Bronson Lakeview Hospital

All Charges

Charge

Type

Setting

Price

PR TEAEC W/GRAFT POPLITEAL ARTERY

Professional

Both

$2,459.00

Service Code	HCPCS 35303
Min. Negotiated Rate	$710.14
Max. Negotiated Rate	$1,924.64
Rate for Payer: Aetna Commercial	$1,662.68
Rate for Payer: Aetna Medicare	$1,229.50
Rate for Payer: BCBS Complete	$745.65
Rate for Payer: BCN Commercial	$1,789.74
Rate for Payer: Cash Price	$1,967.20
Rate for Payer: Cash Price	$1,967.20
Rate for Payer: Mclaren Medicaid	$710.14
Rate for Payer: Meridian Medicaid	$745.65
Rate for Payer: Opus (Opus Packaging Group) HMA	$1,844.25
Rate for Payer: Priority Health Choice Medicaid	$710.14
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$1,924.64
Rate for Payer: Priority Health Narrow/Tiered Network	$1,924.64
Rate for Payer: UHC Medicaid	$710.14
Rate for Payer: UHCCP Medicaid	$710.14

PR TEAEC W/GRAFT SUPERFICIAL FEMORAL ARTERY

Professional

Both

$2,258.00

Service Code	HCPCS 35302
Min. Negotiated Rate	$645.60
Max. Negotiated Rate	$1,751.66
Rate for Payer: Aetna Commercial	$1,506.99
Rate for Payer: Aetna Medicare	$1,129.00
Rate for Payer: BCBS Complete	$677.88
Rate for Payer: BCN Commercial	$1,628.89
Rate for Payer: Cash Price	$1,806.40
Rate for Payer: Cash Price	$1,806.40
Rate for Payer: Mclaren Medicaid	$645.60
Rate for Payer: Meridian Medicaid	$677.88
Rate for Payer: Opus (Opus Packaging Group) HMA	$1,693.50
Rate for Payer: Priority Health Choice Medicaid	$645.60
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$1,751.66
Rate for Payer: Priority Health Narrow/Tiered Network	$1,751.66
Rate for Payer: UHC Medicaid	$645.60
Rate for Payer: UHCCP Medicaid	$645.60

PR TEAEC W/GRAFT TIBIAL/PERONEAL ART 1ST VESSEL

Professional

Both

$2,483.00

Service Code	HCPCS 35305
Min. Negotiated Rate	$702.05
Max. Negotiated Rate	$1,919.29
Rate for Payer: Aetna Commercial	$1,655.42
Rate for Payer: Aetna Medicare	$1,241.50
Rate for Payer: BCBS Complete	$737.15
Rate for Payer: BCN Commercial	$1,784.77
Rate for Payer: Cash Price	$1,986.40
Rate for Payer: Cash Price	$1,986.40
Rate for Payer: Mclaren Medicaid	$702.05
Rate for Payer: Meridian Medicaid	$737.15
Rate for Payer: Opus (Opus Packaging Group) HMA	$1,862.25
Rate for Payer: Priority Health Choice Medicaid	$702.05
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$1,919.29
Rate for Payer: Priority Health Narrow/Tiered Network	$1,919.29
Rate for Payer: UHC Medicaid	$702.05
Rate for Payer: UHCCP Medicaid	$702.05

PR TEAEC W/GRAFT TIBIOPERONEAL TRUNK ARTERY

Professional

Both

$2,584.00

Service Code	HCPCS 35304
Min. Negotiated Rate	$736.98
Max. Negotiated Rate	$2,000.15
Rate for Payer: Aetna Commercial	$1,711.17
Rate for Payer: Aetna Medicare	$1,292.00
Rate for Payer: BCBS Complete	$773.83
Rate for Payer: BCN Commercial	$1,859.96
Rate for Payer: Cash Price	$2,067.20
Rate for Payer: Cash Price	$2,067.20
Rate for Payer: Mclaren Medicaid	$736.98
Rate for Payer: Meridian Medicaid	$773.83
Rate for Payer: Opus (Opus Packaging Group) HMA	$1,938.00
Rate for Payer: Priority Health Choice Medicaid	$736.98
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$2,000.15
Rate for Payer: Priority Health Narrow/Tiered Network	$2,000.15
Rate for Payer: UHC Medicaid	$736.98
Rate for Payer: UHCCP Medicaid	$736.98

