Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

PR ARTHROTOMY W/SYNOVECTOMY KNEE ANTERIOR/POSTERIOR

Professional

Both

$2,462.00

Service Code	HCPCS 27334
Min. Negotiated Rate	$445.38
Max. Negotiated Rate	$1,723.40
Rate for Payer: Aetna Commercial	$914.61
Rate for Payer: BCBS Complete	$467.65
Rate for Payer: BCBS Trust/PPO	$1,184.45
Rate for Payer: Cash Price	$1,969.60
Rate for Payer: Cash Price	$1,969.60
Rate for Payer: Mclaren Medicaid	$445.38
Rate for Payer: Meridian Medicaid	$467.65
Rate for Payer: Priority Health Choice Medicaid	$445.38
Rate for Payer: Priority Health Cigna Priority Health	$1,723.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,059.60
Rate for Payer: Priority Health Narrow Network	$1,059.60
Rate for Payer: Priority Health SBD	$1,059.60

PR ARTHROTOMY W/SYNOVECTOMY KNEE ANTERIOR/POSTERIOR

Facility

$2,462.00

Service Code	CPT 27334
Hospital Charge Code	27334
Min. Negotiated Rate	$1,551.06
Max. Negotiated Rate	$2,215.80
Rate for Payer: Aetna Commercial	$2,092.70
Rate for Payer: Aetna New Business (MI Preferred)	$1,600.30
Rate for Payer: Cash Price	$1,969.60
Rate for Payer: Cofinity Commercial	$1,723.40
Rate for Payer: Cofinity Commercial	$2,117.32
Rate for Payer: Healthscope Commercial	$2,215.80
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$2,092.70
Rate for Payer: PHP Commercial	$2,092.70
Rate for Payer: Priority Health Cigna Priority Health	$1,723.40
Rate for Payer: Priority Health SBD	$1,551.06

PR ARTHROTOMY W/SYNOVECTOMY KNEE ANTERIOR/POSTERIOR

Professional

Both

$2,462.00

Service Code	HCPCS 27334
Hospital Charge Code	27334
Min. Negotiated Rate	$445.38
Max. Negotiated Rate	$1,723.40
Rate for Payer: Aetna Commercial	$914.61
Rate for Payer: BCBS Complete	$467.65
Rate for Payer: BCBS Trust/PPO	$1,184.45
Rate for Payer: Cash Price	$1,969.60
Rate for Payer: Cash Price	$1,969.60
Rate for Payer: Mclaren Medicaid	$445.38
Rate for Payer: Meridian Medicaid	$467.65
Rate for Payer: Priority Health Choice Medicaid	$445.38
Rate for Payer: Priority Health Cigna Priority Health	$1,723.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,059.60
Rate for Payer: Priority Health Narrow Network	$1,059.60
Rate for Payer: Priority Health SBD	$1,059.60

