|
HC CORO ANGIOS W RHC
|
Facility
|
OP
|
$8,788.64
|
|
|
Service Code
|
CPT 93456
|
| Hospital Charge Code |
48100015
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$2,087.30 |
| Max. Negotiated Rate |
$7,909.78 |
| Rate for Payer: Aetna Commercial |
$7,470.34
|
| Rate for Payer: Aetna Medicare |
$2,285.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,746.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,746.45
|
| Rate for Payer: BCBS Complete |
$2,244.47
|
| Rate for Payer: BCBS MAPPO |
$2,197.16
|
| Rate for Payer: BCBS Trust/PPO |
$6,833.17
|
| Rate for Payer: BCN Commercial |
$6,833.17
|
| Rate for Payer: BCN Medicare Advantage |
$2,197.16
|
| Rate for Payer: Cash Price |
$7,030.91
|
| Rate for Payer: Cash Price |
$7,030.91
|
| Rate for Payer: Cofinity Commercial |
$7,558.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,030.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,197.16
|
| Rate for Payer: Healthscope Commercial |
$7,909.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,591.48
|
| Rate for Payer: Mclaren Medicaid |
$2,137.59
|
| Rate for Payer: Meridian Medicaid |
$2,244.47
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,307.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,526.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$7,470.34
|
| Rate for Payer: PACE Senior Care Partners |
$2,087.30
|
| Rate for Payer: PACE SWMI |
$2,197.16
|
| Rate for Payer: PHP Commercial |
$7,470.34
|
| Rate for Payer: PHP Medicare Advantage |
$2,197.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,137.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,152.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7,646.12
|
| Rate for Payer: Priority Health Medicare |
$2,197.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,360.19
|
| Rate for Payer: Railroad Medicare Medicare |
$2,197.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,734.00
|
| Rate for Payer: UHC Core |
$7,338.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,197.16
|
| Rate for Payer: UHC Medicare Advantage |
$2,263.07
|
| Rate for Payer: VA VA |
$2,197.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,591.48
|
|
|
HC CORO ANGIOS W RHC
|
Facility
|
IP
|
$8,788.64
|
|
|
Service Code
|
CPT 93456
|
| Hospital Charge Code |
48100015
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$5,360.19 |
| Max. Negotiated Rate |
$7,909.78 |
| Rate for Payer: Aetna Commercial |
$7,470.34
|
| Rate for Payer: BCBS Trust/PPO |
$6,791.86
|
| Rate for Payer: BCN Commercial |
$6,791.86
|
| Rate for Payer: Cash Price |
$7,030.91
|
| Rate for Payer: Cofinity Commercial |
$7,558.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,030.91
|
| Rate for Payer: Healthscope Commercial |
$7,909.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,591.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$7,470.34
|
| Rate for Payer: PHP Commercial |
$7,470.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,152.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7,646.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,360.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,734.00
|
| Rate for Payer: UHC Core |
$7,338.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,591.48
|
|
|
HC CORO/CABG ANGIOS W RHC
|
Facility
|
OP
|
$6,972.49
|
|
|
Service Code
|
CPT 93457
|
| Hospital Charge Code |
48100016
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,655.97 |
| Max. Negotiated Rate |
$6,275.24 |
| Rate for Payer: Aetna Commercial |
$5,926.62
|
| Rate for Payer: Aetna Medicare |
$1,812.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,178.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,178.90
|
| Rate for Payer: BCBS Complete |
$2,244.47
|
| Rate for Payer: BCBS MAPPO |
$1,743.12
|
| Rate for Payer: BCBS Trust/PPO |
$5,421.11
|
| Rate for Payer: BCN Commercial |
$5,421.11
|
| Rate for Payer: BCN Medicare Advantage |
$1,743.12
|
| Rate for Payer: Cash Price |
$5,577.99
|
| Rate for Payer: Cash Price |
$5,577.99
|
| Rate for Payer: Cofinity Commercial |
$5,996.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,577.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,743.12
|
| Rate for Payer: Healthscope Commercial |
$6,275.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,229.37
|
| Rate for Payer: Mclaren Medicaid |
$2,137.59
|
| Rate for Payer: Meridian Medicaid |
$2,244.47
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,830.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,004.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$5,926.62
|
| Rate for Payer: PACE Senior Care Partners |
$1,655.97
|
| Rate for Payer: PACE SWMI |
$1,743.12
|
| Rate for Payer: PHP Commercial |
$5,926.62
|
| Rate for Payer: PHP Medicare Advantage |
$1,743.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,137.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,880.74
