Bronson Lakeview Hospital

All Charges

Charge

Type

Setting

Price

PR THORCOM W/RMVL IPUL FB

Professional

Both

$2,548.00

Service Code	HCPCS 32151
Min. Negotiated Rate	$617.70
Max. Negotiated Rate	$1,911.00
Rate for Payer: Aetna Commercial	$1,296.14
Rate for Payer: Aetna Medicare	$1,274.00
Rate for Payer: BCBS Complete	$648.59
Rate for Payer: BCN Commercial	$1,492.45
Rate for Payer: Cash Price	$2,038.40
Rate for Payer: Cash Price	$2,038.40
Rate for Payer: Mclaren Medicaid	$617.70
Rate for Payer: Meridian Medicaid	$648.59
Rate for Payer: Opus (Opus Packaging Group) HMA	$1,911.00
Rate for Payer: Priority Health Choice Medicaid	$617.70
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$1,405.44
Rate for Payer: Priority Health Narrow/Tiered Network	$1,405.44
Rate for Payer: UHC Medicaid	$617.70
Rate for Payer: UHCCP Medicaid	$617.70

PR THORCOSCPY W/MEDIASTINL & REGIONL LYMPHDENECTOMY

Professional

Both

$894.00

Service Code	HCPCS 32674
Min. Negotiated Rate	$124.61
Max. Negotiated Rate	$670.50
Rate for Payer: Aetna Commercial	$279.49
Rate for Payer: Aetna Medicare	$447.00
Rate for Payer: BCBS Complete	$130.84
Rate for Payer: BCN Commercial	$314.23
Rate for Payer: Cash Price	$715.20
Rate for Payer: Cash Price	$715.20
Rate for Payer: Mclaren Medicaid	$124.61
Rate for Payer: Meridian Medicaid	$130.84
Rate for Payer: Opus (Opus Packaging Group) HMA	$670.50
Rate for Payer: Priority Health Choice Medicaid	$124.61
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$295.91
Rate for Payer: Priority Health Narrow/Tiered Network	$295.91
Rate for Payer: UHC Medicaid	$124.61
Rate for Payer: UHCCP Medicaid	$124.61

PR THORSC DX LUNGS/PERICAR/MED/PLEURAL SPACE W/O BX

Professional

Both

$1,092.00

Service Code	HCPCS 32601
Min. Negotiated Rate	$183.82
Max. Negotiated Rate	$819.00
Rate for Payer: Aetna Commercial	$397.56
Rate for Payer: Aetna Medicare	$546.00
Rate for Payer: BCBS Complete	$193.01
Rate for Payer: BCN Commercial	$454.65
Rate for Payer: Cash Price	$873.60
Rate for Payer: Cash Price	$873.60
Rate for Payer: Mclaren Medicaid	$183.82
Rate for Payer: Meridian Medicaid	$193.01
Rate for Payer: Opus (Opus Packaging Group) HMA	$819.00
Rate for Payer: Priority Health Choice Medicaid	$183.82
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$428.15
Rate for Payer: Priority Health Narrow/Tiered Network	$428.15
Rate for Payer: UHC Medicaid	$183.82
Rate for Payer: UHCCP Medicaid	$183.82

PR THREE AREA LIPOSUCTION - 3 AREA 3.0 HR

Professional

Both

$5,408.00

Hospital Revenue Code	990
Min. Negotiated Rate	$2,163.20
Max. Negotiated Rate	$4,056.00
Rate for Payer: Aetna Medicare	$2,704.00
Rate for Payer: BCBS Complete	$2,163.20
Rate for Payer: Cash Price	$4,326.40
Rate for Payer: Opus (Opus Packaging Group) HMA	$4,056.00

