|
HC CAST LONG LEG
|
Facility
|
OP
|
$403.61
|
|
|
Service Code
|
CPT 29345
|
| Hospital Charge Code |
70000005
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$95.86 |
| Max. Negotiated Rate |
$363.25 |
| Rate for Payer: Aetna Commercial |
$343.07
|
| Rate for Payer: Aetna Medicare |
$104.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$126.13
|
| Rate for Payer: Amish Plain Church Group Commercial |
$126.13
|
| Rate for Payer: BCBS Complete |
$184.98
|
| Rate for Payer: BCBS MAPPO |
$100.90
|
| Rate for Payer: BCBS Trust/PPO |
$313.81
|
| Rate for Payer: BCN Commercial |
$313.81
|
| Rate for Payer: BCN Medicare Advantage |
$100.90
|
| Rate for Payer: Cash Price |
$322.89
|
| Rate for Payer: Cash Price |
$322.89
|
| Rate for Payer: Cofinity Commercial |
$347.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$322.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$100.90
|
| Rate for Payer: Healthscope Commercial |
$363.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$302.71
|
| Rate for Payer: Mclaren Medicaid |
$176.18
|
| Rate for Payer: Meridian Medicaid |
$184.98
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$105.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$116.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$343.07
|
| Rate for Payer: PACE Senior Care Partners |
$95.86
|
| Rate for Payer: PACE SWMI |
$100.90
|
| Rate for Payer: PHP Commercial |
$343.07
|
| Rate for Payer: PHP Medicare Advantage |
$100.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$176.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$282.53
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$351.14
|
| Rate for Payer: Priority Health Medicare |
$100.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$246.16
|
| Rate for Payer: Railroad Medicare Medicare |
$100.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$355.18
|
| Rate for Payer: UHC Core |
$337.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$100.90
|
| Rate for Payer: UHC Medicare Advantage |
$103.93
|
| Rate for Payer: VA VA |
$100.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$302.71
|
|
|
HC CAST LONG LEG
|
Facility
|
IP
|
$403.61
|
|
|
Service Code
|
CPT 29345
|
| Hospital Charge Code |
70000005
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$246.16 |
| Max. Negotiated Rate |
$363.25 |
| Rate for Payer: Aetna Commercial |
$343.07
|
| Rate for Payer: BCBS Trust/PPO |
$311.91
|
| Rate for Payer: BCN Commercial |
$311.91
|
| Rate for Payer: Cash Price |
$322.89
|
| Rate for Payer: Cofinity Commercial |
$347.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$322.89
|
| Rate for Payer: Healthscope Commercial |
$363.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$302.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$343.07
|
| Rate for Payer: PHP Commercial |
$343.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$282.53
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$351.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$246.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$355.18
|
| Rate for Payer: UHC Core |
$337.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$302.71
|
|
|
HC CAST PANTALOON
|
Facility
|
IP
|
$900.56
|
|
|
Service Code
|
CPT 29305
|
| Hospital Charge Code |
70000003
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$549.25 |
| Max. Negotiated Rate |
$810.50 |
| Rate for Payer: Aetna Commercial |
$765.48
|
| Rate for Payer: BCBS Trust/PPO |
$695.95
|
| Rate for Payer: BCN Commercial |
$695.95
|
| Rate for Payer: Cash Price |
$720.45
|
| Rate for Payer: Cofinity Commercial |
$774.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$720.45
|
| Rate for Payer: Healthscope Commercial |
$810.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$675.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$765.48
|
| Rate for Payer: PHP Commercial |
$765.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$630.39
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$783.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$549.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$792.49
|
| Rate for Payer: UHC Core |
$751.97
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$675.42
|
|
|
HC CAST PANTALOON
|
Facility
|
OP
|
$900.56
|
|
|
Service Code
|
CPT 29305
|
| Hospital Charge Code |
70000003
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$176.18 |
| Max. Negotiated Rate |
$810.50 |
| Rate for Payer: Aetna Commercial |
$765.48
|
| Rate for Payer: Aetna Medicare |
$234.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$281.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$281.42
