Bronson Methodist Hospital

All Charges

Charge

Type

Setting

Price

PR THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING

Professional

Both

$745.00

Service Code	HCPCS 32554
Hospital Charge Code	32554
Min. Negotiated Rate	$55.59
Max. Negotiated Rate	$813.58
Rate for Payer: Aetna Commercial	$115.79
Rate for Payer: BCBS Complete	$58.37
Rate for Payer: BCBS Trust/PPO	$813.58
Rate for Payer: Cash Price	$596.00
Rate for Payer: Cash Price	$596.00
Rate for Payer: Meridian Medicaid	$58.37
Rate for Payer: Priority Health Choice Medicaid	$55.59
Rate for Payer: Priority Health Cigna Priority Health	$521.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$120.40
Rate for Payer: Priority Health Narrow Network	$120.40
Rate for Payer: Priority Health SBD	$120.40
Rate for Payer: UMR Bronson Commercial	$342.70

PR THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING

Facility

$745.00

Service Code	CPT 32554
Hospital Charge Code	32554
Min. Negotiated Rate	$327.80
Max. Negotiated Rate	$670.50
Rate for Payer: Aetna American Axle	$484.25
Rate for Payer: Aetna Commercial	$633.25
Rate for Payer: Aetna New Business (MI Preferred)	$484.25
Rate for Payer: Cash Price	$596.00
Rate for Payer: Cofinity Commercial	$521.50
Rate for Payer: Cofinity Commercial	$640.70
Rate for Payer: Encore Health Key Benefits Commercial	$596.00
Rate for Payer: Healthscope Commercial	$670.50
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial	$521.50
Rate for Payer: Lakeland Regional Health Systems Commercial	$558.75
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$633.25
Rate for Payer: PHP Commercial	$633.25
Rate for Payer: Priority Health Cigna Priority Health	$521.50
Rate for Payer: Priority Health SBD	$469.35
Rate for Payer: UMR Bronson Commercial	$327.80
Rate for Payer: Van Buren County Sheriff Dept. Commercial	$558.75

PR THORACOPLASTY SCHEDE TYPE/EXTRAPLEURAL

Professional

Both

$2,559.00

Service Code	HCPCS 32905
Min. Negotiated Rate	$840.92
Max. Negotiated Rate	$1,818.38
Rate for Payer: Aetna Commercial	$1,722.95
Rate for Payer: BCBS Complete	$882.97
Rate for Payer: BCBS Trust/PPO	$1,120.52
Rate for Payer: Cash Price	$2,047.20
Rate for Payer: Cash Price	$2,047.20
Rate for Payer: Meridian Medicaid	$882.97
Rate for Payer: Priority Health Choice Medicaid	$840.92
Rate for Payer: Priority Health Cigna Priority Health	$1,791.30
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,818.38
Rate for Payer: Priority Health Narrow Network	$1,818.38
Rate for Payer: Priority Health SBD	$1,818.38
Rate for Payer: UMR Bronson Commercial	$1,177.14

PR THORACOP SCHEDE TYP/XTRPLEURAL CLSR BRNCPLR FSTL

Professional

Both

$3,168.00

Service Code	HCPCS 32906
Min. Negotiated Rate	$1,036.25
Max. Negotiated Rate	$2,242.07
Rate for Payer: Aetna Commercial	$2,129.21
Rate for Payer: BCBS Complete	$1,088.06
Rate for Payer: BCBS Trust/PPO	$1,074.56
Rate for Payer: Cash Price	$2,534.40
Rate for Payer: Cash Price	$2,534.40
Rate for Payer: Meridian Medicaid	$1,088.06
Rate for Payer: Priority Health Choice Medicaid	$1,036.25
Rate for Payer: Priority Health Cigna Priority Health	$2,217.60
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$2,242.07
Rate for Payer: Priority Health Narrow Network	$2,242.07
Rate for Payer: Priority Health SBD	$2,242.07
Rate for Payer: UMR Bronson Commercial	$1,457.28

