Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

PR LAMINECTOMY BX/EXC ISPI NEO XDRL LUMBAR

Professional

Both

$6,090.00

Service Code	HCPCS 63277
Min. Negotiated Rate	$453.81
Max. Negotiated Rate	$4,263.00
Rate for Payer: Aetna Commercial	$2,017.05
Rate for Payer: BCBS Complete	$1,061.89
Rate for Payer: BCBS Trust/PPO	$453.81
Rate for Payer: Cash Price	$4,872.00
Rate for Payer: Cash Price	$4,872.00
Rate for Payer: Mclaren Medicaid	$1,011.32
Rate for Payer: Meridian Medicaid	$1,061.89
Rate for Payer: Priority Health Choice Medicaid	$1,011.32
Rate for Payer: Priority Health Cigna Priority Health	$4,263.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$2,670.88
Rate for Payer: Priority Health Narrow Network	$2,670.88
Rate for Payer: Priority Health SBD	$2,670.88

PR LAMINECTOMY BX/EXC ISPI NEO XDRL SACRAL

Professional

Both

$5,298.00

Service Code	HCPCS 63278
Min. Negotiated Rate	$351.32
Max. Negotiated Rate	$3,708.60
Rate for Payer: Aetna Commercial	$2,058.50
Rate for Payer: BCBS Complete	$1,089.85
Rate for Payer: BCBS Trust/PPO	$351.32
Rate for Payer: Cash Price	$4,238.40
Rate for Payer: Cash Price	$4,238.40
Rate for Payer: Mclaren Medicaid	$1,037.95
Rate for Payer: Meridian Medicaid	$1,089.85
Rate for Payer: Priority Health Choice Medicaid	$1,037.95
Rate for Payer: Priority Health Cigna Priority Health	$3,708.60
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$2,733.17
Rate for Payer: Priority Health Narrow Network	$2,733.17
Rate for Payer: Priority Health SBD	$2,733.17

PR LAMINECTOMY BX/EXC ISPI NEO XDRL THORACIC

Professional

Both

$6,788.00

Service Code	HCPCS 63276
Min. Negotiated Rate	$311.70
Max. Negotiated Rate	$4,751.60
Rate for Payer: Aetna Commercial	$2,318.43
Rate for Payer: BCBS Complete	$1,217.55
Rate for Payer: BCBS Trust/PPO	$311.70
Rate for Payer: Cash Price	$5,430.40
Rate for Payer: Cash Price	$5,430.40
Rate for Payer: Mclaren Medicaid	$1,159.57
Rate for Payer: Meridian Medicaid	$1,217.55
Rate for Payer: Priority Health Choice Medicaid	$1,159.57
Rate for Payer: Priority Health Cigna Priority Health	$4,751.60
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$3,054.22
Rate for Payer: Priority Health Narrow Network	$3,054.22
Rate for Payer: Priority Health SBD	$3,054.22

PR LAMINECTOMY RELEASE TETHERED SPINAL CORD LUMBAR

Professional

Both

$5,800.00

Service Code	HCPCS 63200
Min. Negotiated Rate	$291.09
Max. Negotiated Rate	$4,060.00
Rate for Payer: Aetna Commercial	$1,964.99
Rate for Payer: BCBS Complete	$1,046.01
Rate for Payer: BCBS Trust/PPO	$291.09
Rate for Payer: Cash Price	$4,640.00
Rate for Payer: Cash Price	$4,640.00
Rate for Payer: Mclaren Medicaid	$996.20
Rate for Payer: Meridian Medicaid	$1,046.01
Rate for Payer: Priority Health Choice Medicaid	$996.20
Rate for Payer: Priority Health Cigna Priority Health	$4,060.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$2,609.15
Rate for Payer: Priority Health Narrow Network	$2,609.15
Rate for Payer: Priority Health SBD	$2,609.15

