Bronson Lakeview Hospital

All Charges

Charge

Type

Setting

Price

PR CONTROL NASAL HEMORRHAGE ANTERIOR SIMPLE

Professional

Both

$272.00

Service Code	HCPCS 30901
Min. Negotiated Rate	$31.74
Max. Negotiated Rate	$204.00
Rate for Payer: Aetna Commercial	$72.74
Rate for Payer: Aetna Medicare	$136.00
Rate for Payer: BCBS Complete	$33.33
Rate for Payer: BCN Commercial	$84.16
Rate for Payer: Cash Price	$217.60
Rate for Payer: Cash Price	$217.60
Rate for Payer: Mclaren Medicaid	$31.74
Rate for Payer: Meridian Medicaid	$33.33
Rate for Payer: Opus (Opus Packaging Group) HMA	$204.00
Rate for Payer: Priority Health Choice Medicaid	$31.74
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$79.26
Rate for Payer: Priority Health Narrow/Tiered Network	$79.26
Rate for Payer: UHC Medicaid	$31.74
Rate for Payer: UHCCP Medicaid	$31.74

PR CONTROL OROPHARYNGEAL HEMORRHAGE SIMPLE

Professional

Both

$336.00

Service Code	HCPCS 42960
Min. Negotiated Rate	$92.87
Max. Negotiated Rate	$297.32
Rate for Payer: Aetna Commercial	$214.84
Rate for Payer: Aetna Medicare	$168.00
Rate for Payer: BCBS Complete	$97.51
Rate for Payer: BCN Commercial	$244.01
Rate for Payer: Cash Price	$268.80
Rate for Payer: Cash Price	$268.80
Rate for Payer: Mclaren Medicaid	$92.87
Rate for Payer: Meridian Medicaid	$97.51
Rate for Payer: Opus (Opus Packaging Group) HMA	$252.00
Rate for Payer: Priority Health Choice Medicaid	$92.87
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$297.32
Rate for Payer: Priority Health Narrow/Tiered Network	$297.32
Rate for Payer: UHC Medicaid	$92.87
Rate for Payer: UHCCP Medicaid	$92.87

PR CONVERT GASTROSTOMY-GASTRO-JEJUNOSTOMY TUBE PERQ

Professional

Both

$2,159.00

Service Code	HCPCS 49446
Min. Negotiated Rate	$80.51
Max. Negotiated Rate	$1,619.25
Rate for Payer: Aetna Commercial	$196.04
Rate for Payer: Aetna Medicare	$1,079.50
Rate for Payer: BCBS Complete	$84.54
Rate for Payer: BCN Commercial	$214.13
Rate for Payer: Cash Price	$1,727.20
Rate for Payer: Cash Price	$1,727.20
Rate for Payer: Mclaren Medicaid	$80.51
Rate for Payer: Meridian Medicaid	$84.54
Rate for Payer: Opus (Opus Packaging Group) HMA	$1,619.25
Rate for Payer: Priority Health Choice Medicaid	$80.51
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$260.91
Rate for Payer: Priority Health Narrow/Tiered Network	$260.91
Rate for Payer: UHC Medicaid	$80.51
Rate for Payer: UHCCP Medicaid	$80.51

PR CONV PREV HIP TOT HIP ARTHRP W/WO AGRFT/ALGRFT

Professional

Both

$3,559.00

Service Code	HCPCS 27132
Min. Negotiated Rate	$959.14
Max. Negotiated Rate	$2,690.92
Rate for Payer: Aetna Commercial	$2,237.15
Rate for Payer: Aetna Medicare	$1,779.50
Rate for Payer: BCBS Complete	$1,007.10
Rate for Payer: BCN Commercial	$2,517.29
Rate for Payer: Cash Price	$2,847.20
Rate for Payer: Cash Price	$2,847.20
Rate for Payer: Mclaren Medicaid	$959.14
Rate for Payer: Meridian Medicaid	$1,007.10
Rate for Payer: Opus (Opus Packaging Group) HMA	$2,669.25
Rate for Payer: Priority Health Choice Medicaid	$959.14
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$2,690.92
Rate for Payer: Priority Health Narrow/Tiered Network	$2,690.92
Rate for Payer: UHC Medicaid	$959.14
Rate for Payer: UHCCP Medicaid	$959.14

