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Service Code CPT 99483
Hospital Charge Code 51000106
Hospital Revenue Code 510
Min. Negotiated Rate $52.94
Max. Negotiated Rate $444.92
Rate for Payer: Aetna Commercial $202.60
Rate for Payer: Aetna Medicare $105.27
Rate for Payer: Aetna New Business (MI Preferred) $154.93
Rate for Payer: Allen County Amish Medical Aid Commercial $126.53
Rate for Payer: Amish Plain Church Group Commercial $126.53
Rate for Payer: BCBS Complete $55.59
Rate for Payer: BCBS MAPPO $101.22
Rate for Payer: BCBS Trust/PPO $444.92
Rate for Payer: BCN Commercial $444.92
Rate for Payer: BCN Medicare Advantage $101.22
Rate for Payer: Cash Price $190.68
Rate for Payer: Cash Price $190.68
Rate for Payer: Cofinity Advantage $166.84
Rate for Payer: Cofinity Commercial $204.98
Rate for Payer: Encore Health Key Benefits Commercial $190.68
Rate for Payer: Health Alliance Plan Medicare Advantage $101.22
Rate for Payer: Healthscope Commercial $214.51
Rate for Payer: Mclaren Medicaid $52.94
Rate for Payer: Mclaren Medicare $101.22
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage $106.28
Rate for Payer: Meridian Medicaid $106.28
Rate for Payer: MI Amish Medical Board Commercial $116.40
Rate for Payer: Molina Medicare/Medicaid $111.34
Rate for Payer: Multiplan/Beech St/PHCS Commercial $202.60
Rate for Payer: Nomi Health Commercial $303.66
Rate for Payer: Opus (Opus Packaging Group) HMA $178.76
Rate for Payer: PACE Medicare $96.16
Rate for Payer: PACE SWMI $101.22
Rate for Payer: PHP Commercial $202.60
Rate for Payer: PHP Medicare Advantage $101.22
Rate for Payer: Priority Health Choice Medicaid $52.94
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network $327.36
Rate for Payer: Priority Health Medicare $101.22
Rate for Payer: Priority Health SBD $150.16
Rate for Payer: Priority Health Tiered Network $261.89
Rate for Payer: Railroad Medicare Medicare $101.22
Rate for Payer: UHC All Payor (Choice/PPO) $154.93
Rate for Payer: UHC Core $124.18
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage $101.22
Rate for Payer: UHC Exchange $93.67
Rate for Payer: UHC Medicaid $52.94
Rate for Payer: UHCCP Medicaid $52.94
Rate for Payer: VA VA $101.22
Service Code HCPCS V2787
Hospital Charge Code 27600002
Hospital Revenue Code 276
Min. Negotiated Rate $643.52
Max. Negotiated Rate $1,473.71
Rate for Payer: Aetna Commercial $1,391.84
Rate for Payer: Aetna Medicare $818.73
Rate for Payer: Aetna New Business (MI Preferred) $1,064.35
Rate for Payer: BCBS Complete $654.98
Rate for Payer: Cash Price $1,309.97
Rate for Payer: Cofinity Advantage $1,146.22
Rate for Payer: Cofinity Commercial $1,408.22
Rate for Payer: Encore Health Key Benefits Commercial $1,309.97
Rate for Payer: Healthscope Commercial $1,473.71
Rate for Payer: MI Amish Medical Board Commercial $1,309.97
Rate for Payer: Multiplan/Beech St/PHCS Commercial $1,391.84
Rate for Payer: Opus (Opus Packaging Group) HMA $1,228.10
Rate for Payer: PHP Commercial $1,391.84
Rate for Payer: Priority Health SBD $1,031.60
Rate for Payer: UHC All Payor (Choice/PPO) $1,064.35
Rate for Payer: UHC Core $853.12
Rate for Payer: UHC Exchange $643.52
Service Code HCPCS V2787
Hospital Charge Code 27600002
Hospital Revenue Code 276
Min. Negotiated Rate $1,031.60
Max. Negotiated Rate $1,473.71
Rate for Payer: Aetna Commercial $1,391.84
Rate for Payer: Aetna New Business (MI Preferred) $1,064.35
Rate for Payer: Cash Price $1,309.97
Rate for Payer: Cofinity Advantage $1,146.22
Rate for Payer: Cofinity Commercial $1,408.22
Rate for Payer: Encore Health Key Benefits Commercial $1,309.97
Rate for Payer: Healthscope Commercial $1,473.71
Rate for Payer: Multiplan/Beech St/PHCS Commercial $1,391.84
Rate for Payer: Opus (Opus Packaging Group) HMA $1,228.10
Rate for Payer: PHP Commercial $1,391.84
Rate for Payer: Priority Health SBD $1,031.60
Service Code CPT 0236T
Hospital Charge Code 36100300
