Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

PR COLECTOMY TOT ABDL W/PROCTECTOMY W/CONTNT ILEOST

Professional

Both

$6,686.00

Service Code	HCPCS 44156
Min. Negotiated Rate	$175.40
Max. Negotiated Rate	$4,680.20
Rate for Payer: Aetna Commercial	$3,121.82
Rate for Payer: BCBS Complete	$1,536.93
Rate for Payer: BCBS Trust/PPO	$175.40
Rate for Payer: Cash Price	$5,348.80
Rate for Payer: Cash Price	$5,348.80
Rate for Payer: Mclaren Medicaid	$1,463.74
Rate for Payer: Meridian Medicaid	$1,536.93
Rate for Payer: Priority Health Choice Medicaid	$1,463.74
Rate for Payer: Priority Health Cigna Priority Health	$4,680.20
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$4,029.38
Rate for Payer: Priority Health Narrow Network	$4,029.38
Rate for Payer: Priority Health SBD	$4,029.38

PR COLECTOMY TOT ABDL W/PROCTECTOMY W/ILEOSTOMY

Professional

Both

$5,708.00

Service Code	HCPCS 44155
Min. Negotiated Rate	$187.55
Max. Negotiated Rate	$3,995.60
Rate for Payer: Aetna Commercial	$2,777.17
Rate for Payer: BCBS Complete	$1,377.90
Rate for Payer: BCBS Trust/PPO	$187.55
Rate for Payer: Cash Price	$4,566.40
Rate for Payer: Cash Price	$4,566.40
Rate for Payer: Mclaren Medicaid	$1,312.29
Rate for Payer: Meridian Medicaid	$1,377.90
Rate for Payer: Priority Health Choice Medicaid	$1,312.29
Rate for Payer: Priority Health Cigna Priority Health	$3,995.60
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$3,603.69
Rate for Payer: Priority Health Narrow Network	$3,603.69
Rate for Payer: Priority Health SBD	$3,603.69

PR COLECTOMY TOT ABD W/PROCTECTOMY ILEOANAL ANAST

Professional

Both

$4,477.00

Service Code	HCPCS 44157
Min. Negotiated Rate	$305.36
Max. Negotiated Rate	$3,828.30
Rate for Payer: Aetna Commercial	$2,961.88
Rate for Payer: BCBS Complete	$1,461.56
Rate for Payer: BCBS Trust/PPO	$305.36
Rate for Payer: Cash Price	$3,581.60
Rate for Payer: Cash Price	$3,581.60
Rate for Payer: Mclaren Medicaid	$1,391.96
Rate for Payer: Meridian Medicaid	$1,461.56
Rate for Payer: Priority Health Choice Medicaid	$1,391.96
Rate for Payer: Priority Health Cigna Priority Health	$3,133.90
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$3,828.30
Rate for Payer: Priority Health Narrow Network	$3,828.30
Rate for Payer: Priority Health SBD	$3,828.30

PR COLLAGENASE, CLOST HIST INJ

Professional

Both

$65.00

Service Code	HCPCS J0775
Min. Negotiated Rate	$26.00
Max. Negotiated Rate	$68.26
Rate for Payer: Aetna Commercial	$68.26
Rate for Payer: BCBS Complete	$26.00
Rate for Payer: BCBS Trust/PPO	$67.51
Rate for Payer: Cash Price	$52.00
Rate for Payer: Cash Price	$52.00
Rate for Payer: Priority Health Cigna Priority Health	$45.50

PR COLLECTION CAPILLARY BLOOD SPECIMEN

Professional

Both

$11.00

Service Code	HCPCS 36416
Min. Negotiated Rate	$2.72
Max. Negotiated Rate	$1,055.02
Rate for Payer: Aetna Commercial	$2.72
Rate for Payer: BCBS Complete	$4.40
Rate for Payer: BCBS Trust/PPO	$1,055.02
Rate for Payer: Cash Price	$8.80
Rate for Payer: Cash Price	$8.80
Rate for Payer: Priority Health Cigna Priority Health	$7.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$13.30
Rate for Payer: Priority Health Narrow Network	$13.30
Rate for Payer: Priority Health SBD	$13.30