PR CORACOACROMIAL LIGAMENT RELEAS W/WOACROMIOPLASTY

Professional

Both

$1,828.00

Service Code	HCPCS 23415
Min. Negotiated Rate	$419.82
Max. Negotiated Rate	$1,371.00
Rate for Payer: Aetna Commercial	$929.83
Rate for Payer: Aetna Medicare	$914.00
Rate for Payer: BCBS Complete	$440.81
Rate for Payer: BCN Commercial	$1,072.16
Rate for Payer: Cash Price	$1,462.40
Rate for Payer: Cash Price	$1,462.40
Rate for Payer: Mclaren Medicaid	$419.82
Rate for Payer: Meridian Medicaid	$440.81
Rate for Payer: Opus (Opus Packaging Group) HMA	$1,371.00
Rate for Payer: Priority Health Choice Medicaid	$419.82
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$1,146.10
Rate for Payer: Priority Health Narrow/Tiered Network	$1,146.10
Rate for Payer: UHC Medicaid	$419.82
Rate for Payer: UHCCP Medicaid	$419.82

PR CORDOCENTESIS INTRAUTERINE

Professional

Both

$552.00

Service Code	HCPCS 59012
Min. Negotiated Rate	$114.59
Max. Negotiated Rate	$414.00
Rate for Payer: Aetna Commercial	$220.91
Rate for Payer: Aetna Medicare	$276.00
Rate for Payer: BCBS Complete	$120.32
Rate for Payer: BCN Commercial	$300.28
Rate for Payer: Cash Price	$441.60
Rate for Payer: Cash Price	$441.60
Rate for Payer: Mclaren Medicaid	$114.59
Rate for Payer: Meridian Medicaid	$120.32
Rate for Payer: Opus (Opus Packaging Group) HMA	$414.00
Rate for Payer: Priority Health Choice Medicaid	$114.59
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$283.47
Rate for Payer: Priority Health Narrow/Tiered Network	$283.47
Rate for Payer: UHC Medicaid	$114.59
Rate for Payer: UHCCP Medicaid	$114.59

PR CORE NEEDLE BX LUNG/MEDIASTINUM PERQ W/IMG

Professional

Both

$381.00

Service Code	HCPCS 32408
Min. Negotiated Rate	$83.28
Max. Negotiated Rate	$285.75
Rate for Payer: Aetna Commercial	$197.12
Rate for Payer: Aetna Medicare	$190.50
Rate for Payer: BCBS Complete	$87.44
Rate for Payer: BCN Commercial	$222.60
Rate for Payer: Cash Price	$304.80
Rate for Payer: Cash Price	$304.80
Rate for Payer: Mclaren Medicaid	$83.28
Rate for Payer: Meridian Medicaid	$87.44
Rate for Payer: Opus (Opus Packaging Group) HMA	$285.75
Rate for Payer: Priority Health Choice Medicaid	$83.28
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$209.62
Rate for Payer: Priority Health Narrow/Tiered Network	$209.62
Rate for Payer: UHC Medicaid	$83.28
Rate for Payer: UHCCP Medicaid	$83.28

PR CORF RELATED SERV 15 MINS EA

Professional

Both

$33.00

Service Code	HCPCS G0409
Min. Negotiated Rate	$13.19
Max. Negotiated Rate	$35.86
Rate for Payer: Aetna Commercial	$13.19
Rate for Payer: Aetna Medicare	$16.50
Rate for Payer: BCBS Complete	$13.20
Rate for Payer: BCN Commercial	$35.86
Rate for Payer: Cash Price	$26.40
Rate for Payer: Cash Price	$26.40
Rate for Payer: Opus (Opus Packaging Group) HMA	$24.75

