|
HC ACCESS MAIN PULMONARY
|
Facility
|
OP
|
$436.13
|
|
|
Service Code
|
CPT 36013
|
| Hospital Charge Code |
36100099
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$76.89 |
| Max. Negotiated Rate |
$392.52 |
| Rate for Payer: Aetna Commercial |
$370.71
|
| Rate for Payer: Aetna Medicare |
$113.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$136.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$136.29
|
| Rate for Payer: BCBS Complete |
$80.73
|
| Rate for Payer: BCBS MAPPO |
$109.03
|
| Rate for Payer: BCBS Trust/PPO |
$358.54
|
| Rate for Payer: BCN Commercial |
$358.54
|
| Rate for Payer: BCN Medicare Advantage |
$109.03
|
| Rate for Payer: Cash Price |
$348.90
|
| Rate for Payer: Cofinity Commercial |
$375.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$348.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$109.03
|
| Rate for Payer: Healthscope Commercial |
$392.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$327.10
|
| Rate for Payer: Mclaren Medicaid |
$76.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$114.48
|
| Rate for Payer: Meridian Medicaid |
$80.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$125.39
|
| Rate for Payer: Molina Medicare/Medicaid |
$119.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$370.71
|
| Rate for Payer: Nomi Health Commercial |
$357.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$327.10
|
| Rate for Payer: PACE Senior Care Partners |
$103.58
|
| Rate for Payer: PACE SWMI |
$109.03
|
| Rate for Payer: PHP Commercial |
$370.71
|
| Rate for Payer: PHP Medicare Advantage |
$109.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$76.89
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$379.43
|
| Rate for Payer: Priority Health Medicare |
$110.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$303.55
|
| Rate for Payer: Railroad Medicare Medicare |
$109.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$383.79
|
| Rate for Payer: UHC Core |
$364.17
|
| Rate for Payer: UHC Exchange |
$109.03
|
| Rate for Payer: UHC Medicaid |
$76.89
|
| Rate for Payer: UHC Medicare Advantage |
$109.03
|
| Rate for Payer: UHCCP Medicaid |
$76.89
|
| Rate for Payer: VA VA |
$109.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$327.10
|
|
|
HC ACCESS MAIN PULMONARY
|
Facility
|
IP
|
$436.13
|
|
|
Service Code
|
CPT 36013
|
| Hospital Charge Code |
36100099
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$303.55 |
| Max. Negotiated Rate |
$392.52 |
| Rate for Payer: Aetna Commercial |
$370.71
|
| Rate for Payer: BCBS Trust/PPO |
$360.20
|
| Rate for Payer: BCN Commercial |
$360.20
|
| Rate for Payer: Cash Price |
$348.90
|
| Rate for Payer: Cofinity Commercial |
$375.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$348.90
|
| Rate for Payer: Healthscope Commercial |
$392.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$327.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$370.71
|
| Rate for Payer: Nomi Health Commercial |
$357.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$327.10
|
| Rate for Payer: PHP Commercial |
$370.71
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$379.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$303.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$383.79
|
| Rate for Payer: UHC Core |
$364.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$327.10
|
|
|
HC ACCESS VEIN
|
Facility
|
OP
|
$396.48
|
|
|
Service Code
|
CPT 36000
|
| Hospital Charge Code |
36100093
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$69.90 |
| Max. Negotiated Rate |
$356.83 |
| Rate for Payer: Aetna Commercial |
$337.01
|
| Rate for Payer: Aetna Medicare |
$103.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$123.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$123.90
|
| Rate for Payer: BCBS Complete |
$73.39
|
| Rate for Payer: BCBS MAPPO |
$99.12
|
| Rate for Payer: BCBS Trust/PPO |
$325.95
|
| Rate for Payer: BCN Commercial |
$325.95
|
| Rate for Payer: BCN Medicare Advantage |
$99.12
|
| Rate for Payer: Cash Price |
$317.18
|
| Rate for Payer: Cofinity Commercial |
$340.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$317.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$99.12
|
| Rate for Payer: Healthscope Commercial |
$356.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$297.36
|
| Rate for Payer: Mclaren Medicaid |
$69.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$104.08
|
| Rate for Payer: Meridian Medicaid |
$73.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$113.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$109.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$337.01
|
| Rate for Payer: Nomi Health Commercial |
$325.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$297.36
|
| Rate for Payer: PACE Senior Care Partners |
$94.16
|
| Rate for Payer: PACE SWMI |
$99.12
|
| Rate for Payer: PHP Commercial |
$337.01
|
| Rate for Payer: PHP Medicare Advantage |
$99.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$69.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$344.94
