Price AtlasInteractive atlas · All states · techysurgeon.comThyroidectomy in Michigan: what insurers pay
Posted commercial rates at 50 Michigan hospitals, each next to its own Medicare base rate.
Open in the explorerAll statesEvery bill for the whole procedure
CPT 60240
| Hospital | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|
| Holland Hospital Holland | $3,031 | 0.5× | 3 | 2026-09-21 |
| Oaklawn Hospital Marshall | $3,380 | 0.6× | 2 | 2026-03-27 |
| Henry Ford Health Providence Southfield Hospital Southfield | $3,607 | 0.6× | 1 | 2026-01-01 |
| Henry Ford Genesys Hospital Grand Blanc | $3,659 | 0.6× | 3 | 2026-01-01 |
| Corewell Health Zeeland Hospital Zeeland | $5,294 | 0.9× | 2 | 2026-05-01 |
| Corewell Health Big Rapids Hospital Big Rapids | $5,294 | 0.9× | 2 | 2026-05-01 |
| Corewell Health Gerber Hospital Fremont | $5,294 | 0.9× | 2 | 2026-05-01 |
| Corewell Health Pennock Hospital Hastings | $5,294 | 0.9× | 2 | 2026-05-01 |
| Corewell Health Dearborn Hospital Dearborn | $5,672 | 0.9× | 1 | 2026-05-01 |
| Corewell Health Beaumont Grosse Pointe Hospital Grosse Pointe | $5,672 | 0.9× | 2 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit Royal Oak | $5,672 | 0.9× | 2 | 2026-05-01 |
| Corewell Health Wayne Hospital Wayne | $5,672 | 0.9× | 2 | 2026-05-01 |
| Corewell Health Farmington Hills Hospital Farmington Hills | $5,672 | 0.9× | 2 | 2026-05-01 |
| Corewell Health Trenton Hospital Trenton | $5,672 | 0.9× | 2 | 2026-05-01 |
| Corewell Health Taylor Hospital Taylor | $5,672 | 0.9× | 2 | 2026-05-01 |
| Munson Healthcare Grayling Hospital Grayling | $6,024 | 1.0× | 8 | 2026-04-17 |
| Munson Medical Center Traverse City | $6,359 | 1.1× | 8 | 2026-04-17 |
| Munson Healthcare Manistee Hospital Manistee | $6,359 | 1.1× | 4 | 2026-04-17 |
| Munson Healthcare Cadillac Hospital Cadillac | $6,694 | 1.1× | 7 | 2026-04-17 |
| Munson Healthcare Otsego Memorial Hospital Gaylord | $6,694 | 1.1× | 2 | 2026-04-17 |
| Mclaren Northern Michigan Petoskey | $7,050 | 1.2× | 2 | 2025-12-31 |
| Karmanos Cancer Center Detroit | $7,176 | 1.2× | 2 | 2025-12-31 |
| Mclaren Flint Flint | $7,380 | 1.2× | 2 | 2025-12-31 |
| Mclaren Greater Lansing Lansing | $7,610 | 1.3× | 2 | 2025-12-31 |
| Trinity Health Oakland Hospital Pontiac | $7,664 | 1.3× | 21 | 2026-03-31 |
| Trinity Health Ann Arbor Hospital Ann Arbor | $8,178 | 1.4× | 16 | 2026-03-31 |
| Trinity Health Muskegon Hospital Muskegon | $8,544 | 1.4× | 22 | 2026-03-31 |
| Henry Ford Health West Bloomfield Hospital West Bloomfield | $8,588 | 1.4× | 9 | 2026-06-28 |
| Trinity Health Grand Rapids Hospital Grand Rapids | $8,680 | 1.4× | 22 | 2026-03-31 |
| Corewell Health Lakeland Hospitals St Joseph Hospi St Joseph | $8,799 | 1.5× | 1 | 2026-05-01 |
| Henry Ford Health Rochester Hospital Rochester | $9,022 | 1.5× | 1 | 2026-01-01 |
| Henry Ford Health Macomb Hospital Clinton Township | $9,400 | 1.6× | 8 | 2026-06-28 |