PR CORONARY ARTERY BYPASS 1 CORONARY VENOUS GRAFT

Professional

Both

$4,167.00

Service Code	HCPCS 33510
Min. Negotiated Rate	$1,157.23
Max. Negotiated Rate	$3,125.25
Rate for Payer: Aetna Commercial	$2,596.25
Rate for Payer: Aetna Medicare	$2,083.50
Rate for Payer: BCBS Complete	$1,215.09
Rate for Payer: BCN Commercial	$2,842.97
Rate for Payer: Cash Price	$3,333.60
Rate for Payer: Cash Price	$3,333.60
Rate for Payer: Mclaren Medicaid	$1,157.23
Rate for Payer: Meridian Medicaid	$1,215.09
Rate for Payer: Opus (Opus Packaging Group) HMA	$3,125.25
Rate for Payer: Priority Health Choice Medicaid	$1,157.23
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$3,057.26
Rate for Payer: Priority Health Narrow/Tiered Network	$3,057.26
Rate for Payer: UHC Medicaid	$1,157.23
Rate for Payer: UHCCP Medicaid	$1,157.23

PR CORONARY ARTERY BYPASS 2 CORONARY VENOUS GRAFTS

Professional

Both

$4,577.00

Service Code	HCPCS 33511
Min. Negotiated Rate	$1,272.04
Max. Negotiated Rate	$3,432.75
Rate for Payer: Aetna Commercial	$2,850.71
Rate for Payer: Aetna Medicare	$2,288.50
Rate for Payer: BCBS Complete	$1,335.64
Rate for Payer: BCN Commercial	$3,122.83
Rate for Payer: Cash Price	$3,661.60
Rate for Payer: Cash Price	$3,661.60
Rate for Payer: Mclaren Medicaid	$1,272.04
Rate for Payer: Meridian Medicaid	$1,335.64
Rate for Payer: Opus (Opus Packaging Group) HMA	$3,432.75
Rate for Payer: Priority Health Choice Medicaid	$1,272.04
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$3,358.22
Rate for Payer: Priority Health Narrow/Tiered Network	$3,358.22
Rate for Payer: UHC Medicaid	$1,272.04
Rate for Payer: UHCCP Medicaid	$1,272.04

PR CORONARY ARTERY BYPASS 3 CORONARY VENOUS GRAFTS

Professional

Both

$10,215.00

Service Code	HCPCS 33512
Min. Negotiated Rate	$1,440.09
Max. Negotiated Rate	$7,661.25
Rate for Payer: Aetna Commercial	$3,251.77
Rate for Payer: Aetna Medicare	$5,107.50
Rate for Payer: BCBS Complete	$1,512.09
Rate for Payer: BCN Commercial	$3,553.09
Rate for Payer: Cash Price	$8,172.00
Rate for Payer: Cash Price	$8,172.00
Rate for Payer: Mclaren Medicaid	$1,440.09
Rate for Payer: Meridian Medicaid	$1,512.09
Rate for Payer: Opus (Opus Packaging Group) HMA	$7,661.25
Rate for Payer: Priority Health Choice Medicaid	$1,440.09
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$3,820.90
Rate for Payer: Priority Health Narrow/Tiered Network	$3,820.90
Rate for Payer: UHC Medicaid	$1,440.09
Rate for Payer: UHCCP Medicaid	$1,440.09

PR CORONARY ARTERY BYPASS 4 CORONARY VENOUS GRAFTS

Professional

Both

$10,424.00

Service Code	HCPCS 33513
Min. Negotiated Rate	$1,469.06
Max. Negotiated Rate	$7,818.00
Rate for Payer: Aetna Commercial	$3,340.84
Rate for Payer: Aetna Medicare	$5,212.00
Rate for Payer: BCBS Complete	$1,542.51
Rate for Payer: BCN Commercial	$3,630.28
Rate for Payer: Cash Price	$8,339.20
Rate for Payer: Cash Price	$8,339.20
Rate for Payer: Mclaren Medicaid	$1,469.06
Rate for Payer: Meridian Medicaid	$1,542.51
Rate for Payer: Opus (Opus Packaging Group) HMA	$7,818.00
Rate for Payer: Priority Health Choice Medicaid	$1,469.06
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$3,903.91
Rate for Payer: Priority Health Narrow/Tiered Network	$3,903.91
Rate for Payer: UHC Medicaid	$1,469.06
Rate for Payer: UHCCP Medicaid	$1,469.06

