|
HC CHLORIDE OTHER SOURCE
|
Facility
|
OP
|
$21.64
|
|
|
Service Code
|
CPT 82438
|
| Hospital Charge Code |
30100513
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$3.82 |
| Max. Negotiated Rate |
$19.48 |
| Rate for Payer: Aetna Commercial |
$18.39
|
| Rate for Payer: Aetna Medicare |
$5.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.76
|
| Rate for Payer: BCBS Complete |
$4.01
|
| Rate for Payer: BCBS MAPPO |
$5.41
|
| Rate for Payer: BCBS Trust/PPO |
$17.79
|
| Rate for Payer: BCN Commercial |
$17.79
|
| Rate for Payer: BCN Medicare Advantage |
$5.41
|
| Rate for Payer: Cash Price |
$17.31
|
| Rate for Payer: Cofinity Commercial |
$18.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.41
|
| Rate for Payer: Healthscope Commercial |
$19.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.23
|
| Rate for Payer: Mclaren Medicaid |
$3.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.68
|
| Rate for Payer: Meridian Medicaid |
$4.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.22
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.39
|
| Rate for Payer: Nomi Health Commercial |
$17.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.23
|
| Rate for Payer: PACE Senior Care Partners |
$5.14
|
| Rate for Payer: PACE SWMI |
$5.41
|
| Rate for Payer: PHP Commercial |
$18.39
|
| Rate for Payer: PHP Medicare Advantage |
$5.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$18.83
|
| Rate for Payer: Priority Health Medicare |
$5.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$15.06
|
| Rate for Payer: Railroad Medicare Medicare |
$5.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19.04
|
| Rate for Payer: UHC Core |
$18.07
|
| Rate for Payer: UHC Exchange |
$5.41
|
| Rate for Payer: UHC Medicaid |
$3.82
|
| Rate for Payer: UHC Medicare Advantage |
$5.41
|
| Rate for Payer: UHCCP Medicaid |
$3.82
|
| Rate for Payer: VA VA |
$5.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.23
|
|
|
HC CHLORIDE OTHER SOURCE
|
Facility
|
OP
|
$21.64
|
|
|
Service Code
|
CPT 82438
|
| Hospital Charge Code |
30100554
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$3.82 |
| Max. Negotiated Rate |
$19.48 |
| Rate for Payer: Aetna Commercial |
$18.39
|
| Rate for Payer: Aetna Medicare |
$5.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.76
|
| Rate for Payer: BCBS Complete |
$4.01
|
| Rate for Payer: BCBS MAPPO |
$5.41
|
| Rate for Payer: BCBS Trust/PPO |
$17.79
|
| Rate for Payer: BCN Commercial |
$17.79
|
| Rate for Payer: BCN Medicare Advantage |
$5.41
|
| Rate for Payer: Cash Price |
$17.31
|
| Rate for Payer: Cofinity Commercial |
$18.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.41
|
| Rate for Payer: Healthscope Commercial |
$19.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.23
|
| Rate for Payer: Mclaren Medicaid |
$3.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.68
|
| Rate for Payer: Meridian Medicaid |
$4.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.22
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.39
|
| Rate for Payer: Nomi Health Commercial |
$17.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.23
|
| Rate for Payer: PACE Senior Care Partners |
$5.14
|
| Rate for Payer: PACE SWMI |
$5.41
|
| Rate for Payer: PHP Commercial |
$18.39
|
| Rate for Payer: PHP Medicare Advantage |
$5.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$18.83
|
| Rate for Payer: Priority Health Medicare |
$5.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$15.06
|
| Rate for Payer: Railroad Medicare Medicare |
$5.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19.04
|
| Rate for Payer: UHC Core |
$18.07
|
| Rate for Payer: UHC Exchange |
$5.41
|
| Rate for Payer: UHC Medicaid |
$3.82
|
| Rate for Payer: UHC Medicare Advantage |
$5.41
|
| Rate for Payer: UHCCP Medicaid |
$3.82
|
| Rate for Payer: VA VA |
$5.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.23
|
|
|
HC CHLORIDE OTHER SOURCE
|
Facility
|
IP
|
$21.64
|
|
|
Service Code
|
CPT 82438
|
| Hospital Charge Code |
30100513
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$15.06 |
| Max. Negotiated Rate |
$19.48 |
| Rate for Payer: Aetna Commercial |
$18.39
|
| Rate for Payer: BCBS Trust/PPO |
$17.87
|
| Rate for Payer: BCN Commercial |
$17.87
|
| Rate for Payer: Cash Price |
$17.31
|
| Rate for Payer: Cofinity Commercial |
$18.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.31
|
| Rate for Payer: Healthscope Commercial |
$19.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.39
|
| Rate for Payer: Nomi Health Commercial |
$17.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.23
|
| Rate for Payer: PHP Commercial |
$18.39
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$18.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$15.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19.04
|
| Rate for Payer: UHC Core |
$18.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.23
|
|
|
HC CHLORIDE OTHER SOURCE
|
Facility
|
IP
|
$21.64
|
|
|
Service Code
|
CPT 82438
|
