|
HC 24 HOUR PH MONITOR
|
Facility
|
IP
|
$1,552.14
|
|
|
Service Code
|
CPT 91034
|
| Hospital Charge Code |
75000001
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,008.89 |
| Max. Negotiated Rate |
$1,396.93 |
| Rate for Payer: Aetna Commercial |
$1,319.32
|
| Rate for Payer: BCBS Trust/PPO |
$1,267.01
|
| Rate for Payer: BCN Commercial |
$1,199.49
|
| Rate for Payer: Cash Price |
$1,241.71
|
| Rate for Payer: Cofinity Commercial |
$1,334.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,241.71
|
| Rate for Payer: Healthscope Commercial |
$1,396.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,164.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,319.32
|
| Rate for Payer: Nomi Health Commercial |
$1,272.75
|
| Rate for Payer: PHP Commercial |
$1,319.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,008.89
|
| Rate for Payer: Priority Health HMO/PPO |
$1,350.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,039.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,365.88
|
| Rate for Payer: UHC Core |
$1,296.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,164.10
|
|
|
HC 2D ECHOCARDIOGRAM LIMITED STUDY
|
Facility
|
IP
|
$825.55
|
|
|
Service Code
|
CPT 93308
|
| Hospital Charge Code |
48300002
|
|
Hospital Revenue Code
|
483
|
| Min. Negotiated Rate |
$536.61 |
| Max. Negotiated Rate |
$743.00 |
| Rate for Payer: Aetna Commercial |
$701.72
|
| Rate for Payer: BCBS Trust/PPO |
$673.90
|
| Rate for Payer: BCN Commercial |
$637.99
|
| Rate for Payer: Cash Price |
$660.44
|
| Rate for Payer: Cofinity Commercial |
$709.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$660.44
|
| Rate for Payer: Healthscope Commercial |
$743.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$619.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$701.72
|
| Rate for Payer: Nomi Health Commercial |
$676.95
|
| Rate for Payer: PHP Commercial |
$701.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$536.61
|
| Rate for Payer: Priority Health HMO/PPO |
$718.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$553.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$726.48
|
| Rate for Payer: UHC Core |
$689.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$619.16
|
|
|
HC 2D ECHOCARDIOGRAM LIMITED STUDY
|
Facility
|
OP
|
$825.55
|
|
|
Service Code
|
CPT 93308
|
| Hospital Charge Code |
48300002
|
|
Hospital Revenue Code
|
483
|
| Min. Negotiated Rate |
$171.23 |
| Max. Negotiated Rate |
$743.00 |
| Rate for Payer: Aetna Commercial |
$701.72
|
| Rate for Payer: Aetna Medicare |
$214.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$257.98
|
| Rate for Payer: Amish Plain Church Group Commercial |
$257.98
|
| Rate for Payer: BCBS Complete |
$179.80
|
| Rate for Payer: BCBS MAPPO |
$206.39
|
| Rate for Payer: BCBS Trust/PPO |
$678.68
|
| Rate for Payer: BCN Commercial |
$641.87
|
| Rate for Payer: BCN Medicare Advantage |
$206.39
|
| Rate for Payer: Cash Price |
$660.44
|
| Rate for Payer: Cash Price |
$660.44
|
| Rate for Payer: Cofinity Commercial |
$709.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$660.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$206.39
|
| Rate for Payer: Healthscope Commercial |
$743.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$619.16
|
| Rate for Payer: Mclaren Medicaid |
$171.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$216.71
|
| Rate for Payer: Meridian Medicaid |
$179.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$237.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$701.72
|
| Rate for Payer: Nomi Health Commercial |
$676.95
|
| Rate for Payer: PACE Senior Care Partners |
$196.07
|
| Rate for Payer: PACE SWMI |
$206.39
|
| Rate for Payer: PHP Commercial |
$701.72
|
| Rate for Payer: PHP Medicare Advantage |
$206.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$171.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$536.61
|
| Rate for Payer: Priority Health HMO/PPO |
$718.23
|
| Rate for Payer: Priority Health Medicare |
$208.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$553.12
|
| Rate for Payer: Railroad Medicare Medicare |
$206.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$726.48
|
| Rate for Payer: UHC Core |
$689.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$206.39
|
| Rate for Payer: UHC Exchange |
$206.39
|
| Rate for Payer: UHC Medicare Advantage |
$206.39
|
| Rate for Payer: UHCCP Medicaid |
$171.23
|
| Rate for Payer: VA VA |
$206.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$619.16
|
|
|
HC 2 PIECE WAFER
|
Facility
|
IP
|
$13.42
|
|
| Hospital Charge Code |
27100001
|
|
Hospital Revenue Code
|
271
|
| Min. Negotiated Rate |
$8.72 |
| Max. Negotiated Rate |
