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Service Code HCPCS A6213
Hospital Charge Code 62300221
Hospital Revenue Code 623
Min. Negotiated Rate $1.31
Max. Negotiated Rate $4.98
Rate for Payer: Aetna Commercial $4.70
Rate for Payer: Aetna Medicare $1.44
Rate for Payer: Allen County Amish Medical Aid Commercial $1.73
Rate for Payer: Amish Plain Church Group Commercial $1.73
Rate for Payer: BCBS Complete $2.21
Rate for Payer: BCBS MAPPO $1.38
Rate for Payer: BCBS Trust/PPO $4.30
Rate for Payer: BCN Commercial $4.30
Rate for Payer: BCN Medicare Advantage $1.38
Rate for Payer: Cash Price $4.42
Rate for Payer: Cofinity Commercial $4.76
Rate for Payer: Encore Health Key Benefits Commercial $4.42
Rate for Payer: Health Alliance Plan Medicare Advantage $1.38
Rate for Payer: Healthscope Commercial $4.98
Rate for Payer: Lakeland Regional Health Systems Commercial $4.15
Rate for Payer: Meridian Wellcare - Medicare Advantage $1.45
Rate for Payer: MI Amish Medical Board Commercial $1.59
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $4.70
Rate for Payer: PACE Senior Care Partners $1.31
Rate for Payer: PACE SWMI $1.38
Rate for Payer: PHP Commercial $4.70
Rate for Payer: PHP Medicare Advantage $1.38
Rate for Payer: Priority Health Cigna Priority Health $3.87
Rate for Payer: Priority Health HMO/PPO/Tiered Network $4.81
Rate for Payer: Priority Health Medicare $1.38
Rate for Payer: Priority Health Narrow/Tiered Network $3.37
Rate for Payer: Railroad Medicare Medicare $1.38
Rate for Payer: UHC All Payor (Choice/PPO) $4.87
Rate for Payer: UHC Core $4.62
Rate for Payer: UHC Dual Complete DSNP $1.38
Rate for Payer: UHC Medicare Advantage $1.42
Rate for Payer: VA VA $1.38
Rate for Payer: Van Buren County Sheriff Dept. Commercial $4.15
Service Code HCPCS A6214
Hospital Charge Code 62300222
Hospital Revenue Code 623
Min. Negotiated Rate $6.37
Max. Negotiated Rate $24.13
Rate for Payer: Aetna Commercial $22.79
Rate for Payer: Aetna Medicare $6.97
Rate for Payer: Allen County Amish Medical Aid Commercial $8.38
Rate for Payer: Amish Plain Church Group Commercial $8.38
Rate for Payer: BCBS Complete $10.72
Rate for Payer: BCBS MAPPO $6.70
Rate for Payer: BCBS Trust/PPO $20.84
Rate for Payer: BCN Commercial $20.84
Rate for Payer: BCN Medicare Advantage $6.70
Rate for Payer: Cash Price $21.45
Rate for Payer: Cofinity Commercial $23.06
Rate for Payer: Encore Health Key Benefits Commercial $21.45
Rate for Payer: Health Alliance Plan Medicare Advantage $6.70
Rate for Payer: Healthscope Commercial $24.13
Rate for Payer: Lakeland Regional Health Systems Commercial $20.11
Rate for Payer: Meridian Wellcare - Medicare Advantage $7.04
Rate for Payer: MI Amish Medical Board Commercial $7.71
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $22.79
Rate for Payer: PACE Senior Care Partners $6.37
Rate for Payer: PACE SWMI $6.70
Rate for Payer: PHP Commercial $22.79
Rate for Payer: PHP Medicare Advantage $6.70
Rate for Payer: Priority Health Cigna Priority Health $18.77
Rate for Payer: Priority Health HMO/PPO/Tiered Network $23.32
Rate for Payer: Priority Health Medicare $6.70
Rate for Payer: Priority Health Narrow/Tiered Network $16.35
Rate for Payer: Railroad Medicare Medicare $6.70
Rate for Payer: UHC All Payor (Choice/PPO) $23.59
Rate for Payer: UHC Core $22.39
Rate for Payer: UHC Dual Complete DSNP $6.70
Rate for Payer: UHC Medicare Advantage $6.90
Rate for Payer: VA VA $6.70
Rate for Payer: Van Buren County Sheriff Dept. Commercial $20.11
Service Code HCPCS A6214
Hospital Charge Code 62300222
Hospital Revenue Code 623
Min. Negotiated Rate $16.35
Max. Negotiated Rate $24.13
Rate for Payer: Aetna Commercial $22.79
Rate for Payer: BCBS Trust/PPO $20.72
Rate for Payer: BCN Commercial $20.72
Rate for Payer: Cash Price $21.45
Rate for Payer: Cofinity Commercial $23.06
Rate for Payer: Encore Health Key Benefits Commercial $21.45
Rate for Payer: Healthscope Commercial $24.13
Rate for Payer: Lakeland Regional Health Systems Commercial $20.11
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $22.79
Rate for Payer: PHP Commercial $22.79
Rate for Payer: Priority Health Cigna Priority Health $18.77
Rate for Payer: Priority Health HMO/PPO/Tiered Network $23.32
Rate for Payer: Priority Health Narrow/Tiered Network $16.35
Rate for Payer: UHC All Payor (Choice/PPO) $23.59
Rate for Payer: UHC Core $22.39
