|
HC ANEUPLOIDY DETECTION POC FISH
|
Facility
|
IP
|
$141.14
|
|
|
Service Code
|
CPT 88275
|
| Hospital Charge Code |
31000038
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$98.23 |
| Max. Negotiated Rate |
$127.03 |
| Rate for Payer: Aetna Commercial |
$119.97
|
| Rate for Payer: BCBS Trust/PPO |
$116.57
|
| Rate for Payer: BCN Commercial |
$116.57
|
| Rate for Payer: Cash Price |
$112.91
|
| Rate for Payer: Cofinity Commercial |
$121.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$112.91
|
| Rate for Payer: Healthscope Commercial |
$127.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$105.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$119.97
|
| Rate for Payer: Nomi Health Commercial |
$115.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$105.86
|
| Rate for Payer: PHP Commercial |
$119.97
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$122.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$98.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$124.20
|
| Rate for Payer: UHC Core |
$117.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$105.86
|
|
|
HC ANEUPLOIDY DETECTION POC FISH
|
Facility
|
OP
|
$141.14
|
|
|
Service Code
|
CPT 88275
|
| Hospital Charge Code |
31000038
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$24.88 |
| Max. Negotiated Rate |
$127.03 |
| Rate for Payer: Aetna Commercial |
$119.97
|
| Rate for Payer: Aetna Medicare |
$36.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$44.11
|
| Rate for Payer: Amish Plain Church Group Commercial |
$44.11
|
| Rate for Payer: BCBS Complete |
$26.13
|
| Rate for Payer: BCBS MAPPO |
$35.28
|
| Rate for Payer: BCBS Trust/PPO |
$116.03
|
| Rate for Payer: BCN Commercial |
$116.03
|
| Rate for Payer: BCN Medicare Advantage |
$35.28
|
| Rate for Payer: Cash Price |
$112.91
|
| Rate for Payer: Cofinity Commercial |
$121.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$112.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.28
|
| Rate for Payer: Healthscope Commercial |
$127.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$105.86
|
| Rate for Payer: Mclaren Medicaid |
$24.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37.05
|
| Rate for Payer: Meridian Medicaid |
$26.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$40.58
|
| Rate for Payer: Molina Medicare/Medicaid |
$38.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$119.97
|
| Rate for Payer: Nomi Health Commercial |
$115.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$105.86
|
| Rate for Payer: PACE Senior Care Partners |
$33.52
|
| Rate for Payer: PACE SWMI |
$35.28
|
| Rate for Payer: PHP Commercial |
$119.97
|
| Rate for Payer: PHP Medicare Advantage |
$35.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$24.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$122.79
|
| Rate for Payer: Priority Health Medicare |
$35.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$98.23
|
| Rate for Payer: Railroad Medicare Medicare |
$35.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$124.20
|
| Rate for Payer: UHC Core |
$117.85
|
| Rate for Payer: UHC Exchange |
$35.28
|
| Rate for Payer: UHC Medicaid |
$24.88
|
| Rate for Payer: UHC Medicare Advantage |
$35.28
|
| Rate for Payer: UHCCP Medicaid |
$24.88
|
| Rate for Payer: VA VA |
$35.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$105.86
|
|
|
HC ANGIOPLASTY CENTRAL DIALYSIS W IMAGING
|
Facility
|
IP
|
$2,407.94
|
|
|
Service Code
|
CPT 36907
|
| Hospital Charge Code |
36100531
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,675.93 |
| Max. Negotiated Rate |
$2,167.15 |
| Rate for Payer: Aetna Commercial |
$2,046.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,988.72
|
| Rate for Payer: BCN Commercial |
$1,988.72
|
| Rate for Payer: Cash Price |
$1,926.35
|
| Rate for Payer: Cofinity Commercial |
$2,070.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,926.35
|
| Rate for Payer: Healthscope Commercial |
$2,167.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,805.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,046.75
|
| Rate for Payer: Nomi Health Commercial |
$1,974.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,805.95
|
| Rate for Payer: PHP Commercial |
$2,046.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,094.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,675.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,118.99
|
| Rate for Payer: UHC Core |
$2,010.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,805.95
|
|
|
HC ANGIOPLASTY CENTRAL DIALYSIS W IMAGING
|
Facility
|
OP
|
$2,407.94
|
|
|
Service Code
|
CPT 36907
|
| Hospital Charge Code |
36100531
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$424.52 |
| Max. Negotiated Rate |
$2,167.15 |
| Rate for Payer: Aetna Commercial |
$2,046.75
|
| Rate for Payer: Aetna Medicare |
$626.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$752.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$752.48
|
| Rate for Payer: BCBS Complete |
$445.71
|
| Rate for Payer: BCBS MAPPO |
$601.99
|
| Rate for Payer: BCBS Trust/PPO |
$1,979.57
|
| Rate for Payer: BCN Commercial |
$1,979.57
|
| Rate for Payer: BCN Medicare Advantage |
$601.99
|
| Rate for Payer: Cash Price |
$1,926.35
