Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

PR DIR RPR ANEURYSM ABDOMINAL AORTA

Professional

Both

$5,571.00

Service Code	HCPCS 35081
Min. Negotiated Rate	$1,079.27
Max. Negotiated Rate	$3,899.70
Rate for Payer: Aetna Commercial	$2,327.67
Rate for Payer: BCBS Complete	$1,133.23
Rate for Payer: BCBS Trust/PPO	$2,076.67
Rate for Payer: Cash Price	$4,456.80
Rate for Payer: Cash Price	$4,456.80
Rate for Payer: Mclaren Medicaid	$1,079.27
Rate for Payer: Meridian Medicaid	$1,133.23
Rate for Payer: Priority Health Choice Medicaid	$1,079.27
Rate for Payer: Priority Health Cigna Priority Health	$3,899.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$2,685.85
Rate for Payer: Priority Health Narrow Network	$2,685.85
Rate for Payer: Priority Health SBD	$2,685.85

PR DIR RPR ANEURYSM AXIL-BRACHIAL ARM INCISION

Professional

Both

$3,647.00

Service Code	HCPCS 35011
Min. Negotiated Rate	$632.18
Max. Negotiated Rate	$2,552.90
Rate for Payer: Aetna Commercial	$1,351.29
Rate for Payer: BCBS Complete	$663.79
Rate for Payer: BCBS Trust/PPO	$767.09
Rate for Payer: Cash Price	$2,917.60
Rate for Payer: Cash Price	$2,917.60
Rate for Payer: Mclaren Medicaid	$632.18
Rate for Payer: Meridian Medicaid	$663.79
Rate for Payer: Priority Health Choice Medicaid	$632.18
Rate for Payer: Priority Health Cigna Priority Health	$2,552.90
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,572.99
Rate for Payer: Priority Health Narrow Network	$1,572.99
Rate for Payer: Priority Health SBD	$1,572.99

PR DIR RPR ANEURYSM CAROTID-SUBCLAVIAN ARTERY

Professional

Both

$2,170.00

Service Code	HCPCS 35001
Min. Negotiated Rate	$701.41
Max. Negotiated Rate	$2,601.88
Rate for Payer: Aetna Commercial	$1,514.12
Rate for Payer: BCBS Complete	$736.48
Rate for Payer: BCBS Trust/PPO	$2,601.88
Rate for Payer: Cash Price	$1,736.00
Rate for Payer: Cash Price	$1,736.00
Rate for Payer: Mclaren Medicaid	$701.41
Rate for Payer: Meridian Medicaid	$736.48
Rate for Payer: Priority Health Choice Medicaid	$701.41
Rate for Payer: Priority Health Cigna Priority Health	$1,519.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,750.14
Rate for Payer: Priority Health Narrow Network	$1,750.14
Rate for Payer: Priority Health SBD	$1,750.14

PR DIR RPR ANEURYSM & GRAFT COMMON FEMORAL ARTERY

Professional

Both

$2,133.00

Service Code	HCPCS 35141
Min. Negotiated Rate	$381.43
Max. Negotiated Rate	$1,698.54
Rate for Payer: Aetna Commercial	$1,476.41
Rate for Payer: BCBS Complete	$715.68
Rate for Payer: BCBS Trust/PPO	$381.43
Rate for Payer: Cash Price	$1,706.40
Rate for Payer: Cash Price	$1,706.40
Rate for Payer: Mclaren Medicaid	$681.60
Rate for Payer: Meridian Medicaid	$715.68
Rate for Payer: Priority Health Choice Medicaid	$681.60
Rate for Payer: Priority Health Cigna Priority Health	$1,493.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,698.54
Rate for Payer: Priority Health Narrow Network	$1,698.54
Rate for Payer: Priority Health SBD	$1,698.54