|
| Rate for Payer: BCBS Complete |
$184.98
|
| Rate for Payer: BCBS MAPPO |
$225.14
|
| Rate for Payer: BCBS Trust/PPO |
$700.19
|
| Rate for Payer: BCN Commercial |
$700.19
|
| Rate for Payer: BCN Medicare Advantage |
$225.14
|
| Rate for Payer: Cash Price |
$720.45
|
| Rate for Payer: Cash Price |
$720.45
|
| Rate for Payer: Cofinity Commercial |
$774.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$720.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$225.14
|
| Rate for Payer: Healthscope Commercial |
$810.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$675.42
|
| Rate for Payer: Mclaren Medicaid |
$176.18
|
| Rate for Payer: Meridian Medicaid |
$184.98
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$236.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$258.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$765.48
|
| Rate for Payer: PACE Senior Care Partners |
$213.88
|
| Rate for Payer: PACE SWMI |
$225.14
|
| Rate for Payer: PHP Commercial |
$765.48
|
| Rate for Payer: PHP Medicare Advantage |
$225.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$176.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$630.39
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$783.49
|
| Rate for Payer: Priority Health Medicare |
$225.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$549.25
|
| Rate for Payer: Railroad Medicare Medicare |
$225.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$792.49
|
| Rate for Payer: UHC Core |
$751.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$225.14
|
| Rate for Payer: UHC Medicare Advantage |
$231.89
|
| Rate for Payer: VA VA |
$225.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$675.42
|
|
|
HC CAST PTB WALKING
|
Facility
|
OP
|
$403.61
|
|
|
Service Code
|
CPT 29435
|
| Hospital Charge Code |
70000009
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$95.86 |
| Max. Negotiated Rate |
$363.25 |
| Rate for Payer: Aetna Commercial |
$343.07
|
| Rate for Payer: Aetna Medicare |
$104.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$126.13
|
| Rate for Payer: Amish Plain Church Group Commercial |
$126.13
|
| Rate for Payer: BCBS Complete |
$184.98
|
| Rate for Payer: BCBS MAPPO |
$100.90
|
| Rate for Payer: BCBS Trust/PPO |
$313.81
|
| Rate for Payer: BCN Commercial |
$313.81
|
| Rate for Payer: BCN Medicare Advantage |
$100.90
|
| Rate for Payer: Cash Price |
$322.89
|
| Rate for Payer: Cash Price |
$322.89
|
| Rate for Payer: Cofinity Commercial |
$347.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$322.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$100.90
|
| Rate for Payer: Healthscope Commercial |
$363.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$302.71
|
| Rate for Payer: Mclaren Medicaid |
$176.18
|
| Rate for Payer: Meridian Medicaid |
$184.98
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$105.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$116.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$343.07
|
| Rate for Payer: PACE Senior Care Partners |
$95.86
|
| Rate for Payer: PACE SWMI |
$100.90
|
| Rate for Payer: PHP Commercial |
$343.07
|
| Rate for Payer: PHP Medicare Advantage |
$100.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$176.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$282.53
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$351.14
|
| Rate for Payer: Priority Health Medicare |
$100.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$246.16
|
| Rate for Payer: Railroad Medicare Medicare |
$100.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$355.18
|
| Rate for Payer: UHC Core |
$337.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$100.90
|
| Rate for Payer: UHC Medicare Advantage |
$103.93
|
| Rate for Payer: VA VA |
$100.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$302.71
|
|
|
HC CAST PTB WALKING
|
Facility
|
IP
|
$403.61
|
|
|
Service Code
|
CPT 29435
|
| Hospital Charge Code |
70000009
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$246.16 |
| Max. Negotiated Rate |
$363.25 |
| Rate for Payer: Aetna Commercial |
$343.07
|
| Rate for Payer: BCBS Trust/PPO |
$311.91
|
| Rate for Payer: BCN Commercial |
$311.91
|
| Rate for Payer: Cash Price |
$322.89
|
| Rate for Payer: Cofinity Commercial |
$347.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$322.89
|
| Rate for Payer: Healthscope Commercial |
$363.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$302.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$343.07
|
| Rate for Payer: PHP Commercial |
