Bronson Lakeview Hospital

All Charges

Charge

Type

Setting

Price

PR COCCYGECTOMY PRIMARY

Professional

Both

$2,010.00

Service Code	HCPCS 27080
Min. Negotiated Rate	$319.29
Max. Negotiated Rate	$1,507.50
Rate for Payer: Aetna Commercial	$681.94
Rate for Payer: Aetna Medicare	$1,005.00
Rate for Payer: BCBS Complete	$335.25
Rate for Payer: BCN Commercial	$775.85
Rate for Payer: Cash Price	$1,608.00
Rate for Payer: Cash Price	$1,608.00
Rate for Payer: Mclaren Medicaid	$319.29
Rate for Payer: Meridian Medicaid	$335.25
Rate for Payer: Opus (Opus Packaging Group) HMA	$1,507.50
Rate for Payer: Priority Health Choice Medicaid	$319.29
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$829.37
Rate for Payer: Priority Health Narrow/Tiered Network	$829.37
Rate for Payer: UHC Medicaid	$319.29
Rate for Payer: UHCCP Medicaid	$319.29

PR COCHLEAR DEVICE IMPLANTATION W/WO MASTOIDECTOMY

Professional

Both

$4,353.00

Service Code	HCPCS 69930
Min. Negotiated Rate	$675.85
Max. Negotiated Rate	$3,264.75
Rate for Payer: Aetna Commercial	$1,385.25
Rate for Payer: Aetna Medicare	$2,176.50
Rate for Payer: BCBS Complete	$709.64
Rate for Payer: BCN Commercial	$1,811.66
Rate for Payer: Cash Price	$3,482.40
Rate for Payer: Cash Price	$3,482.40
Rate for Payer: Mclaren Medicaid	$675.85
Rate for Payer: Meridian Medicaid	$709.64
Rate for Payer: Opus (Opus Packaging Group) HMA	$3,264.75
Rate for Payer: Priority Health Choice Medicaid	$675.85
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$1,790.10
Rate for Payer: Priority Health Narrow/Tiered Network	$1,790.10
Rate for Payer: UHC Medicaid	$675.85
Rate for Payer: UHCCP Medicaid	$675.85

PR COCHLEAR DEVICE/SOFT BAND FITTING FEE

Professional

Both

$525.00

Hospital Revenue Code	990
Min. Negotiated Rate	$210.00
Max. Negotiated Rate	$393.75
Rate for Payer: Aetna Medicare	$262.50
Rate for Payer: BCBS Complete	$210.00
Rate for Payer: Cash Price	$420.00
Rate for Payer: Opus (Opus Packaging Group) HMA	$393.75

PR COCM BY RHC/FQHC 60 MIN MO

Professional

Both

$365.00

Service Code	HCPCS G0512
Min. Negotiated Rate	$105.08
Max. Negotiated Rate	$273.75
Rate for Payer: Aetna Commercial	$148.37
Rate for Payer: Aetna Medicare	$182.50
Rate for Payer: BCBS Complete	$146.00
Rate for Payer: BCN Commercial	$105.08
Rate for Payer: Cash Price	$292.00
Rate for Payer: Cash Price	$292.00
Rate for Payer: Opus (Opus Packaging Group) HMA	$273.75

PR COLCT TOT ABDL W/O PRCTECT W/CONTINENT ILEOST

Professional

Both

$3,955.00

Service Code	HCPCS 44151
Min. Negotiated Rate	$1,282.47
Max. Negotiated Rate	$3,912.99
Rate for Payer: Aetna Commercial	$2,916.77
Rate for Payer: Aetna Medicare	$1,977.50
Rate for Payer: BCBS Complete	$1,346.59
Rate for Payer: BCN Commercial	$3,211.48
Rate for Payer: Cash Price	$3,164.00
Rate for Payer: Cash Price	$3,164.00
Rate for Payer: Mclaren Medicaid	$1,282.47
Rate for Payer: Meridian Medicaid	$1,346.59
Rate for Payer: Opus (Opus Packaging Group) HMA	$2,966.25
Rate for Payer: Priority Health Choice Medicaid	$1,282.47
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$3,912.99
Rate for Payer: Priority Health Narrow/Tiered Network	$3,912.99
Rate for Payer: UHC Medicaid	$1,282.47
Rate for Payer: UHCCP Medicaid	$1,282.47

