Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

PR ANESTHESIA ACCESS CENTRAL VENOUS CIRCULATION

Professional

Both

$4.00

Service Code	HCPCS 00532
Min. Negotiated Rate	$1.60
Max. Negotiated Rate	$50.00
Rate for Payer: Aetna Medicare	$2.00
Rate for Payer: BCBS Complete	$1.60
Rate for Payer: Cash Price	$3.20
Rate for Payer: Cash Price	$3.20
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$50.00
Rate for Payer: Opus (Opus Packaging Group) HMA	$3.00

PR ANESTHESIA ALL CLOSED PROCEDURES KNEE JOINT

Professional

Both

$3.00

Service Code	HCPCS 01380
Min. Negotiated Rate	$1.20
Max. Negotiated Rate	$50.00
Rate for Payer: Aetna Medicare	$1.50
Rate for Payer: BCBS Complete	$1.20
Rate for Payer: Cash Price	$2.40
Rate for Payer: Cash Price	$2.40
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$50.00
Rate for Payer: Opus (Opus Packaging Group) HMA	$2.25

PR ANESTHESIA ALL CLOSED PROCEDURES LOWER 1/3 FEMUR

Professional

Both

$4.00

Service Code	HCPCS 01340
Min. Negotiated Rate	$1.60
Max. Negotiated Rate	$50.00
Rate for Payer: Aetna Medicare	$2.00
Rate for Payer: BCBS Complete	$1.60
Rate for Payer: Cash Price	$3.20
Rate for Payer: Cash Price	$3.20
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$50.00
Rate for Payer: Opus (Opus Packaging Group) HMA	$3.00

PR ANESTHESIA ALL CLOSED PX LOWER LEG ANKLE & FOOT

Professional

Both

$3.00

Service Code	HCPCS 01462
Min. Negotiated Rate	$1.20
Max. Negotiated Rate	$50.00
Rate for Payer: Aetna Medicare	$1.50
Rate for Payer: BCBS Complete	$1.20
Rate for Payer: Cash Price	$2.40
Rate for Payer: Cash Price	$2.40
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$50.00
Rate for Payer: Opus (Opus Packaging Group) HMA	$2.25

PR ANESTHESIA ALL OPEN PROCEDURES LOWER 1/3 FEMUR

Professional

Both

$5.00

Service Code	HCPCS 01360
Min. Negotiated Rate	$2.00
Max. Negotiated Rate	$50.00
Rate for Payer: Aetna Medicare	$2.50
Rate for Payer: BCBS Complete	$2.00
Rate for Payer: Cash Price	$4.00
Rate for Payer: Cash Price	$4.00
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$50.00
Rate for Payer: Opus (Opus Packaging Group) HMA	$3.75

PR ANESTHESIA ALL PROCEDURES ON ESOPHAGUS

Professional

Both

$15.00

Service Code	HCPCS 00500
Min. Negotiated Rate	$6.00
Max. Negotiated Rate	$50.00
Rate for Payer: Aetna Medicare	$7.50
Rate for Payer: BCBS Complete	$6.00
Rate for Payer: Cash Price	$12.00
Rate for Payer: Cash Price	$12.00
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$50.00
Rate for Payer: Opus (Opus Packaging Group) HMA	$11.25

PR ANESTHESIA ALL PX LARYNX&TRACHEA CHILDREN<1YEAR

Professional

Both

$7.00

Service Code	HCPCS 00326
Min. Negotiated Rate	$2.80
Max. Negotiated Rate	$50.00
Rate for Payer: Aetna Medicare	$3.50
Rate for Payer: BCBS Complete	$2.80
Rate for Payer: Cash Price	$5.60
Rate for Payer: Cash Price	$5.60
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$50.00
Rate for Payer: Opus (Opus Packaging Group) HMA	$5.25

PR ANESTHESIA ALL PX MAJOR ABDOMINAL BLOOD VESSELS

Professional

Both

$15.00

Service Code	HCPCS 00770
Min. Negotiated Rate	$6.00
Max. Negotiated Rate	$50.00
Rate for Payer: Aetna Medicare	$7.50
Rate for Payer: BCBS Complete	$6.00
Rate for Payer: Cash Price	$12.00
Rate for Payer: Cash Price	$12.00
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$50.00
Rate for Payer: Opus (Opus Packaging Group) HMA	$11.25