|
| Rate for Payer: Cofinity Commercial |
$2,070.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,926.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$601.99
|
| Rate for Payer: Healthscope Commercial |
$2,167.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,805.95
|
| Rate for Payer: Mclaren Medicaid |
$424.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$632.08
|
| Rate for Payer: Meridian Medicaid |
$445.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$692.28
|
| Rate for Payer: Molina Medicare/Medicaid |
$662.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,046.75
|
| Rate for Payer: Nomi Health Commercial |
$1,974.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,805.95
|
| Rate for Payer: PACE Senior Care Partners |
$571.89
|
| Rate for Payer: PACE SWMI |
$601.99
|
| Rate for Payer: PHP Commercial |
$2,046.75
|
| Rate for Payer: PHP Medicare Advantage |
$601.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$424.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,094.91
|
| Rate for Payer: Priority Health Medicare |
$608.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,675.93
|
| Rate for Payer: Railroad Medicare Medicare |
$601.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,118.99
|
| Rate for Payer: UHC Core |
$2,010.63
|
| Rate for Payer: UHC Exchange |
$601.99
|
| Rate for Payer: UHC Medicaid |
$424.52
|
| Rate for Payer: UHC Medicare Advantage |
$601.99
|
| Rate for Payer: UHCCP Medicaid |
$424.52
|
| Rate for Payer: VA VA |
$601.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,805.95
|
|
|
HC ANGIOPLASTY EACH ADDL ARTERY WITH IMAGING
|
Facility
|
IP
|
$512.46
|
|
|
Service Code
|
CPT 37247
|
| Hospital Charge Code |
36100535
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$356.67 |
| Max. Negotiated Rate |
$461.21 |
| Rate for Payer: Aetna Commercial |
$435.59
|
| Rate for Payer: BCBS Trust/PPO |
$423.24
|
| Rate for Payer: BCN Commercial |
$423.24
|
| Rate for Payer: Cash Price |
$409.97
|
| Rate for Payer: Cofinity Commercial |
$440.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$409.97
|
| Rate for Payer: Healthscope Commercial |
$461.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$384.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$435.59
|
| Rate for Payer: Nomi Health Commercial |
$420.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$384.35
|
| Rate for Payer: PHP Commercial |
$435.59
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$445.84
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$356.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$450.96
|
| Rate for Payer: UHC Core |
$427.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$384.35
|
|
|
HC ANGIOPLASTY EACH ADDL ARTERY WITH IMAGING
|
Facility
|
OP
|
$512.46
|
|
|
Service Code
|
CPT 37247
|
| Hospital Charge Code |
36100535
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$90.35 |
| Max. Negotiated Rate |
$461.21 |
| Rate for Payer: Aetna Commercial |
$435.59
|
| Rate for Payer: Aetna Medicare |
$133.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$160.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$160.14
|
| Rate for Payer: BCBS Complete |
$94.86
|
| Rate for Payer: BCBS MAPPO |
$128.12
|
| Rate for Payer: BCBS Trust/PPO |
$421.29
|
| Rate for Payer: BCN Commercial |
$421.29
|
| Rate for Payer: BCN Medicare Advantage |
$128.12
|
| Rate for Payer: Cash Price |
$409.97
|
| Rate for Payer: Cofinity Commercial |
$440.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$409.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$128.12
|
| Rate for Payer: Healthscope Commercial |
$461.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$384.35
|
| Rate for Payer: Mclaren Medicaid |
$90.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$134.52
|
| Rate for Payer: Meridian Medicaid |
$94.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$147.33
|
| Rate for Payer: Molina Medicare/Medicaid |
$140.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$435.59
|
| Rate for Payer: Nomi Health Commercial |
$420.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$384.35
|
| Rate for Payer: PACE Senior Care Partners |
$121.71
|
| Rate for Payer: PACE SWMI |
$128.12
|
| Rate for Payer: PHP Commercial |
$435.59
|
| Rate for Payer: PHP Medicare Advantage |
$128.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$90.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$445.84
|
| Rate for Payer: Priority Health Medicare |
$129.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$356.67
|
| Rate for Payer: Railroad Medicare Medicare |
$128.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$450.96
|
| Rate for Payer: UHC Core |
$427.90
|
| Rate for Payer: UHC Exchange |
$128.12
|
| Rate for Payer: UHC Medicaid |
$90.35
|
| Rate for Payer: UHC Medicare Advantage |
$128.12
|
| Rate for Payer: UHCCP Medicaid |
$90.35
|
| Rate for Payer: VA VA |
$128.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$384.35
|
|
|
HC ANGIOPLASTY EACH ADDL VEIN WITH IMAGING
|
Facility
|
OP
|
$580.28
|
|
|
Service Code
|
CPT 37249
|
| Hospital Charge Code |
36100537
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$102.30 |
| Max. Negotiated Rate |
$522.25 |