PR TEAEC W/PATCH GRF CAROTID VERTB SUBCLAV NECK INC

Professional

Both

$3,809.00

Service Code	HCPCS 35301
Min. Negotiated Rate	$654.12
Max. Negotiated Rate	$2,856.75
Rate for Payer: Aetna Commercial	$1,520.42
Rate for Payer: Aetna Medicare	$1,904.50
Rate for Payer: BCBS Complete	$686.83
Rate for Payer: BCN Commercial	$1,649.31
Rate for Payer: Cash Price	$3,047.20
Rate for Payer: Cash Price	$3,047.20
Rate for Payer: Mclaren Medicaid	$654.12
Rate for Payer: Meridian Medicaid	$686.83
Rate for Payer: Opus (Opus Packaging Group) HMA	$2,856.75
Rate for Payer: Priority Health Choice Medicaid	$654.12
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$1,773.63
Rate for Payer: Priority Health Narrow/Tiered Network	$1,773.63
Rate for Payer: UHC Medicaid	$654.12
Rate for Payer: UHCCP Medicaid	$654.12

PR TEAEC W/WO PATCH GRAFT ABDOMINAL AORTA

Professional

Both

$4,876.00

Service Code	HCPCS 35331
Min. Negotiated Rate	$810.47
Max. Negotiated Rate	$3,657.00
Rate for Payer: Aetna Commercial	$1,949.74
Rate for Payer: Aetna Medicare	$2,438.00
Rate for Payer: BCBS Complete	$850.99
Rate for Payer: BCN Commercial	$2,113.93
Rate for Payer: Cash Price	$3,900.80
Rate for Payer: Cash Price	$3,900.80
Rate for Payer: Mclaren Medicaid	$810.47
Rate for Payer: Meridian Medicaid	$850.99
Rate for Payer: Opus (Opus Packaging Group) HMA	$3,657.00
Rate for Payer: Priority Health Choice Medicaid	$810.47
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$2,273.27
Rate for Payer: Priority Health Narrow/Tiered Network	$2,273.27
Rate for Payer: UHC Medicaid	$810.47
Rate for Payer: UHCCP Medicaid	$810.47

PR TEAEC W/WO PATCH GRAFT COMBINED AORTOILIOFEMORAL

Professional

Both

$3,441.00

Service Code	HCPCS 35363
Min. Negotiated Rate	$941.25
Max. Negotiated Rate	$2,580.75
Rate for Payer: Aetna Commercial	$2,184.46
Rate for Payer: Aetna Medicare	$1,720.50
Rate for Payer: BCBS Complete	$988.31
Rate for Payer: BCN Commercial	$2,373.87
Rate for Payer: Cash Price	$2,752.80
Rate for Payer: Cash Price	$2,752.80
Rate for Payer: Mclaren Medicaid	$941.25
Rate for Payer: Meridian Medicaid	$988.31
Rate for Payer: Opus (Opus Packaging Group) HMA	$2,580.75
Rate for Payer: Priority Health Choice Medicaid	$941.25
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$2,552.81
Rate for Payer: Priority Health Narrow/Tiered Network	$2,552.81
Rate for Payer: UHC Medicaid	$941.25
Rate for Payer: UHCCP Medicaid	$941.25

PR TEAEC W/WO PATCH GRAFT COMMON FEMORAL

Professional

Both

$1,804.00

Service Code	HCPCS 35371
Min. Negotiated Rate	$471.80
Max. Negotiated Rate	$1,353.00
Rate for Payer: Aetna Commercial	$1,096.85
Rate for Payer: Aetna Medicare	$902.00
Rate for Payer: BCBS Complete	$495.39
Rate for Payer: BCN Commercial	$1,189.68
Rate for Payer: Cash Price	$1,443.20
Rate for Payer: Cash Price	$1,443.20
Rate for Payer: Mclaren Medicaid	$471.80
Rate for Payer: Meridian Medicaid	$495.39
Rate for Payer: Opus (Opus Packaging Group) HMA	$1,353.00
Rate for Payer: Priority Health Choice Medicaid	$471.80
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$1,279.35
Rate for Payer: Priority Health Narrow/Tiered Network	$1,279.35
Rate for Payer: UHC Medicaid	$471.80
Rate for Payer: UHCCP Medicaid	$471.80