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$6,066.07
|
| Rate for Payer: Priority Health Medicare |
$1,743.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,252.52
|
| Rate for Payer: Railroad Medicare Medicare |
$1,743.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,135.79
|
| Rate for Payer: UHC Core |
$5,822.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,743.12
|
| Rate for Payer: UHC Medicare Advantage |
$1,795.42
|
| Rate for Payer: VA VA |
$1,743.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,229.37
|
|
|
HC CORO/CABG ANGIOS W RHC
|
Facility
|
IP
|
$6,972.49
|
|
|
Service Code
|
CPT 93457
|
| Hospital Charge Code |
48100016
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$4,252.52 |
| Max. Negotiated Rate |
$6,275.24 |
| Rate for Payer: Aetna Commercial |
$5,926.62
|
| Rate for Payer: BCBS Trust/PPO |
$5,388.34
|
| Rate for Payer: BCN Commercial |
$5,388.34
|
| Rate for Payer: Cash Price |
$5,577.99
|
| Rate for Payer: Cofinity Commercial |
$5,996.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,577.99
|
| Rate for Payer: Healthscope Commercial |
$6,275.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,229.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$5,926.62
|
| Rate for Payer: PHP Commercial |
$5,926.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,880.74
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$6,066.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,252.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,135.79
|
| Rate for Payer: UHC Core |
$5,822.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,229.37
|
|
|
HC CORONARY ANGIOS ONLY
|
Facility
|
IP
|
$7,402.32
|
|
|
Service Code
|
CPT 93454
|
| Hospital Charge Code |
48100013
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$4,514.67 |
| Max. Negotiated Rate |
$6,662.09 |
| Rate for Payer: Aetna Commercial |
$6,291.97
|
| Rate for Payer: BCBS Trust/PPO |
$5,720.51
|
| Rate for Payer: BCN Commercial |
$5,720.51
|
| Rate for Payer: Cash Price |
$5,921.86
|
| Rate for Payer: Cofinity Commercial |
$6,366.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,921.86
|
| Rate for Payer: Healthscope Commercial |
$6,662.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,551.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$6,291.97
|
| Rate for Payer: PHP Commercial |
$6,291.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,181.62
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$6,440.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,514.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,514.04
|
| Rate for Payer: UHC Core |
$6,180.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,551.74
|
|
|
HC CORONARY ANGIOS ONLY
|
Facility
|
OP
|
$7,402.32
|
|
|
Service Code
|
CPT 93454
|
| Hospital Charge Code |
48100013
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,758.05 |
| Max. Negotiated Rate |
$6,662.09 |
| Rate for Payer: Aetna Commercial |
$6,291.97
|
| Rate for Payer: Aetna Medicare |
$1,924.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,313.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,313.22
|
| Rate for Payer: BCBS Complete |
$2,244.47
|
| Rate for Payer: BCBS MAPPO |
$1,850.58
|
| Rate for Payer: BCBS Trust/PPO |
$5,755.30
|
| Rate for Payer: BCN Commercial |
$5,755.30
|
| Rate for Payer: BCN Medicare Advantage |
$1,850.58
|
| Rate for Payer: Cash Price |
$5,921.86
|
| Rate for Payer: Cash Price |
$5,921.86
|
| Rate for Payer: Cofinity Commercial |
$6,366.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,921.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,850.58
|
| Rate for Payer: Healthscope Commercial |
$6,662.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,551.74
|
| Rate for Payer: Mclaren Medicaid |
$2,137.59
|
| Rate for Payer: Meridian Medicaid |
$2,244.47
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,943.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,128.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$6,291.97
|
| Rate for Payer: PACE Senior Care Partners |
$1,758.05
|
| Rate for Payer: PACE SWMI |
$1,850.58
|
| Rate for Payer: PHP Commercial |
$6,291.97
|
| Rate for Payer: PHP Medicare Advantage |
$1,850.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,137.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,181.62
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$6,440.02
|
| Rate for Payer: Priority Health Medicare |
$1,850.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,514.67
|
| Rate for Payer: Railroad Medicare Medicare |
$1,850.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,514.04
|
| Rate for Payer: UHC Core |
$6,180.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,850.58
|
| Rate for Payer: UHC Medicare Advantage |
$1,906.10
|
| Rate for Payer: VA VA |
$1,850.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,551.74
|
|
|
HC CORONARY CRITICAL CARE R&B
