|
HAND AND WRIST PROCEDURES
|
Facility
|
IP
|
$7,054.67
|
|
|
Service Code
|
APR-DRG 3162
|
| Min. Negotiated Rate |
$6,718.73 |
| Max. Negotiated Rate |
$7,054.67 |
| Rate for Payer: BCBS Complete |
$7,054.67
|
| Rate for Payer: Mclaren Medicaid |
$6,718.73
|
| Rate for Payer: Meridian Medicaid |
$7,054.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,718.73
|
| Rate for Payer: UHC Medicaid |
$6,718.73
|
| Rate for Payer: UHCCP Medicaid |
$6,718.73
|
|
|
HAND AND WRIST PROCEDURES
|
Facility
|
IP
|
$15,482.83
|
|
|
Service Code
|
APR-DRG 3164
|
| Min. Negotiated Rate |
$14,745.56 |
| Max. Negotiated Rate |
$15,482.83 |
| Rate for Payer: BCBS Complete |
$15,482.83
|
| Rate for Payer: Mclaren Medicaid |
$14,745.56
|
| Rate for Payer: Meridian Medicaid |
$15,482.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,745.56
|
| Rate for Payer: UHC Medicaid |
$14,745.56
|
| Rate for Payer: UHCCP Medicaid |
$14,745.56
|
|
|
HAND AND WRIST PROCEDURES
|
Facility
|
IP
|
$10,928.01
|
|
|
Service Code
|
APR-DRG 3163
|
| Min. Negotiated Rate |
$10,407.63 |
| Max. Negotiated Rate |
$10,928.01 |
| Rate for Payer: BCBS Complete |
$10,928.01
|
| Rate for Payer: Mclaren Medicaid |
$10,407.63
|
| Rate for Payer: Meridian Medicaid |
$10,928.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,407.63
|
| Rate for Payer: UHC Medicaid |
$10,407.63
|
| Rate for Payer: UHCCP Medicaid |
$10,407.63
|
|
|
HC 11 DEOXYCORTISOL
|
Facility
|
OP
|
$66.86
|
|
|
Service Code
|
CPT 82634
|
| Hospital Charge Code |
30100189
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$11.79 |
| Max. Negotiated Rate |
$60.17 |
| Rate for Payer: Aetna Commercial |
$56.83
|
| Rate for Payer: Aetna Medicare |
$17.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20.89
|
| Rate for Payer: BCBS Complete |
$12.38
|
| Rate for Payer: BCBS MAPPO |
$16.71
|
| Rate for Payer: BCBS Trust/PPO |
$54.97
|
| Rate for Payer: BCN Commercial |
$54.97
|
| Rate for Payer: BCN Medicare Advantage |
$16.71
|
| Rate for Payer: Cash Price |
$53.49
|
| Rate for Payer: Cofinity Commercial |
$57.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$53.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.71
|
| Rate for Payer: Healthscope Commercial |
$60.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$50.15
|
| Rate for Payer: Mclaren Medicaid |
$11.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17.55
|
| Rate for Payer: Meridian Medicaid |
$12.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19.22
|
| Rate for Payer: Molina Medicare/Medicaid |
$18.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$56.83
|
| Rate for Payer: Nomi Health Commercial |
$54.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$50.15
|
| Rate for Payer: PACE Senior Care Partners |
$15.88
|
| Rate for Payer: PACE SWMI |
$16.71
|
| Rate for Payer: PHP Commercial |
$56.83
|
| Rate for Payer: PHP Medicare Advantage |
$16.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.79
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$58.17
|
| Rate for Payer: Priority Health Medicare |
$16.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$46.53
|
| Rate for Payer: Railroad Medicare Medicare |
$16.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$58.84
|
| Rate for Payer: UHC Core |
$55.83
|
| Rate for Payer: UHC Exchange |
$16.71
|
| Rate for Payer: UHC Medicaid |
$11.79
|
| Rate for Payer: UHC Medicare Advantage |
$16.71
|
| Rate for Payer: UHCCP Medicaid |
$11.79
|
| Rate for Payer: VA VA |
$16.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$50.15
|
|
|
HC 11 DEOXYCORTISOL
|
Facility
|
IP
|
$66.86
|
|
|
Service Code
|
CPT 82634
|
| Hospital Charge Code |
30100189
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$46.53 |
| Max. Negotiated Rate |
$60.17 |
| Rate for Payer: Aetna Commercial |
$56.83
|
| Rate for Payer: BCBS Trust/PPO |
$55.22
|
| Rate for Payer: BCN Commercial |
$55.22
|
| Rate for Payer: Cash Price |
$53.49
|
| Rate for Payer: Cofinity Commercial |
$57.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$53.49
|
| Rate for Payer: Healthscope Commercial |
$60.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$50.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$56.83
|
| Rate for Payer: Nomi Health Commercial |
$54.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$50.15
|
| Rate for Payer: PHP Commercial |
$56.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$58.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$46.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$58.84
|
| Rate for Payer: UHC Core |