PR COLCT TOT ABDL W/O PRCTECT W/ILEOST/ILEOPXTS

Professional

Both

$4,749.00

Service Code	HCPCS 44150
Min. Negotiated Rate	$1,103.55
Max. Negotiated Rate	$3,561.75
Rate for Payer: Aetna Commercial	$2,499.17
Rate for Payer: Aetna Medicare	$2,374.50
Rate for Payer: BCBS Complete	$1,158.73
Rate for Payer: BCN Commercial	$2,765.29
Rate for Payer: Cash Price	$3,799.20
Rate for Payer: Cash Price	$3,799.20
Rate for Payer: Mclaren Medicaid	$1,103.55
Rate for Payer: Meridian Medicaid	$1,158.73
Rate for Payer: Opus (Opus Packaging Group) HMA	$3,561.75
Rate for Payer: Priority Health Choice Medicaid	$1,103.55
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$3,369.32
Rate for Payer: Priority Health Narrow/Tiered Network	$3,369.32
Rate for Payer: UHC Medicaid	$1,103.55
Rate for Payer: UHCCP Medicaid	$1,103.55

PR COLCT TTL ABD W/PRCTECT ILEOANAL ANAST & RSVR

Professional

Both

$4,840.00

Service Code	HCPCS 44158
Min. Negotiated Rate	$1,333.59
Max. Negotiated Rate	$4,078.02
Rate for Payer: Aetna Commercial	$3,035.01
Rate for Payer: Aetna Medicare	$2,420.00
Rate for Payer: BCBS Complete	$1,400.27
Rate for Payer: BCN Commercial	$3,346.93
Rate for Payer: Cash Price	$3,872.00
Rate for Payer: Cash Price	$3,872.00
Rate for Payer: Mclaren Medicaid	$1,333.59
Rate for Payer: Meridian Medicaid	$1,400.27
Rate for Payer: Opus (Opus Packaging Group) HMA	$3,630.00
Rate for Payer: Priority Health Choice Medicaid	$1,333.59
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$4,078.02
Rate for Payer: Priority Health Narrow/Tiered Network	$4,078.02
Rate for Payer: UHC Medicaid	$1,333.59
Rate for Payer: UHCCP Medicaid	$1,333.59

PR COLECTOMY PARTIAL W/ANASTOMOSIS

Facility

$3,990.00

Service Code	CPT 44140
Hospital Charge Code	44140
Hospital Revenue Code	960
Min. Negotiated Rate	$2,777.04
Max. Negotiated Rate	$3,591.00
Rate for Payer: Aetna Commercial	$3,391.50
Rate for Payer: BCBS Trust/PPO	$3,295.34
Rate for Payer: BCN Commercial	$3,295.34
Rate for Payer: Cash Price	$3,192.00
Rate for Payer: Cofinity Commercial	$3,431.40
Rate for Payer: Encore Health Key Benefits Commercial	$3,192.00
Rate for Payer: Healthscope Commercial	$3,591.00
Rate for Payer: Lakeland Regional Health Systems Commercial	$2,992.50
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$3,391.50
Rate for Payer: Nomi Health Commercial	$3,271.80
Rate for Payer: Opus (Opus Packaging Group) HMA	$2,992.50
Rate for Payer: PHP Commercial	$3,391.50
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$3,471.30
Rate for Payer: Priority Health Narrow/Tiered Network	$2,777.04
Rate for Payer: UHC Core	$3,331.65
Rate for Payer: Van Buren County Sheriff Dept. Commercial	$2,992.50