| Rate for Payer: Aetna Commercial |
$493.24
|
| Rate for Payer: Aetna Medicare |
$150.87
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$181.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$181.34
|
| Rate for Payer: BCBS Complete |
$107.41
|
| Rate for Payer: BCBS MAPPO |
$145.07
|
| Rate for Payer: BCBS Trust/PPO |
$477.05
|
| Rate for Payer: BCN Commercial |
$477.05
|
| Rate for Payer: BCN Medicare Advantage |
$145.07
|
| Rate for Payer: Cash Price |
$464.22
|
| Rate for Payer: Cofinity Commercial |
$499.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$464.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$145.07
|
| Rate for Payer: Healthscope Commercial |
$522.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$435.21
|
| Rate for Payer: Mclaren Medicaid |
$102.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$152.32
|
| Rate for Payer: Meridian Medicaid |
$107.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$166.83
|
| Rate for Payer: Molina Medicare/Medicaid |
$159.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$493.24
|
| Rate for Payer: Nomi Health Commercial |
$475.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$435.21
|
| Rate for Payer: PACE Senior Care Partners |
$137.82
|
| Rate for Payer: PACE SWMI |
$145.07
|
| Rate for Payer: PHP Commercial |
$493.24
|
| Rate for Payer: PHP Medicare Advantage |
$145.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$102.30
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$504.84
|
| Rate for Payer: Priority Health Medicare |
$146.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$403.87
|
| Rate for Payer: Railroad Medicare Medicare |
$145.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$510.65
|
| Rate for Payer: UHC Core |
$484.53
|
| Rate for Payer: UHC Exchange |
$145.07
|
| Rate for Payer: UHC Medicaid |
$102.30
|
| Rate for Payer: UHC Medicare Advantage |
$145.07
|
| Rate for Payer: UHCCP Medicaid |
$102.30
|
| Rate for Payer: VA VA |
$145.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$435.21
|
|
|
HC ANGIOPLASTY EACH ADDL VEIN WITH IMAGING
|
Facility
|
IP
|
$580.28
|
|
|
Service Code
|
CPT 37249
|
| Hospital Charge Code |
36100537
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$403.87 |
| Max. Negotiated Rate |
$522.25 |
| Rate for Payer: Aetna Commercial |
$493.24
|
| Rate for Payer: BCBS Trust/PPO |
$479.25
|
| Rate for Payer: BCN Commercial |
$479.25
|
| Rate for Payer: Cash Price |
$464.22
|
| Rate for Payer: Cofinity Commercial |
$499.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$464.22
|
| Rate for Payer: Healthscope Commercial |
$522.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$435.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$493.24
|
| Rate for Payer: Nomi Health Commercial |
$475.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$435.21
|
| Rate for Payer: PHP Commercial |
$493.24
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$504.84
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$403.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$510.65
|
| Rate for Payer: UHC Core |
$484.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$435.21
|
|
|
HC ANGIOPLASTY INITIAL ARTERY WITH IMAGING
|
Facility
|
OP
|
$6,639.53
|
|
|
Service Code
|
CPT 37246
|
| Hospital Charge Code |
36100534
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,170.55 |
| Max. Negotiated Rate |
$5,975.58 |
| Rate for Payer: Aetna Commercial |
$5,643.60
|
| Rate for Payer: Aetna Medicare |
$1,726.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,074.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,074.85
|
| Rate for Payer: BCBS Complete |
$1,228.98
|
| Rate for Payer: BCBS MAPPO |
$1,659.88
|
| Rate for Payer: BCBS Trust/PPO |
$5,458.36
|
| Rate for Payer: BCN Commercial |
$5,458.36
|
| Rate for Payer: BCN Medicare Advantage |
$1,659.88
|
| Rate for Payer: Cash Price |
$5,311.62
|
| Rate for Payer: Cofinity Commercial |
$5,710.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,311.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,659.88
|
| Rate for Payer: Healthscope Commercial |
$5,975.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,979.65
|
| Rate for Payer: Mclaren Medicaid |
$1,170.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,742.88
|
| Rate for Payer: Meridian Medicaid |
$1,228.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,908.86
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,825.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,643.60
|
| Rate for Payer: Nomi Health Commercial |
$5,444.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,979.65
|
| Rate for Payer: PACE Senior Care Partners |
$1,576.89
|
| Rate for Payer: PACE SWMI |
$1,659.88
|
| Rate for Payer: PHP Commercial |
$5,643.60
|
| Rate for Payer: PHP Medicare Advantage |
$1,659.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,170.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$5,776.39
|
| Rate for Payer: Priority Health Medicare |
$1,676.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,621.11
|
| Rate for Payer: Railroad Medicare Medicare |
$1,659.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,842.79
|
| Rate for Payer: UHC Core |
$5,544.01
|
| Rate for Payer: UHC Exchange |