|
| Rate for Payer: Priority Health Medicare |
$100.11
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$275.95
|
| Rate for Payer: Railroad Medicare Medicare |
$99.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$348.90
|
| Rate for Payer: UHC Core |
$331.06
|
| Rate for Payer: UHC Exchange |
$99.12
|
| Rate for Payer: UHC Medicaid |
$69.90
|
| Rate for Payer: UHC Medicare Advantage |
$99.12
|
| Rate for Payer: UHCCP Medicaid |
$69.90
|
| Rate for Payer: VA VA |
$99.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$297.36
|
|
|
HC ACCESS VEIN
|
Facility
|
IP
|
$396.48
|
|
|
Service Code
|
CPT 36000
|
| Hospital Charge Code |
36100093
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$275.95 |
| Max. Negotiated Rate |
$356.83 |
| Rate for Payer: Aetna Commercial |
$337.01
|
| Rate for Payer: BCBS Trust/PPO |
$327.45
|
| Rate for Payer: BCN Commercial |
$327.45
|
| Rate for Payer: Cash Price |
$317.18
|
| Rate for Payer: Cofinity Commercial |
$340.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$317.18
|
| Rate for Payer: Healthscope Commercial |
$356.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$297.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$337.01
|
| Rate for Payer: Nomi Health Commercial |
$325.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$297.36
|
| Rate for Payer: PHP Commercial |
$337.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$344.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$275.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$348.90
|
| Rate for Payer: UHC Core |
$331.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$297.36
|
|
|
HC ACCESS VEIN ORGAN BLOOD SAMPLING
|
Facility
|
OP
|
$1,090.74
|
|
|
Service Code
|
CPT 36500
|
| Hospital Charge Code |
36100118
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$192.30 |
| Max. Negotiated Rate |
$981.67 |
| Rate for Payer: Aetna Commercial |
$927.13
|
| Rate for Payer: Aetna Medicare |
$283.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$340.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$340.86
|
| Rate for Payer: BCBS Complete |
$201.90
|
| Rate for Payer: BCBS MAPPO |
$272.69
|
| Rate for Payer: BCBS Trust/PPO |
$896.70
|
| Rate for Payer: BCN Commercial |
$896.70
|
| Rate for Payer: BCN Medicare Advantage |
$272.69
|
| Rate for Payer: Cash Price |
$872.59
|
| Rate for Payer: Cofinity Commercial |
$938.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$872.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$272.69
|
| Rate for Payer: Healthscope Commercial |
$981.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$818.05
|
| Rate for Payer: Mclaren Medicaid |
$192.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$286.32
|
| Rate for Payer: Meridian Medicaid |
$201.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$313.59
|
| Rate for Payer: Molina Medicare/Medicaid |
$299.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$927.13
|
| Rate for Payer: Nomi Health Commercial |
$894.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$818.05
|
| Rate for Payer: PACE Senior Care Partners |
$259.05
|
| Rate for Payer: PACE SWMI |
$272.69
|
| Rate for Payer: PHP Commercial |
$927.13
|
| Rate for Payer: PHP Medicare Advantage |
$272.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$192.30
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$948.94
|
| Rate for Payer: Priority Health Medicare |
$275.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$759.16
|
| Rate for Payer: Railroad Medicare Medicare |
$272.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$959.85
|
| Rate for Payer: UHC Core |
$910.77
|
| Rate for Payer: UHC Exchange |
$272.69
|
| Rate for Payer: UHC Medicaid |
$192.30
|
| Rate for Payer: UHC Medicare Advantage |
$272.69
|
| Rate for Payer: UHCCP Medicaid |
$192.30
|
| Rate for Payer: VA VA |
$272.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$818.05
|
|
|
HC ACCESS VEIN ORGAN BLOOD SAMPLING
|
Facility
|
IP
|
$1,090.74
|
|
|
Service Code
|
CPT 36500
|
| Hospital Charge Code |
36100118
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$759.16 |
| Max. Negotiated Rate |
$981.67 |
| Rate for Payer: Aetna Commercial |
$927.13
|
| Rate for Payer: BCBS Trust/PPO |
$900.84
|
| Rate for Payer: BCN Commercial |
$900.84
|
| Rate for Payer: Cash Price |
$872.59
|
| Rate for Payer: Cofinity Commercial |
$938.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$872.59
|
| Rate for Payer: Healthscope Commercial |
$981.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$818.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$927.13
|
| Rate for Payer: Nomi Health Commercial |
$894.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$818.05
|
| Rate for Payer: PHP Commercial |
$927.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$948.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$759.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$959.85
|
