Bronson Lakeview Hospital

All Charges

Charge

Type

Setting

Price

PR BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE SBSQ

Professional

Both

$632.00

Service Code	HCPCS 31646
Min. Negotiated Rate	$82.22
Max. Negotiated Rate	$474.00
Rate for Payer: Aetna Commercial	$182.25
Rate for Payer: Aetna Medicare	$316.00
Rate for Payer: BCBS Complete	$86.33
Rate for Payer: BCN Commercial	$209.15
Rate for Payer: Cash Price	$505.60
Rate for Payer: Cash Price	$505.60
Rate for Payer: Mclaren Medicaid	$82.22
Rate for Payer: Meridian Medicaid	$86.33
Rate for Payer: Opus (Opus Packaging Group) HMA	$474.00
Rate for Payer: Priority Health Choice Medicaid	$82.22
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$196.97
Rate for Payer: Priority Health Narrow/Tiered Network	$196.97
Rate for Payer: UHC Medicaid	$82.22
Rate for Payer: UHCCP Medicaid	$82.22

PR BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX 1 LOBE

Professional

Both

$783.00

Service Code	HCPCS 31628
Min. Negotiated Rate	$101.18
Max. Negotiated Rate	$587.25
Rate for Payer: Aetna Commercial	$226.30
Rate for Payer: Aetna Medicare	$391.50
Rate for Payer: BCBS Complete	$106.24
Rate for Payer: BCN Commercial	$281.74
Rate for Payer: Cash Price	$626.40
Rate for Payer: Cash Price	$626.40
Rate for Payer: Mclaren Medicaid	$101.18
Rate for Payer: Meridian Medicaid	$106.24
Rate for Payer: Opus (Opus Packaging Group) HMA	$587.25
Rate for Payer: Priority Health Choice Medicaid	$101.18
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$241.50
Rate for Payer: Priority Health Narrow/Tiered Network	$241.50
Rate for Payer: UHC Medicaid	$101.18
Rate for Payer: UHCCP Medicaid	$101.18

PR BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX EACH LOBE

Professional

Both

$133.00

Service Code	HCPCS 31632
Min. Negotiated Rate	$27.48
Max. Negotiated Rate	$99.75
Rate for Payer: Aetna Commercial	$63.94
Rate for Payer: Aetna Medicare	$66.50
Rate for Payer: BCBS Complete	$28.85
Rate for Payer: BCN Commercial	$70.71
Rate for Payer: Cash Price	$106.40
Rate for Payer: Cash Price	$106.40
Rate for Payer: Mclaren Medicaid	$27.48
Rate for Payer: Meridian Medicaid	$28.85
Rate for Payer: Opus (Opus Packaging Group) HMA	$99.75
Rate for Payer: Priority Health Choice Medicaid	$27.48
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$66.59
Rate for Payer: Priority Health Narrow/Tiered Network	$66.59
Rate for Payer: UHC Medicaid	$27.48
Rate for Payer: UHCCP Medicaid	$27.48

PR BRONCHOSCOPY W/TRANSBRONCL NDL ASPIR BX EA LOBE

Professional

Both

$102.00

Service Code	HCPCS 31633
Min. Negotiated Rate	$35.78
Max. Negotiated Rate	$92.13
Rate for Payer: Aetna Commercial	$82.12
Rate for Payer: Aetna Medicare	$51.00
Rate for Payer: BCBS Complete	$37.57
Rate for Payer: BCN Commercial	$92.13
Rate for Payer: Cash Price	$81.60
Rate for Payer: Cash Price	$81.60
Rate for Payer: Mclaren Medicaid	$35.78
Rate for Payer: Meridian Medicaid	$37.57
Rate for Payer: Opus (Opus Packaging Group) HMA	$76.50
Rate for Payer: Priority Health Choice Medicaid	$35.78
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$86.75
Rate for Payer: Priority Health Narrow/Tiered Network	$86.75
Rate for Payer: UHC Medicaid	$35.78
Rate for Payer: UHCCP Medicaid	$35.78

PR BROWLIFT

Professional

Both

$3,605.00

Hospital Revenue Code	990
Min. Negotiated Rate	$1,442.00
Max. Negotiated Rate	$2,703.75
Rate for Payer: Aetna Medicare	$1,802.50
Rate for Payer: BCBS Complete	$1,442.00
Rate for Payer: Cash Price	$2,884.00
Rate for Payer: Opus (Opus Packaging Group) HMA	$2,703.75

