Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

ZIDOVUDINE 100 MG CAPSULE

Facility

$676.32

Service Code	NDC 65862-107-01
Hospital Charge Code	11692
Hospital Revenue Code	637
Min. Negotiated Rate	$426.08
Max. Negotiated Rate	$608.69
Rate for Payer: Aetna Commercial	$574.87
Rate for Payer: Aetna New Business (MI Preferred)	$439.61
Rate for Payer: Cash Price	$541.06
Rate for Payer: Cofinity Commercial	$473.42
Rate for Payer: Cofinity Commercial	$581.64
Rate for Payer: Healthscope Commercial	$608.69
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$574.87
Rate for Payer: PHP Commercial	$574.87
Rate for Payer: Priority Health Cigna Priority Health	$473.42
Rate for Payer: Priority Health SBD	$426.08

ZIDOVUDINE 10 MG/ML INTRAVENOUS SOLUTION

Facility

$126.65

Service Code	HCPCS J3485
Hospital Charge Code	11691
Hospital Revenue Code	636
Min. Negotiated Rate	$79.79
Max. Negotiated Rate	$113.98
Rate for Payer: Aetna Commercial	$107.65
Rate for Payer: Aetna New Business (MI Preferred)	$82.32
Rate for Payer: Cash Price	$101.32
Rate for Payer: Cofinity Commercial	$88.66
Rate for Payer: Cofinity Commercial	$108.92
Rate for Payer: Healthscope Commercial	$113.98
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$107.65
Rate for Payer: PHP Commercial	$107.65
Rate for Payer: Priority Health Cigna Priority Health	$88.66
Rate for Payer: Priority Health SBD	$79.79

ZIDOVUDINE 10 MG/ML ORAL SYRUP

Facility

$789.60

Service Code	NDC 65862-048-24
Hospital Charge Code	11693
Hospital Revenue Code	637
Min. Negotiated Rate	$497.45
Max. Negotiated Rate	$710.64
Rate for Payer: Aetna Commercial	$671.16
Rate for Payer: Aetna New Business (MI Preferred)	$513.24
Rate for Payer: Cash Price	$631.68
Rate for Payer: Cofinity Commercial	$552.72
Rate for Payer: Cofinity Commercial	$679.06
Rate for Payer: Healthscope Commercial	$710.64
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$671.16
Rate for Payer: PHP Commercial	$671.16
Rate for Payer: Priority Health Cigna Priority Health	$552.72
Rate for Payer: Priority Health SBD	$497.45

ZINC OXIDE 20 % TOPICAL OINTMENT

Facility

$11.16

Service Code	NDC 0536-5700-28
Hospital Charge Code	8874
Hospital Revenue Code	637
Min. Negotiated Rate	$7.03
Max. Negotiated Rate	$10.04
Rate for Payer: Aetna Commercial	$9.49
Rate for Payer: Aetna New Business (MI Preferred)	$7.25
Rate for Payer: Cash Price	$8.93
Rate for Payer: Cofinity Commercial	$7.81
Rate for Payer: Cofinity Commercial	$9.60
Rate for Payer: Healthscope Commercial	$10.04
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$9.49
Rate for Payer: PHP Commercial	$9.49
Rate for Payer: Priority Health Cigna Priority Health	$7.81
Rate for Payer: Priority Health SBD	$7.03

ZINC OXIDE 20 % TOPICAL OINTMENT

Facility

$23.32

Service Code	NDC 75834-170-01
Hospital Charge Code	8874
Hospital Revenue Code	637
Min. Negotiated Rate	$14.69
Max. Negotiated Rate	$20.99
Rate for Payer: Aetna Commercial	$19.82
Rate for Payer: Aetna New Business (MI Preferred)	$15.16
Rate for Payer: Cash Price	$18.66
Rate for Payer: Cofinity Commercial	$16.32
Rate for Payer: Cofinity Commercial	$20.06
Rate for Payer: Healthscope Commercial	$20.99
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$19.82
Rate for Payer: PHP Commercial	$19.82
Rate for Payer: Priority Health Cigna Priority Health	$16.32
Rate for Payer: Priority Health SBD	$14.69