$12.08 |
| Rate for Payer: Aetna Commercial |
$11.41
|
| Rate for Payer: BCBS Trust/PPO |
$10.95
|
| Rate for Payer: BCN Commercial |
$10.37
|
| Rate for Payer: Cash Price |
$10.74
|
| Rate for Payer: Cofinity Commercial |
$11.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.74
|
| Rate for Payer: Healthscope Commercial |
$12.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.41
|
| Rate for Payer: Nomi Health Commercial |
$11.00
|
| Rate for Payer: PHP Commercial |
$11.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8.72
|
| Rate for Payer: Priority Health HMO/PPO |
$11.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11.81
|
| Rate for Payer: UHC Core |
$11.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10.06
|
|
|
HC 2 PIECE WAFER
|
Facility
|
OP
|
$13.42
|
|
| Hospital Charge Code |
27100001
|
|
Hospital Revenue Code
|
271
|
| Min. Negotiated Rate |
$3.19 |
| Max. Negotiated Rate |
$12.08 |
| Rate for Payer: Aetna Commercial |
$11.41
|
| Rate for Payer: Aetna Medicare |
$3.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4.19
|
| Rate for Payer: BCBS Complete |
$5.37
|
| Rate for Payer: BCBS MAPPO |
$3.36
|
| Rate for Payer: BCBS Trust/PPO |
$11.03
|
| Rate for Payer: BCN Commercial |
$10.43
|
| Rate for Payer: BCN Medicare Advantage |
$3.36
|
| Rate for Payer: Cash Price |
$10.74
|
| Rate for Payer: Cofinity Commercial |
$11.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.36
|
| Rate for Payer: Healthscope Commercial |
$12.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.41
|
| Rate for Payer: Nomi Health Commercial |
$11.00
|
| Rate for Payer: PACE Senior Care Partners |
$3.19
|
| Rate for Payer: PACE SWMI |
$3.36
|
| Rate for Payer: PHP Commercial |
$11.41
|
| Rate for Payer: PHP Medicare Advantage |
$3.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8.72
|
| Rate for Payer: Priority Health HMO/PPO |
$11.68
|
| Rate for Payer: Priority Health Medicare |
$3.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8.99
|
| Rate for Payer: Railroad Medicare Medicare |
$3.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11.81
|
| Rate for Payer: UHC Core |
$11.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$3.36
|
| Rate for Payer: UHC Exchange |
$3.36
|
| Rate for Payer: UHC Medicare Advantage |
$3.36
|
| Rate for Payer: VA VA |
$3.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10.06
|
|
|
HC 3D ECHO RENDERING
|
Facility
|
OP
|
$669.19
|
|
|
Service Code
|
CPT 76376
|
| Hospital Charge Code |
32000282
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$158.93 |
| Max. Negotiated Rate |
$602.27 |
| Rate for Payer: Aetna Commercial |
$568.81
|
| Rate for Payer: Aetna Medicare |
$173.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$209.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$209.12
|
| Rate for Payer: BCBS Complete |
$267.68
|
| Rate for Payer: BCBS MAPPO |
$167.30
|
| Rate for Payer: BCBS Trust/PPO |
$550.14
|
| Rate for Payer: BCN Commercial |
$520.30
|
| Rate for Payer: BCN Medicare Advantage |
$167.30
|
| Rate for Payer: Cash Price |
$535.35
|
| Rate for Payer: Cofinity Commercial |
$575.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$535.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$167.30
|
| Rate for Payer: Healthscope Commercial |
$602.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$501.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$175.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$192.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$568.81
|
| Rate for Payer: Nomi Health Commercial |
$548.74
|
| Rate for Payer: PACE Senior Care Partners |
$158.93
|
| Rate for Payer: PACE SWMI |
$167.30
|
| Rate for Payer: PHP Commercial |
$568.81
|
| Rate for Payer: PHP Medicare Advantage |
$167.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$434.97
|
| Rate for Payer: Priority Health HMO/PPO |
$582.20
|
| Rate for Payer: Priority Health Medicare |
$168.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$448.36
|
| Rate for Payer: Railroad Medicare Medicare |
$167.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$588.89
|
| Rate for Payer: UHC Core |
$558.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$167.30
|
| Rate for Payer: UHC Exchange |
$167.30
|
| Rate for Payer: UHC Medicare Advantage |
$167.30
|
| Rate for Payer: VA VA |
$167.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$501.89
|
|
|
HC 3D ECHO RENDERING
|
Facility
|
IP
|
$669.19
|
|
|
Service Code
|
CPT 76376
|
| Hospital Charge Code |
32000282
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$434.97 |
| Max. Negotiated Rate |
$602.27 |
| Rate for Payer: Aetna Commercial |
$568.81
|
| Rate for Payer: BCBS Trust/PPO |