| Rate for Payer: UHC Core |
$910.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$818.05
|
|
|
HC ACCESS VENA CAVA
|
Facility
|
IP
|
$3,285.01
|
|
|
Service Code
|
CPT 36010
|
| Hospital Charge Code |
36100096
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,286.37 |
| Max. Negotiated Rate |
$2,956.51 |
| Rate for Payer: Aetna Commercial |
$2,792.26
|
| Rate for Payer: BCBS Trust/PPO |
$2,713.09
|
| Rate for Payer: BCN Commercial |
$2,713.09
|
| Rate for Payer: Cash Price |
$2,628.01
|
| Rate for Payer: Cofinity Commercial |
$2,825.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,628.01
|
| Rate for Payer: Healthscope Commercial |
$2,956.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,463.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,792.26
|
| Rate for Payer: Nomi Health Commercial |
$2,693.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,463.76
|
| Rate for Payer: PHP Commercial |
$2,792.26
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,857.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,286.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,890.81
|
| Rate for Payer: UHC Core |
$2,742.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,463.76
|
|
|
HC ACCESS VENA CAVA
|
Facility
|
OP
|
$3,285.01
|
|
|
Service Code
|
CPT 36010
|
| Hospital Charge Code |
36100096
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$579.15 |
| Max. Negotiated Rate |
$2,956.51 |
| Rate for Payer: Aetna Commercial |
$2,792.26
|
| Rate for Payer: Aetna Medicare |
$854.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,026.57
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,026.57
|
| Rate for Payer: BCBS Complete |
$608.06
|
| Rate for Payer: BCBS MAPPO |
$821.25
|
| Rate for Payer: BCBS Trust/PPO |
$2,700.61
|
| Rate for Payer: BCN Commercial |
$2,700.61
|
| Rate for Payer: BCN Medicare Advantage |
$821.25
|
| Rate for Payer: Cash Price |
$2,628.01
|
| Rate for Payer: Cofinity Commercial |
$2,825.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,628.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$821.25
|
| Rate for Payer: Healthscope Commercial |
$2,956.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,463.76
|
| Rate for Payer: Mclaren Medicaid |
$579.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$862.32
|
| Rate for Payer: Meridian Medicaid |
$608.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$944.44
|
| Rate for Payer: Molina Medicare/Medicaid |
$903.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,792.26
|
| Rate for Payer: Nomi Health Commercial |
$2,693.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,463.76
|
| Rate for Payer: PACE Senior Care Partners |
$780.19
|
| Rate for Payer: PACE SWMI |
$821.25
|
| Rate for Payer: PHP Commercial |
$2,792.26
|
| Rate for Payer: PHP Medicare Advantage |
$821.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$579.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,857.96
|
| Rate for Payer: Priority Health Medicare |
$829.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,286.37
|
| Rate for Payer: Railroad Medicare Medicare |
$821.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,890.81
|
| Rate for Payer: UHC Core |
$2,742.98
|
| Rate for Payer: UHC Exchange |
$821.25
|
| Rate for Payer: UHC Medicaid |
$579.15
|
| Rate for Payer: UHC Medicare Advantage |
$821.25
|
| Rate for Payer: UHCCP Medicaid |
$579.15
|
| Rate for Payer: VA VA |
$821.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,463.76
|
|
|
HC ACCESS WINDOW
|
Facility
|
OP
|
$39.71
|
|
| Hospital Charge Code |
27000624
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$7.00 |
| Max. Negotiated Rate |
$35.74 |
| Rate for Payer: Aetna Commercial |
$33.75
|
| Rate for Payer: Aetna Medicare |
$10.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12.41
|
| Rate for Payer: BCBS Complete |
$7.35
|
| Rate for Payer: BCBS MAPPO |
$9.93
|
| Rate for Payer: BCBS Trust/PPO |
$32.65
|
| Rate for Payer: BCN Commercial |
$32.65
|
| Rate for Payer: BCN Medicare Advantage |
$9.93
|
| Rate for Payer: Cash Price |
$31.77
|
| Rate for Payer: Cofinity Commercial |
$34.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$31.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9.93
|
| Rate for Payer: Healthscope Commercial |
$35.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$29.78
|
| Rate for Payer: Mclaren Medicaid |
$7.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10.42
|
| Rate for Payer: Meridian Medicaid |
$7.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11.42
|
| Rate for Payer: Molina Medicare/Medicaid |
$10.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$33.75
|
| Rate for Payer: Nomi Health Commercial |
$32.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$29.78
|
| Rate for Payer: PACE Senior Care Partners |
$9.43
|
| Rate for Payer: PACE SWMI |
$9.93
|
| Rate for Payer: PHP Commercial |
$33.75
|
| Rate for Payer: PHP Medicare Advantage |
$9.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$34.55