| Hospital Charge Code |
30100554
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$15.06 |
| Max. Negotiated Rate |
$19.48 |
| Rate for Payer: Aetna Commercial |
$18.39
|
| Rate for Payer: BCBS Trust/PPO |
$17.87
|
| Rate for Payer: BCN Commercial |
$17.87
|
| Rate for Payer: Cash Price |
$17.31
|
| Rate for Payer: Cofinity Commercial |
$18.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.31
|
| Rate for Payer: Healthscope Commercial |
$19.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.39
|
| Rate for Payer: Nomi Health Commercial |
$17.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.23
|
| Rate for Payer: PHP Commercial |
$18.39
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$18.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$15.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19.04
|
| Rate for Payer: UHC Core |
$18.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.23
|
|
|
HC CHLORIDE SERUM
|
Facility
|
OP
|
$22.07
|
|
|
Service Code
|
CPT 82435
|
| Hospital Charge Code |
30100152
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$3.89 |
| Max. Negotiated Rate |
$19.86 |
| Rate for Payer: Aetna Commercial |
$18.76
|
| Rate for Payer: Aetna Medicare |
$5.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.90
|
| Rate for Payer: BCBS Complete |
$4.09
|
| Rate for Payer: BCBS MAPPO |
$5.52
|
| Rate for Payer: BCBS Trust/PPO |
$18.14
|
| Rate for Payer: BCN Commercial |
$18.14
|
| Rate for Payer: BCN Medicare Advantage |
$5.52
|
| Rate for Payer: Cash Price |
$17.66
|
| Rate for Payer: Cofinity Commercial |
$18.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.52
|
| Rate for Payer: Healthscope Commercial |
$19.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.55
|
| Rate for Payer: Mclaren Medicaid |
$3.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.79
|
| Rate for Payer: Meridian Medicaid |
$4.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.35
|
| Rate for Payer: Molina Medicare/Medicaid |
$6.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.76
|
| Rate for Payer: Nomi Health Commercial |
$18.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.55
|
| Rate for Payer: PACE Senior Care Partners |
$5.24
|
| Rate for Payer: PACE SWMI |
$5.52
|
| Rate for Payer: PHP Commercial |
$18.76
|
| Rate for Payer: PHP Medicare Advantage |
$5.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.89
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$19.20
|
| Rate for Payer: Priority Health Medicare |
$5.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$15.36
|
| Rate for Payer: Railroad Medicare Medicare |
$5.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19.42
|
| Rate for Payer: UHC Core |
$18.43
|
| Rate for Payer: UHC Exchange |
$5.52
|
| Rate for Payer: UHC Medicaid |
$3.89
|
| Rate for Payer: UHC Medicare Advantage |
$5.52
|
| Rate for Payer: UHCCP Medicaid |
$3.89
|
| Rate for Payer: VA VA |
$5.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.55
|
|
|
HC CHLORIDE SERUM
|
Facility
|
IP
|
$22.07
|
|
|
Service Code
|
CPT 82435
|
| Hospital Charge Code |
30100152
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$15.36 |
| Max. Negotiated Rate |
$19.86 |
| Rate for Payer: Aetna Commercial |
$18.76
|
| Rate for Payer: BCBS Trust/PPO |
$18.23
|
| Rate for Payer: BCN Commercial |
$18.23
|
| Rate for Payer: Cash Price |
$17.66
|
| Rate for Payer: Cofinity Commercial |
$18.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.66
|
| Rate for Payer: Healthscope Commercial |
$19.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.76
|
| Rate for Payer: Nomi Health Commercial |
$18.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.55
|
| Rate for Payer: PHP Commercial |
$18.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$19.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$15.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19.42
|
| Rate for Payer: UHC Core |
$18.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.55
|
|
|
HC CHLORIDE URINE
|
Facility
|
OP
|
$39.43
|
|
|
Service Code
|
CPT 82436
|
| Hospital Charge Code |
30100153
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$6.95 |
| Max. Negotiated Rate |
$35.49 |
| Rate for Payer: Aetna Commercial |
$33.52
|
| Rate for Payer: Aetna Medicare |
$10.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12.32
|
| Rate for Payer: BCBS Complete |
$7.30
|
| Rate for Payer: BCBS MAPPO |
$9.86
|
| Rate for Payer: BCBS Trust/PPO |
$32.42
|
| Rate for Payer: BCN Commercial |
$32.42
|
| Rate for Payer: BCN Medicare Advantage |
$9.86
|
| Rate for Payer: Cash Price |
$31.54
|
| Rate for Payer: Cofinity Commercial |
$33.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$31.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9.86
|
| Rate for Payer: Healthscope Commercial |
$35.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$29.57
|
| Rate for Payer: Mclaren Medicaid |
$6.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10.35
|
| Rate for Payer: Meridian Medicaid |
