HC CT SPINE THORACIC W CON
|
Facility
|
IP
|
$1,938.61
|
|
Service Code
|
CPT 72129
|
Hospital Charge Code |
35200006
|
Hospital Revenue Code
|
352
|
Min. Negotiated Rate |
$1,182.36 |
Max. Negotiated Rate |
$1,744.75 |
Rate for Payer: Aetna Commercial |
$1,647.82
|
Rate for Payer: BCBS Trust/PPO |
$1,498.16
|
Rate for Payer: BCN Commercial |
$1,498.16
|
Rate for Payer: Cash Price |
$1,550.89
|
Rate for Payer: Cofinity Commercial |
$1,667.20
|
Rate for Payer: Encore Health Key Benefits Commercial |
$1,550.89
|
Rate for Payer: Healthscope Commercial |
$1,744.75
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,453.96
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,647.82
|
Rate for Payer: PHP Commercial |
$1,647.82
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,357.03
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,686.59
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,182.36
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,705.98
|
Rate for Payer: UHC Core |
$1,618.74
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,453.96
|
|
HC CT SPINE THORACIC WO CON
|
Facility
|
IP
|
$1,586.20
|
|
Service Code
|
CPT 72128
|
Hospital Charge Code |
35200005
|
Hospital Revenue Code
|
352
|
Min. Negotiated Rate |
$967.42 |
Max. Negotiated Rate |
$1,427.58 |
Rate for Payer: Aetna Commercial |
$1,348.27
|
Rate for Payer: BCBS Trust/PPO |
$1,225.82
|
Rate for Payer: BCN Commercial |
$1,225.82
|
Rate for Payer: Cash Price |
$1,268.96
|
Rate for Payer: Cofinity Commercial |
$1,364.13
|
Rate for Payer: Encore Health Key Benefits Commercial |
$1,268.96
|
Rate for Payer: Healthscope Commercial |
$1,427.58
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,189.65
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,348.27
|
Rate for Payer: PHP Commercial |
$1,348.27
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,110.34
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,379.99
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$967.42
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,395.86
|
Rate for Payer: UHC Core |
$1,324.48
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,189.65
|
|
HC CT SPINE THORACIC WO CON
|
Facility
|
OP
|
$1,586.20
|
|
Service Code
|
CPT 72128
|
Hospital Charge Code |
35200005
|
Hospital Revenue Code
|
352
|
Min. Negotiated Rate |
$72.12 |
Max. Negotiated Rate |
$1,427.58 |
Rate for Payer: Aetna Commercial |
$1,348.27
|
Rate for Payer: Aetna Medicare |
$412.41
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$495.69
|
Rate for Payer: Amish Plain Church Group Commercial |
$495.69
|
Rate for Payer: BCBS Complete |
$75.72
|
Rate for Payer: BCBS MAPPO |
$396.55
|
Rate for Payer: BCBS Trust/PPO |
$1,233.27
|
Rate for Payer: BCN Commercial |
$1,233.27
|
Rate for Payer: BCN Medicare Advantage |
$396.55
|
Rate for Payer: Cash Price |
$1,268.96
|
Rate for Payer: Cash Price |
$1,268.96
|
Rate for Payer: Cofinity Commercial |
$1,364.13
|
Rate for Payer: Encore Health Key Benefits Commercial |
$1,268.96
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$396.55
|
Rate for Payer: Healthscope Commercial |
$1,427.58
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,189.65
|
Rate for Payer: Mclaren Medicaid |
$72.12
|
Rate for Payer: Meridian Medicaid |
$75.72
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$416.38
|
Rate for Payer: MI Amish Medical Board Commercial |
$456.03
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,348.27
|
Rate for Payer: PACE Senior Care Partners |
$376.72
|
Rate for Payer: PACE SWMI |
$396.55
|
Rate for Payer: PHP Commercial |
$1,348.27
|
Rate for Payer: PHP Medicare Advantage |
$396.55
|
Rate for Payer: Priority Health Choice Medicaid |
$72.12
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,110.34
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,379.99
|
Rate for Payer: Priority Health Medicare |
$396.55
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$967.42
|
Rate for Payer: Railroad Medicare Medicare |
$396.55
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,395.86
|
Rate for Payer: UHC Core |
$1,324.48
|
Rate for Payer: UHC Dual Complete DSNP |
$396.55
|
Rate for Payer: UHC Medicare Advantage |
$408.45
|
Rate for Payer: VA VA |
$396.55
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,189.65
|
|
HC CT SPINE THORACIC WO W CON
|
Facility
|
OP
|
$2,159.90
|
|
Service Code
|
CPT 72130
|
Hospital Charge Code |
35000008
|
Hospital Revenue Code
|
350
|
Min. Negotiated Rate |
$120.53 |
Max. Negotiated Rate |
$1,943.91 |
Rate for Payer: Aetna Commercial |
$1,835.92
|
Rate for Payer: Aetna Medicare |
$561.57
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$674.97
|
Rate for Payer: Amish Plain Church Group Commercial |
$674.97
|
Rate for Payer: BCBS Complete |
$126.56
|
Rate for Payer: BCBS MAPPO |
$539.98
|
Rate for Payer: BCBS Trust/PPO |
$1,679.32
|
Rate for Payer: BCN Commercial |
$1,679.32
|
