Bronson Methodist Hospital

All Charges

Charge

Type

Setting

Price

PR THORACOSCOPY W/THERA WEDGE RESEXN ADDL IPSILATRL

Professional

Both

$3,444.00

Service Code	HCPCS 32667
Min. Negotiated Rate	$97.77
Max. Negotiated Rate	$2,410.80
Rate for Payer: Aetna Commercial	$203.09
Rate for Payer: BCBS Complete	$102.66
Rate for Payer: BCBS Trust/PPO	$1,415.84
Rate for Payer: Cash Price	$2,755.20
Rate for Payer: Cash Price	$2,755.20
Rate for Payer: Meridian Medicaid	$102.66
Rate for Payer: Priority Health Choice Medicaid	$97.77
Rate for Payer: Priority Health Cigna Priority Health	$2,410.80
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	$1,584.24

PR THORACOSCOPY W/THERA WEDGE RESEXN INITIAL UNILAT

Professional

Both

$1,771.92

Service Code	HCPCS 32666
Min. Negotiated Rate	$549.97
Max. Negotiated Rate	$1,469.73
Rate for Payer: Aetna Commercial	$1,120.53
Rate for Payer: BCBS Complete	$577.47
Rate for Payer: BCBS Trust/PPO	$1,469.73
Rate for Payer: Cash Price	$1,417.54
Rate for Payer: Cash Price	$1,417.54
Rate for Payer: Meridian Medicaid	$577.47
Rate for Payer: Priority Health Choice Medicaid	$549.97
Rate for Payer: Priority Health Cigna Priority Health	$1,240.34
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,188.18
Rate for Payer: Priority Health Narrow Network	$1,188.18
Rate for Payer: Priority Health SBD	$1,188.18
Rate for Payer: UMR Bronson Commercial	$815.08

PR THORACOSTOMY OPEN FLAP DRAINAGE EMPYEMA

Professional

Both

$1,826.00

Service Code	HCPCS 32036
Min. Negotiated Rate	$502.89
Max. Negotiated Rate	$1,278.20
Rate for Payer: Aetna Commercial	$1,015.89
Rate for Payer: BCBS Complete	$528.03
Rate for Payer: BCBS Trust/PPO	$1,167.01
Rate for Payer: Cash Price	$1,460.80
Rate for Payer: Cash Price	$1,460.80
Rate for Payer: Meridian Medicaid	$528.03
Rate for Payer: Priority Health Choice Medicaid	$502.89
Rate for Payer: Priority Health Cigna Priority Health	$1,278.20
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,086.30
Rate for Payer: Priority Health Narrow Network	$1,086.30
Rate for Payer: Priority Health SBD	$1,086.30
Rate for Payer: UMR Bronson Commercial	$839.96

PR THORACOSTOMY W/RIB RESECTION EMPYEMA

Professional

Both

$2,325.00

Service Code	HCPCS 32035
Min. Negotiated Rate	$466.90
Max. Negotiated Rate	$1,846.41
Rate for Payer: Aetna Commercial	$942.03
Rate for Payer: BCBS Complete	$490.24
Rate for Payer: BCBS Trust/PPO	$1,846.41
Rate for Payer: Cash Price	$1,860.00
Rate for Payer: Cash Price	$1,860.00
Rate for Payer: Meridian Medicaid	$490.24
Rate for Payer: Priority Health Choice Medicaid	$466.90
Rate for Payer: Priority Health Cigna Priority Health	$1,627.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,007.59
Rate for Payer: Priority Health Narrow Network	$1,007.59
Rate for Payer: Priority Health SBD	$1,007.59
Rate for Payer: UMR Bronson Commercial	$1,069.50

PR THORACOTOMY OPN INTRAPLEURAL PNEUMONOLYSIS

Professional

Both

$2,769.00

Service Code	HCPCS 32124
Min. Negotiated Rate	$295.85
Max. Negotiated Rate	$1,938.30
Rate for Payer: Aetna Commercial	$1,192.73
Rate for Payer: BCBS Complete	$612.58
Rate for Payer: BCBS Trust/PPO	$295.85
Rate for Payer: Cash Price	$2,215.20
Rate for Payer: Cash Price	$2,215.20
Rate for Payer: Meridian Medicaid	$612.58
Rate for Payer: Priority Health Choice Medicaid	$583.41
Rate for Payer: Priority Health Cigna Priority Health	$1,938.30
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,260.41
Rate for Payer: Priority Health Narrow Network	$1,260.41
Rate for Payer: Priority Health SBD	$1,260.41
Rate for Payer: UMR Bronson Commercial	$1,273.74