Rate for Payer: Van Buren County Sheriff Dept. Commercial $20.11
Service Code CPT 80307
Hospital Charge Code 30000134
Hospital Revenue Code 300
Min. Negotiated Rate $62.21
Max. Negotiated Rate $91.80
Rate for Payer: Aetna Commercial $86.70
Rate for Payer: BCBS Trust/PPO $78.83
Rate for Payer: BCN Commercial $78.83
Rate for Payer: Cash Price $81.60
Rate for Payer: Cofinity Commercial $87.72
Rate for Payer: Encore Health Key Benefits Commercial $81.60
Rate for Payer: Healthscope Commercial $91.80
Rate for Payer: Lakeland Regional Health Systems Commercial $76.50
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $86.70
Rate for Payer: PHP Commercial $86.70
Rate for Payer: Priority Health Cigna Priority Health $71.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network $88.74
Rate for Payer: Priority Health Narrow/Tiered Network $62.21
Rate for Payer: UHC All Payor (Choice/PPO) $89.76
Rate for Payer: UHC Core $85.17
Rate for Payer: Van Buren County Sheriff Dept. Commercial $76.50
Service Code CPT 80307
Hospital Charge Code 30000134
Hospital Revenue Code 300
Min. Negotiated Rate $24.22
Max. Negotiated Rate $91.80
Rate for Payer: Aetna Commercial $86.70
Rate for Payer: Aetna Medicare $26.52
Rate for Payer: Allen County Amish Medical Aid Commercial $31.88
Rate for Payer: Amish Plain Church Group Commercial $31.88
Rate for Payer: BCBS Complete $48.15
Rate for Payer: BCBS MAPPO $25.50
Rate for Payer: BCBS Trust/PPO $79.30
Rate for Payer: BCN Commercial $79.30
Rate for Payer: BCN Medicare Advantage $25.50
Rate for Payer: Cash Price $81.60
Rate for Payer: Cash Price $81.60
Rate for Payer: Cofinity Commercial $87.72
Rate for Payer: Encore Health Key Benefits Commercial $81.60
Rate for Payer: Health Alliance Plan Medicare Advantage $25.50
Rate for Payer: Healthscope Commercial $91.80
Rate for Payer: Lakeland Regional Health Systems Commercial $76.50
Rate for Payer: Mclaren Medicaid $45.86
Rate for Payer: Meridian Medicaid $48.15
Rate for Payer: Meridian Wellcare - Medicare Advantage $26.78
Rate for Payer: MI Amish Medical Board Commercial $29.32
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $86.70
Rate for Payer: PACE Senior Care Partners $24.22
Rate for Payer: PACE SWMI $25.50
Rate for Payer: PHP Commercial $86.70
Rate for Payer: PHP Medicare Advantage $25.50
Rate for Payer: Priority Health Choice Medicaid $45.86
Rate for Payer: Priority Health Cigna Priority Health $71.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network $88.74
Rate for Payer: Priority Health Medicare $25.50
Rate for Payer: Priority Health Narrow/Tiered Network $62.21
Rate for Payer: Railroad Medicare Medicare $25.50
Rate for Payer: UHC All Payor (Choice/PPO) $89.76
Rate for Payer: UHC Core $85.17
Rate for Payer: UHC Dual Complete DSNP $25.50
Rate for Payer: UHC Medicare Advantage $26.26
Rate for Payer: VA VA $25.50
Rate for Payer: Van Buren County Sheriff Dept. Commercial $76.50
Service Code CPT 99000
Hospital Charge Code 98300005
Hospital Revenue Code 983
Min. Negotiated Rate $14.64
Max. Negotiated Rate $21.60
Rate for Payer: Aetna Commercial $20.40
Rate for Payer: BCBS Trust/PPO $18.55
Rate for Payer: BCN Commercial $18.55
Rate for Payer: Cash Price $19.20
Rate for Payer: Cofinity Commercial $20.64
Rate for Payer: Encore Health Key Benefits Commercial $19.20
Rate for Payer: Healthscope Commercial $21.60
Rate for Payer: Lakeland Regional Health Systems Commercial $18.00
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $20.40
Rate for Payer: PHP Commercial $20.40
Rate for Payer: Priority Health Cigna Priority Health $16.80
Rate for Payer: Priority Health HMO/PPO/Tiered Network $20.88
Rate for Payer: Priority Health Narrow/Tiered Network $14.64
Rate for Payer: UHC All Payor (Choice/PPO) $21.12
Rate for Payer: UHC Core $20.04
Rate for Payer: Van Buren County Sheriff Dept. Commercial $18.00
Service Code CPT 99000
Hospital Charge Code 98300005
Hospital Revenue Code 983
Min. Negotiated Rate $5.70
Max. Negotiated Rate $21.60
Rate for Payer: Aetna Commercial $20.40
Rate for Payer: Aetna Medicare $6.24
Rate for Payer: Allen County Amish Medical Aid Commercial $7.50
Rate for Payer: Amish Plain Church Group Commercial $7.50
Rate for Payer: BCBS Complete $9.60
Rate for Payer: BCBS MAPPO $6.00
Rate for Payer: BCBS Trust/PPO $18.66
Rate for Payer: BCN Commercial $18.66
Rate for Payer: BCN Medicare Advantage $6.00
