Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

PRAZOSIN 1 MG CAPSULE

Facility

$6.86

Service Code	NDC 51079063001
Hospital Charge Code	6468
Hospital Revenue Code	637
Min. Negotiated Rate	$4.32
Max. Negotiated Rate	$6.17
Rate for Payer: Aetna Commercial	$5.83
Rate for Payer: Aetna New Business (MI Preferred)	$4.46
Rate for Payer: Cash Price	$5.49
Rate for Payer: Cofinity Commercial	$4.80
Rate for Payer: Cofinity Commercial	$5.90
Rate for Payer: Cofinity Medicare Advantage	$4.80
Rate for Payer: Encore Health Key Benefits Commercial	$5.49
Rate for Payer: Healthscope Commercial	$6.17
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$5.83
Rate for Payer: PHP Commercial	$5.83
Rate for Payer: Priority Health Cigna Priority Health	$4.46
Rate for Payer: Priority Health SBD	$4.32

PRAZOSIN 1 MG CAPSULE

Facility

$390.45

Service Code	NDC 00093406701
Hospital Charge Code	6468
Hospital Revenue Code	637
Min. Negotiated Rate	$156.18
Max. Negotiated Rate	$351.40
Rate for Payer: Aetna Commercial	$331.88
Rate for Payer: Aetna Medicare	$195.22
Rate for Payer: Aetna New Business (MI Preferred)	$253.79
Rate for Payer: BCBS Complete	$156.18
Rate for Payer: Cash Price	$312.36
Rate for Payer: Cofinity Commercial	$273.32
Rate for Payer: Cofinity Commercial	$335.79
Rate for Payer: Cofinity Medicare Advantage	$273.32
Rate for Payer: Encore Health Key Benefits Commercial	$312.36
Rate for Payer: Healthscope Commercial	$351.40
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$331.88
Rate for Payer: PHP Commercial	$331.88
Rate for Payer: Priority Health Cigna Priority Health	$253.79
Rate for Payer: Priority Health SBD	$245.98

PRAZOSIN 1 MG CAPSULE

Facility

$685.92

Service Code	NDC 51079063020
Hospital Charge Code	6468
Hospital Revenue Code	637
Min. Negotiated Rate	$432.13
Max. Negotiated Rate	$617.33
Rate for Payer: Aetna Commercial	$583.03
Rate for Payer: Aetna New Business (MI Preferred)	$445.85
Rate for Payer: Cash Price	$548.74
Rate for Payer: Cofinity Commercial	$480.14
Rate for Payer: Cofinity Commercial	$589.89
Rate for Payer: Cofinity Medicare Advantage	$480.14
Rate for Payer: Encore Health Key Benefits Commercial	$548.74
Rate for Payer: Healthscope Commercial	$617.33
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$583.03
Rate for Payer: PHP Commercial	$583.03
Rate for Payer: Priority Health Cigna Priority Health	$445.85
Rate for Payer: Priority Health SBD	$432.13

PRAZOSIN 1 MG CAPSULE

Facility

$508.80

Service Code	NDC 68084099601
Hospital Charge Code	6468
Hospital Revenue Code	637
Min. Negotiated Rate	$203.52
Max. Negotiated Rate	$457.92
Rate for Payer: Aetna Commercial	$432.48
Rate for Payer: Aetna Medicare	$254.40
Rate for Payer: Aetna New Business (MI Preferred)	$330.72
Rate for Payer: BCBS Complete	$203.52
Rate for Payer: Cash Price	$407.04
Rate for Payer: Cofinity Commercial	$356.16
Rate for Payer: Cofinity Commercial	$437.57
Rate for Payer: Cofinity Medicare Advantage	$356.16
Rate for Payer: Encore Health Key Benefits Commercial	$407.04
Rate for Payer: Healthscope Commercial	$457.92
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$432.48
Rate for Payer: PHP Commercial	$432.48
Rate for Payer: Priority Health Cigna Priority Health	$330.72
Rate for Payer: Priority Health SBD	$320.54

