Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

IBUPROFEN 200 MG TABLET

Facility

$20.00

Service Code	NDC 00904791461
Hospital Charge Code	3841
Hospital Revenue Code	637
Min. Negotiated Rate	$8.00
Max. Negotiated Rate	$18.00
Rate for Payer: Aetna Commercial	$17.00
Rate for Payer: Aetna Medicare	$10.00
Rate for Payer: Aetna New Business (MI Preferred)	$13.00
Rate for Payer: BCBS Complete	$8.00
Rate for Payer: Cash Price	$16.00
Rate for Payer: Cofinity Commercial	$14.00
Rate for Payer: Cofinity Commercial	$17.20
Rate for Payer: Cofinity Medicare Advantage	$14.00
Rate for Payer: Encore Health Key Benefits Commercial	$16.00
Rate for Payer: Healthscope Commercial	$18.00
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$17.00
Rate for Payer: PHP Commercial	$17.00
Rate for Payer: Priority Health Cigna Priority Health	$13.00
Rate for Payer: Priority Health SBD	$12.60

IBUPROFEN 200 MG TABLET

Facility

$35.52

Service Code	NDC 00904674724
Hospital Charge Code	3841
Hospital Revenue Code	637
Min. Negotiated Rate	$14.21
Max. Negotiated Rate	$31.97
Rate for Payer: Aetna Commercial	$30.19
Rate for Payer: Aetna Medicare	$17.76
Rate for Payer: Aetna New Business (MI Preferred)	$23.09
Rate for Payer: BCBS Complete	$14.21
Rate for Payer: Cash Price	$28.42
Rate for Payer: Cofinity Commercial	$24.86
Rate for Payer: Cofinity Commercial	$30.55
Rate for Payer: Cofinity Medicare Advantage	$24.86
Rate for Payer: Encore Health Key Benefits Commercial	$28.42
Rate for Payer: Healthscope Commercial	$31.97
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$30.19
Rate for Payer: PHP Commercial	$30.19
Rate for Payer: Priority Health Cigna Priority Health	$23.09
Rate for Payer: Priority Health SBD	$22.38

IBUPROFEN 200 MG TABLET

Facility

$35.52

Service Code	NDC 00904674724
Hospital Charge Code	3841
Hospital Revenue Code	637
Min. Negotiated Rate	$22.38
Max. Negotiated Rate	$31.97
Rate for Payer: Aetna Commercial	$30.19
Rate for Payer: Aetna New Business (MI Preferred)	$23.09
Rate for Payer: Cash Price	$28.42
Rate for Payer: Cofinity Commercial	$24.86
Rate for Payer: Cofinity Commercial	$30.55
Rate for Payer: Cofinity Medicare Advantage	$24.86
Rate for Payer: Encore Health Key Benefits Commercial	$28.42
Rate for Payer: Healthscope Commercial	$31.97
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$30.19
Rate for Payer: PHP Commercial	$30.19
Rate for Payer: Priority Health Cigna Priority Health	$23.09
Rate for Payer: Priority Health SBD	$22.38

IBUPROFEN 200 MG TABLET

Facility

$20.00

Service Code	NDC 00904791461
Hospital Charge Code	3841
Hospital Revenue Code	637
Min. Negotiated Rate	$12.60
Max. Negotiated Rate	$18.00
Rate for Payer: Aetna Commercial	$17.00
Rate for Payer: Aetna New Business (MI Preferred)	$13.00
Rate for Payer: Cash Price	$16.00
Rate for Payer: Cofinity Commercial	$14.00
Rate for Payer: Cofinity Commercial	$17.20
Rate for Payer: Cofinity Medicare Advantage	$14.00
Rate for Payer: Encore Health Key Benefits Commercial	$16.00
Rate for Payer: Healthscope Commercial	$18.00
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$17.00
Rate for Payer: PHP Commercial	$17.00
Rate for Payer: Priority Health Cigna Priority Health	$13.00
Rate for Payer: Priority Health SBD	$12.60