ZINC OXIDE-PETROLATUM 20 %-51 % TOPICAL PASTE

Facility

$134.64

Service Code	NDC 11701-050-32
Hospital Charge Code	11378
Hospital Revenue Code	637
Min. Negotiated Rate	$84.82
Max. Negotiated Rate	$121.18
Rate for Payer: Aetna Commercial	$114.44
Rate for Payer: Aetna New Business (MI Preferred)	$87.52
Rate for Payer: Cash Price	$107.71
Rate for Payer: Cofinity Commercial	$115.79
Rate for Payer: Cofinity Commercial	$94.25
Rate for Payer: Healthscope Commercial	$121.18
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$114.44
Rate for Payer: PHP Commercial	$114.44
Rate for Payer: Priority Health Cigna Priority Health	$94.25
Rate for Payer: Priority Health SBD	$84.82

ZINC OXIDE-WHITE PETROLATUM 15 %-49 % TOPICAL OINTMENT

Facility

$32.04

Service Code	NDC 53329-771-44
Hospital Charge Code	97710
Hospital Revenue Code	637
Min. Negotiated Rate	$20.19
Max. Negotiated Rate	$28.84
Rate for Payer: Aetna Commercial	$27.23
Rate for Payer: Aetna New Business (MI Preferred)	$20.83
Rate for Payer: Cash Price	$25.63
Rate for Payer: Cofinity Commercial	$27.55
Rate for Payer: Cofinity Commercial	$22.43
Rate for Payer: Healthscope Commercial	$28.84
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$27.23
Rate for Payer: PHP Commercial	$27.23
Rate for Payer: Priority Health Cigna Priority Health	$22.43
Rate for Payer: Priority Health SBD	$20.19

ZINC SULFATE 50 MG ZINC (220 MG) CAPSULE

Facility

$158.40

Service Code	NDC 2055504000
Hospital Charge Code	8880
Hospital Revenue Code	637
Min. Negotiated Rate	$99.79
Max. Negotiated Rate	$142.56
Rate for Payer: Aetna Commercial	$134.64
Rate for Payer: Aetna New Business (MI Preferred)	$102.96
Rate for Payer: Cash Price	$126.72
Rate for Payer: Cofinity Commercial	$110.88
Rate for Payer: Cofinity Commercial	$136.22
Rate for Payer: Healthscope Commercial	$142.56
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$134.64
Rate for Payer: PHP Commercial	$134.64
Rate for Payer: Priority Health Cigna Priority Health	$110.88
Rate for Payer: Priority Health SBD	$99.79

ZINC SULFATE 5 MG/ML INTRAVENOUS SOLUTION

Facility

$60.38

Service Code	NDC 0517-8005-25
Hospital Charge Code	8879
Hospital Revenue Code	250
Min. Negotiated Rate	$38.04
Max. Negotiated Rate	$54.34
Rate for Payer: Aetna Commercial	$51.32
Rate for Payer: Aetna New Business (MI Preferred)	$39.25
Rate for Payer: Cash Price	$48.30
Rate for Payer: Cofinity Commercial	$42.27
Rate for Payer: Cofinity Commercial	$51.93
Rate for Payer: Healthscope Commercial	$54.34
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$51.32
Rate for Payer: PHP Commercial	$51.32
Rate for Payer: Priority Health Cigna Priority Health	$42.27
Rate for Payer: Priority Health SBD	$38.04