PR DIR RPR ANEURYSM & GRAFT ILIAC ARTERY

Professional

Both

$4,858.00

Service Code	HCPCS 35131
Min. Negotiated Rate	$862.22
Max. Negotiated Rate	$3,400.60
Rate for Payer: Aetna Commercial	$1,850.09
Rate for Payer: BCBS Complete	$905.33
Rate for Payer: BCBS Trust/PPO	$1,490.86
Rate for Payer: Cash Price	$3,886.40
Rate for Payer: Cash Price	$3,886.40
Rate for Payer: Mclaren Medicaid	$862.22
Rate for Payer: Meridian Medicaid	$905.33
Rate for Payer: Priority Health Choice Medicaid	$862.22
Rate for Payer: Priority Health Cigna Priority Health	$3,400.60
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$2,140.06
Rate for Payer: Priority Health Narrow Network	$2,140.06
Rate for Payer: Priority Health SBD	$2,140.06

PR DIR RPR ANEURYSM & GRAFT POPLITEAL ARTERY

Professional

Both

$2,409.00

Service Code	HCPCS 35151
Min. Negotiated Rate	$774.89
Max. Negotiated Rate	$1,924.09
Rate for Payer: Aetna Commercial	$1,658.62
Rate for Payer: BCBS Complete	$813.63
Rate for Payer: BCBS Trust/PPO	$1,760.30
Rate for Payer: Cash Price	$1,927.20
Rate for Payer: Cash Price	$1,927.20
Rate for Payer: Mclaren Medicaid	$774.89
Rate for Payer: Meridian Medicaid	$813.63
Rate for Payer: Priority Health Choice Medicaid	$774.89
Rate for Payer: Priority Health Cigna Priority Health	$1,686.30
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,924.09
Rate for Payer: Priority Health Narrow Network	$1,924.09
Rate for Payer: Priority Health SBD	$1,924.09

PR DIR RPR ANEURYSM HEPATIC/CELIAC/RENAL/MESENTERIC

Professional

Both

$3,133.00

Service Code	HCPCS 35121
Min. Negotiated Rate	$283.70
Max. Negotiated Rate	$2,451.26
Rate for Payer: Aetna Commercial	$2,126.67
Rate for Payer: BCBS Complete	$1,035.05
Rate for Payer: BCBS Trust/PPO	$283.70
Rate for Payer: Cash Price	$2,506.40
Rate for Payer: Cash Price	$2,506.40
Rate for Payer: Mclaren Medicaid	$985.76
Rate for Payer: Meridian Medicaid	$1,035.05
Rate for Payer: Priority Health Choice Medicaid	$985.76
Rate for Payer: Priority Health Cigna Priority Health	$2,193.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$2,451.26
Rate for Payer: Priority Health Narrow Network	$2,451.26
Rate for Payer: Priority Health SBD	$2,451.26

PR DIR RPR ANEURYSM SPLENIC ARTERY

Professional

Both

$2,720.00

Service Code	HCPCS 35111
Min. Negotiated Rate	$829.42
Max. Negotiated Rate	$2,062.94
Rate for Payer: Aetna Commercial	$1,786.57
Rate for Payer: BCBS Complete	$870.89
Rate for Payer: BCBS Trust/PPO	$1,182.86
Rate for Payer: Cash Price	$2,176.00
Rate for Payer: Cash Price	$2,176.00
Rate for Payer: Mclaren Medicaid	$829.42
Rate for Payer: Meridian Medicaid	$870.89
Rate for Payer: Priority Health Choice Medicaid	$829.42
Rate for Payer: Priority Health Cigna Priority Health	$1,904.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$2,062.94
Rate for Payer: Priority Health Narrow Network	$2,062.94
Rate for Payer: Priority Health SBD	$2,062.94

