|
HC CODFISH IGE
|
Facility
|
IP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200035
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$18.03 |
| Max. Negotiated Rate |
$23.31 |
| Rate for Payer: Aetna Commercial |
$22.02
|
| Rate for Payer: BCBS Trust/PPO |
$21.39
|
| Rate for Payer: BCN Commercial |
$21.39
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cofinity Commercial |
$22.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.72
|
| Rate for Payer: Healthscope Commercial |
$23.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.02
|
| Rate for Payer: Nomi Health Commercial |
$21.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.43
|
| Rate for Payer: PHP Commercial |
$22.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$22.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.79
|
| Rate for Payer: UHC Core |
$21.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.43
|
|
|
HC COGNITIVE EXAM
|
Facility
|
IP
|
$306.92
|
|
|
Service Code
|
CPT 96125
|
| Hospital Charge Code |
43400002
|
|
Hospital Revenue Code
|
434
|
| Min. Negotiated Rate |
$213.62 |
| Max. Negotiated Rate |
$276.23 |
| Rate for Payer: Aetna Commercial |
$260.88
|
| Rate for Payer: BCBS Trust/PPO |
$253.49
|
| Rate for Payer: BCN Commercial |
$253.49
|
| Rate for Payer: Cash Price |
$245.54
|
| Rate for Payer: Cofinity Commercial |
$263.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$245.54
|
| Rate for Payer: Healthscope Commercial |
$276.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$230.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$260.88
|
| Rate for Payer: Nomi Health Commercial |
$251.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$230.19
|
| Rate for Payer: PHP Commercial |
$260.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$267.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$213.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$270.09
|
| Rate for Payer: UHC Core |
$256.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$230.19
|
|
|
HC COGNITIVE EXAM
|
Facility
|
OP
|
$306.92
|
|
|
Service Code
|
CPT 96125
|
| Hospital Charge Code |
43400002
|
|
Hospital Revenue Code
|
434
|
| Min. Negotiated Rate |
$54.11 |
| Max. Negotiated Rate |
$276.23 |
| Rate for Payer: Aetna Commercial |
$260.88
|
| Rate for Payer: Aetna Medicare |
$79.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$95.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$95.91
|
| Rate for Payer: BCBS Complete |
$56.81
|
| Rate for Payer: BCBS MAPPO |
$76.73
|
| Rate for Payer: BCBS Trust/PPO |
$252.32
|
| Rate for Payer: BCN Commercial |
$252.32
|
| Rate for Payer: BCN Medicare Advantage |
$76.73
|
| Rate for Payer: Cash Price |
$245.54
|
| Rate for Payer: Cofinity Commercial |
$263.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$245.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$76.73
|
| Rate for Payer: Healthscope Commercial |
$276.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$230.19
|
| Rate for Payer: Mclaren Medicaid |
$54.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$80.57
|
| Rate for Payer: Meridian Medicaid |
$56.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$88.24
|
| Rate for Payer: Molina Medicare/Medicaid |
$84.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$260.88
|
| Rate for Payer: Nomi Health Commercial |
$251.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$230.19
|
| Rate for Payer: PACE Senior Care Partners |
$72.89
|
| Rate for Payer: PACE SWMI |
$76.73
|
| Rate for Payer: PHP Commercial |
$260.88
|
| Rate for Payer: PHP Medicare Advantage |
$76.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$54.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$267.02
|
| Rate for Payer: Priority Health Medicare |
$77.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$213.62
|
| Rate for Payer: Railroad Medicare Medicare |
$76.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$270.09
|
| Rate for Payer: UHC Core |
$256.28
|
| Rate for Payer: UHC Exchange |
$76.73
|
| Rate for Payer: UHC Medicaid |
$54.11
|
| Rate for Payer: UHC Medicare Advantage |
$76.73
|
| Rate for Payer: UHCCP Medicaid |
$54.11
|
| Rate for Payer: VA VA |
$76.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$230.19
|
|
|
HC COGNITIVE FUNCTION, ADDL 15 MIN
|
Facility
|
OP
|
$115.76
|
|
|
Service Code
|
CPT 97130
|
| Hospital Charge Code |
43000023
|
|
Hospital Revenue Code
|
430
|
| Min. Negotiated Rate |
$20.41 |
| Max. Negotiated Rate |
$104.18 |
| Rate for Payer: Aetna Commercial |
$98.40
|
| Rate for Payer: Aetna Medicare |
$30.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36.17
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36.17
|
| Rate for Payer: BCBS Complete |
$21.43
|
| Rate for Payer: BCBS MAPPO |
$28.94
|
| Rate for Payer: BCBS Trust/PPO |
$95.17
|
| Rate for Payer: BCN Commercial |
$95.17
|
| Rate for Payer: BCN Medicare Advantage |
$28.94
|
| Rate for Payer: Cash Price |
$92.61
|
| Rate for Payer: Cofinity Commercial |