|
Facility
|
IP
|
$6,213.20
|
|
| Hospital Charge Code |
21000001
|
|
Hospital Revenue Code
|
210
|
| Min. Negotiated Rate |
$1,577.95 |
| Max. Negotiated Rate |
$166,100.00 |
| Rate for Payer: Aetna Commercial |
$5,281.22
|
| Rate for Payer: Aetna Medicare |
$1,727.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,076.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,076.25
|
| Rate for Payer: BCBS MAPPO |
$1,661.00
|
| Rate for Payer: BCBS Trust/PPO |
$4,801.56
|
| Rate for Payer: BCN Commercial |
$4,801.56
|
| Rate for Payer: BCN Medicare Advantage |
$1,661.00
|
| Rate for Payer: Cash Price |
$4,970.56
|
| Rate for Payer: Cash Price |
$4,970.56
|
| Rate for Payer: Cash Price |
$4,970.56
|
| Rate for Payer: Cofinity Commercial |
$5,343.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,970.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,661.00
|
| Rate for Payer: Healthscope Commercial |
$5,591.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,659.90
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,744.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,910.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$5,281.22
|
| Rate for Payer: PACE Senior Care Partners |
$1,577.95
|
| Rate for Payer: PACE SWMI |
$1,661.00
|
| Rate for Payer: PHP Commercial |
$5,281.22
|
| Rate for Payer: PHP Medicare Advantage |
$1,661.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,349.24
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,405.48
|
| Rate for Payer: Priority Health Medicare |
$1,661.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,789.43
|
| Rate for Payer: Railroad Medicare Medicare |
$1,661.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,467.62
|
| Rate for Payer: UHC Core |
$5,188.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$166,100.00
|
| Rate for Payer: UHC Medicare Advantage |
$1,710.83
|
| Rate for Payer: VA VA |
$1,661.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,659.90
|
|
|
HC CORONARY SINUS CATHETER
|
Facility
|
IP
|
$1,530.89
|
|
|
Service Code
|
HCPCS C1733
|
| Hospital Charge Code |
27200023
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$933.69 |
| Max. Negotiated Rate |
$1,377.80 |
| Rate for Payer: Aetna Commercial |
$1,301.26
|
| Rate for Payer: BCBS Trust/PPO |
$1,183.07
|
| Rate for Payer: BCN Commercial |
$1,183.07
|
| Rate for Payer: Cash Price |
$1,224.71
|
| Rate for Payer: Cofinity Commercial |
$1,316.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,224.71
|
| Rate for Payer: Healthscope Commercial |
$1,377.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,148.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,301.26
|
| Rate for Payer: PHP Commercial |
$1,301.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,071.62
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,331.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$933.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,347.18
|
| Rate for Payer: UHC Core |
$1,278.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,148.17
|
|
|
HC CORONARY SINUS CATHETER
|
Facility
|
OP
|
$1,530.89
|
|
|
Service Code
|
HCPCS C1733
|
| Hospital Charge Code |
27200023
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$363.59 |
| Max. Negotiated Rate |
$1,377.80 |
| Rate for Payer: Aetna Commercial |
$1,301.26
|
| Rate for Payer: Aetna Medicare |
$398.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$478.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$478.40
|
| Rate for Payer: BCBS Complete |
$612.36
|
| Rate for Payer: BCBS MAPPO |
$382.72
|
| Rate for Payer: BCBS Trust/PPO |
$1,190.27
|
| Rate for Payer: BCN Commercial |
$1,190.27
|
| Rate for Payer: BCN Medicare Advantage |
$382.72
|
| Rate for Payer: Cash Price |
$1,224.71
|
| Rate for Payer: Cofinity Commercial |
$1,316.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,224.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$382.72
|
| Rate for Payer: Healthscope Commercial |
$1,377.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,148.17
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$401.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$440.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,301.26
|
| Rate for Payer: PACE Senior Care Partners |
$363.59
|
| Rate for Payer: PACE SWMI |
$382.72
|
| Rate for Payer: PHP Commercial |
$1,301.26
|
| Rate for Payer: PHP Medicare Advantage |
$382.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,071.62
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,331.87
|
| Rate for Payer: Priority Health Medicare |
$382.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$933.69
|
| Rate for Payer: Railroad Medicare Medicare |
$382.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,347.18
|
| Rate for Payer: UHC Core |
$1,278.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$382.72
|
