Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

PR I131 IODIDE CAP, RX

Professional

Both

$31.00

Service Code	HCPCS A9517
Min. Negotiated Rate	$12.40
Max. Negotiated Rate	$2,124.29
Rate for Payer: Aetna Commercial	$40.43
Rate for Payer: BCBS Complete	$12.40
Rate for Payer: BCBS Trust/PPO	$2,124.29
Rate for Payer: Cash Price	$24.80
Rate for Payer: Cash Price	$24.80
Rate for Payer: Priority Health Cigna Priority Health	$21.70

PR ICAR CATHETER ABLATION ARRHYTHMIA ADD ON

Professional

Both

$1,463.00

Service Code	HCPCS 93655
Min. Negotiated Rate	$190.64
Max. Negotiated Rate	$2,991.76
Rate for Payer: Aetna Commercial	$570.63
Rate for Payer: BCBS Complete	$200.17
Rate for Payer: BCBS Trust/PPO	$2,991.76
Rate for Payer: Cash Price	$1,170.40
Rate for Payer: Cash Price	$1,170.40
Rate for Payer: Mclaren Medicaid	$190.64
Rate for Payer: Meridian Medicaid	$200.17
Rate for Payer: Priority Health Choice Medicaid	$190.64
Rate for Payer: Priority Health Cigna Priority Health	$1,024.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$428.42
Rate for Payer: Priority Health Narrow Network	$428.42
Rate for Payer: Priority Health SBD	$428.42

PR ICAR CATHETER ABLATION ATRIOVENTR NODE FUNCTION

Professional

Both

$1,804.00

Service Code	HCPCS 93650
Min. Negotiated Rate	$362.10
Max. Negotiated Rate	$2,821.65
Rate for Payer: Aetna Commercial	$791.77
Rate for Payer: BCBS Complete	$380.20
Rate for Payer: BCBS Trust/PPO	$2,821.65
Rate for Payer: Cash Price	$1,443.20
Rate for Payer: Cash Price	$1,443.20
Rate for Payer: Mclaren Medicaid	$362.10
Rate for Payer: Meridian Medicaid	$380.20
Rate for Payer: Priority Health Choice Medicaid	$362.10
Rate for Payer: Priority Health Cigna Priority Health	$1,262.80
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$813.33
Rate for Payer: Priority Health Narrow Network	$813.33
Rate for Payer: Priority Health SBD	$813.33

PR I&D ABSCESS PERITONSILLAR

Professional

Both

$302.00

Service Code	HCPCS 42700
Min. Negotiated Rate	$87.76
Max. Negotiated Rate	$492.38
Rate for Payer: Aetna Commercial	$176.88
Rate for Payer: BCBS Complete	$92.15
Rate for Payer: BCBS Trust/PPO	$492.38
Rate for Payer: Cash Price	$241.60
Rate for Payer: Cash Price	$241.60
Rate for Payer: Mclaren Medicaid	$87.76
Rate for Payer: Meridian Medicaid	$92.15
Rate for Payer: Priority Health Choice Medicaid	$87.76
Rate for Payer: Priority Health Cigna Priority Health	$211.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$240.48
Rate for Payer: Priority Health Narrow Network	$240.48
Rate for Payer: Priority Health SBD	$240.48

PR I&D ABSC RTRPHRNGL/PARAPHARYNGEAL INTRAORAL

Professional

Both

$811.00

Service Code	HCPCS 42720
Min. Negotiated Rate	$247.08
Max. Negotiated Rate	$678.52
Rate for Payer: Aetna Commercial	$511.86
Rate for Payer: BCBS Complete	$259.43
Rate for Payer: BCBS Trust/PPO	$613.88
Rate for Payer: Cash Price	$648.80
Rate for Payer: Cash Price	$648.80
Rate for Payer: Mclaren Medicaid	$247.08
Rate for Payer: Meridian Medicaid	$259.43
Rate for Payer: Priority Health Choice Medicaid	$247.08
Rate for Payer: Priority Health Cigna Priority Health	$567.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$678.52
Rate for Payer: Priority Health Narrow Network	$678.52
Rate for Payer: Priority Health SBD	$678.52

