|
HC AMYLASE PANCREATIC CYST FLUID
|
Facility
|
IP
|
$217.76
|
|
|
Service Code
|
CPT 82150
|
| Hospital Charge Code |
30100711
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$151.56 |
| Max. Negotiated Rate |
$195.98 |
| Rate for Payer: Aetna Commercial |
$185.10
|
| Rate for Payer: BCBS Trust/PPO |
$179.85
|
| Rate for Payer: BCN Commercial |
$179.85
|
| Rate for Payer: Cash Price |
$174.21
|
| Rate for Payer: Cofinity Commercial |
$187.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$174.21
|
| Rate for Payer: Healthscope Commercial |
$195.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$163.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$185.10
|
| Rate for Payer: Nomi Health Commercial |
$178.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$163.32
|
| Rate for Payer: PHP Commercial |
$185.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$189.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$151.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$191.63
|
| Rate for Payer: UHC Core |
$181.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$163.32
|
|
|
HC AMYLASE SERUM
|
Facility
|
IP
|
$31.83
|
|
|
Service Code
|
CPT 82150
|
| Hospital Charge Code |
30100099
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$22.15 |
| Max. Negotiated Rate |
$28.65 |
| Rate for Payer: Aetna Commercial |
$27.06
|
| Rate for Payer: BCBS Trust/PPO |
$26.29
|
| Rate for Payer: BCN Commercial |
$26.29
|
| Rate for Payer: Cash Price |
$25.46
|
| Rate for Payer: Cofinity Commercial |
$27.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$25.46
|
| Rate for Payer: Healthscope Commercial |
$28.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$23.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$27.06
|
| Rate for Payer: Nomi Health Commercial |
$26.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$23.87
|
| Rate for Payer: PHP Commercial |
$27.06
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$27.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$22.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28.01
|
| Rate for Payer: UHC Core |
$26.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$23.87
|
|
|
HC AMYLASE SERUM
|
Facility
|
OP
|
$31.83
|
|
|
Service Code
|
CPT 82150
|
| Hospital Charge Code |
30100099
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$5.61 |
| Max. Negotiated Rate |
$28.65 |
| Rate for Payer: Aetna Commercial |
$27.06
|
| Rate for Payer: Aetna Medicare |
$8.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9.95
|
| Rate for Payer: BCBS Complete |
$5.89
|
| Rate for Payer: BCBS MAPPO |
$7.96
|
| Rate for Payer: BCBS Trust/PPO |
$26.17
|
| Rate for Payer: BCN Commercial |
$26.17
|
| Rate for Payer: BCN Medicare Advantage |
$7.96
|
| Rate for Payer: Cash Price |
$25.46
|
| Rate for Payer: Cofinity Commercial |
$27.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$25.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7.96
|
| Rate for Payer: Healthscope Commercial |
$28.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$23.87
|
| Rate for Payer: Mclaren Medicaid |
$5.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8.36
|
| Rate for Payer: Meridian Medicaid |
$5.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9.15
|
| Rate for Payer: Molina Medicare/Medicaid |
$8.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$27.06
|
| Rate for Payer: Nomi Health Commercial |
$26.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$23.87
|
| Rate for Payer: PACE Senior Care Partners |
$7.56
|
| Rate for Payer: PACE SWMI |
$7.96
|
| Rate for Payer: PHP Commercial |
$27.06
|
| Rate for Payer: PHP Medicare Advantage |
$7.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$27.69
|
| Rate for Payer: Priority Health Medicare |
$8.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$22.15
|
| Rate for Payer: Railroad Medicare Medicare |
$7.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28.01
|
| Rate for Payer: UHC Core |
$26.58
|
| Rate for Payer: UHC Exchange |
$7.96
|
| Rate for Payer: UHC Medicaid |
$5.61
|
| Rate for Payer: UHC Medicare Advantage |
$7.96
|
| Rate for Payer: UHCCP Medicaid |
$5.61
|
| Rate for Payer: VA VA |
$7.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$23.87
|
|
|
HC ANAEROBIC CULTURE
|
Facility
|
IP
|
$127.03
|
|
|
Service Code
|
CPT 87075
|
| Hospital Charge Code |
30600077
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$88.41 |
| Max. Negotiated Rate |
$114.33 |
| Rate for Payer: Aetna Commercial |
$107.98
|
| Rate for Payer: BCBS Trust/PPO |
$104.91
|
| Rate for Payer: BCN Commercial |
$104.91
|
| Rate for Payer: Cash Price |
$101.62
|
| Rate for Payer: Cofinity Commercial |
$109.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$101.62
|
| Rate for Payer: Healthscope Commercial |
$114.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$95.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$107.98
|
| Rate for Payer: Nomi Health Commercial |
$104.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$95.27
|
