Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

PR ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHAVING

Professional

Both

$2,538.00

Service Code	HCPCS 29880
Hospital Charge Code	29880
Min. Negotiated Rate	$364.66
Max. Negotiated Rate	$1,776.60
Rate for Payer: Aetna Commercial	$749.27
Rate for Payer: BCBS Complete	$382.89
Rate for Payer: BCBS Trust/PPO	$1,079.85
Rate for Payer: Cash Price	$2,030.40
Rate for Payer: Cash Price	$2,030.40
Rate for Payer: Mclaren Medicaid	$364.66
Rate for Payer: Meridian Medicaid	$382.89
Rate for Payer: Priority Health Choice Medicaid	$364.66
Rate for Payer: Priority Health Cigna Priority Health	$1,776.60
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$866.07
Rate for Payer: Priority Health Narrow Network	$866.07
Rate for Payer: Priority Health SBD	$866.07

PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG

Facility

$2,348.00

Service Code	CPT 29881
Hospital Charge Code	29881
Min. Negotiated Rate	$540.28
Max. Negotiated Rate	$3,600.14
Rate for Payer: Aetna Commercial	$1,995.80
Rate for Payer: Aetna Medicare	$2,995.31
Rate for Payer: Aetna New Business (MI Preferred)	$1,526.20
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	$1,783.46
Rate for Payer: BCN Medicare Advantage	$2,880.11
Rate for Payer: Cash Price	$1,878.40
Rate for Payer: Cash Price	$1,878.40
Rate for Payer: Cofinity Commercial	$1,643.60
Rate for Payer: Cofinity Commercial	$2,019.28
Rate for Payer: Health Alliance Plan Medicare Advantage	$2,880.11
Rate for Payer: Healthscope Commercial	$2,113.20
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	$1,995.80
Rate for Payer: PACE Medicare	$2,736.10
Rate for Payer: PACE SWMI	$2,880.11
Rate for Payer: PHP Commercial	$1,995.80
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	$1,643.60
Rate for Payer: Priority Health Medicare	$2,880.11
Rate for Payer: Priority Health SBD	$1,479.24
Rate for Payer: Railroad Medicare Medicare	$2,880.11
Rate for Payer: UHC All Payor (Choice/PPO)	$594.31
Rate for Payer: UHC Dual Complete DSNP	$2,880.11
Rate for Payer: UHC Exchange	$540.28
Rate for Payer: UHC Medicare Advantage	$2,966.51
Rate for Payer: VA VA	$2,880.11

PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG

Professional

Both

$2,348.00

Service Code	HCPCS 29881
Hospital Charge Code	29881
Min. Negotiated Rate	$126.26
Max. Negotiated Rate	$1,643.60
Rate for Payer: Aetna Commercial	$722.25
Rate for Payer: BCBS Complete	$369.02
Rate for Payer: BCBS Trust/PPO	$126.26
Rate for Payer: Cash Price	$1,878.40
Rate for Payer: Cash Price	$1,878.40
Rate for Payer: Mclaren Medicaid	$351.45
Rate for Payer: Meridian Medicaid	$369.02
Rate for Payer: Priority Health Choice Medicaid	$351.45
Rate for Payer: Priority Health Cigna Priority Health	$1,643.60
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$833.89
Rate for Payer: Priority Health Narrow Network	$833.89
Rate for Payer: Priority Health SBD	$833.89

PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG

Facility

$2,348.00

Service Code	CPT 29881
Hospital Charge Code	29881
Min. Negotiated Rate	$1,479.24
Max. Negotiated Rate	$2,113.20
Rate for Payer: Aetna Commercial	$1,995.80
Rate for Payer: Aetna New Business (MI Preferred)	$1,526.20
Rate for Payer: Cash Price	$1,878.40
Rate for Payer: Cofinity Commercial	$2,019.28
Rate for Payer: Cofinity Commercial	$1,643.60
Rate for Payer: Healthscope Commercial	$2,113.20
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$1,995.80
Rate for Payer: PHP Commercial	$1,995.80
Rate for Payer: Priority Health Cigna Priority Health	$1,643.60
Rate for Payer: Priority Health SBD	$1,479.24

PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG

Professional

Both

$2,348.00

Service Code	HCPCS 29881
Min. Negotiated Rate	$126.26
Max. Negotiated Rate	$1,643.60
Rate for Payer: Aetna Commercial	$722.25
Rate for Payer: BCBS Complete	$369.02
Rate for Payer: BCBS Trust/PPO	$126.26
Rate for Payer: Cash Price	$1,878.40
Rate for Payer: Cash Price	$1,878.40
Rate for Payer: Mclaren Medicaid	$351.45
Rate for Payer: Meridian Medicaid	$369.02
Rate for Payer: Priority Health Choice Medicaid	$351.45
Rate for Payer: Priority Health Cigna Priority Health	$1,643.60
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$833.89
Rate for Payer: Priority Health Narrow Network	$833.89
Rate for Payer: Priority Health SBD	$833.89

PR ARTHRS SUBTALAR JOINT REMOVE LOOSE/FOREIGN BODY

Professional

Both

$2,348.00

Service Code	HCPCS 29904
Min. Negotiated Rate	$414.71
Max. Negotiated Rate	$12,622.63
Rate for Payer: Aetna Commercial	$851.15
Rate for Payer: BCBS Complete	$435.45
Rate for Payer: BCBS Trust/PPO	$12,622.63
Rate for Payer: Cash Price	$1,878.40
Rate for Payer: Cash Price	$1,878.40
Rate for Payer: Mclaren Medicaid	$414.71
Rate for Payer: Meridian Medicaid	$435.45
Rate for Payer: Priority Health Choice Medicaid	$414.71
Rate for Payer: Priority Health Cigna Priority Health	$1,643.60
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$984.03
Rate for Payer: Priority Health Narrow Network	$984.03
Rate for Payer: Priority Health SBD	$984.03

PR ARTHRS WRST EXC&/RPR TRIANG FIBROCART&/JOINT

Professional

Both

$1,999.00

Service Code	HCPCS 29846
Min. Negotiated Rate	$339.52
Max. Negotiated Rate	$1,401.05
Rate for Payer: Aetna Commercial	$696.33
Rate for Payer: BCBS Complete	$356.50
Rate for Payer: BCBS Trust/PPO	$1,401.05
Rate for Payer: Cash Price	$1,599.20
Rate for Payer: Cash Price	$1,599.20
Rate for Payer: Mclaren Medicaid	$339.52
Rate for Payer: Meridian Medicaid	$356.50
Rate for Payer: Priority Health Choice Medicaid	$339.52
Rate for Payer: Priority Health Cigna Priority Health	$1,399.30
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$807.34
Rate for Payer: Priority Health Narrow Network	$807.34
Rate for Payer: Priority Health SBD	$807.34

PR ARTHRT ACROMCLAV STRNCLAV JT EXPL/DRG/RMVL FB

Professional

Both

$1,201.00

Service Code	HCPCS 23044
Min. Negotiated Rate	$367.00
Max. Negotiated Rate	$1,094.11
Rate for Payer: Aetna Commercial	$752.51
Rate for Payer: BCBS Complete	$385.35
Rate for Payer: BCBS Trust/PPO	$1,094.11
Rate for Payer: Cash Price	$960.80
Rate for Payer: Cash Price	$960.80
Rate for Payer: Mclaren Medicaid	$367.00
Rate for Payer: Meridian Medicaid	$385.35
Rate for Payer: Priority Health Choice Medicaid	$367.00
Rate for Payer: Priority Health Cigna Priority Health	$840.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$877.29
Rate for Payer: Priority Health Narrow Network	$877.29
Rate for Payer: Priority Health SBD	$877.29

