Bronson South Haven Hospital

All Charges

Charge

Type

Setting

Price

HC CANNULA ARTERIOTOMY 2 MM

Facility

$24.48

Hospital Charge Code	27000675
Hospital Revenue Code	270
Min. Negotiated Rate	$9.79
Max. Negotiated Rate	$24.48
Rate for Payer: Aetna Commercial	$22.03
Rate for Payer: Aetna Medicare	$12.24
Rate for Payer: ASR ASR	$23.75
Rate for Payer: ASR Commercial	$23.75
Rate for Payer: BCBS Complete	$9.79
Rate for Payer: BCBS Trust/PPO	$20.05
Rate for Payer: BCN Commercial	$18.98
Rate for Payer: Cash Price	$19.58
Rate for Payer: Cofinity Commercial	$23.01
Rate for Payer: Encore Health Key Benefits Commercial	$19.58
Rate for Payer: Healthscope Commercial	$24.48
Rate for Payer: Healthscope Whirlpool	$23.75
Rate for Payer: Mclaren Commercial	$22.03
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$20.81
Rate for Payer: Nomi Health Commercial	$20.07
Rate for Payer: Priority Health Cigna Priority Health	$15.91
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$21.45
Rate for Payer: Priority Health Narrow Network	$17.16
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$21.54

HC CANNULA BIOMEDICUS

Facility

$1,473.47

Hospital Charge Code	27006715
Hospital Revenue Code	270
Min. Negotiated Rate	$589.39
Max. Negotiated Rate	$1,473.47
Rate for Payer: Aetna Commercial	$1,326.12
Rate for Payer: Aetna Medicare	$736.74
Rate for Payer: ASR ASR	$1,429.27
Rate for Payer: ASR Commercial	$1,429.27
Rate for Payer: BCBS Complete	$589.39
Rate for Payer: BCBS Trust/PPO	$1,206.62
Rate for Payer: BCN Commercial	$1,142.38
Rate for Payer: Cash Price	$1,178.78
Rate for Payer: Cofinity Commercial	$1,385.06
Rate for Payer: Encore Health Key Benefits Commercial	$1,178.78
Rate for Payer: Healthscope Commercial	$1,473.47
Rate for Payer: Healthscope Whirlpool	$1,429.27
Rate for Payer: Mclaren Commercial	$1,326.12
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,252.45
Rate for Payer: Nomi Health Commercial	$1,208.25
Rate for Payer: Priority Health Cigna Priority Health	$957.76
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$1,291.05
Rate for Payer: Priority Health Narrow Network	$1,032.90
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$1,296.65

HC CANNULA BIOMEDICUS

Facility

$1,473.47

Hospital Charge Code	27006715
Hospital Revenue Code	270
Min. Negotiated Rate	$957.76
Max. Negotiated Rate	$1,473.47
Rate for Payer: Aetna Commercial	$1,326.12
Rate for Payer: ASR ASR	$1,429.27
Rate for Payer: ASR Commercial	$1,429.27
Rate for Payer: BCBS Trust/PPO	$1,200.73
Rate for Payer: BCN Commercial	$1,142.38
Rate for Payer: Cash Price	$1,178.78
Rate for Payer: Cofinity Commercial	$1,385.06
Rate for Payer: Encore Health Key Benefits Commercial	$1,178.78
Rate for Payer: Healthscope Commercial	$1,473.47
Rate for Payer: Healthscope Whirlpool	$1,429.27
Rate for Payer: Mclaren Commercial	$1,326.12
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$1,252.45
Rate for Payer: Nomi Health Commercial	$1,208.25
Rate for Payer: Priority Health Cigna Priority Health	$957.76
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$1,296.65

