Sturgis Hospital Inc.

All Charges

Charge

Type

Setting

Price

PAPELLATOME, PRECUT

Facility

$503.00

Hospital Charge Code	27020842
Hospital Revenue Code	272
Min. Negotiated Rate	$352.10
Max. Negotiated Rate	$427.55
Rate for Payer: Cash Price	$326.95
Rate for Payer: Community Health Alliance Commercial	$427.55
Rate for Payer: Priority Health Commercial	$352.10
Rate for Payer: Priority Health PPO	$352.10

PAPILLOTOMY KNIFE, DISP

Facility

$490.00

Hospital Charge Code	27263264
Hospital Revenue Code	272
Min. Negotiated Rate	$343.00
Max. Negotiated Rate	$416.50
Rate for Payer: Cash Price	$318.50
Rate for Payer: Community Health Alliance Commercial	$416.50
Rate for Payer: Priority Health Commercial	$343.00
Rate for Payer: Priority Health PPO	$343.00

PAP IMAGE GUIDED CHARGE

Facility

$20.00

Hospital Charge Code	3101866
Hospital Revenue Code	300
Min. Negotiated Rate	$14.00
Max. Negotiated Rate	$17.00
Rate for Payer: Cash Price	$13.00
Rate for Payer: Community Health Alliance Commercial	$17.00
Rate for Payer: Priority Health Commercial	$14.00
Rate for Payer: Priority Health PPO	$14.00

PAPSMEAR SCREENING

Facility

$22.40

Service Code	HCPCS G0145
Hospital Charge Code	3007661
Hospital Revenue Code	971
Min. Negotiated Rate	$12.24
Max. Negotiated Rate	$27.81
Rate for Payer: BCBS BCN 65	$27.81
Rate for Payer: Blue Care Network Medicare Advantage	$27.81
Rate for Payer: Cash Price	$14.56
Rate for Payer: Cash Price	$14.56
Rate for Payer: Community Health Alliance Commercial	$19.04
Rate for Payer: Meridian Health Plan Medicaid/Meridian MI Child	$27.81
Rate for Payer: Meridian Health Plan Medicare	$27.81
Rate for Payer: Priority Health Commercial	$15.68
Rate for Payer: Priority Health Medicaid	$27.81
Rate for Payer: Priority Health Medicare	$27.81
Rate for Payer: Priority Health PPO	$15.68
Rate for Payer: United Health Care Medicaid	$27.81
Rate for Payer: United Health Care Medicare Advantage	$12.24

PAPSMEAR SCREENING SUREPATH

Facility

$30.00

Service Code	HCPCS G0145
Hospital Charge Code	3100951
Hospital Revenue Code	311
Min. Negotiated Rate	$12.24
Max. Negotiated Rate	$27.81
Rate for Payer: BCBS BCN 65	$27.81
Rate for Payer: Blue Care Network Medicare Advantage	$27.81
Rate for Payer: Cash Price	$19.50
Rate for Payer: Cash Price	$19.50
Rate for Payer: Community Health Alliance Commercial	$25.50
Rate for Payer: Meridian Health Plan Medicaid/Meridian MI Child	$27.81
Rate for Payer: Meridian Health Plan Medicare	$27.81
Rate for Payer: Priority Health Commercial	$21.00
Rate for Payer: Priority Health Medicaid	$27.81
Rate for Payer: Priority Health Medicare	$27.81
Rate for Payer: Priority Health PPO	$21.00
Rate for Payer: United Health Care Medicaid	$27.81
Rate for Payer: United Health Care Medicare Advantage	$12.24

PARACHUTE STONE BASKET

Facility

$845.00

Hospital Charge Code	27022822
Hospital Revenue Code	272
Min. Negotiated Rate	$591.50
Max. Negotiated Rate	$718.25
Rate for Payer: Cash Price	$549.25
Rate for Payer: Community Health Alliance Commercial	$718.25
Rate for Payer: Priority Health Commercial	$591.50
Rate for Payer: Priority Health PPO	$591.50

