|
HC CHROM ANALYSIS METAPHASE <20 AND 20 TO 25
|
Facility
|
IP
|
$258.87
|
|
|
Service Code
|
CPT 88264
|
| Hospital Charge Code |
31000020
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$180.17 |
| Max. Negotiated Rate |
$232.98 |
| Rate for Payer: Aetna Commercial |
$220.04
|
| Rate for Payer: BCBS Trust/PPO |
$213.80
|
| Rate for Payer: BCN Commercial |
$213.80
|
| 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: Healthscope Commercial |
$232.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$194.15
|
| 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: PHP Commercial |
$220.04
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$225.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$180.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$227.81
|
| Rate for Payer: UHC Core |
$216.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$194.15
|
|
|
HC CHROMATIN DNP
|
Facility
|
IP
|
$35.87
|
|
|
Service Code
|
CPT 86235
|
| Hospital Charge Code |
30200432
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$24.97 |
| Max. Negotiated Rate |
$32.28 |
| Rate for Payer: Aetna Commercial |
$30.49
|
| Rate for Payer: BCBS Trust/PPO |
$29.63
|
| Rate for Payer: BCN Commercial |
$29.63
|
| Rate for Payer: Cash Price |
$28.70
|
| Rate for Payer: Cofinity Commercial |
$30.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.70
|
| Rate for Payer: Healthscope Commercial |
$32.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$26.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.49
|
| Rate for Payer: Nomi Health Commercial |
$29.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$26.90
|
| Rate for Payer: PHP Commercial |
$30.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$31.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$24.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31.57
|
| Rate for Payer: UHC Core |
$29.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$26.90
|
|
|
HC CHROMATIN DNP
|
Facility
|
OP
|
$35.87
|
|
|
Service Code
|
CPT 86235
|
| Hospital Charge Code |
30200432
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$6.32 |
| Max. Negotiated Rate |
$32.28 |
| Rate for Payer: Aetna Commercial |
$30.49
|
| Rate for Payer: Aetna Medicare |
$9.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11.21
|
| Rate for Payer: BCBS Complete |
$6.64
|
| Rate for Payer: BCBS MAPPO |
$8.97
|
| Rate for Payer: BCBS Trust/PPO |
$29.49
|
| Rate for Payer: BCN Commercial |
$29.49
|
| Rate for Payer: BCN Medicare Advantage |
$8.97
|
| Rate for Payer: Cash Price |
$28.70
|
| Rate for Payer: Cofinity Commercial |
$30.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8.97
|
| Rate for Payer: Healthscope Commercial |
$32.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$26.90
|
| Rate for Payer: Mclaren Medicaid |
$6.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9.42
|
| Rate for Payer: Meridian Medicaid |
$6.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10.31
|
| Rate for Payer: Molina Medicare/Medicaid |
$9.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.49
|
| Rate for Payer: Nomi Health Commercial |
$29.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$26.90
|
| Rate for Payer: PACE Senior Care Partners |
$8.52
|
| Rate for Payer: PACE SWMI |
$8.97
|
| Rate for Payer: PHP Commercial |
$30.49
|
| Rate for Payer: PHP Medicare Advantage |
$8.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$31.21
|
| Rate for Payer: Priority Health Medicare |
$9.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$24.97
|
| Rate for Payer: Railroad Medicare Medicare |
$8.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31.57
|
| Rate for Payer: UHC Core |
$29.95
|
| Rate for Payer: UHC Exchange |
$8.97
|
| Rate for Payer: UHC Medicaid |
$6.32
|
| Rate for Payer: UHC Medicare Advantage |
$8.97
|
| Rate for Payer: UHCCP Medicaid |
$6.32
|
| Rate for Payer: VA VA |
$8.97
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$26.90
|
|
|
HC CHROMIUM
|
Facility
|
IP
|
$63.46
|
|
|
Service Code
|
CPT 82495
|
| Hospital Charge Code |
30100165
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$44.17 |
| Max. Negotiated Rate |
$57.11 |
| Rate for Payer: Aetna Commercial |
$53.94
|
| Rate for Payer: BCBS Trust/PPO |
$52.41
|
| Rate for Payer: BCN Commercial |
$52.41
|
| Rate for Payer: Cash Price |
$50.77
|
| Rate for Payer: Cofinity Commercial |
$54.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.77
|
| Rate for Payer: Healthscope Commercial |
$57.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$47.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$53.94
|
| Rate for Payer: Nomi Health Commercial |
$52.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$47.59
|
| Rate for Payer: PHP Commercial |
$53.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$55.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$44.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$55.84
|
| Rate for Payer: UHC Core |
$52.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$47.59
|
|
|
HC CHROMIUM
|
Facility
|
OP
|
$63.46
|
|
|
