Bronson Methodist Hospital

All Charges

Charge

Type

Setting

Price

LIPID (FAT EMULSION 20%) NEONATAL SYRINGE CUSTOM

Facility

$110.16

Service Code	NDC 09900000105
Hospital Charge Code	164988
Hospital Revenue Code	250
Min. Negotiated Rate	$48.47
Max. Negotiated Rate	$99.14
Rate for Payer: Aetna American Axle	$71.60
Rate for Payer: Aetna Commercial	$93.64
Rate for Payer: Aetna New Business (MI Preferred)	$71.60
Rate for Payer: Cash Price	$88.13
Rate for Payer: Cofinity Commercial	$77.11
Rate for Payer: Cofinity Commercial	$94.74
Rate for Payer: Cofinity Medicare Advantage	$77.11
Rate for Payer: Encore Health Key Benefits Commercial	$88.13
Rate for Payer: Healthscope Commercial	$99.14
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial	$77.11
Rate for Payer: Lakeland Regional Health Systems Commercial	$82.62
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$93.64
Rate for Payer: PHP Commercial	$93.64
Rate for Payer: Priority Health Cigna Priority Health	$71.60
Rate for Payer: Priority Health SBD	$69.40
Rate for Payer: UMR Bronson Commercial	$48.47
Rate for Payer: Van Buren County Sheriff Dept. Commercial	$82.62

LIPID (FAT EMULSION 20%) NEONATAL SYRINGE CUSTOM

Facility

$73.42

Service Code	NDC 00090000239
Hospital Charge Code	164988
Hospital Revenue Code	250
Min. Negotiated Rate	$27.17
Max. Negotiated Rate	$66.08
Rate for Payer: Aetna American Axle	$47.72
Rate for Payer: Aetna Commercial	$62.41
Rate for Payer: Aetna Medicare	$36.71
Rate for Payer: Aetna New Business (MI Preferred)	$47.72
Rate for Payer: BCBS Complete	$29.37
Rate for Payer: Cash Price	$58.74
Rate for Payer: Cofinity Commercial	$51.39
Rate for Payer: Cofinity Commercial	$63.14
Rate for Payer: Cofinity Medicare Advantage	$51.39
Rate for Payer: Encore Health Key Benefits Commercial	$58.74
Rate for Payer: Healthscope Commercial	$66.08
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial	$51.39
Rate for Payer: Lakeland Regional Health Systems Commercial	$55.06
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$62.41
Rate for Payer: PHP Commercial	$62.41
Rate for Payer: Priority Health Cigna Priority Health	$47.72
Rate for Payer: Priority Health SBD	$46.25
Rate for Payer: UMR Bronson Commercial	$27.17
Rate for Payer: Van Buren County Sheriff Dept. Commercial	$55.06

LIPID (FAT EMULSION 20%) NEONATAL SYRINGE CUSTOM

Facility

$73.44

Service Code	NDC 09900000104
Hospital Charge Code	164988
Hospital Revenue Code	250
Min. Negotiated Rate	$32.31
Max. Negotiated Rate	$66.10
Rate for Payer: Aetna American Axle	$47.74
Rate for Payer: Aetna Commercial	$62.42
Rate for Payer: Aetna New Business (MI Preferred)	$47.74
Rate for Payer: Cash Price	$58.75
Rate for Payer: Cofinity Commercial	$51.41
Rate for Payer: Cofinity Commercial	$63.16
Rate for Payer: Cofinity Medicare Advantage	$51.41
Rate for Payer: Encore Health Key Benefits Commercial	$58.75
Rate for Payer: Healthscope Commercial	$66.10
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial	$51.41
Rate for Payer: Lakeland Regional Health Systems Commercial	$55.08
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$62.42
Rate for Payer: PHP Commercial	$62.42
Rate for Payer: Priority Health Cigna Priority Health	$47.74
Rate for Payer: Priority Health SBD	$46.27
Rate for Payer: UMR Bronson Commercial	$32.31
Rate for Payer: Van Buren County Sheriff Dept. Commercial	$55.08

