Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

PR RPR 1ST INGUN HRNA PRETERM INFT RDC

Professional

Both

$1,632.00

Service Code	HCPCS 49491
Min. Negotiated Rate	$201.81
Max. Negotiated Rate	$1,408.79
Rate for Payer: Aetna Commercial	$1,077.26
Rate for Payer: BCBS Complete	$539.00
Rate for Payer: BCBS Trust/PPO	$201.81
Rate for Payer: Cash Price	$1,305.60
Rate for Payer: Cash Price	$1,305.60
Rate for Payer: Mclaren Medicaid	$513.33
Rate for Payer: Meridian Medicaid	$539.00
Rate for Payer: Priority Health Choice Medicaid	$513.33
Rate for Payer: Priority Health Cigna Priority Health	$1,142.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,408.79
Rate for Payer: Priority Health Narrow Network	$1,408.79
Rate for Payer: Priority Health SBD	$1,408.79

PR RPR 1 TRANSVNS ELTRD PRM PM/PACING IMPLNTBL DFB

Professional

Both

$1,276.00

Service Code	HCPCS 33218
Min. Negotiated Rate	$245.38
Max. Negotiated Rate	$1,067.17
Rate for Payer: Aetna Commercial	$519.92
Rate for Payer: BCBS Complete	$257.65
Rate for Payer: BCBS Trust/PPO	$1,067.17
Rate for Payer: Cash Price	$1,020.80
Rate for Payer: Cash Price	$1,020.80
Rate for Payer: Mclaren Medicaid	$245.38
Rate for Payer: Meridian Medicaid	$257.65
Rate for Payer: Priority Health Choice Medicaid	$245.38
Rate for Payer: Priority Health Cigna Priority Health	$893.20
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$615.47
Rate for Payer: Priority Health Narrow Network	$615.47
Rate for Payer: Priority Health SBD	$615.47

PR RPR 2 TRANSVNS ELECTRODES PRM PM/IMPLANTABLE DFB

Professional

Both

$1,306.00

Service Code	HCPCS 33220
Min. Negotiated Rate	$239.84
Max. Negotiated Rate	$1,215.62
Rate for Payer: Aetna Commercial	$504.08
Rate for Payer: BCBS Complete	$251.83
Rate for Payer: BCBS Trust/PPO	$1,215.62
Rate for Payer: Cash Price	$1,044.80
Rate for Payer: Cash Price	$1,044.80
Rate for Payer: Mclaren Medicaid	$239.84
Rate for Payer: Meridian Medicaid	$251.83
Rate for Payer: Priority Health Choice Medicaid	$239.84
Rate for Payer: Priority Health Cigna Priority Health	$914.20
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$592.60
Rate for Payer: Priority Health Narrow Network	$592.60
Rate for Payer: Priority Health SBD	$592.60

PR RPR AA HERNIA 1ST > 10 CM NCRC8/STRANGULATED

Professional

Both

$1,534.00

Service Code	HCPCS 49596
Min. Negotiated Rate	$651.78
Max. Negotiated Rate	$1,865.43
Rate for Payer: Aetna Commercial	$1,380.43
Rate for Payer: BCBS Complete	$684.37
Rate for Payer: BCBS Trust/PPO	$1,865.43
Rate for Payer: Cash Price	$1,227.20
Rate for Payer: Cash Price	$1,227.20
Rate for Payer: Mclaren Medicaid	$651.78
Rate for Payer: Meridian Medicaid	$684.37
Rate for Payer: Priority Health Choice Medicaid	$651.78
Rate for Payer: Priority Health Cigna Priority Health	$1,073.80
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,793.32
Rate for Payer: Priority Health Narrow Network	$1,793.32
Rate for Payer: Priority Health SBD	$1,793.32

