Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

PR COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE

Professional

Both

$1,147.00

Service Code	HCPCS 44389
Min. Negotiated Rate	$107.99
Max. Negotiated Rate	$3,449.27
Rate for Payer: Aetna Commercial	$228.87
Rate for Payer: BCBS Complete	$113.39
Rate for Payer: BCBS Trust/PPO	$3,449.27
Rate for Payer: Cash Price	$917.60
Rate for Payer: Cash Price	$917.60
Rate for Payer: Mclaren Medicaid	$107.99
Rate for Payer: Meridian Medicaid	$113.39
Rate for Payer: Priority Health Choice Medicaid	$107.99
Rate for Payer: Priority Health Cigna Priority Health	$802.90
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$296.93
Rate for Payer: Priority Health Narrow Network	$296.93
Rate for Payer: Priority Health SBD	$296.93

PR COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE

Facility

$1,147.00

Service Code	CPT 44389
Hospital Charge Code	44389
Min. Negotiated Rate	$166.01
Max. Negotiated Rate	$3,247.14
Rate for Payer: Aetna Commercial	$974.95
Rate for Payer: Aetna Medicare	$1,092.02
Rate for Payer: Aetna New Business (MI Preferred)	$745.55
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	$480.28
Rate for Payer: BCN Medicare Advantage	$1,050.02
Rate for Payer: Cash Price	$917.60
Rate for Payer: Cash Price	$917.60
Rate for Payer: Cofinity Commercial	$986.42
Rate for Payer: Cofinity Commercial	$802.90
Rate for Payer: Health Alliance Plan Medicare Advantage	$1,050.02
Rate for Payer: Healthscope Commercial	$1,032.30
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	$974.95
Rate for Payer: PACE Medicare	$997.52
Rate for Payer: PACE SWMI	$1,050.02
Rate for Payer: PHP Commercial	$974.95
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	$802.90
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$3,247.14
Rate for Payer: Priority Health Medicare	$1,050.02
Rate for Payer: Priority Health Narrow Network	$2,597.71
Rate for Payer: Priority Health SBD	$722.61
Rate for Payer: Railroad Medicare Medicare	$1,050.02
Rate for Payer: UHC All Payor (Choice/PPO)	$182.61
Rate for Payer: UHC Dual Complete DSNP	$1,050.02
Rate for Payer: UHC Exchange	$166.01
Rate for Payer: UHC Medicare Advantage	$1,081.52
Rate for Payer: VA VA	$1,050.02

PR COLONOSCOPY STOMA W/ENDOSCOPIC STENT PLCMT

Professional

Both

$541.00

Service Code	HCPCS 44402
Min. Negotiated Rate	$164.01
Max. Negotiated Rate	$4,432.97
Rate for Payer: Aetna Commercial	$346.99
Rate for Payer: BCBS Complete	$172.21
Rate for Payer: BCBS Trust/PPO	$4,432.97
Rate for Payer: Cash Price	$432.80
Rate for Payer: Cash Price	$432.80
Rate for Payer: Mclaren Medicaid	$164.01
Rate for Payer: Meridian Medicaid	$172.21
Rate for Payer: Priority Health Choice Medicaid	$164.01
Rate for Payer: Priority Health Cigna Priority Health	$378.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$450.97
Rate for Payer: Priority Health Narrow Network	$450.97
Rate for Payer: Priority Health SBD	$450.97

PR COLONOSCOPY STOMA W/RMVL FOREIGN BODY

Professional

Both

$1,147.00

Service Code	HCPCS 44390
Min. Negotiated Rate	$132.06
Max. Negotiated Rate	$3,813.27
Rate for Payer: Aetna Commercial	$279.62
Rate for Payer: BCBS Complete	$138.66
Rate for Payer: BCBS Trust/PPO	$3,813.27
Rate for Payer: Cash Price	$917.60
Rate for Payer: Cash Price	$917.60
Rate for Payer: Mclaren Medicaid	$132.06
Rate for Payer: Meridian Medicaid	$138.66
Rate for Payer: Priority Health Choice Medicaid	$132.06
Rate for Payer: Priority Health Cigna Priority Health	$802.90
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$362.77
Rate for Payer: Priority Health Narrow Network	$362.77
Rate for Payer: Priority Health SBD	$362.77