LIPID (FAT EMULSION 20%) NEONATAL SYRINGE CUSTOM

Facility

$63.80

Service Code	NDC 09900000103
Hospital Charge Code	164988
Hospital Revenue Code	250
Min. Negotiated Rate	$28.07
Max. Negotiated Rate	$57.42
Rate for Payer: Aetna American Axle	$41.47
Rate for Payer: Aetna Commercial	$54.23
Rate for Payer: Aetna New Business (MI Preferred)	$41.47
Rate for Payer: Cash Price	$51.04
Rate for Payer: Cofinity Commercial	$44.66
Rate for Payer: Cofinity Commercial	$54.87
Rate for Payer: Cofinity Medicare Advantage	$44.66
Rate for Payer: Encore Health Key Benefits Commercial	$51.04
Rate for Payer: Healthscope Commercial	$57.42
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial	$44.66
Rate for Payer: Lakeland Regional Health Systems Commercial	$47.85
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$54.23
Rate for Payer: PHP Commercial	$54.23
Rate for Payer: Priority Health Cigna Priority Health	$41.47
Rate for Payer: Priority Health SBD	$40.19
Rate for Payer: UMR Bronson Commercial	$28.07
Rate for Payer: Van Buren County Sheriff Dept. Commercial	$47.85

LIPID (FAT EMULSION 20%) NEONATAL SYRINGE CUSTOM

Facility

$63.80

Service Code	NDC 09900000103
Hospital Charge Code	164988
Hospital Revenue Code	250
Min. Negotiated Rate	$23.61
Max. Negotiated Rate	$57.42
Rate for Payer: Aetna American Axle	$41.47
Rate for Payer: Aetna Commercial	$54.23
Rate for Payer: Aetna Medicare	$31.90
Rate for Payer: Aetna New Business (MI Preferred)	$41.47
Rate for Payer: BCBS Complete	$25.52
Rate for Payer: Cash Price	$51.04
Rate for Payer: Cofinity Commercial	$44.66
Rate for Payer: Cofinity Commercial	$54.87
Rate for Payer: Cofinity Medicare Advantage	$44.66
Rate for Payer: Encore Health Key Benefits Commercial	$51.04
Rate for Payer: Healthscope Commercial	$57.42
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial	$44.66
Rate for Payer: Lakeland Regional Health Systems Commercial	$47.85
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$54.23
Rate for Payer: PHP Commercial	$54.23
Rate for Payer: Priority Health Cigna Priority Health	$41.47
Rate for Payer: Priority Health SBD	$40.19
Rate for Payer: UMR Bronson Commercial	$23.61
Rate for Payer: Van Buren County Sheriff Dept. Commercial	$47.85

LIPID (FAT EMULSION 20%) NEONATAL SYRINGE CUSTOM

Facility

$110.16

Service Code	NDC 09900000105
Hospital Charge Code	164988
Hospital Revenue Code	250
Min. Negotiated Rate	$40.76
Max. Negotiated Rate	$99.14
Rate for Payer: Aetna American Axle	$71.60
Rate for Payer: Aetna Commercial	$93.64
Rate for Payer: Aetna Medicare	$55.08
Rate for Payer: Aetna New Business (MI Preferred)	$71.60
Rate for Payer: BCBS Complete	$44.06
Rate for Payer: Cash Price	$88.13
Rate for Payer: Cofinity Commercial	$77.11
Rate for Payer: Cofinity Commercial	$94.74
Rate for Payer: Cofinity Medicare Advantage	$77.11
Rate for Payer: Encore Health Key Benefits Commercial	$88.13
Rate for Payer: Healthscope Commercial	$99.14
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial	$77.11
Rate for Payer: Lakeland Regional Health Systems Commercial	$82.62
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$93.64
Rate for Payer: PHP Commercial	$93.64
Rate for Payer: Priority Health Cigna Priority Health	$71.60
Rate for Payer: Priority Health SBD	$69.40
Rate for Payer: UMR Bronson Commercial	$40.76
Rate for Payer: Van Buren County Sheriff Dept. Commercial	$82.62

