Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

OSELTAMIVIR 75 MG CAPSULE

Facility

$53.96

Service Code	NDC 68180067711
Hospital Charge Code	26546
Hospital Revenue Code	637
Min. Negotiated Rate	$21.58
Max. Negotiated Rate	$48.56
Rate for Payer: Aetna Commercial	$45.87
Rate for Payer: Aetna Medicare	$26.98
Rate for Payer: Aetna New Business (MI Preferred)	$35.07
Rate for Payer: BCBS Complete	$21.58
Rate for Payer: Cash Price	$43.17
Rate for Payer: Cofinity Commercial	$37.77
Rate for Payer: Cofinity Commercial	$46.41
Rate for Payer: Cofinity Medicare Advantage	$37.77
Rate for Payer: Encore Health Key Benefits Commercial	$43.17
Rate for Payer: Healthscope Commercial	$48.56
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$45.87
Rate for Payer: PHP Commercial	$45.87
Rate for Payer: Priority Health Cigna Priority Health	$35.07
Rate for Payer: Priority Health SBD	$33.99

OSELTAMIVIR 75 MG CAPSULE

Facility

$82.61

Service Code	NDC 72205004411
Hospital Charge Code	26546
Hospital Revenue Code	637
Min. Negotiated Rate	$33.04
Max. Negotiated Rate	$74.35
Rate for Payer: Aetna Commercial	$70.22
Rate for Payer: Aetna Medicare	$41.30
Rate for Payer: Aetna New Business (MI Preferred)	$53.70
Rate for Payer: BCBS Complete	$33.04
Rate for Payer: Cash Price	$66.09
Rate for Payer: Cofinity Commercial	$57.83
Rate for Payer: Cofinity Commercial	$71.04
Rate for Payer: Cofinity Medicare Advantage	$57.83
Rate for Payer: Encore Health Key Benefits Commercial	$66.09
Rate for Payer: Healthscope Commercial	$74.35
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$70.22
Rate for Payer: PHP Commercial	$70.22
Rate for Payer: Priority Health Cigna Priority Health	$53.70
Rate for Payer: Priority Health SBD	$52.04

OSELTAMIVIR 75 MG CAPSULE

Facility

$82.61

Service Code	NDC 72205004411
Hospital Charge Code	26546
Hospital Revenue Code	637
Min. Negotiated Rate	$52.04
Max. Negotiated Rate	$74.35
Rate for Payer: Aetna Commercial	$70.22
Rate for Payer: Aetna New Business (MI Preferred)	$53.70
Rate for Payer: Cash Price	$66.09
Rate for Payer: Cofinity Commercial	$57.83
Rate for Payer: Cofinity Commercial	$71.04
Rate for Payer: Cofinity Medicare Advantage	$57.83
Rate for Payer: Encore Health Key Benefits Commercial	$66.09
Rate for Payer: Healthscope Commercial	$74.35
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$70.22
Rate for Payer: PHP Commercial	$70.22
Rate for Payer: Priority Health Cigna Priority Health	$53.70
Rate for Payer: Priority Health SBD	$52.04

OSELTAMIVIR 75 MG CAPSULE

Facility

$82.61

Service Code	NDC 64380079901
Hospital Charge Code	26546
Hospital Revenue Code	637
Min. Negotiated Rate	$33.04
Max. Negotiated Rate	$74.35
Rate for Payer: Aetna Commercial	$70.22
Rate for Payer: Aetna Medicare	$41.30
Rate for Payer: Aetna New Business (MI Preferred)	$53.70
Rate for Payer: BCBS Complete	$33.04
Rate for Payer: Cash Price	$66.09
Rate for Payer: Cofinity Commercial	$57.83
Rate for Payer: Cofinity Commercial	$71.04
Rate for Payer: Cofinity Medicare Advantage	$57.83
Rate for Payer: Encore Health Key Benefits Commercial	$66.09
Rate for Payer: Healthscope Commercial	$74.35
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$70.22
Rate for Payer: PHP Commercial	$70.22
Rate for Payer: Priority Health Cigna Priority Health	$53.70
Rate for Payer: Priority Health SBD	$52.04

OSELTAMIVIR 75 MG CAPSULE

Facility

$82.61

Service Code	NDC 64380079901
Hospital Charge Code	26546
Hospital Revenue Code	637
Min. Negotiated Rate	$52.04
Max. Negotiated Rate	$74.35
Rate for Payer: Aetna Commercial	$70.22
Rate for Payer: Aetna New Business (MI Preferred)	$53.70
Rate for Payer: Cash Price	$66.09
Rate for Payer: Cofinity Commercial	$57.83
Rate for Payer: Cofinity Commercial	$71.04
Rate for Payer: Cofinity Medicare Advantage	$57.83
Rate for Payer: Encore Health Key Benefits Commercial	$66.09
Rate for Payer: Healthscope Commercial	$74.35
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$70.22
Rate for Payer: PHP Commercial	$70.22
Rate for Payer: Priority Health Cigna Priority Health	$53.70
Rate for Payer: Priority Health SBD	$52.04

