Where is Beacon Plainwell?

411 Naomi Street, Plainwell, MI 49080, in Allegan County, Michigan.

What is the phone number of Beacon Plainwell?

(269) 685-0700, as listed by Medicare (CMS).

Beacon Plainwell — Plainwell, MI

Quick answers

Where is Beacon Plainwell?: 411 Naomi Street, Plainwell, MI 49080, in Allegan County, Michigan.
What is the phone number of Beacon Plainwell?: (269) 685-0700, as listed by Medicare (CMS).

Specialties and care areas^[4][5][6]

Conditions treated^[4][6]

Heart attack
Stroke
Concussion
Broken bones
Critical illness requiring extended hospital care
Serious injury requiring extended hospital care

Treatments^[4][5][6]

Intensive skilled nursing and medical follow-up
Wound care
Respiratory therapy
Physical and occupational therapy
Physical therapy
Occupational therapy
Emergency care

Programs and centers^[4][5]

Long-term acute care
Affiliated rural health clinic (primary and specialty care)

Emergency care (hospital website)^[5][6]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Interpreters and languages	Beacon says free interpreter services are available to limited- or non-English-speaking patients and guests (system-wide statement)^[7]
Patient portal	MyBeacon

Nearest emergency rooms

Hospitals that list emergency services, by straight-line distance (not driving distance).

Borgess Medical Center11 mi · Kalamazoo, MI · Acute Care Hospital
Beacon Allegan12 mi · Allegan, MI · Critical Access Hospital
Bronson Methodist Hospital12 mi · Kalamazoo, MI · Acute Care Hospital
Kalamazoo Regional Psychiatric Hospital12 mi · Kalamazoo, MI · Psychiatric Hospital
Bronson Lakeview Hospital20 mi · Paw Paw, MI · Critical Access Hospital

Other hospitals nearby

Kalamazoo Behavioral Health Hospital15 mi · Kalamazoo, MI · Psychiatric Hospital
Battle Creek VA Medical Center19 mi · Battle Creek, MI · Federal/VA Acute Care Hospital

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

Life Care Center of Plainwell0.5 mi · Plainwell, MI · 2 of 5 stars
Alamo Cove Rehab and Nursing Center5.0 mi · Kalamazoo, MI · 1 of 5 stars
Plainwell Pines Nursing and Rehabilitation Communi5.9 mi · Plainwell, MI · 2 of 5 stars

All nursing homes in the state →

Hospice providers

Centrica Care Navigators10 mi · Kalamazoo, MI · 4 of 5 stars
Interim Healthcare of West Michigan10 mi · Kalamazoo, MI
Wings of Hope Hospice13 mi · Allegan, MI · 3 of 5 stars

All hospice providers in the state →

Home health agencies

Kalamazoo Home Health Care10 mi · Kalamazoo, MI
Garcia's HHC, LLC13 mi · Kalamazoo, MI
Legacy Home Healthcare17 mi · Portage, MI · 2 of 5 stars

All home health agencies in the state →

Dialysis facilities

FMC - Oshtemo10 mi · Kalamazoo, MI · 3 of 5 stars
DaVita Kalamazoo Central Dialysis10 mi · Kalamazoo, MI · 3 of 5 stars
FMC - Kalamazoo10 mi · Kalamazoo, MI · 2 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

Bronson Orthopedic Surgery Center10 mi · Kalamazoo, MI
Endoscopy and Surgery Center at Woodbridge Hills17 mi · Portage, MI
Kalamazoo Endo Center17 mi · Portage, MI

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

InterCare Child & Adolescent Health Center Otsego2.5 mi · Otsego, MI · Community health center
Family Health Center Burdick11 mi · Kalamazoo, MI · Community health center
Family Health Center Mobile Dental11 mi · Kalamazoo, MI · Community health center

Clinics and urgent care

Beacon Plainwell Family Medicine3.4 mi · Plainwell, MI · Rural health clinic
Plainwell Urgent Care Walk-In Clinic PC3.4 mi · Plainwell, MI · Urgent care center
Beacon Allegan Gobles Clinic12 mi · Gobles, MI · Rural health clinic

Pharmacies

Harding & Hill Inc3.4 mi · Plainwell, MI · Community/retail pharmacy
Harding & Hill Inc3.4 mi · Plainwell, MI · Community/retail pharmacy
Wal-Mart Stores East LP3.4 mi · Plainwell, MI · Community/retail pharmacy

Assisted living nearby

Licensed homes from the official state licence list, by straight-line distance.

Beacon Home at Bridge Street3.4 mi · Plainwell, MI
Beacon Home at the Oaks3.4 mi · Plainwell, MI
Cornerstone Tenth Street3.4 mi · Plainwell, MI
Harmony Brook3.4 mi · Plainwell, MI

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in Michigan Best hospitals in Michigan

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 84 common services exactly as Beacon Plainwell lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

Hospital charge: The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price: The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates: The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees: A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: OFFICE O/P NEW LOW 30 MIN	Not listed in the file	Not listed in the file	$76.98 – $107.15
New patient office visit (about 30–44 minutes): rates for 1 insurance plan MAGELLAN — 2050_BOMC, BPHC MAGELLAN 20210201: $76.98
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: OFFICE O/P NEW LOW 30 MIN	Not listed in the file	Not listed in the file	$76.98 – $107.15
New patient office visit (about 30–44 minutes): rates for 1 insurance plan MICHIGAN BCCCP — 2627_BOMC, BOLE, BPHC BCCCP 20210201: $107.15
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: OFFICE O/P NEW MOD 45 MIN	Not listed in the file	Not listed in the file	$84.67 – $107.15
New patient office visit (about 45–59 minutes): rates for 1 insurance plan MAGELLAN — 2050_BOMC, BPHC MAGELLAN 20210201: $84.67
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: OFFICE O/P NEW MOD 45 MIN	Not listed in the file	Not listed in the file	$84.67 – $107.15
New patient office visit (about 45–59 minutes): rates for 1 insurance plan MICHIGAN BCCCP — 2627_BOMC, BOLE, BPHC BCCCP 20210201: $107.15
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: OFFICE O/P NEW HI 60 MIN	Not listed in the file	Not listed in the file	$95.26 – $107.15
New patient office visit (about 60–74 minutes): rates for 1 insurance plan MAGELLAN — 2050_BOMC, BPHC MAGELLAN 20210201: $95.26
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: OFFICE O/P NEW HI 60 MIN	Not listed in the file	Not listed in the file	$95.26 – $107.15
New patient office visit (about 60–74 minutes): rates for 1 insurance plan MICHIGAN BCCCP — 2627_BOMC, BOLE, BPHC BCCCP 20210201: $107.15
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: OFFICE O/P EST LOW 20 MIN	Not listed in the file	Not listed in the file	$71.28 – $72.85
Established patient office visit (about 20–29 minutes): rates for 1 insurance plan MAGELLAN — 2050_BOMC, BPHC MAGELLAN 20210201: $71.28
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: OFFICE O/P EST LOW 20 MIN	Not listed in the file	Not listed in the file	$71.28 – $72.85
Established patient office visit (about 20–29 minutes): rates for 1 insurance plan MICHIGAN BCCCP — 2627_BOMC, BOLE, BPHC BCCCP 20210201: $72.85
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: OFFICE O/P EST MOD 30 MIN	Not listed in the file	Not listed in the file	$72.85 – $76.98
Established patient office visit (about 30–39 minutes): rates for 1 insurance plan MAGELLAN — 2050_BOMC, BPHC MAGELLAN 20210201: $76.98
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: OFFICE O/P EST MOD 30 MIN	Not listed in the file	Not listed in the file	$72.85 – $76.98
Established patient office visit (about 30–39 minutes): rates for 1 insurance plan MICHIGAN BCCCP — 2627_BOMC, BOLE, BPHC BCCCP 20210201: $72.85
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient In the file: OFF/OP CNSLTJ NEW/EST LOW 30	Not listed in the file	Not listed in the file	$182.52
Office consultation with a specialist (moderate): rates for 1 insurance plan MAGELLAN — 2050_BOMC, BPHC MAGELLAN 20210201: $182.52
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient In the file: OFF/OP CNSLTJ NEW/EST MOD 40	Not listed in the file	Not listed in the file	$182.52
Office consultation with a specialist (moderate to high): rates for 1 insurance plan MAGELLAN — 2050_BOMC, BPHC MAGELLAN 20210201: $182.52
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: PREV VISIT NEW AGE 18-39	Not listed in the file	Not listed in the file	$45
Preventive checkup, new patient, age 18–39: rates for 1 insurance plan MICHIGAN BCCCP — 2627_BOMC, BOLE, BPHC BCCCP 20210201: $45
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: PREV VISIT NEW AGE 40-64	Not listed in the file	Not listed in the file	$107.15
Preventive checkup, new patient, age 40–64: rates for 1 insurance plan MICHIGAN BCCCP — 2627_BOMC, BOLE, BPHC BCCCP 20210201: $107.15
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: EMERGENCY DEPT VISIT LOW MDM	Not listed in the file	Not listed in the file	$54 – $884.24
Emergency room visit (moderate): rates for 7 insurance plans AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $104.53 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $104.53 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $104.53 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $104.53 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $104.53 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $104.53 UHC MCD — 3804_BPHC MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY : $104.53
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: EMERGENCY DEPT VISIT LOW MDM	Not listed in the file	Not listed in the file	$54 – $884.24
Emergency room visit (moderate): rates for 2 insurance plans CIGNA — 3178_BPHC CIGNA 20240701: $884.24 MAGELLAN — 2050_BOMC, BPHC MAGELLAN 20210201: $54
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: EMERGENCY DEPT VISIT MOD MDM	Not listed in the file	Not listed in the file	$108 – $1,372.61
Emergency room visit (moderately high): rates for 7 insurance plans AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $172.66 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $172.66 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $172.66 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $172.66 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $172.66 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $172.66 UHC MCD — 3804_BPHC MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY : $172.66
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: EMERGENCY DEPT VISIT MOD MDM	Not listed in the file	Not listed in the file	$108 – $1,372.61
Emergency room visit (moderately high): rates for 2 insurance plans CIGNA — 3178_BPHC CIGNA 20240701: $1,372.61 MAGELLAN — 2050_BOMC, BPHC MAGELLAN 20210201: $108
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: EMERGENCY DEPT VISIT HI MDM	Not listed in the file	Not listed in the file	$108 – $1,990.56
Emergency room visit (high): rates for 7 insurance plans AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $253.86 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $253.86 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $253.86 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $253.86 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $253.86 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $253.86 UHC MCD — 3804_BPHC MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY : $253.86
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: EMERGENCY DEPT VISIT HI MDM	Not listed in the file	Not listed in the file	$108 – $1,990.56
Emergency room visit (high): rates for 2 insurance plans CIGNA — 3178_BPHC CIGNA 20240701: $1,990.56 MAGELLAN — 2050_BOMC, BPHC MAGELLAN 20210201: $108

