Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

PR R & L HRT CATH WINJX HRT ART& L VENTR IMG

Professional

Both

$1,205.00

Service Code	HCPCS 93460
Min. Negotiated Rate	$482.00
Max. Negotiated Rate	$1,760.01
Rate for Payer: Aetna Commercial	$1,711.27
Rate for Payer: BCBS Complete	$482.00
Rate for Payer: BCBS Trust/PPO	$728.00
Rate for Payer: Cash Price	$964.00
Rate for Payer: Cash Price	$964.00
Rate for Payer: Priority Health Cigna Priority Health	$843.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$513.53
Rate for Payer: Priority Health Narrow Network	$513.53
Rate for Payer: Priority Health SBD	$1,760.01

PR R & L HRT CATH W/NJX L VENTRICULOG IMG S&I

Professional

Both

$659.00

Service Code	HCPCS 93453
Min. Negotiated Rate	$263.60
Max. Negotiated Rate	$1,623.83
Rate for Payer: Aetna Commercial	$1,569.84
Rate for Payer: BCBS Complete	$263.60
Rate for Payer: BCBS Trust/PPO	$1,507.77
Rate for Payer: Cash Price	$527.20
Rate for Payer: Cash Price	$527.20
Rate for Payer: Priority Health Cigna Priority Health	$461.30
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$434.09
Rate for Payer: Priority Health Narrow Network	$434.09
Rate for Payer: Priority Health SBD	$1,623.83

PR RMVL1/DUAL CHMBR IMPLTBL DFB ELTRD TRANSVNS XTRJ

Professional

Both

$1,761.00

Service Code	HCPCS 33244
Min. Negotiated Rate	$541.87
Max. Negotiated Rate	$1,361.27
Rate for Payer: Aetna Commercial	$1,162.22
Rate for Payer: BCBS Complete	$568.96
Rate for Payer: BCBS Trust/PPO	$1,160.68
Rate for Payer: Cash Price	$1,408.80
Rate for Payer: Cash Price	$1,408.80
Rate for Payer: Mclaren Medicaid	$541.87
Rate for Payer: Meridian Medicaid	$568.96
Rate for Payer: Priority Health Choice Medicaid	$541.87
Rate for Payer: Priority Health Cigna Priority Health	$1,232.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,361.27
Rate for Payer: Priority Health Narrow Network	$1,361.27
Rate for Payer: Priority Health SBD	$1,361.27

PR RMVL ASCENDING-AORTA BALO DEV W/RPR ASCEND-AORTA

Professional

Both

$2,431.00

Service Code	HCPCS 33974
Min. Negotiated Rate	$560.40
Max. Negotiated Rate	$2,513.12
Rate for Payer: Aetna Commercial	$1,191.43
Rate for Payer: BCBS Complete	$588.42
Rate for Payer: BCBS Trust/PPO	$2,513.12
Rate for Payer: Cash Price	$1,944.80
Rate for Payer: Cash Price	$1,944.80
Rate for Payer: Mclaren Medicaid	$560.40
Rate for Payer: Meridian Medicaid	$588.42
Rate for Payer: Priority Health Choice Medicaid	$560.40
Rate for Payer: Priority Health Cigna Priority Health	$1,701.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,394.26
Rate for Payer: Priority Health Narrow Network	$1,394.26
Rate for Payer: Priority Health SBD	$1,394.26

PR RMVL BONE FLAP/PROSTHETIC PLATE SKULL

Professional

Both

$3,305.00

Service Code	HCPCS 62142
Min. Negotiated Rate	$581.92
Max. Negotiated Rate	$2,313.50
Rate for Payer: Aetna Commercial	$1,142.27
Rate for Payer: BCBS Complete	$611.02
Rate for Payer: BCBS Trust/PPO	$1,320.75
Rate for Payer: Cash Price	$2,644.00
Rate for Payer: Cash Price	$2,644.00
Rate for Payer: Mclaren Medicaid	$581.92
Rate for Payer: Meridian Medicaid	$611.02
Rate for Payer: Priority Health Choice Medicaid	$581.92
Rate for Payer: Priority Health Cigna Priority Health	$2,313.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,529.36
Rate for Payer: Priority Health Narrow Network	$1,529.36
Rate for Payer: Priority Health SBD	$1,529.36

