|
HC CX ID BY PCR AMP, ENTEROBACTERIACEA
|
Facility
|
IP
|
$56.35
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600240
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$34.37 |
| Max. Negotiated Rate |
$50.72 |
| Rate for Payer: Aetna Commercial |
$47.90
|
| Rate for Payer: BCBS Trust/PPO |
$43.55
|
| Rate for Payer: BCN Commercial |
$43.55
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cofinity Commercial |
$48.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.08
|
| Rate for Payer: Healthscope Commercial |
$50.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$42.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$47.90
|
| Rate for Payer: PHP Commercial |
$47.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$34.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49.59
|
| Rate for Payer: UHC Core |
$47.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$42.26
|
|
|
HC CX ID BY PCR AMPLIFED, C GLA
|
Facility
|
OP
|
$56.35
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600248
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$13.38 |
| Max. Negotiated Rate |
$50.72 |
| Rate for Payer: Aetna Commercial |
$47.90
|
| Rate for Payer: Aetna Medicare |
$14.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17.61
|
| Rate for Payer: BCBS Complete |
$27.19
|
| Rate for Payer: BCBS MAPPO |
$14.09
|
| Rate for Payer: BCBS Trust/PPO |
$43.81
|
| Rate for Payer: BCN Commercial |
$43.81
|
| Rate for Payer: BCN Medicare Advantage |
$14.09
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cofinity Commercial |
$48.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.09
|
| Rate for Payer: Healthscope Commercial |
$50.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$42.26
|
| Rate for Payer: Mclaren Medicaid |
$25.90
|
| Rate for Payer: Meridian Medicaid |
$27.19
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$14.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$47.90
|
| Rate for Payer: PACE Senior Care Partners |
$13.38
|
| Rate for Payer: PACE SWMI |
$14.09
|
| Rate for Payer: PHP Commercial |
$47.90
|
| Rate for Payer: PHP Medicare Advantage |
$14.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$25.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49.02
|
| Rate for Payer: Priority Health Medicare |
$14.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$34.37
|
| Rate for Payer: Railroad Medicare Medicare |
$14.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49.59
|
| Rate for Payer: UHC Core |
$47.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$14.09
|
| Rate for Payer: UHC Medicare Advantage |
$14.51
|
| Rate for Payer: VA VA |
$14.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$42.26
|
|
|
HC CX ID BY PCR AMPLIFED, C GLA
|
Facility
|
IP
|
$56.35
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600248
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$34.37 |
| Max. Negotiated Rate |
$50.72 |
| Rate for Payer: Aetna Commercial |
$47.90
|
| Rate for Payer: BCBS Trust/PPO |
$43.55
|
| Rate for Payer: BCN Commercial |
$43.55
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cofinity Commercial |
$48.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.08
|
| Rate for Payer: Healthscope Commercial |
$50.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$42.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$47.90
|
| Rate for Payer: PHP Commercial |
$47.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$34.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49.59
|
| Rate for Payer: UHC Core |
$47.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$42.26
|
|
|
HC CX ID BY PCR AMPLIFIED, ACIN
|
Facility
|
IP
|
$56.35
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600236
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$34.37 |
| Max. Negotiated Rate |
$50.72 |
| Rate for Payer: Aetna Commercial |
$47.90
|
| Rate for Payer: BCBS Trust/PPO |
$43.55
|
| Rate for Payer: BCN Commercial |
$43.55
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cofinity Commercial |
$48.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.08
|
| Rate for Payer: Healthscope Commercial |
$50.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$42.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$47.90
|
| Rate for Payer: PHP Commercial |
$47.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$34.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49.59
|
| Rate for Payer: UHC Core |
$47.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$42.26
|
|
|
HC CX ID BY PCR AMPLIFIED, ACIN
|
Facility
|
OP
|
$56.35
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600236
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$13.38 |
| Max. Negotiated Rate |
$50.72 |
| Rate for Payer: Aetna Commercial |
$47.90
|