$7.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11.34
|
| Rate for Payer: Molina Medicare/Medicaid |
$10.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$33.52
|
| Rate for Payer: Nomi Health Commercial |
$32.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$29.57
|
| Rate for Payer: PACE Senior Care Partners |
$9.36
|
| Rate for Payer: PACE SWMI |
$9.86
|
| Rate for Payer: PHP Commercial |
$33.52
|
| Rate for Payer: PHP Medicare Advantage |
$9.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$34.30
|
| Rate for Payer: Priority Health Medicare |
$9.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$27.44
|
| Rate for Payer: Railroad Medicare Medicare |
$9.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$34.70
|
| Rate for Payer: UHC Core |
$32.92
|
| Rate for Payer: UHC Exchange |
$9.86
|
| Rate for Payer: UHC Medicaid |
$6.95
|
| Rate for Payer: UHC Medicare Advantage |
$9.86
|
| Rate for Payer: UHCCP Medicaid |
$6.95
|
| Rate for Payer: VA VA |
$9.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$29.57
|
|
|
HC CHLORIDE URINE
|
Facility
|
IP
|
$39.43
|
|
|
Service Code
|
CPT 82436
|
| Hospital Charge Code |
30100153
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$27.44 |
| Max. Negotiated Rate |
$35.49 |
| Rate for Payer: Aetna Commercial |
$33.52
|
| Rate for Payer: BCBS Trust/PPO |
$32.57
|
| Rate for Payer: BCN Commercial |
$32.57
|
| Rate for Payer: Cash Price |
$31.54
|
| Rate for Payer: Cofinity Commercial |
$33.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$31.54
|
| Rate for Payer: Healthscope Commercial |
$35.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$29.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$33.52
|
| Rate for Payer: Nomi Health Commercial |
$32.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$29.57
|
| Rate for Payer: PHP Commercial |
$33.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$34.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$27.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$34.70
|
| Rate for Payer: UHC Core |
$32.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$29.57
|
|
|
HC CHLOROZINE BATH
|
Facility
|
IP
|
$4.57
|
|
| Hospital Charge Code |
27000094
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$3.18 |
| Max. Negotiated Rate |
$4.11 |
| Rate for Payer: Aetna Commercial |
$3.88
|
| Rate for Payer: BCBS Trust/PPO |
$3.77
|
| Rate for Payer: BCN Commercial |
$3.77
|
| Rate for Payer: Cash Price |
$3.66
|
| Rate for Payer: Cofinity Commercial |
$3.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.66
|
| Rate for Payer: Healthscope Commercial |
$4.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.88
|
| Rate for Payer: Nomi Health Commercial |
$3.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3.43
|
| Rate for Payer: PHP Commercial |
$3.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4.02
|
| Rate for Payer: UHC Core |
$3.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3.43
|
|
|
HC CHLOROZINE BATH
|
Facility
|
OP
|
$4.57
|
|
| Hospital Charge Code |
27000094
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$0.81 |
| Max. Negotiated Rate |
$4.11 |
| Rate for Payer: Aetna Commercial |
$3.88
|
| Rate for Payer: Aetna Medicare |
$1.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1.43
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1.43
|
| Rate for Payer: BCBS Complete |
$0.85
|
| Rate for Payer: BCBS MAPPO |
$1.14
|
| Rate for Payer: BCBS Trust/PPO |
$3.76
|
| Rate for Payer: BCN Commercial |
$3.76
|
| Rate for Payer: BCN Medicare Advantage |
$1.14
|
| Rate for Payer: Cash Price |
$3.66
|
| Rate for Payer: Cofinity Commercial |
$3.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1.14
|
| Rate for Payer: Healthscope Commercial |
$4.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3.43
|
| Rate for Payer: Mclaren Medicaid |
$0.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1.20
|
| Rate for Payer: Meridian Medicaid |
$0.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1.31
|
| Rate for Payer: Molina Medicare/Medicaid |
$1.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.88
|
| Rate for Payer: Nomi Health Commercial |
$3.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3.43
|
| Rate for Payer: PACE Senior Care Partners |
$1.09
|
| Rate for Payer: PACE SWMI |
$1.14
|
| Rate for Payer: PHP Commercial |
$3.88
|
| Rate for Payer: PHP Medicare Advantage |
$1.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3.98
|
| Rate for Payer: Priority Health Medicare |
$1.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3.18
|
| Rate for Payer: Railroad Medicare Medicare |
$1.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4.02
|
| Rate for Payer: UHC Core |
$3.82
|
| Rate for Payer: UHC Exchange |
$1.14
|
| Rate for Payer: UHC Medicaid |
$0.81
|
| Rate for Payer: UHC Medicare Advantage |
$1.14
|
| Rate for Payer: UHCCP Medicaid |
$0.81
|
| Rate for Payer: VA VA |
$1.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3.43
|
|
|
HC CHOLANGIOGRAPHY INJ INCLD GUIDE EXISTING ACCESS
