|
HC COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX
|
Facility
|
OP
|
$7,950.00
|
|
|
Service Code
|
CPT 57460
|
| Hospital Charge Code |
76100395
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$331.36 |
| Max. Negotiated Rate |
$7,155.00 |
| Rate for Payer: Aetna Commercial |
$6,757.50
|
| Rate for Payer: Aetna Medicare |
$2,067.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,484.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,484.38
|
| Rate for Payer: BCBS Complete |
$2,153.41
|
| Rate for Payer: BCBS MAPPO |
$1,987.50
|
| Rate for Payer: BCBS Trust/PPO |
$6,181.12
|
| Rate for Payer: BCCCP Commercial |
$331.36
|
| Rate for Payer: BCN Commercial |
$6,181.12
|
| Rate for Payer: BCN Medicare Advantage |
$1,987.50
|
| Rate for Payer: Cash Price |
$6,360.00
|
| Rate for Payer: Cash Price |
$6,360.00
|
| Rate for Payer: Cofinity Commercial |
$6,837.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,360.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,987.50
|
| Rate for Payer: Healthscope Commercial |
$7,155.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,962.50
|
| Rate for Payer: Mclaren Medicaid |
$2,050.87
|
| Rate for Payer: Meridian Medicaid |
$2,153.41
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,086.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,285.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$6,757.50
|
| Rate for Payer: PACE Senior Care Partners |
$1,888.12
|
| Rate for Payer: PACE SWMI |
$1,987.50
|
| Rate for Payer: PHP Commercial |
$6,757.50
|
| Rate for Payer: PHP Medicare Advantage |
$1,987.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,050.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,565.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$6,916.50
|
| Rate for Payer: Priority Health Medicare |
$1,987.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,848.70
|
| Rate for Payer: Railroad Medicare Medicare |
$1,987.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,996.00
|
| Rate for Payer: UHC Core |
$6,638.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,987.50
|
| Rate for Payer: UHC Medicare Advantage |
$2,047.12
|
| Rate for Payer: VA VA |
$1,987.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,962.50
|
|
|
HC COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX
|
Facility
|
IP
|
$7,950.00
|
|
|
Service Code
|
CPT 57460
|
| Hospital Charge Code |
76100395
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$4,848.70 |
| Max. Negotiated Rate |
$7,155.00 |
| Rate for Payer: Aetna Commercial |
$6,757.50
|
| Rate for Payer: BCBS Trust/PPO |
$6,143.76
|
| Rate for Payer: BCN Commercial |
$6,143.76
|
| Rate for Payer: Cash Price |
$6,360.00
|
| Rate for Payer: Cofinity Commercial |
$6,837.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,360.00
|
| Rate for Payer: Healthscope Commercial |
$7,155.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,962.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$6,757.50
|
| Rate for Payer: PHP Commercial |
$6,757.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,565.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$6,916.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,848.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,996.00
|
| Rate for Payer: UHC Core |
$6,638.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,962.50
|
|
|
HC COLPOSCOPY CERVIX W ADJ VAGINA
|
Facility
|
IP
|
$279.48
|
|
|
Service Code
|
CPT 57452
|
| Hospital Charge Code |
76100204
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$170.45 |
| Max. Negotiated Rate |
$251.53 |
| Rate for Payer: Aetna Commercial |
$237.56
|
| Rate for Payer: BCBS Trust/PPO |
$215.98
|
| Rate for Payer: BCN Commercial |
$215.98
|
| Rate for Payer: Cash Price |
$223.58
|
| Rate for Payer: Cofinity Commercial |
$240.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$223.58
|
| Rate for Payer: Healthscope Commercial |
$251.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$209.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$237.56
|
| Rate for Payer: PHP Commercial |
$237.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$195.64
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$243.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$170.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$245.94
|
| Rate for Payer: UHC Core |
$233.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$209.61
|
|
|
HC COLPOSCOPY CERVIX W ADJ VAGINA
|
Facility
|
OP
|
$279.48
|
|
|
Service Code
|
CPT 57452
|
| Hospital Charge Code |
76100204
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$66.38 |
| Max. Negotiated Rate |
$251.53 |
| Rate for Payer: Aetna Commercial |
$237.56
|
| Rate for Payer: Aetna Medicare |
$72.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$87.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$87.34
|
| Rate for Payer: BCBS Complete |
$137.25
|
| Rate for Payer: BCBS MAPPO |
$69.87
|
| Rate for Payer: BCBS Trust/PPO |