HC CANNULA CARDIOPLEGIA

Facility

$47.43

Hospital Charge Code	27000092
Hospital Revenue Code	270
Min. Negotiated Rate	$30.83
Max. Negotiated Rate	$47.43
Rate for Payer: Aetna Commercial	$42.69
Rate for Payer: ASR ASR	$46.01
Rate for Payer: ASR Commercial	$46.01
Rate for Payer: BCBS Trust/PPO	$38.65
Rate for Payer: BCN Commercial	$36.77
Rate for Payer: Cash Price	$37.94
Rate for Payer: Cofinity Commercial	$44.58
Rate for Payer: Encore Health Key Benefits Commercial	$37.94
Rate for Payer: Healthscope Commercial	$47.43
Rate for Payer: Healthscope Whirlpool	$46.01
Rate for Payer: Mclaren Commercial	$42.69
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$40.32
Rate for Payer: Nomi Health Commercial	$38.89
Rate for Payer: Priority Health Cigna Priority Health	$30.83
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$41.74

HC CANNULA CARDIOPLEGIA

Facility

$47.43

Hospital Charge Code	27000092
Hospital Revenue Code	270
Min. Negotiated Rate	$18.97
Max. Negotiated Rate	$47.43
Rate for Payer: Aetna Commercial	$42.69
Rate for Payer: Aetna Medicare	$23.71
Rate for Payer: ASR ASR	$46.01
Rate for Payer: ASR Commercial	$46.01
Rate for Payer: BCBS Complete	$18.97
Rate for Payer: BCBS Trust/PPO	$38.84
Rate for Payer: BCN Commercial	$36.77
Rate for Payer: Cash Price	$37.94
Rate for Payer: Cofinity Commercial	$44.58
Rate for Payer: Encore Health Key Benefits Commercial	$37.94
Rate for Payer: Healthscope Commercial	$47.43
Rate for Payer: Healthscope Whirlpool	$46.01
Rate for Payer: Mclaren Commercial	$42.69
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$40.32
Rate for Payer: Nomi Health Commercial	$38.89
Rate for Payer: Priority Health Cigna Priority Health	$30.83
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$41.56
Rate for Payer: Priority Health Narrow Network	$33.25
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$41.74

HC CANNULA COR ART 7MM ST

Facility

$323.06

Hospital Charge Code	27006707
Hospital Revenue Code	270
Min. Negotiated Rate	$129.22
Max. Negotiated Rate	$323.06
Rate for Payer: Aetna Commercial	$290.75
Rate for Payer: Aetna Medicare	$161.53
Rate for Payer: ASR ASR	$313.37
Rate for Payer: ASR Commercial	$313.37
Rate for Payer: BCBS Complete	$129.22
Rate for Payer: BCBS Trust/PPO	$264.55
Rate for Payer: BCN Commercial	$250.47
Rate for Payer: Cash Price	$258.45
Rate for Payer: Cofinity Commercial	$303.68
Rate for Payer: Encore Health Key Benefits Commercial	$258.45
Rate for Payer: Healthscope Commercial	$323.06
Rate for Payer: Healthscope Whirlpool	$313.37
Rate for Payer: Mclaren Commercial	$290.75
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$274.60
Rate for Payer: Nomi Health Commercial	$264.91
Rate for Payer: Priority Health Cigna Priority Health	$209.99
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$283.07
Rate for Payer: Priority Health Narrow Network	$226.47
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$284.29

HC CANNULA COR ART 7MM ST

Facility

$323.06

Hospital Charge Code	27006707
Hospital Revenue Code	270
Min. Negotiated Rate	$209.99
Max. Negotiated Rate	$323.06
Rate for Payer: Aetna Commercial	$290.75
Rate for Payer: ASR ASR	$313.37
Rate for Payer: ASR Commercial	$313.37
Rate for Payer: BCBS Trust/PPO	$263.26
Rate for Payer: BCN Commercial	$250.47
Rate for Payer: Cash Price	$258.45
Rate for Payer: Cofinity Commercial	$303.68
Rate for Payer: Encore Health Key Benefits Commercial	$258.45
Rate for Payer: Healthscope Commercial	$323.06
Rate for Payer: Healthscope Whirlpool	$313.37
Rate for Payer: Mclaren Commercial	$290.75
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$274.60
Rate for Payer: Nomi Health Commercial	$264.91
Rate for Payer: Priority Health Cigna Priority Health	$209.99
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$284.29