PR BSO W/OMENTECTOMY TAH DEBULKING W/LMPHADECTOMY

Professional

Both

$6,173.00

Service Code	HCPCS 58954
Min. Negotiated Rate	$1,272.04
Max. Negotiated Rate	$4,629.75
Rate for Payer: Aetna Commercial	$2,579.73
Rate for Payer: Aetna Medicare	$3,086.50
Rate for Payer: BCBS Complete	$1,335.64
Rate for Payer: BCN Commercial	$3,250.82
Rate for Payer: Cash Price	$4,938.40
Rate for Payer: Cash Price	$4,938.40
Rate for Payer: Mclaren Medicaid	$1,272.04
Rate for Payer: Meridian Medicaid	$1,335.64
Rate for Payer: Opus (Opus Packaging Group) HMA	$4,629.75
Rate for Payer: Priority Health Choice Medicaid	$1,272.04
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$3,292.38
Rate for Payer: Priority Health Narrow/Tiered Network	$3,292.38
Rate for Payer: UHC Medicaid	$1,272.04
Rate for Payer: UHCCP Medicaid	$1,272.04

PR BSO W/OMENTECTOMY TAH&RAD DEBULKING DISSECTION

Professional

Both

$5,397.00

Service Code	HCPCS 58953
Min. Negotiated Rate	$1,176.83
Max. Negotiated Rate	$4,047.75
Rate for Payer: Aetna Commercial	$2,383.00
Rate for Payer: Aetna Medicare	$2,698.50
Rate for Payer: BCBS Complete	$1,235.67
Rate for Payer: BCN Commercial	$3,003.82
Rate for Payer: Cash Price	$4,317.60
Rate for Payer: Cash Price	$4,317.60
Rate for Payer: Mclaren Medicaid	$1,176.83
Rate for Payer: Meridian Medicaid	$1,235.67
Rate for Payer: Opus (Opus Packaging Group) HMA	$4,047.75
Rate for Payer: Priority Health Choice Medicaid	$1,176.83
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$3,042.22
Rate for Payer: Priority Health Narrow/Tiered Network	$3,042.22
Rate for Payer: UHC Medicaid	$1,176.83
Rate for Payer: UHCCP Medicaid	$1,176.83

PR BSO W/TOT OMENTECTOMY & HYSTERECTOMY MALIGNANC

Professional

Both

$2,503.00

Service Code	HCPCS 58956
Min. Negotiated Rate	$803.86
Max. Negotiated Rate	$2,070.85
Rate for Payer: Aetna Commercial	$1,617.38
Rate for Payer: Aetna Medicare	$1,251.50
Rate for Payer: BCBS Complete	$844.05
Rate for Payer: BCN Commercial	$2,044.71
Rate for Payer: Cash Price	$2,002.40
Rate for Payer: Cash Price	$2,002.40
Rate for Payer: Mclaren Medicaid	$803.86
Rate for Payer: Meridian Medicaid	$844.05
Rate for Payer: Opus (Opus Packaging Group) HMA	$1,877.25
Rate for Payer: Priority Health Choice Medicaid	$803.86
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$2,070.85
Rate for Payer: Priority Health Narrow/Tiered Network	$2,070.85
Rate for Payer: UHC Medicaid	$803.86
Rate for Payer: UHCCP Medicaid	$803.86

PR BUDESONIDE NON-COMP UNIT

Professional

Both

$9.00

Service Code	HCPCS J7626
Min. Negotiated Rate	$0.08
Max. Negotiated Rate	$6.75
Rate for Payer: Aetna Commercial	$1.04
Rate for Payer: Aetna Medicare	$4.50
Rate for Payer: BCBS Complete	$3.60
Rate for Payer: BCN Commercial	$0.08
Rate for Payer: Cash Price	$7.20
Rate for Payer: Cash Price	$7.20
Rate for Payer: Opus (Opus Packaging Group) HMA	$6.75

