Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

PR DOM/R-HOME E/M EST PT LW MOD SEVERITY 25 MINUTES

Professional

Both

$140.00

Service Code	HCPCS 99335
Min. Negotiated Rate	$56.00
Max. Negotiated Rate	$98.00
Rate for Payer: BCBS Complete	$56.00
Rate for Payer: Cash Price	$112.00
Rate for Payer: Priority Health Cigna Priority Health	$98.00

PR DOM/R-HOME E/M EST PT MOD HI SEVERITY 40 MINUTES

Professional

Both

$198.00

Service Code	HCPCS 99336
Min. Negotiated Rate	$79.20
Max. Negotiated Rate	$138.60
Rate for Payer: BCBS Complete	$79.20
Rate for Payer: Cash Price	$158.40
Rate for Payer: Priority Health Cigna Priority Health	$138.60

PR DOM/R-HOME E/M EST PT SELF-LMTD/MINOR 15 MINUTES

Professional

Both

$89.00

Service Code	HCPCS 99334
Min. Negotiated Rate	$35.60
Max. Negotiated Rate	$62.30
Rate for Payer: BCBS Complete	$35.60
Rate for Payer: Cash Price	$71.20
Rate for Payer: Priority Health Cigna Priority Health	$62.30

PR DOM/R-HOME E/M EST PT SIGNIF NEW PROB 60 MINUTES

Professional

Both

$283.00

Service Code	HCPCS 99337
Min. Negotiated Rate	$113.20
Max. Negotiated Rate	$198.10
Rate for Payer: BCBS Complete	$113.20
Rate for Payer: Cash Price	$226.40
Rate for Payer: Priority Health Cigna Priority Health	$198.10

PR DOP ECHOCARD COLOR FLOW VELOCITY MAPPING

Professional

Both

$324.00

Service Code	HCPCS 93325
Min. Negotiated Rate	$4.26
Max. Negotiated Rate	$2,792.59
Rate for Payer: Aetna Commercial	$31.62
Rate for Payer: Aetna Commercial	$31.62
Rate for Payer: BCBS Complete	$129.60
Rate for Payer: BCBS Complete	$78.80
Rate for Payer: BCBS Trust/PPO	$2,792.59
Rate for Payer: BCBS Trust/PPO	$2,792.59
Rate for Payer: Cash Price	$157.60
Rate for Payer: Cash Price	$157.60
Rate for Payer: Cash Price	$259.20
Rate for Payer: Cash Price	$259.20
Rate for Payer: Priority Health Cigna Priority Health	$137.90
Rate for Payer: Priority Health Cigna Priority Health	$226.80
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$4.26
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$4.26
Rate for Payer: Priority Health Narrow Network	$4.26
Rate for Payer: Priority Health Narrow Network	$4.26
Rate for Payer: Priority Health SBD	$33.10
Rate for Payer: Priority Health SBD	$33.10

PR DOP ECHOCARD COLOR FLOW VELOCITY MAPPING

Facility

$324.00

Service Code	CPT 93325
Hospital Charge Code	93325
Min. Negotiated Rate	$22.92
Max. Negotiated Rate	$291.60
Rate for Payer: Aetna Commercial	$275.40
Rate for Payer: Aetna Commercial	$167.45
Rate for Payer: Aetna New Business (MI Preferred)	$128.05
Rate for Payer: Aetna New Business (MI Preferred)	$210.60
Rate for Payer: BCBS Complete	$129.60
Rate for Payer: BCBS Complete	$78.80
Rate for Payer: BCBS Trust/PPO	$93.65
Rate for Payer: BCBS Trust/PPO	$93.65
Rate for Payer: Cash Price	$259.20
Rate for Payer: Cash Price	$157.60
Rate for Payer: Cash Price	$259.20
Rate for Payer: Cash Price	$157.60
Rate for Payer: Cofinity Commercial	$137.90
Rate for Payer: Cofinity Commercial	$169.42
Rate for Payer: Cofinity Commercial	$278.64
Rate for Payer: Cofinity Commercial	$226.80
Rate for Payer: Healthscope Commercial	$291.60
Rate for Payer: Healthscope Commercial	$177.30
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$167.45
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$275.40
Rate for Payer: PHP Commercial	$167.45
Rate for Payer: PHP Commercial	$275.40
Rate for Payer: Priority Health Cigna Priority Health	$137.90
Rate for Payer: Priority Health Cigna Priority Health	$226.80
Rate for Payer: Priority Health SBD	$204.12
Rate for Payer: Priority Health SBD	$124.11
Rate for Payer: UHC All Payor (Choice/PPO)	$25.21
Rate for Payer: UHC All Payor (Choice/PPO)	$25.21
Rate for Payer: UHC Exchange	$22.92
Rate for Payer: UHC Exchange	$22.92