Service Code
|
CPT 82495
|
| Hospital Charge Code |
30100165
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$11.19 |
| Max. Negotiated Rate |
$57.11 |
| Rate for Payer: Aetna Commercial |
$53.94
|
| Rate for Payer: Aetna Medicare |
$16.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19.83
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19.83
|
| Rate for Payer: BCBS Complete |
$11.75
|
| Rate for Payer: BCBS MAPPO |
$15.87
|
| Rate for Payer: BCBS Trust/PPO |
$52.17
|
| Rate for Payer: BCN Commercial |
$52.17
|
| Rate for Payer: BCN Medicare Advantage |
$15.87
|
| Rate for Payer: Cash Price |
$50.77
|
| Rate for Payer: Cofinity Commercial |
$54.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15.87
|
| Rate for Payer: Healthscope Commercial |
$57.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$47.59
|
| Rate for Payer: Mclaren Medicaid |
$11.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16.66
|
| Rate for Payer: Meridian Medicaid |
$11.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.24
|
| Rate for Payer: Molina Medicare/Medicaid |
$17.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$53.94
|
| Rate for Payer: Nomi Health Commercial |
$52.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$47.59
|
| Rate for Payer: PACE Senior Care Partners |
$15.07
|
| Rate for Payer: PACE SWMI |
$15.87
|
| Rate for Payer: PHP Commercial |
$53.94
|
| Rate for Payer: PHP Medicare Advantage |
$15.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.19
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$55.21
|
| Rate for Payer: Priority Health Medicare |
$16.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$44.17
|
| Rate for Payer: Railroad Medicare Medicare |
$15.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$55.84
|
| Rate for Payer: UHC Core |
$52.99
|
| Rate for Payer: UHC Exchange |
$15.87
|
| Rate for Payer: UHC Medicaid |
$11.19
|
| Rate for Payer: UHC Medicare Advantage |
$15.87
|
| Rate for Payer: UHCCP Medicaid |
$11.19
|
| Rate for Payer: VA VA |
$15.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$47.59
|
|
|
HC CHROMOGRANIN A
|
Facility
|
OP
|
$62.61
|
|
|
Service Code
|
CPT 86316
|
| Hospital Charge Code |
30200187
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$11.04 |
| Max. Negotiated Rate |
$56.35 |
| Rate for Payer: Aetna Commercial |
$53.22
|
| Rate for Payer: Aetna Medicare |
$16.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19.57
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19.57
|
| Rate for Payer: BCBS Complete |
$11.59
|
| Rate for Payer: BCBS MAPPO |
$15.65
|
| Rate for Payer: BCBS Trust/PPO |
$51.47
|
| Rate for Payer: BCN Commercial |
$51.47
|
| Rate for Payer: BCN Medicare Advantage |
$15.65
|
| Rate for Payer: Cash Price |
$50.09
|
| Rate for Payer: Cofinity Commercial |
$53.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15.65
|
| Rate for Payer: Healthscope Commercial |
$56.35
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$46.96
|
| Rate for Payer: Mclaren Medicaid |
$11.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16.44
|
| Rate for Payer: Meridian Medicaid |
$11.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$17.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$53.22
|
| Rate for Payer: Nomi Health Commercial |
$51.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$46.96
|
| Rate for Payer: PACE Senior Care Partners |
$14.87
|
| Rate for Payer: PACE SWMI |
$15.65
|
| Rate for Payer: PHP Commercial |
$53.22
|
| Rate for Payer: PHP Medicare Advantage |
$15.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.04
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$54.47
|
| Rate for Payer: Priority Health Medicare |
$15.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$43.58
|
| Rate for Payer: Railroad Medicare Medicare |
$15.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$55.10
|
| Rate for Payer: UHC Core |
$52.28
|
| Rate for Payer: UHC Exchange |
$15.65
|
| Rate for Payer: UHC Medicaid |
$11.04
|
| Rate for Payer: UHC Medicare Advantage |
$15.65
|
| Rate for Payer: UHCCP Medicaid |
$11.04
|
| Rate for Payer: VA VA |
$15.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$46.96
|
|
|
HC CHROMOGRANIN A
|
Facility
|
IP
|
$62.61
|
|
|
Service Code
|
CPT 86316
|
| Hospital Charge Code |
30200187
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$43.58 |
| Max. Negotiated Rate |
$56.35 |
| Rate for Payer: Aetna Commercial |
$53.22
|
| Rate for Payer: BCBS Trust/PPO |
$51.71
|
| Rate for Payer: BCN Commercial |
$51.71
|
| Rate for Payer: Cash Price |
$50.09
|
| Rate for Payer: Cofinity Commercial |
$53.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.09
|
| Rate for Payer: Healthscope Commercial |
$56.35
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$46.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$53.22
|
| Rate for Payer: Nomi Health Commercial |
$51.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$46.96
|
| Rate for Payer: PHP Commercial |
$53.22
