|
HC BIPAP / CPAP PER DAY
|
Facility
|
OP
|
$892.61
|
|
|
Service Code
|
CPT 94660
|
| Hospital Charge Code |
41000008
|
|
Hospital Revenue Code
|
410
|
| Min. Negotiated Rate |
$157.37 |
| Max. Negotiated Rate |
$803.35 |
| Rate for Payer: Aetna Commercial |
$758.72
|
| Rate for Payer: Aetna Medicare |
$232.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$278.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$278.94
|
| Rate for Payer: BCBS Complete |
$165.22
|
| Rate for Payer: BCBS MAPPO |
$223.15
|
| Rate for Payer: BCBS Trust/PPO |
$733.81
|
| Rate for Payer: BCN Commercial |
$733.81
|
| Rate for Payer: BCN Medicare Advantage |
$223.15
|
| Rate for Payer: Cash Price |
$714.09
|
| Rate for Payer: Cofinity Commercial |
$767.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$714.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$223.15
|
| Rate for Payer: Healthscope Commercial |
$803.35
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$669.46
|
| Rate for Payer: Mclaren Medicaid |
$157.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$234.31
|
| Rate for Payer: Meridian Medicaid |
$165.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$256.63
|
| Rate for Payer: Molina Medicare/Medicaid |
$245.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$758.72
|
| Rate for Payer: Nomi Health Commercial |
$731.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$669.46
|
| Rate for Payer: PACE Senior Care Partners |
$211.99
|
| Rate for Payer: PACE SWMI |
$223.15
|
| Rate for Payer: PHP Commercial |
$758.72
|
| Rate for Payer: PHP Medicare Advantage |
$223.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$157.37
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$776.57
|
| Rate for Payer: Priority Health Medicare |
$225.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$621.26
|
| Rate for Payer: Railroad Medicare Medicare |
$223.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$785.50
|
| Rate for Payer: UHC Core |
$745.33
|
| Rate for Payer: UHC Exchange |
$223.15
|
| Rate for Payer: UHC Medicaid |
$157.37
|
| Rate for Payer: UHC Medicare Advantage |
$223.15
|
| Rate for Payer: UHCCP Medicaid |
$157.37
|
| Rate for Payer: VA VA |
$223.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$669.46
|
|
|
HC BIRCH IGE
|
Facility
|
IP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200029
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$18.03 |
| Max. Negotiated Rate |
$23.31 |
| Rate for Payer: Aetna Commercial |
$22.02
|
| Rate for Payer: BCBS Trust/PPO |
$21.39
|
| Rate for Payer: BCN Commercial |
$21.39
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cofinity Commercial |
$22.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.72
|
| Rate for Payer: Healthscope Commercial |
$23.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.02
|
| Rate for Payer: Nomi Health Commercial |
$21.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.43
|
| Rate for Payer: PHP Commercial |
$22.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$22.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.79
|
| Rate for Payer: UHC Core |
$21.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.43
|
|
|
HC BIRCH IGE
|
Facility
|
OP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200029
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$4.57 |
| Max. Negotiated Rate |
$23.31 |
| Rate for Payer: Aetna Commercial |
$22.02
|
| Rate for Payer: Aetna Medicare |
$6.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.09
|
| Rate for Payer: BCBS Complete |
$4.79
|
| Rate for Payer: BCBS MAPPO |
$6.47
|
| Rate for Payer: BCBS Trust/PPO |
$21.29
|
| Rate for Payer: BCN Commercial |
$21.29
|
| Rate for Payer: BCN Medicare Advantage |
$6.47
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cofinity Commercial |
$22.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.47
|
| Rate for Payer: Healthscope Commercial |
$23.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.43
|
| Rate for Payer: Mclaren Medicaid |
$4.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.80
|
| Rate for Payer: Meridian Medicaid |
$4.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.45
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.02
|
| Rate for Payer: Nomi Health Commercial |
$21.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.43
|
| Rate for Payer: PACE Senior Care Partners |
$6.15
|
| Rate for Payer: PACE SWMI |
$6.47
|
| Rate for Payer: PHP Commercial |
$22.02
|
| Rate for Payer: PHP Medicare Advantage |
$6.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$22.53
|
| Rate for Payer: Priority Health Medicare |
$6.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.03
|
| Rate for Payer: Railroad Medicare Medicare |
$6.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.79
|
| Rate for Payer: UHC Core |
$21.63
|
| Rate for Payer: UHC Exchange |
$6.47
|
| Rate for Payer: UHC Medicaid |
$4.57
|
| Rate for Payer: UHC Medicare Advantage |
$6.47
|
| Rate for Payer: UHCCP Medicaid |
$4.57
|
| Rate for Payer: VA VA |
$6.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.43
|
|
|
HC BIVENTRICULAR DELIVERY SYSTEM
|
Facility
|
OP
|
$2,079.46
|
|
| Hospital Charge Code |
27200114
