Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

PR CHOLECYSTECTOMY

Facility

$2,566.00

Service Code	CPT 47600
Hospital Charge Code	47600
Min. Negotiated Rate	$1,026.40
Max. Negotiated Rate	$2,309.40
Rate for Payer: Aetna Commercial	$2,181.10
Rate for Payer: Aetna New Business (MI Preferred)	$1,667.90
Rate for Payer: BCBS Complete	$1,026.40
Rate for Payer: BCBS Trust/PPO	$2,175.89
Rate for Payer: Cash Price	$2,052.80
Rate for Payer: Cash Price	$2,052.80
Rate for Payer: Cofinity Commercial	$2,206.76
Rate for Payer: Cofinity Commercial	$1,796.20
Rate for Payer: Healthscope Commercial	$2,309.40
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$2,181.10
Rate for Payer: PHP Commercial	$2,181.10
Rate for Payer: Priority Health Cigna Priority Health	$1,796.20
Rate for Payer: Priority Health SBD	$1,616.58
Rate for Payer: UHC All Payor (Choice/PPO)	$1,158.72
Rate for Payer: UHC Exchange	$1,053.38

PR CHOLECYSTECTOMY

Professional

Both

$2,566.00

Service Code	HCPCS 47600
Hospital Charge Code	47600
Min. Negotiated Rate	$685.22
Max. Negotiated Rate	$2,558.03
Rate for Payer: Aetna Commercial	$1,444.32
Rate for Payer: BCBS Complete	$719.48
Rate for Payer: BCBS Trust/PPO	$2,558.03
Rate for Payer: Cash Price	$2,052.80
Rate for Payer: Cash Price	$2,052.80
Rate for Payer: Mclaren Medicaid	$685.22
Rate for Payer: Meridian Medicaid	$719.48
Rate for Payer: Priority Health Choice Medicaid	$685.22
Rate for Payer: Priority Health Cigna Priority Health	$1,796.20
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,880.33
Rate for Payer: Priority Health Narrow Network	$1,880.33
Rate for Payer: Priority Health SBD	$1,880.33

PR CHOLECYSTECTOMY

Professional

Both

$2,566.00

Service Code	HCPCS 47600
Min. Negotiated Rate	$685.22
Max. Negotiated Rate	$2,558.03
Rate for Payer: Aetna Commercial	$1,444.32
Rate for Payer: BCBS Complete	$719.48
Rate for Payer: BCBS Trust/PPO	$2,558.03
Rate for Payer: Cash Price	$2,052.80
Rate for Payer: Cash Price	$2,052.80
Rate for Payer: Mclaren Medicaid	$685.22
Rate for Payer: Meridian Medicaid	$719.48
Rate for Payer: Priority Health Choice Medicaid	$685.22
Rate for Payer: Priority Health Cigna Priority Health	$1,796.20
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,880.33
Rate for Payer: Priority Health Narrow Network	$1,880.33
Rate for Payer: Priority Health SBD	$1,880.33

PR CHOLECYSTECTOMY

Facility

$2,566.00

Service Code	CPT 47600
Hospital Charge Code	47600
Min. Negotiated Rate	$1,616.58
Max. Negotiated Rate	$2,309.40
Rate for Payer: Aetna Commercial	$2,181.10
Rate for Payer: Aetna New Business (MI Preferred)	$1,667.90
Rate for Payer: Cash Price	$2,052.80
Rate for Payer: Cofinity Commercial	$1,796.20
Rate for Payer: Cofinity Commercial	$2,206.76
Rate for Payer: Healthscope Commercial	$2,309.40
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$2,181.10
Rate for Payer: PHP Commercial	$2,181.10
Rate for Payer: Priority Health Cigna Priority Health	$1,796.20
Rate for Payer: Priority Health SBD	$1,616.58

PR CHOLECYSTECTOMY EXPL DUCT CHOLEDOCHOENTEROSTOMY

Professional

Both

$4,618.00

Service Code	HCPCS 47612
Min. Negotiated Rate	$676.22
Max. Negotiated Rate	$3,232.60
Rate for Payer: Aetna Commercial	$1,727.64
Rate for Payer: BCBS Complete	$854.34
Rate for Payer: BCBS Trust/PPO	$676.22
Rate for Payer: Cash Price	$3,694.40
Rate for Payer: Cash Price	$3,694.40
Rate for Payer: Mclaren Medicaid	$813.66
Rate for Payer: Meridian Medicaid	$854.34
Rate for Payer: Priority Health Choice Medicaid	$813.66
Rate for Payer: Priority Health Cigna Priority Health	$3,232.60
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$2,236.65
Rate for Payer: Priority Health Narrow Network	$2,236.65
Rate for Payer: Priority Health SBD	$2,236.65