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$54.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$43.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$55.10
|
| Rate for Payer: UHC Core |
$52.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$46.96
|
|
|
HC CHROMOSOMAL MICROARRAY, CONGENITAL, BLOOD
|
Facility
|
OP
|
$2,496.96
|
|
|
Service Code
|
CPT 81229
|
| Hospital Charge Code |
31000150
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$440.21 |
| Max. Negotiated Rate |
$2,247.26 |
| Rate for Payer: Aetna Commercial |
$2,122.42
|
| Rate for Payer: Aetna Medicare |
$649.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$780.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$780.30
|
| Rate for Payer: BCBS Complete |
$462.19
|
| Rate for Payer: BCBS MAPPO |
$624.24
|
| Rate for Payer: BCBS Trust/PPO |
$2,052.75
|
| Rate for Payer: BCN Commercial |
$2,052.75
|
| Rate for Payer: BCN Medicare Advantage |
$624.24
|
| Rate for Payer: Cash Price |
$1,997.57
|
| Rate for Payer: Cofinity Commercial |
$2,147.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,997.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$624.24
|
| Rate for Payer: Healthscope Commercial |
$2,247.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,872.72
|
| Rate for Payer: Mclaren Medicaid |
$440.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$655.45
|
| Rate for Payer: Meridian Medicaid |
$462.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$717.88
|
| Rate for Payer: Molina Medicare/Medicaid |
$686.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,122.42
|
| Rate for Payer: Nomi Health Commercial |
$2,047.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,872.72
|
| Rate for Payer: PACE Senior Care Partners |
$593.03
|
| Rate for Payer: PACE SWMI |
$624.24
|
| Rate for Payer: PHP Commercial |
$2,122.42
|
| Rate for Payer: PHP Medicare Advantage |
$624.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$440.21
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,172.36
|
| Rate for Payer: Priority Health Medicare |
$630.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,737.88
|
| Rate for Payer: Railroad Medicare Medicare |
$624.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,197.32
|
| Rate for Payer: UHC Core |
$2,084.96
|
| Rate for Payer: UHC Exchange |
$624.24
|
| Rate for Payer: UHC Medicaid |
$440.21
|
| Rate for Payer: UHC Medicare Advantage |
$624.24
|
| Rate for Payer: UHCCP Medicaid |
$440.21
|
| Rate for Payer: VA VA |
$624.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,872.72
|
|
|
HC CHROMOSOMAL MICROARRAY, CONGENITAL, BLOOD
|
Facility
|
IP
|
$2,496.96
|
|
|
Service Code
|
CPT 81229
|
| Hospital Charge Code |
31000150
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$1,737.88 |
| Max. Negotiated Rate |
$2,247.26 |
| Rate for Payer: Aetna Commercial |
$2,122.42
|
| Rate for Payer: BCBS Trust/PPO |
$2,062.24
|
| Rate for Payer: BCN Commercial |
$2,062.24
|
| Rate for Payer: Cash Price |
$1,997.57
|
| Rate for Payer: Cofinity Commercial |
$2,147.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,997.57
|
| Rate for Payer: Healthscope Commercial |
$2,247.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,872.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,122.42
|
| Rate for Payer: Nomi Health Commercial |
$2,047.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,872.72
|
| Rate for Payer: PHP Commercial |
$2,122.42
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,172.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,737.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,197.32
|
| Rate for Payer: UHC Core |
$2,084.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,872.72
|
|
|
HC CHROMOSOMAL MICROARRAY, PRENATAL
|
Facility
|
IP
|
$1,979.21
|
|
|
Service Code
|
CPT 81229
|
| Hospital Charge Code |
31000141
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$1,377.53 |
| Max. Negotiated Rate |
$1,781.29 |
| Rate for Payer: Aetna Commercial |
$1,682.33
|
| Rate for Payer: BCBS Trust/PPO |
$1,634.63
|
| Rate for Payer: BCN Commercial |
$1,634.63
|
| Rate for Payer: Cash Price |
$1,583.37
|
| Rate for Payer: Cofinity Commercial |
$1,702.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,583.37
|
| Rate for Payer: Healthscope Commercial |
$1,781.29
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,484.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,682.33
|
| Rate for Payer: Nomi Health Commercial |
$1,622.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,484.41
|
| Rate for Payer: PHP Commercial |
$1,682.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,721.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,377.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,741.70
|
| Rate for Payer: UHC Core |
$1,652.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,484.41
|
|
|
HC CHROMOSOMAL MICROARRAY, PRENATAL
|
Facility
|
OP
|
$1,979.21
|
|
|
Service Code
|
CPT 81229
|
| Hospital Charge Code |
31000141
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$348.93 |
| Max. Negotiated Rate |
$1,781.29 |
| Rate for Payer: Aetna Commercial |
$1,682.33
