Bronson Lakeview Hospital

All Charges

Charge

Type

Setting

Price

PR CRNEC/CRNOT DCMPRV W/WO DURAPLASTY W/O LOBECTOMY

Professional

Both

$5,169.00

Service Code	HCPCS 61322
Min. Negotiated Rate	$1,469.06
Max. Negotiated Rate	$4,207.24
Rate for Payer: Aetna Commercial	$3,074.11
Rate for Payer: Aetna Medicare	$2,584.50
Rate for Payer: BCBS Complete	$1,542.51
Rate for Payer: BCN Commercial	$3,622.31
Rate for Payer: Cash Price	$4,135.20
Rate for Payer: Cash Price	$4,135.20
Rate for Payer: Mclaren Medicaid	$1,469.06
Rate for Payer: Meridian Medicaid	$1,542.51
Rate for Payer: Opus (Opus Packaging Group) HMA	$3,876.75
Rate for Payer: Priority Health Choice Medicaid	$1,469.06
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$4,207.24
Rate for Payer: Priority Health Narrow/Tiered Network	$4,207.24
Rate for Payer: UHC Medicaid	$1,469.06
Rate for Payer: UHCCP Medicaid	$1,469.06

PR CRNEC/CRNOT DRG INTRACRANIAL ABSC INFRATENTORIAL

Professional

Both

$4,488.00

Service Code	HCPCS 61321
Min. Negotiated Rate	$1,319.54
Max. Negotiated Rate	$3,756.69
Rate for Payer: Aetna Commercial	$2,747.11
Rate for Payer: Aetna Medicare	$2,244.00
Rate for Payer: BCBS Complete	$1,385.52
Rate for Payer: BCN Commercial	$3,234.39
Rate for Payer: Cash Price	$3,590.40
Rate for Payer: Cash Price	$3,590.40
Rate for Payer: Mclaren Medicaid	$1,319.54
Rate for Payer: Meridian Medicaid	$1,385.52
Rate for Payer: Opus (Opus Packaging Group) HMA	$3,366.00
Rate for Payer: Priority Health Choice Medicaid	$1,319.54
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$3,756.69
Rate for Payer: Priority Health Narrow/Tiered Network	$3,756.69
Rate for Payer: UHC Medicaid	$1,319.54
Rate for Payer: UHCCP Medicaid	$1,319.54

PR CRNEC/CRNOT DRG INTRACRANIAL ABSC SUPRATENTORIAL

Professional

Both

$7,047.00

Service Code	HCPCS 61320
Min. Negotiated Rate	$1,171.71
Max. Negotiated Rate	$5,285.25
Rate for Payer: Aetna Commercial	$2,452.91
Rate for Payer: Aetna Medicare	$3,523.50
Rate for Payer: BCBS Complete	$1,230.30
Rate for Payer: BCN Commercial	$3,989.55
Rate for Payer: Cash Price	$5,637.60
Rate for Payer: Cash Price	$5,637.60
Rate for Payer: Mclaren Medicaid	$1,171.71
Rate for Payer: Meridian Medicaid	$1,230.30
Rate for Payer: Opus (Opus Packaging Group) HMA	$5,285.25
Rate for Payer: Priority Health Choice Medicaid	$1,171.71
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$3,354.11
Rate for Payer: Priority Health Narrow/Tiered Network	$3,354.11
Rate for Payer: UHC Medicaid	$1,171.71
Rate for Payer: UHCCP Medicaid	$1,171.71