PR I&D ABSC RTRPHRNGL/PARAPHARYNGEAL XTRNL APPR

Professional

Both

$1,449.00

Service Code	HCPCS 42725
Min. Negotiated Rate	$512.90
Max. Negotiated Rate	$1,402.91
Rate for Payer: Aetna Commercial	$1,060.45
Rate for Payer: BCBS Complete	$538.54
Rate for Payer: BCBS Trust/PPO	$1,312.83
Rate for Payer: Cash Price	$1,159.20
Rate for Payer: Cash Price	$1,159.20
Rate for Payer: Mclaren Medicaid	$512.90
Rate for Payer: Meridian Medicaid	$538.54
Rate for Payer: Priority Health Choice Medicaid	$512.90
Rate for Payer: Priority Health Cigna Priority Health	$1,014.30
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,402.91
Rate for Payer: Priority Health Narrow Network	$1,402.91
Rate for Payer: Priority Health SBD	$1,402.91

PR I&D BELOW FASCIA FOOT 1 BURSAL SPACE

Professional

Both

$851.00

Service Code	HCPCS 28002
Min. Negotiated Rate	$89.25
Max. Negotiated Rate	$595.70
Rate for Payer: Aetna Commercial	$419.78
Rate for Payer: BCBS Complete	$93.71
Rate for Payer: BCBS Trust/PPO	$523.55
Rate for Payer: Cash Price	$680.80
Rate for Payer: Cash Price	$680.80
Rate for Payer: Mclaren Medicaid	$89.25
Rate for Payer: Meridian Medicaid	$93.71
Rate for Payer: Priority Health Choice Medicaid	$89.25
Rate for Payer: Priority Health Cigna Priority Health	$595.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$211.92
Rate for Payer: Priority Health Narrow Network	$211.92
Rate for Payer: Priority Health SBD	$211.92

PR I&D BELOW FASCIA FOOT MULTIPLE AREAS

Professional

Both

$1,219.00

Service Code	HCPCS 28003
Min. Negotiated Rate	$164.22
Max. Negotiated Rate	$3,691.76
Rate for Payer: Aetna Commercial	$745.46
Rate for Payer: BCBS Complete	$172.43
Rate for Payer: BCBS Trust/PPO	$3,691.76
Rate for Payer: Cash Price	$975.20
Rate for Payer: Cash Price	$975.20
Rate for Payer: Mclaren Medicaid	$164.22
Rate for Payer: Meridian Medicaid	$172.43
Rate for Payer: Priority Health Choice Medicaid	$164.22
Rate for Payer: Priority Health Cigna Priority Health	$853.30
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$394.22
Rate for Payer: Priority Health Narrow Network	$394.22
Rate for Payer: Priority Health SBD	$394.22

PR I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION

Professional

Both

$1,632.00

Service Code	HCPCS 27301
Min. Negotiated Rate	$329.94
Max. Negotiated Rate	$3,899.38
Rate for Payer: Aetna Commercial	$675.38
Rate for Payer: BCBS Complete	$346.44
Rate for Payer: BCBS Trust/PPO	$3,899.38
Rate for Payer: Cash Price	$1,305.60
Rate for Payer: Cash Price	$1,305.60
Rate for Payer: Mclaren Medicaid	$329.94
Rate for Payer: Meridian Medicaid	$346.44
Rate for Payer: Priority Health Choice Medicaid	$329.94
Rate for Payer: Priority Health Cigna Priority Health	$1,142.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$781.29
Rate for Payer: Priority Health Narrow Network	$781.29
Rate for Payer: Priority Health SBD	$781.29

PR I&D DEEP ABSCESS PST SPINE CRV THRC/CERVICOTHR

Professional

Both

$2,412.00

Service Code	HCPCS 22010
Min. Negotiated Rate	$233.52
Max. Negotiated Rate	$1,688.40
Rate for Payer: Aetna Commercial	$1,291.27
Rate for Payer: BCBS Complete	$660.89
Rate for Payer: BCBS Trust/PPO	$233.52
Rate for Payer: Cash Price	$1,929.60
Rate for Payer: Cash Price	$1,929.60
Rate for Payer: Mclaren Medicaid	$629.42
Rate for Payer: Meridian Medicaid	$660.89
Rate for Payer: Priority Health Choice Medicaid	$629.42
Rate for Payer: Priority Health Cigna Priority Health	$1,688.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,488.03
Rate for Payer: Priority Health Narrow Network	$1,488.03
Rate for Payer: Priority Health SBD	$1,488.03