|
| Rate for Payer: Priority Health Medicare |
$10.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$27.64
|
| Rate for Payer: Railroad Medicare Medicare |
$9.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$34.94
|
| Rate for Payer: UHC Core |
$33.16
|
| Rate for Payer: UHC Exchange |
$9.93
|
| Rate for Payer: UHC Medicaid |
$7.00
|
| Rate for Payer: UHC Medicare Advantage |
$9.93
|
| Rate for Payer: UHCCP Medicaid |
$7.00
|
| Rate for Payer: VA VA |
$9.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$29.78
|
|
|
HC ACCESS WINDOW
|
Facility
|
IP
|
$39.71
|
|
| Hospital Charge Code |
27000624
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$27.64 |
| Max. Negotiated Rate |
$35.74 |
| Rate for Payer: Aetna Commercial |
$33.75
|
| Rate for Payer: BCBS Trust/PPO |
$32.80
|
| Rate for Payer: BCN Commercial |
$32.80
|
| Rate for Payer: Cash Price |
$31.77
|
| Rate for Payer: Cofinity Commercial |
$34.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$31.77
|
| Rate for Payer: Healthscope Commercial |
$35.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$29.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$33.75
|
| Rate for Payer: Nomi Health Commercial |
$32.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$29.78
|
| Rate for Payer: PHP Commercial |
$33.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$34.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$27.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$34.94
|
| Rate for Payer: UHC Core |
$33.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$29.78
|
|
|
HC ACCUNET EMBOLIC PROTECTION
|
Facility
|
OP
|
$4,091.82
|
|
| Hospital Charge Code |
27200110
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$721.39 |
| Max. Negotiated Rate |
$3,682.64 |
| Rate for Payer: Aetna Commercial |
$3,478.05
|
| Rate for Payer: Aetna Medicare |
$1,063.87
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,278.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,278.69
|
| Rate for Payer: BCBS Complete |
$757.40
|
| Rate for Payer: BCBS MAPPO |
$1,022.96
|
| Rate for Payer: BCBS Trust/PPO |
$3,363.89
|
| Rate for Payer: BCN Commercial |
$3,363.89
|
| Rate for Payer: BCN Medicare Advantage |
$1,022.96
|
| Rate for Payer: Cash Price |
$3,273.46
|
| Rate for Payer: Cofinity Commercial |
$3,518.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,273.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,022.96
|
| Rate for Payer: Healthscope Commercial |
$3,682.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,068.86
|
| Rate for Payer: Mclaren Medicaid |
$721.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,074.10
|
| Rate for Payer: Meridian Medicaid |
$757.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,176.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,125.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,478.05
|
| Rate for Payer: Nomi Health Commercial |
$3,355.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,068.86
|
| Rate for Payer: PACE Senior Care Partners |
$971.81
|
| Rate for Payer: PACE SWMI |
$1,022.96
|
| Rate for Payer: PHP Commercial |
$3,478.05
|
| Rate for Payer: PHP Medicare Advantage |
$1,022.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$721.39
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,559.88
|
| Rate for Payer: Priority Health Medicare |
$1,033.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,847.91
|
| Rate for Payer: Railroad Medicare Medicare |
$1,022.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,600.80
|
| Rate for Payer: UHC Core |
$3,416.67
|
| Rate for Payer: UHC Exchange |
$1,022.96
|
| Rate for Payer: UHC Medicaid |
$721.39
|
| Rate for Payer: UHC Medicare Advantage |
$1,022.96
|
| Rate for Payer: UHCCP Medicaid |
$721.39
|
| Rate for Payer: VA VA |
$1,022.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,068.86
|
|
|
HC ACCUNET EMBOLIC PROTECTION
|
Facility
|
IP
|
$4,091.82
|
|
| Hospital Charge Code |
27200110
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,847.91 |
| Max. Negotiated Rate |
$3,682.64 |
| Rate for Payer: Aetna Commercial |
$3,478.05
|
| Rate for Payer: BCBS Trust/PPO |
$3,379.43
|
| Rate for Payer: BCN Commercial |
$3,379.43
|
| Rate for Payer: Cash Price |
$3,273.46
|
| Rate for Payer: Cofinity Commercial |
$3,518.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,273.46
|
| Rate for Payer: Healthscope Commercial |
$3,682.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,068.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,478.05
|
| Rate for Payer: Nomi Health Commercial |
$3,355.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,068.86
|
| Rate for Payer: PHP Commercial |
$3,478.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,559.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,847.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,600.80
|
| Rate for Payer: UHC Core |
$3,416.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,068.86
|
|
|
HC ACETAMINOPHEN LVL.
