Sturgis Hospital Inc.

All Charges

Charge

Type

Setting

Price

RAST ADULT FOOD PANEL

Facility

$409.00

Hospital Charge Code	3100034
Hospital Revenue Code	302
Min. Negotiated Rate	$286.30
Max. Negotiated Rate	$347.65
Rate for Payer: Cash Price	$265.85
Rate for Payer: Community Health Alliance Commercial	$347.65
Rate for Payer: Priority Health Commercial	$286.30
Rate for Payer: Priority Health PPO	$286.30

RAST ALMOND

Facility

$3.26

Hospital Charge Code	3100088
Hospital Revenue Code	302
Min. Negotiated Rate	$2.28
Max. Negotiated Rate	$2.77
Rate for Payer: Cash Price	$2.12
Rate for Payer: Community Health Alliance Commercial	$2.77
Rate for Payer: Priority Health Commercial	$2.28
Rate for Payer: Priority Health PPO	$2.28

RAST ALPHA-LACTALBUMIN IGE

Facility

$3.26

Hospital Charge Code	3100507
Hospital Revenue Code	302
Min. Negotiated Rate	$2.28
Max. Negotiated Rate	$2.77
Rate for Payer: Cash Price	$2.12
Rate for Payer: Community Health Alliance Commercial	$2.77
Rate for Payer: Priority Health Commercial	$2.28
Rate for Payer: Priority Health PPO	$2.28

RAST ALTERNARIA ALTERNATA

Facility

$3.26

Hospital Charge Code	3006249
Hospital Revenue Code	302
Min. Negotiated Rate	$2.28
Max. Negotiated Rate	$2.77
Rate for Payer: Cash Price	$2.12
Rate for Payer: Community Health Alliance Commercial	$2.77
Rate for Payer: Priority Health Commercial	$2.28
Rate for Payer: Priority Health PPO	$2.28

RAST AMERICAN CHEESE IGE

Facility

$10.71

Hospital Charge Code	3100517
Hospital Revenue Code	302
Min. Negotiated Rate	$7.50
Max. Negotiated Rate	$9.10
Rate for Payer: Cash Price	$6.96
Rate for Payer: Community Health Alliance Commercial	$9.10
Rate for Payer: Priority Health Commercial	$7.50
Rate for Payer: Priority Health PPO	$7.50

RAST-ANIMAL

Facility

$3.26

Service Code	HCPCS 86005
Hospital Charge Code	3006530
Hospital Revenue Code	302
Min. Negotiated Rate	$2.28
Max. Negotiated Rate	$8.37
Rate for Payer: BCBS BCN 65	$8.37
Rate for Payer: Blue Care Network Medicare Advantage	$8.37
Rate for Payer: Cash Price	$2.12
Rate for Payer: Cash Price	$2.12
Rate for Payer: Community Health Alliance Commercial	$2.77
Rate for Payer: Meridian Health Plan Medicaid/Meridian MI Child	$8.37
Rate for Payer: Meridian Health Plan Medicare	$8.37
Rate for Payer: Priority Health Commercial	$2.28
Rate for Payer: Priority Health Medicaid	$8.37
Rate for Payer: Priority Health Medicare	$8.37
Rate for Payer: Priority Health PPO	$2.28
Rate for Payer: United Health Care Medicaid	$8.37
Rate for Payer: United Health Care Medicare Advantage	$3.68

RAST APPLE

Facility

$10.10

Hospital Charge Code	3100789
Hospital Revenue Code	302
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

RAST APRICOT

Facility

$3.26

Hospital Charge Code	3100086
Hospital Revenue Code	302
Min. Negotiated Rate	$2.28
Max. Negotiated Rate	$2.77
Rate for Payer: Cash Price	$2.12
Rate for Payer: Community Health Alliance Commercial	$2.77
Rate for Payer: Priority Health Commercial	$2.28
Rate for Payer: Priority Health PPO	$2.28

RAST ASPERGILLUS FUMIGATUS

Facility

$3.26

Hospital Charge Code	3006247
Hospital Revenue Code	302
Min. Negotiated Rate	$2.28
Max. Negotiated Rate	$2.77
Rate for Payer: Cash Price	$2.12
Rate for Payer: Community Health Alliance Commercial	$2.77
Rate for Payer: Priority Health Commercial	$2.28
Rate for Payer: Priority Health PPO	$2.28

RAST AVOCADO

Facility

$10.10

Hospital Charge Code	3100087
Hospital Revenue Code	302
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

RAST BAKERS YEAST

Facility

$15.00

Hospital Charge Code	3100108
Hospital Revenue Code	302
Min. Negotiated Rate	$10.50
Max. Negotiated Rate	$12.75
Rate for Payer: Cash Price	$9.75
Rate for Payer: Community Health Alliance Commercial	$12.75
Rate for Payer: Priority Health Commercial	$10.50
Rate for Payer: Priority Health PPO	$10.50