| Rate for Payer: Aetna Medicare |
$14.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17.61
|
| Rate for Payer: BCBS Complete |
$27.19
|
| Rate for Payer: BCBS MAPPO |
$14.09
|
| Rate for Payer: BCBS Trust/PPO |
$43.81
|
| Rate for Payer: BCN Commercial |
$43.81
|
| Rate for Payer: BCN Medicare Advantage |
$14.09
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cofinity Commercial |
$48.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.09
|
| Rate for Payer: Healthscope Commercial |
$50.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$42.26
|
| Rate for Payer: Mclaren Medicaid |
$25.90
|
| Rate for Payer: Meridian Medicaid |
$27.19
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$14.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$47.90
|
| Rate for Payer: PACE Senior Care Partners |
$13.38
|
| Rate for Payer: PACE SWMI |
$14.09
|
| Rate for Payer: PHP Commercial |
$47.90
|
| Rate for Payer: PHP Medicare Advantage |
$14.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$25.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49.02
|
| Rate for Payer: Priority Health Medicare |
$14.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$34.37
|
| Rate for Payer: Railroad Medicare Medicare |
$14.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49.59
|
| Rate for Payer: UHC Core |
$47.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$14.09
|
| Rate for Payer: UHC Medicare Advantage |
$14.51
|
| Rate for Payer: VA VA |
$14.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$42.26
|
|
|
HC CX ID BY PCR AMPLIFIED, BSA
|
Facility
|
IP
|
$56.35
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600235
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$34.37 |
| Max. Negotiated Rate |
$50.72 |
| Rate for Payer: Aetna Commercial |
$47.90
|
| Rate for Payer: BCBS Trust/PPO |
$43.55
|
| Rate for Payer: BCN Commercial |
$43.55
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cofinity Commercial |
$48.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.08
|
| Rate for Payer: Healthscope Commercial |
$50.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$42.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$47.90
|
| Rate for Payer: PHP Commercial |
$47.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$34.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49.59
|
| Rate for Payer: UHC Core |
$47.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$42.26
|
|
|
HC CX ID BY PCR AMPLIFIED, BSA
|
Facility
|
OP
|
$56.35
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600235
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$13.38 |
| Max. Negotiated Rate |
$50.72 |
| Rate for Payer: Aetna Commercial |
$47.90
|
| Rate for Payer: Aetna Medicare |
$14.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17.61
|
| Rate for Payer: BCBS Complete |
$27.19
|
| Rate for Payer: BCBS MAPPO |
$14.09
|
| Rate for Payer: BCBS Trust/PPO |
$43.81
|
| Rate for Payer: BCN Commercial |
$43.81
|
| Rate for Payer: BCN Medicare Advantage |
$14.09
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cofinity Commercial |
$48.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.09
|
| Rate for Payer: Healthscope Commercial |
$50.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$42.26
|
| Rate for Payer: Mclaren Medicaid |
$25.90
|
| Rate for Payer: Meridian Medicaid |
$27.19
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$14.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$47.90
|
| Rate for Payer: PACE Senior Care Partners |
$13.38
|
| Rate for Payer: PACE SWMI |
$14.09
|
| Rate for Payer: PHP Commercial |
$47.90
|
| Rate for Payer: PHP Medicare Advantage |
$14.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$25.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49.02
|
| Rate for Payer: Priority Health Medicare |
$14.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$34.37
|
| Rate for Payer: Railroad Medicare Medicare |
$14.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49.59
|
| Rate for Payer: UHC Core |
$47.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$14.09
|
| Rate for Payer: UHC Medicare Advantage |
$14.51
|
| Rate for Payer: VA VA |
$14.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$42.26
|
|
|
HC CX ID BY PCR AMPLIFIED, BSB
|
Facility
|
IP
|
$56.35
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600234
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$34.37 |
| Max. Negotiated Rate |
$50.72 |
| Rate for Payer: Aetna Commercial |
$47.90
|
| Rate for Payer: BCBS Trust/PPO |
$43.55
|
| Rate for Payer: BCN Commercial |
$43.55
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cofinity Commercial |
$48.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.08
|
| Rate for Payer: Healthscope Commercial |