PR CRNEC/CRNOT HMTMA INFRATENTORIAL INTRACEREBELLAR

Professional

Both

$7,251.00

Service Code	HCPCS 61315
Min. Negotiated Rate	$1,286.31
Max. Negotiated Rate	$5,438.25
Rate for Payer: Aetna Commercial	$2,670.81
Rate for Payer: Aetna Medicare	$3,625.50
Rate for Payer: BCBS Complete	$1,350.63
Rate for Payer: BCN Commercial	$4,347.99
Rate for Payer: Cash Price	$5,800.80
Rate for Payer: Cash Price	$5,800.80
Rate for Payer: Mclaren Medicaid	$1,286.31
Rate for Payer: Meridian Medicaid	$1,350.63
Rate for Payer: Opus (Opus Packaging Group) HMA	$5,438.25
Rate for Payer: Priority Health Choice Medicaid	$1,286.31
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$3,655.46
Rate for Payer: Priority Health Narrow/Tiered Network	$3,655.46
Rate for Payer: UHC Medicaid	$1,286.31
Rate for Payer: UHCCP Medicaid	$1,286.31

PR CRNEC/CRNOT HMTMA INFRATENTORIAL XDRL/SDRL

Professional

Both

$5,780.00

Service Code	HCPCS 61314
Min. Negotiated Rate	$1,140.83
Max. Negotiated Rate	$4,335.00
Rate for Payer: Aetna Commercial	$2,364.24
Rate for Payer: Aetna Medicare	$2,890.00
Rate for Payer: BCBS Complete	$1,197.87
Rate for Payer: BCN Commercial	$3,845.77
Rate for Payer: Cash Price	$4,624.00
Rate for Payer: Cash Price	$4,624.00
Rate for Payer: Mclaren Medicaid	$1,140.83
Rate for Payer: Meridian Medicaid	$1,197.87
Rate for Payer: Opus (Opus Packaging Group) HMA	$4,335.00
Rate for Payer: Priority Health Choice Medicaid	$1,140.83
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$3,233.23
Rate for Payer: Priority Health Narrow/Tiered Network	$3,233.23
Rate for Payer: UHC Medicaid	$1,140.83
Rate for Payer: UHCCP Medicaid	$1,140.83

PR CRNEC/CRNOT HMTMA SUPRATENTORIAL INTRACEREBRAL

Professional

Both

$4,296.00

Service Code	HCPCS 61313
Min. Negotiated Rate	$1,242.00
Max. Negotiated Rate	$4,180.82
Rate for Payer: Aetna Commercial	$2,561.06
Rate for Payer: Aetna Medicare	$2,148.00
Rate for Payer: BCBS Complete	$1,304.10
Rate for Payer: BCN Commercial	$4,180.82
Rate for Payer: Cash Price	$3,436.80
Rate for Payer: Cash Price	$3,436.80
Rate for Payer: Mclaren Medicaid	$1,242.00
Rate for Payer: Meridian Medicaid	$1,304.10
Rate for Payer: Opus (Opus Packaging Group) HMA	$3,222.00
Rate for Payer: Priority Health Choice Medicaid	$1,242.00
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$3,514.92
Rate for Payer: Priority Health Narrow/Tiered Network	$3,514.92
Rate for Payer: UHC Medicaid	$1,242.00
Rate for Payer: UHCCP Medicaid	$1,242.00

PR CRNEC/CRNOT HMTMA SUPRATENTORIAL XDRL/SUBDURAL

Professional

Both

$7,343.00

Service Code	HCPCS 61312
Min. Negotiated Rate	$1,278.64
Max. Negotiated Rate	$5,507.25
Rate for Payer: Aetna Commercial	$2,679.75
Rate for Payer: Aetna Medicare	$3,671.50
Rate for Payer: BCBS Complete	$1,342.57
Rate for Payer: BCN Commercial	$4,347.99
Rate for Payer: Cash Price	$5,874.40
Rate for Payer: Cash Price	$5,874.40
Rate for Payer: Mclaren Medicaid	$1,278.64
Rate for Payer: Meridian Medicaid	$1,342.57
Rate for Payer: Opus (Opus Packaging Group) HMA	$5,507.25
Rate for Payer: Priority Health Choice Medicaid	$1,278.64
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$3,655.46
Rate for Payer: Priority Health Narrow/Tiered Network	$3,655.46
Rate for Payer: UHC Medicaid	$1,278.64
Rate for Payer: UHCCP Medicaid	$1,278.64