PARAFFIN BATH

Facility

$56.00

Service Code	HCPCS 97018 GP
Hospital Charge Code	4200290
Hospital Revenue Code	420
Min. Negotiated Rate	$39.20
Max. Negotiated Rate	$47.60
Rate for Payer: Cash Price	$36.40
Rate for Payer: Community Health Alliance Commercial	$47.60
Rate for Payer: Priority Health Commercial	$39.20
Rate for Payer: Priority Health PPO	$39.20

PARALLAX SECOUR ACRYLIC RESIN

Facility

$591.00

Hospital Charge Code	27264876
Hospital Revenue Code	272
Min. Negotiated Rate	$413.70
Max. Negotiated Rate	$502.35
Rate for Payer: Cash Price	$384.15
Rate for Payer: Community Health Alliance Commercial	$502.35
Rate for Payer: Priority Health Commercial	$413.70
Rate for Payer: Priority Health PPO	$413.70

PARANEOPLASTIC AB PANEL

Facility

$51.48

Hospital Charge Code	3101447
Hospital Revenue Code	300
Min. Negotiated Rate	$36.04
Max. Negotiated Rate	$43.76
Rate for Payer: Cash Price	$33.46
Rate for Payer: Community Health Alliance Commercial	$43.76
Rate for Payer: Priority Health Commercial	$36.04
Rate for Payer: Priority Health PPO	$36.04

PARANEOPLASTIC AB WESTERN BLOT

Facility

$122.00

Hospital Charge Code	3100062
Hospital Revenue Code	300
Min. Negotiated Rate	$85.40
Max. Negotiated Rate	$103.70
Rate for Payer: Cash Price	$79.30
Rate for Payer: Community Health Alliance Commercial	$103.70
Rate for Payer: Priority Health Commercial	$85.40
Rate for Payer: Priority Health PPO	$85.40

PARANEOPLASTIC AUTOANTIBODY EV

Facility

$1,086.00

Hospital Charge Code	3100041
Hospital Revenue Code	301
Min. Negotiated Rate	$760.20
Max. Negotiated Rate	$923.10
Rate for Payer: Cash Price	$705.90
Rate for Payer: Community Health Alliance Commercial	$923.10
Rate for Payer: Priority Health Commercial	$760.20
Rate for Payer: Priority Health PPO	$760.20

PARANEOPLASTIC PEMIPHIGUS-2

Facility

$111.68

Hospital Charge Code	3101174
Hospital Revenue Code	319
Min. Negotiated Rate	$78.18
Max. Negotiated Rate	$94.93
Rate for Payer: Cash Price	$72.59
Rate for Payer: Community Health Alliance Commercial	$94.93
Rate for Payer: Priority Health Commercial	$78.18
Rate for Payer: Priority Health PPO	$78.18

PARANEOPLASTIC PEMIPHIGUS-3

Facility

$111.68

Hospital Charge Code	3101175
Hospital Revenue Code	319
Min. Negotiated Rate	$78.18
Max. Negotiated Rate	$94.93
Rate for Payer: Cash Price	$72.59
Rate for Payer: Community Health Alliance Commercial	$94.93
Rate for Payer: Priority Health Commercial	$78.18
Rate for Payer: Priority Health PPO	$78.18

PARANEOPLASTIC PEMIPHIGUS-4

Facility

$111.68

Hospital Charge Code	3101176
Hospital Revenue Code	319
Min. Negotiated Rate	$78.18
Max. Negotiated Rate	$94.93
Rate for Payer: Cash Price	$72.59
Rate for Payer: Community Health Alliance Commercial	$94.93
Rate for Payer: Priority Health Commercial	$78.18
Rate for Payer: Priority Health PPO	$78.18