PR THORACOSCOPY CONTROL TRAUMATIC HEMORRHAGE

Professional

Both

$2,324.00

Service Code	HCPCS 32654
Min. Negotiated Rate	$571.09
Max. Negotiated Rate	$1,626.80
Rate for Payer: Aetna Commercial	$1,491.87
Rate for Payer: BCBS Complete	$783.00
Rate for Payer: BCBS Trust/PPO	$571.09
Rate for Payer: Cash Price	$1,859.20
Rate for Payer: Cash Price	$1,859.20
Rate for Payer: Meridian Medicaid	$783.00
Rate for Payer: Priority Health Choice Medicaid	$745.71
Rate for Payer: Priority Health Cigna Priority Health	$1,626.80
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,605.84
Rate for Payer: Priority Health Narrow Network	$1,605.84
Rate for Payer: Priority Health SBD	$1,605.84
Rate for Payer: UMR Bronson Commercial	$1,069.04

PR THORACOSCOPY DX MEDIASTINAL SPACE W/BIOPSY SPX

Professional

Both

$1,385.00

Service Code	HCPCS 32606
Min. Negotiated Rate	$289.47
Max. Negotiated Rate	$969.50
Rate for Payer: Aetna Commercial	$596.46
Rate for Payer: BCBS Complete	$303.94
Rate for Payer: BCBS Trust/PPO	$909.20
Rate for Payer: Cash Price	$1,108.00
Rate for Payer: Cash Price	$1,108.00
Rate for Payer: Meridian Medicaid	$303.94
Rate for Payer: Priority Health Choice Medicaid	$289.47
Rate for Payer: Priority Health Cigna Priority Health	$969.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$626.49
Rate for Payer: Priority Health Narrow Network	$626.49
Rate for Payer: Priority Health SBD	$626.49
Rate for Payer: UMR Bronson Commercial	$637.10

PR THORACOSCOPY DX PERICARDIAL SAC W/BIOPSY SPX

Professional

Both

$901.00

Service Code	HCPCS 32604
Min. Negotiated Rate	$300.54
Max. Negotiated Rate	$719.54
Rate for Payer: Aetna Commercial	$618.84
Rate for Payer: BCBS Complete	$315.57
Rate for Payer: BCBS Trust/PPO	$719.54
Rate for Payer: Cash Price	$720.80
Rate for Payer: Cash Price	$720.80
Rate for Payer: Meridian Medicaid	$315.57
Rate for Payer: Priority Health Choice Medicaid	$300.54
Rate for Payer: Priority Health Cigna Priority Health	$630.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$650.12
Rate for Payer: Priority Health Narrow Network	$650.12
Rate for Payer: Priority Health SBD	$650.12
Rate for Payer: UMR Bronson Commercial	$414.46

PR THORACOSCOPY RESEXN THYMUS UNI/BILATERAL

Professional

Both

$4,736.00

Service Code	HCPCS 32673
Min. Negotiated Rate	$765.52
Max. Negotiated Rate	$3,315.20
Rate for Payer: Aetna Commercial	$1,568.06
Rate for Payer: BCBS Complete	$803.80
Rate for Payer: BCBS Trust/PPO	$1,478.18
Rate for Payer: Cash Price	$3,788.80
Rate for Payer: Cash Price	$3,788.80
Rate for Payer: Meridian Medicaid	$803.80
Rate for Payer: Priority Health Choice Medicaid	$765.52
Rate for Payer: Priority Health Cigna Priority Health	$3,315.20
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,655.39
Rate for Payer: Priority Health Narrow Network	$1,655.39
Rate for Payer: Priority Health SBD	$1,655.39
Rate for Payer: UMR Bronson Commercial	$2,178.56