PR CHOLECYSTECTOMY W/CHOLANGIOGRAPHY

Professional

Both

$2,950.00

Service Code	HCPCS 47605
Min. Negotiated Rate	$721.43
Max. Negotiated Rate	$2,065.00
Rate for Payer: Aetna Commercial	$1,522.79
Rate for Payer: BCBS Complete	$757.50
Rate for Payer: BCBS Trust/PPO	$1,918.79
Rate for Payer: Cash Price	$2,360.00
Rate for Payer: Cash Price	$2,360.00
Rate for Payer: Mclaren Medicaid	$721.43
Rate for Payer: Meridian Medicaid	$757.50
Rate for Payer: Priority Health Choice Medicaid	$721.43
Rate for Payer: Priority Health Cigna Priority Health	$2,065.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,983.24
Rate for Payer: Priority Health Narrow Network	$1,983.24
Rate for Payer: Priority Health SBD	$1,983.24

PR CHOLECYSTECTOMY W/EXPLORATION COMMON DUCT

Professional

Both

$3,245.00

Service Code	HCPCS 47610
Min. Negotiated Rate	$141.58
Max. Negotiated Rate	$2,271.50
Rate for Payer: Aetna Commercial	$1,695.84
Rate for Payer: BCBS Complete	$838.02
Rate for Payer: BCBS Trust/PPO	$141.58
Rate for Payer: Cash Price	$2,596.00
Rate for Payer: Cash Price	$2,596.00
Rate for Payer: Mclaren Medicaid	$798.11
Rate for Payer: Meridian Medicaid	$838.02
Rate for Payer: Priority Health Choice Medicaid	$798.11
Rate for Payer: Priority Health Cigna Priority Health	$2,271.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$2,200.79
Rate for Payer: Priority Health Narrow Network	$2,200.79
Rate for Payer: Priority Health SBD	$2,200.79

PR CHOLECYSTOSTOMY PRQ W/IMAGING & CATHETER PLMT

Professional

Both

$664.00

Service Code	HCPCS 47490
Min. Negotiated Rate	$208.53
Max. Negotiated Rate	$4,357.95
Rate for Payer: Aetna Commercial	$438.85
Rate for Payer: BCBS Complete	$218.96
Rate for Payer: BCBS Trust/PPO	$4,357.95
Rate for Payer: Cash Price	$531.20
Rate for Payer: Cash Price	$531.20
Rate for Payer: Mclaren Medicaid	$208.53
Rate for Payer: Meridian Medicaid	$218.96
Rate for Payer: Priority Health Choice Medicaid	$208.53
Rate for Payer: Priority Health Cigna Priority Health	$464.80
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$577.98
Rate for Payer: Priority Health Narrow Network	$577.98
Rate for Payer: Priority Health SBD	$577.98

PR CHOLEDOCHOT/OST W/O SPHNCTROTOMY/SPHNCTROP

Professional

Both

$2,358.00

Service Code	HCPCS 47420
Min. Negotiated Rate	$855.62
Max. Negotiated Rate	$2,338.95
Rate for Payer: Aetna Commercial	$1,804.45
Rate for Payer: BCBS Complete	$898.40
Rate for Payer: BCBS Trust/PPO	$1,478.71
Rate for Payer: Cash Price	$1,886.40
Rate for Payer: Cash Price	$1,886.40
Rate for Payer: Mclaren Medicaid	$855.62
Rate for Payer: Meridian Medicaid	$898.40
Rate for Payer: Priority Health Choice Medicaid	$855.62
Rate for Payer: Priority Health Cigna Priority Health	$1,650.60
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$2,338.95
Rate for Payer: Priority Health Narrow Network	$2,338.95
Rate for Payer: Priority Health SBD	$2,338.95

PR CHOLERA IMMUNIZATION,INJECTABLE

Professional

Both

$12.00

Service Code	HCPCS 90725
Min. Negotiated Rate	$4.80
Max. Negotiated Rate	$8.40
Rate for Payer: BCBS Complete	$4.80
Rate for Payer: Cash Price	$9.60
Rate for Payer: Priority Health Cigna Priority Health	$8.40