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$366.61 |
| Max. Negotiated Rate |
$1,871.51 |
| Rate for Payer: Aetna Commercial |
$1,767.54
|
| Rate for Payer: Aetna Medicare |
$540.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$649.83
|
| Rate for Payer: Amish Plain Church Group Commercial |
$649.83
|
| Rate for Payer: BCBS Complete |
$384.91
|
| Rate for Payer: BCBS MAPPO |
$519.87
|
| Rate for Payer: BCBS Trust/PPO |
$1,709.52
|
| Rate for Payer: BCN Commercial |
$1,709.52
|
| Rate for Payer: BCN Medicare Advantage |
$519.87
|
| Rate for Payer: Cash Price |
$1,663.57
|
| Rate for Payer: Cofinity Commercial |
$1,788.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,663.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$519.87
|
| Rate for Payer: Healthscope Commercial |
$1,871.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,559.60
|
| Rate for Payer: Mclaren Medicaid |
$366.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$545.86
|
| Rate for Payer: Meridian Medicaid |
$384.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$597.84
|
| Rate for Payer: Molina Medicare/Medicaid |
$571.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,767.54
|
| Rate for Payer: Nomi Health Commercial |
$1,705.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,559.60
|
| Rate for Payer: PACE Senior Care Partners |
$493.87
|
| Rate for Payer: PACE SWMI |
$519.87
|
| Rate for Payer: PHP Commercial |
$1,767.54
|
| Rate for Payer: PHP Medicare Advantage |
$519.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$366.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,809.13
|
| Rate for Payer: Priority Health Medicare |
$525.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,447.30
|
| Rate for Payer: Railroad Medicare Medicare |
$519.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,829.92
|
| Rate for Payer: UHC Core |
$1,736.35
|
| Rate for Payer: UHC Exchange |
$519.87
|
| Rate for Payer: UHC Medicaid |
$366.61
|
| Rate for Payer: UHC Medicare Advantage |
$519.87
|
| Rate for Payer: UHCCP Medicaid |
$366.61
|
| Rate for Payer: VA VA |
$519.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,559.60
|
|
|
HC BIVENTRICULAR DELIVERY SYSTEM
|
Facility
|
IP
|
$2,079.46
|
|
| Hospital Charge Code |
27200114
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,447.30 |
| Max. Negotiated Rate |
$1,871.51 |
| Rate for Payer: Aetna Commercial |
$1,767.54
|
| Rate for Payer: BCBS Trust/PPO |
$1,717.43
|
| Rate for Payer: BCN Commercial |
$1,717.43
|
| Rate for Payer: Cash Price |
$1,663.57
|
| Rate for Payer: Cofinity Commercial |
$1,788.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,663.57
|
| Rate for Payer: Healthscope Commercial |
$1,871.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,559.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,767.54
|
| Rate for Payer: Nomi Health Commercial |
$1,705.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,559.60
|
| Rate for Payer: PHP Commercial |
$1,767.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,809.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,447.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,829.92
|
| Rate for Payer: UHC Core |
$1,736.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,559.60
|
|
|
HC BI V PACEMAKER
|
Facility
|
OP
|
$28,495.15
|
|
|
Service Code
|
HCPCS C2621
|
| Hospital Charge Code |
27500001
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$5,023.69 |
| Max. Negotiated Rate |
$25,645.63 |
| Rate for Payer: Aetna Commercial |
$24,220.88
|
| Rate for Payer: Aetna Medicare |
$7,408.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,904.73
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,904.73
|
| Rate for Payer: BCBS Complete |
$5,274.45
|
| Rate for Payer: BCBS MAPPO |
$7,123.79
|
| Rate for Payer: BCBS Trust/PPO |
$23,425.86
|
| Rate for Payer: BCN Commercial |
$23,425.86
|
| Rate for Payer: BCN Medicare Advantage |
$7,123.79
|
| Rate for Payer: Cash Price |
$22,796.12
|
| Rate for Payer: Cofinity Commercial |
$24,505.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22,796.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,123.79
|
| Rate for Payer: Healthscope Commercial |
$25,645.63
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21,371.36
|
| Rate for Payer: Mclaren Medicaid |
$5,023.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,479.98
|
| Rate for Payer: Meridian Medicaid |
$5,274.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,192.36
|
| Rate for Payer: Molina Medicare/Medicaid |
$7,836.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24,220.88
|
| Rate for Payer: Nomi Health Commercial |
$23,366.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21,371.36
|
| Rate for Payer: PACE Senior Care Partners |
$6,767.60
|
| Rate for Payer: PACE SWMI |
$7,123.79
|
| Rate for Payer: PHP Commercial |
$24,220.88
|
| Rate for Payer: PHP Medicare Advantage |
$7,123.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,023.69
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$24,790.78
|
| Rate for Payer: Priority Health Medicare |
$7,195.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$19,832.62
|
| Rate for Payer: Railroad Medicare Medicare |
