|
HC COXSACKIE A AB CMPT
|
Facility
|
OP
|
$20.40
|
|
|
Service Code
|
CPT 86658
|
| Hospital Charge Code |
30200266
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$4.84 |
| Max. Negotiated Rate |
$18.36 |
| Rate for Payer: Aetna Commercial |
$17.34
|
| Rate for Payer: Aetna Medicare |
$5.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.38
|
| Rate for Payer: BCBS Complete |
$10.10
|
| Rate for Payer: BCBS MAPPO |
$5.10
|
| Rate for Payer: BCBS Trust/PPO |
$15.86
|
| Rate for Payer: BCN Commercial |
$15.86
|
| Rate for Payer: BCN Medicare Advantage |
$5.10
|
| Rate for Payer: Cash Price |
$16.32
|
| Rate for Payer: Cash Price |
$16.32
|
| Rate for Payer: Cofinity Commercial |
$17.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.10
|
| Rate for Payer: Healthscope Commercial |
$18.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.30
|
| Rate for Payer: Mclaren Medicaid |
$9.62
|
| Rate for Payer: Meridian Medicaid |
$10.10
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$17.34
|
| Rate for Payer: PACE Senior Care Partners |
$4.84
|
| Rate for Payer: PACE SWMI |
$5.10
|
| Rate for Payer: PHP Commercial |
$17.34
|
| Rate for Payer: PHP Medicare Advantage |
$5.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.28
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17.75
|
| Rate for Payer: Priority Health Medicare |
$5.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12.44
|
| Rate for Payer: Railroad Medicare Medicare |
$5.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17.95
|
| Rate for Payer: UHC Core |
$17.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$5.10
|
| Rate for Payer: UHC Medicare Advantage |
$5.25
|
| Rate for Payer: VA VA |
$5.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.30
|
|
|
HC COXSACKIE B AB CMPT
|
Facility
|
IP
|
$20.40
|
|
|
Service Code
|
CPT 86658
|
| Hospital Charge Code |
30200265
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$12.44 |
| Max. Negotiated Rate |
$18.36 |
| Rate for Payer: Aetna Commercial |
$17.34
|
| Rate for Payer: BCBS Trust/PPO |
$15.77
|
| Rate for Payer: BCN Commercial |
$15.77
|
| Rate for Payer: Cash Price |
$16.32
|
| Rate for Payer: Cofinity Commercial |
$17.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.32
|
| Rate for Payer: Healthscope Commercial |
$18.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$17.34
|
| Rate for Payer: PHP Commercial |
$17.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.28
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17.95
|
| Rate for Payer: UHC Core |
$17.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.30
|
|
|
HC COXSACKIE B AB CMPT
|
Facility
|
OP
|
$20.40
|
|
|
Service Code
|
CPT 86658
|
| Hospital Charge Code |
30200265
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$4.84 |
| Max. Negotiated Rate |
$18.36 |
| Rate for Payer: Aetna Commercial |
$17.34
|
| Rate for Payer: Aetna Medicare |
$5.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.38
|
| Rate for Payer: BCBS Complete |
$10.10
|
| Rate for Payer: BCBS MAPPO |
$5.10
|
| Rate for Payer: BCBS Trust/PPO |
$15.86
|
| Rate for Payer: BCN Commercial |
$15.86
|
| Rate for Payer: BCN Medicare Advantage |
$5.10
|
| Rate for Payer: Cash Price |
$16.32
|
| Rate for Payer: Cash Price |
$16.32
|
| Rate for Payer: Cofinity Commercial |
$17.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.10
|
| Rate for Payer: Healthscope Commercial |
$18.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.30
|
| Rate for Payer: Mclaren Medicaid |
$9.62
|
| Rate for Payer: Meridian Medicaid |
$10.10
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$17.34
|
| Rate for Payer: PACE Senior Care Partners |
$4.84
|
| Rate for Payer: PACE SWMI |
$5.10
|
| Rate for Payer: PHP Commercial |
$17.34
|
| Rate for Payer: PHP Medicare Advantage |
$5.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.28
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17.75
|
| Rate for Payer: Priority Health Medicare |
$5.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12.44
|
| Rate for Payer: Railroad Medicare Medicare |
$5.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17.95
|
| Rate for Payer: UHC Core |
$17.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$5.10
|
| Rate for Payer: UHC Medicare Advantage |
$5.25
|
| Rate for Payer: VA VA |