|
Facility
|
OP
|
$131.69
|
|
|
Service Code
|
CPT 80307
|
| Hospital Charge Code |
30100648
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$23.22 |
| Max. Negotiated Rate |
$118.52 |
| Rate for Payer: Aetna Commercial |
$111.94
|
| Rate for Payer: Aetna Medicare |
$34.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$41.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$41.15
|
| Rate for Payer: BCBS Complete |
$24.38
|
| Rate for Payer: BCBS MAPPO |
$32.92
|
| Rate for Payer: BCBS Trust/PPO |
$108.26
|
| Rate for Payer: BCN Commercial |
$108.26
|
| Rate for Payer: BCN Medicare Advantage |
$32.92
|
| Rate for Payer: Cash Price |
$105.35
|
| Rate for Payer: Cofinity Commercial |
$113.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$105.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32.92
|
| Rate for Payer: Healthscope Commercial |
$118.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$98.77
|
| Rate for Payer: Mclaren Medicaid |
$23.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$34.57
|
| Rate for Payer: Meridian Medicaid |
$24.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$37.86
|
| Rate for Payer: Molina Medicare/Medicaid |
$36.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$111.94
|
| Rate for Payer: Nomi Health Commercial |
$107.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$98.77
|
| Rate for Payer: PACE Senior Care Partners |
$31.28
|
| Rate for Payer: PACE SWMI |
$32.92
|
| Rate for Payer: PHP Commercial |
$111.94
|
| Rate for Payer: PHP Medicare Advantage |
$32.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$23.22
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$114.57
|
| Rate for Payer: Priority Health Medicare |
$33.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$91.66
|
| Rate for Payer: Railroad Medicare Medicare |
$32.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$115.89
|
| Rate for Payer: UHC Core |
$109.96
|
| Rate for Payer: UHC Exchange |
$32.92
|
| Rate for Payer: UHC Medicaid |
$23.22
|
| Rate for Payer: UHC Medicare Advantage |
$32.92
|
| Rate for Payer: UHCCP Medicaid |
$23.22
|
| Rate for Payer: VA VA |
$32.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$98.77
|
|
|
HC ACETAMINOPHEN LVL.
|
Facility
|
IP
|
$131.69
|
|
|
Service Code
|
CPT 80307
|
| Hospital Charge Code |
30100648
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$91.66 |
| Max. Negotiated Rate |
$118.52 |
| Rate for Payer: Aetna Commercial |
$111.94
|
| Rate for Payer: BCBS Trust/PPO |
$108.76
|
| Rate for Payer: BCN Commercial |
$108.76
|
| Rate for Payer: Cash Price |
$105.35
|
| Rate for Payer: Cofinity Commercial |
$113.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$105.35
|
| Rate for Payer: Healthscope Commercial |
$118.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$98.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$111.94
|
| Rate for Payer: Nomi Health Commercial |
$107.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$98.77
|
| Rate for Payer: PHP Commercial |
$111.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$114.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$91.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$115.89
|
| Rate for Payer: UHC Core |
$109.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$98.77
|
|
|
HC ACETOMINOPHEN THERAPEUTIC DRUG ASSAY
|
Facility
|
OP
|
$42.45
|
|
|
Service Code
|
CPT 80143
|
| Hospital Charge Code |
30100729
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$7.48 |
| Max. Negotiated Rate |
$38.20 |
| Rate for Payer: Aetna Commercial |
$36.08
|
| Rate for Payer: Aetna Medicare |
$11.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13.27
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13.27
|
| Rate for Payer: BCBS Complete |
$7.86
|
| Rate for Payer: BCBS MAPPO |
$10.61
|
| Rate for Payer: BCBS Trust/PPO |
$34.90
|
| Rate for Payer: BCN Commercial |
$34.90
|
| Rate for Payer: BCN Medicare Advantage |
$10.61
|
| Rate for Payer: Cash Price |
$33.96
|
| Rate for Payer: Cofinity Commercial |
$36.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10.61
|
| Rate for Payer: Healthscope Commercial |
$38.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$31.84
|
| Rate for Payer: Mclaren Medicaid |
$7.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11.14
|
| Rate for Payer: Meridian Medicaid |
$7.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12.20
|
| Rate for Payer: Molina Medicare/Medicaid |
$11.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.08
|
| Rate for Payer: Nomi Health Commercial |
$34.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$31.84
|
| Rate for Payer: PACE Senior Care Partners |
$10.08
|
| Rate for Payer: PACE SWMI |
$10.61
|
| Rate for Payer: PHP Commercial |
$36.08
|
| Rate for Payer: PHP Medicare Advantage |
$10.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$36.93
|
| Rate for Payer: Priority Health Medicare |
$10.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$29.55
|
| Rate for Payer: Railroad Medicare Medicare |
$10.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$37.36
|
| Rate for Payer: UHC Core |
$35.45
|
| Rate for Payer: UHC Exchange |
