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Service Code NDC 60687-266-21
Hospital Charge Code 22143
Hospital Revenue Code 637
Min. Negotiated Rate $366.72
Max. Negotiated Rate $523.88
Rate for Payer: Aetna Commercial $494.78
Rate for Payer: Aetna New Business (MI Preferred) $378.36
Rate for Payer: Cash Price $465.67
Rate for Payer: Cofinity Commercial $407.46
Rate for Payer: Cofinity Commercial $500.60
Rate for Payer: Healthscope Commercial $523.88
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $494.78
Rate for Payer: PHP Commercial $494.78
Rate for Payer: Priority Health Cigna Priority Health $407.46
Rate for Payer: Priority Health SBD $366.72
Service Code NDC 65162-057-03
Hospital Charge Code 22143
Hospital Revenue Code 637
Min. Negotiated Rate $54.89
Max. Negotiated Rate $78.41
Rate for Payer: Aetna Commercial $74.05
Rate for Payer: Aetna New Business (MI Preferred) $56.63
Rate for Payer: Cash Price $69.70
Rate for Payer: Cofinity Commercial $60.98
Rate for Payer: Cofinity Commercial $74.92
Rate for Payer: Healthscope Commercial $78.41
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $74.05
Rate for Payer: PHP Commercial $74.05
Rate for Payer: Priority Health Cigna Priority Health $60.98
Rate for Payer: Priority Health SBD $54.89
Service Code NDC 0002-4184-30
Hospital Charge Code 22143
Hospital Revenue Code 637
Min. Negotiated Rate $429.23
Max. Negotiated Rate $613.19
Rate for Payer: Aetna Commercial $579.12
Rate for Payer: Aetna New Business (MI Preferred) $442.86
Rate for Payer: Cash Price $545.06
Rate for Payer: Cofinity Commercial $476.92
Rate for Payer: Cofinity Commercial $585.94
Rate for Payer: Healthscope Commercial $613.19
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $579.12
Rate for Payer: PHP Commercial $579.12
Rate for Payer: Priority Health Cigna Priority Health $476.92
Rate for Payer: Priority Health SBD $429.23
Service Code NDC 50268-694-11
Hospital Charge Code 22143
Hospital Revenue Code 637
Min. Negotiated Rate $6.09
Max. Negotiated Rate $8.70
Rate for Payer: Aetna Commercial $8.22
Rate for Payer: Aetna New Business (MI Preferred) $6.29
Rate for Payer: Cash Price $7.74
Rate for Payer: Cofinity Commercial $6.77
Rate for Payer: Cofinity Commercial $8.32
Rate for Payer: Healthscope Commercial $8.70
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $8.22
Rate for Payer: PHP Commercial $8.22
Rate for Payer: Priority Health Cigna Priority Health $6.77
Rate for Payer: Priority Health SBD $6.09
Service Code NDC 50268-694-15
Hospital Charge Code 22143
Hospital Revenue Code 637
Min. Negotiated Rate $304.43
Max. Negotiated Rate $434.90
Rate for Payer: Aetna Commercial $410.74
Rate for Payer: Aetna New Business (MI Preferred) $314.09
Rate for Payer: Cash Price $386.58
Rate for Payer: Cofinity Commercial $338.25
Rate for Payer: Cofinity Commercial $415.57
Rate for Payer: Healthscope Commercial $434.90
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $410.74
Rate for Payer: PHP Commercial $410.74
Rate for Payer: Priority Health Cigna Priority Health $338.25
Rate for Payer: Priority Health SBD $304.43
Service Code NDC 0006-0227-61
Hospital Charge Code 88608
Hospital Revenue Code 637
Min. Negotiated Rate $4,538.18
Max. Negotiated Rate $6,483.11