Rate for Payer: BCN Medicare Advantage |
$539.98
|
Rate for Payer: Cash Price |
$1,727.92
|
Rate for Payer: Cash Price |
$1,727.92
|
Rate for Payer: Cofinity Commercial |
$1,857.51
|
Rate for Payer: Encore Health Key Benefits Commercial |
$1,727.92
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$539.98
|
Rate for Payer: Healthscope Commercial |
$1,943.91
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,619.92
|
Rate for Payer: Mclaren Medicaid |
$120.53
|
Rate for Payer: Meridian Medicaid |
$126.56
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$566.97
|
Rate for Payer: MI Amish Medical Board Commercial |
$620.97
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,835.92
|
Rate for Payer: PACE Senior Care Partners |
$512.98
|
Rate for Payer: PACE SWMI |
$539.98
|
Rate for Payer: PHP Commercial |
$1,835.92
|
Rate for Payer: PHP Medicare Advantage |
$539.98
|
Rate for Payer: Priority Health Choice Medicaid |
$120.53
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,511.93
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,879.11
|
Rate for Payer: Priority Health Medicare |
$539.98
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,317.32
|
Rate for Payer: Railroad Medicare Medicare |
$539.98
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,900.71
|
Rate for Payer: UHC Core |
$1,803.52
|
Rate for Payer: UHC Dual Complete DSNP |
$539.98
|
Rate for Payer: UHC Medicare Advantage |
$556.17
|
Rate for Payer: VA VA |
$539.98
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,619.92
|
|
HC CT SPINE THORACIC WO W CON
|
Facility
|
IP
|
$2,159.90
|
|
Service Code
|
CPT 72130
|
Hospital Charge Code |
35000008
|
Hospital Revenue Code
|
350
|
Min. Negotiated Rate |
$1,317.32 |
Max. Negotiated Rate |
$1,943.91 |
Rate for Payer: Aetna Commercial |
$1,835.92
|
Rate for Payer: BCBS Trust/PPO |
$1,669.17
|
Rate for Payer: BCN Commercial |
$1,669.17
|
Rate for Payer: Cash Price |
$1,727.92
|
Rate for Payer: Cofinity Commercial |
$1,857.51
|
Rate for Payer: Encore Health Key Benefits Commercial |
$1,727.92
|
Rate for Payer: Healthscope Commercial |
$1,943.91
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,619.92
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,835.92
|
Rate for Payer: PHP Commercial |
$1,835.92
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,511.93
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,879.11
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,317.32
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,900.71
|
Rate for Payer: UHC Core |
$1,803.52
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,619.92
|
|
HC CT UPPER EXTREM ANGIO
|
Facility
|
IP
|
$1,799.28
|
|
Service Code
|
CPT 73206
|
Hospital Charge Code |
35000010
|
Hospital Revenue Code
|
350
|
Min. Negotiated Rate |
$1,097.38 |
Max. Negotiated Rate |
$1,619.35 |
Rate for Payer: Aetna Commercial |
$1,529.39
|
Rate for Payer: BCBS Trust/PPO |
$1,390.48
|
Rate for Payer: BCN Commercial |
$1,390.48
|
Rate for Payer: Cash Price |
$1,439.42
|
Rate for Payer: Cofinity Commercial |
$1,547.38
|
Rate for Payer: Encore Health Key Benefits Commercial |
$1,439.42
|
Rate for Payer: Healthscope Commercial |
$1,619.35
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,349.46
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,529.39
|
Rate for Payer: PHP Commercial |
$1,529.39
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,259.50
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,565.37
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,097.38
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,583.37
|
Rate for Payer: UHC Core |
$1,502.40
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,349.46
|
|
HC CT UPPER EXTREM ANGIO
|
Facility
|
OP
|
$1,799.28
|
|
Service Code
|
CPT 73206
|
Hospital Charge Code |
35000010
|
Hospital Revenue Code
|
350
|
Min. Negotiated Rate |
$120.53 |
Max. Negotiated Rate |
$1,619.35 |
Rate for Payer: Aetna Commercial |
$1,529.39
|
Rate for Payer: Aetna Medicare |
$467.81
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$562.28
|
Rate for Payer: Amish Plain Church Group Commercial |
$562.28
|
Rate for Payer: BCBS Complete |
$126.56
|
Rate for Payer: BCBS MAPPO |
$449.82
|
Rate for Payer: BCBS Trust/PPO |
$1,398.94
|
Rate for Payer: BCN Commercial |
$1,398.94
|
Rate for Payer: BCN Medicare Advantage |
$449.82
|
Rate for Payer: Cash Price |
$1,439.42
|
Rate for Payer: Cash Price |
$1,439.42
|
Rate for Payer: Cofinity Commercial |
$1,547.38
|
Rate for Payer: Encore Health Key Benefits Commercial |
$1,439.42
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$449.82
|
Rate for Payer: Healthscope Commercial |
$1,619.35
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,349.46
|
Rate for Payer: Mclaren Medicaid |
$120.53
|
Rate for Payer: Meridian Medicaid |
$126.56
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$472.31
|
Rate for Payer: MI Amish Medical Board Commercial |
$517.29
