Bronson Methodist Hospital

All Charges

Charge

Type

Setting

Price

PR ACNE SURGERY

Professional

Both

$177.00

Service Code	HCPCS 10040
Min. Negotiated Rate	$22.20
Max. Negotiated Rate	$123.90
Rate for Payer: Aetna Commercial	$56.49
Rate for Payer: BCBS Complete	$34.67
Rate for Payer: BCBS Trust/PPO	$22.20
Rate for Payer: Cash Price	$141.60
Rate for Payer: Cash Price	$141.60
Rate for Payer: Meridian Medicaid	$34.67
Rate for Payer: Priority Health Choice Medicaid	$33.02
Rate for Payer: Priority Health Cigna Priority Health	$123.90
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$63.30
Rate for Payer: Priority Health Narrow Network	$63.30
Rate for Payer: Priority Health SBD	$63.30
Rate for Payer: UMR Bronson Commercial	$81.42

PR ACOUSTIC IMMIT TEST TYMPANOM/ACOUST REFLX/DECAY

Professional

Both

$57.00

Service Code	HCPCS 92570
Min. Negotiated Rate	$18.32
Max. Negotiated Rate	$1,989.05
Rate for Payer: Aetna Commercial	$32.99
Rate for Payer: BCBS Complete	$19.24
Rate for Payer: BCBS Trust/PPO	$1,989.05
Rate for Payer: Cash Price	$45.60
Rate for Payer: Cash Price	$45.60
Rate for Payer: Meridian Medicaid	$19.24
Rate for Payer: Priority Health Choice Medicaid	$18.32
Rate for Payer: Priority Health Cigna Priority Health	$39.90
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$38.62
Rate for Payer: Priority Health Narrow Network	$38.62
Rate for Payer: Priority Health SBD	$38.62
Rate for Payer: UMR Bronson Commercial	$26.22

PR ACTIGRAPHY TESTING RECORDING ANALYSIS I&R

Professional

Both

$89.00

Service Code	HCPCS 95803
Min. Negotiated Rate	$35.60
Max. Negotiated Rate	$641.88
Rate for Payer: Aetna Commercial	$160.55
Rate for Payer: Aetna Commercial	$160.55
Rate for Payer: BCBS Complete	$236.80
Rate for Payer: BCBS Complete	$35.60
Rate for Payer: BCBS Trust/PPO	$641.88
Rate for Payer: BCBS Trust/PPO	$641.88
Rate for Payer: Cash Price	$71.20
Rate for Payer: Cash Price	$71.20
Rate for Payer: Cash Price	$473.60
Rate for Payer: Cash Price	$473.60
Rate for Payer: Priority Health Cigna Priority Health	$62.30
Rate for Payer: Priority Health Cigna Priority Health	$414.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$56.14
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$56.14
Rate for Payer: Priority Health Narrow Network	$56.14
Rate for Payer: Priority Health Narrow Network	$56.14
Rate for Payer: Priority Health SBD	$186.39
Rate for Payer: Priority Health SBD	$186.39
Rate for Payer: UMR Bronson Commercial	$272.32
Rate for Payer: UMR Bronson Commercial	$40.94

PR ADAPT BHV TX PRTCL MODIFICAJ PHYS/QHP EA 15 MIN

Professional

Both

$52.00

Service Code	HCPCS 97155
Min. Negotiated Rate	$20.80
Max. Negotiated Rate	$1,401.05
Rate for Payer: Aetna Commercial	$20.80
Rate for Payer: BCBS Complete	$20.80
Rate for Payer: BCBS Trust/PPO	$1,401.05
Rate for Payer: Cash Price	$41.60
Rate for Payer: Cash Price	$41.60
Rate for Payer: Priority Health Cigna Priority Health	$36.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$32.84
Rate for Payer: Priority Health Narrow Network	$32.84
Rate for Payer: Priority Health SBD	$32.84
Rate for Payer: UMR Bronson Commercial	$23.92