PR DOP ECHOCARD COLOR FLOW VELOCITY MAPPING

Facility

$197.00

Service Code	CPT 93325
Hospital Charge Code	93325
Min. Negotiated Rate	$124.11
Max. Negotiated Rate	$177.30
Rate for Payer: Aetna Commercial	$167.45
Rate for Payer: Aetna Commercial	$275.40
Rate for Payer: Aetna New Business (MI Preferred)	$128.05
Rate for Payer: Aetna New Business (MI Preferred)	$210.60
Rate for Payer: Cash Price	$259.20
Rate for Payer: Cash Price	$157.60
Rate for Payer: Cofinity Commercial	$169.42
Rate for Payer: Cofinity Commercial	$278.64
Rate for Payer: Cofinity Commercial	$226.80
Rate for Payer: Cofinity Commercial	$137.90
Rate for Payer: Healthscope Commercial	$291.60
Rate for Payer: Healthscope Commercial	$177.30
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$275.40
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$167.45
Rate for Payer: PHP Commercial	$275.40
Rate for Payer: PHP Commercial	$167.45
Rate for Payer: Priority Health Cigna Priority Health	$137.90
Rate for Payer: Priority Health Cigna Priority Health	$226.80
Rate for Payer: Priority Health SBD	$124.11
Rate for Payer: Priority Health SBD	$204.12

PR DOP ECHOCARD COLOR FLOW VELOCITY MAPPING

Professional

Both

$324.00

Service Code	HCPCS 93325
Hospital Charge Code	93325
Min. Negotiated Rate	$4.26
Max. Negotiated Rate	$2,792.59
Rate for Payer: Aetna Commercial	$31.62
Rate for Payer: Aetna Commercial	$31.62
Rate for Payer: BCBS Complete	$129.60
Rate for Payer: BCBS Complete	$78.80
Rate for Payer: BCBS Trust/PPO	$2,792.59
Rate for Payer: BCBS Trust/PPO	$2,792.59
Rate for Payer: Cash Price	$259.20
Rate for Payer: Cash Price	$157.60
Rate for Payer: Cash Price	$157.60
Rate for Payer: Cash Price	$259.20
Rate for Payer: Priority Health Cigna Priority Health	$226.80
Rate for Payer: Priority Health Cigna Priority Health	$137.90
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$4.26
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$4.26
Rate for Payer: Priority Health Narrow Network	$4.26
Rate for Payer: Priority Health Narrow Network	$4.26
Rate for Payer: Priority Health SBD	$33.10
Rate for Payer: Priority Health SBD	$33.10

PR DOP ECHOCARD PULSE WAVE W/SPECTRAL F-UP/LMTD STD

Professional

Both

$53.00

Service Code	HCPCS 93321
Min. Negotiated Rate	$9.94
Max. Negotiated Rate	$2,553.80
Rate for Payer: Aetna Commercial	$34.13
Rate for Payer: BCBS Complete	$21.20
Rate for Payer: BCBS Trust/PPO	$2,553.80
Rate for Payer: Cash Price	$42.40
Rate for Payer: Cash Price	$42.40
Rate for Payer: Priority Health Cigna Priority Health	$37.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$9.94
Rate for Payer: Priority Health Narrow Network	$9.94
Rate for Payer: Priority Health SBD	$35.47