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,529.39
|
Rate for Payer: PACE Senior Care Partners |
$427.33
|
Rate for Payer: PACE SWMI |
$449.82
|
Rate for Payer: PHP Commercial |
$1,529.39
|
Rate for Payer: PHP Medicare Advantage |
$449.82
|
Rate for Payer: Priority Health Choice Medicaid |
$120.53
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,259.50
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,565.37
|
Rate for Payer: Priority Health Medicare |
$449.82
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,097.38
|
Rate for Payer: Railroad Medicare Medicare |
$449.82
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,583.37
|
Rate for Payer: UHC Core |
$1,502.40
|
Rate for Payer: UHC Dual Complete DSNP |
$449.82
|
Rate for Payer: UHC Medicare Advantage |
$463.31
|
Rate for Payer: VA VA |
$449.82
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,349.46
|
|
HC CT UPPER EXTREMITY W CON
|
Facility
|
OP
|
$1,421.88
|
|
Service Code
|
CPT 73201
|
Hospital Charge Code |
35200014
|
Hospital Revenue Code
|
352
|
Min. Negotiated Rate |
$252.28 |
Max. Negotiated Rate |
$1,279.69 |
Rate for Payer: Aetna Commercial |
$1,208.60
|
Rate for Payer: Aetna Medicare |
$369.69
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$444.34
|
Rate for Payer: Amish Plain Church Group Commercial |
$444.34
|
Rate for Payer: BCBS Complete |
$264.89
|
Rate for Payer: BCBS MAPPO |
$355.47
|
Rate for Payer: BCBS Trust/PPO |
$1,105.51
|
Rate for Payer: BCN Commercial |
$1,105.51
|
Rate for Payer: BCN Medicare Advantage |
$355.47
|
Rate for Payer: Cash Price |
$1,137.50
|
Rate for Payer: Cash Price |
$1,137.50
|
Rate for Payer: Cofinity Commercial |
$1,222.82
|
Rate for Payer: Encore Health Key Benefits Commercial |
$1,137.50
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$355.47
|
Rate for Payer: Healthscope Commercial |
$1,279.69
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,066.41
|
Rate for Payer: Mclaren Medicaid |
$252.28
|
Rate for Payer: Meridian Medicaid |
$264.89
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$373.24
|
Rate for Payer: MI Amish Medical Board Commercial |
$408.79
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,208.60
|
Rate for Payer: PACE Senior Care Partners |
$337.70
|
Rate for Payer: PACE SWMI |
$355.47
|
Rate for Payer: PHP Commercial |
$1,208.60
|
Rate for Payer: PHP Medicare Advantage |
$355.47
|
Rate for Payer: Priority Health Choice Medicaid |
$252.28
|
Rate for Payer: Priority Health Cigna Priority Health |
$995.32
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,237.04
|
Rate for Payer: Priority Health Medicare |
$355.47
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$867.20
|
Rate for Payer: Railroad Medicare Medicare |
$355.47
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,251.25
|
Rate for Payer: UHC Core |
$1,187.27
|
Rate for Payer: UHC Dual Complete DSNP |
$355.47
|
Rate for Payer: UHC Medicare Advantage |
$366.13
|
Rate for Payer: VA VA |
$355.47
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,066.41
|
|
HC CT UPPER EXTREMITY W CON
|
Facility
|
IP
|
$1,421.88
|
|
Service Code
|
CPT 73201
|
Hospital Charge Code |
35200014
|
Hospital Revenue Code
|
352
|
Min. Negotiated Rate |
$867.20 |
Max. Negotiated Rate |
$1,279.69 |
Rate for Payer: Aetna Commercial |
$1,208.60
|
Rate for Payer: BCBS Trust/PPO |
$1,098.83
|
Rate for Payer: BCN Commercial |
$1,098.83
|
Rate for Payer: Cash Price |
$1,137.50
|
Rate for Payer: Cofinity Commercial |
$1,222.82
|
Rate for Payer: Encore Health Key Benefits Commercial |
$1,137.50
|
Rate for Payer: Healthscope Commercial |
$1,279.69
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,066.41
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,208.60
|
Rate for Payer: PHP Commercial |
$1,208.60
|
Rate for Payer: Priority Health Cigna Priority Health |
$995.32
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,237.04
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$867.20
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,251.25
|
Rate for Payer: UHC Core |
$1,187.27
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,066.41
|
|
HC CT UPPER EXTREMITY WO CON
|
Facility
|
OP
|
$1,191.36
|
|
Service Code
|
CPT 73200
|
Hospital Charge Code |
35200013
|
Hospital Revenue Code
|
352
|
Min. Negotiated Rate |
$72.12 |
Max. Negotiated Rate |
$1,072.22 |
Rate for Payer: Aetna Commercial |
$1,012.66
|
Rate for Payer: Aetna Medicare |
$309.75
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$372.30
|
Rate for Payer: Amish Plain Church Group Commercial |
$372.30
|
Rate for Payer: BCBS Complete |
$75.72
|
Rate for Payer: BCBS MAPPO |
$297.84
|
Rate for Payer: BCBS Trust/PPO |
$926.28
|
Rate for Payer: BCN Commercial |
$926.28
|
Rate for Payer: BCN Medicare Advantage |
$297.84
|
Rate for Payer: Cash Price |
$953.09
|
Rate for Payer: Cash Price |
$953.09
|
Rate for Payer: Cofinity Commercial |
$1,024.57
|