$546.26
|
| Rate for Payer: BCN Commercial |
$517.15
|
| Rate for Payer: Cash Price |
$535.35
|
| Rate for Payer: Cofinity Commercial |
$575.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$535.35
|
| Rate for Payer: Healthscope Commercial |
$602.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$501.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$568.81
|
| Rate for Payer: Nomi Health Commercial |
$548.74
|
| Rate for Payer: PHP Commercial |
$568.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$434.97
|
| Rate for Payer: Priority Health HMO/PPO |
$582.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$448.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$588.89
|
| Rate for Payer: UHC Core |
$558.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$501.89
|
|
|
HC 3D ECHO REND W/WORKSTATION
|
Facility
|
IP
|
$637.87
|
|
|
Service Code
|
CPT 76377
|
| Hospital Charge Code |
32000283
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$414.62 |
| Max. Negotiated Rate |
$574.08 |
| Rate for Payer: Aetna Commercial |
$542.19
|
| Rate for Payer: BCBS Trust/PPO |
$520.69
|
| Rate for Payer: BCN Commercial |
$492.95
|
| Rate for Payer: Cash Price |
$510.30
|
| Rate for Payer: Cofinity Commercial |
$548.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$510.30
|
| Rate for Payer: Healthscope Commercial |
$574.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$478.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$542.19
|
| Rate for Payer: Nomi Health Commercial |
$523.05
|
| Rate for Payer: PHP Commercial |
$542.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$414.62
|
| Rate for Payer: Priority Health HMO/PPO |
$554.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$427.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$561.33
|
| Rate for Payer: UHC Core |
$532.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$478.40
|
|
|
HC 3D ECHO REND W/WORKSTATION
|
Facility
|
OP
|
$637.87
|
|
|
Service Code
|
CPT 76377
|
| Hospital Charge Code |
32000283
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$151.49 |
| Max. Negotiated Rate |
$574.08 |
| Rate for Payer: Aetna Commercial |
$542.19
|
| Rate for Payer: Aetna Medicare |
$165.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$199.33
|
| Rate for Payer: Amish Plain Church Group Commercial |
$199.33
|
| Rate for Payer: BCBS Complete |
$255.15
|
| Rate for Payer: BCBS MAPPO |
$159.47
|
| Rate for Payer: BCBS Trust/PPO |
$524.39
|
| Rate for Payer: BCN Commercial |
$495.94
|
| Rate for Payer: BCN Medicare Advantage |
$159.47
|
| Rate for Payer: Cash Price |
$510.30
|
| Rate for Payer: Cofinity Commercial |
$548.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$510.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$159.47
|
| Rate for Payer: Healthscope Commercial |
$574.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$478.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$167.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$183.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$542.19
|
| Rate for Payer: Nomi Health Commercial |
$523.05
|
| Rate for Payer: PACE Senior Care Partners |
$151.49
|
| Rate for Payer: PACE SWMI |
$159.47
|
| Rate for Payer: PHP Commercial |
$542.19
|
| Rate for Payer: PHP Medicare Advantage |
$159.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$414.62
|
| Rate for Payer: Priority Health HMO/PPO |
$554.95
|
| Rate for Payer: Priority Health Medicare |
$161.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$427.37
|
| Rate for Payer: Railroad Medicare Medicare |
$159.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$561.33
|
| Rate for Payer: UHC Core |
$532.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$159.47
|
| Rate for Payer: UHC Exchange |
$159.47
|
| Rate for Payer: UHC Medicare Advantage |
$159.47
|
| Rate for Payer: VA VA |
$159.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$478.40
|
|
|
HC 4X4 WAFER
|
Facility
|
OP
|
$24.51
|
|
| Hospital Charge Code |
27000023
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$5.82 |
| Max. Negotiated Rate |
$22.06 |
| Rate for Payer: Aetna Commercial |
$20.83
|
| Rate for Payer: Aetna Medicare |
$6.37
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7.66
|
| Rate for Payer: BCBS Complete |
$9.80
|
| Rate for Payer: BCBS MAPPO |
$6.13
|
| Rate for Payer: BCBS Trust/PPO |
$20.15
|
| Rate for Payer: BCN Commercial |
$19.06
|
| Rate for Payer: BCN Medicare Advantage |
$6.13
|
| Rate for Payer: Cash Price |
$19.61
|
| Rate for Payer: Cofinity Commercial |
$21.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.13
|
| Rate for Payer: Healthscope Commercial |
