Sturgis Hospital Inc.

All Charges

Charge

Type

Setting

Price

ASAP PINPOINT GUIDE INTRO NEED

Facility

$66.00

Hospital Charge Code	27060206
Hospital Revenue Code	272
Min. Negotiated Rate	$46.20
Max. Negotiated Rate	$56.10
Rate for Payer: Cash Price	$42.90
Rate for Payer: Community Health Alliance Commercial	$56.10
Rate for Payer: Priority Health Commercial	$46.20
Rate for Payer: Priority Health PPO	$46.20

ASCA IGA

Facility

$103.00

Hospital Charge Code	3000825
Hospital Revenue Code	301
Min. Negotiated Rate	$72.10
Max. Negotiated Rate	$87.55
Rate for Payer: Cash Price	$66.95
Rate for Payer: Community Health Alliance Commercial	$87.55
Rate for Payer: Priority Health Commercial	$72.10
Rate for Payer: Priority Health PPO	$72.10

ASCA IGG

Facility

$103.00

Hospital Charge Code	3000826
Hospital Revenue Code	301
Min. Negotiated Rate	$72.10
Max. Negotiated Rate	$87.55
Rate for Payer: Cash Price	$66.95
Rate for Payer: Community Health Alliance Commercial	$87.55
Rate for Payer: Priority Health Commercial	$72.10
Rate for Payer: Priority Health PPO	$72.10

ASO ANKLE STABLIZER

Facility

$58.00

Hospital Charge Code	27019984
Hospital Revenue Code	270
Min. Negotiated Rate	$40.60
Max. Negotiated Rate	$49.30
Rate for Payer: Cash Price	$37.70
Rate for Payer: Community Health Alliance Commercial	$49.30
Rate for Payer: Priority Health Commercial	$40.60
Rate for Payer: Priority Health PPO	$40.60

ASO SCREEN

Facility

$3.67

Service Code	HCPCS 86060
Hospital Charge Code	3003161
Hospital Revenue Code	302
Min. Negotiated Rate	$2.57
Max. Negotiated Rate	$7.67
Rate for Payer: BCBS BCN 65	$7.67
Rate for Payer: Blue Care Network Medicare Advantage	$7.67
Rate for Payer: Cash Price	$2.39
Rate for Payer: Cash Price	$2.39
Rate for Payer: Community Health Alliance Commercial	$3.12
Rate for Payer: Meridian Health Plan Medicaid/Meridian MI Child	$7.67
Rate for Payer: Meridian Health Plan Medicare	$7.67
Rate for Payer: Priority Health Commercial	$2.57
Rate for Payer: Priority Health Medicaid	$7.67
Rate for Payer: Priority Health Medicare	$7.67
Rate for Payer: Priority Health PPO	$2.57
Rate for Payer: United Health Care Medicaid	$7.67
Rate for Payer: United Health Care Medicare Advantage	$3.37

ASO SUPPL-ARTHRITIC PROFILE

Facility

$21.00

Service Code	HCPCS 86063
Hospital Charge Code	3009000
Hospital Revenue Code	302
Min. Negotiated Rate	$2.67
Max. Negotiated Rate	$17.85
Rate for Payer: BCBS BCN 65	$6.06
Rate for Payer: Blue Care Network Medicare Advantage	$6.06
Rate for Payer: Cash Price	$13.65
Rate for Payer: Cash Price	$13.65
Rate for Payer: Community Health Alliance Commercial	$17.85
Rate for Payer: Meridian Health Plan Medicaid/Meridian MI Child	$6.06
Rate for Payer: Meridian Health Plan Medicare	$6.06
Rate for Payer: Priority Health Commercial	$14.70
Rate for Payer: Priority Health Medicaid	$6.06
Rate for Payer: Priority Health Medicare	$6.06
Rate for Payer: Priority Health PPO	$14.70
Rate for Payer: United Health Care Medicaid	$6.06
Rate for Payer: United Health Care Medicare Advantage	$2.67

ASO TITRE

Facility

$55.00

Service Code	HCPCS 86060
Hospital Charge Code	3003181
Hospital Revenue Code	302
Min. Negotiated Rate	$3.37
Max. Negotiated Rate	$46.75
Rate for Payer: BCBS BCN 65	$7.67
Rate for Payer: Blue Care Network Medicare Advantage	$7.67
Rate for Payer: Cash Price	$35.75
Rate for Payer: Cash Price	$35.75
Rate for Payer: Community Health Alliance Commercial	$46.75
Rate for Payer: Meridian Health Plan Medicaid/Meridian MI Child	$7.67
Rate for Payer: Meridian Health Plan Medicare	$7.67
Rate for Payer: Priority Health Commercial	$38.50
Rate for Payer: Priority Health Medicaid	$7.67
Rate for Payer: Priority Health Medicare	$7.67
Rate for Payer: Priority Health PPO	$38.50
Rate for Payer: United Health Care Medicaid	$7.67
Rate for Payer: United Health Care Medicare Advantage	$3.37

