|
HC CAST RISSER BODY ONLY
|
Facility
|
IP
|
$315.57
|
|
|
Service Code
|
CPT 29010
|
| Hospital Charge Code |
70000001
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$219.64 |
| Max. Negotiated Rate |
$284.01 |
| Rate for Payer: Aetna Commercial |
$268.23
|
| Rate for Payer: BCBS Trust/PPO |
$260.63
|
| Rate for Payer: BCN Commercial |
$260.63
|
| Rate for Payer: Cash Price |
$252.46
|
| Rate for Payer: Cofinity Commercial |
$271.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$252.46
|
| Rate for Payer: Healthscope Commercial |
$284.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$236.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$268.23
|
| Rate for Payer: Nomi Health Commercial |
$258.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$236.68
|
| Rate for Payer: PHP Commercial |
$268.23
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$274.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$219.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$277.70
|
| Rate for Payer: UHC Core |
$263.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$236.68
|
|
|
HC CAST SHORT ARM
|
Facility
|
OP
|
$306.18
|
|
|
Service Code
|
CPT 29075
|
| Hospital Charge Code |
43000001
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$53.98 |
| Max. Negotiated Rate |
$275.56 |
| Rate for Payer: Aetna Commercial |
$260.25
|
| Rate for Payer: Aetna Medicare |
$79.61
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$95.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$95.68
|
| Rate for Payer: BCBS Complete |
$56.67
|
| Rate for Payer: BCBS MAPPO |
$76.55
|
| Rate for Payer: BCBS Trust/PPO |
$251.71
|
| Rate for Payer: BCN Commercial |
$251.71
|
| Rate for Payer: BCN Medicare Advantage |
$76.55
|
| Rate for Payer: Cash Price |
$244.94
|
| Rate for Payer: Cofinity Commercial |
$263.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$244.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$76.55
|
| Rate for Payer: Healthscope Commercial |
$275.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$229.63
|
| Rate for Payer: Mclaren Medicaid |
$53.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$80.37
|
| Rate for Payer: Meridian Medicaid |
$56.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$88.03
|
| Rate for Payer: Molina Medicare/Medicaid |
$84.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$260.25
|
| Rate for Payer: Nomi Health Commercial |
$251.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$229.63
|
| Rate for Payer: PACE Senior Care Partners |
$72.72
|
| Rate for Payer: PACE SWMI |
$76.55
|
| Rate for Payer: PHP Commercial |
$260.25
|
| Rate for Payer: PHP Medicare Advantage |
$76.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$53.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$266.38
|
| Rate for Payer: Priority Health Medicare |
$77.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$213.10
|
| Rate for Payer: Railroad Medicare Medicare |
$76.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$269.44
|
| Rate for Payer: UHC Core |
$255.66
|
| Rate for Payer: UHC Exchange |
$76.55
|
| Rate for Payer: UHC Medicaid |
$53.98
|
| Rate for Payer: UHC Medicare Advantage |
$76.55
|
| Rate for Payer: UHCCP Medicaid |
$53.98
|
| Rate for Payer: VA VA |
$76.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$229.63
|
|
|
HC CAST SHORT ARM
|
Facility
|
IP
|
$306.18
|
|
|
Service Code
|
CPT 29075
|
| Hospital Charge Code |
43000001
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$213.10 |
| Max. Negotiated Rate |
$275.56 |
| Rate for Payer: Aetna Commercial |
$260.25
|
| Rate for Payer: BCBS Trust/PPO |
$252.87
|
| Rate for Payer: BCN Commercial |
$252.87
|
| Rate for Payer: Cash Price |
$244.94
|
| Rate for Payer: Cofinity Commercial |
$263.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$244.94
|
| Rate for Payer: Healthscope Commercial |
$275.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$229.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$260.25
|
| Rate for Payer: Nomi Health Commercial |
$251.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$229.63
|
| Rate for Payer: PHP Commercial |
$260.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$266.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$213.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$269.44
|
| Rate for Payer: UHC Core |
$255.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$229.63
|
|
|
HC CAST SHORT LEG
|
Facility
|
OP
|
$376.23
|
|
|
Service Code