PR CHOLINESTERASE INHIBITOR CHALLENGE TEST

Professional

Both

$158.00

Service Code	HCPCS 95857
Min. Negotiated Rate	$17.89
Max. Negotiated Rate	$220.30
Rate for Payer: Aetna Commercial	$32.57
Rate for Payer: BCBS Complete	$18.78
Rate for Payer: BCBS Trust/PPO	$220.30
Rate for Payer: Cash Price	$126.40
Rate for Payer: Cash Price	$126.40
Rate for Payer: Mclaren Medicaid	$17.89
Rate for Payer: Meridian Medicaid	$18.78
Rate for Payer: Priority Health Choice Medicaid	$17.89
Rate for Payer: Priority Health Cigna Priority Health	$110.60
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$37.73
Rate for Payer: Priority Health Narrow Network	$37.73
Rate for Payer: Priority Health SBD	$37.73

PR CHORIONIC VILLUS SAMPLING

Professional

Both

$390.00

Service Code	HCPCS 59015
Min. Negotiated Rate	$84.14
Max. Negotiated Rate	$273.00
Rate for Payer: Aetna Commercial	$144.10
Rate for Payer: BCBS Complete	$88.35
Rate for Payer: BCBS Trust/PPO	$143.17
Rate for Payer: Cash Price	$312.00
Rate for Payer: Cash Price	$312.00
Rate for Payer: Mclaren Medicaid	$84.14
Rate for Payer: Meridian Medicaid	$88.35
Rate for Payer: Priority Health Choice Medicaid	$84.14
Rate for Payer: Priority Health Cigna Priority Health	$273.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$184.62
Rate for Payer: Priority Health Narrow Network	$184.62
Rate for Payer: Priority Health SBD	$184.62

PR CHROMOTUBATION OVIDUCT W/MATERIALS

Professional

Both

$200.00

Service Code	HCPCS 58350
Min. Negotiated Rate	$61.34
Max. Negotiated Rate	$508.22
Rate for Payer: Aetna Commercial	$108.54
Rate for Payer: BCBS Complete	$64.41
Rate for Payer: BCBS Trust/PPO	$508.22
Rate for Payer: Cash Price	$160.00
Rate for Payer: Cash Price	$160.00
Rate for Payer: Mclaren Medicaid	$61.34
Rate for Payer: Meridian Medicaid	$64.41
Rate for Payer: Priority Health Choice Medicaid	$61.34
Rate for Payer: Priority Health Cigna Priority Health	$140.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$136.35
Rate for Payer: Priority Health Narrow Network	$136.35
Rate for Payer: Priority Health SBD	$136.35

PR CINEPLASTY UPPER EXTREMITY COMPLETE PROCEDURE

Professional

Both

$3,466.00

Service Code	HCPCS 24940
Min. Negotiated Rate	$602.42
Max. Negotiated Rate	$2,426.20
Rate for Payer: Aetna Commercial	$1,439.82
Rate for Payer: BCBS Complete	$632.54
Rate for Payer: BCBS Trust/PPO	$730.11
Rate for Payer: Cash Price	$2,772.80
Rate for Payer: Cash Price	$2,772.80
Rate for Payer: Mclaren Medicaid	$602.42
Rate for Payer: Meridian Medicaid	$632.54
Rate for Payer: Priority Health Choice Medicaid	$602.42
Rate for Payer: Priority Health Cigna Priority Health	$2,426.20
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,668.80
Rate for Payer: Priority Health Narrow Network	$1,668.80
Rate for Payer: Priority Health SBD	$1,668.80

PR CIRCADIAN RESPIRATRY PATTERN REC 12-24 HR INFANT

Professional

Both

$633.00

Service Code	HCPCS 94772
Min. Negotiated Rate	$166.63
Max. Negotiated Rate	$518.79
Rate for Payer: Aetna Commercial	$318.52
Rate for Payer: BCBS Complete	$253.20
Rate for Payer: BCBS Trust/PPO	$518.79
Rate for Payer: Cash Price	$506.40
Rate for Payer: Cash Price	$506.40
Rate for Payer: Priority Health Cigna Priority Health	$443.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$166.63
Rate for Payer: Priority Health Narrow Network	$166.63
Rate for Payer: Priority Health SBD	$417.25

PR CIRCUMCISION AGE >28 DAYS

Professional

Both

$1,513.00

Service Code	HCPCS 54161
Min. Negotiated Rate	$126.10
Max. Negotiated Rate	$1,059.10
Rate for Payer: Aetna Commercial	$252.22
Rate for Payer: BCBS Complete	$132.40
Rate for Payer: BCBS Trust/PPO	$496.07
Rate for Payer: Cash Price	$1,210.40
Rate for Payer: Cash Price	$1,210.40
Rate for Payer: Mclaren Medicaid	$126.10
Rate for Payer: Meridian Medicaid	$132.40
Rate for Payer: Priority Health Choice Medicaid	$126.10
Rate for Payer: Priority Health Cigna Priority Health	$1,059.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$315.57
Rate for Payer: Priority Health Narrow Network	$315.57
Rate for Payer: Priority Health SBD	$315.57