$217.30
|
| Rate for Payer: BCCCP Commercial |
$134.56
|
| Rate for Payer: BCN Commercial |
$217.30
|
| Rate for Payer: BCN Medicare Advantage |
$69.87
|
| Rate for Payer: Cash Price |
$223.58
|
| Rate for Payer: Cash Price |
$223.58
|
| Rate for Payer: Cofinity Commercial |
$240.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$223.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$69.87
|
| Rate for Payer: Healthscope Commercial |
$251.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$209.61
|
| Rate for Payer: Mclaren Medicaid |
$130.71
|
| Rate for Payer: Meridian Medicaid |
$137.25
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$73.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$80.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$237.56
|
| Rate for Payer: PACE Senior Care Partners |
$66.38
|
| Rate for Payer: PACE SWMI |
$69.87
|
| Rate for Payer: PHP Commercial |
$237.56
|
| Rate for Payer: PHP Medicare Advantage |
$69.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$130.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$195.64
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$243.15
|
| Rate for Payer: Priority Health Medicare |
$69.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$170.45
|
| Rate for Payer: Railroad Medicare Medicare |
$69.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$245.94
|
| Rate for Payer: UHC Core |
$233.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$69.87
|
| Rate for Payer: UHC Medicare Advantage |
$71.97
|
| Rate for Payer: VA VA |
$69.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$209.61
|
|
|
HC COLPOSCOPY CERVIX W ADJ VAGINA CURETTAGE
|
Facility
|
IP
|
$417.69
|
|
|
Service Code
|
CPT 57456
|
| Hospital Charge Code |
76100206
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$254.75 |
| Max. Negotiated Rate |
$375.92 |
| Rate for Payer: Aetna Commercial |
$355.04
|
| Rate for Payer: BCBS Trust/PPO |
$322.79
|
| Rate for Payer: BCN Commercial |
$322.79
|
| Rate for Payer: Cash Price |
$334.15
|
| Rate for Payer: Cofinity Commercial |
$359.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$334.15
|
| Rate for Payer: Healthscope Commercial |
$375.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$313.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$355.04
|
| Rate for Payer: PHP Commercial |
$355.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$292.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$363.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$254.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$367.57
|
| Rate for Payer: UHC Core |
$348.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$313.27
|
|
|
HC COLPOSCOPY CERVIX W ADJ VAGINA CURETTAGE
|
Facility
|
OP
|
$417.69
|
|
|
Service Code
|
CPT 57456
|
| Hospital Charge Code |
76100206
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$99.20 |
| Max. Negotiated Rate |
$375.92 |
| Rate for Payer: Aetna Commercial |
$355.04
|
| Rate for Payer: Aetna Medicare |
$108.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$130.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$130.53
|
| Rate for Payer: BCBS Complete |
$220.97
|
| Rate for Payer: BCBS MAPPO |
$104.42
|
| Rate for Payer: BCBS Trust/PPO |
$324.75
|
| Rate for Payer: BCCCP Commercial |
$161.36
|
| Rate for Payer: BCN Commercial |
$324.75
|
| Rate for Payer: BCN Medicare Advantage |
$104.42
|
| Rate for Payer: Cash Price |
$334.15
|
| Rate for Payer: Cash Price |
$334.15
|
| Rate for Payer: Cofinity Commercial |
$359.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$334.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$104.42
|
| Rate for Payer: Healthscope Commercial |
$375.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$313.27
|
| Rate for Payer: Mclaren Medicaid |
$210.45
|
| Rate for Payer: Meridian Medicaid |
$220.97
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$109.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$120.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$355.04
|
| Rate for Payer: PACE Senior Care Partners |
$99.20
|
| Rate for Payer: PACE SWMI |
$104.42
|
| Rate for Payer: PHP Commercial |
$355.04
|
| Rate for Payer: PHP Medicare Advantage |
$104.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$210.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$292.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$363.39
|
| Rate for Payer: Priority Health Medicare |
$104.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$254.75
|
| Rate for Payer: Railroad Medicare Medicare |
$104.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$367.57
|
| Rate for Payer: UHC Core |
$348.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$104.42
|
| Rate for Payer: UHC Medicare Advantage |
$107.56
|
| Rate for Payer: VA VA |
$104.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$313.27
|
|
|
HC COLPOSCOPY CERVIX W ADJ VAGINA W BX
|
Facility
|
IP
|
$417.69
|
