Sturgis Hospital Inc.

All Charges

Charge

Type

Setting

Price

ANCA-2

Facility

$2.47

Hospital Charge Code	3101770
Hospital Revenue Code	300
Min. Negotiated Rate	$1.73
Max. Negotiated Rate	$2.10
Rate for Payer: Cash Price	$1.61
Rate for Payer: Community Health Alliance Commercial	$2.10
Rate for Payer: Priority Health Commercial	$1.73
Rate for Payer: Priority Health PPO	$1.73

ANCA-3

Facility

$2.47

Hospital Charge Code	3101771
Hospital Revenue Code	300
Min. Negotiated Rate	$1.73
Max. Negotiated Rate	$2.10
Rate for Payer: Cash Price	$1.61
Rate for Payer: Community Health Alliance Commercial	$2.10
Rate for Payer: Priority Health Commercial	$1.73
Rate for Payer: Priority Health PPO	$1.73

ANCAR-1

Facility

$7.33

Hospital Charge Code	3102153
Hospital Revenue Code	300
Min. Negotiated Rate	$5.13
Max. Negotiated Rate	$6.23
Rate for Payer: Cash Price	$4.76
Rate for Payer: Community Health Alliance Commercial	$6.23
Rate for Payer: Priority Health Commercial	$5.13
Rate for Payer: Priority Health PPO	$5.13

ANCAR-2

Facility

$7.33

Hospital Charge Code	3102154
Hospital Revenue Code	300
Min. Negotiated Rate	$5.13
Max. Negotiated Rate	$6.23
Rate for Payer: Cash Price	$4.76
Rate for Payer: Community Health Alliance Commercial	$6.23
Rate for Payer: Priority Health Commercial	$5.13
Rate for Payer: Priority Health PPO	$5.13

ANCAR-3

Facility

$7.34

Hospital Charge Code	3102155
Hospital Revenue Code	300
Min. Negotiated Rate	$5.14
Max. Negotiated Rate	$6.24
Rate for Payer: Cash Price	$4.77
Rate for Payer: Community Health Alliance Commercial	$6.24
Rate for Payer: Priority Health Commercial	$5.14
Rate for Payer: Priority Health PPO	$5.14

ANCHOR GII

Facility

$613.00

Hospital Charge Code	27017368
Hospital Revenue Code	270
Min. Negotiated Rate	$429.10
Max. Negotiated Rate	$521.05
Rate for Payer: Cash Price	$398.45
Rate for Payer: Community Health Alliance Commercial	$521.05
Rate for Payer: Priority Health Commercial	$429.10
Rate for Payer: Priority Health PPO	$429.10

ANCP-1

Facility

$26.90

Hospital Charge Code	31027408
Hospital Revenue Code	300
Min. Negotiated Rate	$18.83
Max. Negotiated Rate	$22.86
Rate for Payer: Cash Price	$17.49
Rate for Payer: Community Health Alliance Commercial	$22.86
Rate for Payer: Priority Health Commercial	$18.83
Rate for Payer: Priority Health PPO	$18.83

ANCP-10

Facility

$26.90

Hospital Charge Code	31027417
Hospital Revenue Code	300
Min. Negotiated Rate	$18.83
Max. Negotiated Rate	$22.86
Rate for Payer: Cash Price	$17.49
Rate for Payer: Community Health Alliance Commercial	$22.86
Rate for Payer: Priority Health Commercial	$18.83
Rate for Payer: Priority Health PPO	$18.83

ANCP-11

Facility

$26.90

Hospital Charge Code	31027418
Hospital Revenue Code	300
Min. Negotiated Rate	$18.83
Max. Negotiated Rate	$22.86
Rate for Payer: Cash Price	$17.49
Rate for Payer: Community Health Alliance Commercial	$22.86
Rate for Payer: Priority Health Commercial	$18.83
Rate for Payer: Priority Health PPO	$18.83

ANCP-12

Facility

$26.90

Hospital Charge Code	31027419
Hospital Revenue Code	300
Min. Negotiated Rate	$18.83
Max. Negotiated Rate	$22.86
Rate for Payer: Cash Price	$17.49
Rate for Payer: Community Health Alliance Commercial	$22.86
Rate for Payer: Priority Health Commercial	$18.83
Rate for Payer: Priority Health PPO	$18.83

ANCP-13

Facility

$26.90

Hospital Charge Code	31027420
Hospital Revenue Code	300
Min. Negotiated Rate	$18.83
Max. Negotiated Rate	$22.86
Rate for Payer: Cash Price	$17.49
Rate for Payer: Community Health Alliance Commercial	$22.86
Rate for Payer: Priority Health Commercial	$18.83
Rate for Payer: Priority Health PPO	$18.83

ANCP-14

Facility

$26.90

Hospital Charge Code	31027421
Hospital Revenue Code	300
Min. Negotiated Rate	$18.83
Max. Negotiated Rate	$22.86
Rate for Payer: Cash Price	$17.49
Rate for Payer: Community Health Alliance Commercial	$22.86
Rate for Payer: Priority Health Commercial	$18.83
Rate for Payer: Priority Health PPO	$18.83