$343.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$282.53
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$351.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$246.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$355.18
|
| Rate for Payer: UHC Core |
$337.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$302.71
|
|
|
HC CAST REPAIR
|
Facility
|
IP
|
$175.30
|
|
| Hospital Charge Code |
27000041
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$106.92 |
| Max. Negotiated Rate |
$157.77 |
| Rate for Payer: Aetna Commercial |
$149.00
|
| Rate for Payer: BCBS Trust/PPO |
$135.47
|
| Rate for Payer: BCN Commercial |
$135.47
|
| Rate for Payer: Cash Price |
$140.24
|
| Rate for Payer: Cofinity Commercial |
$150.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$140.24
|
| Rate for Payer: Healthscope Commercial |
$157.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$131.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$149.00
|
| Rate for Payer: PHP Commercial |
$149.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$122.71
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$152.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$106.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$154.26
|
| Rate for Payer: UHC Core |
$146.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$131.48
|
|
|
HC CAST REPAIR
|
Facility
|
OP
|
$175.30
|
|
| Hospital Charge Code |
27000041
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$41.63 |
| Max. Negotiated Rate |
$157.77 |
| Rate for Payer: Aetna Commercial |
$149.00
|
| Rate for Payer: Aetna Medicare |
$45.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$54.78
|
| Rate for Payer: Amish Plain Church Group Commercial |
$54.78
|
| Rate for Payer: BCBS Complete |
$70.12
|
| Rate for Payer: BCBS MAPPO |
$43.82
|
| Rate for Payer: BCBS Trust/PPO |
$136.30
|
| Rate for Payer: BCN Commercial |
$136.30
|
| Rate for Payer: BCN Medicare Advantage |
$43.82
|
| Rate for Payer: Cash Price |
$140.24
|
| Rate for Payer: Cofinity Commercial |
$150.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$140.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$43.82
|
| Rate for Payer: Healthscope Commercial |
$157.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$131.48
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$46.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$50.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$149.00
|
| Rate for Payer: PACE Senior Care Partners |
$41.63
|
| Rate for Payer: PACE SWMI |
$43.82
|
| Rate for Payer: PHP Commercial |
$149.00
|
| Rate for Payer: PHP Medicare Advantage |
$43.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$122.71
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$152.51
|
| Rate for Payer: Priority Health Medicare |
$43.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$106.92
|
| Rate for Payer: Railroad Medicare Medicare |
$43.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$154.26
|
| Rate for Payer: UHC Core |
$146.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$43.82
|
| Rate for Payer: UHC Medicare Advantage |
$45.14
|
| Rate for Payer: VA VA |
$43.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$131.48
|
|
|
HC CAST RISSER BODY ONLY
|
Facility
|
OP
|
$303.31
|
|
|
Service Code
|
CPT 29010
|
| Hospital Charge Code |
70000001
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$72.04 |
| Max. Negotiated Rate |
$272.98 |
| Rate for Payer: Aetna Commercial |
$257.81
|
| Rate for Payer: Aetna Medicare |
$78.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$94.78
|
| Rate for Payer: Amish Plain Church Group Commercial |
$94.78
|
| Rate for Payer: BCBS Complete |
$184.98
|
| Rate for Payer: BCBS MAPPO |
$75.83
|
| Rate for Payer: BCBS Trust/PPO |
$235.82
|
| Rate for Payer: BCN Commercial |
$235.82
|
| Rate for Payer: BCN Medicare Advantage |
$75.83
|
| Rate for Payer: Cash Price |
$242.65
|
| Rate for Payer: Cash Price |
$242.65
|
| Rate for Payer: Cofinity Commercial |
$260.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$242.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$75.83
|
| Rate for Payer: Healthscope Commercial |
$272.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$227.48
|
| Rate for Payer: Mclaren Medicaid |
$176.18
|
| Rate for Payer: Meridian Medicaid |
$184.98
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$79.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$87.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$257.81
|
| Rate for Payer: PACE Senior Care Partners |