PR THORACOTOMY POSTOPERATIVE COMPLICATIONS

Professional

Both

$1,920.00

Service Code	HCPCS 32120
Min. Negotiated Rate	$224.53
Max. Negotiated Rate	$1,344.00
Rate for Payer: Aetna Commercial	$1,124.93
Rate for Payer: BCBS Complete	$580.15
Rate for Payer: BCBS Trust/PPO	$224.53
Rate for Payer: Cash Price	$1,536.00
Rate for Payer: Cash Price	$1,536.00
Rate for Payer: Meridian Medicaid	$580.15
Rate for Payer: Priority Health Choice Medicaid	$552.52
Rate for Payer: Priority Health Cigna Priority Health	$1,344.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,192.80
Rate for Payer: Priority Health Narrow Network	$1,192.80
Rate for Payer: Priority Health SBD	$1,192.80
Rate for Payer: UMR Bronson Commercial	$883.20

PR THORACOTOMY W/BIOPSY OF PLEURA

Professional

Both

$2,999.00

Service Code	HCPCS 32098
Min. Negotiated Rate	$478.61
Max. Negotiated Rate	$2,099.30
Rate for Payer: Aetna Commercial	$978.49
Rate for Payer: BCBS Complete	$502.54
Rate for Payer: BCBS Trust/PPO	$1,384.67
Rate for Payer: Cash Price	$2,399.20
Rate for Payer: Cash Price	$2,399.20
Rate for Payer: Meridian Medicaid	$502.54
Rate for Payer: Priority Health Choice Medicaid	$478.61
Rate for Payer: Priority Health Cigna Priority Health	$2,099.30
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,038.15
Rate for Payer: Priority Health Narrow Network	$1,038.15
Rate for Payer: Priority Health SBD	$1,038.15
Rate for Payer: UMR Bronson Commercial	$1,379.54

PR THORACOTOMY W/CARDIAC MASSAGE

Professional

Both

$3,462.00

Service Code	HCPCS 32160
Min. Negotiated Rate	$505.45
Max. Negotiated Rate	$2,423.40
Rate for Payer: Aetna Commercial	$1,024.42
Rate for Payer: BCBS Complete	$530.72
Rate for Payer: BCBS Trust/PPO	$1,370.94
Rate for Payer: Cash Price	$2,769.60
Rate for Payer: Cash Price	$2,769.60
Rate for Payer: Meridian Medicaid	$530.72
Rate for Payer: Priority Health Choice Medicaid	$505.45
Rate for Payer: Priority Health Cigna Priority Health	$2,423.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,092.32
Rate for Payer: Priority Health Narrow Network	$1,092.32
Rate for Payer: Priority Health SBD	$1,092.32
Rate for Payer: UMR Bronson Commercial	$1,592.52

PR THORACOTOMY W/DX WEDGE RESEXN & ANTOM LUNG RESE

Professional

Both

$686.00

Service Code	HCPCS 32507
Min. Negotiated Rate	$97.34
Max. Negotiated Rate	$959.39
Rate for Payer: Aetna Commercial	$203.09
Rate for Payer: BCBS Complete	$102.21
Rate for Payer: BCBS Trust/PPO	$959.39
Rate for Payer: Cash Price	$548.80
Rate for Payer: Cash Price	$548.80
Rate for Payer: Meridian Medicaid	$102.21
Rate for Payer: Priority Health Choice Medicaid	$97.34
Rate for Payer: Priority Health Cigna Priority Health	$480.20
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	$315.56

PR THORACOTOMY WITH EXPLORATION

Professional

Both

$2,769.00

Service Code	HCPCS 32100
Min. Negotiated Rate	$512.69
Max. Negotiated Rate	$1,938.30
Rate for Payer: Aetna Commercial	$1,039.93
Rate for Payer: BCBS Complete	$538.32
Rate for Payer: BCBS Trust/PPO	$957.28
Rate for Payer: Cash Price	$2,215.20
Rate for Payer: Cash Price	$2,215.20
Rate for Payer: Meridian Medicaid	$538.32
Rate for Payer: Priority Health Choice Medicaid	$512.69
Rate for Payer: Priority Health Cigna Priority Health	$1,938.30
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,104.83
Rate for Payer: Priority Health Narrow Network	$1,104.83
Rate for Payer: Priority Health SBD	$1,104.83
Rate for Payer: UMR Bronson Commercial	$1,273.74