PR CRNEC/CRNOT W/WO DURAPLASTY WITH LOBECTOMY

Professional

Both

$9,071.00

Service Code	HCPCS 61323
Min. Negotiated Rate	$1,465.87
Max. Negotiated Rate	$6,803.25
Rate for Payer: Aetna Commercial	$3,089.39
Rate for Payer: Aetna Medicare	$4,535.50
Rate for Payer: BCBS Complete	$1,539.16
Rate for Payer: BCN Commercial	$4,979.55
Rate for Payer: Cash Price	$7,256.80
Rate for Payer: Cash Price	$7,256.80
Rate for Payer: Mclaren Medicaid	$1,465.87
Rate for Payer: Meridian Medicaid	$1,539.16
Rate for Payer: Opus (Opus Packaging Group) HMA	$6,803.25
Rate for Payer: Priority Health Choice Medicaid	$1,465.87
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$4,186.43
Rate for Payer: Priority Health Narrow/Tiered Network	$4,186.43
Rate for Payer: UHC Medicaid	$1,465.87
Rate for Payer: UHCCP Medicaid	$1,465.87

PR CRNEC EXC BRAIN TUMOR INFRATENTORIAL/POST FOSSA

Professional

Both

$8,672.00

Service Code	HCPCS 61518
Min. Negotiated Rate	$1,712.31
Max. Negotiated Rate	$6,504.00
Rate for Payer: Aetna Commercial	$3,575.97
Rate for Payer: Aetna Medicare	$4,336.00
Rate for Payer: BCBS Complete	$1,797.93
Rate for Payer: BCN Commercial	$5,816.81
Rate for Payer: Cash Price	$6,937.60
Rate for Payer: Cash Price	$6,937.60
Rate for Payer: Mclaren Medicaid	$1,712.31
Rate for Payer: Meridian Medicaid	$1,797.93
Rate for Payer: Opus (Opus Packaging Group) HMA	$6,504.00
Rate for Payer: Priority Health Choice Medicaid	$1,712.31
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$4,890.34
Rate for Payer: Priority Health Narrow/Tiered Network	$4,890.34
Rate for Payer: UHC Medicaid	$1,712.31
Rate for Payer: UHCCP Medicaid	$1,712.31

PR CRNEC EXC CEREBELLOPNTIN ANGLE TUM MID/POSTFOSSA

Professional

Both

$8,094.00

Service Code	HCPCS 61530
Min. Negotiated Rate	$1,870.35
Max. Negotiated Rate	$6,435.30
Rate for Payer: Aetna Commercial	$3,972.92
Rate for Payer: Aetna Medicare	$4,047.00
Rate for Payer: BCBS Complete	$1,963.87
Rate for Payer: BCN Commercial	$6,435.30
Rate for Payer: Cash Price	$6,475.20
Rate for Payer: Cash Price	$6,475.20
Rate for Payer: Mclaren Medicaid	$1,870.35
Rate for Payer: Meridian Medicaid	$1,963.87
Rate for Payer: Opus (Opus Packaging Group) HMA	$6,070.50
Rate for Payer: Priority Health Choice Medicaid	$1,870.35
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$5,410.31
Rate for Payer: Priority Health Narrow/Tiered Network	$5,410.31
Rate for Payer: UHC Medicaid	$1,870.35
Rate for Payer: UHCCP Medicaid	$1,870.35

PR CRNEC EXC TUM INFRATENTOR/POST FOSSA MENINGIOMA

Professional

Both

$8,980.00

Service Code	HCPCS 61519
Min. Negotiated Rate	$1,799.85
Max. Negotiated Rate	$6,735.00
Rate for Payer: Aetna Commercial	$3,807.82
Rate for Payer: Aetna Medicare	$4,490.00
Rate for Payer: BCBS Complete	$1,889.84
Rate for Payer: BCN Commercial	$6,178.69
Rate for Payer: Cash Price	$7,184.00
Rate for Payer: Cash Price	$7,184.00
Rate for Payer: Mclaren Medicaid	$1,799.85
Rate for Payer: Meridian Medicaid	$1,889.84
Rate for Payer: Opus (Opus Packaging Group) HMA	$6,735.00
Rate for Payer: Priority Health Choice Medicaid	$1,799.85
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$5,194.57
Rate for Payer: Priority Health Narrow/Tiered Network	$5,194.57
Rate for Payer: UHC Medicaid	$1,799.85
Rate for Payer: UHCCP Medicaid	$1,799.85

