Sturgis Hospital Inc.

All Charges

Charge

Type

Setting

Price

CDS-10

Facility

$3.75

Hospital Charge Code	3101904
Hospital Revenue Code	300
Min. Negotiated Rate	$2.62
Max. Negotiated Rate	$3.19
Rate for Payer: Cash Price	$2.44
Rate for Payer: Community Health Alliance Commercial	$3.19
Rate for Payer: Priority Health Commercial	$2.62
Rate for Payer: Priority Health PPO	$2.62

CDS-11

Facility

$3.75

Hospital Charge Code	3101905
Hospital Revenue Code	300
Min. Negotiated Rate	$2.62
Max. Negotiated Rate	$3.19
Rate for Payer: Cash Price	$2.44
Rate for Payer: Community Health Alliance Commercial	$3.19
Rate for Payer: Priority Health Commercial	$2.62
Rate for Payer: Priority Health PPO	$2.62

CDS-12

Facility

$3.75

Hospital Charge Code	3101906
Hospital Revenue Code	300
Min. Negotiated Rate	$2.62
Max. Negotiated Rate	$3.19
Rate for Payer: Cash Price	$2.44
Rate for Payer: Community Health Alliance Commercial	$3.19
Rate for Payer: Priority Health Commercial	$2.62
Rate for Payer: Priority Health PPO	$2.62

CDS-13

Facility

$3.75

Hospital Charge Code	3101907
Hospital Revenue Code	300
Min. Negotiated Rate	$2.62
Max. Negotiated Rate	$3.19
Rate for Payer: Cash Price	$2.44
Rate for Payer: Community Health Alliance Commercial	$3.19
Rate for Payer: Priority Health Commercial	$2.62
Rate for Payer: Priority Health PPO	$2.62

CDS-14

Facility

$3.75

Hospital Charge Code	3101908
Hospital Revenue Code	300
Min. Negotiated Rate	$2.62
Max. Negotiated Rate	$3.19
Rate for Payer: Cash Price	$2.44
Rate for Payer: Community Health Alliance Commercial	$3.19
Rate for Payer: Priority Health Commercial	$2.62
Rate for Payer: Priority Health PPO	$2.62

CDS-15

Facility

$3.75

Hospital Charge Code	3101909
Hospital Revenue Code	300
Min. Negotiated Rate	$2.62
Max. Negotiated Rate	$3.19
Rate for Payer: Cash Price	$2.44
Rate for Payer: Community Health Alliance Commercial	$3.19
Rate for Payer: Priority Health Commercial	$2.62
Rate for Payer: Priority Health PPO	$2.62

CDS-16

Facility

$3.75

Hospital Charge Code	3101910
Hospital Revenue Code	300
Min. Negotiated Rate	$2.62
Max. Negotiated Rate	$3.19
Rate for Payer: Cash Price	$2.44
Rate for Payer: Community Health Alliance Commercial	$3.19
Rate for Payer: Priority Health Commercial	$2.62
Rate for Payer: Priority Health PPO	$2.62

CDS-17

Facility

$3.75

Hospital Charge Code	3101911
Hospital Revenue Code	300
Min. Negotiated Rate	$2.62
Max. Negotiated Rate	$3.19
Rate for Payer: Cash Price	$2.44
Rate for Payer: Community Health Alliance Commercial	$3.19
Rate for Payer: Priority Health Commercial	$2.62
Rate for Payer: Priority Health PPO	$2.62

CDS-18

Facility

$3.75

Hospital Charge Code	3101912
Hospital Revenue Code	300
Min. Negotiated Rate	$2.62
Max. Negotiated Rate	$3.19
Rate for Payer: Cash Price	$2.44
Rate for Payer: Community Health Alliance Commercial	$3.19
Rate for Payer: Priority Health Commercial	$2.62
Rate for Payer: Priority Health PPO	$2.62

CDS-19

Facility

$3.75

Hospital Charge Code	3101913
Hospital Revenue Code	300
Min. Negotiated Rate	$2.62
Max. Negotiated Rate	$3.19
Rate for Payer: Cash Price	$2.44
Rate for Payer: Community Health Alliance Commercial	$3.19
Rate for Payer: Priority Health Commercial	$2.62
Rate for Payer: Priority Health PPO	$2.62

CDS-2

Facility

$15.73

Hospital Charge Code	3101273
Hospital Revenue Code	301
Min. Negotiated Rate	$11.01
Max. Negotiated Rate	$13.37
Rate for Payer: Cash Price	$10.22
Rate for Payer: Community Health Alliance Commercial	$13.37
Rate for Payer: Priority Health Commercial	$11.01
Rate for Payer: Priority Health PPO	$11.01

CDS-2

Facility

$3.75

Hospital Charge Code	3101896
Hospital Revenue Code	300
Min. Negotiated Rate	$2.62
Max. Negotiated Rate	$3.19
Rate for Payer: Cash Price	$2.44
Rate for Payer: Community Health Alliance Commercial	$3.19
Rate for Payer: Priority Health Commercial	$2.62
Rate for Payer: Priority Health PPO	$2.62

CDS-20

Facility

$3.75

Hospital Charge Code	3101914
Hospital Revenue Code	300
Min. Negotiated Rate	$2.62
Max. Negotiated Rate	$3.19
Rate for Payer: Cash Price	$2.44
Rate for Payer: Community Health Alliance Commercial	$3.19
Rate for Payer: Priority Health Commercial	$2.62
Rate for Payer: Priority Health PPO	$2.62