$99.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$92.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.94
|
| Rate for Payer: Healthscope Commercial |
$104.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$86.82
|
| Rate for Payer: Mclaren Medicaid |
$20.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30.39
|
| Rate for Payer: Meridian Medicaid |
$21.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33.28
|
| Rate for Payer: Molina Medicare/Medicaid |
$31.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$98.40
|
| Rate for Payer: Nomi Health Commercial |
$94.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$86.82
|
| Rate for Payer: PACE Senior Care Partners |
$27.49
|
| Rate for Payer: PACE SWMI |
$28.94
|
| Rate for Payer: PHP Commercial |
$98.40
|
| Rate for Payer: PHP Medicare Advantage |
$28.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$20.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$100.71
|
| Rate for Payer: Priority Health Medicare |
$29.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$80.57
|
| Rate for Payer: Railroad Medicare Medicare |
$28.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$101.87
|
| Rate for Payer: UHC Core |
$96.66
|
| Rate for Payer: UHC Exchange |
$28.94
|
| Rate for Payer: UHC Medicaid |
$20.41
|
| Rate for Payer: UHC Medicare Advantage |
$28.94
|
| Rate for Payer: UHCCP Medicaid |
$20.41
|
| Rate for Payer: VA VA |
$28.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$86.82
|
|
|
HC COGNITIVE FUNCTION, ADDL 15 MIN
|
Facility
|
IP
|
$115.76
|
|
|
Service Code
|
CPT 97130
|
| Hospital Charge Code |
43000023
|
|
Hospital Revenue Code
|
430
|
| Min. Negotiated Rate |
$80.57 |
| Max. Negotiated Rate |
$104.18 |
| Rate for Payer: Aetna Commercial |
$98.40
|
| Rate for Payer: BCBS Trust/PPO |
$95.61
|
| Rate for Payer: BCN Commercial |
$95.61
|
| Rate for Payer: Cash Price |
$92.61
|
| Rate for Payer: Cofinity Commercial |
$99.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$92.61
|
| Rate for Payer: Healthscope Commercial |
$104.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$86.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$98.40
|
| Rate for Payer: Nomi Health Commercial |
$94.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$86.82
|
| Rate for Payer: PHP Commercial |
$98.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$100.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$80.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$101.87
|
| Rate for Payer: UHC Core |
$96.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$86.82
|
|
|
HC COGNITIVE FUNCTION, INITIAL 15 MIN
|
Facility
|
OP
|
$118.08
|
|
|
Service Code
|
CPT 97129
|
| Hospital Charge Code |
43000022
|
|
Hospital Revenue Code
|
430
|
| Min. Negotiated Rate |
$20.82 |
| Max. Negotiated Rate |
$106.27 |
| Rate for Payer: Aetna Commercial |
$100.37
|
| Rate for Payer: Aetna Medicare |
$30.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36.90
|
| Rate for Payer: BCBS Complete |
$21.86
|
| Rate for Payer: BCBS MAPPO |
$29.52
|
| Rate for Payer: BCBS Trust/PPO |
$97.07
|
| Rate for Payer: BCN Commercial |
$97.07
|
| Rate for Payer: BCN Medicare Advantage |
$29.52
|
| Rate for Payer: Cash Price |
$94.46
|
| Rate for Payer: Cofinity Commercial |
$101.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$94.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.52
|
| Rate for Payer: Healthscope Commercial |
$106.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$88.56
|
| Rate for Payer: Mclaren Medicaid |
$20.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31.00
|
| Rate for Payer: Meridian Medicaid |
$21.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33.95
|
| Rate for Payer: Molina Medicare/Medicaid |
$32.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$100.37
|
| Rate for Payer: Nomi Health Commercial |
$96.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$88.56
|
| Rate for Payer: PACE Senior Care Partners |
$28.04
|
| Rate for Payer: PACE SWMI |
$29.52
|
| Rate for Payer: PHP Commercial |
$100.37
|
| Rate for Payer: PHP Medicare Advantage |
$29.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$20.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$102.73
|
| Rate for Payer: Priority Health Medicare |
$29.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$82.18
|
| Rate for Payer: Railroad Medicare Medicare |
$29.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$103.91
|
| Rate for Payer: UHC Core |
$98.60
|
| Rate for Payer: UHC Exchange |
$29.52
|
| Rate for Payer: UHC Medicaid |
$20.82
|
| Rate for Payer: UHC Medicare Advantage |
$29.52
|
| Rate for Payer: UHCCP Medicaid |
$20.82
|
| Rate for Payer: VA VA |
$29.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$88.56
|
|
|
HC COGNITIVE FUNCTION, INITIAL 15 MIN
|
Facility
|
IP
|
$118.08
|
|
|
Service Code
|
CPT 97129
|
| Hospital Charge Code |
43000022
|
|
Hospital Revenue Code
|
430
|
| Min. Negotiated Rate |
$82.18 |
| Max. Negotiated Rate |
$106.27 |
| Rate for Payer: Aetna Commercial |
$100.37
|
| Rate for Payer: BCBS Trust/PPO |