Rate for Payer: Cash Price $19.20
Rate for Payer: Cofinity Commercial $20.64
Rate for Payer: Encore Health Key Benefits Commercial $19.20
Rate for Payer: Health Alliance Plan Medicare Advantage $6.00
Rate for Payer: Healthscope Commercial $21.60
Rate for Payer: Lakeland Regional Health Systems Commercial $18.00
Rate for Payer: Meridian Wellcare - Medicare Advantage $6.30
Rate for Payer: MI Amish Medical Board Commercial $6.90
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $20.40
Rate for Payer: PACE Senior Care Partners $5.70
Rate for Payer: PACE SWMI $6.00
Rate for Payer: PHP Commercial $20.40
Rate for Payer: PHP Medicare Advantage $6.00
Rate for Payer: Priority Health Cigna Priority Health $16.80
Rate for Payer: Priority Health HMO/PPO/Tiered Network $20.88
Rate for Payer: Priority Health Medicare $6.00
Rate for Payer: Priority Health Narrow/Tiered Network $14.64
Rate for Payer: Railroad Medicare Medicare $6.00
Rate for Payer: UHC All Payor (Choice/PPO) $21.12
Rate for Payer: UHC Core $20.04
Rate for Payer: UHC Dual Complete DSNP $6.00
Rate for Payer: UHC Medicare Advantage $6.18
Rate for Payer: VA VA $6.00
Rate for Payer: Van Buren County Sheriff Dept. Commercial $18.00
Service Code CPT 80305
Hospital Charge Code 30100652
Hospital Revenue Code 301
Min. Negotiated Rate $9.30
Max. Negotiated Rate $42.55
Rate for Payer: Aetna Commercial $40.19
Rate for Payer: Aetna Medicare $12.29
Rate for Payer: Allen County Amish Medical Aid Commercial $14.78
Rate for Payer: Amish Plain Church Group Commercial $14.78
Rate for Payer: BCBS Complete $9.76
Rate for Payer: BCBS MAPPO $11.82
Rate for Payer: BCBS Trust/PPO $36.76
Rate for Payer: BCN Commercial $36.76
Rate for Payer: BCN Medicare Advantage $11.82
Rate for Payer: Cash Price $37.82
Rate for Payer: Cash Price $37.82
Rate for Payer: Cofinity Commercial $40.66
Rate for Payer: Encore Health Key Benefits Commercial $37.82
Rate for Payer: Health Alliance Plan Medicare Advantage $11.82
Rate for Payer: Healthscope Commercial $42.55
Rate for Payer: Lakeland Regional Health Systems Commercial $35.46
Rate for Payer: Mclaren Medicaid $9.30
Rate for Payer: Meridian Medicaid $9.76
Rate for Payer: Meridian Wellcare - Medicare Advantage $12.41
Rate for Payer: MI Amish Medical Board Commercial $13.59
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $40.19
Rate for Payer: PACE Senior Care Partners $11.23
Rate for Payer: PACE SWMI $11.82
Rate for Payer: PHP Commercial $40.19
Rate for Payer: PHP Medicare Advantage $11.82
Rate for Payer: Priority Health Choice Medicaid $9.30
Rate for Payer: Priority Health Cigna Priority Health $33.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network $41.13
Rate for Payer: Priority Health Medicare $11.82
Rate for Payer: Priority Health Narrow/Tiered Network $28.84
Rate for Payer: Railroad Medicare Medicare $11.82
Rate for Payer: UHC All Payor (Choice/PPO) $41.61
Rate for Payer: UHC Core $39.48
Rate for Payer: UHC Dual Complete DSNP $11.82
Rate for Payer: UHC Medicare Advantage $12.17
Rate for Payer: VA VA $11.82
Rate for Payer: Van Buren County Sheriff Dept. Commercial $35.46
Service Code CPT 80305
Hospital Charge Code 30100652
Hospital Revenue Code 301
Min. Negotiated Rate $28.84
Max. Negotiated Rate $42.55
Rate for Payer: Aetna Commercial $40.19
Rate for Payer: BCBS Trust/PPO $36.54
Rate for Payer: BCN Commercial $36.54
Rate for Payer: Cash Price $37.82
Rate for Payer: Cofinity Commercial $40.66
Rate for Payer: Encore Health Key Benefits Commercial $37.82
Rate for Payer: Healthscope Commercial $42.55
Rate for Payer: Lakeland Regional Health Systems Commercial $35.46
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $40.19
Rate for Payer: PHP Commercial $40.19
Rate for Payer: Priority Health Cigna Priority Health $33.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network $41.13
Rate for Payer: Priority Health Narrow/Tiered Network $28.84
Rate for Payer: UHC All Payor (Choice/PPO) $41.61
Rate for Payer: UHC Core $39.48
Rate for Payer: Van Buren County Sheriff Dept. Commercial $35.46
Service Code CPT 80320
Hospital Charge Code 30100732
Hospital Revenue Code 301
Min. Negotiated Rate $45.74
Max. Negotiated Rate $67.50
Rate for Payer: Aetna Commercial $63.75
Rate for Payer: BCBS Trust/PPO $57.96
Rate for Payer: BCN Commercial $57.96
Rate for Payer: Cash Price $60.00