Hospital Revenue Code 361
Min. Negotiated Rate $9,568.04
Max. Negotiated Rate $13,668.63
Rate for Payer: Aetna Commercial $12,909.26
Rate for Payer: Aetna New Business (MI Preferred) $9,871.79
Rate for Payer: Cash Price $12,149.90
Rate for Payer: Cofinity Advantage $10,631.16
Rate for Payer: Cofinity Commercial $13,061.14
Rate for Payer: Encore Health Key Benefits Commercial $12,149.90
Rate for Payer: Healthscope Commercial $13,668.63
Rate for Payer: Multiplan/Beech St/PHCS Commercial $12,909.26
Rate for Payer: Opus (Opus Packaging Group) HMA $11,390.53
Rate for Payer: PHP Commercial $12,909.26
Rate for Payer: Priority Health SBD $9,568.04
Service Code CPT 0236T
Hospital Charge Code 36100300
Hospital Revenue Code 361
Min. Negotiated Rate $6,015.90
Max. Negotiated Rate $37,198.61
Rate for Payer: Aetna Commercial $12,909.26
Rate for Payer: Aetna Medicare $11,962.79
Rate for Payer: Aetna New Business (MI Preferred) $9,871.79
Rate for Payer: Allen County Amish Medical Aid Commercial $14,378.35
Rate for Payer: Amish Plain Church Group Commercial $14,378.35
Rate for Payer: BCBS Complete $6,317.27
Rate for Payer: BCBS MAPPO $11,502.68
Rate for Payer: BCBS Trust/PPO $6,695.86
Rate for Payer: BCN Commercial $6,695.86
Rate for Payer: BCN Medicare Advantage $11,502.68
Rate for Payer: Cash Price $12,149.90
Rate for Payer: Cash Price $12,149.90
Rate for Payer: Cash Price $12,149.90
Rate for Payer: Cofinity Advantage $10,631.16
Rate for Payer: Cofinity Commercial $13,061.14
Rate for Payer: Encore Health Key Benefits Commercial $12,149.90
Rate for Payer: Health Alliance Plan Medicare Advantage $11,502.68
Rate for Payer: Healthscope Commercial $13,668.63
Rate for Payer: Mclaren Medicaid $6,015.90
Rate for Payer: Mclaren Medicare $11,502.68
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage $12,077.81
Rate for Payer: Meridian Medicaid $12,077.81
Rate for Payer: MI Amish Medical Board Commercial $13,228.08
Rate for Payer: Molina Medicare/Medicaid $12,652.95
Rate for Payer: Multiplan/Beech St/PHCS Commercial $12,909.26
Rate for Payer: Nomi Health Commercial $34,508.04
Rate for Payer: Opus (Opus Packaging Group) HMA $11,390.53
Rate for Payer: PACE Medicare $10,927.55
Rate for Payer: PACE SWMI $11,502.68
Rate for Payer: PHP Commercial $12,909.26
Rate for Payer: PHP Medicare Advantage $11,502.68
Rate for Payer: Priority Health Choice Medicaid $6,015.90
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network $37,198.61
Rate for Payer: Priority Health Medicare $11,502.68
Rate for Payer: Priority Health SBD $9,568.04
Rate for Payer: Priority Health Tiered Network $29,758.89
Rate for Payer: Railroad Medicare Medicare $11,502.68
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage $11,502.68
Rate for Payer: UHC Medicaid $6,015.90
Rate for Payer: UHCCP Medicaid $6,015.90
Rate for Payer: VA VA $11,502.68
Service Code CPT 0237T
Hospital Charge Code 36100301
Hospital Revenue Code 361
Min. Negotiated Rate $9,568.04
Max. Negotiated Rate $13,668.63
Rate for Payer: Aetna Commercial $12,909.26
Rate for Payer: Aetna New Business (MI Preferred) $9,871.79
Rate for Payer: Cash Price $12,149.90
Rate for Payer: Cofinity Advantage $10,631.16
Rate for Payer: Cofinity Commercial $13,061.14
Rate for Payer: Encore Health Key Benefits Commercial $12,149.90
Rate for Payer: Healthscope Commercial $13,668.63
Rate for Payer: Multiplan/Beech St/PHCS Commercial $12,909.26
Rate for Payer: Opus (Opus Packaging Group) HMA $11,390.53
Rate for Payer: PHP Commercial $12,909.26
Rate for Payer: Priority Health SBD $9,568.04
Service Code CPT 0237T
Hospital Charge Code 36100301
Hospital Revenue Code 361
Min. Negotiated Rate $6,015.90
Max. Negotiated Rate $37,198.61
Rate for Payer: Aetna Commercial $12,909.26
Rate for Payer: Aetna Medicare $11,962.79
Rate for Payer: Aetna New Business (MI Preferred) $9,871.79
Rate for Payer: Allen County Amish Medical Aid Commercial $14,378.35
