|
HC ASP AND OR INJ RENAL CYST OR PELVIS
|
Facility
|
IP
|
$1,234.97
|
|
|
Service Code
|
CPT 50390
|
| Hospital Charge Code |
36100242
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$802.73 |
| Max. Negotiated Rate |
$1,111.47 |
| Rate for Payer: Aetna Commercial |
$1,049.72
|
| Rate for Payer: BCBS Trust/PPO |
$1,008.11
|
| Rate for Payer: BCN Commercial |
$954.38
|
| Rate for Payer: Cash Price |
$987.98
|
| Rate for Payer: Cofinity Commercial |
$1,062.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$987.98
|
| Rate for Payer: Healthscope Commercial |
$1,111.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$926.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,049.72
|
| Rate for Payer: Nomi Health Commercial |
$1,012.68
|
| Rate for Payer: PHP Commercial |
$1,049.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$802.73
|
| Rate for Payer: Priority Health HMO/PPO |
$1,074.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$827.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,086.77
|
| Rate for Payer: UHC Core |
$1,031.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$926.23
|
|
|
HC ASP AND OR INJ RENAL CYST OR PELVIS
|
Facility
|
OP
|
$1,234.97
|
|
|
Service Code
|
CPT 50390
|
| Hospital Charge Code |
36100242
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$293.31 |
| Max. Negotiated Rate |
$1,111.47 |
| Rate for Payer: Aetna Commercial |
$1,049.72
|
| Rate for Payer: Aetna Medicare |
$321.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$385.93
|
| Rate for Payer: Amish Plain Church Group Commercial |
$385.93
|
| Rate for Payer: BCBS Complete |
$534.17
|
| Rate for Payer: BCBS MAPPO |
$308.74
|
| Rate for Payer: BCBS Trust/PPO |
$1,015.27
|
| Rate for Payer: BCN Commercial |
$960.19
|
| Rate for Payer: BCN Medicare Advantage |
$308.74
|
| Rate for Payer: Cash Price |
$987.98
|
| Rate for Payer: Cash Price |
$987.98
|
| Rate for Payer: Cofinity Commercial |
$1,062.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$987.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$308.74
|
| Rate for Payer: Healthscope Commercial |
$1,111.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$926.23
|
| Rate for Payer: Mclaren Medicaid |
$508.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$324.18
|
| Rate for Payer: Meridian Medicaid |
$534.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$355.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,049.72
|
| Rate for Payer: Nomi Health Commercial |
$1,012.68
|
| Rate for Payer: PACE Senior Care Partners |
$293.31
|
| Rate for Payer: PACE SWMI |
$308.74
|
| Rate for Payer: PHP Commercial |
$1,049.72
|
| Rate for Payer: PHP Medicare Advantage |
$308.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$508.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$802.73
|
| Rate for Payer: Priority Health HMO/PPO |
$1,074.42
|
| Rate for Payer: Priority Health Medicare |
$311.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$827.43
|
| Rate for Payer: Railroad Medicare Medicare |
$308.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,086.77
|
| Rate for Payer: UHC Core |
$1,031.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$308.74
|
| Rate for Payer: UHC Exchange |
$308.74
|
| Rate for Payer: UHC Medicare Advantage |
$308.74
|
| Rate for Payer: UHCCP Medicaid |
$508.70
|
| Rate for Payer: VA VA |
$308.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$926.23
|
|
|
HC ASPERGILLIS IGE
|
Facility
|
IP
|
$25.39
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200028
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$16.50 |
| Max. Negotiated Rate |
$22.85 |
| Rate for Payer: Aetna Commercial |
$21.58
|
| Rate for Payer: BCBS Trust/PPO |
$20.73
|
| Rate for Payer: BCN Commercial |
$19.62
|
| Rate for Payer: Cash Price |
$20.31
|
| Rate for Payer: Cofinity Commercial |
$21.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.31
|
| Rate for Payer: Healthscope Commercial |
$22.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.58
|
| Rate for Payer: Nomi Health Commercial |
$20.82
|
| Rate for Payer: PHP Commercial |
$21.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.50
|
| Rate for Payer: Priority Health HMO/PPO |
$22.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$17.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.34
|
| Rate for Payer: UHC Core |
$21.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.04
|
|
|
HC ASPERGILLIS IGE
|
Facility
|
OP
|
$25.39
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200028
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$3.77 |
| Max. Negotiated Rate |
$22.85 |
| Rate for Payer: Aetna Commercial |
$21.58
|
| Rate for Payer: Aetna Medicare |
$6.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7.93
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7.93
|
| Rate for Payer: BCBS Complete |
$3.96
|
| Rate for Payer: BCBS MAPPO |
$6.35
|
| Rate for Payer: BCBS Trust/PPO |
$20.87
|
| Rate for Payer: BCN Commercial |
$19.74
|
| Rate for Payer: BCN Medicare Advantage |
$6.35
|
| Rate for Payer: Cash Price |