Rate for Payer: Cofinity Commercial $64.50
Rate for Payer: Encore Health Key Benefits Commercial $60.00
Rate for Payer: Healthscope Commercial $67.50
Rate for Payer: Lakeland Regional Health Systems Commercial $56.25
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $63.75
Rate for Payer: PHP Commercial $63.75
Rate for Payer: Priority Health Cigna Priority Health $52.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network $65.25
Rate for Payer: Priority Health Narrow/Tiered Network $45.74
Rate for Payer: UHC All Payor (Choice/PPO) $66.00
Rate for Payer: UHC Core $62.62
Rate for Payer: Van Buren County Sheriff Dept. Commercial $56.25
Service Code CPT 80320
Hospital Charge Code 30100732
Hospital Revenue Code 301
Min. Negotiated Rate $17.81
Max. Negotiated Rate $67.50
Rate for Payer: Aetna Commercial $63.75
Rate for Payer: Aetna Medicare $19.50
Rate for Payer: Allen County Amish Medical Aid Commercial $23.44
Rate for Payer: Amish Plain Church Group Commercial $23.44
Rate for Payer: BCBS Complete $30.00
Rate for Payer: BCBS MAPPO $18.75
Rate for Payer: BCBS Trust/PPO $58.31
Rate for Payer: BCN Commercial $58.31
Rate for Payer: BCN Medicare Advantage $18.75
Rate for Payer: Cash Price $60.00
Rate for Payer: Cofinity Commercial $64.50
Rate for Payer: Encore Health Key Benefits Commercial $60.00
Rate for Payer: Health Alliance Plan Medicare Advantage $18.75
Rate for Payer: Healthscope Commercial $67.50
Rate for Payer: Lakeland Regional Health Systems Commercial $56.25
Rate for Payer: Meridian Wellcare - Medicare Advantage $19.69
Rate for Payer: MI Amish Medical Board Commercial $21.56
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $63.75
Rate for Payer: PACE Senior Care Partners $17.81
Rate for Payer: PACE SWMI $18.75
Rate for Payer: PHP Commercial $63.75
Rate for Payer: PHP Medicare Advantage $18.75
Rate for Payer: Priority Health Cigna Priority Health $52.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network $65.25
Rate for Payer: Priority Health Medicare $18.75
Rate for Payer: Priority Health Narrow/Tiered Network $45.74
Rate for Payer: Railroad Medicare Medicare $18.75
Rate for Payer: UHC All Payor (Choice/PPO) $66.00
Rate for Payer: UHC Core $62.62
Rate for Payer: UHC Dual Complete DSNP $18.75
Rate for Payer: UHC Medicare Advantage $19.31
Rate for Payer: VA VA $18.75
Rate for Payer: Van Buren County Sheriff Dept. Commercial $56.25
Service Code CPT 86225
Hospital Charge Code 30200505
Hospital Revenue Code 302
Min. Negotiated Rate $9.20
Max. Negotiated Rate $34.87
Rate for Payer: Aetna Commercial $32.93
Rate for Payer: Aetna Medicare $10.07
Rate for Payer: Allen County Amish Medical Aid Commercial $12.11
Rate for Payer: Amish Plain Church Group Commercial $12.11
Rate for Payer: BCBS Complete $10.65
Rate for Payer: BCBS MAPPO $9.68
Rate for Payer: BCBS Trust/PPO $30.12
Rate for Payer: BCN Commercial $30.12
Rate for Payer: BCN Medicare Advantage $9.68
Rate for Payer: Cash Price $30.99
Rate for Payer: Cash Price $30.99
Rate for Payer: Cofinity Commercial $33.32
Rate for Payer: Encore Health Key Benefits Commercial $30.99
Rate for Payer: Health Alliance Plan Medicare Advantage $9.68
Rate for Payer: Healthscope Commercial $34.87
Rate for Payer: Lakeland Regional Health Systems Commercial $29.06
Rate for Payer: Mclaren Medicaid $10.14
Rate for Payer: Meridian Medicaid $10.65
Rate for Payer: Meridian Wellcare - Medicare Advantage $10.17
Rate for Payer: MI Amish Medical Board Commercial $11.14
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $32.93
Rate for Payer: PACE Senior Care Partners $9.20
Rate for Payer: PACE SWMI $9.68
Rate for Payer: PHP Commercial $32.93
Rate for Payer: PHP Medicare Advantage $9.68
Rate for Payer: Priority Health Choice Medicaid $10.14
Rate for Payer: Priority Health Cigna Priority Health $27.12
Rate for Payer: Priority Health HMO/PPO/Tiered Network $33.70
Rate for Payer: Priority Health Medicare $9.68
Rate for Payer: Priority Health Narrow/Tiered Network $23.63
Rate for Payer: Railroad Medicare Medicare $9.68
Rate for Payer: UHC All Payor (Choice/PPO) $34.09
Rate for Payer: UHC Core $32.35
Rate for Payer: UHC Dual Complete DSNP $9.68
Rate for Payer: UHC Medicare Advantage $9.98
Rate for Payer: VA VA $9.68
Rate for Payer: Van Buren County Sheriff Dept. Commercial $29.06
Service Code CPT 86225
Hospital Charge Code 30200505
