Sturgis Hospital Inc.

All Charges

Charge

Type

Setting

Price

CREATINE URINE

Facility

$78.00

Hospital Charge Code	3101248
Hospital Revenue Code	301
Min. Negotiated Rate	$54.60
Max. Negotiated Rate	$66.30
Rate for Payer: Cash Price	$50.70
Rate for Payer: Community Health Alliance Commercial	$66.30
Rate for Payer: Priority Health Commercial	$54.60
Rate for Payer: Priority Health PPO	$54.60

CREATININE

Facility

$22.00

Service Code	HCPCS 82565
Hospital Charge Code	3002840
Hospital Revenue Code	301
Min. Negotiated Rate	$2.37
Max. Negotiated Rate	$18.70
Rate for Payer: BCBS BCN 65	$5.38
Rate for Payer: Blue Care Network Medicare Advantage	$5.38
Rate for Payer: Cash Price	$14.30
Rate for Payer: Cash Price	$14.30
Rate for Payer: Community Health Alliance Commercial	$18.70
Rate for Payer: Meridian Health Plan Medicaid/Meridian MI Child	$5.38
Rate for Payer: Meridian Health Plan Medicare	$5.38
Rate for Payer: Priority Health Commercial	$15.40
Rate for Payer: Priority Health Medicaid	$5.38
Rate for Payer: Priority Health Medicare	$5.38
Rate for Payer: Priority Health PPO	$15.40
Rate for Payer: United Health Care Medicaid	$5.38
Rate for Payer: United Health Care Medicare Advantage	$2.37

CREATININE CLEARANCE

Facility

$61.00

Service Code	HCPCS 82575
Hospital Charge Code	3002860
Hospital Revenue Code	301
Min. Negotiated Rate	$4.37
Max. Negotiated Rate	$51.85
Rate for Payer: BCBS BCN 65	$9.93
Rate for Payer: Blue Care Network Medicare Advantage	$9.93
Rate for Payer: Cash Price	$39.65
Rate for Payer: Cash Price	$39.65
Rate for Payer: Community Health Alliance Commercial	$51.85
Rate for Payer: Meridian Health Plan Medicaid/Meridian MI Child	$9.93
Rate for Payer: Meridian Health Plan Medicare	$9.93
Rate for Payer: Priority Health Commercial	$42.70
Rate for Payer: Priority Health Medicaid	$9.93
Rate for Payer: Priority Health Medicare	$9.93
Rate for Payer: Priority Health PPO	$42.70
Rate for Payer: United Health Care Medicaid	$9.93
Rate for Payer: United Health Care Medicare Advantage	$4.37

CREATININE SBMF

Facility

$2.63

Hospital Charge Code	3101143
Hospital Revenue Code	301
Min. Negotiated Rate	$1.84
Max. Negotiated Rate	$2.24
Rate for Payer: Cash Price	$1.71
Rate for Payer: Community Health Alliance Commercial	$2.24
Rate for Payer: Priority Health Commercial	$1.84
Rate for Payer: Priority Health PPO	$1.84

CREATININE URINE

Facility

$2.00

Hospital Charge Code	3101146
Hospital Revenue Code	301
Min. Negotiated Rate	$1.40
Max. Negotiated Rate	$1.70
Rate for Payer: Cash Price	$1.30
Rate for Payer: Community Health Alliance Commercial	$1.70
Rate for Payer: Priority Health Commercial	$1.40
Rate for Payer: Priority Health PPO	$1.40

CREATININE, URINE

Facility

$2.12

Service Code	HCPCS 82570
Hospital Charge Code	3002880
Hospital Revenue Code	301
Min. Negotiated Rate	$1.48
Max. Negotiated Rate	$5.44
Rate for Payer: BCBS BCN 65	$5.44
Rate for Payer: Blue Care Network Medicare Advantage	$5.44
Rate for Payer: Cash Price	$1.38
Rate for Payer: Cash Price	$1.38
Rate for Payer: Community Health Alliance Commercial	$1.80
Rate for Payer: Meridian Health Plan Medicaid/Meridian MI Child	$5.44
Rate for Payer: Meridian Health Plan Medicare	$5.44
Rate for Payer: Priority Health Commercial	$1.48
Rate for Payer: Priority Health Medicaid	$5.44
Rate for Payer: Priority Health Medicare	$5.44
Rate for Payer: Priority Health PPO	$1.48
Rate for Payer: United Health Care Medicaid	$5.44
Rate for Payer: United Health Care Medicare Advantage	$2.39

