Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

PR CRNEC TRANSTEMPOR EXC CEREBELLOPONTINE ANGLE TUM

Professional

Both

$7,913.00

Service Code	HCPCS 61526
Min. Negotiated Rate	$811.47
Max. Negotiated Rate	$5,687.72
Rate for Payer: Aetna Commercial	$4,323.75
Rate for Payer: BCBS Complete	$2,250.81
Rate for Payer: BCBS Trust/PPO	$811.47
Rate for Payer: Cash Price	$6,330.40
Rate for Payer: Cash Price	$6,330.40
Rate for Payer: Mclaren Medicaid	$2,143.63
Rate for Payer: Meridian Medicaid	$2,250.81
Rate for Payer: Priority Health Choice Medicaid	$2,143.63
Rate for Payer: Priority Health Cigna Priority Health	$5,539.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$5,687.72
Rate for Payer: Priority Health Narrow Network	$5,687.72
Rate for Payer: Priority Health SBD	$5,687.72

PR CRNEC TREPHINE BONE FLAP BRAIN ABSC SUPRATENTOR

Professional

Both

$3,944.12

Service Code	HCPCS 61514
Min. Negotiated Rate	$137.36
Max. Negotiated Rate	$3,279.57
Rate for Payer: Aetna Commercial	$2,471.98
Rate for Payer: BCBS Complete	$1,304.33
Rate for Payer: BCBS Trust/PPO	$137.36
Rate for Payer: Cash Price	$3,155.30
Rate for Payer: Cash Price	$3,155.30
Rate for Payer: Mclaren Medicaid	$1,242.22
Rate for Payer: Meridian Medicaid	$1,304.33
Rate for Payer: Priority Health Choice Medicaid	$1,242.22
Rate for Payer: Priority Health Cigna Priority Health	$2,760.88
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$3,279.57
Rate for Payer: Priority Health Narrow Network	$3,279.57
Rate for Payer: Priority Health SBD	$3,279.57

PR CRNEC TREPHINE BONE FLAP FENEST CYST SUPRATENTOR

Professional

Both

$6,977.00

Service Code	HCPCS 61516
Min. Negotiated Rate	$108.83
Max. Negotiated Rate	$4,883.90
Rate for Payer: Aetna Commercial	$2,419.47
Rate for Payer: BCBS Complete	$1,277.93
Rate for Payer: BCBS Trust/PPO	$108.83
Rate for Payer: Cash Price	$5,581.60
Rate for Payer: Cash Price	$5,581.60
Rate for Payer: Mclaren Medicaid	$1,217.08
Rate for Payer: Meridian Medicaid	$1,277.93
Rate for Payer: Priority Health Choice Medicaid	$1,217.08
Rate for Payer: Priority Health Cigna Priority Health	$4,883.90
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$3,200.86
Rate for Payer: Priority Health Narrow Network	$3,200.86
Rate for Payer: Priority Health SBD	$3,200.86

PR CRNEC TREPHINE BONE FLAP MENINGIOMA SUPRATENTOR

Professional

Both

$5,279.00

Service Code	HCPCS 61512
Min. Negotiated Rate	$223.47
Max. Negotiated Rate	$4,360.48
Rate for Payer: Aetna Commercial	$3,299.75
Rate for Payer: BCBS Complete	$1,735.52
Rate for Payer: BCBS Trust/PPO	$223.47
Rate for Payer: Cash Price	$4,223.20
Rate for Payer: Cash Price	$4,223.20
Rate for Payer: Mclaren Medicaid	$1,652.88
Rate for Payer: Meridian Medicaid	$1,735.52
Rate for Payer: Priority Health Choice Medicaid	$1,652.88
Rate for Payer: Priority Health Cigna Priority Health	$3,695.30
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$4,360.48
Rate for Payer: Priority Health Narrow Network	$4,360.48
Rate for Payer: Priority Health SBD	$4,360.48

