Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

PR RPR PARAESOPH HIATAL HERNIA W/LAPT W/O MESH

Professional

Both

$2,076.00

Service Code	HCPCS 43332
Min. Negotiated Rate	$732.08
Max. Negotiated Rate	$2,006.75
Rate for Payer: Aetna Commercial	$1,555.18
Rate for Payer: BCBS Complete	$768.68
Rate for Payer: BCBS Trust/PPO	$822.56
Rate for Payer: Cash Price	$1,660.80
Rate for Payer: Cash Price	$1,660.80
Rate for Payer: Mclaren Medicaid	$732.08
Rate for Payer: Meridian Medicaid	$768.68
Rate for Payer: Priority Health Choice Medicaid	$732.08
Rate for Payer: Priority Health Cigna Priority Health	$1,453.20
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$2,006.75
Rate for Payer: Priority Health Narrow Network	$2,006.75
Rate for Payer: Priority Health SBD	$2,006.75

PR RPR PARAESOPH HIATAL HERNIA W/THORCOM W/MESH

Professional

Both

$2,746.00

Service Code	HCPCS 43335
Min. Negotiated Rate	$840.07
Max. Negotiated Rate	$2,308.97
Rate for Payer: Aetna Commercial	$1,798.20
Rate for Payer: BCBS Complete	$882.07
Rate for Payer: BCBS Trust/PPO	$871.97
Rate for Payer: Cash Price	$2,196.80
Rate for Payer: Cash Price	$2,196.80
Rate for Payer: Mclaren Medicaid	$840.07
Rate for Payer: Meridian Medicaid	$882.07
Rate for Payer: Priority Health Choice Medicaid	$840.07
Rate for Payer: Priority Health Cigna Priority Health	$1,922.20
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$2,308.97
Rate for Payer: Priority Health Narrow Network	$2,308.97
Rate for Payer: Priority Health SBD	$2,308.97

PR RPR PARAESOPH HIATAL HERNIA W/THORCOM W/O MESH

Professional

Both

$3,372.00

Service Code	HCPCS 43334
Min. Negotiated Rate	$782.14
Max. Negotiated Rate	$2,360.40
Rate for Payer: Aetna Commercial	$1,680.36
Rate for Payer: BCBS Complete	$821.25
Rate for Payer: BCBS Trust/PPO	$940.03
Rate for Payer: Cash Price	$2,697.60
Rate for Payer: Cash Price	$2,697.60
Rate for Payer: Mclaren Medicaid	$782.14
Rate for Payer: Meridian Medicaid	$821.25
Rate for Payer: Priority Health Choice Medicaid	$782.14
Rate for Payer: Priority Health Cigna Priority Health	$2,360.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$2,153.16
Rate for Payer: Priority Health Narrow Network	$2,153.16
Rate for Payer: Priority Health SBD	$2,153.16

PR RPR PARASTOMAL HERNIA 1ST/RECR REDUCIBLE

Professional

Both

$1,520.00

Service Code	HCPCS 49621
Min. Negotiated Rate	$472.65
Max. Negotiated Rate	$3,534.33
Rate for Payer: Aetna Commercial	$999.36
Rate for Payer: BCBS Complete	$496.28
Rate for Payer: BCBS Trust/PPO	$3,534.33
Rate for Payer: Cash Price	$1,216.00
Rate for Payer: Cash Price	$1,216.00
Rate for Payer: Mclaren Medicaid	$472.65
Rate for Payer: Meridian Medicaid	$496.28
Rate for Payer: Priority Health Choice Medicaid	$472.65
Rate for Payer: Priority Health Cigna Priority Health	$1,064.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,300.01
Rate for Payer: Priority Health Narrow Network	$1,300.01
Rate for Payer: Priority Health SBD	$1,300.01