OSELTAMIVIR 75 MG CAPSULE

Facility

$351.02

Service Code	NDC 47781047013
Hospital Charge Code	26546
Hospital Revenue Code	637
Min. Negotiated Rate	$140.41
Max. Negotiated Rate	$315.92
Rate for Payer: Aetna Commercial	$298.37
Rate for Payer: Aetna Medicare	$175.51
Rate for Payer: Aetna New Business (MI Preferred)	$228.16
Rate for Payer: BCBS Complete	$140.41
Rate for Payer: Cash Price	$280.82
Rate for Payer: Cofinity Commercial	$245.71
Rate for Payer: Cofinity Commercial	$301.88
Rate for Payer: Cofinity Medicare Advantage	$245.71
Rate for Payer: Encore Health Key Benefits Commercial	$280.82
Rate for Payer: Healthscope Commercial	$315.92
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$298.37
Rate for Payer: PHP Commercial	$298.37
Rate for Payer: Priority Health Cigna Priority Health	$228.16
Rate for Payer: Priority Health SBD	$221.14

OSELTAMIVIR 75 MG CAPSULE

Facility

$351.02

Service Code	NDC 47781047013
Hospital Charge Code	26546
Hospital Revenue Code	637
Min. Negotiated Rate	$221.14
Max. Negotiated Rate	$315.92
Rate for Payer: Aetna Commercial	$298.37
Rate for Payer: Aetna New Business (MI Preferred)	$228.16
Rate for Payer: Cash Price	$280.82
Rate for Payer: Cofinity Commercial	$245.71
Rate for Payer: Cofinity Commercial	$301.88
Rate for Payer: Cofinity Medicare Advantage	$245.71
Rate for Payer: Encore Health Key Benefits Commercial	$280.82
Rate for Payer: Healthscope Commercial	$315.92
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$298.37
Rate for Payer: PHP Commercial	$298.37
Rate for Payer: Priority Health Cigna Priority Health	$228.16
Rate for Payer: Priority Health SBD	$221.14

OSELTAMIVIR 75 MG CAPSULE

Facility

$522.63

Service Code	NDC 00004080085
Hospital Charge Code	26546
Hospital Revenue Code	637
Min. Negotiated Rate	$329.26
Max. Negotiated Rate	$470.37
Rate for Payer: Aetna Commercial	$444.24
Rate for Payer: Aetna New Business (MI Preferred)	$339.71
Rate for Payer: Cash Price	$418.10
Rate for Payer: Cofinity Commercial	$365.84
Rate for Payer: Cofinity Commercial	$449.46
Rate for Payer: Cofinity Medicare Advantage	$365.84
Rate for Payer: Encore Health Key Benefits Commercial	$418.10
Rate for Payer: Healthscope Commercial	$470.37
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$444.24
Rate for Payer: PHP Commercial	$444.24
Rate for Payer: Priority Health Cigna Priority Health	$339.71
Rate for Payer: Priority Health SBD	$329.26

OSMOLITE 1.2 CONTINUOUS FEED

Facility

$9.60

Service Code	NDC 70074062698
Hospital Charge Code	301611
Hospital Revenue Code	637
Min. Negotiated Rate	$6.05
Max. Negotiated Rate	$8.64
Rate for Payer: Aetna Commercial	$8.16
Rate for Payer: Aetna New Business (MI Preferred)	$6.24
Rate for Payer: Cash Price	$7.68
Rate for Payer: Cofinity Commercial	$6.72
Rate for Payer: Cofinity Commercial	$8.26
Rate for Payer: Cofinity Medicare Advantage	$6.72
Rate for Payer: Encore Health Key Benefits Commercial	$7.68
Rate for Payer: Healthscope Commercial	$8.64
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$8.16
Rate for Payer: PHP Commercial	$8.16
Rate for Payer: Priority Health Cigna Priority Health	$6.24
Rate for Payer: Priority Health SBD	$6.05

