|
HC ARSENIC URINE
|
Facility
|
IP
|
$65.28
|
|
|
Service Code
|
CPT 82175
|
| Hospital Charge Code |
30100110
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$42.43 |
| Max. Negotiated Rate |
$58.75 |
| Rate for Payer: Aetna Commercial |
$55.49
|
| Rate for Payer: BCBS Trust/PPO |
$53.29
|
| Rate for Payer: BCN Commercial |
$50.45
|
| Rate for Payer: Cash Price |
$52.22
|
| Rate for Payer: Cofinity Commercial |
$56.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$52.22
|
| Rate for Payer: Healthscope Commercial |
$58.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$48.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$55.49
|
| Rate for Payer: Nomi Health Commercial |
$53.53
|
| Rate for Payer: PHP Commercial |
$55.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$42.43
|
| Rate for Payer: Priority Health HMO/PPO |
$56.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$43.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$57.45
|
| Rate for Payer: UHC Core |
$54.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$48.96
|
|
|
HC ART CATH INSERT
|
Facility
|
OP
|
$452.71
|
|
| Hospital Charge Code |
45000029
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$107.52 |
| Max. Negotiated Rate |
$407.44 |
| Rate for Payer: Aetna Commercial |
$384.80
|
| Rate for Payer: Aetna Medicare |
$117.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$141.47
|
| Rate for Payer: Amish Plain Church Group Commercial |
$141.47
|
| Rate for Payer: BCBS Complete |
$181.08
|
| Rate for Payer: BCBS MAPPO |
$113.18
|
| Rate for Payer: BCBS Trust/PPO |
$372.17
|
| Rate for Payer: BCN Commercial |
$351.98
|
| Rate for Payer: BCN Medicare Advantage |
$113.18
|
| Rate for Payer: Cash Price |
$362.17
|
| Rate for Payer: Cofinity Commercial |
$389.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$362.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$113.18
|
| Rate for Payer: Healthscope Commercial |
$407.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$339.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$118.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$130.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$384.80
|
| Rate for Payer: Nomi Health Commercial |
$371.22
|
| Rate for Payer: PACE Senior Care Partners |
$107.52
|
| Rate for Payer: PACE SWMI |
$113.18
|
| Rate for Payer: PHP Commercial |
$384.80
|
| Rate for Payer: PHP Medicare Advantage |
$113.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$294.26
|
| Rate for Payer: Priority Health HMO/PPO |
$393.86
|
| Rate for Payer: Priority Health Medicare |
$114.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$303.32
|
| Rate for Payer: Railroad Medicare Medicare |
$113.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$398.38
|
| Rate for Payer: UHC Core |
$378.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$113.18
|
| Rate for Payer: UHC Exchange |
$113.18
|
| Rate for Payer: UHC Medicare Advantage |
$113.18
|
| Rate for Payer: VA VA |
$113.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$339.53
|
|
|
HC ART CATH INSERT
|
Facility
|
IP
|
$452.71
|
|
| Hospital Charge Code |
45000029
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$294.26 |
| Max. Negotiated Rate |
$407.44 |
| Rate for Payer: Aetna Commercial |
$384.80
|
| Rate for Payer: BCBS Trust/PPO |
$369.55
|
| Rate for Payer: BCN Commercial |
$349.85
|
| Rate for Payer: Cash Price |
$362.17
|
| Rate for Payer: Cofinity Commercial |
$389.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$362.17
|
| Rate for Payer: Healthscope Commercial |
$407.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$339.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$384.80
|
| Rate for Payer: Nomi Health Commercial |
$371.22
|
| Rate for Payer: PHP Commercial |
$384.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$294.26
|
| Rate for Payer: Priority Health HMO/PPO |
$393.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$303.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$398.38
|
| Rate for Payer: UHC Core |
$378.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$339.53
|
|
|
HC ARTERIAL DUPLEX IMAG BIL LOWER EXTREMITY
|
Facility
|
OP
|
$1,588.11
|
|
|
Service Code
|
CPT 93925
|
| Hospital Charge Code |
92100007
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$171.23 |
| Max. Negotiated Rate |
$1,429.30 |
| Rate for Payer: Aetna Commercial |
$1,349.89
|
| Rate for Payer: Aetna Medicare |
$412.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$496.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$496.28
|
| Rate for Payer: BCBS Complete |
$179.80
|
| Rate for Payer: BCBS MAPPO |
$397.03
|
| Rate for Payer: BCBS Trust/PPO |
$1,305.59
|
| Rate for Payer: BCN Commercial |
$1,234.76
|
| Rate for Payer: BCN Medicare Advantage |
$397.03
|
| Rate for Payer: Cash Price |
$1,270.49
|
| Rate for Payer: Cash Price |
$1,270.49
|
| Rate for Payer: Cofinity Commercial |
$1,365.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,270.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$397.03
|
| Rate for Payer: Healthscope Commercial |