|
|
Service Code
|
CPT 57455
|
| Hospital Charge Code |
76100205
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$254.75 |
| Max. Negotiated Rate |
$375.92 |
| Rate for Payer: Aetna Commercial |
$355.04
|
| Rate for Payer: BCBS Trust/PPO |
$322.79
|
| Rate for Payer: BCN Commercial |
$322.79
|
| Rate for Payer: Cash Price |
$334.15
|
| Rate for Payer: Cofinity Commercial |
$359.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$334.15
|
| Rate for Payer: Healthscope Commercial |
$375.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$313.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$355.04
|
| Rate for Payer: PHP Commercial |
$355.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$292.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$363.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$254.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$367.57
|
| Rate for Payer: UHC Core |
$348.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$313.27
|
|
|
HC COLPOSCOPY CERVIX W ADJ VAGINA W BX
|
Facility
|
OP
|
$417.69
|
|
|
Service Code
|
CPT 57455
|
| Hospital Charge Code |
76100205
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$99.20 |
| Max. Negotiated Rate |
$375.92 |
| Rate for Payer: Aetna Commercial |
$355.04
|
| Rate for Payer: Aetna Medicare |
$108.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$130.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$130.53
|
| Rate for Payer: BCBS Complete |
$220.97
|
| Rate for Payer: BCBS MAPPO |
$104.42
|
| Rate for Payer: BCBS Trust/PPO |
$324.75
|
| Rate for Payer: BCCCP Commercial |
$170.70
|
| Rate for Payer: BCN Commercial |
$324.75
|
| Rate for Payer: BCN Medicare Advantage |
$104.42
|
| Rate for Payer: Cash Price |
$334.15
|
| Rate for Payer: Cash Price |
$334.15
|
| Rate for Payer: Cofinity Commercial |
$359.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$334.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$104.42
|
| Rate for Payer: Healthscope Commercial |
$375.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$313.27
|
| Rate for Payer: Mclaren Medicaid |
$210.45
|
| Rate for Payer: Meridian Medicaid |
$220.97
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$109.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$120.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$355.04
|
| Rate for Payer: PACE Senior Care Partners |
$99.20
|
| Rate for Payer: PACE SWMI |
$104.42
|
| Rate for Payer: PHP Commercial |
$355.04
|
| Rate for Payer: PHP Medicare Advantage |
$104.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$210.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$292.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$363.39
|
| Rate for Payer: Priority Health Medicare |
$104.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$254.75
|
| Rate for Payer: Railroad Medicare Medicare |
$104.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$367.57
|
| Rate for Payer: UHC Core |
$348.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$104.42
|
| Rate for Payer: UHC Medicare Advantage |
$107.56
|
| Rate for Payer: VA VA |
$104.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$313.27
|
|
|
HC COLPOSCOPY OF CERVIX/VAGINA W/BIOPSY AND CURETTAGE
|
Facility
|
OP
|
$361.08
|
|
|
Service Code
|
CPT 57454
|
| Hospital Charge Code |
76100140
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$85.76 |
| Max. Negotiated Rate |
$324.97 |
| Rate for Payer: Aetna Commercial |
$306.92
|
| Rate for Payer: Aetna Medicare |
$93.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$112.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$112.84
|
| Rate for Payer: BCBS Complete |
$220.97
|
| Rate for Payer: BCBS MAPPO |
$90.27
|
| Rate for Payer: BCBS Trust/PPO |
$280.74
|
| Rate for Payer: BCCCP Commercial |
$179.90
|
| Rate for Payer: BCN Commercial |
$280.74
|
| Rate for Payer: BCN Medicare Advantage |
$90.27
|
| Rate for Payer: Cash Price |
$288.86
|
| Rate for Payer: Cash Price |
$288.86
|
| Rate for Payer: Cofinity Commercial |
$310.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$288.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$90.27
|
| Rate for Payer: Healthscope Commercial |
$324.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$270.81
|
| Rate for Payer: Mclaren Medicaid |
$210.45
|
| Rate for Payer: Meridian Medicaid |
$220.97
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$94.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$103.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$306.92
|
| Rate for Payer: PACE Senior Care Partners |
$85.76
|
| Rate for Payer: PACE SWMI |
$90.27
|
| Rate for Payer: PHP Commercial |
$306.92
|
| Rate for Payer: PHP Medicare Advantage |
$90.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$210.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$252.76
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$314.14
|
| Rate for Payer: Priority Health Medicare |
$90.27