$20.31
|
| Rate for Payer: Cash Price |
$20.31
|
| Rate for Payer: Cofinity Commercial |
$21.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.35
|
| Rate for Payer: Healthscope Commercial |
$22.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.04
|
| Rate for Payer: Mclaren Medicaid |
$3.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.66
|
| Rate for Payer: Meridian Medicaid |
$3.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.58
|
| Rate for Payer: Nomi Health Commercial |
$20.82
|
| Rate for Payer: PACE Senior Care Partners |
$6.03
|
| Rate for Payer: PACE SWMI |
$6.35
|
| Rate for Payer: PHP Commercial |
$21.58
|
| Rate for Payer: PHP Medicare Advantage |
$6.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.50
|
| Rate for Payer: Priority Health HMO/PPO |
$22.09
|
| Rate for Payer: Priority Health Medicare |
$6.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$17.01
|
| Rate for Payer: Railroad Medicare Medicare |
$6.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.34
|
| Rate for Payer: UHC Core |
$21.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$6.35
|
| Rate for Payer: UHC Exchange |
$6.35
|
| Rate for Payer: UHC Medicare Advantage |
$6.35
|
| Rate for Payer: UHCCP Medicaid |
$3.77
|
| Rate for Payer: VA VA |
$6.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.04
|
|
|
HC ASPERGILLUS ANTIBODIES
|
Facility
|
OP
|
$46.82
|
|
|
Service Code
|
CPT 86606
|
| Hospital Charge Code |
30200221
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$10.88 |
| Max. Negotiated Rate |
$42.14 |
| Rate for Payer: Aetna Commercial |
$39.80
|
| Rate for Payer: Aetna Medicare |
$12.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14.63
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14.63
|
| Rate for Payer: BCBS Complete |
$11.43
|
| Rate for Payer: BCBS MAPPO |
$11.71
|
| Rate for Payer: BCBS Trust/PPO |
$38.49
|
| Rate for Payer: BCN Commercial |
$36.40
|
| Rate for Payer: BCN Medicare Advantage |
$11.71
|
| Rate for Payer: Cash Price |
$37.46
|
| Rate for Payer: Cash Price |
$37.46
|
| Rate for Payer: Cofinity Commercial |
$40.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$37.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11.71
|
| Rate for Payer: Healthscope Commercial |
$42.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$35.12
|
| Rate for Payer: Mclaren Medicaid |
$10.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12.29
|
| Rate for Payer: Meridian Medicaid |
$11.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$39.80
|
| Rate for Payer: Nomi Health Commercial |
$38.39
|
| Rate for Payer: PACE Senior Care Partners |
$11.12
|
| Rate for Payer: PACE SWMI |
$11.71
|
| Rate for Payer: PHP Commercial |
$39.80
|
| Rate for Payer: PHP Medicare Advantage |
$11.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$10.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.43
|
| Rate for Payer: Priority Health HMO/PPO |
$40.73
|
| Rate for Payer: Priority Health Medicare |
$11.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$31.37
|
| Rate for Payer: Railroad Medicare Medicare |
$11.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$41.20
|
| Rate for Payer: UHC Core |
$39.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$11.71
|
| Rate for Payer: UHC Exchange |
$11.71
|
| Rate for Payer: UHC Medicare Advantage |
$11.71
|
| Rate for Payer: UHCCP Medicaid |
$10.88
|
| Rate for Payer: VA VA |
$11.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$35.12
|
|
|
HC ASPERGILLUS ANTIBODIES
|
Facility
|
IP
|
$46.82
|
|
|
Service Code
|
CPT 86606
|
| Hospital Charge Code |
30200221
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$30.43 |
| Max. Negotiated Rate |
$42.14 |
| Rate for Payer: Aetna Commercial |
$39.80
|
| Rate for Payer: BCBS Trust/PPO |
$38.22
|
| Rate for Payer: BCN Commercial |
$36.18
|
| Rate for Payer: Cash Price |
$37.46
|
| Rate for Payer: Cofinity Commercial |
$40.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$37.46
|
| Rate for Payer: Healthscope Commercial |
$42.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$35.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$39.80
|
| Rate for Payer: Nomi Health Commercial |
$38.39
|
| Rate for Payer: PHP Commercial |
$39.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.43
|
| Rate for Payer: Priority Health HMO/PPO |
$40.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$31.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$41.20
|
| Rate for Payer: UHC Core |
$39.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$35.12
|
|
|
HC ASPERGILLUS ANTIBODIES CMPT
|
Facility
|
OP
|
$40.58
|
|
|
Service Code
|
CPT 86606
|
| Hospital Charge Code |
30200222
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$9.64 |
| Max. Negotiated Rate |
$36.52 |
| Rate for Payer: Aetna Commercial |
$34.49
|
| Rate for Payer: Aetna Medicare |
$10.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12.68
|
| Rate for Payer: BCBS Complete |
$11.43
|
| Rate for Payer: BCBS MAPPO |
$10.14
|
| Rate for Payer: BCBS Trust/PPO |
$33.36
