Bronson Lakeview Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES

Facility

$9,101.40

Service Code	APR-DRG 3102
Min. Negotiated Rate	$8,668.00
Max. Negotiated Rate	$9,101.40
Rate for Payer: BCBS Complete	$9,101.40
Rate for Payer: Mclaren Medicaid	$8,668.00
Rate for Payer: Meridian Medicaid	$9,101.40
Rate for Payer: Priority Health Choice Medicaid	$8,668.00
Rate for Payer: UHCCP Medicaid	$8,668.00

APR-DRG 42.00: VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES

Facility

$6,619.20

Service Code	APR-DRG 3101
Min. Negotiated Rate	$6,304.00
Max. Negotiated Rate	$6,619.20
Rate for Payer: BCBS Complete	$6,619.20
Rate for Payer: Mclaren Medicaid	$6,304.00
Rate for Payer: Meridian Medicaid	$6,619.20
Rate for Payer: Priority Health Choice Medicaid	$6,304.00
Rate for Payer: UHCCP Medicaid	$6,304.00

APR-DRG 42.00: VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES

Facility

$19,081.91

Service Code	APR-DRG 3104
Min. Negotiated Rate	$18,173.25
Max. Negotiated Rate	$19,081.91
Rate for Payer: BCBS Complete	$19,081.91
Rate for Payer: Mclaren Medicaid	$18,173.25
Rate for Payer: Meridian Medicaid	$19,081.91
Rate for Payer: Priority Health Choice Medicaid	$18,173.25
Rate for Payer: UHCCP Medicaid	$18,173.25

APR-DRG 42.00: VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES

Facility

$13,083.26

Service Code	APR-DRG 3103
Min. Negotiated Rate	$12,460.25
Max. Negotiated Rate	$13,083.26
Rate for Payer: BCBS Complete	$13,083.26
Rate for Payer: Mclaren Medicaid	$12,460.25
Rate for Payer: Meridian Medicaid	$13,083.26
Rate for Payer: Priority Health Choice Medicaid	$12,460.25
Rate for Payer: UHCCP Medicaid	$12,460.25

APR-DRG 42.00: VERTIGO AND OTHER LABYRINTH DISORDERS

Facility

$3,878.44

Service Code	APR-DRG 1112
Min. Negotiated Rate	$3,693.75
Max. Negotiated Rate	$3,878.44
Rate for Payer: BCBS Complete	$3,878.44
Rate for Payer: Mclaren Medicaid	$3,693.75
Rate for Payer: Meridian Medicaid	$3,878.44
Rate for Payer: Priority Health Choice Medicaid	$3,693.75
Rate for Payer: UHCCP Medicaid	$3,693.75

APR-DRG 42.00: VERTIGO AND OTHER LABYRINTH DISORDERS

Facility

$3,464.74

Service Code	APR-DRG 1111
Min. Negotiated Rate	$3,299.75
Max. Negotiated Rate	$3,464.74
Rate for Payer: BCBS Complete	$3,464.74
Rate for Payer: Mclaren Medicaid	$3,299.75
Rate for Payer: Meridian Medicaid	$3,464.74
Rate for Payer: Priority Health Choice Medicaid	$3,299.75
Rate for Payer: UHCCP Medicaid	$3,299.75

APR-DRG 42.00: VERTIGO AND OTHER LABYRINTH DISORDERS

Facility

$8,791.12

Service Code	APR-DRG 1114
Min. Negotiated Rate	$8,372.50
Max. Negotiated Rate	$8,791.12
Rate for Payer: BCBS Complete	$8,791.12
Rate for Payer: Mclaren Medicaid	$8,372.50
Rate for Payer: Meridian Medicaid	$8,791.12
Rate for Payer: Priority Health Choice Medicaid	$8,372.50
Rate for Payer: UHCCP Medicaid	$8,372.50

APR-DRG 42.00: VERTIGO AND OTHER LABYRINTH DISORDERS

Facility

$5,067.82

Service Code	APR-DRG 1113
Min. Negotiated Rate	$4,826.50
Max. Negotiated Rate	$5,067.82
Rate for Payer: BCBS Complete	$5,067.82
Rate for Payer: Mclaren Medicaid	$4,826.50
Rate for Payer: Meridian Medicaid	$5,067.82
Rate for Payer: Priority Health Choice Medicaid	$4,826.50
Rate for Payer: UHCCP Medicaid	$4,826.50

