Sturgis Hospital Inc.

All Charges

Charge

Type

Setting

Price

FLOW MARKER 12

Facility

$10.12

Hospital Charge Code	3101884
Hospital Revenue Code	300
Min. Negotiated Rate	$7.08
Max. Negotiated Rate	$8.60
Rate for Payer: Cash Price	$6.58
Rate for Payer: Community Health Alliance Commercial	$8.60
Rate for Payer: Priority Health Commercial	$7.08
Rate for Payer: Priority Health PPO	$7.08

FLOW MARKER 13

Facility

$10.12

Hospital Charge Code	3101885
Hospital Revenue Code	300
Min. Negotiated Rate	$7.08
Max. Negotiated Rate	$8.60
Rate for Payer: Cash Price	$6.58
Rate for Payer: Community Health Alliance Commercial	$8.60
Rate for Payer: Priority Health Commercial	$7.08
Rate for Payer: Priority Health PPO	$7.08

FLOW MARKER 14

Facility

$10.12

Hospital Charge Code	3101886
Hospital Revenue Code	300
Min. Negotiated Rate	$7.08
Max. Negotiated Rate	$8.60
Rate for Payer: Cash Price	$6.58
Rate for Payer: Community Health Alliance Commercial	$8.60
Rate for Payer: Priority Health Commercial	$7.08
Rate for Payer: Priority Health PPO	$7.08

FLOW MARKER 15

Facility

$10.12

Hospital Charge Code	3101887
Hospital Revenue Code	300
Min. Negotiated Rate	$7.08
Max. Negotiated Rate	$8.60
Rate for Payer: Cash Price	$6.58
Rate for Payer: Community Health Alliance Commercial	$8.60
Rate for Payer: Priority Health Commercial	$7.08
Rate for Payer: Priority Health PPO	$7.08

FLOW MARKER 16

Facility

$10.12

Hospital Charge Code	3101888
Hospital Revenue Code	300
Min. Negotiated Rate	$7.08
Max. Negotiated Rate	$8.60
Rate for Payer: Cash Price	$6.58
Rate for Payer: Community Health Alliance Commercial	$8.60
Rate for Payer: Priority Health Commercial	$7.08
Rate for Payer: Priority Health PPO	$7.08

FLOW MARKER 2

Facility

$10.12

Hospital Charge Code	3101874
Hospital Revenue Code	300
Min. Negotiated Rate	$7.08
Max. Negotiated Rate	$8.60
Rate for Payer: Cash Price	$6.58
Rate for Payer: Community Health Alliance Commercial	$8.60
Rate for Payer: Priority Health Commercial	$7.08
Rate for Payer: Priority Health PPO	$7.08

FLOW MARKER 3

Facility

$10.12

Hospital Charge Code	3101875
Hospital Revenue Code	300
Min. Negotiated Rate	$7.08
Max. Negotiated Rate	$8.60
Rate for Payer: Cash Price	$6.58
Rate for Payer: Community Health Alliance Commercial	$8.60
Rate for Payer: Priority Health Commercial	$7.08
Rate for Payer: Priority Health PPO	$7.08

FLOW MARKER 4

Facility

$10.12

Hospital Charge Code	3101876
Hospital Revenue Code	300
Min. Negotiated Rate	$7.08
Max. Negotiated Rate	$8.60
Rate for Payer: Cash Price	$6.58
Rate for Payer: Community Health Alliance Commercial	$8.60
Rate for Payer: Priority Health Commercial	$7.08
Rate for Payer: Priority Health PPO	$7.08

FLOW MARKER 5

Facility

$10.12

Hospital Charge Code	3101877
Hospital Revenue Code	300
Min. Negotiated Rate	$7.08
Max. Negotiated Rate	$8.60
Rate for Payer: Cash Price	$6.58
Rate for Payer: Community Health Alliance Commercial	$8.60
Rate for Payer: Priority Health Commercial	$7.08
Rate for Payer: Priority Health PPO	$7.08

FLOW MARKER 6

Facility

$10.12

Hospital Charge Code	3101878
Hospital Revenue Code	300
Min. Negotiated Rate	$7.08
Max. Negotiated Rate	$8.60
Rate for Payer: Cash Price	$6.58
Rate for Payer: Community Health Alliance Commercial	$8.60
Rate for Payer: Priority Health Commercial	$7.08
Rate for Payer: Priority Health PPO	$7.08

