Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

PR ARREST EPIPHYSEAL OPEN DISTAL TIBIA&FIBULA

Professional

Both

$2,899.00

Service Code	HCPCS 27734
Min. Negotiated Rate	$237.21
Max. Negotiated Rate	$2,029.30
Rate for Payer: Aetna Commercial	$878.18
Rate for Payer: BCBS Complete	$448.64
Rate for Payer: BCBS Trust/PPO	$237.21
Rate for Payer: Cash Price	$2,319.20
Rate for Payer: Cash Price	$2,319.20
Rate for Payer: Mclaren Medicaid	$427.28
Rate for Payer: Meridian Medicaid	$448.64
Rate for Payer: Priority Health Choice Medicaid	$427.28
Rate for Payer: Priority Health Cigna Priority Health	$2,029.30
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,014.66
Rate for Payer: Priority Health Narrow Network	$1,014.66
Rate for Payer: Priority Health SBD	$1,014.66

PR ARRST EPIPHYSL ANY METH TIBFIB&DSTL FEMUR

Professional

Both

$1,326.00

Service Code	HCPCS 27742
Min. Negotiated Rate	$503.53
Max. Negotiated Rate	$2,852.82
Rate for Payer: Aetna Commercial	$1,037.50
Rate for Payer: BCBS Complete	$528.71
Rate for Payer: BCBS Trust/PPO	$2,852.82
Rate for Payer: Cash Price	$1,060.80
Rate for Payer: Cash Price	$1,060.80
Rate for Payer: Mclaren Medicaid	$503.53
Rate for Payer: Meridian Medicaid	$528.71
Rate for Payer: Priority Health Choice Medicaid	$503.53
Rate for Payer: Priority Health Cigna Priority Health	$928.20
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,195.94
Rate for Payer: Priority Health Narrow Network	$1,195.94
Rate for Payer: Priority Health SBD	$1,195.94

PR ARRST EPIPHYSL CMBN DSTL FEMUR PROX TIBFIB

Professional

Both

$3,038.00

Service Code	HCPCS 27479
Min. Negotiated Rate	$592.35
Max. Negotiated Rate	$2,126.60
Rate for Payer: Aetna Commercial	$1,228.23
Rate for Payer: BCBS Complete	$621.97
Rate for Payer: BCBS Trust/PPO	$1,021.73
Rate for Payer: Cash Price	$2,430.40
Rate for Payer: Cash Price	$2,430.40
Rate for Payer: Mclaren Medicaid	$592.35
Rate for Payer: Meridian Medicaid	$621.97
Rate for Payer: Priority Health Choice Medicaid	$592.35
Rate for Payer: Priority Health Cigna Priority Health	$2,126.60
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,409.40
Rate for Payer: Priority Health Narrow Network	$1,409.40
Rate for Payer: Priority Health SBD	$1,409.40

PR ARTERIAL PUNCTURE WITHDRAWAL BLOOD DX

Professional

Both

$137.00

Service Code	HCPCS 36600
Min. Negotiated Rate	$9.37
Max. Negotiated Rate	$789.28
Rate for Payer: Aetna Commercial	$21.21
Rate for Payer: BCBS Complete	$9.84
Rate for Payer: BCBS Trust/PPO	$789.28
Rate for Payer: Cash Price	$109.60
Rate for Payer: Cash Price	$109.60
Rate for Payer: Mclaren Medicaid	$9.37
Rate for Payer: Meridian Medicaid	$9.84
Rate for Payer: Priority Health Choice Medicaid	$9.37
Rate for Payer: Priority Health Cigna Priority Health	$95.90
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$23.41
Rate for Payer: Priority Health Narrow Network	$23.41
Rate for Payer: Priority Health SBD	$23.41

PR ARTERIOVENOUS ANASTOMOSIS OPEN DIRECT

Professional

Both

$2,194.00

Service Code	HCPCS 36821
Min. Negotiated Rate	$413.01
Max. Negotiated Rate	$1,535.80
Rate for Payer: Aetna Commercial	$889.36
Rate for Payer: BCBS Complete	$433.66
Rate for Payer: BCBS Trust/PPO	$869.05
Rate for Payer: Cash Price	$1,755.20
Rate for Payer: Cash Price	$1,755.20
Rate for Payer: Mclaren Medicaid	$413.01
Rate for Payer: Meridian Medicaid	$433.66
Rate for Payer: Priority Health Choice Medicaid	$413.01
Rate for Payer: Priority Health Cigna Priority Health	$1,535.80
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,029.88
Rate for Payer: Priority Health Narrow Network	$1,029.88
Rate for Payer: Priority Health SBD	$1,029.88