OSMOLITE 1.2 CONTINUOUS FEED

Facility

$9.60

Service Code	NDC 70074062698
Hospital Charge Code	301611
Hospital Revenue Code	637
Min. Negotiated Rate	$3.84
Max. Negotiated Rate	$8.64
Rate for Payer: Aetna Commercial	$8.16
Rate for Payer: Aetna Medicare	$4.80
Rate for Payer: Aetna New Business (MI Preferred)	$6.24
Rate for Payer: BCBS Complete	$3.84
Rate for Payer: Cash Price	$7.68
Rate for Payer: Cofinity Commercial	$6.72
Rate for Payer: Cofinity Commercial	$8.26
Rate for Payer: Cofinity Medicare Advantage	$6.72
Rate for Payer: Encore Health Key Benefits Commercial	$7.68
Rate for Payer: Healthscope Commercial	$8.64
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$8.16
Rate for Payer: PHP Commercial	$8.16
Rate for Payer: Priority Health Cigna Priority Health	$6.24
Rate for Payer: Priority Health SBD	$6.05

OSTECTOMY, CALCANEUS;

Facility

$8,907.47

Service Code	CPT 28118
Hospital Revenue Code	360
Min. Negotiated Rate	$1,696.12
Max. Negotiated Rate	$8,907.47
Rate for Payer: Aetna Medicare	$3,290.98
Rate for Payer: Allen County Amish Medical Aid Commercial	$3,955.50
Rate for Payer: Amish Plain Church Group Commercial	$3,955.50
Rate for Payer: BCBS Complete	$1,780.92
Rate for Payer: BCBS MAPPO	$3,164.40
Rate for Payer: BCN Medicare Advantage	$3,164.40
Rate for Payer: Health Alliance Plan Medicare Advantage	$3,164.40
Rate for Payer: Mclaren Medicaid	$1,696.12
Rate for Payer: Mclaren Medicare	$3,164.40
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$3,322.62
Rate for Payer: Meridian Medicaid	$1,780.92
Rate for Payer: MI Amish Medical Board Commercial	$3,639.06
Rate for Payer: PACE Medicare	$3,006.18
Rate for Payer: PACE SWMI	$3,164.40
Rate for Payer: PHP Medicare Advantage	$3,164.40
Rate for Payer: Priority Health Choice Medicaid	$1,696.12
Rate for Payer: Priority Health Medicare	$3,164.40
Rate for Payer: Railroad Medicare Medicare	$3,164.40
Rate for Payer: UHC All Payor (Choice/PPO)	$8,907.47
Rate for Payer: UHC Dual Complete DSNP	$3,164.40
Rate for Payer: UHC Medicare Advantage	$3,164.40
Rate for Payer: UHCCP Medicaid	$1,781.56
Rate for Payer: VA VA	$3,164.40

OSTECTOMY, CALCANEUS; FOR SPUR, WITH OR WITHOUT PLANTAR FASCIAL RELEASE

Facility

$8,907.47

Service Code	CPT 28119
Hospital Revenue Code	360
Min. Negotiated Rate	$1,696.12
Max. Negotiated Rate	$8,907.47
Rate for Payer: Aetna Medicare	$3,290.98
Rate for Payer: Allen County Amish Medical Aid Commercial	$3,955.50
Rate for Payer: Amish Plain Church Group Commercial	$3,955.50
Rate for Payer: BCBS Complete	$1,780.92
Rate for Payer: BCBS MAPPO	$3,164.40
Rate for Payer: BCN Medicare Advantage	$3,164.40
Rate for Payer: Health Alliance Plan Medicare Advantage	$3,164.40
Rate for Payer: Mclaren Medicaid	$1,696.12
Rate for Payer: Mclaren Medicare	$3,164.40
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$3,322.62
Rate for Payer: Meridian Medicaid	$1,780.92
Rate for Payer: MI Amish Medical Board Commercial	$3,639.06
Rate for Payer: PACE Medicare	$3,006.18
Rate for Payer: PACE SWMI	$3,164.40
Rate for Payer: PHP Medicare Advantage	$3,164.40
Rate for Payer: Priority Health Choice Medicaid	$1,696.12
Rate for Payer: Priority Health Medicare	$3,164.40
Rate for Payer: Railroad Medicare Medicare	$3,164.40
Rate for Payer: UHC All Payor (Choice/PPO)	$8,907.47
Rate for Payer: UHC Dual Complete DSNP	$3,164.40
Rate for Payer: UHC Medicare Advantage	$3,164.40
Rate for Payer: UHCCP Medicaid	$1,781.56
Rate for Payer: VA VA	$3,164.40