|
| Rate for Payer: Aetna Medicare |
$514.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$618.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$618.50
|
| Rate for Payer: BCBS Complete |
$366.35
|
| Rate for Payer: BCBS MAPPO |
$494.80
|
| Rate for Payer: BCBS Trust/PPO |
$1,627.11
|
| Rate for Payer: BCN Commercial |
$1,627.11
|
| Rate for Payer: BCN Medicare Advantage |
$494.80
|
| Rate for Payer: Cash Price |
$1,583.37
|
| Rate for Payer: Cofinity Commercial |
$1,702.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,583.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$494.80
|
| Rate for Payer: Healthscope Commercial |
$1,781.29
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,484.41
|
| Rate for Payer: Mclaren Medicaid |
$348.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$519.54
|
| Rate for Payer: Meridian Medicaid |
$366.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$569.02
|
| Rate for Payer: Molina Medicare/Medicaid |
$544.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,682.33
|
| Rate for Payer: Nomi Health Commercial |
$1,622.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,484.41
|
| Rate for Payer: PACE Senior Care Partners |
$470.06
|
| Rate for Payer: PACE SWMI |
$494.80
|
| Rate for Payer: PHP Commercial |
$1,682.33
|
| Rate for Payer: PHP Medicare Advantage |
$494.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$348.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,721.91
|
| Rate for Payer: Priority Health Medicare |
$499.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,377.53
|
| Rate for Payer: Railroad Medicare Medicare |
$494.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,741.70
|
| Rate for Payer: UHC Core |
$1,652.64
|
| Rate for Payer: UHC Exchange |
$494.80
|
| Rate for Payer: UHC Medicaid |
$348.93
|
| Rate for Payer: UHC Medicare Advantage |
$494.80
|
| Rate for Payer: UHCCP Medicaid |
$348.93
|
| Rate for Payer: VA VA |
$494.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,484.41
|
|
|
HC CHROMOSOME ADDITIONAL KARYOTYPES
|
Facility
|
IP
|
$37.14
|
|
|
Service Code
|
CPT 88280
|
| Hospital Charge Code |
31000044
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$25.85 |
| Max. Negotiated Rate |
$33.43 |
| Rate for Payer: Aetna Commercial |
$31.57
|
| Rate for Payer: BCBS Trust/PPO |
$30.67
|
| Rate for Payer: BCN Commercial |
$30.67
|
| Rate for Payer: Cash Price |
$29.71
|
| Rate for Payer: Cofinity Commercial |
$31.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$29.71
|
| Rate for Payer: Healthscope Commercial |
$33.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$27.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$31.57
|
| Rate for Payer: Nomi Health Commercial |
$30.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$27.86
|
| Rate for Payer: PHP Commercial |
$31.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$32.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$25.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$32.68
|
| Rate for Payer: UHC Core |
$31.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$27.86
|
|
|
HC CHROMOSOME ADDITIONAL KARYOTYPES
|
Facility
|
OP
|
$37.14
|
|
|
Service Code
|
CPT 88280
|
| Hospital Charge Code |
31000044
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$6.55 |
| Max. Negotiated Rate |
$33.43 |
| Rate for Payer: Aetna Commercial |
$31.57
|
| Rate for Payer: Aetna Medicare |
$9.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11.61
|
| Rate for Payer: BCBS Complete |
$6.87
|
| Rate for Payer: BCBS MAPPO |
$9.29
|
| Rate for Payer: BCBS Trust/PPO |
$30.53
|
| Rate for Payer: BCN Commercial |
$30.53
|
| Rate for Payer: BCN Medicare Advantage |
$9.29
|
| Rate for Payer: Cash Price |
$29.71
|
| Rate for Payer: Cofinity Commercial |
$31.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$29.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9.29
|
| Rate for Payer: Healthscope Commercial |
$33.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$27.86
|
| Rate for Payer: Mclaren Medicaid |
$6.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9.75
|
| Rate for Payer: Meridian Medicaid |
$6.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10.68
|
| Rate for Payer: Molina Medicare/Medicaid |
$10.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$31.57
|
| Rate for Payer: Nomi Health Commercial |
$30.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$27.86
|
| Rate for Payer: PACE Senior Care Partners |
$8.82
|
| Rate for Payer: PACE SWMI |
$9.29
|
| Rate for Payer: PHP Commercial |
$31.57
|
| Rate for Payer: PHP Medicare Advantage |
$9.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$32.31
|
| Rate for Payer: Priority Health Medicare |
$9.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$25.85
|
| Rate for Payer: Railroad Medicare Medicare |
$9.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$32.68
|
| Rate for Payer: UHC Core |
$31.01
|
| Rate for Payer: UHC Exchange |
$9.29
|
| Rate for Payer: UHC Medicaid |
$6.55
|
| Rate for Payer: UHC Medicare Advantage |
$9.29
|