$50.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$42.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$47.90
|
| Rate for Payer: PHP Commercial |
$47.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$34.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49.59
|
| Rate for Payer: UHC Core |
$47.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$42.26
|
|
|
HC CX ID BY PCR AMPLIFIED, BSB
|
Facility
|
OP
|
$56.35
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600234
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$13.38 |
| Max. Negotiated Rate |
$50.72 |
| Rate for Payer: Aetna Commercial |
$47.90
|
| Rate for Payer: Aetna Medicare |
$14.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17.61
|
| Rate for Payer: BCBS Complete |
$27.19
|
| Rate for Payer: BCBS MAPPO |
$14.09
|
| Rate for Payer: BCBS Trust/PPO |
$43.81
|
| Rate for Payer: BCN Commercial |
$43.81
|
| Rate for Payer: BCN Medicare Advantage |
$14.09
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cofinity Commercial |
$48.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.09
|
| Rate for Payer: Healthscope Commercial |
$50.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$42.26
|
| Rate for Payer: Mclaren Medicaid |
$25.90
|
| Rate for Payer: Meridian Medicaid |
$27.19
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$14.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$47.90
|
| Rate for Payer: PACE Senior Care Partners |
$13.38
|
| Rate for Payer: PACE SWMI |
$14.09
|
| Rate for Payer: PHP Commercial |
$47.90
|
| Rate for Payer: PHP Medicare Advantage |
$14.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$25.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49.02
|
| Rate for Payer: Priority Health Medicare |
$14.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$34.37
|
| Rate for Payer: Railroad Medicare Medicare |
$14.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49.59
|
| Rate for Payer: UHC Core |
$47.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$14.09
|
| Rate for Payer: UHC Medicare Advantage |
$14.51
|
| Rate for Payer: VA VA |
$14.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$42.26
|
|
|
HC CX ID BY PCR AMPLIFIED, C ALB
|
Facility
|
OP
|
$56.35
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600247
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$13.38 |
| Max. Negotiated Rate |
$50.72 |
| Rate for Payer: Aetna Commercial |
$47.90
|
| Rate for Payer: Aetna Medicare |
$14.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17.61
|
| Rate for Payer: BCBS Complete |
$27.19
|
| Rate for Payer: BCBS MAPPO |
$14.09
|
| Rate for Payer: BCBS Trust/PPO |
$43.81
|
| Rate for Payer: BCN Commercial |
$43.81
|
| Rate for Payer: BCN Medicare Advantage |
$14.09
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cofinity Commercial |
$48.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.09
|
| Rate for Payer: Healthscope Commercial |
$50.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$42.26
|
| Rate for Payer: Mclaren Medicaid |
$25.90
|
| Rate for Payer: Meridian Medicaid |
$27.19
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$14.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$47.90
|
| Rate for Payer: PACE Senior Care Partners |
$13.38
|
| Rate for Payer: PACE SWMI |
$14.09
|
| Rate for Payer: PHP Commercial |
$47.90
|
| Rate for Payer: PHP Medicare Advantage |
$14.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$25.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49.02
|
| Rate for Payer: Priority Health Medicare |
$14.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$34.37
|
| Rate for Payer: Railroad Medicare Medicare |
$14.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49.59
|
| Rate for Payer: UHC Core |
$47.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$14.09
|
| Rate for Payer: UHC Medicare Advantage |
$14.51
|
| Rate for Payer: VA VA |
$14.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$42.26
|
|
|
HC CX ID BY PCR AMPLIFIED, C ALB
|
Facility
|
IP
|
$56.35
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600247
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$34.37 |
| Max. Negotiated Rate |
$50.72 |
| Rate for Payer: Aetna Commercial |
$47.90
|
| Rate for Payer: BCBS Trust/PPO |
$43.55
|
| Rate for Payer: BCN Commercial |
$43.55
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cofinity Commercial |
$48.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.08
|
| Rate for Payer: Healthscope Commercial |
$50.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$42.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$47.90
|
| Rate for Payer: PHP Commercial |
$47.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$34.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49.59