PR RPR PARASTOMAL HRNA 1ST/RECR NCRC8/STRANGULATED

Professional

Both

$1,874.00

Service Code	HCPCS 49622
Min. Negotiated Rate	$582.77
Max. Negotiated Rate	$2,705.42
Rate for Payer: Aetna Commercial	$1,233.64
Rate for Payer: BCBS Complete	$611.91
Rate for Payer: BCBS Trust/PPO	$2,705.42
Rate for Payer: Cash Price	$1,499.20
Rate for Payer: Cash Price	$1,499.20
Rate for Payer: Mclaren Medicaid	$582.77
Rate for Payer: Meridian Medicaid	$611.91
Rate for Payer: Priority Health Choice Medicaid	$582.77
Rate for Payer: Priority Health Cigna Priority Health	$1,311.80
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,603.99
Rate for Payer: Priority Health Narrow Network	$1,603.99
Rate for Payer: Priority Health SBD	$1,603.99

PR RPR P-ART ARBORIZJ ANOMAL UNIFCLIZJ W/O BYPASS

Professional

Both

$7,416.00

Service Code	HCPCS 33925
Min. Negotiated Rate	$843.70
Max. Negotiated Rate	$5,191.20
Rate for Payer: Aetna Commercial	$2,306.29
Rate for Payer: BCBS Complete	$1,129.65
Rate for Payer: BCBS Trust/PPO	$843.70
Rate for Payer: Cash Price	$5,932.80
Rate for Payer: Cash Price	$5,932.80
Rate for Payer: Mclaren Medicaid	$1,075.86
Rate for Payer: Meridian Medicaid	$1,129.65
Rate for Payer: Priority Health Choice Medicaid	$1,075.86
Rate for Payer: Priority Health Cigna Priority Health	$5,191.20
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$2,677.87
Rate for Payer: Priority Health Narrow Network	$2,677.87
Rate for Payer: Priority Health SBD	$2,677.87

PR RPR POSTINFRCJ VENTRICULAR SEPTAL DEFECT

Professional

Both

$5,761.00

Service Code	HCPCS 33545
Min. Negotiated Rate	$1,600.75
Max. Negotiated Rate	$4,766.87
Rate for Payer: Aetna Commercial	$4,126.09
Rate for Payer: BCBS Complete	$2,005.69
Rate for Payer: BCBS Trust/PPO	$1,600.75
Rate for Payer: Cash Price	$4,608.80
Rate for Payer: Cash Price	$4,608.80
Rate for Payer: Mclaren Medicaid	$1,910.18
Rate for Payer: Meridian Medicaid	$2,005.69
Rate for Payer: Priority Health Choice Medicaid	$1,910.18
Rate for Payer: Priority Health Cigna Priority Health	$4,032.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$4,766.87
Rate for Payer: Priority Health Narrow Network	$4,766.87
Rate for Payer: Priority Health SBD	$4,766.87

PR RPR PRIMARY DISRUPTED LIGAMENT ANKLE COLLATERAL

Professional

Both

$1,913.00

Service Code	HCPCS 27695
Min. Negotiated Rate	$315.03
Max. Negotiated Rate	$2,507.31
Rate for Payer: Aetna Commercial	$631.52
Rate for Payer: BCBS Complete	$330.78
Rate for Payer: BCBS Trust/PPO	$2,507.31
Rate for Payer: Cash Price	$1,530.40
Rate for Payer: Cash Price	$1,530.40
Rate for Payer: Mclaren Medicaid	$315.03
Rate for Payer: Meridian Medicaid	$330.78
Rate for Payer: Priority Health Choice Medicaid	$315.03
Rate for Payer: Priority Health Cigna Priority Health	$1,339.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$744.02
Rate for Payer: Priority Health Narrow Network	$744.02
Rate for Payer: Priority Health SBD	$744.02