PR CRNEC TUM INFRATTL/PFOSSA MIDLINE TUM BASE SKULL

Professional

Both

$10,231.00

Service Code	HCPCS 61521
Min. Negotiated Rate	$1,168.07
Max. Negotiated Rate	$7,161.70
Rate for Payer: Aetna Commercial	$4,087.42
Rate for Payer: BCBS Complete	$2,157.55
Rate for Payer: BCBS Trust/PPO	$1,168.07
Rate for Payer: Cash Price	$8,184.80
Rate for Payer: Cash Price	$8,184.80
Rate for Payer: Mclaren Medicaid	$2,054.81
Rate for Payer: Meridian Medicaid	$2,157.55
Rate for Payer: Priority Health Choice Medicaid	$2,054.81
Rate for Payer: Priority Health Cigna Priority Health	$7,161.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$5,404.03
Rate for Payer: Priority Health Narrow Network	$5,404.03
Rate for Payer: Priority Health SBD	$5,404.03

PR CRNEC TUM INFRATTL/POSTFOSSA CRBLOPNT ANGLE TUM

Professional

Both

$8,556.00

Service Code	HCPCS 61520
Min. Negotiated Rate	$1,140.60
Max. Negotiated Rate	$6,360.39
Rate for Payer: Aetna Commercial	$4,834.96
Rate for Payer: BCBS Complete	$2,516.06
Rate for Payer: BCBS Trust/PPO	$1,140.60
Rate for Payer: Cash Price	$6,844.80
Rate for Payer: Cash Price	$6,844.80
Rate for Payer: Mclaren Medicaid	$2,396.25
Rate for Payer: Meridian Medicaid	$2,516.06
Rate for Payer: Priority Health Choice Medicaid	$2,396.25
Rate for Payer: Priority Health Cigna Priority Health	$5,989.20
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$6,360.39
Rate for Payer: Priority Health Narrow Network	$6,360.39
Rate for Payer: Priority Health SBD	$6,360.39

PR CRTJ ARVEN FSTL XCP DIR ARVEN ANAST AUTOG GRF

Professional

Both

$2,713.00

Service Code	HCPCS 36825
Min. Negotiated Rate	$496.72
Max. Negotiated Rate	$1,899.10
Rate for Payer: Aetna Commercial	$1,067.63
Rate for Payer: BCBS Complete	$521.56
Rate for Payer: BCBS Trust/PPO	$1,014.86
Rate for Payer: Cash Price	$2,170.40
Rate for Payer: Cash Price	$2,170.40
Rate for Payer: Mclaren Medicaid	$496.72
Rate for Payer: Meridian Medicaid	$521.56
Rate for Payer: Priority Health Choice Medicaid	$496.72
Rate for Payer: Priority Health Cigna Priority Health	$1,899.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,236.27
Rate for Payer: Priority Health Narrow Network	$1,236.27
Rate for Payer: Priority Health SBD	$1,236.27

PR CRTJ ARVEN FSTL XCP DIR ARVEN ANAST NONAUTOG GRF

Professional

Both

$1,353.00

Service Code	HCPCS 36830
Min. Negotiated Rate	$417.05
Max. Negotiated Rate	$1,037.85
Rate for Payer: Aetna Commercial	$894.72
Rate for Payer: BCBS Complete	$437.90
Rate for Payer: BCBS Trust/PPO	$967.85
Rate for Payer: Cash Price	$1,082.40
Rate for Payer: Cash Price	$1,082.40
Rate for Payer: Mclaren Medicaid	$417.05
Rate for Payer: Meridian Medicaid	$437.90
Rate for Payer: Priority Health Choice Medicaid	$417.05
Rate for Payer: Priority Health Cigna Priority Health	$947.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,037.85
Rate for Payer: Priority Health Narrow Network	$1,037.85
Rate for Payer: Priority Health SBD	$1,037.85