PR LAMINECTOMY W/O FFD 1/2 VERT SEG LUMBAR

Professional

Both

$4,934.00

Service Code	HCPCS 63005
Min. Negotiated Rate	$233.48
Max. Negotiated Rate	$3,453.80
Rate for Payer: Aetna Commercial	$1,542.52
Rate for Payer: BCBS Complete	$818.56
Rate for Payer: BCBS Trust/PPO	$233.48
Rate for Payer: Cash Price	$3,947.20
Rate for Payer: Cash Price	$3,947.20
Rate for Payer: Mclaren Medicaid	$779.58
Rate for Payer: Meridian Medicaid	$818.56
Rate for Payer: Priority Health Choice Medicaid	$779.58
Rate for Payer: Priority Health Cigna Priority Health	$3,453.80
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$2,049.17
Rate for Payer: Priority Health Narrow Network	$2,049.17
Rate for Payer: Priority Health SBD	$2,049.17

PR LAMINECTOMY W/O FFD 1/2 VERT SEG SACRAL

Professional

Both

$2,197.00

Service Code	HCPCS 63011
Min. Negotiated Rate	$449.06
Max. Negotiated Rate	$1,861.74
Rate for Payer: Aetna Commercial	$1,416.81
Rate for Payer: BCBS Complete	$738.27
Rate for Payer: BCBS Trust/PPO	$449.06
Rate for Payer: Cash Price	$1,757.60
Rate for Payer: Cash Price	$1,757.60
Rate for Payer: Mclaren Medicaid	$703.11
Rate for Payer: Meridian Medicaid	$738.27
Rate for Payer: Priority Health Choice Medicaid	$703.11
Rate for Payer: Priority Health Cigna Priority Health	$1,537.90
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,861.74
Rate for Payer: Priority Health Narrow Network	$1,861.74
Rate for Payer: Priority Health SBD	$1,861.74

PR LAMINECTOMY W/O FFD 1/2 VERT SEG THORACIC

Professional

Both

$6,062.00

Service Code	HCPCS 63003
Min. Negotiated Rate	$194.94
Max. Negotiated Rate	$4,243.40
Rate for Payer: Aetna Commercial	$1,595.23
Rate for Payer: BCBS Complete	$840.47
Rate for Payer: BCBS Trust/PPO	$194.94
Rate for Payer: Cash Price	$4,849.60
Rate for Payer: Cash Price	$4,849.60
Rate for Payer: Mclaren Medicaid	$800.45
Rate for Payer: Meridian Medicaid	$840.47
Rate for Payer: Priority Health Choice Medicaid	$800.45
Rate for Payer: Priority Health Cigna Priority Health	$4,243.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$2,107.48
Rate for Payer: Priority Health Narrow Network	$2,107.48
Rate for Payer: Priority Health SBD	$2,107.48

PR LAMINECTOMY W/O FFD > 2 VERT SEG CERVICAL

Professional

Both

$6,133.00

Service Code	HCPCS 63015
Min. Negotiated Rate	$422.11
Max. Negotiated Rate	$4,293.10
Rate for Payer: Aetna Commercial	$1,910.12
Rate for Payer: BCBS Complete	$1,009.33
Rate for Payer: BCBS Trust/PPO	$422.11
Rate for Payer: Cash Price	$4,906.40
Rate for Payer: Cash Price	$4,906.40
Rate for Payer: Mclaren Medicaid	$961.27
Rate for Payer: Meridian Medicaid	$1,009.33
Rate for Payer: Priority Health Choice Medicaid	$961.27
Rate for Payer: Priority Health Cigna Priority Health	$4,293.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$2,529.89
Rate for Payer: Priority Health Narrow Network	$2,529.89
Rate for Payer: Priority Health SBD	$2,529.89

PR LAMINECTOMY W/O FFD > 2 VERT SEG LUMBAR

Professional

Both

$6,135.00

Service Code	HCPCS 63017
Min. Negotiated Rate	$263.09
Max. Negotiated Rate	$4,294.50
Rate for Payer: Aetna Commercial	$1,628.24
Rate for Payer: BCBS Complete	$863.07
Rate for Payer: BCBS Trust/PPO	$263.09
Rate for Payer: Cash Price	$4,908.00
Rate for Payer: Cash Price	$4,908.00
Rate for Payer: Mclaren Medicaid	$821.97
Rate for Payer: Meridian Medicaid	$863.07
Rate for Payer: Priority Health Choice Medicaid	$821.97
Rate for Payer: Priority Health Cigna Priority Health	$4,294.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$2,164.11
Rate for Payer: Priority Health Narrow Network	$2,164.11
Rate for Payer: Priority Health SBD	$2,164.11