| Rate for Payer: PHP Commercial |
$107.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$110.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$88.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$111.79
|
| Rate for Payer: UHC Core |
$106.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$95.27
|
|
|
HC ANAEROBIC CULTURE
|
Facility
|
OP
|
$127.03
|
|
|
Service Code
|
CPT 87075
|
| Hospital Charge Code |
30600077
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$22.40 |
| Max. Negotiated Rate |
$114.33 |
| Rate for Payer: Aetna Commercial |
$107.98
|
| Rate for Payer: Aetna Medicare |
$33.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$39.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$39.70
|
| Rate for Payer: BCBS Complete |
$23.51
|
| Rate for Payer: BCBS MAPPO |
$31.76
|
| Rate for Payer: BCBS Trust/PPO |
$104.43
|
| Rate for Payer: BCN Commercial |
$104.43
|
| Rate for Payer: BCN Medicare Advantage |
$31.76
|
| Rate for Payer: Cash Price |
$101.62
|
| Rate for Payer: Cofinity Commercial |
$109.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$101.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31.76
|
| Rate for Payer: Healthscope Commercial |
$114.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$95.27
|
| Rate for Payer: Mclaren Medicaid |
$22.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$33.35
|
| Rate for Payer: Meridian Medicaid |
$23.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$36.52
|
| Rate for Payer: Molina Medicare/Medicaid |
$34.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$107.98
|
| Rate for Payer: Nomi Health Commercial |
$104.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$95.27
|
| Rate for Payer: PACE Senior Care Partners |
$30.17
|
| Rate for Payer: PACE SWMI |
$31.76
|
| Rate for Payer: PHP Commercial |
$107.98
|
| Rate for Payer: PHP Medicare Advantage |
$31.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$22.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$110.52
|
| Rate for Payer: Priority Health Medicare |
$32.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$88.41
|
| Rate for Payer: Railroad Medicare Medicare |
$31.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$111.79
|
| Rate for Payer: UHC Core |
$106.07
|
| Rate for Payer: UHC Exchange |
$31.76
|
| Rate for Payer: UHC Medicaid |
$22.40
|
| Rate for Payer: UHC Medicare Advantage |
$31.76
|
| Rate for Payer: UHCCP Medicaid |
$22.40
|
| Rate for Payer: VA VA |
$31.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$95.27
|
|
|
HC ANAEROBIC ID
|
Facility
|
IP
|
$53.39
|
|
|
Service Code
|
CPT 87076
|
| Hospital Charge Code |
30600286
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$37.16 |
| Max. Negotiated Rate |
$48.05 |
| Rate for Payer: Aetna Commercial |
$45.38
|
| Rate for Payer: BCBS Trust/PPO |
$44.09
|
| Rate for Payer: BCN Commercial |
$44.09
|
| Rate for Payer: Cash Price |
$42.71
|
| Rate for Payer: Cofinity Commercial |
$45.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$42.71
|
| Rate for Payer: Healthscope Commercial |
$48.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$40.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$45.38
|
| Rate for Payer: Nomi Health Commercial |
$43.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$40.04
|
| Rate for Payer: PHP Commercial |
$45.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$46.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$37.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.98
|
| Rate for Payer: UHC Core |
$44.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$40.04
|
|
|
HC ANAEROBIC ID
|
Facility
|
OP
|
$53.39
|
|
|
Service Code
|
CPT 87076
|
| Hospital Charge Code |
30600286
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$9.41 |
| Max. Negotiated Rate |
$48.05 |
| Rate for Payer: Aetna Commercial |
$45.38
|
| Rate for Payer: Aetna Medicare |
$13.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16.68
|
| Rate for Payer: BCBS Complete |
$9.88
|
| Rate for Payer: BCBS MAPPO |
$13.35
|
| Rate for Payer: BCBS Trust/PPO |
$43.89
|
| Rate for Payer: BCN Commercial |
$43.89
|
| Rate for Payer: BCN Medicare Advantage |
$13.35
|
| Rate for Payer: Cash Price |
$42.71
|
| Rate for Payer: Cofinity Commercial |
$45.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$42.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.35
|
| Rate for Payer: Healthscope Commercial |
$48.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$40.04
|
| Rate for Payer: Mclaren Medicaid |
$9.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14.01
|
| Rate for Payer: Meridian Medicaid |
$9.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15.35
|
| Rate for Payer: Molina Medicare/Medicaid |
$14.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$45.38
|
| Rate for Payer: Nomi Health Commercial |
$43.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$40.04
|
| Rate for Payer: PACE Senior Care Partners |
$12.68
|
| Rate for Payer: PACE SWMI |
$13.35
|
| Rate for Payer: PHP Commercial |