Hospital Revenue Code 302
Min. Negotiated Rate $23.63
Max. Negotiated Rate $34.87
Rate for Payer: Aetna Commercial $32.93
Rate for Payer: BCBS Trust/PPO $29.94
Rate for Payer: BCN Commercial $29.94
Rate for Payer: Cash Price $30.99
Rate for Payer: Cofinity Commercial $33.32
Rate for Payer: Encore Health Key Benefits Commercial $30.99
Rate for Payer: Healthscope Commercial $34.87
Rate for Payer: Lakeland Regional Health Systems Commercial $29.06
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $32.93
Rate for Payer: PHP Commercial $32.93
Rate for Payer: Priority Health Cigna Priority Health $27.12
Rate for Payer: Priority Health HMO/PPO/Tiered Network $33.70
Rate for Payer: Priority Health Narrow/Tiered Network $23.63
Rate for Payer: UHC All Payor (Choice/PPO) $34.09
Rate for Payer: UHC Core $32.35
Rate for Payer: Van Buren County Sheriff Dept. Commercial $29.06
Service Code HCPCS A9551
Hospital Charge Code 34300004
Hospital Revenue Code 343
Min. Negotiated Rate $232.43
Max. Negotiated Rate $342.98
Rate for Payer: Aetna Commercial $323.93
Rate for Payer: BCBS Trust/PPO $294.51
Rate for Payer: BCN Commercial $294.51
Rate for Payer: Cash Price $304.87
Rate for Payer: Cofinity Commercial $327.74
Rate for Payer: Encore Health Key Benefits Commercial $304.87
Rate for Payer: Healthscope Commercial $342.98
Rate for Payer: Lakeland Regional Health Systems Commercial $285.82
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $323.93
Rate for Payer: PHP Commercial $323.93
Rate for Payer: Priority Health Cigna Priority Health $266.76
Rate for Payer: Priority Health HMO/PPO/Tiered Network $331.55
Rate for Payer: Priority Health Narrow/Tiered Network $232.43
Rate for Payer: UHC All Payor (Choice/PPO) $335.36
Rate for Payer: UHC Core $318.21
Rate for Payer: Van Buren County Sheriff Dept. Commercial $285.82
Service Code HCPCS A9551
Hospital Charge Code 34300004
Hospital Revenue Code 343
Min. Negotiated Rate $90.51
Max. Negotiated Rate $342.98
Rate for Payer: Aetna Commercial $323.93
Rate for Payer: Aetna Medicare $99.08
Rate for Payer: Allen County Amish Medical Aid Commercial $119.09
Rate for Payer: Amish Plain Church Group Commercial $119.09
Rate for Payer: BCBS Complete $152.44
Rate for Payer: BCBS MAPPO $95.27
Rate for Payer: BCBS Trust/PPO $296.30
Rate for Payer: BCN Commercial $296.30
Rate for Payer: BCN Medicare Advantage $95.27
Rate for Payer: Cash Price $304.87
Rate for Payer: Cofinity Commercial $327.74
Rate for Payer: Encore Health Key Benefits Commercial $304.87
Rate for Payer: Health Alliance Plan Medicare Advantage $95.27
Rate for Payer: Healthscope Commercial $342.98
Rate for Payer: Lakeland Regional Health Systems Commercial $285.82
Rate for Payer: Meridian Wellcare - Medicare Advantage $100.04
Rate for Payer: MI Amish Medical Board Commercial $109.56
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $323.93
Rate for Payer: PACE Senior Care Partners $90.51
Rate for Payer: PACE SWMI $95.27
Rate for Payer: PHP Commercial $323.93
Rate for Payer: PHP Medicare Advantage $95.27
Rate for Payer: Priority Health Cigna Priority Health $266.76
Rate for Payer: Priority Health HMO/PPO/Tiered Network $331.55
Rate for Payer: Priority Health Medicare $95.27
Rate for Payer: Priority Health Narrow/Tiered Network $232.43
Rate for Payer: Railroad Medicare Medicare $95.27
Rate for Payer: UHC All Payor (Choice/PPO) $335.36
Rate for Payer: UHC Core $318.21
Rate for Payer: UHC Dual Complete DSNP $95.27
Rate for Payer: UHC Medicare Advantage $98.13
Rate for Payer: VA VA $95.27
Rate for Payer: Van Buren County Sheriff Dept. Commercial $285.82
Service Code CPT 90723
Hospital Charge Code 63600137
Hospital Revenue Code 636
Min. Negotiated Rate $105.35
Max. Negotiated Rate $155.47
Rate for Payer: Aetna Commercial $146.83
Rate for Payer: BCBS Trust/PPO $133.49
Rate for Payer: BCN Commercial $133.49
Rate for Payer: Cash Price $138.19
Rate for Payer: Cofinity Commercial $148.56
Rate for Payer: Encore Health Key Benefits Commercial $138.19
Rate for Payer: Healthscope Commercial $155.47
Rate for Payer: Lakeland Regional Health Systems Commercial $129.56
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $146.83
Rate for Payer: PHP Commercial $146.83
Rate for Payer: Priority Health Cigna Priority Health $120.92
Rate for Payer: Priority Health HMO/PPO/Tiered Network $150.28
Rate for Payer: Priority Health Narrow/Tiered Network $105.35