| Rate for Payer: UHCCP Medicaid |
$6.55
|
| Rate for Payer: VA VA |
$9.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$27.86
|
|
|
HC CHROMOSOME ANALYSIS AMNIOTIC
|
Facility
|
OP
|
$211.18
|
|
|
Service Code
|
CPT 88269
|
| Hospital Charge Code |
31000022
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$37.23 |
| Max. Negotiated Rate |
$190.06 |
| Rate for Payer: Aetna Commercial |
$179.50
|
| Rate for Payer: Aetna Medicare |
$54.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$65.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$65.99
|
| Rate for Payer: BCBS Complete |
$39.09
|
| Rate for Payer: BCBS MAPPO |
$52.80
|
| Rate for Payer: BCBS Trust/PPO |
$173.61
|
| Rate for Payer: BCN Commercial |
$173.61
|
| Rate for Payer: BCN Medicare Advantage |
$52.80
|
| Rate for Payer: Cash Price |
$168.94
|
| Rate for Payer: Cofinity Commercial |
$181.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$168.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$52.80
|
| Rate for Payer: Healthscope Commercial |
$190.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$158.38
|
| Rate for Payer: Mclaren Medicaid |
$37.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$55.43
|
| Rate for Payer: Meridian Medicaid |
$39.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$60.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$58.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$179.50
|
| Rate for Payer: Nomi Health Commercial |
$173.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$158.38
|
| Rate for Payer: PACE Senior Care Partners |
$50.16
|
| Rate for Payer: PACE SWMI |
$52.80
|
| Rate for Payer: PHP Commercial |
$179.50
|
| Rate for Payer: PHP Medicare Advantage |
$52.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$37.23
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$183.73
|
| Rate for Payer: Priority Health Medicare |
$53.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$146.98
|
| Rate for Payer: Railroad Medicare Medicare |
$52.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$185.84
|
| Rate for Payer: UHC Core |
$176.34
|
| Rate for Payer: UHC Exchange |
$52.80
|
| Rate for Payer: UHC Medicaid |
$37.23
|
| Rate for Payer: UHC Medicare Advantage |
$52.80
|
| Rate for Payer: UHCCP Medicaid |
$37.23
|
| Rate for Payer: VA VA |
$52.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$158.38
|
|
|
HC CHROMOSOME ANALYSIS AMNIOTIC
|
Facility
|
IP
|
$211.18
|
|
|
Service Code
|
CPT 88269
|
| Hospital Charge Code |
31000022
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$146.98 |
| Max. Negotiated Rate |
$190.06 |
| Rate for Payer: Aetna Commercial |
$179.50
|
| Rate for Payer: BCBS Trust/PPO |
$174.41
|
| Rate for Payer: BCN Commercial |
$174.41
|
| Rate for Payer: Cash Price |
$168.94
|
| Rate for Payer: Cofinity Commercial |
$181.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$168.94
|
| Rate for Payer: Healthscope Commercial |
$190.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$158.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$179.50
|
| Rate for Payer: Nomi Health Commercial |
$173.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$158.38
|
| Rate for Payer: PHP Commercial |
$179.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$183.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$146.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$185.84
|
| Rate for Payer: UHC Core |
$176.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$158.38
|
|
|
HC CHROMOSOME ANALYSIS CHORIONIC VILLUS
|
Facility
|
OP
|
$383.09
|
|
|
Service Code
|
CPT 88267
|
| Hospital Charge Code |
31000021
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$67.54 |
| Max. Negotiated Rate |
$344.78 |
| Rate for Payer: Aetna Commercial |
$325.63
|
| Rate for Payer: Aetna Medicare |
$99.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$119.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$119.72
|
| Rate for Payer: BCBS Complete |
$70.91
|
| Rate for Payer: BCBS MAPPO |
$95.77
|
| Rate for Payer: BCBS Trust/PPO |
$314.94
|
| Rate for Payer: BCN Commercial |
$314.94
|
| Rate for Payer: BCN Medicare Advantage |
$95.77
|
| Rate for Payer: Cash Price |
$306.47
|
| Rate for Payer: Cofinity Commercial |
$329.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$306.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$95.77
|
| Rate for Payer: Healthscope Commercial |
$344.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$287.32
|
| Rate for Payer: Mclaren Medicaid |
$67.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$100.56
|
| Rate for Payer: Meridian Medicaid |
$70.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$110.14
|
| Rate for Payer: Molina Medicare/Medicaid |
$105.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$325.63
|
| Rate for Payer: Nomi Health Commercial |
$314.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$287.32
|
| Rate for Payer: PACE Senior Care Partners |
$90.98
|
| Rate for Payer: PACE SWMI |
$95.77
|
| Rate for Payer: PHP Commercial |
$325.63
|
| Rate for Payer: PHP Medicare Advantage |