|
| Rate for Payer: UHC Core |
$47.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$42.26
|
|
|
HC CX ID BY PCR AMPLIFIED, C KRU
|
Facility
|
OP
|
$56.35
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600249
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$13.38 |
| Max. Negotiated Rate |
$50.72 |
| Rate for Payer: Aetna Commercial |
$47.90
|
| Rate for Payer: Aetna Medicare |
$14.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17.61
|
| Rate for Payer: BCBS Complete |
$27.19
|
| Rate for Payer: BCBS MAPPO |
$14.09
|
| Rate for Payer: BCBS Trust/PPO |
$43.81
|
| Rate for Payer: BCN Commercial |
$43.81
|
| Rate for Payer: BCN Medicare Advantage |
$14.09
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cofinity Commercial |
$48.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.09
|
| Rate for Payer: Healthscope Commercial |
$50.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$42.26
|
| Rate for Payer: Mclaren Medicaid |
$25.90
|
| Rate for Payer: Meridian Medicaid |
$27.19
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$14.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$47.90
|
| Rate for Payer: PACE Senior Care Partners |
$13.38
|
| Rate for Payer: PACE SWMI |
$14.09
|
| Rate for Payer: PHP Commercial |
$47.90
|
| Rate for Payer: PHP Medicare Advantage |
$14.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$25.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49.02
|
| Rate for Payer: Priority Health Medicare |
$14.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$34.37
|
| Rate for Payer: Railroad Medicare Medicare |
$14.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49.59
|
| Rate for Payer: UHC Core |
$47.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$14.09
|
| Rate for Payer: UHC Medicare Advantage |
$14.51
|
| Rate for Payer: VA VA |
$14.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$42.26
|
|
|
HC CX ID BY PCR AMPLIFIED, C KRU
|
Facility
|
IP
|
$56.35
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600249
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$34.37 |
| Max. Negotiated Rate |
$50.72 |
| Rate for Payer: Aetna Commercial |
$47.90
|
| Rate for Payer: BCBS Trust/PPO |
$43.55
|
| Rate for Payer: BCN Commercial |
$43.55
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cofinity Commercial |
$48.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.08
|
| Rate for Payer: Healthscope Commercial |
$50.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$42.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$47.90
|
| Rate for Payer: PHP Commercial |
$47.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$34.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49.59
|
| Rate for Payer: UHC Core |
$47.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$42.26
|
|
|
HC CX ID BY PCR AMPLIFIED, C PARA
|
Facility
|
IP
|
$56.35
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600250
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$34.37 |
| Max. Negotiated Rate |
$50.72 |
| Rate for Payer: Aetna Commercial |
$47.90
|
| Rate for Payer: BCBS Trust/PPO |
$43.55
|
| Rate for Payer: BCN Commercial |
$43.55
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cofinity Commercial |
$48.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.08
|
| Rate for Payer: Healthscope Commercial |
$50.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$42.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$47.90
|
| Rate for Payer: PHP Commercial |
$47.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$34.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49.59
|
| Rate for Payer: UHC Core |
$47.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$42.26
|
|
|
HC CX ID BY PCR AMPLIFIED, C PARA
|
Facility
|
OP
|
$56.35
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600250
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$13.38 |
| Max. Negotiated Rate |
$50.72 |
| Rate for Payer: Aetna Commercial |
$47.90
|
| Rate for Payer: Aetna Medicare |
$14.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17.61
|
| Rate for Payer: BCBS Complete |
$27.19
|
| Rate for Payer: BCBS MAPPO |
$14.09
|
| Rate for Payer: BCBS Trust/PPO |
$43.81
|
| Rate for Payer: BCN Commercial |
$43.81
|
| Rate for Payer: BCN Medicare Advantage |
$14.09
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cofinity Commercial |
$48.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.09
|
| Rate for Payer: Healthscope Commercial |
$50.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$42.26
|
| Rate for Payer: Mclaren Medicaid |
$25.90
|
| Rate for Payer: Meridian Medicaid |
$27.19
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$14.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$47.90
|
| Rate for Payer: PACE Senior Care Partners |