Rate for Payer: Encore Health Key Benefits Commercial |
$953.09
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$297.84
|
Rate for Payer: Healthscope Commercial |
$1,072.22
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$893.52
|
Rate for Payer: Mclaren Medicaid |
$72.12
|
Rate for Payer: Meridian Medicaid |
$75.72
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$312.73
|
Rate for Payer: MI Amish Medical Board Commercial |
$342.52
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,012.66
|
Rate for Payer: PACE Senior Care Partners |
$282.95
|
Rate for Payer: PACE SWMI |
$297.84
|
Rate for Payer: PHP Commercial |
$1,012.66
|
Rate for Payer: PHP Medicare Advantage |
$297.84
|
Rate for Payer: Priority Health Choice Medicaid |
$72.12
|
Rate for Payer: Priority Health Cigna Priority Health |
$833.95
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,036.48
|
Rate for Payer: Priority Health Medicare |
$297.84
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$726.61
|
Rate for Payer: Railroad Medicare Medicare |
$297.84
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,048.40
|
Rate for Payer: UHC Core |
$994.79
|
Rate for Payer: UHC Dual Complete DSNP |
$297.84
|
Rate for Payer: UHC Medicare Advantage |
$306.78
|
Rate for Payer: VA VA |
$297.84
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$893.52
|
|
HC CT UPPER EXTREMITY WO CON
|
Facility
|
IP
|
$1,191.36
|
|
Service Code
|
CPT 73200
|
Hospital Charge Code |
35200013
|
Hospital Revenue Code
|
352
|
Min. Negotiated Rate |
$726.61 |
Max. Negotiated Rate |
$1,072.22 |
Rate for Payer: Aetna Commercial |
$1,012.66
|
Rate for Payer: BCBS Trust/PPO |
$920.68
|
Rate for Payer: BCN Commercial |
$920.68
|
Rate for Payer: Cash Price |
$953.09
|
Rate for Payer: Cofinity Commercial |
$1,024.57
|
Rate for Payer: Encore Health Key Benefits Commercial |
$953.09
|
Rate for Payer: Healthscope Commercial |
$1,072.22
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$893.52
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,012.66
|
Rate for Payer: PHP Commercial |
$1,012.66
|
Rate for Payer: Priority Health Cigna Priority Health |
$833.95
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,036.48
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$726.61
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,048.40
|
Rate for Payer: UHC Core |
$994.79
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$893.52
|
|
HC CT UPPER EXTREMITY WO W CON
|
Facility
|
OP
|
$1,657.70
|
|
Service Code
|
CPT 73202
|
Hospital Charge Code |
35200015
|
Hospital Revenue Code
|
352
|
Min. Negotiated Rate |
$120.53 |
Max. Negotiated Rate |
$1,491.93 |
Rate for Payer: Aetna Commercial |
$1,409.04
|
Rate for Payer: Aetna Medicare |
$431.00
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$518.03
|
Rate for Payer: Amish Plain Church Group Commercial |
$518.03
|
Rate for Payer: BCBS Complete |
$126.56
|
Rate for Payer: BCBS MAPPO |
$414.42
|
Rate for Payer: BCBS Trust/PPO |
$1,288.86
|
Rate for Payer: BCN Commercial |
$1,288.86
|
Rate for Payer: BCN Medicare Advantage |
$414.42
|
Rate for Payer: Cash Price |
$1,326.16
|
Rate for Payer: Cash Price |
$1,326.16
|
Rate for Payer: Cofinity Commercial |
$1,425.62
|
Rate for Payer: Encore Health Key Benefits Commercial |
$1,326.16
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$414.42
|
Rate for Payer: Healthscope Commercial |
$1,491.93
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,243.28
|
Rate for Payer: Mclaren Medicaid |
$120.53
|
Rate for Payer: Meridian Medicaid |
$126.56
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$435.15
|
Rate for Payer: MI Amish Medical Board Commercial |
$476.59
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,409.04
|
Rate for Payer: PACE Senior Care Partners |
$393.70
|
Rate for Payer: PACE SWMI |
$414.42
|
Rate for Payer: PHP Commercial |
$1,409.04
|
Rate for Payer: PHP Medicare Advantage |
$414.42
|
Rate for Payer: Priority Health Choice Medicaid |
$120.53
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,160.39
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,442.20
|
Rate for Payer: Priority Health Medicare |
$414.42
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,011.03
|
Rate for Payer: Railroad Medicare Medicare |
$414.42
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,458.78
|
Rate for Payer: UHC Core |
$1,384.18
|
Rate for Payer: UHC Dual Complete DSNP |
$414.42
|
Rate for Payer: UHC Medicare Advantage |
$426.86
|
Rate for Payer: VA VA |
$414.42
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,243.28
|
|
HC CT UPPER EXTREMITY WO W CON
|
Facility
|
IP
|
$1,657.70
|
|
Service Code
|
CPT 73202
|
Hospital Charge Code |
35200015
|
Hospital Revenue Code
|
352
|
Min. Negotiated Rate |
$1,011.03 |
Max. Negotiated Rate |
$1,491.93 |
Rate for Payer: Aetna Commercial |
$1,409.04
|
Rate for Payer: BCBS Trust/PPO |
$1,281.07
|
Rate for Payer: BCN Commercial |
$1,281.07
|
