Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

LOPERAMIDE 2 MG CAPSULE

Facility

$246.24

Service Code	NDC 60687022901
Hospital Charge Code	4560
Hospital Revenue Code	637
Min. Negotiated Rate	$155.13
Max. Negotiated Rate	$221.62
Rate for Payer: Aetna Commercial	$209.30
Rate for Payer: Aetna New Business (MI Preferred)	$160.06
Rate for Payer: Cash Price	$196.99
Rate for Payer: Cofinity Commercial	$172.37
Rate for Payer: Cofinity Commercial	$211.77
Rate for Payer: Cofinity Medicare Advantage	$172.37
Rate for Payer: Encore Health Key Benefits Commercial	$196.99
Rate for Payer: Healthscope Commercial	$221.62
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$209.30
Rate for Payer: PHP Commercial	$209.30
Rate for Payer: Priority Health Cigna Priority Health	$160.06
Rate for Payer: Priority Health SBD	$155.13

LOPERAMIDE 2 MG CAPSULE

Facility

$330.72

Service Code	NDC 51079069020
Hospital Charge Code	4560
Hospital Revenue Code	637
Min. Negotiated Rate	$208.35
Max. Negotiated Rate	$297.65
Rate for Payer: Aetna Commercial	$281.11
Rate for Payer: Aetna New Business (MI Preferred)	$214.97
Rate for Payer: Cash Price	$264.58
Rate for Payer: Cofinity Commercial	$231.50
Rate for Payer: Cofinity Commercial	$284.42
Rate for Payer: Cofinity Medicare Advantage	$231.50
Rate for Payer: Encore Health Key Benefits Commercial	$264.58
Rate for Payer: Healthscope Commercial	$297.65
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$281.11
Rate for Payer: PHP Commercial	$281.11
Rate for Payer: Priority Health Cigna Priority Health	$214.97
Rate for Payer: Priority Health SBD	$208.35

LOPERAMIDE 2 MG CAPSULE

Facility

$3.31

Service Code	NDC 51079069001
Hospital Charge Code	4560
Hospital Revenue Code	637
Min. Negotiated Rate	$1.32
Max. Negotiated Rate	$2.98
Rate for Payer: Aetna Commercial	$2.81
Rate for Payer: Aetna Medicare	$1.66
Rate for Payer: Aetna New Business (MI Preferred)	$2.15
Rate for Payer: BCBS Complete	$1.32
Rate for Payer: Cash Price	$2.65
Rate for Payer: Cofinity Commercial	$2.32
Rate for Payer: Cofinity Commercial	$2.85
Rate for Payer: Cofinity Medicare Advantage	$2.32
Rate for Payer: Encore Health Key Benefits Commercial	$2.65
Rate for Payer: Healthscope Commercial	$2.98
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$2.81
Rate for Payer: PHP Commercial	$2.81
Rate for Payer: Priority Health Cigna Priority Health	$2.15
Rate for Payer: Priority Health SBD	$2.09

LOPERAMIDE 2 MG CAPSULE

Facility

$2.47

Service Code	NDC 60687022911
Hospital Charge Code	4560
Hospital Revenue Code	637
Min. Negotiated Rate	$0.99
Max. Negotiated Rate	$2.22
Rate for Payer: Aetna Commercial	$2.10
Rate for Payer: Aetna Medicare	$1.24
Rate for Payer: Aetna New Business (MI Preferred)	$1.61
Rate for Payer: BCBS Complete	$0.99
Rate for Payer: Cash Price	$1.98
Rate for Payer: Cofinity Commercial	$1.73
Rate for Payer: Cofinity Commercial	$2.12
Rate for Payer: Cofinity Medicare Advantage	$1.73
Rate for Payer: Encore Health Key Benefits Commercial	$1.98
Rate for Payer: Healthscope Commercial	$2.22
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$2.10
Rate for Payer: PHP Commercial	$2.10
Rate for Payer: Priority Health Cigna Priority Health	$1.61
Rate for Payer: Priority Health SBD	$1.56

