Blue Care Network of Michigan: disclosed hospital rates

iDirect answer

Based on the published hospital price files, Blue Care Network of Michigan appears in disclosed negotiated rates across 1 hospital and 97 services. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

97 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
7-0 PROLENE BLUE 1X30IN BV-1 DOUBLE ARMED EVP Outpatient	University of Michigan Health	SUP-93040 CDM	$344	$138	$148 – $366	—
7-0 PROLENE BLUE 2X24IN BV175-6 DOUBLE ARMED EVP Outpatient	University of Michigan Health	SUP-93033 CDM	$202	$80.87	$86.93 – $215	—
ABACAVIR 20 MG/ML ORAL SOLUTION Outpatient	University of Michigan Health	025050000 HCPCS	$450	$180	$194 – $478	—
ABACAVIR 300 MG TABLET Outpatient	University of Michigan Health	025050000 HCPCS	$35.63	$14.25	$15.32 – $37.87	—
ABACAVIR 600 MG-DOLUTEGRAVIR 50 MG-LAMIVUDINE 300 MG TABLET Outpatient	University of Michigan Health	025050000 HCPCS	$589	$236	$253 – $626	—
ABACAVIR 600 MG-LAMIVUDINE 300 MG TABLET Outpatient	University of Michigan Health	025050000 HCPCS	$16.79	$6.72	$7.22 – $17.85	—
ABATACEPT (WITH MALTOSE) 250 MG INTRAVENOUS SOLUTION Outpatient	University of Michigan Health	J0129 HCPCS	$5,833	$2,333	$1,093 – $4,958	—
ABIRATERONE 250 MG TABLET Outpatient	University of Michigan Health	025050000 HCPCS	$3.39	$1.36	$1.46 – $3.60	—
ABRASOR, DIAMOND COARSE BALL TIP 265 X 4.5MM Outpatient	University of Michigan Health	SUP-88838 CDM	$2,125	$850	$914 – $2,259	—
ABUTMENT, BELLATEK ENCODE HEALING 3.5 X 5.0 X 3MM Outpatient	University of Michigan Health	SUP-T82396 CDM	$191	$76.58	$82.32 – $203	—
ABUTMENT, BELLATEK ENCODE HEALING 3.5 X 5.0 X 5MM Outpatient	University of Michigan Health	SUP-T82395 CDM	$191	$76.58	$82.32 – $203	—
ABUTMENT, COCHLEAR BA210 TI 5.5MM W/ HEXGONAL CONNECTION Outpatient	University of Michigan Health	L8690 HCPCS	$3,780	$1,512	$1,626 – $4,018	—
ABUTMENT, COCHLEAR BA210 TI 8.5MM W/ HEXGONAL CONNECTION Outpatient	University of Michigan Health	L8690 HCPCS	$4,919	$1,968	$2,115 – $5,229	—
ABUTMENT, COCHLEAR BA300 TI 6MM FOR BAHA B1300 Outpatient	University of Michigan Health	L8690 HCPCS	$4,447	$1,779	$1,912 – $4,727	—
ABUTMENT, COCHLEAR BA300 TI 9MM FOR BAHA B1300 Outpatient	University of Michigan Health	L8690 HCPCS	$5,217	$2,087	$2,243 – $5,545	—
ABUTMENT, COCHLEAR BA400 BAHA FAST TI 10MM Outpatient	University of Michigan Health	L8690 HCPCS	$5,784	$2,314	$2,487 – $6,148	—
ABUTMENT, COCHLEAR BA400 BAHA FAST TI 12MM Outpatient	University of Michigan Health	L8690 HCPCS	$5,784	$2,314	$2,487 – $6,148	—
ABUTMENT, COCHLEAR BA400 BAHA FAST TI 14MM Outpatient	University of Michigan Health	L8690 HCPCS	$5,784	$2,314	$2,487 – $6,148	—
ABUTMENT, COCHLEAR BA400 BAHA FAST TI 6MM Outpatient	University of Michigan Health	L8690 HCPCS	$5,784	$2,314	$2,487 – $6,148	—
ABUTMENT, COCHLEAR BA400 BAHA FAST TI 8MM Outpatient	University of Michigan Health	L8690 HCPCS	$5,784	$2,314	$2,487 – $6,148	—
ABUTMENT, DENTAL ESTHETIC RP NOBEL ACTIVE CC TI 3.0 X 9.5MM Outpatient	University of Michigan Health	L8699 HCPCS	$583	$233	$251 – $620	—
ABUTMENT, DENTAL HEALING ANATOMICAL PEEK CC 6 X 7MM Outpatient	University of Michigan Health	L8699 HCPCS	$172	$68.68	$73.83 – $183	—
ABUTMENT, DENTAL HEALING NOBEL ACTIVE 3.0 CC TI 3.2 X 5MM Outpatient	University of Michigan Health	L8699 HCPCS	$162	$64.92	$69.78 – $173	—
ABUTMENT, DENTAL HEALING NOBEL ACTIVE 3.0 CC TI 3.8 X 7MM Outpatient	University of Michigan Health	L8699 HCPCS	$165	$65.86	$70.80 – $175	—
ABUTMENT, DENTAL HEALING NP NOBEL ACT CC TI 5.0 X 5MM Outpatient	University of Michigan Health	L8699 HCPCS	$282	$113	$121 – $300	—