Bronson Lakeview Hospital

All Charges

Charge

Type

Setting

Price

PR THORACOSCOPY W/PLEURODESIS

Professional

Both

$3,259.00

Service Code	HCPCS 32650
Min. Negotiated Rate	$414.71
Max. Negotiated Rate	$2,444.25
Rate for Payer: Aetna Commercial	$857.42
Rate for Payer: Aetna Medicare	$1,629.50
Rate for Payer: BCBS Complete	$435.45
Rate for Payer: BCN Commercial	$994.96
Rate for Payer: Cash Price	$2,607.20
Rate for Payer: Cash Price	$2,607.20
Rate for Payer: Mclaren Medicaid	$414.71
Rate for Payer: Meridian Medicaid	$435.45
Rate for Payer: Opus (Opus Packaging Group) HMA	$2,444.25
Rate for Payer: Priority Health Choice Medicaid	$414.71
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$936.96
Rate for Payer: Priority Health Narrow/Tiered Network	$936.96
Rate for Payer: UHC Medicaid	$414.71
Rate for Payer: UHCCP Medicaid	$414.71

PR THORACOSCOPY W/PNEUMONECTOMY

Professional

Both

$7,383.00

Service Code	HCPCS 32671
Min. Negotiated Rate	$1,058.61
Max. Negotiated Rate	$5,537.25
Rate for Payer: Aetna Commercial	$2,293.26
Rate for Payer: Aetna Medicare	$3,691.50
Rate for Payer: BCBS Complete	$1,111.54
Rate for Payer: BCN Commercial	$2,609.92
Rate for Payer: Cash Price	$5,906.40
Rate for Payer: Cash Price	$5,906.40
Rate for Payer: Mclaren Medicaid	$1,058.61
Rate for Payer: Meridian Medicaid	$1,111.54
Rate for Payer: Opus (Opus Packaging Group) HMA	$5,537.25
Rate for Payer: Priority Health Choice Medicaid	$1,058.61
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$2,457.77
Rate for Payer: Priority Health Narrow/Tiered Network	$2,457.77
Rate for Payer: UHC Medicaid	$1,058.61
Rate for Payer: UHCCP Medicaid	$1,058.61

PR THORACOSCOPY W/RESECTION BULLAE W/WO PLEURAL PX

Professional

Both

$3,518.00

Service Code	HCPCS 32655
Min. Negotiated Rate	$584.05
Max. Negotiated Rate	$2,638.50
Rate for Payer: Aetna Commercial	$1,233.44
Rate for Payer: Aetna Medicare	$1,759.00
Rate for Payer: BCBS Complete	$613.25
Rate for Payer: BCN Commercial	$1,418.75
Rate for Payer: Cash Price	$2,814.40
Rate for Payer: Cash Price	$2,814.40
Rate for Payer: Mclaren Medicaid	$584.05
Rate for Payer: Meridian Medicaid	$613.25
Rate for Payer: Opus (Opus Packaging Group) HMA	$2,638.50
Rate for Payer: Priority Health Choice Medicaid	$584.05
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$1,336.04
Rate for Payer: Priority Health Narrow/Tiered Network	$1,336.04
Rate for Payer: UHC Medicaid	$584.05
Rate for Payer: UHCCP Medicaid	$584.05

PR THORACOSCOPY W/RESEXN-PLICAJ EMPHYSEMA LUNG UNIL

Professional

Both

$6,314.00

Service Code	HCPCS 32672
Min. Negotiated Rate	$910.15
Max. Negotiated Rate	$4,735.50
Rate for Payer: Aetna Commercial	$1,968.31
Rate for Payer: Aetna Medicare	$3,157.00
Rate for Payer: BCBS Complete	$955.66
Rate for Payer: BCN Commercial	$2,237.43
Rate for Payer: Cash Price	$5,051.20
Rate for Payer: Cash Price	$5,051.20
Rate for Payer: Mclaren Medicaid	$910.15
Rate for Payer: Meridian Medicaid	$955.66
Rate for Payer: Opus (Opus Packaging Group) HMA	$4,735.50
Rate for Payer: Priority Health Choice Medicaid	$910.15
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$2,107.00
Rate for Payer: Priority Health Narrow/Tiered Network	$2,107.00
Rate for Payer: UHC Medicaid	$910.15
Rate for Payer: UHCCP Medicaid	$910.15