PR CRTJ DSTL ARVEN FSTL LXTR BYP SURG NON-HEMO

Professional

Both

$335.00

Service Code	HCPCS 35686
Min. Negotiated Rate	$99.68
Max. Negotiated Rate	$1,316.52
Rate for Payer: Aetna Commercial	$216.51
Rate for Payer: BCBS Complete	$104.66
Rate for Payer: BCBS Trust/PPO	$1,316.52
Rate for Payer: Cash Price	$268.00
Rate for Payer: Cash Price	$268.00
Rate for Payer: Mclaren Medicaid	$99.68
Rate for Payer: Meridian Medicaid	$104.66
Rate for Payer: Priority Health Choice Medicaid	$99.68
Rate for Payer: Priority Health Cigna Priority Health	$234.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$248.42
Rate for Payer: Priority Health Narrow Network	$248.42
Rate for Payer: Priority Health SBD	$248.42

PR CRTJ PERICARDIAL WINDOW/PRTL RESECJ W/DRG/BX

Professional

Both

$2,500.00

Service Code	HCPCS 33025
Min. Negotiated Rate	$485.85
Max. Negotiated Rate	$1,750.00
Rate for Payer: Aetna Commercial	$1,030.99
Rate for Payer: BCBS Complete	$510.14
Rate for Payer: BCBS Trust/PPO	$724.83
Rate for Payer: Cash Price	$2,000.00
Rate for Payer: Cash Price	$2,000.00
Rate for Payer: Mclaren Medicaid	$485.85
Rate for Payer: Meridian Medicaid	$510.14
Rate for Payer: Priority Health Choice Medicaid	$485.85
Rate for Payer: Priority Health Cigna Priority Health	$1,750.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,206.48
Rate for Payer: Priority Health Narrow Network	$1,206.48
Rate for Payer: Priority Health SBD	$1,206.48

PR CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL/OTH W/LAM

Professional

Both

$4,279.00

Service Code	HCPCS 63740
Min. Negotiated Rate	$254.64
Max. Negotiated Rate	$2,995.30
Rate for Payer: Aetna Commercial	$1,267.15
Rate for Payer: BCBS Complete	$676.77
Rate for Payer: BCBS Trust/PPO	$254.64
Rate for Payer: Cash Price	$3,423.20
Rate for Payer: Cash Price	$3,423.20
Rate for Payer: Mclaren Medicaid	$644.54
Rate for Payer: Meridian Medicaid	$676.77
Rate for Payer: Priority Health Choice Medicaid	$644.54
Rate for Payer: Priority Health Cigna Priority Health	$2,995.30
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,695.84
Rate for Payer: Priority Health Narrow Network	$1,695.84
Rate for Payer: Priority Health SBD	$1,695.84

PR CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL PRQ X LAM

Professional

Both

$2,356.00

Service Code	HCPCS 63741
Min. Negotiated Rate	$248.83
Max. Negotiated Rate	$1,649.20
Rate for Payer: Aetna Commercial	$868.81
Rate for Payer: BCBS Complete	$466.98
Rate for Payer: BCBS Trust/PPO	$248.83
Rate for Payer: Cash Price	$1,884.80
Rate for Payer: Cash Price	$1,884.80
Rate for Payer: Mclaren Medicaid	$444.74
Rate for Payer: Meridian Medicaid	$466.98
Rate for Payer: Priority Health Choice Medicaid	$444.74
Rate for Payer: Priority Health Cigna Priority Health	$1,649.20
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,179.44
Rate for Payer: Priority Health Narrow Network	$1,179.44
Rate for Payer: Priority Health SBD	$1,179.44