|
CPT 29405
|
| Hospital Charge Code |
70000007
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$66.33 |
| Max. Negotiated Rate |
$338.61 |
| Rate for Payer: Aetna Commercial |
$319.80
|
| Rate for Payer: Aetna Medicare |
$97.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$117.57
|
| Rate for Payer: Amish Plain Church Group Commercial |
$117.57
|
| Rate for Payer: BCBS Complete |
$69.64
|
| Rate for Payer: BCBS MAPPO |
$94.06
|
| Rate for Payer: BCBS Trust/PPO |
$309.30
|
| Rate for Payer: BCN Commercial |
$309.30
|
| Rate for Payer: BCN Medicare Advantage |
$94.06
|
| Rate for Payer: Cash Price |
$300.98
|
| Rate for Payer: Cofinity Commercial |
$323.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$300.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$94.06
|
| Rate for Payer: Healthscope Commercial |
$338.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$282.17
|
| Rate for Payer: Mclaren Medicaid |
$66.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$98.76
|
| Rate for Payer: Meridian Medicaid |
$69.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$108.17
|
| Rate for Payer: Molina Medicare/Medicaid |
$103.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$319.80
|
| Rate for Payer: Nomi Health Commercial |
$308.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$282.17
|
| Rate for Payer: PACE Senior Care Partners |
$89.35
|
| Rate for Payer: PACE SWMI |
$94.06
|
| Rate for Payer: PHP Commercial |
$319.80
|
| Rate for Payer: PHP Medicare Advantage |
$94.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$66.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$327.32
|
| Rate for Payer: Priority Health Medicare |
$95.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$261.86
|
| Rate for Payer: Railroad Medicare Medicare |
$94.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$331.08
|
| Rate for Payer: UHC Core |
$314.15
|
| Rate for Payer: UHC Exchange |
$94.06
|
| Rate for Payer: UHC Medicaid |
$66.33
|
| Rate for Payer: UHC Medicare Advantage |
$94.06
|
| Rate for Payer: UHCCP Medicaid |
$66.33
|
| Rate for Payer: VA VA |
$94.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$282.17
|
|
|
HC CAST SHORT LEG
|
Facility
|
IP
|
$376.23
|
|
|
Service Code
|
CPT 29405
|
| Hospital Charge Code |
70000007
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$261.86 |
| Max. Negotiated Rate |
$338.61 |
| Rate for Payer: Aetna Commercial |
$319.80
|
| Rate for Payer: BCBS Trust/PPO |
$310.73
|
| Rate for Payer: BCN Commercial |
$310.73
|
| Rate for Payer: Cash Price |
$300.98
|
| Rate for Payer: Cofinity Commercial |
$323.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$300.98
|
| Rate for Payer: Healthscope Commercial |
$338.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$282.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$319.80
|
| Rate for Payer: Nomi Health Commercial |
$308.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$282.17
|
| Rate for Payer: PHP Commercial |
$319.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$327.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$261.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$331.08
|
| Rate for Payer: UHC Core |
$314.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$282.17
|
|
|
HC CAST SHORT LEG WALKING
|
Facility
|
IP
|
$376.23
|
|
|
Service Code
|
CPT 29425
|
| Hospital Charge Code |
70000008
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$261.86 |
| Max. Negotiated Rate |
$338.61 |
| Rate for Payer: Aetna Commercial |
$319.80
|
| Rate for Payer: BCBS Trust/PPO |
$310.73
|
| Rate for Payer: BCN Commercial |
$310.73
|
| Rate for Payer: Cash Price |
$300.98
|
| Rate for Payer: Cofinity Commercial |
$323.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$300.98
|
| Rate for Payer: Healthscope Commercial |
$338.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$282.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$319.80
|
| Rate for Payer: Nomi Health Commercial |
$308.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$282.17
|
| Rate for Payer: PHP Commercial |
$319.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$327.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$261.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$331.08
|
| Rate for Payer: UHC Core |
$314.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$282.17
|
|
|
HC CAST SHORT LEG WALKING
|
Facility
|
OP
|
$376.23
|
|
|
Service Code
|
CPT 29425
|
| Hospital Charge Code |