PR RPR AA HERNIA 1ST > 10 CM REDUCIBLE

Professional

Both

$1,555.00

Service Code	HCPCS 49595
Min. Negotiated Rate	$491.39
Max. Negotiated Rate	$1,350.58
Rate for Payer: Aetna Commercial	$1,039.20
Rate for Payer: BCBS Complete	$515.96
Rate for Payer: BCBS Trust/PPO	$1,212.98
Rate for Payer: Cash Price	$1,244.00
Rate for Payer: Cash Price	$1,244.00
Rate for Payer: Mclaren Medicaid	$491.39
Rate for Payer: Meridian Medicaid	$515.96
Rate for Payer: Priority Health Choice Medicaid	$491.39
Rate for Payer: Priority Health Cigna Priority Health	$1,088.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,350.58
Rate for Payer: Priority Health Narrow Network	$1,350.58
Rate for Payer: Priority Health SBD	$1,350.58

PR RPR AA HERNIA 1ST 3-10 CM NCRC8/STRANGULATED

Professional

Both

$1,819.00

Service Code	HCPCS 49594
Min. Negotiated Rate	$475.42
Max. Negotiated Rate	$2,889.80
Rate for Payer: Aetna Commercial	$1,006.93
Rate for Payer: BCBS Complete	$499.19
Rate for Payer: BCBS Trust/PPO	$2,889.80
Rate for Payer: Cash Price	$1,455.20
Rate for Payer: Cash Price	$1,455.20
Rate for Payer: Mclaren Medicaid	$475.42
Rate for Payer: Meridian Medicaid	$499.19
Rate for Payer: Priority Health Choice Medicaid	$475.42
Rate for Payer: Priority Health Cigna Priority Health	$1,273.30
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,308.24
Rate for Payer: Priority Health Narrow Network	$1,308.24
Rate for Payer: Priority Health SBD	$1,308.24

PR RPR AA HERNIA 1ST 3-10 CM NCRC8/STRANGULATED

Professional

Both

$1,819.00

Service Code	HCPCS 49594
Hospital Charge Code	49594
Min. Negotiated Rate	$475.42
Max. Negotiated Rate	$2,889.80
Rate for Payer: Aetna Commercial	$1,006.93
Rate for Payer: BCBS Complete	$499.19
Rate for Payer: BCBS Trust/PPO	$2,889.80
Rate for Payer: Cash Price	$1,455.20
Rate for Payer: Cash Price	$1,455.20
Rate for Payer: Mclaren Medicaid	$475.42
Rate for Payer: Meridian Medicaid	$499.19
Rate for Payer: Priority Health Choice Medicaid	$475.42
Rate for Payer: Priority Health Cigna Priority Health	$1,273.30
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,308.24
Rate for Payer: Priority Health Narrow Network	$1,308.24
Rate for Payer: Priority Health SBD	$1,308.24

PR RPR AA HERNIA 1ST 3-10 CM NCRC8/STRANGULATED

Facility

$1,819.00

Service Code	CPT 49594
Hospital Charge Code	49594
Hospital Revenue Code	960
Min. Negotiated Rate	$730.85
Max. Negotiated Rate	$6,417.61
Rate for Payer: Aetna Commercial	$1,546.15
Rate for Payer: Aetna Medicare	$5,339.45
Rate for Payer: Aetna New Business (MI Preferred)	$1,182.35
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	$2,186.71
Rate for Payer: BCN Medicare Advantage	$5,134.09
Rate for Payer: Cash Price	$1,455.20
Rate for Payer: Cash Price	$1,455.20
Rate for Payer: Cofinity Commercial	$1,564.34
Rate for Payer: Cofinity Commercial	$1,273.30
Rate for Payer: Health Alliance Plan Medicare Advantage	$5,134.09
Rate for Payer: Healthscope Commercial	$1,637.10
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	$1,546.15
Rate for Payer: PACE Medicare	$4,877.39
Rate for Payer: PACE SWMI	$5,134.09
Rate for Payer: PHP Commercial	$1,546.15
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	$1,273.30
Rate for Payer: Priority Health Medicare	$5,134.09
Rate for Payer: Priority Health SBD	$1,145.97
Rate for Payer: Railroad Medicare Medicare	$5,134.09
Rate for Payer: UHC All Payor (Choice/PPO)	$803.94
Rate for Payer: UHC Dual Complete DSNP	$5,134.09
Rate for Payer: UHC Exchange	$730.85
Rate for Payer: UHC Medicare Advantage	$5,288.11
Rate for Payer: VA VA	$5,134.09