|
| Rate for Payer: BCN Commercial |
$31.55
|
| Rate for Payer: BCN Medicare Advantage |
$10.14
|
| Rate for Payer: Cash Price |
$32.46
|
| Rate for Payer: Cash Price |
$32.46
|
| Rate for Payer: Cofinity Commercial |
$34.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$32.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10.14
|
| Rate for Payer: Healthscope Commercial |
$36.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$30.43
|
| Rate for Payer: Mclaren Medicaid |
$10.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10.65
|
| Rate for Payer: Meridian Medicaid |
$11.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$34.49
|
| Rate for Payer: Nomi Health Commercial |
$33.28
|
| Rate for Payer: PACE Senior Care Partners |
$9.64
|
| Rate for Payer: PACE SWMI |
$10.14
|
| Rate for Payer: PHP Commercial |
$34.49
|
| Rate for Payer: PHP Medicare Advantage |
$10.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$10.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$26.38
|
| Rate for Payer: Priority Health HMO/PPO |
$35.30
|
| Rate for Payer: Priority Health Medicare |
$10.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$27.19
|
| Rate for Payer: Railroad Medicare Medicare |
$10.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35.71
|
| Rate for Payer: UHC Core |
$33.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$10.14
|
| Rate for Payer: UHC Exchange |
$10.14
|
| Rate for Payer: UHC Medicare Advantage |
$10.14
|
| Rate for Payer: UHCCP Medicaid |
$10.88
|
| Rate for Payer: VA VA |
$10.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$30.43
|
|
|
HC ASPERGILLUS ANTIBODIES CMPT
|
Facility
|
IP
|
$40.58
|
|
|
Service Code
|
CPT 86606
|
| Hospital Charge Code |
30200222
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$26.38 |
| Max. Negotiated Rate |
$36.52 |
| Rate for Payer: Aetna Commercial |
$34.49
|
| Rate for Payer: BCBS Trust/PPO |
$33.13
|
| Rate for Payer: BCN Commercial |
$31.36
|
| Rate for Payer: Cash Price |
$32.46
|
| Rate for Payer: Cofinity Commercial |
$34.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$32.46
|
| Rate for Payer: Healthscope Commercial |
$36.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$30.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$34.49
|
| Rate for Payer: Nomi Health Commercial |
$33.28
|
| Rate for Payer: PHP Commercial |
$34.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$26.38
|
| Rate for Payer: Priority Health HMO/PPO |
$35.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$27.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35.71
|
| Rate for Payer: UHC Core |
$33.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$30.43
|
|
|
HC ASPERGILLUS ANTIGEN
|
Facility
|
IP
|
$83.64
|
|
|
Service Code
|
CPT 87305
|
| Hospital Charge Code |
30600135
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$54.37 |
| Max. Negotiated Rate |
$75.28 |
| Rate for Payer: Aetna Commercial |
$71.09
|
| Rate for Payer: BCBS Trust/PPO |
$68.28
|
| Rate for Payer: BCN Commercial |
$64.64
|
| Rate for Payer: Cash Price |
$66.91
|
| Rate for Payer: Cofinity Commercial |
$71.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$66.91
|
| Rate for Payer: Healthscope Commercial |
$75.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$62.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$71.09
|
| Rate for Payer: Nomi Health Commercial |
$68.58
|
| Rate for Payer: PHP Commercial |
$71.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$54.37
|
| Rate for Payer: Priority Health HMO/PPO |
$72.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$56.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$73.60
|
| Rate for Payer: UHC Core |
$69.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$62.73
|
|
|
HC ASPERGILLUS ANTIGEN
|
Facility
|
OP
|
$83.64
|
|
|
Service Code
|
CPT 87305
|
| Hospital Charge Code |
30600135
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$8.66 |
| Max. Negotiated Rate |
$75.28 |
| Rate for Payer: Aetna Commercial |
$71.09
|
| Rate for Payer: Aetna Medicare |
$21.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26.14
|
| Rate for Payer: BCBS Complete |
$9.10
|
| Rate for Payer: BCBS MAPPO |
$20.91
|
| Rate for Payer: BCBS Trust/PPO |
$68.76
|
| Rate for Payer: BCN Commercial |
$65.03
|
| Rate for Payer: BCN Medicare Advantage |
$20.91
|
| Rate for Payer: Cash Price |
$66.91
|
| Rate for Payer: Cash Price |
$66.91
|
| Rate for Payer: Cofinity Commercial |
$71.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$66.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20.91
|
| Rate for Payer: Healthscope Commercial |
$75.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$62.73
|
| Rate for Payer: Mclaren Medicaid |
$8.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21.96
|
| Rate for Payer: Meridian Medicaid |
$9.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$71.09
|
| Rate for Payer: Nomi Health Commercial |
$68.58
|
| Rate for Payer: PACE Senior Care Partners |
$19.86
|
| Rate for Payer: PACE SWMI |
$20.91
|
| Rate for Payer: PHP Commercial |