PR ARTERY EXPOS/GRAFT ARTERY PERFUSION ECMO/ECLS

Professional

Both

$433.00

Service Code	HCPCS 33987
Min. Negotiated Rate	$129.08
Max. Negotiated Rate	$321.84
Rate for Payer: Aetna Commercial	$281.69
Rate for Payer: BCBS Complete	$135.53
Rate for Payer: BCBS Trust/PPO	$129.43
Rate for Payer: Cash Price	$346.40
Rate for Payer: Cash Price	$346.40
Rate for Payer: Mclaren Medicaid	$129.08
Rate for Payer: Meridian Medicaid	$135.53
Rate for Payer: Priority Health Choice Medicaid	$129.08
Rate for Payer: Priority Health Cigna Priority Health	$303.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$321.84
Rate for Payer: Priority Health Narrow Network	$321.84
Rate for Payer: Priority Health SBD	$321.84

PR ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2

Professional

Both

$4,329.00

Service Code	HCPCS 22551
Min. Negotiated Rate	$1,096.95
Max. Negotiated Rate	$12,500.50
Rate for Payer: Aetna Commercial	$2,284.82
Rate for Payer: BCBS Complete	$1,151.80
Rate for Payer: BCBS Trust/PPO	$12,500.50
Rate for Payer: Cash Price	$3,463.20
Rate for Payer: Cash Price	$3,463.20
Rate for Payer: Mclaren Medicaid	$1,096.95
Rate for Payer: Meridian Medicaid	$1,151.80
Rate for Payer: Priority Health Choice Medicaid	$1,096.95
Rate for Payer: Priority Health Cigna Priority Health	$3,030.30
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$2,610.95
Rate for Payer: Priority Health Narrow Network	$2,610.95
Rate for Payer: Priority Health SBD	$2,610.95

PR ARTHRD ANT INTERBODY MIN DSC CRV BELOW C2

Professional

Both

$4,820.00

Service Code	HCPCS 22554
Min. Negotiated Rate	$407.75
Max. Negotiated Rate	$3,374.00
Rate for Payer: Aetna Commercial	$1,684.41
Rate for Payer: BCBS Complete	$857.47
Rate for Payer: BCBS Trust/PPO	$407.75
Rate for Payer: Cash Price	$3,856.00
Rate for Payer: Cash Price	$3,856.00
Rate for Payer: Mclaren Medicaid	$816.64
Rate for Payer: Meridian Medicaid	$857.47
Rate for Payer: Priority Health Choice Medicaid	$816.64
Rate for Payer: Priority Health Cigna Priority Health	$3,374.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,939.45
Rate for Payer: Priority Health Narrow Network	$1,939.45
Rate for Payer: Priority Health SBD	$1,939.45

PR ARTHRD ANT INTERBODY MIN DSC LUMBAR

Professional

Both

$3,127.92

Service Code	HCPCS 22558
Min. Negotiated Rate	$35.00
Max. Negotiated Rate	$2,336.74
Rate for Payer: Aetna Commercial	$2,054.27
Rate for Payer: BCBS Complete	$1,029.91
Rate for Payer: BCBS Trust/PPO	$35.00
Rate for Payer: Cash Price	$2,502.34
Rate for Payer: Cash Price	$2,502.34
Rate for Payer: Mclaren Medicaid	$980.87
Rate for Payer: Meridian Medicaid	$1,029.91
Rate for Payer: Priority Health Choice Medicaid	$980.87
Rate for Payer: Priority Health Cigna Priority Health	$2,189.54
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$2,336.74
Rate for Payer: Priority Health Narrow Network	$2,336.74
Rate for Payer: Priority Health SBD	$2,336.74

PR ARTHRD ANT INTERBODY MIN DSC THORACIC

Professional

Both

$5,866.00

Service Code	HCPCS 22556
Min. Negotiated Rate	$350.50
Max. Negotiated Rate	$4,106.20
Rate for Payer: Aetna Commercial	$2,232.24
Rate for Payer: BCBS Complete	$1,141.74
Rate for Payer: BCBS Trust/PPO	$350.50
Rate for Payer: Cash Price	$4,692.80
Rate for Payer: Cash Price	$4,692.80
Rate for Payer: Mclaren Medicaid	$1,087.37
Rate for Payer: Meridian Medicaid	$1,141.74
Rate for Payer: Priority Health Choice Medicaid	$1,087.37
Rate for Payer: Priority Health Cigna Priority Health	$4,106.20
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$2,562.95
Rate for Payer: Priority Health Narrow Network	$2,562.95
Rate for Payer: Priority Health SBD	$2,562.95

