Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

PR BYP OTH/THN VEIN FEMORAL-FEMORAL

Professional

Both

$2,209.00

Service Code	HCPCS 35661
Min. Negotiated Rate	$675.42
Max. Negotiated Rate	$1,683.11
Rate for Payer: Aetna Commercial	$1,456.02
Rate for Payer: BCBS Complete	$709.19
Rate for Payer: BCBS Trust/PPO	$1,335.54
Rate for Payer: Cash Price	$1,767.20
Rate for Payer: Cash Price	$1,767.20
Rate for Payer: Mclaren Medicaid	$675.42
Rate for Payer: Meridian Medicaid	$709.19
Rate for Payer: Priority Health Choice Medicaid	$675.42
Rate for Payer: Priority Health Cigna Priority Health	$1,546.30
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,683.11
Rate for Payer: Priority Health Narrow Network	$1,683.11
Rate for Payer: Priority Health SBD	$1,683.11

PR BYP OTH/THN VEIN FEMORAL-POPLITEAL

Professional

Both

$2,233.00

Service Code	HCPCS 35656
Min. Negotiated Rate	$668.82
Max. Negotiated Rate	$1,668.21
Rate for Payer: Aetna Commercial	$1,449.39
Rate for Payer: BCBS Complete	$702.26
Rate for Payer: BCBS Trust/PPO	$1,054.49
Rate for Payer: Cash Price	$1,786.40
Rate for Payer: Cash Price	$1,786.40
Rate for Payer: Mclaren Medicaid	$668.82
Rate for Payer: Meridian Medicaid	$702.26
Rate for Payer: Priority Health Choice Medicaid	$668.82
Rate for Payer: Priority Health Cigna Priority Health	$1,563.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,668.21
Rate for Payer: Priority Health Narrow Network	$1,668.21
Rate for Payer: Priority Health SBD	$1,668.21

PR BYP OTH/THN VEIN ILIOFEMORAL

Professional

Both

$4,492.00

Service Code	HCPCS 35665
Min. Negotiated Rate	$732.29
Max. Negotiated Rate	$3,144.40
Rate for Payer: Aetna Commercial	$1,576.23
Rate for Payer: BCBS Complete	$768.90
Rate for Payer: BCBS Trust/PPO	$1,269.50
Rate for Payer: Cash Price	$3,593.60
Rate for Payer: Cash Price	$3,593.60
Rate for Payer: Mclaren Medicaid	$732.29
Rate for Payer: Meridian Medicaid	$768.90
Rate for Payer: Priority Health Choice Medicaid	$732.29
Rate for Payer: Priority Health Cigna Priority Health	$3,144.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,821.43
Rate for Payer: Priority Health Narrow Network	$1,821.43
Rate for Payer: Priority Health SBD	$1,821.43

PR BYP OTH/THN VEIN POPLITEAL-TIBIAL/-PERONEAL ART

Professional

Both

$2,160.00

Service Code	HCPCS 35671
Min. Negotiated Rate	$707.16
Max. Negotiated Rate	$1,765.04
Rate for Payer: Aetna Commercial	$1,517.78
Rate for Payer: BCBS Complete	$742.52
Rate for Payer: BCBS Trust/PPO	$1,384.67
Rate for Payer: Cash Price	$1,728.00
Rate for Payer: Cash Price	$1,728.00
Rate for Payer: Mclaren Medicaid	$707.16
Rate for Payer: Meridian Medicaid	$742.52
Rate for Payer: Priority Health Choice Medicaid	$707.16
Rate for Payer: Priority Health Cigna Priority Health	$1,512.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,765.04
Rate for Payer: Priority Health Narrow Network	$1,765.04
Rate for Payer: Priority Health SBD	$1,765.04

PR BYP OTH/THN VEIN SUBCLAVIAN-SUBCLAVIAN

Professional

Both

$2,200.00

Service Code	HCPCS 35612
Min. Negotiated Rate	$653.48
Max. Negotiated Rate	$2,601.35
Rate for Payer: Aetna Commercial	$1,403.00
Rate for Payer: BCBS Complete	$686.15
Rate for Payer: BCBS Trust/PPO	$2,601.35
Rate for Payer: Cash Price	$1,760.00
Rate for Payer: Cash Price	$1,760.00
Rate for Payer: Mclaren Medicaid	$653.48
Rate for Payer: Meridian Medicaid	$686.15
Rate for Payer: Priority Health Choice Medicaid	$653.48
Rate for Payer: Priority Health Cigna Priority Health	$1,540.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,623.54
Rate for Payer: Priority Health Narrow Network	$1,623.54
Rate for Payer: Priority Health SBD	$1,623.54