HC CANNULA COR ART 8 MM ST

Facility

$313.65

Hospital Charge Code	27006708
Hospital Revenue Code	270
Min. Negotiated Rate	$125.46
Max. Negotiated Rate	$313.65
Rate for Payer: Aetna Commercial	$282.29
Rate for Payer: Aetna Medicare	$156.82
Rate for Payer: ASR ASR	$304.24
Rate for Payer: ASR Commercial	$304.24
Rate for Payer: BCBS Complete	$125.46
Rate for Payer: BCBS Trust/PPO	$256.85
Rate for Payer: BCN Commercial	$243.17
Rate for Payer: Cash Price	$250.92
Rate for Payer: Cofinity Commercial	$294.83
Rate for Payer: Encore Health Key Benefits Commercial	$250.92
Rate for Payer: Healthscope Commercial	$313.65
Rate for Payer: Healthscope Whirlpool	$304.24
Rate for Payer: Mclaren Commercial	$282.29
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$266.60
Rate for Payer: Nomi Health Commercial	$257.19
Rate for Payer: Priority Health Cigna Priority Health	$203.87
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$274.82
Rate for Payer: Priority Health Narrow Network	$219.87
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$276.01

HC CANNULA COR ART 8 MM ST

Facility

$313.65

Hospital Charge Code	27006708
Hospital Revenue Code	270
Min. Negotiated Rate	$203.87
Max. Negotiated Rate	$313.65
Rate for Payer: Aetna Commercial	$282.29
Rate for Payer: ASR ASR	$304.24
Rate for Payer: ASR Commercial	$304.24
Rate for Payer: BCBS Trust/PPO	$255.59
Rate for Payer: BCN Commercial	$243.17
Rate for Payer: Cash Price	$250.92
Rate for Payer: Cofinity Commercial	$294.83
Rate for Payer: Encore Health Key Benefits Commercial	$250.92
Rate for Payer: Healthscope Commercial	$313.65
Rate for Payer: Healthscope Whirlpool	$304.24
Rate for Payer: Mclaren Commercial	$282.29
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$266.60
Rate for Payer: Nomi Health Commercial	$257.19
Rate for Payer: Priority Health Cigna Priority Health	$203.87
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$276.01

HC CANNULA COR OSTIA CONCAVE

Facility

$76.50

Hospital Charge Code	27000265
Hospital Revenue Code	270
Min. Negotiated Rate	$30.60
Max. Negotiated Rate	$76.50
Rate for Payer: Aetna Commercial	$68.85
Rate for Payer: Aetna Medicare	$38.25
Rate for Payer: ASR ASR	$74.20
Rate for Payer: ASR Commercial	$74.20
Rate for Payer: BCBS Complete	$30.60
Rate for Payer: BCBS Trust/PPO	$62.65
Rate for Payer: BCN Commercial	$59.31
Rate for Payer: Cash Price	$61.20
Rate for Payer: Cofinity Commercial	$71.91
Rate for Payer: Encore Health Key Benefits Commercial	$61.20
Rate for Payer: Healthscope Commercial	$76.50
Rate for Payer: Healthscope Whirlpool	$74.20
Rate for Payer: Mclaren Commercial	$68.85
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$65.03
Rate for Payer: Nomi Health Commercial	$62.73
Rate for Payer: Priority Health Cigna Priority Health	$49.73
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$67.03
Rate for Payer: Priority Health Narrow Network	$53.63
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$67.32

HC CANNULA COR OSTIA CONCAVE

Facility

$76.50

Hospital Charge Code	27000265
Hospital Revenue Code	270
Min. Negotiated Rate	$49.73
Max. Negotiated Rate	$76.50
Rate for Payer: Aetna Commercial	$68.85
Rate for Payer: ASR ASR	$74.20
Rate for Payer: ASR Commercial	$74.20
Rate for Payer: BCBS Trust/PPO	$62.34
Rate for Payer: BCN Commercial	$59.31
Rate for Payer: Cash Price	$61.20
Rate for Payer: Cofinity Commercial	$71.91
Rate for Payer: Encore Health Key Benefits Commercial	$61.20
Rate for Payer: Healthscope Commercial	$76.50
Rate for Payer: Healthscope Whirlpool	$74.20
Rate for Payer: Mclaren Commercial	$68.85
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$65.03
Rate for Payer: Nomi Health Commercial	$62.73
Rate for Payer: Priority Health Cigna Priority Health	$49.73
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$67.32