PR ADDITIONAL KIT 2-4 CC, INJECTION, PLATELET RICH PLASMA

Professional

Both

$200.00

Service Code	HCPCS 00673
Hospital Revenue Code	990
Min. Negotiated Rate	$80.00
Max. Negotiated Rate	$140.00
Rate for Payer: BCBS Complete	$80.00
Rate for Payer: Cash Price	$160.00
Rate for Payer: Priority Health Cigna Priority Health	$140.00
Rate for Payer: UMR Bronson Commercial	$92.00

PR ADDITIONAL KIT 4-10 CC, INJECTION, PLATELET RICH PLASMA

Professional

Both

$300.00

Service Code	HCPCS 00674
Hospital Revenue Code	990
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$210.00
Rate for Payer: BCBS Complete	$120.00
Rate for Payer: Cash Price	$240.00
Rate for Payer: Priority Health Cigna Priority Health	$210.00
Rate for Payer: UMR Bronson Commercial	$138.00

PR ADENOIDECTOMY PRIMARY <AGE 12

Professional

Both

$372.00

Service Code	HCPCS 42830
Min. Negotiated Rate	$138.24
Max. Negotiated Rate	$1,152.22
Rate for Payer: Aetna Commercial	$274.50
Rate for Payer: BCBS Complete	$145.15
Rate for Payer: BCBS Trust/PPO	$1,152.22
Rate for Payer: Cash Price	$297.60
Rate for Payer: Cash Price	$297.60
Rate for Payer: Meridian Medicaid	$145.15
Rate for Payer: Priority Health Choice Medicaid	$138.24
Rate for Payer: Priority Health Cigna Priority Health	$260.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$376.31
Rate for Payer: Priority Health Narrow Network	$376.31
Rate for Payer: Priority Health SBD	$376.31
Rate for Payer: UMR Bronson Commercial	$171.12

PR ADENOIDECTOMY PRIMARY AGE 12/>

Professional

Both

$633.00

Service Code	HCPCS 42831
Min. Negotiated Rate	$150.17
Max. Negotiated Rate	$1,232.52
Rate for Payer: Aetna Commercial	$297.97
Rate for Payer: BCBS Complete	$157.68
Rate for Payer: BCBS Trust/PPO	$1,232.52
Rate for Payer: Cash Price	$506.40
Rate for Payer: Cash Price	$506.40
Rate for Payer: Meridian Medicaid	$157.68
Rate for Payer: Priority Health Choice Medicaid	$150.17
Rate for Payer: Priority Health Cigna Priority Health	$443.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$409.81
Rate for Payer: Priority Health Narrow Network	$409.81
Rate for Payer: Priority Health SBD	$409.81
Rate for Payer: UMR Bronson Commercial	$291.18

PR ADENOIDECTOMY SECONDARY AGE 12/>

Professional

Both

$595.00

Service Code	HCPCS 42836
Min. Negotiated Rate	$159.11
Max. Negotiated Rate	$975.24
Rate for Payer: Aetna Commercial	$318.51
Rate for Payer: BCBS Complete	$167.07
Rate for Payer: BCBS Trust/PPO	$975.24
Rate for Payer: Cash Price	$476.00
Rate for Payer: Cash Price	$476.00
Rate for Payer: Meridian Medicaid	$167.07
Rate for Payer: Priority Health Choice Medicaid	$159.11
Rate for Payer: Priority Health Cigna Priority Health	$416.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$434.52
Rate for Payer: Priority Health Narrow Network	$434.52
Rate for Payer: Priority Health SBD	$434.52
Rate for Payer: UMR Bronson Commercial	$273.70

PR ADENOIDECTOMY SECONDARY<AGE 12

Professional

Both

$503.00

Service Code	HCPCS 42835
Min. Negotiated Rate	$129.08
Max. Negotiated Rate	$1,082.49
Rate for Payer: Aetna Commercial	$254.78
Rate for Payer: BCBS Complete	$135.53
Rate for Payer: BCBS Trust/PPO	$1,082.49
Rate for Payer: Cash Price	$402.40
Rate for Payer: Cash Price	$402.40
Rate for Payer: Meridian Medicaid	$135.53
Rate for Payer: Priority Health Choice Medicaid	$129.08
Rate for Payer: Priority Health Cigna Priority Health	$352.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$351.62
Rate for Payer: Priority Health Narrow Network	$351.62
Rate for Payer: Priority Health SBD	$351.62
Rate for Payer: UMR Bronson Commercial	$231.38