PR CRTJ SHUNT SARACH/SDRL-PRTL-PLEURAL OTH

Professional

Both

$5,740.00

Service Code	HCPCS 62192
Min. Negotiated Rate	$478.64
Max. Negotiated Rate	$4,018.00
Rate for Payer: Aetna Commercial	$1,267.26
Rate for Payer: BCBS Complete	$681.02
Rate for Payer: BCBS Trust/PPO	$478.64
Rate for Payer: Cash Price	$4,592.00
Rate for Payer: Cash Price	$4,592.00
Rate for Payer: Mclaren Medicaid	$648.59
Rate for Payer: Meridian Medicaid	$681.02
Rate for Payer: Priority Health Choice Medicaid	$648.59
Rate for Payer: Priority Health Cigna Priority Health	$4,018.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,672.63
Rate for Payer: Priority Health Narrow Network	$1,672.63
Rate for Payer: Priority Health SBD	$1,672.63

PR CRTJ SHUNT VENTRICULO-ATR-JUG-AUR

Professional

Both

$4,966.00

Service Code	HCPCS 62220
Min. Negotiated Rate	$633.46
Max. Negotiated Rate	$3,476.20
Rate for Payer: Aetna Commercial	$1,269.68
Rate for Payer: BCBS Complete	$665.13
Rate for Payer: BCBS Trust/PPO	$1,359.32
Rate for Payer: Cash Price	$3,972.80
Rate for Payer: Cash Price	$3,972.80
Rate for Payer: Mclaren Medicaid	$633.46
Rate for Payer: Meridian Medicaid	$665.13
Rate for Payer: Priority Health Choice Medicaid	$633.46
Rate for Payer: Priority Health Cigna Priority Health	$3,476.20
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,657.34
Rate for Payer: Priority Health Narrow Network	$1,657.34
Rate for Payer: Priority Health SBD	$1,657.34

PR CRTJ SHUNT VENTRICULO-PERITNEAL-PLEURAL TERMINUS

Professional

Both

$4,952.00

Service Code	HCPCS 62223
Min. Negotiated Rate	$672.23
Max. Negotiated Rate	$3,466.40
Rate for Payer: Aetna Commercial	$1,340.52
Rate for Payer: BCBS Complete	$705.84
Rate for Payer: BCBS Trust/PPO	$1,466.56
Rate for Payer: Cash Price	$3,961.60
Rate for Payer: Cash Price	$3,961.60
Rate for Payer: Mclaren Medicaid	$672.23
Rate for Payer: Meridian Medicaid	$705.84
Rate for Payer: Priority Health Choice Medicaid	$672.23
Rate for Payer: Priority Health Cigna Priority Health	$3,466.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,775.67
Rate for Payer: Priority Health Narrow Network	$1,775.67
Rate for Payer: Priority Health SBD	$1,775.67

PR CRX RPR DURAL/CSF LEAK RHINORRHEA/OTORRHEA

Professional

Both

$7,105.00

Service Code	HCPCS 62100
Min. Negotiated Rate	$1,018.35
Max. Negotiated Rate	$4,973.50
Rate for Payer: Aetna Commercial	$2,017.87
Rate for Payer: BCBS Complete	$1,069.27
Rate for Payer: BCBS Trust/PPO	$2,294.41
Rate for Payer: Cash Price	$5,684.00
Rate for Payer: Cash Price	$5,684.00
Rate for Payer: Mclaren Medicaid	$1,018.35
Rate for Payer: Meridian Medicaid	$1,069.27
Rate for Payer: Priority Health Choice Medicaid	$1,018.35
Rate for Payer: Priority Health Cigna Priority Health	$4,973.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$2,681.07
Rate for Payer: Priority Health Narrow Network	$2,681.07
Rate for Payer: Priority Health SBD	$2,681.07

PR CRYOSURGICAL ABLATION PROSTATE W/US & MONITORI

Professional

Both

$2,027.00

Service Code	HCPCS 55873
Min. Negotiated Rate	$486.49
Max. Negotiated Rate	$1,980.07
Rate for Payer: Aetna Commercial	$980.44
Rate for Payer: BCBS Complete	$510.81
Rate for Payer: BCBS Trust/PPO	$1,980.07
Rate for Payer: Cash Price	$1,621.60
Rate for Payer: Cash Price	$1,621.60
Rate for Payer: Mclaren Medicaid	$486.49
Rate for Payer: Meridian Medicaid	$510.81
Rate for Payer: Priority Health Choice Medicaid	$486.49
Rate for Payer: Priority Health Cigna Priority Health	$1,418.90
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,219.05
Rate for Payer: Priority Health Narrow Network	$1,219.05
Rate for Payer: Priority Health SBD	$1,219.05