PR RPR AA HERNIA 1ST 3-10 CM NCRC8/STRANGULATED

Facility

$1,819.00

Service Code	CPT 49594
Hospital Charge Code	49594
Hospital Revenue Code	960
Min. Negotiated Rate	$1,145.97
Max. Negotiated Rate	$1,637.10
Rate for Payer: Aetna Commercial	$1,546.15
Rate for Payer: Aetna New Business (MI Preferred)	$1,182.35
Rate for Payer: Cash Price	$1,455.20
Rate for Payer: Cofinity Commercial	$1,273.30
Rate for Payer: Cofinity Commercial	$1,564.34
Rate for Payer: Healthscope Commercial	$1,637.10
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$1,546.15
Rate for Payer: PHP Commercial	$1,546.15
Rate for Payer: Priority Health Cigna Priority Health	$1,273.30
Rate for Payer: Priority Health SBD	$1,145.97

PR RPR AA HERNIA 1ST 3-10 CM REDUCIBLE

Facility

$1,395.00

Service Code	CPT 49593
Hospital Charge Code	49593
Min. Negotiated Rate	$878.85
Max. Negotiated Rate	$1,255.50
Rate for Payer: Aetna Commercial	$1,185.75
Rate for Payer: Aetna New Business (MI Preferred)	$906.75
Rate for Payer: Cash Price	$1,116.00
Rate for Payer: Cofinity Commercial	$1,199.70
Rate for Payer: Cofinity Commercial	$976.50
Rate for Payer: Healthscope Commercial	$1,255.50
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$1,185.75
Rate for Payer: PHP Commercial	$1,185.75
Rate for Payer: Priority Health Cigna Priority Health	$976.50
Rate for Payer: Priority Health SBD	$878.85

PR RPR AA HERNIA 1ST 3-10 CM REDUCIBLE

Professional

Both

$1,395.00

Service Code	HCPCS 49593
Min. Negotiated Rate	$365.30
Max. Negotiated Rate	$2,206.18
Rate for Payer: Aetna Commercial	$772.74
Rate for Payer: BCBS Complete	$383.56
Rate for Payer: BCBS Trust/PPO	$2,206.18
Rate for Payer: Cash Price	$1,116.00
Rate for Payer: Cash Price	$1,116.00
Rate for Payer: Mclaren Medicaid	$365.30
Rate for Payer: Meridian Medicaid	$383.56
Rate for Payer: Priority Health Choice Medicaid	$365.30
Rate for Payer: Priority Health Cigna Priority Health	$976.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,004.84
Rate for Payer: Priority Health Narrow Network	$1,004.84
Rate for Payer: Priority Health SBD	$1,004.84

PR RPR AA HERNIA 1ST 3-10 CM REDUCIBLE

Facility

$1,395.00

Service Code	CPT 49593
Hospital Charge Code	49593
Min. Negotiated Rate	$561.56
Max. Negotiated Rate	$3,847.99
Rate for Payer: Aetna Commercial	$1,185.75
Rate for Payer: Aetna Medicare	$3,201.53
Rate for Payer: Aetna New Business (MI Preferred)	$906.75
Rate for Payer: Allen County Amish Medical Aid Commercial	$3,847.99
Rate for Payer: Amish Plain Church Group Commercial	$3,847.99
Rate for Payer: BCBS Complete	$1,768.23
Rate for Payer: BCBS MAPPO	$3,078.39
Rate for Payer: BCBS Trust/PPO	$1,457.98
Rate for Payer: BCN Medicare Advantage	$3,078.39
Rate for Payer: Cash Price	$1,116.00
Rate for Payer: Cash Price	$1,116.00
Rate for Payer: Cofinity Commercial	$976.50
Rate for Payer: Cofinity Commercial	$1,199.70
Rate for Payer: Health Alliance Plan Medicare Advantage	$3,078.39
Rate for Payer: Healthscope Commercial	$1,255.50
Rate for Payer: Mclaren Medicaid	$1,683.88
Rate for Payer: Mclaren Medicare	$3,078.39
Rate for Payer: Meridian Medicaid	$1,768.23
Rate for Payer: Meridian Wellcare - Medicare Advantage	$3,232.31
Rate for Payer: MI Amish Medical Board Commercial	$3,540.15
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$1,185.75
Rate for Payer: PACE Medicare	$2,924.47
Rate for Payer: PACE SWMI	$3,078.39
Rate for Payer: PHP Commercial	$1,185.75
Rate for Payer: PHP Medicare Advantage	$3,078.39
Rate for Payer: Priority Health Choice Medicaid	$1,683.88
Rate for Payer: Priority Health Cigna Priority Health	$976.50
Rate for Payer: Priority Health Medicare	$3,078.39
Rate for Payer: Priority Health SBD	$878.85
Rate for Payer: Railroad Medicare Medicare	$3,078.39
Rate for Payer: UHC All Payor (Choice/PPO)	$617.72
Rate for Payer: UHC Dual Complete DSNP	$3,078.39
Rate for Payer: UHC Exchange	$561.56
Rate for Payer: UHC Medicare Advantage	$3,170.74
Rate for Payer: VA VA	$3,078.39

