Bronson Lakeview Hospital

All Charges

Charge

Type

Setting

Price

COLCHICINE 0.6 MG TABLET

Facility

$100.80

Service Code	NDC 70710135103
Hospital Charge Code	1821
Hospital Revenue Code	637
Min. Negotiated Rate	$65.52
Max. Negotiated Rate	$90.72
Rate for Payer: Aetna Commercial	$85.68
Rate for Payer: BCBS Trust/PPO	$82.28
Rate for Payer: BCN Commercial	$77.90
Rate for Payer: Cash Price	$80.64
Rate for Payer: Cofinity Commercial	$86.69
Rate for Payer: Encore Health Key Benefits Commercial	$80.64
Rate for Payer: Healthscope Commercial	$90.72
Rate for Payer: Lakeland Regional Health Systems Commercial	$75.60
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$85.68
Rate for Payer: Nomi Health Commercial	$82.66
Rate for Payer: PHP Commercial	$85.68
Rate for Payer: Priority Health Cigna Priority Health	$65.52
Rate for Payer: Priority Health HMO/PPO	$87.70
Rate for Payer: Priority Health Narrow/Tiered Network	$67.54
Rate for Payer: UHC All Payor (Choice/PPO)	$88.70
Rate for Payer: UHC Core	$84.17
Rate for Payer: Van Buren County Sheriff Dept. Commercial	$75.60

COLCHICINE 0.6 MG TABLET

Facility

$742.26

Service Code	NDC 64764011907
Hospital Charge Code	1821
Hospital Revenue Code	637
Min. Negotiated Rate	$176.29
Max. Negotiated Rate	$668.03
Rate for Payer: Aetna Commercial	$630.92
Rate for Payer: Aetna Medicare	$192.99
Rate for Payer: Allen County Amish Medical Aid Commercial	$231.96
Rate for Payer: Amish Plain Church Group Commercial	$231.96
Rate for Payer: BCBS Complete	$296.90
Rate for Payer: BCBS MAPPO	$185.56
Rate for Payer: BCBS Trust/PPO	$610.21
Rate for Payer: BCN Commercial	$577.11
Rate for Payer: BCN Medicare Advantage	$185.56
Rate for Payer: Cash Price	$593.81
Rate for Payer: Cofinity Commercial	$638.34
Rate for Payer: Encore Health Key Benefits Commercial	$593.81
Rate for Payer: Health Alliance Plan Medicare Advantage	$185.56
Rate for Payer: Healthscope Commercial	$668.03
Rate for Payer: Lakeland Regional Health Systems Commercial	$556.70
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$194.84
Rate for Payer: MI Amish Medical Board Commercial	$213.40
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$630.92
Rate for Payer: Nomi Health Commercial	$608.65
Rate for Payer: PACE Senior Care Partners	$176.29
Rate for Payer: PACE SWMI	$185.56
Rate for Payer: PHP Commercial	$630.92
Rate for Payer: PHP Medicare Advantage	$185.56
Rate for Payer: Priority Health Cigna Priority Health	$482.47
Rate for Payer: Priority Health HMO/PPO	$645.77
Rate for Payer: Priority Health Medicare	$187.42
Rate for Payer: Priority Health Narrow/Tiered Network	$497.31
Rate for Payer: Railroad Medicare Medicare	$185.56
Rate for Payer: UHC All Payor (Choice/PPO)	$653.19
Rate for Payer: UHC Core	$619.79
Rate for Payer: UHC Dual Complete DSNP	$185.56
Rate for Payer: UHC Exchange	$185.56
Rate for Payer: UHC Medicare Advantage	$185.56
Rate for Payer: VA VA	$185.56
Rate for Payer: Van Buren County Sheriff Dept. Commercial	$556.70