PR COLLECTION VENOUS BLOOD VENIPUNCTURE

Professional

Both

$15.00

Service Code	HCPCS 36415
Min. Negotiated Rate	$2.85
Max. Negotiated Rate	$1,529.43
Rate for Payer: Aetna Commercial	$2.85
Rate for Payer: BCBS Complete	$6.00
Rate for Payer: BCBS Trust/PPO	$1,529.43
Rate for Payer: Cash Price	$12.00
Rate for Payer: Cash Price	$12.00
Rate for Payer: Priority Health Cigna Priority Health	$10.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$13.30
Rate for Payer: Priority Health Narrow Network	$13.30
Rate for Payer: Priority Health SBD	$13.30

PR COLLJ & INTERPJ PHYSIOL DATA MIN 30 MIN EA 30 D

Professional

Both

$115.00

Service Code	HCPCS 99091
Min. Negotiated Rate	$46.00
Max. Negotiated Rate	$780.83
Rate for Payer: Aetna Commercial	$62.02
Rate for Payer: BCBS Complete	$46.00
Rate for Payer: BCBS Trust/PPO	$780.83
Rate for Payer: Cash Price	$92.00
Rate for Payer: Cash Price	$92.00
Rate for Payer: Priority Health Cigna Priority Health	$80.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$71.86
Rate for Payer: Priority Health Narrow Network	$71.86
Rate for Payer: Priority Health SBD	$71.86

PR COLON CA SCREEN;BARIUM ENEMA

Professional

Both

$617.00

Service Code	HCPCS G0106
Min. Negotiated Rate	$37.49
Max. Negotiated Rate	$1,824.22
Rate for Payer: Aetna Commercial	$220.17
Rate for Payer: BCBS Complete	$39.36
Rate for Payer: BCBS Trust/PPO	$1,824.22
Rate for Payer: Cash Price	$493.60
Rate for Payer: Cash Price	$493.60
Rate for Payer: Mclaren Medicaid	$37.49
Rate for Payer: Meridian Medicaid	$39.36
Rate for Payer: Priority Health Choice Medicaid	$37.49
Rate for Payer: Priority Health Cigna Priority Health	$431.90
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$104.66
Rate for Payer: Priority Health Narrow Network	$104.66
Rate for Payer: Priority Health SBD	$395.70

PR COLON CA SCRN; BARIUM ENEMA

Professional

Both

$391.00

Service Code	HCPCS G0120
Min. Negotiated Rate	$37.49
Max. Negotiated Rate	$1,971.09
Rate for Payer: Aetna Commercial	$220.17
Rate for Payer: BCBS Complete	$39.36
Rate for Payer: BCBS Trust/PPO	$1,971.09
Rate for Payer: Cash Price	$312.80
Rate for Payer: Cash Price	$312.80
Rate for Payer: Mclaren Medicaid	$37.49
Rate for Payer: Meridian Medicaid	$39.36
Rate for Payer: Priority Health Choice Medicaid	$37.49
Rate for Payer: Priority Health Cigna Priority Health	$273.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$104.66
Rate for Payer: Priority Health Narrow Network	$104.66
Rate for Payer: Priority Health SBD	$395.70

PR COLON CA SCRN NOT HI RSK IND

Professional

Both

$1,162.00

Service Code	HCPCS G0121
Min. Negotiated Rate	$58.36
Max. Negotiated Rate	$2,077.28
Rate for Payer: Aetna Commercial	$184.92
Rate for Payer: BCBS Complete	$61.28
Rate for Payer: BCBS Trust/PPO	$2,077.28
Rate for Payer: Cash Price	$929.60
Rate for Payer: Cash Price	$929.60
Rate for Payer: Mclaren Medicaid	$58.36
Rate for Payer: Meridian Medicaid	$61.28
Rate for Payer: Priority Health Choice Medicaid	$58.36
Rate for Payer: Priority Health Cigna Priority Health	$813.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$318.68
Rate for Payer: Priority Health Narrow Network	$318.68
Rate for Payer: Priority Health SBD	$318.68