APR-DRG 42.00: VIRAL ILLNESS

Facility

$10,342.50

Service Code	APR-DRG 7234
Min. Negotiated Rate	$9,850.00
Max. Negotiated Rate	$10,342.50
Rate for Payer: BCBS Complete	$10,342.50
Rate for Payer: Mclaren Medicaid	$9,850.00
Rate for Payer: Meridian Medicaid	$10,342.50
Rate for Payer: Priority Health Choice Medicaid	$9,850.00
Rate for Payer: UHCCP Medicaid	$9,850.00

APR-DRG 42.00: VIRAL ILLNESS

Facility

$2,275.35

Service Code	APR-DRG 7231
Min. Negotiated Rate	$2,167.00
Max. Negotiated Rate	$2,275.35
Rate for Payer: BCBS Complete	$2,275.35
Rate for Payer: Mclaren Medicaid	$2,167.00
Rate for Payer: Meridian Medicaid	$2,275.35
Rate for Payer: Priority Health Choice Medicaid	$2,167.00
Rate for Payer: UHCCP Medicaid	$2,167.00

APR-DRG 42.00: VIRAL ILLNESS

Facility

$3,257.89

Service Code	APR-DRG 7232
Min. Negotiated Rate	$3,102.75
Max. Negotiated Rate	$3,257.89
Rate for Payer: BCBS Complete	$3,257.89
Rate for Payer: Mclaren Medicaid	$3,102.75
Rate for Payer: Meridian Medicaid	$3,257.89
Rate for Payer: Priority Health Choice Medicaid	$3,102.75
Rate for Payer: UHCCP Medicaid	$3,102.75

APR-DRG 42.00: VIRAL ILLNESS

Facility

$5,378.10

Service Code	APR-DRG 7233
Min. Negotiated Rate	$5,122.00
Max. Negotiated Rate	$5,378.10
Rate for Payer: BCBS Complete	$5,378.10
Rate for Payer: Mclaren Medicaid	$5,122.00
Rate for Payer: Meridian Medicaid	$5,378.10
Rate for Payer: Priority Health Choice Medicaid	$5,122.00
Rate for Payer: UHCCP Medicaid	$5,122.00

APR-DRG 42.00: VIRAL MENINGITIS

Facility

$7,136.32

Service Code	APR-DRG 0513
Min. Negotiated Rate	$6,796.50
Max. Negotiated Rate	$7,136.32
Rate for Payer: BCBS Complete	$7,136.32
Rate for Payer: Mclaren Medicaid	$6,796.50
Rate for Payer: Meridian Medicaid	$7,136.32
Rate for Payer: Priority Health Choice Medicaid	$6,796.50
Rate for Payer: UHCCP Medicaid	$6,796.50

APR-DRG 42.00: VIRAL MENINGITIS

Facility

$3,361.31

Service Code	APR-DRG 0511
Min. Negotiated Rate	$3,201.25
Max. Negotiated Rate	$3,361.31
Rate for Payer: BCBS Complete	$3,361.31
Rate for Payer: Mclaren Medicaid	$3,201.25
Rate for Payer: Meridian Medicaid	$3,361.31
Rate for Payer: Priority Health Choice Medicaid	$3,201.25
Rate for Payer: UHCCP Medicaid	$3,201.25

APR-DRG 42.00: VIRAL MENINGITIS

Facility

$11,376.75

Service Code	APR-DRG 0514
Min. Negotiated Rate	$10,835.00
Max. Negotiated Rate	$11,376.75
Rate for Payer: BCBS Complete	$11,376.75
Rate for Payer: Mclaren Medicaid	$10,835.00
Rate for Payer: Meridian Medicaid	$11,376.75
Rate for Payer: Priority Health Choice Medicaid	$10,835.00
Rate for Payer: UHCCP Medicaid	$10,835.00