LOPERAMIDE 2 MG CAPSULE

Facility

$330.72

Service Code	NDC 51079069020
Hospital Charge Code	4560
Hospital Revenue Code	637
Min. Negotiated Rate	$132.29
Max. Negotiated Rate	$297.65
Rate for Payer: Aetna Commercial	$281.11
Rate for Payer: Aetna Medicare	$165.36
Rate for Payer: Aetna New Business (MI Preferred)	$214.97
Rate for Payer: BCBS Complete	$132.29
Rate for Payer: Cash Price	$264.58
Rate for Payer: Cofinity Commercial	$231.50
Rate for Payer: Cofinity Commercial	$284.42
Rate for Payer: Cofinity Medicare Advantage	$231.50
Rate for Payer: Encore Health Key Benefits Commercial	$264.58
Rate for Payer: Healthscope Commercial	$297.65
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$281.11
Rate for Payer: PHP Commercial	$281.11
Rate for Payer: Priority Health Cigna Priority Health	$214.97
Rate for Payer: Priority Health SBD	$208.35

LOPERAMIDE 2 MG CAPSULE

Facility

$324.90

Service Code	NDC 00378210001
Hospital Charge Code	4560
Hospital Revenue Code	637
Min. Negotiated Rate	$204.69
Max. Negotiated Rate	$292.41
Rate for Payer: Aetna Commercial	$276.17
Rate for Payer: Aetna New Business (MI Preferred)	$211.19
Rate for Payer: Cash Price	$259.92
Rate for Payer: Cofinity Commercial	$227.43
Rate for Payer: Cofinity Commercial	$279.41
Rate for Payer: Cofinity Medicare Advantage	$227.43
Rate for Payer: Encore Health Key Benefits Commercial	$259.92
Rate for Payer: Healthscope Commercial	$292.41
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$276.17
Rate for Payer: PHP Commercial	$276.17
Rate for Payer: Priority Health Cigna Priority Health	$211.19
Rate for Payer: Priority Health SBD	$204.69

LOPERAMIDE 2 MG CAPSULE

Facility

$3.31

Service Code	NDC 51079069001
Hospital Charge Code	4560
Hospital Revenue Code	637
Min. Negotiated Rate	$2.09
Max. Negotiated Rate	$2.98
Rate for Payer: Aetna Commercial	$2.81
Rate for Payer: Aetna New Business (MI Preferred)	$2.15
Rate for Payer: Cash Price	$2.65
Rate for Payer: Cofinity Commercial	$2.32
Rate for Payer: Cofinity Commercial	$2.85
Rate for Payer: Cofinity Medicare Advantage	$2.32
Rate for Payer: Encore Health Key Benefits Commercial	$2.65
Rate for Payer: Healthscope Commercial	$2.98
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$2.81
Rate for Payer: PHP Commercial	$2.81
Rate for Payer: Priority Health Cigna Priority Health	$2.15
Rate for Payer: Priority Health SBD	$2.09

LOPERAMIDE 2 MG CAPSULE

Facility

$246.24

Service Code	NDC 60687022901
Hospital Charge Code	4560
Hospital Revenue Code	637
Min. Negotiated Rate	$98.50
Max. Negotiated Rate	$221.62
Rate for Payer: Aetna Commercial	$209.30
Rate for Payer: Aetna Medicare	$123.12
Rate for Payer: Aetna New Business (MI Preferred)	$160.06
Rate for Payer: BCBS Complete	$98.50
Rate for Payer: Cash Price	$196.99
Rate for Payer: Cofinity Commercial	$172.37
Rate for Payer: Cofinity Commercial	$211.77
Rate for Payer: Cofinity Medicare Advantage	$172.37
Rate for Payer: Encore Health Key Benefits Commercial	$196.99
Rate for Payer: Healthscope Commercial	$221.62
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$209.30
Rate for Payer: PHP Commercial	$209.30
Rate for Payer: Priority Health Cigna Priority Health	$160.06
Rate for Payer: Priority Health SBD	$155.13