ZINC SULFATE 5 MG/ML INTRAVENOUS SOLUTION

Facility

$60.38

Service Code	NDC 0517-8005-01
Hospital Charge Code	8879
Hospital Revenue Code	250
Min. Negotiated Rate	$38.04
Max. Negotiated Rate	$54.34
Rate for Payer: Aetna Commercial	$51.32
Rate for Payer: Aetna New Business (MI Preferred)	$39.25
Rate for Payer: Cash Price	$48.30
Rate for Payer: Cofinity Commercial	$42.27
Rate for Payer: Cofinity Commercial	$51.93
Rate for Payer: Healthscope Commercial	$54.34
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$51.32
Rate for Payer: PHP Commercial	$51.32
Rate for Payer: Priority Health Cigna Priority Health	$42.27
Rate for Payer: Priority Health SBD	$38.04

ZIPRASIDONE 20 MG CAPSULE

Facility

$265.05

Service Code	NDC 0781-2164-60
Hospital Charge Code	29778
Hospital Revenue Code	637
Min. Negotiated Rate	$166.98
Max. Negotiated Rate	$238.54
Rate for Payer: Aetna Commercial	$225.29
Rate for Payer: Aetna New Business (MI Preferred)	$172.28
Rate for Payer: Cash Price	$212.04
Rate for Payer: Cofinity Commercial	$185.54
Rate for Payer: Cofinity Commercial	$227.94
Rate for Payer: Healthscope Commercial	$238.54
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$225.29
Rate for Payer: PHP Commercial	$225.29
Rate for Payer: Priority Health Cigna Priority Health	$185.54
Rate for Payer: Priority Health SBD	$166.98

ZIPRASIDONE 20 MG CAPSULE

Facility

$267.56

Service Code	NDC 59762-2001-1
Hospital Charge Code	29778
Hospital Revenue Code	637
Min. Negotiated Rate	$168.56
Max. Negotiated Rate	$240.80
Rate for Payer: Aetna Commercial	$227.43
Rate for Payer: Aetna New Business (MI Preferred)	$173.91
Rate for Payer: Cash Price	$214.05
Rate for Payer: Cofinity Commercial	$187.29
Rate for Payer: Cofinity Commercial	$230.10
Rate for Payer: Healthscope Commercial	$240.80
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$227.43
Rate for Payer: PHP Commercial	$227.43
Rate for Payer: Priority Health Cigna Priority Health	$187.29
Rate for Payer: Priority Health SBD	$168.56

ZIPRASIDONE 20 MG CAPSULE

Facility

$245.34

Service Code	NDC 55111-256-60
Hospital Charge Code	29778
Hospital Revenue Code	637
Min. Negotiated Rate	$154.56
Max. Negotiated Rate	$220.81
Rate for Payer: Aetna Commercial	$208.54
Rate for Payer: Aetna New Business (MI Preferred)	$159.47
Rate for Payer: Cash Price	$196.27
Rate for Payer: Cofinity Commercial	$171.74
Rate for Payer: Cofinity Commercial	$210.99
Rate for Payer: Healthscope Commercial	$220.81
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$208.54
Rate for Payer: PHP Commercial	$208.54
Rate for Payer: Priority Health Cigna Priority Health	$171.74
Rate for Payer: Priority Health SBD	$154.56

ZIPRASIDONE 20 MG CAPSULE

Facility

$603.84

Service Code	NDC 0904-6269-45
Hospital Charge Code	29778
Hospital Revenue Code	637
Min. Negotiated Rate	$380.42
Max. Negotiated Rate	$543.46
Rate for Payer: Aetna Commercial	$513.26
Rate for Payer: Aetna New Business (MI Preferred)	$392.50
Rate for Payer: Cash Price	$483.07
Rate for Payer: Cofinity Commercial	$519.30
Rate for Payer: Cofinity Commercial	$422.69
Rate for Payer: Healthscope Commercial	$543.46
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$513.26
Rate for Payer: PHP Commercial	$513.26
Rate for Payer: Priority Health Cigna Priority Health	$422.69
Rate for Payer: Priority Health SBD	$380.42