PR I&D DEEP ABSCESS PST SPINE LUMBAR SAC/LUMBOSAC

Professional

Both

$1,691.00

Service Code	HCPCS 22015
Min. Negotiated Rate	$233.52
Max. Negotiated Rate	$1,462.50
Rate for Payer: Aetna Commercial	$1,265.29
Rate for Payer: BCBS Complete	$644.78
Rate for Payer: BCBS Trust/PPO	$233.52
Rate for Payer: Cash Price	$1,352.80
Rate for Payer: Cash Price	$1,352.80
Rate for Payer: Mclaren Medicaid	$614.08
Rate for Payer: Meridian Medicaid	$644.78
Rate for Payer: Priority Health Choice Medicaid	$614.08
Rate for Payer: Priority Health Cigna Priority Health	$1,183.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,462.50
Rate for Payer: Priority Health Narrow Network	$1,462.50
Rate for Payer: Priority Health SBD	$1,462.50

PR I&D DEEP ABSC/HMTMA SOFT TISSUE NECK/THORAX

Professional

Both

$1,145.00

Service Code	HCPCS 21501
Min. Negotiated Rate	$35.00
Max. Negotiated Rate	$801.50
Rate for Payer: Aetna Commercial	$434.09
Rate for Payer: BCBS Complete	$229.25
Rate for Payer: BCBS Trust/PPO	$35.00
Rate for Payer: Cash Price	$916.00
Rate for Payer: Cash Price	$916.00
Rate for Payer: Mclaren Medicaid	$218.33
Rate for Payer: Meridian Medicaid	$229.25
Rate for Payer: Priority Health Choice Medicaid	$218.33
Rate for Payer: Priority Health Cigna Priority Health	$801.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$515.24
Rate for Payer: Priority Health Narrow Network	$515.24
Rate for Payer: Priority Health SBD	$515.24

PR I&D DP ABSC/HMTMA SOFT TISS NCK/THORAX PRTL RI

Professional

Both

$938.00

Service Code	HCPCS 21502
Min. Negotiated Rate	$326.10
Max. Negotiated Rate	$776.19
Rate for Payer: Aetna Commercial	$681.32
Rate for Payer: BCBS Complete	$342.40
Rate for Payer: BCBS Trust/PPO	$483.43
Rate for Payer: Cash Price	$750.40
Rate for Payer: Cash Price	$750.40
Rate for Payer: Mclaren Medicaid	$326.10
Rate for Payer: Meridian Medicaid	$342.40
Rate for Payer: Priority Health Choice Medicaid	$326.10
Rate for Payer: Priority Health Cigna Priority Health	$656.60
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$776.19
Rate for Payer: Priority Health Narrow Network	$776.19
Rate for Payer: Priority Health SBD	$776.19

PR I&D DP SUPRALEVATOR PELVIRCT/RETRORCT ABSC

Professional

Both

$1,605.00

Service Code	HCPCS 45020
Min. Negotiated Rate	$364.87
Max. Negotiated Rate	$1,123.50
Rate for Payer: Aetna Commercial	$768.90
Rate for Payer: BCBS Complete	$383.11
Rate for Payer: BCBS Trust/PPO	$489.21
Rate for Payer: Cash Price	$1,284.00
Rate for Payer: Cash Price	$1,284.00
Rate for Payer: Mclaren Medicaid	$364.87
Rate for Payer: Meridian Medicaid	$383.11
Rate for Payer: Priority Health Choice Medicaid	$364.87
Rate for Payer: Priority Health Cigna Priority Health	$1,123.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,013.08
Rate for Payer: Priority Health Narrow Network	$1,013.08
Rate for Payer: Priority Health SBD	$1,013.08