PR ARTHROTOMY W/SYNOVECTOMY KNEE ANTERIOR/POSTERIOR

Facility

$2,462.00

Service Code	CPT 27334
Hospital Charge Code	27334
Min. Negotiated Rate	$684.68
Max. Negotiated Rate	$8,817.68
Rate for Payer: Aetna Commercial	$2,092.70
Rate for Payer: Aetna Medicare	$2,995.31
Rate for Payer: Aetna New Business (MI Preferred)	$1,600.30
Rate for Payer: Allen County Amish Medical Aid Commercial	$3,600.14
Rate for Payer: Amish Plain Church Group Commercial	$3,600.14
Rate for Payer: BCBS Complete	$1,654.34
Rate for Payer: BCBS MAPPO	$2,880.11
Rate for Payer: BCBS Trust/PPO	$1,322.54
Rate for Payer: BCN Medicare Advantage	$2,880.11
Rate for Payer: Cash Price	$1,969.60
Rate for Payer: Cash Price	$1,969.60
Rate for Payer: Cofinity Commercial	$1,723.40
Rate for Payer: Cofinity Commercial	$2,117.32
Rate for Payer: Health Alliance Plan Medicare Advantage	$2,880.11
Rate for Payer: Healthscope Commercial	$2,215.80
Rate for Payer: Mclaren Medicaid	$1,575.42
Rate for Payer: Mclaren Medicare	$2,880.11
Rate for Payer: Meridian Medicaid	$1,654.34
Rate for Payer: Meridian Wellcare - Medicare Advantage	$3,024.12
Rate for Payer: MI Amish Medical Board Commercial	$3,312.13
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$2,092.70
Rate for Payer: PACE Medicare	$2,736.10
Rate for Payer: PACE SWMI	$2,880.11
Rate for Payer: PHP Commercial	$2,092.70
Rate for Payer: PHP Medicare Advantage	$2,880.11
Rate for Payer: Priority Health Choice Medicaid	$1,575.42
Rate for Payer: Priority Health Cigna Priority Health	$1,723.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$8,817.68
Rate for Payer: Priority Health Medicare	$2,880.11
Rate for Payer: Priority Health Narrow Network	$7,054.14
Rate for Payer: Priority Health SBD	$1,551.06
Rate for Payer: Railroad Medicare Medicare	$2,880.11
Rate for Payer: UHC All Payor (Choice/PPO)	$753.15
Rate for Payer: UHC Dual Complete DSNP	$2,880.11
Rate for Payer: UHC Exchange	$684.68
Rate for Payer: UHC Medicare Advantage	$2,966.51
Rate for Payer: VA VA	$2,880.11

PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT

Professional

Both

$2,739.04

Service Code	HCPCS 27130
Hospital Charge Code	27130
Min. Negotiated Rate	$568.98
Max. Negotiated Rate	$1,960.39
Rate for Payer: Aetna Commercial	$1,721.08
Rate for Payer: BCBS Complete	$863.96
Rate for Payer: BCBS Trust/PPO	$568.98
Rate for Payer: Cash Price	$2,191.23
Rate for Payer: Cash Price	$2,191.23
Rate for Payer: Mclaren Medicaid	$822.82
Rate for Payer: Meridian Medicaid	$863.96
Rate for Payer: Priority Health Choice Medicaid	$822.82
Rate for Payer: Priority Health Cigna Priority Health	$1,917.33
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,960.39
Rate for Payer: Priority Health Narrow Network	$1,960.39
Rate for Payer: Priority Health SBD	$1,960.39

PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT

Facility

$2,739.04

Service Code	CPT 27130
Hospital Charge Code	27130
Min. Negotiated Rate	$1,725.60
Max. Negotiated Rate	$2,465.14
Rate for Payer: Aetna Commercial	$2,328.18
Rate for Payer: Aetna New Business (MI Preferred)	$1,780.38
Rate for Payer: Cash Price	$2,191.23
Rate for Payer: Cofinity Commercial	$1,917.33
Rate for Payer: Cofinity Commercial	$2,355.57
Rate for Payer: Healthscope Commercial	$2,465.14
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$2,328.18
Rate for Payer: PHP Commercial	$2,328.18
Rate for Payer: Priority Health Cigna Priority Health	$1,917.33
Rate for Payer: Priority Health SBD	$1,725.60

PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT

Professional

Both

$2,739.04

Service Code	HCPCS 27130
Min. Negotiated Rate	$568.98
Max. Negotiated Rate	$1,960.39
Rate for Payer: Aetna Commercial	$1,721.08
Rate for Payer: BCBS Complete	$863.96
Rate for Payer: BCBS Trust/PPO	$568.98
Rate for Payer: Cash Price	$2,191.23
Rate for Payer: Cash Price	$2,191.23
Rate for Payer: Mclaren Medicaid	$822.82
Rate for Payer: Meridian Medicaid	$863.96
Rate for Payer: Priority Health Choice Medicaid	$822.82
Rate for Payer: Priority Health Cigna Priority Health	$1,917.33
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,960.39
Rate for Payer: Priority Health Narrow Network	$1,960.39
Rate for Payer: Priority Health SBD	$1,960.39

PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT

Facility

$2,739.04

Service Code	CPT 27130
Hospital Charge Code	27130
Min. Negotiated Rate	$1,264.91
Max. Negotiated Rate	$38,393.11
Rate for Payer: Aetna Commercial	$2,328.18
Rate for Payer: Aetna Medicare	$12,179.12
Rate for Payer: Aetna New Business (MI Preferred)	$1,780.38
Rate for Payer: Allen County Amish Medical Aid Commercial	$14,638.36
Rate for Payer: Amish Plain Church Group Commercial	$14,638.36
Rate for Payer: BCBS Complete	$6,726.62
Rate for Payer: BCBS MAPPO	$11,710.69
Rate for Payer: BCBS Trust/PPO	$10,064.11
Rate for Payer: BCN Medicare Advantage	$11,710.69
Rate for Payer: Cash Price	$2,191.23
Rate for Payer: Cash Price	$2,191.23
Rate for Payer: Cofinity Commercial	$1,917.33
Rate for Payer: Cofinity Commercial	$2,355.57
Rate for Payer: Health Alliance Plan Medicare Advantage	$11,710.69
Rate for Payer: Healthscope Commercial	$2,465.14
Rate for Payer: Mclaren Medicaid	$6,405.75
Rate for Payer: Mclaren Medicare	$11,710.69
Rate for Payer: Meridian Medicaid	$6,726.62
Rate for Payer: Meridian Wellcare - Medicare Advantage	$12,296.22
Rate for Payer: MI Amish Medical Board Commercial	$13,467.29
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$2,328.18
Rate for Payer: PACE Medicare	$11,125.16
Rate for Payer: PACE SWMI	$11,710.69
Rate for Payer: PHP Commercial	$2,328.18
Rate for Payer: PHP Medicare Advantage	$11,710.69
Rate for Payer: Priority Health Choice Medicaid	$6,405.75
Rate for Payer: Priority Health Cigna Priority Health	$1,917.33
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$38,393.11
Rate for Payer: Priority Health Medicare	$11,710.69
Rate for Payer: Priority Health Narrow Network	$30,714.49
Rate for Payer: Priority Health SBD	$1,725.60
Rate for Payer: Railroad Medicare Medicare	$11,710.69
Rate for Payer: UHC All Payor (Choice/PPO)	$1,391.40
Rate for Payer: UHC Dual Complete DSNP	$11,710.69
Rate for Payer: UHC Exchange	$1,264.91
Rate for Payer: UHC Medicare Advantage	$12,062.01
Rate for Payer: VA VA	$11,710.69

PR ARTHRP ELBOW W/DISTAL HUM&PROX UR PROSTC RPLCM

Professional

Both

$5,087.00

Service Code	HCPCS 24363
Min. Negotiated Rate	$239.42
Max. Negotiated Rate	$3,560.90
Rate for Payer: Aetna Commercial	$1,937.56
Rate for Payer: BCBS Complete	$975.33
Rate for Payer: BCBS Trust/PPO	$239.42
Rate for Payer: Cash Price	$4,069.60
Rate for Payer: Cash Price	$4,069.60
Rate for Payer: Mclaren Medicaid	$928.89
Rate for Payer: Meridian Medicaid	$975.33
Rate for Payer: Priority Health Choice Medicaid	$928.89
Rate for Payer: Priority Health Cigna Priority Health	$3,560.90
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$2,211.62
Rate for Payer: Priority Health Narrow Network	$2,211.62
Rate for Payer: Priority Health SBD	$2,211.62