PR RMVL COMPL CSF SHUNT SYSTEM W/O RPLCMT SHUNT

Professional

Both

$2,164.00

Service Code	HCPCS 62256
Min. Negotiated Rate	$87.02
Max. Negotiated Rate	$1,514.80
Rate for Payer: Aetna Commercial	$781.13
Rate for Payer: BCBS Complete	$420.91
Rate for Payer: BCBS Trust/PPO	$87.02
Rate for Payer: Cash Price	$1,731.20
Rate for Payer: Cash Price	$1,731.20
Rate for Payer: Mclaren Medicaid	$400.87
Rate for Payer: Meridian Medicaid	$420.91
Rate for Payer: Priority Health Choice Medicaid	$400.87
Rate for Payer: Priority Health Cigna Priority Health	$1,514.80
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,049.21
Rate for Payer: Priority Health Narrow Network	$1,049.21
Rate for Payer: Priority Health SBD	$1,049.21

PR RMVL COMPLETE CSF SHUNT SYSTEM W/RPLCMT SHUNT

Professional

Both

$5,026.00

Service Code	HCPCS 62258
Min. Negotiated Rate	$586.41
Max. Negotiated Rate	$3,518.20
Rate for Payer: Aetna Commercial	$1,443.38
Rate for Payer: BCBS Complete	$761.08
Rate for Payer: BCBS Trust/PPO	$586.41
Rate for Payer: Cash Price	$4,020.80
Rate for Payer: Cash Price	$4,020.80
Rate for Payer: Mclaren Medicaid	$724.84
Rate for Payer: Meridian Medicaid	$761.08
Rate for Payer: Priority Health Choice Medicaid	$724.84
Rate for Payer: Priority Health Cigna Priority Health	$3,518.20
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,906.47
Rate for Payer: Priority Health Narrow Network	$1,906.47
Rate for Payer: Priority Health SBD	$1,906.47

PR RMVL DEVITAL TISS N-SLCTV DBRDMT W/O ANES 1 SESS

Professional

Both

$147.00

Service Code	HCPCS 97602
Min. Negotiated Rate	$58.80
Max. Negotiated Rate	$917.66
Rate for Payer: Aetna Commercial	$89.75
Rate for Payer: BCBS Complete	$58.80
Rate for Payer: BCBS Trust/PPO	$917.66
Rate for Payer: Cash Price	$117.60
Rate for Payer: Cash Price	$117.60
Rate for Payer: Priority Health Cigna Priority Health	$102.90
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$109.57
Rate for Payer: Priority Health Narrow Network	$109.57
Rate for Payer: Priority Health SBD	$109.57

PR RMVL EMBEDDED FB VESTIBULE MOUTH COMP

Professional

Both

$691.00

Service Code	HCPCS 40805
Min. Negotiated Rate	$126.52
Max. Negotiated Rate	$526.19
Rate for Payer: Aetna Commercial	$263.54
Rate for Payer: BCBS Complete	$132.85
Rate for Payer: BCBS Trust/PPO	$526.19
Rate for Payer: Cash Price	$552.80
Rate for Payer: Cash Price	$552.80
Rate for Payer: Mclaren Medicaid	$126.52
Rate for Payer: Meridian Medicaid	$132.85
Rate for Payer: Priority Health Choice Medicaid	$126.52
Rate for Payer: Priority Health Cigna Priority Health	$483.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$345.73
Rate for Payer: Priority Health Narrow Network	$345.73
Rate for Payer: Priority Health SBD	$345.73