70000008
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$66.33 |
| Max. Negotiated Rate |
$338.61 |
| Rate for Payer: Aetna Commercial |
$319.80
|
| Rate for Payer: Aetna Medicare |
$97.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$117.57
|
| Rate for Payer: Amish Plain Church Group Commercial |
$117.57
|
| Rate for Payer: BCBS Complete |
$69.64
|
| Rate for Payer: BCBS MAPPO |
$94.06
|
| Rate for Payer: BCBS Trust/PPO |
$309.30
|
| Rate for Payer: BCN Commercial |
$309.30
|
| Rate for Payer: BCN Medicare Advantage |
$94.06
|
| Rate for Payer: Cash Price |
$300.98
|
| Rate for Payer: Cofinity Commercial |
$323.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$300.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$94.06
|
| Rate for Payer: Healthscope Commercial |
$338.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$282.17
|
| Rate for Payer: Mclaren Medicaid |
$66.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$98.76
|
| Rate for Payer: Meridian Medicaid |
$69.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$108.17
|
| Rate for Payer: Molina Medicare/Medicaid |
$103.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$319.80
|
| Rate for Payer: Nomi Health Commercial |
$308.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$282.17
|
| Rate for Payer: PACE Senior Care Partners |
$89.35
|
| Rate for Payer: PACE SWMI |
$94.06
|
| Rate for Payer: PHP Commercial |
$319.80
|
| Rate for Payer: PHP Medicare Advantage |
$94.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$66.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$327.32
|
| Rate for Payer: Priority Health Medicare |
$95.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$261.86
|
| Rate for Payer: Railroad Medicare Medicare |
$94.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$331.08
|
| Rate for Payer: UHC Core |
$314.15
|
| Rate for Payer: UHC Exchange |
$94.06
|
| Rate for Payer: UHC Medicaid |
$66.33
|
| Rate for Payer: UHC Medicare Advantage |
$94.06
|
| Rate for Payer: UHCCP Medicaid |
$66.33
|
| Rate for Payer: VA VA |
$94.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$282.17
|
|
|
HC CAST SUP LNG ARM ADULT FBRGLS
|
Facility
|
OP
|
$58.36
|
|
| Hospital Charge Code |
27200327
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$10.29 |
| Max. Negotiated Rate |
$52.52 |
| Rate for Payer: Aetna Commercial |
$49.61
|
| Rate for Payer: Aetna Medicare |
$15.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18.24
|
| Rate for Payer: BCBS Complete |
$10.80
|
| Rate for Payer: BCBS MAPPO |
$14.59
|
| Rate for Payer: BCBS Trust/PPO |
$47.98
|
| Rate for Payer: BCN Commercial |
$47.98
|
| Rate for Payer: BCN Medicare Advantage |
$14.59
|
| Rate for Payer: Cash Price |
$46.69
|
| Rate for Payer: Cofinity Commercial |
$50.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.59
|
| Rate for Payer: Healthscope Commercial |
$52.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.77
|
| Rate for Payer: Mclaren Medicaid |
$10.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15.32
|
| Rate for Payer: Meridian Medicaid |
$10.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.78
|
| Rate for Payer: Molina Medicare/Medicaid |
$16.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.61
|
| Rate for Payer: Nomi Health Commercial |
$47.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$43.77
|
| Rate for Payer: PACE Senior Care Partners |
$13.86
|
| Rate for Payer: PACE SWMI |
$14.59
|
| Rate for Payer: PHP Commercial |
$49.61
|
| Rate for Payer: PHP Medicare Advantage |
$14.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$10.29
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$50.77
|
| Rate for Payer: Priority Health Medicare |
$14.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$40.62
|
| Rate for Payer: Railroad Medicare Medicare |
$14.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$51.36
|
| Rate for Payer: UHC Core |
$48.73
|
| Rate for Payer: UHC Exchange |
$14.59
|
| Rate for Payer: UHC Medicaid |
$10.29
|
| Rate for Payer: UHC Medicare Advantage |
$14.59
|
| Rate for Payer: UHCCP Medicaid |
$10.29
|
| Rate for Payer: VA VA |
$14.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.77
|
|
|
HC CAST SUP LNG ARM ADULT FBRGLS
|
Facility
|
IP
|
$58.36
|
|
| Hospital Charge Code |
27200327
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$40.62 |
| Max. Negotiated Rate |
$52.52 |
| Rate for Payer: Aetna Commercial |
$49.61
|
| Rate for Payer: BCBS Trust/PPO |
$48.20