PR CRNEC INFRATNTORIAL/POST FOSSA EXC BRAIN ABSCESS

Professional

Both

$6,414.00

Service Code	HCPCS 61522
Min. Negotiated Rate	$1,353.62
Max. Negotiated Rate	$4,810.50
Rate for Payer: Aetna Commercial	$2,828.40
Rate for Payer: Aetna Medicare	$3,207.00
Rate for Payer: BCBS Complete	$1,421.30
Rate for Payer: BCN Commercial	$4,601.16
Rate for Payer: Cash Price	$5,131.20
Rate for Payer: Cash Price	$5,131.20
Rate for Payer: Mclaren Medicaid	$1,353.62
Rate for Payer: Meridian Medicaid	$1,421.30
Rate for Payer: Opus (Opus Packaging Group) HMA	$4,810.50
Rate for Payer: Priority Health Choice Medicaid	$1,353.62
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$3,868.30
Rate for Payer: Priority Health Narrow/Tiered Network	$3,868.30
Rate for Payer: UHC Medicaid	$1,353.62
Rate for Payer: UHCCP Medicaid	$1,353.62

PR CRNEC INFRATNTOR/POSTFOSSA EXC/FENESTRATION CYST

Professional

Both

$7,322.00

Service Code	HCPCS 61524
Min. Negotiated Rate	$1,293.34
Max. Negotiated Rate	$5,491.50
Rate for Payer: Aetna Commercial	$2,693.85
Rate for Payer: Aetna Medicare	$3,661.00
Rate for Payer: BCBS Complete	$1,358.01
Rate for Payer: BCN Commercial	$3,174.13
Rate for Payer: Cash Price	$5,857.60
Rate for Payer: Cash Price	$5,857.60
Rate for Payer: Mclaren Medicaid	$1,293.34
Rate for Payer: Meridian Medicaid	$1,358.01
Rate for Payer: Opus (Opus Packaging Group) HMA	$5,491.50
Rate for Payer: Priority Health Choice Medicaid	$1,293.34
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$3,686.70
Rate for Payer: Priority Health Narrow/Tiered Network	$3,686.70
Rate for Payer: UHC Medicaid	$1,293.34
Rate for Payer: UHCCP Medicaid	$1,293.34

PR CRNEC SOPL EXPLORATION/DECOMPRESSION CRANIAL NRV

Professional

Both

$8,079.00

Service Code	HCPCS 61458
Min. Negotiated Rate	$1,252.23
Max. Negotiated Rate	$6,059.25
Rate for Payer: Aetna Commercial	$2,603.51
Rate for Payer: Aetna Medicare	$4,039.50
Rate for Payer: BCBS Complete	$1,314.84
Rate for Payer: BCN Commercial	$4,245.48
Rate for Payer: Cash Price	$6,463.20
Rate for Payer: Cash Price	$6,463.20
Rate for Payer: Mclaren Medicaid	$1,252.23
Rate for Payer: Meridian Medicaid	$1,314.84
Rate for Payer: Opus (Opus Packaging Group) HMA	$6,059.25
Rate for Payer: Priority Health Choice Medicaid	$1,252.23
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$3,569.27
Rate for Payer: Priority Health Narrow/Tiered Network	$3,569.27
Rate for Payer: UHC Medicaid	$1,252.23
Rate for Payer: UHCCP Medicaid	$1,252.23