$1,429.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,191.08
|
| Rate for Payer: Mclaren Medicaid |
$171.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$416.88
|
| Rate for Payer: Meridian Medicaid |
$179.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$456.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,349.89
|
| Rate for Payer: Nomi Health Commercial |
$1,302.25
|
| Rate for Payer: PACE Senior Care Partners |
$377.18
|
| Rate for Payer: PACE SWMI |
$397.03
|
| Rate for Payer: PHP Commercial |
$1,349.89
|
| Rate for Payer: PHP Medicare Advantage |
$397.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$171.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,032.27
|
| Rate for Payer: Priority Health HMO/PPO |
$1,381.66
|
| Rate for Payer: Priority Health Medicare |
$401.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,064.03
|
| Rate for Payer: Railroad Medicare Medicare |
$397.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,397.54
|
| Rate for Payer: UHC Core |
$1,326.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$397.03
|
| Rate for Payer: UHC Exchange |
$397.03
|
| Rate for Payer: UHC Medicare Advantage |
$397.03
|
| Rate for Payer: UHCCP Medicaid |
$171.23
|
| Rate for Payer: VA VA |
$397.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,191.08
|
|
|
HC ARTERIAL DUPLEX IMAG BIL LOWER EXTREMITY
|
Facility
|
IP
|
$1,588.11
|
|
|
Service Code
|
CPT 93925
|
| Hospital Charge Code |
92100007
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$1,032.27 |
| Max. Negotiated Rate |
$1,429.30 |
| Rate for Payer: Aetna Commercial |
$1,349.89
|
| Rate for Payer: BCBS Trust/PPO |
$1,296.37
|
| Rate for Payer: BCN Commercial |
$1,227.29
|
| Rate for Payer: Cash Price |
$1,270.49
|
| Rate for Payer: Cofinity Commercial |
$1,365.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,270.49
|
| Rate for Payer: Healthscope Commercial |
$1,429.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,191.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,349.89
|
| Rate for Payer: Nomi Health Commercial |
$1,302.25
|
| Rate for Payer: PHP Commercial |
$1,349.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,032.27
|
| Rate for Payer: Priority Health HMO/PPO |
$1,381.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,064.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,397.54
|
| Rate for Payer: UHC Core |
$1,326.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,191.08
|
|
|
HC ARTERIAL DUPLEX IMAG BIL UPPER EXTREMITY
|
Facility
|
OP
|
$1,308.89
|
|
|
Service Code
|
CPT 93930
|
| Hospital Charge Code |
92100008
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$171.23 |
| Max. Negotiated Rate |
$1,178.00 |
| Rate for Payer: Aetna Commercial |
$1,112.56
|
| Rate for Payer: Aetna Medicare |
$340.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$409.03
|
| Rate for Payer: Amish Plain Church Group Commercial |
$409.03
|
| Rate for Payer: BCBS Complete |
$179.80
|
| Rate for Payer: BCBS MAPPO |
$327.22
|
| Rate for Payer: BCBS Trust/PPO |
$1,076.04
|
| Rate for Payer: BCN Commercial |
$1,017.66
|
| Rate for Payer: BCN Medicare Advantage |
$327.22
|
| Rate for Payer: Cash Price |
$1,047.11
|
| Rate for Payer: Cash Price |
$1,047.11
|
| Rate for Payer: Cofinity Commercial |
$1,125.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,047.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$327.22
|
| Rate for Payer: Healthscope Commercial |
$1,178.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$981.67
|
| Rate for Payer: Mclaren Medicaid |
$171.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$343.58
|
| Rate for Payer: Meridian Medicaid |
$179.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$376.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,112.56
|
| Rate for Payer: Nomi Health Commercial |
$1,073.29
|
| Rate for Payer: PACE Senior Care Partners |
$310.86
|
| Rate for Payer: PACE SWMI |
$327.22
|
| Rate for Payer: PHP Commercial |
$1,112.56
|
| Rate for Payer: PHP Medicare Advantage |
$327.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$171.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$850.78
|
| Rate for Payer: Priority Health HMO/PPO |
$1,138.73
|
| Rate for Payer: Priority Health Medicare |
$330.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$876.96
|
| Rate for Payer: Railroad Medicare Medicare |
$327.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,151.82
|
| Rate for Payer: UHC Core |
$1,092.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$327.22
|
| Rate for Payer: UHC Exchange |
$327.22
|
| Rate for Payer: UHC Medicare Advantage |
$327.22
|
| Rate for Payer: UHCCP Medicaid |
$171.23
|
| Rate for Payer: VA VA |
$327.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$981.67
|
|
|
HC ARTERIAL DUPLEX IMAG BIL UPPER EXTREMITY
|
Facility
|
IP
|
$1,308.89
|
|
|
Service Code
|
CPT 93930
|
| Hospital Charge Code |
92100008
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$850.78 |
| Max. Negotiated Rate |
$1,178.00 |
| Rate for Payer: Aetna Commercial |
$1,112.56
|
| Rate for Payer: BCBS Trust/PPO |
$1,068.45
|
| Rate for Payer: BCN Commercial |