ZIPRASIDONE 20 MG CAPSULE

Facility

$364.90

Service Code	NDC 60505-2528-6
Hospital Charge Code	29778
Hospital Revenue Code	637
Min. Negotiated Rate	$229.89
Max. Negotiated Rate	$328.41
Rate for Payer: Aetna Commercial	$310.16
Rate for Payer: Aetna New Business (MI Preferred)	$237.18
Rate for Payer: Cash Price	$291.92
Rate for Payer: Cofinity Commercial	$255.43
Rate for Payer: Cofinity Commercial	$313.81
Rate for Payer: Healthscope Commercial	$328.41
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$310.16
Rate for Payer: PHP Commercial	$310.16
Rate for Payer: Priority Health Cigna Priority Health	$255.43
Rate for Payer: Priority Health SBD	$229.89

ZIPRASIDONE 20 MG CAPSULE

Facility

$755.10

Service Code	NDC 68084-103-09
Hospital Charge Code	29778
Hospital Revenue Code	637
Min. Negotiated Rate	$475.71
Max. Negotiated Rate	$679.59
Rate for Payer: Aetna Commercial	$641.84
Rate for Payer: Aetna New Business (MI Preferred)	$490.82
Rate for Payer: Cash Price	$604.08
Rate for Payer: Cofinity Commercial	$528.57
Rate for Payer: Cofinity Commercial	$649.39
Rate for Payer: Healthscope Commercial	$679.59
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$641.84
Rate for Payer: PHP Commercial	$641.84
Rate for Payer: Priority Health Cigna Priority Health	$528.57
Rate for Payer: Priority Health SBD	$475.71

ZIPRASIDONE 20 MG CAPSULE

Facility

$225.72

Service Code	NDC 65862-702-60
Hospital Charge Code	29778
Hospital Revenue Code	637
Min. Negotiated Rate	$142.20
Max. Negotiated Rate	$203.15
Rate for Payer: Aetna Commercial	$191.86
Rate for Payer: Aetna New Business (MI Preferred)	$146.72
Rate for Payer: Cash Price	$180.58
Rate for Payer: Cofinity Commercial	$158.00
Rate for Payer: Cofinity Commercial	$194.12
Rate for Payer: Healthscope Commercial	$203.15
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$191.86
Rate for Payer: PHP Commercial	$191.86
Rate for Payer: Priority Health Cigna Priority Health	$158.00
Rate for Payer: Priority Health SBD	$142.20

ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION

Facility

$202.59

Service Code	HCPCS J3486
Hospital Charge Code	33175
Hospital Revenue Code	636
Min. Negotiated Rate	$127.63
Max. Negotiated Rate	$182.33
Rate for Payer: Aetna Commercial	$172.20
Rate for Payer: Aetna Commercial	$42.81
Rate for Payer: Aetna New Business (MI Preferred)	$32.74
Rate for Payer: Aetna New Business (MI Preferred)	$131.68
Rate for Payer: Cash Price	$162.07
Rate for Payer: Cash Price	$40.30
Rate for Payer: Cofinity Commercial	$141.81
Rate for Payer: Cofinity Commercial	$174.23
Rate for Payer: Cofinity Commercial	$35.26
Rate for Payer: Cofinity Commercial	$43.32
Rate for Payer: Healthscope Commercial	$45.33
Rate for Payer: Healthscope Commercial	$182.33
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$172.20
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$42.81
Rate for Payer: PHP Commercial	$172.20
Rate for Payer: PHP Commercial	$42.81
Rate for Payer: Priority Health Cigna Priority Health	$35.26
Rate for Payer: Priority Health Cigna Priority Health	$141.81
Rate for Payer: Priority Health SBD	$127.63
Rate for Payer: Priority Health SBD	$31.73