$97.52
|
| Rate for Payer: BCN Commercial |
$97.52
|
| Rate for Payer: Cash Price |
$94.46
|
| Rate for Payer: Cofinity Commercial |
$101.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$94.46
|
| Rate for Payer: Healthscope Commercial |
$106.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$88.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$100.37
|
| Rate for Payer: Nomi Health Commercial |
$96.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$88.56
|
| Rate for Payer: PHP Commercial |
$100.37
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$102.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$82.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$103.91
|
| Rate for Payer: UHC Core |
$98.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$88.56
|
|
|
HC COLD AGGLUTININS
|
Facility
|
IP
|
$62.74
|
|
|
Service Code
|
CPT 86156
|
| Hospital Charge Code |
30200149
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$43.67 |
| Max. Negotiated Rate |
$56.47 |
| Rate for Payer: Aetna Commercial |
$53.33
|
| Rate for Payer: BCBS Trust/PPO |
$51.82
|
| Rate for Payer: BCN Commercial |
$51.82
|
| Rate for Payer: Cash Price |
$50.19
|
| Rate for Payer: Cofinity Commercial |
$53.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.19
|
| Rate for Payer: Healthscope Commercial |
$56.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$47.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$53.33
|
| Rate for Payer: Nomi Health Commercial |
$51.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$47.05
|
| Rate for Payer: PHP Commercial |
$53.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$54.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$43.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$55.21
|
| Rate for Payer: UHC Core |
$52.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$47.05
|
|
|
HC COLD AGGLUTININS
|
Facility
|
OP
|
$62.74
|
|
|
Service Code
|
CPT 86156
|
| Hospital Charge Code |
30200149
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$11.06 |
| Max. Negotiated Rate |
$56.47 |
| Rate for Payer: Aetna Commercial |
$53.33
|
| Rate for Payer: Aetna Medicare |
$16.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19.61
|
| Rate for Payer: BCBS Complete |
$11.61
|
| Rate for Payer: BCBS MAPPO |
$15.69
|
| Rate for Payer: BCBS Trust/PPO |
$51.58
|
| Rate for Payer: BCN Commercial |
$51.58
|
| Rate for Payer: BCN Medicare Advantage |
$15.69
|
| Rate for Payer: Cash Price |
$50.19
|
| Rate for Payer: Cofinity Commercial |
$53.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15.69
|
| Rate for Payer: Healthscope Commercial |
$56.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$47.05
|
| Rate for Payer: Mclaren Medicaid |
$11.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16.47
|
| Rate for Payer: Meridian Medicaid |
$11.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.04
|
| Rate for Payer: Molina Medicare/Medicaid |
$17.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$53.33
|
| Rate for Payer: Nomi Health Commercial |
$51.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$47.05
|
| Rate for Payer: PACE Senior Care Partners |
$14.90
|
| Rate for Payer: PACE SWMI |
$15.69
|
| Rate for Payer: PHP Commercial |
$53.33
|
| Rate for Payer: PHP Medicare Advantage |
$15.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.06
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$54.58
|
| Rate for Payer: Priority Health Medicare |
$15.84
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$43.67
|
| Rate for Payer: Railroad Medicare Medicare |
$15.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$55.21
|
| Rate for Payer: UHC Core |
$52.39
|
| Rate for Payer: UHC Exchange |
$15.69
|
| Rate for Payer: UHC Medicaid |
$11.06
|
| Rate for Payer: UHC Medicare Advantage |
$15.69
|
| Rate for Payer: UHCCP Medicaid |
$11.06
|
| Rate for Payer: VA VA |
$15.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$47.05
|
|
|
HC COLD SNARE POLYPECTOMY
|
Facility
|
IP
|
$556.06
|
|
| Hospital Charge Code |
36000018
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$387.02 |
| Max. Negotiated Rate |
$500.45 |
| Rate for Payer: Aetna Commercial |
$472.65
|
| Rate for Payer: BCBS Trust/PPO |
$459.25
|
| Rate for Payer: BCN Commercial |
$459.25
|
| Rate for Payer: Cash Price |
$444.85
|
| Rate for Payer: Cofinity Commercial |
$478.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$444.85
|
| Rate for Payer: Healthscope Commercial |
$500.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$417.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$472.65
|
| Rate for Payer: Nomi Health Commercial |
$455.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$417.05
|
| Rate for Payer: PHP Commercial |
$472.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$483.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$387.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$489.33
|
| Rate for Payer: UHC Core |
$464.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$417.05