$1,011.51
|
| Rate for Payer: Cash Price |
$1,047.11
|
| Rate for Payer: Cofinity Commercial |
$1,125.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,047.11
|
| Rate for Payer: Healthscope Commercial |
$1,178.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$981.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,112.56
|
| Rate for Payer: Nomi Health Commercial |
$1,073.29
|
| Rate for Payer: PHP Commercial |
$1,112.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$850.78
|
| Rate for Payer: Priority Health HMO/PPO |
$1,138.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$876.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,151.82
|
| Rate for Payer: UHC Core |
$1,092.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$981.67
|
|
|
HC ARTERIAL PUNCTURE
|
Facility
|
OP
|
$132.01
|
|
|
Service Code
|
CPT 36600
|
| Hospital Charge Code |
36100442
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$31.35 |
| Max. Negotiated Rate |
$118.81 |
| Rate for Payer: Aetna Commercial |
$112.21
|
| Rate for Payer: Aetna Medicare |
$34.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$41.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$41.25
|
| Rate for Payer: BCBS Complete |
$95.88
|
| Rate for Payer: BCBS MAPPO |
$33.00
|
| Rate for Payer: BCBS Trust/PPO |
$108.53
|
| Rate for Payer: BCN Commercial |
$102.64
|
| Rate for Payer: BCN Medicare Advantage |
$33.00
|
| Rate for Payer: Cash Price |
$105.61
|
| Rate for Payer: Cash Price |
$105.61
|
| Rate for Payer: Cofinity Commercial |
$113.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$105.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33.00
|
| Rate for Payer: Healthscope Commercial |
$118.81
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$99.01
|
| Rate for Payer: Mclaren Medicaid |
$91.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$34.65
|
| Rate for Payer: Meridian Medicaid |
$95.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$37.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$112.21
|
| Rate for Payer: Nomi Health Commercial |
$108.25
|
| Rate for Payer: PACE Senior Care Partners |
$31.35
|
| Rate for Payer: PACE SWMI |
$33.00
|
| Rate for Payer: PHP Commercial |
$112.21
|
| Rate for Payer: PHP Medicare Advantage |
$33.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$91.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$85.81
|
| Rate for Payer: Priority Health HMO/PPO |
$114.85
|
| Rate for Payer: Priority Health Medicare |
$33.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$88.45
|
| Rate for Payer: Railroad Medicare Medicare |
$33.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$116.17
|
| Rate for Payer: UHC Core |
$110.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$33.00
|
| Rate for Payer: UHC Exchange |
$33.00
|
| Rate for Payer: UHC Medicare Advantage |
$33.00
|
| Rate for Payer: UHCCP Medicaid |
$91.31
|
| Rate for Payer: VA VA |
$33.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$99.01
|
|
|
HC ARTERIAL PUNCTURE
|
Facility
|
IP
|
$132.01
|
|
|
Service Code
|
CPT 36600
|
| Hospital Charge Code |
36100442
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$85.81 |
| Max. Negotiated Rate |
$118.81 |
| Rate for Payer: Aetna Commercial |
$112.21
|
| Rate for Payer: BCBS Trust/PPO |
$107.76
|
| Rate for Payer: BCN Commercial |
$102.02
|
| Rate for Payer: Cash Price |
$105.61
|
| Rate for Payer: Cofinity Commercial |
$113.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$105.61
|
| Rate for Payer: Healthscope Commercial |
$118.81
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$99.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$112.21
|
| Rate for Payer: Nomi Health Commercial |
$108.25
|
| Rate for Payer: PHP Commercial |
$112.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$85.81
|
| Rate for Payer: Priority Health HMO/PPO |
$114.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$88.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$116.17
|
| Rate for Payer: UHC Core |
$110.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$99.01
|
|
|
HC ARTERIAL TRANSCATH THROMBOLYSIS
|
Facility
|
IP
|
$5,108.99
|
|
|
Service Code
|
CPT 37211
|
| Hospital Charge Code |
36100371
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,320.84 |
| Max. Negotiated Rate |
$4,598.09 |
| Rate for Payer: Aetna Commercial |
$4,342.64
|
| Rate for Payer: BCBS Trust/PPO |
$4,170.47
|
| Rate for Payer: BCN Commercial |
$3,948.23
|
| Rate for Payer: Cash Price |
$4,087.19
|
| Rate for Payer: Cofinity Commercial |
$4,393.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,087.19
|
| Rate for Payer: Healthscope Commercial |
$4,598.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,831.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,342.64
|
| Rate for Payer: Nomi Health Commercial |
$4,189.37
|
| Rate for Payer: PHP Commercial |
$4,342.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,320.84
|
| Rate for Payer: Priority Health HMO/PPO |
$4,444.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,423.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,495.91