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$220.22
|
| Rate for Payer: Railroad Medicare Medicare |
$90.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$317.75
|
| Rate for Payer: UHC Core |
$301.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$90.27
|
| Rate for Payer: UHC Medicare Advantage |
$92.98
|
| Rate for Payer: VA VA |
$90.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$270.81
|
|
|
HC COLPOSCOPY OF CERVIX/VAGINA W/BIOPSY AND CURETTAGE
|
Facility
|
IP
|
$361.08
|
|
|
Service Code
|
CPT 57454
|
| Hospital Charge Code |
76100140
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$220.22 |
| Max. Negotiated Rate |
$324.97 |
| Rate for Payer: Aetna Commercial |
$306.92
|
| Rate for Payer: BCBS Trust/PPO |
$279.04
|
| Rate for Payer: BCN Commercial |
$279.04
|
| Rate for Payer: Cash Price |
$288.86
|
| Rate for Payer: Cofinity Commercial |
$310.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$288.86
|
| Rate for Payer: Healthscope Commercial |
$324.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$270.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$306.92
|
| Rate for Payer: PHP Commercial |
$306.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$252.76
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$314.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$220.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$317.75
|
| Rate for Payer: UHC Core |
$301.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$270.81
|
|
|
HC COLPOSCOPY VAGINA W/BIOPSY
|
Facility
|
IP
|
$853.74
|
|
|
Service Code
|
CPT 57421
|
| Hospital Charge Code |
76100223
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$520.70 |
| Max. Negotiated Rate |
$768.37 |
| Rate for Payer: Aetna Commercial |
$725.68
|
| Rate for Payer: BCBS Trust/PPO |
$659.77
|
| Rate for Payer: BCN Commercial |
$659.77
|
| Rate for Payer: Cash Price |
$682.99
|
| Rate for Payer: Cofinity Commercial |
$734.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$682.99
|
| Rate for Payer: Healthscope Commercial |
$768.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$640.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$725.68
|
| Rate for Payer: PHP Commercial |
$725.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$597.62
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$742.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$520.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$751.29
|
| Rate for Payer: UHC Core |
$712.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$640.30
|
|
|
HC COLPOSCOPY VAGINA W/BIOPSY
|
Facility
|
OP
|
$853.74
|
|
|
Service Code
|
CPT 57421
|
| Hospital Charge Code |
76100223
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$202.76 |
| Max. Negotiated Rate |
$768.37 |
| Rate for Payer: Aetna Commercial |
$725.68
|
| Rate for Payer: Aetna Medicare |
$221.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$266.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$266.79
|
| Rate for Payer: BCBS Complete |
$553.73
|
| Rate for Payer: BCBS MAPPO |
$213.44
|
| Rate for Payer: BCBS Trust/PPO |
$663.78
|
| Rate for Payer: BCN Commercial |
$663.78
|
| Rate for Payer: BCN Medicare Advantage |
$213.44
|
| Rate for Payer: Cash Price |
$682.99
|
| Rate for Payer: Cash Price |
$682.99
|
| Rate for Payer: Cofinity Commercial |
$734.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$682.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$213.44
|
| Rate for Payer: Healthscope Commercial |
$768.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$640.30
|
| Rate for Payer: Mclaren Medicaid |
$527.36
|
| Rate for Payer: Meridian Medicaid |
$553.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$224.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$245.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$725.68
|
| Rate for Payer: PACE Senior Care Partners |
$202.76
|
| Rate for Payer: PACE SWMI |
$213.44
|
| Rate for Payer: PHP Commercial |
$725.68
|
| Rate for Payer: PHP Medicare Advantage |
$213.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$527.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$597.62
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$742.75
|
| Rate for Payer: Priority Health Medicare |
$213.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$520.70
|
| Rate for Payer: Railroad Medicare Medicare |
$213.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$751.29
|
| Rate for Payer: UHC Core |
$712.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$213.44
|
| Rate for Payer: UHC Medicare Advantage |
$219.84
|
| Rate for Payer: VA VA |
$213.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$640.30
|
|
|
HC COLPOSCOPY VAGINA W/O BIOPSY
|
Facility
|
IP
|
$414.20
|
|
|
Service Code
|
CPT 57420
|
| Hospital Charge Code |
76100254
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$252.62 |
| Max. Negotiated Rate |
$372.78 |
| Rate for Payer: Aetna Commercial |
$352.07
|