PR THORACOTOMY W/RESECTION BULLAE

Professional

Both

$2,799.00

Service Code	HCPCS 32141
Min. Negotiated Rate	$672.00
Max. Negotiated Rate	$2,074.45
Rate for Payer: Aetna Commercial	$1,968.78
Rate for Payer: BCBS Complete	$1,004.64
Rate for Payer: BCBS Trust/PPO	$672.00
Rate for Payer: Cash Price	$2,239.20
Rate for Payer: Cash Price	$2,239.20
Rate for Payer: Meridian Medicaid	$1,004.64
Rate for Payer: Priority Health Choice Medicaid	$956.80
Rate for Payer: Priority Health Cigna Priority Health	$1,959.30
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$2,074.45
Rate for Payer: Priority Health Narrow Network	$2,074.45
Rate for Payer: Priority Health SBD	$2,074.45
Rate for Payer: UMR Bronson Commercial	$1,287.54

PR THORACOTOMY W/THERAPEUTIC WEDGE RESEXN INITIAL

Professional

Both

$2,368.00

Service Code	HCPCS 32505
Min. Negotiated Rate	$588.09
Max. Negotiated Rate	$1,657.60
Rate for Payer: Aetna Commercial	$1,200.80
Rate for Payer: BCBS Complete	$617.49
Rate for Payer: BCBS Trust/PPO	$1,180.22
Rate for Payer: Cash Price	$1,894.40
Rate for Payer: Cash Price	$1,894.40
Rate for Payer: Meridian Medicaid	$617.49
Rate for Payer: Priority Health Choice Medicaid	$588.09
Rate for Payer: Priority Health Cigna Priority Health	$1,657.60
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,271.98
Rate for Payer: Priority Health Narrow Network	$1,271.98
Rate for Payer: Priority Health SBD	$1,271.98
Rate for Payer: UMR Bronson Commercial	$1,089.28

PR THORACOTOMY W/THERAP WEDGE RESEXN ADDL IPSILATRL

Professional

Both

$345.00

Service Code	HCPCS 32506
Min. Negotiated Rate	$97.55
Max. Negotiated Rate	$1,673.13
Rate for Payer: Aetna Commercial	$203.09
Rate for Payer: BCBS Complete	$102.43
Rate for Payer: BCBS Trust/PPO	$1,673.13
Rate for Payer: Cash Price	$276.00
Rate for Payer: Cash Price	$276.00
Rate for Payer: Meridian Medicaid	$102.43
Rate for Payer: Priority Health Choice Medicaid	$97.55
Rate for Payer: Priority Health Cigna Priority Health	$241.50
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	$158.70

PR THORACTOMY W/DX BX LUNG INFILTRATE UNILATERAL

Professional

Both

$3,191.00

Service Code	HCPCS 32096
Min. Negotiated Rate	$505.24
Max. Negotiated Rate	$2,233.70
Rate for Payer: Aetna Commercial	$1,034.59
Rate for Payer: BCBS Complete	$530.50
Rate for Payer: BCBS Trust/PPO	$1,034.94
Rate for Payer: Cash Price	$2,552.80
Rate for Payer: Cash Price	$2,552.80
Rate for Payer: Meridian Medicaid	$530.50
Rate for Payer: Priority Health Choice Medicaid	$505.24
Rate for Payer: Priority Health Cigna Priority Health	$2,233.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,090.93
Rate for Payer: Priority Health Narrow Network	$1,090.93
Rate for Payer: Priority Health SBD	$1,090.93
Rate for Payer: UMR Bronson Commercial	$1,467.86

PR THORACTOMY W/DX BX LUNG NODULE/MASS UNILATERAL

Professional

Both

$3,191.00

Service Code	HCPCS 32097
Min. Negotiated Rate	$506.09
Max. Negotiated Rate	$2,233.70
Rate for Payer: Aetna Commercial	$1,032.50
Rate for Payer: BCBS Complete	$531.39
Rate for Payer: BCBS Trust/PPO	$1,140.07
Rate for Payer: Cash Price	$2,552.80
Rate for Payer: Cash Price	$2,552.80
Rate for Payer: Meridian Medicaid	$531.39
Rate for Payer: Priority Health Choice Medicaid	$506.09
Rate for Payer: Priority Health Cigna Priority Health	$2,233.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,093.72
Rate for Payer: Priority Health Narrow Network	$1,093.72
Rate for Payer: Priority Health SBD	$1,093.72
Rate for Payer: UMR Bronson Commercial	$1,467.86