CRMP5/CV2 AB WB

Facility

$103.92

Hospital Charge Code	3101203
Hospital Revenue Code	300
Min. Negotiated Rate	$72.74
Max. Negotiated Rate	$88.33
Rate for Payer: Cash Price	$67.55
Rate for Payer: Community Health Alliance Commercial	$88.33
Rate for Payer: Priority Health Commercial	$72.74
Rate for Payer: Priority Health PPO	$72.74

CRMP-5-IgG WESTERN BLOT

Facility

$122.00

Hospital Charge Code	3100061
Hospital Revenue Code	300
Min. Negotiated Rate	$85.40
Max. Negotiated Rate	$103.70
Rate for Payer: Cash Price	$79.30
Rate for Payer: Community Health Alliance Commercial	$103.70
Rate for Payer: Priority Health Commercial	$85.40
Rate for Payer: Priority Health PPO	$85.40

CROSSBAR

Facility

$1,503.00

Service Code	HCPCS C1713
Hospital Charge Code	27868829
Hospital Revenue Code	278
Min. Negotiated Rate	$1,052.10
Max. Negotiated Rate	$1,277.55
Rate for Payer: Cash Price	$976.95
Rate for Payer: Community Health Alliance Commercial	$1,277.55
Rate for Payer: Priority Health Commercial	$1,052.10
Rate for Payer: Priority Health PPO	$1,052.10

CROSSMATCH-ANTIGLOBULIN TECH

Facility

$4.00

Service Code	HCPCS 82784
Hospital Charge Code	3000980
Hospital Revenue Code	300
Min. Negotiated Rate	$2.80
Max. Negotiated Rate	$9.77
Rate for Payer: BCBS BCN 65	$9.77
Rate for Payer: Blue Care Network Medicare Advantage	$9.77
Rate for Payer: Cash Price	$2.60
Rate for Payer: Cash Price	$2.60
Rate for Payer: Community Health Alliance Commercial	$3.40
Rate for Payer: Meridian Health Plan Medicaid/Meridian MI Child	$9.77
Rate for Payer: Meridian Health Plan Medicare	$9.77
Rate for Payer: Priority Health Commercial	$2.80
Rate for Payer: Priority Health Medicaid	$9.77
Rate for Payer: Priority Health Medicare	$9.77
Rate for Payer: Priority Health PPO	$2.80
Rate for Payer: United Health Care Medicaid	$9.77
Rate for Payer: United Health Care Medicare Advantage	$4.30

CROSSMATCH I.M.SPIN

Facility

$63.00

Service Code	HCPCS 86920
Hospital Charge Code	3000110
Hospital Revenue Code	300
Min. Negotiated Rate	$44.10
Max. Negotiated Rate	$182.76
Rate for Payer: BCBS BCN 65	$182.76
Rate for Payer: Blue Care Network Medicare Advantage	$182.76
Rate for Payer: Cash Price	$40.95
Rate for Payer: Cash Price	$40.95
Rate for Payer: Community Health Alliance Commercial	$53.55
Rate for Payer: Meridian Health Plan Medicaid/Meridian MI Child	$182.76
Rate for Payer: Meridian Health Plan Medicare	$182.76
Rate for Payer: Priority Health Commercial	$44.10
Rate for Payer: Priority Health Medicaid	$182.76
Rate for Payer: Priority Health Medicare	$182.76
Rate for Payer: Priority Health PPO	$44.10
Rate for Payer: United Health Care Medicaid	$182.76
Rate for Payer: United Health Care Medicare Advantage	$80.42

CRP

Facility

$3.18

Service Code	HCPCS 86140
Hospital Charge Code	3001620
Hospital Revenue Code	302
Min. Negotiated Rate	$2.23
Max. Negotiated Rate	$5.44
Rate for Payer: BCBS BCN 65	$5.44
Rate for Payer: Blue Care Network Medicare Advantage	$5.44
Rate for Payer: Cash Price	$2.07
Rate for Payer: Cash Price	$2.07
Rate for Payer: Community Health Alliance Commercial	$2.70
Rate for Payer: Meridian Health Plan Medicaid/Meridian MI Child	$5.44
Rate for Payer: Meridian Health Plan Medicare	$5.44
Rate for Payer: Priority Health Commercial	$2.23
Rate for Payer: Priority Health Medicaid	$5.44
Rate for Payer: Priority Health Medicare	$5.44
Rate for Payer: Priority Health PPO	$2.23
Rate for Payer: United Health Care Medicaid	$5.44
Rate for Payer: United Health Care Medicare Advantage	$2.39