COLESTIPOL 1 GRAM TABLET

Facility

$576.00

Service Code	NDC 59762045001
Hospital Charge Code	13884
Hospital Revenue Code	637
Min. Negotiated Rate	$374.40
Max. Negotiated Rate	$518.40
Rate for Payer: Aetna Commercial	$489.60
Rate for Payer: BCBS Trust/PPO	$470.19
Rate for Payer: BCN Commercial	$445.13
Rate for Payer: Cash Price	$460.80
Rate for Payer: Cofinity Commercial	$495.36
Rate for Payer: Encore Health Key Benefits Commercial	$460.80
Rate for Payer: Healthscope Commercial	$518.40
Rate for Payer: Lakeland Regional Health Systems Commercial	$432.00
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$489.60
Rate for Payer: Nomi Health Commercial	$472.32
Rate for Payer: PHP Commercial	$489.60
Rate for Payer: Priority Health Cigna Priority Health	$374.40
Rate for Payer: Priority Health HMO/PPO	$501.12
Rate for Payer: Priority Health Narrow/Tiered Network	$385.92
Rate for Payer: UHC All Payor (Choice/PPO)	$506.88
Rate for Payer: UHC Core	$480.96
Rate for Payer: Van Buren County Sheriff Dept. Commercial	$432.00

COLESTIPOL 1 GRAM TABLET

Facility

$576.00

Service Code	NDC 59762045001
Hospital Charge Code	13884
Hospital Revenue Code	637
Min. Negotiated Rate	$136.80
Max. Negotiated Rate	$518.40
Rate for Payer: Aetna Commercial	$489.60
Rate for Payer: Aetna Medicare	$149.76
Rate for Payer: Allen County Amish Medical Aid Commercial	$180.00
Rate for Payer: Amish Plain Church Group Commercial	$180.00
Rate for Payer: BCBS Complete	$230.40
Rate for Payer: BCBS MAPPO	$144.00
Rate for Payer: BCBS Trust/PPO	$473.53
Rate for Payer: BCN Commercial	$447.84
Rate for Payer: BCN Medicare Advantage	$144.00
Rate for Payer: Cash Price	$460.80
Rate for Payer: Cofinity Commercial	$495.36
Rate for Payer: Encore Health Key Benefits Commercial	$460.80
Rate for Payer: Health Alliance Plan Medicare Advantage	$144.00
Rate for Payer: Healthscope Commercial	$518.40
Rate for Payer: Lakeland Regional Health Systems Commercial	$432.00
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$151.20
Rate for Payer: MI Amish Medical Board Commercial	$165.60
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$489.60
Rate for Payer: Nomi Health Commercial	$472.32
Rate for Payer: PACE Senior Care Partners	$136.80
Rate for Payer: PACE SWMI	$144.00
Rate for Payer: PHP Commercial	$489.60
Rate for Payer: PHP Medicare Advantage	$144.00
Rate for Payer: Priority Health Cigna Priority Health	$374.40
Rate for Payer: Priority Health HMO/PPO	$501.12
Rate for Payer: Priority Health Medicare	$145.44
Rate for Payer: Priority Health Narrow/Tiered Network	$385.92
Rate for Payer: Railroad Medicare Medicare	$144.00
Rate for Payer: UHC All Payor (Choice/PPO)	$506.88
Rate for Payer: UHC Core	$480.96
Rate for Payer: UHC Dual Complete DSNP	$144.00
Rate for Payer: UHC Exchange	$144.00
Rate for Payer: UHC Medicare Advantage	$144.00
Rate for Payer: VA VA	$144.00
Rate for Payer: Van Buren County Sheriff Dept. Commercial	$432.00

COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 250 UNIT/GRAM TOPICAL OINTMENT