RAST BANANNA

Facility

$10.10

Hospital Charge Code	3006212
Hospital Revenue Code	302
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

RAST BARLEY

Facility

$10.10

Hospital Charge Code	3100105
Hospital Revenue Code	302
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

RAST BASS BLACK IGE

Facility

$29.45

Hospital Charge Code	3102116
Hospital Revenue Code	300
Min. Negotiated Rate	$20.61
Max. Negotiated Rate	$25.03
Rate for Payer: Cash Price	$19.14
Rate for Payer: Community Health Alliance Commercial	$25.03
Rate for Payer: Priority Health Commercial	$20.61
Rate for Payer: Priority Health PPO	$20.61

RAST BEECH TREE

Facility

$3.26

Hospital Charge Code	3102141
Hospital Revenue Code	300
Min. Negotiated Rate	$2.28
Max. Negotiated Rate	$2.77
Rate for Payer: Cash Price	$2.12
Rate for Payer: Community Health Alliance Commercial	$2.77
Rate for Payer: Priority Health Commercial	$2.28
Rate for Payer: Priority Health PPO	$2.28

RAST BEEF

Facility

$10.10

Hospital Charge Code	3006683
Hospital Revenue Code	302
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

RAST BELL PEPPER

Facility

$15.00

Hospital Charge Code	3006657
Hospital Revenue Code	302
Min. Negotiated Rate	$10.50
Max. Negotiated Rate	$12.75
Rate for Payer: Cash Price	$9.75
Rate for Payer: Community Health Alliance Commercial	$12.75
Rate for Payer: Priority Health Commercial	$10.50
Rate for Payer: Priority Health PPO	$10.50

RAST BERMUDA GRASS

Facility

$3.26

Hospital Charge Code	3006665
Hospital Revenue Code	302
Min. Negotiated Rate	$2.28
Max. Negotiated Rate	$2.77
Rate for Payer: Cash Price	$2.12
Rate for Payer: Community Health Alliance Commercial	$2.77
Rate for Payer: Priority Health Commercial	$2.28
Rate for Payer: Priority Health PPO	$2.28

RAST BETA-LACTOGLOBULINE IGE

Facility

$3.26

Hospital Charge Code	3100508
Hospital Revenue Code	302
Min. Negotiated Rate	$2.28
Max. Negotiated Rate	$2.77
Rate for Payer: Cash Price	$2.12
Rate for Payer: Community Health Alliance Commercial	$2.77
Rate for Payer: Priority Health Commercial	$2.28
Rate for Payer: Priority Health PPO	$2.28

RAST BING CHERRY IGE

Facility

$3.26

Hospital Charge Code	3101625
Hospital Revenue Code	300
Min. Negotiated Rate	$2.28
Max. Negotiated Rate	$2.77
Rate for Payer: Cash Price	$2.12
Rate for Payer: Community Health Alliance Commercial	$2.77
Rate for Payer: Priority Health Commercial	$2.28
Rate for Payer: Priority Health PPO	$2.28

RAST BIRCH

Facility

$3.26

Hospital Charge Code	3006283
Hospital Revenue Code	302
Min. Negotiated Rate	$2.28
Max. Negotiated Rate	$2.77
Rate for Payer: Cash Price	$2.12
Rate for Payer: Community Health Alliance Commercial	$2.77
Rate for Payer: Priority Health Commercial	$2.28
Rate for Payer: Priority Health PPO	$2.28

RAST BLACK WALNUT

Facility

$15.00

Hospital Charge Code	3100594
Hospital Revenue Code	302
Min. Negotiated Rate	$10.50
Max. Negotiated Rate	$12.75
Rate for Payer: Cash Price	$9.75
Rate for Payer: Community Health Alliance Commercial	$12.75
Rate for Payer: Priority Health Commercial	$10.50
Rate for Payer: Priority Health PPO	$10.50

RAST BLAKC BEAN

Facility

$15.00

Hospital Charge Code	3100964
Hospital Revenue Code	302
Min. Negotiated Rate	$10.50
Max. Negotiated Rate	$12.75
Rate for Payer: Cash Price	$9.75
Rate for Payer: Community Health Alliance Commercial	$12.75
Rate for Payer: Priority Health Commercial	$10.50
Rate for Payer: Priority Health PPO	$10.50

RAST-BLUEBERRY

Facility

$10.10

Hospital Charge Code	3006294
Hospital Revenue Code	302
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

RAST BLUE MUSSEL

Facility

$15.00

Hospital Charge Code	3006711
Hospital Revenue Code	302
Min. Negotiated Rate	$10.50
Max. Negotiated Rate	$12.75
Rate for Payer: Cash Price	$9.75
Rate for Payer: Community Health Alliance Commercial	$12.75
Rate for Payer: Priority Health Commercial	$10.50
Rate for Payer: Priority Health PPO	$10.50

Sturgis Hospital Inc.

Know your out-of-pocket cost for care.

All Charges