$71.09
|
| Rate for Payer: PHP Medicare Advantage |
$20.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$54.37
|
| Rate for Payer: Priority Health HMO/PPO |
$72.77
|
| Rate for Payer: Priority Health Medicare |
$21.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$56.04
|
| Rate for Payer: Railroad Medicare Medicare |
$20.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$73.60
|
| Rate for Payer: UHC Core |
$69.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$20.91
|
| Rate for Payer: UHC Exchange |
$20.91
|
| Rate for Payer: UHC Medicare Advantage |
$20.91
|
| Rate for Payer: UHCCP Medicaid |
$8.66
|
| Rate for Payer: VA VA |
$20.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$62.73
|
|
|
HC ASPERGILLUS ANTIGEN, BAL
|
Facility
|
OP
|
$90.78
|
|
|
Service Code
|
CPT 87305
|
| Hospital Charge Code |
30600290
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$8.66 |
| Max. Negotiated Rate |
$81.70 |
| Rate for Payer: Aetna Commercial |
$77.16
|
| Rate for Payer: Aetna Medicare |
$23.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$28.37
|
| Rate for Payer: Amish Plain Church Group Commercial |
$28.37
|
| Rate for Payer: BCBS Complete |
$9.10
|
| Rate for Payer: BCBS MAPPO |
$22.70
|
| Rate for Payer: BCBS Trust/PPO |
$74.63
|
| Rate for Payer: BCN Commercial |
$70.58
|
| Rate for Payer: BCN Medicare Advantage |
$22.70
|
| Rate for Payer: Cash Price |
$72.62
|
| Rate for Payer: Cash Price |
$72.62
|
| Rate for Payer: Cofinity Commercial |
$78.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$72.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22.70
|
| Rate for Payer: Healthscope Commercial |
$81.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$68.08
|
| Rate for Payer: Mclaren Medicaid |
$8.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23.83
|
| Rate for Payer: Meridian Medicaid |
$9.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$26.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$77.16
|
| Rate for Payer: Nomi Health Commercial |
$74.44
|
| Rate for Payer: PACE Senior Care Partners |
$21.56
|
| Rate for Payer: PACE SWMI |
$22.70
|
| Rate for Payer: PHP Commercial |
$77.16
|
| Rate for Payer: PHP Medicare Advantage |
$22.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$59.01
|
| Rate for Payer: Priority Health HMO/PPO |
$78.98
|
| Rate for Payer: Priority Health Medicare |
$22.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$60.82
|
| Rate for Payer: Railroad Medicare Medicare |
$22.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$79.89
|
| Rate for Payer: UHC Core |
$75.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$22.70
|
| Rate for Payer: UHC Exchange |
$22.70
|
| Rate for Payer: UHC Medicare Advantage |
$22.70
|
| Rate for Payer: UHCCP Medicaid |
$8.66
|
| Rate for Payer: VA VA |
$22.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$68.08
|
|
|
HC ASPERGILLUS ANTIGEN, BAL
|
Facility
|
IP
|
$90.78
|
|
|
Service Code
|
CPT 87305
|
| Hospital Charge Code |
30600290
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$59.01 |
| Max. Negotiated Rate |
$81.70 |
| Rate for Payer: Aetna Commercial |
$77.16
|
| Rate for Payer: BCBS Trust/PPO |
$74.10
|
| Rate for Payer: BCN Commercial |
$70.15
|
| Rate for Payer: Cash Price |
$72.62
|
| Rate for Payer: Cofinity Commercial |
$78.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$72.62
|
| Rate for Payer: Healthscope Commercial |
$81.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$68.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$77.16
|
| Rate for Payer: Nomi Health Commercial |
$74.44
|
| Rate for Payer: PHP Commercial |
$77.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$59.01
|
| Rate for Payer: Priority Health HMO/PPO |
$78.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$60.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$79.89
|
| Rate for Payer: UHC Core |
$75.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$68.08
|
|
|
HC ASPERGILLUS FUMIGATUS IGG AB
|
Facility
|
OP
|
$58.14
|
|
|
Service Code
|
CPT 86606
|
| Hospital Charge Code |
30200224
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$10.88 |
| Max. Negotiated Rate |
$52.33 |
| Rate for Payer: Aetna Commercial |
$49.42
|
| Rate for Payer: Aetna Medicare |
$15.12
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18.17
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18.17
|
| Rate for Payer: BCBS Complete |
$11.43
|
| Rate for Payer: BCBS MAPPO |
$14.54
|
| Rate for Payer: BCBS Trust/PPO |
$47.80
|
| Rate for Payer: BCN Commercial |
$45.20
|
| Rate for Payer: BCN Medicare Advantage |
$14.54
|
| Rate for Payer: Cash Price |
$46.51
|
| Rate for Payer: Cash Price |
$46.51
|
| Rate for Payer: Cofinity Commercial |
$50.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.54
|
| Rate for Payer: Healthscope Commercial |
$52.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.60
|
| Rate for Payer: Mclaren Medicaid |
$10.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15.26
|
| Rate for Payer: Meridian Medicaid |