|
Facility
|
OP
|
$600.96
|
|
|
Service Code
|
CPT 47531
|
| Hospital Charge Code |
36100488
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$105.95 |
| Max. Negotiated Rate |
$540.86 |
| Rate for Payer: Aetna Commercial |
$510.82
|
| Rate for Payer: Aetna Medicare |
$156.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$187.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$187.80
|
| Rate for Payer: BCBS Complete |
$111.24
|
| Rate for Payer: BCBS MAPPO |
$150.24
|
| Rate for Payer: BCBS Trust/PPO |
$494.05
|
| Rate for Payer: BCN Commercial |
$494.05
|
| Rate for Payer: BCN Medicare Advantage |
$150.24
|
| Rate for Payer: Cash Price |
$480.77
|
| Rate for Payer: Cofinity Commercial |
$516.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$480.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$150.24
|
| Rate for Payer: Healthscope Commercial |
$540.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$450.72
|
| Rate for Payer: Mclaren Medicaid |
$105.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$157.75
|
| Rate for Payer: Meridian Medicaid |
$111.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$172.78
|
| Rate for Payer: Molina Medicare/Medicaid |
$165.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$510.82
|
| Rate for Payer: Nomi Health Commercial |
$492.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$450.72
|
| Rate for Payer: PACE Senior Care Partners |
$142.73
|
| Rate for Payer: PACE SWMI |
$150.24
|
| Rate for Payer: PHP Commercial |
$510.82
|
| Rate for Payer: PHP Medicare Advantage |
$150.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$105.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$522.84
|
| Rate for Payer: Priority Health Medicare |
$151.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$418.27
|
| Rate for Payer: Railroad Medicare Medicare |
$150.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$528.84
|
| Rate for Payer: UHC Core |
$501.80
|
| Rate for Payer: UHC Exchange |
$150.24
|
| Rate for Payer: UHC Medicaid |
$105.95
|
| Rate for Payer: UHC Medicare Advantage |
$150.24
|
| Rate for Payer: UHCCP Medicaid |
$105.95
|
| Rate for Payer: VA VA |
$150.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$450.72
|
|
|
HC CHOLANGIOGRAPHY INJ INCLD GUIDE EXISTING ACCESS
|
Facility
|
IP
|
$600.96
|
|
|
Service Code
|
CPT 47531
|
| Hospital Charge Code |
36100488
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$418.27 |
| Max. Negotiated Rate |
$540.86 |
| Rate for Payer: Aetna Commercial |
$510.82
|
| Rate for Payer: BCBS Trust/PPO |
$496.33
|
| Rate for Payer: BCN Commercial |
$496.33
|
| Rate for Payer: Cash Price |
$480.77
|
| Rate for Payer: Cofinity Commercial |
$516.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$480.77
|
| Rate for Payer: Healthscope Commercial |
$540.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$450.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$510.82
|
| Rate for Payer: Nomi Health Commercial |
$492.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$450.72
|
| Rate for Payer: PHP Commercial |
$510.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$522.84
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$418.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$528.84
|
| Rate for Payer: UHC Core |
$501.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$450.72
|
|
|
HC CHOLANGIOGRAPHY INJ INCLD GUIDE NEW ACCESS
|
Facility
|
IP
|
$3,756.70
|
|
|
Service Code
|
CPT 47532
|
| Hospital Charge Code |
36100489
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,614.66 |
| Max. Negotiated Rate |
$3,381.03 |
| Rate for Payer: Aetna Commercial |
$3,193.20
|
| Rate for Payer: BCBS Trust/PPO |
$3,102.66
|
| Rate for Payer: BCN Commercial |
$3,102.66
|
| Rate for Payer: Cash Price |
$3,005.36
|
| Rate for Payer: Cofinity Commercial |
$3,230.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,005.36
|
| Rate for Payer: Healthscope Commercial |
$3,381.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,817.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,193.20
|
| Rate for Payer: Nomi Health Commercial |
$3,080.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,817.53
|
| Rate for Payer: PHP Commercial |
$3,193.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,268.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,614.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,305.90
|
| Rate for Payer: UHC Core |
$3,136.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,817.53
|
|
|
HC CHOLANGIOGRAPHY INJ INCLD GUIDE NEW ACCESS
|
Facility
|
OP
|
$3,756.70
|
|
|
Service Code
|
CPT 47532
|
| Hospital Charge Code |
36100489
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$662.31 |
| Max. Negotiated Rate |
$3,381.03 |
| Rate for Payer: Aetna Commercial |
$3,193.20
|
| Rate for Payer: Aetna Medicare |
$976.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,173.97
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,173.97
|
| Rate for Payer: BCBS Complete |
$695.37
|