IBUPROFEN 400 MG TABLET

Facility

$136.30

Service Code	NDC 67877031901
Hospital Charge Code	3843
Hospital Revenue Code	637
Min. Negotiated Rate	$54.52
Max. Negotiated Rate	$122.67
Rate for Payer: Aetna Commercial	$115.86
Rate for Payer: Aetna Medicare	$68.15
Rate for Payer: Aetna New Business (MI Preferred)	$88.59
Rate for Payer: BCBS Complete	$54.52
Rate for Payer: Cash Price	$109.04
Rate for Payer: Cofinity Commercial	$117.22
Rate for Payer: Cofinity Commercial	$95.41
Rate for Payer: Cofinity Medicare Advantage	$95.41
Rate for Payer: Encore Health Key Benefits Commercial	$109.04
Rate for Payer: Healthscope Commercial	$122.67
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$115.86
Rate for Payer: PHP Commercial	$115.86
Rate for Payer: Priority Health Cigna Priority Health	$88.59
Rate for Payer: Priority Health SBD	$85.87

IBUPROFEN 400 MG TABLET

Facility

$399.50

Service Code	NDC 67877031905
Hospital Charge Code	3843
Hospital Revenue Code	637
Min. Negotiated Rate	$159.80
Max. Negotiated Rate	$359.55
Rate for Payer: Aetna Commercial	$339.57
Rate for Payer: Aetna Medicare	$199.75
Rate for Payer: Aetna New Business (MI Preferred)	$259.68
Rate for Payer: BCBS Complete	$159.80
Rate for Payer: Cash Price	$319.60
Rate for Payer: Cofinity Commercial	$279.65
Rate for Payer: Cofinity Commercial	$343.57
Rate for Payer: Cofinity Medicare Advantage	$279.65
Rate for Payer: Encore Health Key Benefits Commercial	$319.60
Rate for Payer: Healthscope Commercial	$359.55
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$339.57
Rate for Payer: PHP Commercial	$339.57
Rate for Payer: Priority Health Cigna Priority Health	$259.68
Rate for Payer: Priority Health SBD	$251.69

IBUPROFEN 400 MG TABLET

Facility

$265.55

Service Code	NDC 68084065801
Hospital Charge Code	3843
Hospital Revenue Code	637
Min. Negotiated Rate	$167.30
Max. Negotiated Rate	$239.00
Rate for Payer: Aetna Commercial	$225.72
Rate for Payer: Aetna New Business (MI Preferred)	$172.61
Rate for Payer: Cash Price	$212.44
Rate for Payer: Cofinity Commercial	$185.88
Rate for Payer: Cofinity Commercial	$228.37
Rate for Payer: Cofinity Medicare Advantage	$185.88
Rate for Payer: Encore Health Key Benefits Commercial	$212.44
Rate for Payer: Healthscope Commercial	$239.00
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$225.72
Rate for Payer: PHP Commercial	$225.72
Rate for Payer: Priority Health Cigna Priority Health	$172.61
Rate for Payer: Priority Health SBD	$167.30

IBUPROFEN 400 MG TABLET

Facility

$265.55

Service Code	NDC 68084065801
Hospital Charge Code	3843
Hospital Revenue Code	637
Min. Negotiated Rate	$106.22
Max. Negotiated Rate	$239.00
Rate for Payer: Aetna Commercial	$225.72
Rate for Payer: Aetna Medicare	$132.78
Rate for Payer: Aetna New Business (MI Preferred)	$172.61
Rate for Payer: BCBS Complete	$106.22
Rate for Payer: Cash Price	$212.44
Rate for Payer: Cofinity Commercial	$185.88
Rate for Payer: Cofinity Commercial	$228.37
Rate for Payer: Cofinity Medicare Advantage	$185.88
Rate for Payer: Encore Health Key Benefits Commercial	$212.44
Rate for Payer: Healthscope Commercial	$239.00
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$225.72
Rate for Payer: PHP Commercial	$225.72
Rate for Payer: Priority Health Cigna Priority Health	$172.61
Rate for Payer: Priority Health SBD	$167.30