PR LAMINECTOMY W/O FFD > 2 VERT SEG THORACIC

Professional

Both

$6,640.00

Service Code	HCPCS 63016
Min. Negotiated Rate	$313.28
Max. Negotiated Rate	$4,648.00
Rate for Payer: Aetna Commercial	$1,969.01
Rate for Payer: BCBS Complete	$1,037.74
Rate for Payer: BCBS Trust/PPO	$313.28
Rate for Payer: Cash Price	$5,312.00
Rate for Payer: Cash Price	$5,312.00
Rate for Payer: Mclaren Medicaid	$988.32
Rate for Payer: Meridian Medicaid	$1,037.74
Rate for Payer: Priority Health Choice Medicaid	$988.32
Rate for Payer: Priority Health Cigna Priority Health	$4,648.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$2,610.29
Rate for Payer: Priority Health Narrow Network	$2,610.29
Rate for Payer: Priority Health SBD	$2,610.29

PR LAMINECTOMY W/RHIZOTOMY 1/2 SEGMENTS

Professional

Both

$5,671.00

Service Code	HCPCS 63185
Min. Negotiated Rate	$801.95
Max. Negotiated Rate	$4,716.13
Rate for Payer: Aetna Commercial	$1,466.36
Rate for Payer: BCBS Complete	$842.05
Rate for Payer: BCBS Trust/PPO	$4,716.13
Rate for Payer: Cash Price	$4,536.80
Rate for Payer: Cash Price	$4,536.80
Rate for Payer: Mclaren Medicaid	$801.95
Rate for Payer: Meridian Medicaid	$842.05
Rate for Payer: Priority Health Choice Medicaid	$801.95
Rate for Payer: Priority Health Cigna Priority Health	$3,969.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,946.67
Rate for Payer: Priority Health Narrow Network	$1,946.67
Rate for Payer: Priority Health SBD	$1,946.67

PR LAMINECTOMY W/RMVL ABNORMAL FACETS LUMBAR

Professional

Both

$6,034.00

Service Code	HCPCS 63012
Min. Negotiated Rate	$479.17
Max. Negotiated Rate	$4,223.80
Rate for Payer: Aetna Commercial	$1,539.11
Rate for Payer: BCBS Complete	$812.07
Rate for Payer: BCBS Trust/PPO	$479.17
Rate for Payer: Cash Price	$4,827.20
Rate for Payer: Cash Price	$4,827.20
Rate for Payer: Mclaren Medicaid	$773.40
Rate for Payer: Meridian Medicaid	$812.07
Rate for Payer: Priority Health Choice Medicaid	$773.40
Rate for Payer: Priority Health Cigna Priority Health	$4,223.80
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$2,041.80
Rate for Payer: Priority Health Narrow Network	$2,041.80
Rate for Payer: Priority Health SBD	$2,041.80

PR LAMINECTOMY W/SECTION SPINAL ACCESSORY NERVE

Professional

Both

$2,188.00

Service Code	HCPCS 63191
Min. Negotiated Rate	$243.55
Max. Negotiated Rate	$2,369.65
Rate for Payer: Aetna Commercial	$1,782.81
Rate for Payer: BCBS Complete	$945.37
Rate for Payer: BCBS Trust/PPO	$243.55
Rate for Payer: Cash Price	$1,750.40
Rate for Payer: Cash Price	$1,750.40
Rate for Payer: Mclaren Medicaid	$900.35
Rate for Payer: Meridian Medicaid	$945.37
Rate for Payer: Priority Health Choice Medicaid	$900.35
Rate for Payer: Priority Health Cigna Priority Health	$1,531.60
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$2,369.65
Rate for Payer: Priority Health Narrow Network	$2,369.65
Rate for Payer: Priority Health SBD	$2,369.65