$10.61
|
| Rate for Payer: UHC Medicaid |
$7.48
|
| Rate for Payer: UHC Medicare Advantage |
$10.61
|
| Rate for Payer: UHCCP Medicaid |
$7.48
|
| Rate for Payer: VA VA |
$10.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$31.84
|
|
|
HC ACETOMINOPHEN THERAPEUTIC DRUG ASSAY
|
Facility
|
IP
|
$42.45
|
|
|
Service Code
|
CPT 80143
|
| Hospital Charge Code |
30100729
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$29.55 |
| Max. Negotiated Rate |
$38.20 |
| Rate for Payer: Aetna Commercial |
$36.08
|
| Rate for Payer: BCBS Trust/PPO |
$35.06
|
| Rate for Payer: BCN Commercial |
$35.06
|
| Rate for Payer: Cash Price |
$33.96
|
| Rate for Payer: Cofinity Commercial |
$36.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.96
|
| Rate for Payer: Healthscope Commercial |
$38.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$31.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.08
|
| Rate for Payer: Nomi Health Commercial |
$34.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$31.84
|
| Rate for Payer: PHP Commercial |
$36.08
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$36.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$29.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$37.36
|
| Rate for Payer: UHC Core |
$35.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$31.84
|
|
|
HC ACETYLCHOLINE RECEPTOR AB
|
Facility
|
IP
|
$78.53
|
|
|
Service Code
|
CPT 86041
|
| Hospital Charge Code |
30100254
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$54.66 |
| Max. Negotiated Rate |
$70.68 |
| Rate for Payer: Aetna Commercial |
$66.75
|
| Rate for Payer: BCBS Trust/PPO |
$64.86
|
| Rate for Payer: BCN Commercial |
$64.86
|
| Rate for Payer: Cash Price |
$62.82
|
| Rate for Payer: Cofinity Commercial |
$67.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$62.82
|
| Rate for Payer: Healthscope Commercial |
$70.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$58.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$66.75
|
| Rate for Payer: Nomi Health Commercial |
$64.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$58.90
|
| Rate for Payer: PHP Commercial |
$66.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$68.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$54.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$69.11
|
| Rate for Payer: UHC Core |
$65.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$58.90
|
|
|
HC ACETYLCHOLINE RECEPTOR AB
|
Facility
|
OP
|
$78.53
|
|
|
Service Code
|
CPT 86041
|
| Hospital Charge Code |
30100254
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$13.84 |
| Max. Negotiated Rate |
$70.68 |
| Rate for Payer: Aetna Commercial |
$66.75
|
| Rate for Payer: Aetna Medicare |
$20.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24.54
|
| Rate for Payer: BCBS Complete |
$14.54
|
| Rate for Payer: BCBS MAPPO |
$19.63
|
| Rate for Payer: BCBS Trust/PPO |
$64.56
|
| Rate for Payer: BCN Commercial |
$64.56
|
| Rate for Payer: BCN Medicare Advantage |
$19.63
|
| Rate for Payer: Cash Price |
$62.82
|
| Rate for Payer: Cofinity Commercial |
$67.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$62.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19.63
|
| Rate for Payer: Healthscope Commercial |
$70.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$58.90
|
| Rate for Payer: Mclaren Medicaid |
$13.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20.61
|
| Rate for Payer: Meridian Medicaid |
$14.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22.58
|
| Rate for Payer: Molina Medicare/Medicaid |
$21.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$66.75
|
| Rate for Payer: Nomi Health Commercial |
$64.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$58.90
|
| Rate for Payer: PACE Senior Care Partners |
$18.65
|
| Rate for Payer: PACE SWMI |
$19.63
|
| Rate for Payer: PHP Commercial |
$66.75
|
| Rate for Payer: PHP Medicare Advantage |
$19.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$13.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$68.32
|
| Rate for Payer: Priority Health Medicare |
$19.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$54.66
|
| Rate for Payer: Railroad Medicare Medicare |
$19.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$69.11
|
| Rate for Payer: UHC Core |
$65.57
|
| Rate for Payer: UHC Exchange |
$19.63
|
| Rate for Payer: UHC Medicaid |
$13.84
|
| Rate for Payer: UHC Medicare Advantage |
$19.63
|
| Rate for Payer: UHCCP Medicaid |
$13.84
|
| Rate for Payer: VA VA |
$19.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$58.90
|
|
|
HC ACETYLCHOLINESTERASE AMNIOTIC
|
Facility
|
OP
|
$110.78
|
|
|
Service Code
|
CPT 82013
|
| Hospital Charge Code |
30100069
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$19.53 |
| Max. Negotiated Rate |
$99.70 |
| Rate for Payer: Aetna Commercial |
$94.16
|
| Rate for Payer: Aetna Medicare |
$28.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$34.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$34.62
|
| Rate for Payer: BCBS Complete |
$20.51
|
| Rate for Payer: BCBS MAPPO |
$27.70
|
| Rate for Payer: BCBS Trust/PPO |
$91.07
|
| Rate for Payer: BCN Commercial |