PR I&D EPIDIDYMIS TSTIS&/SCROTAL SPACE

Professional

Both

$397.00

Service Code	HCPCS 54700
Min. Negotiated Rate	$136.53
Max. Negotiated Rate	$2,037.12
Rate for Payer: Aetna Commercial	$273.26
Rate for Payer: BCBS Complete	$143.36
Rate for Payer: BCBS Trust/PPO	$2,037.12
Rate for Payer: Cash Price	$317.60
Rate for Payer: Cash Price	$317.60
Rate for Payer: Mclaren Medicaid	$136.53
Rate for Payer: Meridian Medicaid	$143.36
Rate for Payer: Priority Health Choice Medicaid	$136.53
Rate for Payer: Priority Health Cigna Priority Health	$277.90
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$340.43
Rate for Payer: Priority Health Narrow Network	$340.43
Rate for Payer: Priority Health SBD	$340.43

PR I&D FOREARM&/WRIST DEEP ABSCESS/HEMATOMA

Professional

Both

$913.00

Service Code	HCPCS 25028
Min. Negotiated Rate	$209.74
Max. Negotiated Rate	$1,072.36
Rate for Payer: Aetna Commercial	$870.43
Rate for Payer: BCBS Complete	$469.66
Rate for Payer: BCBS Trust/PPO	$209.74
Rate for Payer: Cash Price	$730.40
Rate for Payer: Cash Price	$730.40
Rate for Payer: Mclaren Medicaid	$447.30
Rate for Payer: Meridian Medicaid	$469.66
Rate for Payer: Priority Health Choice Medicaid	$447.30
Rate for Payer: Priority Health Cigna Priority Health	$639.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,072.36
Rate for Payer: Priority Health Narrow Network	$1,072.36
Rate for Payer: Priority Health SBD	$1,072.36

PR I&D HEMATOMA SEROMA/FLUID COLLECTION

Facility

$264.00

Service Code	CPT 10140
Hospital Charge Code	10140
Hospital Revenue Code	521
Min. Negotiated Rate	$166.32
Max. Negotiated Rate	$237.60
Rate for Payer: Aetna Commercial	$224.40
Rate for Payer: Aetna New Business (MI Preferred)	$171.60
Rate for Payer: Cash Price	$211.20
Rate for Payer: Cofinity Commercial	$184.80
Rate for Payer: Cofinity Commercial	$227.04
Rate for Payer: Healthscope Commercial	$237.60
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$224.40
Rate for Payer: PHP Commercial	$224.40
Rate for Payer: Priority Health Cigna Priority Health	$184.80
Rate for Payer: Priority Health SBD	$166.32

PR I&D HEMATOMA SEROMA/FLUID COLLECTION

Facility

$264.00

Service Code	CPT 10140
Hospital Charge Code	10140
Hospital Revenue Code	521
Min. Negotiated Rate	$116.90
Max. Negotiated Rate	$4,536.73
Rate for Payer: Aetna Commercial	$224.40
Rate for Payer: Aetna Medicare	$1,500.31
Rate for Payer: Aetna New Business (MI Preferred)	$171.60
Rate for Payer: Allen County Amish Medical Aid Commercial	$1,803.26
Rate for Payer: Amish Plain Church Group Commercial	$1,803.26
Rate for Payer: BCBS Complete	$828.64
Rate for Payer: BCBS MAPPO	$1,442.61
Rate for Payer: BCBS Trust/PPO	$937.37
Rate for Payer: BCN Medicare Advantage	$1,442.61
Rate for Payer: Cash Price	$211.20
Rate for Payer: Cash Price	$211.20
Rate for Payer: Cofinity Commercial	$227.04
Rate for Payer: Cofinity Commercial	$184.80
Rate for Payer: Health Alliance Plan Medicare Advantage	$1,442.61
Rate for Payer: Healthscope Commercial	$237.60
Rate for Payer: Mclaren Medicaid	$789.11
Rate for Payer: Mclaren Medicare	$1,442.61
Rate for Payer: Meridian Medicaid	$828.64
Rate for Payer: Meridian Wellcare - Medicare Advantage	$1,514.74
Rate for Payer: MI Amish Medical Board Commercial	$1,659.00
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$224.40
Rate for Payer: PACE Medicare	$1,370.48
Rate for Payer: PACE SWMI	$1,442.61
Rate for Payer: PHP Commercial	$224.40
Rate for Payer: PHP Medicare Advantage	$1,442.61
Rate for Payer: Priority Health Choice Medicaid	$789.11
Rate for Payer: Priority Health Cigna Priority Health	$184.80
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$4,536.73
Rate for Payer: Priority Health Medicare	$1,442.61
Rate for Payer: Priority Health Narrow Network	$3,629.38
Rate for Payer: Priority Health SBD	$166.32
Rate for Payer: Railroad Medicare Medicare	$1,442.61
Rate for Payer: UHC All Payor (Choice/PPO)	$128.59
Rate for Payer: UHC Dual Complete DSNP	$1,442.61
Rate for Payer: UHC Exchange	$116.90
Rate for Payer: UHC Medicare Advantage	$1,485.89
Rate for Payer: VA VA	$1,442.61