PR COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE

Facility

$1,344.00

Service Code	CPT 44394
Hospital Charge Code	44394
Hospital Revenue Code	960
Min. Negotiated Rate	$217.75
Max. Negotiated Rate	$3,247.14
Rate for Payer: Aetna Commercial	$1,142.40
Rate for Payer: Aetna Medicare	$1,092.02
Rate for Payer: Aetna New Business (MI Preferred)	$873.60
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	$1,075.20
Rate for Payer: Cash Price	$1,075.20
Rate for Payer: Cofinity Commercial	$940.80
Rate for Payer: Cofinity Commercial	$1,155.84
Rate for Payer: Health Alliance Plan Medicare Advantage	$1,050.02
Rate for Payer: Healthscope Commercial	$1,209.60
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	$1,142.40
Rate for Payer: PACE Medicare	$997.52
Rate for Payer: PACE SWMI	$1,050.02
Rate for Payer: PHP Commercial	$1,142.40
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	$940.80
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$3,247.14
Rate for Payer: Priority Health Medicare	$1,050.02
Rate for Payer: Priority Health Narrow Network	$2,597.71
Rate for Payer: Priority Health SBD	$846.72
Rate for Payer: Railroad Medicare Medicare	$1,050.02
Rate for Payer: UHC All Payor (Choice/PPO)	$239.52
Rate for Payer: UHC Dual Complete DSNP	$1,050.02
Rate for Payer: UHC Exchange	$217.75
Rate for Payer: UHC Medicare Advantage	$1,081.52
Rate for Payer: VA VA	$1,050.02

PR COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE

Professional

Both

$1,344.00

Service Code	HCPCS 44394
Hospital Charge Code	44394
Min. Negotiated Rate	$141.65
Max. Negotiated Rate	$3,036.67
Rate for Payer: Aetna Commercial	$299.55
Rate for Payer: BCBS Complete	$148.73
Rate for Payer: BCBS Trust/PPO	$3,036.67
Rate for Payer: Cash Price	$1,075.20
Rate for Payer: Cash Price	$1,075.20
Rate for Payer: Mclaren Medicaid	$141.65
Rate for Payer: Meridian Medicaid	$148.73
Rate for Payer: Priority Health Choice Medicaid	$141.65
Rate for Payer: Priority Health Cigna Priority Health	$940.80
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$389.23
Rate for Payer: Priority Health Narrow Network	$389.23
Rate for Payer: Priority Health SBD	$389.23

PR COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE

Professional

Both

$1,344.00

Service Code	HCPCS 44394
Min. Negotiated Rate	$141.65
Max. Negotiated Rate	$3,036.67
Rate for Payer: Aetna Commercial	$299.55
Rate for Payer: BCBS Complete	$148.73
Rate for Payer: BCBS Trust/PPO	$3,036.67
Rate for Payer: Cash Price	$1,075.20
Rate for Payer: Cash Price	$1,075.20
Rate for Payer: Mclaren Medicaid	$141.65
Rate for Payer: Meridian Medicaid	$148.73
Rate for Payer: Priority Health Choice Medicaid	$141.65
Rate for Payer: Priority Health Cigna Priority Health	$940.80
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$389.23
Rate for Payer: Priority Health Narrow Network	$389.23
Rate for Payer: Priority Health SBD	$389.23