$22.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.83
|
| Rate for Payer: Nomi Health Commercial |
$20.10
|
| Rate for Payer: PACE Senior Care Partners |
$5.82
|
| Rate for Payer: PACE SWMI |
$6.13
|
| Rate for Payer: PHP Commercial |
$20.83
|
| Rate for Payer: PHP Medicare Advantage |
$6.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$15.93
|
| Rate for Payer: Priority Health HMO/PPO |
$21.32
|
| Rate for Payer: Priority Health Medicare |
$6.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$16.42
|
| Rate for Payer: Railroad Medicare Medicare |
$6.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21.57
|
| Rate for Payer: UHC Core |
$20.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$6.13
|
| Rate for Payer: UHC Exchange |
$6.13
|
| Rate for Payer: UHC Medicare Advantage |
$6.13
|
| Rate for Payer: VA VA |
$6.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.38
|
|
|
HC 4X4 WAFER
|
Facility
|
IP
|
$24.51
|
|
| Hospital Charge Code |
27000023
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$15.93 |
| Max. Negotiated Rate |
$22.06 |
| Rate for Payer: Aetna Commercial |
$20.83
|
| Rate for Payer: BCBS Trust/PPO |
$20.01
|
| Rate for Payer: BCN Commercial |
$18.94
|
| Rate for Payer: Cash Price |
$19.61
|
| Rate for Payer: Cofinity Commercial |
$21.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.61
|
| Rate for Payer: Healthscope Commercial |
$22.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.83
|
| Rate for Payer: Nomi Health Commercial |
$20.10
|
| Rate for Payer: PHP Commercial |
$20.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$15.93
|
| Rate for Payer: Priority Health HMO/PPO |
$21.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$16.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21.57
|
| Rate for Payer: UHC Core |
$20.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.38
|
|
|
HC 5 FR SOLO 3CG POWER PICC
|
Facility
|
OP
|
$1,126.57
|
|
|
Service Code
|
HCPCS C1751
|
| Hospital Charge Code |
27200169
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$267.56 |
| Max. Negotiated Rate |
$1,013.91 |
| Rate for Payer: Aetna Commercial |
$957.58
|
| Rate for Payer: Aetna Medicare |
$292.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$352.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$352.05
|
| Rate for Payer: BCBS Complete |
$450.63
|
| Rate for Payer: BCBS MAPPO |
$281.64
|
| Rate for Payer: BCBS Trust/PPO |
$926.15
|
| Rate for Payer: BCN Commercial |
$875.91
|
| Rate for Payer: BCN Medicare Advantage |
$281.64
|
| Rate for Payer: Cash Price |
$901.26
|
| Rate for Payer: Cofinity Commercial |
$968.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$901.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$281.64
|
| Rate for Payer: Healthscope Commercial |
$1,013.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$844.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$295.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$323.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$957.58
|
| Rate for Payer: Nomi Health Commercial |
$923.79
|
| Rate for Payer: PACE Senior Care Partners |
$267.56
|
| Rate for Payer: PACE SWMI |
$281.64
|
| Rate for Payer: PHP Commercial |
$957.58
|
| Rate for Payer: PHP Medicare Advantage |
$281.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$732.27
|
| Rate for Payer: Priority Health HMO/PPO |
$980.12
|
| Rate for Payer: Priority Health Medicare |
$284.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$754.80
|
| Rate for Payer: Railroad Medicare Medicare |
$281.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$991.38
|
| Rate for Payer: UHC Core |
$940.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$281.64
|
| Rate for Payer: UHC Exchange |
$281.64
|
| Rate for Payer: UHC Medicare Advantage |
$281.64
|
| Rate for Payer: VA VA |
$281.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$844.93
|
|
|
HC 5 FR SOLO 3CG POWER PICC
|
Facility
|
IP
|
$1,126.57
|
|
|
Service Code
|
HCPCS C1751
|
| Hospital Charge Code |
27200169
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$732.27 |
| Max. Negotiated Rate |
$1,013.91 |
| Rate for Payer: Aetna Commercial |
$957.58
|
| Rate for Payer: BCBS Trust/PPO |
$919.62
|
| Rate for Payer: BCN Commercial |
$870.61
|
| Rate for Payer: Cash Price |
$901.26
|
| Rate for Payer: Cofinity Commercial |
$968.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$901.26
|
| Rate for Payer: Healthscope Commercial |
$1,013.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$844.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$957.58
|
| Rate for Payer: Nomi Health Commercial |
$923.79
|
| Rate for Payer: PHP Commercial |
$957.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$732.27