|
|
|
HC COLD SNARE POLYPECTOMY
|
Facility
|
OP
|
$556.06
|
|
| Hospital Charge Code |
36000018
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$98.03 |
| Max. Negotiated Rate |
$500.45 |
| Rate for Payer: Aetna Commercial |
$472.65
|
| Rate for Payer: Aetna Medicare |
$144.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$173.77
|
| Rate for Payer: Amish Plain Church Group Commercial |
$173.77
|
| Rate for Payer: BCBS Complete |
$102.93
|
| Rate for Payer: BCBS MAPPO |
$139.01
|
| Rate for Payer: BCBS Trust/PPO |
$457.14
|
| Rate for Payer: BCN Commercial |
$457.14
|
| Rate for Payer: BCN Medicare Advantage |
$139.01
|
| Rate for Payer: Cash Price |
$444.85
|
| Rate for Payer: Cofinity Commercial |
$478.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$444.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$139.01
|
| Rate for Payer: Healthscope Commercial |
$500.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$417.05
|
| Rate for Payer: Mclaren Medicaid |
$98.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$145.97
|
| Rate for Payer: Meridian Medicaid |
$102.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$159.87
|
| Rate for Payer: Molina Medicare/Medicaid |
$152.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$472.65
|
| Rate for Payer: Nomi Health Commercial |
$455.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$417.05
|
| Rate for Payer: PACE Senior Care Partners |
$132.06
|
| Rate for Payer: PACE SWMI |
$139.01
|
| Rate for Payer: PHP Commercial |
$472.65
|
| Rate for Payer: PHP Medicare Advantage |
$139.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$98.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$483.77
|
| Rate for Payer: Priority Health Medicare |
$140.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$387.02
|
| Rate for Payer: Railroad Medicare Medicare |
$139.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$489.33
|
| Rate for Payer: UHC Core |
$464.31
|
| Rate for Payer: UHC Exchange |
$139.01
|
| Rate for Payer: UHC Medicaid |
$98.03
|
| Rate for Payer: UHC Medicare Advantage |
$139.01
|
| Rate for Payer: UHCCP Medicaid |
$98.03
|
| Rate for Payer: VA VA |
$139.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$417.05
|
|
|
HC COLLAGEN IMPLANT
|
Facility
|
OP
|
$1,918.60
|
|
|
Service Code
|
HCPCS L8603
|
| Hospital Charge Code |
27800005
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$338.25 |
| Max. Negotiated Rate |
$1,726.74 |
| Rate for Payer: Aetna Commercial |
$1,630.81
|
| Rate for Payer: Aetna Medicare |
$498.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$599.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$599.56
|
| Rate for Payer: BCBS Complete |
$355.13
|
| Rate for Payer: BCBS MAPPO |
$479.65
|
| Rate for Payer: BCBS Trust/PPO |
$1,577.28
|
| Rate for Payer: BCN Commercial |
$1,577.28
|
| Rate for Payer: BCN Medicare Advantage |
$479.65
|
| Rate for Payer: Cash Price |
$1,534.88
|
| Rate for Payer: Cofinity Commercial |
$1,650.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,534.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$479.65
|
| Rate for Payer: Healthscope Commercial |
$1,726.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,438.95
|
| Rate for Payer: Mclaren Medicaid |
$338.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$503.63
|
| Rate for Payer: Meridian Medicaid |
$355.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$551.60
|
| Rate for Payer: Molina Medicare/Medicaid |
$527.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,630.81
|
| Rate for Payer: Nomi Health Commercial |
$1,573.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,438.95
|
| Rate for Payer: PACE Senior Care Partners |
$455.67
|
| Rate for Payer: PACE SWMI |
$479.65
|
| Rate for Payer: PHP Commercial |
$1,630.81
|
| Rate for Payer: PHP Medicare Advantage |
$479.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$338.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,669.18
|
| Rate for Payer: Priority Health Medicare |
$484.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,335.35
|
| Rate for Payer: Railroad Medicare Medicare |
$479.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,688.37
|
| Rate for Payer: UHC Core |
$1,602.03
|
| Rate for Payer: UHC Exchange |
$479.65
|
| Rate for Payer: UHC Medicaid |
$338.25
|
| Rate for Payer: UHC Medicare Advantage |
$479.65
|
| Rate for Payer: UHCCP Medicaid |
$338.25
|
| Rate for Payer: VA VA |
$479.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,438.95
|
|
|
HC COLLAGEN IMPLANT
|
Facility
|
IP
|
$1,918.60
|
|
|
Service Code
|
HCPCS L8603
|
| Hospital Charge Code |
27800005
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,335.35 |
| Max. Negotiated Rate |
$1,726.74 |
| Rate for Payer: Aetna Commercial |
$1,630.81
|
| Rate for Payer: BCBS Trust/PPO |
$1,584.57
|
| Rate for Payer: BCN Commercial |
$1,584.57
|
| Rate for Payer: Cash Price |
$1,534.88
|
| Rate for Payer: Cofinity Commercial |
$1,650.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,534.88
|