| Rate for Payer: BCBS Trust/PPO |
$320.09
|
| Rate for Payer: BCN Commercial |
$320.09
|
| Rate for Payer: Cash Price |
$331.36
|
| Rate for Payer: Cofinity Commercial |
$356.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$331.36
|
| Rate for Payer: Healthscope Commercial |
$372.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$310.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$352.07
|
| Rate for Payer: PHP Commercial |
$352.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$289.94
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$360.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$252.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$364.50
|
| Rate for Payer: UHC Core |
$345.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$310.65
|
|
|
HC COLPOSCOPY VAGINA W/O BIOPSY
|
Facility
|
OP
|
$414.20
|
|
|
Service Code
|
CPT 57420
|
| Hospital Charge Code |
76100254
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$98.37 |
| Max. Negotiated Rate |
$372.78 |
| Rate for Payer: Aetna Commercial |
$352.07
|
| Rate for Payer: Aetna Medicare |
$107.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$129.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$129.44
|
| Rate for Payer: BCBS Complete |
$220.97
|
| Rate for Payer: BCBS MAPPO |
$103.55
|
| Rate for Payer: BCBS Trust/PPO |
$322.04
|
| Rate for Payer: BCN Commercial |
$322.04
|
| Rate for Payer: BCN Medicare Advantage |
$103.55
|
| Rate for Payer: Cash Price |
$331.36
|
| Rate for Payer: Cash Price |
$331.36
|
| Rate for Payer: Cofinity Commercial |
$356.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$331.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$103.55
|
| Rate for Payer: Healthscope Commercial |
$372.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$310.65
|
| Rate for Payer: Mclaren Medicaid |
$210.45
|
| Rate for Payer: Meridian Medicaid |
$220.97
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$108.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$119.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$352.07
|
| Rate for Payer: PACE Senior Care Partners |
$98.37
|
| Rate for Payer: PACE SWMI |
$103.55
|
| Rate for Payer: PHP Commercial |
$352.07
|
| Rate for Payer: PHP Medicare Advantage |
$103.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$210.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$289.94
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$360.35
|
| Rate for Payer: Priority Health Medicare |
$103.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$252.62
|
| Rate for Payer: Railroad Medicare Medicare |
$103.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$364.50
|
| Rate for Payer: UHC Core |
$345.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$103.55
|
| Rate for Payer: UHC Medicare Advantage |
$106.66
|
| Rate for Payer: VA VA |
$103.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$310.65
|
|
|
HC COLPOSCOPY, VULVA
|
Facility
|
OP
|
$322.32
|
|
|
Service Code
|
CPT 56820
|
| Hospital Charge Code |
76100258
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$76.55 |
| Max. Negotiated Rate |
$290.09 |
| Rate for Payer: Aetna Commercial |
$273.97
|
| Rate for Payer: Aetna Medicare |
$83.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$100.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$100.72
|
| Rate for Payer: BCBS Complete |
$137.25
|
| Rate for Payer: BCBS MAPPO |
$80.58
|
| Rate for Payer: BCBS Trust/PPO |
$250.60
|
| Rate for Payer: BCN Commercial |
$250.60
|
| Rate for Payer: BCN Medicare Advantage |
$80.58
|
| Rate for Payer: Cash Price |
$257.86
|
| Rate for Payer: Cash Price |
$257.86
|
| Rate for Payer: Cofinity Commercial |
$277.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$257.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$80.58
|
| Rate for Payer: Healthscope Commercial |
$290.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$241.74
|
| Rate for Payer: Mclaren Medicaid |
$130.71
|
| Rate for Payer: Meridian Medicaid |
$137.25
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$84.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$92.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$273.97
|
| Rate for Payer: PACE Senior Care Partners |
$76.55
|
| Rate for Payer: PACE SWMI |
$80.58
|
| Rate for Payer: PHP Commercial |
$273.97
|
| Rate for Payer: PHP Medicare Advantage |
$80.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$130.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$225.62
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$280.42
|
| Rate for Payer: Priority Health Medicare |
$80.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$196.58
|
| Rate for Payer: Railroad Medicare Medicare |
$80.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$283.64
|
| Rate for Payer: UHC Core |
$269.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$80.58
|
| Rate for Payer: UHC Medicare Advantage |
$83.00
|
| Rate for Payer: VA VA |