ASP AB-1

Facility

$4.53

Hospital Charge Code	3101945
Hospital Revenue Code	300
Min. Negotiated Rate	$3.17
Max. Negotiated Rate	$3.85
Rate for Payer: Cash Price	$2.94
Rate for Payer: Community Health Alliance Commercial	$3.85
Rate for Payer: Priority Health Commercial	$3.17
Rate for Payer: Priority Health PPO	$3.17

ASP AB-2

Facility

$4.53

Hospital Charge Code	3101946
Hospital Revenue Code	300
Min. Negotiated Rate	$3.17
Max. Negotiated Rate	$3.85
Rate for Payer: Cash Price	$2.94
Rate for Payer: Community Health Alliance Commercial	$3.85
Rate for Payer: Priority Health Commercial	$3.17
Rate for Payer: Priority Health PPO	$3.17

ASP AB-3

Facility

$4.54

Hospital Charge Code	3101947
Hospital Revenue Code	300
Min. Negotiated Rate	$3.18
Max. Negotiated Rate	$3.86
Rate for Payer: Cash Price	$2.95
Rate for Payer: Community Health Alliance Commercial	$3.86
Rate for Payer: Priority Health Commercial	$3.18
Rate for Payer: Priority Health PPO	$3.18

ASPERGILLIS ANTIBODY

Facility

$25.50

Service Code	HCPCS 86606
Hospital Charge Code	3003241
Hospital Revenue Code	302
Min. Negotiated Rate	$6.95
Max. Negotiated Rate	$21.68
Rate for Payer: BCBS BCN 65	$15.80
Rate for Payer: Blue Care Network Medicare Advantage	$15.80
Rate for Payer: Cash Price	$16.58
Rate for Payer: Cash Price	$16.58
Rate for Payer: Community Health Alliance Commercial	$21.68
Rate for Payer: Meridian Health Plan Medicaid/Meridian MI Child	$15.80
Rate for Payer: Meridian Health Plan Medicare	$15.80
Rate for Payer: Priority Health Commercial	$17.85
Rate for Payer: Priority Health Medicaid	$15.80
Rate for Payer: Priority Health Medicare	$15.80
Rate for Payer: Priority Health PPO	$17.85
Rate for Payer: United Health Care Medicaid	$15.80
Rate for Payer: United Health Care Medicare Advantage	$6.95

ASPERGILLIS ANTIBODY-ID

Facility

$76.00

Hospital Charge Code	3100994
Hospital Revenue Code	302
Min. Negotiated Rate	$53.20
Max. Negotiated Rate	$64.60
Rate for Payer: Cash Price	$49.40
Rate for Payer: Community Health Alliance Commercial	$64.60
Rate for Payer: Priority Health Commercial	$53.20
Rate for Payer: Priority Health PPO	$53.20

ASPERGILLUS FUMIGATUS IGG

Facility

$13.00

Hospital Charge Code	3100925
Hospital Revenue Code	300
Min. Negotiated Rate	$9.10
Max. Negotiated Rate	$11.05
Rate for Payer: Cash Price	$8.45
Rate for Payer: Community Health Alliance Commercial	$11.05
Rate for Payer: Priority Health Commercial	$9.10
Rate for Payer: Priority Health PPO	$9.10

ASPERGILLUS GALACTOMANNAN AG

Facility

$38.00

Hospital Charge Code	3100862
Hospital Revenue Code	300
Min. Negotiated Rate	$26.60
Max. Negotiated Rate	$32.30
Rate for Payer: Cash Price	$24.70
Rate for Payer: Community Health Alliance Commercial	$32.30
Rate for Payer: Priority Health Commercial	$26.60
Rate for Payer: Priority Health PPO	$26.60

ASSAY FOR CALPROTECTIN FECAL

Facility

$55.00

Hospital Charge Code	3100546
Hospital Revenue Code	300
Min. Negotiated Rate	$38.50
Max. Negotiated Rate	$46.75
Rate for Payer: Cash Price	$35.75
Rate for Payer: Community Health Alliance Commercial	$46.75
Rate for Payer: Priority Health Commercial	$38.50
Rate for Payer: Priority Health PPO	$38.50

ASSAY IgA, IgD, IgM EACH

Facility

$5.54

Hospital Charge Code	3100004
Hospital Revenue Code	301
Min. Negotiated Rate	$3.88
Max. Negotiated Rate	$4.71
Rate for Payer: Cash Price	$3.60
Rate for Payer: Community Health Alliance Commercial	$4.71
Rate for Payer: Priority Health Commercial	$3.88
Rate for Payer: Priority Health PPO	$3.88

ASSAY OF BLOOD LIPOPROTEIN LDL

Facility

$4.50

Hospital Charge Code	3100257
Hospital Revenue Code	300
Min. Negotiated Rate	$3.15
Max. Negotiated Rate	$3.83
Rate for Payer: Cash Price	$2.93
Rate for Payer: Community Health Alliance Commercial	$3.83
Rate for Payer: Priority Health Commercial	$3.15
Rate for Payer: Priority Health PPO	$3.15