$95.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$67.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$333.29
|
| Rate for Payer: Priority Health Medicare |
$96.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$266.63
|
| Rate for Payer: Railroad Medicare Medicare |
$95.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$337.12
|
| Rate for Payer: UHC Core |
$319.88
|
| Rate for Payer: UHC Exchange |
$95.77
|
| Rate for Payer: UHC Medicaid |
$67.54
|
| Rate for Payer: UHC Medicare Advantage |
$95.77
|
| Rate for Payer: UHCCP Medicaid |
$67.54
|
| Rate for Payer: VA VA |
$95.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$287.32
|
|
|
HC CHROMOSOME ANALYSIS CHORIONIC VILLUS
|
Facility
|
IP
|
$383.09
|
|
|
Service Code
|
CPT 88267
|
| Hospital Charge Code |
31000021
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$266.63 |
| Max. Negotiated Rate |
$344.78 |
| Rate for Payer: Aetna Commercial |
$325.63
|
| Rate for Payer: BCBS Trust/PPO |
$316.39
|
| Rate for Payer: BCN Commercial |
$316.39
|
| Rate for Payer: Cash Price |
$306.47
|
| Rate for Payer: Cofinity Commercial |
$329.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$306.47
|
| Rate for Payer: Healthscope Commercial |
$344.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$287.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$325.63
|
| Rate for Payer: Nomi Health Commercial |
$314.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$287.32
|
| Rate for Payer: PHP Commercial |
$325.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$333.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$266.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$337.12
|
| Rate for Payer: UHC Core |
$319.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$287.32
|
|
|
HC CHROMOSOME ANALYSIS CONGENITAL
|
Facility
|
IP
|
$226.04
|
|
|
Service Code
|
CPT 88230
|
| Hospital Charge Code |
31000013
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$157.32 |
| Max. Negotiated Rate |
$203.44 |
| Rate for Payer: Aetna Commercial |
$192.13
|
| Rate for Payer: BCBS Trust/PPO |
$186.69
|
| Rate for Payer: BCN Commercial |
$186.69
|
| Rate for Payer: Cash Price |
$180.83
|
| Rate for Payer: Cofinity Commercial |
$194.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$180.83
|
| Rate for Payer: Healthscope Commercial |
$203.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$169.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$192.13
|
| Rate for Payer: Nomi Health Commercial |
$185.35
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$169.53
|
| Rate for Payer: PHP Commercial |
$192.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$196.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$157.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$198.92
|
| Rate for Payer: UHC Core |
$188.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$169.53
|
|
|
HC CHROMOSOME ANALYSIS CONGENITAL
|
Facility
|
OP
|
$226.04
|
|
|
Service Code
|
CPT 88230
|
| Hospital Charge Code |
31000013
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$39.85 |
| Max. Negotiated Rate |
$203.44 |
| Rate for Payer: Aetna Commercial |
$192.13
|
| Rate for Payer: Aetna Medicare |
$58.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$70.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$70.64
|
| Rate for Payer: BCBS Complete |
$41.84
|
| Rate for Payer: BCBS MAPPO |
$56.51
|
| Rate for Payer: BCBS Trust/PPO |
$185.83
|
| Rate for Payer: BCN Commercial |
$185.83
|
| Rate for Payer: BCN Medicare Advantage |
$56.51
|
| Rate for Payer: Cash Price |
$180.83
|
| Rate for Payer: Cofinity Commercial |
$194.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$180.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$56.51
|
| Rate for Payer: Healthscope Commercial |
$203.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$169.53
|
| Rate for Payer: Mclaren Medicaid |
$39.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$59.34
|
| Rate for Payer: Meridian Medicaid |
$41.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$64.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$62.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$192.13
|
| Rate for Payer: Nomi Health Commercial |
$185.35
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$169.53
|
| Rate for Payer: PACE Senior Care Partners |
$53.68
|
| Rate for Payer: PACE SWMI |
$56.51
|
| Rate for Payer: PHP Commercial |
$192.13
|
| Rate for Payer: PHP Medicare Advantage |
$56.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$39.85
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$196.65
|
| Rate for Payer: Priority Health Medicare |
$57.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$157.32
|
| Rate for Payer: Railroad Medicare Medicare |
$56.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$198.92
|
| Rate for Payer: UHC Core |
$188.74
|
| Rate for Payer: UHC Exchange |
$56.51
|
| Rate for Payer: UHC Medicaid |
$39.85
|
| Rate for Payer: UHC Medicare Advantage |
$56.51
|
| Rate for Payer: UHCCP Medicaid |
$39.85
|
| Rate for Payer: VA VA |