PR ANESTHESIA ALL PX VEINS SHOULDER&AXILLA

Professional

Both

$4.00

Service Code	HCPCS 01670
Min. Negotiated Rate	$1.60
Max. Negotiated Rate	$50.00
Rate for Payer: Aetna Medicare	$2.00
Rate for Payer: BCBS Complete	$1.60
Rate for Payer: Cash Price	$3.20
Rate for Payer: Cash Price	$3.20
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$50.00
Rate for Payer: Opus (Opus Packaging Group) HMA	$3.00

PR ANESTHESIA ANORECTAL PROCEDURE

Professional

Both

$5.00

Service Code	HCPCS 00902
Min. Negotiated Rate	$2.00
Max. Negotiated Rate	$50.00
Rate for Payer: Aetna Medicare	$2.50
Rate for Payer: BCBS Complete	$2.00
Rate for Payer: Cash Price	$4.00
Rate for Payer: Cash Price	$4.00
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$50.00
Rate for Payer: Opus (Opus Packaging Group) HMA	$3.75

PR ANESTHESIA ARTHROSCOPIC PROCEDURE ANKLE&/FOOT

Professional

Both

$3.00

Service Code	HCPCS 01464
Min. Negotiated Rate	$1.20
Max. Negotiated Rate	$50.00
Rate for Payer: Aetna Medicare	$1.50
Rate for Payer: BCBS Complete	$1.20
Rate for Payer: Cash Price	$2.40
Rate for Payer: Cash Price	$2.40
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$50.00
Rate for Payer: Opus (Opus Packaging Group) HMA	$2.25

PR ANESTHESIA ARTHROSCOPIC PROCEDURES HIP JOINT

Professional

Both

$4.00

Service Code	HCPCS 01202
Min. Negotiated Rate	$1.60
Max. Negotiated Rate	$50.00
Rate for Payer: Aetna Medicare	$2.00
Rate for Payer: BCBS Complete	$1.60
Rate for Payer: Cash Price	$3.20
Rate for Payer: Cash Price	$3.20
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$50.00
Rate for Payer: Opus (Opus Packaging Group) HMA	$3.00

PR ANESTHESIA ARTHRS/ENDOSCOPIC TOTAL WRIST RPLCMT

Professional

Both

$6.00

Service Code	HCPCS 01832
Min. Negotiated Rate	$2.40
Max. Negotiated Rate	$50.00
Rate for Payer: Aetna Medicare	$3.00
Rate for Payer: BCBS Complete	$2.40
Rate for Payer: Cash Price	$4.80
Rate for Payer: Cash Price	$4.80
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$50.00
Rate for Payer: Opus (Opus Packaging Group) HMA	$4.50

PR ANESTHESIA BODY CAST APPLICATION OR REVISION

Professional

Both

$3.00

Service Code	HCPCS 01130
Min. Negotiated Rate	$1.20
Max. Negotiated Rate	$50.00
Rate for Payer: Aetna Medicare	$1.50
Rate for Payer: BCBS Complete	$1.20
Rate for Payer: Cash Price	$2.40
Rate for Payer: Cash Price	$2.40
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$50.00
Rate for Payer: Opus (Opus Packaging Group) HMA	$2.25

PR ANESTHESIA CARDIAC EP PX W/RF ABLATION

Professional

Both

$7.00

Service Code	HCPCS 00537
Min. Negotiated Rate	$2.80
Max. Negotiated Rate	$50.00
Rate for Payer: Aetna Medicare	$3.50
Rate for Payer: BCBS Complete	$2.80
Rate for Payer: Cash Price	$5.60
Rate for Payer: Cash Price	$5.60
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$50.00
Rate for Payer: Opus (Opus Packaging Group) HMA	$5.25

PR ANESTHESIA CESAREAN DELIVERY ONLY

Professional

Both

$7.00

Service Code	HCPCS 01961
Min. Negotiated Rate	$2.80
Max. Negotiated Rate	$50.00
Rate for Payer: Aetna Medicare	$3.50
Rate for Payer: BCBS Complete	$2.80
Rate for Payer: Cash Price	$5.60
Rate for Payer: Cash Price	$5.60
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$50.00
Rate for Payer: Opus (Opus Packaging Group) HMA	$5.25

PR ANESTHESIA C HYST W/O ANY LABOR ANALG/ANES CARE

Professional

Both

$8.00

Service Code	HCPCS 01963
Min. Negotiated Rate	$3.20
Max. Negotiated Rate	$50.00
Rate for Payer: Aetna Medicare	$4.00
Rate for Payer: BCBS Complete	$3.20
Rate for Payer: Cash Price	$6.40
Rate for Payer: Cash Price	$6.40
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$50.00
Rate for Payer: Opus (Opus Packaging Group) HMA	$6.00