PR RMVL EMBEDDED FB VESTIBULE MOUTH SMPL

Professional

Both

$333.00

Service Code	HCPCS 40804
Min. Negotiated Rate	$73.27
Max. Negotiated Rate	$1,065.05
Rate for Payer: Aetna Commercial	$149.26
Rate for Payer: BCBS Complete	$76.93
Rate for Payer: BCBS Trust/PPO	$1,065.05
Rate for Payer: Cash Price	$266.40
Rate for Payer: Cash Price	$266.40
Rate for Payer: Mclaren Medicaid	$73.27
Rate for Payer: Meridian Medicaid	$76.93
Rate for Payer: Priority Health Choice Medicaid	$73.27
Rate for Payer: Priority Health Cigna Priority Health	$233.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$198.74
Rate for Payer: Priority Health Narrow Network	$198.74
Rate for Payer: Priority Health SBD	$198.74

PR RMVL ENTIRE LUMBOSARACH SHUNT SYS W/O RPLCMT

Professional

Both

$1,625.00

Service Code	HCPCS 63746
Min. Negotiated Rate	$214.49
Max. Negotiated Rate	$1,137.50
Rate for Payer: Aetna Commercial	$781.78
Rate for Payer: BCBS Complete	$420.68
Rate for Payer: BCBS Trust/PPO	$214.49
Rate for Payer: Cash Price	$1,300.00
Rate for Payer: Cash Price	$1,300.00
Rate for Payer: Mclaren Medicaid	$400.65
Rate for Payer: Meridian Medicaid	$420.68
Rate for Payer: Priority Health Choice Medicaid	$400.65
Rate for Payer: Priority Health Cigna Priority Health	$1,137.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,051.48
Rate for Payer: Priority Health Narrow Network	$1,051.48
Rate for Payer: Priority Health SBD	$1,051.48

PR RMVL FB XTRNL AUDITORY CANAL ANES

Professional

Both

$184.00

Service Code	HCPCS 69205
Min. Negotiated Rate	$61.34
Max. Negotiated Rate	$1,749.20
Rate for Payer: Aetna Commercial	$106.72
Rate for Payer: BCBS Complete	$64.41
Rate for Payer: BCBS Trust/PPO	$1,749.20
Rate for Payer: Cash Price	$147.20
Rate for Payer: Cash Price	$147.20
Rate for Payer: Mclaren Medicaid	$61.34
Rate for Payer: Meridian Medicaid	$64.41
Rate for Payer: Priority Health Choice Medicaid	$61.34
Rate for Payer: Priority Health Cigna Priority Health	$128.80
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$135.79
Rate for Payer: Priority Health Narrow Network	$135.79
Rate for Payer: Priority Health SBD	$135.79

PR RMVL FB XTRNL AUDITORY CANAL W/O ANES

Professional

Both

$238.00

Service Code	HCPCS 69200
Min. Negotiated Rate	$30.25
Max. Negotiated Rate	$1,294.34
Rate for Payer: Aetna Commercial	$53.13
Rate for Payer: BCBS Complete	$31.76
Rate for Payer: BCBS Trust/PPO	$1,294.34
Rate for Payer: Cash Price	$190.40
Rate for Payer: Cash Price	$190.40
Rate for Payer: Mclaren Medicaid	$30.25
Rate for Payer: Meridian Medicaid	$31.76
Rate for Payer: Priority Health Choice Medicaid	$30.25
Rate for Payer: Priority Health Cigna Priority Health	$166.60
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$66.47
Rate for Payer: Priority Health Narrow Network	$66.47
Rate for Payer: Priority Health SBD	$66.47

PR RMVL FB XTRNL EYE CORNEAL W/O SLIT LAMP

Professional

Both

$162.00

Service Code	HCPCS 65220
Min. Negotiated Rate	$26.20
Max. Negotiated Rate	$303.77
Rate for Payer: Aetna Commercial	$55.19
Rate for Payer: BCBS Complete	$27.51
Rate for Payer: BCBS Trust/PPO	$303.77
Rate for Payer: Cash Price	$129.60
Rate for Payer: Cash Price	$129.60
Rate for Payer: Mclaren Medicaid	$26.20
Rate for Payer: Meridian Medicaid	$27.51
Rate for Payer: Priority Health Choice Medicaid	$26.20
Rate for Payer: Priority Health Cigna Priority Health	$113.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$72.00
Rate for Payer: Priority Health Narrow Network	$72.00
Rate for Payer: Priority Health SBD	$72.00