PR ARTHRP FEM CONDYLES/TIBL PLATU KNE DBRDMT&PRTL

Professional

Both

$1,428.00

Service Code	HCPCS 27443
Min. Negotiated Rate	$528.03
Max. Negotiated Rate	$1,254.67
Rate for Payer: Aetna Commercial	$1,090.60
Rate for Payer: BCBS Complete	$554.43
Rate for Payer: BCBS Trust/PPO	$833.66
Rate for Payer: Cash Price	$1,142.40
Rate for Payer: Cash Price	$1,142.40
Rate for Payer: Mclaren Medicaid	$528.03
Rate for Payer: Meridian Medicaid	$554.43
Rate for Payer: Priority Health Choice Medicaid	$528.03
Rate for Payer: Priority Health Cigna Priority Health	$999.60
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,254.67
Rate for Payer: Priority Health Narrow Network	$1,254.67
Rate for Payer: Priority Health SBD	$1,254.67

PR ARTHRP INTERPOS INTERCARPAL/METACARPAL JOINTS

Facility

$2,979.00

Service Code	CPT 25447
Hospital Charge Code	25447
Min. Negotiated Rate	$1,876.77
Max. Negotiated Rate	$2,681.10
Rate for Payer: Aetna Commercial	$2,532.15
Rate for Payer: Aetna New Business (MI Preferred)	$1,936.35
Rate for Payer: Cash Price	$2,383.20
Rate for Payer: Cofinity Commercial	$2,085.30
Rate for Payer: Cofinity Commercial	$2,561.94
Rate for Payer: Healthscope Commercial	$2,681.10
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$2,532.15
Rate for Payer: PHP Commercial	$2,532.15
Rate for Payer: Priority Health Cigna Priority Health	$2,085.30
Rate for Payer: Priority Health SBD	$1,876.77

PR ARTHRP INTERPOS INTERCARPAL/METACARPAL JOINTS

Professional

Both

$2,979.00

Service Code	HCPCS 25447
Hospital Charge Code	25447
Min. Negotiated Rate	$539.32
Max. Negotiated Rate	$3,253.04
Rate for Payer: Aetna Commercial	$1,103.99
Rate for Payer: BCBS Complete	$566.29
Rate for Payer: BCBS Trust/PPO	$3,253.04
Rate for Payer: Cash Price	$2,383.20
Rate for Payer: Cash Price	$2,383.20
Rate for Payer: Mclaren Medicaid	$539.32
Rate for Payer: Meridian Medicaid	$566.29
Rate for Payer: Priority Health Choice Medicaid	$539.32
Rate for Payer: Priority Health Cigna Priority Health	$2,085.30
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,281.22
Rate for Payer: Priority Health Narrow Network	$1,281.22
Rate for Payer: Priority Health SBD	$1,281.22

PR ARTHRP INTERPOS INTERCARPAL/METACARPAL JOINTS

Professional

Both

$2,979.00

Service Code	HCPCS 25447
Min. Negotiated Rate	$539.32
Max. Negotiated Rate	$3,253.04
Rate for Payer: Aetna Commercial	$1,103.99
Rate for Payer: BCBS Complete	$566.29
Rate for Payer: BCBS Trust/PPO	$3,253.04
Rate for Payer: Cash Price	$2,383.20
Rate for Payer: Cash Price	$2,383.20
Rate for Payer: Mclaren Medicaid	$539.32
Rate for Payer: Meridian Medicaid	$566.29
Rate for Payer: Priority Health Choice Medicaid	$539.32
Rate for Payer: Priority Health Cigna Priority Health	$2,085.30
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,281.22
Rate for Payer: Priority Health Narrow Network	$1,281.22
Rate for Payer: Priority Health SBD	$1,281.22