Facility

$964.01

Service Code	NDC 50484001030
Hospital Charge Code	9682
Hospital Revenue Code	637
Min. Negotiated Rate	$228.95
Max. Negotiated Rate	$867.61
Rate for Payer: Aetna Commercial	$819.41
Rate for Payer: Aetna Medicare	$250.64
Rate for Payer: Allen County Amish Medical Aid Commercial	$301.25
Rate for Payer: Amish Plain Church Group Commercial	$301.25
Rate for Payer: BCBS Complete	$385.60
Rate for Payer: BCBS MAPPO	$241.00
Rate for Payer: BCBS Trust/PPO	$792.51
Rate for Payer: BCN Commercial	$749.52
Rate for Payer: BCN Medicare Advantage	$241.00
Rate for Payer: Cash Price	$771.21
Rate for Payer: Cofinity Commercial	$829.05
Rate for Payer: Encore Health Key Benefits Commercial	$771.21
Rate for Payer: Health Alliance Plan Medicare Advantage	$241.00
Rate for Payer: Healthscope Commercial	$867.61
Rate for Payer: Lakeland Regional Health Systems Commercial	$723.01
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$253.05
Rate for Payer: MI Amish Medical Board Commercial	$277.15
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$819.41
Rate for Payer: Nomi Health Commercial	$790.49
Rate for Payer: PACE Senior Care Partners	$228.95
Rate for Payer: PACE SWMI	$241.00
Rate for Payer: PHP Commercial	$819.41
Rate for Payer: PHP Medicare Advantage	$241.00
Rate for Payer: Priority Health Cigna Priority Health	$626.61
Rate for Payer: Priority Health HMO/PPO	$838.69
Rate for Payer: Priority Health Medicare	$243.41
Rate for Payer: Priority Health Narrow/Tiered Network	$645.89
Rate for Payer: Railroad Medicare Medicare	$241.00
Rate for Payer: UHC All Payor (Choice/PPO)	$848.33
Rate for Payer: UHC Core	$804.95
Rate for Payer: UHC Dual Complete DSNP	$241.00
Rate for Payer: UHC Exchange	$241.00
Rate for Payer: UHC Medicare Advantage	$241.00
Rate for Payer: VA VA	$241.00
Rate for Payer: Van Buren County Sheriff Dept. Commercial	$723.01

COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 250 UNIT/GRAM TOPICAL OINTMENT

Facility

$964.01

Service Code	NDC 50484001030
Hospital Charge Code	9682
Hospital Revenue Code	637
Min. Negotiated Rate	$626.61
Max. Negotiated Rate	$867.61
Rate for Payer: Aetna Commercial	$819.41
Rate for Payer: BCBS Trust/PPO	$786.92
Rate for Payer: BCN Commercial	$744.99
Rate for Payer: Cash Price	$771.21
Rate for Payer: Cofinity Commercial	$829.05
Rate for Payer: Encore Health Key Benefits Commercial	$771.21
Rate for Payer: Healthscope Commercial	$867.61
Rate for Payer: Lakeland Regional Health Systems Commercial	$723.01
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$819.41
Rate for Payer: Nomi Health Commercial	$790.49
Rate for Payer: PHP Commercial	$819.41
Rate for Payer: Priority Health Cigna Priority Health	$626.61
Rate for Payer: Priority Health HMO/PPO	$838.69
Rate for Payer: Priority Health Narrow/Tiered Network	$645.89
Rate for Payer: UHC All Payor (Choice/PPO)	$848.33
Rate for Payer: UHC Core	$804.95
Rate for Payer: Van Buren County Sheriff Dept. Commercial	$723.01

COLONOSCOPY, FLEXIBLE; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)

Facility

$692.17

Service Code	CPT 45378
Hospital Revenue Code	360
Min. Negotiated Rate	$659.17
Max. Negotiated Rate	$692.17
Rate for Payer: BCBS Complete	$692.17
Rate for Payer: Mclaren Medicaid	$659.17
Rate for Payer: Meridian Medicaid	$692.17
Rate for Payer: Priority Health Choice Medicaid	$659.17
Rate for Payer: UHCCP Medicaid	$659.17

COLONOSCOPY, FLEXIBLE; WITH ABLATION OF TUMOR(S), POLYP(S), OR OTHER LESION(S) (INCLUDES PRE- AND POST-DILATION AND GUIDE WIRE PASSAGE, WHEN PERFORMED)

Facility

$895.16

Service Code	CPT 45388
Hospital Revenue Code	360
Min. Negotiated Rate	$852.47
Max. Negotiated Rate	$895.16
Rate for Payer: BCBS Complete	$895.16
Rate for Payer: Mclaren Medicaid	$852.47
Rate for Payer: Meridian Medicaid	$895.16
Rate for Payer: Priority Health Choice Medicaid	$852.47
Rate for Payer: UHCCP Medicaid	$852.47

COLONOSCOPY, FLEXIBLE; WITH BAND LIGATION(S) (EG, HEMORRHOIDS)