| Rate for Payer: Healthscope Commercial |
$1,726.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,438.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,630.81
|
| Rate for Payer: Nomi Health Commercial |
$1,573.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,438.95
|
| Rate for Payer: PHP Commercial |
$1,630.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,669.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,335.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,688.37
|
| Rate for Payer: UHC Core |
$1,602.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,438.95
|
|
|
HC COLL CAPILLARY BLOOD SPECIMEN
|
Facility
|
OP
|
$8.91
|
|
|
Service Code
|
CPT 36416
|
| Hospital Charge Code |
30000077
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$1.57 |
| Max. Negotiated Rate |
$8.02 |
| Rate for Payer: Aetna Commercial |
$7.57
|
| Rate for Payer: Aetna Medicare |
$2.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2.78
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2.78
|
| Rate for Payer: BCBS Complete |
$1.65
|
| Rate for Payer: BCBS MAPPO |
$2.23
|
| Rate for Payer: BCBS Trust/PPO |
$7.32
|
| Rate for Payer: BCN Commercial |
$7.32
|
| Rate for Payer: BCN Medicare Advantage |
$2.23
|
| Rate for Payer: Cash Price |
$7.13
|
| Rate for Payer: Cofinity Commercial |
$7.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.23
|
| Rate for Payer: Healthscope Commercial |
$8.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6.68
|
| Rate for Payer: Mclaren Medicaid |
$1.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2.34
|
| Rate for Payer: Meridian Medicaid |
$1.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2.56
|
| Rate for Payer: Molina Medicare/Medicaid |
$2.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7.57
|
| Rate for Payer: Nomi Health Commercial |
$7.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6.68
|
| Rate for Payer: PACE Senior Care Partners |
$2.12
|
| Rate for Payer: PACE SWMI |
$2.23
|
| Rate for Payer: PHP Commercial |
$7.57
|
| Rate for Payer: PHP Medicare Advantage |
$2.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$1.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$7.75
|
| Rate for Payer: Priority Health Medicare |
$2.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6.20
|
| Rate for Payer: Railroad Medicare Medicare |
$2.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7.84
|
| Rate for Payer: UHC Core |
$7.44
|
| Rate for Payer: UHC Exchange |
$2.23
|
| Rate for Payer: UHC Medicaid |
$1.57
|
| Rate for Payer: UHC Medicare Advantage |
$2.23
|
| Rate for Payer: UHCCP Medicaid |
$1.57
|
| Rate for Payer: VA VA |
$2.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6.68
|
|
|
HC COLL CAPILLARY BLOOD SPECIMEN
|
Facility
|
IP
|
$8.91
|
|
|
Service Code
|
CPT 36416
|
| Hospital Charge Code |
30000077
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$6.20 |
| Max. Negotiated Rate |
$8.02 |
| Rate for Payer: Aetna Commercial |
$7.57
|
| Rate for Payer: BCBS Trust/PPO |
$7.36
|
| Rate for Payer: BCN Commercial |
$7.36
|
| Rate for Payer: Cash Price |
$7.13
|
| Rate for Payer: Cofinity Commercial |
$7.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7.13
|
| Rate for Payer: Healthscope Commercial |
$8.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7.57
|
| Rate for Payer: Nomi Health Commercial |
$7.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6.68
|
| Rate for Payer: PHP Commercial |
$7.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$7.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7.84
|
| Rate for Payer: UHC Core |
$7.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6.68
|
|
|
HC COLLECT CAPILLARY BLOOD SPECIMEN
|
Facility
|
OP
|
$8.91
|
|
|
Service Code
|
CPT 36416
|
| Hospital Charge Code |
30000175
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$1.57 |
| Max. Negotiated Rate |
$8.02 |
| Rate for Payer: Aetna Commercial |
$7.57
|
| Rate for Payer: Aetna Medicare |
$2.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2.78
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2.78
|
| Rate for Payer: BCBS Complete |
$1.65
|
| Rate for Payer: BCBS MAPPO |
$2.23
|
| Rate for Payer: BCBS Trust/PPO |
$7.32
|
| Rate for Payer: BCN Commercial |
$7.32
|
| Rate for Payer: BCN Medicare Advantage |
$2.23
|
| Rate for Payer: Cash Price |
$7.13
|
| Rate for Payer: Cofinity Commercial |
$7.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.23
|
| Rate for Payer: Healthscope Commercial |
$8.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6.68
|
| Rate for Payer: Mclaren Medicaid |
$1.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2.34
|
| Rate for Payer: Meridian Medicaid |
$1.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2.56
|
| Rate for Payer: Molina Medicare/Medicaid |
$2.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7.57
|
| Rate for Payer: Nomi Health Commercial |
$7.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6.68
|
| Rate for Payer: PACE Senior Care Partners |
$2.12
|