$11.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.42
|
| Rate for Payer: Nomi Health Commercial |
$47.67
|
| Rate for Payer: PACE Senior Care Partners |
$13.81
|
| Rate for Payer: PACE SWMI |
$14.54
|
| Rate for Payer: PHP Commercial |
$49.42
|
| Rate for Payer: PHP Medicare Advantage |
$14.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$10.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.79
|
| Rate for Payer: Priority Health HMO/PPO |
$50.58
|
| Rate for Payer: Priority Health Medicare |
$14.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$38.95
|
| Rate for Payer: Railroad Medicare Medicare |
$14.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$51.16
|
| Rate for Payer: UHC Core |
$48.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$14.54
|
| Rate for Payer: UHC Exchange |
$14.54
|
| Rate for Payer: UHC Medicare Advantage |
$14.54
|
| Rate for Payer: UHCCP Medicaid |
$10.88
|
| Rate for Payer: VA VA |
$14.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.60
|
|
|
HC ASPERGILLUS FUMIGATUS IGG AB
|
Facility
|
IP
|
$58.14
|
|
|
Service Code
|
CPT 86606
|
| Hospital Charge Code |
30200224
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$37.79 |
| Max. Negotiated Rate |
$52.33 |
| Rate for Payer: Aetna Commercial |
$49.42
|
| Rate for Payer: BCBS Trust/PPO |
$47.46
|
| Rate for Payer: BCN Commercial |
$44.93
|
| Rate for Payer: Cash Price |
$46.51
|
| Rate for Payer: Cofinity Commercial |
$50.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.51
|
| Rate for Payer: Healthscope Commercial |
$52.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.42
|
| Rate for Payer: Nomi Health Commercial |
$47.67
|
| Rate for Payer: PHP Commercial |
$49.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.79
|
| Rate for Payer: Priority Health HMO/PPO |
$50.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$38.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$51.16
|
| Rate for Payer: UHC Core |
$48.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.60
|
|
|
HC ASP INTERVERTEBRAL DISC
|
Facility
|
IP
|
$843.49
|
|
|
Service Code
|
CPT 62267
|
| Hospital Charge Code |
36100297
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$548.27 |
| Max. Negotiated Rate |
$759.14 |
| Rate for Payer: Aetna Commercial |
$716.97
|
| Rate for Payer: BCBS Trust/PPO |
$688.54
|
| Rate for Payer: BCN Commercial |
$651.85
|
| Rate for Payer: Cash Price |
$674.79
|
| Rate for Payer: Cofinity Commercial |
$725.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$674.79
|
| Rate for Payer: Healthscope Commercial |
$759.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$632.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$716.97
|
| Rate for Payer: Nomi Health Commercial |
$691.66
|
| Rate for Payer: PHP Commercial |
$716.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$548.27
|
| Rate for Payer: Priority Health HMO/PPO |
$733.84
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$565.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$742.27
|
| Rate for Payer: UHC Core |
$704.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$632.62
|
|
|
HC ASP INTERVERTEBRAL DISC
|
Facility
|
OP
|
$843.49
|
|
|
Service Code
|
CPT 62267
|
| Hospital Charge Code |
36100297
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$200.33 |
| Max. Negotiated Rate |
$759.14 |
| Rate for Payer: Aetna Commercial |
$716.97
|
| Rate for Payer: Aetna Medicare |
$219.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$263.59
|
| Rate for Payer: Amish Plain Church Group Commercial |
$263.59
|
| Rate for Payer: BCBS Complete |
$534.17
|
| Rate for Payer: BCBS MAPPO |
$210.87
|
| Rate for Payer: BCBS Trust/PPO |
$693.43
|
| Rate for Payer: BCN Commercial |
$655.81
|
| Rate for Payer: BCN Medicare Advantage |
$210.87
|
| Rate for Payer: Cash Price |
$674.79
|
| Rate for Payer: Cash Price |
$674.79
|
| Rate for Payer: Cofinity Commercial |
$725.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$674.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$210.87
|
| Rate for Payer: Healthscope Commercial |
$759.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$632.62
|
| Rate for Payer: Mclaren Medicaid |
$508.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$221.42
|
| Rate for Payer: Meridian Medicaid |
$534.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$242.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$716.97
|
| Rate for Payer: Nomi Health Commercial |
$691.66
|
| Rate for Payer: PACE Senior Care Partners |
$200.33
|
| Rate for Payer: PACE SWMI |
$210.87
|
| Rate for Payer: PHP Commercial |
$716.97
|
| Rate for Payer: PHP Medicare Advantage |
$210.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$508.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$548.27
|
| Rate for Payer: Priority Health HMO/PPO |
$733.84
|
| Rate for Payer: Priority Health Medicare |
$212.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$565.14
|
| Rate for Payer: Railroad Medicare Medicare |
$210.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$742.27
|