PR COLON CA SCRN NOT HI RSK IND

Professional

Both

$1,162.00

Service Code	HCPCS G0121
Hospital Charge Code	G0121
Min. Negotiated Rate	$58.36
Max. Negotiated Rate	$2,077.28
Rate for Payer: Aetna Commercial	$184.92
Rate for Payer: BCBS Complete	$61.28
Rate for Payer: BCBS Trust/PPO	$2,077.28
Rate for Payer: Cash Price	$929.60
Rate for Payer: Cash Price	$929.60
Rate for Payer: Mclaren Medicaid	$58.36
Rate for Payer: Meridian Medicaid	$61.28
Rate for Payer: Priority Health Choice Medicaid	$58.36
Rate for Payer: Priority Health Cigna Priority Health	$813.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$318.68
Rate for Payer: Priority Health Narrow Network	$318.68
Rate for Payer: Priority Health SBD	$318.68

PR COLON CA SCRN NOT HI RSK IND

Facility

$1,162.00

Service Code	HCPCS G0121
Hospital Charge Code	G0121
Hospital Revenue Code	960
Min. Negotiated Rate	$178.78
Max. Negotiated Rate	$2,491.90
Rate for Payer: Aetna Commercial	$987.70
Rate for Payer: Aetna Medicare	$845.76
Rate for Payer: Aetna New Business (MI Preferred)	$755.30
Rate for Payer: Allen County Amish Medical Aid Commercial	$1,016.54
Rate for Payer: Amish Plain Church Group Commercial	$1,016.54
Rate for Payer: BCBS Complete	$467.12
Rate for Payer: BCBS MAPPO	$813.23
Rate for Payer: BCBS Trust/PPO	$418.67
Rate for Payer: BCN Medicare Advantage	$813.23
Rate for Payer: Cash Price	$929.60
Rate for Payer: Cash Price	$929.60
Rate for Payer: Cofinity Commercial	$999.32
Rate for Payer: Cofinity Commercial	$813.40
Rate for Payer: Health Alliance Plan Medicare Advantage	$813.23
Rate for Payer: Healthscope Commercial	$1,045.80
Rate for Payer: Mclaren Medicaid	$444.84
Rate for Payer: Mclaren Medicare	$813.23
Rate for Payer: Meridian Medicaid	$467.12
Rate for Payer: Meridian Wellcare - Medicare Advantage	$853.89
Rate for Payer: MI Amish Medical Board Commercial	$935.21
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$987.70
Rate for Payer: PACE Medicare	$772.57
Rate for Payer: PACE SWMI	$813.23
Rate for Payer: PHP Commercial	$987.70
Rate for Payer: PHP Medicare Advantage	$813.23
Rate for Payer: Priority Health Choice Medicaid	$444.84
Rate for Payer: Priority Health Cigna Priority Health	$813.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$2,491.90
Rate for Payer: Priority Health Medicare	$813.23
Rate for Payer: Priority Health Narrow Network	$1,993.52
Rate for Payer: Priority Health SBD	$732.06
Rate for Payer: Railroad Medicare Medicare	$813.23
Rate for Payer: UHC All Payor (Choice/PPO)	$196.66
Rate for Payer: UHC Dual Complete DSNP	$813.23
Rate for Payer: UHC Exchange	$178.78
Rate for Payer: UHC Medicare Advantage	$837.63
Rate for Payer: VA VA	$813.23

PR COLON CA SCRN NOT HI RSK IND

Facility

$1,162.00

Service Code	HCPCS G0121
Hospital Charge Code	G0121
Hospital Revenue Code	960
Min. Negotiated Rate	$732.06
Max. Negotiated Rate	$1,045.80
Rate for Payer: Aetna Commercial	$987.70
Rate for Payer: Aetna New Business (MI Preferred)	$755.30
Rate for Payer: Cash Price	$929.60
Rate for Payer: Cofinity Commercial	$999.32
Rate for Payer: Cofinity Commercial	$813.40
Rate for Payer: Healthscope Commercial	$1,045.80
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$987.70
Rate for Payer: PHP Commercial	$987.70
Rate for Payer: Priority Health Cigna Priority Health	$813.40
Rate for Payer: Priority Health SBD	$732.06