IBUPROFEN 400 MG TABLET

Facility

$136.30

Service Code	NDC 67877031901
Hospital Charge Code	3843
Hospital Revenue Code	637
Min. Negotiated Rate	$85.87
Max. Negotiated Rate	$122.67
Rate for Payer: Aetna Commercial	$115.86
Rate for Payer: Aetna New Business (MI Preferred)	$88.59
Rate for Payer: Cash Price	$109.04
Rate for Payer: Cofinity Commercial	$117.22
Rate for Payer: Cofinity Commercial	$95.41
Rate for Payer: Cofinity Medicare Advantage	$95.41
Rate for Payer: Encore Health Key Benefits Commercial	$109.04
Rate for Payer: Healthscope Commercial	$122.67
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$115.86
Rate for Payer: PHP Commercial	$115.86
Rate for Payer: Priority Health Cigna Priority Health	$88.59
Rate for Payer: Priority Health SBD	$85.87

IBUPROFEN 400 MG TABLET

Facility

$150.40

Service Code	NDC 00904585361
Hospital Charge Code	3843
Hospital Revenue Code	637
Min. Negotiated Rate	$60.16
Max. Negotiated Rate	$135.36
Rate for Payer: Aetna Commercial	$127.84
Rate for Payer: Aetna Medicare	$75.20
Rate for Payer: Aetna New Business (MI Preferred)	$97.76
Rate for Payer: BCBS Complete	$60.16
Rate for Payer: Cash Price	$120.32
Rate for Payer: Cofinity Commercial	$105.28
Rate for Payer: Cofinity Commercial	$129.34
Rate for Payer: Cofinity Medicare Advantage	$105.28
Rate for Payer: Encore Health Key Benefits Commercial	$120.32
Rate for Payer: Healthscope Commercial	$135.36
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$127.84
Rate for Payer: PHP Commercial	$127.84
Rate for Payer: Priority Health Cigna Priority Health	$97.76
Rate for Payer: Priority Health SBD	$94.75

IBUPROFEN 400 MG TABLET

Facility

$2.66

Service Code	NDC 68084065811
Hospital Charge Code	3843
Hospital Revenue Code	637
Min. Negotiated Rate	$1.68
Max. Negotiated Rate	$2.39
Rate for Payer: Aetna Commercial	$2.26
Rate for Payer: Aetna New Business (MI Preferred)	$1.73
Rate for Payer: Cash Price	$2.13
Rate for Payer: Cofinity Commercial	$1.86
Rate for Payer: Cofinity Commercial	$2.29
Rate for Payer: Cofinity Medicare Advantage	$1.86
Rate for Payer: Encore Health Key Benefits Commercial	$2.13
Rate for Payer: Healthscope Commercial	$2.39
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$2.26
Rate for Payer: PHP Commercial	$2.26
Rate for Payer: Priority Health Cigna Priority Health	$1.73
Rate for Payer: Priority Health SBD	$1.68

IBUPROFEN 400 MG TABLET

Facility

$2.66

Service Code	NDC 68084065811
Hospital Charge Code	3843
Hospital Revenue Code	637
Min. Negotiated Rate	$1.06
Max. Negotiated Rate	$2.39
Rate for Payer: Aetna Commercial	$2.26
Rate for Payer: Aetna Medicare	$1.33
Rate for Payer: Aetna New Business (MI Preferred)	$1.73
Rate for Payer: BCBS Complete	$1.06
Rate for Payer: Cash Price	$2.13
Rate for Payer: Cofinity Commercial	$1.86
Rate for Payer: Cofinity Commercial	$2.29
Rate for Payer: Cofinity Medicare Advantage	$1.86
Rate for Payer: Encore Health Key Benefits Commercial	$2.13
Rate for Payer: Healthscope Commercial	$2.39
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$2.26
Rate for Payer: PHP Commercial	$2.26
Rate for Payer: Priority Health Cigna Priority Health	$1.73
Rate for Payer: Priority Health SBD	$1.68