|
| Rate for Payer: UHC Core |
$4,266.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,831.74
|
|
|
HC ARTERIAL TRANSCATH THROMBOLYSIS
|
Facility
|
OP
|
$5,108.99
|
|
|
Service Code
|
CPT 37211
|
| Hospital Charge Code |
36100371
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,213.39 |
| Max. Negotiated Rate |
$4,598.09 |
| Rate for Payer: Aetna Commercial |
$4,342.64
|
| Rate for Payer: Aetna Medicare |
$1,328.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,596.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,596.56
|
| Rate for Payer: BCBS Complete |
$4,021.03
|
| Rate for Payer: BCBS MAPPO |
$1,277.25
|
| Rate for Payer: BCBS Trust/PPO |
$4,200.10
|
| Rate for Payer: BCN Commercial |
$3,972.24
|
| Rate for Payer: BCN Medicare Advantage |
$1,277.25
|
| Rate for Payer: Cash Price |
$4,087.19
|
| Rate for Payer: Cash Price |
$4,087.19
|
| Rate for Payer: Cofinity Commercial |
$4,393.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,087.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,277.25
|
| Rate for Payer: Healthscope Commercial |
$4,598.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,831.74
|
| Rate for Payer: Mclaren Medicaid |
$3,829.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,341.11
|
| Rate for Payer: Meridian Medicaid |
$4,021.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,468.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,342.64
|
| Rate for Payer: Nomi Health Commercial |
$4,189.37
|
| Rate for Payer: PACE Senior Care Partners |
$1,213.39
|
| Rate for Payer: PACE SWMI |
$1,277.25
|
| Rate for Payer: PHP Commercial |
$4,342.64
|
| Rate for Payer: PHP Medicare Advantage |
$1,277.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,829.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,320.84
|
| Rate for Payer: Priority Health HMO/PPO |
$4,444.82
|
| Rate for Payer: Priority Health Medicare |
$1,290.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,423.02
|
| Rate for Payer: Railroad Medicare Medicare |
$1,277.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,495.91
|
| Rate for Payer: UHC Core |
$4,266.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,277.25
|
| Rate for Payer: UHC Exchange |
$1,277.25
|
| Rate for Payer: UHC Medicare Advantage |
$1,277.25
|
| Rate for Payer: UHCCP Medicaid |
$3,829.30
|
| Rate for Payer: VA VA |
$1,277.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,831.74
|
|
|
HC ART FLOW LOWER COMPLETE
|
Facility
|
OP
|
$863.96
|
|
|
Service Code
|
CPT 93923
|
| Hospital Charge Code |
92100030
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$110.84 |
| Max. Negotiated Rate |
$777.56 |
| Rate for Payer: Aetna Commercial |
$734.37
|
| Rate for Payer: Aetna Medicare |
$224.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$269.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$269.99
|
| Rate for Payer: BCBS Complete |
$116.39
|
| Rate for Payer: BCBS MAPPO |
$215.99
|
| Rate for Payer: BCBS Trust/PPO |
$710.26
|
| Rate for Payer: BCN Commercial |
$671.73
|
| Rate for Payer: BCN Medicare Advantage |
$215.99
|
| Rate for Payer: Cash Price |
$691.17
|
| Rate for Payer: Cash Price |
$691.17
|
| Rate for Payer: Cofinity Commercial |
$743.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$691.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$215.99
|
| Rate for Payer: Healthscope Commercial |
$777.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$647.97
|
| Rate for Payer: Mclaren Medicaid |
$110.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$226.79
|
| Rate for Payer: Meridian Medicaid |
$116.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$248.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$734.37
|
| Rate for Payer: Nomi Health Commercial |
$708.45
|
| Rate for Payer: PACE Senior Care Partners |
$205.19
|
| Rate for Payer: PACE SWMI |
$215.99
|
| Rate for Payer: PHP Commercial |
$734.37
|
| Rate for Payer: PHP Medicare Advantage |
$215.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$110.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$561.57
|
| Rate for Payer: Priority Health HMO/PPO |
$751.65
|
| Rate for Payer: Priority Health Medicare |
$218.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$578.85
|
| Rate for Payer: Railroad Medicare Medicare |
$215.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$760.28
|
| Rate for Payer: UHC Core |
$721.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$215.99
|
| Rate for Payer: UHC Exchange |
$215.99
|
| Rate for Payer: UHC Medicare Advantage |
$215.99
|
| Rate for Payer: UHCCP Medicaid |
$110.84
|
| Rate for Payer: VA VA |
$215.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$647.97
|
|
|
HC ART FLOW LOWER COMPLETE
|
Facility
|
IP
|
$863.96
|
|
|
Service Code
|
CPT 93923
|
| Hospital Charge Code |
92100030
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$561.57 |
| Max. Negotiated Rate |
$777.56 |
| Rate for Payer: Aetna Commercial |
$734.37
|
| Rate for Payer: BCBS Trust/PPO |
$705.25
|
| Rate for Payer: BCN Commercial |
$667.67
|
| Rate for Payer: Cash Price |
$691.17
|
| Rate for Payer: Cofinity Commercial |