ASSAY OF IGE

Facility

$4.25

Service Code	HCPCS 82785
Hospital Charge Code	3005380
Hospital Revenue Code	301
Min. Negotiated Rate	$2.98
Max. Negotiated Rate	$17.28
Rate for Payer: BCBS BCN 65	$17.28
Rate for Payer: Blue Care Network Medicare Advantage	$17.28
Rate for Payer: Cash Price	$2.76
Rate for Payer: Cash Price	$2.76
Rate for Payer: Community Health Alliance Commercial	$3.61
Rate for Payer: Meridian Health Plan Medicaid/Meridian MI Child	$17.28
Rate for Payer: Meridian Health Plan Medicare	$17.28
Rate for Payer: Priority Health Commercial	$2.98
Rate for Payer: Priority Health Medicaid	$17.28
Rate for Payer: Priority Health Medicare	$17.28
Rate for Payer: Priority Health PPO	$2.98
Rate for Payer: United Health Care Medicaid	$17.28
Rate for Payer: United Health Care Medicare Advantage	$7.60

ASSAY OF SERUM ALBUMIN

Facility

$5.53

Hospital Charge Code	3100002
Hospital Revenue Code	301
Min. Negotiated Rate	$3.87
Max. Negotiated Rate	$4.70
Rate for Payer: Cash Price	$3.59
Rate for Payer: Community Health Alliance Commercial	$4.70
Rate for Payer: Priority Health Commercial	$3.87
Rate for Payer: Priority Health PPO	$3.87

ASSESSMENT OF APHASIA 96105

Facility

$307.00

Service Code	HCPCS 96105 GN
Hospital Charge Code	4400015
Hospital Revenue Code	449
Min. Negotiated Rate	$214.90
Max. Negotiated Rate	$260.95
Rate for Payer: Cash Price	$199.55
Rate for Payer: Community Health Alliance Commercial	$260.95
Rate for Payer: Priority Health Commercial	$214.90
Rate for Payer: Priority Health PPO	$214.90

AT-1

Facility

$7.25

Service Code	HCPCS 82104
Hospital Charge Code	3000455
Hospital Revenue Code	301
Min. Negotiated Rate	$5.08
Max. Negotiated Rate	$15.18
Rate for Payer: BCBS BCN 65	$15.18
Rate for Payer: Blue Care Network Medicare Advantage	$15.18
Rate for Payer: Cash Price	$4.71
Rate for Payer: Cash Price	$4.71
Rate for Payer: Community Health Alliance Commercial	$6.16
Rate for Payer: Meridian Health Plan Medicaid/Meridian MI Child	$15.18
Rate for Payer: Meridian Health Plan Medicare	$15.18
Rate for Payer: Priority Health Commercial	$5.08
Rate for Payer: Priority Health Medicaid	$15.18
Rate for Payer: Priority Health Medicare	$15.18
Rate for Payer: Priority Health PPO	$5.08
Rate for Payer: United Health Care Medicaid	$15.18
Rate for Payer: United Health Care Medicare Advantage	$6.68

AT-2

Facility

$7.26

Hospital Charge Code	3102378
Hospital Revenue Code	300
Min. Negotiated Rate	$5.08
Max. Negotiated Rate	$6.17
Rate for Payer: Cash Price	$4.72
Rate for Payer: Community Health Alliance Commercial	$6.17
Rate for Payer: Priority Health Commercial	$5.08
Rate for Payer: Priority Health PPO	$5.08

ATN-LC

Facility

$44.75

Hospital Charge Code	31027468
Hospital Revenue Code	300
Min. Negotiated Rate	$31.32
Max. Negotiated Rate	$38.04
Rate for Payer: Cash Price	$29.09
Rate for Payer: Community Health Alliance Commercial	$38.04
Rate for Payer: Priority Health Commercial	$31.32
Rate for Payer: Priority Health PPO	$31.32

ATN-LC

Facility

$44.75

Hospital Charge Code	31027467
Hospital Revenue Code	300
Min. Negotiated Rate	$31.32
Max. Negotiated Rate	$38.04
Rate for Payer: Cash Price	$29.09
Rate for Payer: Community Health Alliance Commercial	$38.04
Rate for Payer: Priority Health Commercial	$31.32
Rate for Payer: Priority Health PPO	$31.32

ATN-LC

Facility

$44.75

Hospital Charge Code	31027466
Hospital Revenue Code	300
Min. Negotiated Rate	$31.32
Max. Negotiated Rate	$38.04
Rate for Payer: Cash Price	$29.09
Rate for Payer: Community Health Alliance Commercial	$38.04
Rate for Payer: Priority Health Commercial	$31.32
Rate for Payer: Priority Health PPO	$31.32

Sturgis Hospital Inc.

Know your out-of-pocket cost for care.

All Charges