$80.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$241.74
|
|
|
HC COLPOSCOPY, VULVA
|
Facility
|
IP
|
$322.32
|
|
|
Service Code
|
CPT 56820
|
| Hospital Charge Code |
76100258
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$196.58 |
| Max. Negotiated Rate |
$290.09 |
| Rate for Payer: Aetna Commercial |
$273.97
|
| Rate for Payer: BCBS Trust/PPO |
$249.09
|
| Rate for Payer: BCN Commercial |
$249.09
|
| Rate for Payer: Cash Price |
$257.86
|
| Rate for Payer: Cofinity Commercial |
$277.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$257.86
|
| Rate for Payer: Healthscope Commercial |
$290.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$241.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$273.97
|
| Rate for Payer: PHP Commercial |
$273.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$225.62
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$280.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$196.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$283.64
|
| Rate for Payer: UHC Core |
$269.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$241.74
|
|
|
HC COLPOSCOPY VULVA W/BIOPSY
|
Facility
|
IP
|
$837.42
|
|
|
Service Code
|
CPT 56821
|
| Hospital Charge Code |
76100332
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$510.74 |
| Max. Negotiated Rate |
$753.68 |
| Rate for Payer: Aetna Commercial |
$711.81
|
| Rate for Payer: BCBS Trust/PPO |
$647.16
|
| Rate for Payer: BCN Commercial |
$647.16
|
| Rate for Payer: Cash Price |
$669.94
|
| Rate for Payer: Cofinity Commercial |
$720.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$669.94
|
| Rate for Payer: Healthscope Commercial |
$753.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$628.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$711.81
|
| Rate for Payer: PHP Commercial |
$711.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$586.19
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$728.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$510.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$736.93
|
| Rate for Payer: UHC Core |
$699.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$628.06
|
|
|
HC COLPOSCOPY VULVA W/BIOPSY
|
Facility
|
OP
|
$837.42
|
|
|
Service Code
|
CPT 56821
|
| Hospital Charge Code |
76100332
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$198.89 |
| Max. Negotiated Rate |
$753.68 |
| Rate for Payer: Aetna Commercial |
$711.81
|
| Rate for Payer: Aetna Medicare |
$217.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$261.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$261.69
|
| Rate for Payer: BCBS Complete |
$220.97
|
| Rate for Payer: BCBS MAPPO |
$209.36
|
| Rate for Payer: BCBS Trust/PPO |
$651.09
|
| Rate for Payer: BCN Commercial |
$651.09
|
| Rate for Payer: BCN Medicare Advantage |
$209.36
|
| Rate for Payer: Cash Price |
$669.94
|
| Rate for Payer: Cash Price |
$669.94
|
| Rate for Payer: Cofinity Commercial |
$720.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$669.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$209.36
|
| Rate for Payer: Healthscope Commercial |
$753.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$628.06
|
| Rate for Payer: Mclaren Medicaid |
$210.45
|
| Rate for Payer: Meridian Medicaid |
$220.97
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$219.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$240.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$711.81
|
| Rate for Payer: PACE Senior Care Partners |
$198.89
|
| Rate for Payer: PACE SWMI |
$209.36
|
| Rate for Payer: PHP Commercial |
$711.81
|
| Rate for Payer: PHP Medicare Advantage |
$209.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$210.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$586.19
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$728.56
|
| Rate for Payer: Priority Health Medicare |
$209.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$510.74
|
| Rate for Payer: Railroad Medicare Medicare |
$209.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$736.93
|
| Rate for Payer: UHC Core |
$699.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$209.36
|
| Rate for Payer: UHC Medicare Advantage |
$215.64
|
| Rate for Payer: VA VA |
$209.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$628.06
|
|
|
HC COMBI CATH SUPPLY
|
Facility
|
IP
|
$121.04
|
|
| Hospital Charge Code |
27200116
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$73.82 |
| Max. Negotiated Rate |
$108.94 |
| Rate for Payer: Aetna Commercial |
$102.88
|
| Rate for Payer: BCBS Trust/PPO |
$93.54
|
| Rate for Payer: BCN Commercial |
$93.54
|
| Rate for Payer: Cash Price |
$96.83
|
| Rate for Payer: Cofinity Commercial |
$104.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$96.83
|
| Rate for Payer: Healthscope Commercial |
$108.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$90.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$102.88
|
| Rate for Payer: PHP Commercial |