PR CRYOTHERAPY CO2 SLUSH LIQUID N2 ACNE

Professional

Both

$101.00

Service Code	HCPCS 17340
Min. Negotiated Rate	$31.31
Max. Negotiated Rate	$145.43
Rate for Payer: Aetna Commercial	$52.87
Rate for Payer: BCBS Complete	$32.88
Rate for Payer: BCBS Trust/PPO	$145.43
Rate for Payer: Cash Price	$80.80
Rate for Payer: Cash Price	$80.80
Rate for Payer: Mclaren Medicaid	$31.31
Rate for Payer: Meridian Medicaid	$32.88
Rate for Payer: Priority Health Choice Medicaid	$31.31
Rate for Payer: Priority Health Cigna Priority Health	$70.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$60.42
Rate for Payer: Priority Health Narrow Network	$60.42
Rate for Payer: Priority Health SBD	$60.42

PR CSTC COMPL W/CONDUIT/SIGMOID BLDR PEL LMPHADEC

Professional

Both

$4,470.58

Service Code	HCPCS 51595
Min. Negotiated Rate	$1,378.75
Max. Negotiated Rate	$3,462.61
Rate for Payer: Aetna Commercial	$2,809.09
Rate for Payer: BCBS Complete	$1,447.69
Rate for Payer: BCBS Trust/PPO	$2,019.16
Rate for Payer: Cash Price	$3,576.46
Rate for Payer: Cash Price	$3,576.46
Rate for Payer: Mclaren Medicaid	$1,378.75
Rate for Payer: Meridian Medicaid	$1,447.69
Rate for Payer: Priority Health Choice Medicaid	$1,378.75
Rate for Payer: Priority Health Cigna Priority Health	$3,129.41
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$3,462.61
Rate for Payer: Priority Health Narrow Network	$3,462.61
Rate for Payer: Priority Health SBD	$3,462.61

PR CSTC COMPL W/CONTINENT DVRJ OPN NEOBLDR

Professional

Both

$4,810.00

Service Code	HCPCS 51596
Min. Negotiated Rate	$1,485.89
Max. Negotiated Rate	$3,738.20
Rate for Payer: Aetna Commercial	$3,025.03
Rate for Payer: BCBS Complete	$1,560.18
Rate for Payer: BCBS Trust/PPO	$2,189.80
Rate for Payer: Cash Price	$3,848.00
Rate for Payer: Cash Price	$3,848.00
Rate for Payer: Mclaren Medicaid	$1,485.89
Rate for Payer: Meridian Medicaid	$1,560.18
Rate for Payer: Priority Health Choice Medicaid	$1,485.89
Rate for Payer: Priority Health Cigna Priority Health	$3,367.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$3,738.20
Rate for Payer: Priority Health Narrow Network	$3,738.20
Rate for Payer: Priority Health SBD	$3,738.20

PR CSTC COMPL W/URTROILEAL CONDUIT/BLDR W/INT ANAST

Professional

Both

$4,815.00

Service Code	HCPCS 51590
Min. Negotiated Rate	$1,217.93
Max. Negotiated Rate	$3,370.50
Rate for Payer: Aetna Commercial	$2,483.67
Rate for Payer: BCBS Complete	$1,278.83
Rate for Payer: BCBS Trust/PPO	$2,561.73
Rate for Payer: Cash Price	$3,852.00
Rate for Payer: Cash Price	$3,852.00
Rate for Payer: Mclaren Medicaid	$1,217.93
Rate for Payer: Meridian Medicaid	$1,278.83
Rate for Payer: Priority Health Choice Medicaid	$1,217.93
Rate for Payer: Priority Health Cigna Priority Health	$3,370.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$3,060.04
Rate for Payer: Priority Health Narrow Network	$3,060.04
Rate for Payer: Priority Health SBD	$3,060.04