| Rate for Payer: UHC Core |
$704.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$210.87
|
| Rate for Payer: UHC Exchange |
$210.87
|
| Rate for Payer: UHC Medicare Advantage |
$210.87
|
| Rate for Payer: UHCCP Medicaid |
$508.70
|
| Rate for Payer: VA VA |
$210.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$632.62
|
|
|
HC ASPIRATE/INJ GANGLION CYST
|
Facility
|
OP
|
$386.21
|
|
|
Service Code
|
CPT 20612
|
| Hospital Charge Code |
76100209
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$91.72 |
| Max. Negotiated Rate |
$347.59 |
| Rate for Payer: Aetna Commercial |
$328.28
|
| Rate for Payer: Aetna Medicare |
$100.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$120.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$120.69
|
| Rate for Payer: BCBS Complete |
$224.11
|
| Rate for Payer: BCBS MAPPO |
$96.55
|
| Rate for Payer: BCBS Trust/PPO |
$317.50
|
| Rate for Payer: BCN Commercial |
$300.28
|
| Rate for Payer: BCN Medicare Advantage |
$96.55
|
| Rate for Payer: Cash Price |
$308.97
|
| Rate for Payer: Cash Price |
$308.97
|
| Rate for Payer: Cofinity Commercial |
$332.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$308.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$96.55
|
| Rate for Payer: Healthscope Commercial |
$347.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$289.66
|
| Rate for Payer: Mclaren Medicaid |
$213.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$101.38
|
| Rate for Payer: Meridian Medicaid |
$224.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$111.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$328.28
|
| Rate for Payer: Nomi Health Commercial |
$316.69
|
| Rate for Payer: PACE Senior Care Partners |
$91.72
|
| Rate for Payer: PACE SWMI |
$96.55
|
| Rate for Payer: PHP Commercial |
$328.28
|
| Rate for Payer: PHP Medicare Advantage |
$96.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$213.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$251.04
|
| Rate for Payer: Priority Health HMO/PPO |
$336.00
|
| Rate for Payer: Priority Health Medicare |
$97.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$258.76
|
| Rate for Payer: Railroad Medicare Medicare |
$96.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$339.86
|
| Rate for Payer: UHC Core |
$322.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$96.55
|
| Rate for Payer: UHC Exchange |
$96.55
|
| Rate for Payer: UHC Medicare Advantage |
$96.55
|
| Rate for Payer: UHCCP Medicaid |
$213.42
|
| Rate for Payer: VA VA |
$96.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$289.66
|
|
|
HC ASPIRATE/INJ GANGLION CYST
|
Facility
|
IP
|
$386.21
|
|
|
Service Code
|
CPT 20612
|
| Hospital Charge Code |
76100209
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$251.04 |
| Max. Negotiated Rate |
$347.59 |
| Rate for Payer: Aetna Commercial |
$328.28
|
| Rate for Payer: BCBS Trust/PPO |
$315.26
|
| Rate for Payer: BCN Commercial |
$298.46
|
| Rate for Payer: Cash Price |
$308.97
|
| Rate for Payer: Cofinity Commercial |
$332.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$308.97
|
| Rate for Payer: Healthscope Commercial |
$347.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$289.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$328.28
|
| Rate for Payer: Nomi Health Commercial |
$316.69
|
| Rate for Payer: PHP Commercial |
$328.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$251.04
|
| Rate for Payer: Priority Health HMO/PPO |
$336.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$258.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$339.86
|
| Rate for Payer: UHC Core |
$322.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$289.66
|
|
|
HC ASPIRATION BLADDER WITH CATHETHER
|
Facility
|
OP
|
$3,128.23
|
|
|
Service Code
|
CPT 51102
|
| Hospital Charge Code |
36100250
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$742.95 |
| Max. Negotiated Rate |
$2,815.41 |
| Rate for Payer: Aetna Commercial |
$2,659.00
|
| Rate for Payer: Aetna Medicare |
$813.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$977.57
|
| Rate for Payer: Amish Plain Church Group Commercial |
$977.57
|
| Rate for Payer: BCBS Complete |
$1,555.23
|
| Rate for Payer: BCBS MAPPO |
$782.06
|
| Rate for Payer: BCBS Trust/PPO |
$2,571.72
|
| Rate for Payer: BCN Commercial |
$2,432.20
|
| Rate for Payer: BCN Medicare Advantage |
$782.06
|
| Rate for Payer: Cash Price |
$2,502.58
|
| Rate for Payer: Cash Price |
$2,502.58
|
| Rate for Payer: Cofinity Commercial |
$2,690.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,502.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$782.06
|
| Rate for Payer: Healthscope Commercial |
$2,815.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,346.17
|
| Rate for Payer: Mclaren Medicaid |
$1,481.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$821.16
|
| Rate for Payer: Meridian Medicaid |
$1,555.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$899.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,659.00
|
| Rate for Payer: Nomi Health Commercial |
$2,565.15
|