$91.07
|
| Rate for Payer: BCN Medicare Advantage |
$27.70
|
| Rate for Payer: Cash Price |
$88.62
|
| Rate for Payer: Cofinity Commercial |
$95.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$88.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27.70
|
| Rate for Payer: Healthscope Commercial |
$99.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$83.08
|
| Rate for Payer: Mclaren Medicaid |
$19.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29.08
|
| Rate for Payer: Meridian Medicaid |
$20.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$31.85
|
| Rate for Payer: Molina Medicare/Medicaid |
$30.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$94.16
|
| Rate for Payer: Nomi Health Commercial |
$90.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$83.08
|
| Rate for Payer: PACE Senior Care Partners |
$26.31
|
| Rate for Payer: PACE SWMI |
$27.70
|
| Rate for Payer: PHP Commercial |
$94.16
|
| Rate for Payer: PHP Medicare Advantage |
$27.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$19.53
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$96.38
|
| Rate for Payer: Priority Health Medicare |
$27.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$77.10
|
| Rate for Payer: Railroad Medicare Medicare |
$27.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$97.49
|
| Rate for Payer: UHC Core |
$92.50
|
| Rate for Payer: UHC Exchange |
$27.70
|
| Rate for Payer: UHC Medicaid |
$19.53
|
| Rate for Payer: UHC Medicare Advantage |
$27.70
|
| Rate for Payer: UHCCP Medicaid |
$19.53
|
| Rate for Payer: VA VA |
$27.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$83.08
|
|
|
HC ACETYLCHOLINESTERASE AMNIOTIC
|
Facility
|
IP
|
$110.78
|
|
|
Service Code
|
CPT 82013
|
| Hospital Charge Code |
30100069
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$77.10 |
| Max. Negotiated Rate |
$99.70 |
| Rate for Payer: Aetna Commercial |
$94.16
|
| Rate for Payer: BCBS Trust/PPO |
$91.49
|
| Rate for Payer: BCN Commercial |
$91.49
|
| Rate for Payer: Cash Price |
$88.62
|
| Rate for Payer: Cofinity Commercial |
$95.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$88.62
|
| Rate for Payer: Healthscope Commercial |
$99.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$83.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$94.16
|
| Rate for Payer: Nomi Health Commercial |
$90.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$83.08
|
| Rate for Payer: PHP Commercial |
$94.16
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$96.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$77.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$97.49
|
| Rate for Payer: UHC Core |
$92.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$83.08
|
|
|
HC ACH RECEPTOR MUSCLE MOD AB
|
Facility
|
OP
|
$100.82
|
|
|
Service Code
|
CPT 83519
|
| Hospital Charge Code |
30000061
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$17.77 |
| Max. Negotiated Rate |
$90.74 |
| Rate for Payer: Aetna Commercial |
$85.70
|
| Rate for Payer: Aetna Medicare |
$26.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31.51
|
| Rate for Payer: BCBS Complete |
$18.66
|
| Rate for Payer: BCBS MAPPO |
$25.20
|
| Rate for Payer: BCBS Trust/PPO |
$82.88
|
| Rate for Payer: BCN Commercial |
$82.88
|
| Rate for Payer: BCN Medicare Advantage |
$25.20
|
| Rate for Payer: Cash Price |
$80.66
|
| Rate for Payer: Cofinity Commercial |
$86.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$80.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25.20
|
| Rate for Payer: Healthscope Commercial |
$90.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$75.61
|
| Rate for Payer: Mclaren Medicaid |
$17.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26.47
|
| Rate for Payer: Meridian Medicaid |
$18.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$27.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$85.70
|
| Rate for Payer: Nomi Health Commercial |
$82.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$75.61
|
| Rate for Payer: PACE Senior Care Partners |
$23.94
|
| Rate for Payer: PACE SWMI |
$25.20
|
| Rate for Payer: PHP Commercial |
$85.70
|
| Rate for Payer: PHP Medicare Advantage |
$25.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$17.77
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$87.71
|
| Rate for Payer: Priority Health Medicare |
$25.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$70.17
|
| Rate for Payer: Railroad Medicare Medicare |
$25.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$88.72
|
| Rate for Payer: UHC Core |
$84.18
|
| Rate for Payer: UHC Exchange |
$25.20
|
| Rate for Payer: UHC Medicaid |
$17.77
|
| Rate for Payer: UHC Medicare Advantage |
$25.20
|
| Rate for Payer: UHCCP Medicaid |
$17.77
|
| Rate for Payer: VA VA |
$25.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$75.61
|
|
|
HC ACH RECEPTOR MUSCLE MOD AB
|
Facility
|
IP
|
$100.82
|
|
|
Service Code
|
CPT 83519
|
| Hospital Charge Code |
30000061
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$70.17 |
| Max. Negotiated Rate |
$90.74 |
| Rate for Payer: Aetna Commercial |
$85.70
|
| Rate for Payer: BCBS Trust/PPO |
$83.27
|