PR ARTHRT ACROMCLAV/STRNCLAV JT W/BX&/EXC CRTLG

Professional

Both

$789.00

Service Code	HCPCS 23101
Min. Negotiated Rate	$39.62
Max. Negotiated Rate	$707.77
Rate for Payer: Aetna Commercial	$609.14
Rate for Payer: BCBS Complete	$314.23
Rate for Payer: BCBS Trust/PPO	$39.62
Rate for Payer: Cash Price	$631.20
Rate for Payer: Cash Price	$631.20
Rate for Payer: Mclaren Medicaid	$299.27
Rate for Payer: Meridian Medicaid	$314.23
Rate for Payer: Priority Health Choice Medicaid	$299.27
Rate for Payer: Priority Health Cigna Priority Health	$552.30
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$707.77
Rate for Payer: Priority Health Narrow Network	$707.77
Rate for Payer: Priority Health SBD	$707.77

PR ARTHRT ANKLE W/EXPL W/WO BX W/WO RMVL LOOSE/FB

Professional

Both

$1,105.00

Service Code	HCPCS 27620
Min. Negotiated Rate	$238.79
Max. Negotiated Rate	$773.50
Rate for Payer: Aetna Commercial	$598.68
Rate for Payer: BCBS Complete	$305.06
Rate for Payer: BCBS Trust/PPO	$238.79
Rate for Payer: Cash Price	$884.00
Rate for Payer: Cash Price	$884.00
Rate for Payer: Mclaren Medicaid	$290.53
Rate for Payer: Meridian Medicaid	$305.06
Rate for Payer: Priority Health Choice Medicaid	$290.53
Rate for Payer: Priority Health Cigna Priority Health	$773.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$682.22
Rate for Payer: Priority Health Narrow Network	$682.22
Rate for Payer: Priority Health SBD	$682.22

PR ARTHRT ELBOW CAPSULAR EXCISION CAPSULAR RLS SPX

Professional

Both

$2,023.00

Service Code	HCPCS 24006
Min. Negotiated Rate	$40.33
Max. Negotiated Rate	$1,416.10
Rate for Payer: Aetna Commercial	$949.53
Rate for Payer: BCBS Complete	$486.21
Rate for Payer: BCBS Trust/PPO	$40.33
Rate for Payer: Cash Price	$1,618.40
Rate for Payer: Cash Price	$1,618.40
Rate for Payer: Mclaren Medicaid	$463.06
Rate for Payer: Meridian Medicaid	$486.21
Rate for Payer: Priority Health Choice Medicaid	$463.06
Rate for Payer: Priority Health Cigna Priority Health	$1,416.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,097.39
Rate for Payer: Priority Health Narrow Network	$1,097.39
Rate for Payer: Priority Health SBD	$1,097.39

PR ARTHRT ELBOW W/EXPLORATION DRAINAGE/REMOVAL FB

Professional

Both

$1,998.00

Service Code	HCPCS 24000
Min. Negotiated Rate	$21.65
Max. Negotiated Rate	$1,398.60
Rate for Payer: Aetna Commercial	$635.11
Rate for Payer: BCBS Complete	$328.09
Rate for Payer: BCBS Trust/PPO	$21.65
Rate for Payer: Cash Price	$1,598.40
Rate for Payer: Cash Price	$1,598.40
Rate for Payer: Mclaren Medicaid	$312.47
Rate for Payer: Meridian Medicaid	$328.09
Rate for Payer: Priority Health Choice Medicaid	$312.47
Rate for Payer: Priority Health Cigna Priority Health	$1,398.60
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$740.44
Rate for Payer: Priority Health Narrow Network	$740.44
Rate for Payer: Priority Health SBD	$740.44

PR ARTHRT ELBOW W/JT EXPL W/WOBX W/O RMVL LOOSE/FB

Professional

Both

$1,322.00

Service Code	HCPCS 24101
Min. Negotiated Rate	$57.31
Max. Negotiated Rate	$925.40
Rate for Payer: Aetna Commercial	$670.06
Rate for Payer: BCBS Complete	$344.87
Rate for Payer: BCBS Trust/PPO	$57.31
Rate for Payer: Cash Price	$1,057.60
Rate for Payer: Cash Price	$1,057.60
Rate for Payer: Mclaren Medicaid	$328.45
Rate for Payer: Meridian Medicaid	$344.87
Rate for Payer: Priority Health Choice Medicaid	$328.45
Rate for Payer: Priority Health Cigna Priority Health	$925.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$781.29
Rate for Payer: Priority Health Narrow Network	$781.29
Rate for Payer: Priority Health SBD	$781.29