Rate for Payer: UHC All Payor (Choice/PPO) $152.01
Rate for Payer: UHC Core $144.24
Rate for Payer: Van Buren County Sheriff Dept. Commercial $129.56
Service Code CPT 90723
Hospital Charge Code 63600137
Hospital Revenue Code 636
Min. Negotiated Rate $41.03
Max. Negotiated Rate $155.47
Rate for Payer: Aetna Commercial $146.83
Rate for Payer: Aetna Medicare $44.91
Rate for Payer: Allen County Amish Medical Aid Commercial $53.98
Rate for Payer: Amish Plain Church Group Commercial $53.98
Rate for Payer: BCBS Complete $69.10
Rate for Payer: BCBS MAPPO $43.18
Rate for Payer: BCBS Trust/PPO $134.31
Rate for Payer: BCN Commercial $134.31
Rate for Payer: BCN Medicare Advantage $43.18
Rate for Payer: Cash Price $138.19
Rate for Payer: Cofinity Commercial $148.56
Rate for Payer: Encore Health Key Benefits Commercial $138.19
Rate for Payer: Health Alliance Plan Medicare Advantage $43.18
Rate for Payer: Healthscope Commercial $155.47
Rate for Payer: Lakeland Regional Health Systems Commercial $129.56
Rate for Payer: Meridian Wellcare - Medicare Advantage $45.34
Rate for Payer: MI Amish Medical Board Commercial $49.66
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $146.83
Rate for Payer: PACE Senior Care Partners $41.03
Rate for Payer: PACE SWMI $43.18
Rate for Payer: PHP Commercial $146.83
Rate for Payer: PHP Medicare Advantage $43.18
Rate for Payer: Priority Health Cigna Priority Health $120.92
Rate for Payer: Priority Health HMO/PPO/Tiered Network $150.28
Rate for Payer: Priority Health Medicare $43.18
Rate for Payer: Priority Health Narrow/Tiered Network $105.35
Rate for Payer: Railroad Medicare Medicare $43.18
Rate for Payer: UHC All Payor (Choice/PPO) $152.01
Rate for Payer: UHC Core $144.24
Rate for Payer: UHC Dual Complete DSNP $43.18
Rate for Payer: UHC Medicare Advantage $44.48
Rate for Payer: VA VA $43.18
Rate for Payer: Van Buren County Sheriff Dept. Commercial $129.56
Service Code CPT 90696
Hospital Charge Code 63600120
Hospital Revenue Code 636
Min. Negotiated Rate $45.85
Max. Negotiated Rate $67.65
Rate for Payer: Aetna Commercial $63.89
Rate for Payer: BCBS Trust/PPO $58.09
Rate for Payer: BCN Commercial $58.09
Rate for Payer: Cash Price $60.14
Rate for Payer: Cofinity Commercial $64.65
Rate for Payer: Encore Health Key Benefits Commercial $60.14
Rate for Payer: Healthscope Commercial $67.65
Rate for Payer: Lakeland Regional Health Systems Commercial $56.38
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $63.89
Rate for Payer: PHP Commercial $63.89
Rate for Payer: Priority Health Cigna Priority Health $52.62
Rate for Payer: Priority Health HMO/PPO/Tiered Network $65.40
Rate for Payer: Priority Health Narrow/Tiered Network $45.85
Rate for Payer: UHC All Payor (Choice/PPO) $66.15
Rate for Payer: UHC Core $62.77
Rate for Payer: Van Buren County Sheriff Dept. Commercial $56.38
Service Code CPT 90696
Hospital Charge Code 63600120
Hospital Revenue Code 636
Min. Negotiated Rate $17.85
Max. Negotiated Rate $67.65
Rate for Payer: Aetna Commercial $63.89
Rate for Payer: Aetna Medicare $19.54
Rate for Payer: Allen County Amish Medical Aid Commercial $23.49
Rate for Payer: Amish Plain Church Group Commercial $23.49
Rate for Payer: BCBS Complete $30.07
Rate for Payer: BCBS MAPPO $18.79
Rate for Payer: BCBS Trust/PPO $58.44
Rate for Payer: BCN Commercial $58.44
Rate for Payer: BCN Medicare Advantage $18.79
Rate for Payer: Cash Price $60.14
Rate for Payer: Cofinity Commercial $64.65
Rate for Payer: Encore Health Key Benefits Commercial $60.14
Rate for Payer: Health Alliance Plan Medicare Advantage $18.79
Rate for Payer: Healthscope Commercial $67.65
Rate for Payer: Lakeland Regional Health Systems Commercial $56.38
Rate for Payer: Meridian Wellcare - Medicare Advantage $19.73
Rate for Payer: MI Amish Medical Board Commercial $21.61
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $63.89
Rate for Payer: PACE Senior Care Partners $17.85
Rate for Payer: PACE SWMI $18.79
Rate for Payer: PHP Commercial $63.89
Rate for Payer: PHP Medicare Advantage $18.79
Rate for Payer: Priority Health Cigna Priority Health $52.62
Rate for Payer: Priority Health HMO/PPO/Tiered Network $65.40
Rate for Payer: Priority Health Medicare $18.79
Rate for Payer: Priority Health Narrow/Tiered Network $45.85
Rate for Payer: Railroad Medicare Medicare $18.79