| Rate for Payer: UHC Medicare Advantage |
$394.20
|
| Rate for Payer: VA VA |
$382.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,148.17
|
|
|
HC CORONARY STENT
|
Facility
|
IP
|
$4,451.00
|
|
|
Service Code
|
HCPCS C1876
|
| Hospital Charge Code |
27800007
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,714.66 |
| Max. Negotiated Rate |
$4,005.90 |
| Rate for Payer: Aetna Commercial |
$3,783.35
|
| Rate for Payer: BCBS Trust/PPO |
$3,439.73
|
| Rate for Payer: BCN Commercial |
$3,439.73
|
| Rate for Payer: Cash Price |
$3,560.80
|
| Rate for Payer: Cofinity Commercial |
$3,827.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,560.80
|
| Rate for Payer: Healthscope Commercial |
$4,005.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,338.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,783.35
|
| Rate for Payer: PHP Commercial |
$3,783.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,115.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,872.37
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,714.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,916.88
|
| Rate for Payer: UHC Core |
$3,716.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,338.25
|
|
|
HC CORONARY STENT
|
Facility
|
OP
|
$4,451.00
|
|
|
Service Code
|
HCPCS C1876
|
| Hospital Charge Code |
27800007
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,057.11 |
| Max. Negotiated Rate |
$4,005.90 |
| Rate for Payer: Aetna Commercial |
$3,783.35
|
| Rate for Payer: Aetna Medicare |
$1,157.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,390.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,390.94
|
| Rate for Payer: BCBS Complete |
$1,780.40
|
| Rate for Payer: BCBS MAPPO |
$1,112.75
|
| Rate for Payer: BCBS Trust/PPO |
$3,460.65
|
| Rate for Payer: BCN Commercial |
$3,460.65
|
| Rate for Payer: BCN Medicare Advantage |
$1,112.75
|
| Rate for Payer: Cash Price |
$3,560.80
|
| Rate for Payer: Cofinity Commercial |
$3,827.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,560.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,112.75
|
| Rate for Payer: Healthscope Commercial |
$4,005.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,338.25
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,168.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,279.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,783.35
|
| Rate for Payer: PACE Senior Care Partners |
$1,057.11
|
| Rate for Payer: PACE SWMI |
$1,112.75
|
| Rate for Payer: PHP Commercial |
$3,783.35
|
| Rate for Payer: PHP Medicare Advantage |
$1,112.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,115.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,872.37
|
| Rate for Payer: Priority Health Medicare |
$1,112.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,714.66
|
| Rate for Payer: Railroad Medicare Medicare |
$1,112.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,916.88
|
| Rate for Payer: UHC Core |
$3,716.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,112.75
|
| Rate for Payer: UHC Medicare Advantage |
$1,146.13
|
| Rate for Payer: VA VA |
$1,112.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,338.25
|
|
|
HC CORONARY STENT DRUG ELUTING
|
Facility
|
OP
|
$10,900.35
|
|
|
Service Code
|
HCPCS C1874
|
| Hospital Charge Code |
27800008
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,588.83 |
| Max. Negotiated Rate |
$9,810.32 |
| Rate for Payer: Aetna Commercial |
$9,265.30
|
| Rate for Payer: Aetna Medicare |
$2,834.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,406.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,406.36
|
| Rate for Payer: BCBS Complete |
$4,360.14
|
| Rate for Payer: BCBS MAPPO |
$2,725.09
|
| Rate for Payer: BCBS Trust/PPO |
$8,475.02
|
| Rate for Payer: BCN Commercial |
$8,475.02
|
| Rate for Payer: BCN Medicare Advantage |
$2,725.09
|
| Rate for Payer: Cash Price |
$8,720.28
|
| Rate for Payer: Cofinity Commercial |
$9,374.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,720.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,725.09
|
| Rate for Payer: Healthscope Commercial |
$9,810.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,175.26
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,861.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,133.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$9,265.30
|
| Rate for Payer: PACE Senior Care Partners |
$2,588.83
|
| Rate for Payer: PACE SWMI |
$2,725.09
|
| Rate for Payer: PHP Commercial |
$9,265.30
|
| Rate for Payer: PHP Medicare Advantage |
$2,725.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7,630.24
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,483.30
|
| Rate for Payer: Priority Health Medicare |
$2,725.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6,648.12
|
| Rate for Payer: Railroad Medicare Medicare |
$2,725.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,592.31
