Sturgis Hospital Inc.

All Charges

Charge

Type

Setting

Price

PA-11

Facility

$1.66

Hospital Charge Code	31027634
Hospital Revenue Code	300
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$1.41
Rate for Payer: Cash Price	$1.08
Rate for Payer: Community Health Alliance Commercial	$1.41
Rate for Payer: Priority Health Commercial	$1.16
Rate for Payer: Priority Health PPO	$1.16

PA-12

Facility

$1.66

Hospital Charge Code	31027635
Hospital Revenue Code	300
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$1.41
Rate for Payer: Cash Price	$1.08
Rate for Payer: Community Health Alliance Commercial	$1.41
Rate for Payer: Priority Health Commercial	$1.16
Rate for Payer: Priority Health PPO	$1.16

PA-13

Facility

$1.66

Hospital Charge Code	31027636
Hospital Revenue Code	300
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$1.41
Rate for Payer: Cash Price	$1.08
Rate for Payer: Community Health Alliance Commercial	$1.41
Rate for Payer: Priority Health Commercial	$1.16
Rate for Payer: Priority Health PPO	$1.16

PA-14

Facility

$1.66

Hospital Charge Code	31027637
Hospital Revenue Code	300
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$1.41
Rate for Payer: Cash Price	$1.08
Rate for Payer: Community Health Alliance Commercial	$1.41
Rate for Payer: Priority Health Commercial	$1.16
Rate for Payer: Priority Health PPO	$1.16

PA-15

Facility

$1.66

Hospital Charge Code	31027638
Hospital Revenue Code	300
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$1.41
Rate for Payer: Cash Price	$1.08
Rate for Payer: Community Health Alliance Commercial	$1.41
Rate for Payer: Priority Health Commercial	$1.16
Rate for Payer: Priority Health PPO	$1.16

PA-17

Facility

$1.66

Hospital Charge Code	31027640
Hospital Revenue Code	300
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$1.41
Rate for Payer: Cash Price	$1.08
Rate for Payer: Community Health Alliance Commercial	$1.41
Rate for Payer: Priority Health Commercial	$1.16
Rate for Payer: Priority Health PPO	$1.16

PA-18

Facility

$1.66

Hospital Charge Code	31027641
Hospital Revenue Code	300
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$1.41
Rate for Payer: Cash Price	$1.08
Rate for Payer: Community Health Alliance Commercial	$1.41
Rate for Payer: Priority Health Commercial	$1.16
Rate for Payer: Priority Health PPO	$1.16

PA-19

Facility

$1.66

Hospital Charge Code	31027642
Hospital Revenue Code	300
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$1.41
Rate for Payer: Cash Price	$1.08
Rate for Payer: Community Health Alliance Commercial	$1.41
Rate for Payer: Priority Health Commercial	$1.16
Rate for Payer: Priority Health PPO	$1.16

PA-2

Facility

$1.66

Hospital Charge Code	31027625
Hospital Revenue Code	300
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$1.41
Rate for Payer: Cash Price	$1.08
Rate for Payer: Community Health Alliance Commercial	$1.41
Rate for Payer: Priority Health Commercial	$1.16
Rate for Payer: Priority Health PPO	$1.16

PA-20

Facility

$1.66

Hospital Charge Code	31027643
Hospital Revenue Code	300
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$1.41
Rate for Payer: Cash Price	$1.08
Rate for Payer: Community Health Alliance Commercial	$1.41
Rate for Payer: Priority Health Commercial	$1.16
Rate for Payer: Priority Health PPO	$1.16

PA-21

Facility

$1.66

Hospital Charge Code	31027644
Hospital Revenue Code	300
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$1.41
Rate for Payer: Cash Price	$1.08
Rate for Payer: Community Health Alliance Commercial	$1.41
Rate for Payer: Priority Health Commercial	$1.16
Rate for Payer: Priority Health PPO	$1.16

PA-22

Facility

$1.66

Hospital Charge Code	31027645
Hospital Revenue Code	300
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$1.41
Rate for Payer: Cash Price	$1.08
Rate for Payer: Community Health Alliance Commercial	$1.41
Rate for Payer: Priority Health Commercial	$1.16
Rate for Payer: Priority Health PPO	$1.16

PA-23

Facility

$1.66

Hospital Charge Code	31027646
Hospital Revenue Code	300
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$1.41
Rate for Payer: Cash Price	$1.08
Rate for Payer: Community Health Alliance Commercial	$1.41
Rate for Payer: Priority Health Commercial	$1.16
Rate for Payer: Priority Health PPO	$1.16