PR THRMBC ARTL/VEN GRF OTH/THN HEMO GRF/FSTL

Professional

Both

$2,080.00

Service Code	HCPCS 35875
Min. Negotiated Rate	$343.36
Max. Negotiated Rate	$1,560.00
Rate for Payer: Aetna Commercial	$797.32
Rate for Payer: Aetna Medicare	$1,040.00
Rate for Payer: BCBS Complete	$360.53
Rate for Payer: BCN Commercial	$864.49
Rate for Payer: Cash Price	$1,664.00
Rate for Payer: Cash Price	$1,664.00
Rate for Payer: Mclaren Medicaid	$343.36
Rate for Payer: Meridian Medicaid	$360.53
Rate for Payer: Opus (Opus Packaging Group) HMA	$1,560.00
Rate for Payer: Priority Health Choice Medicaid	$343.36
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$929.66
Rate for Payer: Priority Health Narrow/Tiered Network	$929.66
Rate for Payer: UHC Medicaid	$343.36
Rate for Payer: UHCCP Medicaid	$343.36

PR THRMBC ARTL/VEN GRF XCP HEMO GRF/FSTL W/REVJ GRF

Professional

Both

$2,902.00

Service Code	HCPCS 35876
Min. Negotiated Rate	$546.13
Max. Negotiated Rate	$2,176.50
Rate for Payer: Aetna Commercial	$1,270.85
Rate for Payer: Aetna Medicare	$1,451.00
Rate for Payer: BCBS Complete	$573.44
Rate for Payer: BCN Commercial	$1,376.92
Rate for Payer: Cash Price	$2,321.60
Rate for Payer: Cash Price	$2,321.60
Rate for Payer: Mclaren Medicaid	$546.13
Rate for Payer: Meridian Medicaid	$573.44
Rate for Payer: Opus (Opus Packaging Group) HMA	$2,176.50
Rate for Payer: Priority Health Choice Medicaid	$546.13
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$1,480.70
Rate for Payer: Priority Health Narrow/Tiered Network	$1,480.70
Rate for Payer: UHC Medicaid	$546.13
Rate for Payer: UHCCP Medicaid	$546.13

PR THRMBC DIR/W/CATH AXILL&SUBCLAVIAN VEIN ARM IN

Professional

Both

$1,324.00

Service Code	HCPCS 34490
Min. Negotiated Rate	$336.54
Max. Negotiated Rate	$993.00
Rate for Payer: Aetna Commercial	$865.10
Rate for Payer: Aetna Medicare	$662.00
Rate for Payer: BCBS Complete	$353.37
Rate for Payer: BCN Commercial	$844.58
Rate for Payer: Cash Price	$1,059.20
Rate for Payer: Cash Price	$1,059.20
Rate for Payer: Mclaren Medicaid	$336.54
Rate for Payer: Meridian Medicaid	$353.37
Rate for Payer: Opus (Opus Packaging Group) HMA	$993.00
Rate for Payer: Priority Health Choice Medicaid	$336.54
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$908.24
Rate for Payer: Priority Health Narrow/Tiered Network	$908.24
Rate for Payer: UHC Medicaid	$336.54
Rate for Payer: UHCCP Medicaid	$336.54

PR THRMBC DIR/W/CATH VENA CAVA ILIAC VEIN ABDL INC

Professional

Both

$2,659.00

Service Code	HCPCS 34401
Min. Negotiated Rate	$777.24
Max. Negotiated Rate	$2,107.79
Rate for Payer: Aetna Commercial	$1,970.77
Rate for Payer: Aetna Medicare	$1,329.50
Rate for Payer: BCBS Complete	$816.10
Rate for Payer: BCN Commercial	$1,960.05
Rate for Payer: Cash Price	$2,127.20
Rate for Payer: Cash Price	$2,127.20
Rate for Payer: Mclaren Medicaid	$777.24
Rate for Payer: Meridian Medicaid	$816.10
Rate for Payer: Opus (Opus Packaging Group) HMA	$1,994.25
Rate for Payer: Priority Health Choice Medicaid	$777.24
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$2,107.79
Rate for Payer: Priority Health Narrow/Tiered Network	$2,107.79
Rate for Payer: UHC Medicaid	$777.24
Rate for Payer: UHCCP Medicaid	$777.24