PR THORACOSCOPY RMVL INTRAPLEURAL FB/FIBRIN DEPOSIT

Professional

Both

$2,942.00

Service Code	HCPCS 32653
Min. Negotiated Rate	$561.58
Max. Negotiated Rate	$2,059.40
Rate for Payer: Aetna Commercial	$1,367.46
Rate for Payer: BCBS Complete	$700.92
Rate for Payer: BCBS Trust/PPO	$561.58
Rate for Payer: Cash Price	$2,353.60
Rate for Payer: Cash Price	$2,353.60
Rate for Payer: Meridian Medicaid	$700.92
Rate for Payer: Priority Health Choice Medicaid	$667.54
Rate for Payer: Priority Health Cigna Priority Health	$2,059.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,444.23
Rate for Payer: Priority Health Narrow Network	$1,444.23
Rate for Payer: Priority Health SBD	$1,444.23
Rate for Payer: UMR Bronson Commercial	$1,353.32

PR THORACOSCOPY W/BILOBECTOMY

Professional

Both

$6,329.00

Service Code	HCPCS 32670
Min. Negotiated Rate	$969.96
Max. Negotiated Rate	$4,430.30
Rate for Payer: Aetna Commercial	$2,072.10
Rate for Payer: BCBS Complete	$1,055.85
Rate for Payer: BCBS Trust/PPO	$969.96
Rate for Payer: Cash Price	$5,063.20
Rate for Payer: Cash Price	$5,063.20
Rate for Payer: Meridian Medicaid	$1,055.85
Rate for Payer: Priority Health Choice Medicaid	$1,005.57
Rate for Payer: Priority Health Cigna Priority Health	$4,430.30
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$2,183.72
Rate for Payer: Priority Health Narrow Network	$2,183.72
Rate for Payer: Priority Health SBD	$2,183.72
Rate for Payer: UMR Bronson Commercial	$2,911.34

PR THORACOSCOPY W/DX BX OF LUNG INFILTRATE UNILATRL

Professional

Both

$1,223.00

Service Code	HCPCS 32607
Min. Negotiated Rate	$193.19
Max. Negotiated Rate	$856.10
Rate for Payer: Aetna Commercial	$397.15
Rate for Payer: BCBS Complete	$202.85
Rate for Payer: BCBS Trust/PPO	$801.43
Rate for Payer: Cash Price	$978.40
Rate for Payer: Cash Price	$978.40
Rate for Payer: Meridian Medicaid	$202.85
Rate for Payer: Priority Health Choice Medicaid	$193.19
Rate for Payer: Priority Health Cigna Priority Health	$856.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$418.59
Rate for Payer: Priority Health Narrow Network	$418.59
Rate for Payer: Priority Health SBD	$418.59
Rate for Payer: UMR Bronson Commercial	$562.58

PR THORACOSCOPY W/DX BX OF LUNG NODULES UNILATRL

Professional

Both

$1,502.00

Service Code	HCPCS 32608
Min. Negotiated Rate	$237.50
Max. Negotiated Rate	$1,051.40
Rate for Payer: Aetna Commercial	$489.53
Rate for Payer: BCBS Complete	$249.38
Rate for Payer: BCBS Trust/PPO	$788.75
Rate for Payer: Cash Price	$1,201.60
Rate for Payer: Cash Price	$1,201.60
Rate for Payer: Meridian Medicaid	$249.38
Rate for Payer: Priority Health Choice Medicaid	$237.50
Rate for Payer: Priority Health Cigna Priority Health	$1,051.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$513.98
Rate for Payer: Priority Health Narrow Network	$513.98
Rate for Payer: Priority Health SBD	$513.98
Rate for Payer: UMR Bronson Commercial	$690.92