Rate for Payer: Cash Price |
$1,326.16
|
Rate for Payer: Cofinity Commercial |
$1,425.62
|
Rate for Payer: Encore Health Key Benefits Commercial |
$1,326.16
|
Rate for Payer: Healthscope Commercial |
$1,491.93
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,243.28
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,409.04
|
Rate for Payer: PHP Commercial |
$1,409.04
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,160.39
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,442.20
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,011.03
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,458.78
|
Rate for Payer: UHC Core |
$1,384.18
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,243.28
|
|
HC CT VIRTUAL COLONOSCOPY SCREENING
|
Facility
|
OP
|
$994.10
|
|
Service Code
|
CPT 74263
|
Hospital Charge Code |
35000014
|
Hospital Revenue Code
|
350
|
Min. Negotiated Rate |
$236.10 |
Max. Negotiated Rate |
$894.69 |
Rate for Payer: Aetna Commercial |
$844.98
|
Rate for Payer: Aetna Medicare |
$258.47
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$310.66
|
Rate for Payer: Amish Plain Church Group Commercial |
$310.66
|
Rate for Payer: BCBS Complete |
$397.64
|
Rate for Payer: BCBS MAPPO |
$248.52
|
Rate for Payer: BCBS Trust/PPO |
$772.91
|
Rate for Payer: BCN Commercial |
$772.91
|
Rate for Payer: BCN Medicare Advantage |
$248.52
|
Rate for Payer: Cash Price |
$795.28
|
Rate for Payer: Cofinity Commercial |
$854.93
|
Rate for Payer: Encore Health Key Benefits Commercial |
$795.28
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$248.52
|
Rate for Payer: Healthscope Commercial |
$894.69
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$745.58
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$260.95
|
Rate for Payer: MI Amish Medical Board Commercial |
$285.80
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$844.98
|
Rate for Payer: PACE Senior Care Partners |
$236.10
|
Rate for Payer: PACE SWMI |
$248.52
|
Rate for Payer: PHP Commercial |
$844.98
|
Rate for Payer: PHP Medicare Advantage |
$248.52
|
Rate for Payer: Priority Health Cigna Priority Health |
$695.87
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$864.87
|
Rate for Payer: Priority Health Medicare |
$248.52
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$606.30
|
Rate for Payer: Railroad Medicare Medicare |
$248.52
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$874.81
|
Rate for Payer: UHC Core |
$830.07
|
Rate for Payer: UHC Dual Complete DSNP |
$248.52
|
Rate for Payer: UHC Medicare Advantage |
$255.98
|
Rate for Payer: VA VA |
$248.52
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$745.58
|
|
HC CT VIRTUAL COLONOSCOPY SCREENING
|
Facility
|
IP
|
$994.10
|
|
Service Code
|
CPT 74263
|
Hospital Charge Code |
35000014
|
Hospital Revenue Code
|
350
|
Min. Negotiated Rate |
$606.30 |
Max. Negotiated Rate |
$894.69 |
Rate for Payer: Aetna Commercial |
$844.98
|
Rate for Payer: BCBS Trust/PPO |
$768.24
|
Rate for Payer: BCN Commercial |
$768.24
|
Rate for Payer: Cash Price |
$795.28
|
Rate for Payer: Cofinity Commercial |
$854.93
|
Rate for Payer: Encore Health Key Benefits Commercial |
$795.28
|
Rate for Payer: Healthscope Commercial |
$894.69
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$745.58
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$844.98
|
Rate for Payer: PHP Commercial |
$844.98
|
Rate for Payer: Priority Health Cigna Priority Health |
$695.87
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$864.87
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$606.30
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$874.81
|
Rate for Payer: UHC Core |
$830.07
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$745.58
|
|
HC CT VIRTUAL COLON W CON DIAG
|
Facility
|
OP
|
$1,261.30
|
|
Service Code
|
CPT 74262
|
Hospital Charge Code |
35000013
|
Hospital Revenue Code
|
350
|
Min. Negotiated Rate |
$120.53 |
Max. Negotiated Rate |
$1,135.17 |
Rate for Payer: Aetna Commercial |
$1,072.10
|
Rate for Payer: Aetna Medicare |
$327.94
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$394.16
|
Rate for Payer: Amish Plain Church Group Commercial |
$394.16
|
Rate for Payer: BCBS Complete |
$126.56
|
Rate for Payer: BCBS MAPPO |
$315.32
|
Rate for Payer: BCBS Trust/PPO |
$980.66
|
Rate for Payer: BCN Commercial |
$980.66
|
Rate for Payer: BCN Medicare Advantage |
$315.32
|
Rate for Payer: Cash Price |
$1,009.04
|
Rate for Payer: Cash Price |
$1,009.04
|
Rate for Payer: Cofinity Commercial |
$1,084.72
|
Rate for Payer: Encore Health Key Benefits Commercial |
$1,009.04
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$315.32
|
Rate for Payer: Healthscope Commercial |
$1,135.17
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$945.98
|
Rate for Payer: Mclaren Medicaid |
$120.53
|
Rate for Payer: Meridian Medicaid |
$126.56
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$331.09
|