Rate for Payer: Aetna Commercial $6,122.94
Rate for Payer: Aetna New Business (MI Preferred) $4,682.25
Rate for Payer: Cash Price $5,762.77
Rate for Payer: Cofinity Commercial $5,042.42
Rate for Payer: Cofinity Commercial $6,194.98
Rate for Payer: Healthscope Commercial $6,483.11
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $6,122.94
Rate for Payer: PHP Commercial $6,122.94
Rate for Payer: Priority Health Cigna Priority Health $5,042.42
Rate for Payer: Priority Health SBD $4,538.18
Service Code NDC 65862-474-01
Hospital Charge Code 11258
Hospital Revenue Code 637
Min. Negotiated Rate $109.56
Max. Negotiated Rate $156.51
Rate for Payer: Aetna Commercial $147.82
Rate for Payer: Aetna New Business (MI Preferred) $113.04
Rate for Payer: Cash Price $139.12
Rate for Payer: Cofinity Commercial $149.55
Rate for Payer: Cofinity Commercial $121.73
Rate for Payer: Healthscope Commercial $156.51
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $147.82
Rate for Payer: PHP Commercial $147.82
Rate for Payer: Priority Health Cigna Priority Health $121.73
Rate for Payer: Priority Health SBD $109.56
Service Code NDC 65862-476-01
Hospital Charge Code 11261
Hospital Revenue Code 637
Min. Negotiated Rate $66.62
Max. Negotiated Rate $95.18
Rate for Payer: Aetna Commercial $89.89
Rate for Payer: Aetna New Business (MI Preferred) $68.74
Rate for Payer: Cash Price $84.60
Rate for Payer: Cofinity Commercial $74.02
Rate for Payer: Cofinity Commercial $90.94
Rate for Payer: Healthscope Commercial $95.18
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $89.89
Rate for Payer: PHP Commercial $89.89
Rate for Payer: Priority Health Cigna Priority Health $74.02
Rate for Payer: Priority Health SBD $66.62
Service Code HCPCS J9308
Hospital Charge Code 170507
Hospital Revenue Code 636
Min. Negotiated Rate $20,200.18
Max. Negotiated Rate $28,857.39
Rate for Payer: Aetna Commercial $27,254.20
Rate for Payer: Aetna Commercial $5,450.85
Rate for Payer: Aetna New Business (MI Preferred) $20,841.45
Rate for Payer: Aetna New Business (MI Preferred) $4,168.29
Rate for Payer: Cash Price $25,651.02
Rate for Payer: Cash Price $5,130.21
Rate for Payer: Cofinity Commercial $27,574.84
Rate for Payer: Cofinity Commercial $5,514.97
Rate for Payer: Cofinity Commercial $4,488.93
Rate for Payer: Cofinity Commercial $22,444.64
Rate for Payer: Healthscope Commercial $5,771.48
Rate for Payer: Healthscope Commercial $28,857.39
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $27,254.20
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $5,450.85
Rate for Payer: PHP Commercial $27,254.20
Rate for Payer: PHP Commercial $5,450.85
Rate for Payer: Priority Health Cigna Priority Health $4,488.93
Rate for Payer: Priority Health Cigna Priority Health $22,444.64
Rate for Payer: Priority Health SBD $20,200.18
Rate for Payer: Priority Health SBD $4,040.04
Service Code HCPCS J9308
Hospital Charge Code 170507
Hospital Revenue Code 636
Min. Negotiated Rate $38.42
Max. Negotiated Rate $28,857.39
Rate for Payer: Aetna Commercial $27,254.20
Rate for Payer: Aetna Commercial $5,450.85
Rate for Payer: Aetna Medicare $73.05
Rate for Payer: Aetna Medicare $73.05
Rate for Payer: Aetna New Business (MI Preferred) $4,168.29