PR THORACOSCOPY W/RMVL CLOT/FB FROM PERICARDIAL SAC

Professional

Both

$2,904.00

Service Code	HCPCS 32658
Min. Negotiated Rate	$443.47
Max. Negotiated Rate	$2,178.00
Rate for Payer: Aetna Commercial	$919.24
Rate for Payer: Aetna Medicare	$1,452.00
Rate for Payer: BCBS Complete	$465.64
Rate for Payer: BCN Commercial	$1,063.68
Rate for Payer: Cash Price	$2,323.20
Rate for Payer: Cash Price	$2,323.20
Rate for Payer: Mclaren Medicaid	$443.47
Rate for Payer: Meridian Medicaid	$465.64
Rate for Payer: Opus (Opus Packaging Group) HMA	$2,178.00
Rate for Payer: Priority Health Choice Medicaid	$443.47
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$1,001.68
Rate for Payer: Priority Health Narrow/Tiered Network	$1,001.68
Rate for Payer: UHC Medicaid	$443.47
Rate for Payer: UHCCP Medicaid	$443.47

PR THORACOSCOPY W/SEGMENTECTOMY

Professional

Both

$2,357.00

Service Code	HCPCS 32669
Min. Negotiated Rate	$808.34
Max. Negotiated Rate	$1,981.97
Rate for Payer: Aetna Commercial	$1,733.64
Rate for Payer: Aetna Medicare	$1,178.50
Rate for Payer: BCBS Complete	$848.76
Rate for Payer: BCN Commercial	$1,981.97
Rate for Payer: Cash Price	$1,885.60
Rate for Payer: Cash Price	$1,885.60
Rate for Payer: Mclaren Medicaid	$808.34
Rate for Payer: Meridian Medicaid	$848.76
Rate for Payer: Opus (Opus Packaging Group) HMA	$1,767.75
Rate for Payer: Priority Health Choice Medicaid	$808.34
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$1,866.42
Rate for Payer: Priority Health Narrow/Tiered Network	$1,866.42
Rate for Payer: UHC Medicaid	$808.34
Rate for Payer: UHCCP Medicaid	$808.34

PR THORACOSCOPY W/THERA WEDGE RESEXN ADDL IPSILATRL

Professional

Both

$3,618.00

Service Code	HCPCS 32667
Min. Negotiated Rate	$90.31
Max. Negotiated Rate	$2,713.50
Rate for Payer: Aetna Commercial	$203.09
Rate for Payer: Aetna Medicare	$1,809.00
Rate for Payer: BCBS Complete	$94.83
Rate for Payer: BCN Commercial	$228.07
Rate for Payer: Cash Price	$2,894.40
Rate for Payer: Cash Price	$2,894.40
Rate for Payer: Mclaren Medicaid	$90.31
Rate for Payer: Meridian Medicaid	$94.83
Rate for Payer: Opus (Opus Packaging Group) HMA	$2,713.50
Rate for Payer: Priority Health Choice Medicaid	$90.31
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$214.78
Rate for Payer: Priority Health Narrow/Tiered Network	$214.78
Rate for Payer: UHC Medicaid	$90.31
Rate for Payer: UHCCP Medicaid	$90.31

PR THORACOSCOPY W/THERA WEDGE RESEXN INITIAL UNILAT

Professional

Both

$1,861.00

Service Code	HCPCS 32666
Min. Negotiated Rate	$535.06
Max. Negotiated Rate	$1,395.75
Rate for Payer: Aetna Commercial	$1,120.53
Rate for Payer: Aetna Medicare	$930.50
Rate for Payer: BCBS Complete	$561.81
Rate for Payer: BCN Commercial	$1,291.76
Rate for Payer: Cash Price	$1,488.80
Rate for Payer: Cash Price	$1,488.80
Rate for Payer: Mclaren Medicaid	$535.06
Rate for Payer: Meridian Medicaid	$561.81
Rate for Payer: Opus (Opus Packaging Group) HMA	$1,395.75
Rate for Payer: Priority Health Choice Medicaid	$535.06
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$1,216.46
Rate for Payer: Priority Health Narrow/Tiered Network	$1,216.46
Rate for Payer: UHC Medicaid	$535.06
Rate for Payer: UHCCP Medicaid	$535.06