PR LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC CERVC

Professional

Both

$5,633.00

Service Code	HCPCS 63020
Min. Negotiated Rate	$230.34
Max. Negotiated Rate	$3,943.10
Rate for Payer: Aetna Commercial	$1,495.35
Rate for Payer: BCBS Complete	$746.99
Rate for Payer: BCBS Trust/PPO	$230.34
Rate for Payer: Cash Price	$4,506.40
Rate for Payer: Cash Price	$4,506.40
Rate for Payer: Mclaren Medicaid	$711.42
Rate for Payer: Meridian Medicaid	$746.99
Rate for Payer: Priority Health Choice Medicaid	$711.42
Rate for Payer: Priority Health Cigna Priority Health	$3,943.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,871.37
Rate for Payer: Priority Health Narrow Network	$1,871.37
Rate for Payer: Priority Health SBD	$1,871.37

PR LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC LUMBR

Professional

Both

$5,455.00

Service Code	HCPCS 63030
Min. Negotiated Rate	$318.04
Max. Negotiated Rate	$3,818.50
Rate for Payer: Aetna Commercial	$1,255.97
Rate for Payer: BCBS Complete	$622.87
Rate for Payer: BCBS Trust/PPO	$318.04
Rate for Payer: Cash Price	$4,364.00
Rate for Payer: Cash Price	$4,364.00
Rate for Payer: Mclaren Medicaid	$593.21
Rate for Payer: Meridian Medicaid	$622.87
Rate for Payer: Priority Health Choice Medicaid	$593.21
Rate for Payer: Priority Health Cigna Priority Health	$3,818.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,558.81
Rate for Payer: Priority Health Narrow Network	$1,558.81
Rate for Payer: Priority Health SBD	$1,558.81

PR LAMNOTMY W/DCMPRSN NRV EACH ADDL CRVCL/LMBR

Professional

Both

$1,783.00

Service Code	HCPCS 63035
Min. Negotiated Rate	$148.67
Max. Negotiated Rate	$1,248.10
Rate for Payer: Aetna Commercial	$248.65
Rate for Payer: BCBS Complete	$156.10
Rate for Payer: BCBS Trust/PPO	$1,004.30
Rate for Payer: Cash Price	$1,426.40
Rate for Payer: Cash Price	$1,426.40
Rate for Payer: Mclaren Medicaid	$148.67
Rate for Payer: Meridian Medicaid	$156.10
Rate for Payer: Priority Health Choice Medicaid	$148.67
Rate for Payer: Priority Health Cigna Priority Health	$1,248.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$394.65
Rate for Payer: Priority Health Narrow Network	$394.65
Rate for Payer: Priority Health SBD	$394.65

PR LAMOPLASTY CERVICAL DCMPRN CORD 2/> SEG RCNSTJ

Professional

Both

$8,375.00

Service Code	HCPCS 63051
Min. Negotiated Rate	$405.21
Max. Negotiated Rate	$5,862.50
Rate for Payer: Aetna Commercial	$2,195.15
Rate for Payer: BCBS Complete	$1,144.20
Rate for Payer: BCBS Trust/PPO	$405.21
Rate for Payer: Cash Price	$6,700.00
Rate for Payer: Cash Price	$6,700.00
Rate for Payer: Mclaren Medicaid	$1,089.71
Rate for Payer: Meridian Medicaid	$1,144.20
Rate for Payer: Priority Health Choice Medicaid	$1,089.71
Rate for Payer: Priority Health Cigna Priority Health	$5,862.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$2,878.69
Rate for Payer: Priority Health Narrow Network	$2,878.69
Rate for Payer: Priority Health SBD	$2,878.69

PR LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC CERVICAL

Professional

Both

$6,542.00

Service Code	HCPCS 63040
Min. Negotiated Rate	$889.06
Max. Negotiated Rate	$4,579.40
Rate for Payer: Aetna Commercial	$1,795.55
Rate for Payer: BCBS Complete	$933.51
Rate for Payer: BCBS Trust/PPO	$1,073.51
Rate for Payer: Cash Price	$5,233.60
Rate for Payer: Cash Price	$5,233.60
Rate for Payer: Mclaren Medicaid	$889.06
Rate for Payer: Meridian Medicaid	$933.51
Rate for Payer: Priority Health Choice Medicaid	$889.06
Rate for Payer: Priority Health Cigna Priority Health	$4,579.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$2,351.53
Rate for Payer: Priority Health Narrow Network	$2,351.53
Rate for Payer: Priority Health SBD	$2,351.53

