	$61.20
Rate for Payer: Healthscope Commercial	$68.85
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$65.03
Rate for Payer: PHP Commercial	$65.03
Rate for Payer: Priority Health Cigna Priority Health	$49.73
Rate for Payer: Priority Health SBD	$48.20

HC ZONISAMIDE

Facility

$76.50

Service Code	CPT 80203
Hospital Charge Code	30100052
Hospital Revenue Code	301
Min. Negotiated Rate	$7.10
Max. Negotiated Rate	$68.85
Rate for Payer: Aetna Commercial	$65.03
Rate for Payer: Aetna Medicare	$13.78
Rate for Payer: Aetna New Business (MI Preferred)	$49.73
Rate for Payer: Allen County Amish Medical Aid Commercial	$16.56
Rate for Payer: Amish Plain Church Group Commercial	$16.56
Rate for Payer: BCBS Complete	$7.46
Rate for Payer: BCBS MAPPO	$13.25
Rate for Payer: BCN Medicare Advantage	$13.25
Rate for Payer: Cash Price	$61.20
Rate for Payer: Cash Price	$61.20
Rate for Payer: Cofinity Commercial	$65.79
Rate for Payer: Cofinity Commercial	$53.55
Rate for Payer: Cofinity Medicare Advantage	$53.55
Rate for Payer: Encore Health Key Benefits Commercial	$61.20
Rate for Payer: Health Alliance Plan Medicare Advantage	$13.25
Rate for Payer: Healthscope Commercial	$68.85
Rate for Payer: Mclaren Medicaid	$7.10
Rate for Payer: Mclaren Medicare	$13.25
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$13.91
Rate for Payer: Meridian Medicaid	$7.46
Rate for Payer: MI Amish Medical Board Commercial	$15.24
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$65.03
Rate for Payer: PACE Medicare	$12.59
Rate for Payer: PACE SWMI	$13.25
Rate for Payer: PHP Commercial	$65.03
Rate for Payer: PHP Medicare Advantage	$13.25
Rate for Payer: Priority Health Choice Medicaid	$7.10
Rate for Payer: Priority Health Cigna Priority Health	$49.73
Rate for Payer: Priority Health Medicare	$13.25
Rate for Payer: Priority Health SBD	$48.20
Rate for Payer: Railroad Medicare Medicare	$13.25
Rate for Payer: UHC All Payor (Choice/PPO)	$37.30
Rate for Payer: UHC Dual Complete DSNP	$13.25
Rate for Payer: UHC Medicare Advantage	$13.25
Rate for Payer: UHCCP Medicaid	$7.46
Rate for Payer: VA VA	$13.25

HC ZOSTER VACCINE (HZV) RECOMB ADJ, IM

Facility

$174.79

Service Code	CPT 90750
Hospital Charge Code	63600123
Hospital Revenue Code	636
Min. Negotiated Rate	$69.92
Max. Negotiated Rate	$157.31
Rate for Payer: Aetna Commercial	$148.57
Rate for Payer: Aetna Medicare	$87.39
Rate for Payer: Aetna New Business (MI Preferred)	$113.61
Rate for Payer: BCBS Complete	$69.92
Rate for Payer: Cash Price	$139.83
Rate for Payer: Cofinity Commercial	$122.35
Rate for Payer: Cofinity Commercial	$150.32
Rate for Payer: Cofinity Medicare Advantage	$122.35
Rate for Payer: Encore Health Key Benefits Commercial	$139.83
Rate for Payer: Healthscope Commercial	$157.31
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$148.57
Rate for Payer: PHP Commercial	$148.57
Rate for Payer: Priority Health Cigna Priority Health	$113.61
Rate for Payer: Priority Health SBD	$110.12