PR COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE

Facility

$1,344.00

Service Code	CPT 44394
Hospital Charge Code	44394
Hospital Revenue Code	960
Min. Negotiated Rate	$846.72
Max. Negotiated Rate	$1,209.60
Rate for Payer: Aetna Commercial	$1,142.40
Rate for Payer: Aetna New Business (MI Preferred)	$873.60
Rate for Payer: Cash Price	$1,075.20
Rate for Payer: Cofinity Commercial	$1,155.84
Rate for Payer: Cofinity Commercial	$940.80
Rate for Payer: Healthscope Commercial	$1,209.60
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$1,142.40
Rate for Payer: PHP Commercial	$1,142.40
Rate for Payer: Priority Health Cigna Priority Health	$940.80
Rate for Payer: Priority Health SBD	$846.72

PR COLONOSCOPY THRU STOMA,LESION REMOVAL

Facility

$1,344.00

Service Code	CPT 44393
Hospital Charge Code	44393
Min. Negotiated Rate	$846.72
Max. Negotiated Rate	$1,209.60
Rate for Payer: Aetna Commercial	$1,142.40
Rate for Payer: Aetna New Business (MI Preferred)	$873.60
Rate for Payer: Cash Price	$1,075.20
Rate for Payer: Cofinity Commercial	$1,155.84
Rate for Payer: Cofinity Commercial	$940.80
Rate for Payer: Healthscope Commercial	$1,209.60
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$1,142.40
Rate for Payer: PHP Commercial	$1,142.40
Rate for Payer: Priority Health Cigna Priority Health	$940.80
Rate for Payer: Priority Health SBD	$846.72

PR COLONOSCOPY THRU STOMA,LESION REMOVAL

Facility

$1,344.00

Service Code	CPT 44393
Hospital Charge Code	44393
Min. Negotiated Rate	$537.60
Max. Negotiated Rate	$1,209.60
Rate for Payer: Aetna Commercial	$1,142.40
Rate for Payer: Aetna New Business (MI Preferred)	$873.60
Rate for Payer: BCBS Complete	$537.60
Rate for Payer: Cash Price	$1,075.20
Rate for Payer: Cofinity Commercial	$1,155.84
Rate for Payer: Cofinity Commercial	$940.80
Rate for Payer: Healthscope Commercial	$1,209.60
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$1,142.40
Rate for Payer: PHP Commercial	$1,142.40
Rate for Payer: Priority Health Cigna Priority Health	$940.80
Rate for Payer: Priority Health SBD	$846.72

PR COLONOSCOPY THRU STOMA,LESION REMOVAL

Professional

Both

$1,344.00

Service Code	HCPCS 44393
Min. Negotiated Rate	$537.60
Max. Negotiated Rate	$940.80
Rate for Payer: BCBS Complete	$537.60
Rate for Payer: Cash Price	$1,075.20
Rate for Payer: Priority Health Cigna Priority Health	$940.80

PR COLONOSCOPY THRU STOMA,LESION REMOVAL

Professional

Both

$1,344.00

Service Code	HCPCS 44393
Hospital Charge Code	44393
Min. Negotiated Rate	$537.60
Max. Negotiated Rate	$940.80
Rate for Payer: BCBS Complete	$537.60
Rate for Payer: Cash Price	$1,075.20
Rate for Payer: Priority Health Cigna Priority Health	$940.80

PR COLONOSCOPY,TRANSENDOSCOPIC STENT

Professional

Both

$1,571.00

Service Code	HCPCS 45387
Min. Negotiated Rate	$628.40
Max. Negotiated Rate	$1,099.70
Rate for Payer: BCBS Complete	$628.40
Rate for Payer: Cash Price	$1,256.80
Rate for Payer: Priority Health Cigna Priority Health	$1,099.70

PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE

Facility

$1,103.00

Service Code	CPT 45380
Hospital Charge Code	45380
Hospital Revenue Code	960
Min. Negotiated Rate	$193.85
Max. Negotiated Rate	$3,228.76
Rate for Payer: Aetna Commercial	$937.55
Rate for Payer: Aetna Medicare	$1,092.02
Rate for Payer: Aetna New Business (MI Preferred)	$716.95
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	$449.75
Rate for Payer: BCN Medicare Advantage	$1,050.02
Rate for Payer: Cash Price	$882.40
Rate for Payer: Cash Price	$882.40
Rate for Payer: Cofinity Commercial	$948.58
Rate for Payer: Cofinity Commercial	$772.10
Rate for Payer: Health Alliance Plan Medicare Advantage	$1,050.02
Rate for Payer: Healthscope Commercial	$992.70
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	$937.55
Rate for Payer: PACE Medicare	$997.52
Rate for Payer: PACE SWMI	$1,050.02
Rate for Payer: PHP Commercial	$937.55
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	$772.10
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	$694.89
Rate for Payer: Railroad Medicare Medicare	$1,050.02
Rate for Payer: UHC All Payor (Choice/PPO)	$213.24
Rate for Payer: UHC Dual Complete DSNP	$1,050.02
Rate for Payer: UHC Exchange	$193.85
Rate for Payer: UHC Medicare Advantage	$1,081.52
Rate for Payer: VA VA	$1,050.02

PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE

Professional

Both

$1,103.00

Service Code	HCPCS 45380
Min. Negotiated Rate	$126.10
Max. Negotiated Rate	$772.10
Rate for Payer: Aetna Commercial	$267.31
Rate for Payer: BCBS Complete	$132.40
Rate for Payer: BCBS Trust/PPO	$226.11
Rate for Payer: Cash Price	$882.40
Rate for Payer: Cash Price	$882.40
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	$772.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$346.32
Rate for Payer: Priority Health Narrow Network	$346.32
Rate for Payer: Priority Health SBD	$346.32

PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE

Facility

$1,103.00

Service Code	CPT 45380
Hospital Charge Code	45380
Hospital Revenue Code	960
Min. Negotiated Rate	$694.89
Max. Negotiated Rate	$992.70
Rate for Payer: Aetna Commercial	$937.55
Rate for Payer: Aetna New Business (MI Preferred)	$716.95
Rate for Payer: Cash Price	$882.40
Rate for Payer: Cofinity Commercial	$772.10
Rate for Payer: Cofinity Commercial	$948.58
Rate for Payer: Healthscope Commercial	$992.70
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$937.55
Rate for Payer: PHP Commercial	$937.55
Rate for Payer: Priority Health Cigna Priority Health	$772.10
Rate for Payer: Priority Health SBD	$694.89

PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE

Professional

Both

$1,103.00

Service Code	HCPCS 45380
Hospital Charge Code	45380
Min. Negotiated Rate	$126.10
Max. Negotiated Rate	$772.10
Rate for Payer: Aetna Commercial	$267.31
Rate for Payer: BCBS Complete	$132.40
Rate for Payer: BCBS Trust/PPO	$226.11
Rate for Payer: Cash Price	$882.40
Rate for Payer: Cash Price	$882.40
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	$772.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$346.32
Rate for Payer: Priority Health Narrow Network	$346.32
Rate for Payer: Priority Health SBD	$346.32

PR COLONOSCOPY W/STENT

Professional

Both

$1,571.00

Service Code	HCPCS G6025
Min. Negotiated Rate	$628.40
Max. Negotiated Rate	$1,099.70
Rate for Payer: BCBS Complete	$628.40
Rate for Payer: Cash Price	$1,256.80
Rate for Payer: Priority Health Cigna Priority Health	$1,099.70

PR COLORECTAL SCRN; HI RISK IND

Facility

$1,162.00

Service Code	HCPCS G0105
Hospital Charge Code	G0105
Hospital Revenue Code	960
Min. Negotiated Rate	$178.46
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	$417.60
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	$813.40
Rate for Payer: Cofinity Commercial	$999.32
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)	$196.31
Rate for Payer: UHC Dual Complete DSNP	$813.23
Rate for Payer: UHC Exchange	$178.46
Rate for Payer: UHC Medicare Advantage	$837.63
Rate for Payer: VA VA	$813.23