|
| Rate for Payer: BCN Commercial |
$48.20
|
| Rate for Payer: Cash Price |
$46.69
|
| Rate for Payer: Cofinity Commercial |
$50.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.69
|
| Rate for Payer: Healthscope Commercial |
$52.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.61
|
| Rate for Payer: Nomi Health Commercial |
$47.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$43.77
|
| Rate for Payer: PHP Commercial |
$49.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$50.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$40.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$51.36
|
| Rate for Payer: UHC Core |
$48.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.77
|
|
|
HC CAST SUP LNG ARM PED FBRGLS
|
Facility
|
IP
|
$26.53
|
|
| Hospital Charge Code |
27200328
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$18.46 |
| Max. Negotiated Rate |
$23.88 |
| Rate for Payer: Aetna Commercial |
$22.55
|
| Rate for Payer: BCBS Trust/PPO |
$21.91
|
| Rate for Payer: BCN Commercial |
$21.91
|
| Rate for Payer: Cash Price |
$21.22
|
| Rate for Payer: Cofinity Commercial |
$22.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.22
|
| Rate for Payer: Healthscope Commercial |
$23.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.55
|
| Rate for Payer: Nomi Health Commercial |
$21.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.90
|
| Rate for Payer: PHP Commercial |
$22.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$23.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23.35
|
| Rate for Payer: UHC Core |
$22.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.90
|
|
|
HC CAST SUP LNG ARM PED FBRGLS
|
Facility
|
OP
|
$26.53
|
|
| Hospital Charge Code |
27200328
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$4.68 |
| Max. Negotiated Rate |
$23.88 |
| Rate for Payer: Aetna Commercial |
$22.55
|
| Rate for Payer: Aetna Medicare |
$6.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.29
|
| Rate for Payer: BCBS Complete |
$4.91
|
| Rate for Payer: BCBS MAPPO |
$6.63
|
| Rate for Payer: BCBS Trust/PPO |
$21.81
|
| Rate for Payer: BCN Commercial |
$21.81
|
| Rate for Payer: BCN Medicare Advantage |
$6.63
|
| Rate for Payer: Cash Price |
$21.22
|
| Rate for Payer: Cofinity Commercial |
$22.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.63
|
| Rate for Payer: Healthscope Commercial |
$23.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.90
|
| Rate for Payer: Mclaren Medicaid |
$4.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.96
|
| Rate for Payer: Meridian Medicaid |
$4.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.63
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.55
|
| Rate for Payer: Nomi Health Commercial |
$21.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.90
|
| Rate for Payer: PACE Senior Care Partners |
$6.30
|
| Rate for Payer: PACE SWMI |
$6.63
|
| Rate for Payer: PHP Commercial |
$22.55
|
| Rate for Payer: PHP Medicare Advantage |
$6.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$23.08
|
| Rate for Payer: Priority Health Medicare |
$6.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.46
|
| Rate for Payer: Railroad Medicare Medicare |
$6.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23.35
|
| Rate for Payer: UHC Core |
$22.15
|
| Rate for Payer: UHC Exchange |
$6.63
|
| Rate for Payer: UHC Medicaid |
$4.68
|
| Rate for Payer: UHC Medicare Advantage |
$6.63
|
| Rate for Payer: UHCCP Medicaid |
$4.68
|
| Rate for Payer: VA VA |
$6.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.90
|
|
|
HC CAST SUP LNG ARM SPLINT ADULT FBRGLS
|
Facility
|
OP
|
$26.53
|
|
| Hospital Charge Code |
27200332
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$4.68 |
| Max. Negotiated Rate |
$23.88 |
| Rate for Payer: Aetna Commercial |
$22.55
|
| Rate for Payer: Aetna Medicare |
$6.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.29
|
| Rate for Payer: BCBS Complete |
$4.91
|
| Rate for Payer: BCBS MAPPO |
$6.63
|
| Rate for Payer: BCBS Trust/PPO |
$21.81
|
| Rate for Payer: BCN Commercial |
$21.81
|
| Rate for Payer: BCN Medicare Advantage |
$6.63
|
| Rate for Payer: Cash Price |
$21.22
|
| Rate for Payer: Cofinity Commercial |
$22.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.63
|
| Rate for Payer: Healthscope Commercial |
$23.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.90
|
| Rate for Payer: Mclaren Medicaid |
$4.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.96
|