PR THORACOSTOMY OPEN FLAP DRAINAGE EMPYEMA

Professional

Both

$1,919.00

Service Code	HCPCS 32036
Min. Negotiated Rate	$493.95
Max. Negotiated Rate	$1,439.25
Rate for Payer: Aetna Commercial	$1,015.89
Rate for Payer: Aetna Medicare	$959.50
Rate for Payer: BCBS Complete	$518.65
Rate for Payer: BCN Commercial	$1,171.26
Rate for Payer: Cash Price	$1,535.20
Rate for Payer: Cash Price	$1,535.20
Rate for Payer: Mclaren Medicaid	$493.95
Rate for Payer: Meridian Medicaid	$518.65
Rate for Payer: Opus (Opus Packaging Group) HMA	$1,439.25
Rate for Payer: Priority Health Choice Medicaid	$493.95
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$1,102.97
Rate for Payer: Priority Health Narrow/Tiered Network	$1,102.97
Rate for Payer: UHC Medicaid	$493.95
Rate for Payer: UHCCP Medicaid	$493.95

PR THORACOSTOMY W/RIB RESECTION EMPYEMA

Professional

Both

$2,443.00

Service Code	HCPCS 32035
Min. Negotiated Rate	$463.91
Max. Negotiated Rate	$1,832.25
Rate for Payer: Aetna Commercial	$942.03
Rate for Payer: Aetna Medicare	$1,221.50
Rate for Payer: BCBS Complete	$487.11
Rate for Payer: BCN Commercial	$1,096.56
Rate for Payer: Cash Price	$1,954.40
Rate for Payer: Cash Price	$1,954.40
Rate for Payer: Mclaren Medicaid	$463.91
Rate for Payer: Meridian Medicaid	$487.11
Rate for Payer: Opus (Opus Packaging Group) HMA	$1,832.25
Rate for Payer: Priority Health Choice Medicaid	$463.91
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$1,032.63
Rate for Payer: Priority Health Narrow/Tiered Network	$1,032.63
Rate for Payer: UHC Medicaid	$463.91
Rate for Payer: UHCCP Medicaid	$463.91

PR THORACOTOMY OPN INTRAPLEURAL PNEUMONOLYSIS

Professional

Both

$2,909.00

Service Code	HCPCS 32124
Min. Negotiated Rate	$573.40
Max. Negotiated Rate	$2,181.75
Rate for Payer: Aetna Commercial	$1,192.73
Rate for Payer: Aetna Medicare	$1,454.50
Rate for Payer: BCBS Complete	$602.07
Rate for Payer: BCN Commercial	$1,372.94
Rate for Payer: Cash Price	$2,327.20
Rate for Payer: Cash Price	$2,327.20
Rate for Payer: Mclaren Medicaid	$573.40
Rate for Payer: Meridian Medicaid	$602.07
Rate for Payer: Opus (Opus Packaging Group) HMA	$2,181.75
Rate for Payer: Priority Health Choice Medicaid	$573.40
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$1,292.89
Rate for Payer: Priority Health Narrow/Tiered Network	$1,292.89
Rate for Payer: UHC Medicaid	$573.40
Rate for Payer: UHCCP Medicaid	$573.40

PR THORACOTOMY POSTOPERATIVE COMPLICATIONS

Professional

Both

$2,017.00

Service Code	HCPCS 32120
Min. Negotiated Rate	$541.45
Max. Negotiated Rate	$1,512.75
Rate for Payer: Aetna Commercial	$1,124.93
Rate for Payer: Aetna Medicare	$1,008.50
Rate for Payer: BCBS Complete	$568.52
Rate for Payer: BCN Commercial	$1,301.73
Rate for Payer: Cash Price	$1,613.60
Rate for Payer: Cash Price	$1,613.60
Rate for Payer: Mclaren Medicaid	$541.45
Rate for Payer: Meridian Medicaid	$568.52
Rate for Payer: Opus (Opus Packaging Group) HMA	$1,512.75
Rate for Payer: Priority Health Choice Medicaid	$541.45
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$1,225.84
Rate for Payer: Priority Health Narrow/Tiered Network	$1,225.84
Rate for Payer: UHC Medicaid	$541.45
Rate for Payer: UHCCP Medicaid	$541.45