LIPID (FAT EMULSION 20%) NEONATAL SYRINGE CUSTOM

Facility

$73.44

Service Code	NDC 09900000104
Hospital Charge Code	164988
Hospital Revenue Code	250
Min. Negotiated Rate	$27.17
Max. Negotiated Rate	$66.10
Rate for Payer: Aetna American Axle	$47.74
Rate for Payer: Aetna Commercial	$62.42
Rate for Payer: Aetna Medicare	$36.72
Rate for Payer: Aetna New Business (MI Preferred)	$47.74
Rate for Payer: BCBS Complete	$29.38
Rate for Payer: Cash Price	$58.75
Rate for Payer: Cofinity Commercial	$51.41
Rate for Payer: Cofinity Commercial	$63.16
Rate for Payer: Cofinity Medicare Advantage	$51.41
Rate for Payer: Encore Health Key Benefits Commercial	$58.75
Rate for Payer: Healthscope Commercial	$66.10
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial	$51.41
Rate for Payer: Lakeland Regional Health Systems Commercial	$55.08
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$62.42
Rate for Payer: PHP Commercial	$62.42
Rate for Payer: Priority Health Cigna Priority Health	$47.74
Rate for Payer: Priority Health SBD	$46.27
Rate for Payer: UMR Bronson Commercial	$27.17
Rate for Payer: Van Buren County Sheriff Dept. Commercial	$55.08

LIPID (FAT EMULSION 20%) NEONATAL SYRINGE CUSTOM

Facility

$135.60

Service Code	NDC 09900000107
Hospital Charge Code	164988
Hospital Revenue Code	250
Min. Negotiated Rate	$59.66
Max. Negotiated Rate	$122.04
Rate for Payer: Aetna American Axle	$88.14
Rate for Payer: Aetna Commercial	$115.26
Rate for Payer: Aetna New Business (MI Preferred)	$88.14
Rate for Payer: Cash Price	$108.48
Rate for Payer: Cofinity Commercial	$116.62
Rate for Payer: Cofinity Commercial	$94.92
Rate for Payer: Cofinity Medicare Advantage	$94.92
Rate for Payer: Encore Health Key Benefits Commercial	$108.48
Rate for Payer: Healthscope Commercial	$122.04
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial	$94.92
Rate for Payer: Lakeland Regional Health Systems Commercial	$101.70
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$115.26
Rate for Payer: PHP Commercial	$115.26
Rate for Payer: Priority Health Cigna Priority Health	$88.14
Rate for Payer: Priority Health SBD	$85.43
Rate for Payer: UMR Bronson Commercial	$59.66
Rate for Payer: Van Buren County Sheriff Dept. Commercial	$101.70

LIPID (FAT EMULSION 20%) NEONATAL SYRINGE CUSTOM

Facility

$135.60

Service Code	NDC 09900000107
Hospital Charge Code	164988
Hospital Revenue Code	250
Min. Negotiated Rate	$50.17
Max. Negotiated Rate	$122.04
Rate for Payer: Aetna American Axle	$88.14
Rate for Payer: Aetna Commercial	$115.26
Rate for Payer: Aetna Medicare	$67.80
Rate for Payer: Aetna New Business (MI Preferred)	$88.14
Rate for Payer: BCBS Complete	$54.24
Rate for Payer: Cash Price	$108.48
Rate for Payer: Cofinity Commercial	$116.62
Rate for Payer: Cofinity Commercial	$94.92
Rate for Payer: Cofinity Medicare Advantage	$94.92
Rate for Payer: Encore Health Key Benefits Commercial	$108.48
Rate for Payer: Healthscope Commercial	$122.04
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial	$94.92
Rate for Payer: Lakeland Regional Health Systems Commercial	$101.70
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$115.26
Rate for Payer: PHP Commercial	$115.26
Rate for Payer: Priority Health Cigna Priority Health	$88.14
Rate for Payer: Priority Health SBD	$85.43
Rate for Payer: UMR Bronson Commercial	$50.17
Rate for Payer: Van Buren County Sheriff Dept. Commercial	$101.70