HC ZOSTER VACCINE (HZV) RECOMB ADJ, IM

Facility

$174.79

Service Code	CPT 90750
Hospital Charge Code	63600123
Hospital Revenue Code	636
Min. Negotiated Rate	$110.12
Max. Negotiated Rate	$157.31
Rate for Payer: Aetna Commercial	$148.57
Rate for Payer: Aetna New Business (MI Preferred)	$113.61
Rate for Payer: Cash Price	$139.83
Rate for Payer: Cofinity Commercial	$122.35
Rate for Payer: Cofinity Commercial	$150.32
Rate for Payer: Cofinity Medicare Advantage	$122.35
Rate for Payer: Encore Health Key Benefits Commercial	$139.83
Rate for Payer: Healthscope Commercial	$157.31
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$148.57
Rate for Payer: PHP Commercial	$148.57
Rate for Payer: Priority Health Cigna Priority Health	$113.61
Rate for Payer: Priority Health SBD	$110.12

HC Z RETRIEVAL SNARE

Facility

$1,332.83

Service Code	HCPCS C1773
Hospital Charge Code	27200094
Hospital Revenue Code	272
Min. Negotiated Rate	$839.68
Max. Negotiated Rate	$1,199.55
Rate for Payer: Aetna Commercial	$1,132.91
Rate for Payer: Aetna New Business (MI Preferred)	$866.34
Rate for Payer: Cash Price	$1,066.26
Rate for Payer: Cofinity Commercial	$1,146.23
Rate for Payer: Cofinity Commercial	$932.98
Rate for Payer: Cofinity Medicare Advantage	$932.98
Rate for Payer: Encore Health Key Benefits Commercial	$1,066.26
Rate for Payer: Healthscope Commercial	$1,199.55
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,132.91
Rate for Payer: PHP Commercial	$1,132.91
Rate for Payer: Priority Health Cigna Priority Health	$866.34
Rate for Payer: Priority Health SBD	$839.68

HC Z RETRIEVAL SNARE

Facility

$1,332.83

Service Code	HCPCS C1773
Hospital Charge Code	27200094
Hospital Revenue Code	272
Min. Negotiated Rate	$533.13
Max. Negotiated Rate	$1,199.55
Rate for Payer: Aetna Commercial	$1,132.91
Rate for Payer: Aetna Medicare	$666.41
Rate for Payer: Aetna New Business (MI Preferred)	$866.34
Rate for Payer: BCBS Complete	$533.13
Rate for Payer: Cash Price	$1,066.26
Rate for Payer: Cofinity Commercial	$1,146.23
Rate for Payer: Cofinity Commercial	$932.98
Rate for Payer: Cofinity Medicare Advantage	$932.98
Rate for Payer: Encore Health Key Benefits Commercial	$1,066.26
Rate for Payer: Healthscope Commercial	$1,199.55
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,132.91
Rate for Payer: PHP Commercial	$1,132.91
Rate for Payer: Priority Health Cigna Priority Health	$866.34
Rate for Payer: Priority Health SBD	$839.68

HC Z STENT URETERAL

Facility

$1,212.86

Service Code	HCPCS C2625
Hospital Charge Code	27800041
Hospital Revenue Code	278
Min. Negotiated Rate	$764.10
Max. Negotiated Rate	$1,091.57
Rate for Payer: Aetna Commercial	$1,030.93
Rate for Payer: Aetna New Business (MI Preferred)	$788.36
Rate for Payer: Cash Price	$970.29
Rate for Payer: Cofinity Commercial	$1,043.06
Rate for Payer: Cofinity Commercial	$849.00
Rate for Payer: Cofinity Medicare Advantage	$849.00
Rate for Payer: Encore Health Key Benefits Commercial	$970.29
Rate for Payer: Healthscope Commercial	$1,091.57
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,030.93
Rate for Payer: PHP Commercial	$1,030.93
Rate for Payer: Priority Health Cigna Priority Health	$788.36
Rate for Payer: Priority Health SBD	$764.10