PR LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC EA CRV

Professional

Both

$2,139.00

Service Code	HCPCS 63043
Min. Negotiated Rate	$191.17
Max. Negotiated Rate	$1,862.26
Rate for Payer: Aetna Commercial	$780.02
Rate for Payer: BCBS Complete	$200.73
Rate for Payer: BCBS Trust/PPO	$1,862.26
Rate for Payer: Cash Price	$1,711.20
Rate for Payer: Cash Price	$1,711.20
Rate for Payer: Mclaren Medicaid	$191.17
Rate for Payer: Meridian Medicaid	$200.73
Rate for Payer: Priority Health Choice Medicaid	$191.17
Rate for Payer: Priority Health Cigna Priority Health	$1,497.30
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,024.87
Rate for Payer: Priority Health Narrow Network	$1,024.87
Rate for Payer: Priority Health SBD	$1,024.87

PR LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC LUMBAR

Professional

Both

$2,640.46

Service Code	HCPCS 63042
Min. Negotiated Rate	$836.88
Max. Negotiated Rate	$2,204.31
Rate for Payer: Aetna Commercial	$1,671.08
Rate for Payer: BCBS Complete	$878.72
Rate for Payer: BCBS Trust/PPO	$1,376.75
Rate for Payer: Cash Price	$2,112.37
Rate for Payer: Cash Price	$2,112.37
Rate for Payer: Mclaren Medicaid	$836.88
Rate for Payer: Meridian Medicaid	$878.72
Rate for Payer: Priority Health Choice Medicaid	$836.88
Rate for Payer: Priority Health Cigna Priority Health	$1,848.32
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$2,204.31
Rate for Payer: Priority Health Narrow Network	$2,204.31
Rate for Payer: Priority Health SBD	$2,204.31

PR LAMOT W/PRTL FFD HRNA8 REEXPL 1 NTRSPC EA LMBR

Professional

Both

$2,083.00

Service Code	HCPCS 63044
Min. Negotiated Rate	$179.97
Max. Negotiated Rate	$1,908.75
Rate for Payer: Aetna Commercial	$741.31
Rate for Payer: BCBS Complete	$188.97
Rate for Payer: BCBS Trust/PPO	$1,908.75
Rate for Payer: Cash Price	$1,666.40
Rate for Payer: Cash Price	$1,666.40
Rate for Payer: Mclaren Medicaid	$179.97
Rate for Payer: Meridian Medicaid	$188.97
Rate for Payer: Priority Health Choice Medicaid	$179.97
Rate for Payer: Priority Health Cigna Priority Health	$1,458.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$973.90
Rate for Payer: Priority Health Narrow Network	$973.90
Rate for Payer: Priority Health SBD	$973.90

PR LAM W/DRG INTRMEDULLARY CYST/SYRINX SUBARACHNOID

Professional

Both

$6,198.00

Service Code	HCPCS 63172
Min. Negotiated Rate	$919.73
Max. Negotiated Rate	$4,338.60
Rate for Payer: Aetna Commercial	$1,825.56
Rate for Payer: BCBS Complete	$965.72
Rate for Payer: BCBS Trust/PPO	$3,470.40
Rate for Payer: Cash Price	$4,958.40
Rate for Payer: Cash Price	$4,958.40
Rate for Payer: Mclaren Medicaid	$919.73
Rate for Payer: Meridian Medicaid	$965.72
Rate for Payer: Priority Health Choice Medicaid	$919.73
Rate for Payer: Priority Health Cigna Priority Health	$4,338.60
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$2,421.75
Rate for Payer: Priority Health Narrow Network	$2,421.75
Rate for Payer: Priority Health SBD	$2,421.75

