Sturgis Hospital Inc.

All Charges

Charge

Type

Setting

Price

RAST BLUE MUSSEL IGE

Facility

$10.10

Hospital Charge Code	3101400
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

RAST BOVINE ANIMAL PROTEIN

Facility

$20.86

Hospital Charge Code	3100506
Hospital Revenue Code	302
Min. Negotiated Rate	$14.60
Max. Negotiated Rate	$17.73
Rate for Payer: Cash Price	$13.56
Rate for Payer: Community Health Alliance Commercial	$17.73
Rate for Payer: Priority Health Commercial	$14.60
Rate for Payer: Priority Health PPO	$14.60

RAST BOX ELDER

Facility

$3.26

Hospital Charge Code	3100119
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 BRAVIL NUT

Facility

$3.26

Hospital Charge Code	3100089
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 BUCKWHEAT

Facility

$10.10

Hospital Charge Code	3100104
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 CACAO

Facility

$10.10

Hospital Charge Code	3100997
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 CANARD BIRD FEATHERS

Facility

$16.45

Hospital Charge Code	3100709
Hospital Revenue Code	302
Min. Negotiated Rate	$11.52
Max. Negotiated Rate	$13.98
Rate for Payer: Cash Price	$10.69
Rate for Payer: Community Health Alliance Commercial	$13.98
Rate for Payer: Priority Health Commercial	$11.52
Rate for Payer: Priority Health PPO	$11.52

RAST CANARY GRASS

Facility

$3.76

Hospital Charge Code	3102140
Hospital Revenue Code	300
Min. Negotiated Rate	$2.63
Max. Negotiated Rate	$3.20
Rate for Payer: Cash Price	$2.44
Rate for Payer: Community Health Alliance Commercial	$3.20
Rate for Payer: Priority Health Commercial	$2.63
Rate for Payer: Priority Health PPO	$2.63

RAST CANDIDA ALBICANS

Facility

$3.26

Hospital Charge Code	3006661
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 CARROT

Facility

$15.00

Hospital Charge Code	3006202
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 CASEIN IGE

Facility

$3.26

Hospital Charge Code	3100509
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 CASHEW

Facility

$3.26

Hospital Charge Code	3100091
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 CATFISH IGE

Facility

$3.26

Hospital Charge Code	3102115
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-CAULIFLOWER

Facility

$10.10

Hospital Charge Code	3101112
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 CAYANNE IGE

Facility

$15.00

Hospital Charge Code	3100937
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 CAYENNE

Facility

$15.00

Hospital Charge Code	3100996
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-CELERY

Facility

$10.10

Hospital Charge Code	3101111
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 CEPHALOSPORIUM ACREMONIUM

Facility

$3.26

Hospital Charge Code	3101497
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 CHEDDER CHEESE IGE

Facility

$10.10

Hospital Charge Code	3100511
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 CHEESE MILD IGE

Facility

$10.10

Hospital Charge Code	3100512
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 CHESTNUT

Facility

$15.00

Hospital Charge Code	3100097
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 CHICKEN

Facility

$3.26

Hospital Charge Code	3006687
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 CHICKEN FEATHERS

Facility

$15.00

Hospital Charge Code	3100710
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-CHICKEN PEA

Facility

$3.26

Hospital Charge Code	3101843
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 CHILDHOOD PANEL

Facility

$53.15

Hospital Charge Code	3100033
Hospital Revenue Code	302
Min. Negotiated Rate	$37.20
Max. Negotiated Rate	$45.18
Rate for Payer: Cash Price	$34.55
Rate for Payer: Community Health Alliance Commercial	$45.18
Rate for Payer: Priority Health Commercial	$37.20
Rate for Payer: Priority Health PPO	$37.20

Sturgis Hospital Inc.

Know your out-of-pocket cost for care.

All Charges