$7,123.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25,075.73
|
| Rate for Payer: UHC Core |
$23,793.45
|
| Rate for Payer: UHC Exchange |
$7,123.79
|
| Rate for Payer: UHC Medicaid |
$5,023.69
|
| Rate for Payer: UHC Medicare Advantage |
$7,123.79
|
| Rate for Payer: UHCCP Medicaid |
$5,023.69
|
| Rate for Payer: VA VA |
$7,123.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21,371.36
|
|
|
HC BI V PACEMAKER
|
Facility
|
IP
|
$28,495.15
|
|
|
Service Code
|
HCPCS C2621
|
| Hospital Charge Code |
27500001
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$19,832.62 |
| Max. Negotiated Rate |
$25,645.63 |
| Rate for Payer: Aetna Commercial |
$24,220.88
|
| Rate for Payer: BCBS Trust/PPO |
$23,534.14
|
| Rate for Payer: BCN Commercial |
$23,534.14
|
| Rate for Payer: Cash Price |
$22,796.12
|
| Rate for Payer: Cofinity Commercial |
$24,505.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22,796.12
|
| Rate for Payer: Healthscope Commercial |
$25,645.63
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21,371.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24,220.88
|
| Rate for Payer: Nomi Health Commercial |
$23,366.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21,371.36
|
| Rate for Payer: PHP Commercial |
$24,220.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$24,790.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$19,832.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25,075.73
|
| Rate for Payer: UHC Core |
$23,793.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21,371.36
|
|
|
HC BK VIRUS PCR, QUANT
|
Facility
|
OP
|
$115.67
|
|
|
Service Code
|
CPT 87799
|
| Hospital Charge Code |
30600289
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$20.39 |
| Max. Negotiated Rate |
$104.10 |
| Rate for Payer: Aetna Commercial |
$98.32
|
| Rate for Payer: Aetna Medicare |
$30.07
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36.15
|
| Rate for Payer: BCBS Complete |
$21.41
|
| Rate for Payer: BCBS MAPPO |
$28.92
|
| Rate for Payer: BCBS Trust/PPO |
$95.09
|
| Rate for Payer: BCN Commercial |
$95.09
|
| Rate for Payer: BCN Medicare Advantage |
$28.92
|
| Rate for Payer: Cash Price |
$92.54
|
| Rate for Payer: Cofinity Commercial |
$99.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$92.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.92
|
| Rate for Payer: Healthscope Commercial |
$104.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$86.75
|
| Rate for Payer: Mclaren Medicaid |
$20.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30.36
|
| Rate for Payer: Meridian Medicaid |
$21.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$31.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$98.32
|
| Rate for Payer: Nomi Health Commercial |
$94.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$86.75
|
| Rate for Payer: PACE Senior Care Partners |
$27.47
|
| Rate for Payer: PACE SWMI |
$28.92
|
| Rate for Payer: PHP Commercial |
$98.32
|
| Rate for Payer: PHP Medicare Advantage |
$28.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$20.39
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$100.63
|
| Rate for Payer: Priority Health Medicare |
$29.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$80.51
|
| Rate for Payer: Railroad Medicare Medicare |
$28.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$101.79
|
| Rate for Payer: UHC Core |
$96.58
|
| Rate for Payer: UHC Exchange |
$28.92
|
| Rate for Payer: UHC Medicaid |
$20.39
|
| Rate for Payer: UHC Medicare Advantage |
$28.92
|
| Rate for Payer: UHCCP Medicaid |
$20.39
|
| Rate for Payer: VA VA |
$28.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$86.75
|
|
|
HC BK VIRUS PCR, QUANT
|
Facility
|
IP
|
$115.67
|
|
|
Service Code
|
CPT 87799
|
| Hospital Charge Code |
30600289
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$80.51 |
| Max. Negotiated Rate |
$104.10 |
| Rate for Payer: Aetna Commercial |
$98.32
|
| Rate for Payer: BCBS Trust/PPO |
$95.53
|
| Rate for Payer: BCN Commercial |
$95.53
|
| Rate for Payer: Cash Price |
$92.54
|
| Rate for Payer: Cofinity Commercial |
$99.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$92.54
|
| Rate for Payer: Healthscope Commercial |
$104.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$86.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$98.32
|
| Rate for Payer: Nomi Health Commercial |
$94.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$86.75
|
| Rate for Payer: PHP Commercial |
$98.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$100.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$80.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$101.79
|
| Rate for Payer: UHC Core |
$96.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$86.75
|
|
|
HC BLADDER IRRIGATION
|
Facility
|
OP
|
$285.45
|
|
| Hospital Charge Code |
45000032
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$50.32 |
| Max. Negotiated Rate |
$256.90 |
| Rate for Payer: Aetna Commercial |
$242.63
|
| Rate for Payer: Aetna Medicare |
$74.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$89.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$89.20
|
| Rate for Payer: BCBS Complete |
$52.84
|
| Rate for Payer: BCBS MAPPO |