PR DIR RPR RUPTD ANEURSM ABDOM AORTA W/VISCERA VSLS

Professional

Both

$5,390.00

Service Code	HCPCS 35092
Min. Negotiated Rate	$1,617.31
Max. Negotiated Rate	$4,007.77
Rate for Payer: Aetna Commercial	$3,485.74
Rate for Payer: BCBS Complete	$1,698.18
Rate for Payer: BCBS Trust/PPO	$2,136.58
Rate for Payer: Cash Price	$4,312.00
Rate for Payer: Cash Price	$4,312.00
Rate for Payer: Mclaren Medicaid	$1,617.31
Rate for Payer: Meridian Medicaid	$1,698.18
Rate for Payer: Priority Health Choice Medicaid	$1,617.31
Rate for Payer: Priority Health Cigna Priority Health	$3,773.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$4,007.77
Rate for Payer: Priority Health Narrow Network	$4,007.77
Rate for Payer: Priority Health SBD	$4,007.77

PR DIR RPR RUPTD ANEURSM HEPATIC/CELIAC/RENAL/MESEN

Professional

Both

$3,783.00

Service Code	HCPCS 35122
Min. Negotiated Rate	$1,178.96
Max. Negotiated Rate	$2,930.03
Rate for Payer: Aetna Commercial	$2,544.07
Rate for Payer: BCBS Complete	$1,237.91
Rate for Payer: BCBS Trust/PPO	$1,197.66
Rate for Payer: Cash Price	$3,026.40
Rate for Payer: Cash Price	$3,026.40
Rate for Payer: Mclaren Medicaid	$1,178.96
Rate for Payer: Meridian Medicaid	$1,237.91
Rate for Payer: Priority Health Choice Medicaid	$1,178.96
Rate for Payer: Priority Health Cigna Priority Health	$2,648.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$2,930.03
Rate for Payer: Priority Health Narrow Network	$2,930.03
Rate for Payer: Priority Health SBD	$2,930.03

PR DIR RPR RUPTD ANEURYSM ABDOM AORTA W/ILIAC VSLS

Professional

Both

$3,490.00

Service Code	HCPCS 35103
Min. Negotiated Rate	$621.81
Max. Negotiated Rate	$3,446.55
Rate for Payer: Aetna Commercial	$2,999.96
Rate for Payer: BCBS Complete	$1,450.38
Rate for Payer: BCBS Trust/PPO	$621.81
Rate for Payer: Cash Price	$2,792.00
Rate for Payer: Cash Price	$2,792.00
Rate for Payer: Mclaren Medicaid	$1,381.31
Rate for Payer: Meridian Medicaid	$1,450.38
Rate for Payer: Priority Health Choice Medicaid	$1,381.31
Rate for Payer: Priority Health Cigna Priority Health	$2,443.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$3,446.55
Rate for Payer: Priority Health Narrow Network	$3,446.55
Rate for Payer: Priority Health SBD	$3,446.55

PR DIR RPR RUPTD ANEURYSM ABDOMINAL AORTA

Professional

Both

$4,202.00

Service Code	HCPCS 35082
Min. Negotiated Rate	$750.19
Max. Negotiated Rate	$3,356.12
Rate for Payer: Aetna Commercial	$2,925.76
Rate for Payer: BCBS Complete	$1,414.59
Rate for Payer: BCBS Trust/PPO	$750.19
Rate for Payer: Cash Price	$3,361.60
Rate for Payer: Cash Price	$3,361.60
Rate for Payer: Mclaren Medicaid	$1,347.23
Rate for Payer: Meridian Medicaid	$1,414.59
Rate for Payer: Priority Health Choice Medicaid	$1,347.23
Rate for Payer: Priority Health Cigna Priority Health	$2,941.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$3,356.12
Rate for Payer: Priority Health Narrow Network	$3,356.12
Rate for Payer: Priority Health SBD	$3,356.12