|
| Rate for Payer: Priority Health HMO/PPO |
$980.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$754.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$991.38
|
| Rate for Payer: UHC Core |
$940.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$844.93
|
|
|
HC 5FR SOLO POWER PICC
|
Facility
|
IP
|
$976.26
|
|
|
Service Code
|
HCPCS C1751
|
| Hospital Charge Code |
27200108
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$634.57 |
| Max. Negotiated Rate |
$878.63 |
| Rate for Payer: Aetna Commercial |
$829.82
|
| Rate for Payer: BCBS Trust/PPO |
$796.92
|
| Rate for Payer: BCN Commercial |
$754.45
|
| Rate for Payer: Cash Price |
$781.01
|
| Rate for Payer: Cofinity Commercial |
$839.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$781.01
|
| Rate for Payer: Healthscope Commercial |
$878.63
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$732.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$829.82
|
| Rate for Payer: Nomi Health Commercial |
$800.53
|
| Rate for Payer: PHP Commercial |
$829.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$634.57
|
| Rate for Payer: Priority Health HMO/PPO |
$849.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$654.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$859.11
|
| Rate for Payer: UHC Core |
$815.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$732.20
|
|
|
HC 5FR SOLO POWER PICC
|
Facility
|
OP
|
$976.26
|
|
|
Service Code
|
HCPCS C1751
|
| Hospital Charge Code |
27200108
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$231.86 |
| Max. Negotiated Rate |
$878.63 |
| Rate for Payer: Aetna Commercial |
$829.82
|
| Rate for Payer: Aetna Medicare |
$253.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$305.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$305.08
|
| Rate for Payer: BCBS Complete |
$390.50
|
| Rate for Payer: BCBS MAPPO |
$244.06
|
| Rate for Payer: BCBS Trust/PPO |
$802.58
|
| Rate for Payer: BCN Commercial |
$759.04
|
| Rate for Payer: BCN Medicare Advantage |
$244.06
|
| Rate for Payer: Cash Price |
$781.01
|
| Rate for Payer: Cofinity Commercial |
$839.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$781.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$244.06
|
| Rate for Payer: Healthscope Commercial |
$878.63
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$732.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$256.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$280.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$829.82
|
| Rate for Payer: Nomi Health Commercial |
$800.53
|
| Rate for Payer: PACE Senior Care Partners |
$231.86
|
| Rate for Payer: PACE SWMI |
$244.06
|
| Rate for Payer: PHP Commercial |
$829.82
|
| Rate for Payer: PHP Medicare Advantage |
$244.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$634.57
|
| Rate for Payer: Priority Health HMO/PPO |
$849.35
|
| Rate for Payer: Priority Health Medicare |
$246.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$654.09
|
| Rate for Payer: Railroad Medicare Medicare |
$244.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$859.11
|
| Rate for Payer: UHC Core |
$815.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$244.06
|
| Rate for Payer: UHC Exchange |
$244.06
|
| Rate for Payer: UHC Medicare Advantage |
$244.06
|
| Rate for Payer: VA VA |
$244.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$732.20
|
|
|
HC 5 FR TL 3CG MAX POWER PICC
|
Facility
|
IP
|
$1,229.00
|
|
|
Service Code
|
HCPCS C1751
|
| Hospital Charge Code |
27200178
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$798.85 |
| Max. Negotiated Rate |
$1,106.10 |
| Rate for Payer: Aetna Commercial |
$1,044.65
|
| Rate for Payer: BCBS Trust/PPO |
$1,003.23
|
| Rate for Payer: BCN Commercial |
$949.77
|
| Rate for Payer: Cash Price |
$983.20
|
| Rate for Payer: Cofinity Commercial |
$1,056.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$983.20
|
| Rate for Payer: Healthscope Commercial |
$1,106.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$921.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,044.65
|
| Rate for Payer: Nomi Health Commercial |
$1,007.78
|
| Rate for Payer: PHP Commercial |
$1,044.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$798.85
|
| Rate for Payer: Priority Health HMO/PPO |
$1,069.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$823.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,081.52
|
| Rate for Payer: UHC Core |
$1,026.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$921.75
|
|
|
HC 5 FR TL 3CG MAX POWER PICC
|
Facility
|
OP
|
$1,229.00
|
|
|
Service Code
|
HCPCS C1751
|
| Hospital Charge Code |
27200178