$102.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$84.73
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$105.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$73.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$106.52
|
| Rate for Payer: UHC Core |
$101.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$90.78
|
|
|
HC COMBI CATH SUPPLY
|
Facility
|
OP
|
$121.04
|
|
| Hospital Charge Code |
27200116
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$28.75 |
| Max. Negotiated Rate |
$108.94 |
| Rate for Payer: Aetna Commercial |
$102.88
|
| Rate for Payer: Aetna Medicare |
$31.47
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$37.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$37.82
|
| Rate for Payer: BCBS Complete |
$48.42
|
| Rate for Payer: BCBS MAPPO |
$30.26
|
| Rate for Payer: BCBS Trust/PPO |
$94.11
|
| Rate for Payer: BCN Commercial |
$94.11
|
| Rate for Payer: BCN Medicare Advantage |
$30.26
|
| Rate for Payer: Cash Price |
$96.83
|
| Rate for Payer: Cofinity Commercial |
$104.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$96.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.26
|
| Rate for Payer: Healthscope Commercial |
$108.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$90.78
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$31.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$34.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$102.88
|
| Rate for Payer: PACE Senior Care Partners |
$28.75
|
| Rate for Payer: PACE SWMI |
$30.26
|
| Rate for Payer: PHP Commercial |
$102.88
|
| Rate for Payer: PHP Medicare Advantage |
$30.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$84.73
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$105.30
|
| Rate for Payer: Priority Health Medicare |
$30.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$73.82
|
| Rate for Payer: Railroad Medicare Medicare |
$30.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$106.52
|
| Rate for Payer: UHC Core |
$101.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$30.26
|
| Rate for Payer: UHC Medicare Advantage |
$31.17
|
| Rate for Payer: VA VA |
$30.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$90.78
|
|
|
HC COMBINED VACCINE, MMR+VARICELLA, SUBQ
|
Facility
|
IP
|
$209.10
|
|
|
Service Code
|
CPT 90710
|
| Hospital Charge Code |
63600206
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$127.53 |
| Max. Negotiated Rate |
$188.19 |
| Rate for Payer: Aetna Commercial |
$177.74
|
| Rate for Payer: BCBS Trust/PPO |
$161.59
|
| Rate for Payer: BCN Commercial |
$161.59
|
| Rate for Payer: Cash Price |
$167.28
|
| Rate for Payer: Cofinity Commercial |
$179.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$167.28
|
| Rate for Payer: Healthscope Commercial |
$188.19
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$156.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$177.74
|
| Rate for Payer: PHP Commercial |
$177.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$146.37
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$181.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$127.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$184.01
|
| Rate for Payer: UHC Core |
$174.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$156.82
|
|
|
HC COMBINED VACCINE, MMR+VARICELLA, SUBQ
|
Facility
|
OP
|
$209.10
|
|
|
Service Code
|
CPT 90710
|
| Hospital Charge Code |
63600206
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$49.66 |
| Max. Negotiated Rate |
$188.19 |
| Rate for Payer: Aetna Commercial |
$177.74
|
| Rate for Payer: Aetna Medicare |
$54.37
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$65.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$65.34
|
| Rate for Payer: BCBS Complete |
$95.92
|
| Rate for Payer: BCBS MAPPO |
$52.28
|
| Rate for Payer: BCBS Trust/PPO |
$162.58
|
| Rate for Payer: BCN Commercial |
$162.58
|
| Rate for Payer: BCN Medicare Advantage |
$52.28
|
| Rate for Payer: Cash Price |
$167.28
|
| Rate for Payer: Cash Price |
$167.28
|
| Rate for Payer: Cofinity Commercial |
$179.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$167.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$52.28
|
| Rate for Payer: Healthscope Commercial |
$188.19
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$156.82
|
| Rate for Payer: Mclaren Medicaid |
$91.36
|
| Rate for Payer: Meridian Medicaid |
$95.92
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$54.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$60.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$177.74
|
| Rate for Payer: PACE Senior Care Partners |
$49.66
|
| Rate for Payer: PACE SWMI |
$52.28
|
| Rate for Payer: PHP Commercial |
$177.74
|
| Rate for Payer: PHP Medicare Advantage |
$52.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$91.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$146.37
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$181.92
|