$71.36
|
| Rate for Payer: BCBS Trust/PPO |
$234.67
|
| Rate for Payer: BCN Commercial |
$234.67
|
| Rate for Payer: BCN Medicare Advantage |
$71.36
|
| Rate for Payer: Cash Price |
$228.36
|
| Rate for Payer: Cash Price |
$228.36
|
| Rate for Payer: Cofinity Commercial |
$245.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$228.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$71.36
|
| Rate for Payer: Healthscope Commercial |
$256.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$214.09
|
| Rate for Payer: Mclaren Medicaid |
$50.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$74.93
|
| Rate for Payer: Meridian Medicaid |
$52.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$82.07
|
| Rate for Payer: Molina Medicare/Medicaid |
$78.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$242.63
|
| Rate for Payer: Nomi Health Commercial |
$234.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$214.09
|
| Rate for Payer: PACE Senior Care Partners |
$67.79
|
| Rate for Payer: PACE SWMI |
$71.36
|
| Rate for Payer: PHP Commercial |
$242.63
|
| Rate for Payer: PHP Medicare Advantage |
$71.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$50.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$248.34
|
| Rate for Payer: Priority Health Medicare |
$72.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$198.67
|
| Rate for Payer: Railroad Medicare Medicare |
$71.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$251.20
|
| Rate for Payer: UHC Core |
$238.35
|
| Rate for Payer: UHC Exchange |
$71.36
|
| Rate for Payer: UHC Medicaid |
$50.32
|
| Rate for Payer: UHC Medicare Advantage |
$71.36
|
| Rate for Payer: UHCCP Medicaid |
$125.00
|
| Rate for Payer: VA VA |
$71.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$214.09
|
|
|
HC BLADDER IRRIGATION
|
Facility
|
IP
|
$285.45
|
|
| Hospital Charge Code |
45000032
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$198.67 |
| Max. Negotiated Rate |
$256.90 |
| Rate for Payer: Aetna Commercial |
$242.63
|
| Rate for Payer: BCBS Trust/PPO |
$235.75
|
| Rate for Payer: BCN Commercial |
$235.75
|
| Rate for Payer: Cash Price |
$228.36
|
| Rate for Payer: Cofinity Commercial |
$245.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$228.36
|
| Rate for Payer: Healthscope Commercial |
$256.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$214.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$242.63
|
| Rate for Payer: Nomi Health Commercial |
$234.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$214.09
|
| Rate for Payer: PHP Commercial |
$242.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$248.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$198.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$251.20
|
| Rate for Payer: UHC Core |
$238.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$214.09
|
|
|
HC BLADDER SCAN
|
Facility
|
IP
|
$156.20
|
|
|
Service Code
|
CPT 51798
|
| Hospital Charge Code |
45000006
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$108.72 |
| Max. Negotiated Rate |
$140.58 |
| Rate for Payer: Aetna Commercial |
$132.77
|
| Rate for Payer: BCBS Trust/PPO |
$129.01
|
| Rate for Payer: BCN Commercial |
$129.01
|
| Rate for Payer: Cash Price |
$124.96
|
| Rate for Payer: Cofinity Commercial |
$134.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$124.96
|
| Rate for Payer: Healthscope Commercial |
$140.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$117.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$132.77
|
| Rate for Payer: Nomi Health Commercial |
$128.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$117.15
|
| Rate for Payer: PHP Commercial |
$132.77
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$135.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$108.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$137.46
|
| Rate for Payer: UHC Core |
$130.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$117.15
|
|
|
HC BLADDER SCAN
|
Facility
|
OP
|
$156.20
|
|
|
Service Code
|
CPT 51798
|
| Hospital Charge Code |
45000006
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$27.54 |
| Max. Negotiated Rate |
$140.58 |
| Rate for Payer: Aetna Commercial |
$132.77
|
| Rate for Payer: Aetna Medicare |
$40.61
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$48.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$48.81
|
| Rate for Payer: BCBS Complete |
$28.91
|
| Rate for Payer: BCBS MAPPO |
$39.05
|
| Rate for Payer: BCBS Trust/PPO |
$128.41
|
| Rate for Payer: BCN Commercial |
$128.41
|
| Rate for Payer: BCN Medicare Advantage |
$39.05
|
| Rate for Payer: Cash Price |
$124.96
|
| Rate for Payer: Cofinity Commercial |
$134.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$124.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$39.05
|
| Rate for Payer: Healthscope Commercial |
$140.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$117.15
|
| Rate for Payer: Mclaren Medicaid |
$27.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$41.00
|
| Rate for Payer: Meridian Medicaid |
$28.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$44.91
|
| Rate for Payer: Molina Medicare/Medicaid |
$42.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$132.77