PR ARTHRD ANT INTERDY CERVCL BELW C2 EA ADDL NTRSPC

Professional

Both

$1,011.00

Service Code	HCPCS 22552
Min. Negotiated Rate	$86.88
Max. Negotiated Rate	$707.70
Rate for Payer: Aetna Commercial	$532.98
Rate for Payer: BCBS Complete	$265.03
Rate for Payer: BCBS Trust/PPO	$86.88
Rate for Payer: Cash Price	$808.80
Rate for Payer: Cash Price	$808.80
Rate for Payer: Mclaren Medicaid	$252.41
Rate for Payer: Meridian Medicaid	$265.03
Rate for Payer: Priority Health Choice Medicaid	$252.41
Rate for Payer: Priority Health Cigna Priority Health	$707.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$602.57
Rate for Payer: Priority Health Narrow Network	$602.57
Rate for Payer: Priority Health SBD	$602.57

PR ARTHRD ANT NTRBD MIN DSC EA ADDL INTERSPACE

Professional

Both

$1,634.00

Service Code	HCPCS 22585
Min. Negotiated Rate	$206.40
Max. Negotiated Rate	$1,143.80
Rate for Payer: Aetna Commercial	$439.49
Rate for Payer: BCBS Complete	$216.72
Rate for Payer: BCBS Trust/PPO	$233.52
Rate for Payer: Cash Price	$1,307.20
Rate for Payer: Cash Price	$1,307.20
Rate for Payer: Mclaren Medicaid	$206.40
Rate for Payer: Meridian Medicaid	$216.72
Rate for Payer: Priority Health Choice Medicaid	$206.40
Rate for Payer: Priority Health Cigna Priority Health	$1,143.80
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$494.31
Rate for Payer: Priority Health Narrow Network	$494.31
Rate for Payer: Priority Health SBD	$494.31

PR ARTHRD CARP/MTCRPL JT DGT OTHER THAN THUMB EACH

Professional

Both

$3,050.00

Service Code	HCPCS 26843
Min. Negotiated Rate	$230.34
Max. Negotiated Rate	$2,135.00
Rate for Payer: Aetna Commercial	$1,037.06
Rate for Payer: BCBS Complete	$532.29
Rate for Payer: BCBS Trust/PPO	$230.34
Rate for Payer: Cash Price	$2,440.00
Rate for Payer: Cash Price	$2,440.00
Rate for Payer: Mclaren Medicaid	$506.94
Rate for Payer: Meridian Medicaid	$532.29
Rate for Payer: Priority Health Choice Medicaid	$506.94
Rate for Payer: Priority Health Cigna Priority Health	$2,135.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,215.85
Rate for Payer: Priority Health Narrow Network	$1,215.85
Rate for Payer: Priority Health SBD	$1,215.85

PR ARTHRD CARP/MTCRPL JT DGT OTH/THN THMB W/AGRFT

Professional

Both

$3,282.00

Service Code	HCPCS 26844
Min. Negotiated Rate	$195.47
Max. Negotiated Rate	$2,297.40
Rate for Payer: Aetna Commercial	$1,141.96
Rate for Payer: BCBS Complete	$584.85
Rate for Payer: BCBS Trust/PPO	$195.47
Rate for Payer: Cash Price	$2,625.60
Rate for Payer: Cash Price	$2,625.60
Rate for Payer: Mclaren Medicaid	$557.00
Rate for Payer: Meridian Medicaid	$584.85
Rate for Payer: Priority Health Choice Medicaid	$557.00
Rate for Payer: Priority Health Cigna Priority Health	$2,297.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,335.86
Rate for Payer: Priority Health Narrow Network	$1,335.86
Rate for Payer: Priority Health SBD	$1,335.86

PR ARTHRD CARPO/METACARPAL JT THUMB W/WO INT FIXJ

Professional

Both

$3,050.00

Service Code	HCPCS 26841
Min. Negotiated Rate	$223.47
Max. Negotiated Rate	$2,135.00
Rate for Payer: Aetna Commercial	$1,018.84
Rate for Payer: BCBS Complete	$527.59
Rate for Payer: BCBS Trust/PPO	$223.47
Rate for Payer: Cash Price	$2,440.00
Rate for Payer: Cash Price	$2,440.00
Rate for Payer: Mclaren Medicaid	$502.47
Rate for Payer: Meridian Medicaid	$527.59
Rate for Payer: Priority Health Choice Medicaid	$502.47
Rate for Payer: Priority Health Cigna Priority Health	$2,135.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,200.03
Rate for Payer: Priority Health Narrow Network	$1,200.03
Rate for Payer: Priority Health SBD	$1,200.03