PR RPR PRIMARY OPEN/PRQ RUPTURED ACHILLES W/GRAFT

Professional

Both

$1,025.00

Service Code	HCPCS 27652
Min. Negotiated Rate	$432.82
Max. Negotiated Rate	$1,373.05
Rate for Payer: Aetna Commercial	$885.74
Rate for Payer: BCBS Complete	$454.46
Rate for Payer: BCBS Trust/PPO	$1,373.05
Rate for Payer: Cash Price	$820.00
Rate for Payer: Cash Price	$820.00
Rate for Payer: Mclaren Medicaid	$432.82
Rate for Payer: Meridian Medicaid	$454.46
Rate for Payer: Priority Health Choice Medicaid	$432.82
Rate for Payer: Priority Health Cigna Priority Health	$717.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,013.13
Rate for Payer: Priority Health Narrow Network	$1,013.13
Rate for Payer: Priority Health SBD	$1,013.13

PR RPR PRIMARY TORN LIGM&/CAPSULE KNEE COLLATERAL

Professional

Both

$1,866.00

Service Code	HCPCS 27405
Min. Negotiated Rate	$438.99
Max. Negotiated Rate	$1,306.20
Rate for Payer: Aetna Commercial	$901.97
Rate for Payer: BCBS Complete	$460.94
Rate for Payer: BCBS Trust/PPO	$648.75
Rate for Payer: Cash Price	$1,492.80
Rate for Payer: Cash Price	$1,492.80
Rate for Payer: Mclaren Medicaid	$438.99
Rate for Payer: Meridian Medicaid	$460.94
Rate for Payer: Priority Health Choice Medicaid	$438.99
Rate for Payer: Priority Health Cigna Priority Health	$1,306.20
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,041.73
Rate for Payer: Priority Health Narrow Network	$1,041.73
Rate for Payer: Priority Health SBD	$1,041.73

PR RPR PRIM DISRUPTED LIGM ANKLE BTH COLTRL LIGMS

Professional

Both

$2,849.00

Service Code	HCPCS 27696
Min. Negotiated Rate	$353.79
Max. Negotiated Rate	$1,994.30
Rate for Payer: Aetna Commercial	$735.71
Rate for Payer: BCBS Complete	$371.48
Rate for Payer: BCBS Trust/PPO	$620.09
Rate for Payer: Cash Price	$2,279.20
Rate for Payer: Cash Price	$2,279.20
Rate for Payer: Mclaren Medicaid	$353.79
Rate for Payer: Meridian Medicaid	$371.48
Rate for Payer: Priority Health Choice Medicaid	$353.79
Rate for Payer: Priority Health Cigna Priority Health	$1,994.30
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$840.01
Rate for Payer: Priority Health Narrow Network	$840.01
Rate for Payer: Priority Health SBD	$840.01

PR RPR & RCNSTJ FINGER VOLAR PLATE INTERPHALANGEAL

Professional

Both

$2,138.00

Service Code	HCPCS 26548
Min. Negotiated Rate	$89.28
Max. Negotiated Rate	$1,496.60
Rate for Payer: Aetna Commercial	$1,057.57
Rate for Payer: BCBS Complete	$543.69
Rate for Payer: BCBS Trust/PPO	$89.28
Rate for Payer: Cash Price	$1,710.40
Rate for Payer: Cash Price	$1,710.40
Rate for Payer: Mclaren Medicaid	$517.80
Rate for Payer: Meridian Medicaid	$543.69
Rate for Payer: Priority Health Choice Medicaid	$517.80
Rate for Payer: Priority Health Cigna Priority Health	$1,496.60
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,242.92
Rate for Payer: Priority Health Narrow Network	$1,242.92
Rate for Payer: Priority Health SBD	$1,242.92

PR RPR RECRT FEM HERNIA REDUCIBLE

Facility

$1,050.00

Service Code	CPT 49555
Hospital Charge Code	49555
Hospital Revenue Code	960
Min. Negotiated Rate	$661.50
Max. Negotiated Rate	$945.00
Rate for Payer: Aetna Commercial	$892.50
Rate for Payer: Aetna New Business (MI Preferred)	$682.50
Rate for Payer: Cash Price	$840.00
Rate for Payer: Cofinity Commercial	$735.00
Rate for Payer: Cofinity Commercial	$903.00
Rate for Payer: Healthscope Commercial	$945.00
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$892.50
Rate for Payer: PHP Commercial	$892.50
Rate for Payer: Priority Health Cigna Priority Health	$735.00
Rate for Payer: Priority Health SBD	$661.50