PR BYP TIBL-TIBL/PRONEAL-TIBL/TIBL/PRONEAL TRK-TIBL

Professional

Both

$2,743.00

Service Code	HCPCS 35570
Min. Negotiated Rate	$919.73
Max. Negotiated Rate	$2,284.77
Rate for Payer: Aetna Commercial	$1,981.51
Rate for Payer: BCBS Complete	$965.72
Rate for Payer: BCBS Trust/PPO	$1,043.92
Rate for Payer: Cash Price	$2,194.40
Rate for Payer: Cash Price	$2,194.40
Rate for Payer: Mclaren Medicaid	$919.73
Rate for Payer: Meridian Medicaid	$965.72
Rate for Payer: Priority Health Choice Medicaid	$919.73
Rate for Payer: Priority Health Cigna Priority Health	$1,920.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$2,284.77
Rate for Payer: Priority Health Narrow Network	$2,284.77
Rate for Payer: Priority Health SBD	$2,284.77

PR BYP W/VEIN POP-TIBL-PRONEAL ART/OTH DSTL VSL

Professional

Both

$5,135.00

Service Code	HCPCS 35571
Min. Negotiated Rate	$824.95
Max. Negotiated Rate	$3,594.50
Rate for Payer: Aetna Commercial	$1,782.25
Rate for Payer: BCBS Complete	$866.20
Rate for Payer: BCBS Trust/PPO	$1,402.64
Rate for Payer: Cash Price	$4,108.00
Rate for Payer: Cash Price	$4,108.00
Rate for Payer: Mclaren Medicaid	$824.95
Rate for Payer: Meridian Medicaid	$866.20
Rate for Payer: Priority Health Choice Medicaid	$824.95
Rate for Payer: Priority Health Cigna Priority Health	$3,594.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$2,053.88
Rate for Payer: Priority Health Narrow Network	$2,053.88
Rate for Payer: Priority Health SBD	$2,053.88

PR CABG W/ARTERIAL GRAFT FOUR/>ARTERIAL GRAFTS

Professional

Both

$5,394.00

Service Code	HCPCS 33536
Min. Negotiated Rate	$1,086.18
Max. Negotiated Rate	$4,101.39
Rate for Payer: Aetna Commercial	$3,540.72
Rate for Payer: BCBS Complete	$1,731.94
Rate for Payer: BCBS Trust/PPO	$1,086.18
Rate for Payer: Cash Price	$4,315.20
Rate for Payer: Cash Price	$4,315.20
Rate for Payer: Mclaren Medicaid	$1,649.47
Rate for Payer: Meridian Medicaid	$1,731.94
Rate for Payer: Priority Health Choice Medicaid	$1,649.47
Rate for Payer: Priority Health Cigna Priority Health	$3,775.80
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$4,101.39
Rate for Payer: Priority Health Narrow Network	$4,101.39
Rate for Payer: Priority Health SBD	$4,101.39

PR CABG W/ARTERIAL GRAFT SINGLE ARTERIAL GRAFT

Professional

Both

$3,834.34

Service Code	HCPCS 33533
Min. Negotiated Rate	$1,173.42
Max. Negotiated Rate	$2,920.45
Rate for Payer: Aetna Commercial	$2,513.12
Rate for Payer: BCBS Complete	$1,232.09
Rate for Payer: BCBS Trust/PPO	$1,225.66
Rate for Payer: Cash Price	$3,067.47
Rate for Payer: Cash Price	$3,067.47
Rate for Payer: Mclaren Medicaid	$1,173.42
Rate for Payer: Meridian Medicaid	$1,232.09
Rate for Payer: Priority Health Choice Medicaid	$1,173.42
Rate for Payer: Priority Health Cigna Priority Health	$2,684.04
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$2,920.45
Rate for Payer: Priority Health Narrow Network	$2,920.45
Rate for Payer: Priority Health SBD	$2,920.45

