|
HC CANCER ANTIGEN 19-9
|
Facility
|
OP
|
$46.70
|
|
|
Service Code
|
CPT 86301
|
| Hospital Charge Code |
30200184
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$8.23 |
| Max. Negotiated Rate |
$42.03 |
| Rate for Payer: Aetna Commercial |
$39.70
|
| Rate for Payer: Aetna Medicare |
$12.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14.59
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14.59
|
| Rate for Payer: BCBS Complete |
$8.64
|
| Rate for Payer: BCBS MAPPO |
$11.68
|
| Rate for Payer: BCBS Trust/PPO |
$38.39
|
| Rate for Payer: BCN Commercial |
$38.39
|
| Rate for Payer: BCN Medicare Advantage |
$11.68
|
| Rate for Payer: Cash Price |
$37.36
|
| Rate for Payer: Cofinity Commercial |
$40.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$37.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11.68
|
| Rate for Payer: Healthscope Commercial |
$42.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$35.02
|
| Rate for Payer: Mclaren Medicaid |
$8.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12.26
|
| Rate for Payer: Meridian Medicaid |
$8.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.43
|
| Rate for Payer: Molina Medicare/Medicaid |
$12.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$39.70
|
| Rate for Payer: Nomi Health Commercial |
$38.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$35.02
|
| Rate for Payer: PACE Senior Care Partners |
$11.09
|
| Rate for Payer: PACE SWMI |
$11.68
|
| Rate for Payer: PHP Commercial |
$39.70
|
| Rate for Payer: PHP Medicare Advantage |
$11.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.23
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$40.63
|
| Rate for Payer: Priority Health Medicare |
$11.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$32.50
|
| Rate for Payer: Railroad Medicare Medicare |
$11.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$41.10
|
| Rate for Payer: UHC Core |
$38.99
|
| Rate for Payer: UHC Exchange |
$11.68
|
| Rate for Payer: UHC Medicaid |
$8.23
|
| Rate for Payer: UHC Medicare Advantage |
$11.68
|
| Rate for Payer: UHCCP Medicaid |
$8.23
|
| Rate for Payer: VA VA |
$11.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$35.02
|
|
|
HC CANCER ANTIGEN 2729
|
Facility
|
OP
|
$42.02
|
|
|
Service Code
|
CPT 86300
|
| Hospital Charge Code |
30200183
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$7.41 |
| Max. Negotiated Rate |
$37.82 |
| Rate for Payer: Aetna Commercial |
$35.72
|
| Rate for Payer: Aetna Medicare |
$10.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13.13
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13.13
|
| Rate for Payer: BCBS Complete |
$7.78
|
| Rate for Payer: BCBS MAPPO |
$10.51
|
| Rate for Payer: BCBS Trust/PPO |
$34.54
|
| Rate for Payer: BCN Commercial |
$34.54
|
| Rate for Payer: BCN Medicare Advantage |
$10.51
|
| Rate for Payer: Cash Price |
$33.62
|
| Rate for Payer: Cofinity Commercial |
$36.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10.51
|
| Rate for Payer: Healthscope Commercial |
$37.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$31.52
|
| Rate for Payer: Mclaren Medicaid |
$7.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11.03
|
| Rate for Payer: Meridian Medicaid |
$7.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12.08
|
| Rate for Payer: Molina Medicare/Medicaid |
$11.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$35.72
|
| Rate for Payer: Nomi Health Commercial |
$34.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$31.52
|
| Rate for Payer: PACE Senior Care Partners |
$9.98
|
| Rate for Payer: PACE SWMI |
$10.51
|
| Rate for Payer: PHP Commercial |
$35.72
|
| Rate for Payer: PHP Medicare Advantage |
$10.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$36.56
|
| Rate for Payer: Priority Health Medicare |
$10.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$29.25
|
| Rate for Payer: Railroad Medicare Medicare |
$10.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$36.98
|
| Rate for Payer: UHC Core |
$35.09
|
| Rate for Payer: UHC Exchange |
$10.51
|
| Rate for Payer: UHC Medicaid |
$7.41
|
| Rate for Payer: UHC Medicare Advantage |
$10.51
|
| Rate for Payer: UHCCP Medicaid |
$7.41
|
| Rate for Payer: VA VA |
$10.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$31.52
|
|
|
HC CANCER ANTIGEN 2729
|
Facility
|
IP
|
$42.02
|
|
|
Service Code
|
CPT 86300
|
| Hospital Charge Code |
30200183
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$29.25 |
| Max. Negotiated Rate |
$37.82 |
| Rate for Payer: Aetna Commercial |
$35.72
|
| Rate for Payer: BCBS Trust/PPO |
$34.70
|
| Rate for Payer: BCN Commercial |
$34.70
|
| Rate for Payer: Cash Price |
$33.62
|
| Rate for Payer: Cofinity Commercial |