IBUPROFEN 400 MG TABLET

Facility

$399.50

Service Code	NDC 67877031905
Hospital Charge Code	3843
Hospital Revenue Code	637
Min. Negotiated Rate	$251.69
Max. Negotiated Rate	$359.55
Rate for Payer: Aetna Commercial	$339.57
Rate for Payer: Aetna New Business (MI Preferred)	$259.68
Rate for Payer: Cash Price	$319.60
Rate for Payer: Cofinity Commercial	$279.65
Rate for Payer: Cofinity Commercial	$343.57
Rate for Payer: Cofinity Medicare Advantage	$279.65
Rate for Payer: Encore Health Key Benefits Commercial	$319.60
Rate for Payer: Healthscope Commercial	$359.55
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$339.57
Rate for Payer: PHP Commercial	$339.57
Rate for Payer: Priority Health Cigna Priority Health	$259.68
Rate for Payer: Priority Health SBD	$251.69

IBUPROFEN 400 MG TABLET

Facility

$150.40

Service Code	NDC 00904585361
Hospital Charge Code	3843
Hospital Revenue Code	637
Min. Negotiated Rate	$94.75
Max. Negotiated Rate	$135.36
Rate for Payer: Aetna Commercial	$127.84
Rate for Payer: Aetna New Business (MI Preferred)	$97.76
Rate for Payer: Cash Price	$120.32
Rate for Payer: Cofinity Commercial	$105.28
Rate for Payer: Cofinity Commercial	$129.34
Rate for Payer: Cofinity Medicare Advantage	$105.28
Rate for Payer: Encore Health Key Benefits Commercial	$120.32
Rate for Payer: Healthscope Commercial	$135.36
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$127.84
Rate for Payer: PHP Commercial	$127.84
Rate for Payer: Priority Health Cigna Priority Health	$97.76
Rate for Payer: Priority Health SBD	$94.75

IBUPROFEN 600 MG TABLET

Facility

$185.65

Service Code	NDC 00904585461
Hospital Charge Code	3844
Hospital Revenue Code	637
Min. Negotiated Rate	$116.96
Max. Negotiated Rate	$167.09
Rate for Payer: Aetna Commercial	$157.80
Rate for Payer: Aetna New Business (MI Preferred)	$120.67
Rate for Payer: Cash Price	$148.52
Rate for Payer: Cofinity Commercial	$129.96
Rate for Payer: Cofinity Commercial	$159.66
Rate for Payer: Cofinity Medicare Advantage	$129.96
Rate for Payer: Encore Health Key Benefits Commercial	$148.52
Rate for Payer: Healthscope Commercial	$167.09
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$157.80
Rate for Payer: PHP Commercial	$157.80
Rate for Payer: Priority Health Cigna Priority Health	$120.67
Rate for Payer: Priority Health SBD	$116.96

IBUPROFEN 600 MG TABLET

Facility

$404.20

Service Code	NDC 60687045701
Hospital Charge Code	3844
Hospital Revenue Code	637
Min. Negotiated Rate	$161.68
Max. Negotiated Rate	$363.78
Rate for Payer: Aetna Commercial	$343.57
Rate for Payer: Aetna Medicare	$202.10
Rate for Payer: Aetna New Business (MI Preferred)	$262.73
Rate for Payer: BCBS Complete	$161.68
Rate for Payer: Cash Price	$323.36
Rate for Payer: Cofinity Commercial	$282.94
Rate for Payer: Cofinity Commercial	$347.61
Rate for Payer: Cofinity Medicare Advantage	$282.94
Rate for Payer: Encore Health Key Benefits Commercial	$323.36
Rate for Payer: Healthscope Commercial	$363.78
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$343.57
Rate for Payer: PHP Commercial	$343.57
Rate for Payer: Priority Health Cigna Priority Health	$262.73
Rate for Payer: Priority Health SBD	$254.65

IBUPROFEN 600 MG TABLET

Facility

$404.20

Service Code	NDC 60687045701
Hospital Charge Code	3844
Hospital Revenue Code	637
Min. Negotiated Rate	$254.65
Max. Negotiated Rate	$363.78
Rate for Payer: Aetna Commercial	$343.57
Rate for Payer: Aetna New Business (MI Preferred)	$262.73
Rate for Payer: Cash Price	$323.36
Rate for Payer: Cofinity Commercial	$282.94
Rate for Payer: Cofinity Commercial	$347.61
Rate for Payer: Cofinity Medicare Advantage	$282.94
Rate for Payer: Encore Health Key Benefits Commercial	$323.36
Rate for Payer: Healthscope Commercial	$363.78
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$343.57
Rate for Payer: PHP Commercial	$343.57
Rate for Payer: Priority Health Cigna Priority Health	$262.73
Rate for Payer: Priority Health SBD	$254.65