Rate for Payer: MI Amish Medical Board Commercial |
$362.62
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,072.10
|
Rate for Payer: PACE Senior Care Partners |
$299.56
|
Rate for Payer: PACE SWMI |
$315.32
|
Rate for Payer: PHP Commercial |
$1,072.10
|
Rate for Payer: PHP Medicare Advantage |
$315.32
|
Rate for Payer: Priority Health Choice Medicaid |
$120.53
|
Rate for Payer: Priority Health Cigna Priority Health |
$882.91
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,097.33
|
Rate for Payer: Priority Health Medicare |
$315.32
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$769.27
|
Rate for Payer: Railroad Medicare Medicare |
$315.32
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,109.94
|
Rate for Payer: UHC Core |
$1,053.19
|
Rate for Payer: UHC Dual Complete DSNP |
$315.32
|
Rate for Payer: UHC Medicare Advantage |
$324.78
|
Rate for Payer: VA VA |
$315.32
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$945.98
|
|
HC CT VIRTUAL COLON W CON DIAG
|
Facility
|
IP
|
$1,261.30
|
|
Service Code
|
CPT 74262
|
Hospital Charge Code |
35000013
|
Hospital Revenue Code
|
350
|
Min. Negotiated Rate |
$769.27 |
Max. Negotiated Rate |
$1,135.17 |
Rate for Payer: Aetna Commercial |
$1,072.10
|
Rate for Payer: BCBS Trust/PPO |
$974.73
|
Rate for Payer: BCN Commercial |
$974.73
|
Rate for Payer: Cash Price |
$1,009.04
|
Rate for Payer: Cofinity Commercial |
$1,084.72
|
Rate for Payer: Encore Health Key Benefits Commercial |
$1,009.04
|
Rate for Payer: Healthscope Commercial |
$1,135.17
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$945.98
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,072.10
|
Rate for Payer: PHP Commercial |
$1,072.10
|
Rate for Payer: Priority Health Cigna Priority Health |
$882.91
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,097.33
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$769.27
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,109.94
|
Rate for Payer: UHC Core |
$1,053.19
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$945.98
|
|
HC CT VIRTUAL COLON WO CON DIAG
|
Facility
|
OP
|
$1,261.30
|
|
Service Code
|
CPT 74261
|
Hospital Charge Code |
35000012
|
Hospital Revenue Code
|
350
|
Min. Negotiated Rate |
$72.12 |
Max. Negotiated Rate |
$1,135.17 |
Rate for Payer: Aetna Commercial |
$1,072.10
|
Rate for Payer: Aetna Medicare |
$327.94
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$394.16
|
Rate for Payer: Amish Plain Church Group Commercial |
$394.16
|
Rate for Payer: BCBS Complete |
$75.72
|
Rate for Payer: BCBS MAPPO |
$315.32
|
Rate for Payer: BCBS Trust/PPO |
$980.66
|
Rate for Payer: BCN Commercial |
$980.66
|
Rate for Payer: BCN Medicare Advantage |
$315.32
|
Rate for Payer: Cash Price |
$1,009.04
|
Rate for Payer: Cash Price |
$1,009.04
|
Rate for Payer: Cofinity Commercial |
$1,084.72
|
Rate for Payer: Encore Health Key Benefits Commercial |
$1,009.04
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$315.32
|
Rate for Payer: Healthscope Commercial |
$1,135.17
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$945.98
|
Rate for Payer: Mclaren Medicaid |
$72.12
|
Rate for Payer: Meridian Medicaid |
$75.72
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$331.09
|
Rate for Payer: MI Amish Medical Board Commercial |
$362.62
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,072.10
|
Rate for Payer: PACE Senior Care Partners |
$299.56
|
Rate for Payer: PACE SWMI |
$315.32
|
Rate for Payer: PHP Commercial |
$1,072.10
|
Rate for Payer: PHP Medicare Advantage |
$315.32
|
Rate for Payer: Priority Health Choice Medicaid |
$72.12
|
Rate for Payer: Priority Health Cigna Priority Health |
$882.91
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,097.33
|
Rate for Payer: Priority Health Medicare |
$315.32
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$769.27
|
Rate for Payer: Railroad Medicare Medicare |
$315.32
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,109.94
|
Rate for Payer: UHC Core |
$1,053.19
|
Rate for Payer: UHC Dual Complete DSNP |
$315.32
|
Rate for Payer: UHC Medicare Advantage |
$324.78
|
Rate for Payer: VA VA |
$315.32
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$945.98
|
|
HC CT VIRTUAL COLON WO CON DIAG
|
Facility
|
IP
|
$1,261.30
|
|
Service Code
|
CPT 74261
|
Hospital Charge Code |
35000012
|
Hospital Revenue Code
|
350
|
Min. Negotiated Rate |
$769.27 |
Max. Negotiated Rate |
$1,135.17 |
Rate for Payer: Aetna Commercial |
$1,072.10
|
Rate for Payer: BCBS Trust/PPO |
$974.73
|
Rate for Payer: BCN Commercial |
$974.73
|
Rate for Payer: Cash Price |
$1,009.04
|
Rate for Payer: Cofinity Commercial |
$1,084.72
|
Rate for Payer: Encore Health Key Benefits Commercial |
$1,009.04
|
Rate for Payer: Healthscope Commercial |
$1,135.17
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$945.98
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,072.10
|
Rate for Payer: PHP Commercial |
$1,072.10
|