|
| Rate for Payer: Nomi Health Commercial |
$128.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$117.15
|
| Rate for Payer: PACE Senior Care Partners |
$37.10
|
| Rate for Payer: PACE SWMI |
$39.05
|
| Rate for Payer: PHP Commercial |
$132.77
|
| Rate for Payer: PHP Medicare Advantage |
$39.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$27.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$135.89
|
| Rate for Payer: Priority Health Medicare |
$39.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$108.72
|
| Rate for Payer: Railroad Medicare Medicare |
$39.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$137.46
|
| Rate for Payer: UHC Core |
$130.43
|
| Rate for Payer: UHC Exchange |
$39.05
|
| Rate for Payer: UHC Medicaid |
$27.54
|
| Rate for Payer: UHC Medicare Advantage |
$39.05
|
| Rate for Payer: UHCCP Medicaid |
$27.54
|
| Rate for Payer: VA VA |
$39.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$117.15
|
|
|
HC BLASTOMYCES ABS BY COMP FIX
|
Facility
|
OP
|
$78.03
|
|
|
Service Code
|
CPT 86612
|
| Hospital Charge Code |
30200230
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$13.76 |
| Max. Negotiated Rate |
$70.23 |
| Rate for Payer: Aetna Commercial |
$66.33
|
| Rate for Payer: Aetna Medicare |
$20.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24.38
|
| Rate for Payer: BCBS Complete |
$14.44
|
| Rate for Payer: BCBS MAPPO |
$19.51
|
| Rate for Payer: BCBS Trust/PPO |
$64.15
|
| Rate for Payer: BCN Commercial |
$64.15
|
| Rate for Payer: BCN Medicare Advantage |
$19.51
|
| Rate for Payer: Cash Price |
$62.42
|
| Rate for Payer: Cofinity Commercial |
$67.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$62.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19.51
|
| Rate for Payer: Healthscope Commercial |
$70.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$58.52
|
| Rate for Payer: Mclaren Medicaid |
$13.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20.48
|
| Rate for Payer: Meridian Medicaid |
$14.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22.43
|
| Rate for Payer: Molina Medicare/Medicaid |
$21.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$66.33
|
| Rate for Payer: Nomi Health Commercial |
$63.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$58.52
|
| Rate for Payer: PACE Senior Care Partners |
$18.53
|
| Rate for Payer: PACE SWMI |
$19.51
|
| Rate for Payer: PHP Commercial |
$66.33
|
| Rate for Payer: PHP Medicare Advantage |
$19.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$13.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$67.89
|
| Rate for Payer: Priority Health Medicare |
$19.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$54.31
|
| Rate for Payer: Railroad Medicare Medicare |
$19.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$68.67
|
| Rate for Payer: UHC Core |
$65.16
|
| Rate for Payer: UHC Exchange |
$19.51
|
| Rate for Payer: UHC Medicaid |
$13.76
|
| Rate for Payer: UHC Medicare Advantage |
$19.51
|
| Rate for Payer: UHCCP Medicaid |
$13.76
|
| Rate for Payer: VA VA |
$19.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$58.52
|
|
|
HC BLASTOMYCES ABS BY COMP FIX
|
Facility
|
IP
|
$78.03
|
|
|
Service Code
|
CPT 86612
|
| Hospital Charge Code |
30200230
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$54.31 |
| Max. Negotiated Rate |
$70.23 |
| Rate for Payer: Aetna Commercial |
$66.33
|
| Rate for Payer: BCBS Trust/PPO |
$64.44
|
| Rate for Payer: BCN Commercial |
$64.44
|
| Rate for Payer: Cash Price |
$62.42
|
| Rate for Payer: Cofinity Commercial |
$67.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$62.42
|
| Rate for Payer: Healthscope Commercial |
$70.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$58.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$66.33
|
| Rate for Payer: Nomi Health Commercial |
$63.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$58.52
|
| Rate for Payer: PHP Commercial |
$66.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$67.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$54.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$68.67
|
| Rate for Payer: UHC Core |
$65.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$58.52
|
|
|
HC BLD DRAW CENTRAL/PERIPH VENOUS CATH
|
Facility
|
OP
|
$127.01
|
|
|
Service Code
|
CPT 36592
|
| Hospital Charge Code |
76100004
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$22.39 |
| Max. Negotiated Rate |
$114.31 |
| Rate for Payer: Aetna Commercial |
$107.96
|
| Rate for Payer: Aetna Medicare |
$33.02
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$39.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$39.69
|
| Rate for Payer: BCBS Complete |
$23.51
|
| Rate for Payer: BCBS MAPPO |
$31.75
|
| Rate for Payer: BCBS Trust/PPO |
$104.41
|
| Rate for Payer: BCN Commercial |
$104.41
|
| Rate for Payer: BCN Medicare Advantage |
$31.75
|
| Rate for Payer: Cash Price |
$101.61
|
| Rate for Payer: Cofinity Commercial |
$109.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$101.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31.75
|
| Rate for Payer: Healthscope Commercial |
$114.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$95.26
|