$45.38
|
| Rate for Payer: PHP Medicare Advantage |
$13.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$46.45
|
| Rate for Payer: Priority Health Medicare |
$13.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$37.16
|
| Rate for Payer: Railroad Medicare Medicare |
$13.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.98
|
| Rate for Payer: UHC Core |
$44.58
|
| Rate for Payer: UHC Exchange |
$13.35
|
| Rate for Payer: UHC Medicaid |
$9.41
|
| Rate for Payer: UHC Medicare Advantage |
$13.35
|
| Rate for Payer: UHCCP Medicaid |
$9.41
|
| Rate for Payer: VA VA |
$13.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$40.04
|
|
|
HC ANALYSIS BRAIN NPGT PRGRMG 15 MIN
|
Facility
|
OP
|
$312.12
|
|
|
Service Code
|
CPT 95983
|
| Hospital Charge Code |
76100442
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$55.03 |
| Max. Negotiated Rate |
$280.91 |
| Rate for Payer: Aetna Commercial |
$265.30
|
| Rate for Payer: Aetna Medicare |
$81.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$97.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$97.54
|
| Rate for Payer: BCBS Complete |
$57.77
|
| Rate for Payer: BCBS MAPPO |
$78.03
|
| Rate for Payer: BCBS Trust/PPO |
$256.59
|
| Rate for Payer: BCN Commercial |
$256.59
|
| Rate for Payer: BCN Medicare Advantage |
$78.03
|
| Rate for Payer: Cash Price |
$249.70
|
| Rate for Payer: Cofinity Commercial |
$268.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$249.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$78.03
|
| Rate for Payer: Healthscope Commercial |
$280.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$234.09
|
| Rate for Payer: Mclaren Medicaid |
$55.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$81.93
|
| Rate for Payer: Meridian Medicaid |
$57.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$89.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$85.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$265.30
|
| Rate for Payer: Nomi Health Commercial |
$255.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$234.09
|
| Rate for Payer: PACE Senior Care Partners |
$74.13
|
| Rate for Payer: PACE SWMI |
$78.03
|
| Rate for Payer: PHP Commercial |
$265.30
|
| Rate for Payer: PHP Medicare Advantage |
$78.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$55.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$271.54
|
| Rate for Payer: Priority Health Medicare |
$78.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$217.24
|
| Rate for Payer: Railroad Medicare Medicare |
$78.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$274.67
|
| Rate for Payer: UHC Core |
$260.62
|
| Rate for Payer: UHC Exchange |
$78.03
|
| Rate for Payer: UHC Medicaid |
$55.03
|
| Rate for Payer: UHC Medicare Advantage |
$78.03
|
| Rate for Payer: UHCCP Medicaid |
$55.03
|
| Rate for Payer: VA VA |
$78.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$234.09
|
|
|
HC ANALYSIS BRAIN NPGT PRGRMG 15 MIN
|
Facility
|
IP
|
$312.12
|
|
|
Service Code
|
CPT 95983
|
| Hospital Charge Code |
76100442
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$217.24 |
| Max. Negotiated Rate |
$280.91 |
| Rate for Payer: Aetna Commercial |
$265.30
|
| Rate for Payer: BCBS Trust/PPO |
$257.78
|
| Rate for Payer: BCN Commercial |
$257.78
|
| Rate for Payer: Cash Price |
$249.70
|
| Rate for Payer: Cofinity Commercial |
$268.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$249.70
|
| Rate for Payer: Healthscope Commercial |
$280.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$234.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$265.30
|
| Rate for Payer: Nomi Health Commercial |
$255.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$234.09
|
| Rate for Payer: PHP Commercial |
$265.30
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$271.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$217.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$274.67
|
| Rate for Payer: UHC Core |
$260.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$234.09
|
|
|
HC ANALYSIS COCHLEAR IMPLT 7 YR/> PRGRMG
|
Facility
|
IP
|
$446.76
|
|
|
Service Code
|
CPT 92603
|
| Hospital Charge Code |
47100019
|
|
Hospital Revenue Code
|
471
|
| Min. Negotiated Rate |
$310.94 |
| Max. Negotiated Rate |
$402.08 |
| Rate for Payer: Aetna Commercial |
$379.75
|
| Rate for Payer: BCBS Trust/PPO |
$368.98
|
| Rate for Payer: BCN Commercial |
$368.98
|
| Rate for Payer: Cash Price |
$357.41
|
| Rate for Payer: Cofinity Commercial |
$384.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$357.41
|
| Rate for Payer: Healthscope Commercial |
$402.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$335.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$379.75
|
| Rate for Payer: Nomi Health Commercial |
$366.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$335.07
|
| Rate for Payer: PHP Commercial |
$379.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$388.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$310.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$393.15