PR TEAEC W/WO PATCH GRAFT DEEP PROFUNDA FEMORAL

Professional

Both

$3,886.00

Service Code	HCPCS 35372
Min. Negotiated Rate	$564.66
Max. Negotiated Rate	$2,914.50
Rate for Payer: Aetna Commercial	$1,311.71
Rate for Payer: Aetna Medicare	$1,943.00
Rate for Payer: BCBS Complete	$592.89
Rate for Payer: BCN Commercial	$1,423.72
Rate for Payer: Cash Price	$3,108.80
Rate for Payer: Cash Price	$3,108.80
Rate for Payer: Mclaren Medicaid	$564.66
Rate for Payer: Meridian Medicaid	$592.89
Rate for Payer: Opus (Opus Packaging Group) HMA	$2,914.50
Rate for Payer: Priority Health Choice Medicaid	$564.66
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$1,531.04
Rate for Payer: Priority Health Narrow/Tiered Network	$1,531.04
Rate for Payer: UHC Medicaid	$564.66
Rate for Payer: UHCCP Medicaid	$564.66

PR TEAEC W/WO PATCH GRAFT ILIAC

Professional

Both

$2,604.00

Service Code	HCPCS 35351
Min. Negotiated Rate	$745.93
Max. Negotiated Rate	$2,021.57
Rate for Payer: Aetna Commercial	$1,728.25
Rate for Payer: Aetna Medicare	$1,302.00
Rate for Payer: BCBS Complete	$783.23
Rate for Payer: BCN Commercial	$1,879.88
Rate for Payer: Cash Price	$2,083.20
Rate for Payer: Cash Price	$2,083.20
Rate for Payer: Mclaren Medicaid	$745.93
Rate for Payer: Meridian Medicaid	$783.23
Rate for Payer: Opus (Opus Packaging Group) HMA	$1,953.00
Rate for Payer: Priority Health Choice Medicaid	$745.93
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$2,021.57
Rate for Payer: Priority Health Narrow/Tiered Network	$2,021.57
Rate for Payer: UHC Medicaid	$745.93
Rate for Payer: UHCCP Medicaid	$745.93

PR TEAEC W/WO PATCH GRAFT ILIOFEMORAL

Professional

Both

$2,115.00

Service Code	HCPCS 35355
Min. Negotiated Rate	$594.70
Max. Negotiated Rate	$1,614.58
Rate for Payer: Aetna Commercial	$1,386.40
Rate for Payer: Aetna Medicare	$1,057.50
Rate for Payer: BCBS Complete	$624.43
Rate for Payer: BCN Commercial	$1,501.41
Rate for Payer: Cash Price	$1,692.00
Rate for Payer: Cash Price	$1,692.00
Rate for Payer: Mclaren Medicaid	$594.70
Rate for Payer: Meridian Medicaid	$624.43
Rate for Payer: Opus (Opus Packaging Group) HMA	$1,586.25
Rate for Payer: Priority Health Choice Medicaid	$594.70
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$1,614.58
Rate for Payer: Priority Health Narrow/Tiered Network	$1,614.58
Rate for Payer: UHC Medicaid	$594.70
Rate for Payer: UHCCP Medicaid	$594.70

PR TEAEC W/WO PATCH GRAFT MESENTERIC CELIAC/RENAL

Professional

Both

$4,643.00

Service Code	HCPCS 35341
Min. Negotiated Rate	$793.21
Max. Negotiated Rate	$3,482.25
Rate for Payer: Aetna Commercial	$1,840.86
Rate for Payer: Aetna Medicare	$2,321.50
Rate for Payer: BCBS Complete	$832.87
Rate for Payer: BCN Commercial	$2,009.85
Rate for Payer: Cash Price	$3,714.40
Rate for Payer: Cash Price	$3,714.40
Rate for Payer: Mclaren Medicaid	$793.21
Rate for Payer: Meridian Medicaid	$832.87
Rate for Payer: Opus (Opus Packaging Group) HMA	$3,482.25
Rate for Payer: Priority Health Choice Medicaid	$793.21
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$2,161.33
Rate for Payer: Priority Health Narrow/Tiered Network	$2,161.33
Rate for Payer: UHC Medicaid	$793.21
Rate for Payer: UHCCP Medicaid	$793.21