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: METABOLIC PANEL TOTAL CA	Not listed in the file	Not listed in the file	$6 – $11.60
Basic metabolic panel (blood test): 10 of 13 insurance plan rates AETNA — 3156_BPHC AETNA 20240101: $8.04 AETNA AMERICAN AXLE — 2007_BPHC AETNA AMERICAN AXLE 20200115: $6.58 AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $6 AETNA MICHIGAN PREFERRED — 2680_BPHC AETNA MICHIGAN PREFERRED 20210701: $9.40 AETNA PPOM — 2688_BPHC AETNA PPOM 20210701: $9.40 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $6 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $6 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $6 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $6 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $6
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: METABOLIC PANEL TOTAL CA	Not listed in the file	Not listed in the file	$6 – $11.60
Basic metabolic panel (blood test): rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $11.60
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) In the file: METABOLIC PANEL TOTAL CA	Not listed in the file	Not listed in the file	$6 – $11.60
Basic metabolic panel (blood test): rates for 1 insurance plan SMARTHEALTH — 3501_SMARTHEALTH 20230101: $8.68
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMPREHEN METABOLIC PANEL	Not listed in the file	Not listed in the file	$7.38 – $14.27
Comprehensive metabolic panel (blood test): 10 of 14 insurance plan rates AETNA — 3156_BPHC AETNA 20240101: $10.03 AETNA AMERICAN AXLE — 2007_BPHC AETNA AMERICAN AXLE 20200115: $8.21 AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $7.38 AETNA MICHIGAN PREFERRED — 2680_BPHC AETNA MICHIGAN PREFERRED 20210701: $11.74 AETNA PPOM — 2688_BPHC AETNA PPOM 20210701: $11.74 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $7.38 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $7.38 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $7.38 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $7.38 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $7.38
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: COMPREHEN METABOLIC PANEL	Not listed in the file	Not listed in the file	$7.38 – $14.27
Comprehensive metabolic panel (blood test): rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $14.27
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: OBSTETRIC PANEL	Not listed in the file	Not listed in the file	$37.19 – $65.58
Obstetric blood test panel: rates for 6 insurance plans AETNA — 3156_BPHC AETNA 20240101: $45.42 AETNA AMERICAN AXLE — 2007_BPHC AETNA AMERICAN AXLE 20200115: $37.19 AETNA MICHIGAN PREFERRED — 2680_BPHC AETNA MICHIGAN PREFERRED 20210701: $53.12 AETNA PPOM — 2688_BPHC AETNA PPOM 20210701: $53.12 PRIORITY HEALTH HMO/PPO — 2298_BPHC PRIORITY HEALTH 20200401: $65.58 UHC — 3786_BPHC UNITED HEALTH CARE 20250701: $47.81
Obstetric blood test panel CPT 80055 · Inpatient or outpatient In the file: OBSTETRIC PANEL	Not listed in the file	Not listed in the file	$37.19 – $65.58
Obstetric blood test panel: rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $65.58
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) In the file: OBSTETRIC PANEL	Not listed in the file	Not listed in the file	$37.19 – $65.58
Obstetric blood test panel: rates for 1 insurance plan SMARTHEALTH — 3501_SMARTHEALTH 20230101: $43.28
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PANEL	Not listed in the file	Not listed in the file	$9.07 – $17.54
Cholesterol panel (lipid panel): 10 of 13 insurance plan rates AETNA — 3156_BPHC AETNA 20240101: $12.72 AETNA AMERICAN AXLE — 2007_BPHC AETNA AMERICAN AXLE 20200115: $10.42 AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $9.07 AETNA MICHIGAN PREFERRED — 2680_BPHC AETNA MICHIGAN PREFERRED 20210701: $14.88 AETNA PPOM — 2688_BPHC AETNA PPOM 20210701: $14.88 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $9.07 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $9.07 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $9.07 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $9.07 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $9.07
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: LIPID PANEL	Not listed in the file	Not listed in the file	$9.07 – $17.54
Cholesterol panel (lipid panel): rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $17.54
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) In the file: LIPID PANEL	Not listed in the file	Not listed in the file	$9.07 – $17.54
Cholesterol panel (lipid panel): rates for 1 insurance plan SMARTHEALTH — 3501_SMARTHEALTH 20230101: $11.58
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION PANEL	Not listed in the file	Not listed in the file	$6.16 – $11.91
Kidney function panel: 10 of 13 insurance plan rates AETNA — 3156_BPHC AETNA 20240101: $8.25 AETNA AMERICAN AXLE — 2007_BPHC AETNA AMERICAN AXLE 20200115: $6.75 AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $6.16 AETNA MICHIGAN PREFERRED — 2680_BPHC AETNA MICHIGAN PREFERRED 20210701: $9.65 AETNA PPOM — 2688_BPHC AETNA PPOM 20210701: $9.65 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $6.16 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $6.16 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $6.16 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $6.16 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $6.16
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: RENAL FUNCTION PANEL	Not listed in the file	Not listed in the file	$6.16 – $11.91
Kidney function panel: rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $11.91
Kidney function panel CPT 80069 · Inpatient (hospital stay) In the file: RENAL FUNCTION PANEL	Not listed in the file	Not listed in the file	$6.16 – $11.91
Kidney function panel: rates for 1 insurance plan SMARTHEALTH — 3501_SMARTHEALTH 20230101: $10.84
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC FUNCTION PANEL	Not listed in the file	Not listed in the file	$3.25 – $9.08
Liver function panel: 10 of 13 insurance plan rates AETNA — 3156_BPHC AETNA 20240101: $7.76 AETNA AMERICAN AXLE — 2007_BPHC AETNA AMERICAN AXLE 20200115: $6.36 AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $3.25 AETNA MICHIGAN PREFERRED — 2680_BPHC AETNA MICHIGAN PREFERRED 20210701: $9.08 AETNA PPOM — 2688_BPHC AETNA PPOM 20210701: $9.08 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $3.25 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $3.25 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $3.25 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $3.25 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $3.25
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HEPATIC FUNCTION PANEL	Not listed in the file	Not listed in the file	$3.25 – $9.08
Liver function panel: rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $6.29
Liver function panel CPT 80076 · Inpatient (hospital stay) In the file: HEPATIC FUNCTION PANEL	Not listed in the file	Not listed in the file	$3.25 – $9.08
Liver function panel: rates for 1 insurance plan SMARTHEALTH — 3501_SMARTHEALTH 20230101: $7.59
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: URINALYSIS AUTO W/SCOPE	Not listed in the file	Not listed in the file	$2.25 – $4.35
Urine test (automated, with microscope): 10 of 13 insurance plan rates AETNA — 3156_BPHC AETNA 20240101: $3.01 AETNA AMERICAN AXLE — 2007_BPHC AETNA AMERICAN AXLE 20200115: $2.47 AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $2.25 AETNA MICHIGAN PREFERRED — 2680_BPHC AETNA MICHIGAN PREFERRED 20210701: $3.53 AETNA PPOM — 2688_BPHC AETNA PPOM 20210701: $3.53 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $2.25 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $2.25 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $2.25 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $2.25 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $2.25
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: URINALYSIS AUTO W/SCOPE	Not listed in the file	Not listed in the file	$2.25 – $4.35
Urine test (automated, with microscope): rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $4.35
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) In the file: URINALYSIS AUTO W/SCOPE	Not listed in the file	Not listed in the file	$2.25 – $4.35
Urine test (automated, with microscope): rates for 1 insurance plan SMARTHEALTH — 3501_SMARTHEALTH 20230101: $2.46
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: URINALYSIS NONAUTO W/O SCOPE	Not listed in the file	Not listed in the file	$1.81 – $3.50
Urine test (manual, without microscope): 10 of 14 insurance plan rates AETNA — 3156_BPHC AETNA 20240101: $3.31 AETNA AMERICAN AXLE — 2007_BPHC AETNA AMERICAN AXLE 20200115: $2.19 AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $1.81 AETNA MICHIGAN PREFERRED — 2680_BPHC AETNA MICHIGAN PREFERRED 20210701: $3.13 AETNA PPOM — 2688_BPHC AETNA PPOM 20210701: $3.13 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $1.81 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $1.81 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $1.81 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $1.81 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $1.81
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: URINALYSIS NONAUTO W/O SCOPE	Not listed in the file	Not listed in the file	$1.81 – $3.50
Urine test (manual, without microscope): rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $3.50
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: URINALYSIS AUTO W/O SCOPE	Not listed in the file	Not listed in the file	$1.59 – $3.08
Urine test (automated, without microscope): 10 of 13 insurance plan rates AETNA — 3156_BPHC AETNA 20240101: $2.14 AETNA AMERICAN AXLE — 2007_BPHC AETNA AMERICAN AXLE 20200115: $1.75 AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $1.59 AETNA MICHIGAN PREFERRED — 2680_BPHC AETNA MICHIGAN PREFERRED 20210701: $2.49 AETNA PPOM — 2688_BPHC AETNA PPOM 20210701: $2.49 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $1.59 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $1.59 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $1.59 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $1.59 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $1.59
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: URINALYSIS AUTO W/O SCOPE	Not listed in the file	Not listed in the file	$1.59 – $3.08
Urine test (automated, without microscope): rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $3.08
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) In the file: URINALYSIS AUTO W/O SCOPE	Not listed in the file	Not listed in the file	$1.59 – $3.08
Urine test (automated, without microscope): rates for 1 insurance plan SMARTHEALTH — 3501_SMARTHEALTH 20230101: $1.74
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: ASSAY OF PSA TOTAL	Not listed in the file	Not listed in the file	$13.04 – $25.23
PSA (prostate specific antigen) blood test: 10 of 13 insurance plan rates AETNA — 3156_BPHC AETNA 20240101: $17.47 AETNA AMERICAN AXLE — 2007_BPHC AETNA AMERICAN AXLE 20200115: $14.31 AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $13.04 AETNA MICHIGAN PREFERRED — 2680_BPHC AETNA MICHIGAN PREFERRED 20210701: $20.44 AETNA PPOM — 2688_BPHC AETNA PPOM 20210701: $20.44 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $13.04 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $13.04 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $13.04 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $13.04 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $13.04
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: ASSAY OF PSA TOTAL	Not listed in the file	Not listed in the file	$13.04 – $25.23
PSA (prostate specific antigen) blood test: rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $25.23
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) In the file: ASSAY OF PSA TOTAL	Not listed in the file	Not listed in the file	$13.04 – $25.23
PSA (prostate specific antigen) blood test: rates for 1 insurance plan SMARTHEALTH — 3501_SMARTHEALTH 20230101: $14.31
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: ASSAY THYROID STIM HORMONE	Not listed in the file	Not listed in the file	$11.92 – $23.05
Thyroid stimulating hormone (TSH) test: 10 of 13 insurance plan rates AETNA — 3156_BPHC AETNA 20240101: $15.96 AETNA AMERICAN AXLE — 2007_BPHC AETNA AMERICAN AXLE 20200115: $13.07 AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $11.92 AETNA MICHIGAN PREFERRED — 2680_BPHC AETNA MICHIGAN PREFERRED 20210701: $18.68 AETNA PPOM — 2688_BPHC AETNA PPOM 20210701: $18.68 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $11.92 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $11.92 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $11.92 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $11.92 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $11.92
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: ASSAY THYROID STIM HORMONE	Not listed in the file	Not listed in the file	$11.92 – $23.05
Thyroid stimulating hormone (TSH) test: rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $23.05
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) In the file: ASSAY THYROID STIM HORMONE	Not listed in the file	Not listed in the file	$11.92 – $23.05
Thyroid stimulating hormone (TSH) test: rates for 1 insurance plan SMARTHEALTH — 3501_SMARTHEALTH 20230101: $13.07
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: COMPLETE CBC W/AUTO DIFF WBC	Not listed in the file	Not listed in the file	$5.51 – $10.65
Complete blood count (CBC) with differential: 10 of 13 insurance plan rates AETNA — 3156_BPHC AETNA 20240101: $7.38 AETNA AMERICAN AXLE — 2007_BPHC AETNA AMERICAN AXLE 20200115: $6.04 AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $5.51 AETNA MICHIGAN PREFERRED — 2680_BPHC AETNA MICHIGAN PREFERRED 20210701: $8.63 AETNA PPOM — 2688_BPHC AETNA PPOM 20210701: $8.63 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $5.51 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $5.51 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $5.51 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $5.51 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $5.51
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: COMPLETE CBC W/AUTO DIFF WBC	Not listed in the file	Not listed in the file	$5.51 – $10.65
Complete blood count (CBC) with differential: rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $10.65
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) In the file: COMPLETE CBC W/AUTO DIFF WBC	Not listed in the file	Not listed in the file	$5.51 – $10.65
Complete blood count (CBC) with differential: rates for 1 insurance plan SMARTHEALTH — 3501_SMARTHEALTH 20230101: $6.04
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: COMPLETE CBC AUTOMATED	Not listed in the file	Not listed in the file	$3.29 – $7.18
Complete blood count (CBC), automated: 10 of 13 insurance plan rates AETNA — 3156_BPHC AETNA 20240101: $6.15 AETNA AMERICAN AXLE — 2007_BPHC AETNA AMERICAN AXLE 20200115: $5.03 AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $3.29 AETNA MICHIGAN PREFERRED — 2680_BPHC AETNA MICHIGAN PREFERRED 20210701: $7.18 AETNA PPOM — 2688_BPHC AETNA PPOM 20210701: $7.18 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $3.29 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $3.29 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $3.29 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $3.29 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $3.29
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: COMPLETE CBC AUTOMATED	Not listed in the file	Not listed in the file	$3.29 – $7.18
Complete blood count (CBC), automated: rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $6.37
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) In the file: COMPLETE CBC AUTOMATED	Not listed in the file	Not listed in the file	$3.29 – $7.18
Complete blood count (CBC), automated: rates for 1 insurance plan SMARTHEALTH — 3501_SMARTHEALTH 20230101: $5.03
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTHROMBIN TIME	Not listed in the file	Not listed in the file	$2.79 – $5.39
Blood clotting time test (prothrombin time, PT): 10 of 13 insurance plan rates AETNA — 3156_BPHC AETNA 20240101: $4.08 AETNA AMERICAN AXLE — 2007_BPHC AETNA AMERICAN AXLE 20200115: $3.05 AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $2.79 AETNA MICHIGAN PREFERRED — 2680_BPHC AETNA MICHIGAN PREFERRED 20210701: $4.37 AETNA PPOM — 2688_BPHC AETNA PPOM 20210701: $4.37 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $2.79 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $2.79 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $2.79 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $2.79 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $2.79
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PROTHROMBIN TIME	Not listed in the file	Not listed in the file	$2.79 – $5.39
Blood clotting time test (prothrombin time, PT): rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $5.39
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) In the file: PROTHROMBIN TIME	Not listed in the file	Not listed in the file	$2.79 – $5.39
Blood clotting time test (prothrombin time, PT): rates for 1 insurance plan SMARTHEALTH — 3501_SMARTHEALTH 20230101: $3.06
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: THROMBOPLASTIN TIME PARTIAL	Not listed in the file	Not listed in the file	$3.99 – $8.24
Blood clotting test (partial thromboplastin time, PTT): 10 of 14 insurance plan rates AETNA — 3156_BPHC AETNA 20240101: $5.71 AETNA AMERICAN AXLE — 2007_BPHC AETNA AMERICAN AXLE 20200115: $4.67 AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $4.26 AETNA MICHIGAN PREFERRED — 2680_BPHC AETNA MICHIGAN PREFERRED 20210701: $6.68 AETNA PPOM — 2688_BPHC AETNA PPOM 20210701: $6.68 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $4.26 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $4.26 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $4.26 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $4.26 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $4.26
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: THROMBOPLASTIN TIME PARTIAL	Not listed in the file	Not listed in the file	$3.99 – $8.24
Blood clotting test (partial thromboplastin time, PTT): rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $8.24

