Sturgis Hospital Inc.

All Charges

Charge

Type

Setting

Price

MONKEYPOX

Facility

$80.85

Hospital Charge Code	3102504
Hospital Revenue Code	300
Min. Negotiated Rate	$56.59
Max. Negotiated Rate	$68.72
Rate for Payer: Cash Price	$52.55
Rate for Payer: Community Health Alliance Commercial	$68.72
Rate for Payer: Priority Health Commercial	$56.59
Rate for Payer: Priority Health PPO	$56.59

MONO-LC

Facility

$3.05

Hospital Charge Code	3102392
Hospital Revenue Code	300
Min. Negotiated Rate	$2.13
Max. Negotiated Rate	$2.59
Rate for Payer: Cash Price	$1.98
Rate for Payer: Community Health Alliance Commercial	$2.59
Rate for Payer: Priority Health Commercial	$2.13
Rate for Payer: Priority Health PPO	$2.13

MONOSCREEN

Facility

$3.00

Service Code	HCPCS 86308
Hospital Charge Code	3006180
Hospital Revenue Code	302
Min. Negotiated Rate	$2.10
Max. Negotiated Rate	$5.44
Rate for Payer: BCBS BCN 65	$5.44
Rate for Payer: Blue Care Network Medicare Advantage	$5.44
Rate for Payer: Cash Price	$1.95
Rate for Payer: Cash Price	$1.95
Rate for Payer: Community Health Alliance Commercial	$2.55
Rate for Payer: Meridian Health Plan Medicaid/Meridian MI Child	$5.44
Rate for Payer: Meridian Health Plan Medicare	$5.44
Rate for Payer: Priority Health Commercial	$2.10
Rate for Payer: Priority Health Medicaid	$5.44
Rate for Payer: Priority Health Medicare	$5.44
Rate for Payer: Priority Health PPO	$2.10
Rate for Payer: United Health Care Medicaid	$5.44
Rate for Payer: United Health Care Medicare Advantage	$2.39

MOORE HIP PROSTHESIS

Facility

$2,532.00

Service Code	HCPCS C1776
Hospital Charge Code	27013797
Hospital Revenue Code	278
Min. Negotiated Rate	$1,772.40
Max. Negotiated Rate	$2,152.20
Rate for Payer: Cash Price	$1,645.80
Rate for Payer: Community Health Alliance Commercial	$2,152.20
Rate for Payer: Priority Health Commercial	$1,772.40
Rate for Payer: Priority Health PPO	$1,772.40

MORGAN THERAPEUTIC LENS

Facility

$92.00

Hospital Charge Code	27022780
Hospital Revenue Code	270
Min. Negotiated Rate	$64.40
Max. Negotiated Rate	$78.20
Rate for Payer: Cash Price	$59.80
Rate for Payer: Community Health Alliance Commercial	$78.20
Rate for Payer: Priority Health Commercial	$64.40
Rate for Payer: Priority Health PPO	$64.40

MORPHINE PUMP, IMPLANTABLE

Facility

$35,718.00

Hospital Charge Code	27862139
Hospital Revenue Code	278
Min. Negotiated Rate	$25,002.60
Max. Negotiated Rate	$30,360.30
Rate for Payer: Cash Price	$23,216.70
Rate for Payer: Community Health Alliance Commercial	$30,360.30
Rate for Payer: Priority Health Commercial	$25,002.60
Rate for Payer: Priority Health PPO	$25,002.60

MOSS GASTROSTOMY TUBE

Facility

$745.00

Hospital Charge Code	27016816
Hospital Revenue Code	272
Min. Negotiated Rate	$521.50
Max. Negotiated Rate	$633.25
Rate for Payer: Cash Price	$484.25
Rate for Payer: Community Health Alliance Commercial	$633.25
Rate for Payer: Priority Health Commercial	$521.50
Rate for Payer: Priority Health PPO	$521.50

MOTENS 8

Facility

$41.25

Hospital Charge Code	3101848
Hospital Revenue Code	300
Min. Negotiated Rate	$28.88
Max. Negotiated Rate	$35.06
Rate for Payer: Cash Price	$26.81
Rate for Payer: Community Health Alliance Commercial	$35.06
Rate for Payer: Priority Health Commercial	$28.88
Rate for Payer: Priority Health PPO	$28.88