HC CANNULA COR OSTIA LPG 4MM

Facility

$341.19

Hospital Charge Code	27006704
Hospital Revenue Code	270
Min. Negotiated Rate	$221.77
Max. Negotiated Rate	$341.19
Rate for Payer: Aetna Commercial	$307.07
Rate for Payer: ASR ASR	$330.95
Rate for Payer: ASR Commercial	$330.95
Rate for Payer: BCBS Trust/PPO	$278.04
Rate for Payer: BCN Commercial	$264.52
Rate for Payer: Cash Price	$272.95
Rate for Payer: Cofinity Commercial	$320.72
Rate for Payer: Encore Health Key Benefits Commercial	$272.95
Rate for Payer: Healthscope Commercial	$341.19
Rate for Payer: Healthscope Whirlpool	$330.95
Rate for Payer: Mclaren Commercial	$307.07
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$290.01
Rate for Payer: Nomi Health Commercial	$279.78
Rate for Payer: Priority Health Cigna Priority Health	$221.77
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$300.25

HC CANNULA COR OSTIA LPG 4MM

Facility

$341.19

Hospital Charge Code	27006704
Hospital Revenue Code	270
Min. Negotiated Rate	$136.48
Max. Negotiated Rate	$341.19
Rate for Payer: Aetna Commercial	$307.07
Rate for Payer: Aetna Medicare	$170.59
Rate for Payer: ASR ASR	$330.95
Rate for Payer: ASR Commercial	$330.95
Rate for Payer: BCBS Complete	$136.48
Rate for Payer: BCBS Trust/PPO	$279.40
Rate for Payer: BCN Commercial	$264.52
Rate for Payer: Cash Price	$272.95
Rate for Payer: Cofinity Commercial	$320.72
Rate for Payer: Encore Health Key Benefits Commercial	$272.95
Rate for Payer: Healthscope Commercial	$341.19
Rate for Payer: Healthscope Whirlpool	$330.95
Rate for Payer: Mclaren Commercial	$307.07
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$290.01
Rate for Payer: Nomi Health Commercial	$279.78
Rate for Payer: Priority Health Cigna Priority Health	$221.77
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$298.95
Rate for Payer: Priority Health Narrow Network	$239.17
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$300.25

HC CANNULA COR OSTIA LPG 5MM

Facility

$341.19

Hospital Charge Code	27006705
Hospital Revenue Code	270
Min. Negotiated Rate	$136.48
Max. Negotiated Rate	$341.19
Rate for Payer: Aetna Commercial	$307.07
Rate for Payer: Aetna Medicare	$170.59
Rate for Payer: ASR ASR	$330.95
Rate for Payer: ASR Commercial	$330.95
Rate for Payer: BCBS Complete	$136.48
Rate for Payer: BCBS Trust/PPO	$279.40
Rate for Payer: BCN Commercial	$264.52
Rate for Payer: Cash Price	$272.95
Rate for Payer: Cofinity Commercial	$320.72
Rate for Payer: Encore Health Key Benefits Commercial	$272.95
Rate for Payer: Healthscope Commercial	$341.19
Rate for Payer: Healthscope Whirlpool	$330.95
Rate for Payer: Mclaren Commercial	$307.07
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$290.01
Rate for Payer: Nomi Health Commercial	$279.78
Rate for Payer: Priority Health Cigna Priority Health	$221.77
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$298.95
Rate for Payer: Priority Health Narrow Network	$239.17
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$300.25