PR BURR HOLE FOR VENTRICULAR PUNCTURE

Professional

Both

$1,927.00

Service Code	HCPCS 61120
Min. Negotiated Rate	$493.31
Max. Negotiated Rate	$1,445.25
Rate for Payer: Aetna Commercial	$965.51
Rate for Payer: Aetna Medicare	$963.50
Rate for Payer: BCBS Complete	$517.98
Rate for Payer: BCN Commercial	$1,154.32
Rate for Payer: Cash Price	$1,541.60
Rate for Payer: Cash Price	$1,541.60
Rate for Payer: Mclaren Medicaid	$493.31
Rate for Payer: Meridian Medicaid	$517.98
Rate for Payer: Opus (Opus Packaging Group) HMA	$1,445.25
Rate for Payer: Priority Health Choice Medicaid	$493.31
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$1,340.72
Rate for Payer: Priority Health Narrow/Tiered Network	$1,340.72
Rate for Payer: UHC Medicaid	$493.31
Rate for Payer: UHCCP Medicaid	$493.31

PR BURR HOLE IMPLANT VENTRICULAR CATH/OTHER DEVICE

Professional

Both

$2,631.00

Service Code	HCPCS 61210
Min. Negotiated Rate	$214.07
Max. Negotiated Rate	$1,973.25
Rate for Payer: Aetna Commercial	$475.20
Rate for Payer: Aetna Medicare	$1,315.50
Rate for Payer: BCBS Complete	$224.77
Rate for Payer: BCN Commercial	$761.59
Rate for Payer: Cash Price	$2,104.80
Rate for Payer: Cash Price	$2,104.80
Rate for Payer: Mclaren Medicaid	$214.07
Rate for Payer: Meridian Medicaid	$224.77
Rate for Payer: Opus (Opus Packaging Group) HMA	$1,973.25
Rate for Payer: Priority Health Choice Medicaid	$214.07
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$640.29
Rate for Payer: Priority Health Narrow/Tiered Network	$640.29
Rate for Payer: UHC Medicaid	$214.07
Rate for Payer: UHCCP Medicaid	$214.07

PR BURR HOLE/TREPHINE STTL EXPL N/FLWD OTH SURG

Professional

Both

$2,807.00

Service Code	HCPCS 61250
Min. Negotiated Rate	$563.17
Max. Negotiated Rate	$2,105.25
Rate for Payer: Aetna Commercial	$1,119.93
Rate for Payer: Aetna Medicare	$1,403.50
Rate for Payer: BCBS Complete	$591.33
Rate for Payer: BCN Commercial	$1,333.59
Rate for Payer: Cash Price	$2,245.60
Rate for Payer: Cash Price	$2,245.60
Rate for Payer: Mclaren Medicaid	$563.17
Rate for Payer: Meridian Medicaid	$591.33
Rate for Payer: Opus (Opus Packaging Group) HMA	$2,105.25
Rate for Payer: Priority Health Choice Medicaid	$563.17
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$1,548.94
Rate for Payer: Priority Health Narrow/Tiered Network	$1,548.94
Rate for Payer: UHC Medicaid	$563.17
Rate for Payer: UHCCP Medicaid	$563.17

PR BURR HOLE/TREPHINE W/BX BRAIN/INTRACRNIAL LESION

Professional

Both

$4,751.00

Service Code	HCPCS 61140
Min. Negotiated Rate	$808.55
Max. Negotiated Rate	$3,563.25
Rate for Payer: Aetna Commercial	$1,640.54
Rate for Payer: Aetna Medicare	$2,375.50
Rate for Payer: BCBS Complete	$848.98
Rate for Payer: BCN Commercial	$2,689.98
Rate for Payer: Cash Price	$3,800.80
Rate for Payer: Cash Price	$3,800.80
Rate for Payer: Mclaren Medicaid	$808.55
Rate for Payer: Meridian Medicaid	$848.98
Rate for Payer: Opus (Opus Packaging Group) HMA	$3,563.25
Rate for Payer: Priority Health Choice Medicaid	$808.55
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$2,261.53
Rate for Payer: Priority Health Narrow/Tiered Network	$2,261.53
Rate for Payer: UHC Medicaid	$808.55
Rate for Payer: UHCCP Medicaid	$808.55