PR RPR AA HERNIA 1ST 3-10 CM REDUCIBLE

Professional

Both

$1,395.00

Service Code	HCPCS 49593
Hospital Charge Code	49593
Min. Negotiated Rate	$365.30
Max. Negotiated Rate	$2,206.18
Rate for Payer: Aetna Commercial	$772.74
Rate for Payer: BCBS Complete	$383.56
Rate for Payer: BCBS Trust/PPO	$2,206.18
Rate for Payer: Cash Price	$1,116.00
Rate for Payer: Cash Price	$1,116.00
Rate for Payer: Mclaren Medicaid	$365.30
Rate for Payer: Meridian Medicaid	$383.56
Rate for Payer: Priority Health Choice Medicaid	$365.30
Rate for Payer: Priority Health Cigna Priority Health	$976.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,004.84
Rate for Payer: Priority Health Narrow Network	$1,004.84
Rate for Payer: Priority Health SBD	$1,004.84

PR RPR AA HERNIA 1ST < 3 CM NCRC8/STRANGULATED

Professional

Both

$1,159.00

Service Code	HCPCS 49592
Min. Negotiated Rate	$303.31
Max. Negotiated Rate	$2,151.77
Rate for Payer: Aetna Commercial	$641.53
Rate for Payer: BCBS Complete	$318.48
Rate for Payer: BCBS Trust/PPO	$2,151.77
Rate for Payer: Cash Price	$927.20
Rate for Payer: Cash Price	$927.20
Rate for Payer: Mclaren Medicaid	$303.31
Rate for Payer: Meridian Medicaid	$318.48
Rate for Payer: Priority Health Choice Medicaid	$303.31
Rate for Payer: Priority Health Cigna Priority Health	$811.30
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$834.33
Rate for Payer: Priority Health Narrow Network	$834.33
Rate for Payer: Priority Health SBD	$834.33

PR RPR AA HERNIA 1ST < 3 CM NCRC8/STRANGULATED

Facility

$1,159.00

Service Code	CPT 49592
Hospital Charge Code	49592
Min. Negotiated Rate	$466.28
Max. Negotiated Rate	$6,417.61
Rate for Payer: Aetna Commercial	$985.15
Rate for Payer: Aetna Medicare	$5,339.45
Rate for Payer: Aetna New Business (MI Preferred)	$753.35
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	$2,186.71
Rate for Payer: BCN Medicare Advantage	$5,134.09
Rate for Payer: Cash Price	$927.20
Rate for Payer: Cash Price	$927.20
Rate for Payer: Cofinity Commercial	$996.74
Rate for Payer: Cofinity Commercial	$811.30
Rate for Payer: Health Alliance Plan Medicare Advantage	$5,134.09
Rate for Payer: Healthscope Commercial	$1,043.10
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	$985.15
Rate for Payer: PACE Medicare	$4,877.39
Rate for Payer: PACE SWMI	$5,134.09
Rate for Payer: PHP Commercial	$985.15
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	$811.30
Rate for Payer: Priority Health Medicare	$5,134.09
Rate for Payer: Priority Health SBD	$730.17
Rate for Payer: Railroad Medicare Medicare	$5,134.09
Rate for Payer: UHC All Payor (Choice/PPO)	$512.91
Rate for Payer: UHC Dual Complete DSNP	$5,134.09
Rate for Payer: UHC Exchange	$466.28
Rate for Payer: UHC Medicare Advantage	$5,288.11
Rate for Payer: VA VA	$5,134.09