PRAZOSIN 1 MG CAPSULE

Facility

$508.80

Service Code	NDC 68084099601
Hospital Charge Code	6468
Hospital Revenue Code	637
Min. Negotiated Rate	$320.54
Max. Negotiated Rate	$457.92
Rate for Payer: Aetna Commercial	$432.48
Rate for Payer: Aetna New Business (MI Preferred)	$330.72
Rate for Payer: Cash Price	$407.04
Rate for Payer: Cofinity Commercial	$356.16
Rate for Payer: Cofinity Commercial	$437.57
Rate for Payer: Cofinity Medicare Advantage	$356.16
Rate for Payer: Encore Health Key Benefits Commercial	$407.04
Rate for Payer: Healthscope Commercial	$457.92
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$432.48
Rate for Payer: PHP Commercial	$432.48
Rate for Payer: Priority Health Cigna Priority Health	$330.72
Rate for Payer: Priority Health SBD	$320.54

PRAZOSIN 1 MG CAPSULE

Facility

$6.86

Service Code	NDC 51079063001
Hospital Charge Code	6468
Hospital Revenue Code	637
Min. Negotiated Rate	$2.74
Max. Negotiated Rate	$6.17
Rate for Payer: Aetna Commercial	$5.83
Rate for Payer: Aetna Medicare	$3.43
Rate for Payer: Aetna New Business (MI Preferred)	$4.46
Rate for Payer: BCBS Complete	$2.74
Rate for Payer: Cash Price	$5.49
Rate for Payer: Cofinity Commercial	$4.80
Rate for Payer: Cofinity Commercial	$5.90
Rate for Payer: Cofinity Medicare Advantage	$4.80
Rate for Payer: Encore Health Key Benefits Commercial	$5.49
Rate for Payer: Healthscope Commercial	$6.17
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$5.83
Rate for Payer: PHP Commercial	$5.83
Rate for Payer: Priority Health Cigna Priority Health	$4.46
Rate for Payer: Priority Health SBD	$4.32

PRAZOSIN 1 MG CAPSULE

Facility

$390.45

Service Code	NDC 00093406701
Hospital Charge Code	6468
Hospital Revenue Code	637
Min. Negotiated Rate	$245.98
Max. Negotiated Rate	$351.40
Rate for Payer: Aetna Commercial	$331.88
Rate for Payer: Aetna New Business (MI Preferred)	$253.79
Rate for Payer: Cash Price	$312.36
Rate for Payer: Cofinity Commercial	$273.32
Rate for Payer: Cofinity Commercial	$335.79
Rate for Payer: Cofinity Medicare Advantage	$273.32
Rate for Payer: Encore Health Key Benefits Commercial	$312.36
Rate for Payer: Healthscope Commercial	$351.40
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$331.88
Rate for Payer: PHP Commercial	$331.88
Rate for Payer: Priority Health Cigna Priority Health	$253.79
Rate for Payer: Priority Health SBD	$245.98

PRAZOSIN 2 MG CAPSULE

Facility

$778.11

Service Code	NDC 51079063120
Hospital Charge Code	6469
Hospital Revenue Code	637
Min. Negotiated Rate	$490.21
Max. Negotiated Rate	$700.30
Rate for Payer: Aetna Commercial	$661.39
Rate for Payer: Aetna New Business (MI Preferred)	$505.77
Rate for Payer: Cash Price	$622.49
Rate for Payer: Cofinity Commercial	$544.68
Rate for Payer: Cofinity Commercial	$669.17
Rate for Payer: Cofinity Medicare Advantage	$544.68
Rate for Payer: Encore Health Key Benefits Commercial	$622.49
Rate for Payer: Healthscope Commercial	$700.30
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$661.39
Rate for Payer: PHP Commercial	$661.39
Rate for Payer: Priority Health Cigna Priority Health	$505.77
Rate for Payer: Priority Health SBD	$490.21

PRAZOSIN 2 MG CAPSULE

Facility

$778.11

Service Code	NDC 51079063120
Hospital Charge Code	6469
Hospital Revenue Code	637
Min. Negotiated Rate	$311.24
Max. Negotiated Rate	$700.30
Rate for Payer: Aetna Commercial	$661.39
Rate for Payer: Aetna Medicare	$389.06
Rate for Payer: Aetna New Business (MI Preferred)	$505.77
Rate for Payer: BCBS Complete	$311.24
Rate for Payer: Cash Price	$622.49
Rate for Payer: Cofinity Commercial	$544.68
Rate for Payer: Cofinity Commercial	$669.17
Rate for Payer: Cofinity Medicare Advantage	$544.68
Rate for Payer: Encore Health Key Benefits Commercial	$622.49
Rate for Payer: Healthscope Commercial	$700.30
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$661.39
Rate for Payer: PHP Commercial	$661.39
Rate for Payer: Priority Health Cigna Priority Health	$505.77
Rate for Payer: Priority Health SBD	$490.21