$5.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.30
|
|
|
HC C PEPTIDE LEVEL
|
Facility
|
IP
|
$36.72
|
|
|
Service Code
|
CPT 84681
|
| Hospital Charge Code |
30100464
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$22.40 |
| Max. Negotiated Rate |
$33.05 |
| Rate for Payer: Aetna Commercial |
$31.21
|
| Rate for Payer: BCBS Trust/PPO |
$28.38
|
| Rate for Payer: BCN Commercial |
$28.38
|
| Rate for Payer: Cash Price |
$29.38
|
| Rate for Payer: Cofinity Commercial |
$31.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$29.38
|
| Rate for Payer: Healthscope Commercial |
$33.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$27.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$31.21
|
| Rate for Payer: PHP Commercial |
$31.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$25.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$31.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$22.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$32.31
|
| Rate for Payer: UHC Core |
$30.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$27.54
|
|
|
HC C PEPTIDE LEVEL
|
Facility
|
OP
|
$36.72
|
|
|
Service Code
|
CPT 84681
|
| Hospital Charge Code |
30100464
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$8.72 |
| Max. Negotiated Rate |
$33.05 |
| Rate for Payer: Aetna Commercial |
$31.21
|
| Rate for Payer: Aetna Medicare |
$9.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11.48
|
| Rate for Payer: BCBS Complete |
$16.13
|
| Rate for Payer: BCBS MAPPO |
$9.18
|
| Rate for Payer: BCBS Trust/PPO |
$28.55
|
| Rate for Payer: BCN Commercial |
$28.55
|
| Rate for Payer: BCN Medicare Advantage |
$9.18
|
| Rate for Payer: Cash Price |
$29.38
|
| Rate for Payer: Cash Price |
$29.38
|
| Rate for Payer: Cofinity Commercial |
$31.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$29.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9.18
|
| Rate for Payer: Healthscope Commercial |
$33.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$27.54
|
| Rate for Payer: Mclaren Medicaid |
$15.36
|
| Rate for Payer: Meridian Medicaid |
$16.13
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$9.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$31.21
|
| Rate for Payer: PACE Senior Care Partners |
$8.72
|
| Rate for Payer: PACE SWMI |
$9.18
|
| Rate for Payer: PHP Commercial |
$31.21
|
| Rate for Payer: PHP Medicare Advantage |
$9.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$15.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$25.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$31.95
|
| Rate for Payer: Priority Health Medicare |
$9.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$22.40
|
| Rate for Payer: Railroad Medicare Medicare |
$9.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$32.31
|
| Rate for Payer: UHC Core |
$30.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$9.18
|
| Rate for Payer: UHC Medicare Advantage |
$9.46
|
| Rate for Payer: VA VA |
$9.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$27.54
|
|
|
HC CPK
|
Facility
|
OP
|
$52.22
|
|
|
Service Code
|
CPT 82550
|
| Hospital Charge Code |
30100178
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$4.80 |
| Max. Negotiated Rate |
$47.00 |
| Rate for Payer: Aetna Commercial |
$44.39
|
| Rate for Payer: Aetna Medicare |
$13.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16.32
|
| Rate for Payer: BCBS Complete |
$5.04
|
| Rate for Payer: BCBS MAPPO |
$13.06
|
| Rate for Payer: BCBS Trust/PPO |
$40.60
|
| Rate for Payer: BCN Commercial |
$40.60
|
| Rate for Payer: BCN Medicare Advantage |
$13.06
|
| Rate for Payer: Cash Price |
$41.78
|
| Rate for Payer: Cash Price |
$41.78
|
| Rate for Payer: Cofinity Commercial |
$44.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$41.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.06
|
| Rate for Payer: Healthscope Commercial |
$47.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$39.16
|
| Rate for Payer: Mclaren Medicaid |
$4.80
|
| Rate for Payer: Meridian Medicaid |
$5.04
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$13.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$44.39
|
| Rate for Payer: PACE Senior Care Partners |
$12.40
|
| Rate for Payer: PACE SWMI |
$13.06
|
| Rate for Payer: PHP Commercial |
$44.39
|
| Rate for Payer: PHP Medicare Advantage |