LIPID (FAT EMULSION 20%) NEONATAL SYRINGE CUSTOM

Facility

$108.48

Service Code	NDC 09900000106
Hospital Charge Code	164988
Hospital Revenue Code	250
Min. Negotiated Rate	$40.14
Max. Negotiated Rate	$97.63
Rate for Payer: Aetna American Axle	$70.51
Rate for Payer: Aetna Commercial	$92.21
Rate for Payer: Aetna Medicare	$54.24
Rate for Payer: Aetna New Business (MI Preferred)	$70.51
Rate for Payer: BCBS Complete	$43.39
Rate for Payer: Cash Price	$86.78
Rate for Payer: Cofinity Commercial	$75.94
Rate for Payer: Cofinity Commercial	$93.29
Rate for Payer: Cofinity Medicare Advantage	$75.94
Rate for Payer: Encore Health Key Benefits Commercial	$86.78
Rate for Payer: Healthscope Commercial	$97.63
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial	$75.94
Rate for Payer: Lakeland Regional Health Systems Commercial	$81.36
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$92.21
Rate for Payer: PHP Commercial	$92.21
Rate for Payer: Priority Health Cigna Priority Health	$70.51
Rate for Payer: Priority Health SBD	$68.34
Rate for Payer: UMR Bronson Commercial	$40.14
Rate for Payer: Van Buren County Sheriff Dept. Commercial	$81.36

LIPID (FAT EMULSION 20%) NEONATAL SYRINGE CUSTOM

Facility

$73.42

Service Code	NDC 00090000239
Hospital Charge Code	164988
Hospital Revenue Code	250
Min. Negotiated Rate	$32.30
Max. Negotiated Rate	$66.08
Rate for Payer: Aetna American Axle	$47.72
Rate for Payer: Aetna Commercial	$62.41
Rate for Payer: Aetna New Business (MI Preferred)	$47.72
Rate for Payer: Cash Price	$58.74
Rate for Payer: Cofinity Commercial	$51.39
Rate for Payer: Cofinity Commercial	$63.14
Rate for Payer: Cofinity Medicare Advantage	$51.39
Rate for Payer: Encore Health Key Benefits Commercial	$58.74
Rate for Payer: Healthscope Commercial	$66.08
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial	$51.39
Rate for Payer: Lakeland Regional Health Systems Commercial	$55.06
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$62.41
Rate for Payer: PHP Commercial	$62.41
Rate for Payer: Priority Health Cigna Priority Health	$47.72
Rate for Payer: Priority Health SBD	$46.25
Rate for Payer: UMR Bronson Commercial	$32.30
Rate for Payer: Van Buren County Sheriff Dept. Commercial	$55.06

LIPID (FAT EMULSION 20%) NEONATAL SYRINGE CUSTOM

Facility

$464.00

Service Code	NDC 00338051909
Hospital Charge Code	164988
Hospital Revenue Code	250
Min. Negotiated Rate	$171.68
Max. Negotiated Rate	$417.60
Rate for Payer: Aetna American Axle	$301.60
Rate for Payer: Aetna Commercial	$394.40
Rate for Payer: Aetna Medicare	$232.00
Rate for Payer: Aetna New Business (MI Preferred)	$301.60
Rate for Payer: BCBS Complete	$185.60
Rate for Payer: Cash Price	$371.20
Rate for Payer: Cofinity Commercial	$324.80
Rate for Payer: Cofinity Commercial	$399.04
Rate for Payer: Cofinity Medicare Advantage	$324.80
Rate for Payer: Encore Health Key Benefits Commercial	$371.20
Rate for Payer: Healthscope Commercial	$417.60
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial	$324.80
Rate for Payer: Lakeland Regional Health Systems Commercial	$348.00
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$394.40
Rate for Payer: PHP Commercial	$394.40
Rate for Payer: Priority Health Cigna Priority Health	$301.60
Rate for Payer: Priority Health SBD	$292.32
Rate for Payer: UMR Bronson Commercial	$171.68
Rate for Payer: Van Buren County Sheriff Dept. Commercial	$348.00