PR ARTHRP INTERPOS INTERCARPAL/METACARPAL JOINTS

Facility

$2,979.00

Service Code	CPT 25447
Hospital Charge Code	25447
Min. Negotiated Rate	$829.08
Max. Negotiated Rate	$8,817.68
Rate for Payer: Aetna Commercial	$2,532.15
Rate for Payer: Aetna Medicare	$2,995.31
Rate for Payer: Aetna New Business (MI Preferred)	$1,936.35
Rate for Payer: Allen County Amish Medical Aid Commercial	$3,600.14
Rate for Payer: Amish Plain Church Group Commercial	$3,600.14
Rate for Payer: BCBS Complete	$1,654.34
Rate for Payer: BCBS MAPPO	$2,880.11
Rate for Payer: BCBS Trust/PPO	$2,199.74
Rate for Payer: BCN Medicare Advantage	$2,880.11
Rate for Payer: Cash Price	$2,383.20
Rate for Payer: Cash Price	$2,383.20
Rate for Payer: Cofinity Commercial	$2,561.94
Rate for Payer: Cofinity Commercial	$2,085.30
Rate for Payer: Health Alliance Plan Medicare Advantage	$2,880.11
Rate for Payer: Healthscope Commercial	$2,681.10
Rate for Payer: Mclaren Medicaid	$1,575.42
Rate for Payer: Mclaren Medicare	$2,880.11
Rate for Payer: Meridian Medicaid	$1,654.34
Rate for Payer: Meridian Wellcare - Medicare Advantage	$3,024.12
Rate for Payer: MI Amish Medical Board Commercial	$3,312.13
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$2,532.15
Rate for Payer: PACE Medicare	$2,736.10
Rate for Payer: PACE SWMI	$2,880.11
Rate for Payer: PHP Commercial	$2,532.15
Rate for Payer: PHP Medicare Advantage	$2,880.11
Rate for Payer: Priority Health Choice Medicaid	$1,575.42
Rate for Payer: Priority Health Cigna Priority Health	$2,085.30
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$8,817.68
Rate for Payer: Priority Health Medicare	$2,880.11
Rate for Payer: Priority Health Narrow Network	$7,054.14
Rate for Payer: Priority Health SBD	$1,876.77
Rate for Payer: Railroad Medicare Medicare	$2,880.11
Rate for Payer: UHC All Payor (Choice/PPO)	$911.99
Rate for Payer: UHC Dual Complete DSNP	$2,880.11
Rate for Payer: UHC Exchange	$829.08
Rate for Payer: UHC Medicare Advantage	$2,966.51
Rate for Payer: VA VA	$2,880.11

PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS

Facility

$4,909.00

Service Code	CPT 27447
Hospital Charge Code	27447
Min. Negotiated Rate	$3,092.67
Max. Negotiated Rate	$4,418.10
Rate for Payer: Aetna Commercial	$4,172.65
Rate for Payer: Aetna New Business (MI Preferred)	$3,190.85
Rate for Payer: Cash Price	$3,927.20
Rate for Payer: Cofinity Commercial	$3,436.30
Rate for Payer: Cofinity Commercial	$4,221.74
Rate for Payer: Healthscope Commercial	$4,418.10
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$4,172.65
Rate for Payer: PHP Commercial	$4,172.65
Rate for Payer: Priority Health Cigna Priority Health	$3,436.30
Rate for Payer: Priority Health SBD	$3,092.67

PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS

Professional

Both

$4,909.00

Service Code	HCPCS 27447
Hospital Charge Code	27447
Min. Negotiated Rate	$821.54
Max. Negotiated Rate	$3,436.30
Rate for Payer: Aetna Commercial	$1,718.87
Rate for Payer: BCBS Complete	$862.62
Rate for Payer: BCBS Trust/PPO	$2,016.52
Rate for Payer: Cash Price	$3,927.20
Rate for Payer: Cash Price	$3,927.20
Rate for Payer: Mclaren Medicaid	$821.54
Rate for Payer: Meridian Medicaid	$862.62
Rate for Payer: Priority Health Choice Medicaid	$821.54
Rate for Payer: Priority Health Cigna Priority Health	$3,436.30
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,958.34
Rate for Payer: Priority Health Narrow Network	$1,958.34
Rate for Payer: Priority Health SBD	$1,958.34

PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS

Facility

$4,909.00

Service Code	CPT 27447
Hospital Charge Code	27447
Min. Negotiated Rate	$1,262.94
Max. Negotiated Rate	$39,125.19
Rate for Payer: Aetna Commercial	$4,172.65
Rate for Payer: Aetna Medicare	$12,179.12
Rate for Payer: Aetna New Business (MI Preferred)	$3,190.85
Rate for Payer: Allen County Amish Medical Aid Commercial	$14,638.36
Rate for Payer: Amish Plain Church Group Commercial	$14,638.36
Rate for Payer: BCBS Complete	$6,726.62
Rate for Payer: BCBS MAPPO	$11,710.69
Rate for Payer: BCBS Trust/PPO	$9,814.07
Rate for Payer: BCN Medicare Advantage	$11,710.69
Rate for Payer: Cash Price	$3,927.20
Rate for Payer: Cash Price	$3,927.20
Rate for Payer: Cofinity Commercial	$3,436.30
Rate for Payer: Cofinity Commercial	$4,221.74
Rate for Payer: Health Alliance Plan Medicare Advantage	$11,710.69
Rate for Payer: Healthscope Commercial	$4,418.10
Rate for Payer: Mclaren Medicaid	$6,405.75
Rate for Payer: Mclaren Medicare	$11,710.69
Rate for Payer: Meridian Medicaid	$6,726.62
Rate for Payer: Meridian Wellcare - Medicare Advantage	$12,296.22
Rate for Payer: MI Amish Medical Board Commercial	$13,467.29
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$4,172.65
Rate for Payer: PACE Medicare	$11,125.16
Rate for Payer: PACE SWMI	$11,710.69
Rate for Payer: PHP Commercial	$4,172.65
Rate for Payer: PHP Medicare Advantage	$11,710.69
Rate for Payer: Priority Health Choice Medicaid	$6,405.75
Rate for Payer: Priority Health Cigna Priority Health	$3,436.30
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$39,125.19
Rate for Payer: Priority Health Medicare	$11,710.69
Rate for Payer: Priority Health Narrow Network	$31,300.15
Rate for Payer: Priority Health SBD	$3,092.67
Rate for Payer: Railroad Medicare Medicare	$11,710.69
Rate for Payer: UHC All Payor (Choice/PPO)	$1,389.23
Rate for Payer: UHC Dual Complete DSNP	$11,710.69
Rate for Payer: UHC Exchange	$1,262.94
Rate for Payer: UHC Medicare Advantage	$12,062.01
Rate for Payer: VA VA	$11,710.69

PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS

Professional

Both

$4,909.00

Service Code	HCPCS 27447
Min. Negotiated Rate	$821.54
Max. Negotiated Rate	$3,436.30
Rate for Payer: Aetna Commercial	$1,718.87
Rate for Payer: BCBS Complete	$862.62
Rate for Payer: BCBS Trust/PPO	$2,016.52
Rate for Payer: Cash Price	$3,927.20
Rate for Payer: Cash Price	$3,927.20
Rate for Payer: Mclaren Medicaid	$821.54
Rate for Payer: Meridian Medicaid	$862.62
Rate for Payer: Priority Health Choice Medicaid	$821.54
Rate for Payer: Priority Health Cigna Priority Health	$3,436.30
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,958.34
Rate for Payer: Priority Health Narrow Network	$1,958.34
Rate for Payer: Priority Health SBD	$1,958.34