CRP SUPP ARTHRITIC PROFILE

Facility

$21.00

Service Code	HCPCS 86140
Hospital Charge Code	3001621
Hospital Revenue Code	302
Min. Negotiated Rate	$2.39
Max. Negotiated Rate	$17.85
Rate for Payer: BCBS BCN 65	$5.44
Rate for Payer: Blue Care Network Medicare Advantage	$5.44
Rate for Payer: Cash Price	$13.65
Rate for Payer: Cash Price	$13.65
Rate for Payer: Community Health Alliance Commercial	$17.85
Rate for Payer: Meridian Health Plan Medicaid/Meridian MI Child	$5.44
Rate for Payer: Meridian Health Plan Medicare	$5.44
Rate for Payer: Priority Health Commercial	$14.70
Rate for Payer: Priority Health Medicaid	$5.44
Rate for Payer: Priority Health Medicare	$5.44
Rate for Payer: Priority Health PPO	$14.70
Rate for Payer: United Health Care Medicaid	$5.44
Rate for Payer: United Health Care Medicare Advantage	$2.39

CRYOCUP,ICE MASSAGE TOOL

Facility

$24.00

Hospital Charge Code	27060966
Hospital Revenue Code	270
Min. Negotiated Rate	$16.80
Max. Negotiated Rate	$20.40
Rate for Payer: Cash Price	$15.60
Rate for Payer: Community Health Alliance Commercial	$20.40
Rate for Payer: Priority Health Commercial	$16.80
Rate for Payer: Priority Health PPO	$16.80

CRYOFIBRINOGEN

Facility

$1.88

Hospital Charge Code	3100592
Hospital Revenue Code	300
Min. Negotiated Rate	$1.32
Max. Negotiated Rate	$1.60
Rate for Payer: Cash Price	$1.22
Rate for Payer: Community Health Alliance Commercial	$1.60
Rate for Payer: Priority Health Commercial	$1.32
Rate for Payer: Priority Health PPO	$1.32

CRYOGLOBULINS

Facility

$2.85

Service Code	HCPCS 82595
Hospital Charge Code	3002920
Hospital Revenue Code	301
Min. Negotiated Rate	$2.00
Max. Negotiated Rate	$6.79
Rate for Payer: BCBS BCN 65	$6.79
Rate for Payer: Blue Care Network Medicare Advantage	$6.79
Rate for Payer: Cash Price	$1.85
Rate for Payer: Cash Price	$1.85
Rate for Payer: Community Health Alliance Commercial	$2.42
Rate for Payer: Meridian Health Plan Medicaid/Meridian MI Child	$6.79
Rate for Payer: Meridian Health Plan Medicare	$6.79
Rate for Payer: Priority Health Commercial	$2.00
Rate for Payer: Priority Health Medicaid	$6.79
Rate for Payer: Priority Health Medicare	$6.79
Rate for Payer: Priority Health PPO	$2.00
Rate for Payer: United Health Care Medicaid	$6.79
Rate for Payer: United Health Care Medicare Advantage	$2.99

CRYOPRECIPITATE

Facility

$66.00

Service Code	HCPCS P9012
Hospital Charge Code	3910010
Hospital Revenue Code	390
Min. Negotiated Rate	$33.24
Max. Negotiated Rate	$75.55
Rate for Payer: BCBS BCN 65	$75.55
Rate for Payer: Blue Care Network Medicare Advantage	$75.55
Rate for Payer: Cash Price	$42.90
Rate for Payer: Cash Price	$42.90
Rate for Payer: Community Health Alliance Commercial	$56.10
Rate for Payer: Meridian Health Plan Medicaid/Meridian MI Child	$75.55
Rate for Payer: Meridian Health Plan Medicare	$75.55
Rate for Payer: Priority Health Commercial	$46.20
Rate for Payer: Priority Health Medicaid	$75.55
Rate for Payer: Priority Health Medicare	$75.55
Rate for Payer: Priority Health PPO	$46.20
Rate for Payer: United Health Care Medicaid	$75.55
Rate for Payer: United Health Care Medicare Advantage	$33.24

CRYPTO AG SERUM

Facility

$14.70

Hospital Charge Code	3101168
Hospital Revenue Code	306
Min. Negotiated Rate	$10.29
Max. Negotiated Rate	$12.49
Rate for Payer: Cash Price	$9.56
Rate for Payer: Community Health Alliance Commercial	$12.49
Rate for Payer: Priority Health Commercial	$10.29
Rate for Payer: Priority Health PPO	$10.29

CRYPTOCOCCAL AG-CSF

Facility

$8.46

Hospital Charge Code	3100603
Hospital Revenue Code	302
Min. Negotiated Rate	$5.92
Max. Negotiated Rate	$7.19
Rate for Payer: Cash Price	$5.50
Rate for Payer: Community Health Alliance Commercial	$7.19
Rate for Payer: Priority Health Commercial	$5.92
Rate for Payer: Priority Health PPO	$5.92