|
| Rate for Payer: UHC Core |
$9,101.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,725.09
|
| Rate for Payer: UHC Medicare Advantage |
$2,806.84
|
| Rate for Payer: VA VA |
$2,725.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,175.26
|
|
|
HC CORONARY STENT DRUG ELUTING
|
Facility
|
IP
|
$10,900.35
|
|
|
Service Code
|
HCPCS C1874
|
| Hospital Charge Code |
27800008
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$6,648.12 |
| Max. Negotiated Rate |
$9,810.32 |
| Rate for Payer: Aetna Commercial |
$9,265.30
|
| Rate for Payer: BCBS Trust/PPO |
$8,423.79
|
| Rate for Payer: BCN Commercial |
$8,423.79
|
| Rate for Payer: Cash Price |
$8,720.28
|
| Rate for Payer: Cofinity Commercial |
$9,374.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,720.28
|
| Rate for Payer: Healthscope Commercial |
$9,810.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,175.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$9,265.30
|
| Rate for Payer: PHP Commercial |
$9,265.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7,630.24
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,483.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6,648.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,592.31
|
| Rate for Payer: UHC Core |
$9,101.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,175.26
|
|
|
HC CORONARY THROMBECTOMY
|
Facility
|
IP
|
$3,984.27
|
|
|
Service Code
|
CPT 92973
|
| Hospital Charge Code |
48100001
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$2,430.01 |
| Max. Negotiated Rate |
$3,585.84 |
| Rate for Payer: Aetna Commercial |
$3,386.63
|
| Rate for Payer: BCBS Trust/PPO |
$3,079.04
|
| Rate for Payer: BCN Commercial |
$3,079.04
|
| Rate for Payer: Cash Price |
$3,187.42
|
| Rate for Payer: Cofinity Commercial |
$3,426.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,187.42
|
| Rate for Payer: Healthscope Commercial |
$3,585.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,988.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,386.63
|
| Rate for Payer: PHP Commercial |
$3,386.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,788.99
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,466.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,430.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,506.16
|
| Rate for Payer: UHC Core |
$3,326.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,988.20
|
|
|
HC CORONARY THROMBECTOMY
|
Facility
|
OP
|
$3,984.27
|
|
|
Service Code
|
CPT 92973
|
| Hospital Charge Code |
48100001
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$946.26 |
| Max. Negotiated Rate |
$3,585.84 |
| Rate for Payer: Aetna Commercial |
$3,386.63
|
| Rate for Payer: Aetna Medicare |
$1,035.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,245.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,245.08
|
| Rate for Payer: BCBS Complete |
$1,593.71
|
| Rate for Payer: BCBS MAPPO |
$996.07
|
| Rate for Payer: BCBS Trust/PPO |
$3,097.77
|
| Rate for Payer: BCN Commercial |
$3,097.77
|
| Rate for Payer: BCN Medicare Advantage |
$996.07
|
| Rate for Payer: Cash Price |
$3,187.42
|
| Rate for Payer: Cofinity Commercial |
$3,426.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,187.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$996.07
|
| Rate for Payer: Healthscope Commercial |
$3,585.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,988.20
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,045.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,145.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,386.63
|
| Rate for Payer: PACE Senior Care Partners |
$946.26
|
| Rate for Payer: PACE SWMI |
$996.07
|
| Rate for Payer: PHP Commercial |
$3,386.63
|
| Rate for Payer: PHP Medicare Advantage |
$996.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,788.99
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,466.31
|
| Rate for Payer: Priority Health Medicare |
$996.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,430.01
|
| Rate for Payer: Railroad Medicare Medicare |
$996.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,506.16
|
| Rate for Payer: UHC Core |
$3,326.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$996.07
|
| Rate for Payer: UHC Medicare Advantage |
$1,025.95
|
| Rate for Payer: VA VA |
$996.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,988.20
|
|
|
HC CORTICAL MAPPING
|
Facility
|
IP
|
$2,108.34
|
|
|
Service Code
|
CPT 95961
|
| Hospital Charge Code |
92000009
|
|
Hospital Revenue Code
|
920
|
| Min. Negotiated Rate |
$1,285.88 |
| Max. Negotiated Rate |
$1,897.51 |
| Rate for Payer: Aetna Commercial |
$1,792.09
|
| Rate for Payer: BCBS Trust/PPO |
$1,629.33
|
| Rate for Payer: BCN Commercial |
$1,629.33
|
| Rate for Payer: Cash Price |
$1,686.67
|
| Rate for Payer: Cofinity Commercial |
$1,813.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,686.67