PR I&D HEMATOMA SEROMA/FLUID COLLECTION

Professional

Both

$264.00

Service Code	HCPCS 10140
Min. Negotiated Rate	$12.91
Max. Negotiated Rate	$184.80
Rate for Payer: Aetna Commercial	$126.93
Rate for Payer: BCBS Complete	$79.84
Rate for Payer: BCBS Trust/PPO	$12.91
Rate for Payer: Cash Price	$211.20
Rate for Payer: Cash Price	$211.20
Rate for Payer: Mclaren Medicaid	$76.04
Rate for Payer: Meridian Medicaid	$79.84
Rate for Payer: Priority Health Choice Medicaid	$76.04
Rate for Payer: Priority Health Cigna Priority Health	$184.80
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$144.27
Rate for Payer: Priority Health Narrow Network	$144.27
Rate for Payer: Priority Health SBD	$144.27

PR I&D HEMATOMA SEROMA/FLUID COLLECTION

Professional

Both

$264.00

Service Code	HCPCS 10140
Hospital Charge Code	10140
Min. Negotiated Rate	$12.91
Max. Negotiated Rate	$184.80
Rate for Payer: Aetna Commercial	$126.93
Rate for Payer: BCBS Complete	$79.84
Rate for Payer: BCBS Trust/PPO	$12.91
Rate for Payer: Cash Price	$211.20
Rate for Payer: Cash Price	$211.20
Rate for Payer: Mclaren Medicaid	$76.04
Rate for Payer: Meridian Medicaid	$79.84
Rate for Payer: Priority Health Choice Medicaid	$76.04
Rate for Payer: Priority Health Cigna Priority Health	$184.80
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$144.27
Rate for Payer: Priority Health Narrow Network	$144.27
Rate for Payer: Priority Health SBD	$144.27

PR I&D INTRAMURAL IM/ABSC TRANSANAL ANES

Facility

$722.00

Service Code	CPT 46045
Hospital Charge Code	46045
Min. Negotiated Rate	$435.83
Max. Negotiated Rate	$3,122.94
Rate for Payer: Aetna Commercial	$613.70
Rate for Payer: Aetna Medicare	$2,598.28
Rate for Payer: Aetna New Business (MI Preferred)	$469.30
Rate for Payer: Allen County Amish Medical Aid Commercial	$3,122.94
Rate for Payer: Amish Plain Church Group Commercial	$3,122.94
Rate for Payer: BCBS Complete	$1,435.05
Rate for Payer: BCBS MAPPO	$2,498.35
Rate for Payer: BCBS Trust/PPO	$967.07
Rate for Payer: BCN Medicare Advantage	$2,498.35
Rate for Payer: Cash Price	$577.60
Rate for Payer: Cash Price	$577.60
Rate for Payer: Cofinity Commercial	$505.40
Rate for Payer: Cofinity Commercial	$620.92
Rate for Payer: Health Alliance Plan Medicare Advantage	$2,498.35
Rate for Payer: Healthscope Commercial	$649.80
Rate for Payer: Mclaren Medicaid	$1,366.60
Rate for Payer: Mclaren Medicare	$2,498.35
Rate for Payer: Meridian Medicaid	$1,435.05
Rate for Payer: Meridian Wellcare - Medicare Advantage	$2,623.27
Rate for Payer: MI Amish Medical Board Commercial	$2,873.10
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$613.70
Rate for Payer: PACE Medicare	$2,373.43
Rate for Payer: PACE SWMI	$2,498.35
Rate for Payer: PHP Commercial	$613.70
Rate for Payer: PHP Medicare Advantage	$2,498.35
Rate for Payer: Priority Health Choice Medicaid	$1,366.60
Rate for Payer: Priority Health Cigna Priority Health	$505.40
Rate for Payer: Priority Health Medicare	$2,498.35
Rate for Payer: Priority Health SBD	$454.86
Rate for Payer: Railroad Medicare Medicare	$2,498.35
Rate for Payer: UHC All Payor (Choice/PPO)	$479.41
Rate for Payer: UHC Dual Complete DSNP	$2,498.35
Rate for Payer: UHC Exchange	$435.83
Rate for Payer: UHC Medicare Advantage	$2,573.30
Rate for Payer: VA VA	$2,498.35