Rate for Payer: Aetna New Business (MI Preferred) $20,841.45
Rate for Payer: Allen County Amish Medical Aid Commercial $87.80
Rate for Payer: Allen County Amish Medical Aid Commercial $87.80
Rate for Payer: Amish Plain Church Group Commercial $87.80
Rate for Payer: Amish Plain Church Group Commercial $87.80
Rate for Payer: BCBS Complete $40.35
Rate for Payer: BCBS Complete $40.35
Rate for Payer: BCBS MAPPO $70.24
Rate for Payer: BCBS MAPPO $70.24
Rate for Payer: BCBS Trust/PPO $207.93
Rate for Payer: BCBS Trust/PPO $207.93
Rate for Payer: BCN Medicare Advantage $70.24
Rate for Payer: BCN Medicare Advantage $70.24
Rate for Payer: Cash Price $25,651.02
Rate for Payer: Cash Price $5,130.21
Rate for Payer: Cash Price $25,651.02
Rate for Payer: Cash Price $5,130.21
Rate for Payer: Cofinity Commercial $27,574.84
Rate for Payer: Cofinity Commercial $4,488.93
Rate for Payer: Cofinity Commercial $5,514.97
Rate for Payer: Cofinity Commercial $22,444.64
Rate for Payer: Health Alliance Plan Medicare Advantage $70.24
Rate for Payer: Health Alliance Plan Medicare Advantage $70.24
Rate for Payer: Healthscope Commercial $28,857.39
Rate for Payer: Healthscope Commercial $5,771.48
Rate for Payer: Mclaren Medicaid $38.42
Rate for Payer: Mclaren Medicaid $38.42
Rate for Payer: Mclaren Medicare $70.24
Rate for Payer: Mclaren Medicare $70.24
Rate for Payer: Meridian Medicaid $40.35
Rate for Payer: Meridian Medicaid $40.35
Rate for Payer: Meridian Wellcare - Medicare Advantage $73.76
Rate for Payer: Meridian Wellcare - Medicare Advantage $73.76
Rate for Payer: MI Amish Medical Board Commercial $80.78
Rate for Payer: MI Amish Medical Board Commercial $80.78
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $5,450.85
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $27,254.20
Rate for Payer: PACE Medicare $66.73
Rate for Payer: PACE Medicare $66.73
Rate for Payer: PACE SWMI $70.24
Rate for Payer: PACE SWMI $70.24
Rate for Payer: PHP Commercial $5,450.85
Rate for Payer: PHP Commercial $27,254.20
Rate for Payer: PHP Medicare Advantage $70.24
Rate for Payer: PHP Medicare Advantage $70.24
Rate for Payer: Priority Health Choice Medicaid $38.42
Rate for Payer: Priority Health Choice Medicaid $38.42
Rate for Payer: Priority Health Cigna Priority Health $22,444.64
Rate for Payer: Priority Health Cigna Priority Health $4,488.93
Rate for Payer: Priority Health Medicare $70.24
Rate for Payer: Priority Health Medicare $70.24
Rate for Payer: Priority Health SBD $20,200.18
Rate for Payer: Priority Health SBD $4,040.04
Rate for Payer: Railroad Medicare Medicare $70.24
Rate for Payer: Railroad Medicare Medicare $70.24
Rate for Payer: UHC Dual Complete DSNP $70.24
Rate for Payer: UHC Dual Complete DSNP $70.24
Rate for Payer: UHC Medicare Advantage $72.35
Rate for Payer: UHC Medicare Advantage $72.35
Rate for Payer: VA VA $70.24
Rate for Payer: VA VA $70.24
Service Code NDC 61958-1003-1
Hospital Charge Code 70434
Hospital Revenue Code 637
Min. Negotiated Rate $891.33
Max. Negotiated Rate $1,273.33
Rate for Payer: Aetna Commercial $1,202.59
Rate for Payer: Aetna New Business (MI Preferred) $919.63
Rate for Payer: Cash Price $1,131.85
Rate for Payer: Cofinity Commercial $1,216.74
Rate for Payer: Cofinity Commercial $990.37