PRAZOSIN 2 MG CAPSULE

Facility

$638.40

Service Code	NDC 00904702161
Hospital Charge Code	6469
Hospital Revenue Code	637
Min. Negotiated Rate	$255.36
Max. Negotiated Rate	$574.56
Rate for Payer: Aetna Commercial	$542.64
Rate for Payer: Aetna Medicare	$319.20
Rate for Payer: Aetna New Business (MI Preferred)	$414.96
Rate for Payer: BCBS Complete	$255.36
Rate for Payer: Cash Price	$510.72
Rate for Payer: Cofinity Commercial	$446.88
Rate for Payer: Cofinity Commercial	$549.02
Rate for Payer: Cofinity Medicare Advantage	$446.88
Rate for Payer: Encore Health Key Benefits Commercial	$510.72
Rate for Payer: Healthscope Commercial	$574.56
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$542.64
Rate for Payer: PHP Commercial	$542.64
Rate for Payer: Priority Health Cigna Priority Health	$414.96
Rate for Payer: Priority Health SBD	$402.19

PRAZOSIN 2 MG CAPSULE

Facility

$7.79

Service Code	NDC 51079063101
Hospital Charge Code	6469
Hospital Revenue Code	637
Min. Negotiated Rate	$3.12
Max. Negotiated Rate	$7.01
Rate for Payer: Aetna Commercial	$6.62
Rate for Payer: Aetna Medicare	$3.90
Rate for Payer: Aetna New Business (MI Preferred)	$5.06
Rate for Payer: BCBS Complete	$3.12
Rate for Payer: Cash Price	$6.23
Rate for Payer: Cofinity Commercial	$5.45
Rate for Payer: Cofinity Commercial	$6.70
Rate for Payer: Cofinity Medicare Advantage	$5.45
Rate for Payer: Encore Health Key Benefits Commercial	$6.23
Rate for Payer: Healthscope Commercial	$7.01
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$6.62
Rate for Payer: PHP Commercial	$6.62
Rate for Payer: Priority Health Cigna Priority Health	$5.06
Rate for Payer: Priority Health SBD	$4.91

PRAZOSIN 2 MG CAPSULE

Facility

$7.79

Service Code	NDC 51079063101
Hospital Charge Code	6469
Hospital Revenue Code	637
Min. Negotiated Rate	$4.91
Max. Negotiated Rate	$7.01
Rate for Payer: Aetna Commercial	$6.62
Rate for Payer: Aetna New Business (MI Preferred)	$5.06
Rate for Payer: Cash Price	$6.23
Rate for Payer: Cofinity Commercial	$5.45
Rate for Payer: Cofinity Commercial	$6.70
Rate for Payer: Cofinity Medicare Advantage	$5.45
Rate for Payer: Encore Health Key Benefits Commercial	$6.23
Rate for Payer: Healthscope Commercial	$7.01
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$6.62
Rate for Payer: PHP Commercial	$6.62
Rate for Payer: Priority Health Cigna Priority Health	$5.06
Rate for Payer: Priority Health SBD	$4.91

PRAZOSIN 2 MG CAPSULE

Facility

$638.40

Service Code	NDC 00904702161
Hospital Charge Code	6469
Hospital Revenue Code	637
Min. Negotiated Rate	$402.19
Max. Negotiated Rate	$574.56
Rate for Payer: Aetna Commercial	$542.64
Rate for Payer: Aetna New Business (MI Preferred)	$414.96
Rate for Payer: Cash Price	$510.72
Rate for Payer: Cofinity Commercial	$446.88
Rate for Payer: Cofinity Commercial	$549.02
Rate for Payer: Cofinity Medicare Advantage	$446.88
Rate for Payer: Encore Health Key Benefits Commercial	$510.72
Rate for Payer: Healthscope Commercial	$574.56
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$542.64
Rate for Payer: PHP Commercial	$542.64
Rate for Payer: Priority Health Cigna Priority Health	$414.96
Rate for Payer: Priority Health SBD	$402.19