PARANEOPLASTIC PEMIPHIGUS-5

Facility

$111.68

Hospital Charge Code	3101177
Hospital Revenue Code	319
Min. Negotiated Rate	$78.18
Max. Negotiated Rate	$94.93
Rate for Payer: Cash Price	$72.59
Rate for Payer: Community Health Alliance Commercial	$94.93
Rate for Payer: Priority Health Commercial	$78.18
Rate for Payer: Priority Health PPO	$78.18

PARANEOPLASTIC PENIPHIGUS-1

Facility

$111.68

Hospital Charge Code	3101173
Hospital Revenue Code	319
Min. Negotiated Rate	$78.18
Max. Negotiated Rate	$94.93
Rate for Payer: Cash Price	$72.59
Rate for Payer: Community Health Alliance Commercial	$94.93
Rate for Payer: Priority Health Commercial	$78.18
Rate for Payer: Priority Health PPO	$78.18

PARANEOPLASTIC PROFILE-LC

Facility

$520.00

Hospital Charge Code	31027446
Hospital Revenue Code	300
Min. Negotiated Rate	$364.00
Max. Negotiated Rate	$442.00
Rate for Payer: Cash Price	$338.00
Rate for Payer: Community Health Alliance Commercial	$442.00
Rate for Payer: Priority Health Commercial	$364.00
Rate for Payer: Priority Health PPO	$364.00

PARASITE IDENTIFICATION ARTHRO

Facility

$13.64

Service Code	HCPCS 87168
Hospital Charge Code	3008278
Hospital Revenue Code	306
Min. Negotiated Rate	$1.97
Max. Negotiated Rate	$11.59
Rate for Payer: BCBS BCN 65	$4.48
Rate for Payer: Blue Care Network Medicare Advantage	$4.48
Rate for Payer: Cash Price	$8.87
Rate for Payer: Cash Price	$8.87
Rate for Payer: Community Health Alliance Commercial	$11.59
Rate for Payer: Meridian Health Plan Medicaid/Meridian MI Child	$4.48
Rate for Payer: Meridian Health Plan Medicare	$4.48
Rate for Payer: Priority Health Commercial	$9.55
Rate for Payer: Priority Health Medicaid	$4.48
Rate for Payer: Priority Health Medicare	$4.48
Rate for Payer: Priority Health PPO	$9.55
Rate for Payer: United Health Care Medicaid	$4.48
Rate for Payer: United Health Care Medicare Advantage	$1.97

PARIETAL CELL ANTIBODY

Facility

$8.15

Service Code	HCPCS 83516
Hospital Charge Code	3000781
Hospital Revenue Code	302
Min. Negotiated Rate	$5.33
Max. Negotiated Rate	$12.11
Rate for Payer: BCBS BCN 65	$12.11
Rate for Payer: Blue Care Network Medicare Advantage	$12.11
Rate for Payer: Cash Price	$5.30
Rate for Payer: Cash Price	$5.30
Rate for Payer: Community Health Alliance Commercial	$6.93
Rate for Payer: Meridian Health Plan Medicaid/Meridian MI Child	$12.11
Rate for Payer: Meridian Health Plan Medicare	$12.11
Rate for Payer: Priority Health Commercial	$5.71
Rate for Payer: Priority Health Medicaid	$12.11
Rate for Payer: Priority Health Medicare	$12.11
Rate for Payer: Priority Health PPO	$5.71
Rate for Payer: United Health Care Medicaid	$12.11
Rate for Payer: United Health Care Medicare Advantage	$5.33

PAROXETINE

Facility

$159.00

Hospital Charge Code	3001095
Hospital Revenue Code	301
Min. Negotiated Rate	$111.30
Max. Negotiated Rate	$135.15
Rate for Payer: Cash Price	$103.35
Rate for Payer: Community Health Alliance Commercial	$135.15
Rate for Payer: Priority Health Commercial	$111.30
Rate for Payer: Priority Health PPO	$111.30

PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, SEQUESTRECTOMY, OR DIAPHYSECTOMY) BONE (EG, OSTEOMYELITIS OR BOSSING); PHALANX OF TOE

Facility

$3,510.01

Service Code	CPT 28124
Hospital Revenue Code	360
Min. Negotiated Rate	$1,544.41
Max. Negotiated Rate	$3,510.01
Rate for Payer: BCBS BCN 65	$3,510.01
Rate for Payer: Blue Care Network Medicare Advantage	$3,510.01
Rate for Payer: Meridian Health Plan Medicaid/Meridian MI Child	$3,510.01
Rate for Payer: Meridian Health Plan Medicare	$3,510.01
Rate for Payer: Priority Health Medicaid	$3,510.01
Rate for Payer: Priority Health Medicare	$3,510.01
Rate for Payer: United Health Care Medicaid	$3,510.01
Rate for Payer: United Health Care Medicare Advantage	$1,544.41

PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, SEQUESTRECTOMY, OR DIAPHYSECTOMY) BONE (EG, OSTEOMYELITIS OR BOSSING); TARSAL OR METATARSAL BONE, EXCEPT TALUS OR CALCANEUS

Facility

$3,510.01

Service Code	CPT 28122
Hospital Revenue Code	360
Min. Negotiated Rate	$1,544.41
Max. Negotiated Rate	$3,510.01
Rate for Payer: BCBS BCN 65	$3,510.01
Rate for Payer: Blue Care Network Medicare Advantage	$3,510.01
Rate for Payer: Meridian Health Plan Medicaid/Meridian MI Child	$3,510.01
Rate for Payer: Meridian Health Plan Medicare	$3,510.01
Rate for Payer: Priority Health Medicaid	$3,510.01
Rate for Payer: Priority Health Medicare	$3,510.01
Rate for Payer: United Health Care Medicaid	$3,510.01
Rate for Payer: United Health Care Medicare Advantage	$1,544.41

PARVOVIRUS

Facility

$11.40

Hospital Charge Code	3101392
Hospital Revenue Code	300
Min. Negotiated Rate	$7.98
Max. Negotiated Rate	$9.69
Rate for Payer: Cash Price	$7.41
Rate for Payer: Community Health Alliance Commercial	$9.69
Rate for Payer: Priority Health Commercial	$7.98
Rate for Payer: Priority Health PPO	$7.98

PARVOVIRUS

Facility

$226.00

Service Code	HCPCS 86747
Hospital Charge Code	3000790
Hospital Revenue Code	302
Min. Negotiated Rate	$6.94
Max. Negotiated Rate	$192.10
Rate for Payer: BCBS BCN 65	$15.78
Rate for Payer: Blue Care Network Medicare Advantage	$15.78
Rate for Payer: Cash Price	$146.90
Rate for Payer: Cash Price	$146.90
Rate for Payer: Community Health Alliance Commercial	$192.10
Rate for Payer: Meridian Health Plan Medicaid/Meridian MI Child	$15.78
Rate for Payer: Meridian Health Plan Medicare	$15.78
Rate for Payer: Priority Health Commercial	$158.20
Rate for Payer: Priority Health Medicaid	$15.78
Rate for Payer: Priority Health Medicare	$15.78
Rate for Payer: Priority Health PPO	$158.20
Rate for Payer: United Health Care Medicaid	$15.78
Rate for Payer: United Health Care Medicare Advantage	$6.94

PARVOVIRUS B19 IGM

Facility

$11.40

Hospital Charge Code	3101393
Hospital Revenue Code	300
Min. Negotiated Rate	$7.98
Max. Negotiated Rate	$9.69
Rate for Payer: Cash Price	$7.41
Rate for Payer: Community Health Alliance Commercial	$9.69
Rate for Payer: Priority Health Commercial	$7.98
Rate for Payer: Priority Health PPO	$7.98

Sturgis Hospital Inc.

Know your out-of-pocket cost for care.

All Charges