PR CIRCUMCISION AGE >28 DAYS

Professional

Both

$1,513.00

Service Code	HCPCS 54161
Hospital Charge Code	54161
Min. Negotiated Rate	$126.10
Max. Negotiated Rate	$1,059.10
Rate for Payer: Aetna Commercial	$252.22
Rate for Payer: BCBS Complete	$132.40
Rate for Payer: BCBS Trust/PPO	$496.07
Rate for Payer: Cash Price	$1,210.40
Rate for Payer: Cash Price	$1,210.40
Rate for Payer: Mclaren Medicaid	$126.10
Rate for Payer: Meridian Medicaid	$132.40
Rate for Payer: Priority Health Choice Medicaid	$126.10
Rate for Payer: Priority Health Cigna Priority Health	$1,059.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$315.57
Rate for Payer: Priority Health Narrow Network	$315.57
Rate for Payer: Priority Health SBD	$315.57

PR CIRCUMCISION AGE >28 DAYS

Facility

$1,513.00

Service Code	CPT 54161
Hospital Charge Code	54161
Hospital Revenue Code	960
Min. Negotiated Rate	$193.85
Max. Negotiated Rate	$5,561.92
Rate for Payer: Aetna Commercial	$1,286.05
Rate for Payer: Aetna Medicare	$1,884.83
Rate for Payer: Aetna New Business (MI Preferred)	$983.45
Rate for Payer: Allen County Amish Medical Aid Commercial	$2,265.42
Rate for Payer: Amish Plain Church Group Commercial	$2,265.42
Rate for Payer: BCBS Complete	$1,041.01
Rate for Payer: BCBS MAPPO	$1,812.34
Rate for Payer: BCBS Trust/PPO	$1,660.52
Rate for Payer: BCN Medicare Advantage	$1,812.34
Rate for Payer: Cash Price	$1,210.40
Rate for Payer: Cash Price	$1,210.40
Rate for Payer: Cofinity Commercial	$1,301.18
Rate for Payer: Cofinity Commercial	$1,059.10
Rate for Payer: Health Alliance Plan Medicare Advantage	$1,812.34
Rate for Payer: Healthscope Commercial	$1,361.70
Rate for Payer: Mclaren Medicaid	$991.35
Rate for Payer: Mclaren Medicare	$1,812.34
Rate for Payer: Meridian Medicaid	$1,041.01
Rate for Payer: Meridian Wellcare - Medicare Advantage	$1,902.96
Rate for Payer: MI Amish Medical Board Commercial	$2,084.19
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$1,286.05
Rate for Payer: PACE Medicare	$1,721.72
Rate for Payer: PACE SWMI	$1,812.34
Rate for Payer: PHP Commercial	$1,286.05
Rate for Payer: PHP Medicare Advantage	$1,812.34
Rate for Payer: Priority Health Choice Medicaid	$991.35
Rate for Payer: Priority Health Cigna Priority Health	$1,059.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$5,561.92
Rate for Payer: Priority Health Medicare	$1,812.34
Rate for Payer: Priority Health Narrow Network	$4,449.54
Rate for Payer: Priority Health SBD	$953.19
Rate for Payer: Railroad Medicare Medicare	$1,812.34
Rate for Payer: UHC All Payor (Choice/PPO)	$213.24
Rate for Payer: UHC Dual Complete DSNP	$1,812.34
Rate for Payer: UHC Exchange	$193.85
Rate for Payer: UHC Medicare Advantage	$1,866.71
Rate for Payer: VA VA	$1,812.34

PR CIRCUMCISION AGE >28 DAYS

Facility

$1,513.00

Service Code	CPT 54161
Hospital Charge Code	54161
Hospital Revenue Code	960
Min. Negotiated Rate	$953.19
Max. Negotiated Rate	$1,361.70
Rate for Payer: Aetna Commercial	$1,286.05
Rate for Payer: Aetna New Business (MI Preferred)	$983.45
Rate for Payer: Cash Price	$1,210.40
Rate for Payer: Cofinity Commercial	$1,059.10
Rate for Payer: Cofinity Commercial	$1,301.18
Rate for Payer: Healthscope Commercial	$1,361.70
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$1,286.05
Rate for Payer: PHP Commercial	$1,286.05
Rate for Payer: Priority Health Cigna Priority Health	$1,059.10
Rate for Payer: Priority Health SBD	$953.19