Rate for Payer: UHC All Payor (Choice/PPO) $66.15
Rate for Payer: UHC Core $62.77
Rate for Payer: UHC Dual Complete DSNP $18.79
Rate for Payer: UHC Medicare Advantage $19.36
Rate for Payer: VA VA $18.79
Rate for Payer: Van Buren County Sheriff Dept. Commercial $56.38
Service Code CPT 90697
Hospital Charge Code 63600207
Hospital Revenue Code 636
Min. Negotiated Rate $99.54
Max. Negotiated Rate $146.88
Rate for Payer: Aetna Commercial $138.72
Rate for Payer: BCBS Trust/PPO $126.12
Rate for Payer: BCN Commercial $126.12
Rate for Payer: Cash Price $130.56
Rate for Payer: Cofinity Commercial $140.35
Rate for Payer: Encore Health Key Benefits Commercial $130.56
Rate for Payer: Healthscope Commercial $146.88
Rate for Payer: Lakeland Regional Health Systems Commercial $122.40
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $138.72
Rate for Payer: PHP Commercial $138.72
Rate for Payer: Priority Health Cigna Priority Health $114.24
Rate for Payer: Priority Health HMO/PPO/Tiered Network $141.98
Rate for Payer: Priority Health Narrow/Tiered Network $99.54
Rate for Payer: UHC All Payor (Choice/PPO) $143.62
Rate for Payer: UHC Core $136.27
Rate for Payer: Van Buren County Sheriff Dept. Commercial $122.40
Service Code CPT 90697
Hospital Charge Code 63600207
Hospital Revenue Code 636
Min. Negotiated Rate $38.76
Max. Negotiated Rate $146.88
Rate for Payer: Aetna Commercial $138.72
Rate for Payer: Aetna Medicare $42.43
Rate for Payer: Allen County Amish Medical Aid Commercial $51.00
Rate for Payer: Amish Plain Church Group Commercial $51.00
Rate for Payer: BCBS Complete $65.28
Rate for Payer: BCBS MAPPO $40.80
Rate for Payer: BCBS Trust/PPO $126.89
Rate for Payer: BCN Commercial $126.89
Rate for Payer: BCN Medicare Advantage $40.80
Rate for Payer: Cash Price $130.56
Rate for Payer: Cofinity Commercial $140.35
Rate for Payer: Encore Health Key Benefits Commercial $130.56
Rate for Payer: Health Alliance Plan Medicare Advantage $40.80
Rate for Payer: Healthscope Commercial $146.88
Rate for Payer: Lakeland Regional Health Systems Commercial $122.40
Rate for Payer: Meridian Wellcare - Medicare Advantage $42.84
Rate for Payer: MI Amish Medical Board Commercial $46.92
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $138.72
Rate for Payer: PACE Senior Care Partners $38.76
Rate for Payer: PACE SWMI $40.80
Rate for Payer: PHP Commercial $138.72
Rate for Payer: PHP Medicare Advantage $40.80
Rate for Payer: Priority Health Cigna Priority Health $114.24
Rate for Payer: Priority Health HMO/PPO/Tiered Network $141.98
Rate for Payer: Priority Health Medicare $40.80
Rate for Payer: Priority Health Narrow/Tiered Network $99.54
Rate for Payer: Railroad Medicare Medicare $40.80
Rate for Payer: UHC All Payor (Choice/PPO) $143.62
Rate for Payer: UHC Core $136.27
Rate for Payer: UHC Dual Complete DSNP $40.80
Rate for Payer: UHC Medicare Advantage $42.02
Rate for Payer: VA VA $40.80
Rate for Payer: Van Buren County Sheriff Dept. Commercial $122.40
Service Code HCPCS A9539
Hospital Charge Code 34300005
Hospital Revenue Code 343
Min. Negotiated Rate $101.75
Max. Negotiated Rate $150.15
Rate for Payer: Aetna Commercial $141.81
Rate for Payer: BCBS Trust/PPO $128.93
Rate for Payer: BCN Commercial $128.93
Rate for Payer: Cash Price $133.46
Rate for Payer: Cofinity Commercial $143.47
Rate for Payer: Encore Health Key Benefits Commercial $133.46
Rate for Payer: Healthscope Commercial $150.15
Rate for Payer: Lakeland Regional Health Systems Commercial $125.12
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $141.81
Rate for Payer: PHP Commercial $141.81
Rate for Payer: Priority Health Cigna Priority Health $116.78
Rate for Payer: Priority Health HMO/PPO/Tiered Network $145.14
Rate for Payer: Priority Health Narrow/Tiered Network $101.75
Rate for Payer: UHC All Payor (Choice/PPO) $146.81
Rate for Payer: UHC Core $139.30
Rate for Payer: Van Buren County Sheriff Dept. Commercial $125.12
Service Code HCPCS A9539
Hospital Charge Code 34300005
Hospital Revenue Code 343
Min. Negotiated Rate $39.62
Max. Negotiated Rate $150.15
Rate for Payer: Aetna Commercial $141.81
Rate for Payer: Aetna Medicare $43.38
Rate for Payer: Allen County Amish Medical Aid Commercial $52.13
Rate for Payer: Amish Plain Church Group Commercial $52.13
Rate for Payer: BCBS Complete $66.73
Rate for Payer: BCBS MAPPO $41.71
Rate for Payer: BCBS Trust/PPO $129.71