| Rate for Payer: Meridian Medicaid |
$4.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.63
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.55
|
| Rate for Payer: Nomi Health Commercial |
$21.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.90
|
| Rate for Payer: PACE Senior Care Partners |
$6.30
|
| Rate for Payer: PACE SWMI |
$6.63
|
| Rate for Payer: PHP Commercial |
$22.55
|
| Rate for Payer: PHP Medicare Advantage |
$6.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$23.08
|
| Rate for Payer: Priority Health Medicare |
$6.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.46
|
| Rate for Payer: Railroad Medicare Medicare |
$6.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23.35
|
| Rate for Payer: UHC Core |
$22.15
|
| Rate for Payer: UHC Exchange |
$6.63
|
| Rate for Payer: UHC Medicaid |
$4.68
|
| Rate for Payer: UHC Medicare Advantage |
$6.63
|
| Rate for Payer: UHCCP Medicaid |
$4.68
|
| Rate for Payer: VA VA |
$6.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.90
|
|
|
HC CAST SUP LNG ARM SPLINT ADULT FBRGLS
|
Facility
|
IP
|
$26.53
|
|
| Hospital Charge Code |
27200332
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$18.46 |
| Max. Negotiated Rate |
$23.88 |
| Rate for Payer: Aetna Commercial |
$22.55
|
| Rate for Payer: BCBS Trust/PPO |
$21.91
|
| Rate for Payer: BCN Commercial |
$21.91
|
| Rate for Payer: Cash Price |
$21.22
|
| Rate for Payer: Cofinity Commercial |
$22.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.22
|
| Rate for Payer: Healthscope Commercial |
$23.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.55
|
| Rate for Payer: Nomi Health Commercial |
$21.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.90
|
| Rate for Payer: PHP Commercial |
$22.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$23.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23.35
|
| Rate for Payer: UHC Core |
$22.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.90
|
|
|
HC CAST SUP LNG ARM SPLINT ADULT PLST
|
Facility
|
OP
|
$43.86
|
|
| Hospital Charge Code |
27200392
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$7.73 |
| Max. Negotiated Rate |
$39.47 |
| Rate for Payer: Aetna Commercial |
$37.28
|
| Rate for Payer: Aetna Medicare |
$11.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13.71
|
| Rate for Payer: BCBS Complete |
$8.12
|
| Rate for Payer: BCBS MAPPO |
$10.96
|
| Rate for Payer: BCBS Trust/PPO |
$36.06
|
| Rate for Payer: BCN Commercial |
$36.06
|
| Rate for Payer: BCN Medicare Advantage |
$10.96
|
| Rate for Payer: Cash Price |
$35.09
|
| Rate for Payer: Cofinity Commercial |
$37.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10.96
|
| Rate for Payer: Healthscope Commercial |
$39.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$32.90
|
| Rate for Payer: Mclaren Medicaid |
$7.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11.51
|
| Rate for Payer: Meridian Medicaid |
$8.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12.61
|
| Rate for Payer: Molina Medicare/Medicaid |
$12.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$37.28
|
| Rate for Payer: Nomi Health Commercial |
$35.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$32.90
|
| Rate for Payer: PACE Senior Care Partners |
$10.42
|
| Rate for Payer: PACE SWMI |
$10.96
|
| Rate for Payer: PHP Commercial |
$37.28
|
| Rate for Payer: PHP Medicare Advantage |
$10.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$38.16
|
| Rate for Payer: Priority Health Medicare |
$11.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$30.53
|
| Rate for Payer: Railroad Medicare Medicare |
$10.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$38.60
|
| Rate for Payer: UHC Core |
$36.62
|
| Rate for Payer: UHC Exchange |
$10.96
|
| Rate for Payer: UHC Medicaid |
$7.73
|
| Rate for Payer: UHC Medicare Advantage |
$10.96
|
| Rate for Payer: UHCCP Medicaid |
$7.73
|
| Rate for Payer: VA VA |
$10.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$32.90
|
|
|
HC CAST SUP LNG ARM SPLINT ADULT PLST
|
Facility
|
IP
|
$43.86
|
|
| Hospital Charge Code |
27200392
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$30.53 |
| Max. Negotiated Rate |
$39.47 |
| Rate for Payer: Aetna Commercial |
$37.28
|
| Rate for Payer: BCBS Trust/PPO |
$36.22
|
| Rate for Payer: BCN Commercial |
$36.22
|
| Rate for Payer: Cash Price |
$35.09
|
| Rate for Payer: Cofinity Commercial |
$37.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35.09
|
| Rate for Payer: Healthscope Commercial |