PR THORACOTOMY W/BIOPSY OF PLEURA

Professional

Both

$3,151.00

Service Code	HCPCS 32098
Min. Negotiated Rate	$460.08
Max. Negotiated Rate	$2,363.25
Rate for Payer: Aetna Commercial	$978.49
Rate for Payer: Aetna Medicare	$1,575.50
Rate for Payer: BCBS Complete	$483.08
Rate for Payer: BCN Commercial	$1,122.45
Rate for Payer: Cash Price	$2,520.80
Rate for Payer: Cash Price	$2,520.80
Rate for Payer: Mclaren Medicaid	$460.08
Rate for Payer: Meridian Medicaid	$483.08
Rate for Payer: Opus (Opus Packaging Group) HMA	$2,363.25
Rate for Payer: Priority Health Choice Medicaid	$460.08
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$1,057.01
Rate for Payer: Priority Health Narrow/Tiered Network	$1,057.01
Rate for Payer: UHC Medicaid	$460.08
Rate for Payer: UHCCP Medicaid	$460.08

PR THORACOTOMY W/CARDIAC MASSAGE

Professional

Both

$3,637.00

Service Code	HCPCS 32160
Min. Negotiated Rate	$492.46
Max. Negotiated Rate	$2,727.75
Rate for Payer: Aetna Commercial	$1,024.42
Rate for Payer: Aetna Medicare	$1,818.50
Rate for Payer: BCBS Complete	$517.08
Rate for Payer: BCN Commercial	$1,194.15
Rate for Payer: Cash Price	$2,909.60
Rate for Payer: Cash Price	$2,909.60
Rate for Payer: Mclaren Medicaid	$492.46
Rate for Payer: Meridian Medicaid	$517.08
Rate for Payer: Opus (Opus Packaging Group) HMA	$2,727.75
Rate for Payer: Priority Health Choice Medicaid	$492.46
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$1,124.54
Rate for Payer: Priority Health Narrow/Tiered Network	$1,124.54
Rate for Payer: UHC Medicaid	$492.46
Rate for Payer: UHCCP Medicaid	$492.46

PR THORACOTOMY W/DX WEDGE RESEXN & ANTOM LUNG RESE

Professional

Both

$721.00

Service Code	HCPCS 32507
Min. Negotiated Rate	$90.10
Max. Negotiated Rate	$540.75
Rate for Payer: Aetna Commercial	$203.09
Rate for Payer: Aetna Medicare	$360.50
Rate for Payer: BCBS Complete	$94.61
Rate for Payer: BCN Commercial	$227.58
Rate for Payer: Cash Price	$576.80
Rate for Payer: Cash Price	$576.80
Rate for Payer: Mclaren Medicaid	$90.10
Rate for Payer: Meridian Medicaid	$94.61
Rate for Payer: Opus (Opus Packaging Group) HMA	$540.75
Rate for Payer: Priority Health Choice Medicaid	$90.10
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$214.31
Rate for Payer: Priority Health Narrow/Tiered Network	$214.31
Rate for Payer: UHC Medicaid	$90.10
Rate for Payer: UHCCP Medicaid	$90.10

PR THORACOTOMY WITH EXPLORATION

Professional

Both

$2,909.00

Service Code	HCPCS 32100
Min. Negotiated Rate	$495.65
Max. Negotiated Rate	$2,181.75
Rate for Payer: Aetna Commercial	$1,039.93
Rate for Payer: Aetna Medicare	$1,454.50
Rate for Payer: BCBS Complete	$520.43
Rate for Payer: BCN Commercial	$1,208.10
Rate for Payer: Cash Price	$2,327.20
Rate for Payer: Cash Price	$2,327.20
Rate for Payer: Mclaren Medicaid	$495.65
Rate for Payer: Meridian Medicaid	$520.43
Rate for Payer: Opus (Opus Packaging Group) HMA	$2,181.75
Rate for Payer: Priority Health Choice Medicaid	$495.65
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$1,137.68
Rate for Payer: Priority Health Narrow/Tiered Network	$1,137.68
Rate for Payer: UHC Medicaid	$495.65
Rate for Payer: UHCCP Medicaid	$495.65

PR THORACOTOMY W/RESECTION BULLAE

Professional

Both

$2,941.00

Service Code	HCPCS 32141
Min. Negotiated Rate	$914.20
Max. Negotiated Rate	$2,247.89
Rate for Payer: Aetna Commercial	$1,968.78
Rate for Payer: Aetna Medicare	$1,470.50
Rate for Payer: BCBS Complete	$959.91
Rate for Payer: BCN Commercial	$2,247.89
Rate for Payer: Cash Price	$2,352.80
Rate for Payer: Cash Price	$2,352.80
Rate for Payer: Mclaren Medicaid	$914.20
Rate for Payer: Meridian Medicaid	$959.91
Rate for Payer: Opus (Opus Packaging Group) HMA	$2,205.75
Rate for Payer: Priority Health Choice Medicaid	$914.20
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$2,116.84
Rate for Payer: Priority Health Narrow/Tiered Network	$2,116.84
Rate for Payer: UHC Medicaid	$914.20
Rate for Payer: UHCCP Medicaid	$914.20