$36.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.62
|
| Rate for Payer: Healthscope Commercial |
$37.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$31.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$35.72
|
| Rate for Payer: Nomi Health Commercial |
$34.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$31.52
|
| Rate for Payer: PHP Commercial |
$35.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$36.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$29.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$36.98
|
| Rate for Payer: UHC Core |
$35.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$31.52
|
|
|
HC CANDIDA ALBICANS IGE
|
Facility
|
OP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200077
|
|
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 CANDIDA ALBICANS IGE
|
Facility
|
IP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200077
|
|
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 CANNABINOID URIN
|
Facility
|
IP
|
$111.25
|
|
|
Service Code
|
CPT 80307
|
| Hospital Charge Code |
30000125
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$77.43 |
| Max. Negotiated Rate |
$100.12 |
| Rate for Payer: Aetna Commercial |
$94.56
|
| Rate for Payer: BCBS Trust/PPO |
$91.88
|
| Rate for Payer: BCN Commercial |
$91.88
|
| Rate for Payer: Cash Price |
$89.00
|
| Rate for Payer: Cofinity Commercial |
$95.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$89.00
|
| Rate for Payer: Healthscope Commercial |
$100.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$83.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$94.56
|
| Rate for Payer: Nomi Health Commercial |
$91.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$83.44
|
| Rate for Payer: PHP Commercial |
$94.56
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$96.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$77.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$97.90
|
| Rate for Payer: UHC Core |
$92.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$83.44
|
|
|
HC CANNABINOID URIN
|
Facility
|
OP
|
$111.25
|
|
|
Service Code
|
CPT 80307
|
| Hospital Charge Code |
30000125
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$19.61 |
| Max. Negotiated Rate |
$100.12 |
| Rate for Payer: Aetna Commercial |
$94.56
|
| Rate for Payer: Aetna Medicare |
$28.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$34.77
|
| Rate for Payer: Amish Plain Church Group Commercial |
$34.77
|
| Rate for Payer: BCBS Complete |
$20.59
|
| Rate for Payer: BCBS MAPPO |
$27.81
|
| Rate for Payer: BCBS Trust/PPO |
$91.46
|
| Rate for Payer: BCN Commercial |
$91.46
|
| Rate for Payer: BCN Medicare Advantage |
$27.81
|
| Rate for Payer: Cash Price |
$89.00
|
| Rate for Payer: Cofinity Commercial |
$95.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$89.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27.81
|
| Rate for Payer: Healthscope Commercial |
$100.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$83.44
|
| Rate for Payer: Mclaren Medicaid |
$19.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29.20
|
| Rate for Payer: Meridian Medicaid |
$20.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$31.98
|
| Rate for Payer: Molina Medicare/Medicaid |
$30.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$94.56
|
| Rate for Payer: Nomi Health Commercial |
$91.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$83.44
|
| Rate for Payer: PACE Senior Care Partners |
$26.42
|
| Rate for Payer: PACE SWMI |
$27.81
|
| Rate for Payer: PHP Commercial |
$94.56
|
| Rate for Payer: PHP Medicare Advantage |
$27.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$19.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$96.79
|
| Rate for Payer: Priority Health Medicare |
$28.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$77.43
|
| Rate for Payer: Railroad Medicare Medicare |
$27.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$97.90
|
| Rate for Payer: UHC Core |
$92.89
|
| Rate for Payer: UHC Exchange |
$27.81
|
| Rate for Payer: UHC Medicaid |
$19.61
|
| Rate for Payer: UHC Medicare Advantage |
$27.81
|
| Rate for Payer: UHCCP Medicaid |
$19.61
|
| Rate for Payer: VA VA |
$27.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$83.44
|
|
|
HC CANN/INTRO FEM ART 17,19,21 FR
|
Facility
|
IP
|
$902.03
|
|
| Hospital Charge Code |
27000274
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$627.81 |
| Max. Negotiated Rate |
$811.83 |
| Rate for Payer: Aetna Commercial |
$766.73
|
| Rate for Payer: BCBS Trust/PPO |
$744.99
|
| Rate for Payer: BCN Commercial |
$744.99
|
| Rate for Payer: Cash Price |
$721.62
|
| Rate for Payer: Cofinity Commercial |
$775.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$721.62
|
| Rate for Payer: Healthscope Commercial |