PR ADENOSINE INJ 1MG

Professional

Both

$1.00

Service Code	HCPCS J0153
Min. Negotiated Rate	$0.28
Max. Negotiated Rate	$0.70
Rate for Payer: Aetna Commercial	$0.62
Rate for Payer: BCBS Complete	$0.40
Rate for Payer: BCBS Trust/PPO	$0.28
Rate for Payer: Cash Price	$0.80
Rate for Payer: Cash Price	$0.80
Rate for Payer: Priority Health Cigna Priority Health	$0.70
Rate for Payer: UMR Bronson Commercial	$0.46

PR ADENOSINE INJECTION

Professional

Both

$117.00

Service Code	HCPCS J0152
Min. Negotiated Rate	$46.80
Max. Negotiated Rate	$81.90
Rate for Payer: BCBS Complete	$46.80
Rate for Payer: Cash Price	$93.60
Rate for Payer: Priority Health Cigna Priority Health	$81.90
Rate for Payer: UMR Bronson Commercial	$53.82

PR ADJACENT TISSUE TRANSFER/REARGMT TRUNK 10 SQCM/<

Professional

Both

$1,020.00

Service Code	HCPCS 14000
Min. Negotiated Rate	$323.76
Max. Negotiated Rate	$979.03
Rate for Payer: Aetna Commercial	$533.56
Rate for Payer: BCBS Complete	$339.95
Rate for Payer: BCBS Trust/PPO	$979.03
Rate for Payer: Cash Price	$816.00
Rate for Payer: Cash Price	$816.00
Rate for Payer: Meridian Medicaid	$339.95
Rate for Payer: Priority Health Choice Medicaid	$323.76
Rate for Payer: Priority Health Cigna Priority Health	$714.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$617.39
Rate for Payer: Priority Health Narrow Network	$617.39
Rate for Payer: Priority Health SBD	$617.39
Rate for Payer: UMR Bronson Commercial	$469.20

PR ADJNT TIS TRANSFR/REARRANGE TRUNK 10.1-30.0 SQCM

Professional

Both

$1,327.00

Service Code	HCPCS 14001
Min. Negotiated Rate	$418.76
Max. Negotiated Rate	$1,002.07
Rate for Payer: Aetna Commercial	$696.49
Rate for Payer: BCBS Complete	$439.70
Rate for Payer: BCBS Trust/PPO	$1,002.07
Rate for Payer: Cash Price	$1,061.60
Rate for Payer: Cash Price	$1,061.60
Rate for Payer: Meridian Medicaid	$439.70
Rate for Payer: Priority Health Choice Medicaid	$418.76
Rate for Payer: Priority Health Cigna Priority Health	$928.90
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$800.29
Rate for Payer: Priority Health Narrow Network	$800.29
Rate for Payer: Priority Health SBD	$800.29
Rate for Payer: UMR Bronson Commercial	$610.42

PR ADJNT TIS TRNSFR/REARGMT ANY AREA 30.1-60 SQ CM

Professional

Both

$1,693.00

Service Code	HCPCS 14301
Min. Negotiated Rate	$226.01
Max. Negotiated Rate	$1,185.10
Rate for Payer: Aetna Commercial	$932.47
Rate for Payer: BCBS Complete	$582.61
Rate for Payer: BCBS Trust/PPO	$226.01
Rate for Payer: Cash Price	$1,354.40
Rate for Payer: Cash Price	$1,354.40
Rate for Payer: Meridian Medicaid	$582.61
Rate for Payer: Priority Health Choice Medicaid	$554.87
Rate for Payer: Priority Health Cigna Priority Health	$1,185.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,062.53
Rate for Payer: Priority Health Narrow Network	$1,062.53
Rate for Payer: Priority Health SBD	$1,062.53
Rate for Payer: UMR Bronson Commercial	$778.78

