Sturgis Hospital Inc.

All Charges

Charge

Type

Setting

Price

SA-2

Facility

$297.50

Hospital Charge Code	3102410
Hospital Revenue Code	300
Min. Negotiated Rate	$208.25
Max. Negotiated Rate	$252.88
Rate for Payer: Cash Price	$193.38
Rate for Payer: Community Health Alliance Commercial	$252.88
Rate for Payer: Priority Health Commercial	$208.25
Rate for Payer: Priority Health PPO	$208.25

SACCHARMYCES CER-2

Facility

$21.50

Hospital Charge Code	3101385
Hospital Revenue Code	300
Min. Negotiated Rate	$15.05
Max. Negotiated Rate	$18.27
Rate for Payer: Cash Price	$13.98
Rate for Payer: Community Health Alliance Commercial	$18.27
Rate for Payer: Priority Health Commercial	$15.05
Rate for Payer: Priority Health PPO	$15.05

SAEED MULTI BAND LIGATOR 4 SH

Facility

$709.00

Hospital Charge Code	27261873
Hospital Revenue Code	272
Min. Negotiated Rate	$496.30
Max. Negotiated Rate	$602.65
Rate for Payer: Cash Price	$460.85
Rate for Payer: Community Health Alliance Commercial	$602.65
Rate for Payer: Priority Health Commercial	$496.30
Rate for Payer: Priority Health PPO	$496.30

SAEED MULTI BAND LIGATOR 6 SH

Facility

$751.00

Hospital Charge Code	27261923
Hospital Revenue Code	272
Min. Negotiated Rate	$525.70
Max. Negotiated Rate	$638.35
Rate for Payer: Cash Price	$488.15
Rate for Payer: Community Health Alliance Commercial	$638.35
Rate for Payer: Priority Health Commercial	$525.70
Rate for Payer: Priority Health PPO	$525.70

SAFETOUCH COLLECTION SYSTEM

Facility

$61.00

Hospital Charge Code	27063696
Hospital Revenue Code	270
Min. Negotiated Rate	$42.70
Max. Negotiated Rate	$51.85
Rate for Payer: Cash Price	$39.65
Rate for Payer: Community Health Alliance Commercial	$51.85
Rate for Payer: Priority Health Commercial	$42.70
Rate for Payer: Priority Health PPO	$42.70

SAFETY PEG

Facility

$340.00

Hospital Charge Code	27266773
Hospital Revenue Code	272
Min. Negotiated Rate	$238.00
Max. Negotiated Rate	$289.00
Rate for Payer: Cash Price	$221.00
Rate for Payer: Community Health Alliance Commercial	$289.00
Rate for Payer: Priority Health Commercial	$238.00
Rate for Payer: Priority Health PPO	$238.00

SAGITTAL BLADE

Facility

$45.00

Hospital Charge Code	27061824
Hospital Revenue Code	272
Min. Negotiated Rate	$31.50
Max. Negotiated Rate	$38.25
Rate for Payer: Cash Price	$29.25
Rate for Payer: Community Health Alliance Commercial	$38.25
Rate for Payer: Priority Health Commercial	$31.50
Rate for Payer: Priority Health PPO	$31.50

SALISALYATE

Facility

$65.00

Service Code	HCPCS 80307
Hospital Charge Code	3007280
Hospital Revenue Code	301
Min. Negotiated Rate	$28.71
Max. Negotiated Rate	$65.25
Rate for Payer: BCBS BCN 65	$65.25
Rate for Payer: Blue Care Network Medicare Advantage	$65.25
Rate for Payer: Cash Price	$42.25
Rate for Payer: Cash Price	$42.25
Rate for Payer: Community Health Alliance Commercial	$55.25
Rate for Payer: Meridian Health Plan Medicaid/Meridian MI Child	$65.25
Rate for Payer: Meridian Health Plan Medicare	$65.25
Rate for Payer: Priority Health Commercial	$45.50
Rate for Payer: Priority Health Medicaid	$65.25
Rate for Payer: Priority Health Medicare	$65.25
Rate for Payer: Priority Health PPO	$45.50
Rate for Payer: United Health Care Medicaid	$65.25
Rate for Payer: United Health Care Medicare Advantage	$28.71