$1,659.88
|
| Rate for Payer: UHC Medicaid |
$1,170.55
|
| Rate for Payer: UHC Medicare Advantage |
$1,659.88
|
| Rate for Payer: UHCCP Medicaid |
$1,170.55
|
| Rate for Payer: VA VA |
$1,659.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,979.65
|
|
|
HC ANGIOPLASTY INITIAL ARTERY WITH IMAGING
|
Facility
|
IP
|
$6,639.53
|
|
|
Service Code
|
CPT 37246
|
| Hospital Charge Code |
36100534
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,621.11 |
| Max. Negotiated Rate |
$5,975.58 |
| Rate for Payer: Aetna Commercial |
$5,643.60
|
| Rate for Payer: BCBS Trust/PPO |
$5,483.59
|
| Rate for Payer: BCN Commercial |
$5,483.59
|
| Rate for Payer: Cash Price |
$5,311.62
|
| Rate for Payer: Cofinity Commercial |
$5,710.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,311.62
|
| Rate for Payer: Healthscope Commercial |
$5,975.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,979.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,643.60
|
| Rate for Payer: Nomi Health Commercial |
$5,444.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,979.65
|
| Rate for Payer: PHP Commercial |
$5,643.60
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$5,776.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,621.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,842.79
|
| Rate for Payer: UHC Core |
$5,544.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,979.65
|
|
|
HC ANGIOPLASTY INITIAL VEIN WITH IMAGING
|
Facility
|
OP
|
$6,834.81
|
|
|
Service Code
|
CPT 37248
|
| Hospital Charge Code |
36100536
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,204.98 |
| Max. Negotiated Rate |
$6,151.33 |
| Rate for Payer: Aetna Commercial |
$5,809.59
|
| Rate for Payer: Aetna Medicare |
$1,777.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,135.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,135.88
|
| Rate for Payer: BCBS Complete |
$1,265.12
|
| Rate for Payer: BCBS MAPPO |
$1,708.70
|
| Rate for Payer: BCBS Trust/PPO |
$5,618.90
|
| Rate for Payer: BCN Commercial |
$5,618.90
|
| Rate for Payer: BCN Medicare Advantage |
$1,708.70
|
| Rate for Payer: Cash Price |
$5,467.85
|
| Rate for Payer: Cofinity Commercial |
$5,877.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,467.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,708.70
|
| Rate for Payer: Healthscope Commercial |
$6,151.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,126.11
|
| Rate for Payer: Mclaren Medicaid |
$1,204.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,794.14
|
| Rate for Payer: Meridian Medicaid |
$1,265.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,965.01
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,879.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,809.59
|
| Rate for Payer: Nomi Health Commercial |
$5,604.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,126.11
|
| Rate for Payer: PACE Senior Care Partners |
$1,623.27
|
| Rate for Payer: PACE SWMI |
$1,708.70
|
| Rate for Payer: PHP Commercial |
$5,809.59
|
| Rate for Payer: PHP Medicare Advantage |
$1,708.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,204.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$5,946.28
|
| Rate for Payer: Priority Health Medicare |
$1,725.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,757.03
|
| Rate for Payer: Railroad Medicare Medicare |
$1,708.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,014.63
|
| Rate for Payer: UHC Core |
$5,707.07
|
| Rate for Payer: UHC Exchange |
$1,708.70
|
| Rate for Payer: UHC Medicaid |
$1,204.98
|
| Rate for Payer: UHC Medicare Advantage |
$1,708.70
|
| Rate for Payer: UHCCP Medicaid |
$1,204.98
|
| Rate for Payer: VA VA |
$1,708.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,126.11
|
|
|
HC ANGIOPLASTY INITIAL VEIN WITH IMAGING
|
Facility
|
IP
|
$6,834.81
|
|
|
Service Code
|
CPT 37248
|
| Hospital Charge Code |
36100536
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,757.03 |
| Max. Negotiated Rate |
$6,151.33 |
| Rate for Payer: Aetna Commercial |
$5,809.59
|
| Rate for Payer: BCBS Trust/PPO |
$5,644.87
|
| Rate for Payer: BCN Commercial |
$5,644.87
|
| Rate for Payer: Cash Price |
$5,467.85
|
| Rate for Payer: Cofinity Commercial |
$5,877.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,467.85
|
| Rate for Payer: Healthscope Commercial |
$6,151.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,126.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,809.59
|
| Rate for Payer: Nomi Health Commercial |
$5,604.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,126.11
|
| Rate for Payer: PHP Commercial |
$5,809.59
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$5,946.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,757.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,014.63
|
| Rate for Payer: UHC Core |
$5,707.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,126.11
|
|
|
HC ANGIOPLASTY INTRACR VASOSPASM EACH ADDL DIFF FAM
|
Facility
|
IP
|
$1,031.59
|
|
|
Service Code
|
CPT 61642
|
| Hospital Charge Code |
36100277
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$717.99 |
| Max. Negotiated Rate |
$928.43 |
| Rate for Payer: Aetna Commercial |
$876.85
|
| Rate for Payer: BCBS Trust/PPO |