PR RPR AA HERNIA 1ST < 3 CM NCRC8/STRANGULATED

Professional

Both

$1,159.00

Service Code	HCPCS 49592
Hospital Charge Code	49592
Min. Negotiated Rate	$303.31
Max. Negotiated Rate	$2,151.77
Rate for Payer: Aetna Commercial	$641.53
Rate for Payer: BCBS Complete	$318.48
Rate for Payer: BCBS Trust/PPO	$2,151.77
Rate for Payer: Cash Price	$927.20
Rate for Payer: Cash Price	$927.20
Rate for Payer: Mclaren Medicaid	$303.31
Rate for Payer: Meridian Medicaid	$318.48
Rate for Payer: Priority Health Choice Medicaid	$303.31
Rate for Payer: Priority Health Cigna Priority Health	$811.30
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$834.33
Rate for Payer: Priority Health Narrow Network	$834.33
Rate for Payer: Priority Health SBD	$834.33

PR RPR AA HERNIA 1ST < 3 CM NCRC8/STRANGULATED

Facility

$1,159.00

Service Code	CPT 49592
Hospital Charge Code	49592
Min. Negotiated Rate	$730.17
Max. Negotiated Rate	$1,043.10
Rate for Payer: Aetna Commercial	$985.15
Rate for Payer: Aetna New Business (MI Preferred)	$753.35
Rate for Payer: Cash Price	$927.20
Rate for Payer: Cofinity Commercial	$811.30
Rate for Payer: Cofinity Commercial	$996.74
Rate for Payer: Healthscope Commercial	$1,043.10
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$985.15
Rate for Payer: PHP Commercial	$985.15
Rate for Payer: Priority Health Cigna Priority Health	$811.30
Rate for Payer: Priority Health SBD	$730.17

PR RPR AA HERNIA 1ST < 3 CM REDUCIBLE

Professional

Both

$852.00

Service Code	HCPCS 49591
Min. Negotiated Rate	$218.33
Max. Negotiated Rate	$1,842.18
Rate for Payer: Aetna Commercial	$460.31
Rate for Payer: BCBS Complete	$229.25
Rate for Payer: BCBS Trust/PPO	$1,842.18
Rate for Payer: Cash Price	$681.60
Rate for Payer: Cash Price	$681.60
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	$596.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$599.73
Rate for Payer: Priority Health Narrow Network	$599.73
Rate for Payer: Priority Health SBD	$599.73