OSTECTOMY, COMPLETE EXCISION; FIRST METATARSAL HEAD

Facility

$8,907.47

Service Code	CPT 28111
Hospital Revenue Code	360
Min. Negotiated Rate	$1,696.12
Max. Negotiated Rate	$8,907.47
Rate for Payer: Aetna Medicare	$3,290.98
Rate for Payer: Allen County Amish Medical Aid Commercial	$3,955.50
Rate for Payer: Amish Plain Church Group Commercial	$3,955.50
Rate for Payer: BCBS Complete	$1,780.92
Rate for Payer: BCBS MAPPO	$3,164.40
Rate for Payer: BCN Medicare Advantage	$3,164.40
Rate for Payer: Health Alliance Plan Medicare Advantage	$3,164.40
Rate for Payer: Mclaren Medicaid	$1,696.12
Rate for Payer: Mclaren Medicare	$3,164.40
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$3,322.62
Rate for Payer: Meridian Medicaid	$1,780.92
Rate for Payer: MI Amish Medical Board Commercial	$3,639.06
Rate for Payer: PACE Medicare	$3,006.18
Rate for Payer: PACE SWMI	$3,164.40
Rate for Payer: PHP Medicare Advantage	$3,164.40
Rate for Payer: Priority Health Choice Medicaid	$1,696.12
Rate for Payer: Priority Health Medicare	$3,164.40
Rate for Payer: Railroad Medicare Medicare	$3,164.40
Rate for Payer: UHC All Payor (Choice/PPO)	$8,907.47
Rate for Payer: UHC Dual Complete DSNP	$3,164.40
Rate for Payer: UHC Medicare Advantage	$3,164.40
Rate for Payer: UHCCP Medicaid	$1,781.56
Rate for Payer: VA VA	$3,164.40

OSTECTOMY, COMPLETE EXCISION; OTHER METATARSAL HEAD (SECOND, THIRD OR FOURTH)

Facility

$8,907.47

Service Code	CPT 28112
Hospital Revenue Code	360
Min. Negotiated Rate	$1,696.12
Max. Negotiated Rate	$8,907.47
Rate for Payer: Aetna Medicare	$3,290.98
Rate for Payer: Allen County Amish Medical Aid Commercial	$3,955.50
Rate for Payer: Amish Plain Church Group Commercial	$3,955.50
Rate for Payer: BCBS Complete	$1,780.92
Rate for Payer: BCBS MAPPO	$3,164.40
Rate for Payer: BCN Medicare Advantage	$3,164.40
Rate for Payer: Health Alliance Plan Medicare Advantage	$3,164.40
Rate for Payer: Mclaren Medicaid	$1,696.12
Rate for Payer: Mclaren Medicare	$3,164.40
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$3,322.62
Rate for Payer: Meridian Medicaid	$1,780.92
Rate for Payer: MI Amish Medical Board Commercial	$3,639.06
Rate for Payer: PACE Medicare	$3,006.18
Rate for Payer: PACE SWMI	$3,164.40
Rate for Payer: PHP Medicare Advantage	$3,164.40
Rate for Payer: Priority Health Choice Medicaid	$1,696.12
Rate for Payer: Priority Health Medicare	$3,164.40
Rate for Payer: Railroad Medicare Medicare	$3,164.40
Rate for Payer: UHC All Payor (Choice/PPO)	$8,907.47
Rate for Payer: UHC Dual Complete DSNP	$3,164.40
Rate for Payer: UHC Medicare Advantage	$3,164.40
Rate for Payer: UHCCP Medicaid	$1,781.56
Rate for Payer: VA VA	$3,164.40

OSTECTOMY, PARTIAL EXCISION, FIFTH METATARSAL HEAD (BUNIONETTE) (SEPARATE PROCEDURE)

Facility

$8,907.47

Service Code	CPT 28110
Hospital Revenue Code	360
Min. Negotiated Rate	$1,696.12
Max. Negotiated Rate	$8,907.47
Rate for Payer: Aetna Medicare	$3,290.98
Rate for Payer: Allen County Amish Medical Aid Commercial	$3,955.50
Rate for Payer: Amish Plain Church Group Commercial	$3,955.50
Rate for Payer: BCBS Complete	$1,780.92
Rate for Payer: BCBS MAPPO	$3,164.40
Rate for Payer: BCN Medicare Advantage	$3,164.40
Rate for Payer: Health Alliance Plan Medicare Advantage	$3,164.40
Rate for Payer: Mclaren Medicaid	$1,696.12
Rate for Payer: Mclaren Medicare	$3,164.40
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$3,322.62
Rate for Payer: Meridian Medicaid	$1,780.92
Rate for Payer: MI Amish Medical Board Commercial	$3,639.06
Rate for Payer: PACE Medicare	$3,006.18
Rate for Payer: PACE SWMI	$3,164.40
Rate for Payer: PHP Medicare Advantage	$3,164.40
Rate for Payer: Priority Health Choice Medicaid	$1,696.12
Rate for Payer: Priority Health Medicare	$3,164.40
Rate for Payer: Railroad Medicare Medicare	$3,164.40
Rate for Payer: UHC All Payor (Choice/PPO)	$8,907.47
Rate for Payer: UHC Dual Complete DSNP	$3,164.40
Rate for Payer: UHC Medicare Advantage	$3,164.40
Rate for Payer: UHCCP Medicaid	$1,781.56
Rate for Payer: VA VA	$3,164.40