PR ADJT/REARGMT F/C/C/M/N/AX/G/H/F 10.1-30.0 SQ CM

Professional

Both

$1,583.00

Service Code	HCPCS 14041
Min. Negotiated Rate	$486.49
Max. Negotiated Rate	$1,457.41
Rate for Payer: Aetna Commercial	$811.62
Rate for Payer: BCBS Complete	$510.81
Rate for Payer: BCBS Trust/PPO	$1,457.41
Rate for Payer: Cash Price	$1,266.40
Rate for Payer: Cash Price	$1,266.40
Rate for Payer: Meridian Medicaid	$510.81
Rate for Payer: Priority Health Choice Medicaid	$486.49
Rate for Payer: Priority Health Cigna Priority Health	$1,108.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$930.18
Rate for Payer: Priority Health Narrow Network	$930.18
Rate for Payer: Priority Health SBD	$930.18
Rate for Payer: UMR Bronson Commercial	$728.18

PR ADJT/REARRGMT SCALP/ARM/LEG 10.1-30.0 SQ CM

Professional

Both

$1,450.00

Service Code	HCPCS 14021
Hospital Charge Code	14021
Min. Negotiated Rate	$206.12
Max. Negotiated Rate	$1,015.00
Rate for Payer: Aetna Commercial	$753.63
Rate for Payer: BCBS Complete	$475.70
Rate for Payer: BCBS Trust/PPO	$206.12
Rate for Payer: Cash Price	$1,160.00
Rate for Payer: Cash Price	$1,160.00
Rate for Payer: Meridian Medicaid	$475.70
Rate for Payer: Priority Health Choice Medicaid	$453.05
Rate for Payer: Priority Health Cigna Priority Health	$1,015.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$866.05
Rate for Payer: Priority Health Narrow Network	$866.05
Rate for Payer: Priority Health SBD	$866.05
Rate for Payer: UMR Bronson Commercial	$667.00

PR ADJT/REARRGMT SCALP/ARM/LEG 10.1-30.0 SQ CM

Facility

$1,450.00

Service Code	CPT 14021
Hospital Charge Code	14021
Hospital Revenue Code	960
Min. Negotiated Rate	$536.50
Max. Negotiated Rate	$5,102.91
Rate for Payer: Aetna American Axle	$942.50
Rate for Payer: Aetna Commercial	$1,232.50
Rate for Payer: Aetna Medicare	$1,685.82
Rate for Payer: Aetna New Business (MI Preferred)	$942.50
Rate for Payer: Allen County Amish Medical Aid Commercial	$2,026.22
Rate for Payer: Amish Plain Church Group Commercial	$2,026.22
Rate for Payer: BCBS Complete	$931.09
Rate for Payer: BCBS MAPPO	$1,620.98
Rate for Payer: BCBS Trust/PPO	$1,362.08
Rate for Payer: BCN Medicare Advantage	$1,620.98
Rate for Payer: Cash Price	$1,160.00
Rate for Payer: Cash Price	$1,160.00
Rate for Payer: Cofinity Commercial	$1,247.00
Rate for Payer: Cofinity Commercial	$1,015.00
Rate for Payer: Encore Health Key Benefits Commercial	$1,160.00
Rate for Payer: Health Alliance Plan Medicare Advantage	$1,620.98
Rate for Payer: Healthscope Commercial	$1,305.00
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial	$1,015.00
Rate for Payer: Lakeland Regional Health Systems Commercial	$1,087.50
Rate for Payer: Mclaren Medicaid	$886.68
Rate for Payer: Mclaren Medicare	$1,620.98
Rate for Payer: Meridian Medicaid	$931.09
Rate for Payer: Meridian Wellcare - Medicare Advantage	$1,702.03
Rate for Payer: MI Amish Medical Board Commercial	$1,864.13
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$1,232.50
Rate for Payer: PACE Medicare	$1,539.93
Rate for Payer: PACE SWMI	$1,620.98
Rate for Payer: PHP Commercial	$1,232.50
Rate for Payer: PHP Medicare Advantage	$1,620.98
Rate for Payer: Priority Health Choice Medicaid	$886.68
Rate for Payer: Priority Health Cigna Priority Health	$1,015.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$5,102.91
Rate for Payer: Priority Health Medicare	$1,620.98
Rate for Payer: Priority Health Narrow Network	$4,082.33
Rate for Payer: Priority Health SBD	$913.50
Rate for Payer: Railroad Medicare Medicare	$1,620.98
Rate for Payer: UHC All Payor (Choice/PPO)	$766.12
Rate for Payer: UHC Dual Complete DSNP	$1,620.98
Rate for Payer: UHC Exchange	$696.47
Rate for Payer: UHC Medicare Advantage	$1,669.61
Rate for Payer: UMR Bronson Commercial	$536.50
Rate for Payer: VA VA	$1,620.98
Rate for Payer: Van Buren County Sheriff Dept. Commercial	$1,087.50