| Wyandotte Hospital And Medical Center Wyandotte | $9,400 | 1.6× | 8 | 2026-06-28 |
| Harper University Hospital Detroit | $9,407 | 1.6× | 1 | 2026-09-02 |
| Huron Valley-Sinai Hospital Commerce Township | $9,407 | 1.6× | 1 | 2026-05-20 |
| Mclaren Macomb Mount Clemens | $10,016 | 1.7× | 2 | 2025-12-31 |
| Henry Ford Health Hospital Detroit | $10,167 | 1.7× | 8 | 2026-06-28 |
| Henry Ford Health Jackson Hospital Jackson | $10,421 | 1.7× | 7 | 2026-06-28 |
CPT 60220
| Hospital | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|
| Holland Hospital Holland | $3,031 | 0.5× | 3 | 2026-09-21 |
| Oaklawn Hospital Marshall | $3,380 | 0.6× | 2 | 2026-03-27 |
| Henry Ford Health Providence Southfield Hospital Southfield | $3,998 | 0.7× | 1 | 2026-01-01 |
| Henry Ford Genesys Hospital Grand Blanc | $4,056 | 0.7× | 3 | 2026-01-01 |
| Corewell Health Dearborn Hospital Dearborn | $5,672 | 0.9× | 1 | 2026-05-01 |
| Corewell Health Beaumont Grosse Pointe Hospital Grosse Pointe | $5,672 | 0.9× | 2 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit Royal Oak | $5,672 | 0.9× | 2 | 2026-05-01 |
| Corewell Health Wayne Hospital Wayne | $5,672 | 0.9× | 2 | 2026-05-01 |
| Corewell Health Farmington Hills Hospital Farmington Hills | $5,672 | 0.9× | 2 | 2026-05-01 |
| Corewell Health Trenton Hospital Trenton | $5,672 | 0.9× | 2 | 2026-05-01 |
| Corewell Health Taylor Hospital Taylor | $5,672 | 0.9× | 2 | 2026-05-01 |
| Munson Healthcare Grayling Hospital Grayling | $6,024 | 1.0× | 8 | 2026-04-17 |
| Munson Medical Center Traverse City | $6,310 | 1.1× | 8 | 2026-04-17 |
| Mclaren Northern Michigan Petoskey | $6,310 | 1.1× | 2 | 2025-12-31 |
| Trinity Health Oakland Hospital Pontiac | $6,315 | 1.1× | 22 | 2026-03-31 |
| Munson Healthcare Manistee Hospital Manistee | $6,359 | 1.1× | 4 | 2026-04-17 |
| Karmanos Cancer Center Detroit | $6,414 | 1.1× | 2 | 2025-12-31 |
| Munson Healthcare Cadillac Hospital Cadillac | $6,458 | 1.1× | 7 | 2026-04-17 |
| Mclaren Flint Flint | $6,582 | 1.1× | 2 | 2025-12-31 |
| Mclaren Bay Region Bay City | $6,693 | 1.1× | 1 | 2025-12-31 |
| Munson Healthcare Otsego Memorial Hospital Gaylord | $6,694 | 1.1× | 2 | 2026-04-17 |
| Trinity Health Ann Arbor Hospital Ann Arbor | $6,740 | 1.1× | 16 | 2026-03-31 |
| Mclaren Greater Lansing Lansing | $6,772 | 1.1× | 2 | 2025-12-31 |
| Trinity Health Muskegon Hospital Muskegon | $7,041 | 1.2× | 22 | 2026-03-31 |
| Corewell Health Zeeland Hospital Zeeland | $7,148 | 1.2× | 2 | 2026-05-01 |
| Corewell Health Big Rapids Hospital Big Rapids | $7,148 | 1.2× | 2 | 2026-05-01 |
| Corewell Health Gerber Hospital Fremont | $7,148 | 1.2× | 2 | 2026-05-01 |
| Corewell Health Pennock Hospital Hastings | $7,148 | 1.2× | 2 | 2026-05-01 |
| Trinity Health Grand Rapids Hospital Grand Rapids | $7,152 | 1.2× | 22 | 2026-03-31 |
| Henry Ford Health Rochester Hospital Rochester | $7,435 | 1.2× | 1 | 2026-01-01 |