PR CORONARY ARTERY BYPASS 6/+ CORONARY VENOUS GRAFT

Professional

Both

$11,723.00

Service Code	HCPCS 33516
Min. Negotiated Rate	$1,619.65
Max. Negotiated Rate	$8,792.25
Rate for Payer: Aetna Commercial	$3,631.83
Rate for Payer: Aetna Medicare	$5,861.50
Rate for Payer: BCBS Complete	$1,700.63
Rate for Payer: BCN Commercial	$3,953.47
Rate for Payer: Cash Price	$9,378.40
Rate for Payer: Cash Price	$9,378.40
Rate for Payer: Mclaren Medicaid	$1,619.65
Rate for Payer: Meridian Medicaid	$1,700.63
Rate for Payer: Opus (Opus Packaging Group) HMA	$8,792.25
Rate for Payer: Priority Health Choice Medicaid	$1,619.65
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$4,251.46
Rate for Payer: Priority Health Narrow/Tiered Network	$4,251.46
Rate for Payer: UHC Medicaid	$1,619.65
Rate for Payer: UHCCP Medicaid	$1,619.65

PR CORONARY ARTERY BYP W/VEIN & ARTERY GRAFT 1 VEIN

Professional

Both

$828.00

Service Code	HCPCS 33517
Min. Negotiated Rate	$108.63
Max. Negotiated Rate	$621.00
Rate for Payer: Aetna Commercial	$252.04
Rate for Payer: Aetna Medicare	$414.00
Rate for Payer: BCBS Complete	$114.06
Rate for Payer: BCN Commercial	$272.89
Rate for Payer: Cash Price	$662.40
Rate for Payer: Cash Price	$662.40
Rate for Payer: Mclaren Medicaid	$108.63
Rate for Payer: Meridian Medicaid	$114.06
Rate for Payer: Opus (Opus Packaging Group) HMA	$621.00
Rate for Payer: Priority Health Choice Medicaid	$108.63
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$293.46
Rate for Payer: Priority Health Narrow/Tiered Network	$293.46
Rate for Payer: UHC Medicaid	$108.63
Rate for Payer: UHCCP Medicaid	$108.63

PR CORONARY ARTERY BYP W/VEIN & ARTERY GRAFT 2 VEIN

Professional

Both

$1,365.00

Service Code	HCPCS 33518
Min. Negotiated Rate	$238.35
Max. Negotiated Rate	$1,023.75
Rate for Payer: Aetna Commercial	$554.43
Rate for Payer: Aetna Medicare	$682.50
Rate for Payer: BCBS Complete	$250.27
Rate for Payer: BCN Commercial	$600.57
Rate for Payer: Cash Price	$1,092.00
Rate for Payer: Cash Price	$1,092.00
Rate for Payer: Mclaren Medicaid	$238.35
Rate for Payer: Meridian Medicaid	$250.27
Rate for Payer: Opus (Opus Packaging Group) HMA	$1,023.75
Rate for Payer: Priority Health Choice Medicaid	$238.35
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$645.83
Rate for Payer: Priority Health Narrow/Tiered Network	$645.83
Rate for Payer: UHC Medicaid	$238.35
Rate for Payer: UHCCP Medicaid	$238.35

PR CORONARY ARTERY BYP W/VEIN & ARTERY GRAFT 3 VEIN

Professional

Both

$1,988.00

Service Code	HCPCS 33519
Min. Negotiated Rate	$315.03
Max. Negotiated Rate	$1,491.00
Rate for Payer: Aetna Commercial	$733.06
Rate for Payer: Aetna Medicare	$994.00
Rate for Payer: BCBS Complete	$330.78
Rate for Payer: BCN Commercial	$792.29
Rate for Payer: Cash Price	$1,590.40
Rate for Payer: Cash Price	$1,590.40
Rate for Payer: Mclaren Medicaid	$315.03
Rate for Payer: Meridian Medicaid	$330.78
Rate for Payer: Opus (Opus Packaging Group) HMA	$1,491.00
Rate for Payer: Priority Health Choice Medicaid	$315.03
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$852.00
Rate for Payer: Priority Health Narrow/Tiered Network	$852.00
Rate for Payer: UHC Medicaid	$315.03
Rate for Payer: UHCCP Medicaid	$315.03