PR THORACOSCOPY W/DX WEDGE RESEXN ANATO LUNG RESEXN

Professional

Both

$621.00

Service Code	HCPCS 32668
Min. Negotiated Rate	$97.77
Max. Negotiated Rate	$1,408.98
Rate for Payer: Aetna Commercial	$203.50
Rate for Payer: BCBS Complete	$102.66
Rate for Payer: BCBS Trust/PPO	$1,408.98
Rate for Payer: Cash Price	$496.80
Rate for Payer: Cash Price	$496.80
Rate for Payer: Meridian Medicaid	$102.66
Rate for Payer: Priority Health Choice Medicaid	$97.77
Rate for Payer: Priority Health Cigna Priority Health	$434.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$212.07
Rate for Payer: Priority Health Narrow Network	$212.07
Rate for Payer: Priority Health SBD	$212.07
Rate for Payer: UMR Bronson Commercial	$285.66

PR THORACOSCOPY W/EXC MEDIASTINAL CYST TUMOR/MASS

Professional

Both

$3,981.00

Service Code	HCPCS 32662
Min. Negotiated Rate	$565.09
Max. Negotiated Rate	$2,786.70
Rate for Payer: Aetna Commercial	$1,150.48
Rate for Payer: BCBS Complete	$593.34
Rate for Payer: BCBS Trust/PPO	$1,566.94
Rate for Payer: Cash Price	$3,184.80
Rate for Payer: Cash Price	$3,184.80
Rate for Payer: Meridian Medicaid	$593.34
Rate for Payer: Priority Health Choice Medicaid	$565.09
Rate for Payer: Priority Health Cigna Priority Health	$2,786.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,220.59
Rate for Payer: Priority Health Narrow Network	$1,220.59
Rate for Payer: Priority Health SBD	$1,220.59
Rate for Payer: UMR Bronson Commercial	$1,831.26

PR THORACOSCOPY W/EXC PERICARDIAL CYST TUMOR/MASS

Professional

Both

$3,776.00

Service Code	HCPCS 32661
Min. Negotiated Rate	$505.24
Max. Negotiated Rate	$2,643.20
Rate for Payer: Aetna Commercial	$1,028.58
Rate for Payer: BCBS Complete	$530.50
Rate for Payer: BCBS Trust/PPO	$1,423.24
Rate for Payer: Cash Price	$3,020.80
Rate for Payer: Cash Price	$3,020.80
Rate for Payer: Meridian Medicaid	$530.50
Rate for Payer: Priority Health Choice Medicaid	$505.24
Rate for Payer: Priority Health Cigna Priority Health	$2,643.20
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,091.40
Rate for Payer: Priority Health Narrow Network	$1,091.40
Rate for Payer: Priority Health SBD	$1,091.40
Rate for Payer: UMR Bronson Commercial	$1,736.96

PR THORACOSCOPY WITH BIOPSYIES OF PLEURA

Professional

Both

$1,038.00

Service Code	HCPCS 32609
Min. Negotiated Rate	$160.82
Max. Negotiated Rate	$726.60
Rate for Payer: Aetna Commercial	$330.94
Rate for Payer: BCBS Complete	$168.86
Rate for Payer: BCBS Trust/PPO	$706.87
Rate for Payer: Cash Price	$830.40
Rate for Payer: Cash Price	$830.40
Rate for Payer: Meridian Medicaid	$168.86
Rate for Payer: Priority Health Choice Medicaid	$160.82
Rate for Payer: Priority Health Cigna Priority Health	$726.60
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$347.74
Rate for Payer: Priority Health Narrow Network	$347.74
Rate for Payer: Priority Health SBD	$347.74
Rate for Payer: UMR Bronson Commercial	$477.48

PR THORACOSCOPY W/LOBECTOMY SINGLE LOBE

Professional

Both

$4,500.00

Service Code	HCPCS 32663
Min. Negotiated Rate	$879.48
Max. Negotiated Rate	$3,150.00
Rate for Payer: Aetna Commercial	$1,807.94
Rate for Payer: BCBS Complete	$923.45
Rate for Payer: BCBS Trust/PPO	$1,261.58
Rate for Payer: Cash Price	$3,600.00
Rate for Payer: Cash Price	$3,600.00
Rate for Payer: Meridian Medicaid	$923.45
Rate for Payer: Priority Health Choice Medicaid	$879.48
Rate for Payer: Priority Health Cigna Priority Health	$3,150.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,904.04
Rate for Payer: Priority Health Narrow Network	$1,904.04
Rate for Payer: Priority Health SBD	$1,904.04
Rate for Payer: UMR Bronson Commercial	$2,070.00