PR THRMBC OPN ARVEN FSTL W/O REVJ DIAL GRF

Professional

Both

$2,178.00

Service Code	HCPCS 36831
Min. Negotiated Rate	$360.82
Max. Negotiated Rate	$1,633.50
Rate for Payer: Aetna Commercial	$824.83
Rate for Payer: Aetna Medicare	$1,089.00
Rate for Payer: BCBS Complete	$378.86
Rate for Payer: BCN Commercial	$906.82
Rate for Payer: Cash Price	$1,742.40
Rate for Payer: Cash Price	$1,742.40
Rate for Payer: Mclaren Medicaid	$360.82
Rate for Payer: Meridian Medicaid	$378.86
Rate for Payer: Opus (Opus Packaging Group) HMA	$1,633.50
Rate for Payer: Priority Health Choice Medicaid	$360.82
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$975.17
Rate for Payer: Priority Health Narrow/Tiered Network	$975.17
Rate for Payer: UHC Medicaid	$360.82
Rate for Payer: UHCCP Medicaid	$360.82

PR THROMBECTOMY,ARTERIOVENOUS FISTULA

Professional

Both

$1,967.00

Service Code	HCPCS 36870
Min. Negotiated Rate	$786.80
Max. Negotiated Rate	$1,475.25
Rate for Payer: Aetna Medicare	$983.50
Rate for Payer: BCBS Complete	$786.80
Rate for Payer: Cash Price	$1,573.60
Rate for Payer: Opus (Opus Packaging Group) HMA	$1,475.25

PR THROMBOLYSIS ARTERIAL INFUSION ICRA RS&I INIT TX

Professional

Both

$641.00

Service Code	HCPCS 37211
Min. Negotiated Rate	$215.77
Max. Negotiated Rate	$606.20
Rate for Payer: Aetna Commercial	$517.91
Rate for Payer: Aetna Medicare	$320.50
Rate for Payer: BCBS Complete	$226.56
Rate for Payer: BCN Commercial	$563.71
Rate for Payer: Cash Price	$512.80
Rate for Payer: Cash Price	$512.80
Rate for Payer: Mclaren Medicaid	$215.77
Rate for Payer: Meridian Medicaid	$226.56
Rate for Payer: Opus (Opus Packaging Group) HMA	$480.75
Rate for Payer: Priority Health Choice Medicaid	$215.77
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$606.20
Rate for Payer: Priority Health Narrow/Tiered Network	$606.20
Rate for Payer: UHC Medicaid	$215.77
Rate for Payer: UHCCP Medicaid	$215.77

PR THROMBOLYSIS ART/VENOUS INFSN W/IMAGE SUBSQ TX

Professional

Both

$1,124.00

Service Code	HCPCS 37213
Min. Negotiated Rate	$129.08
Max. Negotiated Rate	$843.00
Rate for Payer: Aetna Commercial	$311.52
Rate for Payer: Aetna Medicare	$562.00
Rate for Payer: BCBS Complete	$135.53
Rate for Payer: BCN Commercial	$336.64
Rate for Payer: Cash Price	$899.20
Rate for Payer: Cash Price	$899.20
Rate for Payer: Mclaren Medicaid	$129.08
Rate for Payer: Meridian Medicaid	$135.53
Rate for Payer: Opus (Opus Packaging Group) HMA	$843.00
Rate for Payer: Priority Health Choice Medicaid	$129.08
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$362.00
Rate for Payer: Priority Health Narrow/Tiered Network	$362.00
Rate for Payer: UHC Medicaid	$129.08
Rate for Payer: UHCCP Medicaid	$129.08

PR THROMBOLYSIS CEREBRAL IV INFUSION

Professional

Both

$1,451.00

Service Code	HCPCS 37195
Min. Negotiated Rate	$241.57
Max. Negotiated Rate	$1,273.46
Rate for Payer: Aetna Commercial	$1,244.65
Rate for Payer: Aetna Medicare	$725.50
Rate for Payer: BCBS Complete	$253.65
Rate for Payer: BCN Commercial	$310.13
Rate for Payer: Cash Price	$1,160.80
Rate for Payer: Cash Price	$1,160.80
Rate for Payer: Mclaren Medicaid	$241.57
Rate for Payer: Meridian Medicaid	$253.65
Rate for Payer: Opus (Opus Packaging Group) HMA	$1,088.25
Rate for Payer: Priority Health Choice Medicaid	$241.57
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$1,273.46
Rate for Payer: Priority Health Narrow/Tiered Network	$1,273.46
Rate for Payer: UHC Medicaid	$241.57
Rate for Payer: UHCCP Medicaid	$241.57