PR DIR RPR RUPTD ANEURYSM AXIL-BRACHIAL ARM INCIS

Professional

Both

$3,850.00

Service Code	HCPCS 35013
Min. Negotiated Rate	$793.43
Max. Negotiated Rate	$2,695.00
Rate for Payer: Aetna Commercial	$1,693.49
Rate for Payer: BCBS Complete	$833.10
Rate for Payer: BCBS Trust/PPO	$1,152.22
Rate for Payer: Cash Price	$3,080.00
Rate for Payer: Cash Price	$3,080.00
Rate for Payer: Mclaren Medicaid	$793.43
Rate for Payer: Meridian Medicaid	$833.10
Rate for Payer: Priority Health Choice Medicaid	$793.43
Rate for Payer: Priority Health Cigna Priority Health	$2,695.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,976.76
Rate for Payer: Priority Health Narrow Network	$1,976.76
Rate for Payer: Priority Health SBD	$1,976.76

PR DIR RPR RUPTD ANEURYSM CAROTID-SUBCLAVIAN ARTERY

Professional

Both

$2,492.00

Service Code	HCPCS 35002
Min. Negotiated Rate	$711.21
Max. Negotiated Rate	$2,959.01
Rate for Payer: Aetna Commercial	$1,529.14
Rate for Payer: BCBS Complete	$746.77
Rate for Payer: BCBS Trust/PPO	$2,959.01
Rate for Payer: Cash Price	$1,993.60
Rate for Payer: Cash Price	$1,993.60
Rate for Payer: Mclaren Medicaid	$711.21
Rate for Payer: Meridian Medicaid	$746.77
Rate for Payer: Priority Health Choice Medicaid	$711.21
Rate for Payer: Priority Health Cigna Priority Health	$1,744.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,767.16
Rate for Payer: Priority Health Narrow Network	$1,767.16
Rate for Payer: Priority Health SBD	$1,767.16

PR DIR RPR RUPTD ANEURYSM & GRAFT ILIAC ARTERY

Professional

Both

$3,384.00

Service Code	HCPCS 35132
Min. Negotiated Rate	$1,019.21
Max. Negotiated Rate	$2,534.79
Rate for Payer: Aetna Commercial	$2,198.85
Rate for Payer: BCBS Complete	$1,070.17
Rate for Payer: BCBS Trust/PPO	$2,010.18
Rate for Payer: Cash Price	$2,707.20
Rate for Payer: Cash Price	$2,707.20
Rate for Payer: Mclaren Medicaid	$1,019.21
Rate for Payer: Meridian Medicaid	$1,070.17
Rate for Payer: Priority Health Choice Medicaid	$1,019.21
Rate for Payer: Priority Health Cigna Priority Health	$2,368.80
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$2,534.79
Rate for Payer: Priority Health Narrow Network	$2,534.79
Rate for Payer: Priority Health SBD	$2,534.79

PR DIR RPR RUPTD ANEURYSM & GRF COMMON FEMORAL ART

Professional

Both

$2,559.00

Service Code	HCPCS 35142
Min. Negotiated Rate	$571.62
Max. Negotiated Rate	$2,051.23
Rate for Payer: Aetna Commercial	$1,780.33
Rate for Payer: BCBS Complete	$864.41
Rate for Payer: BCBS Trust/PPO	$571.62
Rate for Payer: Cash Price	$2,047.20
Rate for Payer: Cash Price	$2,047.20
Rate for Payer: Mclaren Medicaid	$823.25
Rate for Payer: Meridian Medicaid	$864.41
Rate for Payer: Priority Health Choice Medicaid	$823.25
Rate for Payer: Priority Health Cigna Priority Health	$1,791.30
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$2,051.23
Rate for Payer: Priority Health Narrow Network	$2,051.23
Rate for Payer: Priority Health SBD	$2,051.23