PR RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP

Professional

Both

$179.00

Service Code	HCPCS 65222
Min. Negotiated Rate	$31.74
Max. Negotiated Rate	$260.45
Rate for Payer: Aetna Commercial	$66.76
Rate for Payer: BCBS Complete	$33.33
Rate for Payer: BCBS Trust/PPO	$260.45
Rate for Payer: Cash Price	$143.20
Rate for Payer: Cash Price	$143.20
Rate for Payer: Mclaren Medicaid	$31.74
Rate for Payer: Meridian Medicaid	$33.33
Rate for Payer: Priority Health Choice Medicaid	$31.74
Rate for Payer: Priority Health Cigna Priority Health	$125.30
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$86.05
Rate for Payer: Priority Health Narrow Network	$86.05
Rate for Payer: Priority Health SBD	$86.05

PR RMVL FB XTRNL EYE EMBED SCJNCL/SCLERAL NONPERFOR

Professional

Both

$191.00

Service Code	HCPCS 65210
Min. Negotiated Rate	$22.58
Max. Negotiated Rate	$264.15
Rate for Payer: Aetna Commercial	$48.17
Rate for Payer: BCBS Complete	$23.71
Rate for Payer: BCBS Trust/PPO	$264.15
Rate for Payer: Cash Price	$152.80
Rate for Payer: Cash Price	$152.80
Rate for Payer: Mclaren Medicaid	$22.58
Rate for Payer: Meridian Medicaid	$23.71
Rate for Payer: Priority Health Choice Medicaid	$22.58
Rate for Payer: Priority Health Cigna Priority Health	$133.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$62.05
Rate for Payer: Priority Health Narrow Network	$62.05
Rate for Payer: Priority Health SBD	$62.05

PR RMVL FECAL IMPACTION/FB SPX UNDER ANES

Professional

Both

$601.00

Service Code	HCPCS 45915
Min. Negotiated Rate	$146.76
Max. Negotiated Rate	$1,239.39
Rate for Payer: Aetna Commercial	$308.27
Rate for Payer: BCBS Complete	$154.10
Rate for Payer: BCBS Trust/PPO	$1,239.39
Rate for Payer: Cash Price	$480.80
Rate for Payer: Cash Price	$480.80
Rate for Payer: Mclaren Medicaid	$146.76
Rate for Payer: Meridian Medicaid	$154.10
Rate for Payer: Priority Health Choice Medicaid	$146.76
Rate for Payer: Priority Health Cigna Priority Health	$420.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$403.36
Rate for Payer: Priority Health Narrow Network	$403.36
Rate for Payer: Priority Health SBD	$403.36

PR RMVL FOREIGN BODY MUSCLE/TENDON SHEATH DEEP/COMP

Facility

$753.00

Service Code	CPT 20525
Hospital Charge Code	20525
Hospital Revenue Code	521
Min. Negotiated Rate	$243.94
Max. Negotiated Rate	$3,160.42
Rate for Payer: Aetna Commercial	$640.05
Rate for Payer: Aetna Medicare	$2,629.47
Rate for Payer: Aetna New Business (MI Preferred)	$489.45
Rate for Payer: Allen County Amish Medical Aid Commercial	$3,160.42
Rate for Payer: Amish Plain Church Group Commercial	$3,160.42
Rate for Payer: BCBS Complete	$1,452.28
Rate for Payer: BCBS MAPPO	$2,528.34
Rate for Payer: BCBS Trust/PPO	$1,044.57
Rate for Payer: BCN Medicare Advantage	$2,528.34
Rate for Payer: Cash Price	$602.40
Rate for Payer: Cash Price	$602.40
Rate for Payer: Cofinity Commercial	$527.10
Rate for Payer: Cofinity Commercial	$647.58
Rate for Payer: Health Alliance Plan Medicare Advantage	$2,528.34
Rate for Payer: Healthscope Commercial	$677.70
Rate for Payer: Mclaren Medicaid	$1,383.00
Rate for Payer: Mclaren Medicare	$2,528.34
Rate for Payer: Meridian Medicaid	$1,452.28
Rate for Payer: Meridian Wellcare - Medicare Advantage	$2,654.76
Rate for Payer: MI Amish Medical Board Commercial	$2,907.59
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$640.05
Rate for Payer: PACE Medicare	$2,401.92
Rate for Payer: PACE SWMI	$2,528.34
Rate for Payer: PHP Commercial	$640.05
Rate for Payer: PHP Medicare Advantage	$2,528.34
Rate for Payer: Priority Health Choice Medicaid	$1,383.00
Rate for Payer: Priority Health Cigna Priority Health	$527.10
Rate for Payer: Priority Health Medicare	$2,528.34
Rate for Payer: Priority Health SBD	$474.39
Rate for Payer: Railroad Medicare Medicare	$2,528.34
Rate for Payer: UHC All Payor (Choice/PPO)	$268.33
Rate for Payer: UHC Dual Complete DSNP	$2,528.34
Rate for Payer: UHC Exchange	$243.94
Rate for Payer: UHC Medicare Advantage	$2,604.19
Rate for Payer: VA VA	$2,528.34