$55.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$50.15
|
|
|
HC 1/2 X 1/2 STERILE W/LL
|
Facility
|
IP
|
$7.03
|
|
| Hospital Charge Code |
27000680
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$4.89 |
| Max. Negotiated Rate |
$6.33 |
| Rate for Payer: Aetna Commercial |
$5.98
|
| Rate for Payer: BCBS Trust/PPO |
$5.81
|
| Rate for Payer: BCN Commercial |
$5.81
|
| Rate for Payer: Cash Price |
$5.62
|
| Rate for Payer: Cofinity Commercial |
$6.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5.62
|
| Rate for Payer: Healthscope Commercial |
$6.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5.98
|
| Rate for Payer: Nomi Health Commercial |
$5.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5.27
|
| Rate for Payer: PHP Commercial |
$5.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$6.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6.19
|
| Rate for Payer: UHC Core |
$5.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5.27
|
|
|
HC 1/2 X 1/2 STERILE W/LL
|
Facility
|
OP
|
$7.03
|
|
| Hospital Charge Code |
27000680
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$1.24 |
| Max. Negotiated Rate |
$6.33 |
| Rate for Payer: Aetna Commercial |
$5.98
|
| Rate for Payer: Aetna Medicare |
$1.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2.20
|
| Rate for Payer: BCBS Complete |
$1.30
|
| Rate for Payer: BCBS MAPPO |
$1.76
|
| Rate for Payer: BCBS Trust/PPO |
$5.78
|
| Rate for Payer: BCN Commercial |
$5.78
|
| Rate for Payer: BCN Medicare Advantage |
$1.76
|
| Rate for Payer: Cash Price |
$5.62
|
| Rate for Payer: Cofinity Commercial |
$6.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1.76
|
| Rate for Payer: Healthscope Commercial |
$6.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5.27
|
| Rate for Payer: Mclaren Medicaid |
$1.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1.85
|
| Rate for Payer: Meridian Medicaid |
$1.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2.02
|
| Rate for Payer: Molina Medicare/Medicaid |
$1.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5.98
|
| Rate for Payer: Nomi Health Commercial |
$5.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5.27
|
| Rate for Payer: PACE Senior Care Partners |
$1.67
|
| Rate for Payer: PACE SWMI |
$1.76
|
| Rate for Payer: PHP Commercial |
$5.98
|
| Rate for Payer: PHP Medicare Advantage |
$1.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$1.24
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$6.12
|
| Rate for Payer: Priority Health Medicare |
$1.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4.89
|
| Rate for Payer: Railroad Medicare Medicare |
$1.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6.19
|
| Rate for Payer: UHC Core |
$5.87
|
| Rate for Payer: UHC Exchange |
$1.76
|
| Rate for Payer: UHC Medicaid |
$1.24
|
| Rate for Payer: UHC Medicare Advantage |
$1.76
|
| Rate for Payer: UHCCP Medicaid |
$1.24
|
| Rate for Payer: VA VA |
$1.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5.27
|
|
|
HC 20CM TL CATHETER
|
Facility
|
OP
|
$283.98
|
|
|
Service Code
|
HCPCS C1751
|
| Hospital Charge Code |
27200007
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$50.07 |
| Max. Negotiated Rate |
$255.58 |
| Rate for Payer: Aetna Commercial |
$241.38
|
| Rate for Payer: Aetna Medicare |
$73.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$88.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$88.74
|
| Rate for Payer: BCBS Complete |
$52.56
|
| Rate for Payer: BCBS MAPPO |
$71.00
|
| Rate for Payer: BCBS Trust/PPO |
$233.46
|
| Rate for Payer: BCN Commercial |
$233.46
|
| Rate for Payer: BCN Medicare Advantage |
$71.00
|
| Rate for Payer: Cash Price |
$227.18
|
| Rate for Payer: Cofinity Commercial |
$244.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$227.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$71.00
|
| Rate for Payer: Healthscope Commercial |
$255.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$212.99
|
| Rate for Payer: Mclaren Medicaid |
$50.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$74.54
|
| Rate for Payer: Meridian Medicaid |
$52.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$81.64
|
| Rate for Payer: Molina Medicare/Medicaid |
$78.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$241.38
|
| Rate for Payer: Nomi Health Commercial |
$232.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$212.99
|
| Rate for Payer: PACE Senior Care Partners |
$67.45
|
| Rate for Payer: PACE SWMI |
$71.00
|
| Rate for Payer: PHP Commercial |
$241.38
|
| Rate for Payer: PHP Medicare Advantage |
$71.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$50.07