PR CORONARY ARTERY BYP W/VEIN & ARTERY GRAFT 4 VEIN

Professional

Both

$2,669.00

Service Code	HCPCS 33521
Min. Negotiated Rate	$378.29
Max. Negotiated Rate	$2,001.75
Rate for Payer: Aetna Commercial	$879.90
Rate for Payer: Aetna Medicare	$1,334.50
Rate for Payer: BCBS Complete	$397.20
Rate for Payer: BCN Commercial	$951.15
Rate for Payer: Cash Price	$2,135.20
Rate for Payer: Cash Price	$2,135.20
Rate for Payer: Mclaren Medicaid	$378.29
Rate for Payer: Meridian Medicaid	$397.20
Rate for Payer: Opus (Opus Packaging Group) HMA	$2,001.75
Rate for Payer: Priority Health Choice Medicaid	$378.29
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$1,022.84
Rate for Payer: Priority Health Narrow/Tiered Network	$1,022.84
Rate for Payer: UHC Medicaid	$378.29
Rate for Payer: UHCCP Medicaid	$378.29

PR CORONARY ARTERY BYP W/VEIN & ARTERY GRAFT 5 VEIN

Professional

Both

$3,391.00

Service Code	HCPCS 33522
Min. Negotiated Rate	$424.30
Max. Negotiated Rate	$2,543.25
Rate for Payer: Aetna Commercial	$988.00
Rate for Payer: Aetna Medicare	$1,695.50
Rate for Payer: BCBS Complete	$445.51
Rate for Payer: BCN Commercial	$1,068.17
Rate for Payer: Cash Price	$2,712.80
Rate for Payer: Cash Price	$2,712.80
Rate for Payer: Mclaren Medicaid	$424.30
Rate for Payer: Meridian Medicaid	$445.51
Rate for Payer: Opus (Opus Packaging Group) HMA	$2,543.25
Rate for Payer: Priority Health Choice Medicaid	$424.30
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$1,148.68
Rate for Payer: Priority Health Narrow/Tiered Network	$1,148.68
Rate for Payer: UHC Medicaid	$424.30
Rate for Payer: UHCCP Medicaid	$424.30

PR CORONARY ENDARTERCOMY OPEN ANY METHOD

Professional

Both

$1,334.00

Service Code	HCPCS 33572
Min. Negotiated Rate	$133.55
Max. Negotiated Rate	$1,000.50
Rate for Payer: Aetna Commercial	$310.69
Rate for Payer: Aetna Medicare	$667.00
Rate for Payer: BCBS Complete	$140.23
Rate for Payer: BCN Commercial	$335.14
Rate for Payer: Cash Price	$1,067.20
Rate for Payer: Cash Price	$1,067.20
Rate for Payer: Mclaren Medicaid	$133.55
Rate for Payer: Meridian Medicaid	$140.23
Rate for Payer: Opus (Opus Packaging Group) HMA	$1,000.50
Rate for Payer: Priority Health Choice Medicaid	$133.55
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$360.40
Rate for Payer: Priority Health Narrow/Tiered Network	$360.40
Rate for Payer: UHC Medicaid	$133.55
Rate for Payer: UHCCP Medicaid	$133.55

PR CORPORA CAVERNOSA-CORPUS SPONGIOSUM SHUNT UNI/BI

Professional

Both

$1,930.00

Service Code	HCPCS 54430
Min. Negotiated Rate	$370.83
Max. Negotiated Rate	$1,447.50
Rate for Payer: Aetna Commercial	$819.70
Rate for Payer: Aetna Medicare	$965.00
Rate for Payer: BCBS Complete	$389.37
Rate for Payer: BCN Commercial	$960.10
Rate for Payer: Cash Price	$1,544.00
Rate for Payer: Cash Price	$1,544.00
Rate for Payer: Mclaren Medicaid	$370.83
Rate for Payer: Meridian Medicaid	$389.37
Rate for Payer: Opus (Opus Packaging Group) HMA	$1,447.50
Rate for Payer: Priority Health Choice Medicaid	$370.83
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$1,045.87
Rate for Payer: Priority Health Narrow/Tiered Network	$1,045.87
Rate for Payer: UHC Medicaid	$370.83
Rate for Payer: UHCCP Medicaid	$370.83