| Rate for Payer: BCBS MAPPO |
$939.17
|
| Rate for Payer: BCBS Trust/PPO |
$3,088.38
|
| Rate for Payer: BCN Commercial |
$3,088.38
|
| Rate for Payer: BCN Medicare Advantage |
$939.17
|
| Rate for Payer: Cash Price |
$3,005.36
|
| Rate for Payer: Cofinity Commercial |
$3,230.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,005.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$939.17
|
| Rate for Payer: Healthscope Commercial |
$3,381.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,817.53
|
| Rate for Payer: Mclaren Medicaid |
$662.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$986.13
|
| Rate for Payer: Meridian Medicaid |
$695.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,080.05
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,033.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,193.20
|
| Rate for Payer: Nomi Health Commercial |
$3,080.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,817.53
|
| Rate for Payer: PACE Senior Care Partners |
$892.22
|
| Rate for Payer: PACE SWMI |
$939.17
|
| Rate for Payer: PHP Commercial |
$3,193.20
|
| Rate for Payer: PHP Medicare Advantage |
$939.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$662.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,268.33
|
| Rate for Payer: Priority Health Medicare |
$948.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,614.66
|
| Rate for Payer: Railroad Medicare Medicare |
$939.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,305.90
|
| Rate for Payer: UHC Core |
$3,136.84
|
| Rate for Payer: UHC Exchange |
$939.17
|
| Rate for Payer: UHC Medicaid |
$662.31
|
| Rate for Payer: UHC Medicare Advantage |
$939.17
|
| Rate for Payer: UHCCP Medicaid |
$662.31
|
| Rate for Payer: VA VA |
$939.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,817.53
|
|
|
HC CHOLESTEROL
|
Facility
|
IP
|
$21.23
|
|
|
Service Code
|
CPT 82465
|
| Hospital Charge Code |
30100155
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$14.78 |
| Max. Negotiated Rate |
$19.11 |
| Rate for Payer: Aetna Commercial |
$18.05
|
| Rate for Payer: BCBS Trust/PPO |
$17.53
|
| Rate for Payer: BCN Commercial |
$17.53
|
| Rate for Payer: Cash Price |
$16.98
|
| Rate for Payer: Cofinity Commercial |
$18.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.98
|
| Rate for Payer: Healthscope Commercial |
$19.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.05
|
| Rate for Payer: Nomi Health Commercial |
$17.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.92
|
| Rate for Payer: PHP Commercial |
$18.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$18.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.68
|
| Rate for Payer: UHC Core |
$17.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.92
|
|
|
HC CHOLESTEROL
|
Facility
|
OP
|
$21.23
|
|
|
Service Code
|
CPT 82465
|
| Hospital Charge Code |
30100155
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$3.74 |
| Max. Negotiated Rate |
$19.11 |
| Rate for Payer: Aetna Commercial |
$18.05
|
| Rate for Payer: Aetna Medicare |
$5.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.63
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.63
|
| Rate for Payer: BCBS Complete |
$3.93
|
| Rate for Payer: BCBS MAPPO |
$5.31
|
| Rate for Payer: BCBS Trust/PPO |
$17.45
|
| Rate for Payer: BCN Commercial |
$17.45
|
| Rate for Payer: BCN Medicare Advantage |
$5.31
|
| Rate for Payer: Cash Price |
$16.98
|
| Rate for Payer: Cofinity Commercial |
$18.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.31
|
| Rate for Payer: Healthscope Commercial |
$19.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.92
|
| Rate for Payer: Mclaren Medicaid |
$3.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.57
|
| Rate for Payer: Meridian Medicaid |
$3.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.10
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.05
|
| Rate for Payer: Nomi Health Commercial |
$17.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.92
|
| Rate for Payer: PACE Senior Care Partners |
$5.04
|
| Rate for Payer: PACE SWMI |
$5.31
|
| Rate for Payer: PHP Commercial |
$18.05
|
| Rate for Payer: PHP Medicare Advantage |
$5.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.74
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$18.47
|
| Rate for Payer: Priority Health Medicare |
$5.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.78
|
| Rate for Payer: Railroad Medicare Medicare |
$5.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.68
|
| Rate for Payer: UHC Core |
$17.73
|
| Rate for Payer: UHC Exchange |
$5.31
|
| Rate for Payer: UHC Medicaid |
$3.74
|
| Rate for Payer: UHC Medicare Advantage |
$5.31
|
| Rate for Payer: UHCCP Medicaid |
$3.74
|
| Rate for Payer: VA VA |
$5.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.92
|
|
|
HC CHOLESTEROL, TOTAL LMPP
|
Facility
|
IP
|
$15.92
|
|
|
Service Code
|
CPT 82465
|
| Hospital Charge Code |
30100688
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$11.08 |
| Max. Negotiated Rate |
$14.33 |