|
| Rate for Payer: UHC Core |
$373.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$335.07
|
|
|
HC ANALYSIS COCHLEAR IMPLT 7 YR/> PRGRMG
|
Facility
|
OP
|
$446.76
|
|
|
Service Code
|
CPT 92603
|
| Hospital Charge Code |
47100019
|
|
Hospital Revenue Code
|
471
|
| Min. Negotiated Rate |
$78.76 |
| Max. Negotiated Rate |
$402.08 |
| Rate for Payer: Aetna Commercial |
$379.75
|
| Rate for Payer: Aetna Medicare |
$116.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$139.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$139.61
|
| Rate for Payer: BCBS Complete |
$82.70
|
| Rate for Payer: BCBS MAPPO |
$111.69
|
| Rate for Payer: BCBS Trust/PPO |
$367.28
|
| Rate for Payer: BCN Commercial |
$367.28
|
| Rate for Payer: BCN Medicare Advantage |
$111.69
|
| Rate for Payer: Cash Price |
$357.41
|
| Rate for Payer: Cofinity Commercial |
$384.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$357.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$111.69
|
| Rate for Payer: Healthscope Commercial |
$402.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$335.07
|
| Rate for Payer: Mclaren Medicaid |
$78.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$117.27
|
| Rate for Payer: Meridian Medicaid |
$82.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$128.44
|
| Rate for Payer: Molina Medicare/Medicaid |
$122.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$379.75
|
| Rate for Payer: Nomi Health Commercial |
$366.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$335.07
|
| Rate for Payer: PACE Senior Care Partners |
$106.11
|
| Rate for Payer: PACE SWMI |
$111.69
|
| Rate for Payer: PHP Commercial |
$379.75
|
| Rate for Payer: PHP Medicare Advantage |
$111.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$78.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$388.68
|
| Rate for Payer: Priority Health Medicare |
$112.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$310.94
|
| Rate for Payer: Railroad Medicare Medicare |
$111.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$393.15
|
| Rate for Payer: UHC Core |
$373.04
|
| Rate for Payer: UHC Exchange |
$111.69
|
| Rate for Payer: UHC Medicaid |
$78.76
|
| Rate for Payer: UHC Medicare Advantage |
$111.69
|
| Rate for Payer: UHCCP Medicaid |
$78.76
|
| Rate for Payer: VA VA |
$111.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$335.07
|
|
|
HC ANALYSIS COCHLEAR IMPLT 7 YR/> SBSQ REPRGRMG
|
Facility
|
OP
|
$446.76
|
|
|
Service Code
|
CPT 92604
|
| Hospital Charge Code |
47100020
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$78.76 |
| Max. Negotiated Rate |
$402.08 |
| Rate for Payer: Aetna Commercial |
$379.75
|
| Rate for Payer: Aetna Medicare |
$116.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$139.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$139.61
|
| Rate for Payer: BCBS Complete |
$82.70
|
| Rate for Payer: BCBS MAPPO |
$111.69
|
| Rate for Payer: BCBS Trust/PPO |
$367.28
|
| Rate for Payer: BCN Commercial |
$367.28
|
| Rate for Payer: BCN Medicare Advantage |
$111.69
|
| Rate for Payer: Cash Price |
$357.41
|
| Rate for Payer: Cofinity Commercial |
$384.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$357.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$111.69
|
| Rate for Payer: Healthscope Commercial |
$402.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$335.07
|
| Rate for Payer: Mclaren Medicaid |
$78.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$117.27
|
| Rate for Payer: Meridian Medicaid |
$82.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$128.44
|
| Rate for Payer: Molina Medicare/Medicaid |
$122.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$379.75
|
| Rate for Payer: Nomi Health Commercial |
$366.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$335.07
|
| Rate for Payer: PACE Senior Care Partners |
$106.11
|
| Rate for Payer: PACE SWMI |
$111.69
|
| Rate for Payer: PHP Commercial |
$379.75
|
| Rate for Payer: PHP Medicare Advantage |
$111.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$78.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$388.68
|
| Rate for Payer: Priority Health Medicare |
$112.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$310.94
|
| Rate for Payer: Railroad Medicare Medicare |
$111.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$393.15
|
| Rate for Payer: UHC Core |
$373.04
|
| Rate for Payer: UHC Exchange |
$111.69
|
| Rate for Payer: UHC Medicaid |
$78.76
|
| Rate for Payer: UHC Medicare Advantage |
$111.69
|
| Rate for Payer: UHCCP Medicaid |
$78.76
|
| Rate for Payer: VA VA |
$111.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$335.07
|
|
|
HC ANALYSIS COCHLEAR IMPLT 7 YR/> SBSQ REPRGRMG
|
Facility
|
IP
|
$446.76
|
|
|
Service Code
|
CPT 92604
|
| Hospital Charge Code |
47100020
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$310.94 |
| Max. Negotiated Rate |
$402.08 |
| Rate for Payer: Aetna Commercial |
$379.75
|
| Rate for Payer: BCBS Trust/PPO |
$368.98
|
| Rate for Payer: BCN Commercial |