$72.04
|
| Rate for Payer: PACE SWMI |
$75.83
|
| Rate for Payer: PHP Commercial |
$257.81
|
| Rate for Payer: PHP Medicare Advantage |
$75.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$176.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$212.32
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$263.88
|
| Rate for Payer: Priority Health Medicare |
$75.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$184.99
|
| Rate for Payer: Railroad Medicare Medicare |
$75.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$266.91
|
| Rate for Payer: UHC Core |
$253.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$75.83
|
| Rate for Payer: UHC Medicare Advantage |
$78.10
|
| Rate for Payer: VA VA |
$75.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$227.48
|
|
|
HC CAST RISSER BODY ONLY
|
Facility
|
IP
|
$303.31
|
|
|
Service Code
|
CPT 29010
|
| Hospital Charge Code |
70000001
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$184.99 |
| Max. Negotiated Rate |
$272.98 |
| Rate for Payer: Aetna Commercial |
$257.81
|
| Rate for Payer: BCBS Trust/PPO |
$234.40
|
| Rate for Payer: BCN Commercial |
$234.40
|
| Rate for Payer: Cash Price |
$242.65
|
| Rate for Payer: Cofinity Commercial |
$260.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$242.65
|
| Rate for Payer: Healthscope Commercial |
$272.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$227.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$257.81
|
| Rate for Payer: PHP Commercial |
$257.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$212.32
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$263.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$184.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$266.91
|
| Rate for Payer: UHC Core |
$253.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$227.48
|
|
|
HC CAST SHORT ARM
|
Facility
|
IP
|
$293.81
|
|
|
Service Code
|
CPT 29075
|
| Hospital Charge Code |
43000001
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$179.19 |
| Max. Negotiated Rate |
$264.43 |
| Rate for Payer: Aetna Commercial |
$249.74
|
| Rate for Payer: BCBS Trust/PPO |
$227.06
|
| Rate for Payer: BCN Commercial |
$227.06
|
| Rate for Payer: Cash Price |
$235.05
|
| Rate for Payer: Cofinity Commercial |
$252.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$235.05
|
| Rate for Payer: Healthscope Commercial |
$264.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$220.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$249.74
|
| Rate for Payer: PHP Commercial |
$249.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$205.67
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$255.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$179.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$258.55
|
| Rate for Payer: UHC Core |
$245.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$220.36
|
|
|
HC CAST SHORT ARM
|
Facility
|
OP
|
$293.81
|
|
|
Service Code
|
CPT 29075
|
| Hospital Charge Code |
43000001
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$69.78 |
| Max. Negotiated Rate |
$264.43 |
| Rate for Payer: Aetna Commercial |
$249.74
|
| Rate for Payer: Aetna Medicare |
$76.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$91.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$91.82
|
| Rate for Payer: BCBS Complete |
$184.98
|
| Rate for Payer: BCBS MAPPO |
$73.45
|
| Rate for Payer: BCBS Trust/PPO |
$228.44
|
| Rate for Payer: BCN Commercial |
$228.44
|
| Rate for Payer: BCN Medicare Advantage |
$73.45
|
| Rate for Payer: Cash Price |
$235.05
|
| Rate for Payer: Cash Price |
$235.05
|
| Rate for Payer: Cofinity Commercial |
$252.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$235.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$73.45
|
| Rate for Payer: Healthscope Commercial |
$264.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$220.36
|
| Rate for Payer: Mclaren Medicaid |
$176.18
|
| Rate for Payer: Meridian Medicaid |
$184.98
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$77.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$84.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$249.74
|
| Rate for Payer: PACE Senior Care Partners |
$69.78
|
| Rate for Payer: PACE SWMI |
$73.45
|
| Rate for Payer: PHP Commercial |
$249.74
|
| Rate for Payer: PHP Medicare Advantage |
$73.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$176.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$205.67
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$255.61
|
| Rate for Payer: Priority Health Medicare |