Rate for Payer: Amish Plain Church Group Commercial $14,378.35
Rate for Payer: BCBS Complete $6,317.27
Rate for Payer: BCBS MAPPO $11,502.68
Rate for Payer: BCBS Trust/PPO $6,695.86
Rate for Payer: BCN Commercial $6,695.86
Rate for Payer: BCN Medicare Advantage $11,502.68
Rate for Payer: Cash Price $12,149.90
Rate for Payer: Cash Price $12,149.90
Rate for Payer: Cash Price $12,149.90
Rate for Payer: Cofinity Advantage $10,631.16
Rate for Payer: Cofinity Commercial $13,061.14
Rate for Payer: Encore Health Key Benefits Commercial $12,149.90
Rate for Payer: Health Alliance Plan Medicare Advantage $11,502.68
Rate for Payer: Healthscope Commercial $13,668.63
Rate for Payer: Mclaren Medicaid $6,015.90
Rate for Payer: Mclaren Medicare $11,502.68
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage $12,077.81
Rate for Payer: Meridian Medicaid $12,077.81
Rate for Payer: MI Amish Medical Board Commercial $13,228.08
Rate for Payer: Molina Medicare/Medicaid $12,652.95
Rate for Payer: Multiplan/Beech St/PHCS Commercial $12,909.26
Rate for Payer: Nomi Health Commercial $34,508.04
Rate for Payer: Opus (Opus Packaging Group) HMA $11,390.53
Rate for Payer: PACE Medicare $10,927.55
Rate for Payer: PACE SWMI $11,502.68
Rate for Payer: PHP Commercial $12,909.26
Rate for Payer: PHP Medicare Advantage $11,502.68
Rate for Payer: Priority Health Choice Medicaid $6,015.90
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network $37,198.61
Rate for Payer: Priority Health Medicare $11,502.68
Rate for Payer: Priority Health SBD $9,568.04
Rate for Payer: Priority Health Tiered Network $29,758.89
Rate for Payer: Railroad Medicare Medicare $11,502.68
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage $11,502.68
Rate for Payer: UHC Medicaid $6,015.90
Rate for Payer: UHCCP Medicaid $6,015.90
Rate for Payer: VA VA $11,502.68
Service Code CPT 0238T
Hospital Charge Code 36100302
Hospital Revenue Code 361
Min. Negotiated Rate $7,766.10
Max. Negotiated Rate $59,069.70
Rate for Payer: Aetna Commercial $10,478.08
Rate for Payer: Aetna Medicare $18,996.35
Rate for Payer: Aetna New Business (MI Preferred) $8,012.65
Rate for Payer: Allen County Amish Medical Aid Commercial $22,832.15
Rate for Payer: Amish Plain Church Group Commercial $22,832.15
Rate for Payer: BCBS Complete $10,031.53
Rate for Payer: BCBS MAPPO $18,265.72
Rate for Payer: BCBS Trust/PPO $10,299.72
Rate for Payer: BCN Commercial $10,299.72
Rate for Payer: BCN Medicare Advantage $18,265.72
Rate for Payer: Cash Price $9,861.72
Rate for Payer: Cash Price $9,861.72
Rate for Payer: Cash Price $9,861.72
Rate for Payer: Cofinity Advantage $8,629.00
Rate for Payer: Cofinity Commercial $10,601.35
Rate for Payer: Encore Health Key Benefits Commercial $9,861.72
Rate for Payer: Health Alliance Plan Medicare Advantage $18,265.72
Rate for Payer: Healthscope Commercial $11,094.43
Rate for Payer: Mclaren Medicaid $9,552.97
Rate for Payer: Mclaren Medicare $18,265.72
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage $19,179.01
Rate for Payer: Meridian Medicaid $19,179.01
Rate for Payer: MI Amish Medical Board Commercial $21,005.58
Rate for Payer: Molina Medicare/Medicaid $20,092.29
Rate for Payer: Multiplan/Beech St/PHCS Commercial $10,478.08
Rate for Payer: Nomi Health Commercial $54,797.16
Rate for Payer: Opus (Opus Packaging Group) HMA $9,245.36
Rate for Payer: PACE Medicare $17,352.43
Rate for Payer: PACE SWMI $18,265.72
Rate for Payer: PHP Commercial $10,478.08
Rate for Payer: PHP Medicare Advantage $18,265.72
Rate for Payer: Priority Health Choice Medicaid $9,552.97
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network $59,069.70
Rate for Payer: Priority Health Medicare $18,265.72
Rate for Payer: Priority Health SBD $7,766.10
Rate for Payer: Priority Health Tiered Network $47,255.76
Rate for Payer: Railroad Medicare Medicare $18,265.72
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage $18,265.72