$13.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$36.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$45.43
|
| Rate for Payer: Priority Health Medicare |
$13.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$31.85
|
| Rate for Payer: Railroad Medicare Medicare |
$13.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$45.95
|
| Rate for Payer: UHC Core |
$43.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$13.06
|
| Rate for Payer: UHC Medicare Advantage |
$13.45
|
| Rate for Payer: VA VA |
$13.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$39.16
|
|
|
HC CPK
|
Facility
|
IP
|
$52.22
|
|
|
Service Code
|
CPT 82550
|
| Hospital Charge Code |
30100178
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$31.85 |
| Max. Negotiated Rate |
$47.00 |
| Rate for Payer: Aetna Commercial |
$44.39
|
| Rate for Payer: BCBS Trust/PPO |
$40.36
|
| Rate for Payer: BCN Commercial |
$40.36
|
| Rate for Payer: Cash Price |
$41.78
|
| Rate for Payer: Cofinity Commercial |
$44.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$41.78
|
| Rate for Payer: Healthscope Commercial |
$47.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$39.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$44.39
|
| Rate for Payer: PHP Commercial |
$44.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$36.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$45.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$31.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$45.95
|
| Rate for Payer: UHC Core |
$43.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$39.16
|
|
|
HC CPLX CHRNC CARE 1ST 60 MIN
|
Facility
|
IP
|
$404.21
|
|
|
Service Code
|
CPT 99487
|
| Hospital Charge Code |
51000108
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$246.53 |
| Max. Negotiated Rate |
$363.79 |
| Rate for Payer: Aetna Commercial |
$343.58
|
| Rate for Payer: BCBS Trust/PPO |
$312.37
|
| Rate for Payer: BCN Commercial |
$312.37
|
| Rate for Payer: Cash Price |
$323.37
|
| Rate for Payer: Cofinity Commercial |
$347.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$323.37
|
| Rate for Payer: Healthscope Commercial |
$363.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$303.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$343.58
|
| Rate for Payer: PHP Commercial |
$343.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$282.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$351.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$246.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$355.70
|
| Rate for Payer: UHC Core |
$337.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$303.16
|
|
|
HC CPLX CHRNC CARE 1ST 60 MIN
|
Facility
|
OP
|
$404.21
|
|
|
Service Code
|
CPT 99487
|
| Hospital Charge Code |
51000108
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$96.00 |
| Max. Negotiated Rate |
$363.79 |
| Rate for Payer: Aetna Commercial |
$343.58
|
| Rate for Payer: Aetna Medicare |
$105.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$126.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$126.32
|
| Rate for Payer: BCBS Complete |
$109.82
|
| Rate for Payer: BCBS MAPPO |
$101.05
|
| Rate for Payer: BCBS Trust/PPO |
$314.27
|
| Rate for Payer: BCN Commercial |
$314.27
|
| Rate for Payer: BCN Medicare Advantage |
$101.05
|
| Rate for Payer: Cash Price |
$323.37
|
| Rate for Payer: Cash Price |
$323.37
|
| Rate for Payer: Cofinity Commercial |
$347.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$323.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$101.05
|
| Rate for Payer: Healthscope Commercial |
$363.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$303.16
|
| Rate for Payer: Mclaren Medicaid |
$104.59
|
| Rate for Payer: Meridian Medicaid |
$109.82
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$106.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$116.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$343.58
|
| Rate for Payer: PACE Senior Care Partners |
$96.00
|
| Rate for Payer: PACE SWMI |
$101.05
|
| Rate for Payer: PHP Commercial |
$343.58
|
| Rate for Payer: PHP Medicare Advantage |
$101.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$104.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$282.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$351.66