$73.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$179.19
|
| Rate for Payer: Railroad Medicare Medicare |
$73.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$258.55
|
| Rate for Payer: UHC Core |
$245.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$73.45
|
| Rate for Payer: UHC Medicare Advantage |
$75.66
|
| Rate for Payer: VA VA |
$73.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$220.36
|
|
|
HC CAST SHORT LEG
|
Facility
|
OP
|
$361.62
|
|
|
Service Code
|
CPT 29405
|
| Hospital Charge Code |
70000007
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$85.88 |
| Max. Negotiated Rate |
$325.46 |
| Rate for Payer: Aetna Commercial |
$307.38
|
| Rate for Payer: Aetna Medicare |
$94.02
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$113.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$113.01
|
| Rate for Payer: BCBS Complete |
$184.98
|
| Rate for Payer: BCBS MAPPO |
$90.40
|
| Rate for Payer: BCBS Trust/PPO |
$281.16
|
| Rate for Payer: BCN Commercial |
$281.16
|
| Rate for Payer: BCN Medicare Advantage |
$90.40
|
| Rate for Payer: Cash Price |
$289.30
|
| Rate for Payer: Cash Price |
$289.30
|
| Rate for Payer: Cofinity Commercial |
$310.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$289.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$90.40
|
| Rate for Payer: Healthscope Commercial |
$325.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$271.22
|
| Rate for Payer: Mclaren Medicaid |
$176.18
|
| Rate for Payer: Meridian Medicaid |
$184.98
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$94.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$103.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$307.38
|
| Rate for Payer: PACE Senior Care Partners |
$85.88
|
| Rate for Payer: PACE SWMI |
$90.40
|
| Rate for Payer: PHP Commercial |
$307.38
|
| Rate for Payer: PHP Medicare Advantage |
$90.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$176.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$253.13
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$314.61
|
| Rate for Payer: Priority Health Medicare |
$90.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$220.55
|
| Rate for Payer: Railroad Medicare Medicare |
$90.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$318.23
|
| Rate for Payer: UHC Core |
$301.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$90.40
|
| Rate for Payer: UHC Medicare Advantage |
$93.12
|
| Rate for Payer: VA VA |
$90.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$271.22
|
|
|
HC CAST SHORT LEG
|
Facility
|
IP
|
$361.62
|
|
|
Service Code
|
CPT 29405
|
| Hospital Charge Code |
70000007
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$220.55 |
| Max. Negotiated Rate |
$325.46 |
| Rate for Payer: Aetna Commercial |
$307.38
|
| Rate for Payer: BCBS Trust/PPO |
$279.46
|
| Rate for Payer: BCN Commercial |
$279.46
|
| Rate for Payer: Cash Price |
$289.30
|
| Rate for Payer: Cofinity Commercial |
$310.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$289.30
|
| Rate for Payer: Healthscope Commercial |
$325.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$271.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$307.38
|
| Rate for Payer: PHP Commercial |
$307.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$253.13
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$314.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$220.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$318.23
|
| Rate for Payer: UHC Core |
$301.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$271.22
|
|
|
HC CAST SHORT LEG WALKING
|
Facility
|
OP
|
$361.62
|
|
|
Service Code
|
CPT 29425
|
| Hospital Charge Code |
70000008
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$85.88 |
| Max. Negotiated Rate |
$325.46 |
| Rate for Payer: Aetna Commercial |
$307.38
|
| Rate for Payer: Aetna Medicare |
$94.02
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$113.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$113.01
|
| Rate for Payer: BCBS Complete |
$184.98
|
| Rate for Payer: BCBS MAPPO |
$90.40
|
| Rate for Payer: BCBS Trust/PPO |
$281.16
|
| Rate for Payer: BCN Commercial |
$281.16
|
| Rate for Payer: BCN Medicare Advantage |
$90.40
|
| Rate for Payer: Cash Price |
$289.30
|
| Rate for Payer: Cash Price |
$289.30
|
| Rate for Payer: Cofinity Commercial |
$310.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$289.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$90.40
|
| Rate for Payer: Healthscope Commercial |
$325.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$271.22
|