PR CABG W/ARTERIAL GRAFT THREE ARTERIAL GRAFTS

Professional

Both

$5,035.48

Service Code	HCPCS 33535
Min. Negotiated Rate	$1,100.98
Max. Negotiated Rate	$3,811.48
Rate for Payer: Aetna Commercial	$3,289.41
Rate for Payer: BCBS Complete	$1,607.37
Rate for Payer: BCBS Trust/PPO	$1,100.98
Rate for Payer: Cash Price	$4,028.38
Rate for Payer: Cash Price	$4,028.38
Rate for Payer: Mclaren Medicaid	$1,530.83
Rate for Payer: Meridian Medicaid	$1,607.37
Rate for Payer: Priority Health Choice Medicaid	$1,530.83
Rate for Payer: Priority Health Cigna Priority Health	$3,524.84
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$3,811.48
Rate for Payer: Priority Health Narrow Network	$3,811.48
Rate for Payer: Priority Health SBD	$3,811.48

PR CABG W/ARTERIAL GRAFT TWO ARTERIAL GRAFTS

Professional

Both

$4,511.60

Service Code	HCPCS 33534
Min. Negotiated Rate	$1,126.86
Max. Negotiated Rate	$3,427.93
Rate for Payer: Aetna Commercial	$2,950.85
Rate for Payer: BCBS Complete	$1,446.80
Rate for Payer: BCBS Trust/PPO	$1,126.86
Rate for Payer: Cash Price	$3,609.28
Rate for Payer: Cash Price	$3,609.28
Rate for Payer: Mclaren Medicaid	$1,377.90
Rate for Payer: Meridian Medicaid	$1,446.80
Rate for Payer: Priority Health Choice Medicaid	$1,377.90
Rate for Payer: Priority Health Cigna Priority Health	$3,158.12
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$3,427.93
Rate for Payer: Priority Health Narrow Network	$3,427.93
Rate for Payer: Priority Health SBD	$3,427.93

PR CALIBRATED MICROCAP TUBE

Professional

Both

$75.00

Service Code	HCPCS A4651
Min. Negotiated Rate	$0.03
Max. Negotiated Rate	$52.50
Rate for Payer: Aetna Commercial	$0.03
Rate for Payer: BCBS Complete	$30.00
Rate for Payer: Cash Price	$60.00
Rate for Payer: Cash Price	$60.00
Rate for Payer: Priority Health Cigna Priority Health	$52.50

PR CALORIC VESTIBULAR TEST, EACH IRRIGATION, WITH RECORDING

Professional

Both

$19.00

Service Code	HCPCS 92543
Min. Negotiated Rate	$7.60
Max. Negotiated Rate	$13.30
Rate for Payer: BCBS Complete	$7.60
Rate for Payer: Cash Price	$15.20
Rate for Payer: Priority Health Cigna Priority Health	$13.30

PR CANALITH REPOSITIONING PROCEDURE

Professional

Both

$128.00

Service Code	HCPCS 95992
Min. Negotiated Rate	$40.81
Max. Negotiated Rate	$189.13
Rate for Payer: Aetna Commercial	$40.81
Rate for Payer: BCBS Complete	$51.20
Rate for Payer: BCBS Trust/PPO	$189.13
Rate for Payer: Cash Price	$102.40
Rate for Payer: Cash Price	$102.40
Rate for Payer: Priority Health Cigna Priority Health	$89.60
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$48.06
Rate for Payer: Priority Health Narrow Network	$48.06
Rate for Payer: Priority Health SBD	$48.06

PR CANTHOPLASTY

Professional

Both

$1,124.00

Service Code	HCPCS 67950
Min. Negotiated Rate	$292.66
Max. Negotiated Rate	$2,419.61
Rate for Payer: Aetna Commercial	$599.67
Rate for Payer: BCBS Complete	$307.29
Rate for Payer: BCBS Trust/PPO	$2,419.61
Rate for Payer: Cash Price	$899.20
Rate for Payer: Cash Price	$899.20
Rate for Payer: Mclaren Medicaid	$292.66
Rate for Payer: Meridian Medicaid	$307.29
Rate for Payer: Priority Health Choice Medicaid	$292.66
Rate for Payer: Priority Health Cigna Priority Health	$786.80
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$796.75
Rate for Payer: Priority Health Narrow Network	$796.75
Rate for Payer: Priority Health SBD	$796.75