PR LAM W/DRG INTRMEDULRY CYST/SYRINX PRTL/PLEURAL

Professional

Both

$6,724.00

Service Code	HCPCS 63173
Min. Negotiated Rate	$1,122.72
Max. Negotiated Rate	$4,706.80
Rate for Payer: Aetna Commercial	$2,229.76
Rate for Payer: BCBS Complete	$1,178.86
Rate for Payer: BCBS Trust/PPO	$3,763.08
Rate for Payer: Cash Price	$5,379.20
Rate for Payer: Cash Price	$5,379.20
Rate for Payer: Mclaren Medicaid	$1,122.72
Rate for Payer: Meridian Medicaid	$1,178.86
Rate for Payer: Priority Health Choice Medicaid	$1,122.72
Rate for Payer: Priority Health Cigna Priority Health	$4,706.80
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$2,954.55
Rate for Payer: Priority Health Narrow Network	$2,954.55
Rate for Payer: Priority Health SBD	$2,954.55

PR LAM W/O FACETEC FORAMOT/DSC 1/2 VRT SGM CRV

Professional

Both

$4,992.00

Service Code	HCPCS 63001
Min. Negotiated Rate	$140.00
Max. Negotiated Rate	$3,494.40
Rate for Payer: Aetna Commercial	$1,593.74
Rate for Payer: BCBS Complete	$837.34
Rate for Payer: BCBS Trust/PPO	$140.00
Rate for Payer: Cash Price	$3,993.60
Rate for Payer: Cash Price	$3,993.60
Rate for Payer: Mclaren Medicaid	$797.47
Rate for Payer: Meridian Medicaid	$837.34
Rate for Payer: Priority Health Choice Medicaid	$797.47
Rate for Payer: Priority Health Cigna Priority Health	$3,494.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$2,106.91
Rate for Payer: Priority Health Narrow Network	$2,106.91
Rate for Payer: Priority Health SBD	$2,106.91

PR LAPAROSCOPIC APPENDECTOMY

Facility

$1,975.00

Service Code	CPT 44970
Hospital Charge Code	44970
Hospital Revenue Code	960
Min. Negotiated Rate	$595.29
Max. Negotiated Rate	$15,754.72
Rate for Payer: Aetna Commercial	$1,678.75
Rate for Payer: Aetna Medicare	$5,339.45
Rate for Payer: Aetna New Business (MI Preferred)	$1,283.75
Rate for Payer: Allen County Amish Medical Aid Commercial	$6,417.61
Rate for Payer: Amish Plain Church Group Commercial	$6,417.61
Rate for Payer: BCBS Complete	$2,949.02
Rate for Payer: BCBS MAPPO	$5,134.09
Rate for Payer: BCBS Trust/PPO	$2,816.89
Rate for Payer: BCN Medicare Advantage	$5,134.09
Rate for Payer: Cash Price	$1,580.00
Rate for Payer: Cash Price	$1,580.00
Rate for Payer: Cofinity Commercial	$1,698.50
Rate for Payer: Cofinity Commercial	$1,382.50
Rate for Payer: Health Alliance Plan Medicare Advantage	$5,134.09
Rate for Payer: Healthscope Commercial	$1,777.50
Rate for Payer: Mclaren Medicaid	$2,808.35
Rate for Payer: Mclaren Medicare	$5,134.09
Rate for Payer: Meridian Medicaid	$2,949.02
Rate for Payer: Meridian Wellcare - Medicare Advantage	$5,390.79
Rate for Payer: MI Amish Medical Board Commercial	$5,904.20
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$1,678.75
Rate for Payer: PACE Medicare	$4,877.39
Rate for Payer: PACE SWMI	$5,134.09
Rate for Payer: PHP Commercial	$1,678.75
Rate for Payer: PHP Medicare Advantage	$5,134.09
Rate for Payer: Priority Health Choice Medicaid	$2,808.35
Rate for Payer: Priority Health Cigna Priority Health	$1,382.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$15,754.72
Rate for Payer: Priority Health Medicare	$5,134.09
Rate for Payer: Priority Health Narrow Network	$12,603.78
Rate for Payer: Priority Health SBD	$1,244.25
Rate for Payer: Railroad Medicare Medicare	$5,134.09
Rate for Payer: UHC All Payor (Choice/PPO)	$654.82
Rate for Payer: UHC Dual Complete DSNP	$5,134.09
Rate for Payer: UHC Exchange	$595.29
Rate for Payer: UHC Medicare Advantage	$5,288.11
Rate for Payer: VA VA	$5,134.09

Know your out-of-pocket cost for care.

All Charges