PR RPR AA HERNIA 1ST < 3 CM REDUCIBLE

Facility

$852.00

Service Code	CPT 49591
Hospital Charge Code	49591
Min. Negotiated Rate	$335.63
Max. Negotiated Rate	$3,847.99
Rate for Payer: Aetna Commercial	$724.20
Rate for Payer: Aetna Medicare	$3,201.53
Rate for Payer: Aetna New Business (MI Preferred)	$553.80
Rate for Payer: Allen County Amish Medical Aid Commercial	$3,847.99
Rate for Payer: Amish Plain Church Group Commercial	$3,847.99
Rate for Payer: BCBS Complete	$1,768.23
Rate for Payer: BCBS MAPPO	$3,078.39
Rate for Payer: BCBS Trust/PPO	$1,457.98
Rate for Payer: BCN Medicare Advantage	$3,078.39
Rate for Payer: Cash Price	$681.60
Rate for Payer: Cash Price	$681.60
Rate for Payer: Cofinity Commercial	$732.72
Rate for Payer: Cofinity Commercial	$596.40
Rate for Payer: Health Alliance Plan Medicare Advantage	$3,078.39
Rate for Payer: Healthscope Commercial	$766.80
Rate for Payer: Mclaren Medicaid	$1,683.88
Rate for Payer: Mclaren Medicare	$3,078.39
Rate for Payer: Meridian Medicaid	$1,768.23
Rate for Payer: Meridian Wellcare - Medicare Advantage	$3,232.31
Rate for Payer: MI Amish Medical Board Commercial	$3,540.15
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$724.20
Rate for Payer: PACE Medicare	$2,924.47
Rate for Payer: PACE SWMI	$3,078.39
Rate for Payer: PHP Commercial	$724.20
Rate for Payer: PHP Medicare Advantage	$3,078.39
Rate for Payer: Priority Health Choice Medicaid	$1,683.88
Rate for Payer: Priority Health Cigna Priority Health	$596.40
Rate for Payer: Priority Health Medicare	$3,078.39
Rate for Payer: Priority Health SBD	$536.76
Rate for Payer: Railroad Medicare Medicare	$3,078.39
Rate for Payer: UHC All Payor (Choice/PPO)	$369.19
Rate for Payer: UHC Dual Complete DSNP	$3,078.39
Rate for Payer: UHC Exchange	$335.63
Rate for Payer: UHC Medicare Advantage	$3,170.74
Rate for Payer: VA VA	$3,078.39

PR RPR AA HERNIA 1ST < 3 CM REDUCIBLE

Facility

$852.00

Service Code	CPT 49591
Hospital Charge Code	49591
Min. Negotiated Rate	$536.76
Max. Negotiated Rate	$766.80
Rate for Payer: Aetna Commercial	$724.20
Rate for Payer: Aetna New Business (MI Preferred)	$553.80
Rate for Payer: Cash Price	$681.60
Rate for Payer: Cofinity Commercial	$596.40
Rate for Payer: Cofinity Commercial	$732.72
Rate for Payer: Healthscope Commercial	$766.80
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$724.20
Rate for Payer: PHP Commercial	$724.20
Rate for Payer: Priority Health Cigna Priority Health	$596.40
Rate for Payer: Priority Health SBD	$536.76

PR RPR AA HERNIA 1ST < 3 CM REDUCIBLE

Professional

Both

$852.00

Service Code	HCPCS 49591
Hospital Charge Code	49591
Min. Negotiated Rate	$218.33
Max. Negotiated Rate	$1,842.18
Rate for Payer: Aetna Commercial	$460.31
Rate for Payer: BCBS Complete	$229.25
Rate for Payer: BCBS Trust/PPO	$1,842.18
Rate for Payer: Cash Price	$681.60
Rate for Payer: Cash Price	$681.60
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	$596.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$599.73
Rate for Payer: Priority Health Narrow Network	$599.73
Rate for Payer: Priority Health SBD	$599.73

PR RPR AA HERNIA RECR > 10 CM NCRC8/STRANGULATED

Professional

Both

$3,099.00

Service Code	HCPCS 49618
Min. Negotiated Rate	$789.80
Max. Negotiated Rate	$2,982.78
Rate for Payer: Aetna Commercial	$1,673.34
Rate for Payer: BCBS Complete	$829.29
Rate for Payer: BCBS Trust/PPO	$2,982.78
Rate for Payer: Cash Price	$2,479.20
Rate for Payer: Cash Price	$2,479.20
Rate for Payer: Mclaren Medicaid	$789.80
Rate for Payer: Meridian Medicaid	$829.29
Rate for Payer: Priority Health Choice Medicaid	$789.80
Rate for Payer: Priority Health Cigna Priority Health	$2,169.30
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$2,173.15
Rate for Payer: Priority Health Narrow Network	$2,173.15
Rate for Payer: Priority Health SBD	$2,173.15