PR CSTOPLASTY/CSTOURTP PLSTC ANY

Professional

Both

$1,113.00

Service Code	HCPCS 51800
Min. Negotiated Rate	$658.17
Max. Negotiated Rate	$3,574.48
Rate for Payer: Aetna Commercial	$1,338.27
Rate for Payer: BCBS Complete	$691.08
Rate for Payer: BCBS Trust/PPO	$3,574.48
Rate for Payer: Cash Price	$890.40
Rate for Payer: Cash Price	$890.40
Rate for Payer: Mclaren Medicaid	$658.17
Rate for Payer: Meridian Medicaid	$691.08
Rate for Payer: Priority Health Choice Medicaid	$658.17
Rate for Payer: Priority Health Cigna Priority Health	$779.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,651.33
Rate for Payer: Priority Health Narrow Network	$1,651.33
Rate for Payer: Priority Health SBD	$1,651.33

PR CSTOURTP W/UNI/BI URTRONEOCSTOST

Professional

Both

$2,370.00

Service Code	HCPCS 51820
Min. Negotiated Rate	$688.20
Max. Negotiated Rate	$4,989.27
Rate for Payer: Aetna Commercial	$1,392.31
Rate for Payer: BCBS Complete	$722.61
Rate for Payer: BCBS Trust/PPO	$4,989.27
Rate for Payer: Cash Price	$1,896.00
Rate for Payer: Cash Price	$1,896.00
Rate for Payer: Mclaren Medicaid	$688.20
Rate for Payer: Meridian Medicaid	$722.61
Rate for Payer: Priority Health Choice Medicaid	$688.20
Rate for Payer: Priority Health Cigna Priority Health	$1,659.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,726.45
Rate for Payer: Priority Health Narrow Network	$1,726.45
Rate for Payer: Priority Health SBD	$1,726.45

PR CTRL NASOPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ

Professional

Both

$919.00

Service Code	HCPCS 42972
Min. Negotiated Rate	$252.53
Max. Negotiated Rate	$896.66
Rate for Payer: Aetna Commercial	$670.67
Rate for Payer: BCBS Complete	$343.08
Rate for Payer: BCBS Trust/PPO	$252.53
Rate for Payer: Cash Price	$735.20
Rate for Payer: Cash Price	$735.20
Rate for Payer: Mclaren Medicaid	$326.74
Rate for Payer: Meridian Medicaid	$343.08
Rate for Payer: Priority Health Choice Medicaid	$326.74
Rate for Payer: Priority Health Cigna Priority Health	$643.30
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$896.66
Rate for Payer: Priority Health Narrow Network	$896.66
Rate for Payer: Priority Health SBD	$896.66

PR CTRL NASOPHARYNGEAL HEMRRG SMPL W/PST NSL PACKS

Professional

Both

$734.00

Service Code	HCPCS 42970
Min. Negotiated Rate	$265.61
Max. Negotiated Rate	$727.90
Rate for Payer: Aetna Commercial	$542.75
Rate for Payer: BCBS Complete	$278.89
Rate for Payer: BCBS Trust/PPO	$313.28
Rate for Payer: Cash Price	$587.20
Rate for Payer: Cash Price	$587.20
Rate for Payer: Mclaren Medicaid	$265.61
Rate for Payer: Meridian Medicaid	$278.89
Rate for Payer: Priority Health Choice Medicaid	$265.61
Rate for Payer: Priority Health Cigna Priority Health	$513.80
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$727.90
Rate for Payer: Priority Health Narrow Network	$727.90
Rate for Payer: Priority Health SBD	$727.90

Know your out-of-pocket cost for care.

All Charges