PR RPR RECRT FEM HERNIA REDUCIBLE

Facility

$1,050.00

Service Code	CPT 49555
Hospital Charge Code	49555
Hospital Revenue Code	960
Min. Negotiated Rate	$598.56
Max. Negotiated Rate	$3,847.99
Rate for Payer: Aetna Commercial	$892.50
Rate for Payer: Aetna Medicare	$3,201.53
Rate for Payer: Aetna New Business (MI Preferred)	$682.50
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	$1,472.51
Rate for Payer: BCN Medicare Advantage	$3,078.39
Rate for Payer: Cash Price	$840.00
Rate for Payer: Cash Price	$840.00
Rate for Payer: Cofinity Commercial	$735.00
Rate for Payer: Cofinity Commercial	$903.00
Rate for Payer: Health Alliance Plan Medicare Advantage	$3,078.39
Rate for Payer: Healthscope Commercial	$945.00
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	$892.50
Rate for Payer: PACE Medicare	$2,924.47
Rate for Payer: PACE SWMI	$3,078.39
Rate for Payer: PHP Commercial	$892.50
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	$735.00
Rate for Payer: Priority Health Medicare	$3,078.39
Rate for Payer: Priority Health SBD	$661.50
Rate for Payer: Railroad Medicare Medicare	$3,078.39
Rate for Payer: UHC All Payor (Choice/PPO)	$658.42
Rate for Payer: UHC Dual Complete DSNP	$3,078.39
Rate for Payer: UHC Exchange	$598.56
Rate for Payer: UHC Medicare Advantage	$3,170.74
Rate for Payer: VA VA	$3,078.39

PR RPR RECRT FEM HERNIA REDUCIBLE

Professional

Both

$1,050.00

Service Code	HCPCS 49555
Min. Negotiated Rate	$389.36
Max. Negotiated Rate	$2,967.99
Rate for Payer: Aetna Commercial	$813.50
Rate for Payer: BCBS Complete	$408.83
Rate for Payer: BCBS Trust/PPO	$2,967.99
Rate for Payer: Cash Price	$840.00
Rate for Payer: Cash Price	$840.00
Rate for Payer: Mclaren Medicaid	$389.36
Rate for Payer: Meridian Medicaid	$408.83
Rate for Payer: Priority Health Choice Medicaid	$389.36
Rate for Payer: Priority Health Cigna Priority Health	$735.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,068.35
Rate for Payer: Priority Health Narrow Network	$1,068.35
Rate for Payer: Priority Health SBD	$1,068.35

PR RPR RECRT FEM HERNIA REDUCIBLE

Professional

Both

$1,050.00

Service Code	HCPCS 49555
Hospital Charge Code	49555
Min. Negotiated Rate	$389.36
Max. Negotiated Rate	$2,967.99
Rate for Payer: Aetna Commercial	$813.50
Rate for Payer: BCBS Complete	$408.83
Rate for Payer: BCBS Trust/PPO	$2,967.99
Rate for Payer: Cash Price	$840.00
Rate for Payer: Cash Price	$840.00
Rate for Payer: Mclaren Medicaid	$389.36
Rate for Payer: Meridian Medicaid	$408.83
Rate for Payer: Priority Health Choice Medicaid	$389.36
Rate for Payer: Priority Health Cigna Priority Health	$735.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,068.35
Rate for Payer: Priority Health Narrow Network	$1,068.35
Rate for Payer: Priority Health SBD	$1,068.35