PR THORCOM CTRL TRAUMTC HEMRRG&/RPR LNG TEAR

Professional

Both

$3,252.00

Service Code	HCPCS 32110
Min. Negotiated Rate	$933.15
Max. Negotiated Rate	$2,276.40
Rate for Payer: Aetna Commercial	$1,897.90
Rate for Payer: BCBS Complete	$979.81
Rate for Payer: BCBS Trust/PPO	$1,281.66
Rate for Payer: Cash Price	$2,601.60
Rate for Payer: Cash Price	$2,601.60
Rate for Payer: Meridian Medicaid	$979.81
Rate for Payer: Priority Health Choice Medicaid	$933.15
Rate for Payer: Priority Health Cigna Priority Health	$2,276.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$2,011.47
Rate for Payer: Priority Health Narrow Network	$2,011.47
Rate for Payer: Priority Health SBD	$2,011.47
Rate for Payer: UMR Bronson Commercial	$1,495.92

PR THORCOM THRC W/MEDSTNL & REGIONAL LMPHADEC

Professional

Both

$1,489.00

Service Code	HCPCS 38746
Min. Negotiated Rate	$133.98
Max. Negotiated Rate	$1,042.30
Rate for Payer: Aetna Commercial	$268.34
Rate for Payer: BCBS Complete	$140.68
Rate for Payer: BCBS Trust/PPO	$572.68
Rate for Payer: Cash Price	$1,191.20
Rate for Payer: Cash Price	$1,191.20
Rate for Payer: Meridian Medicaid	$140.68
Rate for Payer: Priority Health Choice Medicaid	$133.98
Rate for Payer: Priority Health Cigna Priority Health	$1,042.30
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$453.43
Rate for Payer: Priority Health Narrow Network	$453.43
Rate for Payer: Priority Health SBD	$453.43
Rate for Payer: UMR Bronson Commercial	$684.94

PR THORCOM W/REMOVAL OF CYST

Professional

Both

$2,310.00

Service Code	HCPCS 32140
Min. Negotiated Rate	$626.43
Max. Negotiated Rate	$1,617.00
Rate for Payer: Aetna Commercial	$1,276.61
Rate for Payer: BCBS Complete	$657.75
Rate for Payer: BCBS Trust/PPO	$890.19
Rate for Payer: Cash Price	$1,848.00
Rate for Payer: Cash Price	$1,848.00
Rate for Payer: Meridian Medicaid	$657.75
Rate for Payer: Priority Health Choice Medicaid	$626.43
Rate for Payer: Priority Health Cigna Priority Health	$1,617.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,352.56
Rate for Payer: Priority Health Narrow Network	$1,352.56
Rate for Payer: Priority Health SBD	$1,352.56
Rate for Payer: UMR Bronson Commercial	$1,062.60

PR THORCOM W/RMVL INTRAPLEURAL FB/FIBRIN DEP

Professional

Both

$2,580.00

Service Code	HCPCS 32150
Min. Negotiated Rate	$643.69
Max. Negotiated Rate	$1,806.00
Rate for Payer: Aetna Commercial	$1,295.47
Rate for Payer: BCBS Complete	$675.87
Rate for Payer: BCBS Trust/PPO	$786.11
Rate for Payer: Cash Price	$2,064.00
Rate for Payer: Cash Price	$2,064.00
Rate for Payer: Meridian Medicaid	$675.87
Rate for Payer: Priority Health Choice Medicaid	$643.69
Rate for Payer: Priority Health Cigna Priority Health	$1,806.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,382.65
Rate for Payer: Priority Health Narrow Network	$1,382.65
Rate for Payer: Priority Health SBD	$1,382.65
Rate for Payer: UMR Bronson Commercial	$1,186.80