PR CIRCUMCISION NEONATE

Professional

Both

$594.00

Service Code	HCPCS 54160
Min. Negotiated Rate	$92.87
Max. Negotiated Rate	$2,797.35
Rate for Payer: Aetna Commercial	$185.88
Rate for Payer: BCBS Complete	$97.51
Rate for Payer: BCBS Trust/PPO	$2,797.35
Rate for Payer: Cash Price	$475.20
Rate for Payer: Cash Price	$475.20
Rate for Payer: Mclaren Medicaid	$92.87
Rate for Payer: Meridian Medicaid	$97.51
Rate for Payer: Priority Health Choice Medicaid	$92.87
Rate for Payer: Priority Health Cigna Priority Health	$415.80
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$232.35
Rate for Payer: Priority Health Narrow Network	$232.35
Rate for Payer: Priority Health SBD	$232.35

PR CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK

Professional

Both

$511.00

Service Code	HCPCS 54150
Min. Negotiated Rate	$60.71
Max. Negotiated Rate	$1,797.28
Rate for Payer: Aetna Commercial	$125.80
Rate for Payer: BCBS Complete	$63.75
Rate for Payer: BCBS Trust/PPO	$1,797.28
Rate for Payer: Cash Price	$408.80
Rate for Payer: Cash Price	$408.80
Rate for Payer: Mclaren Medicaid	$60.71
Rate for Payer: Meridian Medicaid	$63.75
Rate for Payer: Priority Health Choice Medicaid	$60.71
Rate for Payer: Priority Health Cigna Priority Health	$357.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$154.00
Rate for Payer: Priority Health Narrow Network	$154.00
Rate for Payer: Priority Health SBD	$154.00

PR CISTERNAL/LATERAL C1-C2 PUNCTURE W/O INJ SPX

Professional

Both

$470.00

Service Code	HCPCS 61050
Min. Negotiated Rate	$50.48
Max. Negotiated Rate	$519.32
Rate for Payer: Aetna Commercial	$105.74
Rate for Payer: BCBS Complete	$53.00
Rate for Payer: BCBS Trust/PPO	$519.32
Rate for Payer: Cash Price	$376.00
Rate for Payer: Cash Price	$376.00
Rate for Payer: Mclaren Medicaid	$50.48
Rate for Payer: Meridian Medicaid	$53.00
Rate for Payer: Priority Health Choice Medicaid	$50.48
Rate for Payer: Priority Health Cigna Priority Health	$329.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$134.19
Rate for Payer: Priority Health Narrow Network	$134.19
Rate for Payer: Priority Health SBD	$134.19

PR CLAVICULECTOMY PARTIAL

Professional

Both

$1,071.00

Service Code	HCPCS 23120
Min. Negotiated Rate	$34.34
Max. Negotiated Rate	$907.93
Rate for Payer: Aetna Commercial	$781.06
Rate for Payer: BCBS Complete	$402.57
Rate for Payer: BCBS Trust/PPO	$34.34
Rate for Payer: Cash Price	$856.80
Rate for Payer: Cash Price	$856.80
Rate for Payer: Mclaren Medicaid	$383.40
Rate for Payer: Meridian Medicaid	$402.57
Rate for Payer: Priority Health Choice Medicaid	$383.40
Rate for Payer: Priority Health Cigna Priority Health	$749.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$907.93
Rate for Payer: Priority Health Narrow Network	$907.93
Rate for Payer: Priority Health SBD	$907.93

PR CLAVICULECTOMY TOTAL

Professional

Both

$1,568.00

Service Code	HCPCS 23125
Min. Negotiated Rate	$44.38
Max. Negotiated Rate	$1,097.60
Rate for Payer: Aetna Commercial	$947.74
Rate for Payer: BCBS Complete	$483.76
Rate for Payer: BCBS Trust/PPO	$44.38
Rate for Payer: Cash Price	$1,254.40
Rate for Payer: Cash Price	$1,254.40
Rate for Payer: Mclaren Medicaid	$460.72
Rate for Payer: Meridian Medicaid	$483.76
Rate for Payer: Priority Health Choice Medicaid	$460.72
Rate for Payer: Priority Health Cigna Priority Health	$1,097.60
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,094.32
Rate for Payer: Priority Health Narrow Network	$1,094.32
Rate for Payer: Priority Health SBD	$1,094.32

PR CLOSED RX PELVIC RING FX/SUBLUX

Professional

Both

$951.00

Service Code	HCPCS 27193
Min. Negotiated Rate	$380.40
Max. Negotiated Rate	$665.70
Rate for Payer: BCBS Complete	$380.40
Rate for Payer: Cash Price	$760.80
Rate for Payer: Priority Health Cigna Priority Health	$665.70

Know your out-of-pocket cost for care.

All Charges