OSTECTOMY, PARTIAL, EXOSTECTOMY OR CONDYLECTOMY, METATARSAL HEAD, EACH METATARSAL HEAD

Facility

$8,907.47

Service Code	CPT 28288
Hospital Revenue Code	360
Min. Negotiated Rate	$1,696.12
Max. Negotiated Rate	$8,907.47
Rate for Payer: Aetna Medicare	$3,290.98
Rate for Payer: Allen County Amish Medical Aid Commercial	$3,955.50
Rate for Payer: Amish Plain Church Group Commercial	$3,955.50
Rate for Payer: BCBS Complete	$1,780.92
Rate for Payer: BCBS MAPPO	$3,164.40
Rate for Payer: BCN Medicare Advantage	$3,164.40
Rate for Payer: Health Alliance Plan Medicare Advantage	$3,164.40
Rate for Payer: Mclaren Medicaid	$1,696.12
Rate for Payer: Mclaren Medicare	$3,164.40
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$3,322.62
Rate for Payer: Meridian Medicaid	$1,780.92
Rate for Payer: MI Amish Medical Board Commercial	$3,639.06
Rate for Payer: PACE Medicare	$3,006.18
Rate for Payer: PACE SWMI	$3,164.40
Rate for Payer: PHP Medicare Advantage	$3,164.40
Rate for Payer: Priority Health Choice Medicaid	$1,696.12
Rate for Payer: Priority Health Medicare	$3,164.40
Rate for Payer: Railroad Medicare Medicare	$3,164.40
Rate for Payer: UHC All Payor (Choice/PPO)	$8,907.47
Rate for Payer: UHC Dual Complete DSNP	$3,164.40
Rate for Payer: UHC Medicare Advantage	$3,164.40
Rate for Payer: UHCCP Medicaid	$1,781.56
Rate for Payer: VA VA	$3,164.40

OSTEOTOMY; CALCANEUS (EG, DWYER OR CHAMBERS TYPE PROCEDURE), WITH OR WITHOUT INTERNAL FIXATION

Facility

$19,611.80

Service Code	CPT 28300
Hospital Revenue Code	360
Min. Negotiated Rate	$3,734.39
Max. Negotiated Rate	$19,611.80
Rate for Payer: Aetna Medicare	$7,245.83
Rate for Payer: Allen County Amish Medical Aid Commercial	$8,708.92
Rate for Payer: Amish Plain Church Group Commercial	$8,708.92
Rate for Payer: BCBS Complete	$3,921.11
Rate for Payer: BCBS MAPPO	$6,967.14
Rate for Payer: BCN Medicare Advantage	$6,967.14
Rate for Payer: Health Alliance Plan Medicare Advantage	$6,967.14
Rate for Payer: Mclaren Medicaid	$3,734.39
Rate for Payer: Mclaren Medicare	$6,967.14
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$7,315.50
Rate for Payer: Meridian Medicaid	$3,921.11
Rate for Payer: MI Amish Medical Board Commercial	$8,012.21
Rate for Payer: PACE Medicare	$6,618.78
Rate for Payer: PACE SWMI	$6,967.14
Rate for Payer: PHP Medicare Advantage	$6,967.14
Rate for Payer: Priority Health Choice Medicaid	$3,734.39
Rate for Payer: Priority Health Medicare	$6,967.14
Rate for Payer: Railroad Medicare Medicare	$6,967.14
Rate for Payer: UHC All Payor (Choice/PPO)	$19,611.80
Rate for Payer: UHC Dual Complete DSNP	$6,967.14
Rate for Payer: UHC Medicare Advantage	$6,967.14
Rate for Payer: UHCCP Medicaid	$3,922.50
Rate for Payer: VA VA	$6,967.14

OSTEOTOMY, CLAVICLE, WITH OR WITHOUT INTERNAL FIXATION; WITH BONE GRAFT FOR NONUNION OR MALUNION (INCLUDES OBTAINING GRAFT AND/OR NECESSARY FIXATION)