|
| Rate for Payer: Priority Health Medicare |
$101.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$246.53
|
| Rate for Payer: Railroad Medicare Medicare |
$101.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$355.70
|
| Rate for Payer: UHC Core |
$337.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$101.05
|
| Rate for Payer: UHC Medicare Advantage |
$104.08
|
| Rate for Payer: VA VA |
$101.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$303.16
|
|
|
HC CPR
|
Facility
|
OP
|
$960.79
|
|
|
Service Code
|
CPT 92950
|
| Hospital Charge Code |
45000018
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$205.90 |
| Max. Negotiated Rate |
$864.71 |
| Rate for Payer: Aetna Commercial |
$816.67
|
| Rate for Payer: Aetna Medicare |
$249.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$300.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$300.25
|
| Rate for Payer: BCBS Complete |
$216.20
|
| Rate for Payer: BCBS MAPPO |
$240.20
|
| Rate for Payer: BCBS Trust/PPO |
$747.01
|
| Rate for Payer: BCN Commercial |
$747.01
|
| Rate for Payer: BCN Medicare Advantage |
$240.20
|
| Rate for Payer: Cash Price |
$768.63
|
| Rate for Payer: Cash Price |
$768.63
|
| Rate for Payer: Cofinity Commercial |
$826.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$768.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$240.20
|
| Rate for Payer: Healthscope Commercial |
$864.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$720.59
|
| Rate for Payer: Mclaren Medicaid |
$205.90
|
| Rate for Payer: Meridian Medicaid |
$216.20
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$252.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$276.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$816.67
|
| Rate for Payer: PACE Senior Care Partners |
$228.19
|
| Rate for Payer: PACE SWMI |
$240.20
|
| Rate for Payer: PHP Commercial |
$816.67
|
| Rate for Payer: PHP Medicare Advantage |
$240.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$205.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$672.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$835.89
|
| Rate for Payer: Priority Health Medicare |
$240.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$585.99
|
| Rate for Payer: Railroad Medicare Medicare |
$240.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$845.50
|
| Rate for Payer: UHC Core |
$802.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$240.20
|
| Rate for Payer: UHC Medicare Advantage |
$247.40
|
| Rate for Payer: VA VA |
$240.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$720.59
|
|
|
HC CPR
|
Facility
|
IP
|
$960.79
|
|
|
Service Code
|
CPT 92950
|
| Hospital Charge Code |
45000018
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$585.99 |
| Max. Negotiated Rate |
$864.71 |
| Rate for Payer: Aetna Commercial |
$816.67
|
| Rate for Payer: BCBS Trust/PPO |
$742.50
|
| Rate for Payer: BCN Commercial |
$742.50
|
| Rate for Payer: Cash Price |
$768.63
|
| Rate for Payer: Cofinity Commercial |
$826.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$768.63
|
| Rate for Payer: Healthscope Commercial |
$864.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$720.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$816.67
|
| Rate for Payer: PHP Commercial |
$816.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$672.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$835.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$585.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$845.50
|
| Rate for Payer: UHC Core |
$802.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$720.59
|
|
|
HC CRAB IGE
|
Facility
|
IP
|
$24.89
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200037
|
|
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 CRAB IGE
|
Facility
|
OP
|
$24.89
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200037
|
|
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 CRE
|
Facility
|
OP
|
$1,424.73
|
|
|
Service Code
|
HCPCS C1726
|
| Hospital Charge Code |
27200104
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$338.37 |
| Max. Negotiated Rate |
$1,282.26 |
| Rate for Payer: Aetna Commercial |
$1,211.02
|
| Rate for Payer: Aetna Medicare |
$370.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$445.23
|
| Rate for Payer: Amish Plain Church Group Commercial |