Rate for Payer: UHC Medicaid $9,552.97
Rate for Payer: UHCCP Medicaid $9,552.97
Rate for Payer: VA VA $18,265.72
Service Code CPT 0238T
Hospital Charge Code 36100302
Hospital Revenue Code 361
Min. Negotiated Rate $7,766.10
Max. Negotiated Rate $11,094.43
Rate for Payer: Aetna Commercial $10,478.08
Rate for Payer: Aetna New Business (MI Preferred) $8,012.65
Rate for Payer: Cash Price $9,861.72
Rate for Payer: Cofinity Advantage $8,629.00
Rate for Payer: Cofinity Commercial $10,601.35
Rate for Payer: Encore Health Key Benefits Commercial $9,861.72
Rate for Payer: Healthscope Commercial $11,094.43
Rate for Payer: Multiplan/Beech St/PHCS Commercial $10,478.08
Rate for Payer: Opus (Opus Packaging Group) HMA $9,245.36
Rate for Payer: PHP Commercial $10,478.08
Rate for Payer: Priority Health SBD $7,766.10
Service Code CPT 0234T
Hospital Charge Code 36100304
Hospital Revenue Code 361
Min. Negotiated Rate $6,015.90
Max. Negotiated Rate $37,198.61
Rate for Payer: Aetna Commercial $11,245.42
Rate for Payer: Aetna Medicare $11,962.79
Rate for Payer: Aetna New Business (MI Preferred) $8,599.43
Rate for Payer: Allen County Amish Medical Aid Commercial $14,378.35
Rate for Payer: Amish Plain Church Group Commercial $14,378.35
Rate for Payer: BCBS Complete $6,317.27
Rate for Payer: BCBS MAPPO $11,502.68
Rate for Payer: BCBS Trust/PPO $6,695.86
Rate for Payer: BCN Commercial $6,695.86
Rate for Payer: BCN Medicare Advantage $11,502.68
Rate for Payer: Cash Price $10,583.92
Rate for Payer: Cash Price $10,583.92
Rate for Payer: Cash Price $10,583.92
Rate for Payer: Cofinity Advantage $9,260.93
Rate for Payer: Cofinity Commercial $11,377.71
Rate for Payer: Encore Health Key Benefits Commercial $10,583.92
Rate for Payer: Health Alliance Plan Medicare Advantage $11,502.68
Rate for Payer: Healthscope Commercial $11,906.91
Rate for Payer: Mclaren Medicaid $6,015.90
Rate for Payer: Mclaren Medicare $11,502.68
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage $12,077.81
Rate for Payer: Meridian Medicaid $12,077.81
Rate for Payer: MI Amish Medical Board Commercial $13,228.08
Rate for Payer: Molina Medicare/Medicaid $12,652.95
Rate for Payer: Multiplan/Beech St/PHCS Commercial $11,245.42
Rate for Payer: Nomi Health Commercial $34,508.04
Rate for Payer: Opus (Opus Packaging Group) HMA $9,922.42
Rate for Payer: PACE Medicare $10,927.55
Rate for Payer: PACE SWMI $11,502.68
Rate for Payer: PHP Commercial $11,245.42
Rate for Payer: PHP Medicare Advantage $11,502.68
Rate for Payer: Priority Health Choice Medicaid $6,015.90
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network $37,198.61
Rate for Payer: Priority Health Medicare $11,502.68
Rate for Payer: Priority Health SBD $8,334.84
Rate for Payer: Priority Health Tiered Network $29,758.89
Rate for Payer: Railroad Medicare Medicare $11,502.68
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage $11,502.68
Rate for Payer: UHC Medicaid $6,015.90
Rate for Payer: UHCCP Medicaid $6,015.90
Rate for Payer: VA VA $11,502.68
Service Code CPT 0234T
Hospital Charge Code 36100304
Hospital Revenue Code 361
Min. Negotiated Rate $8,334.84
Max. Negotiated Rate $11,906.91
Rate for Payer: Aetna Commercial $11,245.42
Rate for Payer: Aetna New Business (MI Preferred) $8,599.43
Rate for Payer: Cash Price $10,583.92
Rate for Payer: Cofinity Advantage $9,260.93
Rate for Payer: Cofinity Commercial $11,377.71
Rate for Payer: Encore Health Key Benefits Commercial $10,583.92
Rate for Payer: Healthscope Commercial $11,906.91
Rate for Payer: Multiplan/Beech St/PHCS Commercial $11,245.42
Rate for Payer: Opus (Opus Packaging Group) HMA $9,922.42
Rate for Payer: PHP Commercial $11,245.42
Rate for Payer: Priority Health SBD $8,334.84
Service Code CPT 0235T
Hospital Charge Code 36100303
Hospital Revenue Code 361
Min. Negotiated Rate $8,334.84
Max. Negotiated Rate $11,906.91
Rate for Payer: Aetna Commercial $11,245.42
Rate for Payer: Aetna New Business (MI Preferred) $8,599.43