| Rate for Payer: PACE Senior Care Partners |
$742.95
|
| Rate for Payer: PACE SWMI |
$782.06
|
| Rate for Payer: PHP Commercial |
$2,659.00
|
| Rate for Payer: PHP Medicare Advantage |
$782.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,481.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,033.35
|
| Rate for Payer: Priority Health HMO/PPO |
$2,721.56
|
| Rate for Payer: Priority Health Medicare |
$789.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,095.91
|
| Rate for Payer: Railroad Medicare Medicare |
$782.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,752.84
|
| Rate for Payer: UHC Core |
$2,612.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$782.06
|
| Rate for Payer: UHC Exchange |
$782.06
|
| Rate for Payer: UHC Medicare Advantage |
$782.06
|
| Rate for Payer: UHCCP Medicaid |
$1,481.07
|
| Rate for Payer: VA VA |
$782.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,346.17
|
|
|
HC ASPIRATION BLADDER WITH CATHETHER
|
Facility
|
IP
|
$3,128.23
|
|
|
Service Code
|
CPT 51102
|
| Hospital Charge Code |
36100250
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,033.35 |
| Max. Negotiated Rate |
$2,815.41 |
| Rate for Payer: Aetna Commercial |
$2,659.00
|
| Rate for Payer: BCBS Trust/PPO |
$2,553.57
|
| Rate for Payer: BCN Commercial |
$2,417.50
|
| Rate for Payer: Cash Price |
$2,502.58
|
| Rate for Payer: Cofinity Commercial |
$2,690.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,502.58
|
| Rate for Payer: Healthscope Commercial |
$2,815.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,346.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,659.00
|
| Rate for Payer: Nomi Health Commercial |
$2,565.15
|
| Rate for Payer: PHP Commercial |
$2,659.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,033.35
|
| Rate for Payer: Priority Health HMO/PPO |
$2,721.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,095.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,752.84
|
| Rate for Payer: UHC Core |
$2,612.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,346.17
|
|
|
HC ASPIRATION CYST OVARIAN ABDOMINAL APPROACH UNI OR BIL
|
Facility
|
IP
|
$4,334.38
|
|
|
Service Code
|
CPT 58805
|
| Hospital Charge Code |
36100258
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,817.35 |
| Max. Negotiated Rate |
$3,900.94 |
| Rate for Payer: Aetna Commercial |
$3,684.22
|
| Rate for Payer: BCBS Trust/PPO |
$3,538.15
|
| Rate for Payer: BCN Commercial |
$3,349.61
|
| Rate for Payer: Cash Price |
$3,467.50
|
| Rate for Payer: Cofinity Commercial |
$3,727.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,467.50
|
| Rate for Payer: Healthscope Commercial |
$3,900.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,250.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,684.22
|
| Rate for Payer: Nomi Health Commercial |
$3,554.19
|
| Rate for Payer: PHP Commercial |
$3,684.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,817.35
|
| Rate for Payer: Priority Health HMO/PPO |
$3,770.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,904.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,814.25
|
| Rate for Payer: UHC Core |
$3,619.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,250.78
|
|
|
HC ASPIRATION CYST OVARIAN ABDOMINAL APPROACH UNI OR BIL
|
Facility
|
OP
|
$4,334.38
|
|
|
Service Code
|
CPT 58805
|
| Hospital Charge Code |
36100258
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,029.42 |
| Max. Negotiated Rate |
$3,900.94 |
| Rate for Payer: Aetna Commercial |
$3,684.22
|
| Rate for Payer: Aetna Medicare |
$1,126.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,354.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,354.49
|
| Rate for Payer: BCBS Complete |
$2,413.90
|
| Rate for Payer: BCBS MAPPO |
$1,083.60
|
| Rate for Payer: BCBS Trust/PPO |
$3,563.29
|
| Rate for Payer: BCN Commercial |
$3,369.98
|
| Rate for Payer: BCN Medicare Advantage |
$1,083.60
|
| Rate for Payer: Cash Price |
$3,467.50
|
| Rate for Payer: Cash Price |
$3,467.50
|
| Rate for Payer: Cofinity Commercial |
$3,727.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,467.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,083.60
|
| Rate for Payer: Healthscope Commercial |
$3,900.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,250.78
|
| Rate for Payer: Mclaren Medicaid |
$2,298.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,137.77
|
| Rate for Payer: Meridian Medicaid |
$2,413.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,246.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,684.22
|
| Rate for Payer: Nomi Health Commercial |
$3,554.19
|
| Rate for Payer: PACE Senior Care Partners |
$1,029.42
|
| Rate for Payer: PACE SWMI |
$1,083.60
|
| Rate for Payer: PHP Commercial |
$3,684.22
|
| Rate for Payer: PHP Medicare Advantage |
$1,083.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,298.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,817.35
|
| Rate for Payer: Priority Health HMO/PPO |
$3,770.91
|
| Rate for Payer: Priority Health Medicare |
$1,094.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,904.03