SALMONELLA TITER

Facility

$97.00

Service Code	HCPCS 86768
Hospital Charge Code	3007290
Hospital Revenue Code	302
Min. Negotiated Rate	$6.09
Max. Negotiated Rate	$82.45
Rate for Payer: BCBS BCN 65	$13.85
Rate for Payer: Blue Care Network Medicare Advantage	$13.85
Rate for Payer: Cash Price	$63.05
Rate for Payer: Cash Price	$63.05
Rate for Payer: Community Health Alliance Commercial	$82.45
Rate for Payer: Meridian Health Plan Medicaid/Meridian MI Child	$13.85
Rate for Payer: Meridian Health Plan Medicare	$13.85
Rate for Payer: Priority Health Commercial	$67.90
Rate for Payer: Priority Health Medicaid	$13.85
Rate for Payer: Priority Health Medicare	$13.85
Rate for Payer: Priority Health PPO	$67.90
Rate for Payer: United Health Care Medicaid	$13.85
Rate for Payer: United Health Care Medicare Advantage	$6.09

SALMONELLA TYPHI H TYPE B AB

Facility

$13.00

Hospital Charge Code	3100804
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

SALMONELLA TYPHI H TYPE D AB

Facility

$13.00

Hospital Charge Code	3100805
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

SALMONELLA TYPHI O TYPE D AB

Facility

$13.00

Hospital Charge Code	3100806
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

SALMONELLA TYPHI O TYPE Vi AB

Facility

$13.00

Hospital Charge Code	3100807
Hospital Revenue Code	301
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

SA RATIO

Facility

$70.00

Service Code	HCPCS 83663
Hospital Charge Code	3004220
Hospital Revenue Code	301
Min. Negotiated Rate	$8.74
Max. Negotiated Rate	$59.50
Rate for Payer: BCBS BCN 65	$19.86
Rate for Payer: Blue Care Network Medicare Advantage	$19.86
Rate for Payer: Cash Price	$45.50
Rate for Payer: Cash Price	$45.50
Rate for Payer: Community Health Alliance Commercial	$59.50
Rate for Payer: Meridian Health Plan Medicaid/Meridian MI Child	$19.86
Rate for Payer: Meridian Health Plan Medicare	$19.86
Rate for Payer: Priority Health Commercial	$49.00
Rate for Payer: Priority Health Medicaid	$19.86
Rate for Payer: Priority Health Medicare	$19.86
Rate for Payer: Priority Health PPO	$49.00
Rate for Payer: United Health Care Medicaid	$19.86
Rate for Payer: United Health Care Medicare Advantage	$8.74

SARATOGA SUMP DRAIN 34FR 12"

Facility

$58.00

Hospital Charge Code	27020503
Hospital Revenue Code	272
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

SARS-COV-2 AB IgA

Facility

$42.13

Hospital Charge Code	3101641
Hospital Revenue Code	300
Min. Negotiated Rate	$29.49
Max. Negotiated Rate	$35.81
Rate for Payer: Cash Price	$27.38
Rate for Payer: Community Health Alliance Commercial	$35.81
Rate for Payer: Priority Health Commercial	$29.49
Rate for Payer: Priority Health PPO	$29.49

SARS-COV-2 AB IgG

Facility

$42.13

Hospital Charge Code	3101642
Hospital Revenue Code	300
Min. Negotiated Rate	$29.49
Max. Negotiated Rate	$35.81
Rate for Payer: Cash Price	$27.38
Rate for Payer: Community Health Alliance Commercial	$35.81
Rate for Payer: Priority Health Commercial	$29.49
Rate for Payer: Priority Health PPO	$29.49