PR DOPPLER ECHOCARD PULSE WAVE W/SPECTRAL DISPLAY

Facility

$254.00

Service Code	CPT 93320
Hospital Charge Code	93320
Min. Negotiated Rate	$49.77
Max. Negotiated Rate	$228.60
Rate for Payer: Aetna Commercial	$215.90
Rate for Payer: Aetna Commercial	$147.05
Rate for Payer: Aetna New Business (MI Preferred)	$112.45
Rate for Payer: Aetna New Business (MI Preferred)	$165.10
Rate for Payer: BCBS Complete	$101.60
Rate for Payer: BCBS Complete	$69.20
Rate for Payer: BCBS Trust/PPO	$151.97
Rate for Payer: BCBS Trust/PPO	$151.97
Rate for Payer: Cash Price	$203.20
Rate for Payer: Cash Price	$138.40
Rate for Payer: Cash Price	$138.40
Rate for Payer: Cash Price	$203.20
Rate for Payer: Cofinity Commercial	$218.44
Rate for Payer: Cofinity Commercial	$148.78
Rate for Payer: Cofinity Commercial	$121.10
Rate for Payer: Cofinity Commercial	$177.80
Rate for Payer: Healthscope Commercial	$228.60
Rate for Payer: Healthscope Commercial	$155.70
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$215.90
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$147.05
Rate for Payer: PHP Commercial	$147.05
Rate for Payer: PHP Commercial	$215.90
Rate for Payer: Priority Health Cigna Priority Health	$121.10
Rate for Payer: Priority Health Cigna Priority Health	$177.80
Rate for Payer: Priority Health SBD	$160.02
Rate for Payer: Priority Health SBD	$108.99
Rate for Payer: UHC All Payor (Choice/PPO)	$54.75
Rate for Payer: UHC All Payor (Choice/PPO)	$54.75
Rate for Payer: UHC Exchange	$49.77
Rate for Payer: UHC Exchange	$49.77

PR DOPPLER ECHOCARD PULSE WAVE W/SPECTRAL DISPLAY

Facility

$173.00

Service Code	CPT 93320
Hospital Charge Code	93320
Min. Negotiated Rate	$108.99
Max. Negotiated Rate	$155.70
Rate for Payer: Aetna Commercial	$147.05
Rate for Payer: Aetna Commercial	$215.90
Rate for Payer: Aetna New Business (MI Preferred)	$112.45
Rate for Payer: Aetna New Business (MI Preferred)	$165.10
Rate for Payer: Cash Price	$138.40
Rate for Payer: Cash Price	$203.20
Rate for Payer: Cofinity Commercial	$148.78
Rate for Payer: Cofinity Commercial	$177.80
Rate for Payer: Cofinity Commercial	$218.44
Rate for Payer: Cofinity Commercial	$121.10
Rate for Payer: Healthscope Commercial	$228.60
Rate for Payer: Healthscope Commercial	$155.70
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$147.05
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$215.90
Rate for Payer: PHP Commercial	$215.90
Rate for Payer: PHP Commercial	$147.05
Rate for Payer: Priority Health Cigna Priority Health	$121.10
Rate for Payer: Priority Health Cigna Priority Health	$177.80
Rate for Payer: Priority Health SBD	$108.99
Rate for Payer: Priority Health SBD	$160.02