PRAZOSIN 5 MG CAPSULE

Facility

$1,199.54

Service Code	NDC 00904702261
Hospital Charge Code	6470
Hospital Revenue Code	637
Min. Negotiated Rate	$755.71
Max. Negotiated Rate	$1,079.59
Rate for Payer: Aetna Commercial	$1,019.61
Rate for Payer: Aetna New Business (MI Preferred)	$779.70
Rate for Payer: Cash Price	$959.63
Rate for Payer: Cofinity Commercial	$1,031.60
Rate for Payer: Cofinity Commercial	$839.68
Rate for Payer: Cofinity Medicare Advantage	$839.68
Rate for Payer: Encore Health Key Benefits Commercial	$959.63
Rate for Payer: Healthscope Commercial	$1,079.59
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,019.61
Rate for Payer: PHP Commercial	$1,019.61
Rate for Payer: Priority Health Cigna Priority Health	$779.70
Rate for Payer: Priority Health SBD	$755.71

PRAZOSIN 5 MG CAPSULE

Facility

$1,199.54

Service Code	NDC 00904702261
Hospital Charge Code	6470
Hospital Revenue Code	637
Min. Negotiated Rate	$479.82
Max. Negotiated Rate	$1,079.59
Rate for Payer: Aetna Commercial	$1,019.61
Rate for Payer: Aetna Medicare	$599.77
Rate for Payer: Aetna New Business (MI Preferred)	$779.70
Rate for Payer: BCBS Complete	$479.82
Rate for Payer: Cash Price	$959.63
Rate for Payer: Cofinity Commercial	$1,031.60
Rate for Payer: Cofinity Commercial	$839.68
Rate for Payer: Cofinity Medicare Advantage	$839.68
Rate for Payer: Encore Health Key Benefits Commercial	$959.63
Rate for Payer: Healthscope Commercial	$1,079.59
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,019.61
Rate for Payer: PHP Commercial	$1,019.61
Rate for Payer: Priority Health Cigna Priority Health	$779.70
Rate for Payer: Priority Health SBD	$755.71

PRAZOSIN 5 MG CAPSULE

Facility

$1,319.42

Service Code	NDC 51079063220
Hospital Charge Code	6470
Hospital Revenue Code	637
Min. Negotiated Rate	$527.77
Max. Negotiated Rate	$1,187.48
Rate for Payer: Aetna Commercial	$1,121.51
Rate for Payer: Aetna Medicare	$659.71
Rate for Payer: Aetna New Business (MI Preferred)	$857.62
Rate for Payer: BCBS Complete	$527.77
Rate for Payer: Cash Price	$1,055.54
Rate for Payer: Cofinity Commercial	$1,134.70
Rate for Payer: Cofinity Commercial	$923.59
Rate for Payer: Cofinity Medicare Advantage	$923.59
Rate for Payer: Encore Health Key Benefits Commercial	$1,055.54
Rate for Payer: Healthscope Commercial	$1,187.48
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,121.51
Rate for Payer: PHP Commercial	$1,121.51
Rate for Payer: Priority Health Cigna Priority Health	$857.62
Rate for Payer: Priority Health SBD	$831.23

PRAZOSIN 5 MG CAPSULE

Facility

$326.61

Service Code	NDC 59762535001
Hospital Charge Code	6470
Hospital Revenue Code	637
Min. Negotiated Rate	$205.76
Max. Negotiated Rate	$293.95
Rate for Payer: Aetna Commercial	$277.62
Rate for Payer: Aetna New Business (MI Preferred)	$212.30
Rate for Payer: Cash Price	$261.29
Rate for Payer: Cofinity Commercial	$228.63
Rate for Payer: Cofinity Commercial	$280.88
Rate for Payer: Cofinity Medicare Advantage	$228.63
Rate for Payer: Encore Health Key Benefits Commercial	$261.29
Rate for Payer: Healthscope Commercial	$293.95
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$277.62
Rate for Payer: PHP Commercial	$277.62
Rate for Payer: Priority Health Cigna Priority Health	$212.30
Rate for Payer: Priority Health SBD	$205.76