ZIPRASIDONE 40 MG CAPSULE

Facility

$157.32

Service Code	NDC 55111-257-60
Hospital Charge Code	29779
Hospital Revenue Code	637
Min. Negotiated Rate	$99.11
Max. Negotiated Rate	$141.59
Rate for Payer: Aetna Commercial	$133.72
Rate for Payer: Aetna New Business (MI Preferred)	$102.26
Rate for Payer: Cash Price	$125.86
Rate for Payer: Cofinity Commercial	$110.12
Rate for Payer: Cofinity Commercial	$135.30
Rate for Payer: Healthscope Commercial	$141.59
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$133.72
Rate for Payer: PHP Commercial	$133.72
Rate for Payer: Priority Health Cigna Priority Health	$110.12
Rate for Payer: Priority Health SBD	$99.11

ZIPRASIDONE 40 MG CAPSULE

Facility

$182.60

Service Code	NDC 0904-6270-08
Hospital Charge Code	29779
Hospital Revenue Code	637
Min. Negotiated Rate	$115.04
Max. Negotiated Rate	$164.34
Rate for Payer: Aetna Commercial	$155.21
Rate for Payer: Aetna New Business (MI Preferred)	$118.69
Rate for Payer: Cash Price	$146.08
Rate for Payer: Cofinity Commercial	$127.82
Rate for Payer: Cofinity Commercial	$157.04
Rate for Payer: Healthscope Commercial	$164.34
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$155.21
Rate for Payer: PHP Commercial	$155.21
Rate for Payer: Priority Health Cigna Priority Health	$127.82
Rate for Payer: Priority Health SBD	$115.04

ZIPRASIDONE 40 MG CAPSULE

Facility

$236.16

Service Code	NDC 63739-005-32
Hospital Charge Code	29779
Hospital Revenue Code	637
Min. Negotiated Rate	$148.78
Max. Negotiated Rate	$212.54
Rate for Payer: Aetna Commercial	$200.74
Rate for Payer: Aetna New Business (MI Preferred)	$153.50
Rate for Payer: Cash Price	$188.93
Rate for Payer: Cofinity Commercial	$165.31
Rate for Payer: Cofinity Commercial	$203.10
Rate for Payer: Healthscope Commercial	$212.54
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$200.74
Rate for Payer: PHP Commercial	$200.74
Rate for Payer: Priority Health Cigna Priority Health	$165.31
Rate for Payer: Priority Health SBD	$148.78

ZOLEDRONIC ACID 4 MG/100 ML-MANNITOL-0.9 % NACL INTRAVENOUS PIGGYBACK

Facility

$103.24

Service Code	HCPCS J3489
Hospital Charge Code	167580
Hospital Revenue Code	636
Min. Negotiated Rate	$21.33
Max. Negotiated Rate	$92.92
Rate for Payer: Aetna Commercial	$87.75
Rate for Payer: Aetna Commercial	$146.76
Rate for Payer: Aetna New Business (MI Preferred)	$67.11
Rate for Payer: Aetna New Business (MI Preferred)	$112.23
Rate for Payer: BCBS Complete	$69.06
Rate for Payer: BCBS Complete	$41.30
Rate for Payer: BCBS Trust/PPO	$21.33
Rate for Payer: BCBS Trust/PPO	$21.33
Rate for Payer: Cash Price	$138.13
Rate for Payer: Cash Price	$82.59
Rate for Payer: Cash Price	$138.13
Rate for Payer: Cash Price	$82.59
Rate for Payer: Cofinity Commercial	$120.86
Rate for Payer: Cofinity Commercial	$72.27
Rate for Payer: Cofinity Commercial	$88.79
Rate for Payer: Cofinity Commercial	$148.49
Rate for Payer: Healthscope Commercial	$92.92
Rate for Payer: Healthscope Commercial	$155.39
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$87.75
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$146.76
Rate for Payer: PHP Commercial	$146.76
Rate for Payer: PHP Commercial	$87.75
Rate for Payer: Priority Health Cigna Priority Health	$72.27
Rate for Payer: Priority Health Cigna Priority Health	$120.86
Rate for Payer: Priority Health SBD	$65.04
Rate for Payer: Priority Health SBD	$108.78