| Rate for Payer: Mclaren Medicaid |
$22.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$33.34
|
| Rate for Payer: Meridian Medicaid |
$23.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$36.52
|
| Rate for Payer: Molina Medicare/Medicaid |
$34.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$107.96
|
| Rate for Payer: Nomi Health Commercial |
$104.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$95.26
|
| Rate for Payer: PACE Senior Care Partners |
$30.16
|
| Rate for Payer: PACE SWMI |
$31.75
|
| Rate for Payer: PHP Commercial |
$107.96
|
| Rate for Payer: PHP Medicare Advantage |
$31.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$22.39
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$110.50
|
| Rate for Payer: Priority Health Medicare |
$32.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$88.40
|
| Rate for Payer: Railroad Medicare Medicare |
$31.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$111.77
|
| Rate for Payer: UHC Core |
$106.05
|
| Rate for Payer: UHC Exchange |
$31.75
|
| Rate for Payer: UHC Medicaid |
$22.39
|
| Rate for Payer: UHC Medicare Advantage |
$31.75
|
| Rate for Payer: UHCCP Medicaid |
$22.39
|
| Rate for Payer: VA VA |
$31.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$95.26
|
|
|
HC BLD DRAW CENTRAL/PERIPH VENOUS CATH
|
Facility
|
IP
|
$127.01
|
|
|
Service Code
|
CPT 36592
|
| Hospital Charge Code |
76100004
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$88.40 |
| Max. Negotiated Rate |
$114.31 |
| Rate for Payer: Aetna Commercial |
$107.96
|
| Rate for Payer: BCBS Trust/PPO |
$104.90
|
| Rate for Payer: BCN Commercial |
$104.90
|
| Rate for Payer: Cash Price |
$101.61
|
| Rate for Payer: Cofinity Commercial |
$109.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$101.61
|
| Rate for Payer: Healthscope Commercial |
$114.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$95.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$107.96
|
| Rate for Payer: Nomi Health Commercial |
$104.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$95.26
|
| Rate for Payer: PHP Commercial |
$107.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$110.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$88.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$111.77
|
| Rate for Payer: UHC Core |
$106.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$95.26
|
|
|
HC BLEEDING TIME
|
Facility
|
IP
|
$78.45
|
|
|
Service Code
|
CPT 85002
|
| Hospital Charge Code |
30500001
|
|
Hospital Revenue Code
|
305
|
| Min. Negotiated Rate |
$54.60 |
| Max. Negotiated Rate |
$70.61 |
| Rate for Payer: Aetna Commercial |
$66.68
|
| Rate for Payer: BCBS Trust/PPO |
$64.79
|
| Rate for Payer: BCN Commercial |
$64.79
|
| Rate for Payer: Cash Price |
$62.76
|
| Rate for Payer: Cofinity Commercial |
$67.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$62.76
|
| Rate for Payer: Healthscope Commercial |
$70.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$58.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$66.68
|
| Rate for Payer: Nomi Health Commercial |
$64.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$58.84
|
| Rate for Payer: PHP Commercial |
$66.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$68.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$54.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$69.04
|
| Rate for Payer: UHC Core |
$65.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$58.84
|
|
|
HC BLEEDING TIME
|
Facility
|
OP
|
$78.45
|
|
|
Service Code
|
CPT 85002
|
| Hospital Charge Code |
30500001
|
|
Hospital Revenue Code
|
305
|
| Min. Negotiated Rate |
$13.83 |
| Max. Negotiated Rate |
$70.61 |
| Rate for Payer: Aetna Commercial |
$66.68
|
| Rate for Payer: Aetna Medicare |
$20.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24.52
|
| Rate for Payer: BCBS Complete |
$14.52
|
| Rate for Payer: BCBS MAPPO |
$19.61
|
| Rate for Payer: BCBS Trust/PPO |
$64.49
|
| Rate for Payer: BCN Commercial |
$64.49
|
| Rate for Payer: BCN Medicare Advantage |
$19.61
|
| Rate for Payer: Cash Price |
$62.76
|
| Rate for Payer: Cofinity Commercial |
$67.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$62.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19.61
|
| Rate for Payer: Healthscope Commercial |
$70.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$58.84
|
| Rate for Payer: Mclaren Medicaid |
$13.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20.59
|
| Rate for Payer: Meridian Medicaid |
$14.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22.55
|
| Rate for Payer: Molina Medicare/Medicaid |
$21.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$66.68
|
| Rate for Payer: Nomi Health Commercial |
$64.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$58.84
|
| Rate for Payer: PACE Senior Care Partners |
$18.63
|
| Rate for Payer: PACE SWMI |
$19.61
|
| Rate for Payer: PHP Commercial |
$66.68
|
| Rate for Payer: PHP Medicare Advantage |
$19.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$13.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$68.25
|
| Rate for Payer: Priority Health Medicare |
$19.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$54.60
|
| Rate for Payer: Railroad Medicare Medicare |