| Mclaren Macomb Mount Clemens | $8,754 | 1.4× | 2 | 2025-12-31 |
| Corewell Health Lakeland Hospitals St Joseph Hospi St Joseph | $8,799 | 1.5× | 1 | 2026-05-01 |
| Henry Ford Health West Bloomfield Hospital West Bloomfield | $8,924 | 1.5× | 8 | 2026-06-28 |
| Henry Ford Health Macomb Hospital Clinton Township | $8,938 | 1.5× | 8 | 2026-06-28 |
| Wyandotte Hospital And Medical Center Wyandotte | $8,964 | 1.5× | 8 | 2026-06-28 |
| Harper University Hospital Detroit | $9,407 | 1.6× | 1 | 2026-09-02 |
| Huron Valley-Sinai Hospital Commerce Township | $9,407 | 1.6× | 1 | 2026-05-20 |
| Henry Ford Health Hospital Detroit | $10,167 | 1.7× | 8 | 2026-06-28 |
| Henry Ford Health Jackson Hospital Jackson | $10,421 | 1.7× | 7 | 2026-06-28 |
MS-DRG 627
| Hospital | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|
| Henry Ford Genesys Hospital Grand Blanc | $9,588 | 1.0× | 8 | 2026-01-01 |
| Henry Ford Health -St John Hospital Detroit | $11,231 | 1.2× | 8 | 2026-01-01 |
| Henry Ford Health Warren Hospital Warren | $11,231 | 1.2× | 8 | 2026-01-01 |
| Henry Ford Health River District Hospital East China | $11,231 | 1.2× | 8 | 2026-01-01 |
| Munson Healthcare Cadillac Hospital Cadillac | $12,067 | 1.3× | 7 | 2026-04-17 |
| Hillsdale Hospital Hillsdale | $12,619 | 1.3× | 4 | 2026-01-23 |
| Munson Healthcare Grayling Hospital Grayling | $13,708 | 1.5× | 8 | 2026-04-17 |
| Henry Ford Health Providence Southfield Hospital Southfield | $14,445 | 1.5× | 2 | 2026-01-01 |
| Corewell Health Zeeland Hospital Zeeland | $15,612 | 1.7× | 4 | 2026-05-01 |
| Munson Medical Center Traverse City | $16,029 | 1.7× | 9 | 2026-04-17 |
| Munson Healthcare Otsego Memorial Hospital Gaylord | $16,029 | 1.7× | 5 | 2026-04-17 |
| Mclaren Flint Flint | $16,520 | 1.8× | 2 | 2025-12-31 |
| Karmanos Cancer Center Detroit | $17,211 | 1.8× | 4 | 2025-12-31 |
| Munson Healthcare Manistee Hospital Manistee | $17,282 | 1.8× | 5 | 2026-04-17 |
| Mclaren Greater Lansing Lansing | $17,687 | 1.9× | 2 | 2025-12-31 |
| Corewell Health Gerber Hospital Fremont | $17,707 | 1.9× | 3 | 2026-05-01 |
| Garden City Hospital Garden City | $17,748 | 1.9× | 4 | 2026-09-01 |
| Oaklawn Hospital Marshall | $17,852 | 1.9× | 3 | 2026-03-27 |
| Corewell Health Pennock Hospital Hastings | $17,952 | 1.9× | 3 | 2026-05-01 |
| Henry Ford Health Macomb Hospital Clinton Township | $18,100 | 1.9× | 9 | 2026-06-28 |
| Wyandotte Hospital And Medical Center Wyandotte | $18,132 | 1.9× | 9 | 2026-06-28 |
| Corewell Health Beaumont Grosse Pointe Hospital Grosse Pointe | $18,195 | 1.9× | 5 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit Royal Oak | $18,195 | 1.9× | 5 | 2026-05-01 |
| Corewell Health Wayne Hospital Wayne | $18,195 | 1.9× | 5 | 2026-05-01 |
| Corewell Health Farmington Hills Hospital Farmington Hills | $18,195 | 1.9× | 6 | 2026-05-01 |
| Corewell Health Trenton Hospital Trenton | $18,195 | 1.9× | 5 | 2026-05-01 |