PR ANESTHESIA CLOSED CHEST PX NEEDLE BIOPSY PLEURA

Professional

Both

$4.00

Service Code	HCPCS 00522
Min. Negotiated Rate	$1.60
Max. Negotiated Rate	$50.00
Rate for Payer: Aetna Medicare	$2.00
Rate for Payer: BCBS Complete	$1.60
Rate for Payer: Cash Price	$3.20
Rate for Payer: Cash Price	$3.20
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$50.00
Rate for Payer: Opus (Opus Packaging Group) HMA	$3.00

PR ANESTHESIA CLOSED CHEST PX PNEUMOCENTESIS

Professional

Both

$4.00

Service Code	HCPCS 00524
Min. Negotiated Rate	$1.60
Max. Negotiated Rate	$50.00
Rate for Payer: Aetna Medicare	$2.00
Rate for Payer: BCBS Complete	$1.60
Rate for Payer: Cash Price	$3.20
Rate for Payer: Cash Price	$3.20
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$50.00
Rate for Payer: Opus (Opus Packaging Group) HMA	$3.00

PR ANESTHESIA CLOSED CHEST PX W/BRONCHOSCOPY NOS

Professional

Both

$6.00

Service Code	HCPCS 00520
Min. Negotiated Rate	$2.40
Max. Negotiated Rate	$50.00
Rate for Payer: Aetna Medicare	$3.00
Rate for Payer: BCBS Complete	$2.40
Rate for Payer: Cash Price	$4.80
Rate for Payer: Cash Price	$4.80
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$50.00
Rate for Payer: Opus (Opus Packaging Group) HMA	$4.50

PR ANESTHESIA CLOSED PROCEDURES HUMERUS & ELBOW

Professional

Both

$3.00

Service Code	HCPCS 01730
Min. Negotiated Rate	$1.20
Max. Negotiated Rate	$50.00
Rate for Payer: Aetna Medicare	$1.50
Rate for Payer: BCBS Complete	$1.20
Rate for Payer: Cash Price	$2.40
Rate for Payer: Cash Price	$2.40
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$50.00
Rate for Payer: Opus (Opus Packaging Group) HMA	$2.25

PR ANESTHESIA CLOSED PROCEDURES UPPER 2/3 FEMUR

Professional

Both

$4.00

Service Code	HCPCS 01220
Min. Negotiated Rate	$1.60
Max. Negotiated Rate	$50.00
Rate for Payer: Aetna Medicare	$2.00
Rate for Payer: BCBS Complete	$1.60
Rate for Payer: Cash Price	$3.20
Rate for Payer: Cash Price	$3.20
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$50.00
Rate for Payer: Opus (Opus Packaging Group) HMA	$3.00

PR ANESTHESIA COMBINED UPPER&LOWER GI ENDOSCOPIC PX

Professional

Both

$1.00

Service Code	HCPCS 00813
Min. Negotiated Rate	$0.40
Max. Negotiated Rate	$50.00
Rate for Payer: Aetna Medicare	$0.50
Rate for Payer: BCBS Complete	$0.40
Rate for Payer: Cash Price	$0.80
Rate for Payer: Cash Price	$0.80
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$50.00
Rate for Payer: Opus (Opus Packaging Group) HMA	$0.75

PR ANESTHESIA DIAGNOSTIC ARTERIOGRAPHY/VENOGRAPHY

Professional

Both

$5.00

Service Code	HCPCS 01916
Min. Negotiated Rate	$2.00
Max. Negotiated Rate	$50.00
Rate for Payer: Aetna Medicare	$2.50
Rate for Payer: BCBS Complete	$2.00
Rate for Payer: Cash Price	$4.00
Rate for Payer: Cash Price	$4.00
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$50.00
Rate for Payer: Opus (Opus Packaging Group) HMA	$3.75

PR ANESTHESIA DIAGNOSTIC ARTHROSCOPIC PX KNEE JOINT

Professional

Both

$3.00

Service Code	HCPCS 01382
Min. Negotiated Rate	$1.20
Max. Negotiated Rate	$50.00
Rate for Payer: Aetna Medicare	$1.50
Rate for Payer: BCBS Complete	$1.20
Rate for Payer: Cash Price	$2.40
Rate for Payer: Cash Price	$2.40
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$50.00
Rate for Payer: Opus (Opus Packaging Group) HMA	$2.25

Know your out-of-pocket cost for care.

All Charges