$851.99
|
| Rate for Payer: BCN Commercial |
$851.99
|
| Rate for Payer: Cash Price |
$825.27
|
| Rate for Payer: Cofinity Commercial |
$887.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$825.27
|
| Rate for Payer: Healthscope Commercial |
$928.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$773.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$876.85
|
| Rate for Payer: Nomi Health Commercial |
$845.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$773.69
|
| Rate for Payer: PHP Commercial |
$876.85
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$897.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$717.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$907.80
|
| Rate for Payer: UHC Core |
$861.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$773.69
|
|
|
HC ANGIOPLASTY INTRACR VASOSPASM EACH ADDL DIFF FAM
|
Facility
|
OP
|
$1,031.59
|
|
|
Service Code
|
CPT 61642
|
| Hospital Charge Code |
36100277
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$181.87 |
| Max. Negotiated Rate |
$928.43 |
| Rate for Payer: Aetna Commercial |
$876.85
|
| Rate for Payer: Aetna Medicare |
$268.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$322.37
|
| Rate for Payer: Amish Plain Church Group Commercial |
$322.37
|
| Rate for Payer: BCBS Complete |
$190.95
|
| Rate for Payer: BCBS MAPPO |
$257.90
|
| Rate for Payer: BCBS Trust/PPO |
$848.07
|
| Rate for Payer: BCN Commercial |
$848.07
|
| Rate for Payer: BCN Medicare Advantage |
$257.90
|
| Rate for Payer: Cash Price |
$825.27
|
| Rate for Payer: Cofinity Commercial |
$887.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$825.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$257.90
|
| Rate for Payer: Healthscope Commercial |
$928.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$773.69
|
| Rate for Payer: Mclaren Medicaid |
$181.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$270.79
|
| Rate for Payer: Meridian Medicaid |
$190.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$296.58
|
| Rate for Payer: Molina Medicare/Medicaid |
$283.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$876.85
|
| Rate for Payer: Nomi Health Commercial |
$845.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$773.69
|
| Rate for Payer: PACE Senior Care Partners |
$245.00
|
| Rate for Payer: PACE SWMI |
$257.90
|
| Rate for Payer: PHP Commercial |
$876.85
|
| Rate for Payer: PHP Medicare Advantage |
$257.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$181.87
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$897.48
|
| Rate for Payer: Priority Health Medicare |
$260.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$717.99
|
| Rate for Payer: Railroad Medicare Medicare |
$257.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$907.80
|
| Rate for Payer: UHC Core |
$861.38
|
| Rate for Payer: UHC Exchange |
$257.90
|
| Rate for Payer: UHC Medicaid |
$181.87
|
| Rate for Payer: UHC Medicare Advantage |
$257.90
|
| Rate for Payer: UHCCP Medicaid |
$181.87
|
| Rate for Payer: VA VA |
$257.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$773.69
|
|
|
HC ANGIOPLASTY INTRACR VASOSPASM EACH ADDL SAME FAM
|
Facility
|
IP
|
$1,031.59
|
|
|
Service Code
|
CPT 61641
|
| Hospital Charge Code |
36100276
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$717.99 |
| Max. Negotiated Rate |
$928.43 |
| Rate for Payer: Aetna Commercial |
$876.85
|
| Rate for Payer: BCBS Trust/PPO |
$851.99
|
| Rate for Payer: BCN Commercial |
$851.99
|
| Rate for Payer: Cash Price |
$825.27
|
| Rate for Payer: Cofinity Commercial |
$887.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$825.27
|
| Rate for Payer: Healthscope Commercial |
$928.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$773.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$876.85
|
| Rate for Payer: Nomi Health Commercial |
$845.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$773.69
|
| Rate for Payer: PHP Commercial |
$876.85
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$897.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$717.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$907.80
|
| Rate for Payer: UHC Core |
$861.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$773.69
|
|
|
HC ANGIOPLASTY INTRACR VASOSPASM EACH ADDL SAME FAM
|
Facility
|
OP
|
$1,031.59
|
|
|
Service Code
|
CPT 61641
|
| Hospital Charge Code |
36100276
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$181.87 |
| Max. Negotiated Rate |
$928.43 |
| Rate for Payer: Aetna Commercial |
$876.85
|
| Rate for Payer: Aetna Medicare |
$268.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$322.37
|
| Rate for Payer: Amish Plain Church Group Commercial |
$322.37
|
| Rate for Payer: BCBS Complete |
$190.95
|
| Rate for Payer: BCBS MAPPO |
$257.90
|
| Rate for Payer: BCBS Trust/PPO |
$848.07
|
| Rate for Payer: BCN Commercial |
$848.07
|
| Rate for Payer: BCN Medicare Advantage |
$257.90
|
| Rate for Payer: Cash Price |
$825.27
|
| Rate for Payer: Cofinity Commercial |
$887.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$825.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$257.90
|
| Rate for Payer: Healthscope Commercial |
$928.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$773.69