PR ADJT/REARRGMT SCALP/ARM/LEG 10.1-30.0 SQ CM

Professional

Both

$1,450.00

Service Code	HCPCS 14021
Min. Negotiated Rate	$206.12
Max. Negotiated Rate	$1,015.00
Rate for Payer: Aetna Commercial	$753.63
Rate for Payer: BCBS Complete	$475.70
Rate for Payer: BCBS Trust/PPO	$206.12
Rate for Payer: Cash Price	$1,160.00
Rate for Payer: Cash Price	$1,160.00
Rate for Payer: Meridian Medicaid	$475.70
Rate for Payer: Priority Health Choice Medicaid	$453.05
Rate for Payer: Priority Health Cigna Priority Health	$1,015.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$866.05
Rate for Payer: Priority Health Narrow Network	$866.05
Rate for Payer: Priority Health SBD	$866.05
Rate for Payer: UMR Bronson Commercial	$667.00

PR ADJT/REARRGMT SCALP/ARM/LEG 10.1-30.0 SQ CM

Facility

$1,450.00

Service Code	CPT 14021
Hospital Charge Code	14021
Hospital Revenue Code	960
Min. Negotiated Rate	$638.00
Max. Negotiated Rate	$1,305.00
Rate for Payer: Aetna American Axle	$942.50
Rate for Payer: Aetna Commercial	$1,232.50
Rate for Payer: Aetna New Business (MI Preferred)	$942.50
Rate for Payer: Cash Price	$1,160.00
Rate for Payer: Cofinity Commercial	$1,015.00
Rate for Payer: Cofinity Commercial	$1,247.00
Rate for Payer: Encore Health Key Benefits Commercial	$1,160.00
Rate for Payer: Healthscope Commercial	$1,305.00
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial	$1,015.00
Rate for Payer: Lakeland Regional Health Systems Commercial	$1,087.50
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$1,232.50
Rate for Payer: PHP Commercial	$1,232.50
Rate for Payer: Priority Health Cigna Priority Health	$1,015.00
Rate for Payer: Priority Health SBD	$913.50
Rate for Payer: UMR Bronson Commercial	$638.00
Rate for Payer: Van Buren County Sheriff Dept. Commercial	$1,087.50

PR ADJT TIS REARGMT EYE/NOSE/EAR/LIP 10.1-30.0 SQCM

Professional

Both

$2,191.00

Service Code	HCPCS 14061
Min. Negotiated Rate	$138.90
Max. Negotiated Rate	$1,533.70
Rate for Payer: Aetna Commercial	$870.72
Rate for Payer: BCBS Complete	$548.61
Rate for Payer: BCBS Trust/PPO	$138.90
Rate for Payer: Cash Price	$1,752.80
Rate for Payer: Cash Price	$1,752.80
Rate for Payer: Meridian Medicaid	$548.61
Rate for Payer: Priority Health Choice Medicaid	$522.49
Rate for Payer: Priority Health Cigna Priority Health	$1,533.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$998.41
Rate for Payer: Priority Health Narrow Network	$998.41
Rate for Payer: Priority Health SBD	$998.41
Rate for Payer: UMR Bronson Commercial	$1,007.86