| Rate for Payer: Aetna Commercial |
$13.53
|
| Rate for Payer: BCBS Trust/PPO |
$13.15
|
| Rate for Payer: BCN Commercial |
$13.15
|
| Rate for Payer: Cash Price |
$12.74
|
| Rate for Payer: Cofinity Commercial |
$13.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.74
|
| Rate for Payer: Healthscope Commercial |
$14.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.53
|
| Rate for Payer: Nomi Health Commercial |
$13.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.94
|
| Rate for Payer: PHP Commercial |
$13.53
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$13.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14.01
|
| Rate for Payer: UHC Core |
$13.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11.94
|
|
|
HC CHOLESTEROL, TOTAL LMPP
|
Facility
|
OP
|
$15.92
|
|
|
Service Code
|
CPT 82465
|
| Hospital Charge Code |
30100688
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$2.81 |
| Max. Negotiated Rate |
$14.33 |
| Rate for Payer: Aetna Commercial |
$13.53
|
| Rate for Payer: Aetna Medicare |
$4.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4.97
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4.97
|
| Rate for Payer: BCBS Complete |
$2.95
|
| Rate for Payer: BCBS MAPPO |
$3.98
|
| Rate for Payer: BCBS Trust/PPO |
$13.09
|
| Rate for Payer: BCN Commercial |
$13.09
|
| Rate for Payer: BCN Medicare Advantage |
$3.98
|
| Rate for Payer: Cash Price |
$12.74
|
| Rate for Payer: Cofinity Commercial |
$13.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.98
|
| Rate for Payer: Healthscope Commercial |
$14.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11.94
|
| Rate for Payer: Mclaren Medicaid |
$2.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.18
|
| Rate for Payer: Meridian Medicaid |
$2.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.58
|
| Rate for Payer: Molina Medicare/Medicaid |
$4.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.53
|
| Rate for Payer: Nomi Health Commercial |
$13.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.94
|
| Rate for Payer: PACE Senior Care Partners |
$3.78
|
| Rate for Payer: PACE SWMI |
$3.98
|
| Rate for Payer: PHP Commercial |
$13.53
|
| Rate for Payer: PHP Medicare Advantage |
$3.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$13.85
|
| Rate for Payer: Priority Health Medicare |
$4.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11.08
|
| Rate for Payer: Railroad Medicare Medicare |
$3.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14.01
|
| Rate for Payer: UHC Core |
$13.29
|
| Rate for Payer: UHC Exchange |
$3.98
|
| Rate for Payer: UHC Medicaid |
$2.81
|
| Rate for Payer: UHC Medicare Advantage |
$3.98
|
| Rate for Payer: UHCCP Medicaid |
$2.81
|
| Rate for Payer: VA VA |
$3.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11.94
|
|
|
HC CHOLETEC PER STUDY
|
Facility
|
IP
|
$473.22
|
|
|
Service Code
|
HCPCS A9537
|
| Hospital Charge Code |
34300003
|
|
Hospital Revenue Code
|
343
|
| Min. Negotiated Rate |
$329.36 |
| Max. Negotiated Rate |
$425.90 |
| Rate for Payer: Aetna Commercial |
$402.24
|
| Rate for Payer: BCBS Trust/PPO |
$390.83
|
| Rate for Payer: BCN Commercial |
$390.83
|
| Rate for Payer: Cash Price |
$378.58
|
| Rate for Payer: Cofinity Commercial |
$406.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$378.58
|
| Rate for Payer: Healthscope Commercial |
$425.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$354.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$402.24
|
| Rate for Payer: Nomi Health Commercial |
$388.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$354.92
|
| Rate for Payer: PHP Commercial |
$402.24
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$411.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$329.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$416.43
|
| Rate for Payer: UHC Core |
$395.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$354.92
|
|
|
HC CHOLETEC PER STUDY
|
Facility
|
OP
|
$473.22
|
|
|
Service Code
|
HCPCS A9537
|
| Hospital Charge Code |
34300003
|
|
Hospital Revenue Code
|
343
|
| Min. Negotiated Rate |
$83.43 |
| Max. Negotiated Rate |
$425.90 |
| Rate for Payer: Aetna Commercial |
$402.24
|
| Rate for Payer: Aetna Medicare |
$123.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$147.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$147.88
|
| Rate for Payer: BCBS Complete |
$87.59
|
| Rate for Payer: BCBS MAPPO |
$118.31
|
| Rate for Payer: BCBS Trust/PPO |
$389.03
|
| Rate for Payer: BCN Commercial |
$389.03
|
| Rate for Payer: BCN Medicare Advantage |
$118.31
|
| Rate for Payer: Cash Price |
$378.58
|
| Rate for Payer: Cofinity Commercial |
$406.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$378.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$118.31
|
| Rate for Payer: Healthscope Commercial |
$425.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$354.92
|
| Rate for Payer: Mclaren Medicaid |
$83.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$124.22
|