Facility

$895.16

Service Code	CPT 45398
Hospital Revenue Code	360
Min. Negotiated Rate	$852.47
Max. Negotiated Rate	$895.16
Rate for Payer: BCBS Complete	$895.16
Rate for Payer: Mclaren Medicaid	$852.47
Rate for Payer: Meridian Medicaid	$895.16
Rate for Payer: Priority Health Choice Medicaid	$852.47
Rate for Payer: UHCCP Medicaid	$852.47

COLONOSCOPY, FLEXIBLE; WITH BIOPSY, SINGLE OR MULTIPLE

Facility

$895.16

Service Code	CPT 45380
Hospital Revenue Code	360
Min. Negotiated Rate	$852.47
Max. Negotiated Rate	$895.16
Rate for Payer: BCBS Complete	$895.16
Rate for Payer: Mclaren Medicaid	$852.47
Rate for Payer: Meridian Medicaid	$895.16
Rate for Payer: Priority Health Choice Medicaid	$852.47
Rate for Payer: UHCCP Medicaid	$852.47

COLONOSCOPY, FLEXIBLE; WITH DIRECTED SUBMUCOSAL INJECTION(S), ANY SUBSTANCE

Facility

$895.16

Service Code	CPT 45381
Hospital Revenue Code	360
Min. Negotiated Rate	$852.47
Max. Negotiated Rate	$895.16
Rate for Payer: BCBS Complete	$895.16
Rate for Payer: Mclaren Medicaid	$852.47
Rate for Payer: Meridian Medicaid	$895.16
Rate for Payer: Priority Health Choice Medicaid	$852.47
Rate for Payer: UHCCP Medicaid	$852.47

COLONOSCOPY, FLEXIBLE; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY HOT BIOPSY FORCEPS

Facility

$895.16

Service Code	CPT 45384
Hospital Revenue Code	360
Min. Negotiated Rate	$852.47
Max. Negotiated Rate	$895.16
Rate for Payer: BCBS Complete	$895.16
Rate for Payer: Mclaren Medicaid	$852.47
Rate for Payer: Meridian Medicaid	$895.16
Rate for Payer: Priority Health Choice Medicaid	$852.47
Rate for Payer: UHCCP Medicaid	$852.47

COLONOSCOPY, FLEXIBLE; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY SNARE TECHNIQUE

Facility

$895.16

Service Code	CPT 45385
Hospital Revenue Code	360
Min. Negotiated Rate	$852.47
Max. Negotiated Rate	$895.16
Rate for Payer: BCBS Complete	$895.16
Rate for Payer: Mclaren Medicaid	$852.47
Rate for Payer: Meridian Medicaid	$895.16
Rate for Payer: Priority Health Choice Medicaid	$852.47
Rate for Payer: UHCCP Medicaid	$852.47

COLONOSCOPY THROUGH STOMA; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)

Facility

$692.17

Service Code	CPT 44388
Hospital Revenue Code	360
Min. Negotiated Rate	$659.17
Max. Negotiated Rate	$692.17
Rate for Payer: BCBS Complete	$692.17
Rate for Payer: Mclaren Medicaid	$659.17
Rate for Payer: Meridian Medicaid	$692.17
Rate for Payer: Priority Health Choice Medicaid	$659.17
Rate for Payer: UHCCP Medicaid	$659.17

COLONOSCOPY THROUGH STOMA; WITH BIOPSY, SINGLE OR MULTIPLE

Facility

$895.16

Service Code	CPT 44389
Hospital Revenue Code	360
Min. Negotiated Rate	$852.47
Max. Negotiated Rate	$895.16
Rate for Payer: BCBS Complete	$895.16
Rate for Payer: Mclaren Medicaid	$852.47
Rate for Payer: Meridian Medicaid	$895.16
Rate for Payer: Priority Health Choice Medicaid	$852.47
Rate for Payer: UHCCP Medicaid	$852.47