PR BURR HOLE/TREPHINE W/DRG BRAIN ABSCESS/CYST

Professional

Both

$4,245.00

Service Code	HCPCS 61150
Min. Negotiated Rate	$852.21
Max. Negotiated Rate	$3,183.75
Rate for Payer: Aetna Commercial	$1,745.51
Rate for Payer: Aetna Medicare	$2,122.50
Rate for Payer: BCBS Complete	$894.82
Rate for Payer: BCN Commercial	$2,852.34
Rate for Payer: Cash Price	$3,396.00
Rate for Payer: Cash Price	$3,396.00
Rate for Payer: Mclaren Medicaid	$852.21
Rate for Payer: Meridian Medicaid	$894.82
Rate for Payer: Opus (Opus Packaging Group) HMA	$3,183.75
Rate for Payer: Priority Health Choice Medicaid	$852.21
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$2,398.04
Rate for Payer: Priority Health Narrow/Tiered Network	$2,398.04
Rate for Payer: UHC Medicaid	$852.21
Rate for Payer: UHCCP Medicaid	$852.21

PR BURR HOLE W/ASPIR HEMATOMA/CYST INTRACEREBRAL

Professional

Both

$3,796.00

Service Code	HCPCS 61156
Min. Negotiated Rate	$780.65
Max. Negotiated Rate	$2,847.00
Rate for Payer: Aetna Commercial	$1,606.58
Rate for Payer: Aetna Medicare	$1,898.00
Rate for Payer: BCBS Complete	$819.68
Rate for Payer: BCN Commercial	$2,620.49
Rate for Payer: Cash Price	$3,036.80
Rate for Payer: Cash Price	$3,036.80
Rate for Payer: Mclaren Medicaid	$780.65
Rate for Payer: Meridian Medicaid	$819.68
Rate for Payer: Opus (Opus Packaging Group) HMA	$2,847.00
Rate for Payer: Priority Health Choice Medicaid	$780.65
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$2,203.11
Rate for Payer: Priority Health Narrow/Tiered Network	$2,203.11
Rate for Payer: UHC Medicaid	$780.65
Rate for Payer: UHCCP Medicaid	$780.65

PR BURR HOLE W/EVAC&/DRG HEMATOMA EXTRADURAL/SDRL

Professional

Both

$4,314.00

Service Code	HCPCS 61154
Min. Negotiated Rate	$820.48
Max. Negotiated Rate	$3,235.50
Rate for Payer: Aetna Commercial	$1,645.02
Rate for Payer: Aetna Medicare	$2,157.00
Rate for Payer: BCBS Complete	$861.50
Rate for Payer: BCN Commercial	$2,704.42
Rate for Payer: Cash Price	$3,451.20
Rate for Payer: Cash Price	$3,451.20
Rate for Payer: Mclaren Medicaid	$820.48
Rate for Payer: Meridian Medicaid	$861.50
Rate for Payer: Opus (Opus Packaging Group) HMA	$3,235.50
Rate for Payer: Priority Health Choice Medicaid	$820.48
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$2,273.67
Rate for Payer: Priority Health Narrow/Tiered Network	$2,273.67
Rate for Payer: UHC Medicaid	$820.48
Rate for Payer: UHCCP Medicaid	$820.48

PR BUTORPHANOL TARTRATE 1 MG

Professional

Both

$7.00

Service Code	HCPCS J0595
Min. Negotiated Rate	$2.88
Max. Negotiated Rate	$5.25
Rate for Payer: Aetna Commercial	$2.88
Rate for Payer: Aetna Medicare	$3.50
Rate for Payer: BCBS Trust/PPO	$3.57
Rate for Payer: BCN Commercial	$3.02
Rate for Payer: Cash Price	$5.60
Rate for Payer: Cash Price	$5.60
Rate for Payer: Opus (Opus Packaging Group) HMA	$5.25

PR BX ABDL/RETROPERITONEAL MASS PRQ NEEDLE

Professional

Both

$350.00

Service Code	HCPCS 49180
Min. Negotiated Rate	$45.37
Max. Negotiated Rate	$262.50
Rate for Payer: Aetna Commercial	$112.01
Rate for Payer: Aetna Medicare	$175.00
Rate for Payer: BCBS Complete	$47.64
Rate for Payer: BCN Commercial	$121.50
Rate for Payer: Cash Price	$280.00
Rate for Payer: Cash Price	$280.00
Rate for Payer: Mclaren Medicaid	$45.37
Rate for Payer: Meridian Medicaid	$47.64
Rate for Payer: Opus (Opus Packaging Group) HMA	$262.50
Rate for Payer: Priority Health Choice Medicaid	$45.37
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$148.06
Rate for Payer: Priority Health Narrow/Tiered Network	$148.06
Rate for Payer: UHC Medicaid	$45.37
Rate for Payer: UHCCP Medicaid	$45.37