PR CORPORA CAVERNOSA-GLANS PENIS FSTLJ PRIAPISM

Professional

Both

$776.00

Service Code	HCPCS 54435
Min. Negotiated Rate	$244.74
Max. Negotiated Rate	$681.33
Rate for Payer: Aetna Commercial	$529.89
Rate for Payer: Aetna Medicare	$388.00
Rate for Payer: BCBS Complete	$256.98
Rate for Payer: BCN Commercial	$625.47
Rate for Payer: Cash Price	$620.80
Rate for Payer: Cash Price	$620.80
Rate for Payer: Mclaren Medicaid	$244.74
Rate for Payer: Meridian Medicaid	$256.98
Rate for Payer: Opus (Opus Packaging Group) HMA	$582.00
Rate for Payer: Priority Health Choice Medicaid	$244.74
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$681.33
Rate for Payer: Priority Health Narrow/Tiered Network	$681.33
Rate for Payer: UHC Medicaid	$244.74
Rate for Payer: UHCCP Medicaid	$244.74

PR CORPORA CAVERNOSA-SAPHENOUS VEIN SHUNT UNI/BI

Professional

Both

$1,388.00

Service Code	HCPCS 54420
Min. Negotiated Rate	$405.77
Max. Negotiated Rate	$1,147.31
Rate for Payer: Aetna Commercial	$903.25
Rate for Payer: Aetna Medicare	$694.00
Rate for Payer: BCBS Complete	$426.06
Rate for Payer: BCN Commercial	$1,053.23
Rate for Payer: Cash Price	$1,110.40
Rate for Payer: Cash Price	$1,110.40
Rate for Payer: Mclaren Medicaid	$405.77
Rate for Payer: Meridian Medicaid	$426.06
Rate for Payer: Opus (Opus Packaging Group) HMA	$1,041.00
Rate for Payer: Priority Health Choice Medicaid	$405.77
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$1,147.31
Rate for Payer: Priority Health Narrow/Tiered Network	$1,147.31
Rate for Payer: UHC Medicaid	$405.77
Rate for Payer: UHCCP Medicaid	$405.77

PR CORRECT BUNION,SIMPLE

Professional

Both

$1,426.00

Service Code	HCPCS 28290
Min. Negotiated Rate	$570.40
Max. Negotiated Rate	$1,069.50
Rate for Payer: Aetna Medicare	$713.00
Rate for Payer: BCBS Complete	$570.40
Rate for Payer: Cash Price	$1,140.80
Rate for Payer: Opus (Opus Packaging Group) HMA	$1,069.50

PR CORRECTION COCK-UP 5TH TOE W/PLASTIC CLOSURE

Professional

Both

$966.00

Service Code	HCPCS 28286
Min. Negotiated Rate	$177.22
Max. Negotiated Rate	$724.50
Rate for Payer: Aetna Commercial	$390.83
Rate for Payer: Aetna Medicare	$483.00
Rate for Payer: BCBS Complete	$186.08
Rate for Payer: BCN Commercial	$449.18
Rate for Payer: Cash Price	$772.80
Rate for Payer: Cash Price	$772.80
Rate for Payer: Mclaren Medicaid	$177.22
Rate for Payer: Meridian Medicaid	$186.08
Rate for Payer: Opus (Opus Packaging Group) HMA	$724.50
Rate for Payer: Priority Health Choice Medicaid	$177.22
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$480.17
Rate for Payer: Priority Health Narrow/Tiered Network	$480.17
Rate for Payer: UHC Medicaid	$177.22
Rate for Payer: UHCCP Medicaid	$177.22

PR CORRECTION HAMMERTOE

Professional

Both

$985.00

Service Code	HCPCS 28285
Min. Negotiated Rate	$236.43
Max. Negotiated Rate	$738.75
Rate for Payer: Aetna Commercial	$502.98
Rate for Payer: Aetna Medicare	$492.50
Rate for Payer: BCBS Complete	$248.25
Rate for Payer: BCN Commercial	$649.92
Rate for Payer: Cash Price	$788.00
Rate for Payer: Cash Price	$788.00
Rate for Payer: Mclaren Medicaid	$236.43
Rate for Payer: Meridian Medicaid	$248.25
Rate for Payer: Opus (Opus Packaging Group) HMA	$738.75
Rate for Payer: Priority Health Choice Medicaid	$236.43
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$632.41
Rate for Payer: Priority Health Narrow/Tiered Network	$632.41
Rate for Payer: UHC Medicaid	$236.43
Rate for Payer: UHCCP Medicaid	$236.43

Know your out-of-pocket cost for care.

All Charges