APR-DRG 42.00: VIRAL MENINGITIS

Facility

$4,550.70

Service Code	APR-DRG 0512
Min. Negotiated Rate	$4,334.00
Max. Negotiated Rate	$4,550.70
Rate for Payer: BCBS Complete	$4,550.70
Rate for Payer: Mclaren Medicaid	$4,334.00
Rate for Payer: Meridian Medicaid	$4,550.70
Rate for Payer: Priority Health Choice Medicaid	$4,334.00
Rate for Payer: UHCCP Medicaid	$4,334.00

APREPITANT 40 MG CAPSULE

Facility

$255.38

Service Code	NDC 00781232106
Hospital Charge Code	76843
Hospital Revenue Code	637
Min. Negotiated Rate	$60.65
Max. Negotiated Rate	$229.84
Rate for Payer: Aetna Commercial	$217.07
Rate for Payer: Aetna Medicare	$66.40
Rate for Payer: Allen County Amish Medical Aid Commercial	$79.81
Rate for Payer: Amish Plain Church Group Commercial	$79.81
Rate for Payer: BCBS Complete	$102.15
Rate for Payer: BCBS MAPPO	$63.84
Rate for Payer: BCBS Trust/PPO	$209.95
Rate for Payer: BCN Commercial	$198.56
Rate for Payer: BCN Medicare Advantage	$63.84
Rate for Payer: Cash Price	$204.30
Rate for Payer: Cofinity Commercial	$219.63
Rate for Payer: Encore Health Key Benefits Commercial	$204.30
Rate for Payer: Health Alliance Plan Medicare Advantage	$63.84
Rate for Payer: Healthscope Commercial	$229.84
Rate for Payer: Lakeland Regional Health Systems Commercial	$191.53
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$67.04
Rate for Payer: MI Amish Medical Board Commercial	$73.42
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$217.07
Rate for Payer: Nomi Health Commercial	$209.41
Rate for Payer: PACE Senior Care Partners	$60.65
Rate for Payer: PACE SWMI	$63.84
Rate for Payer: PHP Commercial	$217.07
Rate for Payer: PHP Medicare Advantage	$63.84
Rate for Payer: Priority Health Cigna Priority Health	$166.00
Rate for Payer: Priority Health HMO/PPO	$222.18
Rate for Payer: Priority Health Medicare	$64.48
Rate for Payer: Priority Health Narrow/Tiered Network	$171.10
Rate for Payer: Railroad Medicare Medicare	$63.84
Rate for Payer: UHC All Payor (Choice/PPO)	$224.73
Rate for Payer: UHC Core	$213.24
Rate for Payer: UHC Dual Complete DSNP	$63.84
Rate for Payer: UHC Exchange	$63.84
Rate for Payer: UHC Medicare Advantage	$63.84
Rate for Payer: VA VA	$63.84
Rate for Payer: Van Buren County Sheriff Dept. Commercial	$191.53

APREPITANT 40 MG CAPSULE

Facility

$1,276.73

Service Code	NDC 00781232151
Hospital Charge Code	76843
Hospital Revenue Code	637
Min. Negotiated Rate	$829.87
Max. Negotiated Rate	$1,149.06
Rate for Payer: Aetna Commercial	$1,085.22
Rate for Payer: BCBS Trust/PPO	$1,042.19
Rate for Payer: BCN Commercial	$986.66
Rate for Payer: Cash Price	$1,021.38
Rate for Payer: Cofinity Commercial	$1,097.99
Rate for Payer: Encore Health Key Benefits Commercial	$1,021.38
Rate for Payer: Healthscope Commercial	$1,149.06
Rate for Payer: Lakeland Regional Health Systems Commercial	$957.55
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,085.22
Rate for Payer: Nomi Health Commercial	$1,046.92
Rate for Payer: PHP Commercial	$1,085.22
Rate for Payer: Priority Health Cigna Priority Health	$829.87
Rate for Payer: Priority Health HMO/PPO	$1,110.76
Rate for Payer: Priority Health Narrow/Tiered Network	$855.41
Rate for Payer: UHC All Payor (Choice/PPO)	$1,123.52
Rate for Payer: UHC Core	$1,066.07
Rate for Payer: Van Buren County Sheriff Dept. Commercial	$957.55