PR THORACOTOMY W/THERAPEUTIC WEDGE RESEXN INITIAL

Professional

Both

$2,487.00

Service Code	HCPCS 32505
Min. Negotiated Rate	$570.63
Max. Negotiated Rate	$1,865.25
Rate for Payer: Aetna Commercial	$1,200.80
Rate for Payer: Aetna Medicare	$1,243.50
Rate for Payer: BCBS Complete	$599.16
Rate for Payer: BCN Commercial	$1,381.90
Rate for Payer: Cash Price	$1,989.60
Rate for Payer: Cash Price	$1,989.60
Rate for Payer: Mclaren Medicaid	$570.63
Rate for Payer: Meridian Medicaid	$599.16
Rate for Payer: Opus (Opus Packaging Group) HMA	$1,865.25
Rate for Payer: Priority Health Choice Medicaid	$570.63
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$1,301.34
Rate for Payer: Priority Health Narrow/Tiered Network	$1,301.34
Rate for Payer: UHC Medicaid	$570.63
Rate for Payer: UHCCP Medicaid	$570.63

PR THORACOTOMY W/THERAP WEDGE RESEXN ADDL IPSILATRL

Professional

Both

$363.00

Service Code	HCPCS 32506
Min. Negotiated Rate	$90.10
Max. Negotiated Rate	$272.25
Rate for Payer: Aetna Commercial	$203.09
Rate for Payer: Aetna Medicare	$181.50
Rate for Payer: BCBS Complete	$94.61
Rate for Payer: BCN Commercial	$227.58
Rate for Payer: Cash Price	$290.40
Rate for Payer: Cash Price	$290.40
Rate for Payer: Mclaren Medicaid	$90.10
Rate for Payer: Meridian Medicaid	$94.61
Rate for Payer: Opus (Opus Packaging Group) HMA	$272.25
Rate for Payer: Priority Health Choice Medicaid	$90.10
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$214.31
Rate for Payer: Priority Health Narrow/Tiered Network	$214.31
Rate for Payer: UHC Medicaid	$90.10
Rate for Payer: UHCCP Medicaid	$90.10

PR THORACTOMY W/DX BX LUNG INFILTRATE UNILATERAL

Professional

Both

$3,353.00

Service Code	HCPCS 32096
Min. Negotiated Rate	$487.34
Max. Negotiated Rate	$2,514.75
Rate for Payer: Aetna Commercial	$1,034.59
Rate for Payer: Aetna Medicare	$1,676.50
Rate for Payer: BCBS Complete	$511.71
Rate for Payer: BCN Commercial	$1,191.67
Rate for Payer: Cash Price	$2,682.40
Rate for Payer: Cash Price	$2,682.40
Rate for Payer: Mclaren Medicaid	$487.34
Rate for Payer: Meridian Medicaid	$511.71
Rate for Payer: Opus (Opus Packaging Group) HMA	$2,514.75
Rate for Payer: Priority Health Choice Medicaid	$487.34
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$1,122.20
Rate for Payer: Priority Health Narrow/Tiered Network	$1,122.20
Rate for Payer: UHC Medicaid	$487.34
Rate for Payer: UHCCP Medicaid	$487.34

PR THORACTOMY W/DX BX LUNG NODULE/MASS UNILATERAL

Professional

Both

$3,353.00

Service Code	HCPCS 32097
Min. Negotiated Rate	$490.97
Max. Negotiated Rate	$2,514.75
Rate for Payer: Aetna Commercial	$1,032.50
Rate for Payer: Aetna Medicare	$1,676.50
Rate for Payer: BCBS Complete	$515.52
Rate for Payer: BCN Commercial	$1,192.16
Rate for Payer: Cash Price	$2,682.40
Rate for Payer: Cash Price	$2,682.40
Rate for Payer: Mclaren Medicaid	$490.97
Rate for Payer: Meridian Medicaid	$515.52
Rate for Payer: Opus (Opus Packaging Group) HMA	$2,514.75
Rate for Payer: Priority Health Choice Medicaid	$490.97
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$1,122.67
Rate for Payer: Priority Health Narrow/Tiered Network	$1,122.67
Rate for Payer: UHC Medicaid	$490.97
Rate for Payer: UHCCP Medicaid	$490.97