$445.23
|
| Rate for Payer: BCBS Complete |
$569.89
|
| Rate for Payer: BCBS MAPPO |
$356.18
|
| Rate for Payer: BCBS Trust/PPO |
$1,107.73
|
| Rate for Payer: BCN Commercial |
$1,107.73
|
| Rate for Payer: BCN Medicare Advantage |
$356.18
|
| Rate for Payer: Cash Price |
$1,139.78
|
| Rate for Payer: Cofinity Commercial |
$1,225.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,139.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$356.18
|
| Rate for Payer: Healthscope Commercial |
$1,282.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,068.55
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$373.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$409.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,211.02
|
| Rate for Payer: PACE Senior Care Partners |
$338.37
|
| Rate for Payer: PACE SWMI |
$356.18
|
| Rate for Payer: PHP Commercial |
$1,211.02
|
| Rate for Payer: PHP Medicare Advantage |
$356.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$997.31
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,239.52
|
| Rate for Payer: Priority Health Medicare |
$356.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$868.94
|
| Rate for Payer: Railroad Medicare Medicare |
$356.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,253.76
|
| Rate for Payer: UHC Core |
$1,189.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$356.18
|
| Rate for Payer: UHC Medicare Advantage |
$366.87
|
| Rate for Payer: VA VA |
$356.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,068.55
|
|
|
HC CRE
|
Facility
|
IP
|
$1,424.73
|
|
|
Service Code
|
HCPCS C1726
|
| Hospital Charge Code |
27200104
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$868.94 |
| Max. Negotiated Rate |
$1,282.26 |
| Rate for Payer: Aetna Commercial |
$1,211.02
|
| Rate for Payer: BCBS Trust/PPO |
$1,101.03
|
| Rate for Payer: BCN Commercial |
$1,101.03
|
| Rate for Payer: Cash Price |
$1,139.78
|
| Rate for Payer: Cofinity Commercial |
$1,225.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,139.78
|
| Rate for Payer: Healthscope Commercial |
$1,282.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,068.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,211.02
|
| Rate for Payer: PHP Commercial |
$1,211.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$997.31
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,239.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$868.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,253.76
|
| Rate for Payer: UHC Core |
$1,189.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,068.55
|
|
|
HC C REACTIVE PROTEIN
|
Facility
|
IP
|
$60.40
|
|
|
Service Code
|
CPT 86140
|
| Hospital Charge Code |
30200137
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$36.84 |
| Max. Negotiated Rate |
$54.36 |
| Rate for Payer: Aetna Commercial |
$51.34
|
| Rate for Payer: BCBS Trust/PPO |
$46.68
|
| Rate for Payer: BCN Commercial |
$46.68
|
| Rate for Payer: Cash Price |
$48.32
|
| Rate for Payer: Cofinity Commercial |
$51.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$48.32
|
| Rate for Payer: Healthscope Commercial |
$54.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$45.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$51.34
|
| Rate for Payer: PHP Commercial |
$51.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$42.28
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$52.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$36.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$53.15
|
| Rate for Payer: UHC Core |
$50.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$45.30
|
|
|
HC C REACTIVE PROTEIN
|
Facility
|
OP
|
$60.40
|
|
|
Service Code
|
CPT 86140
|
| Hospital Charge Code |
30200137
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$3.82 |
| Max. Negotiated Rate |
$54.36 |
| Rate for Payer: Aetna Commercial |
$51.34
|
| Rate for Payer: Aetna Medicare |
$15.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18.88
|
| Rate for Payer: BCBS Complete |
$4.01
|
| Rate for Payer: BCBS MAPPO |
$15.10
|
| Rate for Payer: BCBS Trust/PPO |
$46.96
|
| Rate for Payer: BCN Commercial |
$46.96
|
| Rate for Payer: BCN Medicare Advantage |
$15.10
|
| Rate for Payer: Cash Price |
$48.32
|
| Rate for Payer: Cash Price |
$48.32
|
| Rate for Payer: Cofinity Commercial |