$56.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$169.53
|
|
|
HC CHROMOSOME ANALYSIS HEMATOLOGIAL
|
Facility
|
OP
|
$233.97
|
|
|
Service Code
|
CPT 88237
|
| Hospital Charge Code |
31000017
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$41.25 |
| Max. Negotiated Rate |
$210.57 |
| Rate for Payer: Aetna Commercial |
$198.87
|
| Rate for Payer: Aetna Medicare |
$60.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$73.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$73.12
|
| Rate for Payer: BCBS Complete |
$43.31
|
| Rate for Payer: BCBS MAPPO |
$58.49
|
| Rate for Payer: BCBS Trust/PPO |
$192.35
|
| Rate for Payer: BCN Commercial |
$192.35
|
| Rate for Payer: BCN Medicare Advantage |
$58.49
|
| Rate for Payer: Cash Price |
$187.18
|
| Rate for Payer: Cofinity Commercial |
$201.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$187.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$58.49
|
| Rate for Payer: Healthscope Commercial |
$210.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$175.48
|
| Rate for Payer: Mclaren Medicaid |
$41.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$61.42
|
| Rate for Payer: Meridian Medicaid |
$43.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$67.27
|
| Rate for Payer: Molina Medicare/Medicaid |
$64.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$198.87
|
| Rate for Payer: Nomi Health Commercial |
$191.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$175.48
|
| Rate for Payer: PACE Senior Care Partners |
$55.57
|
| Rate for Payer: PACE SWMI |
$58.49
|
| Rate for Payer: PHP Commercial |
$198.87
|
| Rate for Payer: PHP Medicare Advantage |
$58.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$41.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$203.55
|
| Rate for Payer: Priority Health Medicare |
$59.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$162.84
|
| Rate for Payer: Railroad Medicare Medicare |
$58.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$205.89
|
| Rate for Payer: UHC Core |
$195.36
|
| Rate for Payer: UHC Exchange |
$58.49
|
| Rate for Payer: UHC Medicaid |
$41.25
|
| Rate for Payer: UHC Medicare Advantage |
$58.49
|
| Rate for Payer: UHCCP Medicaid |
$41.25
|
| Rate for Payer: VA VA |
$58.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$175.48
|
|
|
HC CHROMOSOME ANALYSIS HEMATOLOGIAL
|
Facility
|
IP
|
$233.97
|
|
|
Service Code
|
CPT 88237
|
| Hospital Charge Code |
31000017
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$162.84 |
| Max. Negotiated Rate |
$210.57 |
| Rate for Payer: Aetna Commercial |
$198.87
|
| Rate for Payer: BCBS Trust/PPO |
$193.24
|
| Rate for Payer: BCN Commercial |
$193.24
|
| Rate for Payer: Cash Price |
$187.18
|
| Rate for Payer: Cofinity Commercial |
$201.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$187.18
|
| Rate for Payer: Healthscope Commercial |
$210.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$175.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$198.87
|
| Rate for Payer: Nomi Health Commercial |
$191.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$175.48
|
| Rate for Payer: PHP Commercial |
$198.87
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$203.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$162.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$205.89
|
| Rate for Payer: UHC Core |
$195.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$175.48
|
|
|
HC CHROMOSOME ANALYSIS MARROW
|
Facility
|
IP
|
$257.32
|
|
|
Service Code
|
CPT 88237
|
| Hospital Charge Code |
31000016
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$179.09 |
| Max. Negotiated Rate |
$231.59 |
| Rate for Payer: Aetna Commercial |
$218.72
|
| Rate for Payer: BCBS Trust/PPO |
$212.52
|
| Rate for Payer: BCN Commercial |
$212.52
|
| Rate for Payer: Cash Price |
$205.86
|
| Rate for Payer: Cofinity Commercial |
$221.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$205.86
|
| Rate for Payer: Healthscope Commercial |
$231.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$192.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$218.72
|
| Rate for Payer: Nomi Health Commercial |
$211.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$192.99
|
| Rate for Payer: PHP Commercial |
$218.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$223.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$179.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$226.44
|
| Rate for Payer: UHC Core |
$214.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$192.99
|
|
|
HC CHROMOSOME ANALYSIS MARROW
|
Facility
|
OP
|
$257.32
|
|
|
Service Code
|
CPT 88237
|
| Hospital Charge Code |
31000016
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$45.37 |
| Max. Negotiated Rate |
$231.59 |
| Rate for Payer: Aetna Commercial |
$218.72
|
| Rate for Payer: Aetna Medicare |
$66.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$80.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$80.41
|
| Rate for Payer: BCBS Complete |
$47.63
|
| Rate for Payer: BCBS MAPPO |
$64.33
|
| Rate for Payer: BCBS Trust/PPO |