PR BX ANORECTAL WALL ANAL APPROACH

Professional

Both

$792.00

Service Code	HCPCS 45100
Min. Negotiated Rate	$192.77
Max. Negotiated Rate	$594.00
Rate for Payer: Aetna Commercial	$399.52
Rate for Payer: Aetna Medicare	$396.00
Rate for Payer: BCBS Complete	$202.41
Rate for Payer: BCN Commercial	$460.13
Rate for Payer: Cash Price	$633.60
Rate for Payer: Cash Price	$633.60
Rate for Payer: Mclaren Medicaid	$192.77
Rate for Payer: Meridian Medicaid	$202.41
Rate for Payer: Opus (Opus Packaging Group) HMA	$594.00
Rate for Payer: Priority Health Choice Medicaid	$192.77
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$560.64
Rate for Payer: Priority Health Narrow/Tiered Network	$560.64
Rate for Payer: UHC Medicaid	$192.77
Rate for Payer: UHCCP Medicaid	$192.77

PR BX BREAST NEEDLE CORE W/O IMAGING GUIDANCE SPX

Professional

Both

$308.00

Service Code	HCPCS 19100
Min. Negotiated Rate	$39.41
Max. Negotiated Rate	$231.00
Rate for Payer: Aetna Commercial	$76.80
Rate for Payer: Aetna Medicare	$154.00
Rate for Payer: BCBS Complete	$41.38
Rate for Payer: BCN Commercial	$102.08
Rate for Payer: Cash Price	$246.40
Rate for Payer: Cash Price	$246.40
Rate for Payer: Mclaren Medicaid	$39.41
Rate for Payer: Meridian Medicaid	$41.38
Rate for Payer: Opus (Opus Packaging Group) HMA	$231.00
Rate for Payer: Priority Health Choice Medicaid	$39.41
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$93.43
Rate for Payer: Priority Health Narrow/Tiered Network	$93.43
Rate for Payer: UHC Medicaid	$39.41
Rate for Payer: UHCCP Medicaid	$39.41

PR BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID

Professional

Both

$796.00

Service Code	HCPCS 19081
Min. Negotiated Rate	$88.18
Max. Negotiated Rate	$597.00
Rate for Payer: Aetna Commercial	$179.91
Rate for Payer: Aetna Medicare	$398.00
Rate for Payer: BCBS Complete	$92.59
Rate for Payer: BCN Commercial	$240.02
Rate for Payer: Cash Price	$636.80
Rate for Payer: Cash Price	$636.80
Rate for Payer: Mclaren Medicaid	$88.18
Rate for Payer: Meridian Medicaid	$92.59
Rate for Payer: Opus (Opus Packaging Group) HMA	$597.00
Rate for Payer: Priority Health Choice Medicaid	$88.18
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$219.69
Rate for Payer: Priority Health Narrow/Tiered Network	$219.69
Rate for Payer: UHC Medicaid	$88.18
Rate for Payer: UHCCP Medicaid	$88.18

PR BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID

Professional

Both

$454.00

Service Code	HCPCS 19083
Min. Negotiated Rate	$83.28
Max. Negotiated Rate	$340.50
Rate for Payer: Aetna Commercial	$170.17
Rate for Payer: Aetna Medicare	$227.00
Rate for Payer: BCBS Complete	$87.44
Rate for Payer: BCN Commercial	$225.59
Rate for Payer: Cash Price	$363.20
Rate for Payer: Cash Price	$363.20
Rate for Payer: Mclaren Medicaid	$83.28
Rate for Payer: Meridian Medicaid	$87.44
Rate for Payer: Opus (Opus Packaging Group) HMA	$340.50
Rate for Payer: Priority Health Choice Medicaid	$83.28
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$206.47
Rate for Payer: Priority Health Narrow/Tiered Network	$206.47
Rate for Payer: UHC Medicaid	$83.28
Rate for Payer: UHCCP Medicaid	$83.28