$368.98
|
| Rate for Payer: Cash Price |
$357.41
|
| Rate for Payer: Cofinity Commercial |
$384.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$357.41
|
| Rate for Payer: Healthscope Commercial |
$402.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$335.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$379.75
|
| Rate for Payer: Nomi Health Commercial |
$366.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$335.07
|
| Rate for Payer: PHP Commercial |
$379.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$388.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$310.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$393.15
|
| Rate for Payer: UHC Core |
$373.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$335.07
|
|
|
HC ANALYSIS SMPL OR COMPLEX CN NPGT PRGRMG
|
Facility
|
IP
|
$114.44
|
|
|
Service Code
|
CPT 95976
|
| Hospital Charge Code |
76100441
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$79.65 |
| Max. Negotiated Rate |
$103.00 |
| Rate for Payer: Aetna Commercial |
$97.27
|
| Rate for Payer: BCBS Trust/PPO |
$94.52
|
| Rate for Payer: BCN Commercial |
$94.52
|
| Rate for Payer: Cash Price |
$91.55
|
| Rate for Payer: Cofinity Commercial |
$98.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$91.55
|
| Rate for Payer: Healthscope Commercial |
$103.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$85.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$97.27
|
| Rate for Payer: Nomi Health Commercial |
$93.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$85.83
|
| Rate for Payer: PHP Commercial |
$97.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$99.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$79.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$100.71
|
| Rate for Payer: UHC Core |
$95.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$85.83
|
|
|
HC ANALYSIS SMPL OR COMPLEX CN NPGT PRGRMG
|
Facility
|
OP
|
$114.44
|
|
|
Service Code
|
CPT 95976
|
| Hospital Charge Code |
76100441
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$20.18 |
| Max. Negotiated Rate |
$103.00 |
| Rate for Payer: Aetna Commercial |
$97.27
|
| Rate for Payer: Aetna Medicare |
$29.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$35.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$35.76
|
| Rate for Payer: BCBS Complete |
$21.18
|
| Rate for Payer: BCBS MAPPO |
$28.61
|
| Rate for Payer: BCBS Trust/PPO |
$94.08
|
| Rate for Payer: BCN Commercial |
$94.08
|
| Rate for Payer: BCN Medicare Advantage |
$28.61
|
| Rate for Payer: Cash Price |
$91.55
|
| Rate for Payer: Cofinity Commercial |
$98.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$91.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.61
|
| Rate for Payer: Healthscope Commercial |
$103.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$85.83
|
| Rate for Payer: Mclaren Medicaid |
$20.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30.04
|
| Rate for Payer: Meridian Medicaid |
$21.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$32.90
|
| Rate for Payer: Molina Medicare/Medicaid |
$31.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$97.27
|
| Rate for Payer: Nomi Health Commercial |
$93.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$85.83
|
| Rate for Payer: PACE Senior Care Partners |
$27.18
|
| Rate for Payer: PACE SWMI |
$28.61
|
| Rate for Payer: PHP Commercial |
$97.27
|
| Rate for Payer: PHP Medicare Advantage |
$28.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$20.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$99.56
|
| Rate for Payer: Priority Health Medicare |
$28.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$79.65
|
| Rate for Payer: Railroad Medicare Medicare |
$28.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$100.71
|
| Rate for Payer: UHC Core |
$95.56
|
| Rate for Payer: UHC Exchange |
$28.61
|
| Rate for Payer: UHC Medicaid |
$20.18
|
| Rate for Payer: UHC Medicare Advantage |
$28.61
|
| Rate for Payer: UHCCP Medicaid |
$20.18
|
| Rate for Payer: VA VA |
$28.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$85.83
|
|
|
HC ANCHOR/SCREW IMPLANTS
|
Facility
|
OP
|
$17.23
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27800001
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3.04 |
| Max. Negotiated Rate |
$15.51 |
| Rate for Payer: Aetna Commercial |
$14.65
|
| Rate for Payer: Aetna Medicare |
$4.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5.38
|
| Rate for Payer: BCBS Complete |
$3.19
|
| Rate for Payer: BCBS MAPPO |
$4.31
|
| Rate for Payer: BCBS Trust/PPO |
$14.16
|
| Rate for Payer: BCN Commercial |
$14.16
|
| Rate for Payer: BCN Medicare Advantage |
$4.31
|
| Rate for Payer: Cash Price |
$13.78
|
| Rate for Payer: Cofinity Commercial |
$14.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.31
|
| Rate for Payer: Healthscope Commercial |
$15.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.92
|
| Rate for Payer: Mclaren Medicaid |
$3.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.52