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$247.06
|
| Rate for Payer: Priority Health Medicare |
$71.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$197.65
|
| Rate for Payer: Railroad Medicare Medicare |
$71.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$249.90
|
| Rate for Payer: UHC Core |
$237.12
|
| Rate for Payer: UHC Exchange |
$71.00
|
| Rate for Payer: UHC Medicaid |
$50.07
|
| Rate for Payer: UHC Medicare Advantage |
$71.00
|
| Rate for Payer: UHCCP Medicaid |
$50.07
|
| Rate for Payer: VA VA |
$71.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$212.99
|
|
|
HC 20CM TL CATHETER
|
Facility
|
IP
|
$283.98
|
|
|
Service Code
|
HCPCS C1751
|
| Hospital Charge Code |
27200007
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$197.65 |
| Max. Negotiated Rate |
$255.58 |
| Rate for Payer: Aetna Commercial |
$241.38
|
| Rate for Payer: BCBS Trust/PPO |
$234.54
|
| Rate for Payer: BCN Commercial |
$234.54
|
| Rate for Payer: Cash Price |
$227.18
|
| Rate for Payer: Cofinity Commercial |
$244.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$227.18
|
| Rate for Payer: Healthscope Commercial |
$255.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$212.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$241.38
|
| Rate for Payer: Nomi Health Commercial |
$232.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$212.99
|
| Rate for Payer: PHP Commercial |
$241.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$247.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$197.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$249.90
|
| Rate for Payer: UHC Core |
$237.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$212.99
|
|
|
HC 23BPG, U
|
Facility
|
OP
|
$76.41
|
|
|
Service Code
|
CPT 84150
|
| Hospital Charge Code |
30100714
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$13.47 |
| Max. Negotiated Rate |
$68.77 |
| Rate for Payer: Aetna Commercial |
$64.95
|
| Rate for Payer: Aetna Medicare |
$19.87
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23.88
|
| Rate for Payer: BCBS Complete |
$14.14
|
| Rate for Payer: BCBS MAPPO |
$19.10
|
| Rate for Payer: BCBS Trust/PPO |
$62.82
|
| Rate for Payer: BCN Commercial |
$62.82
|
| Rate for Payer: BCN Medicare Advantage |
$19.10
|
| Rate for Payer: Cash Price |
$61.13
|
| Rate for Payer: Cofinity Commercial |
$65.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$61.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19.10
|
| Rate for Payer: Healthscope Commercial |
$68.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$57.31
|
| Rate for Payer: Mclaren Medicaid |
$13.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20.06
|
| Rate for Payer: Meridian Medicaid |
$14.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.97
|
| Rate for Payer: Molina Medicare/Medicaid |
$21.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$64.95
|
| Rate for Payer: Nomi Health Commercial |
$62.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$57.31
|
| Rate for Payer: PACE Senior Care Partners |
$18.15
|
| Rate for Payer: PACE SWMI |
$19.10
|
| Rate for Payer: PHP Commercial |
$64.95
|
| Rate for Payer: PHP Medicare Advantage |
$19.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$13.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$66.48
|
| Rate for Payer: Priority Health Medicare |
$19.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$53.18
|
| Rate for Payer: Railroad Medicare Medicare |
$19.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$67.24
|
| Rate for Payer: UHC Core |
$63.80
|
| Rate for Payer: UHC Exchange |
$19.10
|
| Rate for Payer: UHC Medicaid |
$13.47
|
| Rate for Payer: UHC Medicare Advantage |
$19.10
|
| Rate for Payer: UHCCP Medicaid |
$13.47
|
| Rate for Payer: VA VA |
$19.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$57.31
|
|
|
HC 23BPG, U
|
Facility
|
IP
|
$76.41
|
|
|
Service Code
|
CPT 84150
|
| Hospital Charge Code |
30100714
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$53.18 |
| Max. Negotiated Rate |
$68.77 |
| Rate for Payer: Aetna Commercial |
$64.95
|
| Rate for Payer: BCBS Trust/PPO |
$63.11
|
| Rate for Payer: BCN Commercial |
$63.11
|
| Rate for Payer: Cash Price |
$61.13
|
| Rate for Payer: Cofinity Commercial |
$65.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$61.13
|
| Rate for Payer: Healthscope Commercial |
$68.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$57.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$64.95
|
| Rate for Payer: Nomi Health Commercial |