PR ARTHRD CRP/MTACRPL JT THMB W/WO INT FIXJ W/AGRFT

Professional

Both

$3,235.00

Service Code	HCPCS 26842
Min. Negotiated Rate	$161.13
Max. Negotiated Rate	$2,264.50
Rate for Payer: Aetna Commercial	$1,103.54
Rate for Payer: BCBS Complete	$565.83
Rate for Payer: BCBS Trust/PPO	$161.13
Rate for Payer: Cash Price	$2,588.00
Rate for Payer: Cash Price	$2,588.00
Rate for Payer: Mclaren Medicaid	$538.89
Rate for Payer: Meridian Medicaid	$565.83
Rate for Payer: Priority Health Choice Medicaid	$538.89
Rate for Payer: Priority Health Cigna Priority Health	$2,264.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,292.96
Rate for Payer: Priority Health Narrow Network	$1,292.96
Rate for Payer: Priority Health SBD	$1,292.96

PR ARTHRD DSTL RAD/ULN JT SGMTL RSCJ ULNA W/WO BONE

Professional

Both

$1,653.00

Service Code	HCPCS 25830
Min. Negotiated Rate	$57.73
Max. Negotiated Rate	$1,565.65
Rate for Payer: Aetna Commercial	$1,340.21
Rate for Payer: BCBS Complete	$698.24
Rate for Payer: BCBS Trust/PPO	$57.73
Rate for Payer: Cash Price	$1,322.40
Rate for Payer: Cash Price	$1,322.40
Rate for Payer: Mclaren Medicaid	$664.99
Rate for Payer: Meridian Medicaid	$698.24
Rate for Payer: Priority Health Choice Medicaid	$664.99
Rate for Payer: Priority Health Cigna Priority Health	$1,157.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,565.65
Rate for Payer: Priority Health Narrow Network	$1,565.65
Rate for Payer: Priority Health SBD	$1,565.65

PR ARTHRD MIDTARSL/TARS MLT/TRANSVRS W/OSTEOT

Professional

Both

$2,816.00

Service Code	HCPCS 28735
Min. Negotiated Rate	$499.06
Max. Negotiated Rate	$1,971.20
Rate for Payer: Aetna Commercial	$1,039.96
Rate for Payer: BCBS Complete	$524.01
Rate for Payer: BCBS Trust/PPO	$1,635.09
Rate for Payer: Cash Price	$2,252.80
Rate for Payer: Cash Price	$2,252.80
Rate for Payer: Mclaren Medicaid	$499.06
Rate for Payer: Meridian Medicaid	$524.01
Rate for Payer: Priority Health Choice Medicaid	$499.06
Rate for Payer: Priority Health Cigna Priority Health	$1,971.20
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,191.35
Rate for Payer: Priority Health Narrow Network	$1,191.35
Rate for Payer: Priority Health SBD	$1,191.35

PR ARTHRD MIDTARSL/TARSOMETATARSAL MULT/TRANSVRS

Professional

Both

$2,728.00

Service Code	HCPCS 28730
Min. Negotiated Rate	$467.11
Max. Negotiated Rate	$1,909.60
Rate for Payer: Aetna Commercial	$976.15
Rate for Payer: BCBS Complete	$490.47
Rate for Payer: BCBS Trust/PPO	$872.22
Rate for Payer: Cash Price	$2,182.40
Rate for Payer: Cash Price	$2,182.40
Rate for Payer: Mclaren Medicaid	$467.11
Rate for Payer: Meridian Medicaid	$490.47
Rate for Payer: Priority Health Choice Medicaid	$467.11
Rate for Payer: Priority Health Cigna Priority Health	$1,909.60
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,113.73
Rate for Payer: Priority Health Narrow Network	$1,113.73
Rate for Payer: Priority Health SBD	$1,113.73

PR ARTHRD PST/PSTLAT TQ 1NTRSPC CRV BELW C2 SEGMENT

Professional

Both

$4,281.00

Service Code	HCPCS 22600
Min. Negotiated Rate	$86.88
Max. Negotiated Rate	$2,996.70
Rate for Payer: Aetna Commercial	$1,732.46
Rate for Payer: BCBS Complete	$887.89
Rate for Payer: BCBS Trust/PPO	$86.88
Rate for Payer: Cash Price	$3,424.80
Rate for Payer: Cash Price	$3,424.80
Rate for Payer: Mclaren Medicaid	$845.61
Rate for Payer: Meridian Medicaid	$887.89
Rate for Payer: Priority Health Choice Medicaid	$845.61
Rate for Payer: Priority Health Cigna Priority Health	$2,996.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$2,005.32
Rate for Payer: Priority Health Narrow Network	$2,005.32
Rate for Payer: Priority Health SBD	$2,005.32