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$291.89 |
| Max. Negotiated Rate |
$1,106.10 |
| Rate for Payer: Aetna Commercial |
$1,044.65
|
| Rate for Payer: Aetna Medicare |
$319.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$384.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$384.06
|
| Rate for Payer: BCBS Complete |
$491.60
|
| Rate for Payer: BCBS MAPPO |
$307.25
|
| Rate for Payer: BCBS Trust/PPO |
$1,010.36
|
| Rate for Payer: BCN Commercial |
$955.55
|
| Rate for Payer: BCN Medicare Advantage |
$307.25
|
| Rate for Payer: Cash Price |
$983.20
|
| Rate for Payer: Cofinity Commercial |
$1,056.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$983.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$307.25
|
| Rate for Payer: Healthscope Commercial |
$1,106.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$921.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$322.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$353.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,044.65
|
| Rate for Payer: Nomi Health Commercial |
$1,007.78
|
| Rate for Payer: PACE Senior Care Partners |
$291.89
|
| Rate for Payer: PACE SWMI |
$307.25
|
| Rate for Payer: PHP Commercial |
$1,044.65
|
| Rate for Payer: PHP Medicare Advantage |
$307.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$798.85
|
| Rate for Payer: Priority Health HMO/PPO |
$1,069.23
|
| Rate for Payer: Priority Health Medicare |
$310.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$823.43
|
| Rate for Payer: Railroad Medicare Medicare |
$307.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,081.52
|
| Rate for Payer: UHC Core |
$1,026.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$307.25
|
| Rate for Payer: UHC Exchange |
$307.25
|
| Rate for Payer: UHC Medicare Advantage |
$307.25
|
| Rate for Payer: VA VA |
$307.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$921.75
|
|
|
HC 5 FR TL SOLO MAX POWER PICC
|
Facility
|
OP
|
$1,065.01
|
|
|
Service Code
|
HCPCS C1751
|
| Hospital Charge Code |
27200177
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$252.94 |
| Max. Negotiated Rate |
$958.51 |
| Rate for Payer: Aetna Commercial |
$905.26
|
| Rate for Payer: Aetna Medicare |
$276.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$332.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$332.82
|
| Rate for Payer: BCBS Complete |
$426.00
|
| Rate for Payer: BCBS MAPPO |
$266.25
|
| Rate for Payer: BCBS Trust/PPO |
$875.54
|
| Rate for Payer: BCN Commercial |
$828.05
|
| Rate for Payer: BCN Medicare Advantage |
$266.25
|
| Rate for Payer: Cash Price |
$852.01
|
| Rate for Payer: Cofinity Commercial |
$915.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$852.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$266.25
|
| Rate for Payer: Healthscope Commercial |
$958.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$798.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$279.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$306.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$905.26
|
| Rate for Payer: Nomi Health Commercial |
$873.31
|
| Rate for Payer: PACE Senior Care Partners |
$252.94
|
| Rate for Payer: PACE SWMI |
$266.25
|
| Rate for Payer: PHP Commercial |
$905.26
|
| Rate for Payer: PHP Medicare Advantage |
$266.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$692.26
|
| Rate for Payer: Priority Health HMO/PPO |
$926.56
|
| Rate for Payer: Priority Health Medicare |
$268.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$713.56
|
| Rate for Payer: Railroad Medicare Medicare |
$266.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$937.21
|
| Rate for Payer: UHC Core |
$889.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$266.25
|
| Rate for Payer: UHC Exchange |
$266.25
|
| Rate for Payer: UHC Medicare Advantage |
$266.25
|
| Rate for Payer: VA VA |
$266.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$798.76
|
|
|
HC 5 FR TL SOLO MAX POWER PICC
|
Facility
|
IP
|
$1,065.01
|
|
|
Service Code
|
HCPCS C1751
|
| Hospital Charge Code |
27200177
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$692.26 |
| Max. Negotiated Rate |
$958.51 |
| Rate for Payer: Aetna Commercial |
$905.26
|
| Rate for Payer: BCBS Trust/PPO |
$869.37
|
| Rate for Payer: BCN Commercial |
$823.04
|
| Rate for Payer: Cash Price |
$852.01
|
| Rate for Payer: Cofinity Commercial |
$915.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$852.01
|
| Rate for Payer: Healthscope Commercial |
$958.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$798.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$905.26
|
| Rate for Payer: Nomi Health Commercial |
$873.31
|
| Rate for Payer: PHP Commercial |