APREPITANT 40 MG CAPSULE

Facility

$255.38

Service Code	NDC 00781232106
Hospital Charge Code	76843
Hospital Revenue Code	637
Min. Negotiated Rate	$166.00
Max. Negotiated Rate	$229.84
Rate for Payer: Aetna Commercial	$217.07
Rate for Payer: BCBS Trust/PPO	$208.47
Rate for Payer: BCN Commercial	$197.36
Rate for Payer: Cash Price	$204.30
Rate for Payer: Cofinity Commercial	$219.63
Rate for Payer: Encore Health Key Benefits Commercial	$204.30
Rate for Payer: Healthscope Commercial	$229.84
Rate for Payer: Lakeland Regional Health Systems Commercial	$191.53
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$217.07
Rate for Payer: Nomi Health Commercial	$209.41
Rate for Payer: PHP Commercial	$217.07
Rate for Payer: Priority Health Cigna Priority Health	$166.00
Rate for Payer: Priority Health HMO/PPO	$222.18
Rate for Payer: Priority Health Narrow/Tiered Network	$171.10
Rate for Payer: UHC All Payor (Choice/PPO)	$224.73
Rate for Payer: UHC Core	$213.24
Rate for Payer: Van Buren County Sheriff Dept. Commercial	$191.53

APREPITANT 40 MG CAPSULE

Facility

$923.49

Service Code	NDC 13668059182
Hospital Charge Code	76843
Hospital Revenue Code	637
Min. Negotiated Rate	$219.33
Max. Negotiated Rate	$831.14
Rate for Payer: Aetna Commercial	$784.97
Rate for Payer: Aetna Medicare	$240.11
Rate for Payer: Allen County Amish Medical Aid Commercial	$288.59
Rate for Payer: Amish Plain Church Group Commercial	$288.59
Rate for Payer: BCBS Complete	$369.40
Rate for Payer: BCBS MAPPO	$230.87
Rate for Payer: BCBS Trust/PPO	$759.20
Rate for Payer: BCN Commercial	$718.01
Rate for Payer: BCN Medicare Advantage	$230.87
Rate for Payer: Cash Price	$738.79
Rate for Payer: Cofinity Commercial	$794.20
Rate for Payer: Encore Health Key Benefits Commercial	$738.79
Rate for Payer: Health Alliance Plan Medicare Advantage	$230.87
Rate for Payer: Healthscope Commercial	$831.14
Rate for Payer: Lakeland Regional Health Systems Commercial	$692.62
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$242.42
Rate for Payer: MI Amish Medical Board Commercial	$265.50
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$784.97
Rate for Payer: Nomi Health Commercial	$757.26
Rate for Payer: PACE Senior Care Partners	$219.33
Rate for Payer: PACE SWMI	$230.87
Rate for Payer: PHP Commercial	$784.97
Rate for Payer: PHP Medicare Advantage	$230.87
Rate for Payer: Priority Health Cigna Priority Health	$600.27
Rate for Payer: Priority Health HMO/PPO	$803.44
Rate for Payer: Priority Health Medicare	$233.18
Rate for Payer: Priority Health Narrow/Tiered Network	$618.74
Rate for Payer: Railroad Medicare Medicare	$230.87
Rate for Payer: UHC All Payor (Choice/PPO)	$812.67
Rate for Payer: UHC Core	$771.11
Rate for Payer: UHC Dual Complete DSNP	$230.87
Rate for Payer: UHC Exchange	$230.87
Rate for Payer: UHC Medicare Advantage	$230.87
Rate for Payer: VA VA	$230.87
Rate for Payer: Van Buren County Sheriff Dept. Commercial	$692.62