Rate for Payer: Priority Health Cigna Priority Health |
$882.91
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,097.33
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$769.27
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,109.94
|
Rate for Payer: UHC Core |
$1,053.19
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$945.98
|
|
HC CT Z ABSCESS S T NECK THORAX
|
Facility
|
OP
|
$2,593.51
|
|
Service Code
|
CPT 21501
|
Hospital Charge Code |
36100319
|
Hospital Revenue Code
|
361
|
Min. Negotiated Rate |
$615.96 |
Max. Negotiated Rate |
$2,334.16 |
Rate for Payer: Aetna Commercial |
$2,204.48
|
Rate for Payer: Aetna Medicare |
$674.31
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$810.47
|
Rate for Payer: Amish Plain Church Group Commercial |
$810.47
|
Rate for Payer: BCBS Complete |
$1,957.20
|
Rate for Payer: BCBS MAPPO |
$648.38
|
Rate for Payer: BCBS Trust/PPO |
$2,016.45
|
Rate for Payer: BCN Commercial |
$2,016.45
|
Rate for Payer: BCN Medicare Advantage |
$648.38
|
Rate for Payer: Cash Price |
$2,074.81
|
Rate for Payer: Cash Price |
$2,074.81
|
Rate for Payer: Cofinity Commercial |
$2,230.42
|
Rate for Payer: Encore Health Key Benefits Commercial |
$2,074.81
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$648.38
|
Rate for Payer: Healthscope Commercial |
$2,334.16
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,945.13
|
Rate for Payer: Mclaren Medicaid |
$1,864.00
|
Rate for Payer: Meridian Medicaid |
$1,957.20
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$680.80
|
Rate for Payer: MI Amish Medical Board Commercial |
$745.63
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,204.48
|
Rate for Payer: PACE Senior Care Partners |
$615.96
|
Rate for Payer: PACE SWMI |
$648.38
|
Rate for Payer: PHP Commercial |
$2,204.48
|
Rate for Payer: PHP Medicare Advantage |
$648.38
|
Rate for Payer: Priority Health Choice Medicaid |
$1,864.00
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,815.46
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,256.35
|
Rate for Payer: Priority Health Medicare |
$648.38
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,581.78
|
Rate for Payer: Railroad Medicare Medicare |
$648.38
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$2,282.29
|
Rate for Payer: UHC Core |
$2,165.58
|
Rate for Payer: UHC Dual Complete DSNP |
$648.38
|
Rate for Payer: UHC Medicare Advantage |
$667.83
|
Rate for Payer: VA VA |
$648.38
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,945.13
|
|
HC CT Z ABSCESS S T NECK THORAX
|
Facility
|
IP
|
$2,593.51
|
|
Service Code
|
CPT 21501
|
Hospital Charge Code |
36100319
|
Hospital Revenue Code
|
361
|
Min. Negotiated Rate |
$1,581.78 |
Max. Negotiated Rate |
$2,334.16 |
Rate for Payer: Aetna Commercial |
$2,204.48
|
Rate for Payer: BCBS Trust/PPO |
$2,004.26
|
Rate for Payer: BCN Commercial |
$2,004.26
|
Rate for Payer: Cash Price |
$2,074.81
|
Rate for Payer: Cofinity Commercial |
$2,230.42
|
Rate for Payer: Encore Health Key Benefits Commercial |
$2,074.81
|
Rate for Payer: Healthscope Commercial |
$2,334.16
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,945.13
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,204.48
|
Rate for Payer: PHP Commercial |
$2,204.48
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,815.46
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,256.35
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,581.78
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$2,282.29
|
Rate for Payer: UHC Core |
$2,165.58
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,945.13
|
|
HC CULTURE ADDITIONAL ID
|
Facility
|
IP
|
$51.31
|
|
Service Code
|
CPT 87077
|
Hospital Charge Code |
30600078
|
Hospital Revenue Code
|
306
|
Min. Negotiated Rate |
$31.29 |
Max. Negotiated Rate |
$46.18 |
Rate for Payer: Aetna Commercial |
$43.61
|
Rate for Payer: BCBS Trust/PPO |
$39.65
|
Rate for Payer: BCN Commercial |
$39.65
|
Rate for Payer: Cash Price |
$41.05
|
Rate for Payer: Cofinity Commercial |
$44.13
|
Rate for Payer: Encore Health Key Benefits Commercial |
$41.05
|
Rate for Payer: Healthscope Commercial |
$46.18
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$38.48
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$43.61
|
Rate for Payer: PHP Commercial |
$43.61
|
Rate for Payer: Priority Health Cigna Priority Health |
$35.92
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$44.64
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$31.29
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$45.15
|
Rate for Payer: UHC Core |
$42.84
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$38.48
|
|
HC CULTURE ADDITIONAL ID
|
Facility
|
OP
|
$51.31
|
|
Service Code
|
CPT 87077
|
Hospital Charge Code |
30600078
|
Hospital Revenue Code
|
306
|
Min. Negotiated Rate |
$5.96 |
Max. Negotiated Rate |
$46.18 |
Rate for Payer: Aetna Commercial |
$43.61
|
Rate for Payer: Aetna Medicare |
$13.34