FLOW MARKER 7

Facility

$10.12

Hospital Charge Code	3101879
Hospital Revenue Code	300
Min. Negotiated Rate	$7.08
Max. Negotiated Rate	$8.60
Rate for Payer: Cash Price	$6.58
Rate for Payer: Community Health Alliance Commercial	$8.60
Rate for Payer: Priority Health Commercial	$7.08
Rate for Payer: Priority Health PPO	$7.08

FLOW MARKER 8

Facility

$10.12

Hospital Charge Code	3101880
Hospital Revenue Code	300
Min. Negotiated Rate	$7.08
Max. Negotiated Rate	$8.60
Rate for Payer: Cash Price	$6.58
Rate for Payer: Community Health Alliance Commercial	$8.60
Rate for Payer: Priority Health Commercial	$7.08
Rate for Payer: Priority Health PPO	$7.08

FLOW MARKER 9

Facility

$10.12

Hospital Charge Code	3101881
Hospital Revenue Code	300
Min. Negotiated Rate	$7.08
Max. Negotiated Rate	$8.60
Rate for Payer: Cash Price	$6.58
Rate for Payer: Community Health Alliance Commercial	$8.60
Rate for Payer: Priority Health Commercial	$7.08
Rate for Payer: Priority Health PPO	$7.08

FLOW MARKER TECHNICAL

Facility

$32.58

Hospital Charge Code	3006221
Hospital Revenue Code	311
Min. Negotiated Rate	$22.81
Max. Negotiated Rate	$27.69
Rate for Payer: Cash Price	$21.18
Rate for Payer: Community Health Alliance Commercial	$27.69
Rate for Payer: Priority Health Commercial	$22.81
Rate for Payer: Priority Health PPO	$22.81

FLU, A, B, RSV. COVID PCR

Facility

$143.00

Hospital Charge Code	3101890
Hospital Revenue Code	300
Min. Negotiated Rate	$100.10
Max. Negotiated Rate	$121.55
Rate for Payer: Cash Price	$92.95
Rate for Payer: Community Health Alliance Commercial	$121.55
Rate for Payer: Priority Health Commercial	$100.10
Rate for Payer: Priority Health PPO	$100.10

FLU A, B, RSV PCR

Facility

$143.00

Hospital Charge Code	3101889
Hospital Revenue Code	300
Min. Negotiated Rate	$100.10
Max. Negotiated Rate	$121.55
Rate for Payer: Cash Price	$92.95
Rate for Payer: Community Health Alliance Commercial	$121.55
Rate for Payer: Priority Health Commercial	$100.10
Rate for Payer: Priority Health PPO	$100.10

FLU A PCR

Facility

$41.70

Hospital Charge Code	3101208
Hospital Revenue Code	306
Min. Negotiated Rate	$29.19
Max. Negotiated Rate	$35.45
Rate for Payer: Cash Price	$27.11
Rate for Payer: Community Health Alliance Commercial	$35.45
Rate for Payer: Priority Health Commercial	$29.19
Rate for Payer: Priority Health PPO	$29.19

FLU B PCR

Facility

$41.70

Hospital Charge Code	3101209
Hospital Revenue Code	306
Min. Negotiated Rate	$29.19
Max. Negotiated Rate	$35.45
Rate for Payer: Cash Price	$27.11
Rate for Payer: Community Health Alliance Commercial	$35.45
Rate for Payer: Priority Health Commercial	$29.19
Rate for Payer: Priority Health PPO	$29.19

FLUORESCENT AB TITER EA

Facility

$75.00

Hospital Charge Code	3100053
Hospital Revenue Code	300
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

FLUORESCENT AB TITER EA

Facility

$75.00

Hospital Charge Code	3100052
Hospital Revenue Code	300
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

FLUORESCENT AB TITER EA

Facility

$75.00

Hospital Charge Code	3101179
Hospital Revenue Code	300
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

FLUORESCENT AB TITER EA

Facility

$75.00

Hospital Charge Code	3100049
Hospital Revenue Code	300
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

FLUORESCENT AB TITER EA

Facility

$75.00

Hospital Charge Code	3100051
Hospital Revenue Code	300
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

FLUORESCENT AB TITER EA

Facility

$75.00

Hospital Charge Code	3100057
Hospital Revenue Code	300
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

FLUORESCENT AB, TITER EA

Facility

$75.00

Hospital Charge Code	3100056
Hospital Revenue Code	300
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

Sturgis Hospital Inc.

Know your out-of-pocket cost for care.

All Charges