IBUPROFEN 600 MG TABLET

Facility

$185.65

Service Code	NDC 00904585461
Hospital Charge Code	3844
Hospital Revenue Code	637
Min. Negotiated Rate	$74.26
Max. Negotiated Rate	$167.09
Rate for Payer: Aetna Commercial	$157.80
Rate for Payer: Aetna Medicare	$92.83
Rate for Payer: Aetna New Business (MI Preferred)	$120.67
Rate for Payer: BCBS Complete	$74.26
Rate for Payer: Cash Price	$148.52
Rate for Payer: Cofinity Commercial	$129.96
Rate for Payer: Cofinity Commercial	$159.66
Rate for Payer: Cofinity Medicare Advantage	$129.96
Rate for Payer: Encore Health Key Benefits Commercial	$148.52
Rate for Payer: Healthscope Commercial	$167.09
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$157.80
Rate for Payer: PHP Commercial	$157.80
Rate for Payer: Priority Health Cigna Priority Health	$120.67
Rate for Payer: Priority Health SBD	$116.96

IBUPROFEN 600 MG TABLET

Facility

$4.05

Service Code	NDC 60687045711
Hospital Charge Code	3844
Hospital Revenue Code	637
Min. Negotiated Rate	$1.62
Max. Negotiated Rate	$3.65
Rate for Payer: Aetna Commercial	$3.44
Rate for Payer: Aetna Medicare	$2.02
Rate for Payer: Aetna New Business (MI Preferred)	$2.63
Rate for Payer: BCBS Complete	$1.62
Rate for Payer: Cash Price	$3.24
Rate for Payer: Cofinity Commercial	$2.83
Rate for Payer: Cofinity Commercial	$3.48
Rate for Payer: Cofinity Medicare Advantage	$2.83
Rate for Payer: Encore Health Key Benefits Commercial	$3.24
Rate for Payer: Healthscope Commercial	$3.65
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$3.44
Rate for Payer: PHP Commercial	$3.44
Rate for Payer: Priority Health Cigna Priority Health	$2.63
Rate for Payer: Priority Health SBD	$2.55

IBUPROFEN 600 MG TABLET

Facility

$164.50

Service Code	NDC 67877032001
Hospital Charge Code	3844
Hospital Revenue Code	637
Min. Negotiated Rate	$103.64
Max. Negotiated Rate	$148.05
Rate for Payer: Aetna Commercial	$139.82
Rate for Payer: Aetna New Business (MI Preferred)	$106.92
Rate for Payer: Cash Price	$131.60
Rate for Payer: Cofinity Commercial	$115.15
Rate for Payer: Cofinity Commercial	$141.47
Rate for Payer: Cofinity Medicare Advantage	$115.15
Rate for Payer: Encore Health Key Benefits Commercial	$131.60
Rate for Payer: Healthscope Commercial	$148.05
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$139.82
Rate for Payer: PHP Commercial	$139.82
Rate for Payer: Priority Health Cigna Priority Health	$106.92
Rate for Payer: Priority Health SBD	$103.64

IBUPROFEN 600 MG TABLET

Facility

$622.75

Service Code	NDC 67877032005
Hospital Charge Code	3844
Hospital Revenue Code	637
Min. Negotiated Rate	$249.10
Max. Negotiated Rate	$560.48
Rate for Payer: Aetna Commercial	$529.34
Rate for Payer: Aetna Medicare	$311.38
Rate for Payer: Aetna New Business (MI Preferred)	$404.79
Rate for Payer: BCBS Complete	$249.10
Rate for Payer: Cash Price	$498.20
Rate for Payer: Cofinity Commercial	$435.93
Rate for Payer: Cofinity Commercial	$535.57
Rate for Payer: Cofinity Medicare Advantage	$435.93
Rate for Payer: Encore Health Key Benefits Commercial	$498.20
Rate for Payer: Healthscope Commercial	$560.48
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$529.34
Rate for Payer: PHP Commercial	$529.34
Rate for Payer: Priority Health Cigna Priority Health	$404.79
Rate for Payer: Priority Health SBD	$392.33