$51.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$48.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15.10
|
| Rate for Payer: Healthscope Commercial |
$54.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$45.30
|
| Rate for Payer: Mclaren Medicaid |
$3.82
|
| Rate for Payer: Meridian Medicaid |
$4.01
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$15.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$51.34
|
| Rate for Payer: PACE Senior Care Partners |
$14.34
|
| Rate for Payer: PACE SWMI |
$15.10
|
| Rate for Payer: PHP Commercial |
$51.34
|
| Rate for Payer: PHP Medicare Advantage |
$15.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$42.28
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$52.55
|
| Rate for Payer: Priority Health Medicare |
$15.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$36.84
|
| Rate for Payer: Railroad Medicare Medicare |
$15.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$53.15
|
| Rate for Payer: UHC Core |
$50.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$15.10
|
| Rate for Payer: UHC Medicare Advantage |
$15.55
|
| Rate for Payer: VA VA |
$15.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$45.30
|
|
|
HC CREATE TEAR SAC DRAIN
|
Facility
|
IP
|
$5,057.16
|
|
|
Service Code
|
CPT 68720
|
| Hospital Charge Code |
76100308
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$3,084.36 |
| Max. Negotiated Rate |
$4,551.44 |
| Rate for Payer: Aetna Commercial |
$4,298.59
|
| Rate for Payer: BCBS Trust/PPO |
$3,908.17
|
| Rate for Payer: BCN Commercial |
$3,908.17
|
| Rate for Payer: Cash Price |
$4,045.73
|
| Rate for Payer: Cofinity Commercial |
$4,349.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,045.73
|
| Rate for Payer: Healthscope Commercial |
$4,551.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,792.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$4,298.59
|
| Rate for Payer: PHP Commercial |
$4,298.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,540.01
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,399.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,084.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,450.30
|
| Rate for Payer: UHC Core |
$4,222.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,792.87
|
|
|
HC CREATE TEAR SAC DRAIN
|
Facility
|
OP
|
$5,057.16
|
|
|
Service Code
|
CPT 68720
|
| Hospital Charge Code |
76100308
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,201.08 |
| Max. Negotiated Rate |
$4,551.44 |
| Rate for Payer: Aetna Commercial |
$4,298.59
|
| Rate for Payer: Aetna Medicare |
$1,314.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,580.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,580.36
|
| Rate for Payer: BCBS Complete |
$2,663.14
|
| Rate for Payer: BCBS MAPPO |
$1,264.29
|
| Rate for Payer: BCBS Trust/PPO |
$3,931.94
|
| Rate for Payer: BCN Commercial |
$3,931.94
|
| Rate for Payer: BCN Medicare Advantage |
$1,264.29
|
| Rate for Payer: Cash Price |
$4,045.73
|
| Rate for Payer: Cash Price |
$4,045.73
|
| Rate for Payer: Cofinity Commercial |
$4,349.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,045.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,264.29
|
| Rate for Payer: Healthscope Commercial |
$4,551.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,792.87
|
| Rate for Payer: Mclaren Medicaid |
$2,536.32
|
| Rate for Payer: Meridian Medicaid |
$2,663.14
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,327.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,453.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$4,298.59
|
| Rate for Payer: PACE Senior Care Partners |
$1,201.08
|
| Rate for Payer: PACE SWMI |
$1,264.29
|
| Rate for Payer: PHP Commercial |
$4,298.59
|
| Rate for Payer: PHP Medicare Advantage |
$1,264.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,536.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,540.01
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,399.73
|
| Rate for Payer: Priority Health Medicare |
$1,264.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,084.36
|
| Rate for Payer: Railroad Medicare Medicare |
$1,264.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,450.30
|
| Rate for Payer: UHC Core |
$4,222.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,264.29
|