PR TEAEC W/WO PATCH GRF AXILLARY-BRACHIAL

Professional

Both

$3,971.00

Service Code	HCPCS 35321
Min. Negotiated Rate	$526.75
Max. Negotiated Rate	$2,978.25
Rate for Payer: Aetna Commercial	$1,199.86
Rate for Payer: Aetna Medicare	$1,985.50
Rate for Payer: BCBS Complete	$553.09
Rate for Payer: BCN Commercial	$1,329.11
Rate for Payer: Cash Price	$3,176.80
Rate for Payer: Cash Price	$3,176.80
Rate for Payer: Mclaren Medicaid	$526.75
Rate for Payer: Meridian Medicaid	$553.09
Rate for Payer: Opus (Opus Packaging Group) HMA	$2,978.25
Rate for Payer: Priority Health Choice Medicaid	$526.75
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$1,429.29
Rate for Payer: Priority Health Narrow/Tiered Network	$1,429.29
Rate for Payer: UHC Medicaid	$526.75
Rate for Payer: UHCCP Medicaid	$526.75

PR TEAEC W/WO PATCH GRF SUBCLAV INNOM THORACIC INC

Professional

Both

$2,931.00

Service Code	HCPCS 35311
Min. Negotiated Rate	$932.30
Max. Negotiated Rate	$2,448.37
Rate for Payer: Aetna Commercial	$2,093.18
Rate for Payer: Aetna Medicare	$1,465.50
Rate for Payer: BCBS Complete	$978.91
Rate for Payer: BCN Commercial	$2,276.77
Rate for Payer: Cash Price	$2,344.80
Rate for Payer: Cash Price	$2,344.80
Rate for Payer: Mclaren Medicaid	$932.30
Rate for Payer: Meridian Medicaid	$978.91
Rate for Payer: Opus (Opus Packaging Group) HMA	$2,198.25
Rate for Payer: Priority Health Choice Medicaid	$932.30
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$2,448.37
Rate for Payer: Priority Health Narrow/Tiered Network	$2,448.37
Rate for Payer: UHC Medicaid	$932.30
Rate for Payer: UHCCP Medicaid	$932.30

PR TEAM CONFERENCE FACE-TO-FACE NONPHYSICIAN

Professional

Both

$97.00

Service Code	HCPCS 99366
Min. Negotiated Rate	$38.80
Max. Negotiated Rate	$72.75
Rate for Payer: Aetna Commercial	$41.24
Rate for Payer: Aetna Medicare	$48.50
Rate for Payer: BCBS Complete	$38.80
Rate for Payer: BCN Commercial	$58.76
Rate for Payer: Cash Price	$77.60
Rate for Payer: Cash Price	$77.60
Rate for Payer: Opus (Opus Packaging Group) HMA	$72.75
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$52.86
Rate for Payer: Priority Health Narrow/Tiered Network	$52.86

PR TEAM CONFERENCE NON-FACE-TO-FACE NONPHYSICIAN

Professional

Both

$61.00

Service Code	HCPCS 99368
Min. Negotiated Rate	$24.40
Max. Negotiated Rate	$51.79
Rate for Payer: Aetna Commercial	$36.09
Rate for Payer: Aetna Medicare	$30.50
Rate for Payer: BCBS Complete	$24.40
Rate for Payer: BCN Commercial	$51.79
Rate for Payer: Cash Price	$48.80
Rate for Payer: Cash Price	$48.80
Rate for Payer: Opus (Opus Packaging Group) HMA	$45.75
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$46.59
Rate for Payer: Priority Health Narrow/Tiered Network	$46.59

PR TEAM CONFERENCE NON-FACE-TO-FACE PHYSICIAN

Professional

Both

$158.00

Service Code	HCPCS 99367
Min. Negotiated Rate	$55.68
Max. Negotiated Rate	$146.64
Rate for Payer: Aetna Commercial	$55.68
Rate for Payer: Aetna Medicare	$79.00
Rate for Payer: BCBS Complete	$63.20
Rate for Payer: BCN Commercial	$146.64
Rate for Payer: Cash Price	$126.40
Rate for Payer: Cash Price	$126.40
Rate for Payer: Opus (Opus Packaging Group) HMA	$118.50
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$71.22
Rate for Payer: Priority Health Narrow/Tiered Network	$71.22