HC CANNULA COR OSTIA LPG 5MM

Facility

$341.19

Hospital Charge Code	27006705
Hospital Revenue Code	270
Min. Negotiated Rate	$221.77
Max. Negotiated Rate	$341.19
Rate for Payer: Aetna Commercial	$307.07
Rate for Payer: ASR ASR	$330.95
Rate for Payer: ASR Commercial	$330.95
Rate for Payer: BCBS Trust/PPO	$278.04
Rate for Payer: BCN Commercial	$264.52
Rate for Payer: Cash Price	$272.95
Rate for Payer: Cofinity Commercial	$320.72
Rate for Payer: Encore Health Key Benefits Commercial	$272.95
Rate for Payer: Healthscope Commercial	$341.19
Rate for Payer: Healthscope Whirlpool	$330.95
Rate for Payer: Mclaren Commercial	$307.07
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$290.01
Rate for Payer: Nomi Health Commercial	$279.78
Rate for Payer: Priority Health Cigna Priority Health	$221.77
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$300.25

HC CANNULA COR OSTIA LPG 6MM

Facility

$313.65

Hospital Charge Code	27006706
Hospital Revenue Code	270
Min. Negotiated Rate	$203.87
Max. Negotiated Rate	$313.65
Rate for Payer: Aetna Commercial	$282.29
Rate for Payer: ASR ASR	$304.24
Rate for Payer: ASR Commercial	$304.24
Rate for Payer: BCBS Trust/PPO	$255.59
Rate for Payer: BCN Commercial	$243.17
Rate for Payer: Cash Price	$250.92
Rate for Payer: Cofinity Commercial	$294.83
Rate for Payer: Encore Health Key Benefits Commercial	$250.92
Rate for Payer: Healthscope Commercial	$313.65
Rate for Payer: Healthscope Whirlpool	$304.24
Rate for Payer: Mclaren Commercial	$282.29
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$266.60
Rate for Payer: Nomi Health Commercial	$257.19
Rate for Payer: Priority Health Cigna Priority Health	$203.87
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$276.01

HC CANNULA COR OSTIA LPG 6MM

Facility

$313.65

Hospital Charge Code	27006706
Hospital Revenue Code	270
Min. Negotiated Rate	$125.46
Max. Negotiated Rate	$313.65
Rate for Payer: Aetna Commercial	$282.29
Rate for Payer: Aetna Medicare	$156.82
Rate for Payer: ASR ASR	$304.24
Rate for Payer: ASR Commercial	$304.24
Rate for Payer: BCBS Complete	$125.46
Rate for Payer: BCBS Trust/PPO	$256.85
Rate for Payer: BCN Commercial	$243.17
Rate for Payer: Cash Price	$250.92
Rate for Payer: Cofinity Commercial	$294.83
Rate for Payer: Encore Health Key Benefits Commercial	$250.92
Rate for Payer: Healthscope Commercial	$313.65
Rate for Payer: Healthscope Whirlpool	$304.24
Rate for Payer: Mclaren Commercial	$282.29
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$266.60
Rate for Payer: Nomi Health Commercial	$257.19
Rate for Payer: Priority Health Cigna Priority Health	$203.87
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$274.82
Rate for Payer: Priority Health Narrow Network	$219.87
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$276.01

HC CANNULA COR OSTIA RT ANG 4MM

Facility

$313.65

Hospital Charge Code	27006709
Hospital Revenue Code	270
Min. Negotiated Rate	$203.87
Max. Negotiated Rate	$313.65
Rate for Payer: Aetna Commercial	$282.29
Rate for Payer: ASR ASR	$304.24
Rate for Payer: ASR Commercial	$304.24
Rate for Payer: BCBS Trust/PPO	$255.59
Rate for Payer: BCN Commercial	$243.17
Rate for Payer: Cash Price	$250.92
Rate for Payer: Cofinity Commercial	$294.83
Rate for Payer: Encore Health Key Benefits Commercial	$250.92
Rate for Payer: Healthscope Commercial	$313.65
Rate for Payer: Healthscope Whirlpool	$304.24
Rate for Payer: Mclaren Commercial	$282.29
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$266.60
Rate for Payer: Nomi Health Commercial	$257.19
Rate for Payer: Priority Health Cigna Priority Health	$203.87
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$276.01