PR THORCOM CTRL TRAUMTC HEMRRG&/RPR LNG TEAR

Professional

Both

$3,417.00

Service Code	HCPCS 32110
Min. Negotiated Rate	$890.13
Max. Negotiated Rate	$2,562.75
Rate for Payer: Aetna Commercial	$1,897.90
Rate for Payer: Aetna Medicare	$1,708.50
Rate for Payer: BCBS Complete	$934.64
Rate for Payer: BCN Commercial	$2,198.59
Rate for Payer: Cash Price	$2,733.60
Rate for Payer: Cash Price	$2,733.60
Rate for Payer: Mclaren Medicaid	$890.13
Rate for Payer: Meridian Medicaid	$934.64
Rate for Payer: Opus (Opus Packaging Group) HMA	$2,562.75
Rate for Payer: Priority Health Choice Medicaid	$890.13
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$2,070.42
Rate for Payer: Priority Health Narrow/Tiered Network	$2,070.42
Rate for Payer: UHC Medicaid	$890.13
Rate for Payer: UHCCP Medicaid	$890.13

PR THORCOM THRC W/MEDSTNL & REGIONAL LMPHADEC

Professional

Both

$1,565.00

Service Code	HCPCS 38746
Min. Negotiated Rate	$124.61
Max. Negotiated Rate	$1,173.75
Rate for Payer: Aetna Commercial	$268.34
Rate for Payer: Aetna Medicare	$782.50
Rate for Payer: BCBS Complete	$130.84
Rate for Payer: BCN Commercial	$313.73
Rate for Payer: Cash Price	$1,252.00
Rate for Payer: Cash Price	$1,252.00
Rate for Payer: Mclaren Medicaid	$124.61
Rate for Payer: Meridian Medicaid	$130.84
Rate for Payer: Opus (Opus Packaging Group) HMA	$1,173.75
Rate for Payer: Priority Health Choice Medicaid	$124.61
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$417.43
Rate for Payer: Priority Health Narrow/Tiered Network	$417.43
Rate for Payer: UHC Medicaid	$124.61
Rate for Payer: UHCCP Medicaid	$124.61

PR THORCOM W/REMOVAL OF CYST

Professional

Both

$2,427.00

Service Code	HCPCS 32140
Min. Negotiated Rate	$609.18
Max. Negotiated Rate	$1,820.25
Rate for Payer: Aetna Commercial	$1,276.61
Rate for Payer: Aetna Medicare	$1,213.50
Rate for Payer: BCBS Complete	$639.64
Rate for Payer: BCN Commercial	$1,472.04
Rate for Payer: Cash Price	$1,941.60
Rate for Payer: Cash Price	$1,941.60
Rate for Payer: Mclaren Medicaid	$609.18
Rate for Payer: Meridian Medicaid	$639.64
Rate for Payer: Opus (Opus Packaging Group) HMA	$1,820.25
Rate for Payer: Priority Health Choice Medicaid	$609.18
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$1,386.21
Rate for Payer: Priority Health Narrow/Tiered Network	$1,386.21
Rate for Payer: UHC Medicaid	$609.18
Rate for Payer: UHCCP Medicaid	$609.18

PR THORCOM W/RMVL INTRAPLEURAL FB/FIBRIN DEP

Professional

Both

$2,711.00

Service Code	HCPCS 32150
Min. Negotiated Rate	$622.17
Max. Negotiated Rate	$2,033.25
Rate for Payer: Aetna Commercial	$1,295.47
Rate for Payer: Aetna Medicare	$1,355.50
Rate for Payer: BCBS Complete	$653.28
Rate for Payer: BCN Commercial	$1,512.37
Rate for Payer: Cash Price	$2,168.80
Rate for Payer: Cash Price	$2,168.80
Rate for Payer: Mclaren Medicaid	$622.17
Rate for Payer: Meridian Medicaid	$653.28
Rate for Payer: Opus (Opus Packaging Group) HMA	$2,033.25
Rate for Payer: Priority Health Choice Medicaid	$622.17
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$1,424.20
Rate for Payer: Priority Health Narrow/Tiered Network	$1,424.20
Rate for Payer: UHC Medicaid	$622.17
Rate for Payer: UHCCP Medicaid	$622.17

Know your out-of-pocket cost for care.

All Charges