APREPITANT 40 MG CAPSULE

Facility

$173.76

Service Code	NDC 13668059180
Hospital Charge Code	76843
Hospital Revenue Code	637
Min. Negotiated Rate	$41.27
Max. Negotiated Rate	$156.38
Rate for Payer: Aetna Commercial	$147.70
Rate for Payer: Aetna Medicare	$45.18
Rate for Payer: Allen County Amish Medical Aid Commercial	$54.30
Rate for Payer: Amish Plain Church Group Commercial	$54.30
Rate for Payer: BCBS Complete	$69.50
Rate for Payer: BCBS MAPPO	$43.44
Rate for Payer: BCBS Trust/PPO	$142.85
Rate for Payer: BCN Commercial	$135.10
Rate for Payer: BCN Medicare Advantage	$43.44
Rate for Payer: Cash Price	$139.01
Rate for Payer: Cofinity Commercial	$149.43
Rate for Payer: Encore Health Key Benefits Commercial	$139.01
Rate for Payer: Health Alliance Plan Medicare Advantage	$43.44
Rate for Payer: Healthscope Commercial	$156.38
Rate for Payer: Lakeland Regional Health Systems Commercial	$130.32
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$45.61
Rate for Payer: MI Amish Medical Board Commercial	$49.96
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$147.70
Rate for Payer: Nomi Health Commercial	$142.48
Rate for Payer: PACE Senior Care Partners	$41.27
Rate for Payer: PACE SWMI	$43.44
Rate for Payer: PHP Commercial	$147.70
Rate for Payer: PHP Medicare Advantage	$43.44
Rate for Payer: Priority Health Cigna Priority Health	$112.94
Rate for Payer: Priority Health HMO/PPO	$151.17
Rate for Payer: Priority Health Medicare	$43.87
Rate for Payer: Priority Health Narrow/Tiered Network	$116.42
Rate for Payer: Railroad Medicare Medicare	$43.44
Rate for Payer: UHC All Payor (Choice/PPO)	$152.91
Rate for Payer: UHC Core	$145.09
Rate for Payer: UHC Dual Complete DSNP	$43.44
Rate for Payer: UHC Exchange	$43.44
Rate for Payer: UHC Medicare Advantage	$43.44
Rate for Payer: VA VA	$43.44
Rate for Payer: Van Buren County Sheriff Dept. Commercial	$130.32

APREPITANT 40 MG CAPSULE

Facility

$173.76

Service Code	NDC 13668059181
Hospital Charge Code	76843
Hospital Revenue Code	637
Min. Negotiated Rate	$41.27
Max. Negotiated Rate	$156.38
Rate for Payer: Aetna Commercial	$147.70
Rate for Payer: Aetna Medicare	$45.18
Rate for Payer: Allen County Amish Medical Aid Commercial	$54.30
Rate for Payer: Amish Plain Church Group Commercial	$54.30
Rate for Payer: BCBS Complete	$69.50
Rate for Payer: BCBS MAPPO	$43.44
Rate for Payer: BCBS Trust/PPO	$142.85
Rate for Payer: BCN Commercial	$135.10
Rate for Payer: BCN Medicare Advantage	$43.44
Rate for Payer: Cash Price	$139.01
Rate for Payer: Cofinity Commercial	$149.43
Rate for Payer: Encore Health Key Benefits Commercial	$139.01
Rate for Payer: Health Alliance Plan Medicare Advantage	$43.44
Rate for Payer: Healthscope Commercial	$156.38
Rate for Payer: Lakeland Regional Health Systems Commercial	$130.32
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$45.61
Rate for Payer: MI Amish Medical Board Commercial	$49.96
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$147.70
Rate for Payer: Nomi Health Commercial	$142.48
Rate for Payer: PACE Senior Care Partners	$41.27
Rate for Payer: PACE SWMI	$43.44
Rate for Payer: PHP Commercial	$147.70
Rate for Payer: PHP Medicare Advantage	$43.44
Rate for Payer: Priority Health Cigna Priority Health	$112.94
Rate for Payer: Priority Health HMO/PPO	$151.17
Rate for Payer: Priority Health Medicare	$43.87
Rate for Payer: Priority Health Narrow/Tiered Network	$116.42
Rate for Payer: Railroad Medicare Medicare	$43.44
Rate for Payer: UHC All Payor (Choice/PPO)	$152.91
Rate for Payer: UHC Core	$145.09
Rate for Payer: UHC Dual Complete DSNP	$43.44
Rate for Payer: UHC Exchange	$43.44
Rate for Payer: UHC Medicare Advantage	$43.44
Rate for Payer: VA VA	$43.44
Rate for Payer: Van Buren County Sheriff Dept. Commercial	$130.32