| Corewell Health Taylor Hospital Taylor | $18,195 | 1.9× | 5 | 2026-05-01 |
| Corewell Health Dearborn Hospital Dearborn | $18,401 | 1.9× | 4 | 2026-05-01 |
| Henry Ford Health West Bloomfield Hospital West Bloomfield | $18,504 | 2.0× | 9 | 2026-06-28 |
| Corewell Health Big Rapids Hospital Big Rapids | $18,689 | 2.0× | 3 | 2026-05-01 |
| Henry Ford Health Rochester Hospital Rochester | $18,978 | 2.0× | 2 | 2026-01-01 |
| Henry Ford Health Jackson Hospital Jackson | $21,217 | 2.3× | 9 | 2026-06-28 |
| Corewell Health Ludington Hospital Ludington | $22,032 | 2.3× | 3 | 2026-05-01 |
| Mclaren Macomb Mount Clemens | $22,858 | 2.4× | 2 | 2025-12-31 |
| Corewell Health Lakeland Hospitals St Joseph Hospi St Joseph | $23,463 | 2.5× | 2 | 2026-05-01 |
| Henry Ford Health Hospital Detroit | $24,250 | 2.6× | 9 | 2026-06-28 |
| University Of Michigan Health Ann Arbor | $24,306 | 2.6× | 2 | 2026-03-31 |
| Huron Valley-Sinai Hospital Commerce Township | $27,372 | 2.9× | 2 | 2026-05-20 |
| Aspirus Iron River Hospital & Clinics, Inc Iron River | $27,629 | 2.9× | 1 | 2026-04-01 |
| Aspirus Keweenaw Hospital Laurium | $27,629 | 2.9× | 1 | 2026-04-01 |
| Aspirus Ironwood Hospital Ironwood | $27,629 | 2.9× | 1 | 2026-04-01 |
| Harper University Hospital Detroit | $27,816 | 3.0× | 2 | 2026-09-02 |
MS-DRG 626
| Hospital | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|
| Munson Healthcare Cadillac Hospital Cadillac | $12,067 | 1.1× | 7 | 2026-04-17 |
| Henry Ford Health River District Hospital East China | $13,266 | 1.3× | 8 | 2026-01-01 |
| Hillsdale Hospital Hillsdale | $14,244 | 1.3× | 4 | 2026-01-23 |
| Henry Ford Genesys Hospital Grand Blanc | $14,354 | 1.4× | 7 | 2026-01-01 |
| Munson Healthcare Grayling Hospital Grayling | $15,474 | 1.5× | 8 | 2026-04-17 |
| Henry Ford Health Warren Hospital Warren | $15,770 | 1.5× | 8 | 2026-01-01 |
| Henry Ford Health -St John Hospital Detroit | $16,247 | 1.5× | 8 | 2026-01-01 |
| Henry Ford Health Providence Southfield Hospital Southfield | $16,591 | 1.6× | 2 | 2026-01-01 |
| Corewell Health Zeeland Hospital Zeeland | $17,624 | 1.7× | 4 | 2026-05-01 |
| Munson Medical Center Traverse City | $18,094 | 1.7× | 9 | 2026-04-17 |
| Munson Healthcare Otsego Memorial Hospital Gaylord | $18,094 | 1.7× | 5 | 2026-04-17 |
| Mclaren Flint Flint | $19,381 | 1.8× | 2 | 2025-12-31 |
| Munson Healthcare Manistee Hospital Manistee | $19,508 | 1.8× | 5 | 2026-04-17 |
| Garden City Hospital Garden City | $19,955 | 1.9× | 4 | 2026-09-01 |
| Oaklawn Hospital Marshall | $20,152 | 1.9× | 3 | 2026-03-27 |
| Wyandotte Hospital And Medical Center Wyandotte | $20,396 | 1.9× | 9 | 2026-06-28 |
| Corewell Health Beaumont Grosse Pointe Hospital Grosse Pointe | $20,539 | 1.9× | 5 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit Royal Oak | $20,539 | 1.9× | 5 | 2026-05-01 |
| Corewell Health Wayne Hospital Wayne | $20,539 | 1.9× | 5 | 2026-05-01 |