PR DOPPLER ECHOCARD PULSE WAVE W/SPECTRAL DISPLAY

Professional

Both

$254.00

Service Code	HCPCS 93320
Hospital Charge Code	93320
Min. Negotiated Rate	$24.59
Max. Negotiated Rate	$1,902.94
Rate for Payer: Aetna Commercial	$68.60
Rate for Payer: Aetna Commercial	$68.60
Rate for Payer: BCBS Complete	$69.20
Rate for Payer: BCBS Complete	$101.60
Rate for Payer: BCBS Trust/PPO	$1,902.94
Rate for Payer: BCBS Trust/PPO	$1,902.94
Rate for Payer: Cash Price	$203.20
Rate for Payer: Cash Price	$138.40
Rate for Payer: Cash Price	$203.20
Rate for Payer: Cash Price	$138.40
Rate for Payer: Priority Health Cigna Priority Health	$177.80
Rate for Payer: Priority Health Cigna Priority Health	$121.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$24.59
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$24.59
Rate for Payer: Priority Health Narrow Network	$24.59
Rate for Payer: Priority Health Narrow Network	$24.59
Rate for Payer: Priority Health SBD	$71.40
Rate for Payer: Priority Health SBD	$71.40

PR DOPPLER ECHOCARD PULSE WAVE W/SPECTRAL DISPLAY

Professional

Both

$254.00

Service Code	HCPCS 93320
Min. Negotiated Rate	$24.59
Max. Negotiated Rate	$1,902.94
Rate for Payer: Aetna Commercial	$68.60
Rate for Payer: Aetna Commercial	$68.60
Rate for Payer: BCBS Complete	$69.20
Rate for Payer: BCBS Complete	$101.60
Rate for Payer: BCBS Trust/PPO	$1,902.94
Rate for Payer: BCBS Trust/PPO	$1,902.94
Rate for Payer: Cash Price	$138.40
Rate for Payer: Cash Price	$203.20
Rate for Payer: Cash Price	$138.40
Rate for Payer: Cash Price	$203.20
Rate for Payer: Priority Health Cigna Priority Health	$177.80
Rate for Payer: Priority Health Cigna Priority Health	$121.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$24.59
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$24.59
Rate for Payer: Priority Health Narrow Network	$24.59
Rate for Payer: Priority Health Narrow Network	$24.59
Rate for Payer: Priority Health SBD	$71.40
Rate for Payer: Priority Health SBD	$71.40

PR DRAIN ABD ABSCESS PERCUTANEOUS

Professional

Both

$607.00

Service Code	HCPCS 49021
Min. Negotiated Rate	$242.80
Max. Negotiated Rate	$424.90
Rate for Payer: BCBS Complete	$242.80
Rate for Payer: Cash Price	$485.60
Rate for Payer: Priority Health Cigna Priority Health	$424.90

PR DRAINAGE ABSCESS/HEMATOMA NASAL INT APPROACH

Professional

Both

$367.00

Service Code	HCPCS 30000
Min. Negotiated Rate	$78.17
Max. Negotiated Rate	$1,942.56
Rate for Payer: Aetna Commercial	$150.43
Rate for Payer: BCBS Complete	$82.08
Rate for Payer: BCBS Trust/PPO	$1,942.56
Rate for Payer: Cash Price	$293.60
Rate for Payer: Cash Price	$293.60
Rate for Payer: Mclaren Medicaid	$78.17
Rate for Payer: Meridian Medicaid	$82.08
Rate for Payer: Priority Health Choice Medicaid	$78.17
Rate for Payer: Priority Health Cigna Priority Health	$256.90
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$169.01
Rate for Payer: Priority Health Narrow Network	$169.01
Rate for Payer: Priority Health SBD	$169.01

PR DRAINAGE ABSCESS/HEMATOMA NASAL SEPTUM

Professional

Both

$298.00

Service Code	HCPCS 30020
Min. Negotiated Rate	$79.24
Max. Negotiated Rate	$1,109.43
Rate for Payer: Aetna Commercial	$151.26
Rate for Payer: BCBS Complete	$83.20
Rate for Payer: BCBS Trust/PPO	$1,109.43
Rate for Payer: Cash Price	$238.40
Rate for Payer: Cash Price	$238.40
Rate for Payer: Mclaren Medicaid	$79.24
Rate for Payer: Meridian Medicaid	$83.20
Rate for Payer: Priority Health Choice Medicaid	$79.24
Rate for Payer: Priority Health Cigna Priority Health	$208.60
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$170.39
Rate for Payer: Priority Health Narrow Network	$170.39
Rate for Payer: Priority Health SBD	$170.39