Rate for Payer: Healthscope Commercial $1,273.33
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $1,202.59
Rate for Payer: PHP Commercial $1,202.59
Rate for Payer: Priority Health Cigna Priority Health $990.37
Rate for Payer: Priority Health SBD $891.33
Service Code NDC 45963-418-06
Hospital Charge Code 70434
Hospital Revenue Code 637
Min. Negotiated Rate $240.05
Max. Negotiated Rate $342.93
Rate for Payer: Aetna Commercial $323.88
Rate for Payer: Aetna New Business (MI Preferred) $247.67
Rate for Payer: Cash Price $304.82
Rate for Payer: Cofinity Commercial $266.72
Rate for Payer: Cofinity Commercial $327.69
Rate for Payer: Healthscope Commercial $342.93
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $323.88
Rate for Payer: PHP Commercial $323.88
Rate for Payer: Priority Health Cigna Priority Health $266.72
Rate for Payer: Priority Health SBD $240.05
Service Code NDC 60687-549-11
Hospital Charge Code 70434
Hospital Revenue Code 637
Min. Negotiated Rate $3.64
Max. Negotiated Rate $5.20
Rate for Payer: Aetna Commercial $4.91
Rate for Payer: Aetna New Business (MI Preferred) $3.76
Rate for Payer: Cash Price $4.62
Rate for Payer: Cofinity Commercial $4.05
Rate for Payer: Cofinity Commercial $4.97
Rate for Payer: Healthscope Commercial $5.20
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $4.91
Rate for Payer: PHP Commercial $4.91
Rate for Payer: Priority Health Cigna Priority Health $4.05
Rate for Payer: Priority Health SBD $3.64
Service Code NDC 60687-549-21
Hospital Charge Code 70434
Hospital Revenue Code 637
Min. Negotiated Rate $109.23
Max. Negotiated Rate $156.04
Rate for Payer: Aetna Commercial $147.37
Rate for Payer: Aetna New Business (MI Preferred) $112.70
Rate for Payer: Cash Price $138.70
Rate for Payer: Cofinity Commercial $121.37
Rate for Payer: Cofinity Commercial $149.11
Rate for Payer: Healthscope Commercial $156.04
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $147.37
Rate for Payer: PHP Commercial $147.37
Rate for Payer: Priority Health Cigna Priority Health $121.37
Rate for Payer: Priority Health SBD $109.23
Service Code NDC 67877-259-30
Hospital Charge Code 76480
Hospital Revenue Code 637
Min. Negotiated Rate $211.40
Max. Negotiated Rate $302.00
Rate for Payer: Aetna Commercial $285.23
Rate for Payer: Aetna New Business (MI Preferred) $218.11
Rate for Payer: Cash Price $268.45
Rate for Payer: Cofinity Commercial $234.89
Rate for Payer: Cofinity Commercial $288.58
Rate for Payer: Healthscope Commercial $302.00
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $285.23
Rate for Payer: PHP Commercial $285.23
Rate for Payer: Priority Health Cigna Priority Health $234.89
Rate for Payer: Priority Health SBD $211.40
Service Code NDC 68546-229-56
Hospital Charge Code 76481
Hospital Revenue Code 637
Min. Negotiated Rate $2,479.16
Max. Negotiated Rate $3,541.66
Rate for Payer: Aetna Commercial $3,344.90
Rate for Payer: Aetna New Business (MI Preferred) $2,557.87
Rate for Payer: Cash Price $3,148.14
Rate for Payer: Cofinity Commercial $2,754.63
Rate for Payer: Cofinity Commercial $3,384.25
Rate for Payer: Healthscope Commercial $3,541.66
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $3,344.90
Rate for Payer: PHP Commercial $3,344.90