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT HEAD/BRAIN W/O DYE	Not listed in the file	Not listed in the file	$58.56 – $340.72
CT scan of the head or brain, without contrast: 10 of 12 insurance plan rates AETNA — 3156_BPHC AETNA 20240101: $215.05 AETNA AMERICAN AXLE — 2007_BPHC AETNA AMERICAN AXLE 20200115: $290.81 AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $58.56 AETNA MICHIGAN PREFERRED — 2680_BPHC AETNA MICHIGAN PREFERRED 20210701: $205.55 AETNA PPOM — 2688_BPHC AETNA PPOM 20210701: $205.55 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $58.56 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $58.56 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $58.56 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $58.56 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $58.56
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT HEAD/BRAIN W/O DYE	Not listed in the file	Not listed in the file	$58.56 – $340.72
CT scan of the head or brain, without contrast: rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $340.72
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI BRAIN STEM W/O & W/DYE	Not listed in the file	Not listed in the file	$221.54 – $1,309.91
MRI of the brain, before and after contrast: 10 of 12 insurance plan rates AETNA — 3156_BPHC AETNA 20240101: $882.13 AETNA AMERICAN AXLE — 2007_BPHC AETNA AMERICAN AXLE 20200115: $1,309.91 AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $221.54 AETNA MICHIGAN PREFERRED — 2680_BPHC AETNA MICHIGAN PREFERRED 20210701: $956.65 AETNA PPOM — 2688_BPHC AETNA PPOM 20210701: $956.65 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $221.54 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $221.54 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $221.54 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $221.54 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $221.54
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI BRAIN STEM W/O & W/DYE	Not listed in the file	Not listed in the file	$221.54 – $1,309.91
MRI of the brain, before and after contrast: rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $1,191.82
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: X-RAY EXAM CHEST 2 VIEWS	Not listed in the file	Not listed in the file	$56.05 – $281.61
Chest X-ray, 2 views: rates for 4 insurance plans AETNA — 3156_BPHC AETNA 20240101: $63.98 AETNA MICHIGAN PREFERRED — 2680_BPHC AETNA MICHIGAN PREFERRED 20210701: $56.05 AETNA PPOM — 2688_BPHC AETNA PPOM 20210701: $56.05 UHC — 3786_BPHC UNITED HEALTH CARE 20250701: $182.03
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: X-RAY EXAM CHEST 2 VIEWS	Not listed in the file	Not listed in the file	$56.05 – $281.61
Chest X-ray, 2 views: rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $281.61
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: X-RAY EXAM L-2 SPINE 4/>VWS	Not listed in the file	Not listed in the file	$58.56 – $340.72
X-ray of the lower spine, at least 4 views: 10 of 11 insurance plan rates AETNA — 3156_BPHC AETNA 20240101: $105.92 AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $58.56 AETNA MICHIGAN PREFERRED — 2680_BPHC AETNA MICHIGAN PREFERRED 20210701: $94.72 AETNA PPOM — 2688_BPHC AETNA PPOM 20210701: $94.72 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $58.56 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $58.56 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $58.56 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $58.56 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $58.56 UHC — 3786_BPHC UNITED HEALTH CARE 20250701: $245.18
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: X-RAY EXAM L-2 SPINE 4/>VWS	Not listed in the file	Not listed in the file	$58.56 – $340.72
X-ray of the lower spine, at least 4 views: rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $340.72
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI LUMBAR SPINE W/O DYE	Not listed in the file	Not listed in the file	$117.34 – $759.38
MRI of the lower back (lumbar spine), without contrast: 10 of 12 insurance plan rates AETNA — 3156_BPHC AETNA 20240101: $506.35 AETNA AMERICAN AXLE — 2007_BPHC AETNA AMERICAN AXLE 20200115: $746.10 AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $117.34 AETNA MICHIGAN PREFERRED — 2680_BPHC AETNA MICHIGAN PREFERRED 20210701: $544.98 AETNA PPOM — 2688_BPHC AETNA PPOM 20210701: $544.98 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $117.34 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $117.34 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $117.34 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $117.34 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $117.34
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MRI LUMBAR SPINE W/O DYE	Not listed in the file	Not listed in the file	$117.34 – $759.38
MRI of the lower back (lumbar spine), without contrast: rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $759.38
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT PELVIS W/DYE	Not listed in the file	Not listed in the file	$137.66 – $663.25
CT scan of the pelvis, with contrast: 10 of 12 insurance plan rates AETNA — 3156_BPHC AETNA 20240101: $516.83 AETNA AMERICAN AXLE — 2007_BPHC AETNA AMERICAN AXLE 20200115: $663.25 AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $137.66 AETNA MICHIGAN PREFERRED — 2680_BPHC AETNA MICHIGAN PREFERRED 20210701: $469.57 AETNA PPOM — 2688_BPHC AETNA PPOM 20210701: $469.57 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $137.66 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $137.66 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $137.66 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $137.66 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $137.66
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT PELVIS W/DYE	Not listed in the file	Not listed in the file	$137.66 – $663.25
CT scan of the pelvis, with contrast: rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $569.41
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI JNT OF LWR EXTRE W/O DYE	Not listed in the file	Not listed in the file	$117.34 – $841.97
MRI of a leg joint (such as the knee), without contrast: 10 of 12 insurance plan rates AETNA — 3156_BPHC AETNA 20240101: $570.50 AETNA AMERICAN AXLE — 2007_BPHC AETNA AMERICAN AXLE 20200115: $841.97 AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $117.34 AETNA MICHIGAN PREFERRED — 2680_BPHC AETNA MICHIGAN PREFERRED 20210701: $614.35 AETNA PPOM — 2688_BPHC AETNA PPOM 20210701: $614.35 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $117.34 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $117.34 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $117.34 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $117.34 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $117.34
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: MRI JNT OF LWR EXTRE W/O DYE	Not listed in the file	Not listed in the file	$117.34 – $841.97
MRI of a leg joint (such as the knee), without contrast: rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $759.38
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABD & PELVIS W/CONTRAST	Not listed in the file	Not listed in the file	$137.66 – $1,191.82
CT scan of the abdomen and pelvis, with contrast: 10 of 12 insurance plan rates AETNA — 3156_BPHC AETNA 20240101: $721.77 AETNA AMERICAN AXLE — 2007_BPHC AETNA AMERICAN AXLE 20200115: $871.86 AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $137.66 AETNA MICHIGAN PREFERRED — 2680_BPHC AETNA MICHIGAN PREFERRED 20210701: $617.45 AETNA PPOM — 2688_BPHC AETNA PPOM 20210701: $617.45 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $137.66 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $137.66 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $137.66 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $137.66 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $137.66
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT ABD & PELVIS W/CONTRAST	Not listed in the file	Not listed in the file	$137.66 – $1,191.82
CT scan of the abdomen and pelvis, with contrast: rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $1,191.82
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US EXAM ABDOM COMPLETE	Not listed in the file	Not listed in the file	$58.56 – $340.72
Ultrasound of the abdomen, complete: 10 of 11 insurance plan rates AETNA — 3156_BPHC AETNA 20240101: $231.80 AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $58.56 AETNA MICHIGAN PREFERRED — 2680_BPHC AETNA MICHIGAN PREFERRED 20210701: $238.18 AETNA PPOM — 2688_BPHC AETNA PPOM 20210701: $238.18 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $58.56 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $58.56 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $58.56 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $58.56 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $58.56 UHC — 3786_BPHC UNITED HEALTH CARE 20250701: $245.18
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US EXAM ABDOM COMPLETE	Not listed in the file	Not listed in the file	$58.56 – $340.72
Ultrasound of the abdomen, complete: rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $340.72
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: OB US >= 14 WKS SNGL FETUS	Not listed in the file	Not listed in the file	$58.56 – $340.72
Pregnancy ultrasound (after the first trimester): 10 of 11 insurance plan rates AETNA — 3156_BPHC AETNA 20240101: $257.55 AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $58.56 AETNA MICHIGAN PREFERRED — 2680_BPHC AETNA MICHIGAN PREFERRED 20210701: $266.65 AETNA PPOM — 2688_BPHC AETNA PPOM 20210701: $266.65 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $58.56 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $58.56 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $58.56 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $58.56 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $58.56 UHC — 3786_BPHC UNITED HEALTH CARE 20250701: $245.18
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: OB US >= 14 WKS SNGL FETUS	Not listed in the file	Not listed in the file	$58.56 – $340.72
Pregnancy ultrasound (after the first trimester): rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $340.72
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: TRANSVAGINAL US NON-OB	Not listed in the file	Not listed in the file	$58.56 – $340.72
Transvaginal ultrasound: 10 of 11 insurance plan rates AETNA — 3156_BPHC AETNA 20240101: $253.72 AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $58.56 AETNA MICHIGAN PREFERRED — 2680_BPHC AETNA MICHIGAN PREFERRED 20210701: $253.43 AETNA PPOM — 2688_BPHC AETNA PPOM 20210701: $253.43 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $58.56 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $58.56 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $58.56 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $58.56 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $58.56 UHC — 3786_BPHC UNITED HEALTH CARE 20250701: $245.18
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: TRANSVAGINAL US NON-OB	Not listed in the file	Not listed in the file	$58.56 – $340.72
Transvaginal ultrasound: rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $340.72
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: DX MAMMO INCL CAD UNI	Not listed in the file	Not listed in the file	$91.36 – $271.73
Diagnostic mammogram, one breast: rates for 6 insurance plans AETNA — 3156_BPHC AETNA 20240101: $249.93 AETNA MICHIGAN PREFERRED — 2680_BPHC AETNA MICHIGAN PREFERRED 20210701: $271.73 AETNA PPOM — 2688_BPHC AETNA PPOM 20210701: $271.73 MICHIGAN BCCCP — 2627_BOMC, BOLE, BPHC BCCCP 20210201: $91.36 PRIORITY HEALTH HMO/PPO — 2298_BPHC PRIORITY HEALTH 20200401: $95.11 UHC — 3786_BPHC UNITED HEALTH CARE 20250701: $205.70
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: DX MAMMO INCL CAD UNI	Not listed in the file	Not listed in the file	$91.36 – $271.73
Diagnostic mammogram, one breast: rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $95.11
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: DX MAMMO INCL CAD BI	Not listed in the file	Not listed in the file	$116.76 – $347.02
Diagnostic mammogram, both breasts: rates for 6 insurance plans AETNA — 3156_BPHC AETNA 20240101: $319.52 AETNA MICHIGAN PREFERRED — 2680_BPHC AETNA MICHIGAN PREFERRED 20210701: $347.02 AETNA PPOM — 2688_BPHC AETNA PPOM 20210701: $347.02 MICHIGAN BCCCP — 2627_BOMC, BOLE, BPHC BCCCP 20210201: $116.76 PRIORITY HEALTH HMO/PPO — 2298_BPHC PRIORITY HEALTH 20200401: $121.66 UHC — 3786_BPHC UNITED HEALTH CARE 20250701: $263
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: DX MAMMO INCL CAD BI	Not listed in the file	Not listed in the file	$116.76 – $347.02
Diagnostic mammogram, both breasts: rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $121.66
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: SCR MAMMO BI INCL CAD	Not listed in the file	Not listed in the file	$96.58 – $287
Screening mammogram, both breasts: rates for 6 insurance plans AETNA — 3156_BPHC AETNA 20240101: $264.23 AETNA MICHIGAN PREFERRED — 2680_BPHC AETNA MICHIGAN PREFERRED 20210701: $287 AETNA PPOM — 2688_BPHC AETNA PPOM 20210701: $287 MICHIGAN BCCCP — 2627_BOMC, BOLE, BPHC BCCCP 20210201: $96.58 PRIORITY HEALTH HMO/PPO — 2298_BPHC PRIORITY HEALTH 20200401: $100.49 UHC — 3786_BPHC UNITED HEALTH CARE 20250701: $217.46
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: SCR MAMMO BI INCL CAD	Not listed in the file	Not listed in the file	$96.58 – $287
Screening mammogram, both breasts: rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $100.49