PR DIR RPR RUPTD ANEURYSM & GRF POPLITEAL ARTERY

Professional

Both

$2,683.00

Service Code	HCPCS 35152
Min. Negotiated Rate	$872.02
Max. Negotiated Rate	$2,435.46
Rate for Payer: Aetna Commercial	$1,879.21
Rate for Payer: BCBS Complete	$915.62
Rate for Payer: BCBS Trust/PPO	$2,435.46
Rate for Payer: Cash Price	$2,146.40
Rate for Payer: Cash Price	$2,146.40
Rate for Payer: Mclaren Medicaid	$872.02
Rate for Payer: Meridian Medicaid	$915.62
Rate for Payer: Priority Health Choice Medicaid	$872.02
Rate for Payer: Priority Health Cigna Priority Health	$1,878.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$2,168.79
Rate for Payer: Priority Health Narrow Network	$2,168.79
Rate for Payer: Priority Health SBD	$2,168.79

PR DIR RPR RUPTD ANEURYSM RADIAL/ULNAR ARTERY

Professional

Both

$3,357.00

Service Code	HCPCS 35045
Min. Negotiated Rate	$606.84
Max. Negotiated Rate	$2,349.90
Rate for Payer: Aetna Commercial	$1,308.16
Rate for Payer: BCBS Complete	$637.18
Rate for Payer: BCBS Trust/PPO	$1,582.22
Rate for Payer: Cash Price	$2,685.60
Rate for Payer: Cash Price	$2,685.60
Rate for Payer: Mclaren Medicaid	$606.84
Rate for Payer: Meridian Medicaid	$637.18
Rate for Payer: Priority Health Choice Medicaid	$606.84
Rate for Payer: Priority Health Cigna Priority Health	$2,349.90
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,512.35
Rate for Payer: Priority Health Narrow Network	$1,512.35
Rate for Payer: Priority Health SBD	$1,512.35

PR DISARTICULATION HIP

Professional

Both

$5,325.00

Service Code	HCPCS 27295
Min. Negotiated Rate	$808.12
Max. Negotiated Rate	$3,727.50
Rate for Payer: Aetna Commercial	$1,675.17
Rate for Payer: BCBS Complete	$848.53
Rate for Payer: BCBS Trust/PPO	$3,334.10
Rate for Payer: Cash Price	$4,260.00
Rate for Payer: Cash Price	$4,260.00
Rate for Payer: Mclaren Medicaid	$808.12
Rate for Payer: Meridian Medicaid	$848.53
Rate for Payer: Priority Health Choice Medicaid	$808.12
Rate for Payer: Priority Health Cigna Priority Health	$3,727.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,920.56
Rate for Payer: Priority Health Narrow Network	$1,920.56
Rate for Payer: Priority Health SBD	$1,920.56

PR DISARTICULATION KNEE

Professional

Both

$2,875.00

Service Code	HCPCS 27598
Min. Negotiated Rate	$442.83
Max. Negotiated Rate	$2,012.50
Rate for Payer: Aetna Commercial	$947.37
Rate for Payer: BCBS Complete	$464.97
Rate for Payer: BCBS Trust/PPO	$797.73
Rate for Payer: Cash Price	$2,300.00
Rate for Payer: Cash Price	$2,300.00
Rate for Payer: Mclaren Medicaid	$442.83
Rate for Payer: Meridian Medicaid	$464.97
Rate for Payer: Priority Health Choice Medicaid	$442.83
Rate for Payer: Priority Health Cigna Priority Health	$2,012.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,059.60
Rate for Payer: Priority Health Narrow Network	$1,059.60
Rate for Payer: Priority Health SBD	$1,059.60

PR DISARTICULATION SHOULDER

Professional

Both

$1,957.00

Service Code	HCPCS 23920
Min. Negotiated Rate	$491.15
Max. Negotiated Rate	$1,718.84
Rate for Payer: Aetna Commercial	$1,500.60
Rate for Payer: BCBS Complete	$759.07
Rate for Payer: BCBS Trust/PPO	$491.15
Rate for Payer: Cash Price	$1,565.60
Rate for Payer: Cash Price	$1,565.60
Rate for Payer: Mclaren Medicaid	$722.92
Rate for Payer: Meridian Medicaid	$759.07
Rate for Payer: Priority Health Choice Medicaid	$722.92
Rate for Payer: Priority Health Cigna Priority Health	$1,369.90
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,718.84
Rate for Payer: Priority Health Narrow Network	$1,718.84
Rate for Payer: Priority Health SBD	$1,718.84