PR BX BREAST W/DEVICE ADDL LESION ULTRASOUND GUID

Professional

Both

$817.00

Service Code	HCPCS 19084
Min. Negotiated Rate	$41.54
Max. Negotiated Rate	$612.75
Rate for Payer: Aetna Commercial	$84.71
Rate for Payer: Aetna Medicare	$408.50
Rate for Payer: BCBS Complete	$43.62
Rate for Payer: BCN Commercial	$113.54
Rate for Payer: Cash Price	$653.60
Rate for Payer: Cash Price	$653.60
Rate for Payer: Mclaren Medicaid	$41.54
Rate for Payer: Meridian Medicaid	$43.62
Rate for Payer: Opus (Opus Packaging Group) HMA	$612.75
Rate for Payer: Priority Health Choice Medicaid	$41.54
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$103.92
Rate for Payer: Priority Health Narrow/Tiered Network	$103.92
Rate for Payer: UHC Medicaid	$41.54
Rate for Payer: UHCCP Medicaid	$41.54

PR BX/EXC LYMPH NODE NEEDLE SUPERFICIAL

Professional

Both

$235.00

Service Code	HCPCS 38505
Min. Negotiated Rate	$47.71
Max. Negotiated Rate	$176.25
Rate for Payer: Aetna Commercial	$85.02
Rate for Payer: Aetna Medicare	$117.50
Rate for Payer: BCBS Complete	$50.10
Rate for Payer: BCN Commercial	$126.98
Rate for Payer: Cash Price	$188.00
Rate for Payer: Cash Price	$188.00
Rate for Payer: Mclaren Medicaid	$47.71
Rate for Payer: Meridian Medicaid	$50.10
Rate for Payer: Opus (Opus Packaging Group) HMA	$176.25
Rate for Payer: Priority Health Choice Medicaid	$47.71
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$168.96
Rate for Payer: Priority Health Narrow/Tiered Network	$168.96
Rate for Payer: UHC Medicaid	$47.71
Rate for Payer: UHCCP Medicaid	$47.71

PR BX/EXC LYMPH NODE OPEN DEEP AXILLARY NODE

Facility

$1,624.00

Service Code	CPT 38525
Hospital Charge Code	38525
Hospital Revenue Code	960
Min. Negotiated Rate	$286.31
Max. Negotiated Rate	$1,461.60
Rate for Payer: Aetna Commercial	$1,380.40
Rate for Payer: Aetna Medicare	$422.24
Rate for Payer: Allen County Amish Medical Aid Commercial	$507.50
Rate for Payer: Amish Plain Church Group Commercial	$507.50
Rate for Payer: BCBS Complete	$300.60
Rate for Payer: BCBS MAPPO	$406.00
Rate for Payer: BCBS Trust/PPO	$1,335.09
Rate for Payer: BCN Commercial	$1,335.09
Rate for Payer: BCN Medicare Advantage	$406.00
Rate for Payer: Cash Price	$1,299.20
Rate for Payer: Cofinity Commercial	$1,396.64
Rate for Payer: Encore Health Key Benefits Commercial	$1,299.20
Rate for Payer: Health Alliance Plan Medicare Advantage	$406.00
Rate for Payer: Healthscope Commercial	$1,461.60
Rate for Payer: Lakeland Regional Health Systems Commercial	$1,218.00
Rate for Payer: Mclaren Medicaid	$286.31
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$426.30
Rate for Payer: Meridian Medicaid	$300.60
Rate for Payer: MI Amish Medical Board Commercial	$466.90
Rate for Payer: Molina Medicare/Medicaid	$446.60
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,380.40
Rate for Payer: Nomi Health Commercial	$1,331.68
Rate for Payer: Opus (Opus Packaging Group) HMA	$1,218.00
Rate for Payer: PACE Senior Care Partners	$385.70
Rate for Payer: PACE SWMI	$406.00
Rate for Payer: PHP Commercial	$1,380.40
Rate for Payer: PHP Medicare Advantage	$406.00
Rate for Payer: Priority Health Choice Medicaid	$286.31
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$1,412.88
Rate for Payer: Priority Health Medicare	$410.06
Rate for Payer: Priority Health Narrow/Tiered Network	$1,130.30
Rate for Payer: Railroad Medicare Medicare	$406.00
Rate for Payer: UHC Core	$1,356.04
Rate for Payer: UHC Exchange	$406.00
Rate for Payer: UHC Medicaid	$286.31
Rate for Payer: UHC Medicare Advantage	$406.00
Rate for Payer: UHCCP Medicaid	$286.31
Rate for Payer: VA VA	$406.00
Rate for Payer: Van Buren County Sheriff Dept. Commercial	$1,218.00

Know your out-of-pocket cost for care.

All Charges