$39.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$32.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$37.28
|
| Rate for Payer: Nomi Health Commercial |
$35.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$32.90
|
| Rate for Payer: PHP Commercial |
$37.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$38.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$30.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$38.60
|
| Rate for Payer: UHC Core |
$36.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$32.90
|
|
|
HC CAST SUP LNG ARM SPLNT PED FBRGLS
|
Facility
|
IP
|
$25.47
|
|
| Hospital Charge Code |
27200333
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$17.73 |
| Max. Negotiated Rate |
$22.92 |
| Rate for Payer: Aetna Commercial |
$21.65
|
| Rate for Payer: BCBS Trust/PPO |
$21.04
|
| Rate for Payer: BCN Commercial |
$21.04
|
| Rate for Payer: Cash Price |
$20.38
|
| Rate for Payer: Cofinity Commercial |
$21.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.38
|
| Rate for Payer: Healthscope Commercial |
$22.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.65
|
| Rate for Payer: Nomi Health Commercial |
$20.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.10
|
| Rate for Payer: PHP Commercial |
$21.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$22.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$17.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.41
|
| Rate for Payer: UHC Core |
$21.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.10
|
|
|
HC CAST SUP LNG ARM SPLNT PED FBRGLS
|
Facility
|
OP
|
$25.47
|
|
| Hospital Charge Code |
27200333
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$4.49 |
| Max. Negotiated Rate |
$22.92 |
| Rate for Payer: Aetna Commercial |
$21.65
|
| Rate for Payer: Aetna Medicare |
$6.62
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7.96
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7.96
|
| Rate for Payer: BCBS Complete |
$4.71
|
| Rate for Payer: BCBS MAPPO |
$6.37
|
| Rate for Payer: BCBS Trust/PPO |
$20.94
|
| Rate for Payer: BCN Commercial |
$20.94
|
| Rate for Payer: BCN Medicare Advantage |
$6.37
|
| Rate for Payer: Cash Price |
$20.38
|
| Rate for Payer: Cofinity Commercial |
$21.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.37
|
| Rate for Payer: Healthscope Commercial |
$22.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.10
|
| Rate for Payer: Mclaren Medicaid |
$4.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.69
|
| Rate for Payer: Meridian Medicaid |
$4.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.32
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.65
|
| Rate for Payer: Nomi Health Commercial |
$20.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.10
|
| Rate for Payer: PACE Senior Care Partners |
$6.05
|
| Rate for Payer: PACE SWMI |
$6.37
|
| Rate for Payer: PHP Commercial |
$21.65
|
| Rate for Payer: PHP Medicare Advantage |
$6.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$22.16
|
| Rate for Payer: Priority Health Medicare |
$6.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$17.73
|
| Rate for Payer: Railroad Medicare Medicare |
$6.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.41
|
| Rate for Payer: UHC Core |
$21.27
|
| Rate for Payer: UHC Exchange |
$6.37
|
| Rate for Payer: UHC Medicaid |
$4.49
|
| Rate for Payer: UHC Medicare Advantage |
$6.37
|
| Rate for Payer: UHCCP Medicaid |
$4.49
|
| Rate for Payer: VA VA |
$6.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.10
|
|
|
HC CAST SUP LNG LEG ADULT FBRGLS
|
Facility
|
IP
|
$120.98
|
|
| Hospital Charge Code |
27200336
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$84.20 |
| Max. Negotiated Rate |
$108.88 |
| Rate for Payer: Aetna Commercial |
$102.83
|
| Rate for Payer: BCBS Trust/PPO |
$99.92
|
| Rate for Payer: BCN Commercial |
$99.92
|
| Rate for Payer: Cash Price |
$96.78
|
| Rate for Payer: Cofinity Commercial |
$104.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$96.78
|
| Rate for Payer: Healthscope Commercial |
$108.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$90.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$102.83
|
| Rate for Payer: Nomi Health Commercial |
$99.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$90.73
|
| Rate for Payer: PHP Commercial |
$102.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$105.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$84.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$106.46