LOPERAMIDE 2 MG CAPSULE

Facility

$2.47

Service Code	NDC 60687022911
Hospital Charge Code	4560
Hospital Revenue Code	637
Min. Negotiated Rate	$1.56
Max. Negotiated Rate	$2.22
Rate for Payer: Aetna Commercial	$2.10
Rate for Payer: Aetna New Business (MI Preferred)	$1.61
Rate for Payer: Cash Price	$1.98
Rate for Payer: Cofinity Commercial	$1.73
Rate for Payer: Cofinity Commercial	$2.12
Rate for Payer: Cofinity Medicare Advantage	$1.73
Rate for Payer: Encore Health Key Benefits Commercial	$1.98
Rate for Payer: Healthscope Commercial	$2.22
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$2.10
Rate for Payer: PHP Commercial	$2.10
Rate for Payer: Priority Health Cigna Priority Health	$1.61
Rate for Payer: Priority Health SBD	$1.56

LOPERAMIDE 2 MG CAPSULE

Facility

$324.90

Service Code	NDC 00378210001
Hospital Charge Code	4560
Hospital Revenue Code	637
Min. Negotiated Rate	$129.96
Max. Negotiated Rate	$292.41
Rate for Payer: Aetna Commercial	$276.17
Rate for Payer: Aetna Medicare	$162.45
Rate for Payer: Aetna New Business (MI Preferred)	$211.19
Rate for Payer: BCBS Complete	$129.96
Rate for Payer: Cash Price	$259.92
Rate for Payer: Cofinity Commercial	$227.43
Rate for Payer: Cofinity Commercial	$279.41
Rate for Payer: Cofinity Medicare Advantage	$227.43
Rate for Payer: Encore Health Key Benefits Commercial	$259.92
Rate for Payer: Healthscope Commercial	$292.41
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$276.17
Rate for Payer: PHP Commercial	$276.17
Rate for Payer: Priority Health Cigna Priority Health	$211.19
Rate for Payer: Priority Health SBD	$204.69

LORATADINE 10 MG TABLET

Facility

$217.38

Service Code	NDC 50268048915
Hospital Charge Code	10466
Hospital Revenue Code	637
Min. Negotiated Rate	$86.95
Max. Negotiated Rate	$195.64
Rate for Payer: Aetna Commercial	$184.77
Rate for Payer: Aetna Medicare	$108.69
Rate for Payer: Aetna New Business (MI Preferred)	$141.30
Rate for Payer: BCBS Complete	$86.95
Rate for Payer: Cash Price	$173.90
Rate for Payer: Cofinity Commercial	$152.17
Rate for Payer: Cofinity Commercial	$186.95
Rate for Payer: Cofinity Medicare Advantage	$152.17
Rate for Payer: Encore Health Key Benefits Commercial	$173.90
Rate for Payer: Healthscope Commercial	$195.64
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$184.77
Rate for Payer: PHP Commercial	$184.77
Rate for Payer: Priority Health Cigna Priority Health	$141.30
Rate for Payer: Priority Health SBD	$136.95

LORATADINE 10 MG TABLET

Facility

$229.90

Service Code	NDC 68084024811
Hospital Charge Code	10466
Hospital Revenue Code	637
Min. Negotiated Rate	$91.96
Max. Negotiated Rate	$206.91
Rate for Payer: Aetna Commercial	$195.41
Rate for Payer: Aetna Medicare	$114.95
Rate for Payer: Aetna New Business (MI Preferred)	$149.44
Rate for Payer: BCBS Complete	$91.96
Rate for Payer: Cash Price	$183.92
Rate for Payer: Cofinity Commercial	$160.93
Rate for Payer: Cofinity Commercial	$197.71
Rate for Payer: Cofinity Medicare Advantage	$160.93
Rate for Payer: Encore Health Key Benefits Commercial	$183.92
Rate for Payer: Healthscope Commercial	$206.91
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$195.41
Rate for Payer: PHP Commercial	$195.41
Rate for Payer: Priority Health Cigna Priority Health	$149.44
Rate for Payer: Priority Health SBD	$144.84