$811.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$676.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$766.73
|
| Rate for Payer: Nomi Health Commercial |
$739.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$676.52
|
| Rate for Payer: PHP Commercial |
$766.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$784.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$627.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$793.79
|
| Rate for Payer: UHC Core |
$753.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$676.52
|
|
|
HC CANN/INTRO FEM ART 17,19,21 FR
|
Facility
|
OP
|
$902.03
|
|
| Hospital Charge Code |
27000274
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$159.03 |
| Max. Negotiated Rate |
$811.83 |
| Rate for Payer: Aetna Commercial |
$766.73
|
| Rate for Payer: Aetna Medicare |
$234.53
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$281.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$281.88
|
| Rate for Payer: BCBS Complete |
$166.97
|
| Rate for Payer: BCBS MAPPO |
$225.51
|
| Rate for Payer: BCBS Trust/PPO |
$741.56
|
| Rate for Payer: BCN Commercial |
$741.56
|
| Rate for Payer: BCN Medicare Advantage |
$225.51
|
| Rate for Payer: Cash Price |
$721.62
|
| Rate for Payer: Cofinity Commercial |
$775.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$721.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$225.51
|
| Rate for Payer: Healthscope Commercial |
$811.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$676.52
|
| Rate for Payer: Mclaren Medicaid |
$159.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$236.78
|
| Rate for Payer: Meridian Medicaid |
$166.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$259.33
|
| Rate for Payer: Molina Medicare/Medicaid |
$248.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$766.73
|
| Rate for Payer: Nomi Health Commercial |
$739.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$676.52
|
| Rate for Payer: PACE Senior Care Partners |
$214.23
|
| Rate for Payer: PACE SWMI |
$225.51
|
| Rate for Payer: PHP Commercial |
$766.73
|
| Rate for Payer: PHP Medicare Advantage |
$225.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$159.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$784.77
|
| Rate for Payer: Priority Health Medicare |
$227.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$627.81
|
| Rate for Payer: Railroad Medicare Medicare |
$225.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$793.79
|
| Rate for Payer: UHC Core |
$753.20
|
| Rate for Payer: UHC Exchange |
$225.51
|
| Rate for Payer: UHC Medicaid |
$159.03
|
| Rate for Payer: UHC Medicare Advantage |
$225.51
|
| Rate for Payer: UHCCP Medicaid |
$159.03
|
| Rate for Payer: VA VA |
$225.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$676.52
|
|
|
HC CANN RT ANG BALLOON 4-6MM
|
Facility
|
OP
|
$309.00
|
|
| Hospital Charge Code |
27000446
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$54.48 |
| Max. Negotiated Rate |
$278.10 |
| Rate for Payer: Aetna Commercial |
$262.65
|
| Rate for Payer: Aetna Medicare |
$80.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$96.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$96.56
|
| Rate for Payer: BCBS Complete |
$57.20
|
| Rate for Payer: BCBS MAPPO |
$77.25
|
| Rate for Payer: BCBS Trust/PPO |
$254.03
|
| Rate for Payer: BCN Commercial |
$254.03
|
| Rate for Payer: BCN Medicare Advantage |
$77.25
|
| Rate for Payer: Cash Price |
$247.20
|
| Rate for Payer: Cofinity Commercial |
$265.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$247.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$77.25
|
| Rate for Payer: Healthscope Commercial |
$278.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$231.75
|
| Rate for Payer: Mclaren Medicaid |
$54.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$81.11
|
| Rate for Payer: Meridian Medicaid |
$57.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$88.84
|
| Rate for Payer: Molina Medicare/Medicaid |
$84.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$262.65
|
| Rate for Payer: Nomi Health Commercial |
$253.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$231.75
|
| Rate for Payer: PACE Senior Care Partners |
$73.39
|
| Rate for Payer: PACE SWMI |
$77.25
|
| Rate for Payer: PHP Commercial |
$262.65
|
| Rate for Payer: PHP Medicare Advantage |
$77.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$54.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$268.83
|
| Rate for Payer: Priority Health Medicare |
$78.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$215.06
|
| Rate for Payer: Railroad Medicare Medicare |
$77.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$271.92
|
| Rate for Payer: UHC Core |
$258.01
|