| Rate for Payer: BCN Commercial |
$83.27
|
| Rate for Payer: Cash Price |
$80.66
|
| Rate for Payer: Cofinity Commercial |
$86.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$80.66
|
| Rate for Payer: Healthscope Commercial |
$90.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$75.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$85.70
|
| Rate for Payer: Nomi Health Commercial |
$82.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$75.61
|
| Rate for Payer: PHP Commercial |
$85.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$87.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$70.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$88.72
|
| Rate for Payer: UHC Core |
$84.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$75.61
|
|
|
HC ACHR GANGLIONIC NEURONAL AB
|
Facility
|
IP
|
$91.26
|
|
|
Service Code
|
CPT 83519
|
| Hospital Charge Code |
30100606
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$63.52 |
| Max. Negotiated Rate |
$82.13 |
| Rate for Payer: Aetna Commercial |
$77.57
|
| Rate for Payer: BCBS Trust/PPO |
$75.37
|
| Rate for Payer: BCN Commercial |
$75.37
|
| Rate for Payer: Cash Price |
$73.01
|
| Rate for Payer: Cofinity Commercial |
$78.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$73.01
|
| Rate for Payer: Healthscope Commercial |
$82.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$68.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$77.57
|
| Rate for Payer: Nomi Health Commercial |
$74.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$68.44
|
| Rate for Payer: PHP Commercial |
$77.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$79.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$63.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$80.31
|
| Rate for Payer: UHC Core |
$76.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$68.44
|
|
|
HC ACHR GANGLIONIC NEURONAL AB
|
Facility
|
OP
|
$91.26
|
|
|
Service Code
|
CPT 83519
|
| Hospital Charge Code |
30100606
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$16.09 |
| Max. Negotiated Rate |
$82.13 |
| Rate for Payer: Aetna Commercial |
$77.57
|
| Rate for Payer: Aetna Medicare |
$23.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$28.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$28.52
|
| Rate for Payer: BCBS Complete |
$16.89
|
| Rate for Payer: BCBS MAPPO |
$22.82
|
| Rate for Payer: BCBS Trust/PPO |
$75.02
|
| Rate for Payer: BCN Commercial |
$75.02
|
| Rate for Payer: BCN Medicare Advantage |
$22.82
|
| Rate for Payer: Cash Price |
$73.01
|
| Rate for Payer: Cofinity Commercial |
$78.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$73.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22.82
|
| Rate for Payer: Healthscope Commercial |
$82.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$68.44
|
| Rate for Payer: Mclaren Medicaid |
$16.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23.96
|
| Rate for Payer: Meridian Medicaid |
$16.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$26.24
|
| Rate for Payer: Molina Medicare/Medicaid |
$25.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$77.57
|
| Rate for Payer: Nomi Health Commercial |
$74.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$68.44
|
| Rate for Payer: PACE Senior Care Partners |
$21.67
|
| Rate for Payer: PACE SWMI |
$22.82
|
| Rate for Payer: PHP Commercial |
$77.57
|
| Rate for Payer: PHP Medicare Advantage |
$22.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$16.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$79.40
|
| Rate for Payer: Priority Health Medicare |
$23.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$63.52
|
| Rate for Payer: Railroad Medicare Medicare |
$22.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$80.31
|
| Rate for Payer: UHC Core |
$76.20
|
| Rate for Payer: UHC Exchange |
$22.82
|
| Rate for Payer: UHC Medicaid |
$16.09
|
| Rate for Payer: UHC Medicare Advantage |
$22.82
|
| Rate for Payer: UHCCP Medicaid |
$16.09
|
| Rate for Payer: VA VA |
$22.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$68.44
|
|
|
HC ACHR MODULATING FLOW CYTOMETRY S
|
Facility
|
IP
|
$80.00
|
|
|
Service Code
|
CPT 86043
|
| Hospital Charge Code |
30200519
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$55.68 |
| Max. Negotiated Rate |
$72.00 |
| Rate for Payer: Aetna Commercial |
$68.00
|
| Rate for Payer: BCBS Trust/PPO |
$66.07
|
| Rate for Payer: BCN Commercial |
$66.07
|
| Rate for Payer: Cash Price |
$64.00
|
| Rate for Payer: Cofinity Commercial |
$68.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$64.00
|
| Rate for Payer: Healthscope Commercial |
$72.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$60.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$68.00
|
| Rate for Payer: Nomi Health Commercial |
$65.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$60.00
|
| Rate for Payer: PHP Commercial |
$68.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$69.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$55.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$70.40
|
| Rate for Payer: UHC Core |
$66.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$60.00
|
|