PR RPR RECRT FEM HRNA INCARCERATED

Professional

Both

$1,452.00

Service Code	HCPCS 49557
Min. Negotiated Rate	$464.34
Max. Negotiated Rate	$1,663.62
Rate for Payer: Aetna Commercial	$975.41
Rate for Payer: BCBS Complete	$487.56
Rate for Payer: BCBS Trust/PPO	$1,663.62
Rate for Payer: Cash Price	$1,161.60
Rate for Payer: Cash Price	$1,161.60
Rate for Payer: Mclaren Medicaid	$464.34
Rate for Payer: Meridian Medicaid	$487.56
Rate for Payer: Priority Health Choice Medicaid	$464.34
Rate for Payer: Priority Health Cigna Priority Health	$1,016.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,276.49
Rate for Payer: Priority Health Narrow Network	$1,276.49
Rate for Payer: Priority Health SBD	$1,276.49

PR RPR RECRT INCAL/VNT HERNIA INCARCERATED

Professional

Both

$2,600.00

Service Code	HCPCS 49566
Min. Negotiated Rate	$1,040.00
Max. Negotiated Rate	$1,820.00
Rate for Payer: BCBS Complete	$1,040.00
Rate for Payer: Cash Price	$2,080.00
Rate for Payer: Priority Health Cigna Priority Health	$1,820.00

PR RPR RECRT INCAL/VNT HERNIA REDUCIBLE

Professional

Both

$2,250.00

Service Code	HCPCS 49565
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$1,575.00
Rate for Payer: BCBS Complete	$900.00
Rate for Payer: Cash Price	$1,800.00
Rate for Payer: Priority Health Cigna Priority Health	$1,575.00

PR RPR RECRT INGUINAL HERNIA ANY AGE REDUCIBLE

Professional

Both

$1,687.00

Service Code	HCPCS 49520
Hospital Charge Code	49520
Min. Negotiated Rate	$136.83
Max. Negotiated Rate	$1,180.90
Rate for Payer: Aetna Commercial	$853.76
Rate for Payer: BCBS Complete	$428.06
Rate for Payer: BCBS Trust/PPO	$136.83
Rate for Payer: Cash Price	$1,349.60
Rate for Payer: Cash Price	$1,349.60
Rate for Payer: Mclaren Medicaid	$407.68
Rate for Payer: Meridian Medicaid	$428.06
Rate for Payer: Priority Health Choice Medicaid	$407.68
Rate for Payer: Priority Health Cigna Priority Health	$1,180.90
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,117.15
Rate for Payer: Priority Health Narrow Network	$1,117.15
Rate for Payer: Priority Health SBD	$1,117.15

PR RPR RECRT INGUINAL HERNIA ANY AGE REDUCIBLE

Professional

Both

$1,687.00

Service Code	HCPCS 49520
Min. Negotiated Rate	$136.83
Max. Negotiated Rate	$1,180.90
Rate for Payer: Aetna Commercial	$853.76
Rate for Payer: BCBS Complete	$428.06
Rate for Payer: BCBS Trust/PPO	$136.83
Rate for Payer: Cash Price	$1,349.60
Rate for Payer: Cash Price	$1,349.60
Rate for Payer: Mclaren Medicaid	$407.68
Rate for Payer: Meridian Medicaid	$428.06
Rate for Payer: Priority Health Choice Medicaid	$407.68
Rate for Payer: Priority Health Cigna Priority Health	$1,180.90
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,117.15
Rate for Payer: Priority Health Narrow Network	$1,117.15
Rate for Payer: Priority Health SBD	$1,117.15