APREPITANT 40 MG CAPSULE

Facility

$173.76

Service Code	NDC 13668059181
Hospital Charge Code	76843
Hospital Revenue Code	637
Min. Negotiated Rate	$112.94
Max. Negotiated Rate	$156.38
Rate for Payer: Aetna Commercial	$147.70
Rate for Payer: BCBS Trust/PPO	$141.84
Rate for Payer: BCN Commercial	$134.28
Rate for Payer: Cash Price	$139.01
Rate for Payer: Cofinity Commercial	$149.43
Rate for Payer: Encore Health Key Benefits Commercial	$139.01
Rate for Payer: Healthscope Commercial	$156.38
Rate for Payer: Lakeland Regional Health Systems Commercial	$130.32
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$147.70
Rate for Payer: Nomi Health Commercial	$142.48
Rate for Payer: PHP Commercial	$147.70
Rate for Payer: Priority Health Cigna Priority Health	$112.94
Rate for Payer: Priority Health HMO/PPO	$151.17
Rate for Payer: Priority Health Narrow/Tiered Network	$116.42
Rate for Payer: UHC All Payor (Choice/PPO)	$152.91
Rate for Payer: UHC Core	$145.09
Rate for Payer: Van Buren County Sheriff Dept. Commercial	$130.32

APREPITANT 40 MG CAPSULE

Facility

$923.49

Service Code	NDC 13668059182
Hospital Charge Code	76843
Hospital Revenue Code	637
Min. Negotiated Rate	$600.27
Max. Negotiated Rate	$831.14
Rate for Payer: Aetna Commercial	$784.97
Rate for Payer: BCBS Trust/PPO	$753.84
Rate for Payer: BCN Commercial	$713.67
Rate for Payer: Cash Price	$738.79
Rate for Payer: Cofinity Commercial	$794.20
Rate for Payer: Encore Health Key Benefits Commercial	$738.79
Rate for Payer: Healthscope Commercial	$831.14
Rate for Payer: Lakeland Regional Health Systems Commercial	$692.62
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$784.97
Rate for Payer: Nomi Health Commercial	$757.26
Rate for Payer: PHP Commercial	$784.97
Rate for Payer: Priority Health Cigna Priority Health	$600.27
Rate for Payer: Priority Health HMO/PPO	$803.44
Rate for Payer: Priority Health Narrow/Tiered Network	$618.74
Rate for Payer: UHC All Payor (Choice/PPO)	$812.67
Rate for Payer: UHC Core	$771.11
Rate for Payer: Van Buren County Sheriff Dept. Commercial	$692.62

APREPITANT 40 MG CAPSULE

Facility

$173.76

Service Code	NDC 13668059180
Hospital Charge Code	76843
Hospital Revenue Code	637
Min. Negotiated Rate	$112.94
Max. Negotiated Rate	$156.38
Rate for Payer: Aetna Commercial	$147.70
Rate for Payer: BCBS Trust/PPO	$141.84
Rate for Payer: BCN Commercial	$134.28
Rate for Payer: Cash Price	$139.01
Rate for Payer: Cofinity Commercial	$149.43
Rate for Payer: Encore Health Key Benefits Commercial	$139.01
Rate for Payer: Healthscope Commercial	$156.38
Rate for Payer: Lakeland Regional Health Systems Commercial	$130.32
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$147.70
Rate for Payer: Nomi Health Commercial	$142.48
Rate for Payer: PHP Commercial	$147.70
Rate for Payer: Priority Health Cigna Priority Health	$112.94
Rate for Payer: Priority Health HMO/PPO	$151.17
Rate for Payer: Priority Health Narrow/Tiered Network	$116.42
Rate for Payer: UHC All Payor (Choice/PPO)	$152.91
Rate for Payer: UHC Core	$145.09
Rate for Payer: Van Buren County Sheriff Dept. Commercial	$130.32

Know your out-of-pocket cost for care.

All Charges