$19.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$69.04
|
| Rate for Payer: UHC Core |
$65.51
|
| Rate for Payer: UHC Exchange |
$19.61
|
| Rate for Payer: UHC Medicaid |
$13.83
|
| Rate for Payer: UHC Medicare Advantage |
$19.61
|
| Rate for Payer: UHCCP Medicaid |
$13.83
|
| Rate for Payer: VA VA |
$19.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$58.84
|
|
|
HC BLEPHAROTOMY DRAINAGE ABSCESS EYELID
|
Facility
|
IP
|
$943.50
|
|
|
Service Code
|
CPT 67700
|
| Hospital Charge Code |
76100532
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$656.68 |
| Max. Negotiated Rate |
$849.15 |
| Rate for Payer: Aetna Commercial |
$801.98
|
| Rate for Payer: BCBS Trust/PPO |
$779.24
|
| Rate for Payer: BCN Commercial |
$779.24
|
| Rate for Payer: Cash Price |
$754.80
|
| Rate for Payer: Cofinity Commercial |
$811.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$754.80
|
| Rate for Payer: Healthscope Commercial |
$849.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$707.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$801.98
|
| Rate for Payer: Nomi Health Commercial |
$773.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$707.62
|
| Rate for Payer: PHP Commercial |
$801.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$820.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$656.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$830.28
|
| Rate for Payer: UHC Core |
$787.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$707.62
|
|
|
HC BLEPHAROTOMY DRAINAGE ABSCESS EYELID
|
Facility
|
OP
|
$943.50
|
|
|
Service Code
|
CPT 67700
|
| Hospital Charge Code |
76100532
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$166.34 |
| Max. Negotiated Rate |
$849.15 |
| Rate for Payer: Aetna Commercial |
$801.98
|
| Rate for Payer: Aetna Medicare |
$245.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$294.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$294.84
|
| Rate for Payer: BCBS Complete |
$174.64
|
| Rate for Payer: BCBS MAPPO |
$235.88
|
| Rate for Payer: BCBS Trust/PPO |
$775.65
|
| Rate for Payer: BCN Commercial |
$775.65
|
| Rate for Payer: BCN Medicare Advantage |
$235.88
|
| Rate for Payer: Cash Price |
$754.80
|
| Rate for Payer: Cofinity Commercial |
$811.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$754.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$235.88
|
| Rate for Payer: Healthscope Commercial |
$849.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$707.62
|
| Rate for Payer: Mclaren Medicaid |
$166.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$247.67
|
| Rate for Payer: Meridian Medicaid |
$174.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$271.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$259.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$801.98
|
| Rate for Payer: Nomi Health Commercial |
$773.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$707.62
|
| Rate for Payer: PACE Senior Care Partners |
$224.08
|
| Rate for Payer: PACE SWMI |
$235.88
|
| Rate for Payer: PHP Commercial |
$801.98
|
| Rate for Payer: PHP Medicare Advantage |
$235.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$166.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$820.85
|
| Rate for Payer: Priority Health Medicare |
$238.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$656.68
|
| Rate for Payer: Railroad Medicare Medicare |
$235.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$830.28
|
| Rate for Payer: UHC Core |
$787.82
|
| Rate for Payer: UHC Exchange |
$235.88
|
| Rate for Payer: UHC Medicaid |
$166.34
|
| Rate for Payer: UHC Medicare Advantage |
$235.88
|
| Rate for Payer: UHCCP Medicaid |
$166.34
|
| Rate for Payer: VA VA |
$235.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$707.62
|
|
|
HC BLOOD CULTURE
|
Facility
|
OP
|
$99.65
|
|
|
Service Code
|
CPT 87040
|
| Hospital Charge Code |
30600072
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$17.57 |
| Max. Negotiated Rate |
$89.69 |
| Rate for Payer: Aetna Commercial |
$84.70
|
| Rate for Payer: Aetna Medicare |
$25.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$31.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$31.14
|
| Rate for Payer: BCBS Complete |
$18.45
|
| Rate for Payer: BCBS MAPPO |
$24.91
|
| Rate for Payer: BCBS Trust/PPO |
$81.92
|
| Rate for Payer: BCN Commercial |
$81.92
|
| Rate for Payer: BCN Medicare Advantage |
$24.91
|
| Rate for Payer: Cash Price |
$79.72
|
| Rate for Payer: Cofinity Commercial |
$85.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$79.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24.91
|
| Rate for Payer: Healthscope Commercial |
$89.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$74.74
|
| Rate for Payer: Mclaren Medicaid |
$17.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26.16
|
| Rate for Payer: Meridian Medicaid |
$18.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28.65
|
| Rate for Payer: Molina Medicare/Medicaid |
$27.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$84.70
|
| Rate for Payer: Nomi Health Commercial |
$81.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$74.74
|
| Rate for Payer: PACE Senior Care Partners |
$23.67