| Rate for Payer: Meridian Medicaid |
$87.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$136.05
|
| Rate for Payer: Molina Medicare/Medicaid |
$130.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$402.24
|
| Rate for Payer: Nomi Health Commercial |
$388.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$354.92
|
| Rate for Payer: PACE Senior Care Partners |
$112.39
|
| Rate for Payer: PACE SWMI |
$118.31
|
| Rate for Payer: PHP Commercial |
$402.24
|
| Rate for Payer: PHP Medicare Advantage |
$118.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$83.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$411.70
|
| Rate for Payer: Priority Health Medicare |
$119.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$329.36
|
| Rate for Payer: Railroad Medicare Medicare |
$118.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$416.43
|
| Rate for Payer: UHC Core |
$395.14
|
| Rate for Payer: UHC Exchange |
$118.31
|
| Rate for Payer: UHC Medicaid |
$83.43
|
| Rate for Payer: UHC Medicare Advantage |
$118.31
|
| Rate for Payer: UHCCP Medicaid |
$83.43
|
| Rate for Payer: VA VA |
$118.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$354.92
|
|
|
HC CHOLINESTERASE RBC
|
Facility
|
OP
|
$67.63
|
|
|
Service Code
|
CPT 82482
|
| Hospital Charge Code |
30100157
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$11.92 |
| Max. Negotiated Rate |
$60.87 |
| Rate for Payer: Aetna Commercial |
$57.49
|
| Rate for Payer: Aetna Medicare |
$17.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21.13
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21.13
|
| Rate for Payer: BCBS Complete |
$12.52
|
| Rate for Payer: BCBS MAPPO |
$16.91
|
| Rate for Payer: BCBS Trust/PPO |
$55.60
|
| Rate for Payer: BCN Commercial |
$55.60
|
| Rate for Payer: BCN Medicare Advantage |
$16.91
|
| Rate for Payer: Cash Price |
$54.10
|
| Rate for Payer: Cofinity Commercial |
$58.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$54.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.91
|
| Rate for Payer: Healthscope Commercial |
$60.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$50.72
|
| Rate for Payer: Mclaren Medicaid |
$11.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17.75
|
| Rate for Payer: Meridian Medicaid |
$12.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19.44
|
| Rate for Payer: Molina Medicare/Medicaid |
$18.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$57.49
|
| Rate for Payer: Nomi Health Commercial |
$55.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$50.72
|
| Rate for Payer: PACE Senior Care Partners |
$16.06
|
| Rate for Payer: PACE SWMI |
$16.91
|
| Rate for Payer: PHP Commercial |
$57.49
|
| Rate for Payer: PHP Medicare Advantage |
$16.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$58.84
|
| Rate for Payer: Priority Health Medicare |
$17.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$47.07
|
| Rate for Payer: Railroad Medicare Medicare |
$16.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$59.51
|
| Rate for Payer: UHC Core |
$56.47
|
| Rate for Payer: UHC Exchange |
$16.91
|
| Rate for Payer: UHC Medicaid |
$11.92
|
| Rate for Payer: UHC Medicare Advantage |
$16.91
|
| Rate for Payer: UHCCP Medicaid |
$11.92
|
| Rate for Payer: VA VA |
$16.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$50.72
|
|
|
HC CHOLINESTERASE RBC
|
Facility
|
IP
|
$67.63
|
|
|
Service Code
|
CPT 82482
|
| Hospital Charge Code |
30100157
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$47.07 |
| Max. Negotiated Rate |
$60.87 |
| Rate for Payer: Aetna Commercial |
$57.49
|
| Rate for Payer: BCBS Trust/PPO |
$55.86
|
| Rate for Payer: BCN Commercial |
$55.86
|
| Rate for Payer: Cash Price |
$54.10
|
| Rate for Payer: Cofinity Commercial |
$58.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$54.10
|
| Rate for Payer: Healthscope Commercial |
$60.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$50.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$57.49
|
| Rate for Payer: Nomi Health Commercial |
$55.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$50.72
|
| Rate for Payer: PHP Commercial |
$57.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$58.84
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$47.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$59.51
|
| Rate for Payer: UHC Core |
$56.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$50.72
|
|
|
HC CHORIONIC VILLUS SAMPLING
|
Facility
|
IP
|
$694.03
|
|
|
Service Code
|
CPT 59015
|
| Hospital Charge Code |
40200003
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$483.04 |
| Max. Negotiated Rate |
$624.63 |
| Rate for Payer: Aetna Commercial |
$589.93
|
| Rate for Payer: BCBS Trust/PPO |
$573.20
|
| Rate for Payer: BCN Commercial |
$573.20
|
| Rate for Payer: Cash Price |
$555.22
|
| Rate for Payer: Cofinity Commercial |
$596.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$555.22
|
| Rate for Payer: Healthscope Commercial |
$624.63
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$520.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$589.93