SARS-COV-2 IgM

Facility

$42.13

Hospital Charge Code	3101643
Hospital Revenue Code	300
Min. Negotiated Rate	$29.49
Max. Negotiated Rate	$35.81
Rate for Payer: Cash Price	$27.38
Rate for Payer: Community Health Alliance Commercial	$35.81
Rate for Payer: Priority Health Commercial	$29.49
Rate for Payer: Priority Health PPO	$29.49

SARS-COV-2 SEMIQUANT AB SPIKE

Facility

$15.00

Hospital Charge Code	3102086
Hospital Revenue Code	300
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

SAW BLADE

Facility

$290.00

Hospital Charge Code	27264314
Hospital Revenue Code	272
Min. Negotiated Rate	$203.00
Max. Negotiated Rate	$246.50
Rate for Payer: Cash Price	$188.50
Rate for Payer: Community Health Alliance Commercial	$246.50
Rate for Payer: Priority Health Commercial	$203.00
Rate for Payer: Priority Health PPO	$203.00

SAWBLADES,ACL W/DEPTH STOP

Facility

$372.00

Hospital Charge Code	27265320
Hospital Revenue Code	272
Min. Negotiated Rate	$260.40
Max. Negotiated Rate	$316.20
Rate for Payer: Cash Price	$241.80
Rate for Payer: Community Health Alliance Commercial	$316.20
Rate for Payer: Priority Health Commercial	$260.40
Rate for Payer: Priority Health PPO	$260.40

SAW BLADE,SAGITTAL

Facility

$75.00

Hospital Charge Code	27019356
Hospital Revenue Code	272
Min. Negotiated Rate	$52.50
Max. Negotiated Rate	$63.75
Rate for Payer: Cash Price	$48.75
Rate for Payer: Community Health Alliance Commercial	$63.75
Rate for Payer: Priority Health Commercial	$52.50
Rate for Payer: Priority Health PPO	$52.50

SC-1

Facility

$30.95

Hospital Charge Code	3101413
Hospital Revenue Code	300
Min. Negotiated Rate	$21.66
Max. Negotiated Rate	$26.31
Rate for Payer: Cash Price	$20.12
Rate for Payer: Community Health Alliance Commercial	$26.31
Rate for Payer: Priority Health Commercial	$21.66
Rate for Payer: Priority Health PPO	$21.66

Sc170

Facility

$8.00

Service Code	HCPCS 86235
Hospital Charge Code	3007325
Hospital Revenue Code	302
Min. Negotiated Rate	$5.60
Max. Negotiated Rate	$18.83
Rate for Payer: BCBS BCN 65	$18.83
Rate for Payer: Blue Care Network Medicare Advantage	$18.83
Rate for Payer: Cash Price	$5.20
Rate for Payer: Cash Price	$5.20
Rate for Payer: Community Health Alliance Commercial	$6.80
Rate for Payer: Meridian Health Plan Medicaid/Meridian MI Child	$18.83
Rate for Payer: Meridian Health Plan Medicare	$18.83
Rate for Payer: Priority Health Commercial	$5.60
Rate for Payer: Priority Health Medicaid	$18.83
Rate for Payer: Priority Health Medicare	$18.83
Rate for Payer: Priority Health PPO	$5.60
Rate for Payer: United Health Care Medicaid	$18.83
Rate for Payer: United Health Care Medicare Advantage	$8.28

SC-2

Facility

$30.95

Hospital Charge Code	3102510
Hospital Revenue Code	300
Min. Negotiated Rate	$21.66
Max. Negotiated Rate	$26.31
Rate for Payer: Cash Price	$20.12
Rate for Payer: Community Health Alliance Commercial	$26.31
Rate for Payer: Priority Health Commercial	$21.66
Rate for Payer: Priority Health PPO	$21.66

Sturgis Hospital Inc.

Know your out-of-pocket cost for care.

All Charges