Rate for Payer: Cash Price $10,583.92
Rate for Payer: Cofinity Advantage $9,260.93
Rate for Payer: Cofinity Commercial $11,377.71
Rate for Payer: Encore Health Key Benefits Commercial $10,583.92
Rate for Payer: Healthscope Commercial $11,906.91
Rate for Payer: Multiplan/Beech St/PHCS Commercial $11,245.42
Rate for Payer: Opus (Opus Packaging Group) HMA $9,922.42
Rate for Payer: PHP Commercial $11,245.42
Rate for Payer: Priority Health SBD $8,334.84
Service Code CPT 0235T
Hospital Charge Code 36100303
Hospital Revenue Code 361
Min. Negotiated Rate $384.10
Max. Negotiated Rate $11,906.91
Rate for Payer: Aetna Commercial $11,245.42
Rate for Payer: Aetna Medicare $6,614.95
Rate for Payer: Aetna New Business (MI Preferred) $8,599.43
Rate for Payer: BCBS Complete $5,291.96
Rate for Payer: BCBS Trust/PPO $384.10
Rate for Payer: BCN Commercial $384.10
Rate for Payer: Cash Price $10,583.92
Rate for Payer: Cash Price $10,583.92
Rate for Payer: Cofinity Advantage $9,260.93
Rate for Payer: Cofinity Commercial $11,377.71
Rate for Payer: Encore Health Key Benefits Commercial $10,583.92
Rate for Payer: Healthscope Commercial $11,906.91
Rate for Payer: MI Amish Medical Board Commercial $10,583.92
Rate for Payer: Multiplan/Beech St/PHCS Commercial $11,245.42
Rate for Payer: Opus (Opus Packaging Group) HMA $9,922.42
Rate for Payer: PHP Commercial $11,245.42
Rate for Payer: Priority Health SBD $8,334.84
Hospital Charge Code 27000088
Hospital Revenue Code 270
Min. Negotiated Rate $902.12
Max. Negotiated Rate $2,065.91
Rate for Payer: Aetna Commercial $1,951.14
Rate for Payer: Aetna Medicare $1,147.73
Rate for Payer: Aetna New Business (MI Preferred) $1,492.05
Rate for Payer: BCBS Complete $918.18
Rate for Payer: Cash Price $1,836.37
Rate for Payer: Cofinity Advantage $1,606.82
Rate for Payer: Cofinity Commercial $1,974.10
Rate for Payer: Encore Health Key Benefits Commercial $1,836.37
Rate for Payer: Healthscope Commercial $2,065.91
Rate for Payer: MI Amish Medical Board Commercial $1,836.37
Rate for Payer: Multiplan/Beech St/PHCS Commercial $1,951.14
Rate for Payer: Opus (Opus Packaging Group) HMA $1,721.60
Rate for Payer: PHP Commercial $1,951.14
Rate for Payer: Priority Health SBD $1,446.14
Rate for Payer: UHC All Payor (Choice/PPO) $1,492.05
Rate for Payer: UHC Core $1,195.93
Rate for Payer: UHC Exchange $902.12
Hospital Charge Code 27000088
Hospital Revenue Code 270
Min. Negotiated Rate $1,446.14
Max. Negotiated Rate $2,065.91
Rate for Payer: Aetna Commercial $1,951.14
Rate for Payer: Aetna New Business (MI Preferred) $1,492.05
Rate for Payer: Cash Price $1,836.37
Rate for Payer: Cofinity Advantage $1,606.82
Rate for Payer: Cofinity Commercial $1,974.10
Rate for Payer: Encore Health Key Benefits Commercial $1,836.37
Rate for Payer: Healthscope Commercial $2,065.91
Rate for Payer: Multiplan/Beech St/PHCS Commercial $1,951.14
Rate for Payer: Opus (Opus Packaging Group) HMA $1,721.60
Rate for Payer: PHP Commercial $1,951.14
Rate for Payer: Priority Health SBD $1,446.14
Hospital Charge Code 27000089
Hospital Revenue Code 270
Min. Negotiated Rate $987.76
Max. Negotiated Rate $1,411.08
Rate for Payer: Aetna Commercial $1,332.69
Rate for Payer: Aetna New Business (MI Preferred) $1,019.12
Rate for Payer: Cash Price $1,254.30
Rate for Payer: Cofinity Advantage $1,097.51
Rate for Payer: Cofinity Commercial $1,348.37
Rate for Payer: Encore Health Key Benefits Commercial $1,254.30
Rate for Payer: Healthscope Commercial $1,411.08
Rate for Payer: Multiplan/Beech St/PHCS Commercial $1,332.69
Rate for Payer: Opus (Opus Packaging Group) HMA $1,175.90
Rate for Payer: PHP Commercial $1,332.69
Rate for Payer: Priority Health SBD $987.76
Hospital Charge Code 27000089
Hospital Revenue Code 270
Min. Negotiated Rate $616.17
Max. Negotiated Rate $1,411.08
Rate for Payer: Aetna Commercial $1,332.69
Rate for Payer: Aetna Medicare $783.93