LIQUID ACID CONCENTRATE 1.0 K WITH CA (NATURALYTE) FOR BICARBONATE INTERMITTENT HEMODIALYSIS SOLUTION 3.43 L

Facility

$3.44

Service Code	HCPCS J7040
Hospital Charge Code	301176
Hospital Revenue Code	636
Min. Negotiated Rate	$3.44
Max. Negotiated Rate	$3.44
Rate for Payer: BCBS Trust/PPO	$3.44
Rate for Payer: BCN Commercial	$3.44

LIQUID ACID CONCENTRATE 2.0 K WITH CA (NATURALYTE) FOR BICARBONATE HEMODIALYSIS SOLUTION 3.43 L

Facility

$3.44

Service Code	HCPCS J7040
Hospital Charge Code	301137
Hospital Revenue Code	636
Min. Negotiated Rate	$3.44
Max. Negotiated Rate	$3.44
Rate for Payer: BCBS Trust/PPO	$3.44
Rate for Payer: BCN Commercial	$3.44

LIQUID ACID CONCENTRATE 2.0 K WITH CA (NATURALYTE) FOR BICARBONATE INTERMITTENT HEMODIALYSIS SOLUTION 3.43 L

Facility

$3.44

Service Code	HCPCS J7040
Hospital Charge Code	301185
Hospital Revenue Code	636
Min. Negotiated Rate	$3.44
Max. Negotiated Rate	$3.44
Rate for Payer: BCBS Trust/PPO	$3.44
Rate for Payer: BCN Commercial	$3.44

LIQUID ACID CONCENTRATE 2.0 K WITH CA (.OUTSET) FOR BICARBONATE HEMODIALYSIS SOLUTION 3.78 L

Facility

$3.44

Service Code	HCPCS J7040
Hospital Charge Code	301230
Hospital Revenue Code	636
Min. Negotiated Rate	$3.44
Max. Negotiated Rate	$3.44
Rate for Payer: BCBS Trust/PPO	$3.44
Rate for Payer: BCN Commercial	$3.44

LIQUID ACID CONCENTRATE 2.0 K WITH CA (.OUTSET) FOR BICARBONATE INTERMITTENT HEMODIALYSIS SOLUTION 3.78 L

Facility

$3.44

Service Code	HCPCS J7040
Hospital Charge Code	301231
Hospital Revenue Code	636
Min. Negotiated Rate	$3.44
Max. Negotiated Rate	$3.44
Rate for Payer: BCBS Trust/PPO	$3.44
Rate for Payer: BCN Commercial	$3.44

LIQUID ACID CONCENTRATE 3.0 K WITH CA (NATURALYTE) FOR BICARBONATE INTERMITTENT HEMODIALYSIS SOLUTION 3.43 L

Facility

$3.44

Service Code	HCPCS J7040
Hospital Charge Code	301177
Hospital Revenue Code	636
Min. Negotiated Rate	$3.44
Max. Negotiated Rate	$3.44
Rate for Payer: BCBS Trust/PPO	$3.44
Rate for Payer: BCN Commercial	$3.44

LIQUID ACID CONCENTRATE 3.0 K WITH CA (.OUTSET) FOR BICARBONATE HEMODIALYSIS SOLUTION 3.78 L

Facility

$3.44

Service Code	HCPCS J7040
Hospital Charge Code	301234
Hospital Revenue Code	636
Min. Negotiated Rate	$3.44
Max. Negotiated Rate	$3.44
Rate for Payer: BCBS Trust/PPO	$3.44
Rate for Payer: BCN Commercial	$3.44

LIQUID ACID CONCENTRATE 3.0 K WITH CA (.OUTSET) FOR BICARBONATE INTERMITTENT HEMODIALYSIS SOLUTION 3.78 L

Facility

$3.44

Service Code	HCPCS J7040
Hospital Charge Code	301235
Hospital Revenue Code	636
Min. Negotiated Rate	$3.44
Max. Negotiated Rate	$3.44
Rate for Payer: BCBS Trust/PPO	$3.44
Rate for Payer: BCN Commercial	$3.44