PR I&D INTRAMURAL IM/ABSC TRANSANAL ANES

Professional

Both

$722.00

Service Code	HCPCS 46045
Min. Negotiated Rate	$283.50
Max. Negotiated Rate	$2,294.94
Rate for Payer: Aetna Commercial	$588.31
Rate for Payer: BCBS Complete	$297.68
Rate for Payer: BCBS Trust/PPO	$2,294.94
Rate for Payer: Cash Price	$577.60
Rate for Payer: Cash Price	$577.60
Rate for Payer: Mclaren Medicaid	$283.50
Rate for Payer: Meridian Medicaid	$297.68
Rate for Payer: Priority Health Choice Medicaid	$283.50
Rate for Payer: Priority Health Cigna Priority Health	$505.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$774.94
Rate for Payer: Priority Health Narrow Network	$774.94
Rate for Payer: Priority Health SBD	$774.94

PR I&D INTRAMURAL IM/ABSC TRANSANAL ANES

Professional

Both

$722.00

Service Code	HCPCS 46045
Hospital Charge Code	46045
Min. Negotiated Rate	$283.50
Max. Negotiated Rate	$2,294.94
Rate for Payer: Aetna Commercial	$588.31
Rate for Payer: BCBS Complete	$297.68
Rate for Payer: BCBS Trust/PPO	$2,294.94
Rate for Payer: Cash Price	$577.60
Rate for Payer: Cash Price	$577.60
Rate for Payer: Mclaren Medicaid	$283.50
Rate for Payer: Meridian Medicaid	$297.68
Rate for Payer: Priority Health Choice Medicaid	$283.50
Rate for Payer: Priority Health Cigna Priority Health	$505.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$774.94
Rate for Payer: Priority Health Narrow Network	$774.94
Rate for Payer: Priority Health SBD	$774.94

PR I&D INTRAMURAL IM/ABSC TRANSANAL ANES

Facility

$722.00

Service Code	CPT 46045
Hospital Charge Code	46045
Min. Negotiated Rate	$454.86
Max. Negotiated Rate	$649.80
Rate for Payer: Aetna Commercial	$613.70
Rate for Payer: Aetna New Business (MI Preferred)	$469.30
Rate for Payer: Cash Price	$577.60
Rate for Payer: Cofinity Commercial	$505.40
Rate for Payer: Cofinity Commercial	$620.92
Rate for Payer: Healthscope Commercial	$649.80
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$613.70
Rate for Payer: PHP Commercial	$613.70
Rate for Payer: Priority Health Cigna Priority Health	$505.40
Rate for Payer: Priority Health SBD	$454.86

PR I&D ISCHIORCT/INTRAMURAL ABSC W/WO SETON

Professional

Both

$2,085.00

Service Code	HCPCS 46060
Min. Negotiated Rate	$313.54
Max. Negotiated Rate	$1,459.50
Rate for Payer: Aetna Commercial	$645.77
Rate for Payer: BCBS Complete	$329.22
Rate for Payer: BCBS Trust/PPO	$1,438.03
Rate for Payer: Cash Price	$1,668.00
Rate for Payer: Cash Price	$1,668.00
Rate for Payer: Mclaren Medicaid	$313.54
Rate for Payer: Meridian Medicaid	$329.22
Rate for Payer: Priority Health Choice Medicaid	$313.54
Rate for Payer: Priority Health Cigna Priority Health	$1,459.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$860.79
Rate for Payer: Priority Health Narrow Network	$860.79
Rate for Payer: Priority Health SBD	$860.79

Know your out-of-pocket cost for care.

All Charges