$743.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$691.17
|
| Rate for Payer: Healthscope Commercial |
$777.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$647.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$734.37
|
| Rate for Payer: Nomi Health Commercial |
$708.45
|
| Rate for Payer: PHP Commercial |
$734.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$561.57
|
| Rate for Payer: Priority Health HMO/PPO |
$751.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$578.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$760.28
|
| Rate for Payer: UHC Core |
$721.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$647.97
|
|
|
HC ART FLOW LOWER LIMITED
|
Facility
|
OP
|
$724.60
|
|
|
Service Code
|
CPT 93922
|
| Hospital Charge Code |
92100019
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$91.31 |
| Max. Negotiated Rate |
$652.14 |
| Rate for Payer: Aetna Commercial |
$615.91
|
| Rate for Payer: Aetna Medicare |
$188.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$226.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$226.44
|
| Rate for Payer: BCBS Complete |
$95.88
|
| Rate for Payer: BCBS MAPPO |
$181.15
|
| Rate for Payer: BCBS Trust/PPO |
$595.69
|
| Rate for Payer: BCN Commercial |
$563.38
|
| Rate for Payer: BCN Medicare Advantage |
$181.15
|
| Rate for Payer: Cash Price |
$579.68
|
| Rate for Payer: Cash Price |
$579.68
|
| Rate for Payer: Cofinity Commercial |
$623.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$579.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$181.15
|
| Rate for Payer: Healthscope Commercial |
$652.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$543.45
|
| Rate for Payer: Mclaren Medicaid |
$91.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$190.21
|
| Rate for Payer: Meridian Medicaid |
$95.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$208.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$615.91
|
| Rate for Payer: Nomi Health Commercial |
$594.17
|
| Rate for Payer: PACE Senior Care Partners |
$172.09
|
| Rate for Payer: PACE SWMI |
$181.15
|
| Rate for Payer: PHP Commercial |
$615.91
|
| Rate for Payer: PHP Medicare Advantage |
$181.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$91.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$470.99
|
| Rate for Payer: Priority Health HMO/PPO |
$630.40
|
| Rate for Payer: Priority Health Medicare |
$182.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$485.48
|
| Rate for Payer: Railroad Medicare Medicare |
$181.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$637.65
|
| Rate for Payer: UHC Core |
$605.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$181.15
|
| Rate for Payer: UHC Exchange |
$181.15
|
| Rate for Payer: UHC Medicare Advantage |
$181.15
|
| Rate for Payer: UHCCP Medicaid |
$91.31
|
| Rate for Payer: VA VA |
$181.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$543.45
|
|
|
HC ART FLOW LOWER LIMITED
|
Facility
|
IP
|
$724.60
|
|
|
Service Code
|
CPT 93922
|
| Hospital Charge Code |
92100019
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$470.99 |
| Max. Negotiated Rate |
$652.14 |
| Rate for Payer: Aetna Commercial |
$615.91
|
| Rate for Payer: BCBS Trust/PPO |
$591.49
|
| Rate for Payer: BCN Commercial |
$559.97
|
| Rate for Payer: Cash Price |
$579.68
|
| Rate for Payer: Cofinity Commercial |
$623.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$579.68
|
| Rate for Payer: Healthscope Commercial |
$652.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$543.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$615.91
|
| Rate for Payer: Nomi Health Commercial |
$594.17
|
| Rate for Payer: PHP Commercial |
$615.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$470.99
|
| Rate for Payer: Priority Health HMO/PPO |
$630.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$485.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$637.65
|
| Rate for Payer: UHC Core |
$605.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$543.45
|
|
|
HC ART FLOW UPPER COMPLETE
|
Facility
|
OP
|
$942.50
|
|
|
Service Code
|
CPT 93923
|
| Hospital Charge Code |
92100018
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$110.84 |
| Max. Negotiated Rate |
$848.25 |
| Rate for Payer: Aetna Commercial |
$801.12
|
| Rate for Payer: Aetna Medicare |
$245.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$294.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$294.53
|
| Rate for Payer: BCBS Complete |
$116.39
|
| Rate for Payer: BCBS MAPPO |
$235.62
|
| Rate for Payer: BCBS Trust/PPO |
$774.83
|
| Rate for Payer: BCN Commercial |
$732.79
|
| Rate for Payer: BCN Medicare Advantage |
$235.62
|
| Rate for Payer: Cash Price |
$754.00
|
| Rate for Payer: Cash Price |
$754.00
|
| Rate for Payer: Cofinity Commercial |
$810.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$754.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$235.62
|
| Rate for Payer: Healthscope Commercial |
$848.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$706.88
|
| Rate for Payer: Mclaren Medicaid |
$110.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$247.41