PRAZOSIN 5 MG CAPSULE

Facility

$13.20

Service Code	NDC 51079063201
Hospital Charge Code	6470
Hospital Revenue Code	637
Min. Negotiated Rate	$8.32
Max. Negotiated Rate	$11.88
Rate for Payer: Aetna Commercial	$11.22
Rate for Payer: Aetna New Business (MI Preferred)	$8.58
Rate for Payer: Cash Price	$10.56
Rate for Payer: Cofinity Commercial	$11.35
Rate for Payer: Cofinity Commercial	$9.24
Rate for Payer: Cofinity Medicare Advantage	$9.24
Rate for Payer: Encore Health Key Benefits Commercial	$10.56
Rate for Payer: Healthscope Commercial	$11.88
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$11.22
Rate for Payer: PHP Commercial	$11.22
Rate for Payer: Priority Health Cigna Priority Health	$8.58
Rate for Payer: Priority Health SBD	$8.32

PRAZOSIN 5 MG CAPSULE

Facility

$13.20

Service Code	NDC 51079063201
Hospital Charge Code	6470
Hospital Revenue Code	637
Min. Negotiated Rate	$5.28
Max. Negotiated Rate	$11.88
Rate for Payer: Aetna Commercial	$11.22
Rate for Payer: Aetna Medicare	$6.60
Rate for Payer: Aetna New Business (MI Preferred)	$8.58
Rate for Payer: BCBS Complete	$5.28
Rate for Payer: Cash Price	$10.56
Rate for Payer: Cofinity Commercial	$11.35
Rate for Payer: Cofinity Commercial	$9.24
Rate for Payer: Cofinity Medicare Advantage	$9.24
Rate for Payer: Encore Health Key Benefits Commercial	$10.56
Rate for Payer: Healthscope Commercial	$11.88
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$11.22
Rate for Payer: PHP Commercial	$11.22
Rate for Payer: Priority Health Cigna Priority Health	$8.58
Rate for Payer: Priority Health SBD	$8.32

PRAZOSIN 5 MG CAPSULE

Facility

$1,319.42

Service Code	NDC 51079063220
Hospital Charge Code	6470
Hospital Revenue Code	637
Min. Negotiated Rate	$831.23
Max. Negotiated Rate	$1,187.48
Rate for Payer: Aetna Commercial	$1,121.51
Rate for Payer: Aetna New Business (MI Preferred)	$857.62
Rate for Payer: Cash Price	$1,055.54
Rate for Payer: Cofinity Commercial	$1,134.70
Rate for Payer: Cofinity Commercial	$923.59
Rate for Payer: Cofinity Medicare Advantage	$923.59
Rate for Payer: Encore Health Key Benefits Commercial	$1,055.54
Rate for Payer: Healthscope Commercial	$1,187.48
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,121.51
Rate for Payer: PHP Commercial	$1,121.51
Rate for Payer: Priority Health Cigna Priority Health	$857.62
Rate for Payer: Priority Health SBD	$831.23

PRAZOSIN 5 MG CAPSULE

Facility

$326.61

Service Code	NDC 59762535001
Hospital Charge Code	6470
Hospital Revenue Code	637
Min. Negotiated Rate	$130.64
Max. Negotiated Rate	$293.95
Rate for Payer: Aetna Commercial	$277.62
Rate for Payer: Aetna Medicare	$163.30
Rate for Payer: Aetna New Business (MI Preferred)	$212.30
Rate for Payer: BCBS Complete	$130.64
Rate for Payer: Cash Price	$261.29
Rate for Payer: Cofinity Commercial	$228.63
Rate for Payer: Cofinity Commercial	$280.88
Rate for Payer: Cofinity Medicare Advantage	$228.63
Rate for Payer: Encore Health Key Benefits Commercial	$261.29
Rate for Payer: Healthscope Commercial	$293.95
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$277.62
Rate for Payer: PHP Commercial	$277.62
Rate for Payer: Priority Health Cigna Priority Health	$212.30
Rate for Payer: Priority Health SBD	$205.76