PR COLECTOMY PARTIAL W/ANASTOMOSIS

Facility

$3,990.00

Service Code	CPT 44140
Hospital Charge Code	44140
Hospital Revenue Code	960
Min. Negotiated Rate	$703.44
Max. Negotiated Rate	$3,591.00
Rate for Payer: Aetna Commercial	$3,391.50
Rate for Payer: Aetna Medicare	$1,037.40
Rate for Payer: Allen County Amish Medical Aid Commercial	$1,246.88
Rate for Payer: Amish Plain Church Group Commercial	$1,246.88
Rate for Payer: BCBS Complete	$738.55
Rate for Payer: BCBS MAPPO	$997.50
Rate for Payer: BCBS Trust/PPO	$3,280.18
Rate for Payer: BCN Commercial	$3,280.18
Rate for Payer: BCN Medicare Advantage	$997.50
Rate for Payer: Cash Price	$3,192.00
Rate for Payer: Cofinity Commercial	$3,431.40
Rate for Payer: Encore Health Key Benefits Commercial	$3,192.00
Rate for Payer: Health Alliance Plan Medicare Advantage	$997.50
Rate for Payer: Healthscope Commercial	$3,591.00
Rate for Payer: Lakeland Regional Health Systems Commercial	$2,992.50
Rate for Payer: Mclaren Medicaid	$703.44
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$1,047.38
Rate for Payer: Meridian Medicaid	$738.55
Rate for Payer: MI Amish Medical Board Commercial	$1,147.12
Rate for Payer: Molina Medicare/Medicaid	$1,097.25
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$3,391.50
Rate for Payer: Nomi Health Commercial	$3,271.80
Rate for Payer: Opus (Opus Packaging Group) HMA	$2,992.50
Rate for Payer: PACE Senior Care Partners	$947.62
Rate for Payer: PACE SWMI	$997.50
Rate for Payer: PHP Commercial	$3,391.50
Rate for Payer: PHP Medicare Advantage	$997.50
Rate for Payer: Priority Health Choice Medicaid	$703.44
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$3,471.30
Rate for Payer: Priority Health Medicare	$1,007.48
Rate for Payer: Priority Health Narrow/Tiered Network	$2,777.04
Rate for Payer: Railroad Medicare Medicare	$997.50
Rate for Payer: UHC Core	$3,331.65
Rate for Payer: UHC Exchange	$997.50
Rate for Payer: UHC Medicaid	$703.44
Rate for Payer: UHC Medicare Advantage	$997.50
Rate for Payer: UHCCP Medicaid	$703.44
Rate for Payer: VA VA	$997.50
Rate for Payer: Van Buren County Sheriff Dept. Commercial	$2,992.50

PR COLECTOMY PARTIAL W/ANASTOMOSIS

Professional

Both

$3,990.00

Service Code	HCPCS 44140
Hospital Charge Code	44140
Min. Negotiated Rate	$797.26
Max. Negotiated Rate	$2,992.50
Rate for Payer: Aetna Commercial	$1,809.58
Rate for Payer: Aetna Medicare	$1,995.00
Rate for Payer: BCBS Complete	$837.12
Rate for Payer: BCN Commercial	$2,010.85
Rate for Payer: Cash Price	$3,192.00
Rate for Payer: Cash Price	$3,192.00
Rate for Payer: Mclaren Medicaid	$797.26
Rate for Payer: Meridian Medicaid	$837.12
Rate for Payer: Opus (Opus Packaging Group) HMA	$2,992.50
Rate for Payer: Priority Health Choice Medicaid	$797.26
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$2,450.08
Rate for Payer: Priority Health Narrow/Tiered Network	$2,450.08
Rate for Payer: UHC Medicaid	$797.26
Rate for Payer: UHCCP Medicaid	$797.26

PR COLECTOMY PARTIAL W/ANASTOMOSIS

Professional

Both

$3,990.00

Service Code	HCPCS 44140
Min. Negotiated Rate	$797.26
Max. Negotiated Rate	$2,992.50
Rate for Payer: Aetna Commercial	$1,809.58
Rate for Payer: Aetna Medicare	$1,995.00
Rate for Payer: BCBS Complete	$837.12
Rate for Payer: BCN Commercial	$2,010.85
Rate for Payer: Cash Price	$3,192.00
Rate for Payer: Cash Price	$3,192.00
Rate for Payer: Mclaren Medicaid	$797.26
Rate for Payer: Meridian Medicaid	$837.12
Rate for Payer: Opus (Opus Packaging Group) HMA	$2,992.50
Rate for Payer: Priority Health Choice Medicaid	$797.26
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$2,450.08
Rate for Payer: Priority Health Narrow/Tiered Network	$2,450.08
Rate for Payer: UHC Medicaid	$797.26
Rate for Payer: UHCCP Medicaid	$797.26