| Rate for Payer: Priority Health Medicare |
$52.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$127.53
|
| Rate for Payer: Railroad Medicare Medicare |
$52.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$184.01
|
| Rate for Payer: UHC Core |
$174.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$52.28
|
| Rate for Payer: UHC Medicare Advantage |
$53.84
|
| Rate for Payer: VA VA |
$52.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$156.82
|
|
|
HC COMMON REED IGE
|
Facility
|
IP
|
$24.89
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200080
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$15.18 |
| Max. Negotiated Rate |
$22.40 |
| Rate for Payer: Aetna Commercial |
$21.16
|
| Rate for Payer: BCBS Trust/PPO |
$19.23
|
| Rate for Payer: BCN Commercial |
$19.23
|
| Rate for Payer: Cash Price |
$19.91
|
| Rate for Payer: Cofinity Commercial |
$21.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.91
|
| Rate for Payer: Healthscope Commercial |
$22.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$21.16
|
| Rate for Payer: PHP Commercial |
$21.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$15.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21.90
|
| Rate for Payer: UHC Core |
$20.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.67
|
|
|
HC COMMON REED IGE
|
Facility
|
OP
|
$24.89
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200080
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$3.85 |
| Max. Negotiated Rate |
$22.40 |
| Rate for Payer: Aetna Commercial |
$21.16
|
| Rate for Payer: Aetna Medicare |
$6.47
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7.78
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7.78
|
| Rate for Payer: BCBS Complete |
$4.04
|
| Rate for Payer: BCBS MAPPO |
$6.22
|
| Rate for Payer: BCBS Trust/PPO |
$19.35
|
| Rate for Payer: BCN Commercial |
$19.35
|
| Rate for Payer: BCN Medicare Advantage |
$6.22
|
| Rate for Payer: Cash Price |
$19.91
|
| Rate for Payer: Cash Price |
$19.91
|
| Rate for Payer: Cofinity Commercial |
$21.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.22
|
| Rate for Payer: Healthscope Commercial |
$22.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.67
|
| Rate for Payer: Mclaren Medicaid |
$3.85
|
| Rate for Payer: Meridian Medicaid |
$4.04
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$6.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$21.16
|
| Rate for Payer: PACE Senior Care Partners |
$5.91
|
| Rate for Payer: PACE SWMI |
$6.22
|
| Rate for Payer: PHP Commercial |
$21.16
|
| Rate for Payer: PHP Medicare Advantage |
$6.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21.65
|
| Rate for Payer: Priority Health Medicare |
$6.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$15.18
|
| Rate for Payer: Railroad Medicare Medicare |
$6.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21.90
|
| Rate for Payer: UHC Core |
$20.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$6.22
|
| Rate for Payer: UHC Medicare Advantage |
$6.41
|
| Rate for Payer: VA VA |
$6.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.67
|
|
|
HC COMM WORK REINTEGRATION EA 15 MIN
|
Facility
|
OP
|
$95.00
|
|
|
Service Code
|
CPT 97537
|
| Hospital Charge Code |
42000031
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$22.56 |
| Max. Negotiated Rate |
$85.50 |
| Rate for Payer: Aetna Commercial |
$80.75
|
| Rate for Payer: Aetna Medicare |
$24.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$29.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$29.69
|
| Rate for Payer: BCBS Complete |
$38.00
|
| Rate for Payer: BCBS MAPPO |
$23.75
|
| Rate for Payer: BCBS Trust/PPO |
$73.86
|
| Rate for Payer: BCN Commercial |
$73.86
|
| Rate for Payer: BCN Medicare Advantage |
$23.75
|
| Rate for Payer: Cash Price |
$76.00
|
| Rate for Payer: Cofinity Commercial |
$81.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$76.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23.75
|
| Rate for Payer: Healthscope Commercial |
$85.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$71.25
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$24.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$80.75
|
| Rate for Payer: PACE Senior Care Partners |
$22.56
|
| Rate for Payer: PACE SWMI |
$23.75
|
| Rate for Payer: PHP Commercial |
$80.75
|
| Rate for Payer: PHP Medicare Advantage |
$23.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$66.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$82.65
|
| Rate for Payer: Priority Health Medicare |
$23.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$57.94
|
| Rate for Payer: Railroad Medicare Medicare |
$23.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$83.60
|
| Rate for Payer: UHC Core |
$79.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$23.75
|
| Rate for Payer: UHC Medicare Advantage |
$24.46
|
| Rate for Payer: VA VA |
$23.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$71.25
|
|