|
| Rate for Payer: Meridian Medicaid |
$116.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$270.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$801.12
|
| Rate for Payer: Nomi Health Commercial |
$772.85
|
| Rate for Payer: PACE Senior Care Partners |
$223.84
|
| Rate for Payer: PACE SWMI |
$235.62
|
| Rate for Payer: PHP Commercial |
$801.12
|
| Rate for Payer: PHP Medicare Advantage |
$235.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$110.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$612.62
|
| Rate for Payer: Priority Health HMO/PPO |
$819.98
|
| Rate for Payer: Priority Health Medicare |
$237.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$631.48
|
| Rate for Payer: Railroad Medicare Medicare |
$235.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$829.40
|
| Rate for Payer: UHC Core |
$786.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$235.62
|
| Rate for Payer: UHC Exchange |
$235.62
|
| Rate for Payer: UHC Medicare Advantage |
$235.62
|
| Rate for Payer: UHCCP Medicaid |
$110.84
|
| Rate for Payer: VA VA |
$235.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$706.88
|
|
|
HC ART FLOW UPPER COMPLETE
|
Facility
|
IP
|
$942.50
|
|
|
Service Code
|
CPT 93923
|
| Hospital Charge Code |
92100018
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$612.62 |
| Max. Negotiated Rate |
$848.25 |
| Rate for Payer: Aetna Commercial |
$801.12
|
| Rate for Payer: BCBS Trust/PPO |
$769.36
|
| Rate for Payer: BCN Commercial |
$728.36
|
| Rate for Payer: Cash Price |
$754.00
|
| Rate for Payer: Cofinity Commercial |
$810.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$754.00
|
| Rate for Payer: Healthscope Commercial |
$848.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$706.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$801.12
|
| Rate for Payer: Nomi Health Commercial |
$772.85
|
| Rate for Payer: PHP Commercial |
$801.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$612.62
|
| Rate for Payer: Priority Health HMO/PPO |
$819.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$631.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$829.40
|
| Rate for Payer: UHC Core |
$786.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$706.88
|
|
|
HC ART FLOW UPPER LIMITED
|
Facility
|
OP
|
$790.47
|
|
|
Service Code
|
CPT 93922
|
| Hospital Charge Code |
92100031
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$91.31 |
| Max. Negotiated Rate |
$711.42 |
| Rate for Payer: Aetna Commercial |
$671.90
|
| Rate for Payer: Aetna Medicare |
$205.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$247.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$247.02
|
| Rate for Payer: BCBS Complete |
$95.88
|
| Rate for Payer: BCBS MAPPO |
$197.62
|
| Rate for Payer: BCBS Trust/PPO |
$649.85
|
| Rate for Payer: BCN Commercial |
$614.59
|
| Rate for Payer: BCN Medicare Advantage |
$197.62
|
| Rate for Payer: Cash Price |
$632.38
|
| Rate for Payer: Cash Price |
$632.38
|
| Rate for Payer: Cofinity Commercial |
$679.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$632.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$197.62
|
| Rate for Payer: Healthscope Commercial |
$711.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$592.85
|
| Rate for Payer: Mclaren Medicaid |
$91.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$207.50
|
| Rate for Payer: Meridian Medicaid |
$95.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$227.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$671.90
|
| Rate for Payer: Nomi Health Commercial |
$648.19
|
| Rate for Payer: PACE Senior Care Partners |
$187.74
|
| Rate for Payer: PACE SWMI |
$197.62
|
| Rate for Payer: PHP Commercial |
$671.90
|
| Rate for Payer: PHP Medicare Advantage |
$197.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$91.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$513.81
|
| Rate for Payer: Priority Health HMO/PPO |
$687.71
|
| Rate for Payer: Priority Health Medicare |
$199.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$529.61
|
| Rate for Payer: Railroad Medicare Medicare |
$197.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$695.61
|
| Rate for Payer: UHC Core |
$660.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$197.62
|
| Rate for Payer: UHC Exchange |
$197.62
|
| Rate for Payer: UHC Medicare Advantage |
$197.62
|
| Rate for Payer: UHCCP Medicaid |
$91.31
|
| Rate for Payer: VA VA |
$197.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$592.85
|
|
|
HC ART FLOW UPPER LIMITED
|
Facility
|
IP
|
$790.47
|
|
|
Service Code
|
CPT 93922
|
| Hospital Charge Code |
92100031
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$513.81 |
| Max. Negotiated Rate |
$711.42 |
| Rate for Payer: Aetna Commercial |
$671.90
|
| Rate for Payer: BCBS Trust/PPO |
$645.26
|
| Rate for Payer: BCN Commercial |
$610.88
|
| Rate for Payer: Cash Price |
$632.38
|
| Rate for Payer: Cofinity Commercial |
$679.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$632.38
|
| Rate for Payer: Healthscope Commercial |
$711.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$592.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$671.90
