Sturgis Hospital Inc.

All Charges

Charge

Type

Setting

Price

RAST PLUM IGE

Facility

$3.26

Hospital Charge Code	3101626
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 PORK

Facility

$10.10

Hospital Charge Code	3101083
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 POTATO

Facility

$15.00

Hospital Charge Code	3006225
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 RAGWEED (COMMON)

Facility

$3.26

Hospital Charge Code	3006281
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-RASBERRY

Facility

$15.00

Hospital Charge Code	3006232
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 RED CEDAR

Facility

$15.00

Hospital Charge Code	3100720
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 RED CEDAR TREE POLLEN

Facility

$3.26

Hospital Charge Code	3100748
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 REDTOP BENTGRASS

Facility

$15.00

Hospital Charge Code	3100721
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 RHIZOPUS NIGRICANS

Facility

$3.26

Hospital Charge Code	3101498
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 RICE

Facility

$10.10

Hospital Charge Code	3100098
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 ROUGH MARSHELDER

Facility

$3.26

Hospital Charge Code	3100118
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 RUSSIAN THISTLE

Facility

$3.26

Hospital Charge Code	3100122
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 RYE

Facility

$10.10

Hospital Charge Code	3100099
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 RYE GRASS

Facility

$3.26

Hospital Charge Code	3101260
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 SALMON

Facility

$3.26

Hospital Charge Code	3100109
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-SCALLOP

Facility

$3.26

Hospital Charge Code	3006559
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-SEAFOOD

Facility

$19.70

Hospital Charge Code	3006611
Hospital Revenue Code	302
Min. Negotiated Rate	$13.79
Max. Negotiated Rate	$16.75
Rate for Payer: Cash Price	$12.81
Rate for Payer: Community Health Alliance Commercial	$16.75
Rate for Payer: Priority Health Commercial	$13.79
Rate for Payer: Priority Health PPO	$13.79

RAST SEMINAL FLUID

Facility

$15.00

Hospital Charge Code	3100611
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 SESAME SEED

Facility

$3.26

Hospital Charge Code	3100126
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 SHEEPS MILK IGE

Facility

$20.86

Hospital Charge Code	3100516
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 SHELLFISH PROFILE

Facility

$22.82

Hospital Charge Code	3006713
Hospital Revenue Code	302
Min. Negotiated Rate	$15.97
Max. Negotiated Rate	$19.40
Rate for Payer: Cash Price	$14.83
Rate for Payer: Community Health Alliance Commercial	$19.40
Rate for Payer: Priority Health Commercial	$15.97
Rate for Payer: Priority Health PPO	$15.97

RAST-SHRIMP

Facility

$3.26

Hospital Charge Code	3006548
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-SOYBEAN

Facility

$3.26

Hospital Charge Code	3006547
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 SPINACH

Facility

$10.10

Hospital Charge Code	3006201
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-SQUASH

Facility

$10.71

Hospital Charge Code	3101114
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

Sturgis Hospital Inc.

Know your out-of-pocket cost for care.

All Charges