PR RPR RECRT INGUINAL HERNIA ANY AGE REDUCIBLE

Facility

$1,687.00

Service Code	CPT 49520
Hospital Charge Code	49520
Hospital Revenue Code	960
Min. Negotiated Rate	$626.72
Max. Negotiated Rate	$3,847.99
Rate for Payer: Aetna Commercial	$1,433.95
Rate for Payer: Aetna Medicare	$3,201.53
Rate for Payer: Aetna New Business (MI Preferred)	$1,096.55
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	$2,105.67
Rate for Payer: BCN Medicare Advantage	$3,078.39
Rate for Payer: Cash Price	$1,349.60
Rate for Payer: Cash Price	$1,349.60
Rate for Payer: Cofinity Commercial	$1,180.90
Rate for Payer: Cofinity Commercial	$1,450.82
Rate for Payer: Health Alliance Plan Medicare Advantage	$3,078.39
Rate for Payer: Healthscope Commercial	$1,518.30
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	$1,433.95
Rate for Payer: PACE Medicare	$2,924.47
Rate for Payer: PACE SWMI	$3,078.39
Rate for Payer: PHP Commercial	$1,433.95
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	$1,180.90
Rate for Payer: Priority Health Medicare	$3,078.39
Rate for Payer: Priority Health SBD	$1,062.81
Rate for Payer: Railroad Medicare Medicare	$3,078.39
Rate for Payer: UHC All Payor (Choice/PPO)	$689.39
Rate for Payer: UHC Dual Complete DSNP	$3,078.39
Rate for Payer: UHC Exchange	$626.72
Rate for Payer: UHC Medicare Advantage	$3,170.74
Rate for Payer: VA VA	$3,078.39

PR RPR RECRT INGUINAL HERNIA ANY AGE REDUCIBLE

Facility

$1,687.00

Service Code	CPT 49520
Hospital Charge Code	49520
Hospital Revenue Code	960
Min. Negotiated Rate	$1,062.81
Max. Negotiated Rate	$1,518.30
Rate for Payer: Aetna Commercial	$1,433.95
Rate for Payer: Aetna New Business (MI Preferred)	$1,096.55
Rate for Payer: Cash Price	$1,349.60
Rate for Payer: Cofinity Commercial	$1,180.90
Rate for Payer: Cofinity Commercial	$1,450.82
Rate for Payer: Healthscope Commercial	$1,518.30
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$1,433.95
Rate for Payer: PHP Commercial	$1,433.95
Rate for Payer: Priority Health Cigna Priority Health	$1,180.90
Rate for Payer: Priority Health SBD	$1,062.81

PR RPR RECRT INGUN HERNIA ANY AGE INCARCERATED

Facility

$2,051.00

Service Code	CPT 49521
Hospital Charge Code	49521
Hospital Revenue Code	960
Min. Negotiated Rate	$1,292.13
Max. Negotiated Rate	$1,845.90
Rate for Payer: Aetna Commercial	$1,743.35
Rate for Payer: Aetna New Business (MI Preferred)	$1,333.15
Rate for Payer: Cash Price	$1,640.80
Rate for Payer: Cofinity Commercial	$1,763.86
Rate for Payer: Cofinity Commercial	$1,435.70
Rate for Payer: Healthscope Commercial	$1,845.90
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$1,743.35
Rate for Payer: PHP Commercial	$1,743.35
Rate for Payer: Priority Health Cigna Priority Health	$1,435.70
Rate for Payer: Priority Health SBD	$1,292.13

PR RPR RECRT INGUN HERNIA ANY AGE INCARCERATED

Professional

Both

$2,051.00

Service Code	HCPCS 49521
Hospital Charge Code	49521
Min. Negotiated Rate	$134.72
Max. Negotiated Rate	$1,435.70
Rate for Payer: Aetna Commercial	$967.53
Rate for Payer: BCBS Complete	$483.54
Rate for Payer: BCBS Trust/PPO	$134.72
Rate for Payer: Cash Price	$1,640.80
Rate for Payer: Cash Price	$1,640.80
Rate for Payer: Mclaren Medicaid	$460.51
Rate for Payer: Meridian Medicaid	$483.54
Rate for Payer: Priority Health Choice Medicaid	$460.51
Rate for Payer: Priority Health Cigna Priority Health	$1,435.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,264.13
Rate for Payer: Priority Health Narrow Network	$1,264.13
Rate for Payer: Priority Health SBD	$1,264.13

Know your out-of-pocket cost for care.

All Charges