PR TELEPHONE ASSMT&MGMT SVC NQHP EST PT 11-20 MIN

Professional

Both

$58.00

Service Code	HCPCS 98967
Min. Negotiated Rate	$23.20
Max. Negotiated Rate	$43.50
Rate for Payer: Aetna Commercial	$27.83
Rate for Payer: Aetna Medicare	$29.00
Rate for Payer: BCBS Complete	$23.20
Rate for Payer: BCN Commercial	$26.84
Rate for Payer: Cash Price	$46.40
Rate for Payer: Cash Price	$46.40
Rate for Payer: Opus (Opus Packaging Group) HMA	$43.50
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$31.23
Rate for Payer: Priority Health Narrow/Tiered Network	$31.23

PR TELEPHONE ASSMT&MGMT SVC NQHP EST PT 21-30 MIN

Professional

Both

$84.00

Service Code	HCPCS 98968
Min. Negotiated Rate	$33.60
Max. Negotiated Rate	$63.00
Rate for Payer: Aetna Commercial	$41.55
Rate for Payer: Aetna Medicare	$42.00
Rate for Payer: BCBS Complete	$33.60
Rate for Payer: BCN Commercial	$40.84
Rate for Payer: Cash Price	$67.20
Rate for Payer: Cash Price	$67.20
Rate for Payer: Opus (Opus Packaging Group) HMA	$63.00
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$43.63
Rate for Payer: Priority Health Narrow/Tiered Network	$43.63

PR TELEPHONE ASSMT&MGMT SVC NQHP EST PT 5-10 MIN

Professional

Both

$30.00

Service Code	HCPCS 98966
Min. Negotiated Rate	$12.00
Max. Negotiated Rate	$22.50
Rate for Payer: Aetna Commercial	$14.10
Rate for Payer: Aetna Medicare	$15.00
Rate for Payer: BCBS Complete	$12.00
Rate for Payer: BCN Commercial	$13.24
Rate for Payer: Cash Price	$24.00
Rate for Payer: Cash Price	$24.00
Rate for Payer: Opus (Opus Packaging Group) HMA	$22.50
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$16.07
Rate for Payer: Priority Health Narrow/Tiered Network	$16.07

PR TEMPORARY CLOSURE EYELIDS SUTURE

Professional

Both

$392.00

Service Code	HCPCS 67875
Min. Negotiated Rate	$124.95
Max. Negotiated Rate	$294.00
Rate for Payer: Aetna Commercial	$124.95
Rate for Payer: Aetna Medicare	$196.00
Rate for Payer: BCBS Complete	$156.80
Rate for Payer: BCN Commercial	$142.42
Rate for Payer: Cash Price	$313.60
Rate for Payer: Cash Price	$313.60
Rate for Payer: Opus (Opus Packaging Group) HMA	$294.00
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$166.82
Rate for Payer: Priority Health Narrow/Tiered Network	$166.82

PR TENDON GRAFT FROM A DISTANCE

Professional

Both

$1,146.00

Service Code	HCPCS 20924
Min. Negotiated Rate	$299.69
Max. Negotiated Rate	$859.50
Rate for Payer: Aetna Commercial	$672.54
Rate for Payer: Aetna Medicare	$573.00
Rate for Payer: BCBS Complete	$314.67
Rate for Payer: BCN Commercial	$770.87
Rate for Payer: Cash Price	$916.80
Rate for Payer: Cash Price	$916.80
Rate for Payer: Mclaren Medicaid	$299.69
Rate for Payer: Meridian Medicaid	$314.67
Rate for Payer: Opus (Opus Packaging Group) HMA	$859.50
Rate for Payer: Priority Health Choice Medicaid	$299.69
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$824.04
Rate for Payer: Priority Health Narrow/Tiered Network	$824.04
Rate for Payer: UHC Medicaid	$299.69
Rate for Payer: UHCCP Medicaid	$299.69

PR TENDON LENGTHENING UPPER ARM/ELBOW EA TENDON

Professional

Both

$1,060.00

Service Code	HCPCS 24305
Min. Negotiated Rate	$344.85
Max. Negotiated Rate	$952.86
Rate for Payer: Aetna Commercial	$772.36
Rate for Payer: Aetna Medicare	$530.00
Rate for Payer: BCBS Complete	$362.09
Rate for Payer: BCN Commercial	$891.38
Rate for Payer: Cash Price	$848.00
Rate for Payer: Cash Price	$848.00
Rate for Payer: Mclaren Medicaid	$344.85
Rate for Payer: Meridian Medicaid	$362.09
Rate for Payer: Opus (Opus Packaging Group) HMA	$795.00
Rate for Payer: Priority Health Choice Medicaid	$344.85
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$952.86
Rate for Payer: Priority Health Narrow/Tiered Network	$952.86
Rate for Payer: UHC Medicaid	$344.85
Rate for Payer: UHCCP Medicaid	$344.85