MOTOSENSNERUO PANEL

Facility

$329.00

Hospital Charge Code	3102020
Hospital Revenue Code	300
Min. Negotiated Rate	$230.30
Max. Negotiated Rate	$279.65
Rate for Payer: Cash Price	$213.85
Rate for Payer: Community Health Alliance Commercial	$279.65
Rate for Payer: Priority Health Commercial	$230.30
Rate for Payer: Priority Health PPO	$230.30

MOTSENS 9

Facility

$40.25

Hospital Charge Code	3101849
Hospital Revenue Code	300
Min. Negotiated Rate	$28.18
Max. Negotiated Rate	$34.21
Rate for Payer: Cash Price	$26.16
Rate for Payer: Community Health Alliance Commercial	$34.21
Rate for Payer: Priority Health Commercial	$28.18
Rate for Payer: Priority Health PPO	$28.18

MP-1

Facility

$10.10

Hospital Charge Code	3101543
Hospital Revenue Code	300
Min. Negotiated Rate	$7.07
Max. Negotiated Rate	$8.59
Rate for Payer: Cash Price	$6.57
Rate for Payer: Community Health Alliance Commercial	$8.59
Rate for Payer: Priority Health Commercial	$7.07
Rate for Payer: Priority Health PPO	$7.07

MP-1

Facility

$36.24

Service Code	HCPCS 84146
Hospital Charge Code	3007111
Hospital Revenue Code	301
Min. Negotiated Rate	$8.95
Max. Negotiated Rate	$30.80
Rate for Payer: BCBS BCN 65	$20.35
Rate for Payer: Blue Care Network Medicare Advantage	$20.35
Rate for Payer: Cash Price	$23.56
Rate for Payer: Cash Price	$23.56
Rate for Payer: Community Health Alliance Commercial	$30.80
Rate for Payer: Meridian Health Plan Medicaid/Meridian MI Child	$20.35
Rate for Payer: Meridian Health Plan Medicare	$20.35
Rate for Payer: Priority Health Commercial	$25.37
Rate for Payer: Priority Health Medicaid	$20.35
Rate for Payer: Priority Health Medicare	$20.35
Rate for Payer: Priority Health PPO	$25.37
Rate for Payer: United Health Care Medicaid	$20.35
Rate for Payer: United Health Care Medicare Advantage	$8.95

MP-2

Facility

$36.25

Hospital Charge Code	3007112
Hospital Revenue Code	301
Min. Negotiated Rate	$25.38
Max. Negotiated Rate	$30.81
Rate for Payer: Cash Price	$23.56
Rate for Payer: Community Health Alliance Commercial	$30.81
Rate for Payer: Priority Health Commercial	$25.38
Rate for Payer: Priority Health PPO	$25.38

MP-2

Facility

$10.10

Hospital Charge Code	3101544
Hospital Revenue Code	300
Min. Negotiated Rate	$7.07
Max. Negotiated Rate	$8.59
Rate for Payer: Cash Price	$6.57
Rate for Payer: Community Health Alliance Commercial	$8.59
Rate for Payer: Priority Health Commercial	$7.07
Rate for Payer: Priority Health PPO	$7.07

MP-3

Facility

$10.10

Hospital Charge Code	3101545
Hospital Revenue Code	300
Min. Negotiated Rate	$7.07
Max. Negotiated Rate	$8.59
Rate for Payer: Cash Price	$6.57
Rate for Payer: Community Health Alliance Commercial	$8.59
Rate for Payer: Priority Health Commercial	$7.07
Rate for Payer: Priority Health PPO	$7.07

MP-4

Facility

$10.10

Hospital Charge Code	3101546
Hospital Revenue Code	300
Min. Negotiated Rate	$7.07
Max. Negotiated Rate	$8.59
Rate for Payer: Cash Price	$6.57
Rate for Payer: Community Health Alliance Commercial	$8.59
Rate for Payer: Priority Health Commercial	$7.07
Rate for Payer: Priority Health PPO	$7.07

MP-5

Facility

$10.10

Hospital Charge Code	3101547
Hospital Revenue Code	300
Min. Negotiated Rate	$7.07
Max. Negotiated Rate	$8.59
Rate for Payer: Cash Price	$6.57
Rate for Payer: Community Health Alliance Commercial	$8.59
Rate for Payer: Priority Health Commercial	$7.07
Rate for Payer: Priority Health PPO	$7.07