| Rate for Payer: UHC Exchange |
$77.25
|
| Rate for Payer: UHC Medicaid |
$54.48
|
| Rate for Payer: UHC Medicare Advantage |
$77.25
|
| Rate for Payer: UHCCP Medicaid |
$54.48
|
| Rate for Payer: VA VA |
$77.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$231.75
|
|
|
HC CANN RT ANG BALLOON 4-6MM
|
Facility
|
IP
|
$309.00
|
|
| Hospital Charge Code |
27000446
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$215.06 |
| Max. Negotiated Rate |
$278.10 |
| Rate for Payer: Aetna Commercial |
$262.65
|
| Rate for Payer: BCBS Trust/PPO |
$255.20
|
| Rate for Payer: BCN Commercial |
$255.20
|
| Rate for Payer: Cash Price |
$247.20
|
| Rate for Payer: Cofinity Commercial |
$265.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$247.20
|
| Rate for Payer: Healthscope Commercial |
$278.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$231.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$262.65
|
| Rate for Payer: Nomi Health Commercial |
$253.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$231.75
|
| Rate for Payer: PHP Commercial |
$262.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$268.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$215.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$271.92
|
| Rate for Payer: UHC Core |
$258.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$231.75
|
|
|
HC CANNULA ARTERIAL 21, 24 FR
|
Facility
|
IP
|
$118.61
|
|
| Hospital Charge Code |
27000449
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$82.55 |
| Max. Negotiated Rate |
$106.75 |
| Rate for Payer: Aetna Commercial |
$100.82
|
| Rate for Payer: BCBS Trust/PPO |
$97.96
|
| Rate for Payer: BCN Commercial |
$97.96
|
| Rate for Payer: Cash Price |
$94.89
|
| Rate for Payer: Cofinity Commercial |
$102.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$94.89
|
| Rate for Payer: Healthscope Commercial |
$106.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$88.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$100.82
|
| Rate for Payer: Nomi Health Commercial |
$97.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$88.96
|
| Rate for Payer: PHP Commercial |
$100.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$103.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$82.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$104.38
|
| Rate for Payer: UHC Core |
$99.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$88.96
|
|
|
HC CANNULA ARTERIAL 21, 24 FR
|
Facility
|
OP
|
$118.61
|
|
| Hospital Charge Code |
27000449
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$20.91 |
| Max. Negotiated Rate |
$106.75 |
| Rate for Payer: Aetna Commercial |
$100.82
|
| Rate for Payer: Aetna Medicare |
$30.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$37.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$37.07
|
| Rate for Payer: BCBS Complete |
$21.95
|
| Rate for Payer: BCBS MAPPO |
$29.65
|
| Rate for Payer: BCBS Trust/PPO |
$97.51
|
| Rate for Payer: BCN Commercial |
$97.51
|
| Rate for Payer: BCN Medicare Advantage |
$29.65
|
| Rate for Payer: Cash Price |
$94.89
|
| Rate for Payer: Cofinity Commercial |
$102.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$94.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.65
|
| Rate for Payer: Healthscope Commercial |
$106.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$88.96
|
| Rate for Payer: Mclaren Medicaid |
$20.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31.14
|
| Rate for Payer: Meridian Medicaid |
$21.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$34.10
|
| Rate for Payer: Molina Medicare/Medicaid |
$32.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$100.82
|
| Rate for Payer: Nomi Health Commercial |
$97.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$88.96
|
| Rate for Payer: PACE Senior Care Partners |
$28.17
|
| Rate for Payer: PACE SWMI |
$29.65
|
| Rate for Payer: PHP Commercial |
$100.82
|
| Rate for Payer: PHP Medicare Advantage |
$29.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$20.91
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$103.19
|
| Rate for Payer: Priority Health Medicare |
$29.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$82.55
|
| Rate for Payer: Railroad Medicare Medicare |
$29.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$104.38
|
| Rate for Payer: UHC Core |
$99.04
|
| Rate for Payer: UHC Exchange |
$29.65
|
| Rate for Payer: UHC Medicaid |
$20.91
|
| Rate for Payer: UHC Medicare Advantage |
$29.65
|
| Rate for Payer: UHCCP Medicaid |
$20.91
|
| Rate for Payer: VA VA |
$29.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$88.96
|
|
|
HC CANNULA ARTERIOTOMY 2 MM
|
Facility
|
IP
|
$24.97
|
|
| Hospital Charge Code |
27000675
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$17.38 |