PR THROMBOLYSIS CORONARY INTRAVENOUS INFUSION

Professional

Both

$657.00

Service Code	HCPCS 92977
Min. Negotiated Rate	$68.22
Max. Negotiated Rate	$492.75
Rate for Payer: Aetna Commercial	$68.22
Rate for Payer: Aetna Medicare	$328.50
Rate for Payer: BCBS Complete	$262.80
Rate for Payer: BCN Commercial	$83.66
Rate for Payer: Cash Price	$525.60
Rate for Payer: Cash Price	$525.60
Rate for Payer: Opus (Opus Packaging Group) HMA	$492.75

PR THROMBOLYSIS INTRACORONARY NFS SLCTV ANGRPH

Professional

Both

$817.00

Service Code	HCPCS 92975
Min. Negotiated Rate	$326.80
Max. Negotiated Rate	$612.75
Rate for Payer: Aetna Commercial	$505.09
Rate for Payer: Aetna Medicare	$408.50
Rate for Payer: BCBS Complete	$326.80
Rate for Payer: BCN Commercial	$547.78
Rate for Payer: Cash Price	$653.60
Rate for Payer: Cash Price	$653.60
Rate for Payer: Opus (Opus Packaging Group) HMA	$612.75

PR THROMBOLYSIS VENOUS INFUSION W/IMAGING INIT TX

Professional

Both

$1,659.00

Service Code	HCPCS 37212
Min. Negotiated Rate	$187.87
Max. Negotiated Rate	$1,244.25
Rate for Payer: Aetna Commercial	$452.62
Rate for Payer: Aetna Medicare	$829.50
Rate for Payer: BCBS Complete	$197.26
Rate for Payer: BCN Commercial	$492.50
Rate for Payer: Cash Price	$1,327.20
Rate for Payer: Cash Price	$1,327.20
Rate for Payer: Mclaren Medicaid	$187.87
Rate for Payer: Meridian Medicaid	$197.26
Rate for Payer: Opus (Opus Packaging Group) HMA	$1,244.25
Rate for Payer: Priority Health Choice Medicaid	$187.87
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$529.63
Rate for Payer: Priority Health Narrow/Tiered Network	$529.63
Rate for Payer: UHC Medicaid	$187.87
Rate for Payer: UHCCP Medicaid	$187.87

PR THRSC CRTJ PRCRD WINDOW/PRTL RESCJ PRCRD SAC

Professional

Both

$3,819.00

Service Code	HCPCS 32659
Min. Negotiated Rate	$456.89
Max. Negotiated Rate	$2,864.25
Rate for Payer: Aetna Commercial	$942.23
Rate for Payer: Aetna Medicare	$1,909.50
Rate for Payer: BCBS Complete	$479.73
Rate for Payer: BCN Commercial	$1,092.57
Rate for Payer: Cash Price	$3,055.20
Rate for Payer: Cash Price	$3,055.20
Rate for Payer: Mclaren Medicaid	$456.89
Rate for Payer: Meridian Medicaid	$479.73
Rate for Payer: Opus (Opus Packaging Group) HMA	$2,864.25
Rate for Payer: Priority Health Choice Medicaid	$456.89
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$1,028.87
Rate for Payer: Priority Health Narrow/Tiered Network	$1,028.87
Rate for Payer: UHC Medicaid	$456.89
Rate for Payer: UHCCP Medicaid	$456.89