$62.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$57.31
|
| Rate for Payer: PHP Commercial |
$64.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$66.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$53.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$67.24
|
| Rate for Payer: UHC Core |
$63.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$57.31
|
|
|
HC 23BPR URINE
|
Facility
|
OP
|
$88.65
|
|
|
Service Code
|
CPT 84150
|
| Hospital Charge Code |
30100735
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$15.63 |
| Max. Negotiated Rate |
$79.78 |
| Rate for Payer: Aetna Commercial |
$75.35
|
| Rate for Payer: Aetna Medicare |
$23.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27.70
|
| Rate for Payer: BCBS Complete |
$16.41
|
| Rate for Payer: BCBS MAPPO |
$22.16
|
| Rate for Payer: BCBS Trust/PPO |
$72.88
|
| Rate for Payer: BCN Commercial |
$72.88
|
| Rate for Payer: BCN Medicare Advantage |
$22.16
|
| Rate for Payer: Cash Price |
$70.92
|
| Rate for Payer: Cofinity Commercial |
$76.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$70.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22.16
|
| Rate for Payer: Healthscope Commercial |
$79.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$66.49
|
| Rate for Payer: Mclaren Medicaid |
$15.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23.27
|
| Rate for Payer: Meridian Medicaid |
$16.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25.49
|
| Rate for Payer: Molina Medicare/Medicaid |
$24.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$75.35
|
| Rate for Payer: Nomi Health Commercial |
$72.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$66.49
|
| Rate for Payer: PACE Senior Care Partners |
$21.05
|
| Rate for Payer: PACE SWMI |
$22.16
|
| Rate for Payer: PHP Commercial |
$75.35
|
| Rate for Payer: PHP Medicare Advantage |
$22.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$15.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$77.13
|
| Rate for Payer: Priority Health Medicare |
$22.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$61.70
|
| Rate for Payer: Railroad Medicare Medicare |
$22.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$78.01
|
| Rate for Payer: UHC Core |
$74.02
|
| Rate for Payer: UHC Exchange |
$22.16
|
| Rate for Payer: UHC Medicaid |
$15.63
|
| Rate for Payer: UHC Medicare Advantage |
$22.16
|
| Rate for Payer: UHCCP Medicaid |
$15.63
|
| Rate for Payer: VA VA |
$22.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$66.49
|
|
|
HC 23BPR URINE
|
Facility
|
IP
|
$88.65
|
|
|
Service Code
|
CPT 84150
|
| Hospital Charge Code |
30100735
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$61.70 |
| Max. Negotiated Rate |
$79.78 |
| Rate for Payer: Aetna Commercial |
$75.35
|
| Rate for Payer: BCBS Trust/PPO |
$73.22
|
| Rate for Payer: BCN Commercial |
$73.22
|
| Rate for Payer: Cash Price |
$70.92
|
| Rate for Payer: Cofinity Commercial |
$76.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$70.92
|
| Rate for Payer: Healthscope Commercial |
$79.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$66.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$75.35
|
| Rate for Payer: Nomi Health Commercial |
$72.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$66.49
|
| Rate for Payer: PHP Commercial |
$75.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$77.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$61.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$78.01
|
| Rate for Payer: UHC Core |
$74.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$66.49
|
|
|
HC 24 HOUR PH MONITOR
|
Facility
|
IP
|
$1,583.18
|
|
|
Service Code
|
CPT 91034
|
| Hospital Charge Code |
75000001
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,101.89 |
| Max. Negotiated Rate |
$1,424.86 |
| Rate for Payer: Aetna Commercial |
$1,345.70
|
| Rate for Payer: BCBS Trust/PPO |
$1,307.55
|
| Rate for Payer: BCN Commercial |
$1,307.55
|
| Rate for Payer: Cash Price |
$1,266.54
|
| Rate for Payer: Cofinity Commercial |
$1,361.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,266.54
|
| Rate for Payer: Healthscope Commercial |
$1,424.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,187.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,345.70
|
| Rate for Payer: Nomi Health Commercial |
$1,298.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,187.38
|
| Rate for Payer: PHP Commercial |
$1,345.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,377.37
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,101.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,393.20