$905.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$692.26
|
| Rate for Payer: Priority Health HMO/PPO |
$926.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$713.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$937.21
|
| Rate for Payer: UHC Core |
$889.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$798.76
|
|
|
HC 6 FR SOLO 3CG POWER PICC
|
Facility
|
IP
|
$1,229.00
|
|
|
Service Code
|
HCPCS C1751
|
| Hospital Charge Code |
27200168
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$798.85 |
| Max. Negotiated Rate |
$1,106.10 |
| Rate for Payer: Aetna Commercial |
$1,044.65
|
| Rate for Payer: BCBS Trust/PPO |
$1,003.23
|
| Rate for Payer: BCN Commercial |
$949.77
|
| Rate for Payer: Cash Price |
$983.20
|
| Rate for Payer: Cofinity Commercial |
$1,056.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$983.20
|
| Rate for Payer: Healthscope Commercial |
$1,106.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$921.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,044.65
|
| Rate for Payer: Nomi Health Commercial |
$1,007.78
|
| Rate for Payer: PHP Commercial |
$1,044.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$798.85
|
| Rate for Payer: Priority Health HMO/PPO |
$1,069.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$823.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,081.52
|
| Rate for Payer: UHC Core |
$1,026.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$921.75
|
|
|
HC 6 FR SOLO 3CG POWER PICC
|
Facility
|
OP
|
$1,229.00
|
|
|
Service Code
|
HCPCS C1751
|
| Hospital Charge Code |
27200168
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$291.89 |
| Max. Negotiated Rate |
$1,106.10 |
| Rate for Payer: Aetna Commercial |
$1,044.65
|
| Rate for Payer: Aetna Medicare |
$319.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$384.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$384.06
|
| Rate for Payer: BCBS Complete |
$491.60
|
| Rate for Payer: BCBS MAPPO |
$307.25
|
| Rate for Payer: BCBS Trust/PPO |
$1,010.36
|
| Rate for Payer: BCN Commercial |
$955.55
|
| Rate for Payer: BCN Medicare Advantage |
$307.25
|
| Rate for Payer: Cash Price |
$983.20
|
| Rate for Payer: Cofinity Commercial |
$1,056.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$983.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$307.25
|
| Rate for Payer: Healthscope Commercial |
$1,106.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$921.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$322.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$353.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,044.65
|
| Rate for Payer: Nomi Health Commercial |
$1,007.78
|
| Rate for Payer: PACE Senior Care Partners |
$291.89
|
| Rate for Payer: PACE SWMI |
$307.25
|
| Rate for Payer: PHP Commercial |
$1,044.65
|
| Rate for Payer: PHP Medicare Advantage |
$307.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$798.85
|
| Rate for Payer: Priority Health HMO/PPO |
$1,069.23
|
| Rate for Payer: Priority Health Medicare |
$310.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$823.43
|
| Rate for Payer: Railroad Medicare Medicare |
$307.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,081.52
|
| Rate for Payer: UHC Core |
$1,026.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$307.25
|
| Rate for Payer: UHC Exchange |
$307.25
|
| Rate for Payer: UHC Medicare Advantage |
$307.25
|
| Rate for Payer: VA VA |
$307.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$921.75
|
|
|
HC 6FR SOLO POWER PICC
|
Facility
|
IP
|
$1,065.01
|
|
| Hospital Charge Code |
27200109
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$692.26 |
| Max. Negotiated Rate |
$958.51 |
| Rate for Payer: Aetna Commercial |
$905.26
|
| Rate for Payer: BCBS Trust/PPO |
$869.37
|
| Rate for Payer: BCN Commercial |
$823.04
|
| Rate for Payer: Cash Price |
$852.01
|
| Rate for Payer: Cofinity Commercial |
$915.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$852.01
|
| Rate for Payer: Healthscope Commercial |
$958.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$798.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$905.26
|
| Rate for Payer: Nomi Health Commercial |
$873.31
|
| Rate for Payer: PHP Commercial |
$905.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$692.26
|
| Rate for Payer: Priority Health HMO/PPO |
$926.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$713.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$937.21
|
| Rate for Payer: UHC Core |
$889.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$798.76
|
|
|
HC 6FR SOLO POWER PICC
|
Facility
|
OP
|
$1,065.01
|
|
| Hospital Charge Code |
27200109