LORATADINE 10 MG TABLET

Facility

$229.90

Service Code	NDC 68084024811
Hospital Charge Code	10466
Hospital Revenue Code	637
Min. Negotiated Rate	$144.84
Max. Negotiated Rate	$206.91
Rate for Payer: Aetna Commercial	$195.41
Rate for Payer: Aetna New Business (MI Preferred)	$149.44
Rate for Payer: Cash Price	$183.92
Rate for Payer: Cofinity Commercial	$160.93
Rate for Payer: Cofinity Commercial	$197.71
Rate for Payer: Cofinity Medicare Advantage	$160.93
Rate for Payer: Encore Health Key Benefits Commercial	$183.92
Rate for Payer: Healthscope Commercial	$206.91
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$195.41
Rate for Payer: PHP Commercial	$195.41
Rate for Payer: Priority Health Cigna Priority Health	$149.44
Rate for Payer: Priority Health SBD	$144.84

LORATADINE 10 MG TABLET

Facility

$256.50

Service Code	NDC 51079024620
Hospital Charge Code	10466
Hospital Revenue Code	637
Min. Negotiated Rate	$161.59
Max. Negotiated Rate	$230.85
Rate for Payer: Aetna Commercial	$218.03
Rate for Payer: Aetna New Business (MI Preferred)	$166.72
Rate for Payer: Cash Price	$205.20
Rate for Payer: Cofinity Commercial	$179.55
Rate for Payer: Cofinity Commercial	$220.59
Rate for Payer: Cofinity Medicare Advantage	$179.55
Rate for Payer: Encore Health Key Benefits Commercial	$205.20
Rate for Payer: Healthscope Commercial	$230.85
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$218.03
Rate for Payer: PHP Commercial	$218.03
Rate for Payer: Priority Health Cigna Priority Health	$166.72
Rate for Payer: Priority Health SBD	$161.59

LORATADINE 10 MG TABLET

Facility

$2.57

Service Code	NDC 51079024601
Hospital Charge Code	10466
Hospital Revenue Code	637
Min. Negotiated Rate	$1.03
Max. Negotiated Rate	$2.31
Rate for Payer: Aetna Commercial	$2.18
Rate for Payer: Aetna Medicare	$1.28
Rate for Payer: Aetna New Business (MI Preferred)	$1.67
Rate for Payer: BCBS Complete	$1.03
Rate for Payer: Cash Price	$2.06
Rate for Payer: Cofinity Commercial	$1.80
Rate for Payer: Cofinity Commercial	$2.21
Rate for Payer: Cofinity Medicare Advantage	$1.80
Rate for Payer: Encore Health Key Benefits Commercial	$2.06
Rate for Payer: Healthscope Commercial	$2.31
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$2.18
Rate for Payer: PHP Commercial	$2.18
Rate for Payer: Priority Health Cigna Priority Health	$1.67
Rate for Payer: Priority Health SBD	$1.62

LORATADINE 10 MG TABLET

Facility

$2.57

Service Code	NDC 51079024601
Hospital Charge Code	10466
Hospital Revenue Code	637
Min. Negotiated Rate	$1.62
Max. Negotiated Rate	$2.31
Rate for Payer: Aetna Commercial	$2.18
Rate for Payer: Aetna New Business (MI Preferred)	$1.67
Rate for Payer: Cash Price	$2.06
Rate for Payer: Cofinity Commercial	$1.80
Rate for Payer: Cofinity Commercial	$2.21
Rate for Payer: Cofinity Medicare Advantage	$1.80
Rate for Payer: Encore Health Key Benefits Commercial	$2.06
Rate for Payer: Healthscope Commercial	$2.31
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$2.18
Rate for Payer: PHP Commercial	$2.18
Rate for Payer: Priority Health Cigna Priority Health	$1.67
Rate for Payer: Priority Health SBD	$1.62

LORATADINE 10 MG TABLET

Facility

$209.00

Service Code	NDC 00904685261
Hospital Charge Code	10466
Hospital Revenue Code	637
Min. Negotiated Rate	$83.60
Max. Negotiated Rate	$188.10
Rate for Payer: Aetna Commercial	$177.65
Rate for Payer: Aetna Medicare	$104.50
Rate for Payer: Aetna New Business (MI Preferred)	$135.85
Rate for Payer: BCBS Complete	$83.60
Rate for Payer: Cash Price	$167.20
Rate for Payer: Cofinity Commercial	$146.30
Rate for Payer: Cofinity Commercial	$179.74
Rate for Payer: Cofinity Medicare Advantage	$146.30
Rate for Payer: Encore Health Key Benefits Commercial	$167.20
Rate for Payer: Healthscope Commercial	$188.10
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$177.65
Rate for Payer: PHP Commercial	$177.65
Rate for Payer: Priority Health Cigna Priority Health	$135.85
Rate for Payer: Priority Health SBD	$131.67