|
| Rate for Payer: Nomi Health Commercial |
$648.19
|
| Rate for Payer: PHP Commercial |
$671.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$513.81
|
| Rate for Payer: Priority Health HMO/PPO |
$687.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$529.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$695.61
|
| Rate for Payer: UHC Core |
$660.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$592.85
|
|
|
HC ARTHROCENTESIS
|
Facility
|
OP
|
$377.89
|
|
| Hospital Charge Code |
45000030
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$89.75 |
| Max. Negotiated Rate |
$340.10 |
| Rate for Payer: Aetna Commercial |
$321.21
|
| Rate for Payer: Aetna Medicare |
$98.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$118.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$118.09
|
| Rate for Payer: BCBS Complete |
$151.16
|
| Rate for Payer: BCBS MAPPO |
$94.47
|
| Rate for Payer: BCBS Trust/PPO |
$310.66
|
| Rate for Payer: BCN Commercial |
$293.81
|
| Rate for Payer: BCN Medicare Advantage |
$94.47
|
| Rate for Payer: Cash Price |
$302.31
|
| Rate for Payer: Cofinity Commercial |
$324.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$302.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$94.47
|
| Rate for Payer: Healthscope Commercial |
$340.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$283.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$99.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$108.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$321.21
|
| Rate for Payer: Nomi Health Commercial |
$309.87
|
| Rate for Payer: PACE Senior Care Partners |
$89.75
|
| Rate for Payer: PACE SWMI |
$94.47
|
| Rate for Payer: PHP Commercial |
$321.21
|
| Rate for Payer: PHP Medicare Advantage |
$94.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$245.63
|
| Rate for Payer: Priority Health HMO/PPO |
$328.76
|
| Rate for Payer: Priority Health Medicare |
$95.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$253.19
|
| Rate for Payer: Railroad Medicare Medicare |
$94.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$332.54
|
| Rate for Payer: UHC Core |
$315.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$94.47
|
| Rate for Payer: UHC Exchange |
$94.47
|
| Rate for Payer: UHC Medicare Advantage |
$94.47
|
| Rate for Payer: VA VA |
$94.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$283.42
|
|
|
HC ARTHROCENTESIS
|
Facility
|
IP
|
$377.89
|
|
| Hospital Charge Code |
45000030
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$245.63 |
| Max. Negotiated Rate |
$340.10 |
| Rate for Payer: Aetna Commercial |
$321.21
|
| Rate for Payer: BCBS Trust/PPO |
$308.47
|
| Rate for Payer: BCN Commercial |
$292.03
|
| Rate for Payer: Cash Price |
$302.31
|
| Rate for Payer: Cofinity Commercial |
$324.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$302.31
|
| Rate for Payer: Healthscope Commercial |
$340.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$283.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$321.21
|
| Rate for Payer: Nomi Health Commercial |
$309.87
|
| Rate for Payer: PHP Commercial |
$321.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$245.63
|
| Rate for Payer: Priority Health HMO/PPO |
$328.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$253.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$332.54
|
| Rate for Payer: UHC Core |
$315.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$283.42
|
|
|
HC ARTHROCENTESIS INTERMED JT
|
Facility
|
IP
|
$340.34
|
|
|
Service Code
|
CPT 20605
|
| Hospital Charge Code |
36100024
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$221.22 |
| Max. Negotiated Rate |
$306.31 |
| Rate for Payer: Aetna Commercial |
$289.29
|
| Rate for Payer: BCBS Trust/PPO |
$277.82
|
| Rate for Payer: BCN Commercial |
$263.01
|
| Rate for Payer: Cash Price |
$272.27
|
| Rate for Payer: Cofinity Commercial |
$292.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$272.27
|
| Rate for Payer: Healthscope Commercial |
$306.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$255.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$289.29
|
| Rate for Payer: Nomi Health Commercial |
$279.08
|
| Rate for Payer: PHP Commercial |
$289.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$221.22
|
| Rate for Payer: Priority Health HMO/PPO |
$296.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$228.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$299.50
|
| Rate for Payer: UHC Core |
$284.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$255.26
|
|
|
HC ARTHROCENTESIS INTERMED JT
|
Facility
|
OP
|
$340.34
|
|
|
Service Code
|
CPT 20605
|
| Hospital Charge Code |
36100024
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$80.83 |
| Max. Negotiated Rate |
$306.31 |
| Rate for Payer: Aetna Commercial |
$289.29
|
| Rate for Payer: Aetna Medicare |
$88.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$106.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$106.36
|
| Rate for Payer: BCBS Complete |
$219.58
|
| Rate for Payer: BCBS MAPPO |