PR COLECTOMY PRTL ABDOMINAL & TRANSANAL APPROACH

Professional

Both

$2,835.00

Service Code	HCPCS 44147
Min. Negotiated Rate	$1,121.66
Max. Negotiated Rate	$3,519.80
Rate for Payer: Aetna Commercial	$2,607.12
Rate for Payer: Aetna Medicare	$1,417.50
Rate for Payer: BCBS Complete	$1,177.74
Rate for Payer: BCN Commercial	$2,888.79
Rate for Payer: Cash Price	$2,268.00
Rate for Payer: Cash Price	$2,268.00
Rate for Payer: Mclaren Medicaid	$1,121.66
Rate for Payer: Meridian Medicaid	$1,177.74
Rate for Payer: Opus (Opus Packaging Group) HMA	$2,126.25
Rate for Payer: Priority Health Choice Medicaid	$1,121.66
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$3,519.80
Rate for Payer: Priority Health Narrow/Tiered Network	$3,519.80
Rate for Payer: UHC Medicaid	$1,121.66
Rate for Payer: UHCCP Medicaid	$1,121.66

PR COLECTOMY PRTL W/COLOPROCTOSTOMY

Professional

Both

$3,522.00

Service Code	HCPCS 44145
Min. Negotiated Rate	$966.38
Max. Negotiated Rate	$2,997.39
Rate for Payer: Aetna Commercial	$2,219.92
Rate for Payer: Aetna Medicare	$1,761.00
Rate for Payer: BCBS Complete	$1,014.70
Rate for Payer: BCN Commercial	$2,460.02
Rate for Payer: Cash Price	$2,817.60
Rate for Payer: Cash Price	$2,817.60
Rate for Payer: Mclaren Medicaid	$966.38
Rate for Payer: Meridian Medicaid	$1,014.70
Rate for Payer: Opus (Opus Packaging Group) HMA	$2,641.50
Rate for Payer: Priority Health Choice Medicaid	$966.38
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$2,997.39
Rate for Payer: Priority Health Narrow/Tiered Network	$2,997.39
Rate for Payer: UHC Medicaid	$966.38
Rate for Payer: UHCCP Medicaid	$966.38

PR COLECTOMY PRTL W/COLOPROCTOSTOMY & COLOSTOMY

Professional

Both

$5,299.00

Service Code	HCPCS 44146
Min. Negotiated Rate	$1,238.38
Max. Negotiated Rate	$3,974.25
Rate for Payer: Aetna Commercial	$2,830.09
Rate for Payer: Aetna Medicare	$2,649.50
Rate for Payer: BCBS Complete	$1,300.30
Rate for Payer: BCN Commercial	$3,126.83
Rate for Payer: Cash Price	$4,239.20
Rate for Payer: Cash Price	$4,239.20
Rate for Payer: Mclaren Medicaid	$1,238.38
Rate for Payer: Meridian Medicaid	$1,300.30
Rate for Payer: Opus (Opus Packaging Group) HMA	$3,974.25
Rate for Payer: Priority Health Choice Medicaid	$1,238.38
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$3,809.84
Rate for Payer: Priority Health Narrow/Tiered Network	$3,809.84
Rate for Payer: UHC Medicaid	$1,238.38
Rate for Payer: UHCCP Medicaid	$1,238.38

PR COLECTOMY PRTL W/COLOST/ILEOST & MUCOFISTULA

Professional

Both

$4,102.00

Service Code	HCPCS 44144
Min. Negotiated Rate	$1,042.42
Max. Negotiated Rate	$3,207.93
Rate for Payer: Aetna Commercial	$2,380.76
Rate for Payer: Aetna Medicare	$2,051.00
Rate for Payer: BCBS Complete	$1,094.54
Rate for Payer: BCN Commercial	$2,632.83
Rate for Payer: Cash Price	$3,281.60
Rate for Payer: Cash Price	$3,281.60
Rate for Payer: Mclaren Medicaid	$1,042.42
Rate for Payer: Meridian Medicaid	$1,094.54
Rate for Payer: Opus (Opus Packaging Group) HMA	$3,076.50
Rate for Payer: Priority Health Choice Medicaid	$1,042.42
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$3,207.93
Rate for Payer: Priority Health Narrow/Tiered Network	$3,207.93
Rate for Payer: UHC Medicaid	$1,042.42
Rate for Payer: UHCCP Medicaid	$1,042.42