PR ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT CMPRT

Professional

Both

$3,158.00

Service Code	HCPCS 27446
Min. Negotiated Rate	$736.77
Max. Negotiated Rate	$2,210.60
Rate for Payer: Aetna Commercial	$1,544.64
Rate for Payer: BCBS Complete	$773.61
Rate for Payer: BCBS Trust/PPO	$1,711.16
Rate for Payer: Cash Price	$2,526.40
Rate for Payer: Cash Price	$2,526.40
Rate for Payer: Mclaren Medicaid	$736.77
Rate for Payer: Meridian Medicaid	$773.61
Rate for Payer: Priority Health Choice Medicaid	$736.77
Rate for Payer: Priority Health Cigna Priority Health	$2,210.60
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,753.07
Rate for Payer: Priority Health Narrow Network	$1,753.07
Rate for Payer: Priority Health SBD	$1,753.07

PR ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT CMPRT

Facility

$3,158.00

Service Code	CPT 27446
Hospital Charge Code	27446
Min. Negotiated Rate	$1,989.54
Max. Negotiated Rate	$2,842.20
Rate for Payer: Aetna Commercial	$2,684.30
Rate for Payer: Aetna New Business (MI Preferred)	$2,052.70
Rate for Payer: Cash Price	$2,526.40
Rate for Payer: Cofinity Commercial	$2,715.88
Rate for Payer: Cofinity Commercial	$2,210.60
Rate for Payer: Healthscope Commercial	$2,842.20
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$2,684.30
Rate for Payer: PHP Commercial	$2,684.30
Rate for Payer: Priority Health Cigna Priority Health	$2,210.60
Rate for Payer: Priority Health SBD	$1,989.54

PR ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT CMPRT

Facility

$3,158.00

Service Code	CPT 27446
Hospital Charge Code	27446
Min. Negotiated Rate	$1,132.62
Max. Negotiated Rate	$39,125.19
Rate for Payer: Aetna Commercial	$2,684.30
Rate for Payer: Aetna Medicare	$12,179.12
Rate for Payer: Aetna New Business (MI Preferred)	$2,052.70
Rate for Payer: Allen County Amish Medical Aid Commercial	$14,638.36
Rate for Payer: Amish Plain Church Group Commercial	$14,638.36
Rate for Payer: BCBS Complete	$6,726.62
Rate for Payer: BCBS MAPPO	$11,710.69
Rate for Payer: BCBS Trust/PPO	$9,814.07
Rate for Payer: BCN Medicare Advantage	$11,710.69
Rate for Payer: Cash Price	$2,526.40
Rate for Payer: Cash Price	$2,526.40
Rate for Payer: Cofinity Commercial	$2,210.60
Rate for Payer: Cofinity Commercial	$2,715.88
Rate for Payer: Health Alliance Plan Medicare Advantage	$11,710.69
Rate for Payer: Healthscope Commercial	$2,842.20
Rate for Payer: Mclaren Medicaid	$6,405.75
Rate for Payer: Mclaren Medicare	$11,710.69
Rate for Payer: Meridian Medicaid	$6,726.62
Rate for Payer: Meridian Wellcare - Medicare Advantage	$12,296.22
Rate for Payer: MI Amish Medical Board Commercial	$13,467.29
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$2,684.30
Rate for Payer: PACE Medicare	$11,125.16
Rate for Payer: PACE SWMI	$11,710.69
Rate for Payer: PHP Commercial	$2,684.30
Rate for Payer: PHP Medicare Advantage	$11,710.69
Rate for Payer: Priority Health Choice Medicaid	$6,405.75
Rate for Payer: Priority Health Cigna Priority Health	$2,210.60
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$39,125.19
Rate for Payer: Priority Health Medicare	$11,710.69
Rate for Payer: Priority Health Narrow Network	$31,300.15
Rate for Payer: Priority Health SBD	$1,989.54
Rate for Payer: Railroad Medicare Medicare	$11,710.69
Rate for Payer: UHC All Payor (Choice/PPO)	$1,245.88
Rate for Payer: UHC Dual Complete DSNP	$11,710.69
Rate for Payer: UHC Exchange	$1,132.62
Rate for Payer: UHC Medicare Advantage	$12,062.01
Rate for Payer: VA VA	$11,710.69