Facility

$35,323.48

Service Code	CPT 23485
Hospital Revenue Code	360
Min. Negotiated Rate	$6,726.13
Max. Negotiated Rate	$35,323.48
Rate for Payer: Aetna Medicare	$13,050.70
Rate for Payer: Allen County Amish Medical Aid Commercial	$15,685.94
Rate for Payer: Amish Plain Church Group Commercial	$15,685.94
Rate for Payer: BCBS Complete	$7,062.44
Rate for Payer: BCBS MAPPO	$12,548.75
Rate for Payer: BCN Medicare Advantage	$12,548.75
Rate for Payer: Health Alliance Plan Medicare Advantage	$12,548.75
Rate for Payer: Mclaren Medicaid	$6,726.13
Rate for Payer: Mclaren Medicare	$12,548.75
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$13,176.19
Rate for Payer: Meridian Medicaid	$7,062.44
Rate for Payer: MI Amish Medical Board Commercial	$14,431.06
Rate for Payer: PACE Medicare	$11,921.31
Rate for Payer: PACE SWMI	$12,548.75
Rate for Payer: PHP Medicare Advantage	$12,548.75
Rate for Payer: Priority Health Choice Medicaid	$6,726.13
Rate for Payer: Priority Health Medicare	$12,548.75
Rate for Payer: Railroad Medicare Medicare	$12,548.75
Rate for Payer: UHC All Payor (Choice/PPO)	$35,323.48
Rate for Payer: UHC Dual Complete DSNP	$12,548.75
Rate for Payer: UHC Medicare Advantage	$12,548.75
Rate for Payer: UHCCP Medicaid	$7,064.95
Rate for Payer: VA VA	$12,548.75

OSTEOTOMY; FIBULA

Facility

$8,907.47

Service Code	CPT 27707
Hospital Revenue Code	360
Min. Negotiated Rate	$1,696.12
Max. Negotiated Rate	$8,907.47
Rate for Payer: Aetna Medicare	$3,290.98
Rate for Payer: Allen County Amish Medical Aid Commercial	$3,955.50
Rate for Payer: Amish Plain Church Group Commercial	$3,955.50
Rate for Payer: BCBS Complete	$1,780.92
Rate for Payer: BCBS MAPPO	$3,164.40
Rate for Payer: BCN Medicare Advantage	$3,164.40
Rate for Payer: Health Alliance Plan Medicare Advantage	$3,164.40
Rate for Payer: Mclaren Medicaid	$1,696.12
Rate for Payer: Mclaren Medicare	$3,164.40
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$3,322.62
Rate for Payer: Meridian Medicaid	$1,780.92
Rate for Payer: MI Amish Medical Board Commercial	$3,639.06
Rate for Payer: PACE Medicare	$3,006.18
Rate for Payer: PACE SWMI	$3,164.40
Rate for Payer: PHP Medicare Advantage	$3,164.40
Rate for Payer: Priority Health Choice Medicaid	$1,696.12
Rate for Payer: Priority Health Medicare	$3,164.40
Rate for Payer: Railroad Medicare Medicare	$3,164.40
Rate for Payer: UHC All Payor (Choice/PPO)	$8,907.47
Rate for Payer: UHC Dual Complete DSNP	$3,164.40
Rate for Payer: UHC Medicare Advantage	$3,164.40
Rate for Payer: UHCCP Medicaid	$1,781.56
Rate for Payer: VA VA	$3,164.40

OSTEOTOMY, SHORTENING, ANGULAR OR ROTATIONAL CORRECTION; OTHER PHALANGES, ANY TOE

Facility

$8,907.47

Service Code	CPT 28312
Hospital Revenue Code	360
Min. Negotiated Rate	$1,696.12
Max. Negotiated Rate	$8,907.47
Rate for Payer: Aetna Medicare	$3,290.98
Rate for Payer: Allen County Amish Medical Aid Commercial	$3,955.50
Rate for Payer: Amish Plain Church Group Commercial	$3,955.50
Rate for Payer: BCBS Complete	$1,780.92
Rate for Payer: BCBS MAPPO	$3,164.40
Rate for Payer: BCN Medicare Advantage	$3,164.40
Rate for Payer: Health Alliance Plan Medicare Advantage	$3,164.40
Rate for Payer: Mclaren Medicaid	$1,696.12
Rate for Payer: Mclaren Medicare	$3,164.40
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$3,322.62
Rate for Payer: Meridian Medicaid	$1,780.92
Rate for Payer: MI Amish Medical Board Commercial	$3,639.06
Rate for Payer: PACE Medicare	$3,006.18
Rate for Payer: PACE SWMI	$3,164.40
Rate for Payer: PHP Medicare Advantage	$3,164.40
Rate for Payer: Priority Health Choice Medicaid	$1,696.12
Rate for Payer: Priority Health Medicare	$3,164.40
Rate for Payer: Railroad Medicare Medicare	$3,164.40
Rate for Payer: UHC All Payor (Choice/PPO)	$8,907.47
Rate for Payer: UHC Dual Complete DSNP	$3,164.40
Rate for Payer: UHC Medicare Advantage	$3,164.40
Rate for Payer: UHCCP Medicaid	$1,781.56
Rate for Payer: VA VA	$3,164.40