PR COLECTOMY PRTL W/END COLOSTOMY & CLSR DSTL SGMT

Professional

Both

$4,326.00

Service Code	HCPCS 44143
Min. Negotiated Rate	$976.18
Max. Negotiated Rate	$3,244.50
Rate for Payer: Aetna Commercial	$2,239.80
Rate for Payer: Aetna Medicare	$2,163.00
Rate for Payer: BCBS Complete	$1,024.99
Rate for Payer: BCN Commercial	$2,465.01
Rate for Payer: Cash Price	$3,460.80
Rate for Payer: Cash Price	$3,460.80
Rate for Payer: Mclaren Medicaid	$976.18
Rate for Payer: Meridian Medicaid	$1,024.99
Rate for Payer: Opus (Opus Packaging Group) HMA	$3,244.50
Rate for Payer: Priority Health Choice Medicaid	$976.18
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$3,003.45
Rate for Payer: Priority Health Narrow/Tiered Network	$3,003.45
Rate for Payer: UHC Medicaid	$976.18
Rate for Payer: UHCCP Medicaid	$976.18

PR COLECTOMY PRTL W/RMVL TERMINAL ILEUM & ILEOCOLOS

Professional

Both

$4,084.00

Service Code	HCPCS 44160
Min. Negotiated Rate	$738.05
Max. Negotiated Rate	$3,063.00
Rate for Payer: Aetna Commercial	$1,670.76
Rate for Payer: Aetna Medicare	$2,042.00
Rate for Payer: BCBS Complete	$774.95
Rate for Payer: BCN Commercial	$1,860.96
Rate for Payer: Cash Price	$3,267.20
Rate for Payer: Cash Price	$3,267.20
Rate for Payer: Mclaren Medicaid	$738.05
Rate for Payer: Meridian Medicaid	$774.95
Rate for Payer: Opus (Opus Packaging Group) HMA	$3,063.00
Rate for Payer: Priority Health Choice Medicaid	$738.05
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$2,267.45
Rate for Payer: Priority Health Narrow/Tiered Network	$2,267.45
Rate for Payer: UHC Medicaid	$738.05
Rate for Payer: UHCCP Medicaid	$738.05

PR COLECTOMY PRTL W/SKIN LEVEL CECOST/COLOSTOMY

Professional

Both

$3,950.00

Service Code	HCPCS 44141
Min. Negotiated Rate	$1,078.42
Max. Negotiated Rate	$3,292.86
Rate for Payer: Aetna Commercial	$2,453.21
Rate for Payer: Aetna Medicare	$1,975.00
Rate for Payer: BCBS Complete	$1,132.34
Rate for Payer: BCN Commercial	$2,702.54
Rate for Payer: Cash Price	$3,160.00
Rate for Payer: Cash Price	$3,160.00
Rate for Payer: Mclaren Medicaid	$1,078.42
Rate for Payer: Meridian Medicaid	$1,132.34
Rate for Payer: Opus (Opus Packaging Group) HMA	$2,962.50
Rate for Payer: Priority Health Choice Medicaid	$1,078.42
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$3,292.86
Rate for Payer: Priority Health Narrow/Tiered Network	$3,292.86
Rate for Payer: UHC Medicaid	$1,078.42
Rate for Payer: UHCCP Medicaid	$1,078.42

PR COLECTOMY TOT ABDL W/PROCTECTOMY W/CONTNT ILEOST

Professional

Both

$7,025.00

Service Code	HCPCS 44156
Min. Negotiated Rate	$1,369.59
Max. Negotiated Rate	$5,268.75
Rate for Payer: Aetna Commercial	$3,121.82
Rate for Payer: Aetna Medicare	$3,512.50
Rate for Payer: BCBS Complete	$1,438.07
Rate for Payer: BCN Commercial	$3,432.58
Rate for Payer: Cash Price	$5,620.00
Rate for Payer: Cash Price	$5,620.00
Rate for Payer: Mclaren Medicaid	$1,369.59
Rate for Payer: Meridian Medicaid	$1,438.07
Rate for Payer: Opus (Opus Packaging Group) HMA	$5,268.75
Rate for Payer: Priority Health Choice Medicaid	$1,369.59
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$4,182.37
Rate for Payer: Priority Health Narrow/Tiered Network	$4,182.37
Rate for Payer: UHC Medicaid	$1,369.59
Rate for Payer: UHCCP Medicaid	$1,369.59