PR CANTHOTOMY SEPARATE PROCEDURE

Professional

Both

$367.00

Service Code	HCPCS 67715
Min. Negotiated Rate	$68.37
Max. Negotiated Rate	$523.55
Rate for Payer: Aetna Commercial	$139.69
Rate for Payer: BCBS Complete	$71.79
Rate for Payer: BCBS Trust/PPO	$523.55
Rate for Payer: Cash Price	$293.60
Rate for Payer: Cash Price	$293.60
Rate for Payer: Mclaren Medicaid	$68.37
Rate for Payer: Meridian Medicaid	$71.79
Rate for Payer: Priority Health Choice Medicaid	$68.37
Rate for Payer: Priority Health Cigna Priority Health	$256.90
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$187.92
Rate for Payer: Priority Health Narrow Network	$187.92
Rate for Payer: Priority Health SBD	$187.92

PR CAPSLCTOMY/CAPSUL HIP W/RLS HIP FLXR MUSC

Professional

Both

$4,705.00

Service Code	HCPCS 27036
Min. Negotiated Rate	$197.75
Max. Negotiated Rate	$3,293.50
Rate for Payer: Aetna Commercial	$1,355.49
Rate for Payer: BCBS Complete	$689.29
Rate for Payer: BCBS Trust/PPO	$197.75
Rate for Payer: Cash Price	$3,764.00
Rate for Payer: Cash Price	$3,764.00
Rate for Payer: Mclaren Medicaid	$656.47
Rate for Payer: Meridian Medicaid	$689.29
Rate for Payer: Priority Health Choice Medicaid	$656.47
Rate for Payer: Priority Health Cigna Priority Health	$3,293.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,559.53
Rate for Payer: Priority Health Narrow Network	$1,559.53
Rate for Payer: Priority Health SBD	$1,559.53

PR CAPSL-RHPHY/RCNSTJ WRST OPN CARPL INS

Professional

Both

$1,721.00

Service Code	HCPCS 25320
Min. Negotiated Rate	$400.98
Max. Negotiated Rate	$1,520.20
Rate for Payer: Aetna Commercial	$1,305.27
Rate for Payer: BCBS Complete	$673.86
Rate for Payer: BCBS Trust/PPO	$400.98
Rate for Payer: Cash Price	$1,376.80
Rate for Payer: Cash Price	$1,376.80
Rate for Payer: Mclaren Medicaid	$641.77
Rate for Payer: Meridian Medicaid	$673.86
Rate for Payer: Priority Health Choice Medicaid	$641.77
Rate for Payer: Priority Health Cigna Priority Health	$1,204.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,520.20
Rate for Payer: Priority Health Narrow Network	$1,520.20
Rate for Payer: Priority Health SBD	$1,520.20

PR CAPSULAR CONTRACTURE RELEASE

Professional

Both

$1,971.00

Service Code	HCPCS 23020
Min. Negotiated Rate	$282.11
Max. Negotiated Rate	$1,379.70
Rate for Payer: Aetna Commercial	$919.64
Rate for Payer: BCBS Complete	$469.66
Rate for Payer: BCBS Trust/PPO	$282.11
Rate for Payer: Cash Price	$1,576.80
Rate for Payer: Cash Price	$1,576.80
Rate for Payer: Mclaren Medicaid	$447.30
Rate for Payer: Meridian Medicaid	$469.66
Rate for Payer: Priority Health Choice Medicaid	$447.30
Rate for Payer: Priority Health Cigna Priority Health	$1,379.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,063.68
Rate for Payer: Priority Health Narrow Network	$1,063.68
Rate for Payer: Priority Health SBD	$1,063.68

PR CAPSULECTOMY/CAPSULOTOMY IPHAL JOINT EACH

Professional

Both

$1,555.00

Service Code	HCPCS 26525
Min. Negotiated Rate	$444.11
Max. Negotiated Rate	$1,128.45
Rate for Payer: Aetna Commercial	$907.21
Rate for Payer: BCBS Complete	$466.32
Rate for Payer: BCBS Trust/PPO	$1,128.45
Rate for Payer: Cash Price	$1,244.00
Rate for Payer: Cash Price	$1,244.00
Rate for Payer: Mclaren Medicaid	$444.11
Rate for Payer: Meridian Medicaid	$466.32
Rate for Payer: Priority Health Choice Medicaid	$444.11
Rate for Payer: Priority Health Cigna Priority Health	$1,088.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,067.77
Rate for Payer: Priority Health Narrow Network	$1,067.77
Rate for Payer: Priority Health SBD	$1,067.77