LORATADINE 10 MG TABLET

Facility

$209.00

Service Code	NDC 00904685261
Hospital Charge Code	10466
Hospital Revenue Code	637
Min. Negotiated Rate	$131.67
Max. Negotiated Rate	$188.10
Rate for Payer: Aetna Commercial	$177.65
Rate for Payer: Aetna New Business (MI Preferred)	$135.85
Rate for Payer: Cash Price	$167.20
Rate for Payer: Cofinity Commercial	$146.30
Rate for Payer: Cofinity Commercial	$179.74
Rate for Payer: Cofinity Medicare Advantage	$146.30
Rate for Payer: Encore Health Key Benefits Commercial	$167.20
Rate for Payer: Healthscope Commercial	$188.10
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$177.65
Rate for Payer: PHP Commercial	$177.65
Rate for Payer: Priority Health Cigna Priority Health	$135.85
Rate for Payer: Priority Health SBD	$131.67

LORATADINE 10 MG TABLET

Facility

$229.90

Service Code	NDC 68084024801
Hospital Charge Code	10466
Hospital Revenue Code	637
Min. Negotiated Rate	$91.96
Max. Negotiated Rate	$206.91
Rate for Payer: Aetna Commercial	$195.41
Rate for Payer: Aetna Medicare	$114.95
Rate for Payer: Aetna New Business (MI Preferred)	$149.44
Rate for Payer: BCBS Complete	$91.96
Rate for Payer: Cash Price	$183.92
Rate for Payer: Cofinity Commercial	$160.93
Rate for Payer: Cofinity Commercial	$197.71
Rate for Payer: Cofinity Medicare Advantage	$160.93
Rate for Payer: Encore Health Key Benefits Commercial	$183.92
Rate for Payer: Healthscope Commercial	$206.91
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$195.41
Rate for Payer: PHP Commercial	$195.41
Rate for Payer: Priority Health Cigna Priority Health	$149.44
Rate for Payer: Priority Health SBD	$144.84

LORATADINE 10 MG TABLET

Facility

$229.90

Service Code	NDC 68084024801
Hospital Charge Code	10466
Hospital Revenue Code	637
Min. Negotiated Rate	$144.84
Max. Negotiated Rate	$206.91
Rate for Payer: Aetna Commercial	$195.41
Rate for Payer: Aetna New Business (MI Preferred)	$149.44
Rate for Payer: Cash Price	$183.92
Rate for Payer: Cofinity Commercial	$160.93
Rate for Payer: Cofinity Commercial	$197.71
Rate for Payer: Cofinity Medicare Advantage	$160.93
Rate for Payer: Encore Health Key Benefits Commercial	$183.92
Rate for Payer: Healthscope Commercial	$206.91
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$195.41
Rate for Payer: PHP Commercial	$195.41
Rate for Payer: Priority Health Cigna Priority Health	$149.44
Rate for Payer: Priority Health SBD	$144.84

LORATADINE 10 MG TABLET

Facility

$62.04

Service Code	NDC 00904685207
Hospital Charge Code	10466
Hospital Revenue Code	637
Min. Negotiated Rate	$24.82
Max. Negotiated Rate	$55.84
Rate for Payer: Aetna Commercial	$52.73
Rate for Payer: Aetna Medicare	$31.02
Rate for Payer: Aetna New Business (MI Preferred)	$40.33
Rate for Payer: BCBS Complete	$24.82
Rate for Payer: Cash Price	$49.63
Rate for Payer: Cofinity Commercial	$43.43
Rate for Payer: Cofinity Commercial	$53.35
Rate for Payer: Cofinity Medicare Advantage	$43.43
Rate for Payer: Encore Health Key Benefits Commercial	$49.63
Rate for Payer: Healthscope Commercial	$55.84
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$52.73
Rate for Payer: PHP Commercial	$52.73
Rate for Payer: Priority Health Cigna Priority Health	$40.33
Rate for Payer: Priority Health SBD	$39.09