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$1,471.80 – $10,098.48
Left heart catheterization (diagnostic): rates for 10 insurance plans AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $1,471.80 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $1,471.80 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $1,471.80 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $1,471.80 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $1,471.80 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $1,471.80 UHC MCD — 3804_BPHC MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY : $1,471.80 AETNA — 2686_BOGI BOSU AETNA 20210701: 75% (a percentage in the contract, not a dollar amount) AETNA AMERICAN AXLE — 2007_BPHC AETNA AMERICAN AXLE 20200115: 59% (a percentage in the contract, not a dollar amount) AETNA PPOM — 2681_BOGI BOSU AETNA PPOM 20210701: 75% (a percentage in the contract, not a dollar amount)
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$1,471.80 – $10,098.48
Left heart catheterization (diagnostic): rates for 3 insurance plans CIGNA — 3178_BPHC CIGNA 20240701: $10,098.48 AETNA — 3156_BPHC AETNA 20240101: 53.6% (a percentage in the contract, not a dollar amount) AETNA PPOM — 2688_BPHC AETNA PPOM 20210701: 53.6% (a percentage in the contract, not a dollar amount)
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: COMPREHENSIVE EP EVALUATION	Not listed in the file	Not listed in the file	$2,600.42 – $23,144.38
Heart rhythm study (electrophysiology evaluation): rates for 10 insurance plans AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $2,600.42 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $2,600.42 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $2,600.42 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $2,600.42 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $2,600.42 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $2,600.42 UHC MCD — 3804_BPHC MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY : $2,600.42 AETNA — 2686_BOGI BOSU AETNA 20210701: 75% (a percentage in the contract, not a dollar amount) AETNA AMERICAN AXLE — 2007_BPHC AETNA AMERICAN AXLE 20200115: 59% (a percentage in the contract, not a dollar amount) AETNA PPOM — 2681_BOGI BOSU AETNA PPOM 20210701: 75% (a percentage in the contract, not a dollar amount)
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient In the file: COMPREHENSIVE EP EVALUATION	Not listed in the file	Not listed in the file	$2,600.42 – $23,144.38
Heart rhythm study (electrophysiology evaluation): rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $23,144.38
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	Not listed in the file	$8,718.57 – $73,604.06
Heart rhythm study with ablation for atrial fibrillation: rates for 10 insurance plans AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $8,718.57 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $8,718.57 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $8,718.57 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $8,718.57 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $8,718.57 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $8,718.57 UHC MCD — 3804_BPHC MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY : $8,718.57 AETNA — 2686_BOGI BOSU AETNA 20210701: 75% (a percentage in the contract, not a dollar amount) AETNA AMERICAN AXLE — 2007_BPHC AETNA AMERICAN AXLE 20200115: 59% (a percentage in the contract, not a dollar amount) AETNA PPOM — 2681_BOGI BOSU AETNA PPOM 20210701: 75% (a percentage in the contract, not a dollar amount)
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	Not listed in the file	$8,718.57 – $73,604.06
Heart rhythm study with ablation for atrial fibrillation: rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $73,604.06
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: POLYSOM 6/> YRS 4/> PARAM	Not listed in the file	Not listed in the file	$449.06 – $3,240.19
Sleep study (overnight, in a sleep lab): rates for 7 insurance plans AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $449.06 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $449.06 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $449.06 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $449.06 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $449.06 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $449.06 UHC MCD — 3804_BPHC MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY : $449.06
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: POLYSOM 6/> YRS 4/> PARAM	Not listed in the file	Not listed in the file	$449.06 – $3,240.19
Sleep study (overnight, in a sleep lab): rates for 2 insurance plans CIGNA — 3178_BPHC CIGNA 20240701: $3,240.19 UHC — 3786_BPHC UNITED HEALTH CARE 20250701: 61% (a percentage in the contract, not a dollar amount)