PR ARTHRT EXPL DRG/RMVL LOOSE/FB CARP/MTCRPL JT

Professional

Both

$1,265.00

Service Code	HCPCS 26070
Min. Negotiated Rate	$193.15
Max. Negotiated Rate	$885.50
Rate for Payer: Aetna Commercial	$428.74
Rate for Payer: BCBS Complete	$222.76
Rate for Payer: BCBS Trust/PPO	$193.15
Rate for Payer: Cash Price	$1,012.00
Rate for Payer: Cash Price	$1,012.00
Rate for Payer: Mclaren Medicaid	$212.15
Rate for Payer: Meridian Medicaid	$222.76
Rate for Payer: Priority Health Choice Medicaid	$212.15
Rate for Payer: Priority Health Cigna Priority Health	$885.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$501.45
Rate for Payer: Priority Health Narrow Network	$501.45
Rate for Payer: Priority Health SBD	$501.45

PR ARTHRT EXPL DRG/RMVL LOOSE/FB IPHAL JT EA

Professional

Both

$1,068.00

Service Code	HCPCS 26080
Min. Negotiated Rate	$132.87
Max. Negotiated Rate	$747.60
Rate for Payer: Aetna Commercial	$525.93
Rate for Payer: BCBS Complete	$274.87
Rate for Payer: BCBS Trust/PPO	$132.87
Rate for Payer: Cash Price	$854.40
Rate for Payer: Cash Price	$854.40
Rate for Payer: Mclaren Medicaid	$261.78
Rate for Payer: Meridian Medicaid	$274.87
Rate for Payer: Priority Health Choice Medicaid	$261.78
Rate for Payer: Priority Health Cigna Priority Health	$747.60
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$618.90
Rate for Payer: Priority Health Narrow Network	$618.90
Rate for Payer: Priority Health SBD	$618.90

PR ARTHRT EXPL DRG/RMVL LOOSE/FB MTCARPHLNGL JT EA

Professional

Both

$562.00

Service Code	HCPCS 26075
Min. Negotiated Rate	$120.56
Max. Negotiated Rate	$526.48
Rate for Payer: Aetna Commercial	$447.37
Rate for Payer: BCBS Complete	$233.27
Rate for Payer: BCBS Trust/PPO	$120.56
Rate for Payer: Cash Price	$449.60
Rate for Payer: Cash Price	$449.60
Rate for Payer: Mclaren Medicaid	$222.16
Rate for Payer: Meridian Medicaid	$233.27
Rate for Payer: Priority Health Choice Medicaid	$222.16
Rate for Payer: Priority Health Cigna Priority Health	$393.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$526.48
Rate for Payer: Priority Health Narrow Network	$526.48
Rate for Payer: Priority Health SBD	$526.48

PR ARTHRT GLENOHMRL JT W/JT EXPL W/WO RMVL LOOSE/FB

Professional

Both

$1,230.00

Service Code	HCPCS 23107
Min. Negotiated Rate	$24.83
Max. Negotiated Rate	$1,020.28
Rate for Payer: Aetna Commercial	$882.97
Rate for Payer: BCBS Complete	$453.34
Rate for Payer: BCBS Trust/PPO	$24.83
Rate for Payer: Cash Price	$984.00
Rate for Payer: Cash Price	$984.00
Rate for Payer: Mclaren Medicaid	$431.75
Rate for Payer: Meridian Medicaid	$453.34
Rate for Payer: Priority Health Choice Medicaid	$431.75
Rate for Payer: Priority Health Cigna Priority Health	$861.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,020.28
Rate for Payer: Priority Health Narrow Network	$1,020.28
Rate for Payer: Priority Health SBD	$1,020.28