CDS-21

Facility

$3.75

Hospital Charge Code	3101915
Hospital Revenue Code	300
Min. Negotiated Rate	$2.62
Max. Negotiated Rate	$3.19
Rate for Payer: Cash Price	$2.44
Rate for Payer: Community Health Alliance Commercial	$3.19
Rate for Payer: Priority Health Commercial	$2.62
Rate for Payer: Priority Health PPO	$2.62

CDS-22

Facility

$3.75

Hospital Charge Code	3101916
Hospital Revenue Code	300
Min. Negotiated Rate	$2.62
Max. Negotiated Rate	$3.19
Rate for Payer: Cash Price	$2.44
Rate for Payer: Community Health Alliance Commercial	$3.19
Rate for Payer: Priority Health Commercial	$2.62
Rate for Payer: Priority Health PPO	$2.62

CDS-23

Facility

$3.75

Hospital Charge Code	3101917
Hospital Revenue Code	300
Min. Negotiated Rate	$2.62
Max. Negotiated Rate	$3.19
Rate for Payer: Cash Price	$2.44
Rate for Payer: Community Health Alliance Commercial	$3.19
Rate for Payer: Priority Health Commercial	$2.62
Rate for Payer: Priority Health PPO	$2.62

CDS-24

Facility

$3.75

Hospital Charge Code	3101918
Hospital Revenue Code	300
Min. Negotiated Rate	$2.62
Max. Negotiated Rate	$3.19
Rate for Payer: Cash Price	$2.44
Rate for Payer: Community Health Alliance Commercial	$3.19
Rate for Payer: Priority Health Commercial	$2.62
Rate for Payer: Priority Health PPO	$2.62

CDS-25

Facility

$3.75

Hospital Charge Code	3101919
Hospital Revenue Code	300
Min. Negotiated Rate	$2.62
Max. Negotiated Rate	$3.19
Rate for Payer: Cash Price	$2.44
Rate for Payer: Community Health Alliance Commercial	$3.19
Rate for Payer: Priority Health Commercial	$2.62
Rate for Payer: Priority Health PPO	$2.62

CDS-26

Facility

$3.75

Hospital Charge Code	3101920
Hospital Revenue Code	300
Min. Negotiated Rate	$2.62
Max. Negotiated Rate	$3.19
Rate for Payer: Cash Price	$2.44
Rate for Payer: Community Health Alliance Commercial	$3.19
Rate for Payer: Priority Health Commercial	$2.62
Rate for Payer: Priority Health PPO	$2.62

CDS-27

Facility

$3.75

Hospital Charge Code	3101921
Hospital Revenue Code	300
Min. Negotiated Rate	$2.62
Max. Negotiated Rate	$3.19
Rate for Payer: Cash Price	$2.44
Rate for Payer: Community Health Alliance Commercial	$3.19
Rate for Payer: Priority Health Commercial	$2.62
Rate for Payer: Priority Health PPO	$2.62

CDS-28

Facility

$3.75

Hospital Charge Code	3101922
Hospital Revenue Code	300
Min. Negotiated Rate	$2.62
Max. Negotiated Rate	$3.19
Rate for Payer: Cash Price	$2.44
Rate for Payer: Community Health Alliance Commercial	$3.19
Rate for Payer: Priority Health Commercial	$2.62
Rate for Payer: Priority Health PPO	$2.62

CDS-29

Facility

$4.00

Hospital Charge Code	3101923
Hospital Revenue Code	300
Min. Negotiated Rate	$2.80
Max. Negotiated Rate	$3.40
Rate for Payer: Cash Price	$2.60
Rate for Payer: Community Health Alliance Commercial	$3.40
Rate for Payer: Priority Health Commercial	$2.80
Rate for Payer: Priority Health PPO	$2.80

CDS-3

Facility

$3.75

Hospital Charge Code	3101897
Hospital Revenue Code	300
Min. Negotiated Rate	$2.62
Max. Negotiated Rate	$3.19
Rate for Payer: Cash Price	$2.44
Rate for Payer: Community Health Alliance Commercial	$3.19
Rate for Payer: Priority Health Commercial	$2.62
Rate for Payer: Priority Health PPO	$2.62

CDS-3

Facility

$15.73

Hospital Charge Code	3101274
Hospital Revenue Code	301
Min. Negotiated Rate	$11.01
Max. Negotiated Rate	$13.37
Rate for Payer: Cash Price	$10.22
Rate for Payer: Community Health Alliance Commercial	$13.37
Rate for Payer: Priority Health Commercial	$11.01
Rate for Payer: Priority Health PPO	$11.01

CDS-4

Facility

$3.75

Hospital Charge Code	3101898
Hospital Revenue Code	300
Min. Negotiated Rate	$2.62
Max. Negotiated Rate	$3.19
Rate for Payer: Cash Price	$2.44
Rate for Payer: Community Health Alliance Commercial	$3.19
Rate for Payer: Priority Health Commercial	$2.62
Rate for Payer: Priority Health PPO	$2.62

Sturgis Hospital Inc.

Know your out-of-pocket cost for care.

All Charges