COLONOSCOPY THROUGH STOMA; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY SNARE TECHNIQUE

Facility

$895.16

Service Code	CPT 44394
Hospital Revenue Code	360
Min. Negotiated Rate	$852.47
Max. Negotiated Rate	$895.16
Rate for Payer: BCBS Complete	$895.16
Rate for Payer: Mclaren Medicaid	$852.47
Rate for Payer: Meridian Medicaid	$895.16
Rate for Payer: Priority Health Choice Medicaid	$852.47
Rate for Payer: UHCCP Medicaid	$852.47

COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK

Facility

$692.17

Service Code	CPT G0105
Hospital Revenue Code	360
Min. Negotiated Rate	$659.17
Max. Negotiated Rate	$692.17
Rate for Payer: BCBS Complete	$692.17
Rate for Payer: Mclaren Medicaid	$659.17
Rate for Payer: Meridian Medicaid	$692.17
Rate for Payer: Priority Health Choice Medicaid	$659.17
Rate for Payer: UHCCP Medicaid	$659.17

COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK

Facility

$692.17

Service Code	CPT G0121
Hospital Revenue Code	360
Min. Negotiated Rate	$659.17
Max. Negotiated Rate	$692.17
Rate for Payer: BCBS Complete	$692.17
Rate for Payer: Mclaren Medicaid	$659.17
Rate for Payer: Meridian Medicaid	$692.17
Rate for Payer: Priority Health Choice Medicaid	$659.17
Rate for Payer: UHCCP Medicaid	$659.17

COLORECTAL CANCER SCREENING; FLEXIBLE SIGMOIDOSCOPY

Facility

$692.17

Service Code	CPT G0104
Hospital Revenue Code	360
Min. Negotiated Rate	$659.17
Max. Negotiated Rate	$692.17
Rate for Payer: BCBS Complete	$692.17
Rate for Payer: Mclaren Medicaid	$659.17
Rate for Payer: Meridian Medicaid	$692.17
Rate for Payer: Priority Health Choice Medicaid	$659.17
Rate for Payer: UHCCP Medicaid	$659.17

COLPOSCOPY OF THE CERVIX INCLUDING UPPER/ADJACENT VAGINA; WITH ENDOCERVICAL CURETTAGE

Facility

$230.94

Service Code	CPT 57456
Hospital Revenue Code	360
Min. Negotiated Rate	$219.93
Max. Negotiated Rate	$230.94
Rate for Payer: BCBS Complete	$230.94
Rate for Payer: Mclaren Medicaid	$219.93
Rate for Payer: Meridian Medicaid	$230.94
Rate for Payer: Priority Health Choice Medicaid	$219.93
Rate for Payer: UHCCP Medicaid	$219.93

COLPOSCOPY OF THE CERVIX INCLUDING UPPER/ADJACENT VAGINA; WITH LOOP ELECTRODE BIOPSY(S) OF THE CERVIX

Facility

$2,413.90

Service Code	CPT 57460
Hospital Revenue Code	360
Min. Negotiated Rate	$2,298.80
Max. Negotiated Rate	$2,413.90
Rate for Payer: BCBS Complete	$2,413.90
Rate for Payer: Mclaren Medicaid	$2,298.80
Rate for Payer: Meridian Medicaid	$2,413.90
Rate for Payer: Priority Health Choice Medicaid	$2,298.80
Rate for Payer: UHCCP Medicaid	$2,298.80

COLPOSCOPY OF THE CERVIX INCLUDING UPPER/ADJACENT VAGINA; WITH LOOP ELECTRODE CONIZATION OF THE CERVIX

Facility

$2,413.90

Service Code	CPT 57461
Hospital Revenue Code	360
Min. Negotiated Rate	$2,298.80
Max. Negotiated Rate	$2,413.90
Rate for Payer: BCBS Complete	$2,413.90
Rate for Payer: Mclaren Medicaid	$2,298.80
Rate for Payer: Meridian Medicaid	$2,413.90
Rate for Payer: Priority Health Choice Medicaid	$2,298.80
Rate for Payer: UHCCP Medicaid	$2,298.80

COLPOSCOPY OF THE VULVA; WITH BIOPSY(S)