$13.38
|
| Rate for Payer: PACE SWMI |
$14.09
|
| Rate for Payer: PHP Commercial |
$47.90
|
| Rate for Payer: PHP Medicare Advantage |
$14.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$25.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49.02
|
| Rate for Payer: Priority Health Medicare |
$14.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$34.37
|
| Rate for Payer: Railroad Medicare Medicare |
$14.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49.59
|
| Rate for Payer: UHC Core |
$47.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$14.09
|
| Rate for Payer: UHC Medicare Advantage |
$14.51
|
| Rate for Payer: VA VA |
$14.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$42.26
|
|
|
HC CX ID BY PCR AMPLIFIED, C TROP
|
Facility
|
IP
|
$56.35
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600251
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$34.37 |
| Max. Negotiated Rate |
$50.72 |
| Rate for Payer: Aetna Commercial |
$47.90
|
| Rate for Payer: BCBS Trust/PPO |
$43.55
|
| Rate for Payer: BCN Commercial |
$43.55
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cofinity Commercial |
$48.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.08
|
| Rate for Payer: Healthscope Commercial |
$50.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$42.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$47.90
|
| Rate for Payer: PHP Commercial |
$47.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$34.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49.59
|
| Rate for Payer: UHC Core |
$47.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$42.26
|
|
|
HC CX ID BY PCR AMPLIFIED, C TROP
|
Facility
|
OP
|
$56.35
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600251
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$13.38 |
| Max. Negotiated Rate |
$50.72 |
| Rate for Payer: Aetna Commercial |
$47.90
|
| Rate for Payer: Aetna Medicare |
$14.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17.61
|
| Rate for Payer: BCBS Complete |
$27.19
|
| Rate for Payer: BCBS MAPPO |
$14.09
|
| Rate for Payer: BCBS Trust/PPO |
$43.81
|
| Rate for Payer: BCN Commercial |
$43.81
|
| Rate for Payer: BCN Medicare Advantage |
$14.09
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cofinity Commercial |
$48.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.09
|
| Rate for Payer: Healthscope Commercial |
$50.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$42.26
|
| Rate for Payer: Mclaren Medicaid |
$25.90
|
| Rate for Payer: Meridian Medicaid |
$27.19
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$14.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$47.90
|
| Rate for Payer: PACE Senior Care Partners |
$13.38
|
| Rate for Payer: PACE SWMI |
$14.09
|
| Rate for Payer: PHP Commercial |
$47.90
|
| Rate for Payer: PHP Medicare Advantage |
$14.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$25.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49.02
|
| Rate for Payer: Priority Health Medicare |
$14.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$34.37
|
| Rate for Payer: Railroad Medicare Medicare |
$14.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49.59
|
| Rate for Payer: UHC Core |
$47.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$14.09
|
| Rate for Payer: UHC Medicare Advantage |
$14.51
|
| Rate for Payer: VA VA |
$14.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$42.26
|
|
|
HC CX ID BY PCR AMPLIFIED, E CLOACAE
|
Facility
|
IP
|
$56.35
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600241
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$34.37 |
| Max. Negotiated Rate |
$50.72 |
| Rate for Payer: Aetna Commercial |
$47.90
|
| Rate for Payer: BCBS Trust/PPO |
$43.55
|
| Rate for Payer: BCN Commercial |
$43.55
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cofinity Commercial |
$48.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.08
|
| Rate for Payer: Healthscope Commercial |
$50.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$42.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$47.90
|
| Rate for Payer: PHP Commercial |
$47.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$34.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49.59
|
| Rate for Payer: UHC Core |
$47.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$42.26
|
|
|
HC CX ID BY PCR AMPLIFIED, E CLOACAE
|
Facility
|
OP
|
$56.35
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600241
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$13.38 |
| Max. Negotiated Rate |
$50.72 |
| Rate for Payer: Aetna Commercial |
$47.90
|
| Rate for Payer: Aetna Medicare |
$14.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17.61
|
| Rate for Payer: BCBS Complete |
$27.19
|