HC Z STENT URETERAL

Facility

$1,212.86

Service Code	HCPCS C2625
Hospital Charge Code	27800041
Hospital Revenue Code	278
Min. Negotiated Rate	$485.14
Max. Negotiated Rate	$1,091.57
Rate for Payer: Aetna Commercial	$1,030.93
Rate for Payer: Aetna Medicare	$606.43
Rate for Payer: Aetna New Business (MI Preferred)	$788.36
Rate for Payer: BCBS Complete	$485.14
Rate for Payer: Cash Price	$970.29
Rate for Payer: Cofinity Commercial	$1,043.06
Rate for Payer: Cofinity Commercial	$849.00
Rate for Payer: Cofinity Medicare Advantage	$849.00
Rate for Payer: Encore Health Key Benefits Commercial	$970.29
Rate for Payer: Healthscope Commercial	$1,091.57
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,030.93
Rate for Payer: PHP Commercial	$1,030.93
Rate for Payer: Priority Health Cigna Priority Health	$788.36
Rate for Payer: Priority Health SBD	$764.10

HC Z TUNNELED PLEURAL CATHETER

Facility

$1,756.94

Service Code	HCPCS C1729
Hospital Charge Code	27200097
Hospital Revenue Code	272
Min. Negotiated Rate	$702.78
Max. Negotiated Rate	$1,581.25
Rate for Payer: Aetna Commercial	$1,493.40
Rate for Payer: Aetna Medicare	$878.47
Rate for Payer: Aetna New Business (MI Preferred)	$1,142.01
Rate for Payer: BCBS Complete	$702.78
Rate for Payer: Cash Price	$1,405.55
Rate for Payer: Cofinity Commercial	$1,229.86
Rate for Payer: Cofinity Commercial	$1,510.97
Rate for Payer: Cofinity Medicare Advantage	$1,229.86
Rate for Payer: Encore Health Key Benefits Commercial	$1,405.55
Rate for Payer: Healthscope Commercial	$1,581.25
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,493.40
Rate for Payer: PHP Commercial	$1,493.40
Rate for Payer: Priority Health Cigna Priority Health	$1,142.01
Rate for Payer: Priority Health SBD	$1,106.87

HC Z TUNNELED PLEURAL CATHETER

Facility

$1,756.94

Service Code	HCPCS C1729
Hospital Charge Code	27200097
Hospital Revenue Code	272
Min. Negotiated Rate	$1,106.87
Max. Negotiated Rate	$1,581.25
Rate for Payer: Aetna Commercial	$1,493.40
Rate for Payer: Aetna New Business (MI Preferred)	$1,142.01
Rate for Payer: Cash Price	$1,405.55
Rate for Payer: Cofinity Commercial	$1,229.86
Rate for Payer: Cofinity Commercial	$1,510.97
Rate for Payer: Cofinity Medicare Advantage	$1,229.86
Rate for Payer: Encore Health Key Benefits Commercial	$1,405.55
Rate for Payer: Healthscope Commercial	$1,581.25
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,493.40
Rate for Payer: PHP Commercial	$1,493.40
Rate for Payer: Priority Health Cigna Priority Health	$1,142.01
Rate for Payer: Priority Health SBD	$1,106.87

HC Z VACUUM BIOPSY DEVICE

Facility

$646.29

Hospital Charge Code	27200129
Hospital Revenue Code	272
Min. Negotiated Rate	$258.52
Max. Negotiated Rate	$581.66
Rate for Payer: Aetna Commercial	$549.35
Rate for Payer: Aetna Medicare	$323.14
Rate for Payer: Aetna New Business (MI Preferred)	$420.09
Rate for Payer: BCBS Complete	$258.52
Rate for Payer: Cash Price	$517.03
Rate for Payer: Cofinity Commercial	$452.40
Rate for Payer: Cofinity Commercial	$555.81
Rate for Payer: Cofinity Medicare Advantage	$452.40
Rate for Payer: Encore Health Key Benefits Commercial	$517.03
Rate for Payer: Healthscope Commercial	$581.66
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$549.35
Rate for Payer: PHP Commercial	$549.35
Rate for Payer: Priority Health Cigna Priority Health	$420.09
Rate for Payer: Priority Health SBD	$407.16