PR COLORECTAL SCRN; HI RISK IND

Professional

Both

$1,162.00

Service Code	HCPCS G0105
Hospital Charge Code	G0105
Min. Negotiated Rate	$58.15
Max. Negotiated Rate	$2,245.28
Rate for Payer: Aetna Commercial	$184.58
Rate for Payer: BCBS Complete	$61.06
Rate for Payer: BCBS Trust/PPO	$2,245.28
Rate for Payer: Cash Price	$929.60
Rate for Payer: Cash Price	$929.60
Rate for Payer: Mclaren Medicaid	$58.15
Rate for Payer: Meridian Medicaid	$61.06
Rate for Payer: Priority Health Choice Medicaid	$58.15
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 COLORECTAL SCRN; HI RISK IND

Professional

Both

$1,162.00

Service Code	HCPCS G0105
Min. Negotiated Rate	$58.15
Max. Negotiated Rate	$2,245.28
Rate for Payer: Aetna Commercial	$184.58
Rate for Payer: BCBS Complete	$61.06
Rate for Payer: BCBS Trust/PPO	$2,245.28
Rate for Payer: Cash Price	$929.60
Rate for Payer: Cash Price	$929.60
Rate for Payer: Mclaren Medicaid	$58.15
Rate for Payer: Meridian Medicaid	$61.06
Rate for Payer: Priority Health Choice Medicaid	$58.15
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 COLORECTAL SCRN; HI RISK IND

Facility

$1,162.00

Service Code	HCPCS G0105
Hospital Charge Code	G0105
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	$813.40
Rate for Payer: Cofinity Commercial	$999.32
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 COLOR VISION XM EXTENDED ANOMALOSCOPE/EQUIV

Professional

Both

$94.00

Service Code	HCPCS 92283
Min. Negotiated Rate	$10.44
Max. Negotiated Rate	$1,441.20
Rate for Payer: Aetna Commercial	$56.23
Rate for Payer: BCBS Complete	$37.60
Rate for Payer: BCBS Trust/PPO	$1,441.20
Rate for Payer: Cash Price	$75.20
Rate for Payer: Cash Price	$75.20
Rate for Payer: Priority Health Cigna Priority Health	$65.80
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$10.44
Rate for Payer: Priority Health Narrow Network	$10.44
Rate for Payer: Priority Health SBD	$64.64

PR COLOSTOMY/SKIN LEVEL CECOSTOMY

Professional

Both

$2,642.00

Service Code	HCPCS 44320
Min. Negotiated Rate	$262.57
Max. Negotiated Rate	$2,100.24
Rate for Payer: Aetna Commercial	$1,615.18
Rate for Payer: BCBS Complete	$804.03
Rate for Payer: BCBS Trust/PPO	$262.57
Rate for Payer: Cash Price	$2,113.60
Rate for Payer: Cash Price	$2,113.60
Rate for Payer: Mclaren Medicaid	$765.74
Rate for Payer: Meridian Medicaid	$804.03
Rate for Payer: Priority Health Choice Medicaid	$765.74
Rate for Payer: Priority Health Cigna Priority Health	$1,849.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$2,100.24
Rate for Payer: Priority Health Narrow Network	$2,100.24
Rate for Payer: Priority Health SBD	$2,100.24

PR COLOSTOMY/SKN LVL CECOSTOMY W/MULT BXS SPX

Professional

Both

$2,712.00

Service Code	HCPCS 44322
Min. Negotiated Rate	$643.69
Max. Negotiated Rate	$1,898.40
Rate for Payer: Aetna Commercial	$1,358.01
Rate for Payer: BCBS Complete	$675.87
Rate for Payer: BCBS Trust/PPO	$955.17
Rate for Payer: Cash Price	$2,169.60
Rate for Payer: Cash Price	$2,169.60
Rate for Payer: Mclaren Medicaid	$643.69
Rate for Payer: Meridian Medicaid	$675.87
Rate for Payer: Priority Health Choice Medicaid	$643.69
Rate for Payer: Priority Health Cigna Priority Health	$1,898.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,770.38
Rate for Payer: Priority Health Narrow Network	$1,770.38
Rate for Payer: Priority Health SBD	$1,770.38

Know your out-of-pocket cost for care.

All Charges