PR DRAINAGE ABSCESS PAROTID COMPLICATED

Professional

Both

$768.00

Service Code	HCPCS 42305
Min. Negotiated Rate	$200.75
Max. Negotiated Rate	$747.91
Rate for Payer: Aetna Commercial	$561.76
Rate for Payer: BCBS Complete	$293.65
Rate for Payer: BCBS Trust/PPO	$200.75
Rate for Payer: Cash Price	$614.40
Rate for Payer: Cash Price	$614.40
Rate for Payer: Mclaren Medicaid	$279.67
Rate for Payer: Meridian Medicaid	$293.65
Rate for Payer: Priority Health Choice Medicaid	$279.67
Rate for Payer: Priority Health Cigna Priority Health	$537.60
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$747.91
Rate for Payer: Priority Health Narrow Network	$747.91
Rate for Payer: Priority Health SBD	$747.91

PR DRAINAGE ABSCESS PAROTID SIMPLE

Professional

Both

$342.00

Service Code	HCPCS 42300
Min. Negotiated Rate	$100.96
Max. Negotiated Rate	$891.77
Rate for Payer: Aetna Commercial	$202.70
Rate for Payer: BCBS Complete	$106.01
Rate for Payer: BCBS Trust/PPO	$891.77
Rate for Payer: Cash Price	$273.60
Rate for Payer: Cash Price	$273.60
Rate for Payer: Mclaren Medicaid	$100.96
Rate for Payer: Meridian Medicaid	$106.01
Rate for Payer: Priority Health Choice Medicaid	$100.96
Rate for Payer: Priority Health Cigna Priority Health	$239.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$276.94
Rate for Payer: Priority Health Narrow Network	$276.94
Rate for Payer: Priority Health SBD	$276.94

PR DRAINAGE DEEP PERIURETHRAL ABSCESS

Professional

Both

$799.00

Service Code	HCPCS 53040
Min. Negotiated Rate	$251.13
Max. Negotiated Rate	$758.64
Rate for Payer: Aetna Commercial	$501.88
Rate for Payer: BCBS Complete	$263.69
Rate for Payer: BCBS Trust/PPO	$758.64
Rate for Payer: Cash Price	$639.20
Rate for Payer: Cash Price	$639.20
Rate for Payer: Mclaren Medicaid	$251.13
Rate for Payer: Meridian Medicaid	$263.69
Rate for Payer: Priority Health Choice Medicaid	$251.13
Rate for Payer: Priority Health Cigna Priority Health	$559.30
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$628.44
Rate for Payer: Priority Health Narrow Network	$628.44
Rate for Payer: Priority Health SBD	$628.44

PR DRAINAGE EXTERNAL AUDITORY CANAL ABSCESS

Professional

Both

$373.00

Service Code	HCPCS 69020
Min. Negotiated Rate	$92.87
Max. Negotiated Rate	$282.64
Rate for Payer: Aetna Commercial	$158.84
Rate for Payer: BCBS Complete	$97.51
Rate for Payer: BCBS Trust/PPO	$282.64
Rate for Payer: Cash Price	$298.40
Rate for Payer: Cash Price	$298.40
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	$261.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$205.09
Rate for Payer: Priority Health Narrow Network	$205.09
Rate for Payer: Priority Health SBD	$205.09

PR DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA CMPLX

Professional

Both

$377.00

Service Code	HCPCS 69005
Min. Negotiated Rate	$104.16
Max. Negotiated Rate	$5,834.02
Rate for Payer: Aetna Commercial	$177.45
Rate for Payer: BCBS Complete	$109.37
Rate for Payer: BCBS Trust/PPO	$5,834.02
Rate for Payer: Cash Price	$301.60
Rate for Payer: Cash Price	$301.60
Rate for Payer: Mclaren Medicaid	$104.16
Rate for Payer: Meridian Medicaid	$109.37
Rate for Payer: Priority Health Choice Medicaid	$104.16
Rate for Payer: Priority Health Cigna Priority Health	$263.90
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$226.78
Rate for Payer: Priority Health Narrow Network	$226.78
Rate for Payer: Priority Health SBD	$226.78