LIQUID ACID CONCENTRATE 4.0 K WITH CA (NATURALYTE) FOR BICARBONATE HEMODIALYSIS SOLUTION 3.43 L

Facility

$3.44

Service Code	HCPCS J7040
Hospital Charge Code	301139
Hospital Revenue Code	636
Min. Negotiated Rate	$3.44
Max. Negotiated Rate	$3.44
Rate for Payer: BCBS Trust/PPO	$3.44
Rate for Payer: BCN Commercial	$3.44

LIQUID ACID CONCENTRATE 4.0 K WITH CA (NATURALYTE) FOR INTERMITTENT BICARBONATE HEMODIALYSIS SOLUTION 3.43 L

Facility

$3.44

Service Code	HCPCS J7040
Hospital Charge Code	301186
Hospital Revenue Code	636
Min. Negotiated Rate	$3.44
Max. Negotiated Rate	$3.44
Rate for Payer: BCBS Trust/PPO	$3.44
Rate for Payer: BCN Commercial	$3.44

LIQUID BICARBONATE CONCENTRATE (.OUTSET) B-100 HEMODIALYSIS SOLUTION

Facility

$3.44

Service Code	HCPCS J7040
Hospital Charge Code	301143
Hospital Revenue Code	636
Min. Negotiated Rate	$3.44
Max. Negotiated Rate	$3.44
Rate for Payer: BCBS Trust/PPO	$3.44
Rate for Payer: BCN Commercial	$3.44

LISDEXAMFETAMINE 10 MG CAPSULE

Facility

$480.90

Service Code	NDC 43547060210
Hospital Charge Code	173697
Hospital Revenue Code	637
Min. Negotiated Rate	$177.93
Max. Negotiated Rate	$432.81
Rate for Payer: Aetna American Axle	$312.58
Rate for Payer: Aetna Commercial	$408.76
Rate for Payer: Aetna Medicare	$240.45
Rate for Payer: Aetna New Business (MI Preferred)	$312.58
Rate for Payer: BCBS Complete	$192.36
Rate for Payer: Cash Price	$384.72
Rate for Payer: Cofinity Commercial	$336.63
Rate for Payer: Cofinity Commercial	$413.57
Rate for Payer: Cofinity Medicare Advantage	$336.63
Rate for Payer: Encore Health Key Benefits Commercial	$384.72
Rate for Payer: Healthscope Commercial	$432.81
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial	$336.63
Rate for Payer: Lakeland Regional Health Systems Commercial	$360.68
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$408.76
Rate for Payer: PHP Commercial	$408.76
Rate for Payer: Priority Health Cigna Priority Health	$312.58
Rate for Payer: Priority Health SBD	$302.97
Rate for Payer: UMR Bronson Commercial	$177.93
Rate for Payer: Van Buren County Sheriff Dept. Commercial	$360.68

LISDEXAMFETAMINE 10 MG CAPSULE

Facility

$1,201.90

Service Code	NDC 00527466137
Hospital Charge Code	173697
Hospital Revenue Code	637
Min. Negotiated Rate	$528.84
Max. Negotiated Rate	$1,081.71
Rate for Payer: Aetna American Axle	$781.24
Rate for Payer: Aetna Commercial	$1,021.62
Rate for Payer: Aetna New Business (MI Preferred)	$781.24
Rate for Payer: Cash Price	$961.52
Rate for Payer: Cofinity Commercial	$1,033.63
Rate for Payer: Cofinity Commercial	$841.33
Rate for Payer: Cofinity Medicare Advantage	$841.33
Rate for Payer: Encore Health Key Benefits Commercial	$961.52
Rate for Payer: Healthscope Commercial	$1,081.71
Rate for Payer: Kalamazoo County Sherrif's Dept Commercial	$841.33
Rate for Payer: Lakeland Regional Health Systems Commercial	$901.42
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,021.62
Rate for Payer: PHP Commercial	$1,021.62
Rate for Payer: Priority Health Cigna Priority Health	$781.24
Rate for Payer: Priority Health SBD	$757.20
Rate for Payer: UMR Bronson Commercial	$528.84
Rate for Payer: Van Buren County Sheriff Dept. Commercial	$901.42

Know your out-of-pocket cost for care.

All Charges