PR COLON MOTILITY STDY MIN 6 HR CONT RECORD W/I&R

Professional

Both

$451.00

Service Code	HCPCS 91117
Min. Negotiated Rate	$85.63
Max. Negotiated Rate	$917.13
Rate for Payer: Aetna Commercial	$149.90
Rate for Payer: BCBS Complete	$89.91
Rate for Payer: BCBS Trust/PPO	$917.13
Rate for Payer: Cash Price	$360.80
Rate for Payer: Cash Price	$360.80
Rate for Payer: Mclaren Medicaid	$85.63
Rate for Payer: Meridian Medicaid	$89.91
Rate for Payer: Priority Health Choice Medicaid	$85.63
Rate for Payer: Priority Health Cigna Priority Health	$315.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$179.66
Rate for Payer: Priority Health Narrow Network	$179.66
Rate for Payer: Priority Health SBD	$179.66

PR COLONOSCOPY,ABLATE LESION

Facility

$1,483.00

Service Code	CPT 45383
Hospital Charge Code	45383
Hospital Revenue Code	960
Min. Negotiated Rate	$593.20
Max. Negotiated Rate	$1,334.70
Rate for Payer: Aetna Commercial	$1,260.55
Rate for Payer: Aetna New Business (MI Preferred)	$963.95
Rate for Payer: BCBS Complete	$593.20
Rate for Payer: Cash Price	$1,186.40
Rate for Payer: Cofinity Commercial	$1,038.10
Rate for Payer: Cofinity Commercial	$1,275.38
Rate for Payer: Healthscope Commercial	$1,334.70
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$1,260.55
Rate for Payer: PHP Commercial	$1,260.55
Rate for Payer: Priority Health Cigna Priority Health	$1,038.10
Rate for Payer: Priority Health SBD	$934.29

PR COLONOSCOPY,ABLATE LESION

Facility

$1,483.00

Service Code	CPT 45383
Hospital Charge Code	45383
Hospital Revenue Code	960
Min. Negotiated Rate	$934.29
Max. Negotiated Rate	$1,334.70
Rate for Payer: Aetna Commercial	$1,260.55
Rate for Payer: Aetna New Business (MI Preferred)	$963.95
Rate for Payer: Cash Price	$1,186.40
Rate for Payer: Cofinity Commercial	$1,038.10
Rate for Payer: Cofinity Commercial	$1,275.38
Rate for Payer: Healthscope Commercial	$1,334.70
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$1,260.55
Rate for Payer: PHP Commercial	$1,260.55
Rate for Payer: Priority Health Cigna Priority Health	$1,038.10
Rate for Payer: Priority Health SBD	$934.29

PR COLONOSCOPY,ABLATE LESION

Professional

Both

$1,483.00

Service Code	HCPCS 45383
Min. Negotiated Rate	$593.20
Max. Negotiated Rate	$1,038.10
Rate for Payer: BCBS Complete	$593.20
Rate for Payer: Cash Price	$1,186.40
Rate for Payer: Priority Health Cigna Priority Health	$1,038.10

PR COLONOSCOPY,ABLATE LESION

Professional

Both

$1,483.00

Service Code	HCPCS 45383
Hospital Charge Code	45383
Min. Negotiated Rate	$593.20
Max. Negotiated Rate	$1,038.10
Rate for Payer: BCBS Complete	$593.20
Rate for Payer: Cash Price	$1,186.40
Rate for Payer: Priority Health Cigna Priority Health	$1,038.10

PR COLONOSCOPY FLEXIBLE WITH BAND LIGATION(S)

Professional

Both

$1,287.00

Service Code	HCPCS 45398
Hospital Charge Code	45398
Min. Negotiated Rate	$148.04
Max. Negotiated Rate	$900.90
Rate for Payer: Aetna Commercial	$313.45
Rate for Payer: BCBS Complete	$155.44
Rate for Payer: BCBS Trust/PPO	$232.45
Rate for Payer: Cash Price	$1,029.60
Rate for Payer: Cash Price	$1,029.60
Rate for Payer: Mclaren Medicaid	$148.04
Rate for Payer: Meridian Medicaid	$155.44
Rate for Payer: Priority Health Choice Medicaid	$148.04
Rate for Payer: Priority Health Cigna Priority Health	$900.90
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$407.47
Rate for Payer: Priority Health Narrow Network	$407.47
Rate for Payer: Priority Health SBD	$407.47

PR COLONOSCOPY FLEXIBLE WITH BAND LIGATION(S)