|
| Rate for Payer: Nomi Health Commercial |
$569.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$520.52
|
| Rate for Payer: PHP Commercial |
$589.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$603.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$483.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$610.75
|
| Rate for Payer: UHC Core |
$579.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$520.52
|
|
|
HC CHORIONIC VILLUS SAMPLING
|
Facility
|
OP
|
$694.03
|
|
|
Service Code
|
CPT 59015
|
| Hospital Charge Code |
40200003
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$122.36 |
| Max. Negotiated Rate |
$624.63 |
| Rate for Payer: Aetna Commercial |
$589.93
|
| Rate for Payer: Aetna Medicare |
$180.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$216.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$216.88
|
| Rate for Payer: BCBS Complete |
$128.46
|
| Rate for Payer: BCBS MAPPO |
$173.51
|
| Rate for Payer: BCBS Trust/PPO |
$570.56
|
| Rate for Payer: BCN Commercial |
$570.56
|
| Rate for Payer: BCN Medicare Advantage |
$173.51
|
| Rate for Payer: Cash Price |
$555.22
|
| Rate for Payer: Cofinity Commercial |
$596.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$555.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$173.51
|
| Rate for Payer: Healthscope Commercial |
$624.63
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$520.52
|
| Rate for Payer: Mclaren Medicaid |
$122.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$182.18
|
| Rate for Payer: Meridian Medicaid |
$128.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$199.53
|
| Rate for Payer: Molina Medicare/Medicaid |
$190.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$589.93
|
| Rate for Payer: Nomi Health Commercial |
$569.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$520.52
|
| Rate for Payer: PACE Senior Care Partners |
$164.83
|
| Rate for Payer: PACE SWMI |
$173.51
|
| Rate for Payer: PHP Commercial |
$589.93
|
| Rate for Payer: PHP Medicare Advantage |
$173.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$122.36
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$603.81
|
| Rate for Payer: Priority Health Medicare |
$175.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$483.04
|
| Rate for Payer: Railroad Medicare Medicare |
$173.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$610.75
|
| Rate for Payer: UHC Core |
$579.52
|
| Rate for Payer: UHC Exchange |
$173.51
|
| Rate for Payer: UHC Medicaid |
$122.36
|
| Rate for Payer: UHC Medicare Advantage |
$173.51
|
| Rate for Payer: UHCCP Medicaid |
$122.36
|
| Rate for Payer: VA VA |
$173.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$520.52
|
|
|
HC CHROM ANALYSIS METAPHASE <20 AND 20 TO 25
|
Facility
|
OP
|
$258.87
|
|
|
Service Code
|
CPT 88264
|
| Hospital Charge Code |
31000020
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$45.64 |
| Max. Negotiated Rate |
$232.98 |
| Rate for Payer: Aetna Commercial |
$220.04
|
| Rate for Payer: Aetna Medicare |
$67.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$80.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$80.90
|
| Rate for Payer: BCBS Complete |
$47.92
|
| Rate for Payer: BCBS MAPPO |
$64.72
|
| Rate for Payer: BCBS Trust/PPO |
$212.82
|
| Rate for Payer: BCN Commercial |
$212.82
|
| Rate for Payer: BCN Medicare Advantage |
$64.72
|
| Rate for Payer: Cash Price |
$207.10
|
| Rate for Payer: Cofinity Commercial |
$222.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$207.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$64.72
|
| Rate for Payer: Healthscope Commercial |
$232.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$194.15
|
| Rate for Payer: Mclaren Medicaid |
$45.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$67.95
|
| Rate for Payer: Meridian Medicaid |
$47.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$74.43
|
| Rate for Payer: Molina Medicare/Medicaid |
$71.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$220.04
|
| Rate for Payer: Nomi Health Commercial |
$212.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$194.15
|
| Rate for Payer: PACE Senior Care Partners |
$61.48
|
| Rate for Payer: PACE SWMI |
$64.72
|
| Rate for Payer: PHP Commercial |
$220.04
|
| Rate for Payer: PHP Medicare Advantage |
$64.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$45.64
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$225.22
|
| Rate for Payer: Priority Health Medicare |
$65.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$180.17
|
| Rate for Payer: Railroad Medicare Medicare |
$64.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$227.81
|
| Rate for Payer: UHC Core |
$216.16
|
| Rate for Payer: UHC Exchange |
$64.72
|
| Rate for Payer: UHC Medicaid |
$45.64
|
| Rate for Payer: UHC Medicare Advantage |
$64.72
|
| Rate for Payer: UHCCP Medicaid |
$45.64
|
| Rate for Payer: VA VA |
$64.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$194.15
|
|