PR CAPSULECTOMY/CAPSULOTOMY MTCARPHLNGL JOINT EACH

Professional

Both

$1,555.00

Service Code	HCPCS 26520
Min. Negotiated Rate	$441.55
Max. Negotiated Rate	$1,088.50
Rate for Payer: Aetna Commercial	$904.90
Rate for Payer: BCBS Complete	$463.63
Rate for Payer: BCBS Trust/PPO	$1,062.94
Rate for Payer: Cash Price	$1,244.00
Rate for Payer: Cash Price	$1,244.00
Rate for Payer: Mclaren Medicaid	$441.55
Rate for Payer: Meridian Medicaid	$463.63
Rate for Payer: Priority Health Choice Medicaid	$441.55
Rate for Payer: Priority Health Cigna Priority Health	$1,088.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,063.17
Rate for Payer: Priority Health Narrow Network	$1,063.17
Rate for Payer: Priority Health SBD	$1,063.17

PR CAPSUL MTTARPHLNGL JT W/WO TENORRHAPHY EA JT SPX

Professional

Both

$786.00

Service Code	HCPCS 28270
Min. Negotiated Rate	$215.77
Max. Negotiated Rate	$550.20
Rate for Payer: Aetna Commercial	$440.61
Rate for Payer: BCBS Complete	$226.56
Rate for Payer: BCBS Trust/PPO	$265.73
Rate for Payer: Cash Price	$628.80
Rate for Payer: Cash Price	$628.80
Rate for Payer: Mclaren Medicaid	$215.77
Rate for Payer: Meridian Medicaid	$226.56
Rate for Payer: Priority Health Choice Medicaid	$215.77
Rate for Payer: Priority Health Cigna Priority Health	$550.20
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$508.61
Rate for Payer: Priority Health Narrow Network	$508.61
Rate for Payer: Priority Health SBD	$508.61

PR CAPSULODESIS MTCARPHLNGL JOINT SINGLE DIGIT

Professional

Both

$1,964.00

Service Code	HCPCS 26516
Min. Negotiated Rate	$481.59
Max. Negotiated Rate	$3,178.25
Rate for Payer: Aetna Commercial	$983.79
Rate for Payer: BCBS Complete	$505.67
Rate for Payer: BCBS Trust/PPO	$3,178.25
Rate for Payer: Cash Price	$1,571.20
Rate for Payer: Cash Price	$1,571.20
Rate for Payer: Mclaren Medicaid	$481.59
Rate for Payer: Meridian Medicaid	$505.67
Rate for Payer: Priority Health Choice Medicaid	$481.59
Rate for Payer: Priority Health Cigna Priority Health	$1,374.80
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,155.60
Rate for Payer: Priority Health Narrow Network	$1,155.60
Rate for Payer: Priority Health SBD	$1,155.60

PR CAPSULORRHAPHY ANTERIOR PUTTI-PLATT/MAGNUSON

Professional

Both

$2,811.00

Service Code	HCPCS 23450
Min. Negotiated Rate	$146.45
Max. Negotiated Rate	$1,967.70
Rate for Payer: Aetna Commercial	$1,266.50
Rate for Payer: BCBS Complete	$639.86
Rate for Payer: BCBS Trust/PPO	$146.45
Rate for Payer: Cash Price	$2,248.80
Rate for Payer: Cash Price	$2,248.80
Rate for Payer: Mclaren Medicaid	$609.39
Rate for Payer: Meridian Medicaid	$639.86
Rate for Payer: Priority Health Choice Medicaid	$609.39
Rate for Payer: Priority Health Cigna Priority Health	$1,967.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,450.76
Rate for Payer: Priority Health Narrow Network	$1,450.76
Rate for Payer: Priority Health SBD	$1,450.76

PR CAPSULORRHAPHY ANTERIOR W/CORACOID PROCESS TR

Professional

Both

$3,347.00

Service Code	HCPCS 23462
Min. Negotiated Rate	$313.71
Max. Negotiated Rate	$2,342.90
Rate for Payer: Aetna Commercial	$1,427.63
Rate for Payer: BCBS Complete	$721.05
Rate for Payer: BCBS Trust/PPO	$313.71
Rate for Payer: Cash Price	$2,677.60
Rate for Payer: Cash Price	$2,677.60
Rate for Payer: Mclaren Medicaid	$686.71
Rate for Payer: Meridian Medicaid	$721.05
Rate for Payer: Priority Health Choice Medicaid	$686.71
Rate for Payer: Priority Health Cigna Priority Health	$2,342.90
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,635.10
Rate for Payer: Priority Health Narrow Network	$1,635.10
Rate for Payer: Priority Health SBD	$1,635.10

Know your out-of-pocket cost for care.

All Charges