PR B1 GRF FEM H/N INTERTRCHNTRIC/SUBTRCHNTRIC AREA

Professional

Both

$2,174.00

Service Code	HCPCS 27170
Min. Negotiated Rate	$757.22
Max. Negotiated Rate	$208,040.00
Rate for Payer: Aetna Commercial	$1,512.57
Rate for Payer: Aetna Medicare	$1,173.93
Rate for Payer: Aetna New Business (MI Preferred)	$1,512.57
Rate for Payer: Aetna New Business (MI Preferred)	$1,625.44
Rate for Payer: BCBS Complete	$795.08
Rate for Payer: BCBS MAPPO	$1,128.78
Rate for Payer: BCBS Trust/PPO	$1,814.18
Rate for Payer: BCN Commercial	$1,713.79
Rate for Payer: BCN Medicare Advantage	$1,128.78
Rate for Payer: Cash Price	$1,739.20
Rate for Payer: Cash Price	$1,739.20
Rate for Payer: Cofinity Commercial	$1,625.44
Rate for Payer: Cofinity Commercial	$1,512.57
Rate for Payer: Health Alliance Plan Medicare Advantage	$1,128.78
Rate for Payer: Healthscope Commercial	$2,088.24
Rate for Payer: Healthscope Commercial	$1,806.05
Rate for Payer: Mclaren Medicaid	$757.22
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$1,185.22
Rate for Payer: Meridian Medicaid	$795.08
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$208,040.00
Rate for Payer: Nomi Health Commercial	$1,354.54
Rate for Payer: PACE SWMI	$1,128.78
Rate for Payer: PHP Medicare Advantage	$1,128.78
Rate for Payer: Priority Health Choice Medicaid	$757.22
Rate for Payer: Priority Health Cigna Priority Health	$1,413.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,792.72
Rate for Payer: Priority Health Medicare	$1,128.78
Rate for Payer: Priority Health Narrow Network	$1,792.72
Rate for Payer: Priority Health SBD	$1,792.72
Rate for Payer: UHC All Payor (Choice/PPO)	$1,391.42
Rate for Payer: UHC Dual Complete DSNP	$1,128.78
Rate for Payer: UHC Exchange	$1,391.42
Rate for Payer: UHC Medicare Advantage	$1,128.78
Rate for Payer: UHCCP Medicaid	$757.22

PR BACILLUS CALMETTE-GUERIN VACCINE INTRAVESICAL

Professional

Both

$273.00

Service Code	HCPCS 90586
Min. Negotiated Rate	$109.20
Max. Negotiated Rate	$14,583.00
Rate for Payer: Aetna Commercial	$209.26
Rate for Payer: Aetna Medicare	$162.41
Rate for Payer: Aetna New Business (MI Preferred)	$209.26
Rate for Payer: Aetna New Business (MI Preferred)	$224.87
Rate for Payer: BCBS Complete	$109.20
Rate for Payer: BCBS MAPPO	$156.16
Rate for Payer: BCBS Trust/PPO	$147.22
Rate for Payer: BCN Commercial	$146.43
Rate for Payer: BCN Medicare Advantage	$156.16
Rate for Payer: Cash Price	$218.40
Rate for Payer: Cash Price	$218.40
Rate for Payer: Cofinity Commercial	$224.87
Rate for Payer: Cofinity Commercial	$209.26
Rate for Payer: Health Alliance Plan Medicare Advantage	$156.16
Rate for Payer: Healthscope Commercial	$249.86
Rate for Payer: Healthscope Commercial	$288.90
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$163.97
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$14,583.00
Rate for Payer: Nomi Health Commercial	$187.39
Rate for Payer: PACE SWMI	$156.16
Rate for Payer: PHP Medicare Advantage	$156.16
Rate for Payer: Priority Health Cigna Priority Health	$177.45
Rate for Payer: Priority Health Medicare	$156.16
Rate for Payer: UHC All Payor (Choice/PPO)	$158.95
Rate for Payer: UHC Dual Complete DSNP	$156.16
Rate for Payer: UHC Exchange	$158.95
Rate for Payer: UHC Medicare Advantage	$156.16

PR BALLN ANGIOPLASTY OPEN,BRACHCEPH

Professional

Both

$958.00

Service Code	HCPCS 35458
Min. Negotiated Rate	$383.20
Max. Negotiated Rate	$622.70
Rate for Payer: Aetna Medicare	$479.00
Rate for Payer: BCBS Complete	$383.20
Rate for Payer: Cash Price	$766.40
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$622.70
Rate for Payer: Priority Health Cigna Priority Health	$622.70

PR BALLN ANGIOPLASTY PERC,AORTIC

Professional

Both

$689.00

Service Code	HCPCS 35472
Min. Negotiated Rate	$275.60
Max. Negotiated Rate	$447.85
Rate for Payer: Aetna Medicare	$344.50
Rate for Payer: BCBS Complete	$275.60
Rate for Payer: Cash Price	$551.20
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$447.85
Rate for Payer: Priority Health Cigna Priority Health	$447.85

Know your out-of-pocket cost for care.

All Charges