| Rate for Payer: PACE SWMI |
$2.23
|
| Rate for Payer: PHP Commercial |
$7.57
|
| Rate for Payer: PHP Medicare Advantage |
$2.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$1.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$7.75
|
| Rate for Payer: Priority Health Medicare |
$2.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6.20
|
| Rate for Payer: Railroad Medicare Medicare |
$2.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7.84
|
| Rate for Payer: UHC Core |
$7.44
|
| Rate for Payer: UHC Exchange |
$2.23
|
| Rate for Payer: UHC Medicaid |
$1.57
|
| Rate for Payer: UHC Medicare Advantage |
$2.23
|
| Rate for Payer: UHCCP Medicaid |
$1.57
|
| Rate for Payer: VA VA |
$2.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6.68
|
|
|
HC COLLECT CAPILLARY BLOOD SPECIMEN
|
Facility
|
IP
|
$8.91
|
|
|
Service Code
|
CPT 36416
|
| Hospital Charge Code |
30000175
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$6.20 |
| Max. Negotiated Rate |
$8.02 |
| Rate for Payer: Aetna Commercial |
$7.57
|
| Rate for Payer: BCBS Trust/PPO |
$7.36
|
| Rate for Payer: BCN Commercial |
$7.36
|
| Rate for Payer: Cash Price |
$7.13
|
| Rate for Payer: Cofinity Commercial |
$7.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7.13
|
| Rate for Payer: Healthscope Commercial |
$8.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7.57
|
| Rate for Payer: Nomi Health Commercial |
$7.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6.68
|
| Rate for Payer: PHP Commercial |
$7.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$7.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7.84
|
| Rate for Payer: UHC Core |
$7.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6.68
|
|
|
HC COLON DECOMPRESSION
|
Facility
|
IP
|
$2,450.59
|
|
| Hospital Charge Code |
36000019
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,705.61 |
| Max. Negotiated Rate |
$2,205.53 |
| Rate for Payer: Aetna Commercial |
$2,083.00
|
| Rate for Payer: BCBS Trust/PPO |
$2,023.94
|
| Rate for Payer: BCN Commercial |
$2,023.94
|
| Rate for Payer: Cash Price |
$1,960.47
|
| Rate for Payer: Cofinity Commercial |
$2,107.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,960.47
|
| Rate for Payer: Healthscope Commercial |
$2,205.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,837.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,083.00
|
| Rate for Payer: Nomi Health Commercial |
$2,009.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,837.94
|
| Rate for Payer: PHP Commercial |
$2,083.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,132.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,705.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,156.52
|
| Rate for Payer: UHC Core |
$2,046.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,837.94
|
|
|
HC COLON DECOMPRESSION
|
Facility
|
OP
|
$2,450.59
|
|
| Hospital Charge Code |
36000019
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$432.04 |
| Max. Negotiated Rate |
$2,205.53 |
| Rate for Payer: Aetna Commercial |
$2,083.00
|
| Rate for Payer: Aetna Medicare |
$637.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$765.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$765.81
|
| Rate for Payer: BCBS Complete |
$453.60
|
| Rate for Payer: BCBS MAPPO |
$612.65
|
| Rate for Payer: BCBS Trust/PPO |
$2,014.63
|
| Rate for Payer: BCN Commercial |
$2,014.63
|
| Rate for Payer: BCN Medicare Advantage |
$612.65
|
| Rate for Payer: Cash Price |
$1,960.47
|
| Rate for Payer: Cofinity Commercial |
$2,107.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,960.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$612.65
|
| Rate for Payer: Healthscope Commercial |
$2,205.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,837.94
|
| Rate for Payer: Mclaren Medicaid |
$432.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$643.28
|
| Rate for Payer: Meridian Medicaid |
$453.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$704.54
|
| Rate for Payer: Molina Medicare/Medicaid |
$673.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,083.00
|
| Rate for Payer: Nomi Health Commercial |
$2,009.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,837.94
|
| Rate for Payer: PACE Senior Care Partners |
$582.02
|
| Rate for Payer: PACE SWMI |
$612.65
|
| Rate for Payer: PHP Commercial |
$2,083.00
|
| Rate for Payer: PHP Medicare Advantage |
$612.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$432.04
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,132.01
|
| Rate for Payer: Priority Health Medicare |
$618.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,705.61
|
| Rate for Payer: Railroad Medicare Medicare |
$612.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,156.52
|
| Rate for Payer: UHC Core |
$2,046.24
|
| Rate for Payer: UHC Exchange |
$612.65
|
| Rate for Payer: UHC Medicaid |
$432.04
|
| Rate for Payer: UHC Medicare Advantage |
$612.65
|
| Rate for Payer: UHCCP Medicaid |
$432.04
|
| Rate for Payer: VA VA |
$612.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,837.94