HC Z VACUUM BIOPSY DEVICE

Facility

$646.29

Hospital Charge Code	27200129
Hospital Revenue Code	272
Min. Negotiated Rate	$407.16
Max. Negotiated Rate	$581.66
Rate for Payer: Aetna Commercial	$549.35
Rate for Payer: Aetna New Business (MI Preferred)	$420.09
Rate for Payer: Cash Price	$517.03
Rate for Payer: Cofinity Commercial	$452.40
Rate for Payer: Cofinity Commercial	$555.81
Rate for Payer: Cofinity Medicare Advantage	$452.40
Rate for Payer: Encore Health Key Benefits Commercial	$517.03
Rate for Payer: Healthscope Commercial	$581.66
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$549.35
Rate for Payer: PHP Commercial	$549.35
Rate for Payer: Priority Health Cigna Priority Health	$420.09
Rate for Payer: Priority Health SBD	$407.16

HC Z VASCULAR CLOSURE

Facility

$1,020.90

Service Code	HCPCS C1760
Hospital Charge Code	27200098
Hospital Revenue Code	272
Min. Negotiated Rate	$408.36
Max. Negotiated Rate	$918.81
Rate for Payer: Aetna Commercial	$867.76
Rate for Payer: Aetna Medicare	$510.45
Rate for Payer: Aetna New Business (MI Preferred)	$663.59
Rate for Payer: BCBS Complete	$408.36
Rate for Payer: Cash Price	$816.72
Rate for Payer: Cofinity Commercial	$714.63
Rate for Payer: Cofinity Commercial	$877.97
Rate for Payer: Cofinity Medicare Advantage	$714.63
Rate for Payer: Encore Health Key Benefits Commercial	$816.72
Rate for Payer: Healthscope Commercial	$918.81
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$867.76
Rate for Payer: PHP Commercial	$867.76
Rate for Payer: Priority Health Cigna Priority Health	$663.59
Rate for Payer: Priority Health SBD	$643.17

HC Z VASCULAR CLOSURE

Facility

$1,020.90

Service Code	HCPCS C1760
Hospital Charge Code	27200098
Hospital Revenue Code	272
Min. Negotiated Rate	$643.17
Max. Negotiated Rate	$918.81
Rate for Payer: Aetna Commercial	$867.76
Rate for Payer: Aetna New Business (MI Preferred)	$663.59
Rate for Payer: Cash Price	$816.72
Rate for Payer: Cofinity Commercial	$714.63
Rate for Payer: Cofinity Commercial	$877.97
Rate for Payer: Cofinity Medicare Advantage	$714.63
Rate for Payer: Encore Health Key Benefits Commercial	$816.72
Rate for Payer: Healthscope Commercial	$918.81
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$867.76
Rate for Payer: PHP Commercial	$867.76
Rate for Payer: Priority Health Cigna Priority Health	$663.59
Rate for Payer: Priority Health SBD	$643.17

HC Z VENA CAVA FILTER

Facility

$5,871.33

Service Code	HCPCS C1880
Hospital Charge Code	27800042
Hospital Revenue Code	278
Min. Negotiated Rate	$2,348.53
Max. Negotiated Rate	$5,284.20
Rate for Payer: Aetna Commercial	$4,990.63
Rate for Payer: Aetna Medicare	$2,935.66
Rate for Payer: Aetna New Business (MI Preferred)	$3,816.36
Rate for Payer: BCBS Complete	$2,348.53
Rate for Payer: Cash Price	$4,697.06
Rate for Payer: Cofinity Commercial	$4,109.93
Rate for Payer: Cofinity Commercial	$5,049.34
Rate for Payer: Cofinity Medicare Advantage	$4,109.93
Rate for Payer: Encore Health Key Benefits Commercial	$4,697.06
Rate for Payer: Healthscope Commercial	$5,284.20
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$4,990.63
Rate for Payer: PHP Commercial	$4,990.63
Rate for Payer: Priority Health Cigna Priority Health	$3,816.36
Rate for Payer: Priority Health SBD	$3,698.94

Know your out-of-pocket cost for care.

All Charges