|
| Rate for Payer: Railroad Medicare Medicare |
$1,083.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,814.25
|
| Rate for Payer: UHC Core |
$3,619.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,083.60
|
| Rate for Payer: UHC Exchange |
$1,083.60
|
| Rate for Payer: UHC Medicare Advantage |
$1,083.60
|
| Rate for Payer: UHCCP Medicaid |
$2,298.80
|
| Rate for Payer: VA VA |
$1,083.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,250.78
|
|
|
HC ASPIRATION CYST OVARIAN VAGINAL APPROACH UNI OR BIL
|
Facility
|
IP
|
$2,544.30
|
|
|
Service Code
|
CPT 58800
|
| Hospital Charge Code |
36100257
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,653.80 |
| Max. Negotiated Rate |
$2,289.87 |
| Rate for Payer: Aetna Commercial |
$2,162.66
|
| Rate for Payer: BCBS Trust/PPO |
$2,076.91
|
| Rate for Payer: BCN Commercial |
$1,966.24
|
| Rate for Payer: Cash Price |
$2,035.44
|
| Rate for Payer: Cofinity Commercial |
$2,188.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,035.44
|
| Rate for Payer: Healthscope Commercial |
$2,289.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,908.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,162.66
|
| Rate for Payer: Nomi Health Commercial |
$2,086.33
|
| Rate for Payer: PHP Commercial |
$2,162.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,653.80
|
| Rate for Payer: Priority Health HMO/PPO |
$2,213.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,704.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,238.98
|
| Rate for Payer: UHC Core |
$2,124.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,908.22
|
|
|
HC ASPIRATION CYST OVARIAN VAGINAL APPROACH UNI OR BIL
|
Facility
|
OP
|
$2,544.30
|
|
|
Service Code
|
CPT 58800
|
| Hospital Charge Code |
36100257
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$604.27 |
| Max. Negotiated Rate |
$2,413.90 |
| Rate for Payer: Aetna Commercial |
$2,162.66
|
| Rate for Payer: Aetna Medicare |
$661.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$795.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$795.09
|
| Rate for Payer: BCBS Complete |
$2,413.90
|
| Rate for Payer: BCBS MAPPO |
$636.08
|
| Rate for Payer: BCBS Trust/PPO |
$2,091.67
|
| Rate for Payer: BCN Commercial |
$1,978.19
|
| Rate for Payer: BCN Medicare Advantage |
$636.08
|
| Rate for Payer: Cash Price |
$2,035.44
|
| Rate for Payer: Cash Price |
$2,035.44
|
| Rate for Payer: Cofinity Commercial |
$2,188.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,035.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$636.08
|
| Rate for Payer: Healthscope Commercial |
$2,289.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,908.22
|
| Rate for Payer: Mclaren Medicaid |
$2,298.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$667.88
|
| Rate for Payer: Meridian Medicaid |
$2,413.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$731.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,162.66
|
| Rate for Payer: Nomi Health Commercial |
$2,086.33
|
| Rate for Payer: PACE Senior Care Partners |
$604.27
|
| Rate for Payer: PACE SWMI |
$636.08
|
| Rate for Payer: PHP Commercial |
$2,162.66
|
| Rate for Payer: PHP Medicare Advantage |
$636.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,298.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,653.80
|
| Rate for Payer: Priority Health HMO/PPO |
$2,213.54
|
| Rate for Payer: Priority Health Medicare |
$642.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,704.68
|
| Rate for Payer: Railroad Medicare Medicare |
$636.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,238.98
|
| Rate for Payer: UHC Core |
$2,124.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$636.08
|
| Rate for Payer: UHC Exchange |
$636.08
|
| Rate for Payer: UHC Medicare Advantage |
$636.08
|
| Rate for Payer: UHCCP Medicaid |
$2,298.80
|
| Rate for Payer: VA VA |
$636.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,908.22
|
|
|
HC ASPIRATION DISK
|
Facility
|
IP
|
$4,614.21
|
|
|
Service Code
|
CPT 62287
|
| Hospital Charge Code |
32000003
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$2,999.24 |
| Max. Negotiated Rate |
$4,152.79 |
| Rate for Payer: Aetna Commercial |
$3,922.08
|
| Rate for Payer: BCBS Trust/PPO |
$3,766.58
|
| Rate for Payer: BCN Commercial |
$3,565.86
|
| Rate for Payer: Cash Price |
$3,691.37
|
| Rate for Payer: Cofinity Commercial |
$3,968.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,691.37
|
| Rate for Payer: Healthscope Commercial |
$4,152.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,460.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,922.08
|
| Rate for Payer: Nomi Health Commercial |
$3,783.65
|
| Rate for Payer: PHP Commercial |
$3,922.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,999.24
|
| Rate for Payer: Priority Health HMO/PPO |
$4,014.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,091.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,060.50
|
| Rate for Payer: UHC Core |
$3,852.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,460.66
|
|