$211.54
|
| Rate for Payer: BCN Commercial |
$211.54
|
| Rate for Payer: BCN Medicare Advantage |
$64.33
|
| Rate for Payer: Cash Price |
$205.86
|
| Rate for Payer: Cofinity Commercial |
$221.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$205.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$64.33
|
| Rate for Payer: Healthscope Commercial |
$231.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$192.99
|
| Rate for Payer: Mclaren Medicaid |
$45.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$67.55
|
| Rate for Payer: Meridian Medicaid |
$47.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$73.98
|
| Rate for Payer: Molina Medicare/Medicaid |
$70.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$218.72
|
| Rate for Payer: Nomi Health Commercial |
$211.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$192.99
|
| Rate for Payer: PACE Senior Care Partners |
$61.11
|
| Rate for Payer: PACE SWMI |
$64.33
|
| Rate for Payer: PHP Commercial |
$218.72
|
| Rate for Payer: PHP Medicare Advantage |
$64.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$45.37
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$223.87
|
| Rate for Payer: Priority Health Medicare |
$64.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$179.09
|
| Rate for Payer: Railroad Medicare Medicare |
$64.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$226.44
|
| Rate for Payer: UHC Core |
$214.86
|
| Rate for Payer: UHC Exchange |
$64.33
|
| Rate for Payer: UHC Medicaid |
$45.37
|
| Rate for Payer: UHC Medicare Advantage |
$64.33
|
| Rate for Payer: UHCCP Medicaid |
$45.37
|
| Rate for Payer: VA VA |
$64.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$192.99
|
|
|
HC CHROMOSOME CELL COUNT 15 TO 20
|
Facility
|
OP
|
$224.65
|
|
|
Service Code
|
CPT 88262
|
| Hospital Charge Code |
31000019
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$39.61 |
| Max. Negotiated Rate |
$202.19 |
| Rate for Payer: Aetna Commercial |
$190.95
|
| Rate for Payer: Aetna Medicare |
$58.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$70.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$70.20
|
| Rate for Payer: BCBS Complete |
$41.58
|
| Rate for Payer: BCBS MAPPO |
$56.16
|
| Rate for Payer: BCBS Trust/PPO |
$184.68
|
| Rate for Payer: BCN Commercial |
$184.68
|
| Rate for Payer: BCN Medicare Advantage |
$56.16
|
| Rate for Payer: Cash Price |
$179.72
|
| Rate for Payer: Cofinity Commercial |
$193.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$179.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$56.16
|
| Rate for Payer: Healthscope Commercial |
$202.19
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$168.49
|
| Rate for Payer: Mclaren Medicaid |
$39.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$58.97
|
| Rate for Payer: Meridian Medicaid |
$41.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$64.59
|
| Rate for Payer: Molina Medicare/Medicaid |
$61.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$190.95
|
| Rate for Payer: Nomi Health Commercial |
$184.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$168.49
|
| Rate for Payer: PACE Senior Care Partners |
$53.35
|
| Rate for Payer: PACE SWMI |
$56.16
|
| Rate for Payer: PHP Commercial |
$190.95
|
| Rate for Payer: PHP Medicare Advantage |
$56.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$39.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$195.45
|
| Rate for Payer: Priority Health Medicare |
$56.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$156.36
|
| Rate for Payer: Railroad Medicare Medicare |
$56.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$197.69
|
| Rate for Payer: UHC Core |
$187.58
|
| Rate for Payer: UHC Exchange |
$56.16
|
| Rate for Payer: UHC Medicaid |
$39.61
|
| Rate for Payer: UHC Medicare Advantage |
$56.16
|
| Rate for Payer: UHCCP Medicaid |
$39.61
|
| Rate for Payer: VA VA |
$56.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$168.49
|
|
|
HC CHROMOSOME CELL COUNT 15 TO 20
|
Facility
|
IP
|
$224.65
|
|
|
Service Code
|
CPT 88262
|
| Hospital Charge Code |
31000019
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$156.36 |
| Max. Negotiated Rate |
$202.19 |
| Rate for Payer: Aetna Commercial |
$190.95
|
| Rate for Payer: BCBS Trust/PPO |
$185.54
|
| Rate for Payer: BCN Commercial |
$185.54
|
| Rate for Payer: Cash Price |
$179.72
|
| Rate for Payer: Cofinity Commercial |
$193.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$179.72
|
| Rate for Payer: Healthscope Commercial |
$202.19
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$168.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$190.95
|
| Rate for Payer: Nomi Health Commercial |
$184.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$168.49
|
| Rate for Payer: PHP Commercial |
$190.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$195.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$156.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$197.69
|
| Rate for Payer: UHC Core |
$187.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$168.49
|
|