PR THRSC TOT PULM DCRTCTJ INTRAPLEURAL PNEUMONOLSS

Professional

Both

$4,593.00

Service Code	HCPCS 32652
Min. Negotiated Rate	$1,001.10
Max. Negotiated Rate	$3,444.75
Rate for Payer: Aetna Commercial	$2,144.89
Rate for Payer: Aetna Medicare	$2,296.50
Rate for Payer: BCBS Complete	$1,051.15
Rate for Payer: BCN Commercial	$2,455.05
Rate for Payer: Cash Price	$3,674.40
Rate for Payer: Cash Price	$3,674.40
Rate for Payer: Mclaren Medicaid	$1,001.10
Rate for Payer: Meridian Medicaid	$1,051.15
Rate for Payer: Opus (Opus Packaging Group) HMA	$3,444.75
Rate for Payer: Priority Health Choice Medicaid	$1,001.10
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$2,311.92
Rate for Payer: Priority Health Narrow/Tiered Network	$2,311.92
Rate for Payer: UHC Medicaid	$1,001.10
Rate for Payer: UHCCP Medicaid	$1,001.10

PR THYMECTOMY PRTL/TOT RAD MEDSTNL DSJ SPX

Professional

Both

$2,636.00

Service Code	HCPCS 60522
Min. Negotiated Rate	$829.21
Max. Negotiated Rate	$2,196.10
Rate for Payer: Aetna Commercial	$1,766.25
Rate for Payer: Aetna Medicare	$1,318.00
Rate for Payer: BCBS Complete	$870.67
Rate for Payer: BCN Commercial	$2,025.28
Rate for Payer: Cash Price	$2,108.80
Rate for Payer: Cash Price	$2,108.80
Rate for Payer: Mclaren Medicaid	$829.21
Rate for Payer: Meridian Medicaid	$870.67
Rate for Payer: Opus (Opus Packaging Group) HMA	$1,977.00
Rate for Payer: Priority Health Choice Medicaid	$829.21
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$2,196.10
Rate for Payer: Priority Health Narrow/Tiered Network	$2,196.10
Rate for Payer: UHC Medicaid	$829.21
Rate for Payer: UHCCP Medicaid	$829.21

PR THYMECTOMY PRTL/TOT TRANSCERVICAL APPR SPX

Professional

Both

$3,637.00

Service Code	HCPCS 60520
Min. Negotiated Rate	$626.86
Max. Negotiated Rate	$2,727.75
Rate for Payer: Aetna Commercial	$1,354.31
Rate for Payer: Aetna Medicare	$1,818.50
Rate for Payer: BCBS Complete	$658.20
Rate for Payer: BCN Commercial	$1,577.61
Rate for Payer: Cash Price	$2,909.60
Rate for Payer: Cash Price	$2,909.60
Rate for Payer: Mclaren Medicaid	$626.86
Rate for Payer: Meridian Medicaid	$658.20
Rate for Payer: Opus (Opus Packaging Group) HMA	$2,727.75
Rate for Payer: Priority Health Choice Medicaid	$626.86
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$1,710.66
Rate for Payer: Priority Health Narrow/Tiered Network	$1,710.66
Rate for Payer: UHC Medicaid	$626.86
Rate for Payer: UHCCP Medicaid	$626.86

PR THYMECTOMY PRTL/TOT W/O RAD MEDSTNL DSJ SPX

Professional

Both

$4,065.00

Service Code	HCPCS 60521
Min. Negotiated Rate	$689.48
Max. Negotiated Rate	$3,048.75
Rate for Payer: Aetna Commercial	$1,448.43
Rate for Payer: Aetna Medicare	$2,032.50
Rate for Payer: BCBS Complete	$723.95
Rate for Payer: BCN Commercial	$1,674.71
Rate for Payer: Cash Price	$3,252.00
Rate for Payer: Cash Price	$3,252.00
Rate for Payer: Mclaren Medicaid	$689.48
Rate for Payer: Meridian Medicaid	$723.95
Rate for Payer: Opus (Opus Packaging Group) HMA	$3,048.75
Rate for Payer: Priority Health Choice Medicaid	$689.48
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$1,815.95
Rate for Payer: Priority Health Narrow/Tiered Network	$1,815.95
Rate for Payer: UHC Medicaid	$689.48
Rate for Payer: UHCCP Medicaid	$689.48