|
|
|
HC COLON MOTILITY STUDY 6 HRS CONT RECORDING
|
Facility
|
IP
|
$373.92
|
|
|
Service Code
|
CPT 91117
|
| Hospital Charge Code |
75000011
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$260.25 |
| Max. Negotiated Rate |
$336.53 |
| Rate for Payer: Aetna Commercial |
$317.83
|
| Rate for Payer: BCBS Trust/PPO |
$308.82
|
| Rate for Payer: BCN Commercial |
$308.82
|
| Rate for Payer: Cash Price |
$299.14
|
| Rate for Payer: Cofinity Commercial |
$321.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$299.14
|
| Rate for Payer: Healthscope Commercial |
$336.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$280.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$317.83
|
| Rate for Payer: Nomi Health Commercial |
$306.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$280.44
|
| Rate for Payer: PHP Commercial |
$317.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$325.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$260.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$329.05
|
| Rate for Payer: UHC Core |
$312.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$280.44
|
|
|
HC COLON MOTILITY STUDY 6 HRS CONT RECORDING
|
Facility
|
OP
|
$373.92
|
|
|
Service Code
|
CPT 91117
|
| Hospital Charge Code |
75000011
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$65.92 |
| Max. Negotiated Rate |
$336.53 |
| Rate for Payer: Aetna Commercial |
$317.83
|
| Rate for Payer: Aetna Medicare |
$97.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$116.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$116.85
|
| Rate for Payer: BCBS Complete |
$69.21
|
| Rate for Payer: BCBS MAPPO |
$93.48
|
| Rate for Payer: BCBS Trust/PPO |
$307.40
|
| Rate for Payer: BCN Commercial |
$307.40
|
| Rate for Payer: BCN Medicare Advantage |
$93.48
|
| Rate for Payer: Cash Price |
$299.14
|
| Rate for Payer: Cofinity Commercial |
$321.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$299.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$93.48
|
| Rate for Payer: Healthscope Commercial |
$336.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$280.44
|
| Rate for Payer: Mclaren Medicaid |
$65.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$98.15
|
| Rate for Payer: Meridian Medicaid |
$69.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$107.50
|
| Rate for Payer: Molina Medicare/Medicaid |
$102.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$317.83
|
| Rate for Payer: Nomi Health Commercial |
$306.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$280.44
|
| Rate for Payer: PACE Senior Care Partners |
$88.81
|
| Rate for Payer: PACE SWMI |
$93.48
|
| Rate for Payer: PHP Commercial |
$317.83
|
| Rate for Payer: PHP Medicare Advantage |
$93.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$65.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$325.31
|
| Rate for Payer: Priority Health Medicare |
$94.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$260.25
|
| Rate for Payer: Railroad Medicare Medicare |
$93.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$329.05
|
| Rate for Payer: UHC Core |
$312.22
|
| Rate for Payer: UHC Exchange |
$93.48
|
| Rate for Payer: UHC Medicaid |
$65.92
|
| Rate for Payer: UHC Medicare Advantage |
$93.48
|
| Rate for Payer: UHCCP Medicaid |
$65.92
|
| Rate for Payer: VA VA |
$93.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$280.44
|
|
|
HC COLONOSCOPY
|
Facility
|
OP
|
$2,663.93
|
|
| Hospital Charge Code |
36000020
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$469.65 |
| Max. Negotiated Rate |
$2,397.54 |
| Rate for Payer: Aetna Commercial |
$2,264.34
|
| Rate for Payer: Aetna Medicare |
$692.62
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$832.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$832.48
|
| Rate for Payer: BCBS Complete |
$493.09
|
| Rate for Payer: BCBS MAPPO |
$665.98
|
| Rate for Payer: BCBS Trust/PPO |
$2,190.02
|
| Rate for Payer: BCN Commercial |
$2,190.02
|
| Rate for Payer: BCN Medicare Advantage |
$665.98
|
| Rate for Payer: Cash Price |
$2,131.14
|
| Rate for Payer: Cofinity Commercial |
$2,290.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,131.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$665.98
|
| Rate for Payer: Healthscope Commercial |
$2,397.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,997.95
|
| Rate for Payer: Mclaren Medicaid |
$469.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$699.28
|
| Rate for Payer: Meridian Medicaid |
$493.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$765.88
|
| Rate for Payer: Molina Medicare/Medicaid |
$732.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,264.34
|
| Rate for Payer: Nomi Health Commercial |
$2,184.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,997.95
|
| Rate for Payer: PACE Senior Care Partners |
$632.68
|
| Rate for Payer: PACE SWMI |
$665.98
|
| Rate for Payer: PHP Commercial |
$2,264.34
|
| Rate for Payer: PHP Medicare Advantage |
$665.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$469.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,317.62