PR DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA SIMPLE

Professional

Both

$311.00

Service Code	HCPCS 69000
Min. Negotiated Rate	$80.94
Max. Negotiated Rate	$5,524.43
Rate for Payer: Aetna Commercial	$136.46
Rate for Payer: BCBS Complete	$84.99
Rate for Payer: BCBS Trust/PPO	$5,524.43
Rate for Payer: Cash Price	$248.80
Rate for Payer: Cash Price	$248.80
Rate for Payer: Mclaren Medicaid	$80.94
Rate for Payer: Meridian Medicaid	$84.99
Rate for Payer: Priority Health Choice Medicaid	$80.94
Rate for Payer: Priority Health Cigna Priority Health	$217.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$176.80
Rate for Payer: Priority Health Narrow Network	$176.80
Rate for Payer: Priority Health SBD	$176.80

PR DRAINAGE FINGER ABSCESS COMPLICATED

Professional

Both

$795.00

Service Code	HCPCS 26011
Min. Negotiated Rate	$119.92
Max. Negotiated Rate	$556.50
Rate for Payer: Aetna Commercial	$245.87
Rate for Payer: BCBS Complete	$125.92
Rate for Payer: BCBS Trust/PPO	$452.09
Rate for Payer: Cash Price	$636.00
Rate for Payer: Cash Price	$636.00
Rate for Payer: Mclaren Medicaid	$119.92
Rate for Payer: Meridian Medicaid	$125.92
Rate for Payer: Priority Health Choice Medicaid	$119.92
Rate for Payer: Priority Health Cigna Priority Health	$556.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$285.97
Rate for Payer: Priority Health Narrow Network	$285.97
Rate for Payer: Priority Health SBD	$285.97

PR DRAINAGE FINGER ABSCESS SIMPLE

Professional

Both

$565.00

Service Code	HCPCS 26010
Min. Negotiated Rate	$91.59
Max. Negotiated Rate	$395.50
Rate for Payer: Aetna Commercial	$184.30
Rate for Payer: BCBS Complete	$96.17
Rate for Payer: BCBS Trust/PPO	$348.51
Rate for Payer: Cash Price	$452.00
Rate for Payer: Cash Price	$452.00
Rate for Payer: Mclaren Medicaid	$91.59
Rate for Payer: Meridian Medicaid	$96.17
Rate for Payer: Priority Health Choice Medicaid	$91.59
Rate for Payer: Priority Health Cigna Priority Health	$395.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$217.03
Rate for Payer: Priority Health Narrow Network	$217.03
Rate for Payer: Priority Health SBD	$217.03

PR DRAINAGE OF PALMAR BURSA MULTIPLE BURSA

Professional

Both

$3,116.00

Service Code	HCPCS 26030
Min. Negotiated Rate	$104.00
Max. Negotiated Rate	$2,181.20
Rate for Payer: Aetna Commercial	$651.70
Rate for Payer: BCBS Complete	$336.37
Rate for Payer: BCBS Trust/PPO	$104.00
Rate for Payer: Cash Price	$2,492.80
Rate for Payer: Cash Price	$2,492.80
Rate for Payer: Mclaren Medicaid	$320.35
Rate for Payer: Meridian Medicaid	$336.37
Rate for Payer: Priority Health Choice Medicaid	$320.35
Rate for Payer: Priority Health Cigna Priority Health	$2,181.20
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$759.84
Rate for Payer: Priority Health Narrow Network	$759.84
Rate for Payer: Priority Health SBD	$759.84

Know your out-of-pocket cost for care.

All Charges