PR THORACOSCOPY W/PARIETAL PLEURECTOMY

Professional

Both

$2,833.00

Service Code	HCPCS 32656
Min. Negotiated Rate	$508.22
Max. Negotiated Rate	$1,983.10
Rate for Payer: Aetna Commercial	$1,034.05
Rate for Payer: BCBS Complete	$533.63
Rate for Payer: BCBS Trust/PPO	$1,201.35
Rate for Payer: Cash Price	$2,266.40
Rate for Payer: Cash Price	$2,266.40
Rate for Payer: Meridian Medicaid	$533.63
Rate for Payer: Priority Health Choice Medicaid	$508.22
Rate for Payer: Priority Health Cigna Priority Health	$1,983.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,098.80
Rate for Payer: Priority Health Narrow Network	$1,098.80
Rate for Payer: Priority Health SBD	$1,098.80
Rate for Payer: UMR Bronson Commercial	$1,303.18

PR THORACOSCOPY W/PARTIAL PULMONARY DECORTICATION

Professional

Both

$3,157.00

Service Code	HCPCS 32651
Min. Negotiated Rate	$690.76
Max. Negotiated Rate	$2,209.90
Rate for Payer: Aetna Commercial	$1,412.72
Rate for Payer: BCBS Complete	$725.30
Rate for Payer: BCBS Trust/PPO	$1,266.86
Rate for Payer: Cash Price	$2,525.60
Rate for Payer: Cash Price	$2,525.60
Rate for Payer: Meridian Medicaid	$725.30
Rate for Payer: Priority Health Choice Medicaid	$690.76
Rate for Payer: Priority Health Cigna Priority Health	$2,209.90
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,493.32
Rate for Payer: Priority Health Narrow Network	$1,493.32
Rate for Payer: Priority Health SBD	$1,493.32
Rate for Payer: UMR Bronson Commercial	$1,452.22

PR THORACOSCOPY W/PLEURODESIS

Professional

Both

$3,102.00

Service Code	HCPCS 32650
Min. Negotiated Rate	$423.66
Max. Negotiated Rate	$2,171.40
Rate for Payer: Aetna Commercial	$857.42
Rate for Payer: BCBS Complete	$444.84
Rate for Payer: BCBS Trust/PPO	$1,687.92
Rate for Payer: Cash Price	$2,481.60
Rate for Payer: Cash Price	$2,481.60
Rate for Payer: Meridian Medicaid	$444.84
Rate for Payer: Priority Health Choice Medicaid	$423.66
Rate for Payer: Priority Health Cigna Priority Health	$2,171.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$913.13
Rate for Payer: Priority Health Narrow Network	$913.13
Rate for Payer: Priority Health SBD	$913.13
Rate for Payer: UMR Bronson Commercial	$1,426.92

PR THORACOSCOPY W/PNEUMONECTOMY

Professional

Both

$7,027.00

Service Code	HCPCS 32671
Min. Negotiated Rate	$1,112.93
Max. Negotiated Rate	$4,918.90
Rate for Payer: Aetna Commercial	$2,293.26
Rate for Payer: BCBS Complete	$1,168.58
Rate for Payer: BCBS Trust/PPO	$1,154.34
Rate for Payer: Cash Price	$5,621.60
Rate for Payer: Cash Price	$5,621.60
Rate for Payer: Meridian Medicaid	$1,168.58
Rate for Payer: Priority Health Choice Medicaid	$1,112.93
Rate for Payer: Priority Health Cigna Priority Health	$4,918.90
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$2,411.08
Rate for Payer: Priority Health Narrow Network	$2,411.08
Rate for Payer: Priority Health SBD	$2,411.08
Rate for Payer: UMR Bronson Commercial	$3,232.42