MPGU-1

Facility

$16.67

Hospital Charge Code	3102032
Hospital Revenue Code	300
Min. Negotiated Rate	$11.67
Max. Negotiated Rate	$14.17
Rate for Payer: Cash Price	$10.84
Rate for Payer: Community Health Alliance Commercial	$14.17
Rate for Payer: Priority Health Commercial	$11.67
Rate for Payer: Priority Health PPO	$11.67

MPGU-2

Facility

$16.65

Hospital Charge Code	3102033
Hospital Revenue Code	300
Min. Negotiated Rate	$11.65
Max. Negotiated Rate	$14.15
Rate for Payer: Cash Price	$10.82
Rate for Payer: Community Health Alliance Commercial	$14.15
Rate for Payer: Priority Health Commercial	$11.65
Rate for Payer: Priority Health PPO	$11.65

MPGU-3

Facility

$16.68

Hospital Charge Code	3102034
Hospital Revenue Code	300
Min. Negotiated Rate	$11.68
Max. Negotiated Rate	$14.18
Rate for Payer: Cash Price	$10.84
Rate for Payer: Community Health Alliance Commercial	$14.18
Rate for Payer: Priority Health Commercial	$11.68
Rate for Payer: Priority Health PPO	$11.68

MPL CONDON 515 MUTATION DETECT

Facility

$300.00

Hospital Charge Code	3100944
Hospital Revenue Code	301
Min. Negotiated Rate	$210.00
Max. Negotiated Rate	$255.00
Rate for Payer: Cash Price	$195.00
Rate for Payer: Community Health Alliance Commercial	$255.00
Rate for Payer: Priority Health Commercial	$210.00
Rate for Payer: Priority Health PPO	$210.00

MPO

Facility

$6.00

Hospital Charge Code	3102157
Hospital Revenue Code	300
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$5.10
Rate for Payer: Cash Price	$3.90
Rate for Payer: Community Health Alliance Commercial	$5.10
Rate for Payer: Priority Health Commercial	$4.20
Rate for Payer: Priority Health PPO	$4.20

MRA ABD, W/AND W/O CONTRAST

Facility

$1,590.00

Service Code	HCPCS 74185
Hospital Charge Code	6100378
Hospital Revenue Code	618
Min. Negotiated Rate	$1,113.00
Max. Negotiated Rate	$1,351.50
Rate for Payer: Cash Price	$1,033.50
Rate for Payer: Community Health Alliance Commercial	$1,351.50
Rate for Payer: Priority Health Commercial	$1,113.00
Rate for Payer: Priority Health PPO	$1,113.00

MRA ABD, W/CONTRAST

Facility

$1,764.00

Service Code	HCPCS C8900
Hospital Charge Code	6100370
Hospital Revenue Code	618
Min. Negotiated Rate	$164.67
Max. Negotiated Rate	$1,499.40
Rate for Payer: BCBS BCN 65	$374.25
Rate for Payer: Blue Care Network Medicare Advantage	$374.25
Rate for Payer: Cash Price	$1,146.60
Rate for Payer: Cash Price	$1,146.60
Rate for Payer: Community Health Alliance Commercial	$1,499.40
Rate for Payer: Meridian Health Plan Medicaid/Meridian MI Child	$374.25
Rate for Payer: Meridian Health Plan Medicare	$374.25
Rate for Payer: Priority Health Commercial	$1,234.80
Rate for Payer: Priority Health Medicaid	$374.25
Rate for Payer: Priority Health Medicare	$374.25
Rate for Payer: Priority Health PPO	$1,234.80
Rate for Payer: United Health Care Medicaid	$374.25
Rate for Payer: United Health Care Medicare Advantage	$164.67

MRA ABD, W/O CONTRAST

Facility

$1,590.00

Service Code	HCPCS 74185
Hospital Charge Code	6100375
Hospital Revenue Code	618
Min. Negotiated Rate	$1,113.00
Max. Negotiated Rate	$1,351.50
Rate for Payer: Cash Price	$1,033.50
Rate for Payer: Community Health Alliance Commercial	$1,351.50
Rate for Payer: Priority Health Commercial	$1,113.00
Rate for Payer: Priority Health PPO	$1,113.00

Sturgis Hospital Inc.

Know your out-of-pocket cost for care.

All Charges