PR RPR AA HERNIA RECR > 10 CM REDUCIBLE

Professional

Both

$1,812.00

Service Code	HCPCS 49617
Min. Negotiated Rate	$563.81
Max. Negotiated Rate	$1,551.06
Rate for Payer: Aetna Commercial	$1,193.22
Rate for Payer: BCBS Complete	$592.00
Rate for Payer: BCBS Trust/PPO	$1,505.13
Rate for Payer: Cash Price	$1,449.60
Rate for Payer: Cash Price	$1,449.60
Rate for Payer: Mclaren Medicaid	$563.81
Rate for Payer: Meridian Medicaid	$592.00
Rate for Payer: Priority Health Choice Medicaid	$563.81
Rate for Payer: Priority Health Cigna Priority Health	$1,268.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,551.06
Rate for Payer: Priority Health Narrow Network	$1,551.06
Rate for Payer: Priority Health SBD	$1,551.06

PR RPR AA HERNIA RECR 3-10 CM NCRC8/STRANGULATED

Professional

Both

$1,717.00

Service Code	HCPCS 49616
Min. Negotiated Rate	$547.20
Max. Negotiated Rate	$1,505.80
Rate for Payer: Aetna Commercial	$1,159.17
Rate for Payer: BCBS Complete	$574.56
Rate for Payer: BCBS Trust/PPO	$1,140.07
Rate for Payer: Cash Price	$1,373.60
Rate for Payer: Cash Price	$1,373.60
Rate for Payer: Mclaren Medicaid	$547.20
Rate for Payer: Meridian Medicaid	$574.56
Rate for Payer: Priority Health Choice Medicaid	$547.20
Rate for Payer: Priority Health Cigna Priority Health	$1,201.90
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,505.80
Rate for Payer: Priority Health Narrow Network	$1,505.80
Rate for Payer: Priority Health SBD	$1,505.80

PR RPR AA HERNIA RECR 3-10 CM REDUCIBLE

Facility

$1,558.00

Service Code	CPT 49615
Hospital Charge Code	49615
Min. Negotiated Rate	$626.07
Max. Negotiated Rate	$3,847.99
Rate for Payer: Aetna Commercial	$1,324.30
Rate for Payer: Aetna Medicare	$3,201.53
Rate for Payer: Aetna New Business (MI Preferred)	$1,012.70
Rate for Payer: Allen County Amish Medical Aid Commercial	$3,847.99
Rate for Payer: Amish Plain Church Group Commercial	$3,847.99
Rate for Payer: BCBS Complete	$1,768.23
Rate for Payer: BCBS MAPPO	$3,078.39
Rate for Payer: BCBS Trust/PPO	$1,457.98
Rate for Payer: BCN Medicare Advantage	$3,078.39
Rate for Payer: Cash Price	$1,246.40
Rate for Payer: Cash Price	$1,246.40
Rate for Payer: Cofinity Commercial	$1,090.60
Rate for Payer: Cofinity Commercial	$1,339.88
Rate for Payer: Health Alliance Plan Medicare Advantage	$3,078.39
Rate for Payer: Healthscope Commercial	$1,402.20
Rate for Payer: Mclaren Medicaid	$1,683.88
Rate for Payer: Mclaren Medicare	$3,078.39
Rate for Payer: Meridian Medicaid	$1,768.23
Rate for Payer: Meridian Wellcare - Medicare Advantage	$3,232.31
Rate for Payer: MI Amish Medical Board Commercial	$3,540.15
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$1,324.30
Rate for Payer: PACE Medicare	$2,924.47
Rate for Payer: PACE SWMI	$3,078.39
Rate for Payer: PHP Commercial	$1,324.30
Rate for Payer: PHP Medicare Advantage	$3,078.39
Rate for Payer: Priority Health Choice Medicaid	$1,683.88
Rate for Payer: Priority Health Cigna Priority Health	$1,090.60
Rate for Payer: Priority Health Medicare	$3,078.39
Rate for Payer: Priority Health SBD	$981.54
Rate for Payer: Railroad Medicare Medicare	$3,078.39
Rate for Payer: UHC All Payor (Choice/PPO)	$688.68
Rate for Payer: UHC Dual Complete DSNP	$3,078.39
Rate for Payer: UHC Exchange	$626.07
Rate for Payer: UHC Medicare Advantage	$3,170.74
Rate for Payer: VA VA	$3,078.39

Know your out-of-pocket cost for care.

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