Professional

Both

$1,287.00

Service Code	HCPCS 45398
Min. Negotiated Rate	$148.04
Max. Negotiated Rate	$900.90
Rate for Payer: Aetna Commercial	$313.45
Rate for Payer: BCBS Complete	$155.44
Rate for Payer: BCBS Trust/PPO	$232.45
Rate for Payer: Cash Price	$1,029.60
Rate for Payer: Cash Price	$1,029.60
Rate for Payer: Mclaren Medicaid	$148.04
Rate for Payer: Meridian Medicaid	$155.44
Rate for Payer: Priority Health Choice Medicaid	$148.04
Rate for Payer: Priority Health Cigna Priority Health	$900.90
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$407.47
Rate for Payer: Priority Health Narrow Network	$407.47
Rate for Payer: Priority Health SBD	$407.47

PR COLONOSCOPY FLEXIBLE WITH BAND LIGATION(S)

Facility

$1,287.00

Service Code	CPT 45398
Hospital Charge Code	45398
Min. Negotiated Rate	$810.81
Max. Negotiated Rate	$1,158.30
Rate for Payer: Aetna Commercial	$1,093.95
Rate for Payer: Aetna New Business (MI Preferred)	$836.55
Rate for Payer: Cash Price	$1,029.60
Rate for Payer: Cofinity Commercial	$1,106.82
Rate for Payer: Cofinity Commercial	$900.90
Rate for Payer: Healthscope Commercial	$1,158.30
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$1,093.95
Rate for Payer: PHP Commercial	$1,093.95
Rate for Payer: Priority Health Cigna Priority Health	$900.90
Rate for Payer: Priority Health SBD	$810.81

PR COLONOSCOPY FLEXIBLE WITH BAND LIGATION(S)

Facility

$1,287.00

Service Code	CPT 45398
Hospital Charge Code	45398
Min. Negotiated Rate	$227.57
Max. Negotiated Rate	$3,228.76
Rate for Payer: Aetna Commercial	$1,093.95
Rate for Payer: Aetna Medicare	$1,092.02
Rate for Payer: Aetna New Business (MI Preferred)	$836.55
Rate for Payer: Allen County Amish Medical Aid Commercial	$1,312.52
Rate for Payer: Amish Plain Church Group Commercial	$1,312.52
Rate for Payer: BCBS Complete	$603.13
Rate for Payer: BCBS MAPPO	$1,050.02
Rate for Payer: BCBS Trust/PPO	$724.94
Rate for Payer: BCN Medicare Advantage	$1,050.02
Rate for Payer: Cash Price	$1,029.60
Rate for Payer: Cash Price	$1,029.60
Rate for Payer: Cofinity Commercial	$900.90
Rate for Payer: Cofinity Commercial	$1,106.82
Rate for Payer: Health Alliance Plan Medicare Advantage	$1,050.02
Rate for Payer: Healthscope Commercial	$1,158.30
Rate for Payer: Mclaren Medicaid	$574.36
Rate for Payer: Mclaren Medicare	$1,050.02
Rate for Payer: Meridian Medicaid	$603.13
Rate for Payer: Meridian Wellcare - Medicare Advantage	$1,102.52
Rate for Payer: MI Amish Medical Board Commercial	$1,207.52
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$1,093.95
Rate for Payer: PACE Medicare	$997.52
Rate for Payer: PACE SWMI	$1,050.02
Rate for Payer: PHP Commercial	$1,093.95
Rate for Payer: PHP Medicare Advantage	$1,050.02
Rate for Payer: Priority Health Choice Medicaid	$574.36
Rate for Payer: Priority Health Cigna Priority Health	$900.90
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$3,228.76
Rate for Payer: Priority Health Medicare	$1,050.02
Rate for Payer: Priority Health Narrow Network	$2,583.01
Rate for Payer: Priority Health SBD	$810.81
Rate for Payer: Railroad Medicare Medicare	$1,050.02
Rate for Payer: UHC All Payor (Choice/PPO)	$250.33
Rate for Payer: UHC Dual Complete DSNP	$1,050.02
Rate for Payer: UHC Exchange	$227.57
Rate for Payer: UHC Medicare Advantage	$1,081.52
Rate for Payer: VA VA	$1,050.02