|
| Rate for Payer: Priority Health Medicare |
$672.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,854.10
|
| Rate for Payer: Railroad Medicare Medicare |
$665.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,344.26
|
| Rate for Payer: UHC Core |
$2,224.38
|
| Rate for Payer: UHC Exchange |
$665.98
|
| Rate for Payer: UHC Medicaid |
$469.65
|
| Rate for Payer: UHC Medicare Advantage |
$665.98
|
| Rate for Payer: UHCCP Medicaid |
$469.65
|
| Rate for Payer: VA VA |
$665.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,997.95
|
|
|
HC COLONOSCOPY
|
Facility
|
IP
|
$2,663.93
|
|
| Hospital Charge Code |
36000020
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,854.10 |
| Max. Negotiated Rate |
$2,397.54 |
| Rate for Payer: Aetna Commercial |
$2,264.34
|
| Rate for Payer: BCBS Trust/PPO |
$2,200.14
|
| Rate for Payer: BCN Commercial |
$2,200.14
|
| Rate for Payer: Cash Price |
$2,131.14
|
| Rate for Payer: Cofinity Commercial |
$2,290.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,131.14
|
| Rate for Payer: Healthscope Commercial |
$2,397.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,997.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,264.34
|
| Rate for Payer: Nomi Health Commercial |
$2,184.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,997.95
|
| Rate for Payer: PHP Commercial |
$2,264.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,317.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,854.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,344.26
|
| Rate for Payer: UHC Core |
$2,224.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,997.95
|
|
|
HC COLONOSCOPY W EUS EXAM
|
Facility
|
IP
|
$2,856.06
|
|
| Hospital Charge Code |
36000022
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,987.82 |
| Max. Negotiated Rate |
$2,570.45 |
| Rate for Payer: Aetna Commercial |
$2,427.65
|
| Rate for Payer: BCBS Trust/PPO |
$2,358.82
|
| Rate for Payer: BCN Commercial |
$2,358.82
|
| Rate for Payer: Cash Price |
$2,284.85
|
| Rate for Payer: Cofinity Commercial |
$2,456.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,284.85
|
| Rate for Payer: Healthscope Commercial |
$2,570.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,142.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,427.65
|
| Rate for Payer: Nomi Health Commercial |
$2,341.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,142.05
|
| Rate for Payer: PHP Commercial |
$2,427.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,484.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,987.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,513.33
|
| Rate for Payer: UHC Core |
$2,384.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,142.05
|
|
|
HC COLONOSCOPY W EUS EXAM
|
Facility
|
OP
|
$2,856.06
|
|
| Hospital Charge Code |
36000022
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$503.52 |
| Max. Negotiated Rate |
$2,570.45 |
| Rate for Payer: Aetna Commercial |
$2,427.65
|
| Rate for Payer: Aetna Medicare |
$742.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$892.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$892.52
|
| Rate for Payer: BCBS Complete |
$528.66
|
| Rate for Payer: BCBS MAPPO |
$714.01
|
| Rate for Payer: BCBS Trust/PPO |
$2,347.97
|
| Rate for Payer: BCN Commercial |
$2,347.97
|
| Rate for Payer: BCN Medicare Advantage |
$714.01
|
| Rate for Payer: Cash Price |
$2,284.85
|
| Rate for Payer: Cofinity Commercial |
$2,456.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,284.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$714.01
|
| Rate for Payer: Healthscope Commercial |
$2,570.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,142.05
|
| Rate for Payer: Mclaren Medicaid |
$503.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$749.72
|
| Rate for Payer: Meridian Medicaid |
$528.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$821.12
|
| Rate for Payer: Molina Medicare/Medicaid |
$785.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,427.65
|
| Rate for Payer: Nomi Health Commercial |
$2,341.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,142.05
|
| Rate for Payer: PACE Senior Care Partners |
$678.31
|
| Rate for Payer: PACE SWMI |
$714.01
|
| Rate for Payer: PHP Commercial |
$2,427.65
|
| Rate for Payer: PHP Medicare Advantage |
$714.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$503.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,484.77
|
| Rate for Payer: Priority Health Medicare |
$721.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,987.82
|
| Rate for Payer: Railroad Medicare Medicare |
$714.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,513.33
|
| Rate for Payer: UHC Core |
$2,384.81
|
| Rate for Payer: UHC Exchange |
$714.01
|
| Rate for Payer: UHC Medicaid |
$503.52
|
| Rate for Payer: UHC Medicare Advantage |
$714.01
|
| Rate for Payer: UHCCP Medicaid |
$503.52
|
| Rate for Payer: VA VA |
$714.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,142.05
|
|