|
| Rate for Payer: Mclaren Medicaid |
$181.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$270.79
|
| Rate for Payer: Meridian Medicaid |
$190.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$296.58
|
| Rate for Payer: Molina Medicare/Medicaid |
$283.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$876.85
|
| Rate for Payer: Nomi Health Commercial |
$845.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$773.69
|
| Rate for Payer: PACE Senior Care Partners |
$245.00
|
| Rate for Payer: PACE SWMI |
$257.90
|
| Rate for Payer: PHP Commercial |
$876.85
|
| Rate for Payer: PHP Medicare Advantage |
$257.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$181.87
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$897.48
|
| Rate for Payer: Priority Health Medicare |
$260.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$717.99
|
| Rate for Payer: Railroad Medicare Medicare |
$257.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$907.80
|
| Rate for Payer: UHC Core |
$861.38
|
| Rate for Payer: UHC Exchange |
$257.90
|
| Rate for Payer: UHC Medicaid |
$181.87
|
| Rate for Payer: UHC Medicare Advantage |
$257.90
|
| Rate for Payer: UHCCP Medicaid |
$181.87
|
| Rate for Payer: VA VA |
$257.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$773.69
|
|
|
HC ANGIO ROOM TIME W/FLUORO 1 HOU
|
Facility
|
IP
|
$1,902.94
|
|
|
Service Code
|
CPT 76000
|
| Hospital Charge Code |
32000232
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$1,324.45 |
| Max. Negotiated Rate |
$1,712.65 |
| Rate for Payer: Aetna Commercial |
$1,617.50
|
| Rate for Payer: BCBS Trust/PPO |
$1,571.64
|
| Rate for Payer: BCN Commercial |
$1,571.64
|
| Rate for Payer: Cash Price |
$1,522.35
|
| Rate for Payer: Cofinity Commercial |
$1,636.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,522.35
|
| Rate for Payer: Healthscope Commercial |
$1,712.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,427.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,617.50
|
| Rate for Payer: Nomi Health Commercial |
$1,560.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,427.20
|
| Rate for Payer: PHP Commercial |
$1,617.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,655.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,324.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,674.59
|
| Rate for Payer: UHC Core |
$1,588.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,427.20
|
|
|
HC ANGIO ROOM TIME W/FLUORO 1 HOU
|
Facility
|
OP
|
$1,902.94
|
|
|
Service Code
|
CPT 76000
|
| Hospital Charge Code |
32000232
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$335.49 |
| Max. Negotiated Rate |
$1,712.65 |
| Rate for Payer: Aetna Commercial |
$1,617.50
|
| Rate for Payer: Aetna Medicare |
$494.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$594.67
|
| Rate for Payer: Amish Plain Church Group Commercial |
$594.67
|
| Rate for Payer: BCBS Complete |
$352.23
|
| Rate for Payer: BCBS MAPPO |
$475.74
|
| Rate for Payer: BCBS Trust/PPO |
$1,564.41
|
| Rate for Payer: BCN Commercial |
$1,564.41
|
| Rate for Payer: BCN Medicare Advantage |
$475.74
|
| Rate for Payer: Cash Price |
$1,522.35
|
| Rate for Payer: Cofinity Commercial |
$1,636.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,522.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$475.74
|
| Rate for Payer: Healthscope Commercial |
$1,712.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,427.20
|
| Rate for Payer: Mclaren Medicaid |
$335.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$499.52
|
| Rate for Payer: Meridian Medicaid |
$352.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$547.10
|
| Rate for Payer: Molina Medicare/Medicaid |
$523.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,617.50
|
| Rate for Payer: Nomi Health Commercial |
$1,560.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,427.20
|
| Rate for Payer: PACE Senior Care Partners |
$451.95
|
| Rate for Payer: PACE SWMI |
$475.74
|
| Rate for Payer: PHP Commercial |
$1,617.50
|
| Rate for Payer: PHP Medicare Advantage |
$475.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$335.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,655.56
|
| Rate for Payer: Priority Health Medicare |
$480.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,324.45
|
| Rate for Payer: Railroad Medicare Medicare |
$475.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,674.59
|
| Rate for Payer: UHC Core |
$1,588.95
|
| Rate for Payer: UHC Exchange |
$475.74
|
| Rate for Payer: UHC Medicaid |
$335.49
|
| Rate for Payer: UHC Medicare Advantage |
$475.74
|
| Rate for Payer: UHCCP Medicaid |
$335.49
|
| Rate for Payer: VA VA |
$475.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,427.20
|
|
|
HC ANGIOTENSIN-1 CONVERTING ENZYME
|
Facility
|
IP
|
$110.28
|
|
|
Service Code
|
CPT 82164
|
| Hospital Charge Code |
30100105
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$76.75 |
| Max. Negotiated Rate |
$99.25 |
| Rate for Payer: Aetna Commercial |
$93.74
|
| Rate for Payer: BCBS Trust/PPO |
$91.08
|
| Rate for Payer: BCN Commercial |
$91.08
|
| Rate for Payer: Cash Price |
$88.22
|
| Rate for Payer: Cofinity Commercial |
$94.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$88.22