PA-24

Facility

$1.66

Hospital Charge Code	31027647
Hospital Revenue Code	300
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$1.41
Rate for Payer: Cash Price	$1.08
Rate for Payer: Community Health Alliance Commercial	$1.41
Rate for Payer: Priority Health Commercial	$1.16
Rate for Payer: Priority Health PPO	$1.16

PA-25

Facility

$1.66

Hospital Charge Code	31027648
Hospital Revenue Code	300
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$1.41
Rate for Payer: Cash Price	$1.08
Rate for Payer: Community Health Alliance Commercial	$1.41
Rate for Payer: Priority Health Commercial	$1.16
Rate for Payer: Priority Health PPO	$1.16

PA-26

Facility

$1.87

Hospital Charge Code	31027649
Hospital Revenue Code	300
Min. Negotiated Rate	$1.31
Max. Negotiated Rate	$1.59
Rate for Payer: Cash Price	$1.22
Rate for Payer: Community Health Alliance Commercial	$1.59
Rate for Payer: Priority Health Commercial	$1.31
Rate for Payer: Priority Health PPO	$1.31

PA-3

Facility

$1.66

Hospital Charge Code	31027626
Hospital Revenue Code	300
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$1.41
Rate for Payer: Cash Price	$1.08
Rate for Payer: Community Health Alliance Commercial	$1.41
Rate for Payer: Priority Health Commercial	$1.16
Rate for Payer: Priority Health PPO	$1.16

PA-4

Facility

$1.66

Hospital Charge Code	31027627
Hospital Revenue Code	300
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$1.41
Rate for Payer: Cash Price	$1.08
Rate for Payer: Community Health Alliance Commercial	$1.41
Rate for Payer: Priority Health Commercial	$1.16
Rate for Payer: Priority Health PPO	$1.16

PA-5

Facility

$1.66

Hospital Charge Code	31027628
Hospital Revenue Code	300
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$1.41
Rate for Payer: Cash Price	$1.08
Rate for Payer: Community Health Alliance Commercial	$1.41
Rate for Payer: Priority Health Commercial	$1.16
Rate for Payer: Priority Health PPO	$1.16

PA-6

Facility

$1.66

Hospital Charge Code	31027629
Hospital Revenue Code	300
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$1.41
Rate for Payer: Cash Price	$1.08
Rate for Payer: Community Health Alliance Commercial	$1.41
Rate for Payer: Priority Health Commercial	$1.16
Rate for Payer: Priority Health PPO	$1.16

PA-7

Facility

$1.66

Hospital Charge Code	31027630
Hospital Revenue Code	300
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$1.41
Rate for Payer: Cash Price	$1.08
Rate for Payer: Community Health Alliance Commercial	$1.41
Rate for Payer: Priority Health Commercial	$1.16
Rate for Payer: Priority Health PPO	$1.16

PA-8

Facility

$1.66

Hospital Charge Code	31027631
Hospital Revenue Code	300
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$1.41
Rate for Payer: Cash Price	$1.08
Rate for Payer: Community Health Alliance Commercial	$1.41
Rate for Payer: Priority Health Commercial	$1.16
Rate for Payer: Priority Health PPO	$1.16

PA-9

Facility

$1.66

Hospital Charge Code	31027632
Hospital Revenue Code	300
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$1.41
Rate for Payer: Cash Price	$1.08
Rate for Payer: Community Health Alliance Commercial	$1.41
Rate for Payer: Priority Health Commercial	$1.16
Rate for Payer: Priority Health PPO	$1.16

PAA-1

Facility

$150.00

Hospital Charge Code	3101119
Hospital Revenue Code	301
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$127.50
Rate for Payer: Cash Price	$97.50
Rate for Payer: Community Health Alliance Commercial	$127.50
Rate for Payer: Priority Health Commercial	$105.00
Rate for Payer: Priority Health PPO	$105.00

PAA-2

Facility

$150.00

Hospital Charge Code	3102339
Hospital Revenue Code	300
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$127.50
Rate for Payer: Cash Price	$97.50
Rate for Payer: Community Health Alliance Commercial	$127.50
Rate for Payer: Priority Health Commercial	$105.00
Rate for Payer: Priority Health PPO	$105.00

Sturgis Hospital Inc.

Know your out-of-pocket cost for care.

All Charges