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: THERAPEUTIC EXERCISES	Not listed in the file	Not listed in the file	$16.40 – $28
Physical therapy: therapeutic exercise (each 15 minutes): rates for 8 insurance plans AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $16.40 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $16.40 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $16.40 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $16.40 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $16.40 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $16.40 PRIORITY HEALTH HMO/PPO — 2298_BPHC PRIORITY HEALTH 20200401: $28 UHC MCD — 3804_BPHC MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY : $16.40
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: THERAPEUTIC EXERCISES	Not listed in the file	Not listed in the file	$16.40 – $28
Physical therapy: therapeutic exercise (each 15 minutes): rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $28
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: PT EVAL LOW COMPLEX 20 MIN	Not listed in the file	Not listed in the file	$40.82 – $76
Physical therapy evaluation (low complexity): rates for 8 insurance plans AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $40.82 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $40.82 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $40.82 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $40.82 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $40.82 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $40.82 PRIORITY HEALTH HMO/PPO — 2298_BPHC PRIORITY HEALTH 20200401: $76 UHC MCD — 3804_BPHC MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY : $40.82
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: PT EVAL LOW COMPLEX 20 MIN	Not listed in the file	Not listed in the file	$40.82 – $76
Physical therapy evaluation (low complexity): rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $76
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: PT EVAL MOD COMPLEX 30 MIN	Not listed in the file	Not listed in the file	$40.82 – $76
Physical therapy evaluation (moderate complexity): rates for 8 insurance plans AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $40.82 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $40.82 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $40.82 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $40.82 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $40.82 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $40.82 PRIORITY HEALTH HMO/PPO — 2298_BPHC PRIORITY HEALTH 20200401: $76 UHC MCD — 3804_BPHC MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY : $40.82
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: PT EVAL MOD COMPLEX 30 MIN	Not listed in the file	Not listed in the file	$40.82 – $76
Physical therapy evaluation (moderate complexity): rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $76
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: PT EVAL HIGH COMPLEX 45 MIN	Not listed in the file	Not listed in the file	$40.82 – $76
Physical therapy evaluation (high complexity): rates for 8 insurance plans AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $40.82 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $40.82 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $40.82 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $40.82 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $40.82 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $40.82 PRIORITY HEALTH HMO/PPO — 2298_BPHC PRIORITY HEALTH 20200401: $76 UHC MCD — 3804_BPHC MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY : $40.82
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: PT EVAL HIGH COMPLEX 45 MIN	Not listed in the file	Not listed in the file	$40.82 – $76
Physical therapy evaluation (high complexity): rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $76
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: PSYTX W PT 30 MINUTES	Not listed in the file	Not listed in the file	$36.50 – $494.12
Psychotherapy, 30 minutes: rates for 7 insurance plans AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $36.50 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $36.50 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $36.50 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $36.50 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $36.50 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $36.50 UHC MCD — 3804_BPHC MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY : $36.50
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: PSYTX W PT 30 MINUTES	Not listed in the file	Not listed in the file	$36.50 – $494.12
Psychotherapy, 30 minutes: rates for 2 insurance plans CIGNA — 3178_BPHC CIGNA 20240701: $494.12 MAGELLAN — 2050_BOMC, BPHC MAGELLAN 20210201: $78.84
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: PSYTX W PT 45 MINUTES	Not listed in the file	Not listed in the file	$65.45 – $494.12
Psychotherapy, 45 minutes: rates for 7 insurance plans AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $65.45 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $65.45 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $65.45 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $65.45 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $65.45 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $65.45 UHC MCD — 3804_BPHC MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY : $65.45
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: PSYTX W PT 45 MINUTES	Not listed in the file	Not listed in the file	$65.45 – $494.12
Psychotherapy, 45 minutes: rates for 2 insurance plans CIGNA — 3178_BPHC CIGNA 20240701: $494.12 MAGELLAN — 2050_BOMC, BPHC MAGELLAN 20210201: $89.64
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: PSYTX W PT 60 MINUTES	Not listed in the file	Not listed in the file	$65.45 – $494.12
Psychotherapy, 60 minutes: rates for 7 insurance plans AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $65.45 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $65.45 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $65.45 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $65.45 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $65.45 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $65.45 UHC MCD — 3804_BPHC MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY : $65.45
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: PSYTX W PT 60 MINUTES	Not listed in the file	Not listed in the file	$65.45 – $494.12
Psychotherapy, 60 minutes: rates for 2 insurance plans CIGNA — 3178_BPHC CIGNA 20240701: $494.12 MAGELLAN — 2050_BOMC, BPHC MAGELLAN 20210201: $89.64
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: FAMILY PSYTX W/O PT 50 MIN	Not listed in the file	Not listed in the file	$65.45 – $494.12
Family psychotherapy, without the patient: rates for 7 insurance plans AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $65.45 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $65.45 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $65.45 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $65.45 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $65.45 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $65.45 UHC MCD — 3804_BPHC MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY : $65.45
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient In the file: FAMILY PSYTX W/O PT 50 MIN	Not listed in the file	Not listed in the file	$65.45 – $494.12
Family psychotherapy, without the patient: rates for 2 insurance plans CIGNA — 3178_BPHC CIGNA 20240701: $494.12 MAGELLAN — 2050_BOMC, BPHC MAGELLAN 20210201: $100.44
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: FAMILY PSYTX W/PT 50 MIN	Not listed in the file	Not listed in the file	$65.45 – $494.12
Family psychotherapy, with the patient: rates for 7 insurance plans AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $65.45 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $65.45 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $65.45 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $65.45 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $65.45 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $65.45 UHC MCD — 3804_BPHC MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY : $65.45
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: FAMILY PSYTX W/PT 50 MIN	Not listed in the file	Not listed in the file	$65.45 – $494.12
Family psychotherapy, with the patient: rates for 2 insurance plans CIGNA — 3178_BPHC CIGNA 20240701: $494.12 MAGELLAN — 2050_BOMC, BPHC MAGELLAN 20210201: $100.44
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: GROUP PSYCHOTHERAPY	Not listed in the file	Not listed in the file	$36.50 – $276.23
Group psychotherapy: rates for 7 insurance plans AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $36.50 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $36.50 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $36.50 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $36.50 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $36.50 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $36.50 UHC MCD — 3804_BPHC MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY : $36.50
Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: GROUP PSYCHOTHERAPY	Not listed in the file	Not listed in the file	$36.50 – $276.23
Group psychotherapy: rates for 2 insurance plans CIGNA — 3178_BPHC CIGNA 20240701: $276.23 MAGELLAN — 2050_BOMC, BPHC MAGELLAN 20210201: $45.36