PR CRNEC STPL SCTJ COMPRESSION/DCMPRN GANGLION

Professional

Both

$6,914.00

Service Code	HCPCS 61450
Min. Negotiated Rate	$1,189.82
Max. Negotiated Rate	$5,185.50
Rate for Payer: Aetna Commercial	$2,481.54
Rate for Payer: Aetna Medicare	$3,457.00
Rate for Payer: BCBS Complete	$1,249.31
Rate for Payer: BCN Commercial	$2,923.64
Rate for Payer: Cash Price	$5,531.20
Rate for Payer: Cash Price	$5,531.20
Rate for Payer: Mclaren Medicaid	$1,189.82
Rate for Payer: Meridian Medicaid	$1,249.31
Rate for Payer: Opus (Opus Packaging Group) HMA	$5,185.50
Rate for Payer: Priority Health Choice Medicaid	$1,189.82
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$3,395.75
Rate for Payer: Priority Health Narrow/Tiered Network	$3,395.75
Rate for Payer: UHC Medicaid	$1,189.82
Rate for Payer: UHCCP Medicaid	$1,189.82

PR CRNEC SUBOCCIPITAL CRV LAM DCMPRN MEDULLA & CORD

Professional

Both

$4,748.00

Service Code	HCPCS 61343
Min. Negotiated Rate	$1,347.01
Max. Negotiated Rate	$4,603.91
Rate for Payer: Aetna Commercial	$2,837.46
Rate for Payer: Aetna Medicare	$2,374.00
Rate for Payer: BCBS Complete	$1,414.36
Rate for Payer: BCN Commercial	$4,603.91
Rate for Payer: Cash Price	$3,798.40
Rate for Payer: Cash Price	$3,798.40
Rate for Payer: Mclaren Medicaid	$1,347.01
Rate for Payer: Meridian Medicaid	$1,414.36
Rate for Payer: Opus (Opus Packaging Group) HMA	$3,561.00
Rate for Payer: Priority Health Choice Medicaid	$1,347.01
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$3,870.63
Rate for Payer: Priority Health Narrow/Tiered Network	$3,870.63
Rate for Payer: UHC Medicaid	$1,347.01
Rate for Payer: UHCCP Medicaid	$1,347.01

PR CRNEC TRANSTEMPOR EXC CEREBELLOPONTINE ANGLE TUM

Professional

Both

$8,313.00

Service Code	HCPCS 61526
Min. Negotiated Rate	$1,931.48
Max. Negotiated Rate	$6,234.75
Rate for Payer: Aetna Commercial	$4,323.75
Rate for Payer: Aetna Medicare	$4,156.50
Rate for Payer: BCBS Complete	$2,028.05
Rate for Payer: BCN Commercial	$5,026.62
Rate for Payer: Cash Price	$6,650.40
Rate for Payer: Cash Price	$6,650.40
Rate for Payer: Mclaren Medicaid	$1,931.48
Rate for Payer: Meridian Medicaid	$2,028.05
Rate for Payer: Opus (Opus Packaging Group) HMA	$6,234.75
Rate for Payer: Priority Health Choice Medicaid	$1,931.48
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$5,838.33
Rate for Payer: Priority Health Narrow/Tiered Network	$5,838.33
Rate for Payer: UHC Medicaid	$1,931.48
Rate for Payer: UHCCP Medicaid	$1,931.48

PR CRNEC TREPH BONE FLAP CRNOT EXC BRAIN ABSC STTL

Professional

Both

$4,144.00

Service Code	HCPCS 61514
Min. Negotiated Rate	$1,184.49
Max. Negotiated Rate	$4,037.71
Rate for Payer: Aetna Commercial	$2,471.98
Rate for Payer: Aetna Medicare	$2,072.00
Rate for Payer: BCBS Complete	$1,243.71
Rate for Payer: BCN Commercial	$4,037.71
Rate for Payer: Cash Price	$3,315.20
Rate for Payer: Cash Price	$3,315.20
Rate for Payer: Mclaren Medicaid	$1,184.49
Rate for Payer: Meridian Medicaid	$1,243.71
Rate for Payer: Opus (Opus Packaging Group) HMA	$3,108.00
Rate for Payer: Priority Health Choice Medicaid	$1,184.49
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$3,394.61
Rate for Payer: Priority Health Narrow/Tiered Network	$3,394.61
Rate for Payer: UHC Medicaid	$1,184.49
Rate for Payer: UHCCP Medicaid	$1,184.49