PR ARTHRT GLENOHUMRL JT STRNCLAV JT W/SYNVCT W/WOBX

Professional

Both

$981.00

Service Code	HCPCS 23106
Min. Negotiated Rate	$151.62
Max. Negotiated Rate	$778.23
Rate for Payer: Aetna Commercial	$668.25
Rate for Payer: BCBS Complete	$344.64
Rate for Payer: BCBS Trust/PPO	$151.62
Rate for Payer: Cash Price	$784.80
Rate for Payer: Cash Price	$784.80
Rate for Payer: Mclaren Medicaid	$328.23
Rate for Payer: Meridian Medicaid	$344.64
Rate for Payer: Priority Health Choice Medicaid	$328.23
Rate for Payer: Priority Health Cigna Priority Health	$686.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$778.23
Rate for Payer: Priority Health Narrow Network	$778.23
Rate for Payer: Priority Health SBD	$778.23

PR ARTHRT GLENOHUMRL JT W/SYNOVECTOMY W/WO BIOPSY

Professional

Both

$1,112.00

Service Code	HCPCS 23105
Min. Negotiated Rate	$85.58
Max. Negotiated Rate	$986.06
Rate for Payer: Aetna Commercial	$855.39
Rate for Payer: BCBS Complete	$437.68
Rate for Payer: BCBS Trust/PPO	$85.58
Rate for Payer: Cash Price	$889.60
Rate for Payer: Cash Price	$889.60
Rate for Payer: Mclaren Medicaid	$416.84
Rate for Payer: Meridian Medicaid	$437.68
Rate for Payer: Priority Health Choice Medicaid	$416.84
Rate for Payer: Priority Health Cigna Priority Health	$778.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$986.06
Rate for Payer: Priority Health Narrow Network	$986.06
Rate for Payer: Priority Health SBD	$986.06

PR ARTHRT KNE W/EXPL DRG/RMVL FB

Professional

Both

$2,638.00

Service Code	HCPCS 27310
Min. Negotiated Rate	$474.78
Max. Negotiated Rate	$2,115.84
Rate for Payer: Aetna Commercial	$976.42
Rate for Payer: BCBS Complete	$498.52
Rate for Payer: BCBS Trust/PPO	$2,115.84
Rate for Payer: Cash Price	$2,110.40
Rate for Payer: Cash Price	$2,110.40
Rate for Payer: Mclaren Medicaid	$474.78
Rate for Payer: Meridian Medicaid	$498.52
Rate for Payer: Priority Health Choice Medicaid	$474.78
Rate for Payer: Priority Health Cigna Priority Health	$1,846.60
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,128.03
Rate for Payer: Priority Health Narrow Network	$1,128.03
Rate for Payer: Priority Health SBD	$1,128.03

PR ARTHRT KNE W/EXPL DRG/RMVL FB

Facility

$2,638.00

Service Code	CPT 27310
Hospital Charge Code	27310
Min. Negotiated Rate	$729.87
Max. Negotiated Rate	$8,817.68
Rate for Payer: Aetna Commercial	$2,242.30
Rate for Payer: Aetna Medicare	$2,995.31
Rate for Payer: Aetna New Business (MI Preferred)	$1,714.70
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	$2,110.40
Rate for Payer: Cash Price	$2,110.40
Rate for Payer: Cofinity Commercial	$2,268.68
Rate for Payer: Cofinity Commercial	$1,846.60
Rate for Payer: Health Alliance Plan Medicare Advantage	$2,880.11
Rate for Payer: Healthscope Commercial	$2,374.20
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	$2,242.30
Rate for Payer: PACE Medicare	$2,736.10
Rate for Payer: PACE SWMI	$2,880.11
Rate for Payer: PHP Commercial	$2,242.30
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	$1,846.60
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	$1,661.94
Rate for Payer: Railroad Medicare Medicare	$2,880.11
Rate for Payer: UHC All Payor (Choice/PPO)	$802.86
Rate for Payer: UHC Dual Complete DSNP	$2,880.11
Rate for Payer: UHC Exchange	$729.87
Rate for Payer: UHC Medicare Advantage	$2,966.51
Rate for Payer: VA VA	$2,880.11