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: REMOVAL OF BREAST LESION	Not listed in the file	Not listed in the file	$459.27 – $11,812.81
Removal of breast growth (open surgery): 10 of 12 insurance plan rates AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $1,298.28 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $1,298.28 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $1,298.28 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $1,298.28 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $1,298.28 MICHIGAN BCCCP — 2627_BOMC, BOLE, BPHC BCCCP 20210201: $459.27 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $1,298.28 UHC MCD — 3804_BPHC MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY : $1,298.28 AETNA — 2686_BOGI BOSU AETNA 20210701: 75% (a percentage in the contract, not a dollar amount) AETNA AMERICAN AXLE — 2007_BPHC AETNA AMERICAN AXLE 20200115: 59% (a percentage in the contract, not a dollar amount)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient In the file: REMOVAL OF BREAST LESION	Not listed in the file	Not listed in the file	$459.27 – $11,812.81
Removal of breast growth (open surgery): rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $11,812.81
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$40,787.22
Total hip replacement: rates for 4 insurance plans AETNA — 2686_BOGI BOSU AETNA 20210701: 75% (a percentage in the contract, not a dollar amount) AETNA AMERICAN AXLE — 2007_BPHC AETNA AMERICAN AXLE 20200115: 59% (a percentage in the contract, not a dollar amount) AETNA PPOM — 2681_BOGI BOSU AETNA PPOM 20210701: 75% (a percentage in the contract, not a dollar amount) PHCS — 1971_BOGI, BOSU PHCS 20200101: 75% (a percentage in the contract, not a dollar amount)
Total hip replacement CPT 27130 · Inpatient or outpatient In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$40,787.22
Total hip replacement: rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $40,787.22
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$40,787.22
Total knee replacement: rates for 4 insurance plans AETNA — 2686_BOGI BOSU AETNA 20210701: 75% (a percentage in the contract, not a dollar amount) AETNA AMERICAN AXLE — 2007_BPHC AETNA AMERICAN AXLE 20200115: 59% (a percentage in the contract, not a dollar amount) AETNA PPOM — 2681_BOGI BOSU AETNA PPOM 20210701: 75% (a percentage in the contract, not a dollar amount) PHCS — 1971_BOGI, BOSU PHCS 20200101: 75% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Inpatient or outpatient In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$40,787.22
Total knee replacement: rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $40,787.22
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	Not listed in the file	Not listed in the file
Shoulder arthroscopy: shaving of shoulder bone: rates for 3 insurance plans AETNA — 2686_BOGI BOSU AETNA 20210701: 75% (a percentage in the contract, not a dollar amount) AETNA PPOM — 2681_BOGI BOSU AETNA PPOM 20210701: 75% (a percentage in the contract, not a dollar amount) PHCS — 1971_BOGI, BOSU PHCS 20200101: 75% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: KNEE ARTHROSCOPY/SURGERY	Not listed in the file	Not listed in the file	$1,266.52 – $10,031.18
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 11 insurance plan rates AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $1,266.52 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $1,266.52 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $1,266.52 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $1,266.52 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $1,266.52 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $1,266.52 UHC MCD — 3804_BPHC MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY : $1,266.52 AETNA — 2686_BOGI BOSU AETNA 20210701: 75% (a percentage in the contract, not a dollar amount) AETNA AMERICAN AXLE — 2007_BPHC AETNA AMERICAN AXLE 20200115: 59% (a percentage in the contract, not a dollar amount) AETNA PPOM — 2681_BOGI BOSU AETNA PPOM 20210701: 75% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient In the file: KNEE ARTHROSCOPY/SURGERY	Not listed in the file	Not listed in the file	$1,266.52 – $10,031.18
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $10,031.18
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$2,145.69 – $18,148.64
Removal of tonsils and adenoids (under age 12): 10 of 11 insurance plan rates AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $2,145.69 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $2,145.69 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $2,145.69 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $2,145.69 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $2,145.69 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $2,145.69 UHC MCD — 3804_BPHC MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY : $2,145.69 AETNA — 2686_BOGI BOSU AETNA 20210701: 75% (a percentage in the contract, not a dollar amount) AETNA AMERICAN AXLE — 2007_BPHC AETNA AMERICAN AXLE 20200115: 59% (a percentage in the contract, not a dollar amount) AETNA PPOM — 2681_BOGI BOSU AETNA PPOM 20210701: 75% (a percentage in the contract, not a dollar amount)
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$2,145.69 – $18,148.64
Removal of tonsils and adenoids (under age 12): rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $18,148.64
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: EGD DIAGNOSTIC BRUSH WASH	Not listed in the file	Not listed in the file	$363.49 – $2,809.26
Upper GI endoscopy (diagnostic): 10 of 11 insurance plan rates AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $363.49 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $363.49 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $363.49 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $363.49 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $363.49 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $363.49 UHC MCD — 3804_BPHC MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY : $363.49 AETNA — 2686_BOGI BOSU AETNA 20210701: 75% (a percentage in the contract, not a dollar amount) AETNA AMERICAN AXLE — 2007_BPHC AETNA AMERICAN AXLE 20200115: 59% (a percentage in the contract, not a dollar amount) AETNA PPOM — 2681_BOGI BOSU AETNA PPOM 20210701: 75% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: EGD DIAGNOSTIC BRUSH WASH	Not listed in the file	Not listed in the file	$363.49 – $2,809.26
Upper GI endoscopy (diagnostic): rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $2,809.26
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: EGD BIOPSY SINGLE/MULTIPLE	Not listed in the file	Not listed in the file	$363.49 – $2,809.26
Upper GI endoscopy with biopsy: 10 of 11 insurance plan rates AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $363.49 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $363.49 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $363.49 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $363.49 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $363.49 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $363.49 UHC MCD — 3804_BPHC MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY : $363.49 AETNA — 2686_BOGI BOSU AETNA 20210701: 75% (a percentage in the contract, not a dollar amount) AETNA AMERICAN AXLE — 2007_BPHC AETNA AMERICAN AXLE 20200115: 59% (a percentage in the contract, not a dollar amount) AETNA PPOM — 2681_BOGI BOSU AETNA PPOM 20210701: 75% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: EGD BIOPSY SINGLE/MULTIPLE	Not listed in the file	Not listed in the file	$363.49 – $2,809.26
Upper GI endoscopy with biopsy: rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $2,809.26
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$346.80 – $2,832.42
Colonoscopy (diagnostic): 10 of 11 insurance plan rates AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $346.80 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $346.80 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $346.80 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $346.80 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $346.80 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $346.80 UHC MCD — 3804_BPHC MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY : $346.80 AETNA — 2686_BOGI BOSU AETNA 20210701: 75% (a percentage in the contract, not a dollar amount) AETNA AMERICAN AXLE — 2007_BPHC AETNA AMERICAN AXLE 20200115: 59% (a percentage in the contract, not a dollar amount) AETNA PPOM — 2681_BOGI BOSU AETNA PPOM 20210701: 75% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$346.80 – $2,832.42
Colonoscopy (diagnostic): rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $2,832.42
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: COLONOSCOPY AND BIOPSY	Not listed in the file	Not listed in the file	$455.84 – $3,657.12
Colonoscopy with biopsy: 10 of 11 insurance plan rates AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $455.84 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $455.84 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $455.84 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $455.84 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $455.84 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $455.84 UHC MCD — 3804_BPHC MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY : $455.84 AETNA — 2686_BOGI BOSU AETNA 20210701: 75% (a percentage in the contract, not a dollar amount) AETNA AMERICAN AXLE — 2007_BPHC AETNA AMERICAN AXLE 20200115: 59% (a percentage in the contract, not a dollar amount) AETNA PPOM — 2681_BOGI BOSU AETNA PPOM 20210701: 75% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: COLONOSCOPY AND BIOPSY	Not listed in the file	Not listed in the file	$455.84 – $3,657.12
Colonoscopy with biopsy: rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $3,657.12
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/LESION REMOVAL	Not listed in the file	Not listed in the file	$455.84 – $3,657.12
Colonoscopy with removal of polyps (snare): 10 of 11 insurance plan rates AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $455.84 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $455.84 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $455.84 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $455.84 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $455.84 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $455.84 UHC MCD — 3804_BPHC MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY : $455.84 AETNA — 2686_BOGI BOSU AETNA 20210701: 75% (a percentage in the contract, not a dollar amount) AETNA AMERICAN AXLE — 2007_BPHC AETNA AMERICAN AXLE 20200115: 59% (a percentage in the contract, not a dollar amount) AETNA PPOM — 2681_BOGI BOSU AETNA PPOM 20210701: 75% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: COLONOSCOPY W/LESION REMOVAL	Not listed in the file	Not listed in the file	$455.84 – $3,657.12
Colonoscopy with removal of polyps (snare): rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $3,657.12
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	Not listed in the file	$455.84 – $3,657.12
Ultrasound of the lower bowel by endoscope: 10 of 11 insurance plan rates AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $455.84 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $455.84 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $455.84 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $455.84 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $455.84 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $455.84 UHC MCD — 3804_BPHC MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY : $455.84 AETNA — 2686_BOGI BOSU AETNA 20210701: 75% (a percentage in the contract, not a dollar amount) AETNA AMERICAN AXLE — 2007_BPHC AETNA AMERICAN AXLE 20200115: 59% (a percentage in the contract, not a dollar amount) AETNA PPOM — 2681_BOGI BOSU AETNA PPOM 20210701: 75% (a percentage in the contract, not a dollar amount)
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	Not listed in the file	$455.84 – $3,657.12
Ultrasound of the lower bowel by endoscope: rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $3,657.12
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$2,181.11 – $17,881.53
Gallbladder removal by laparoscope: 10 of 11 insurance plan rates AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $2,181.11 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $2,181.11 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $2,181.11 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $2,181.11 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $2,181.11 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $2,181.11 UHC MCD — 3804_BPHC MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY : $2,181.11 AETNA — 2686_BOGI BOSU AETNA 20210701: 75% (a percentage in the contract, not a dollar amount) AETNA AMERICAN AXLE — 2007_BPHC AETNA AMERICAN AXLE 20200115: 59% (a percentage in the contract, not a dollar amount) AETNA PPOM — 2681_BOGI BOSU AETNA PPOM 20210701: 75% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$2,181.11 – $17,881.53
Gallbladder removal by laparoscope: rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $17,881.53
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$1,486.96 – $10,721.72
Groin (inguinal) hernia repair, age 5 or older: 10 of 11 insurance plan rates AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $1,486.96 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $1,486.96 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $1,486.96 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $1,486.96 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $1,486.96 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $1,486.96 UHC MCD — 3804_BPHC MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY : $1,486.96 AETNA — 2686_BOGI BOSU AETNA 20210701: 75% (a percentage in the contract, not a dollar amount) AETNA AMERICAN AXLE — 2007_BPHC AETNA AMERICAN AXLE 20200115: 59% (a percentage in the contract, not a dollar amount) AETNA PPOM — 2681_BOGI BOSU AETNA PPOM 20210701: 75% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$1,486.96 – $10,721.72
Groin (inguinal) hernia repair, age 5 or older: rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $10,721.72
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: BIOPSY OF PROSTATE	Not listed in the file	Not listed in the file	$854.27 – $6,312.21
Prostate biopsy: 10 of 11 insurance plan rates AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $854.27 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $854.27 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $854.27 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $854.27 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $854.27 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $854.27 UHC MCD — 3804_BPHC MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY : $854.27 AETNA — 2686_BOGI BOSU AETNA 20210701: 75% (a percentage in the contract, not a dollar amount) AETNA AMERICAN AXLE — 2007_BPHC AETNA AMERICAN AXLE 20200115: 59% (a percentage in the contract, not a dollar amount) AETNA PPOM — 2681_BOGI BOSU AETNA PPOM 20210701: 75% (a percentage in the contract, not a dollar amount)
Prostate biopsy CPT 55700 · Inpatient or outpatient In the file: BIOPSY OF PROSTATE	Not listed in the file	Not listed in the file	$854.27 – $6,312.21
Prostate biopsy: rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $6,312.21
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: LAPS SURG PRST8ECT RPBIC RAD	Not listed in the file	Not listed in the file	$31,900.88
Prostate removal by laparoscope (radical prostatectomy): rates for 4 insurance plans AETNA — 2686_BOGI BOSU AETNA 20210701: 75% (a percentage in the contract, not a dollar amount) AETNA AMERICAN AXLE — 2007_BPHC AETNA AMERICAN AXLE 20200115: 59% (a percentage in the contract, not a dollar amount) AETNA PPOM — 2681_BOGI BOSU AETNA PPOM 20210701: 75% (a percentage in the contract, not a dollar amount) PHCS — 1971_BOGI, BOSU PHCS 20200101: 75% (a percentage in the contract, not a dollar amount)
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient In the file: LAPS SURG PRST8ECT RPBIC RAD	Not listed in the file	Not listed in the file	$31,900.88
Prostate removal by laparoscope (radical prostatectomy): rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $31,900.88
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$1,083.23 – $9,688.80
Hysteroscopy with biopsy of the uterus lining: 10 of 11 insurance plan rates AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $1,083.23 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $1,083.23 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $1,083.23 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $1,083.23 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $1,083.23 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $1,083.23 UHC MCD — 3804_BPHC MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY : $1,083.23 AETNA — 2686_BOGI BOSU AETNA 20210701: 75% (a percentage in the contract, not a dollar amount) AETNA AMERICAN AXLE — 2007_BPHC AETNA AMERICAN AXLE 20200115: 59% (a percentage in the contract, not a dollar amount) AETNA PPOM — 2681_BOGI BOSU AETNA PPOM 20210701: 75% (a percentage in the contract, not a dollar amount)
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$1,083.23 – $9,688.80
Hysteroscopy with biopsy of the uterus lining: rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $9,688.80
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: NJX INTERLAMINAR LMBR/SAC	Not listed in the file	Not listed in the file	$263.44 – $2,143.13
Spinal injection, lower back (epidural), with imaging guidance: rates for 8 insurance plans AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $263.44 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $263.44 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $263.44 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $263.44 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $263.44 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $263.44 UHC MCD — 3804_BPHC MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY : $263.44 PHCS — 1971_BOGI, BOSU PHCS 20200101: 75% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: NJX INTERLAMINAR LMBR/SAC	Not listed in the file	Not listed in the file	$263.44 – $2,143.13
Spinal injection, lower back (epidural), with imaging guidance: rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $2,143.13
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: NJX AA&/STRD TFRM EPI L/S 1	Not listed in the file	Not listed in the file	$331.87 – $2,824.72
Nerve root injection, lower back, with imaging guidance: 10 of 11 insurance plan rates AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $331.87 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $331.87 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $331.87 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $331.87 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $331.87 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $331.87 UHC MCD — 3804_BPHC MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY : $331.87 AETNA — 2686_BOGI BOSU AETNA 20210701: 75% (a percentage in the contract, not a dollar amount) AETNA AMERICAN AXLE — 2007_BPHC AETNA AMERICAN AXLE 20200115: 59% (a percentage in the contract, not a dollar amount) AETNA PPOM — 2681_BOGI BOSU AETNA PPOM 20210701: 75% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: NJX AA&/STRD TFRM EPI L/S 1	Not listed in the file	Not listed in the file	$331.87 – $2,824.72
Nerve root injection, lower back, with imaging guidance: rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $2,824.72
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$812.07 – $5,983.60
Carpal tunnel release: 10 of 11 insurance plan rates AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $812.07 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $812.07 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $812.07 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $812.07 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $812.07 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $812.07 UHC MCD — 3804_BPHC MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY : $812.07 AETNA — 2686_BOGI BOSU AETNA 20210701: 75% (a percentage in the contract, not a dollar amount) AETNA AMERICAN AXLE — 2007_BPHC AETNA AMERICAN AXLE 20200115: 59% (a percentage in the contract, not a dollar amount) AETNA PPOM — 2681_BOGI BOSU AETNA PPOM 20210701: 75% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Inpatient or outpatient In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$812.07 – $5,983.60
Carpal tunnel release: rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $5,983.60
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$244.06 – $1,801.39
Laser treatment of clouding after cataract surgery: 10 of 11 insurance plan rates AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $244.06 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $244.06 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $244.06 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $244.06 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $244.06 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $244.06 UHC MCD — 3804_BPHC MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY : $244.06 AETNA — 2686_BOGI BOSU AETNA 20210701: 75% (a percentage in the contract, not a dollar amount) AETNA AMERICAN AXLE — 2007_BPHC AETNA AMERICAN AXLE 20200115: 59% (a percentage in the contract, not a dollar amount) AETNA PPOM — 2681_BOGI BOSU AETNA PPOM 20210701: 75% (a percentage in the contract, not a dollar amount)
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$244.06 – $1,801.39
Laser treatment of clouding after cataract surgery: rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $1,801.39
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$947.60 – $7,221.94
Cataract removal with lens implant: 10 of 11 insurance plan rates AETNA MEDICAID — 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIEN: $947.60 BLUE CAID — 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIEN: $947.60 BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 — 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701: $947.60 MEDICAID HMO — 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701: $947.60 MI CHILD — 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 202: $947.60 MOLINA MEDICAID — 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701: $947.60 UHC MCD — 3804_BPHC MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY : $947.60 AETNA — 2686_BOGI BOSU AETNA 20210701: 75% (a percentage in the contract, not a dollar amount) AETNA AMERICAN AXLE — 2007_BPHC AETNA AMERICAN AXLE 20200115: 59% (a percentage in the contract, not a dollar amount) AETNA PPOM — 2681_BOGI BOSU AETNA PPOM 20210701: 75% (a percentage in the contract, not a dollar amount)
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$947.60 – $7,221.94
Cataract removal with lens implant: rates for 1 insurance plan CIGNA — 3178_BPHC CIGNA 20240701: $7,221.94