HC CANNULA COR OSTIA RT ANG 4MM

Facility

$313.65

Hospital Charge Code	27006709
Hospital Revenue Code	270
Min. Negotiated Rate	$125.46
Max. Negotiated Rate	$313.65
Rate for Payer: Aetna Commercial	$282.29
Rate for Payer: Aetna Medicare	$156.82
Rate for Payer: ASR ASR	$304.24
Rate for Payer: ASR Commercial	$304.24
Rate for Payer: BCBS Complete	$125.46
Rate for Payer: BCBS Trust/PPO	$256.85
Rate for Payer: BCN Commercial	$243.17
Rate for Payer: Cash Price	$250.92
Rate for Payer: Cofinity Commercial	$294.83
Rate for Payer: Encore Health Key Benefits Commercial	$250.92
Rate for Payer: Healthscope Commercial	$313.65
Rate for Payer: Healthscope Whirlpool	$304.24
Rate for Payer: Mclaren Commercial	$282.29
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$266.60
Rate for Payer: Nomi Health Commercial	$257.19
Rate for Payer: Priority Health Cigna Priority Health	$203.87
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$274.82
Rate for Payer: Priority Health Narrow Network	$219.87
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$276.01

HC CANNULA COR OSTIA RT ANG 5MM

Facility

$341.19

Hospital Charge Code	27006710
Hospital Revenue Code	270
Min. Negotiated Rate	$221.77
Max. Negotiated Rate	$341.19
Rate for Payer: Aetna Commercial	$307.07
Rate for Payer: ASR ASR	$330.95
Rate for Payer: ASR Commercial	$330.95
Rate for Payer: BCBS Trust/PPO	$278.04
Rate for Payer: BCN Commercial	$264.52
Rate for Payer: Cash Price	$272.95
Rate for Payer: Cofinity Commercial	$320.72
Rate for Payer: Encore Health Key Benefits Commercial	$272.95
Rate for Payer: Healthscope Commercial	$341.19
Rate for Payer: Healthscope Whirlpool	$330.95
Rate for Payer: Mclaren Commercial	$307.07
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$290.01
Rate for Payer: Nomi Health Commercial	$279.78
Rate for Payer: Priority Health Cigna Priority Health	$221.77
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$300.25

HC CANNULA COR OSTIA RT ANG 5MM

Facility

$341.19

Hospital Charge Code	27006710
Hospital Revenue Code	270
Min. Negotiated Rate	$136.48
Max. Negotiated Rate	$341.19
Rate for Payer: Aetna Commercial	$307.07
Rate for Payer: Aetna Medicare	$170.59
Rate for Payer: ASR ASR	$330.95
Rate for Payer: ASR Commercial	$330.95
Rate for Payer: BCBS Complete	$136.48
Rate for Payer: BCBS Trust/PPO	$279.40
Rate for Payer: BCN Commercial	$264.52
Rate for Payer: Cash Price	$272.95
Rate for Payer: Cofinity Commercial	$320.72
Rate for Payer: Encore Health Key Benefits Commercial	$272.95
Rate for Payer: Healthscope Commercial	$341.19
Rate for Payer: Healthscope Whirlpool	$330.95
Rate for Payer: Mclaren Commercial	$307.07
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$290.01
Rate for Payer: Nomi Health Commercial	$279.78
Rate for Payer: Priority Health Cigna Priority Health	$221.77
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$298.95
Rate for Payer: Priority Health Narrow Network	$239.17
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$300.25

HC CANNULA COR OSTIA RT ANG 6MM

Facility

$341.19

Hospital Charge Code	27006711
Hospital Revenue Code	270
Min. Negotiated Rate	$136.48
Max. Negotiated Rate	$341.19
Rate for Payer: Aetna Commercial	$307.07
Rate for Payer: Aetna Medicare	$170.59
Rate for Payer: ASR ASR	$330.95
Rate for Payer: ASR Commercial	$330.95
Rate for Payer: BCBS Complete	$136.48
Rate for Payer: BCBS Trust/PPO	$279.40
Rate for Payer: BCN Commercial	$264.52
Rate for Payer: Cash Price	$272.95
Rate for Payer: Cofinity Commercial	$320.72
Rate for Payer: Encore Health Key Benefits Commercial	$272.95
Rate for Payer: Healthscope Commercial	$341.19
Rate for Payer: Healthscope Whirlpool	$330.95
Rate for Payer: Mclaren Commercial	$307.07
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$290.01
Rate for Payer: Nomi Health Commercial	$279.78
Rate for Payer: Priority Health Cigna Priority Health	$221.77
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$298.95
Rate for Payer: Priority Health Narrow Network	$239.17
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$300.25