ANCP-15

Facility

$26.90

Hospital Charge Code	31027422
Hospital Revenue Code	300
Min. Negotiated Rate	$18.83
Max. Negotiated Rate	$22.86
Rate for Payer: Cash Price	$17.49
Rate for Payer: Community Health Alliance Commercial	$22.86
Rate for Payer: Priority Health Commercial	$18.83
Rate for Payer: Priority Health PPO	$18.83

ANCP-16

Facility

$26.90

Hospital Charge Code	31027423
Hospital Revenue Code	300
Min. Negotiated Rate	$18.83
Max. Negotiated Rate	$22.86
Rate for Payer: Cash Price	$17.49
Rate for Payer: Community Health Alliance Commercial	$22.86
Rate for Payer: Priority Health Commercial	$18.83
Rate for Payer: Priority Health PPO	$18.83

ANCP-17

Facility

$26.90

Hospital Charge Code	31027424
Hospital Revenue Code	300
Min. Negotiated Rate	$18.83
Max. Negotiated Rate	$22.86
Rate for Payer: Cash Price	$17.49
Rate for Payer: Community Health Alliance Commercial	$22.86
Rate for Payer: Priority Health Commercial	$18.83
Rate for Payer: Priority Health PPO	$18.83

ANCP-18

Facility

$26.90

Hospital Charge Code	31027425
Hospital Revenue Code	300
Min. Negotiated Rate	$18.83
Max. Negotiated Rate	$22.86
Rate for Payer: Cash Price	$17.49
Rate for Payer: Community Health Alliance Commercial	$22.86
Rate for Payer: Priority Health Commercial	$18.83
Rate for Payer: Priority Health PPO	$18.83

ANCP-19

Facility

$26.90

Hospital Charge Code	31027426
Hospital Revenue Code	300
Min. Negotiated Rate	$18.83
Max. Negotiated Rate	$22.86
Rate for Payer: Cash Price	$17.49
Rate for Payer: Community Health Alliance Commercial	$22.86
Rate for Payer: Priority Health Commercial	$18.83
Rate for Payer: Priority Health PPO	$18.83

ANCP-2

Facility

$26.90

Hospital Charge Code	31027409
Hospital Revenue Code	300
Min. Negotiated Rate	$18.83
Max. Negotiated Rate	$22.86
Rate for Payer: Cash Price	$17.49
Rate for Payer: Community Health Alliance Commercial	$22.86
Rate for Payer: Priority Health Commercial	$18.83
Rate for Payer: Priority Health PPO	$18.83

ANCP-20

Facility

$26.90

Hospital Charge Code	31027427
Hospital Revenue Code	300
Min. Negotiated Rate	$18.83
Max. Negotiated Rate	$22.86
Rate for Payer: Cash Price	$17.49
Rate for Payer: Community Health Alliance Commercial	$22.86
Rate for Payer: Priority Health Commercial	$18.83
Rate for Payer: Priority Health PPO	$18.83

ANCP-21

Facility

$26.90

Hospital Charge Code	31027428
Hospital Revenue Code	300
Min. Negotiated Rate	$18.83
Max. Negotiated Rate	$22.86
Rate for Payer: Cash Price	$17.49
Rate for Payer: Community Health Alliance Commercial	$22.86
Rate for Payer: Priority Health Commercial	$18.83
Rate for Payer: Priority Health PPO	$18.83

ANCP-22

Facility

$26.90

Hospital Charge Code	31027429
Hospital Revenue Code	300
Min. Negotiated Rate	$18.83
Max. Negotiated Rate	$22.86
Rate for Payer: Cash Price	$17.49
Rate for Payer: Community Health Alliance Commercial	$22.86
Rate for Payer: Priority Health Commercial	$18.83
Rate for Payer: Priority Health PPO	$18.83

ANCP-23

Facility

$26.90

Hospital Charge Code	31027430
Hospital Revenue Code	300
Min. Negotiated Rate	$18.83
Max. Negotiated Rate	$22.86
Rate for Payer: Cash Price	$17.49
Rate for Payer: Community Health Alliance Commercial	$22.86
Rate for Payer: Priority Health Commercial	$18.83
Rate for Payer: Priority Health PPO	$18.83

ANCP-24

Facility

$26.90

Hospital Charge Code	31027431
Hospital Revenue Code	300
Min. Negotiated Rate	$18.83
Max. Negotiated Rate	$22.86
Rate for Payer: Cash Price	$17.49
Rate for Payer: Community Health Alliance Commercial	$22.86
Rate for Payer: Priority Health Commercial	$18.83
Rate for Payer: Priority Health PPO	$18.83

ANCP-25

Facility

$26.90

Hospital Charge Code	31027432
Hospital Revenue Code	300
Min. Negotiated Rate	$18.83
Max. Negotiated Rate	$22.86
Rate for Payer: Cash Price	$17.49
Rate for Payer: Community Health Alliance Commercial	$22.86
Rate for Payer: Priority Health Commercial	$18.83
Rate for Payer: Priority Health PPO	$18.83

ANCP-26

Facility

$27.50

Hospital Charge Code	31027433
Hospital Revenue Code	300
Min. Negotiated Rate	$19.25
Max. Negotiated Rate	$23.38
Rate for Payer: Cash Price	$17.88
Rate for Payer: Community Health Alliance Commercial	$23.38
Rate for Payer: Priority Health Commercial	$19.25
Rate for Payer: Priority Health PPO	$19.25

Sturgis Hospital Inc.

Know your out-of-pocket cost for care.

All Charges