PR TENDON SHEATH INCISION

Facility

$1,215.00

Service Code	CPT 26055
Hospital Charge Code	26055
Hospital Revenue Code	960
Min. Negotiated Rate	$845.64
Max. Negotiated Rate	$1,093.50
Rate for Payer: Aetna Commercial	$1,032.75
Rate for Payer: BCBS Trust/PPO	$1,003.47
Rate for Payer: BCN Commercial	$1,003.47
Rate for Payer: Cash Price	$972.00
Rate for Payer: Cofinity Commercial	$1,044.90
Rate for Payer: Encore Health Key Benefits Commercial	$972.00
Rate for Payer: Healthscope Commercial	$1,093.50
Rate for Payer: Lakeland Regional Health Systems Commercial	$911.25
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,032.75
Rate for Payer: Nomi Health Commercial	$996.30
Rate for Payer: Opus (Opus Packaging Group) HMA	$911.25
Rate for Payer: PHP Commercial	$1,032.75
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$1,057.05
Rate for Payer: Priority Health Narrow/Tiered Network	$845.64
Rate for Payer: UHC Core	$1,014.52
Rate for Payer: Van Buren County Sheriff Dept. Commercial	$911.25

PR TENDON SHEATH INCISION

Facility

$1,215.00

Service Code	CPT 26055
Hospital Charge Code	26055
Hospital Revenue Code	960
Min. Negotiated Rate	$214.20
Max. Negotiated Rate	$1,093.50
Rate for Payer: Aetna Commercial	$1,032.75
Rate for Payer: Aetna Medicare	$315.90
Rate for Payer: Allen County Amish Medical Aid Commercial	$379.69
Rate for Payer: Amish Plain Church Group Commercial	$379.69
Rate for Payer: BCBS Complete	$224.90
Rate for Payer: BCBS MAPPO	$303.75
Rate for Payer: BCBS Trust/PPO	$998.85
Rate for Payer: BCN Commercial	$998.85
Rate for Payer: BCN Medicare Advantage	$303.75
Rate for Payer: Cash Price	$972.00
Rate for Payer: Cofinity Commercial	$1,044.90
Rate for Payer: Encore Health Key Benefits Commercial	$972.00
Rate for Payer: Health Alliance Plan Medicare Advantage	$303.75
Rate for Payer: Healthscope Commercial	$1,093.50
Rate for Payer: Lakeland Regional Health Systems Commercial	$911.25
Rate for Payer: Mclaren Medicaid	$214.20
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$318.94
Rate for Payer: Meridian Medicaid	$224.90
Rate for Payer: MI Amish Medical Board Commercial	$349.31
Rate for Payer: Molina Medicare/Medicaid	$334.12
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,032.75
Rate for Payer: Nomi Health Commercial	$996.30
Rate for Payer: Opus (Opus Packaging Group) HMA	$911.25
Rate for Payer: PACE Senior Care Partners	$288.56
Rate for Payer: PACE SWMI	$303.75
Rate for Payer: PHP Commercial	$1,032.75
Rate for Payer: PHP Medicare Advantage	$303.75
Rate for Payer: Priority Health Choice Medicaid	$214.20
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$1,057.05
Rate for Payer: Priority Health Medicare	$306.79
Rate for Payer: Priority Health Narrow/Tiered Network	$845.64
Rate for Payer: Railroad Medicare Medicare	$303.75
Rate for Payer: UHC Core	$1,014.52
Rate for Payer: UHC Exchange	$303.75
Rate for Payer: UHC Medicaid	$214.20
Rate for Payer: UHC Medicare Advantage	$303.75
Rate for Payer: UHCCP Medicaid	$214.20
Rate for Payer: VA VA	$303.75
Rate for Payer: Van Buren County Sheriff Dept. Commercial	$911.25

Know your out-of-pocket cost for care.

All Charges