|
| Rate for Payer: PACE SWMI |
$24.91
|
| Rate for Payer: PHP Commercial |
$84.70
|
| Rate for Payer: PHP Medicare Advantage |
$24.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$17.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$86.70
|
| Rate for Payer: Priority Health Medicare |
$25.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$69.36
|
| Rate for Payer: Railroad Medicare Medicare |
$24.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$87.69
|
| Rate for Payer: UHC Core |
$83.21
|
| Rate for Payer: UHC Exchange |
$24.91
|
| Rate for Payer: UHC Medicaid |
$17.57
|
| Rate for Payer: UHC Medicare Advantage |
$24.91
|
| Rate for Payer: UHCCP Medicaid |
$17.57
|
| Rate for Payer: VA VA |
$24.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$74.74
|
|
|
HC BLOOD CULTURE
|
Facility
|
IP
|
$99.65
|
|
|
Service Code
|
CPT 87040
|
| Hospital Charge Code |
30600072
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$69.36 |
| Max. Negotiated Rate |
$89.69 |
| Rate for Payer: Aetna Commercial |
$84.70
|
| Rate for Payer: BCBS Trust/PPO |
$82.30
|
| Rate for Payer: BCN Commercial |
$82.30
|
| Rate for Payer: Cash Price |
$79.72
|
| Rate for Payer: Cofinity Commercial |
$85.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$79.72
|
| Rate for Payer: Healthscope Commercial |
$89.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$74.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$84.70
|
| Rate for Payer: Nomi Health Commercial |
$81.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$74.74
|
| Rate for Payer: PHP Commercial |
$84.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$86.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$69.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$87.69
|
| Rate for Payer: UHC Core |
$83.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$74.74
|
|
|
HC BLOOD DRAW IMPLANTED DEVICE
|
Facility
|
IP
|
$171.13
|
|
|
Service Code
|
CPT 36591
|
| Hospital Charge Code |
76100003
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$119.11 |
| Max. Negotiated Rate |
$154.02 |
| Rate for Payer: Aetna Commercial |
$145.46
|
| Rate for Payer: BCBS Trust/PPO |
$141.34
|
| Rate for Payer: BCN Commercial |
$141.34
|
| Rate for Payer: Cash Price |
$136.90
|
| Rate for Payer: Cofinity Commercial |
$147.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$136.90
|
| Rate for Payer: Healthscope Commercial |
$154.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$128.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$145.46
|
| Rate for Payer: Nomi Health Commercial |
$140.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$128.35
|
| Rate for Payer: PHP Commercial |
$145.46
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$148.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$119.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$150.59
|
| Rate for Payer: UHC Core |
$142.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$128.35
|
|
|
HC BLOOD DRAW IMPLANTED DEVICE
|
Facility
|
OP
|
$171.13
|
|
|
Service Code
|
CPT 36591
|
| Hospital Charge Code |
76100003
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$30.17 |
| Max. Negotiated Rate |
$154.02 |
| Rate for Payer: Aetna Commercial |
$145.46
|
| Rate for Payer: Aetna Medicare |
$44.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$53.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$53.48
|
| Rate for Payer: BCBS Complete |
$31.68
|
| Rate for Payer: BCBS MAPPO |
$42.78
|
| Rate for Payer: BCBS Trust/PPO |
$140.69
|
| Rate for Payer: BCN Commercial |
$140.69
|
| Rate for Payer: BCN Medicare Advantage |
$42.78
|
| Rate for Payer: Cash Price |
$136.90
|
| Rate for Payer: Cofinity Commercial |
$147.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$136.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$42.78
|
| Rate for Payer: Healthscope Commercial |
$154.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$128.35
|
| Rate for Payer: Mclaren Medicaid |
$30.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$44.92
|
| Rate for Payer: Meridian Medicaid |
$31.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$49.20
|
| Rate for Payer: Molina Medicare/Medicaid |
$47.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$145.46
|
| Rate for Payer: Nomi Health Commercial |
$140.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$128.35
|
| Rate for Payer: PACE Senior Care Partners |
$40.64
|
| Rate for Payer: PACE SWMI |
$42.78
|
| Rate for Payer: PHP Commercial |
$145.46
|
| Rate for Payer: PHP Medicare Advantage |
$42.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$30.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$148.88
|
| Rate for Payer: Priority Health Medicare |
$43.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$119.11
|
| Rate for Payer: Railroad Medicare Medicare |
$42.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$150.59
|
| Rate for Payer: UHC Core |
$142.89
|
| Rate for Payer: UHC Exchange |
$42.78
|
| Rate for Payer: UHC Medicaid |
$30.17
|
| Rate for Payer: UHC Medicare Advantage |
$42.78
|
| Rate for Payer: UHCCP Medicaid |
$30.17
|
| Rate for Payer: VA VA |
$42.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$128.35
|
|