Rate for Payer: Priority Health Cigna Priority Health $2,754.63
Rate for Payer: Priority Health SBD $2,479.16
Service Code NDC 0093-3061-56
Hospital Charge Code 76481
Hospital Revenue Code 637
Min. Negotiated Rate $464.34
Max. Negotiated Rate $663.34
Rate for Payer: Aetna Commercial $626.48
Rate for Payer: Aetna New Business (MI Preferred) $479.08
Rate for Payer: Cash Price $589.63
Rate for Payer: Cofinity Commercial $515.93
Rate for Payer: Cofinity Commercial $633.85
Rate for Payer: Healthscope Commercial $663.34
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $626.48
Rate for Payer: PHP Commercial $626.48
Rate for Payer: Priority Health Cigna Priority Health $515.93
Rate for Payer: Priority Health SBD $464.34
Service Code HCPCS J2783
Hospital Charge Code 33591
Hospital Revenue Code 636
Min. Negotiated Rate $2,166.23
Max. Negotiated Rate $3,094.61
Rate for Payer: Aetna Commercial $2,922.69
Rate for Payer: Aetna New Business (MI Preferred) $2,235.00
Rate for Payer: Cash Price $2,750.77
Rate for Payer: Cofinity Commercial $2,406.92
Rate for Payer: Cofinity Commercial $2,957.08
Rate for Payer: Healthscope Commercial $3,094.61
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $2,922.69
Rate for Payer: PHP Commercial $2,922.69
Rate for Payer: Priority Health Cigna Priority Health $2,406.92
Rate for Payer: Priority Health SBD $2,166.23
Service Code HCPCS J2783
Hospital Charge Code 76868
Hospital Revenue Code 636
Min. Negotiated Rate $8,800.27
Max. Negotiated Rate $12,571.82
Rate for Payer: Aetna Commercial $11,873.39
Rate for Payer: Aetna New Business (MI Preferred) $9,079.65
Rate for Payer: Cash Price $11,174.95
Rate for Payer: Cofinity Commercial $12,013.07
Rate for Payer: Cofinity Commercial $9,778.08
Rate for Payer: Healthscope Commercial $12,571.82
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $11,873.39
Rate for Payer: PHP Commercial $11,873.39
Rate for Payer: Priority Health Cigna Priority Health $9,778.08
Rate for Payer: Priority Health SBD $8,800.27
Service Code CPT 28238
Hospital Revenue Code 360
Min. Negotiated Rate $484.29
Max. Negotiated Rate $7,957.04
Rate for Payer: Aetna Medicare $6,620.26
Rate for Payer: Allen County Amish Medical Aid Commercial $7,957.04
Rate for Payer: Amish Plain Church Group Commercial $7,957.04
Rate for Payer: BCBS Complete $3,656.42
Rate for Payer: BCBS MAPPO $6,365.63
Rate for Payer: BCBS Trust/PPO $2,451.57
Rate for Payer: BCN Medicare Advantage $6,365.63
Rate for Payer: Health Alliance Plan Medicare Advantage $6,365.63
Rate for Payer: Mclaren Medicaid $3,482.00
Rate for Payer: Mclaren Medicare $6,365.63
Rate for Payer: Meridian Medicaid $3,656.42
Rate for Payer: Meridian Wellcare - Medicare Advantage $6,683.91
Rate for Payer: MI Amish Medical Board Commercial $7,320.47
Rate for Payer: PACE Medicare $6,047.35
Rate for Payer: PACE SWMI $6,365.63
Rate for Payer: PHP Medicare Advantage $6,365.63
Rate for Payer: Priority Health Choice Medicaid $3,482.00
Rate for Payer: Priority Health Medicare $6,365.63
Rate for Payer: Railroad Medicare Medicare $6,365.63
Rate for Payer: UHC All Payor (Choice/PPO) $532.72
Rate for Payer: UHC Core $7,632.00
Rate for Payer: UHC Dual Complete DSNP $6,365.63
Rate for Payer: UHC Exchange $484.29