| Rate for Payer: Mclaren Medicaid |
$176.18
|
| Rate for Payer: Meridian Medicaid |
$184.98
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$94.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$103.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$307.38
|
| Rate for Payer: PACE Senior Care Partners |
$85.88
|
| Rate for Payer: PACE SWMI |
$90.40
|
| Rate for Payer: PHP Commercial |
$307.38
|
| Rate for Payer: PHP Medicare Advantage |
$90.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$176.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$253.13
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$314.61
|
| Rate for Payer: Priority Health Medicare |
$90.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$220.55
|
| Rate for Payer: Railroad Medicare Medicare |
$90.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$318.23
|
| Rate for Payer: UHC Core |
$301.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$90.40
|
| Rate for Payer: UHC Medicare Advantage |
$93.12
|
| Rate for Payer: VA VA |
$90.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$271.22
|
|
|
HC CAST SHORT LEG WALKING
|
Facility
|
IP
|
$361.62
|
|
|
Service Code
|
CPT 29425
|
| Hospital Charge Code |
70000008
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$220.55 |
| Max. Negotiated Rate |
$325.46 |
| Rate for Payer: Aetna Commercial |
$307.38
|
| Rate for Payer: BCBS Trust/PPO |
$279.46
|
| Rate for Payer: BCN Commercial |
$279.46
|
| Rate for Payer: Cash Price |
$289.30
|
| Rate for Payer: Cofinity Commercial |
$310.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$289.30
|
| Rate for Payer: Healthscope Commercial |
$325.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$271.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$307.38
|
| Rate for Payer: PHP Commercial |
$307.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$253.13
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$314.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$220.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$318.23
|
| Rate for Payer: UHC Core |
$301.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$271.22
|
|
|
HC CAST SUP LNG ARM SPLINT FBG
|
Facility
|
OP
|
$25.50
|
|
| Hospital Charge Code |
27200332
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.06 |
| Max. Negotiated Rate |
$22.95 |
| Rate for Payer: Aetna Commercial |
$21.68
|
| Rate for Payer: Aetna Medicare |
$6.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7.97
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7.97
|
| Rate for Payer: BCBS Complete |
$10.20
|
| Rate for Payer: BCBS MAPPO |
$6.38
|
| Rate for Payer: BCBS Trust/PPO |
$19.83
|
| Rate for Payer: BCN Commercial |
$19.83
|
| Rate for Payer: BCN Medicare Advantage |
$6.38
|
| Rate for Payer: Cash Price |
$20.40
|
| Rate for Payer: Cofinity Commercial |
$21.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.38
|
| Rate for Payer: Healthscope Commercial |
$22.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.12
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$6.69
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$21.68
|
| Rate for Payer: PACE Senior Care Partners |
$6.06
|
| Rate for Payer: PACE SWMI |
$6.38
|
| Rate for Payer: PHP Commercial |
$21.68
|
| Rate for Payer: PHP Medicare Advantage |
$6.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22.18
|
| Rate for Payer: Priority Health Medicare |
$6.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$15.55
|
| Rate for Payer: Railroad Medicare Medicare |
$6.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.44
|
| Rate for Payer: UHC Core |
$21.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$6.38
|
| Rate for Payer: UHC Medicare Advantage |
$6.57
|
| Rate for Payer: VA VA |
$6.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.12
|
|
|
HC CAST SUP LNG ARM SPLINT FBG
|
Facility
|
IP
|
$25.50
|
|
| Hospital Charge Code |
27200332
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$15.55 |
| Max. Negotiated Rate |
$22.95 |
| Rate for Payer: Aetna Commercial |
$21.68
|
| Rate for Payer: BCBS Trust/PPO |
$19.71
|
| Rate for Payer: BCN Commercial |
$19.71
|
| Rate for Payer: Cash Price |
$20.40
|
| Rate for Payer: Cofinity Commercial |
$21.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.40
|
| Rate for Payer: Healthscope Commercial |
$22.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$21.68
|
| Rate for Payer: PHP Commercial |
$21.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$15.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.44
|
| Rate for Payer: UHC Core |