PR COLECTOMY TOT ABDL W/PROCTECTOMY W/ILEOSTOMY

Professional

Both

$5,997.00

Service Code	HCPCS 44155
Min. Negotiated Rate	$1,224.54
Max. Negotiated Rate	$4,497.75
Rate for Payer: Aetna Commercial	$2,777.17
Rate for Payer: Aetna Medicare	$2,998.50
Rate for Payer: BCBS Complete	$1,285.77
Rate for Payer: BCN Commercial	$3,076.52
Rate for Payer: Cash Price	$4,797.60
Rate for Payer: Cash Price	$4,797.60
Rate for Payer: Mclaren Medicaid	$1,224.54
Rate for Payer: Meridian Medicaid	$1,285.77
Rate for Payer: Opus (Opus Packaging Group) HMA	$4,497.75
Rate for Payer: Priority Health Choice Medicaid	$1,224.54
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$3,748.55
Rate for Payer: Priority Health Narrow/Tiered Network	$3,748.55
Rate for Payer: UHC Medicaid	$1,224.54
Rate for Payer: UHCCP Medicaid	$1,224.54

PR COLECTOMY TOT ABD W/PROCTECTOMY ILEOANAL ANAST

Professional

Both

$4,704.00

Service Code	HCPCS 44157
Min. Negotiated Rate	$1,302.28
Max. Negotiated Rate	$3,979.73
Rate for Payer: Aetna Commercial	$2,961.88
Rate for Payer: Aetna Medicare	$2,352.00
Rate for Payer: BCBS Complete	$1,367.39
Rate for Payer: BCN Commercial	$3,266.25
Rate for Payer: Cash Price	$3,763.20
Rate for Payer: Cash Price	$3,763.20
Rate for Payer: Mclaren Medicaid	$1,302.28
Rate for Payer: Meridian Medicaid	$1,367.39
Rate for Payer: Opus (Opus Packaging Group) HMA	$3,528.00
Rate for Payer: Priority Health Choice Medicaid	$1,302.28
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$3,979.73
Rate for Payer: Priority Health Narrow/Tiered Network	$3,979.73
Rate for Payer: UHC Medicaid	$1,302.28
Rate for Payer: UHCCP Medicaid	$1,302.28

PR COLLAGENASE, CLOST HIST INJ

Professional

Both

$68.00

Service Code	HCPCS J0775
Min. Negotiated Rate	$34.00
Max. Negotiated Rate	$77.17
Rate for Payer: Aetna Commercial	$68.26
Rate for Payer: Aetna Medicare	$34.00
Rate for Payer: BCBS Trust/PPO	$77.17
Rate for Payer: BCN Commercial	$74.75
Rate for Payer: Cash Price	$54.40
Rate for Payer: Cash Price	$54.40
Rate for Payer: Opus (Opus Packaging Group) HMA	$51.00

PR COLLECT BLOOD FROM CATHETER VENOUS NOS

Professional

Both

$65.00

Service Code	HCPCS 36592
Min. Negotiated Rate	$32.50
Max. Negotiated Rate	$48.75
Rate for Payer: Aetna Commercial	$37.37
Rate for Payer: Aetna Medicare	$32.50
Rate for Payer: BCN Commercial	$44.32
Rate for Payer: Cash Price	$52.00
Rate for Payer: Cash Price	$52.00
Rate for Payer: Opus (Opus Packaging Group) HMA	$48.75
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$47.66
Rate for Payer: Priority Health Narrow/Tiered Network	$47.66

PR COLLECTION CAPILLARY BLOOD SPECIMEN

Professional

Both

$11.00

Service Code	HCPCS 36416
Min. Negotiated Rate	$2.00
Max. Negotiated Rate	$15.00
Rate for Payer: Aetna Commercial	$2.72
Rate for Payer: Aetna Medicare	$5.50
Rate for Payer: BCBS Complete	$4.40
Rate for Payer: BCN Commercial	$2.00
Rate for Payer: Cash Price	$8.80
Rate for Payer: Cash Price	$8.80
Rate for Payer: Opus (Opus Packaging Group) HMA	$8.25
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$15.00
Rate for Payer: Priority Health Narrow/Tiered Network	$15.00

PR COLLECTION VENOUS BLOOD VENIPUNCTURE

Professional

Both

$15.00

Service Code	HCPCS 36415
Min. Negotiated Rate	$2.85
Max. Negotiated Rate	$15.00
Rate for Payer: Aetna Commercial	$2.85
Rate for Payer: Aetna Medicare	$7.50
Rate for Payer: BCN Commercial	$6.31
Rate for Payer: Cash Price	$12.00
Rate for Payer: Cash Price	$12.00
Rate for Payer: Opus (Opus Packaging Group) HMA	$11.25
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$15.00
Rate for Payer: Priority Health Narrow/Tiered Network	$15.00

Know your out-of-pocket cost for care.

All Charges