PR RMVL FOREIGN BODY MUSCLE/TENDON SHEATH DEEP/COMP

Facility

$753.00

Service Code	CPT 20525
Hospital Charge Code	20525
Hospital Revenue Code	521
Min. Negotiated Rate	$474.39
Max. Negotiated Rate	$677.70
Rate for Payer: Aetna Commercial	$640.05
Rate for Payer: Aetna New Business (MI Preferred)	$489.45
Rate for Payer: Cash Price	$602.40
Rate for Payer: Cofinity Commercial	$527.10
Rate for Payer: Cofinity Commercial	$647.58
Rate for Payer: Healthscope Commercial	$677.70
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$640.05
Rate for Payer: PHP Commercial	$640.05
Rate for Payer: Priority Health Cigna Priority Health	$527.10
Rate for Payer: Priority Health SBD	$474.39

PR RMVL FOREIGN BODY MUSCLE/TENDON SHEATH DEEP/COMP

Professional

Both

$753.00

Service Code	HCPCS 20525
Min. Negotiated Rate	$158.69
Max. Negotiated Rate	$527.10
Rate for Payer: Aetna Commercial	$328.41
Rate for Payer: BCBS Complete	$166.62
Rate for Payer: BCBS Trust/PPO	$195.38
Rate for Payer: Cash Price	$602.40
Rate for Payer: Cash Price	$602.40
Rate for Payer: Mclaren Medicaid	$158.69
Rate for Payer: Meridian Medicaid	$166.62
Rate for Payer: Priority Health Choice Medicaid	$158.69
Rate for Payer: Priority Health Cigna Priority Health	$527.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$377.38
Rate for Payer: Priority Health Narrow Network	$377.38
Rate for Payer: Priority Health SBD	$377.38

PR RMVL FOREIGN BODY MUSCLE/TENDON SHEATH DEEP/COMP

Professional

Both

$753.00

Service Code	HCPCS 20525
Hospital Charge Code	20525
Min. Negotiated Rate	$158.69
Max. Negotiated Rate	$527.10
Rate for Payer: Aetna Commercial	$328.41
Rate for Payer: BCBS Complete	$166.62
Rate for Payer: BCBS Trust/PPO	$195.38
Rate for Payer: Cash Price	$602.40
Rate for Payer: Cash Price	$602.40
Rate for Payer: Mclaren Medicaid	$158.69
Rate for Payer: Meridian Medicaid	$166.62
Rate for Payer: Priority Health Choice Medicaid	$158.69
Rate for Payer: Priority Health Cigna Priority Health	$527.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$377.38
Rate for Payer: Priority Health Narrow Network	$377.38
Rate for Payer: Priority Health SBD	$377.38