|
| Rate for Payer: Healthscope Commercial |
$1,897.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,581.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,792.09
|
| Rate for Payer: PHP Commercial |
$1,792.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,475.84
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,834.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,285.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,855.34
|
| Rate for Payer: UHC Core |
$1,760.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,581.26
|
|
|
HC CORTICAL MAPPING
|
Facility
|
OP
|
$2,108.34
|
|
|
Service Code
|
CPT 95961
|
| Hospital Charge Code |
92000009
|
|
Hospital Revenue Code
|
920
|
| Min. Negotiated Rate |
$500.73 |
| Max. Negotiated Rate |
$1,897.51 |
| Rate for Payer: Aetna Commercial |
$1,792.09
|
| Rate for Payer: Aetna Medicare |
$548.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$658.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$658.86
|
| Rate for Payer: BCBS Complete |
$720.16
|
| Rate for Payer: BCBS MAPPO |
$527.08
|
| Rate for Payer: BCBS Trust/PPO |
$1,639.23
|
| Rate for Payer: BCN Commercial |
$1,639.23
|
| Rate for Payer: BCN Medicare Advantage |
$527.08
|
| Rate for Payer: Cash Price |
$1,686.67
|
| Rate for Payer: Cash Price |
$1,686.67
|
| Rate for Payer: Cofinity Commercial |
$1,813.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,686.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$527.08
|
| Rate for Payer: Healthscope Commercial |
$1,897.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,581.26
|
| Rate for Payer: Mclaren Medicaid |
$685.87
|
| Rate for Payer: Meridian Medicaid |
$720.16
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$553.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$606.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,792.09
|
| Rate for Payer: PACE Senior Care Partners |
$500.73
|
| Rate for Payer: PACE SWMI |
$527.08
|
| Rate for Payer: PHP Commercial |
$1,792.09
|
| Rate for Payer: PHP Medicare Advantage |
$527.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$685.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,475.84
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,834.26
|
| Rate for Payer: Priority Health Medicare |
$527.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,285.88
|
| Rate for Payer: Railroad Medicare Medicare |
$527.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,855.34
|
| Rate for Payer: UHC Core |
$1,760.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$527.08
|
| Rate for Payer: UHC Medicare Advantage |
$542.90
|
| Rate for Payer: VA VA |
$527.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,581.26
|
|
|
HC CORTICOL SALIVA
|
Facility
|
OP
|
$66.30
|
|
|
Service Code
|
CPT 82533
|
| Hospital Charge Code |
30100618
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$12.03 |
| Max. Negotiated Rate |
$59.67 |
| Rate for Payer: Aetna Commercial |
$56.36
|
| Rate for Payer: Aetna Medicare |
$17.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20.72
|
| Rate for Payer: BCBS Complete |
$12.63
|
| Rate for Payer: BCBS MAPPO |
$16.58
|
| Rate for Payer: BCBS Trust/PPO |
$51.55
|
| Rate for Payer: BCN Commercial |
$51.55
|
| Rate for Payer: BCN Medicare Advantage |
$16.58
|
| Rate for Payer: Cash Price |
$53.04
|
| Rate for Payer: Cash Price |
$53.04
|
| Rate for Payer: Cofinity Commercial |
$57.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$53.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.58
|
| Rate for Payer: Healthscope Commercial |
$59.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$49.72
|
| Rate for Payer: Mclaren Medicaid |
$12.03
|
| Rate for Payer: Meridian Medicaid |
$12.63
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$17.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$56.36
|
| Rate for Payer: PACE Senior Care Partners |
$15.75
|
| Rate for Payer: PACE SWMI |
$16.58
|
| Rate for Payer: PHP Commercial |
$56.36
|
| Rate for Payer: PHP Medicare Advantage |
$16.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$12.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$46.41
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$57.68
|
| Rate for Payer: Priority Health Medicare |
$16.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$40.44
|
| Rate for Payer: Railroad Medicare Medicare |
$16.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$58.34
|
| Rate for Payer: UHC Core |
$55.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$16.58
|
| Rate for Payer: UHC Medicare Advantage |
$17.07
|
| Rate for Payer: VA VA |
$16.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$49.72
|
|
|
HC CORTICOL SALIVA
|
Facility
|
IP
|
$66.30
|
|
|
Service Code
|
CPT 82533
|
| Hospital Charge Code |
30100618
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$40.44 |
| Max. Negotiated Rate |
$59.67 |