| Max. Negotiated Rate |
$22.47 |
| Rate for Payer: Aetna Commercial |
$21.22
|
| Rate for Payer: BCBS Trust/PPO |
$20.62
|
| Rate for Payer: BCN Commercial |
$20.62
|
| Rate for Payer: Cash Price |
$19.98
|
| Rate for Payer: Cofinity Commercial |
$21.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.98
|
| Rate for Payer: Healthscope Commercial |
$22.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.22
|
| Rate for Payer: Nomi Health Commercial |
$20.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.73
|
| Rate for Payer: PHP Commercial |
$21.22
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$21.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$17.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21.97
|
| Rate for Payer: UHC Core |
$20.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.73
|
|
|
HC CANNULA ARTERIOTOMY 2 MM
|
Facility
|
OP
|
$24.97
|
|
| Hospital Charge Code |
27000675
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$4.40 |
| Max. Negotiated Rate |
$22.47 |
| Rate for Payer: Aetna Commercial |
$21.22
|
| Rate for Payer: Aetna Medicare |
$6.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7.80
|
| Rate for Payer: BCBS Complete |
$4.62
|
| Rate for Payer: BCBS MAPPO |
$6.24
|
| Rate for Payer: BCBS Trust/PPO |
$20.53
|
| Rate for Payer: BCN Commercial |
$20.53
|
| Rate for Payer: BCN Medicare Advantage |
$6.24
|
| Rate for Payer: Cash Price |
$19.98
|
| Rate for Payer: Cofinity Commercial |
$21.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.24
|
| Rate for Payer: Healthscope Commercial |
$22.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.73
|
| Rate for Payer: Mclaren Medicaid |
$4.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.55
|
| Rate for Payer: Meridian Medicaid |
$4.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.18
|
| Rate for Payer: Molina Medicare/Medicaid |
$6.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.22
|
| Rate for Payer: Nomi Health Commercial |
$20.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.73
|
| Rate for Payer: PACE Senior Care Partners |
$5.93
|
| Rate for Payer: PACE SWMI |
$6.24
|
| Rate for Payer: PHP Commercial |
$21.22
|
| Rate for Payer: PHP Medicare Advantage |
$6.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$21.72
|
| Rate for Payer: Priority Health Medicare |
$6.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$17.38
|
| Rate for Payer: Railroad Medicare Medicare |
$6.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21.97
|
| Rate for Payer: UHC Core |
$20.85
|
| Rate for Payer: UHC Exchange |
$6.24
|
| Rate for Payer: UHC Medicaid |
$4.40
|
| Rate for Payer: UHC Medicare Advantage |
$6.24
|
| Rate for Payer: UHCCP Medicaid |
$4.40
|
| Rate for Payer: VA VA |
$6.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.73
|
|
|
HC CANNULA BIOMEDICUS
|
Facility
|
IP
|
$1,502.94
|
|
| Hospital Charge Code |
27006715
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$1,046.05 |
| Max. Negotiated Rate |
$1,352.65 |
| Rate for Payer: Aetna Commercial |
$1,277.50
|
| Rate for Payer: BCBS Trust/PPO |
$1,241.28
|
| Rate for Payer: BCN Commercial |
$1,241.28
|
| Rate for Payer: Cash Price |
$1,202.35
|
| Rate for Payer: Cofinity Commercial |
$1,292.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,202.35
|
| Rate for Payer: Healthscope Commercial |
$1,352.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,127.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,277.50
|
| Rate for Payer: Nomi Health Commercial |
$1,232.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,127.20
|
| Rate for Payer: PHP Commercial |
$1,277.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,307.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,046.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,322.59
|
| Rate for Payer: UHC Core |
$1,254.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,127.20
|
|
|
HC CANNULA BIOMEDICUS
|
Facility
|
OP
|
$1,502.94
|
|
| Hospital Charge Code |
27006715
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$264.97 |
| Max. Negotiated Rate |
$1,352.65 |
| Rate for Payer: Aetna Commercial |
$1,277.50
|
| Rate for Payer: Aetna Medicare |
$390.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$469.67
|
| Rate for Payer: Amish Plain Church Group Commercial |
$469.67
|
| Rate for Payer: BCBS Complete |
$278.19
|
| Rate for Payer: BCBS MAPPO |
$375.74
|
| Rate for Payer: BCBS Trust/PPO |
$1,235.57
|
| Rate for Payer: BCN Commercial |
$1,235.57
|
| Rate for Payer: BCN Medicare Advantage |
$375.74
|
| Rate for Payer: Cash Price |
$1,202.35
|
| Rate for Payer: Cofinity Commercial |
$1,292.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,202.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$375.74