|
| Rate for Payer: Meridian Medicaid |
$3.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.95
|
| Rate for Payer: Molina Medicare/Medicaid |
$4.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.65
|
| Rate for Payer: Nomi Health Commercial |
$14.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.92
|
| Rate for Payer: PACE Senior Care Partners |
$4.09
|
| Rate for Payer: PACE SWMI |
$4.31
|
| Rate for Payer: PHP Commercial |
$14.65
|
| Rate for Payer: PHP Medicare Advantage |
$4.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.04
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$14.99
|
| Rate for Payer: Priority Health Medicare |
$4.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11.99
|
| Rate for Payer: Railroad Medicare Medicare |
$4.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15.16
|
| Rate for Payer: UHC Core |
$14.39
|
| Rate for Payer: UHC Exchange |
$4.31
|
| Rate for Payer: UHC Medicaid |
$3.04
|
| Rate for Payer: UHC Medicare Advantage |
$4.31
|
| Rate for Payer: UHCCP Medicaid |
$3.04
|
| Rate for Payer: VA VA |
$4.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.92
|
|
|
HC ANCHOR/SCREW IMPLANTS
|
Facility
|
IP
|
$17.23
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27800001
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$11.99 |
| Max. Negotiated Rate |
$15.51 |
| Rate for Payer: Aetna Commercial |
$14.65
|
| Rate for Payer: BCBS Trust/PPO |
$14.23
|
| Rate for Payer: BCN Commercial |
$14.23
|
| Rate for Payer: Cash Price |
$13.78
|
| Rate for Payer: Cofinity Commercial |
$14.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.78
|
| Rate for Payer: Healthscope Commercial |
$15.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.65
|
| Rate for Payer: Nomi Health Commercial |
$14.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.92
|
| Rate for Payer: PHP Commercial |
$14.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$14.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15.16
|
| Rate for Payer: UHC Core |
$14.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.92
|
|
|
HC ANDROSTENEDIONE LEVEL
|
Facility
|
OP
|
$55.18
|
|
|
Service Code
|
CPT 82157
|
| Hospital Charge Code |
30100102
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$9.73 |
| Max. Negotiated Rate |
$49.66 |
| Rate for Payer: Aetna Commercial |
$46.90
|
| Rate for Payer: Aetna Medicare |
$14.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17.24
|
| Rate for Payer: BCBS Complete |
$10.21
|
| Rate for Payer: BCBS MAPPO |
$13.79
|
| Rate for Payer: BCBS Trust/PPO |
$45.36
|
| Rate for Payer: BCN Commercial |
$45.36
|
| Rate for Payer: BCN Medicare Advantage |
$13.79
|
| Rate for Payer: Cash Price |
$44.14
|
| Rate for Payer: Cofinity Commercial |
$47.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$44.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.79
|
| Rate for Payer: Healthscope Commercial |
$49.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$41.38
|
| Rate for Payer: Mclaren Medicaid |
$9.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14.48
|
| Rate for Payer: Meridian Medicaid |
$10.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15.86
|
| Rate for Payer: Molina Medicare/Medicaid |
$15.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$46.90
|
| Rate for Payer: Nomi Health Commercial |
$45.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$41.38
|
| Rate for Payer: PACE Senior Care Partners |
$13.11
|
| Rate for Payer: PACE SWMI |
$13.79
|
| Rate for Payer: PHP Commercial |
$46.90
|
| Rate for Payer: PHP Medicare Advantage |
$13.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$48.01
|
| Rate for Payer: Priority Health Medicare |
$13.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$38.41
|
| Rate for Payer: Railroad Medicare Medicare |
$13.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$48.56
|
| Rate for Payer: UHC Core |
$46.08
|
| Rate for Payer: UHC Exchange |
$13.79
|
| Rate for Payer: UHC Medicaid |
$9.73
|
| Rate for Payer: UHC Medicare Advantage |
$13.79
|
| Rate for Payer: UHCCP Medicaid |
$9.73
|
| Rate for Payer: VA VA |
$13.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$41.38
|
|
|
HC ANDROSTENEDIONE LEVEL
|
Facility
|
IP
|
$55.18
|
|
|
Service Code
|
CPT 82157
|
| Hospital Charge Code |
30100102
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$38.41 |
| Max. Negotiated Rate |
$49.66 |
| Rate for Payer: Aetna Commercial |
$46.90
|
| Rate for Payer: BCBS Trust/PPO |
$45.57
|
| Rate for Payer: BCN Commercial |
$45.57
|
| Rate for Payer: Cash Price |
$44.14
|
| Rate for Payer: Cofinity Commercial |
$47.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$44.14
|
| Rate for Payer: Healthscope Commercial |
$49.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$41.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$46.90
|
| Rate for Payer: Nomi Health Commercial |
$45.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$41.38
|
| Rate for Payer: PHP Commercial |