Rate for Payer: Aetna New Business (MI Preferred) $1,019.12
Rate for Payer: BCBS Complete $627.15
Rate for Payer: Cash Price $1,254.30
Rate for Payer: Cofinity Advantage $1,097.51
Rate for Payer: Cofinity Commercial $1,348.37
Rate for Payer: Encore Health Key Benefits Commercial $1,254.30
Rate for Payer: Healthscope Commercial $1,411.08
Rate for Payer: MI Amish Medical Board Commercial $1,254.30
Rate for Payer: Multiplan/Beech St/PHCS Commercial $1,332.69
Rate for Payer: Opus (Opus Packaging Group) HMA $1,175.90
Rate for Payer: PHP Commercial $1,332.69
Rate for Payer: Priority Health SBD $987.76
Rate for Payer: UHC All Payor (Choice/PPO) $1,019.12
Rate for Payer: UHC Core $816.86
Rate for Payer: UHC Exchange $616.17
Service Code CPT 86631
Hospital Charge Code 30200240
Hospital Revenue Code 302
Min. Negotiated Rate $10.03
Max. Negotiated Rate $14.33
Rate for Payer: Aetna Commercial $13.53
Rate for Payer: Aetna New Business (MI Preferred) $10.35
Rate for Payer: Cash Price $12.74
Rate for Payer: Cofinity Advantage $11.14
Rate for Payer: Cofinity Commercial $13.69
Rate for Payer: Encore Health Key Benefits Commercial $12.74
Rate for Payer: Healthscope Commercial $14.33
Rate for Payer: Multiplan/Beech St/PHCS Commercial $13.53
Rate for Payer: Opus (Opus Packaging Group) HMA $11.94
Rate for Payer: PHP Commercial $13.53
Rate for Payer: Priority Health SBD $10.03
Service Code CPT 86631
Hospital Charge Code 30200240
Hospital Revenue Code 302
Min. Negotiated Rate $6.18
Max. Negotiated Rate $35.46
Rate for Payer: Aetna Commercial $13.53
Rate for Payer: Aetna Medicare $12.29
Rate for Payer: Aetna New Business (MI Preferred) $10.35
Rate for Payer: Allen County Amish Medical Aid Commercial $14.78
Rate for Payer: Amish Plain Church Group Commercial $14.78
Rate for Payer: BCBS Complete $6.49
Rate for Payer: BCBS MAPPO $11.82
Rate for Payer: BCBS Trust/PPO $12.61
Rate for Payer: BCN Commercial $12.61
Rate for Payer: BCN Medicare Advantage $11.82
Rate for Payer: Cash Price $12.74
Rate for Payer: Cash Price $12.74
Rate for Payer: Cofinity Advantage $11.14
Rate for Payer: Cofinity Commercial $13.69
Rate for Payer: Encore Health Key Benefits Commercial $12.74
Rate for Payer: Health Alliance Plan Medicare Advantage $11.82
Rate for Payer: Healthscope Commercial $14.33
Rate for Payer: Mclaren Medicaid $6.18
Rate for Payer: Mclaren Medicare $11.82
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage $12.41
Rate for Payer: Meridian Medicaid $12.41
Rate for Payer: MI Amish Medical Board Commercial $13.59
Rate for Payer: Molina Medicare/Medicaid $13.00
Rate for Payer: Multiplan/Beech St/PHCS Commercial $13.53
Rate for Payer: Nomi Health Commercial $35.46
Rate for Payer: Opus (Opus Packaging Group) HMA $11.94
Rate for Payer: PACE Medicare $11.23
Rate for Payer: PACE SWMI $11.82
Rate for Payer: PHP Commercial $13.53
Rate for Payer: PHP Medicare Advantage $11.82
Rate for Payer: Priority Health Choice Medicaid $6.18
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network $11.82
Rate for Payer: Priority Health Medicare $11.82
Rate for Payer: Priority Health SBD $10.03
Rate for Payer: Priority Health Tiered Network $9.46
Rate for Payer: Railroad Medicare Medicare $11.82
Rate for Payer: UHC All Payor (Choice/PPO) $17.73
Rate for Payer: UHC Core $17.73
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage $11.82
Rate for Payer: UHC Exchange $17.73
Rate for Payer: UHC Medicaid $6.18
Rate for Payer: UHCCP Medicaid $6.18
Rate for Payer: VA VA $11.82
Service Code CPT 86632
Hospital Charge Code 30200243
Hospital Revenue Code 302
Min. Negotiated Rate $10.03
Max. Negotiated Rate $14.33
Rate for Payer: Aetna Commercial $13.53
Rate for Payer: Aetna New Business (MI Preferred) $10.35
Rate for Payer: Cash Price $12.74
Rate for Payer: Cofinity Advantage $11.14
Rate for Payer: Cofinity Commercial $13.69
Rate for Payer: Encore Health Key Benefits Commercial $12.74
Rate for Payer: Healthscope Commercial $14.33