OSTEOTOMY, SHORTENING, ANGULAR OR ROTATIONAL CORRECTION; PROXIMAL PHALANX, FIRST TOE (SEPARATE PROCEDURE)

Facility

$19,611.80

Service Code	CPT 28310
Hospital Revenue Code	360
Min. Negotiated Rate	$3,734.39
Max. Negotiated Rate	$19,611.80
Rate for Payer: Aetna Medicare	$7,245.83
Rate for Payer: Allen County Amish Medical Aid Commercial	$8,708.92
Rate for Payer: Amish Plain Church Group Commercial	$8,708.92
Rate for Payer: BCBS Complete	$3,921.11
Rate for Payer: BCBS MAPPO	$6,967.14
Rate for Payer: BCN Medicare Advantage	$6,967.14
Rate for Payer: Health Alliance Plan Medicare Advantage	$6,967.14
Rate for Payer: Mclaren Medicaid	$3,734.39
Rate for Payer: Mclaren Medicare	$6,967.14
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$7,315.50
Rate for Payer: Meridian Medicaid	$3,921.11
Rate for Payer: MI Amish Medical Board Commercial	$8,012.21
Rate for Payer: PACE Medicare	$6,618.78
Rate for Payer: PACE SWMI	$6,967.14
Rate for Payer: PHP Medicare Advantage	$6,967.14
Rate for Payer: Priority Health Choice Medicaid	$3,734.39
Rate for Payer: Priority Health Medicare	$6,967.14
Rate for Payer: Railroad Medicare Medicare	$6,967.14
Rate for Payer: UHC All Payor (Choice/PPO)	$19,611.80
Rate for Payer: UHC Dual Complete DSNP	$6,967.14
Rate for Payer: UHC Medicare Advantage	$6,967.14
Rate for Payer: UHCCP Medicaid	$3,922.50
Rate for Payer: VA VA	$6,967.14

OSTEOTOMY, TARSAL BONES, OTHER THAN CALCANEUS OR TALUS;

Facility

$19,611.80

Service Code	CPT 28304
Hospital Revenue Code	360
Min. Negotiated Rate	$3,734.39
Max. Negotiated Rate	$19,611.80
Rate for Payer: Aetna Medicare	$7,245.83
Rate for Payer: Allen County Amish Medical Aid Commercial	$8,708.92
Rate for Payer: Amish Plain Church Group Commercial	$8,708.92
Rate for Payer: BCBS Complete	$3,921.11
Rate for Payer: BCBS MAPPO	$6,967.14
Rate for Payer: BCN Medicare Advantage	$6,967.14
Rate for Payer: Health Alliance Plan Medicare Advantage	$6,967.14
Rate for Payer: Mclaren Medicaid	$3,734.39
Rate for Payer: Mclaren Medicare	$6,967.14
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$7,315.50
Rate for Payer: Meridian Medicaid	$3,921.11
Rate for Payer: MI Amish Medical Board Commercial	$8,012.21
Rate for Payer: PACE Medicare	$6,618.78
Rate for Payer: PACE SWMI	$6,967.14
Rate for Payer: PHP Medicare Advantage	$6,967.14
Rate for Payer: Priority Health Choice Medicaid	$3,734.39
Rate for Payer: Priority Health Medicare	$6,967.14
Rate for Payer: Railroad Medicare Medicare	$6,967.14
Rate for Payer: UHC All Payor (Choice/PPO)	$19,611.80
Rate for Payer: UHC Dual Complete DSNP	$6,967.14
Rate for Payer: UHC Medicare Advantage	$6,967.14
Rate for Payer: UHCCP Medicaid	$3,922.50
Rate for Payer: VA VA	$6,967.14