|
| Rate for Payer: UHC Core |
$1,321.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,187.38
|
|
|
HC 24 HOUR PH MONITOR
|
Facility
|
OP
|
$1,583.18
|
|
|
Service Code
|
CPT 91034
|
| Hospital Charge Code |
75000001
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$279.11 |
| Max. Negotiated Rate |
$1,424.86 |
| Rate for Payer: Aetna Commercial |
$1,345.70
|
| Rate for Payer: Aetna Medicare |
$411.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$494.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$494.74
|
| Rate for Payer: BCBS Complete |
$293.05
|
| Rate for Payer: BCBS MAPPO |
$395.80
|
| Rate for Payer: BCBS Trust/PPO |
$1,301.53
|
| Rate for Payer: BCN Commercial |
$1,301.53
|
| Rate for Payer: BCN Medicare Advantage |
$395.80
|
| Rate for Payer: Cash Price |
$1,266.54
|
| Rate for Payer: Cofinity Commercial |
$1,361.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,266.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$395.80
|
| Rate for Payer: Healthscope Commercial |
$1,424.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,187.38
|
| Rate for Payer: Mclaren Medicaid |
$279.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$415.58
|
| Rate for Payer: Meridian Medicaid |
$293.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$455.16
|
| Rate for Payer: Molina Medicare/Medicaid |
$435.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,345.70
|
| Rate for Payer: Nomi Health Commercial |
$1,298.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,187.38
|
| Rate for Payer: PACE Senior Care Partners |
$376.01
|
| Rate for Payer: PACE SWMI |
$395.80
|
| Rate for Payer: PHP Commercial |
$1,345.70
|
| Rate for Payer: PHP Medicare Advantage |
$395.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$279.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,377.37
|
| Rate for Payer: Priority Health Medicare |
$399.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,101.89
|
| Rate for Payer: Railroad Medicare Medicare |
$395.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,393.20
|
| Rate for Payer: UHC Core |
$1,321.96
|
| Rate for Payer: UHC Exchange |
$395.80
|
| Rate for Payer: UHC Medicaid |
$279.11
|
| Rate for Payer: UHC Medicare Advantage |
$395.80
|
| Rate for Payer: UHCCP Medicaid |
$279.11
|
| Rate for Payer: VA VA |
$395.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,187.38
|
|
|
HC 2D ECHOCARDIOGRAM LIMITED STUDY
|
Facility
|
IP
|
$842.06
|
|
|
Service Code
|
CPT 93308
|
| Hospital Charge Code |
48300002
|
|
Hospital Revenue Code
|
483
|
| Min. Negotiated Rate |
$586.07 |
| Max. Negotiated Rate |
$757.85 |
| Rate for Payer: Aetna Commercial |
$715.75
|
| Rate for Payer: BCBS Trust/PPO |
$695.46
|
| Rate for Payer: BCN Commercial |
$695.46
|
| Rate for Payer: Cash Price |
$673.65
|
| Rate for Payer: Cofinity Commercial |
$724.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$673.65
|
| Rate for Payer: Healthscope Commercial |
$757.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$631.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$715.75
|
| Rate for Payer: Nomi Health Commercial |
$690.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$631.54
|
| Rate for Payer: PHP Commercial |
$715.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$732.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$586.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$741.01
|
| Rate for Payer: UHC Core |
$703.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$631.54
|
|
|
HC 2D ECHOCARDIOGRAM LIMITED STUDY
|
Facility
|
OP
|
$842.06
|
|
|
Service Code
|
CPT 93308
|
| Hospital Charge Code |
48300002
|
|
Hospital Revenue Code
|
483
|
| Min. Negotiated Rate |
$148.46 |
| Max. Negotiated Rate |
$757.85 |
| Rate for Payer: Aetna Commercial |
$715.75
|
| Rate for Payer: Aetna Medicare |
$218.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$263.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$263.14
|
| Rate for Payer: BCBS Complete |
$155.87
|
| Rate for Payer: BCBS MAPPO |
$210.51
|
| Rate for Payer: BCBS Trust/PPO |
$692.26
|
| Rate for Payer: BCN Commercial |
$692.26
|
| Rate for Payer: BCN Medicare Advantage |
$210.51
|
| Rate for Payer: Cash Price |
$673.65
|
| Rate for Payer: Cofinity Commercial |
$724.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$673.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$210.51
|
| Rate for Payer: Healthscope Commercial |
$757.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$631.54
|
| Rate for Payer: Mclaren Medicaid |
$148.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$221.04