PR COLONOSCOPY FLEXIBLE WITH DECOMPRESSION

Facility

$796.00

Service Code	CPT 45393
Hospital Charge Code	45393
Min. Negotiated Rate	$242.63
Max. Negotiated Rate	$3,228.76
Rate for Payer: Aetna Commercial	$676.60
Rate for Payer: Aetna Medicare	$1,092.02
Rate for Payer: Aetna New Business (MI Preferred)	$517.40
Rate for Payer: Allen County Amish Medical Aid Commercial	$1,312.52
Rate for Payer: Amish Plain Church Group Commercial	$1,312.52
Rate for Payer: BCBS Complete	$603.13
Rate for Payer: BCBS MAPPO	$1,050.02
Rate for Payer: BCBS Trust/PPO	$480.28
Rate for Payer: BCN Medicare Advantage	$1,050.02
Rate for Payer: Cash Price	$636.80
Rate for Payer: Cash Price	$636.80
Rate for Payer: Cofinity Commercial	$684.56
Rate for Payer: Cofinity Commercial	$557.20
Rate for Payer: Health Alliance Plan Medicare Advantage	$1,050.02
Rate for Payer: Healthscope Commercial	$716.40
Rate for Payer: Mclaren Medicaid	$574.36
Rate for Payer: Mclaren Medicare	$1,050.02
Rate for Payer: Meridian Medicaid	$603.13
Rate for Payer: Meridian Wellcare - Medicare Advantage	$1,102.52
Rate for Payer: MI Amish Medical Board Commercial	$1,207.52
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$676.60
Rate for Payer: PACE Medicare	$997.52
Rate for Payer: PACE SWMI	$1,050.02
Rate for Payer: PHP Commercial	$676.60
Rate for Payer: PHP Medicare Advantage	$1,050.02
Rate for Payer: Priority Health Choice Medicaid	$574.36
Rate for Payer: Priority Health Cigna Priority Health	$557.20
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$3,228.76
Rate for Payer: Priority Health Medicare	$1,050.02
Rate for Payer: Priority Health Narrow Network	$2,583.01
Rate for Payer: Priority Health SBD	$501.48
Rate for Payer: Railroad Medicare Medicare	$1,050.02
Rate for Payer: UHC All Payor (Choice/PPO)	$266.89
Rate for Payer: UHC Dual Complete DSNP	$1,050.02
Rate for Payer: UHC Exchange	$242.63
Rate for Payer: UHC Medicare Advantage	$1,081.52
Rate for Payer: VA VA	$1,050.02

PR COLONOSCOPY FLEXIBLE WITH DECOMPRESSION

Professional

Both

$796.00

Service Code	HCPCS 45393
Hospital Charge Code	45393
Min. Negotiated Rate	$157.83
Max. Negotiated Rate	$557.20
Rate for Payer: Aetna Commercial	$337.78
Rate for Payer: BCBS Complete	$165.72
Rate for Payer: BCBS Trust/PPO	$164.30
Rate for Payer: Cash Price	$636.80
Rate for Payer: Cash Price	$636.80
Rate for Payer: Mclaren Medicaid	$157.83
Rate for Payer: Meridian Medicaid	$165.72
Rate for Payer: Priority Health Choice Medicaid	$157.83
Rate for Payer: Priority Health Cigna Priority Health	$557.20
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$433.93
Rate for Payer: Priority Health Narrow Network	$433.93
Rate for Payer: Priority Health SBD	$433.93

PR COLONOSCOPY FLEXIBLE WITH DECOMPRESSION

Facility

$796.00

Service Code	CPT 45393
Hospital Charge Code	45393
Min. Negotiated Rate	$501.48
Max. Negotiated Rate	$716.40
Rate for Payer: Aetna Commercial	$676.60
Rate for Payer: Aetna New Business (MI Preferred)	$517.40
Rate for Payer: Cash Price	$636.80
Rate for Payer: Cofinity Commercial	$684.56
Rate for Payer: Cofinity Commercial	$557.20
Rate for Payer: Healthscope Commercial	$716.40
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$676.60
Rate for Payer: PHP Commercial	$676.60
Rate for Payer: Priority Health Cigna Priority Health	$557.20
Rate for Payer: Priority Health SBD	$501.48

Know your out-of-pocket cost for care.

All Charges