$21.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.12
|
|
|
HC CAST SUP LNG ARM SPLNT PED F
|
Facility
|
IP
|
$24.48
|
|
| Hospital Charge Code |
27200333
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$14.93 |
| Max. Negotiated Rate |
$22.03 |
| Rate for Payer: Aetna Commercial |
$20.81
|
| Rate for Payer: BCBS Trust/PPO |
$18.92
|
| Rate for Payer: BCN Commercial |
$18.92
|
| Rate for Payer: Cash Price |
$19.58
|
| Rate for Payer: Cofinity Commercial |
$21.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.58
|
| Rate for Payer: Healthscope Commercial |
$22.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$20.81
|
| Rate for Payer: PHP Commercial |
$20.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.14
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21.54
|
| Rate for Payer: UHC Core |
$20.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.36
|
|
|
HC CAST SUP LNG ARM SPLNT PED F
|
Facility
|
OP
|
$24.48
|
|
| Hospital Charge Code |
27200333
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.81 |
| Max. Negotiated Rate |
$22.03 |
| Rate for Payer: Aetna Commercial |
$20.81
|
| Rate for Payer: Aetna Medicare |
$6.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7.65
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7.65
|
| Rate for Payer: BCBS Complete |
$9.79
|
| Rate for Payer: BCBS MAPPO |
$6.12
|
| Rate for Payer: BCBS Trust/PPO |
$19.03
|
| Rate for Payer: BCN Commercial |
$19.03
|
| Rate for Payer: BCN Medicare Advantage |
$6.12
|
| Rate for Payer: Cash Price |
$19.58
|
| Rate for Payer: Cofinity Commercial |
$21.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.12
|
| Rate for Payer: Healthscope Commercial |
$22.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.36
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$6.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$20.81
|
| Rate for Payer: PACE Senior Care Partners |
$5.81
|
| Rate for Payer: PACE SWMI |
$6.12
|
| Rate for Payer: PHP Commercial |
$20.81
|
| Rate for Payer: PHP Medicare Advantage |
$6.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.14
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21.30
|
| Rate for Payer: Priority Health Medicare |
$6.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.93
|
| Rate for Payer: Railroad Medicare Medicare |
$6.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21.54
|
| Rate for Payer: UHC Core |
$20.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$6.12
|
| Rate for Payer: UHC Medicare Advantage |
$6.30
|
| Rate for Payer: VA VA |
$6.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.36
|
|
|
HC CAST SUP LNG LEG CYLNDR PED F
|
Facility
|
IP
|
$51.00
|
|
| Hospital Charge Code |
27200338
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$31.10 |
| Max. Negotiated Rate |
$45.90 |
| Rate for Payer: Aetna Commercial |
$43.35
|
| Rate for Payer: BCBS Trust/PPO |
$39.41
|
| Rate for Payer: BCN Commercial |
$39.41
|
| Rate for Payer: Cash Price |
$40.80
|
| Rate for Payer: Cofinity Commercial |
$43.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$40.80
|
| Rate for Payer: Healthscope Commercial |
$45.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$38.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$43.35
|
| Rate for Payer: PHP Commercial |
$43.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$35.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$44.37
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$31.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$44.88
|
| Rate for Payer: UHC Core |
$42.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$38.25
|
|
|
HC CAST SUP LNG LEG CYLNDR PED F
|
Facility
|
OP
|
$51.00
|
|
| Hospital Charge Code |
27200338
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$12.11 |
| Max. Negotiated Rate |
$45.90 |
| Rate for Payer: Aetna Commercial |
$43.35
|
| Rate for Payer: Aetna Medicare |
$13.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15.94
|
| Rate for Payer: BCBS Complete |
$20.40
|
| Rate for Payer: BCBS MAPPO |
$12.75
|
| Rate for Payer: BCBS Trust/PPO |
$39.65
|
| Rate for Payer: BCN Commercial |
$39.65
|
| Rate for Payer: BCN Medicare Advantage |
$12.75
|
| Rate for Payer: Cash Price |
$40.80
|
| Rate for Payer: Cofinity Commercial |
$43.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$40.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12.75
|
| Rate for Payer: Healthscope Commercial |
$45.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$38.25
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$13.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$43.35