PR ARTHRD W/TDN LNGTH&ADVMNT TARSL NVCLR-CUNEIFOR

Professional

Both

$1,200.00

Service Code	HCPCS 28737
Min. Negotiated Rate	$444.96
Max. Negotiated Rate	$2,092.60
Rate for Payer: Aetna Commercial	$910.09
Rate for Payer: BCBS Complete	$467.21
Rate for Payer: BCBS Trust/PPO	$2,092.60
Rate for Payer: Cash Price	$960.00
Rate for Payer: Cash Price	$960.00
Rate for Payer: Mclaren Medicaid	$444.96
Rate for Payer: Meridian Medicaid	$467.21
Rate for Payer: Priority Health Choice Medicaid	$444.96
Rate for Payer: Priority Health Cigna Priority Health	$840.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,046.32
Rate for Payer: Priority Health Narrow Network	$1,046.32
Rate for Payer: Priority Health SBD	$1,046.32

PR ARTHRD W/XTNSR HALLUCIS LONGUS TR 1ST METAR NCK

Professional

Both

$1,443.00

Service Code	HCPCS 28760
Min. Negotiated Rate	$368.70
Max. Negotiated Rate	$1,010.10
Rate for Payer: Aetna Commercial	$754.22
Rate for Payer: BCBS Complete	$387.14
Rate for Payer: BCBS Trust/PPO	$579.02
Rate for Payer: Cash Price	$1,154.40
Rate for Payer: Cash Price	$1,154.40
Rate for Payer: Mclaren Medicaid	$368.70
Rate for Payer: Meridian Medicaid	$387.14
Rate for Payer: Priority Health Choice Medicaid	$368.70
Rate for Payer: Priority Health Cigna Priority Health	$1,010.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$860.45
Rate for Payer: Priority Health Narrow Network	$860.45
Rate for Payer: Priority Health SBD	$860.45

PR ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US

Professional

Both

$122.00

Service Code	HCPCS 20605
Min. Negotiated Rate	$23.43
Max. Negotiated Rate	$85.40
Rate for Payer: Aetna Commercial	$49.91
Rate for Payer: BCBS Complete	$24.60
Rate for Payer: BCBS Trust/PPO	$33.96
Rate for Payer: Cash Price	$97.60
Rate for Payer: Cash Price	$97.60
Rate for Payer: Mclaren Medicaid	$23.43
Rate for Payer: Meridian Medicaid	$24.60
Rate for Payer: Priority Health Choice Medicaid	$23.43
Rate for Payer: Priority Health Cigna Priority Health	$85.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$56.18
Rate for Payer: Priority Health Narrow Network	$56.18
Rate for Payer: Priority Health SBD	$56.18

PR ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/US

Professional

Both

$144.00

Service Code	HCPCS 20606
Min. Negotiated Rate	$33.02
Max. Negotiated Rate	$262.93
Rate for Payer: Aetna Commercial	$71.12
Rate for Payer: BCBS Complete	$34.67
Rate for Payer: BCBS Trust/PPO	$262.93
Rate for Payer: Cash Price	$115.20
Rate for Payer: Cash Price	$115.20
Rate for Payer: Mclaren Medicaid	$33.02
Rate for Payer: Meridian Medicaid	$34.67
Rate for Payer: Priority Health Choice Medicaid	$33.02
Rate for Payer: Priority Health Cigna Priority Health	$100.80
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$78.65
Rate for Payer: Priority Health Narrow Network	$78.65
Rate for Payer: Priority Health SBD	$78.65

PR ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US

Professional

Both

$180.00

Service Code	HCPCS 20610
Min. Negotiated Rate	$28.97
Max. Negotiated Rate	$721.72
Rate for Payer: Aetna Commercial	$61.23
Rate for Payer: BCBS Complete	$30.42
Rate for Payer: BCBS Trust/PPO	$721.72
Rate for Payer: Cash Price	$144.00
Rate for Payer: Cash Price	$144.00
Rate for Payer: Mclaren Medicaid	$28.97
Rate for Payer: Meridian Medicaid	$30.42
Rate for Payer: Priority Health Choice Medicaid	$28.97
Rate for Payer: Priority Health Cigna Priority Health	$126.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$68.43
Rate for Payer: Priority Health Narrow Network	$68.43
Rate for Payer: Priority Health SBD	$68.43

Know your out-of-pocket cost for care.

All Charges