|
| Rate for Payer: Meridian Medicaid |
$155.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$242.09
|
| Rate for Payer: Molina Medicare/Medicaid |
$231.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$715.75
|
| Rate for Payer: Nomi Health Commercial |
$690.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$631.54
|
| Rate for Payer: PACE Senior Care Partners |
$199.99
|
| Rate for Payer: PACE SWMI |
$210.51
|
| Rate for Payer: PHP Commercial |
$715.75
|
| Rate for Payer: PHP Medicare Advantage |
$210.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$148.46
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$732.59
|
| Rate for Payer: Priority Health Medicare |
$212.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$586.07
|
| Rate for Payer: Railroad Medicare Medicare |
$210.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$741.01
|
| Rate for Payer: UHC Core |
$703.12
|
| Rate for Payer: UHC Exchange |
$210.51
|
| Rate for Payer: UHC Medicaid |
$148.46
|
| Rate for Payer: UHC Medicare Advantage |
$210.51
|
| Rate for Payer: UHCCP Medicaid |
$148.46
|
| Rate for Payer: VA VA |
$210.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$631.54
|
|
|
HC 2 PIECE WAFER
|
Facility
|
OP
|
$13.69
|
|
| Hospital Charge Code |
27100001
|
|
Hospital Revenue Code
|
271
|
| Min. Negotiated Rate |
$2.41 |
| Max. Negotiated Rate |
$12.32 |
| Rate for Payer: Aetna Commercial |
$11.64
|
| Rate for Payer: Aetna Medicare |
$3.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4.28
|
| Rate for Payer: BCBS Complete |
$2.53
|
| Rate for Payer: BCBS MAPPO |
$3.42
|
| Rate for Payer: BCBS Trust/PPO |
$11.25
|
| Rate for Payer: BCN Commercial |
$11.25
|
| Rate for Payer: BCN Medicare Advantage |
$3.42
|
| Rate for Payer: Cash Price |
$10.95
|
| Rate for Payer: Cofinity Commercial |
$11.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.42
|
| Rate for Payer: Healthscope Commercial |
$12.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10.27
|
| Rate for Payer: Mclaren Medicaid |
$2.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3.59
|
| Rate for Payer: Meridian Medicaid |
$2.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.94
|
| Rate for Payer: Molina Medicare/Medicaid |
$3.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.64
|
| Rate for Payer: Nomi Health Commercial |
$11.23
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.27
|
| Rate for Payer: PACE Senior Care Partners |
$3.25
|
| Rate for Payer: PACE SWMI |
$3.42
|
| Rate for Payer: PHP Commercial |
$11.64
|
| Rate for Payer: PHP Medicare Advantage |
$3.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$11.91
|
| Rate for Payer: Priority Health Medicare |
$3.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9.53
|
| Rate for Payer: Railroad Medicare Medicare |
$3.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12.05
|
| Rate for Payer: UHC Core |
$11.43
|
| Rate for Payer: UHC Exchange |
$3.42
|
| Rate for Payer: UHC Medicaid |
$2.41
|
| Rate for Payer: UHC Medicare Advantage |
$3.42
|
| Rate for Payer: UHCCP Medicaid |
$2.41
|
| Rate for Payer: VA VA |
$3.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10.27
|
|
|
HC 2 PIECE WAFER
|
Facility
|
IP
|
$13.69
|
|
| Hospital Charge Code |
27100001
|
|
Hospital Revenue Code
|
271
|
| Min. Negotiated Rate |
$9.53 |
| Max. Negotiated Rate |
$12.32 |
| Rate for Payer: Aetna Commercial |
$11.64
|
| Rate for Payer: BCBS Trust/PPO |
$11.31
|
| Rate for Payer: BCN Commercial |
$11.31
|
| Rate for Payer: Cash Price |
$10.95
|
| Rate for Payer: Cofinity Commercial |
$11.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.95
|
| Rate for Payer: Healthscope Commercial |
$12.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.64
|
| Rate for Payer: Nomi Health Commercial |
$11.23
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.27
|
| Rate for Payer: PHP Commercial |
$11.64
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$11.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12.05
|
| Rate for Payer: UHC Core |
$11.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10.27
|
|
|
HC 3D ECHO RENDERING
|
Facility
|
OP
|
$682.57
|
|
|
Service Code
|
CPT 76376
|
| Hospital Charge Code |
32000282
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$120.34 |
| Max. Negotiated Rate |
$614.31 |
| Rate for Payer: Aetna Commercial |
$580.18
|
| Rate for Payer: Aetna Medicare |
$177.47
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$213.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$213.30
|
| Rate for Payer: BCBS Complete |
$126.34
|
| Rate for Payer: BCBS MAPPO |