|
| Rate for Payer: Healthscope Commercial |
$99.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$82.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$93.74
|
| Rate for Payer: Nomi Health Commercial |
$90.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$82.71
|
| Rate for Payer: PHP Commercial |
$93.74
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$95.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$76.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$97.05
|
| Rate for Payer: UHC Core |
$92.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$82.71
|
|
|
HC ANGIOTENSIN-1 CONVERTING ENZYME
|
Facility
|
OP
|
$110.28
|
|
|
Service Code
|
CPT 82164
|
| Hospital Charge Code |
30100105
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$19.44 |
| Max. Negotiated Rate |
$99.25 |
| Rate for Payer: Aetna Commercial |
$93.74
|
| Rate for Payer: Aetna Medicare |
$28.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$34.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$34.46
|
| Rate for Payer: BCBS Complete |
$20.41
|
| Rate for Payer: BCBS MAPPO |
$27.57
|
| Rate for Payer: BCBS Trust/PPO |
$90.66
|
| Rate for Payer: BCN Commercial |
$90.66
|
| Rate for Payer: BCN Medicare Advantage |
$27.57
|
| Rate for Payer: Cash Price |
$88.22
|
| Rate for Payer: Cofinity Commercial |
$94.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$88.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27.57
|
| Rate for Payer: Healthscope Commercial |
$99.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$82.71
|
| Rate for Payer: Mclaren Medicaid |
$19.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28.95
|
| Rate for Payer: Meridian Medicaid |
$20.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$31.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$30.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$93.74
|
| Rate for Payer: Nomi Health Commercial |
$90.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$82.71
|
| Rate for Payer: PACE Senior Care Partners |
$26.19
|
| Rate for Payer: PACE SWMI |
$27.57
|
| Rate for Payer: PHP Commercial |
$93.74
|
| Rate for Payer: PHP Medicare Advantage |
$27.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$19.44
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$95.94
|
| Rate for Payer: Priority Health Medicare |
$27.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$76.75
|
| Rate for Payer: Railroad Medicare Medicare |
$27.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$97.05
|
| Rate for Payer: UHC Core |
$92.08
|
| Rate for Payer: UHC Exchange |
$27.57
|
| Rate for Payer: UHC Medicaid |
$19.44
|
| Rate for Payer: UHC Medicare Advantage |
$27.57
|
| Rate for Payer: UHCCP Medicaid |
$19.44
|
| Rate for Payer: VA VA |
$27.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$82.71
|
|
|
HC ANGIOTENSIN CONVERTING ENZYME LEVEL
|
Facility
|
IP
|
$37.14
|
|
|
Service Code
|
CPT 82164
|
| Hospital Charge Code |
30100104
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$25.85 |
| Max. Negotiated Rate |
$33.43 |
| Rate for Payer: Aetna Commercial |
$31.57
|
| Rate for Payer: BCBS Trust/PPO |
$30.67
|
| Rate for Payer: BCN Commercial |
$30.67
|
| Rate for Payer: Cash Price |
$29.71
|
| Rate for Payer: Cofinity Commercial |
$31.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$29.71
|
| Rate for Payer: Healthscope Commercial |
$33.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$27.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$31.57
|
| Rate for Payer: Nomi Health Commercial |
$30.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$27.86
|
| Rate for Payer: PHP Commercial |
$31.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$32.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$25.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$32.68
|
| Rate for Payer: UHC Core |
$31.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$27.86
|
|
|
HC ANGIOTENSIN CONVERTING ENZYME LEVEL
|
Facility
|
OP
|
$37.14
|
|
|
Service Code
|
CPT 82164
|
| Hospital Charge Code |
30100104
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$6.55 |
| Max. Negotiated Rate |
$33.43 |
| Rate for Payer: Aetna Commercial |
$31.57
|
| Rate for Payer: Aetna Medicare |
$9.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11.61
|
| Rate for Payer: BCBS Complete |
$6.87
|
| Rate for Payer: BCBS MAPPO |
$9.29
|
| Rate for Payer: BCBS Trust/PPO |
$30.53
|
| Rate for Payer: BCN Commercial |
$30.53
|
| Rate for Payer: BCN Medicare Advantage |
$9.29
|
| Rate for Payer: Cash Price |
$29.71
|
| Rate for Payer: Cofinity Commercial |
$31.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$29.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9.29
|
| Rate for Payer: Healthscope Commercial |
$33.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$27.86
|
| Rate for Payer: Mclaren Medicaid |
$6.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9.75
|
| Rate for Payer: Meridian Medicaid |
$6.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10.68
|
| Rate for Payer: Molina Medicare/Medicaid |
$10.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$31.57
|
| Rate for Payer: Nomi Health Commercial |
$30.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$27.86