PR DISARTICULATION THROUGH WRIST

Professional

Both

$1,404.00

Service Code	HCPCS 25920
Min. Negotiated Rate	$129.43
Max. Negotiated Rate	$1,128.03
Rate for Payer: Aetna Commercial	$967.98
Rate for Payer: BCBS Complete	$496.72
Rate for Payer: BCBS Trust/PPO	$129.43
Rate for Payer: Cash Price	$1,123.20
Rate for Payer: Cash Price	$1,123.20
Rate for Payer: Mclaren Medicaid	$473.07
Rate for Payer: Meridian Medicaid	$496.72
Rate for Payer: Priority Health Choice Medicaid	$473.07
Rate for Payer: Priority Health Cigna Priority Health	$982.80
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,128.03
Rate for Payer: Priority Health Narrow Network	$1,128.03
Rate for Payer: Priority Health SBD	$1,128.03

PR DISARTICULATION THRU WRIST RE-AMPUTATION

Professional

Both

$2,313.00

Service Code	HCPCS 25924
Min. Negotiated Rate	$69.19
Max. Negotiated Rate	$1,619.10
Rate for Payer: Aetna Commercial	$945.90
Rate for Payer: BCBS Complete	$485.32
Rate for Payer: BCBS Trust/PPO	$69.19
Rate for Payer: Cash Price	$1,850.40
Rate for Payer: Cash Price	$1,850.40
Rate for Payer: Mclaren Medicaid	$462.21
Rate for Payer: Meridian Medicaid	$485.32
Rate for Payer: Priority Health Choice Medicaid	$462.21
Rate for Payer: Priority Health Cigna Priority Health	$1,619.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,101.99
Rate for Payer: Priority Health Narrow Network	$1,101.99
Rate for Payer: Priority Health SBD	$1,101.99

PR DISCECTOMY ANT DCMPRN CORD CERVICAL 1 NTRSPC

Professional

Both

$5,633.00

Service Code	HCPCS 63075
Min. Negotiated Rate	$170.11
Max. Negotiated Rate	$3,943.10
Rate for Payer: Aetna Commercial	$1,752.58
Rate for Payer: BCBS Complete	$917.86
Rate for Payer: BCBS Trust/PPO	$170.11
Rate for Payer: Cash Price	$4,506.40
Rate for Payer: Cash Price	$4,506.40
Rate for Payer: Mclaren Medicaid	$874.15
Rate for Payer: Meridian Medicaid	$917.86
Rate for Payer: Priority Health Choice Medicaid	$874.15
Rate for Payer: Priority Health Cigna Priority Health	$3,943.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$2,312.45
Rate for Payer: Priority Health Narrow Network	$2,312.45
Rate for Payer: Priority Health SBD	$2,312.45

PR DISCECTOMY ANT DCMPRN CORD CERVICAL EA NTRSPC

Professional

Both

$1,890.00

Service Code	HCPCS 63076
Min. Negotiated Rate	$153.79
Max. Negotiated Rate	$1,323.00
Rate for Payer: Aetna Commercial	$316.56
Rate for Payer: BCBS Complete	$161.48
Rate for Payer: BCBS Trust/PPO	$174.34
Rate for Payer: Cash Price	$1,512.00
Rate for Payer: Cash Price	$1,512.00
Rate for Payer: Mclaren Medicaid	$153.79
Rate for Payer: Meridian Medicaid	$161.48
Rate for Payer: Priority Health Choice Medicaid	$153.79
Rate for Payer: Priority Health Cigna Priority Health	$1,323.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$409.37
Rate for Payer: Priority Health Narrow Network	$409.37
Rate for Payer: Priority Health SBD	$409.37

Know your out-of-pocket cost for care.

All Charges