$46.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$48.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$38.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$48.56
|
| Rate for Payer: UHC Core |
$46.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$41.38
|
|
|
HC ANDROSTENEDIONE, SERUM
|
Facility
|
IP
|
$103.00
|
|
|
Service Code
|
CPT 82157
|
| Hospital Charge Code |
30100748
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$71.69 |
| Max. Negotiated Rate |
$92.70 |
| Rate for Payer: Aetna Commercial |
$87.55
|
| Rate for Payer: BCBS Trust/PPO |
$85.07
|
| Rate for Payer: BCN Commercial |
$85.07
|
| Rate for Payer: Cash Price |
$82.40
|
| Rate for Payer: Cofinity Commercial |
$88.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$82.40
|
| Rate for Payer: Healthscope Commercial |
$92.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$77.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$87.55
|
| Rate for Payer: Nomi Health Commercial |
$84.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$77.25
|
| Rate for Payer: PHP Commercial |
$87.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$89.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$71.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$90.64
|
| Rate for Payer: UHC Core |
$86.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$77.25
|
|
|
HC ANDROSTENEDIONE, SERUM
|
Facility
|
OP
|
$103.00
|
|
|
Service Code
|
CPT 82157
|
| Hospital Charge Code |
30100748
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$18.16 |
| Max. Negotiated Rate |
$92.70 |
| Rate for Payer: Aetna Commercial |
$87.55
|
| Rate for Payer: Aetna Medicare |
$26.78
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$32.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$32.19
|
| Rate for Payer: BCBS Complete |
$19.07
|
| Rate for Payer: BCBS MAPPO |
$25.75
|
| Rate for Payer: BCBS Trust/PPO |
$84.68
|
| Rate for Payer: BCN Commercial |
$84.68
|
| Rate for Payer: BCN Medicare Advantage |
$25.75
|
| Rate for Payer: Cash Price |
$82.40
|
| Rate for Payer: Cofinity Commercial |
$88.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$82.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25.75
|
| Rate for Payer: Healthscope Commercial |
$92.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$77.25
|
| Rate for Payer: Mclaren Medicaid |
$18.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27.04
|
| Rate for Payer: Meridian Medicaid |
$19.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$29.61
|
| Rate for Payer: Molina Medicare/Medicaid |
$28.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$87.55
|
| Rate for Payer: Nomi Health Commercial |
$84.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$77.25
|
| Rate for Payer: PACE Senior Care Partners |
$24.46
|
| Rate for Payer: PACE SWMI |
$25.75
|
| Rate for Payer: PHP Commercial |
$87.55
|
| Rate for Payer: PHP Medicare Advantage |
$25.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$18.16
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$89.61
|
| Rate for Payer: Priority Health Medicare |
$26.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$71.69
|
| Rate for Payer: Railroad Medicare Medicare |
$25.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$90.64
|
| Rate for Payer: UHC Core |
$86.00
|
| Rate for Payer: UHC Exchange |
$25.75
|
| Rate for Payer: UHC Medicaid |
$18.16
|
| Rate for Payer: UHC Medicare Advantage |
$25.75
|
| Rate for Payer: UHCCP Medicaid |
$18.16
|
| Rate for Payer: VA VA |
$25.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$77.25
|
|
|
HC ANESTHESIA BY ANESTHESIOLOGY
|
Facility
|
OP
|
$444.11
|
|
| Hospital Charge Code |
37100001
|
|
Hospital Revenue Code
|
371
|
| Min. Negotiated Rate |
$78.30 |
| Max. Negotiated Rate |
$399.70 |
| Rate for Payer: Aetna Commercial |
$377.49
|
| Rate for Payer: Aetna Medicare |
$115.47
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$138.78
|
| Rate for Payer: Amish Plain Church Group Commercial |
$138.78
|
| Rate for Payer: BCBS Complete |
$82.20
|
| Rate for Payer: BCBS MAPPO |
$111.03
|
| Rate for Payer: BCBS Trust/PPO |
$365.10
|
| Rate for Payer: BCN Commercial |
$365.10
|
| Rate for Payer: BCN Medicare Advantage |
$111.03
|
| Rate for Payer: Cash Price |
$355.29
|
| Rate for Payer: Cofinity Commercial |
$381.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$355.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$111.03
|
| Rate for Payer: Healthscope Commercial |
$399.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$333.08
|
| Rate for Payer: Mclaren Medicaid |
$78.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$116.58
|
| Rate for Payer: Meridian Medicaid |
$82.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$127.68
|
| Rate for Payer: Molina Medicare/Medicaid |
$122.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$377.49
|
| Rate for Payer: Nomi Health Commercial |
$364.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$333.08
|
| Rate for Payer: PACE Senior Care Partners |
$105.48
|
| Rate for Payer: PACE SWMI |
$111.03