OSTEOTOMY; TIBIA

Facility

$19,611.80

Service Code	CPT 27705
Hospital Revenue Code	360
Min. Negotiated Rate	$3,734.39
Max. Negotiated Rate	$19,611.80
Rate for Payer: Aetna Medicare	$7,245.83
Rate for Payer: Allen County Amish Medical Aid Commercial	$8,708.92
Rate for Payer: Amish Plain Church Group Commercial	$8,708.92
Rate for Payer: BCBS Complete	$3,921.11
Rate for Payer: BCBS MAPPO	$6,967.14
Rate for Payer: BCN Medicare Advantage	$6,967.14
Rate for Payer: Health Alliance Plan Medicare Advantage	$6,967.14
Rate for Payer: Mclaren Medicaid	$3,734.39
Rate for Payer: Mclaren Medicare	$6,967.14
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$7,315.50
Rate for Payer: Meridian Medicaid	$3,921.11
Rate for Payer: MI Amish Medical Board Commercial	$8,012.21
Rate for Payer: PACE Medicare	$6,618.78
Rate for Payer: PACE SWMI	$6,967.14
Rate for Payer: PHP Medicare Advantage	$6,967.14
Rate for Payer: Priority Health Choice Medicaid	$3,734.39
Rate for Payer: Priority Health Medicare	$6,967.14
Rate for Payer: Railroad Medicare Medicare	$6,967.14
Rate for Payer: UHC All Payor (Choice/PPO)	$19,611.80
Rate for Payer: UHC Dual Complete DSNP	$6,967.14
Rate for Payer: UHC Medicare Advantage	$6,967.14
Rate for Payer: UHCCP Medicaid	$3,922.50
Rate for Payer: VA VA	$6,967.14

OSTEOTOMY, WITH OR WITHOUT LENGTHENING, SHORTENING OR ANGULAR CORRECTION, METATARSAL; FIRST METATARSAL

Facility

$19,611.80

Service Code	CPT 28306
Hospital Revenue Code	360
Min. Negotiated Rate	$3,734.39
Max. Negotiated Rate	$19,611.80
Rate for Payer: Aetna Medicare	$7,245.83
Rate for Payer: Allen County Amish Medical Aid Commercial	$8,708.92
Rate for Payer: Amish Plain Church Group Commercial	$8,708.92
Rate for Payer: BCBS Complete	$3,921.11
Rate for Payer: BCBS MAPPO	$6,967.14
Rate for Payer: BCN Medicare Advantage	$6,967.14
Rate for Payer: Health Alliance Plan Medicare Advantage	$6,967.14
Rate for Payer: Mclaren Medicaid	$3,734.39
Rate for Payer: Mclaren Medicare	$6,967.14
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$7,315.50
Rate for Payer: Meridian Medicaid	$3,921.11
Rate for Payer: MI Amish Medical Board Commercial	$8,012.21
Rate for Payer: PACE Medicare	$6,618.78
Rate for Payer: PACE SWMI	$6,967.14
Rate for Payer: PHP Medicare Advantage	$6,967.14
Rate for Payer: Priority Health Choice Medicaid	$3,734.39
Rate for Payer: Priority Health Medicare	$6,967.14
Rate for Payer: Railroad Medicare Medicare	$6,967.14
Rate for Payer: UHC All Payor (Choice/PPO)	$19,611.80
Rate for Payer: UHC Dual Complete DSNP	$6,967.14
Rate for Payer: UHC Medicare Advantage	$6,967.14
Rate for Payer: UHCCP Medicaid	$3,922.50
Rate for Payer: VA VA	$6,967.14

OSTEOTOMY, WITH OR WITHOUT LENGTHENING, SHORTENING OR ANGULAR CORRECTION, METATARSAL; MULTIPLE (EG, SWANSON TYPE CAVUS FOOT PROCEDURE)

Facility

$19,611.80

Service Code	CPT 28309
Hospital Revenue Code	360
Min. Negotiated Rate	$3,734.39
Max. Negotiated Rate	$19,611.80
Rate for Payer: Aetna Medicare	$7,245.83
Rate for Payer: Allen County Amish Medical Aid Commercial	$8,708.92
Rate for Payer: Amish Plain Church Group Commercial	$8,708.92
Rate for Payer: BCBS Complete	$3,921.11
Rate for Payer: BCBS MAPPO	$6,967.14
Rate for Payer: BCN Medicare Advantage	$6,967.14
Rate for Payer: Health Alliance Plan Medicare Advantage	$6,967.14
Rate for Payer: Mclaren Medicaid	$3,734.39
Rate for Payer: Mclaren Medicare	$6,967.14
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$7,315.50
Rate for Payer: Meridian Medicaid	$3,921.11
Rate for Payer: MI Amish Medical Board Commercial	$8,012.21
Rate for Payer: PACE Medicare	$6,618.78
Rate for Payer: PACE SWMI	$6,967.14
Rate for Payer: PHP Medicare Advantage	$6,967.14
Rate for Payer: Priority Health Choice Medicaid	$3,734.39
Rate for Payer: Priority Health Medicare	$6,967.14
Rate for Payer: Railroad Medicare Medicare	$6,967.14
Rate for Payer: UHC All Payor (Choice/PPO)	$19,611.80
Rate for Payer: UHC Dual Complete DSNP	$6,967.14
Rate for Payer: UHC Medicare Advantage	$6,967.14
Rate for Payer: UHCCP Medicaid	$3,922.50
Rate for Payer: VA VA	$6,967.14

Know your out-of-pocket cost for care.

All Charges