PR THORACOSCOPY W/RESECTION BULLAE W/WO PLEURAL PX

Professional

Both

$3,349.00

Service Code	HCPCS 32655
Min. Negotiated Rate	$124.68
Max. Negotiated Rate	$2,344.30
Rate for Payer: Aetna Commercial	$1,233.44
Rate for Payer: BCBS Complete	$634.49
Rate for Payer: BCBS Trust/PPO	$124.68
Rate for Payer: Cash Price	$2,679.20
Rate for Payer: Cash Price	$2,679.20
Rate for Payer: Meridian Medicaid	$634.49
Rate for Payer: Priority Health Choice Medicaid	$604.28
Rate for Payer: Priority Health Cigna Priority Health	$2,344.30
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,307.18
Rate for Payer: Priority Health Narrow Network	$1,307.18
Rate for Payer: Priority Health SBD	$1,307.18
Rate for Payer: UMR Bronson Commercial	$1,540.54

PR THORACOSCOPY W/RESEXN-PLICAJ EMPHYSEMA LUNG UNIL

Professional

Both

$6,010.00

Service Code	HCPCS 32672
Min. Negotiated Rate	$954.24
Max. Negotiated Rate	$4,207.00
Rate for Payer: Aetna Commercial	$1,968.31
Rate for Payer: BCBS Complete	$1,001.95
Rate for Payer: BCBS Trust/PPO	$1,367.77
Rate for Payer: Cash Price	$4,808.00
Rate for Payer: Cash Price	$4,808.00
Rate for Payer: Meridian Medicaid	$1,001.95
Rate for Payer: Priority Health Choice Medicaid	$954.24
Rate for Payer: Priority Health Cigna Priority Health	$4,207.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$2,060.08
Rate for Payer: Priority Health Narrow Network	$2,060.08
Rate for Payer: Priority Health SBD	$2,060.08
Rate for Payer: UMR Bronson Commercial	$2,764.60

PR THORACOSCOPY W/RMVL CLOT/FB FROM PERICARDIAL SAC

Professional

Both

$2,764.00

Service Code	HCPCS 32658
Min. Negotiated Rate	$452.63
Max. Negotiated Rate	$1,934.80
Rate for Payer: Aetna Commercial	$919.24
Rate for Payer: BCBS Complete	$475.26
Rate for Payer: BCBS Trust/PPO	$1,340.30
Rate for Payer: Cash Price	$2,211.20
Rate for Payer: Cash Price	$2,211.20
Rate for Payer: Meridian Medicaid	$475.26
Rate for Payer: Priority Health Choice Medicaid	$452.63
Rate for Payer: Priority Health Cigna Priority Health	$1,934.80
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$977.95
Rate for Payer: Priority Health Narrow Network	$977.95
Rate for Payer: Priority Health SBD	$977.95
Rate for Payer: UMR Bronson Commercial	$1,271.44

PR THORACOSCOPY W/SEGMENTECTOMY

Professional

Both

$2,243.00

Service Code	HCPCS 32669
Min. Negotiated Rate	$844.55
Max. Negotiated Rate	$1,827.64
Rate for Payer: Aetna Commercial	$1,733.64
Rate for Payer: BCBS Complete	$886.78
Rate for Payer: BCBS Trust/PPO	$1,605.50
Rate for Payer: Cash Price	$1,794.40
Rate for Payer: Cash Price	$1,794.40
Rate for Payer: Meridian Medicaid	$886.78
Rate for Payer: Priority Health Choice Medicaid	$844.55
Rate for Payer: Priority Health Cigna Priority Health	$1,570.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,827.64
Rate for Payer: Priority Health Narrow Network	$1,827.64
Rate for Payer: Priority Health SBD	$1,827.64
Rate for Payer: UMR Bronson Commercial	$1,031.78

Know your out-of-pocket cost for care.

All Charges