LORATADINE 10 MG TABLET

Facility

$62.04

Service Code	NDC 00904685207
Hospital Charge Code	10466
Hospital Revenue Code	637
Min. Negotiated Rate	$39.09
Max. Negotiated Rate	$55.84
Rate for Payer: Aetna Commercial	$52.73
Rate for Payer: Aetna New Business (MI Preferred)	$40.33
Rate for Payer: Cash Price	$49.63
Rate for Payer: Cofinity Commercial	$43.43
Rate for Payer: Cofinity Commercial	$53.35
Rate for Payer: Cofinity Medicare Advantage	$43.43
Rate for Payer: Encore Health Key Benefits Commercial	$49.63
Rate for Payer: Healthscope Commercial	$55.84
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$52.73
Rate for Payer: PHP Commercial	$52.73
Rate for Payer: Priority Health Cigna Priority Health	$40.33
Rate for Payer: Priority Health SBD	$39.09

LORATADINE 10 MG TABLET

Facility

$4.35

Service Code	NDC 50268048911
Hospital Charge Code	10466
Hospital Revenue Code	637
Min. Negotiated Rate	$2.74
Max. Negotiated Rate	$3.92
Rate for Payer: Aetna Commercial	$3.70
Rate for Payer: Aetna New Business (MI Preferred)	$2.83
Rate for Payer: Cash Price	$3.48
Rate for Payer: Cofinity Commercial	$3.04
Rate for Payer: Cofinity Commercial	$3.74
Rate for Payer: Cofinity Medicare Advantage	$3.04
Rate for Payer: Encore Health Key Benefits Commercial	$3.48
Rate for Payer: Healthscope Commercial	$3.92
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$3.70
Rate for Payer: PHP Commercial	$3.70
Rate for Payer: Priority Health Cigna Priority Health	$2.83
Rate for Payer: Priority Health SBD	$2.74

LORATADINE 10 MG TABLET

Facility

$217.38

Service Code	NDC 50268048915
Hospital Charge Code	10466
Hospital Revenue Code	637
Min. Negotiated Rate	$136.95
Max. Negotiated Rate	$195.64
Rate for Payer: Aetna Commercial	$184.77
Rate for Payer: Aetna New Business (MI Preferred)	$141.30
Rate for Payer: Cash Price	$173.90
Rate for Payer: Cofinity Commercial	$152.17
Rate for Payer: Cofinity Commercial	$186.95
Rate for Payer: Cofinity Medicare Advantage	$152.17
Rate for Payer: Encore Health Key Benefits Commercial	$173.90
Rate for Payer: Healthscope Commercial	$195.64
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$184.77
Rate for Payer: PHP Commercial	$184.77
Rate for Payer: Priority Health Cigna Priority Health	$141.30
Rate for Payer: Priority Health SBD	$136.95

LORATADINE 10 MG TABLET

Facility

$4.35

Service Code	NDC 50268048911
Hospital Charge Code	10466
Hospital Revenue Code	637
Min. Negotiated Rate	$1.74
Max. Negotiated Rate	$3.92
Rate for Payer: Aetna Commercial	$3.70
Rate for Payer: Aetna Medicare	$2.17
Rate for Payer: Aetna New Business (MI Preferred)	$2.83
Rate for Payer: BCBS Complete	$1.74
Rate for Payer: Cash Price	$3.48
Rate for Payer: Cofinity Commercial	$3.04
Rate for Payer: Cofinity Commercial	$3.74
Rate for Payer: Cofinity Medicare Advantage	$3.04
Rate for Payer: Encore Health Key Benefits Commercial	$3.48
Rate for Payer: Healthscope Commercial	$3.92
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$3.70
Rate for Payer: PHP Commercial	$3.70
Rate for Payer: Priority Health Cigna Priority Health	$2.83
Rate for Payer: Priority Health SBD	$2.74

Know your out-of-pocket cost for care.

All Charges