$85.08
|
| Rate for Payer: BCBS Trust/PPO |
$279.79
|
| Rate for Payer: BCN Commercial |
$264.61
|
| Rate for Payer: BCN Medicare Advantage |
$85.08
|
| Rate for Payer: Cash Price |
$272.27
|
| Rate for Payer: Cash Price |
$272.27
|
| Rate for Payer: Cofinity Commercial |
$292.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$272.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$85.08
|
| Rate for Payer: Healthscope Commercial |
$306.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$255.26
|
| Rate for Payer: Mclaren Medicaid |
$209.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$89.34
|
| Rate for Payer: Meridian Medicaid |
$219.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$97.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$289.29
|
| Rate for Payer: Nomi Health Commercial |
$279.08
|
| Rate for Payer: PACE Senior Care Partners |
$80.83
|
| Rate for Payer: PACE SWMI |
$85.08
|
| Rate for Payer: PHP Commercial |
$289.29
|
| Rate for Payer: PHP Medicare Advantage |
$85.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$209.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$221.22
|
| Rate for Payer: Priority Health HMO/PPO |
$296.10
|
| Rate for Payer: Priority Health Medicare |
$85.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$228.03
|
| Rate for Payer: Railroad Medicare Medicare |
$85.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$299.50
|
| Rate for Payer: UHC Core |
$284.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$85.08
|
| Rate for Payer: UHC Exchange |
$85.08
|
| Rate for Payer: UHC Medicare Advantage |
$85.08
|
| Rate for Payer: UHCCP Medicaid |
$209.11
|
| Rate for Payer: VA VA |
$85.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$255.26
|
|
|
HC ARTHROCENTESIS INTERMED JT BIL
|
Facility
|
IP
|
$437.63
|
|
|
Service Code
|
CPT 20605
|
| Hospital Charge Code |
36100025
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$284.46 |
| Max. Negotiated Rate |
$393.87 |
| Rate for Payer: Aetna Commercial |
$371.99
|
| Rate for Payer: BCBS Trust/PPO |
$357.24
|
| Rate for Payer: BCN Commercial |
$338.20
|
| Rate for Payer: Cash Price |
$350.10
|
| Rate for Payer: Cofinity Commercial |
$376.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$350.10
|
| Rate for Payer: Healthscope Commercial |
$393.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$328.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$371.99
|
| Rate for Payer: Nomi Health Commercial |
$358.86
|
| Rate for Payer: PHP Commercial |
$371.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$284.46
|
| Rate for Payer: Priority Health HMO/PPO |
$380.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$293.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$385.11
|
| Rate for Payer: UHC Core |
$365.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$328.22
|
|
|
HC ARTHROCENTESIS INTERMED JT BIL
|
Facility
|
OP
|
$437.63
|
|
|
Service Code
|
CPT 20605
|
| Hospital Charge Code |
36100025
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$103.94 |
| Max. Negotiated Rate |
$393.87 |
| Rate for Payer: Aetna Commercial |
$371.99
|
| Rate for Payer: Aetna Medicare |
$113.78
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$136.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$136.76
|
| Rate for Payer: BCBS Complete |
$219.58
|
| Rate for Payer: BCBS MAPPO |
$109.41
|
| Rate for Payer: BCBS Trust/PPO |
$359.78
|
| Rate for Payer: BCN Commercial |
$340.26
|
| Rate for Payer: BCN Medicare Advantage |
$109.41
|
| Rate for Payer: Cash Price |
$350.10
|
| Rate for Payer: Cash Price |
$350.10
|
| Rate for Payer: Cofinity Commercial |
$376.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$350.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$109.41
|
| Rate for Payer: Healthscope Commercial |
$393.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$328.22
|
| Rate for Payer: Mclaren Medicaid |
$209.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$114.88
|
| Rate for Payer: Meridian Medicaid |
$219.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$125.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$371.99
|
| Rate for Payer: Nomi Health Commercial |
$358.86
|
| Rate for Payer: PACE Senior Care Partners |
$103.94
|
| Rate for Payer: PACE SWMI |
$109.41
|
| Rate for Payer: PHP Commercial |
$371.99
|
| Rate for Payer: PHP Medicare Advantage |
$109.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$209.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$284.46
|
| Rate for Payer: Priority Health HMO/PPO |
$380.74
|
| Rate for Payer: Priority Health Medicare |
$110.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$293.21
|
| Rate for Payer: Railroad Medicare Medicare |
$109.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$385.11
|
| Rate for Payer: UHC Core |
$365.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$109.41
|
| Rate for Payer: UHC Exchange |
$109.41
|
| Rate for Payer: UHC Medicare Advantage |
$109.41
|
| Rate for Payer: UHCCP Medicaid |
$209.11
|
| Rate for Payer: VA VA |
$109.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$328.22
|
|