|
| Rate for Payer: UHC Core |
$101.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$90.73
|
|
|
HC CAST SUP LNG LEG ADULT FBRGLS
|
Facility
|
OP
|
$120.98
|
|
| Hospital Charge Code |
27200336
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$21.33 |
| Max. Negotiated Rate |
$108.88 |
| Rate for Payer: Aetna Commercial |
$102.83
|
| Rate for Payer: Aetna Medicare |
$31.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$37.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$37.81
|
| Rate for Payer: BCBS Complete |
$22.39
|
| Rate for Payer: BCBS MAPPO |
$30.25
|
| Rate for Payer: BCBS Trust/PPO |
$99.46
|
| Rate for Payer: BCN Commercial |
$99.46
|
| Rate for Payer: BCN Medicare Advantage |
$30.25
|
| Rate for Payer: Cash Price |
$96.78
|
| Rate for Payer: Cofinity Commercial |
$104.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$96.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.25
|
| Rate for Payer: Healthscope Commercial |
$108.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$90.73
|
| Rate for Payer: Mclaren Medicaid |
$21.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31.76
|
| Rate for Payer: Meridian Medicaid |
$22.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$34.78
|
| Rate for Payer: Molina Medicare/Medicaid |
$33.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$102.83
|
| Rate for Payer: Nomi Health Commercial |
$99.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$90.73
|
| Rate for Payer: PACE Senior Care Partners |
$28.73
|
| Rate for Payer: PACE SWMI |
$30.25
|
| Rate for Payer: PHP Commercial |
$102.83
|
| Rate for Payer: PHP Medicare Advantage |
$30.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$21.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$105.25
|
| Rate for Payer: Priority Health Medicare |
$30.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$84.20
|
| Rate for Payer: Railroad Medicare Medicare |
$30.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$106.46
|
| Rate for Payer: UHC Core |
$101.02
|
| Rate for Payer: UHC Exchange |
$30.25
|
| Rate for Payer: UHC Medicaid |
$21.33
|
| Rate for Payer: UHC Medicare Advantage |
$30.25
|
| Rate for Payer: UHCCP Medicaid |
$21.33
|
| Rate for Payer: VA VA |
$30.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$90.73
|
|
|
HC CAST SUP LNG LEG CYLNDR PED FBRGLS
|
Facility
|
OP
|
$53.06
|
|
| Hospital Charge Code |
27200338
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$9.35 |
| Max. Negotiated Rate |
$47.75 |
| Rate for Payer: Aetna Commercial |
$45.10
|
| Rate for Payer: Aetna Medicare |
$13.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16.58
|
| Rate for Payer: BCBS Complete |
$9.82
|
| Rate for Payer: BCBS MAPPO |
$13.27
|
| Rate for Payer: BCBS Trust/PPO |
$43.62
|
| Rate for Payer: BCN Commercial |
$43.62
|
| Rate for Payer: BCN Medicare Advantage |
$13.27
|
| Rate for Payer: Cash Price |
$42.45
|
| Rate for Payer: Cofinity Commercial |
$45.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$42.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.27
|
| Rate for Payer: Healthscope Commercial |
$47.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$39.80
|
| Rate for Payer: Mclaren Medicaid |
$9.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13.93
|
| Rate for Payer: Meridian Medicaid |
$9.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15.25
|
| Rate for Payer: Molina Medicare/Medicaid |
$14.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$45.10
|
| Rate for Payer: Nomi Health Commercial |
$43.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$39.80
|
| Rate for Payer: PACE Senior Care Partners |
$12.60
|
| Rate for Payer: PACE SWMI |
$13.27
|
| Rate for Payer: PHP Commercial |
$45.10
|
| Rate for Payer: PHP Medicare Advantage |
$13.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$46.16
|
| Rate for Payer: Priority Health Medicare |
$13.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$36.93
|
| Rate for Payer: Railroad Medicare Medicare |
$13.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.69
|
| Rate for Payer: UHC Core |
$44.31
|
| Rate for Payer: UHC Exchange |
$13.27
|
| Rate for Payer: UHC Medicaid |
$9.35
|
| Rate for Payer: UHC Medicare Advantage |
$13.27
|
| Rate for Payer: UHCCP Medicaid |
$9.35
|
| Rate for Payer: VA VA |
$13.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$39.80
|
|
|
HC CAST SUP LNG LEG CYLNDR PED FBRGLS
|
Facility
|
IP
|
$53.06
|
|
| Hospital Charge Code |