| Rate for Payer: Aetna Commercial |
$56.36
|
| Rate for Payer: BCBS Trust/PPO |
$51.24
|
| Rate for Payer: BCN Commercial |
$51.24
|
| Rate for Payer: Cash Price |
$53.04
|
| Rate for Payer: Cofinity Commercial |
$57.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$53.04
|
| Rate for Payer: Healthscope Commercial |
$59.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$49.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$56.36
|
| Rate for Payer: PHP Commercial |
$56.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$46.41
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$57.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$40.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$58.34
|
| Rate for Payer: UHC Core |
$55.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$49.72
|
|
|
HC CORTISOL, SALIVA
|
Facility
|
IP
|
$65.00
|
|
|
Service Code
|
CPT 82533
|
| Hospital Charge Code |
30100750
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$39.64 |
| Max. Negotiated Rate |
$58.50 |
| Rate for Payer: Aetna Commercial |
$55.25
|
| Rate for Payer: BCBS Trust/PPO |
$50.23
|
| Rate for Payer: BCN Commercial |
$50.23
|
| Rate for Payer: Cash Price |
$52.00
|
| Rate for Payer: Cofinity Commercial |
$55.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$52.00
|
| Rate for Payer: Healthscope Commercial |
$58.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$48.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$55.25
|
| Rate for Payer: PHP Commercial |
$55.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$45.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$56.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$39.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$57.20
|
| Rate for Payer: UHC Core |
$54.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$48.75
|
|
|
HC CORTISOL, SALIVA
|
Facility
|
OP
|
$65.00
|
|
|
Service Code
|
CPT 82533
|
| Hospital Charge Code |
30100750
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$12.03 |
| Max. Negotiated Rate |
$58.50 |
| Rate for Payer: Aetna Commercial |
$55.25
|
| Rate for Payer: Aetna Medicare |
$16.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20.31
|
| Rate for Payer: BCBS Complete |
$12.63
|
| Rate for Payer: BCBS MAPPO |
$16.25
|
| Rate for Payer: BCBS Trust/PPO |
$50.54
|
| Rate for Payer: BCN Commercial |
$50.54
|
| Rate for Payer: BCN Medicare Advantage |
$16.25
|
| Rate for Payer: Cash Price |
$52.00
|
| Rate for Payer: Cash Price |
$52.00
|
| Rate for Payer: Cofinity Commercial |
$55.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$52.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.25
|
| Rate for Payer: Healthscope Commercial |
$58.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$48.75
|
| Rate for Payer: Mclaren Medicaid |
$12.03
|
| Rate for Payer: Meridian Medicaid |
$12.63
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$17.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$55.25
|
| Rate for Payer: PACE Senior Care Partners |
$15.44
|
| Rate for Payer: PACE SWMI |
$16.25
|
| Rate for Payer: PHP Commercial |
$55.25
|
| Rate for Payer: PHP Medicare Advantage |
$16.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$12.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$45.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$56.55
|
| Rate for Payer: Priority Health Medicare |
$16.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$39.64
|
| Rate for Payer: Railroad Medicare Medicare |
$16.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$57.20
|
| Rate for Payer: UHC Core |
$54.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$16.25
|
| Rate for Payer: UHC Medicare Advantage |
$16.74
|
| Rate for Payer: VA VA |
$16.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$48.75
|
|
|
HC CORTISOL SERUM
|
Facility
|
IP
|
$66.30
|
|
|
Service Code
|
CPT 82533
|
| Hospital Charge Code |
30100174
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$40.44 |
| Max. Negotiated Rate |
$59.67 |
| Rate for Payer: Aetna Commercial |
$56.36
|
| Rate for Payer: BCBS Trust/PPO |
$51.24
|
| Rate for Payer: BCN Commercial |
$51.24
|
| Rate for Payer: Cash Price |
$53.04
|
| Rate for Payer: Cofinity Commercial |
$57.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$53.04
|
| Rate for Payer: Healthscope Commercial |
$59.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$49.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$56.36
|
| Rate for Payer: PHP Commercial |
$56.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$46.41
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$57.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$40.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$58.34
|
| Rate for Payer: UHC Core |
$55.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$49.72
|
|
|
HC CORTISOL SERUM
|
Facility
|
OP
|
$66.30
|
|
|
Service Code