|
| Rate for Payer: Healthscope Commercial |
$1,352.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,127.20
|
| Rate for Payer: Mclaren Medicaid |
$264.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$394.52
|
| Rate for Payer: Meridian Medicaid |
$278.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$432.10
|
| Rate for Payer: Molina Medicare/Medicaid |
$413.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,277.50
|
| Rate for Payer: Nomi Health Commercial |
$1,232.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,127.20
|
| Rate for Payer: PACE Senior Care Partners |
$356.95
|
| Rate for Payer: PACE SWMI |
$375.74
|
| Rate for Payer: PHP Commercial |
$1,277.50
|
| Rate for Payer: PHP Medicare Advantage |
$375.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$264.97
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,307.56
|
| Rate for Payer: Priority Health Medicare |
$379.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,046.05
|
| Rate for Payer: Railroad Medicare Medicare |
$375.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,322.59
|
| Rate for Payer: UHC Core |
$1,254.95
|
| Rate for Payer: UHC Exchange |
$375.74
|
| Rate for Payer: UHC Medicaid |
$264.97
|
| Rate for Payer: UHC Medicare Advantage |
$375.74
|
| Rate for Payer: UHCCP Medicaid |
$264.97
|
| Rate for Payer: VA VA |
$375.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,127.20
|
|
|
HC CANNULA CARDIOPLEGIA
|
Facility
|
OP
|
$48.38
|
|
| Hospital Charge Code |
27000092
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$8.53 |
| Max. Negotiated Rate |
$43.54 |
| Rate for Payer: Aetna Commercial |
$41.12
|
| Rate for Payer: Aetna Medicare |
$12.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15.12
|
| Rate for Payer: BCBS Complete |
$8.96
|
| Rate for Payer: BCBS MAPPO |
$12.10
|
| Rate for Payer: BCBS Trust/PPO |
$39.77
|
| Rate for Payer: BCN Commercial |
$39.77
|
| Rate for Payer: BCN Medicare Advantage |
$12.10
|
| Rate for Payer: Cash Price |
$38.70
|
| Rate for Payer: Cofinity Commercial |
$41.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$38.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12.10
|
| Rate for Payer: Healthscope Commercial |
$43.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$36.28
|
| Rate for Payer: Mclaren Medicaid |
$8.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12.70
|
| Rate for Payer: Meridian Medicaid |
$8.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.91
|
| Rate for Payer: Molina Medicare/Medicaid |
$13.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$41.12
|
| Rate for Payer: Nomi Health Commercial |
$39.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$36.28
|
| Rate for Payer: PACE Senior Care Partners |
$11.49
|
| Rate for Payer: PACE SWMI |
$12.10
|
| Rate for Payer: PHP Commercial |
$41.12
|
| Rate for Payer: PHP Medicare Advantage |
$12.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.53
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$42.09
|
| Rate for Payer: Priority Health Medicare |
$12.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$33.67
|
| Rate for Payer: Railroad Medicare Medicare |
$12.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$42.57
|
| Rate for Payer: UHC Core |
$40.40
|
| Rate for Payer: UHC Exchange |
$12.10
|
| Rate for Payer: UHC Medicaid |
$8.53
|
| Rate for Payer: UHC Medicare Advantage |
$12.10
|
| Rate for Payer: UHCCP Medicaid |
$8.53
|
| Rate for Payer: VA VA |
$12.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$36.28
|
|
|
HC CANNULA CARDIOPLEGIA
|
Facility
|
IP
|
$48.38
|
|
| Hospital Charge Code |
27000092
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$33.67 |
| Max. Negotiated Rate |
$43.54 |
| Rate for Payer: Aetna Commercial |
$41.12
|
| Rate for Payer: BCBS Trust/PPO |
$39.96
|
| Rate for Payer: BCN Commercial |
$39.96
|
| Rate for Payer: Cash Price |
$38.70
|
| Rate for Payer: Cofinity Commercial |
$41.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$38.70
|
| Rate for Payer: Healthscope Commercial |
$43.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$36.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$41.12
|
| Rate for Payer: Nomi Health Commercial |
$39.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$36.28
|
| Rate for Payer: PHP Commercial |
$41.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$42.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$33.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$42.57
|
| Rate for Payer: UHC Core |
$40.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$36.28
|
|
|
HC CANNULA CARDIOPLEGIA ANTEGRADE 14G
|
Facility
|
IP
|
$45.00
|
|
| Hospital Charge Code |
27000720
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$31.32 |