Facility

$230.94

Service Code	CPT 56821
Hospital Revenue Code	360
Min. Negotiated Rate	$219.93
Max. Negotiated Rate	$230.94
Rate for Payer: BCBS Complete	$230.94
Rate for Payer: Mclaren Medicaid	$219.93
Rate for Payer: Meridian Medicaid	$230.94
Rate for Payer: Priority Health Choice Medicaid	$219.93
Rate for Payer: UHCCP Medicaid	$219.93

COMPOUNDING VEHICLE SUGAR-FREE NO.9 ORAL LIQUID

Facility

$204.34

Service Code	NDC 00574030216
Hospital Charge Code	119062
Hospital Revenue Code	637
Min. Negotiated Rate	$48.53
Max. Negotiated Rate	$183.91
Rate for Payer: Aetna Commercial	$173.69
Rate for Payer: Aetna Medicare	$53.13
Rate for Payer: Allen County Amish Medical Aid Commercial	$63.86
Rate for Payer: Amish Plain Church Group Commercial	$63.86
Rate for Payer: BCBS Complete	$81.74
Rate for Payer: BCBS MAPPO	$51.09
Rate for Payer: BCBS Trust/PPO	$167.99
Rate for Payer: BCN Commercial	$158.87
Rate for Payer: BCN Medicare Advantage	$51.09
Rate for Payer: Cash Price	$163.47
Rate for Payer: Cofinity Commercial	$175.73
Rate for Payer: Encore Health Key Benefits Commercial	$163.47
Rate for Payer: Health Alliance Plan Medicare Advantage	$51.09
Rate for Payer: Healthscope Commercial	$183.91
Rate for Payer: Lakeland Regional Health Systems Commercial	$153.25
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$53.64
Rate for Payer: MI Amish Medical Board Commercial	$58.75
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$173.69
Rate for Payer: Nomi Health Commercial	$167.56
Rate for Payer: PACE Senior Care Partners	$48.53
Rate for Payer: PACE SWMI	$51.09
Rate for Payer: PHP Commercial	$173.69
Rate for Payer: PHP Medicare Advantage	$51.09
Rate for Payer: Priority Health Cigna Priority Health	$132.82
Rate for Payer: Priority Health HMO/PPO	$177.78
Rate for Payer: Priority Health Medicare	$51.60
Rate for Payer: Priority Health Narrow/Tiered Network	$136.91
Rate for Payer: Railroad Medicare Medicare	$51.09
Rate for Payer: UHC All Payor (Choice/PPO)	$179.82
Rate for Payer: UHC Core	$170.62
Rate for Payer: UHC Dual Complete DSNP	$51.09
Rate for Payer: UHC Exchange	$51.09
Rate for Payer: UHC Medicare Advantage	$51.09
Rate for Payer: VA VA	$51.09
Rate for Payer: Van Buren County Sheriff Dept. Commercial	$153.25

COMPOUNDING VEHICLE SUGAR-FREE NO.9 ORAL LIQUID

Facility

$204.34

Service Code	NDC 00574030216
Hospital Charge Code	119062
Hospital Revenue Code	637
Min. Negotiated Rate	$132.82
Max. Negotiated Rate	$183.91
Rate for Payer: Aetna Commercial	$173.69
Rate for Payer: BCBS Trust/PPO	$166.80
Rate for Payer: BCN Commercial	$157.91
Rate for Payer: Cash Price	$163.47
Rate for Payer: Cofinity Commercial	$175.73
Rate for Payer: Encore Health Key Benefits Commercial	$163.47
Rate for Payer: Healthscope Commercial	$183.91
Rate for Payer: Lakeland Regional Health Systems Commercial	$153.25
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$173.69
Rate for Payer: Nomi Health Commercial	$167.56
Rate for Payer: PHP Commercial	$173.69
Rate for Payer: Priority Health Cigna Priority Health	$132.82
Rate for Payer: Priority Health HMO/PPO	$177.78
Rate for Payer: Priority Health Narrow/Tiered Network	$136.91
Rate for Payer: UHC All Payor (Choice/PPO)	$179.82
Rate for Payer: UHC Core	$170.62
Rate for Payer: Van Buren County Sheriff Dept. Commercial	$153.25

Know your out-of-pocket cost for care.

All Charges