|
| Rate for Payer: PHP Commercial |
$377.49
|
| Rate for Payer: PHP Medicare Advantage |
$111.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$78.30
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$386.38
|
| Rate for Payer: Priority Health Medicare |
$112.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$309.10
|
| Rate for Payer: Railroad Medicare Medicare |
$111.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$390.82
|
| Rate for Payer: UHC Core |
$370.83
|
| Rate for Payer: UHC Exchange |
$111.03
|
| Rate for Payer: UHC Medicaid |
$78.30
|
| Rate for Payer: UHC Medicare Advantage |
$111.03
|
| Rate for Payer: UHCCP Medicaid |
$78.30
|
| Rate for Payer: VA VA |
$111.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$333.08
|
|
|
HC ANESTHESIA BY ANESTHESIOLOGY
|
Facility
|
IP
|
$444.11
|
|
| Hospital Charge Code |
37100001
|
|
Hospital Revenue Code
|
371
|
| Min. Negotiated Rate |
$309.10 |
| Max. Negotiated Rate |
$399.70 |
| Rate for Payer: Aetna Commercial |
$377.49
|
| Rate for Payer: BCBS Trust/PPO |
$366.79
|
| Rate for Payer: BCN Commercial |
$366.79
|
| Rate for Payer: Cash Price |
$355.29
|
| Rate for Payer: Cofinity Commercial |
$381.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$355.29
|
| Rate for Payer: Healthscope Commercial |
$399.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$333.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$377.49
|
| Rate for Payer: Nomi Health Commercial |
$364.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$333.08
|
| Rate for Payer: PHP Commercial |
$377.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$386.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$309.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$390.82
|
| Rate for Payer: UHC Core |
$370.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$333.08
|
|
|
HC ANEUPLOIDY DETECTION CMPT
|
Facility
|
IP
|
$52.00
|
|
|
Service Code
|
CPT 88271
|
| Hospital Charge Code |
31000028
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$36.19 |
| Max. Negotiated Rate |
$46.80 |
| Rate for Payer: Aetna Commercial |
$44.20
|
| Rate for Payer: BCBS Trust/PPO |
$42.95
|
| Rate for Payer: BCN Commercial |
$42.95
|
| Rate for Payer: Cash Price |
$41.60
|
| Rate for Payer: Cofinity Commercial |
$44.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$41.60
|
| Rate for Payer: Healthscope Commercial |
$46.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$39.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$44.20
|
| Rate for Payer: Nomi Health Commercial |
$42.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$39.00
|
| Rate for Payer: PHP Commercial |
$44.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$45.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$36.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$45.76
|
| Rate for Payer: UHC Core |
$43.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$39.00
|
|
|
HC ANEUPLOIDY DETECTION CMPT
|
Facility
|
OP
|
$52.00
|
|
|
Service Code
|
CPT 88271
|
| Hospital Charge Code |
31000028
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$9.17 |
| Max. Negotiated Rate |
$46.80 |
| Rate for Payer: Aetna Commercial |
$44.20
|
| Rate for Payer: Aetna Medicare |
$13.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16.25
|
| Rate for Payer: BCBS Complete |
$9.63
|
| Rate for Payer: BCBS MAPPO |
$13.00
|
| Rate for Payer: BCBS Trust/PPO |
$42.75
|
| Rate for Payer: BCN Commercial |
$42.75
|
| Rate for Payer: BCN Medicare Advantage |
$13.00
|
| Rate for Payer: Cash Price |
$41.60
|
| Rate for Payer: Cofinity Commercial |
$44.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$41.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.00
|
| Rate for Payer: Healthscope Commercial |
$46.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$39.00
|
| Rate for Payer: Mclaren Medicaid |
$9.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13.65
|
| Rate for Payer: Meridian Medicaid |
$9.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14.95
|
| Rate for Payer: Molina Medicare/Medicaid |
$14.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$44.20
|
| Rate for Payer: Nomi Health Commercial |
$42.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$39.00
|
| Rate for Payer: PACE Senior Care Partners |
$12.35
|
| Rate for Payer: PACE SWMI |
$13.00
|
| Rate for Payer: PHP Commercial |
$44.20
|
| Rate for Payer: PHP Medicare Advantage |
$13.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$45.24
|
| Rate for Payer: Priority Health Medicare |
$13.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$36.19
|
| Rate for Payer: Railroad Medicare Medicare |
$13.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$45.76
|
| Rate for Payer: UHC Core |
$43.42
|
| Rate for Payer: UHC Exchange |
$13.00
|
| Rate for Payer: UHC Medicaid |
$9.17
|
| Rate for Payer: UHC Medicare Advantage |
$13.00
|
| Rate for Payer: UHCCP Medicaid |
$9.17
|
| Rate for Payer: VA VA |
$13.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$39.00
|
|