| Corewell Health Farmington Hills Hospital Farmington Hills | $20,539 | 1.9× | 6 | 2026-05-01 |
| Corewell Health Trenton Hospital Trenton | $20,539 | 1.9× | 5 | 2026-05-01 |
| Corewell Health Taylor Hospital Taylor | $20,539 | 1.9× | 5 | 2026-05-01 |
| Corewell Health Dearborn Hospital Dearborn | $20,772 | 1.9× | 4 | 2026-05-01 |
| Karmanos Cancer Center Detroit | $20,774 | 1.9× | 4 | 2025-12-31 |
| Henry Ford Health Macomb Hospital Clinton Township | $20,848 | 2.0× | 9 | 2026-06-28 |
| Henry Ford Health West Bloomfield Hospital West Bloomfield | $21,183 | 2.0× | 9 | 2026-06-28 |
| Corewell Health Gerber Hospital Fremont | $21,373 | 2.0× | 3 | 2026-05-01 |
| Corewell Health Pennock Hospital Hastings | $21,669 | 2.0× | 3 | 2026-05-01 |
| Henry Ford Health Rochester Hospital Rochester | $22,556 | 2.1× | 2 | 2026-01-01 |
| Corewell Health Big Rapids Hospital Big Rapids | $22,559 | 2.1× | 3 | 2026-05-01 |
| Holland Hospital Holland | $23,922 | 2.3× | 12 | 2026-09-21 |
| Corewell Health Ludington Hospital Ludington | $24,870 | 2.3× | 3 | 2026-05-01 |
| Henry Ford Health Jackson Hospital Jackson | $25,277 | 2.4× | 9 | 2026-06-28 |
| Corewell Health Lakeland Hospitals St Joseph Hospi St Joseph | $27,602 | 2.6× | 2 | 2026-05-01 |
| University Of Michigan Health Ann Arbor | $28,241 | 2.6× | 2 | 2026-03-31 |
| Henry Ford Health Hospital Detroit | $30,381 | 2.9× | 9 | 2026-06-28 |
| Aspirus Iron River Hospital & Clinics, Inc Iron River | $31,188 | 2.9× | 1 | 2026-04-01 |
| Aspirus Keweenaw Hospital Laurium | $31,188 | 2.9× | 1 | 2026-04-01 |
| Aspirus Ironwood Hospital Ironwood | $31,188 | 2.9× | 1 | 2026-04-01 |
| Huron Valley-Sinai Hospital Commerce Township | $32,088 | 3.0× | 2 | 2026-05-20 |
| Harper University Hospital Detroit | $32,686 | 3.1× | 2 | 2026-09-02 |
| Trinity Health Grand Rapids Hospital Grand Rapids | $37,697 | 3.5× | 23 | 2026-03-31 |
| Trinity Health Ann Arbor Hospital Ann Arbor | $38,455 | 3.6× | 17 | 2026-03-31 |
| Trinity Health Livonia Hospital Livonia | $41,039 | 3.9× | 24 | 2026-03-31 |
MS-DRG 625
| Hospital | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|
| Munson Healthcare Cadillac Hospital Cadillac | $23,799 | 1.1× | 5 | 2026-04-17 |
| Hillsdale Hospital Hillsdale | $28,199 | 1.3× | 4 | 2026-01-23 |
| Corewell Health Zeeland Hospital Zeeland | $31,080 | 1.4× | 4 | 2026-05-01 |
| Munson Healthcare Grayling Hospital Grayling | $31,166 | 1.5× | 8 | 2026-04-17 |
| Karmanos Cancer Center Detroit | $31,484 | 1.5× | 3 | 2025-12-31 |
| Henry Ford Health River District Hospital East China | $32,252 | 1.5× | 4 | 2026-01-01 |
| Henry Ford Genesys Hospital Grand Blanc | $32,589 | 1.5× | 4 | 2026-01-01 |
| Henry Ford Health Warren Hospital Warren | $33,730 | 1.6× | 4 | 2026-01-01 |
| Henry Ford Health Rochester Hospital Rochester | $33,770 | 1.6× | 2 | 2026-01-01 |
| Henry Ford Health -St John Hospital Detroit | $34,211 | 1.6× | 4 | 2026-01-01 |