| Rate for Payer: UHC Medicare Advantage |
$1,302.22
|
| Rate for Payer: VA VA |
$1,264.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,792.87
|
|
|
HC CREATININE CLEARANCE
|
Facility
|
OP
|
$75.40
|
|
|
Service Code
|
CPT 82575
|
| Hospital Charge Code |
30100182
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$6.98 |
| Max. Negotiated Rate |
$67.86 |
| Rate for Payer: Aetna Commercial |
$64.09
|
| Rate for Payer: Aetna Medicare |
$19.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23.56
|
| Rate for Payer: BCBS Complete |
$7.33
|
| Rate for Payer: BCBS MAPPO |
$18.85
|
| Rate for Payer: BCBS Trust/PPO |
$58.62
|
| Rate for Payer: BCN Commercial |
$58.62
|
| Rate for Payer: BCN Medicare Advantage |
$18.85
|
| Rate for Payer: Cash Price |
$60.32
|
| Rate for Payer: Cash Price |
$60.32
|
| Rate for Payer: Cofinity Commercial |
$64.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$60.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18.85
|
| Rate for Payer: Healthscope Commercial |
$67.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$56.55
|
| Rate for Payer: Mclaren Medicaid |
$6.98
|
| Rate for Payer: Meridian Medicaid |
$7.33
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$19.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$64.09
|
| Rate for Payer: PACE Senior Care Partners |
$17.91
|
| Rate for Payer: PACE SWMI |
$18.85
|
| Rate for Payer: PHP Commercial |
$64.09
|
| Rate for Payer: PHP Medicare Advantage |
$18.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$52.78
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$65.60
|
| Rate for Payer: Priority Health Medicare |
$18.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$45.99
|
| Rate for Payer: Railroad Medicare Medicare |
$18.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$66.35
|
| Rate for Payer: UHC Core |
$62.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$18.85
|
| Rate for Payer: UHC Medicare Advantage |
$19.42
|
| Rate for Payer: VA VA |
$18.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$56.55
|
|
|
HC CREATININE CLEARANCE
|
Facility
|
IP
|
$75.40
|
|
|
Service Code
|
CPT 82575
|
| Hospital Charge Code |
30100182
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$45.99 |
| Max. Negotiated Rate |
$67.86 |
| Rate for Payer: Aetna Commercial |
$64.09
|
| Rate for Payer: BCBS Trust/PPO |
$58.27
|
| Rate for Payer: BCN Commercial |
$58.27
|
| Rate for Payer: Cash Price |
$60.32
|
| Rate for Payer: Cofinity Commercial |
$64.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$60.32
|
| Rate for Payer: Healthscope Commercial |
$67.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$56.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$64.09
|
| Rate for Payer: PHP Commercial |
$64.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$52.78
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$65.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$45.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$66.35
|
| Rate for Payer: UHC Core |
$62.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$56.55
|
|
|
HC CREATININE SERUM
|
Facility
|
OP
|
$20.40
|
|
|
Service Code
|
CPT 82565
|
| Hospital Charge Code |
30100180
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$3.78 |
| Max. Negotiated Rate |
$18.36 |
| Rate for Payer: Aetna Commercial |
$17.34
|
| Rate for Payer: Aetna Medicare |
$5.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.38
|
| Rate for Payer: BCBS Complete |
$3.97
|
| Rate for Payer: BCBS MAPPO |
$5.10
|
| Rate for Payer: BCBS Trust/PPO |
$15.86
|
| Rate for Payer: BCN Commercial |
$15.86
|
| Rate for Payer: BCN Medicare Advantage |
$5.10
|
| Rate for Payer: Cash Price |
$16.32
|
| Rate for Payer: Cash Price |
$16.32
|
| Rate for Payer: Cofinity Commercial |
$17.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.10
|
| Rate for Payer: Healthscope Commercial |
$18.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.30
|
| Rate for Payer: Mclaren Medicaid |
$3.78
|
| Rate for Payer: Meridian Medicaid |
$3.97
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$17.34
|
| Rate for Payer: PACE Senior Care Partners |
$4.84
|
| Rate for Payer: PACE SWMI |
$5.10
|
| Rate for Payer: PHP Commercial |
$17.34
|
| Rate for Payer: PHP Medicare Advantage |
$5.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.28