| Rate for Payer: BCBS MAPPO |
$14.09
|
| Rate for Payer: BCBS Trust/PPO |
$43.81
|
| Rate for Payer: BCN Commercial |
$43.81
|
| Rate for Payer: BCN Medicare Advantage |
$14.09
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cofinity Commercial |
$48.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.09
|
| Rate for Payer: Healthscope Commercial |
$50.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$42.26
|
| Rate for Payer: Mclaren Medicaid |
$25.90
|
| Rate for Payer: Meridian Medicaid |
$27.19
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$14.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$47.90
|
| Rate for Payer: PACE Senior Care Partners |
$13.38
|
| Rate for Payer: PACE SWMI |
$14.09
|
| Rate for Payer: PHP Commercial |
$47.90
|
| Rate for Payer: PHP Medicare Advantage |
$14.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$25.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49.02
|
| Rate for Payer: Priority Health Medicare |
$14.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$34.37
|
| Rate for Payer: Railroad Medicare Medicare |
$14.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49.59
|
| Rate for Payer: UHC Core |
$47.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$14.09
|
| Rate for Payer: UHC Medicare Advantage |
$14.51
|
| Rate for Payer: VA VA |
$14.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$42.26
|
|
|
HC CX ID BY PCR AMPLIFIED, E COLI
|
Facility
|
OP
|
$56.35
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600242
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$13.38 |
| Max. Negotiated Rate |
$50.72 |
| Rate for Payer: Aetna Commercial |
$47.90
|
| Rate for Payer: Aetna Medicare |
$14.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17.61
|
| Rate for Payer: BCBS Complete |
$27.19
|
| Rate for Payer: BCBS MAPPO |
$14.09
|
| Rate for Payer: BCBS Trust/PPO |
$43.81
|
| Rate for Payer: BCN Commercial |
$43.81
|
| Rate for Payer: BCN Medicare Advantage |
$14.09
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cofinity Commercial |
$48.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.09
|
| Rate for Payer: Healthscope Commercial |
$50.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$42.26
|
| Rate for Payer: Mclaren Medicaid |
$25.90
|
| Rate for Payer: Meridian Medicaid |
$27.19
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$14.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$47.90
|
| Rate for Payer: PACE Senior Care Partners |
$13.38
|
| Rate for Payer: PACE SWMI |
$14.09
|
| Rate for Payer: PHP Commercial |
$47.90
|
| Rate for Payer: PHP Medicare Advantage |
$14.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$25.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49.02
|
| Rate for Payer: Priority Health Medicare |
$14.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$34.37
|
| Rate for Payer: Railroad Medicare Medicare |
$14.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49.59
|
| Rate for Payer: UHC Core |
$47.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$14.09
|
| Rate for Payer: UHC Medicare Advantage |
$14.51
|
| Rate for Payer: VA VA |
$14.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$42.26
|
|
|
HC CX ID BY PCR AMPLIFIED, E COLI
|
Facility
|
IP
|
$56.35
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600242
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$34.37 |
| Max. Negotiated Rate |
$50.72 |
| Rate for Payer: Aetna Commercial |
$47.90
|
| Rate for Payer: BCBS Trust/PPO |
$43.55
|
| Rate for Payer: BCN Commercial |
$43.55
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cofinity Commercial |
$48.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.08
|
| Rate for Payer: Healthscope Commercial |
$50.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$42.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$47.90
|
| Rate for Payer: PHP Commercial |
$47.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$34.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49.59
|
| Rate for Payer: UHC Core |
$47.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$42.26
|
|
|
HC CX ID BY PCR AMPLIFIED, ENTERO
|
Facility
|
IP
|
$56.35
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600230
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$34.37 |
| Max. Negotiated Rate |
$50.72 |
| Rate for Payer: Aetna Commercial |
$47.90
|
| Rate for Payer: BCBS Trust/PPO |
$43.55
|
| Rate for Payer: BCN Commercial |
$43.55
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cofinity Commercial |
$48.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.08
|
| Rate for Payer: Healthscope Commercial |
$50.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$42.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$47.90
|
| Rate for Payer: PHP Commercial |