| Henry Ford Health Providence Southfield Hospital Southfield | $35,759 | 1.7× | 1 | 2026-01-01 |
| Munson Medical Center Traverse City | $36,444 | 1.7× | 9 | 2026-04-17 |
| Munson Healthcare Otsego Memorial Hospital Gaylord | $36,444 | 1.7× | 5 | 2026-04-17 |
| Garden City Hospital Garden City | $39,061 | 1.8× | 4 | 2026-09-01 |
| Munson Healthcare Manistee Hospital Manistee | $39,293 | 1.8× | 5 | 2026-04-17 |
| Corewell Health Big Rapids Hospital Big Rapids | $39,556 | 1.9× | 3 | 2026-05-01 |
| Corewell Health Gerber Hospital Fremont | $39,556 | 1.9× | 3 | 2026-05-01 |
| Corewell Health Pennock Hospital Hastings | $39,556 | 1.9× | 3 | 2026-05-01 |
| Henry Ford Health Macomb Hospital Clinton Township | $40,421 | 1.9× | 9 | 2026-06-28 |
| Wyandotte Hospital And Medical Center Wyandotte | $40,523 | 1.9× | 9 | 2026-06-28 |
| Oaklawn Hospital Marshall | $40,589 | 1.9× | 3 | 2026-03-27 |
| Mclaren Macomb Mount Clemens | $41,328 | 1.9× | 2 | 2025-12-31 |
| Corewell Health Beaumont Grosse Pointe Hospital Grosse Pointe | $41,370 | 1.9× | 5 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit Royal Oak | $41,370 | 1.9× | 5 | 2026-05-01 |
| Corewell Health Wayne Hospital Wayne | $41,370 | 1.9× | 5 | 2026-05-01 |
| Corewell Health Farmington Hills Hospital Farmington Hills | $41,370 | 1.9× | 6 | 2026-05-01 |
| Corewell Health Trenton Hospital Trenton | $41,370 | 1.9× | 5 | 2026-05-01 |
| Corewell Health Taylor Hospital Taylor | $41,370 | 1.9× | 5 | 2026-05-01 |
| Henry Ford Health West Bloomfield Hospital West Bloomfield | $41,688 | 1.9× | 9 | 2026-06-28 |
| Corewell Health Dearborn Hospital Dearborn | $41,785 | 1.9× | 4 | 2026-05-01 |
| Corewell Health Lakeland Hospitals St Joseph Hospi St Joseph | $44,098 | 2.1× | 2 | 2026-05-01 |
| Trinity Health Oakland Hospital Pontiac | $44,662 | 2.1× | 24 | 2026-03-31 |
| University Of Michigan Health Ann Arbor | $46,168 | 2.1× | 2 | 2026-03-31 |
| Henry Ford Health Jackson Hospital Jackson | $48,016 | 2.2× | 9 | 2026-06-28 |
| Corewell Health Ludington Hospital Ludington | $50,092 | 2.3× | 3 | 2026-05-01 |
| Trinity Health Ann Arbor Hospital Ann Arbor | $51,803 | 2.4× | 16 | 2026-03-31 |
| Huron Valley-Sinai Hospital Commerce Township | $52,386 | 2.5× | 2 | 2026-05-20 |
| Harper University Hospital Detroit | $52,587 | 2.5× | 2 | 2026-09-02 |
| Henry Ford Health Hospital Detroit | $59,207 | 2.8× | 9 | 2026-06-28 |
| Aspirus Iron River Hospital & Clinics, Inc Iron River | $62,818 | 2.9× | 1 | 2026-04-01 |
| Aspirus Keweenaw Hospital Laurium | $62,818 | 2.9× | 1 | 2026-04-01 |
| Aspirus Ironwood Hospital Ironwood | $62,818 | 2.9× | 1 | 2026-04-01 |
Questions
How much do insurers pay for thyroidectomy in Michigan?
50 Michigan hospitals post usable commercial rates for thyroidectomy in their federal price-transparency files. For CPT 60240, hospital outpatient, the median across 38 hospitals is $6,694, 1.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.