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17.75
|
| Rate for Payer: Priority Health Medicare |
$5.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12.44
|
| Rate for Payer: Railroad Medicare Medicare |
$5.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17.95
|
| Rate for Payer: UHC Core |
$17.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$5.10
|
| Rate for Payer: UHC Medicare Advantage |
$5.25
|
| Rate for Payer: VA VA |
$5.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.30
|
|
|
HC CREATININE SERUM
|
Facility
|
IP
|
$20.40
|
|
|
Service Code
|
CPT 82565
|
| Hospital Charge Code |
30100180
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$12.44 |
| Max. Negotiated Rate |
$18.36 |
| Rate for Payer: Aetna Commercial |
$17.34
|
| Rate for Payer: BCBS Trust/PPO |
$15.77
|
| Rate for Payer: BCN Commercial |
$15.77
|
| Rate for Payer: Cash Price |
$16.32
|
| Rate for Payer: Cofinity Commercial |
$17.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.32
|
| Rate for Payer: Healthscope Commercial |
$18.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$17.34
|
| Rate for Payer: PHP Commercial |
$17.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.28
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17.95
|
| Rate for Payer: UHC Core |
$17.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.30
|
|
|
HC CREATININE URINE/OTHER SOURCE
|
Facility
|
OP
|
$37.90
|
|
|
Service Code
|
CPT 82570
|
| Hospital Charge Code |
30100181
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$3.82 |
| Max. Negotiated Rate |
$34.11 |
| Rate for Payer: Aetna Commercial |
$32.22
|
| Rate for Payer: Aetna Medicare |
$9.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11.84
|
| Rate for Payer: BCBS Complete |
$4.01
|
| Rate for Payer: BCBS MAPPO |
$9.48
|
| Rate for Payer: BCBS Trust/PPO |
$29.47
|
| Rate for Payer: BCN Commercial |
$29.47
|
| Rate for Payer: BCN Medicare Advantage |
$9.48
|
| Rate for Payer: Cash Price |
$30.32
|
| Rate for Payer: Cash Price |
$30.32
|
| Rate for Payer: Cofinity Commercial |
$32.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$30.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9.48
|
| Rate for Payer: Healthscope Commercial |
$34.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$28.42
|
| Rate for Payer: Mclaren Medicaid |
$3.82
|
| Rate for Payer: Meridian Medicaid |
$4.01
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$9.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$32.22
|
| Rate for Payer: PACE Senior Care Partners |
$9.00
|
| Rate for Payer: PACE SWMI |
$9.48
|
| Rate for Payer: PHP Commercial |
$32.22
|
| Rate for Payer: PHP Medicare Advantage |
$9.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$26.53
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$32.97
|
| Rate for Payer: Priority Health Medicare |
$9.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$23.12
|
| Rate for Payer: Railroad Medicare Medicare |
$9.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33.35
|
| Rate for Payer: UHC Core |
$31.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$9.48
|
| Rate for Payer: UHC Medicare Advantage |
$9.76
|
| Rate for Payer: VA VA |
$9.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$28.42
|
|
|
HC CREATININE URINE/OTHER SOURCE
|
Facility
|
IP
|
$37.90
|
|
|
Service Code
|
CPT 82570
|
| Hospital Charge Code |
30100181
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$23.12 |
| Max. Negotiated Rate |
$34.11 |
| Rate for Payer: Aetna Commercial |
$32.22
|
| Rate for Payer: BCBS Trust/PPO |
$29.29
|
| Rate for Payer: BCN Commercial |
$29.29
|
| Rate for Payer: Cash Price |
$30.32
|
| Rate for Payer: Cofinity Commercial |
$32.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$30.32
|
| Rate for Payer: Healthscope Commercial |
$34.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$28.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$32.22
|
| Rate for Payer: PHP Commercial |
$32.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$26.53
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$32.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$23.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33.35
|
| Rate for Payer: UHC Core |
$31.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$28.42
|
|