IBUPROFEN 600 MG TABLET

Facility

$4.05

Service Code	NDC 60687045711
Hospital Charge Code	3844
Hospital Revenue Code	637
Min. Negotiated Rate	$2.55
Max. Negotiated Rate	$3.65
Rate for Payer: Aetna Commercial	$3.44
Rate for Payer: Aetna New Business (MI Preferred)	$2.63
Rate for Payer: Cash Price	$3.24
Rate for Payer: Cofinity Commercial	$2.83
Rate for Payer: Cofinity Commercial	$3.48
Rate for Payer: Cofinity Medicare Advantage	$2.83
Rate for Payer: Encore Health Key Benefits Commercial	$3.24
Rate for Payer: Healthscope Commercial	$3.65
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$3.44
Rate for Payer: PHP Commercial	$3.44
Rate for Payer: Priority Health Cigna Priority Health	$2.63
Rate for Payer: Priority Health SBD	$2.55

IBUPROFEN 600 MG TABLET

Facility

$622.75

Service Code	NDC 67877032005
Hospital Charge Code	3844
Hospital Revenue Code	637
Min. Negotiated Rate	$392.33
Max. Negotiated Rate	$560.48
Rate for Payer: Aetna Commercial	$529.34
Rate for Payer: Aetna New Business (MI Preferred)	$404.79
Rate for Payer: Cash Price	$498.20
Rate for Payer: Cofinity Commercial	$435.93
Rate for Payer: Cofinity Commercial	$535.57
Rate for Payer: Cofinity Medicare Advantage	$435.93
Rate for Payer: Encore Health Key Benefits Commercial	$498.20
Rate for Payer: Healthscope Commercial	$560.48
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$529.34
Rate for Payer: PHP Commercial	$529.34
Rate for Payer: Priority Health Cigna Priority Health	$404.79
Rate for Payer: Priority Health SBD	$392.33

IBUPROFEN 600 MG TABLET

Facility

$164.50

Service Code	NDC 67877032001
Hospital Charge Code	3844
Hospital Revenue Code	637
Min. Negotiated Rate	$65.80
Max. Negotiated Rate	$148.05
Rate for Payer: Aetna Commercial	$139.82
Rate for Payer: Aetna Medicare	$82.25
Rate for Payer: Aetna New Business (MI Preferred)	$106.92
Rate for Payer: BCBS Complete	$65.80
Rate for Payer: Cash Price	$131.60
Rate for Payer: Cofinity Commercial	$115.15
Rate for Payer: Cofinity Commercial	$141.47
Rate for Payer: Cofinity Medicare Advantage	$115.15
Rate for Payer: Encore Health Key Benefits Commercial	$131.60
Rate for Payer: Healthscope Commercial	$148.05
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$139.82
Rate for Payer: PHP Commercial	$139.82
Rate for Payer: Priority Health Cigna Priority Health	$106.92
Rate for Payer: Priority Health SBD	$103.64

IBUPROFEN 800 MG TABLET

Facility

$4.09

Service Code	NDC 60687046811
Hospital Charge Code	3845
Hospital Revenue Code	637
Min. Negotiated Rate	$1.64
Max. Negotiated Rate	$3.68
Rate for Payer: Aetna Commercial	$3.48
Rate for Payer: Aetna Medicare	$2.04
Rate for Payer: Aetna New Business (MI Preferred)	$2.66
Rate for Payer: BCBS Complete	$1.64
Rate for Payer: Cash Price	$3.27
Rate for Payer: Cofinity Commercial	$2.86
Rate for Payer: Cofinity Commercial	$3.52
Rate for Payer: Cofinity Medicare Advantage	$2.86
Rate for Payer: Encore Health Key Benefits Commercial	$3.27
Rate for Payer: Healthscope Commercial	$3.68
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$3.48
Rate for Payer: PHP Commercial	$3.48
Rate for Payer: Priority Health Cigna Priority Health	$2.66
Rate for Payer: Priority Health SBD	$2.58

Know your out-of-pocket cost for care.

All Charges