PR RMVL FOREIGN BODY PELVIS/HIP SUBCUTANEOUS TISS

Professional

Both

$398.00

Service Code	HCPCS 27086
Min. Negotiated Rate	$109.70
Max. Negotiated Rate	$278.60
Rate for Payer: Aetna Commercial	$222.58
Rate for Payer: BCBS Complete	$115.18
Rate for Payer: BCBS Trust/PPO	$227.17
Rate for Payer: Cash Price	$318.40
Rate for Payer: Cash Price	$318.40
Rate for Payer: Mclaren Medicaid	$109.70
Rate for Payer: Meridian Medicaid	$115.18
Rate for Payer: Priority Health Choice Medicaid	$109.70
Rate for Payer: Priority Health Cigna Priority Health	$278.60
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$258.90
Rate for Payer: Priority Health Narrow Network	$258.90
Rate for Payer: Priority Health SBD	$258.90

PR RMVL FOREIGN BODY UPPER ARM/ELBOW SUBCUTANEOUS

Facility

$322.00

Service Code	CPT 24200
Hospital Charge Code	24200
Min. Negotiated Rate	$202.86
Max. Negotiated Rate	$289.80
Rate for Payer: Aetna Commercial	$273.70
Rate for Payer: Aetna New Business (MI Preferred)	$209.30
Rate for Payer: Cash Price	$257.60
Rate for Payer: Cofinity Commercial	$225.40
Rate for Payer: Cofinity Commercial	$276.92
Rate for Payer: Healthscope Commercial	$289.80
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$273.70
Rate for Payer: PHP Commercial	$273.70
Rate for Payer: Priority Health Cigna Priority Health	$225.40
Rate for Payer: Priority Health SBD	$202.86

PR RMVL FOREIGN BODY UPPER ARM/ELBOW SUBCUTANEOUS

Professional

Both

$322.00

Service Code	HCPCS 24200
Hospital Charge Code	24200
Min. Negotiated Rate	$91.59
Max. Negotiated Rate	$225.40
Rate for Payer: Aetna Commercial	$187.10
Rate for Payer: BCBS Complete	$96.17
Rate for Payer: BCBS Trust/PPO	$116.23
Rate for Payer: Cash Price	$257.60
Rate for Payer: Cash Price	$257.60
Rate for Payer: Mclaren Medicaid	$91.59
Rate for Payer: Meridian Medicaid	$96.17
Rate for Payer: Priority Health Choice Medicaid	$91.59
Rate for Payer: Priority Health Cigna Priority Health	$225.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$213.97
Rate for Payer: Priority Health Narrow Network	$213.97
Rate for Payer: Priority Health SBD	$213.97

PR RMVL FOREIGN BODY UPPER ARM/ELBOW SUBCUTANEOUS

Facility

$322.00

Service Code	CPT 24200
Hospital Charge Code	24200
Min. Negotiated Rate	$100.30
Max. Negotiated Rate	$4,536.73
Rate for Payer: Aetna Commercial	$273.70
Rate for Payer: Aetna Medicare	$1,500.31
Rate for Payer: Aetna New Business (MI Preferred)	$209.30
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	$100.30
Rate for Payer: BCN Medicare Advantage	$1,442.61
Rate for Payer: Cash Price	$257.60
Rate for Payer: Cash Price	$257.60
Rate for Payer: Cofinity Commercial	$225.40
Rate for Payer: Cofinity Commercial	$276.92
Rate for Payer: Health Alliance Plan Medicare Advantage	$1,442.61
Rate for Payer: Healthscope Commercial	$289.80
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	$273.70
Rate for Payer: PACE Medicare	$1,370.48
Rate for Payer: PACE SWMI	$1,442.61
Rate for Payer: PHP Commercial	$273.70
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	$225.40
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	$202.86
Rate for Payer: Railroad Medicare Medicare	$1,442.61
Rate for Payer: UHC All Payor (Choice/PPO)	$154.88
Rate for Payer: UHC Dual Complete DSNP	$1,442.61
Rate for Payer: UHC Exchange	$140.80
Rate for Payer: UHC Medicare Advantage	$1,485.89
Rate for Payer: VA VA	$1,442.61

Know your out-of-pocket cost for care.

All Charges