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: OBSTETRICAL CARE	Not listed in the file	Not listed in the file	Not listed in the file
Vaginal delivery, with care before and after: rates for 4 insurance plans AETNA — 2686_BOGI BOSU AETNA 20210701: 75% (a percentage in the contract, not a dollar amount) AETNA AMERICAN AXLE — 2007_BPHC AETNA AMERICAN AXLE 20200115: 59% (a percentage in the contract, not a dollar amount) AETNA PPOM — 2681_BOGI BOSU AETNA PPOM 20210701: 75% (a percentage in the contract, not a dollar amount) PHCS — 1971_BOGI, BOSU PHCS 20200101: 75% (a percentage in the contract, not a dollar amount)
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: CESAREAN DELIVERY	Not listed in the file	Not listed in the file	Not listed in the file
Cesarean delivery (C-section), with care before and after: rates for 4 insurance plans AETNA — 2686_BOGI BOSU AETNA 20210701: 75% (a percentage in the contract, not a dollar amount) AETNA AMERICAN AXLE — 2007_BPHC AETNA AMERICAN AXLE 20200115: 59% (a percentage in the contract, not a dollar amount) AETNA PPOM — 2681_BOGI BOSU AETNA PPOM 20210701: 75% (a percentage in the contract, not a dollar amount) PHCS — 1971_BOGI, BOSU PHCS 20200101: 75% (a percentage in the contract, not a dollar amount)
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: VBAC DELIVERY	Not listed in the file	Not listed in the file	Not listed in the file
Vaginal delivery after a previous C-section, with care before and after: rates for 4 insurance plans AETNA — 2686_BOGI BOSU AETNA 20210701: 75% (a percentage in the contract, not a dollar amount) AETNA AMERICAN AXLE — 2007_BPHC AETNA AMERICAN AXLE 20200115: 59% (a percentage in the contract, not a dollar amount) AETNA PPOM — 2681_BOGI BOSU AETNA PPOM 20210701: 75% (a percentage in the contract, not a dollar amount) PHCS — 1971_BOGI, BOSU PHCS 20200101: 75% (a percentage in the contract, not a dollar amount)