|
CPT 82533
|
| Hospital Charge Code |
30100174
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$12.03 |
| Max. Negotiated Rate |
$59.67 |
| Rate for Payer: Aetna Commercial |
$56.36
|
| Rate for Payer: Aetna Medicare |
$17.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20.72
|
| Rate for Payer: BCBS Complete |
$12.63
|
| Rate for Payer: BCBS MAPPO |
$16.58
|
| Rate for Payer: BCBS Trust/PPO |
$51.55
|
| Rate for Payer: BCN Commercial |
$51.55
|
| Rate for Payer: BCN Medicare Advantage |
$16.58
|
| Rate for Payer: Cash Price |
$53.04
|
| Rate for Payer: Cash Price |
$53.04
|
| Rate for Payer: Cofinity Commercial |
$57.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$53.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.58
|
| Rate for Payer: Healthscope Commercial |
$59.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$49.72
|
| Rate for Payer: Mclaren Medicaid |
$12.03
|
| Rate for Payer: Meridian Medicaid |
$12.63
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$17.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$56.36
|
| Rate for Payer: PACE Senior Care Partners |
$15.75
|
| Rate for Payer: PACE SWMI |
$16.58
|
| Rate for Payer: PHP Commercial |
$56.36
|
| Rate for Payer: PHP Medicare Advantage |
$16.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$12.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$46.41
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$57.68
|
| Rate for Payer: Priority Health Medicare |
$16.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$40.44
|
| Rate for Payer: Railroad Medicare Medicare |
$16.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$58.34
|
| Rate for Payer: UHC Core |
$55.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$16.58
|
| Rate for Payer: UHC Medicare Advantage |
$17.07
|
| Rate for Payer: VA VA |
$16.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$49.72
|
|
|
HC CORTISOL URINE
|
Facility
|
IP
|
$46.92
|
|
|
Service Code
|
CPT 82530
|
| Hospital Charge Code |
30100172
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$28.62 |
| Max. Negotiated Rate |
$42.23 |
| Rate for Payer: Aetna Commercial |
$39.88
|
| Rate for Payer: BCBS Trust/PPO |
$36.26
|
| Rate for Payer: BCN Commercial |
$36.26
|
| Rate for Payer: Cash Price |
$37.54
|
| Rate for Payer: Cofinity Commercial |
$40.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$37.54
|
| Rate for Payer: Healthscope Commercial |
$42.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$35.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$39.88
|
| Rate for Payer: PHP Commercial |
$39.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$32.84
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$40.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$28.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$41.29
|
| Rate for Payer: UHC Core |
$39.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$35.19
|
|
|
HC CORTISOL URINE
|
Facility
|
OP
|
$46.92
|
|
|
Service Code
|
CPT 82530
|
| Hospital Charge Code |
30100172
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$11.14 |
| Max. Negotiated Rate |
$42.23 |
| Rate for Payer: Aetna Commercial |
$39.88
|
| Rate for Payer: Aetna Medicare |
$12.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14.66
|
| Rate for Payer: BCBS Complete |
$12.95
|
| Rate for Payer: BCBS MAPPO |
$11.73
|
| Rate for Payer: BCBS Trust/PPO |
$36.48
|
| Rate for Payer: BCN Commercial |
$36.48
|
| Rate for Payer: BCN Medicare Advantage |
$11.73
|
| Rate for Payer: Cash Price |
$37.54
|
| Rate for Payer: Cash Price |
$37.54
|
| Rate for Payer: Cofinity Commercial |
$40.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$37.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11.73
|
| Rate for Payer: Healthscope Commercial |
$42.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$35.19
|
| Rate for Payer: Mclaren Medicaid |
$12.33
|
| Rate for Payer: Meridian Medicaid |
$12.95
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$12.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$39.88
|
| Rate for Payer: PACE Senior Care Partners |
$11.14
|
| Rate for Payer: PACE SWMI |
$11.73
|
| Rate for Payer: PHP Commercial |
$39.88
|
| Rate for Payer: PHP Medicare Advantage |
$11.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$12.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$32.84
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$40.82
|
| Rate for Payer: Priority Health Medicare |
$11.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$28.62
|
| Rate for Payer: Railroad Medicare Medicare |
$11.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$41.29
|
| Rate for Payer: UHC Core |
$39.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$11.73
|
| Rate for Payer: UHC Medicare Advantage |
$12.08
|
| Rate for Payer: VA VA |
$11.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$35.19
|
|