$47.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$34.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49.59
|
| Rate for Payer: UHC Core |
$47.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$42.26
|
|
|
HC CX ID BY PCR AMPLIFIED, ENTERO
|
Facility
|
OP
|
$56.35
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600230
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$13.38 |
| Max. Negotiated Rate |
$50.72 |
| Rate for Payer: Aetna Commercial |
$47.90
|
| Rate for Payer: Aetna Medicare |
$14.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17.61
|
| Rate for Payer: BCBS Complete |
$27.19
|
| Rate for Payer: BCBS MAPPO |
$14.09
|
| Rate for Payer: BCBS Trust/PPO |
$43.81
|
| Rate for Payer: BCN Commercial |
$43.81
|
| Rate for Payer: BCN Medicare Advantage |
$14.09
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cofinity Commercial |
$48.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.09
|
| Rate for Payer: Healthscope Commercial |
$50.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$42.26
|
| Rate for Payer: Mclaren Medicaid |
$25.90
|
| Rate for Payer: Meridian Medicaid |
$27.19
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$14.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$47.90
|
| Rate for Payer: PACE Senior Care Partners |
$13.38
|
| Rate for Payer: PACE SWMI |
$14.09
|
| Rate for Payer: PHP Commercial |
$47.90
|
| Rate for Payer: PHP Medicare Advantage |
$14.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$25.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49.02
|
| Rate for Payer: Priority Health Medicare |
$14.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$34.37
|
| Rate for Payer: Railroad Medicare Medicare |
$14.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49.59
|
| Rate for Payer: UHC Core |
$47.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$14.09
|
| Rate for Payer: UHC Medicare Advantage |
$14.51
|
| Rate for Payer: VA VA |
$14.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$42.26
|
|
|
HC CX ID BY PCR AMPLIFIED, H FLU
|
Facility
|
IP
|
$56.35
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600237
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$34.37 |
| Max. Negotiated Rate |
$50.72 |
| Rate for Payer: Aetna Commercial |
$47.90
|
| Rate for Payer: BCBS Trust/PPO |
$43.55
|
| Rate for Payer: BCN Commercial |
$43.55
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cofinity Commercial |
$48.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.08
|
| Rate for Payer: Healthscope Commercial |
$50.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$42.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$47.90
|
| Rate for Payer: PHP Commercial |
$47.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$34.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49.59
|
| Rate for Payer: UHC Core |
$47.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$42.26
|
|
|
HC CX ID BY PCR AMPLIFIED, H FLU
|
Facility
|
OP
|
$56.35
|
|
|
Service Code
|
CPT 87150
|
| Hospital Charge Code |
30600237
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$13.38 |
| Max. Negotiated Rate |
$50.72 |
| Rate for Payer: Aetna Commercial |
$47.90
|
| Rate for Payer: Aetna Medicare |
$14.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17.61
|
| Rate for Payer: BCBS Complete |
$27.19
|
| Rate for Payer: BCBS MAPPO |
$14.09
|
| Rate for Payer: BCBS Trust/PPO |
$43.81
|
| Rate for Payer: BCN Commercial |
$43.81
|
| Rate for Payer: BCN Medicare Advantage |
$14.09
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cash Price |
$45.08
|
| Rate for Payer: Cofinity Commercial |
$48.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.09
|
| Rate for Payer: Healthscope Commercial |
$50.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$42.26
|
| Rate for Payer: Mclaren Medicaid |
$25.90
|
| Rate for Payer: Meridian Medicaid |
$27.19
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$14.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$47.90
|
| Rate for Payer: PACE Senior Care Partners |
$13.38
|
| Rate for Payer: PACE SWMI |
$14.09
|
| Rate for Payer: PHP Commercial |
$47.90
|
| Rate for Payer: PHP Medicare Advantage |
$14.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$25.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49.02
|
| Rate for Payer: Priority Health Medicare |
$14.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$34.37
|
| Rate for Payer: Railroad Medicare Medicare |
$14.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49.59
|
| Rate for Payer: UHC Core |
$47.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$14.09
|
| Rate for Payer: UHC Medicare Advantage |
$14.51
|
| Rate for Payer: VA VA |
$14.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$42.26
|
|