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$14,842
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 10 insurance plans UHC — 3786_BPHC UNITED HEALTH CARE 20250701: $14,842 AETNA MMAI — 3843_BPHC MEDICARE ADVANTAGE AETNA MMAI INPATIENT 20251001: 102% (a percentage in the contract, not a dollar amount) COFINITY AUTO — 3850_BOMC, BPHC AUTO MVA 20251001: 100% (a percentage in the contract, not a dollar amount) MEDICARE REPLACEMENT — 3844_BPHC MEDICARE ADVANTAGE ALL OTHER INPATIENT 20251001: 100% (a percentage in the contract, not a dollar amount) MERIDIAN MMAI — 3845_BPHC MEDICARE ADVANTAGE MERIDIAN INPATIENT 20251001: 105% (a percentage in the contract, not a dollar amount) MOLINA MEDICARE — 3846_BPHC MEDICARE ADVANTAGE MOLINA INPATIENT 20251001: 105% (a percentage in the contract, not a dollar amount) TRICARE — 2788_BOMC, BPHC TRICARE INPATIENT 20211001: 100% (a percentage in the contract, not a dollar amount) UHC MEDICARE — 3848_BPHC MEDICARE ADVANTAGE UNITED HEALTH CARE INPATIENT 20: 100% (a percentage in the contract, not a dollar amount) UHC MEDICARE ADV 948 — 3849_BPHC MEDICARE ADVANTAGE UNITED HEALTH CARE INPATIENT 94: 100% (a percentage in the contract, not a dollar amount) VETERANS CHOICE — 2790_BPHC VETERANS CHOICE INPATIENT 20211001: 100% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$14,842
Hip or knee replacement (major joint of the leg), without major complications: rates for 10 insurance plans UHC — 3786_BPHC UNITED HEALTH CARE 20250701: $14,842 AETNA MMAI — 3843_BPHC MEDICARE ADVANTAGE AETNA MMAI INPATIENT 20251001: 102% (a percentage in the contract, not a dollar amount) COFINITY AUTO — 3850_BOMC, BPHC AUTO MVA 20251001: 100% (a percentage in the contract, not a dollar amount) MEDICARE REPLACEMENT — 3844_BPHC MEDICARE ADVANTAGE ALL OTHER INPATIENT 20251001: 100% (a percentage in the contract, not a dollar amount) MERIDIAN MMAI — 3845_BPHC MEDICARE ADVANTAGE MERIDIAN INPATIENT 20251001: 105% (a percentage in the contract, not a dollar amount) MOLINA MEDICARE — 3846_BPHC MEDICARE ADVANTAGE MOLINA INPATIENT 20251001: 105% (a percentage in the contract, not a dollar amount) TRICARE — 2788_BOMC, BPHC TRICARE INPATIENT 20211001: 100% (a percentage in the contract, not a dollar amount) UHC MEDICARE — 3848_BPHC MEDICARE ADVANTAGE UNITED HEALTH CARE INPATIENT 20: 100% (a percentage in the contract, not a dollar amount) UHC MEDICARE ADV 948 — 3849_BPHC MEDICARE ADVANTAGE UNITED HEALTH CARE INPATIENT 94: 100% (a percentage in the contract, not a dollar amount) VETERANS CHOICE — 2790_BPHC VETERANS CHOICE INPATIENT 20211001: 100% (a percentage in the contract, not a dollar amount)
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$14,842
Neck (cervical) spinal fusion, without complications: rates for 10 insurance plans UHC — 3786_BPHC UNITED HEALTH CARE 20250701: $14,842 AETNA MMAI — 3843_BPHC MEDICARE ADVANTAGE AETNA MMAI INPATIENT 20251001: 102% (a percentage in the contract, not a dollar amount) COFINITY AUTO — 3850_BOMC, BPHC AUTO MVA 20251001: 100% (a percentage in the contract, not a dollar amount) MEDICARE REPLACEMENT — 3844_BPHC MEDICARE ADVANTAGE ALL OTHER INPATIENT 20251001: 100% (a percentage in the contract, not a dollar amount) MERIDIAN MMAI — 3845_BPHC MEDICARE ADVANTAGE MERIDIAN INPATIENT 20251001: 105% (a percentage in the contract, not a dollar amount) MOLINA MEDICARE — 3846_BPHC MEDICARE ADVANTAGE MOLINA INPATIENT 20251001: 105% (a percentage in the contract, not a dollar amount) TRICARE — 2788_BOMC, BPHC TRICARE INPATIENT 20211001: 100% (a percentage in the contract, not a dollar amount) UHC MEDICARE — 3848_BPHC MEDICARE ADVANTAGE UNITED HEALTH CARE INPATIENT 20: 100% (a percentage in the contract, not a dollar amount) UHC MEDICARE ADV 948 — 3849_BPHC MEDICARE ADVANTAGE UNITED HEALTH CARE INPATIENT 94: 100% (a percentage in the contract, not a dollar amount) VETERANS CHOICE — 2790_BPHC VETERANS CHOICE INPATIENT 20211001: 100% (a percentage in the contract, not a dollar amount)
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$14,842
Uterus and ovary surgery (not for cancer), without complications: rates for 10 insurance plans UHC — 3786_BPHC UNITED HEALTH CARE 20250701: $14,842 AETNA MMAI — 3843_BPHC MEDICARE ADVANTAGE AETNA MMAI INPATIENT 20251001: 102% (a percentage in the contract, not a dollar amount) COFINITY AUTO — 3850_BOMC, BPHC AUTO MVA 20251001: 100% (a percentage in the contract, not a dollar amount) MEDICARE REPLACEMENT — 3844_BPHC MEDICARE ADVANTAGE ALL OTHER INPATIENT 20251001: 100% (a percentage in the contract, not a dollar amount) MERIDIAN MMAI — 3845_BPHC MEDICARE ADVANTAGE MERIDIAN INPATIENT 20251001: 105% (a percentage in the contract, not a dollar amount) MOLINA MEDICARE — 3846_BPHC MEDICARE ADVANTAGE MOLINA INPATIENT 20251001: 105% (a percentage in the contract, not a dollar amount) TRICARE — 2788_BOMC, BPHC TRICARE INPATIENT 20211001: 100% (a percentage in the contract, not a dollar amount) UHC MEDICARE — 3848_BPHC MEDICARE ADVANTAGE UNITED HEALTH CARE INPATIENT 20: 100% (a percentage in the contract, not a dollar amount) UHC MEDICARE ADV 948 — 3849_BPHC MEDICARE ADVANTAGE UNITED HEALTH CARE INPATIENT 94: 100% (a percentage in the contract, not a dollar amount) VETERANS CHOICE — 2790_BPHC VETERANS CHOICE INPATIENT 20211001: 100% (a percentage in the contract, not a dollar amount)

Source: Beacon Plainwell’s standard charges file (beaconhealthsystem.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on January 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the price transparency link on the hospital’s website (beaconhealthsystem.org), because the hospital has no cms-hpt.txt file; both are required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital type	Long-Term Acute Care Hospital
Address	411 Naomi Street, Plainwell, MI 49080
County	Allegan County
State	Michigan
Phone	(269) 685‑0700
Ownership	Non-profit
CMS Certification Number	232034
Name in Medicare records	BEACON PLAINWELL
Profile level	Medicare data + hospital website
Name on the hospital’s website	Beacon Plainwell Long-Term Acute Care Hospital
Official website	locations.beaconhealthsystem.org
Corrections	Report an error or suggest an update →

Sources

Long-Term Care Hospital - General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-08-12, retrieved 2026-10-29
Medicare Care Compare — official Medicare tool to look up and compare this type of hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

Beacon Plainwell Long-Term Acute Care Hospital — locations.beaconhealthsystem.org
Beacon Plainwell - Formerly Borgess Pipp Hospital - Beacon Health System Plainwell, MI — locations.beaconhealthsystem.org
Beacon Plainwell Emergency - Beacon Health System Plainwell, MI — locations.beaconhealthsystem.org
Patient and Visitor Information — beaconhealthsystem.org

Beacon Plainwell

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas^[4][5][6]

Conditions treated^[4][6]

Treatments^[4][5][6]

Programs and centers^[4][5]

Emergency care (hospital website)^[5][6]

Visiting and practical information

Nearest emergency rooms

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Hospice providers

Home health agencies

Dialysis facilities

Outpatient surgery centers nearby

Community care nearby

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Heart tests and sleep study

Physical therapy and mental health

Procedures and surgery

Pregnancy and childbirth

Hospital stays (whole stay, MS-DRG)

Hospital information

Sources

From the hospital’s website

Beacon Plainwell

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas[4][5][6]

Conditions treated[4][6]

Treatments[4][5][6]

Programs and centers[4][5]

Emergency care (hospital website)[5][6]

Visiting and practical information

Nearest emergency rooms

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Hospice providers

Home health agencies

Dialysis facilities

Outpatient surgery centers nearby

Community care nearby

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Heart tests and sleep study

Physical therapy and mental health

Procedures and surgery

Pregnancy and childbirth

Hospital stays (whole stay, MS-DRG)

Hospital information

Sources

From the hospital’s website

Specialties and care areas^[4][5][6]

Conditions treated^[4][6]

Treatments^[4][5][6]

Programs and centers^[4][5]

Emergency care (hospital website)^[5][6]