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$252.94 |
| Max. Negotiated Rate |
$958.51 |
| Rate for Payer: Aetna Commercial |
$905.26
|
| Rate for Payer: Aetna Medicare |
$276.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$332.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$332.82
|
| Rate for Payer: BCBS Complete |
$426.00
|
| Rate for Payer: BCBS MAPPO |
$266.25
|
| Rate for Payer: BCBS Trust/PPO |
$875.54
|
| Rate for Payer: BCN Commercial |
$828.05
|
| Rate for Payer: BCN Medicare Advantage |
$266.25
|
| Rate for Payer: Cash Price |
$852.01
|
| Rate for Payer: Cofinity Commercial |
$915.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$852.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$266.25
|
| Rate for Payer: Healthscope Commercial |
$958.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$798.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$279.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$306.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$905.26
|
| Rate for Payer: Nomi Health Commercial |
$873.31
|
| Rate for Payer: PACE Senior Care Partners |
$252.94
|
| Rate for Payer: PACE SWMI |
$266.25
|
| Rate for Payer: PHP Commercial |
$905.26
|
| Rate for Payer: PHP Medicare Advantage |
$266.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$692.26
|
| Rate for Payer: Priority Health HMO/PPO |
$926.56
|
| Rate for Payer: Priority Health Medicare |
$268.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$713.56
|
| Rate for Payer: Railroad Medicare Medicare |
$266.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$937.21
|
| Rate for Payer: UHC Core |
$889.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$266.25
|
| Rate for Payer: UHC Exchange |
$266.25
|
| Rate for Payer: UHC Medicare Advantage |
$266.25
|
| Rate for Payer: VA VA |
$266.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$798.76
|
|
|
HC 8X8 WAFER
|
Facility
|
OP
|
$74.04
|
|
| Hospital Charge Code |
27000024
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$17.58 |
| Max. Negotiated Rate |
$66.64 |
| Rate for Payer: Aetna Commercial |
$62.93
|
| Rate for Payer: Aetna Medicare |
$19.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23.14
|
| Rate for Payer: BCBS Complete |
$29.62
|
| Rate for Payer: BCBS MAPPO |
$18.51
|
| Rate for Payer: BCBS Trust/PPO |
$60.87
|
| Rate for Payer: BCN Commercial |
$57.57
|
| Rate for Payer: BCN Medicare Advantage |
$18.51
|
| Rate for Payer: Cash Price |
$59.23
|
| Rate for Payer: Cofinity Commercial |
$63.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$59.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18.51
|
| Rate for Payer: Healthscope Commercial |
$66.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$55.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$62.93
|
| Rate for Payer: Nomi Health Commercial |
$60.71
|
| Rate for Payer: PACE Senior Care Partners |
$17.58
|
| Rate for Payer: PACE SWMI |
$18.51
|
| Rate for Payer: PHP Commercial |
$62.93
|
| Rate for Payer: PHP Medicare Advantage |
$18.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$48.13
|
| Rate for Payer: Priority Health HMO/PPO |
$64.41
|
| Rate for Payer: Priority Health Medicare |
$18.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$49.61
|
| Rate for Payer: Railroad Medicare Medicare |
$18.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$65.16
|
| Rate for Payer: UHC Core |
$61.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$18.51
|
| Rate for Payer: UHC Exchange |
$18.51
|
| Rate for Payer: UHC Medicare Advantage |
$18.51
|
| Rate for Payer: VA VA |
$18.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$55.53
|
|
|
HC 8X8 WAFER
|
Facility
|
IP
|
$74.04
|
|
| Hospital Charge Code |
27000024
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$48.13 |
| Max. Negotiated Rate |
$66.64 |
| Rate for Payer: Aetna Commercial |
$62.93
|
| Rate for Payer: BCBS Trust/PPO |
$60.44
|
| Rate for Payer: BCN Commercial |
$57.22
|
| Rate for Payer: Cash Price |
$59.23
|
| Rate for Payer: Cofinity Commercial |
$63.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$59.23
|
| Rate for Payer: Healthscope Commercial |
$66.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$55.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$62.93
|
| Rate for Payer: Nomi Health Commercial |
$60.71
|
| Rate for Payer: PHP Commercial |
$62.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$48.13
|
| Rate for Payer: Priority Health HMO/PPO |
$64.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$49.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$65.16
|
| Rate for Payer: UHC Core |
$61.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$55.53
|
|