27200338
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$36.93 |
| Max. Negotiated Rate |
$47.75 |
| Rate for Payer: Aetna Commercial |
$45.10
|
| Rate for Payer: BCBS Trust/PPO |
$43.82
|
| Rate for Payer: BCN Commercial |
$43.82
|
| Rate for Payer: Cash Price |
$42.45
|
| Rate for Payer: Cofinity Commercial |
$45.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$42.45
|
| Rate for Payer: Healthscope Commercial |
$47.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$39.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$45.10
|
| Rate for Payer: Nomi Health Commercial |
$43.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$39.80
|
| Rate for Payer: PHP Commercial |
$45.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$46.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$36.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.69
|
| Rate for Payer: UHC Core |
$44.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$39.80
|
|
|
HC CAST SUP LNG LEG PED FBRGLS
|
Facility
|
IP
|
$55.18
|
|
| Hospital Charge Code |
27200337
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$38.41 |
| Max. Negotiated Rate |
$49.66 |
| Rate for Payer: Aetna Commercial |
$46.90
|
| Rate for Payer: BCBS Trust/PPO |
$45.57
|
| Rate for Payer: BCN Commercial |
$45.57
|
| Rate for Payer: Cash Price |
$44.14
|
| Rate for Payer: Cofinity Commercial |
$47.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$44.14
|
| Rate for Payer: Healthscope Commercial |
$49.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$41.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$46.90
|
| Rate for Payer: Nomi Health Commercial |
$45.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$41.38
|
| Rate for Payer: PHP Commercial |
$46.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$48.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$38.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$48.56
|
| Rate for Payer: UHC Core |
$46.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$41.38
|
|
|
HC CAST SUP LNG LEG PED FBRGLS
|
Facility
|
OP
|
$55.18
|
|
| Hospital Charge Code |
27200337
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$9.73 |
| Max. Negotiated Rate |
$49.66 |
| Rate for Payer: Aetna Commercial |
$46.90
|
| Rate for Payer: Aetna Medicare |
$14.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17.24
|
| Rate for Payer: BCBS Complete |
$10.21
|
| Rate for Payer: BCBS MAPPO |
$13.79
|
| Rate for Payer: BCBS Trust/PPO |
$45.36
|
| Rate for Payer: BCN Commercial |
$45.36
|
| Rate for Payer: BCN Medicare Advantage |
$13.79
|
| Rate for Payer: Cash Price |
$44.14
|
| Rate for Payer: Cofinity Commercial |
$47.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$44.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.79
|
| Rate for Payer: Healthscope Commercial |
$49.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$41.38
|
| Rate for Payer: Mclaren Medicaid |
$9.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14.48
|
| Rate for Payer: Meridian Medicaid |
$10.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15.86
|
| Rate for Payer: Molina Medicare/Medicaid |
$15.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$46.90
|
| Rate for Payer: Nomi Health Commercial |
$45.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$41.38
|
| Rate for Payer: PACE Senior Care Partners |
$13.11
|
| Rate for Payer: PACE SWMI |
$13.79
|
| Rate for Payer: PHP Commercial |
$46.90
|
| Rate for Payer: PHP Medicare Advantage |
$13.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$48.01
|
| Rate for Payer: Priority Health Medicare |
$13.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$38.41
|
| Rate for Payer: Railroad Medicare Medicare |
$13.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$48.56
|
| Rate for Payer: UHC Core |
$46.08
|
| Rate for Payer: UHC Exchange |
$13.79
|
| Rate for Payer: UHC Medicaid |
$9.73
|
| Rate for Payer: UHC Medicare Advantage |
$13.79
|
| Rate for Payer: UHCCP Medicaid |
$9.73
|
| Rate for Payer: VA VA |
$13.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$41.38
|
|
|
HC CAST SUP LNG LEG SPLINT ADULT FBRGLS
|
Facility
|
OP
|
$78.03
|
|
| Hospital Charge Code |
27200381
|
|
Hospital Revenue Code
|
270
|
| 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 CAST SUP LNG LEG SPLINT ADULT FBRGLS
|
Facility
|
IP
|
$78.03
|
|
| Hospital Charge Code |
27200381
|
|
Hospital Revenue Code
|
270
|
| 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
|
|