CRYPTOCOCCAL AG SCRN W REF TIT

Facility

$12.00

Hospital Charge Code	3101128
Hospital Revenue Code	306
Min. Negotiated Rate	$8.40
Max. Negotiated Rate	$10.20
Rate for Payer: Cash Price	$7.80
Rate for Payer: Community Health Alliance Commercial	$10.20
Rate for Payer: Priority Health Commercial	$8.40
Rate for Payer: Priority Health PPO	$8.40

CRYPTOCOCCUS

Facility

$63.00

Service Code	HCPCS 87327
Hospital Charge Code	3009065
Hospital Revenue Code	306
Min. Negotiated Rate	$6.20
Max. Negotiated Rate	$53.55
Rate for Payer: BCBS BCN 65	$14.09
Rate for Payer: Blue Care Network Medicare Advantage	$14.09
Rate for Payer: Cash Price	$40.95
Rate for Payer: Cash Price	$40.95
Rate for Payer: Community Health Alliance Commercial	$53.55
Rate for Payer: Meridian Health Plan Medicaid/Meridian MI Child	$14.09
Rate for Payer: Meridian Health Plan Medicare	$14.09
Rate for Payer: Priority Health Commercial	$44.10
Rate for Payer: Priority Health Medicaid	$14.09
Rate for Payer: Priority Health Medicare	$14.09
Rate for Payer: Priority Health PPO	$44.10
Rate for Payer: United Health Care Medicaid	$14.09
Rate for Payer: United Health Care Medicare Advantage	$6.20

CRYPTOCOCCUS ANTIGEN

Facility

$57.00

Service Code	HCPCS 87449
Hospital Charge Code	3009070
Hospital Revenue Code	306
Min. Negotiated Rate	$5.53
Max. Negotiated Rate	$48.45
Rate for Payer: BCBS BCN 65	$12.58
Rate for Payer: Blue Care Network Medicare Advantage	$12.58
Rate for Payer: Cash Price	$37.05
Rate for Payer: Cash Price	$37.05
Rate for Payer: Community Health Alliance Commercial	$48.45
Rate for Payer: Meridian Health Plan Medicaid/Meridian MI Child	$12.58
Rate for Payer: Meridian Health Plan Medicare	$12.58
Rate for Payer: Priority Health Commercial	$39.90
Rate for Payer: Priority Health Medicaid	$12.58
Rate for Payer: Priority Health Medicare	$12.58
Rate for Payer: Priority Health PPO	$39.90
Rate for Payer: United Health Care Medicaid	$12.58
Rate for Payer: United Health Care Medicare Advantage	$5.53

CRYPTOSPORIDIUM

Facility

$71.00

Hospital Charge Code	3003622
Hospital Revenue Code	306
Min. Negotiated Rate	$49.70
Max. Negotiated Rate	$60.35
Rate for Payer: Cash Price	$46.15
Rate for Payer: Community Health Alliance Commercial	$60.35
Rate for Payer: Priority Health Commercial	$49.70
Rate for Payer: Priority Health PPO	$49.70

CRYPTOSPORIDIUM/CYCLOSPORA

Facility

$41.00

Service Code	HCPCS 87206
Hospital Charge Code	3002980
Hospital Revenue Code	306
Min. Negotiated Rate	$2.49
Max. Negotiated Rate	$34.85
Rate for Payer: BCBS BCN 65	$5.66
Rate for Payer: Blue Care Network Medicare Advantage	$5.66
Rate for Payer: Cash Price	$26.65
Rate for Payer: Cash Price	$26.65
Rate for Payer: Community Health Alliance Commercial	$34.85
Rate for Payer: Meridian Health Plan Medicaid/Meridian MI Child	$5.66
Rate for Payer: Meridian Health Plan Medicare	$5.66
Rate for Payer: Priority Health Commercial	$28.70
Rate for Payer: Priority Health Medicaid	$5.66
Rate for Payer: Priority Health Medicare	$5.66
Rate for Payer: Priority Health PPO	$28.70
Rate for Payer: United Health Care Medicaid	$5.66
Rate for Payer: United Health Care Medicare Advantage	$2.49

CRYPTOSPORIDIUM DIRECT

Facility

$31.89

Hospital Charge Code	3102593
Hospital Revenue Code	300
Min. Negotiated Rate	$22.32
Max. Negotiated Rate	$27.11
Rate for Payer: Cash Price	$20.73
Rate for Payer: Community Health Alliance Commercial	$27.11
Rate for Payer: Priority Health Commercial	$22.32
Rate for Payer: Priority Health PPO	$22.32

Sturgis Hospital Inc.

Know your out-of-pocket cost for care.

All Charges