PR THORCOM W/RMVL IPUL FB

Professional

Both

$2,425.00

Service Code	HCPCS 32151
Min. Negotiated Rate	$635.59
Max. Negotiated Rate	$1,697.50
Rate for Payer: Aetna Commercial	$1,296.14
Rate for Payer: BCBS Complete	$667.37
Rate for Payer: BCBS Trust/PPO	$882.26
Rate for Payer: Cash Price	$1,940.00
Rate for Payer: Cash Price	$1,940.00
Rate for Payer: Meridian Medicaid	$667.37
Rate for Payer: Priority Health Choice Medicaid	$635.59
Rate for Payer: Priority Health Cigna Priority Health	$1,697.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,372.47
Rate for Payer: Priority Health Narrow Network	$1,372.47
Rate for Payer: Priority Health SBD	$1,372.47
Rate for Payer: UMR Bronson Commercial	$1,115.50

PR THORCOSCPY W/MEDIASTINL & REGIONL LYMPHDENECTOMY

Professional

Both

$851.00

Service Code	HCPCS 32674
Min. Negotiated Rate	$134.40
Max. Negotiated Rate	$1,006.41
Rate for Payer: Aetna Commercial	$279.49
Rate for Payer: BCBS Complete	$141.12
Rate for Payer: BCBS Trust/PPO	$1,006.41
Rate for Payer: Cash Price	$680.80
Rate for Payer: Cash Price	$680.80
Rate for Payer: Meridian Medicaid	$141.12
Rate for Payer: Priority Health Choice Medicaid	$134.40
Rate for Payer: Priority Health Cigna Priority Health	$595.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$290.33
Rate for Payer: Priority Health Narrow Network	$290.33
Rate for Payer: Priority Health SBD	$290.33
Rate for Payer: UMR Bronson Commercial	$391.46

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

Professional

Both

$1,039.00

Service Code	HCPCS 32601
Min. Negotiated Rate	$193.62
Max. Negotiated Rate	$967.85
Rate for Payer: Aetna Commercial	$397.56
Rate for Payer: BCBS Complete	$203.30
Rate for Payer: BCBS Trust/PPO	$967.85
Rate for Payer: Cash Price	$831.20
Rate for Payer: Cash Price	$831.20
Rate for Payer: Meridian Medicaid	$203.30
Rate for Payer: Priority Health Choice Medicaid	$193.62
Rate for Payer: Priority Health Cigna Priority Health	$727.30
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	$477.94

PR THREE AREA LIPOSUCTION - 3 AREA 3.0 HR

Professional

Both

$3,100.00

Service Code	HCPCS 00529
Hospital Revenue Code	990
Min. Negotiated Rate	$1,240.00
Max. Negotiated Rate	$2,170.00
Rate for Payer: BCBS Complete	$1,240.00
Rate for Payer: Cash Price	$2,480.00
Rate for Payer: Priority Health Cigna Priority Health	$2,170.00
Rate for Payer: UMR Bronson Commercial	$1,426.00

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

Professional

Both

$1,979.00

Service Code	HCPCS 35875
Min. Negotiated Rate	$369.98
Max. Negotiated Rate	$2,216.75
Rate for Payer: Aetna Commercial	$797.32
Rate for Payer: BCBS Complete	$388.48
Rate for Payer: BCBS Trust/PPO	$2,216.75
Rate for Payer: Cash Price	$1,583.20
Rate for Payer: Cash Price	$1,583.20
Rate for Payer: Meridian Medicaid	$388.48
Rate for Payer: Priority Health Choice Medicaid	$369.98
Rate for Payer: Priority Health Cigna Priority Health	$1,385.30
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$921.89
Rate for Payer: Priority Health Narrow Network	$921.89
Rate for Payer: Priority Health SBD	$921.89
Rate for Payer: UMR Bronson Commercial	$910.34

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

Professional

Both

$2,762.00

Service Code	HCPCS 35876
Min. Negotiated Rate	$588.09
Max. Negotiated Rate	$3,041.71
Rate for Payer: Aetna Commercial	$1,270.85
Rate for Payer: BCBS Complete	$617.49
Rate for Payer: BCBS Trust/PPO	$3,041.71
Rate for Payer: Cash Price	$2,209.60
Rate for Payer: Cash Price	$2,209.60
Rate for Payer: Meridian Medicaid	$617.49
Rate for Payer: Priority Health Choice Medicaid	$588.09
Rate for Payer: Priority Health Cigna Priority Health	$1,933.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,463.95
Rate for Payer: Priority Health Narrow Network	$1,463.95
Rate for Payer: Priority Health SBD	$1,463.95
Rate for Payer: UMR Bronson Commercial	$1,270.52

Know your out-of-pocket cost for care.

All Charges