$170.64
|
| Rate for Payer: BCBS Trust/PPO |
$561.14
|
| Rate for Payer: BCN Commercial |
$561.14
|
| Rate for Payer: BCN Medicare Advantage |
$170.64
|
| Rate for Payer: Cash Price |
$546.06
|
| Rate for Payer: Cofinity Commercial |
$587.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$546.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$170.64
|
| Rate for Payer: Healthscope Commercial |
$614.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$511.93
|
| Rate for Payer: Mclaren Medicaid |
$120.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$179.17
|
| Rate for Payer: Meridian Medicaid |
$126.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$196.24
|
| Rate for Payer: Molina Medicare/Medicaid |
$187.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$580.18
|
| Rate for Payer: Nomi Health Commercial |
$559.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$511.93
|
| Rate for Payer: PACE Senior Care Partners |
$162.11
|
| Rate for Payer: PACE SWMI |
$170.64
|
| Rate for Payer: PHP Commercial |
$580.18
|
| Rate for Payer: PHP Medicare Advantage |
$170.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$120.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$593.84
|
| Rate for Payer: Priority Health Medicare |
$172.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$475.07
|
| Rate for Payer: Railroad Medicare Medicare |
$170.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$600.66
|
| Rate for Payer: UHC Core |
$569.95
|
| Rate for Payer: UHC Exchange |
$170.64
|
| Rate for Payer: UHC Medicaid |
$120.34
|
| Rate for Payer: UHC Medicare Advantage |
$170.64
|
| Rate for Payer: UHCCP Medicaid |
$120.34
|
| Rate for Payer: VA VA |
$170.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$511.93
|
|
|
HC 3D ECHO RENDERING
|
Facility
|
IP
|
$682.57
|
|
|
Service Code
|
CPT 76376
|
| Hospital Charge Code |
32000282
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$475.07 |
| Max. Negotiated Rate |
$614.31 |
| Rate for Payer: Aetna Commercial |
$580.18
|
| Rate for Payer: BCBS Trust/PPO |
$563.73
|
| Rate for Payer: BCN Commercial |
$563.73
|
| Rate for Payer: Cash Price |
$546.06
|
| Rate for Payer: Cofinity Commercial |
$587.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$546.06
|
| Rate for Payer: Healthscope Commercial |
$614.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$511.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$580.18
|
| Rate for Payer: Nomi Health Commercial |
$559.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$511.93
|
| Rate for Payer: PHP Commercial |
$580.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$593.84
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$475.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$600.66
|
| Rate for Payer: UHC Core |
$569.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$511.93
|
|
|
HC 3D ECHO REND W/WORKSTATION
|
Facility
|
OP
|
$650.63
|
|
|
Service Code
|
CPT 76377
|
| Hospital Charge Code |
32000283
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$114.71 |
| Max. Negotiated Rate |
$585.57 |
| Rate for Payer: Aetna Commercial |
$553.04
|
| Rate for Payer: Aetna Medicare |
$169.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$203.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$203.32
|
| Rate for Payer: BCBS Complete |
$120.43
|
| Rate for Payer: BCBS MAPPO |
$162.66
|
| Rate for Payer: BCBS Trust/PPO |
$534.88
|
| Rate for Payer: BCN Commercial |
$534.88
|
| Rate for Payer: BCN Medicare Advantage |
$162.66
|
| Rate for Payer: Cash Price |
$520.50
|
| Rate for Payer: Cofinity Commercial |
$559.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$520.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$162.66
|
| Rate for Payer: Healthscope Commercial |
$585.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$487.97
|
| Rate for Payer: Mclaren Medicaid |
$114.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$170.79
|
| Rate for Payer: Meridian Medicaid |
$120.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$187.06
|
| Rate for Payer: Molina Medicare/Medicaid |
$178.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$553.04
|
| Rate for Payer: Nomi Health Commercial |
$533.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$487.97
|
| Rate for Payer: PACE Senior Care Partners |
$154.52
|
| Rate for Payer: PACE SWMI |
$162.66
|
| Rate for Payer: PHP Commercial |
$553.04
|
| Rate for Payer: PHP Medicare Advantage |
$162.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$114.71
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$566.05