|
| Rate for Payer: PACE Senior Care Partners |
$12.11
|
| Rate for Payer: PACE SWMI |
$12.75
|
| Rate for Payer: PHP Commercial |
$43.35
|
| Rate for Payer: PHP Medicare Advantage |
$12.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$35.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$44.37
|
| Rate for Payer: Priority Health Medicare |
$12.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$31.10
|
| Rate for Payer: Railroad Medicare Medicare |
$12.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$44.88
|
| Rate for Payer: UHC Core |
$42.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$12.75
|
| Rate for Payer: UHC Medicare Advantage |
$13.13
|
| Rate for Payer: VA VA |
$12.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$38.25
|
|
|
HC CAST SUP LNG LEG PED FBRGLS
|
Facility
|
OP
|
$53.04
|
|
| Hospital Charge Code |
27200337
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$12.60 |
| Max. Negotiated Rate |
$47.74 |
| Rate for Payer: Aetna Commercial |
$45.08
|
| Rate for Payer: Aetna Medicare |
$13.79
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16.58
|
| Rate for Payer: BCBS Complete |
$21.22
|
| Rate for Payer: BCBS MAPPO |
$13.26
|
| Rate for Payer: BCBS Trust/PPO |
$41.24
|
| Rate for Payer: BCN Commercial |
$41.24
|
| Rate for Payer: BCN Medicare Advantage |
$13.26
|
| Rate for Payer: Cash Price |
$42.43
|
| Rate for Payer: Cofinity Commercial |
$45.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$42.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.26
|
| Rate for Payer: Healthscope Commercial |
$47.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$39.78
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$13.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$45.08
|
| Rate for Payer: PACE Senior Care Partners |
$12.60
|
| Rate for Payer: PACE SWMI |
$13.26
|
| Rate for Payer: PHP Commercial |
$45.08
|
| Rate for Payer: PHP Medicare Advantage |
$13.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.13
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$46.14
|
| Rate for Payer: Priority Health Medicare |
$13.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$32.35
|
| Rate for Payer: Railroad Medicare Medicare |
$13.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.68
|
| Rate for Payer: UHC Core |
$44.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$13.26
|
| Rate for Payer: UHC Medicare Advantage |
$13.66
|
| Rate for Payer: VA VA |
$13.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$39.78
|
|
|
HC CAST SUP LNG LEG PED FBRGLS
|
Facility
|
IP
|
$53.04
|
|
| Hospital Charge Code |
27200337
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$32.35 |
| Max. Negotiated Rate |
$47.74 |
| Rate for Payer: Aetna Commercial |
$45.08
|
| Rate for Payer: BCBS Trust/PPO |
$40.99
|
| Rate for Payer: BCN Commercial |
$40.99
|
| Rate for Payer: Cash Price |
$42.43
|
| Rate for Payer: Cofinity Commercial |
$45.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$42.43
|
| Rate for Payer: Healthscope Commercial |
$47.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$39.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$45.08
|
| Rate for Payer: PHP Commercial |
$45.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.13
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$46.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$32.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.68
|
| Rate for Payer: UHC Core |
$44.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$39.78
|
|
|
HC CAST SUP LONG ARM ADULT FBRG
|
Facility
|
IP
|
$56.10
|
|
| Hospital Charge Code |
27200327
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$34.22 |
| Max. Negotiated Rate |
$50.49 |
| Rate for Payer: Aetna Commercial |
$47.68
|
| Rate for Payer: BCBS Trust/PPO |
$43.35
|
| Rate for Payer: BCN Commercial |
$43.35
|
| Rate for Payer: Cash Price |
$44.88
|
| Rate for Payer: Cofinity Commercial |
$48.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$44.88
|
| Rate for Payer: Healthscope Commercial |
$50.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$42.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$47.68
|
| Rate for Payer: PHP Commercial |
$47.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.27
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$48.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$34.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49.37
|
| Rate for Payer: UHC Core |
$46.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$42.08
|
|