|
| Rate for Payer: PACE Senior Care Partners |
$8.82
|
| Rate for Payer: PACE SWMI |
$9.29
|
| Rate for Payer: PHP Commercial |
$31.57
|
| Rate for Payer: PHP Medicare Advantage |
$9.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$32.31
|
| Rate for Payer: Priority Health Medicare |
$9.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$25.85
|
| Rate for Payer: Railroad Medicare Medicare |
$9.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$32.68
|
| Rate for Payer: UHC Core |
$31.01
|
| Rate for Payer: UHC Exchange |
$9.29
|
| Rate for Payer: UHC Medicaid |
$6.55
|
| Rate for Payer: UHC Medicare Advantage |
$9.29
|
| Rate for Payer: UHCCP Medicaid |
$6.55
|
| Rate for Payer: VA VA |
$9.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$27.86
|
|
|
HC ANGIOTENSIN II
|
Facility
|
OP
|
$338.13
|
|
|
Service Code
|
CPT 82163
|
| Hospital Charge Code |
30100103
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$59.61 |
| Max. Negotiated Rate |
$304.32 |
| Rate for Payer: Aetna Commercial |
$287.41
|
| Rate for Payer: Aetna Medicare |
$87.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$105.67
|
| Rate for Payer: Amish Plain Church Group Commercial |
$105.67
|
| Rate for Payer: BCBS Complete |
$62.59
|
| Rate for Payer: BCBS MAPPO |
$84.53
|
| Rate for Payer: BCBS Trust/PPO |
$277.98
|
| Rate for Payer: BCN Commercial |
$277.98
|
| Rate for Payer: BCN Medicare Advantage |
$84.53
|
| Rate for Payer: Cash Price |
$270.50
|
| Rate for Payer: Cofinity Commercial |
$290.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$270.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$84.53
|
| Rate for Payer: Healthscope Commercial |
$304.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$253.60
|
| Rate for Payer: Mclaren Medicaid |
$59.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$88.76
|
| Rate for Payer: Meridian Medicaid |
$62.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$97.21
|
| Rate for Payer: Molina Medicare/Medicaid |
$92.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$287.41
|
| Rate for Payer: Nomi Health Commercial |
$277.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$253.60
|
| Rate for Payer: PACE Senior Care Partners |
$80.31
|
| Rate for Payer: PACE SWMI |
$84.53
|
| Rate for Payer: PHP Commercial |
$287.41
|
| Rate for Payer: PHP Medicare Advantage |
$84.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$59.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$294.17
|
| Rate for Payer: Priority Health Medicare |
$85.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$235.34
|
| Rate for Payer: Railroad Medicare Medicare |
$84.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$297.55
|
| Rate for Payer: UHC Core |
$282.34
|
| Rate for Payer: UHC Exchange |
$84.53
|
| Rate for Payer: UHC Medicaid |
$59.61
|
| Rate for Payer: UHC Medicare Advantage |
$84.53
|
| Rate for Payer: UHCCP Medicaid |
$59.61
|
| Rate for Payer: VA VA |
$84.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$253.60
|
|
|
HC ANGIOTENSIN II
|
Facility
|
IP
|
$338.13
|
|
|
Service Code
|
CPT 82163
|
| Hospital Charge Code |
30100103
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$235.34 |
| Max. Negotiated Rate |
$304.32 |
| Rate for Payer: Aetna Commercial |
$287.41
|
| Rate for Payer: BCBS Trust/PPO |
$279.26
|
| Rate for Payer: BCN Commercial |
$279.26
|
| Rate for Payer: Cash Price |
$270.50
|
| Rate for Payer: Cofinity Commercial |
$290.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$270.50
|
| Rate for Payer: Healthscope Commercial |
$304.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$253.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$287.41
|
| Rate for Payer: Nomi Health Commercial |
$277.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$253.60
|
| Rate for Payer: PHP Commercial |
$287.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$294.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$235.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$297.55
|
| Rate for Payer: UHC Core |
$282.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$253.60
|
|
|
HC ANGLE TOLERANCE TEST 60 MINUTES
|
Facility
|
IP
|
$68.13
|
|
|
Service Code
|
CPT 94780
|
| Hospital Charge Code |
51000085
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$47.42 |
| Max. Negotiated Rate |
$61.32 |
| Rate for Payer: Aetna Commercial |
$57.91
|
| Rate for Payer: BCBS Trust/PPO |
$56.27
|
| Rate for Payer: BCN Commercial |
$56.27
|
| Rate for Payer: Cash Price |
$54.50
|
| Rate for Payer: Cofinity Commercial |
$58.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$54.50
|
| Rate for Payer: Healthscope Commercial |
$61.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$51.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$57.91
|
| Rate for Payer: Nomi Health Commercial |
$55.87
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$51.10
|
| Rate for Payer: PHP Commercial |
$57.91
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$59.27
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$47.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$59.95
|
| Rate for Payer: UHC Core |
$56.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$51.10
|
|