Rate for Payer: BCN Commercial $129.71
Rate for Payer: BCN Medicare Advantage $41.71
Rate for Payer: Cash Price $133.46
Rate for Payer: Cofinity Commercial $143.47
Rate for Payer: Encore Health Key Benefits Commercial $133.46
Rate for Payer: Health Alliance Plan Medicare Advantage $41.71
Rate for Payer: Healthscope Commercial $150.15
Rate for Payer: Lakeland Regional Health Systems Commercial $125.12
Rate for Payer: Meridian Wellcare - Medicare Advantage $43.79
Rate for Payer: MI Amish Medical Board Commercial $47.96
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $141.81
Rate for Payer: PACE Senior Care Partners $39.62
Rate for Payer: PACE SWMI $41.71
Rate for Payer: PHP Commercial $141.81
Rate for Payer: PHP Medicare Advantage $41.71
Rate for Payer: Priority Health Cigna Priority Health $116.78
Rate for Payer: Priority Health HMO/PPO/Tiered Network $145.14
Rate for Payer: Priority Health Medicare $41.71
Rate for Payer: Priority Health Narrow/Tiered Network $101.75
Rate for Payer: Railroad Medicare Medicare $41.71
Rate for Payer: UHC All Payor (Choice/PPO) $146.81
Rate for Payer: UHC Core $139.30
Rate for Payer: UHC Dual Complete DSNP $41.71
Rate for Payer: UHC Medicare Advantage $42.96
Rate for Payer: VA VA $41.71
Rate for Payer: Van Buren County Sheriff Dept. Commercial $125.12
Service Code CPT 33217
Hospital Charge Code 36100066
Hospital Revenue Code 361
Min. Negotiated Rate $7,600.04
Max. Negotiated Rate $11,215.02
Rate for Payer: Aetna Commercial $10,591.96
Rate for Payer: BCBS Trust/PPO $9,629.96
Rate for Payer: BCN Commercial $9,629.96
Rate for Payer: Cash Price $9,968.90
Rate for Payer: Cofinity Commercial $10,716.57
Rate for Payer: Encore Health Key Benefits Commercial $9,968.90
Rate for Payer: Healthscope Commercial $11,215.02
Rate for Payer: Lakeland Regional Health Systems Commercial $9,345.85
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $10,591.96
Rate for Payer: PHP Commercial $10,591.96
Rate for Payer: Priority Health Cigna Priority Health $8,722.79
Rate for Payer: Priority Health HMO/PPO/Tiered Network $10,841.18
Rate for Payer: Priority Health Narrow/Tiered Network $7,600.04
Rate for Payer: UHC All Payor (Choice/PPO) $10,965.79
Rate for Payer: UHC Core $10,405.04
Rate for Payer: Van Buren County Sheriff Dept. Commercial $9,345.85
Service Code CPT 33217
Hospital Charge Code 36100066
Hospital Revenue Code 361
Min. Negotiated Rate $2,959.52
Max. Negotiated Rate $11,215.02
Rate for Payer: Aetna Commercial $10,591.96
Rate for Payer: Aetna Medicare $3,239.89
Rate for Payer: Allen County Amish Medical Aid Commercial $3,894.10
Rate for Payer: Amish Plain Church Group Commercial $3,894.10
Rate for Payer: BCBS Complete $5,851.75
Rate for Payer: BCBS MAPPO $3,115.28
Rate for Payer: BCBS Trust/PPO $9,688.53
Rate for Payer: BCN Commercial $9,688.53
Rate for Payer: BCN Medicare Advantage $3,115.28
Rate for Payer: Cash Price $9,968.90
Rate for Payer: Cash Price $9,968.90
Rate for Payer: Cofinity Commercial $10,716.57
Rate for Payer: Encore Health Key Benefits Commercial $9,968.90
Rate for Payer: Health Alliance Plan Medicare Advantage $3,115.28
Rate for Payer: Healthscope Commercial $11,215.02
Rate for Payer: Lakeland Regional Health Systems Commercial $9,345.85
Rate for Payer: Mclaren Medicaid $5,573.10
Rate for Payer: Meridian Medicaid $5,851.75
Rate for Payer: Meridian Wellcare - Medicare Advantage $3,271.05
Rate for Payer: MI Amish Medical Board Commercial $3,582.57
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $10,591.96
Rate for Payer: PACE Senior Care Partners $2,959.52
Rate for Payer: PACE SWMI $3,115.28
Rate for Payer: PHP Commercial $10,591.96
Rate for Payer: PHP Medicare Advantage $3,115.28
Rate for Payer: Priority Health Choice Medicaid $5,573.10
Rate for Payer: Priority Health Cigna Priority Health $8,722.79
Rate for Payer: Priority Health HMO/PPO/Tiered Network $10,841.18
Rate for Payer: Priority Health Medicare $3,115.28
Rate for Payer: Priority Health Narrow/Tiered Network $7,600.04
Rate for Payer: Railroad Medicare Medicare $3,115.28
Rate for Payer: UHC All Payor (Choice/PPO) $10,965.79
Rate for Payer: UHC Core $10,405.04
Rate for Payer: UHC Dual Complete DSNP $3,115.28
Rate for Payer: UHC Medicare Advantage $3,208.74
Rate for Payer: VA VA $3,115.28
Rate for Payer: Van Buren County Sheriff Dept. Commercial $9,345.85