| Max. Negotiated Rate |
$40.50 |
| Rate for Payer: Aetna Commercial |
$38.25
|
| Rate for Payer: BCBS Trust/PPO |
$37.17
|
| Rate for Payer: BCN Commercial |
$37.17
|
| Rate for Payer: Cash Price |
$36.00
|
| Rate for Payer: Cofinity Commercial |
$38.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36.00
|
| Rate for Payer: Healthscope Commercial |
$40.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$33.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38.25
|
| Rate for Payer: Nomi Health Commercial |
$36.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$33.75
|
| Rate for Payer: PHP Commercial |
$38.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$39.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$31.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$39.60
|
| Rate for Payer: UHC Core |
$37.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$33.75
|
|
|
HC CANNULA CARDIOPLEGIA ANTEGRADE 14G
|
Facility
|
OP
|
$45.00
|
|
| Hospital Charge Code |
27000720
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$7.93 |
| Max. Negotiated Rate |
$40.50 |
| Rate for Payer: Aetna Commercial |
$38.25
|
| Rate for Payer: Aetna Medicare |
$11.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14.06
|
| Rate for Payer: BCBS Complete |
$8.33
|
| Rate for Payer: BCBS MAPPO |
$11.25
|
| Rate for Payer: BCBS Trust/PPO |
$36.99
|
| Rate for Payer: BCN Commercial |
$36.99
|
| Rate for Payer: BCN Medicare Advantage |
$11.25
|
| Rate for Payer: Cash Price |
$36.00
|
| Rate for Payer: Cofinity Commercial |
$38.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11.25
|
| Rate for Payer: Healthscope Commercial |
$40.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$33.75
|
| Rate for Payer: Mclaren Medicaid |
$7.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11.81
|
| Rate for Payer: Meridian Medicaid |
$8.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12.94
|
| Rate for Payer: Molina Medicare/Medicaid |
$12.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38.25
|
| Rate for Payer: Nomi Health Commercial |
$36.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$33.75
|
| Rate for Payer: PACE Senior Care Partners |
$10.69
|
| Rate for Payer: PACE SWMI |
$11.25
|
| Rate for Payer: PHP Commercial |
$38.25
|
| Rate for Payer: PHP Medicare Advantage |
$11.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$39.15
|
| Rate for Payer: Priority Health Medicare |
$11.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$31.32
|
| Rate for Payer: Railroad Medicare Medicare |
$11.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$39.60
|
| Rate for Payer: UHC Core |
$37.58
|
| Rate for Payer: UHC Exchange |
$11.25
|
| Rate for Payer: UHC Medicaid |
$7.93
|
| Rate for Payer: UHC Medicare Advantage |
$11.25
|
| Rate for Payer: UHCCP Medicaid |
$7.93
|
| Rate for Payer: VA VA |
$11.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$33.75
|
|
|
HC CANNULA COR ART 7MM ST
|
Facility
|
OP
|
$329.52
|
|
| Hospital Charge Code |
27006707
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$58.09 |
| Max. Negotiated Rate |
$296.57 |
| Rate for Payer: Aetna Commercial |
$280.09
|
| Rate for Payer: Aetna Medicare |
$85.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$102.97
|
| Rate for Payer: Amish Plain Church Group Commercial |
$102.97
|
| Rate for Payer: BCBS Complete |
$60.99
|
| Rate for Payer: BCBS MAPPO |
$82.38
|
| Rate for Payer: BCBS Trust/PPO |
$270.90
|
| Rate for Payer: BCN Commercial |
$270.90
|
| Rate for Payer: BCN Medicare Advantage |
$82.38
|
| Rate for Payer: Cash Price |
$263.62
|
| Rate for Payer: Cofinity Commercial |
$283.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$263.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$82.38
|
| Rate for Payer: Healthscope Commercial |
$296.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$247.14
|
| Rate for Payer: Mclaren Medicaid |
$58.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$86.50
|
| Rate for Payer: Meridian Medicaid |
$60.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$94.74
|
| Rate for Payer: Molina Medicare/Medicaid |
$90.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$280.09
|
| Rate for Payer: Nomi Health Commercial |
$270.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$247.14
|
| Rate for Payer: PACE Senior Care Partners |
$78.26
|
| Rate for Payer: PACE SWMI |
$82.38
|
| Rate for Payer: PHP Commercial |
$280.09
|
| Rate for Payer: PHP Medicare Advantage |
$82.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$58.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$286.68
|
| Rate for Payer: Priority Health Medicare |
$83.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$229.35
|
| Rate for Payer: Railroad Medicare Medicare |