Rate for Payer: Multiplan/Beech St/PHCS Commercial $13.53
Rate for Payer: Opus (Opus Packaging Group) HMA $11.94
Rate for Payer: PHP Commercial $13.53
Rate for Payer: Priority Health SBD $10.03
Service Code CPT 86632
Hospital Charge Code 30200243
Hospital Revenue Code 302
Min. Negotiated Rate $6.63
Max. Negotiated Rate $38.04
Rate for Payer: Aetna Commercial $13.53
Rate for Payer: Aetna Medicare $13.19
Rate for Payer: Aetna New Business (MI Preferred) $10.35
Rate for Payer: Allen County Amish Medical Aid Commercial $15.85
Rate for Payer: Amish Plain Church Group Commercial $15.85
Rate for Payer: BCBS Complete $6.96
Rate for Payer: BCBS MAPPO $12.68
Rate for Payer: BCBS Trust/PPO $13.52
Rate for Payer: BCN Commercial $13.52
Rate for Payer: BCN Medicare Advantage $12.68
Rate for Payer: Cash Price $12.74
Rate for Payer: Cash Price $12.74
Rate for Payer: Cofinity Advantage $11.14
Rate for Payer: Cofinity Commercial $13.69
Rate for Payer: Encore Health Key Benefits Commercial $12.74
Rate for Payer: Health Alliance Plan Medicare Advantage $12.68
Rate for Payer: Healthscope Commercial $14.33
Rate for Payer: Mclaren Medicaid $6.63
Rate for Payer: Mclaren Medicare $12.68
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage $13.31
Rate for Payer: Meridian Medicaid $13.31
Rate for Payer: MI Amish Medical Board Commercial $14.58
Rate for Payer: Molina Medicare/Medicaid $13.95
Rate for Payer: Multiplan/Beech St/PHCS Commercial $13.53
Rate for Payer: Nomi Health Commercial $38.04
Rate for Payer: Opus (Opus Packaging Group) HMA $11.94
Rate for Payer: PACE Medicare $12.05
Rate for Payer: PACE SWMI $12.68
Rate for Payer: PHP Commercial $13.53
Rate for Payer: PHP Medicare Advantage $12.68
Rate for Payer: Priority Health Choice Medicaid $6.63
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network $12.68
Rate for Payer: Priority Health Medicare $12.68
Rate for Payer: Priority Health SBD $10.03
Rate for Payer: Priority Health Tiered Network $10.14
Rate for Payer: Railroad Medicare Medicare $12.68
Rate for Payer: UHC All Payor (Choice/PPO) $19.02
Rate for Payer: UHC Core $19.02
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage $12.68
Rate for Payer: UHC Exchange $19.02
Rate for Payer: UHC Medicaid $6.63
Rate for Payer: UHCCP Medicaid $6.63
Rate for Payer: VA VA $12.68
Service Code CPT 86713
Hospital Charge Code 30200302
Hospital Revenue Code 302
Min. Negotiated Rate $8.00
Max. Negotiated Rate $22.95
Rate for Payer: Aetna Commercial $18.95
Rate for Payer: Aetna Medicare $15.91
Rate for Payer: Aetna New Business (MI Preferred) $14.49
Rate for Payer: Allen County Amish Medical Aid Commercial $19.12
Rate for Payer: Amish Plain Church Group Commercial $19.12
Rate for Payer: BCBS Complete $8.40
Rate for Payer: BCBS MAPPO $15.30
Rate for Payer: BCBS Trust/PPO $16.32
Rate for Payer: BCN Commercial $16.32
Rate for Payer: BCN Medicare Advantage $15.30
Rate for Payer: Cash Price $17.83
Rate for Payer: Cash Price $17.83
Rate for Payer: Cofinity Advantage $15.60
Rate for Payer: Cofinity Commercial $19.17
Rate for Payer: Encore Health Key Benefits Commercial $17.83
Rate for Payer: Health Alliance Plan Medicare Advantage $15.30
Rate for Payer: Healthscope Commercial $20.06
Rate for Payer: Mclaren Medicaid $8.00
Rate for Payer: Mclaren Medicare $15.30
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage $16.07
Rate for Payer: Meridian Medicaid $16.07
Rate for Payer: MI Amish Medical Board Commercial $17.59
Rate for Payer: Molina Medicare/Medicaid $16.83
Rate for Payer: Multiplan/Beech St/PHCS Commercial $18.95
Rate for Payer: Nomi Health Commercial $22.95
Rate for Payer: Opus (Opus Packaging Group) HMA $16.72
Rate for Payer: PACE Medicare $14.54
Rate for Payer: PACE SWMI $15.30
Rate for Payer: PHP Commercial $18.95
Rate for Payer: PHP Medicare Advantage $15.30
Rate for Payer: Priority Health Choice Medicaid $8.00
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network $15.30