PR ADJT TIS TRNSFR/REARGMT DEFEC EA ADDL 30 SQCM

Professional

Both

$443.00

Service Code	HCPCS 14302
Min. Negotiated Rate	$136.32
Max. Negotiated Rate	$310.10
Rate for Payer: Aetna Commercial	$235.75
Rate for Payer: BCBS Complete	$143.14
Rate for Payer: BCBS Trust/PPO	$138.90
Rate for Payer: Cash Price	$354.40
Rate for Payer: Cash Price	$354.40
Rate for Payer: Meridian Medicaid	$143.14
Rate for Payer: Priority Health Choice Medicaid	$136.32
Rate for Payer: Priority Health Cigna Priority Health	$310.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$263.07
Rate for Payer: Priority Health Narrow Network	$263.07
Rate for Payer: Priority Health SBD	$263.07
Rate for Payer: UMR Bronson Commercial	$203.78

PR ADJT TIS TRNSFR/REARGMT SCALP/ARM/LEG 10 SQ CM/<

Professional

Both

$1,146.00

Service Code	HCPCS 14020
Min. Negotiated Rate	$48.14
Max. Negotiated Rate	$802.20
Rate for Payer: Aetna Commercial	$598.90
Rate for Payer: BCBS Complete	$381.55
Rate for Payer: BCBS Trust/PPO	$48.14
Rate for Payer: Cash Price	$916.80
Rate for Payer: Cash Price	$916.80
Rate for Payer: Meridian Medicaid	$381.55
Rate for Payer: Priority Health Choice Medicaid	$363.38
Rate for Payer: Priority Health Cigna Priority Health	$802.20
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$692.60
Rate for Payer: Priority Health Narrow Network	$692.60
Rate for Payer: Priority Health SBD	$692.60
Rate for Payer: UMR Bronson Commercial	$527.16

PR ADJT TIS TRNSFR/REARRGMT E/N/E/L DFCT 10 SQ CM/<

Professional

Both

$2,026.00

Service Code	HCPCS 14060
Min. Negotiated Rate	$206.12
Max. Negotiated Rate	$1,418.20
Rate for Payer: Aetna Commercial	$705.60
Rate for Payer: BCBS Complete	$446.19
Rate for Payer: BCBS Trust/PPO	$206.12
Rate for Payer: Cash Price	$1,620.80
Rate for Payer: Cash Price	$1,620.80
Rate for Payer: Meridian Medicaid	$446.19
Rate for Payer: Priority Health Choice Medicaid	$424.94
Rate for Payer: Priority Health Cigna Priority Health	$1,418.20
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$812.62
Rate for Payer: Priority Health Narrow Network	$812.62
Rate for Payer: Priority Health SBD	$812.62
Rate for Payer: UMR Bronson Commercial	$931.96

PR ADJT TIS TRNS/REARGMT F/C/C/M/N/A/G/H/F 10SQCM/<

Facility

$1,274.00

Service Code	CPT 14040
Hospital Charge Code	14040
Hospital Revenue Code	960
Min. Negotiated Rate	$560.56
Max. Negotiated Rate	$1,146.60
Rate for Payer: Aetna American Axle	$828.10
Rate for Payer: Aetna Commercial	$1,082.90
Rate for Payer: Aetna New Business (MI Preferred)	$828.10
Rate for Payer: Cash Price	$1,019.20
Rate for Payer: Cofinity Commercial	$891.80
Rate for Payer: Cofinity Commercial	$1,095.64
Rate for Payer: Encore Health Key Benefits Commercial	$1,019.20
Rate for Payer: Healthscope Commercial	$1,146.60
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial	$891.80
Rate for Payer: Lakeland Regional Health Systems Commercial	$955.50
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS	$1,082.90
Rate for Payer: PHP Commercial	$1,082.90
Rate for Payer: Priority Health Cigna Priority Health	$891.80
Rate for Payer: Priority Health SBD	$802.62
Rate for Payer: UMR Bronson Commercial	$560.56
Rate for Payer: Van Buren County Sheriff Dept. Commercial	$955.50

Know your out-of-pocket cost for care.

All Charges