Rate for Payer: UHC Medicare Advantage $6,556.60
Rate for Payer: VA VA $6,365.63
Service Code CPT 28313
Hospital Revenue Code 360
Min. Negotiated Rate $359.53
Max. Negotiated Rate $4,155.00
Rate for Payer: Aetna Medicare $2,995.31
Rate for Payer: Allen County Amish Medical Aid Commercial $3,600.14
Rate for Payer: Amish Plain Church Group Commercial $3,600.14
Rate for Payer: BCBS Complete $1,654.34
Rate for Payer: BCBS MAPPO $2,880.11
Rate for Payer: BCBS Trust/PPO $1,058.03
Rate for Payer: BCN Medicare Advantage $2,880.11
Rate for Payer: Health Alliance Plan Medicare Advantage $2,880.11
Rate for Payer: Mclaren Medicaid $1,575.42
Rate for Payer: Mclaren Medicare $2,880.11
Rate for Payer: Meridian Medicaid $1,654.34
Rate for Payer: Meridian Wellcare - Medicare Advantage $3,024.12
Rate for Payer: MI Amish Medical Board Commercial $3,312.13
Rate for Payer: PACE Medicare $2,736.10
Rate for Payer: PACE SWMI $2,880.11
Rate for Payer: PHP Medicare Advantage $2,880.11
Rate for Payer: Priority Health Choice Medicaid $1,575.42
Rate for Payer: Priority Health Medicare $2,880.11
Rate for Payer: Railroad Medicare Medicare $2,880.11
Rate for Payer: UHC All Payor (Choice/PPO) $395.48
Rate for Payer: UHC Core $4,155.00
Rate for Payer: UHC Dual Complete DSNP $2,880.11
Rate for Payer: UHC Exchange $359.53
Rate for Payer: UHC Medicare Advantage $2,966.51
Rate for Payer: VA VA $2,880.11
Service Code CPT 27422
Hospital Revenue Code 360
Min. Negotiated Rate $738.71
Max. Negotiated Rate $7,957.04
Rate for Payer: Aetna Medicare $6,620.26
Rate for Payer: Allen County Amish Medical Aid Commercial $7,957.04
Rate for Payer: Amish Plain Church Group Commercial $7,957.04
Rate for Payer: BCBS Complete $3,656.42
Rate for Payer: BCBS MAPPO $6,365.63
Rate for Payer: BCBS Trust/PPO $2,299.99
Rate for Payer: BCN Medicare Advantage $6,365.63
Rate for Payer: Health Alliance Plan Medicare Advantage $6,365.63
Rate for Payer: Mclaren Medicaid $3,482.00
Rate for Payer: Mclaren Medicare $6,365.63
Rate for Payer: Meridian Medicaid $3,656.42
Rate for Payer: Meridian Wellcare - Medicare Advantage $6,683.91
Rate for Payer: MI Amish Medical Board Commercial $7,320.47
Rate for Payer: PACE Medicare $6,047.35
Rate for Payer: PACE SWMI $6,365.63
Rate for Payer: PHP Medicare Advantage $6,365.63
Rate for Payer: Priority Health Choice Medicaid $3,482.00
Rate for Payer: Priority Health Medicare $6,365.63
Rate for Payer: Railroad Medicare Medicare $6,365.63
Rate for Payer: UHC All Payor (Choice/PPO) $812.58
Rate for Payer: UHC Core $6,837.00
Rate for Payer: UHC Dual Complete DSNP $6,365.63
Rate for Payer: UHC Exchange $738.71
Rate for Payer: UHC Medicare Advantage $6,556.60
Rate for Payer: VA VA $6,365.63
Service Code MS-DRG 333
Min. Negotiated Rate $14,695.42
Max. Negotiated Rate $42,091.01
Rate for Payer: Aetna Medicare $16,087.61
Rate for Payer: Allen County Amish Medical Aid Commercial $19,336.08
Rate for Payer: Amish Plain Church Group Commercial $19,336.08
Rate for Payer: BCBS MAPPO $15,468.86
Rate for Payer: BCBS Trust/PPO $42,091.01
Rate for Payer: BCN Medicare Advantage $15,468.86
Rate for Payer: Health Alliance Plan Medicare Advantage $15,468.86
Rate for Payer: Mclaren Medicare $15,468.86