|
| Rate for Payer: Priority Health Medicare |
$164.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$452.84
|
| Rate for Payer: Railroad Medicare Medicare |
$162.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$572.55
|
| Rate for Payer: UHC Core |
$543.28
|
| Rate for Payer: UHC Exchange |
$162.66
|
| Rate for Payer: UHC Medicaid |
$114.71
|
| Rate for Payer: UHC Medicare Advantage |
$162.66
|
| Rate for Payer: UHCCP Medicaid |
$114.71
|
| Rate for Payer: VA VA |
$162.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$487.97
|
|
|
HC 3D ECHO REND W/WORKSTATION
|
Facility
|
IP
|
$650.63
|
|
|
Service Code
|
CPT 76377
|
| Hospital Charge Code |
32000283
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$452.84 |
| Max. Negotiated Rate |
$585.57 |
| Rate for Payer: Aetna Commercial |
$553.04
|
| Rate for Payer: BCBS Trust/PPO |
$537.36
|
| Rate for Payer: BCN Commercial |
$537.36
|
| Rate for Payer: Cash Price |
$520.50
|
| Rate for Payer: Cofinity Commercial |
$559.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$520.50
|
| Rate for Payer: Healthscope Commercial |
$585.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$487.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$553.04
|
| Rate for Payer: Nomi Health Commercial |
$533.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$487.97
|
| Rate for Payer: PHP Commercial |
$553.04
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$566.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$452.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$572.55
|
| Rate for Payer: UHC Core |
$543.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$487.97
|
|
|
HC 4X4 WAFER
|
Facility
|
OP
|
$25.00
|
|
| Hospital Charge Code |
27000023
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$4.41 |
| Max. Negotiated Rate |
$22.50 |
| Rate for Payer: Aetna Commercial |
$21.25
|
| Rate for Payer: Aetna Medicare |
$6.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7.81
|
| Rate for Payer: BCBS Complete |
$4.63
|
| Rate for Payer: BCBS MAPPO |
$6.25
|
| Rate for Payer: BCBS Trust/PPO |
$20.55
|
| Rate for Payer: BCN Commercial |
$20.55
|
| Rate for Payer: BCN Medicare Advantage |
$6.25
|
| Rate for Payer: Cash Price |
$20.00
|
| Rate for Payer: Cofinity Commercial |
$21.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.25
|
| Rate for Payer: Healthscope Commercial |
$22.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.75
|
| Rate for Payer: Mclaren Medicaid |
$4.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.56
|
| Rate for Payer: Meridian Medicaid |
$4.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.19
|
| Rate for Payer: Molina Medicare/Medicaid |
$6.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.25
|
| Rate for Payer: Nomi Health Commercial |
$20.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.75
|
| Rate for Payer: PACE Senior Care Partners |
$5.94
|
| Rate for Payer: PACE SWMI |
$6.25
|
| Rate for Payer: PHP Commercial |
$21.25
|
| Rate for Payer: PHP Medicare Advantage |
$6.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$21.75
|
| Rate for Payer: Priority Health Medicare |
$6.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$17.40
|
| Rate for Payer: Railroad Medicare Medicare |
$6.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.00
|
| Rate for Payer: UHC Core |
$20.88
|
| Rate for Payer: UHC Exchange |
$6.25
|
| Rate for Payer: UHC Medicaid |
$4.41
|
| Rate for Payer: UHC Medicare Advantage |
$6.25
|
| Rate for Payer: UHCCP Medicaid |
$4.41
|
| Rate for Payer: VA VA |
$6.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.75
|
|
|
HC 4X4 WAFER
|
Facility
|
IP
|
$25.00
|
|
| Hospital Charge Code |
27000023
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$17.40 |
| Max. Negotiated Rate |
$22.50 |
| Rate for Payer: Aetna Commercial |
$21.25
|
| Rate for Payer: BCBS Trust/PPO |
$20.65
|
| Rate for Payer: BCN Commercial |
$20.65
|
| Rate for Payer: Cash Price |
$20.00
|
| Rate for Payer: Cofinity Commercial |
$21.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.00
|
| Rate for Payer: Healthscope Commercial |
$22.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.25
|
| Rate for Payer: Nomi Health Commercial |
$20.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.75
|
| Rate for Payer: PHP Commercial |
$21.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$21.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$17.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.00
|
| Rate for Payer: UHC Core |
$20.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.75
|
|