ZOLEDRONIC ACID 4 MG/100 ML-MANNITOL-0.9 % NACL INTRAVENOUS PIGGYBACK

Facility

$172.66

Service Code	HCPCS J3489
Hospital Charge Code	167580
Hospital Revenue Code	636
Min. Negotiated Rate	$108.78
Max. Negotiated Rate	$155.39
Rate for Payer: Aetna Commercial	$146.76
Rate for Payer: Aetna New Business (MI Preferred)	$112.23
Rate for Payer: Cash Price	$138.13
Rate for Payer: Cofinity Commercial	$120.86
Rate for Payer: Cofinity Commercial	$148.49
Rate for Payer: Healthscope Commercial	$155.39
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$146.76
Rate for Payer: PHP Commercial	$146.76
Rate for Payer: Priority Health Cigna Priority Health	$120.86
Rate for Payer: Priority Health SBD	$108.78

ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION

Facility

$333.64

Service Code	HCPCS J3489
Hospital Charge Code	35640
Hospital Revenue Code	636
Min. Negotiated Rate	$21.33
Max. Negotiated Rate	$300.28
Rate for Payer: Aetna Commercial	$283.59
Rate for Payer: Aetna New Business (MI Preferred)	$216.87
Rate for Payer: BCBS Complete	$133.46
Rate for Payer: BCBS Trust/PPO	$21.33
Rate for Payer: Cash Price	$266.91
Rate for Payer: Cash Price	$266.91
Rate for Payer: Cofinity Commercial	$233.55
Rate for Payer: Cofinity Commercial	$286.93
Rate for Payer: Healthscope Commercial	$300.28
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$283.59
Rate for Payer: PHP Commercial	$283.59
Rate for Payer: Priority Health Cigna Priority Health	$233.55
Rate for Payer: Priority Health SBD	$210.19

ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION

Facility

$333.64

Service Code	HCPCS J3489
Hospital Charge Code	35640
Hospital Revenue Code	636
Min. Negotiated Rate	$210.19
Max. Negotiated Rate	$300.28
Rate for Payer: Aetna Commercial	$283.59
Rate for Payer: Aetna Commercial	$98.97
Rate for Payer: Aetna Commercial	$319.57
Rate for Payer: Aetna New Business (MI Preferred)	$216.87
Rate for Payer: Aetna New Business (MI Preferred)	$75.69
Rate for Payer: Aetna New Business (MI Preferred)	$244.38
Rate for Payer: Cash Price	$93.15
Rate for Payer: Cash Price	$300.78
Rate for Payer: Cash Price	$266.91
Rate for Payer: Cofinity Commercial	$263.18
Rate for Payer: Cofinity Commercial	$81.51
Rate for Payer: Cofinity Commercial	$233.55
Rate for Payer: Cofinity Commercial	$286.93
Rate for Payer: Cofinity Commercial	$100.14
Rate for Payer: Cofinity Commercial	$323.33
Rate for Payer: Healthscope Commercial	$300.28
Rate for Payer: Healthscope Commercial	$338.37
Rate for Payer: Healthscope Commercial	$104.80
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$319.57
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$98.97
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$283.59
Rate for Payer: PHP Commercial	$98.97
Rate for Payer: PHP Commercial	$283.59
Rate for Payer: PHP Commercial	$319.57
Rate for Payer: Priority Health Cigna Priority Health	$81.51
Rate for Payer: Priority Health Cigna Priority Health	$233.55
Rate for Payer: Priority Health Cigna Priority Health	$263.18
Rate for Payer: Priority Health SBD	$236.86
Rate for Payer: Priority Health SBD	$210.19
Rate for Payer: Priority Health SBD	$73.36

Know your out-of-pocket cost for care.

All Charges