PR ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT CMPRT

Professional

Both

$3,158.00

Service Code	HCPCS 27446
Hospital Charge Code	27446
Min. Negotiated Rate	$736.77
Max. Negotiated Rate	$2,210.60
Rate for Payer: Aetna Commercial	$1,544.64
Rate for Payer: BCBS Complete	$773.61
Rate for Payer: BCBS Trust/PPO	$1,711.16
Rate for Payer: Cash Price	$2,526.40
Rate for Payer: Cash Price	$2,526.40
Rate for Payer: Mclaren Medicaid	$736.77
Rate for Payer: Meridian Medicaid	$773.61
Rate for Payer: Priority Health Choice Medicaid	$736.77
Rate for Payer: Priority Health Cigna Priority Health	$2,210.60
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,753.07
Rate for Payer: Priority Health Narrow Network	$1,753.07
Rate for Payer: Priority Health SBD	$1,753.07

PR ARTHRP KNEE TIBIAL PLATEAU DBRDMT&PRTL SYNVCT

Professional

Both

$1,657.00

Service Code	HCPCS 27441
Min. Negotiated Rate	$523.55
Max. Negotiated Rate	$1,266.92
Rate for Payer: Aetna Commercial	$1,100.22
Rate for Payer: BCBS Complete	$559.12
Rate for Payer: BCBS Trust/PPO	$523.55
Rate for Payer: Cash Price	$1,325.60
Rate for Payer: Cash Price	$1,325.60
Rate for Payer: Mclaren Medicaid	$532.50
Rate for Payer: Meridian Medicaid	$559.12
Rate for Payer: Priority Health Choice Medicaid	$532.50
Rate for Payer: Priority Health Cigna Priority Health	$1,159.90
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,266.92
Rate for Payer: Priority Health Narrow Network	$1,266.92
Rate for Payer: Priority Health SBD	$1,266.92

PR ARTHRP MTCARPHLNGL JT W/PROSTC IMPLT EA JT

Professional

Both

$2,138.00

Service Code	HCPCS 26531
Min. Negotiated Rate	$224.00
Max. Negotiated Rate	$1,496.60
Rate for Payer: Aetna Commercial	$837.81
Rate for Payer: BCBS Complete	$431.64
Rate for Payer: BCBS Trust/PPO	$224.00
Rate for Payer: Cash Price	$1,710.40
Rate for Payer: Cash Price	$1,710.40
Rate for Payer: Mclaren Medicaid	$411.09
Rate for Payer: Meridian Medicaid	$431.64
Rate for Payer: Priority Health Choice Medicaid	$411.09
Rate for Payer: Priority Health Cigna Priority Health	$1,496.60
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$976.36
Rate for Payer: Priority Health Narrow Network	$976.36
Rate for Payer: Priority Health SBD	$976.36

PR ARTHRP W/PROSTC RPLCMT DSTL RDS&PRTL/CARPUS

Professional

Both

$2,053.00

Service Code	HCPCS 25446
Min. Negotiated Rate	$753.81
Max. Negotiated Rate	$1,794.43
Rate for Payer: Aetna Commercial	$1,564.29
Rate for Payer: BCBS Complete	$791.50
Rate for Payer: BCBS Trust/PPO	$1,725.86
Rate for Payer: Cash Price	$1,642.40
Rate for Payer: Cash Price	$1,642.40
Rate for Payer: Mclaren Medicaid	$753.81
Rate for Payer: Meridian Medicaid	$791.50
Rate for Payer: Priority Health Choice Medicaid	$753.81
Rate for Payer: Priority Health Cigna Priority Health	$1,437.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,794.43
Rate for Payer: Priority Health Narrow Network	$1,794.43
Rate for Payer: Priority Health SBD	$1,794.43

Know your out-of-pocket cost for care.

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