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$16.03
|
Rate for Payer: Amish Plain Church Group Commercial |
$16.03
|
Rate for Payer: BCBS Complete |
$6.26
|
Rate for Payer: BCBS MAPPO |
$12.83
|
Rate for Payer: BCBS Trust/PPO |
$39.89
|
Rate for Payer: BCN Commercial |
$39.89
|
Rate for Payer: BCN Medicare Advantage |
$12.83
|
Rate for Payer: Cash Price |
$41.05
|
Rate for Payer: Cash Price |
$41.05
|
Rate for Payer: Cofinity Commercial |
$44.13
|
Rate for Payer: Encore Health Key Benefits Commercial |
$41.05
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$12.83
|
Rate for Payer: Healthscope Commercial |
$46.18
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$38.48
|
Rate for Payer: Mclaren Medicaid |
$5.96
|
Rate for Payer: Meridian Medicaid |
$6.26
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$13.47
|
Rate for Payer: MI Amish Medical Board Commercial |
$14.75
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$43.61
|
Rate for Payer: PACE Senior Care Partners |
$12.19
|
Rate for Payer: PACE SWMI |
$12.83
|
Rate for Payer: PHP Commercial |
$43.61
|
Rate for Payer: PHP Medicare Advantage |
$12.83
|
Rate for Payer: Priority Health Choice Medicaid |
$5.96
|
Rate for Payer: Priority Health Cigna Priority Health |
$35.92
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$44.64
|
Rate for Payer: Priority Health Medicare |
$12.83
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$31.29
|
Rate for Payer: Railroad Medicare Medicare |
$12.83
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$45.15
|
Rate for Payer: UHC Core |
$42.84
|
Rate for Payer: UHC Dual Complete DSNP |
$12.83
|
Rate for Payer: UHC Medicare Advantage |
$13.21
|
Rate for Payer: VA VA |
$12.83
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$38.48
|
|
HC CULTURE ENTERIC PATH STOOL
|
Facility
|
OP
|
$40.84
|
|
Service Code
|
CPT 87045
|
Hospital Charge Code |
30600323
|
Hospital Revenue Code
|
306
|
Min. Negotiated Rate |
$6.97 |
Max. Negotiated Rate |
$36.76 |
Rate for Payer: Aetna Commercial |
$34.71
|
Rate for Payer: Aetna Medicare |
$10.62
|
Rate for Payer: Allen County Amish Medical Aid Commercial |
$12.76
|
Rate for Payer: Amish Plain Church Group Commercial |
$12.76
|
Rate for Payer: BCBS Complete |
$7.32
|
Rate for Payer: BCBS MAPPO |
$10.21
|
Rate for Payer: BCBS Trust/PPO |
$31.75
|
Rate for Payer: BCN Commercial |
$31.75
|
Rate for Payer: BCN Medicare Advantage |
$10.21
|
Rate for Payer: Cash Price |
$32.67
|
Rate for Payer: Cash Price |
$32.67
|
Rate for Payer: Cofinity Commercial |
$35.12
|
Rate for Payer: Encore Health Key Benefits Commercial |
$32.67
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$10.21
|
Rate for Payer: Healthscope Commercial |
$36.76
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$30.63
|
Rate for Payer: Mclaren Medicaid |
$6.97
|
Rate for Payer: Meridian Medicaid |
$7.32
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$10.72
|
Rate for Payer: MI Amish Medical Board Commercial |
$11.74
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$34.71
|
Rate for Payer: PACE Senior Care Partners |
$9.70
|
Rate for Payer: PACE SWMI |
$10.21
|
Rate for Payer: PHP Commercial |
$34.71
|
Rate for Payer: PHP Medicare Advantage |
$10.21
|
Rate for Payer: Priority Health Choice Medicaid |
$6.97
|
Rate for Payer: Priority Health Cigna Priority Health |
$28.59
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$35.53
|
Rate for Payer: Priority Health Medicare |
$10.21
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$24.91
|
Rate for Payer: Railroad Medicare Medicare |
$10.21
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$35.94
|
Rate for Payer: UHC Core |
$34.10
|
Rate for Payer: UHC Dual Complete DSNP |
$10.21
|
Rate for Payer: UHC Medicare Advantage |
$10.52
|
Rate for Payer: VA VA |
$10.21
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$30.63
|
|
HC CULTURE ENTERIC PATH STOOL
|
Facility
|
IP
|
$40.84
|
|
Service Code
|
CPT 87045
|
Hospital Charge Code |
30600323
|
Hospital Revenue Code
|
306
|
Min. Negotiated Rate |
$24.91 |
Max. Negotiated Rate |
$36.76 |
Rate for Payer: Aetna Commercial |
$34.71
|
Rate for Payer: BCBS Trust/PPO |
$31.56
|
Rate for Payer: BCN Commercial |
$31.56
|
Rate for Payer: Cash Price |
$32.67
|
Rate for Payer: Cofinity Commercial |
$35.12
|
Rate for Payer: Encore Health Key Benefits Commercial |
$32.67
|
Rate for Payer: Healthscope Commercial |
$36.76
|
Rate for Payer: Lakeland Regional Health Systems Commercial |
$30.63
|
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$34.71
|
Rate for Payer: PHP Commercial |
$34.71
|
Rate for Payer: Priority Health Cigna Priority Health |
$28.59
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$35.53
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$24.91
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$35.94
|
Rate for Payer: UHC Core |
$34.10
|
Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$30.63
|
|