PR THYROIDECTOMY RMVL REMAINING TISS FLWG PRTL RMVL

Professional

Both

$3,287.00

Service Code	HCPCS 60260
Min. Negotiated Rate	$618.55
Max. Negotiated Rate	$2,465.25
Rate for Payer: Aetna Commercial	$1,402.16
Rate for Payer: Aetna Medicare	$1,643.50
Rate for Payer: BCBS Complete	$649.48
Rate for Payer: BCN Commercial	$1,633.38
Rate for Payer: Cash Price	$2,629.60
Rate for Payer: Cash Price	$2,629.60
Rate for Payer: Mclaren Medicaid	$618.55
Rate for Payer: Meridian Medicaid	$649.48
Rate for Payer: Opus (Opus Packaging Group) HMA	$2,465.25
Rate for Payer: Priority Health Choice Medicaid	$618.55
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$1,771.15
Rate for Payer: Priority Health Narrow/Tiered Network	$1,771.15
Rate for Payer: UHC Medicaid	$618.55
Rate for Payer: UHCCP Medicaid	$618.55

PR THYROIDECTOMY SUBSTERNAL CERVICAL APPROACH

Professional

Both

$2,252.00

Service Code	HCPCS 60271
Min. Negotiated Rate	$603.64
Max. Negotiated Rate	$1,718.76
Rate for Payer: Aetna Commercial	$1,358.54
Rate for Payer: Aetna Medicare	$1,126.00
Rate for Payer: BCBS Complete	$633.82
Rate for Payer: BCN Commercial	$1,585.08
Rate for Payer: Cash Price	$1,801.60
Rate for Payer: Cash Price	$1,801.60
Rate for Payer: Mclaren Medicaid	$603.64
Rate for Payer: Meridian Medicaid	$633.82
Rate for Payer: Opus (Opus Packaging Group) HMA	$1,689.00
Rate for Payer: Priority Health Choice Medicaid	$603.64
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$1,718.76
Rate for Payer: Priority Health Narrow/Tiered Network	$1,718.76
Rate for Payer: UHC Medicaid	$603.64
Rate for Payer: UHCCP Medicaid	$603.64

PR THYROIDECTOMY TOTAL/COMPLETE

Professional

Both

$3,203.00

Service Code	HCPCS 60240
Min. Negotiated Rate	$529.09
Max. Negotiated Rate	$2,402.25
Rate for Payer: Aetna Commercial	$1,181.69
Rate for Payer: Aetna Medicare	$1,601.50
Rate for Payer: BCBS Complete	$555.54
Rate for Payer: BCN Commercial	$1,379.41
Rate for Payer: Cash Price	$2,562.40
Rate for Payer: Cash Price	$2,562.40
Rate for Payer: Mclaren Medicaid	$529.09
Rate for Payer: Meridian Medicaid	$555.54
Rate for Payer: Opus (Opus Packaging Group) HMA	$2,402.25
Rate for Payer: Priority Health Choice Medicaid	$529.09
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$1,495.75
Rate for Payer: Priority Health Narrow/Tiered Network	$1,495.75
Rate for Payer: UHC Medicaid	$529.09
Rate for Payer: UHCCP Medicaid	$529.09

PR THYROIDECTOMY TOTAL/SUBTOTAL LMTD NECK DISSECT

Professional

Both

$2,469.00

Service Code	HCPCS 60252
Min. Negotiated Rate	$751.68
Max. Negotiated Rate	$2,145.35
Rate for Payer: Aetna Commercial	$1,701.55
Rate for Payer: Aetna Medicare	$1,234.50
Rate for Payer: BCBS Complete	$789.26
Rate for Payer: BCN Commercial	$1,978.48
Rate for Payer: Cash Price	$1,975.20
Rate for Payer: Cash Price	$1,975.20
Rate for Payer: Mclaren Medicaid	$751.68
Rate for Payer: Meridian Medicaid	$789.26
Rate for Payer: Opus (Opus Packaging Group) HMA	$1,851.75
Rate for Payer: Priority Health Choice Medicaid	$751.68
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO	$2,145.35
Rate for Payer: Priority Health Narrow/Tiered Network	$2,145.35
Rate for Payer: UHC Medicaid	$751.68
Rate for Payer: UHCCP Medicaid	$751.68

Know your out-of-pocket cost for care.

All Charges