PR CRNEC TREPH BONE FLAP CRNOT EXC BRAIN TUMOR STTL

Professional

Both

$4,742.00

Service Code	HCPCS 61510
Min. Negotiated Rate	$1,378.32
Max. Negotiated Rate	$4,638.31
Rate for Payer: Aetna Commercial	$2,837.36
Rate for Payer: Aetna Medicare	$2,371.00
Rate for Payer: BCBS Complete	$1,447.24
Rate for Payer: BCN Commercial	$4,638.31
Rate for Payer: Cash Price	$3,793.60
Rate for Payer: Cash Price	$3,793.60
Rate for Payer: Mclaren Medicaid	$1,378.32
Rate for Payer: Meridian Medicaid	$1,447.24
Rate for Payer: Opus (Opus Packaging Group) HMA	$3,556.50
Rate for Payer: Priority Health Choice Medicaid	$1,378.32
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$3,899.54
Rate for Payer: Priority Health Narrow/Tiered Network	$3,899.54
Rate for Payer: UHC Medicaid	$1,378.32
Rate for Payer: UHCCP Medicaid	$1,378.32

PR CRNEC TREPH BONE FLAP CRNOT EXC/FENEST CYST STTL

Professional

Both

$7,331.00

Service Code	HCPCS 61516
Min. Negotiated Rate	$1,161.92
Max. Negotiated Rate	$5,498.25
Rate for Payer: Aetna Commercial	$2,419.47
Rate for Payer: Aetna Medicare	$3,665.50
Rate for Payer: BCBS Complete	$1,220.02
Rate for Payer: BCN Commercial	$3,937.27
Rate for Payer: Cash Price	$5,864.80
Rate for Payer: Cash Price	$5,864.80
Rate for Payer: Mclaren Medicaid	$1,161.92
Rate for Payer: Meridian Medicaid	$1,220.02
Rate for Payer: Opus (Opus Packaging Group) HMA	$5,498.25
Rate for Payer: Priority Health Choice Medicaid	$1,161.92
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$3,310.16
Rate for Payer: Priority Health Narrow/Tiered Network	$3,310.16
Rate for Payer: UHC Medicaid	$1,161.92
Rate for Payer: UHCCP Medicaid	$1,161.92

PR CRNEC TREPH BONE FLAP CRNOT EXC MENINGIOMA STTL

Professional

Both

$5,547.00

Service Code	HCPCS 61512
Min. Negotiated Rate	$1,571.09
Max. Negotiated Rate	$5,360.68
Rate for Payer: Aetna Commercial	$3,299.75
Rate for Payer: Aetna Medicare	$2,773.50
Rate for Payer: BCBS Complete	$1,649.64
Rate for Payer: BCN Commercial	$5,360.68
Rate for Payer: Cash Price	$4,437.60
Rate for Payer: Cash Price	$4,437.60
Rate for Payer: Mclaren Medicaid	$1,571.09
Rate for Payer: Meridian Medicaid	$1,649.64
Rate for Payer: Opus (Opus Packaging Group) HMA	$4,160.25
Rate for Payer: Priority Health Choice Medicaid	$1,571.09
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$4,506.86
Rate for Payer: Priority Health Narrow/Tiered Network	$4,506.86
Rate for Payer: UHC Medicaid	$1,571.09
Rate for Payer: UHCCP Medicaid	$1,571.09