PR ARTHRT KNE W/EXPL DRG/RMVL FB

Professional

Both

$2,638.00

Service Code	HCPCS 27310
Hospital Charge Code	27310
Min. Negotiated Rate	$474.78
Max. Negotiated Rate	$2,115.84
Rate for Payer: Aetna Commercial	$976.42
Rate for Payer: BCBS Complete	$498.52
Rate for Payer: BCBS Trust/PPO	$2,115.84
Rate for Payer: Cash Price	$2,110.40
Rate for Payer: Cash Price	$2,110.40
Rate for Payer: Mclaren Medicaid	$474.78
Rate for Payer: Meridian Medicaid	$498.52
Rate for Payer: Priority Health Choice Medicaid	$474.78
Rate for Payer: Priority Health Cigna Priority Health	$1,846.60
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,128.03
Rate for Payer: Priority Health Narrow Network	$1,128.03
Rate for Payer: Priority Health SBD	$1,128.03

PR ARTHRT KNE W/EXPL DRG/RMVL FB

Facility

$2,638.00

Service Code	CPT 27310
Hospital Charge Code	27310
Min. Negotiated Rate	$1,661.94
Max. Negotiated Rate	$2,374.20
Rate for Payer: Aetna Commercial	$2,242.30
Rate for Payer: Aetna New Business (MI Preferred)	$1,714.70
Rate for Payer: Cash Price	$2,110.40
Rate for Payer: Cofinity Commercial	$1,846.60
Rate for Payer: Cofinity Commercial	$2,268.68
Rate for Payer: Healthscope Commercial	$2,374.20
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$2,242.30
Rate for Payer: PHP Commercial	$2,242.30
Rate for Payer: Priority Health Cigna Priority Health	$1,846.60
Rate for Payer: Priority Health SBD	$1,661.94

PR ARTHRT KNE W/JT EXPL BX/RMVL LOOSE/FB

Professional

Both

$1,715.00

Service Code	HCPCS 27331
Min. Negotiated Rate	$311.19
Max. Negotiated Rate	$1,200.50
Rate for Payer: Aetna Commercial	$634.56
Rate for Payer: BCBS Complete	$326.75
Rate for Payer: BCBS Trust/PPO	$1,191.32
Rate for Payer: Cash Price	$1,372.00
Rate for Payer: Cash Price	$1,372.00
Rate for Payer: Mclaren Medicaid	$311.19
Rate for Payer: Meridian Medicaid	$326.75
Rate for Payer: Priority Health Choice Medicaid	$311.19
Rate for Payer: Priority Health Cigna Priority Health	$1,200.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$738.40
Rate for Payer: Priority Health Narrow Network	$738.40
Rate for Payer: Priority Health SBD	$738.40

PR ARTHRTOMY W/BX METATARSOPHALANGEAL JOINT

Professional

Both

$490.00

Service Code	HCPCS 28052
Min. Negotiated Rate	$165.08
Max. Negotiated Rate	$1,658.33
Rate for Payer: Aetna Commercial	$374.25
Rate for Payer: BCBS Complete	$173.33
Rate for Payer: BCBS Trust/PPO	$1,658.33
Rate for Payer: Cash Price	$392.00
Rate for Payer: Cash Price	$392.00
Rate for Payer: Mclaren Medicaid	$165.08
Rate for Payer: Meridian Medicaid	$173.33
Rate for Payer: Priority Health Choice Medicaid	$165.08
Rate for Payer: Priority Health Cigna Priority Health	$343.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$387.07
Rate for Payer: Priority Health Narrow Network	$387.07
Rate for Payer: Priority Health SBD	$387.07

Know your out-of-pocket cost for care.

All Charges