Rate for Payer: Priority Health Medicare $15.30
Rate for Payer: Priority Health SBD $14.04
Rate for Payer: Priority Health Tiered Network $12.24
Rate for Payer: Railroad Medicare Medicare $15.30
Rate for Payer: UHC All Payor (Choice/PPO) $22.95
Rate for Payer: UHC Core $22.95
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage $15.30
Rate for Payer: UHC Exchange $22.95
Rate for Payer: UHC Medicaid $8.00
Rate for Payer: UHCCP Medicaid $8.00
Rate for Payer: VA VA $15.30
Service Code CPT 86713
Hospital Charge Code 30200302
Hospital Revenue Code 302
Min. Negotiated Rate $14.04
Max. Negotiated Rate $20.06
Rate for Payer: Aetna Commercial $18.95
Rate for Payer: Aetna New Business (MI Preferred) $14.49
Rate for Payer: Cash Price $17.83
Rate for Payer: Cofinity Advantage $15.60
Rate for Payer: Cofinity Commercial $19.17
Rate for Payer: Encore Health Key Benefits Commercial $17.83
Rate for Payer: Healthscope Commercial $20.06
Rate for Payer: Multiplan/Beech St/PHCS Commercial $18.95
Rate for Payer: Opus (Opus Packaging Group) HMA $16.72
Rate for Payer: PHP Commercial $18.95
Rate for Payer: Priority Health SBD $14.04
Service Code CPT 86738
Hospital Charge Code 30200308
Hospital Revenue Code 302
Min. Negotiated Rate $9.36
Max. Negotiated Rate $13.37
Rate for Payer: Aetna Commercial $12.63
Rate for Payer: Aetna New Business (MI Preferred) $9.66
Rate for Payer: Cash Price $11.89
Rate for Payer: Cofinity Advantage $10.40
Rate for Payer: Cofinity Commercial $12.78
Rate for Payer: Encore Health Key Benefits Commercial $11.89
Rate for Payer: Healthscope Commercial $13.37
Rate for Payer: Multiplan/Beech St/PHCS Commercial $12.63
Rate for Payer: Opus (Opus Packaging Group) HMA $11.14
Rate for Payer: PHP Commercial $12.63
Rate for Payer: Priority Health SBD $9.36
Service Code CPT 86738
Hospital Charge Code 30200308
Hospital Revenue Code 302
Min. Negotiated Rate $6.92
Max. Negotiated Rate $19.86
Rate for Payer: Aetna Commercial $12.63
Rate for Payer: Aetna Medicare $13.77
Rate for Payer: Aetna New Business (MI Preferred) $9.66
Rate for Payer: Allen County Amish Medical Aid Commercial $16.55
Rate for Payer: Amish Plain Church Group Commercial $16.55
Rate for Payer: BCBS Complete $7.27
Rate for Payer: BCBS MAPPO $13.24
Rate for Payer: BCBS Trust/PPO $14.12
Rate for Payer: BCN Commercial $14.12
Rate for Payer: BCN Medicare Advantage $13.24
Rate for Payer: Cash Price $11.89
Rate for Payer: Cash Price $11.89
Rate for Payer: Cofinity Advantage $10.40
Rate for Payer: Cofinity Commercial $12.78
Rate for Payer: Encore Health Key Benefits Commercial $11.89
Rate for Payer: Health Alliance Plan Medicare Advantage $13.24
Rate for Payer: Healthscope Commercial $13.37
Rate for Payer: Mclaren Medicaid $6.92
Rate for Payer: Mclaren Medicare $13.24
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage $13.90
Rate for Payer: Meridian Medicaid $13.90
Rate for Payer: MI Amish Medical Board Commercial $15.23
Rate for Payer: Molina Medicare/Medicaid $14.56
Rate for Payer: Multiplan/Beech St/PHCS Commercial $12.63
Rate for Payer: Nomi Health Commercial $19.86
Rate for Payer: Opus (Opus Packaging Group) HMA $11.14
Rate for Payer: PACE Medicare $12.58
Rate for Payer: PACE SWMI $13.24
Rate for Payer: PHP Commercial $12.63
Rate for Payer: PHP Medicare Advantage $13.24
Rate for Payer: Priority Health Choice Medicaid $6.92
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network $13.24
Rate for Payer: Priority Health Medicare $13.24
Rate for Payer: Priority Health SBD $9.36
Rate for Payer: Priority Health Tiered Network $10.59
Rate for Payer: Railroad Medicare Medicare $13.24
Rate for Payer: UHC All Payor (Choice/PPO) $19.86
Rate for Payer: UHC Core $19.86
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage $13.24
Rate for Payer: UHC Exchange $19.86
Rate for Payer: UHC Medicaid $6.92
Rate for Payer: UHCCP Medicaid $6.92
Rate for Payer: VA VA $13.24