PR CRNEC TUM INFRATTL/PFOSSA MIDLINE TUM BASE SKULL

Professional

Both

$10,749.00

Service Code	HCPCS 61521
Min. Negotiated Rate	$1,919.98
Max. Negotiated Rate	$8,061.75
Rate for Payer: Aetna Commercial	$4,087.42
Rate for Payer: Aetna Medicare	$5,374.50
Rate for Payer: BCBS Complete	$2,015.98
Rate for Payer: BCN Commercial	$6,634.12
Rate for Payer: Cash Price	$8,599.20
Rate for Payer: Cash Price	$8,599.20
Rate for Payer: Mclaren Medicaid	$1,919.98
Rate for Payer: Meridian Medicaid	$2,015.98
Rate for Payer: Opus (Opus Packaging Group) HMA	$8,061.75
Rate for Payer: Priority Health Choice Medicaid	$1,919.98
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$5,577.46
Rate for Payer: Priority Health Narrow/Tiered Network	$5,577.46
Rate for Payer: UHC Medicaid	$1,919.98
Rate for Payer: UHCCP Medicaid	$1,919.98

PR CRNEC TUM INFRATTL/POSTFOSSA CRBLOPNT ANGLE TUM

Professional

Both

$8,989.00

Service Code	HCPCS 61520
Min. Negotiated Rate	$2,231.39
Max. Negotiated Rate	$7,785.79
Rate for Payer: Aetna Commercial	$4,834.96
Rate for Payer: Aetna Medicare	$4,494.50
Rate for Payer: BCBS Complete	$2,342.96
Rate for Payer: BCN Commercial	$7,785.79
Rate for Payer: Cash Price	$7,191.20
Rate for Payer: Cash Price	$7,191.20
Rate for Payer: Mclaren Medicaid	$2,231.39
Rate for Payer: Meridian Medicaid	$2,342.96
Rate for Payer: Opus (Opus Packaging Group) HMA	$6,741.75
Rate for Payer: Priority Health Choice Medicaid	$2,231.39
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$6,545.70
Rate for Payer: Priority Health Narrow/Tiered Network	$6,545.70
Rate for Payer: UHC Medicaid	$2,231.39
Rate for Payer: UHCCP Medicaid	$2,231.39

PR CRTJ ARVEN FSTL XCP DIR ARVEN ANAST AUTOG GRF

Professional

Both

$2,850.00

Service Code	HCPCS 36825
Min. Negotiated Rate	$459.87
Max. Negotiated Rate	$2,137.50
Rate for Payer: Aetna Commercial	$1,067.63
Rate for Payer: Aetna Medicare	$1,425.00
Rate for Payer: BCBS Complete	$482.86
Rate for Payer: BCN Commercial	$1,160.79
Rate for Payer: Cash Price	$2,280.00
Rate for Payer: Cash Price	$2,280.00
Rate for Payer: Mclaren Medicaid	$459.87
Rate for Payer: Meridian Medicaid	$482.86
Rate for Payer: Opus (Opus Packaging Group) HMA	$2,137.50
Rate for Payer: Priority Health Choice Medicaid	$459.87
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$1,248.29
Rate for Payer: Priority Health Narrow/Tiered Network	$1,248.29
Rate for Payer: UHC Medicaid	$459.87
Rate for Payer: UHCCP Medicaid	$459.87

PR CRTJ ARVEN FSTL XCP DIR ARVEN ANAST NONAUTOG GRF

Professional

Both

$1,421.00

Service Code	HCPCS 36830
Min. Negotiated Rate	$387.23
Max. Negotiated Rate	$1,065.75
Rate for Payer: Aetna Commercial	$894.72
Rate for Payer: Aetna Medicare	$710.50
Rate for Payer: BCBS Complete	$406.59
Rate for Payer: BCN Commercial	$977.53
Rate for Payer: Cash Price	$1,136.80
Rate for Payer: Cash Price	$1,136.80
Rate for Payer: Mclaren Medicaid	$387.23
Rate for Payer: Meridian Medicaid	$406.59
Rate for Payer: Opus (Opus Packaging Group) HMA	$1,065.75
Rate for Payer: Priority Health Choice Medicaid	$387.23
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$1,051.21
Rate for Payer: Priority Health Narrow/Tiered Network	$1,051.21
Rate for Payer: UHC Medicaid	$387.23
Rate for Payer: UHCCP Medicaid	$387.23

Know your out-of-pocket cost for care.

All Charges