$82.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$289.98
|
| Rate for Payer: UHC Core |
$275.15
|
| Rate for Payer: UHC Exchange |
$82.38
|
| Rate for Payer: UHC Medicaid |
$58.09
|
| Rate for Payer: UHC Medicare Advantage |
$82.38
|
| Rate for Payer: UHCCP Medicaid |
$58.09
|
| Rate for Payer: VA VA |
$82.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$247.14
|
|
|
HC CANNULA COR ART 7MM ST
|
Facility
|
IP
|
$329.52
|
|
| Hospital Charge Code |
27006707
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$229.35 |
| Max. Negotiated Rate |
$296.57 |
| Rate for Payer: Aetna Commercial |
$280.09
|
| Rate for Payer: BCBS Trust/PPO |
$272.15
|
| Rate for Payer: BCN Commercial |
$272.15
|
| Rate for Payer: Cash Price |
$263.62
|
| Rate for Payer: Cofinity Commercial |
$283.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$263.62
|
| Rate for Payer: Healthscope Commercial |
$296.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$247.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$280.09
|
| Rate for Payer: Nomi Health Commercial |
$270.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$247.14
|
| Rate for Payer: PHP Commercial |
$280.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$286.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$229.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$289.98
|
| Rate for Payer: UHC Core |
$275.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$247.14
|
|
|
HC CANNULA COR ART 8 MM ST
|
Facility
|
IP
|
$319.92
|
|
| Hospital Charge Code |
27006708
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$222.66 |
| Max. Negotiated Rate |
$287.93 |
| Rate for Payer: Aetna Commercial |
$271.93
|
| Rate for Payer: BCBS Trust/PPO |
$264.22
|
| Rate for Payer: BCN Commercial |
$264.22
|
| Rate for Payer: Cash Price |
$255.94
|
| Rate for Payer: Cofinity Commercial |
$275.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$255.94
|
| Rate for Payer: Healthscope Commercial |
$287.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$239.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$271.93
|
| Rate for Payer: Nomi Health Commercial |
$262.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$239.94
|
| Rate for Payer: PHP Commercial |
$271.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$278.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$222.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$281.53
|
| Rate for Payer: UHC Core |
$267.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$239.94
|
|
|
HC CANNULA COR ART 8 MM ST
|
Facility
|
OP
|
$319.92
|
|
| Hospital Charge Code |
27006708
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$56.40 |
| Max. Negotiated Rate |
$287.93 |
| Rate for Payer: Aetna Commercial |
$271.93
|
| Rate for Payer: Aetna Medicare |
$83.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$99.97
|
| Rate for Payer: Amish Plain Church Group Commercial |
$99.97
|
| Rate for Payer: BCBS Complete |
$59.22
|
| Rate for Payer: BCBS MAPPO |
$79.98
|
| Rate for Payer: BCBS Trust/PPO |
$263.01
|
| Rate for Payer: BCN Commercial |
$263.01
|
| Rate for Payer: BCN Medicare Advantage |
$79.98
|
| Rate for Payer: Cash Price |
$255.94
|
| Rate for Payer: Cofinity Commercial |
$275.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$255.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$79.98
|
| Rate for Payer: Healthscope Commercial |
$287.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$239.94
|
| Rate for Payer: Mclaren Medicaid |
$56.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$83.98
|
| Rate for Payer: Meridian Medicaid |
$59.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$91.98
|
| Rate for Payer: Molina Medicare/Medicaid |
$87.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$271.93
|
| Rate for Payer: Nomi Health Commercial |
$262.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$239.94
|
| Rate for Payer: PACE Senior Care Partners |
$75.98
|
| Rate for Payer: PACE SWMI |
$79.98
|
| Rate for Payer: PHP Commercial |
$271.93
|
| Rate for Payer: PHP Medicare Advantage |
$79.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$56.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$278.33
|
| Rate for Payer: Priority Health Medicare |
$80.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$222.66
|
| Rate for Payer: Railroad Medicare Medicare |
$79.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$281.53
|
| Rate for Payer: UHC Core |
$267.13
|
| Rate for Payer: UHC Exchange |
$79.98
|
| Rate for Payer: UHC Medicaid |
$56.40
|
| Rate for Payer: UHC Medicare Advantage |
$79.98
|
| Rate for Payer: UHCCP Medicaid |
$56.40
|
| Rate for Payer: VA VA |
$79.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$239.94
|
|