Rate for Payer: Meridian Wellcare - Medicare Advantage $16,242.30
Rate for Payer: MI Amish Medical Board Commercial $17,789.19
Rate for Payer: PACE Medicare $14,695.42
Rate for Payer: PACE SWMI $15,468.86
Rate for Payer: PHP Medicare Advantage $15,468.86
Rate for Payer: Priority Health HMO/PPO/Tiered Network $29,840.66
Rate for Payer: Priority Health Medicare $15,468.86
Rate for Payer: Priority Health Narrow Network $23,872.53
Rate for Payer: Railroad Medicare Medicare $15,468.86
Rate for Payer: UHC All Payor (Choice/PPO) $31,720.69
Rate for Payer: UHC Core $19,464.12
Rate for Payer: UHC Dual Complete DSNP $15,468.86
Rate for Payer: UHC Exchange $20,846.99
Rate for Payer: UHC Medicare Advantage $15,932.93
Rate for Payer: VA VA $15,468.86
Service Code MS-DRG 332
Min. Negotiated Rate $25,469.73
Max. Negotiated Rate $59,908.54
Rate for Payer: Aetna Medicare $27,882.65
Rate for Payer: Allen County Amish Medical Aid Commercial $33,512.80
Rate for Payer: Amish Plain Church Group Commercial $33,512.80
Rate for Payer: BCBS MAPPO $26,810.24
Rate for Payer: BCBS Trust/PPO $59,908.54
Rate for Payer: BCN Medicare Advantage $26,810.24
Rate for Payer: Health Alliance Plan Medicare Advantage $26,810.24
Rate for Payer: Mclaren Medicare $26,810.24
Rate for Payer: Meridian Wellcare - Medicare Advantage $28,150.75
Rate for Payer: MI Amish Medical Board Commercial $30,831.78
Rate for Payer: PACE Medicare $25,469.73
Rate for Payer: PACE SWMI $26,810.24
Rate for Payer: PHP Medicare Advantage $26,810.24
Rate for Payer: Priority Health HMO/PPO/Tiered Network $52,055.77
Rate for Payer: Priority Health Medicare $26,810.24
Rate for Payer: Priority Health Narrow Network $41,644.62
Rate for Payer: Railroad Medicare Medicare $26,810.24
Rate for Payer: UHC All Payor (Choice/PPO) $55,335.41
Rate for Payer: UHC Core $33,954.34
Rate for Payer: UHC Dual Complete DSNP $26,810.24
Rate for Payer: UHC Exchange $36,366.69
Rate for Payer: UHC Medicare Advantage $27,614.55
Rate for Payer: VA VA $26,810.24
Service Code MS-DRG 334
Min. Negotiated Rate $11,449.70
Max. Negotiated Rate $33,289.84
Rate for Payer: Aetna Medicare $12,534.41
Rate for Payer: Allen County Amish Medical Aid Commercial $15,065.40
Rate for Payer: Amish Plain Church Group Commercial $15,065.40
Rate for Payer: BCBS MAPPO $12,052.32
Rate for Payer: BCBS Trust/PPO $33,289.84
Rate for Payer: BCN Medicare Advantage $12,052.32
Rate for Payer: Health Alliance Plan Medicare Advantage $12,052.32
Rate for Payer: Mclaren Medicare $12,052.32
Rate for Payer: Meridian Wellcare - Medicare Advantage $12,654.94
Rate for Payer: MI Amish Medical Board Commercial $13,860.17
Rate for Payer: PACE Medicare $11,449.70
Rate for Payer: PACE SWMI $12,052.32
Rate for Payer: PHP Medicare Advantage $12,052.32
Rate for Payer: Priority Health HMO/PPO/Tiered Network $23,033.06
Rate for Payer: Priority Health Medicare $12,052.32
Rate for Payer: Priority Health Narrow Network $18,426.45
Rate for Payer: Railroad Medicare Medicare $12,052.32
Rate for Payer: UHC All Payor (Choice/PPO) $24,484.20
Rate for Payer: UHC Core $15,023.74
Rate for Payer: UHC Dual Complete DSNP $12,052.32
Rate for Payer: UHC Exchange $16,091.13
Rate for Payer: UHC Medicare Advantage $12,413.89
Rate for Payer: VA VA $12,052.32