HC CANNULA COR OSTIA RT ANG 6MM

Facility

$341.19

Hospital Charge Code	27006711
Hospital Revenue Code	270
Min. Negotiated Rate	$221.77
Max. Negotiated Rate	$341.19
Rate for Payer: Aetna Commercial	$307.07
Rate for Payer: ASR ASR	$330.95
Rate for Payer: ASR Commercial	$330.95
Rate for Payer: BCBS Trust/PPO	$278.04
Rate for Payer: BCN Commercial	$264.52
Rate for Payer: Cash Price	$272.95
Rate for Payer: Cofinity Commercial	$320.72
Rate for Payer: Encore Health Key Benefits Commercial	$272.95
Rate for Payer: Healthscope Commercial	$341.19
Rate for Payer: Healthscope Whirlpool	$330.95
Rate for Payer: Mclaren Commercial	$307.07
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$290.01
Rate for Payer: Nomi Health Commercial	$279.78
Rate for Payer: Priority Health Cigna Priority Health	$221.77
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$300.25

HC CANNULA COR OSTIA RT ANG 7MM

Facility

$313.65

Hospital Charge Code	27006712
Hospital Revenue Code	270
Min. Negotiated Rate	$125.46
Max. Negotiated Rate	$313.65
Rate for Payer: Aetna Commercial	$282.29
Rate for Payer: Aetna Medicare	$156.82
Rate for Payer: ASR ASR	$304.24
Rate for Payer: ASR Commercial	$304.24
Rate for Payer: BCBS Complete	$125.46
Rate for Payer: BCBS Trust/PPO	$256.85
Rate for Payer: BCN Commercial	$243.17
Rate for Payer: Cash Price	$250.92
Rate for Payer: Cofinity Commercial	$294.83
Rate for Payer: Encore Health Key Benefits Commercial	$250.92
Rate for Payer: Healthscope Commercial	$313.65
Rate for Payer: Healthscope Whirlpool	$304.24
Rate for Payer: Mclaren Commercial	$282.29
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$266.60
Rate for Payer: Nomi Health Commercial	$257.19
Rate for Payer: Priority Health Cigna Priority Health	$203.87
Rate for Payer: Priority Health HMO/PPO/Tiered Network	$274.82
Rate for Payer: Priority Health Narrow Network	$219.87
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$276.01

HC CANNULA COR OSTIA RT ANG 7MM

Facility

$313.65

Hospital Charge Code	27006712
Hospital Revenue Code	270
Min. Negotiated Rate	$203.87
Max. Negotiated Rate	$313.65
Rate for Payer: Aetna Commercial	$282.29
Rate for Payer: ASR ASR	$304.24
Rate for Payer: ASR Commercial	$304.24
Rate for Payer: BCBS Trust/PPO	$255.59
Rate for Payer: BCN Commercial	$243.17
Rate for Payer: Cash Price	$250.92
Rate for Payer: Cofinity Commercial	$294.83
Rate for Payer: Encore Health Key Benefits Commercial	$250.92
Rate for Payer: Healthscope Commercial	$313.65
Rate for Payer: Healthscope Whirlpool	$304.24
Rate for Payer: Mclaren Commercial	$282.29
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$266.60
Rate for Payer: Nomi Health Commercial	$257.19
Rate for Payer: Priority Health Cigna Priority Health	$203.87
Rate for Payer: UHC All Payor (Choice/PPO) + Core	$276.01

Know your out-of-pocket cost for care.

All Charges