|
HC CORN POLLEN IGE
|
Facility
|
IP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200081
|
|
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 CORN POLLEN IGE
|
Facility
|
OP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200081
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$4.57 |
| Max. Negotiated Rate |
$23.31 |
| Rate for Payer: Aetna Commercial |
$22.02
|
| Rate for Payer: Aetna Medicare |
$6.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.09
|
| Rate for Payer: BCBS Complete |
$4.79
|
| Rate for Payer: BCBS MAPPO |
$6.47
|
| Rate for Payer: BCBS Trust/PPO |
$21.29
|
| Rate for Payer: BCN Commercial |
$21.29
|
| Rate for Payer: BCN Medicare Advantage |
$6.47
|
| 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: Health Alliance Plan Medicare Advantage |
$6.47
|
| Rate for Payer: Healthscope Commercial |
$23.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.43
|
| Rate for Payer: Mclaren Medicaid |
$4.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.80
|
| Rate for Payer: Meridian Medicaid |
$4.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.45
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.12
|
| 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: PACE Senior Care Partners |
$6.15
|
| Rate for Payer: PACE SWMI |
$6.47
|
| Rate for Payer: PHP Commercial |
$22.02
|
| Rate for Payer: PHP Medicare Advantage |
$6.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$22.53
|
| Rate for Payer: Priority Health Medicare |
$6.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.03
|
| Rate for Payer: Railroad Medicare Medicare |
$6.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.79
|
| Rate for Payer: UHC Core |
$21.63
|
| Rate for Payer: UHC Exchange |
$6.47
|
| Rate for Payer: UHC Medicaid |
$4.57
|
| Rate for Payer: UHC Medicare Advantage |
$6.47
|
| Rate for Payer: UHCCP Medicaid |
$4.57
|
| Rate for Payer: VA VA |
$6.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.43
|
|
|
HC CORO ANGIOS W RHC
|
Facility
|
OP
|
$9,143.70
|
|
|
Service Code
|
CPT 93456
|
| Hospital Charge Code |
48100015
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,612.03 |
| Max. Negotiated Rate |
$8,229.33 |
| Rate for Payer: Aetna Commercial |
$7,772.15
|
| Rate for Payer: Aetna Medicare |
$2,377.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,857.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,857.41
|
| Rate for Payer: BCBS Complete |
$1,692.50
|
| Rate for Payer: BCBS MAPPO |
$2,285.93
|
| Rate for Payer: BCBS Trust/PPO |
$7,517.04
|
| Rate for Payer: BCN Commercial |
$7,517.04
|
| Rate for Payer: BCN Medicare Advantage |
$2,285.93
|
| Rate for Payer: Cash Price |
$7,314.96
|
| Rate for Payer: Cofinity Commercial |
$7,863.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,314.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,285.93
|
| Rate for Payer: Healthscope Commercial |
$8,229.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,857.77
|
| Rate for Payer: Mclaren Medicaid |
$1,612.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,400.22
|
| Rate for Payer: Meridian Medicaid |
$1,692.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,628.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,514.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,772.15
|
| Rate for Payer: Nomi Health Commercial |
$7,497.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,857.77
|
| Rate for Payer: PACE Senior Care Partners |
$2,171.63
|
| Rate for Payer: PACE SWMI |
$2,285.93
|
| Rate for Payer: PHP Commercial |
$7,772.15
|
| Rate for Payer: PHP Medicare Advantage |
$2,285.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,612.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$7,955.02
|
| Rate for Payer: Priority Health Medicare |
$2,308.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6,364.02
|
| Rate for Payer: Railroad Medicare Medicare |
$2,285.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,046.46
|
| Rate for Payer: UHC Core |
$7,634.99
|
| Rate for Payer: UHC Exchange |
$2,285.93
|
| Rate for Payer: UHC Medicaid |
$1,612.03
|
| Rate for Payer: UHC Medicare Advantage |
$2,285.93
|
| Rate for Payer: UHCCP Medicaid |
$1,612.03
|
| Rate for Payer: VA VA |
$2,285.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,857.77
|
|
|
HC CORO ANGIOS W RHC
|
Facility
|
IP
|
$9,143.70
|
|
|
Service Code
|
CPT 93456
|
| Hospital Charge Code |
48100015
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$6,364.02 |
| Max. Negotiated Rate |
$8,229.33 |
| Rate for Payer: Aetna Commercial |
$7,772.15
|
| Rate for Payer: BCBS Trust/PPO |
$7,551.78
|
| Rate for Payer: BCN Commercial |
$7,551.78
|
| Rate for Payer: Cash Price |
$7,314.96
|
| Rate for Payer: Cofinity Commercial |
$7,863.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,314.96
|
| Rate for Payer: Healthscope Commercial |
$8,229.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,857.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,772.15
|
| Rate for Payer: Nomi Health Commercial |
$7,497.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,857.77
|
| Rate for Payer: PHP Commercial |
$7,772.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$7,955.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6,364.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,046.46
|
| Rate for Payer: UHC Core |
$7,634.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,857.77
|
|
|
HC CORO/CABG ANGIOS W RHC
|
Facility
|
IP
|
$7,254.18
|
|
|
Service Code
|
CPT 93457
|
| Hospital Charge Code |
48100016
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$5,048.91 |
| Max. Negotiated Rate |
$6,528.76 |
| Rate for Payer: Aetna Commercial |
$6,166.05
|
| Rate for Payer: BCBS Trust/PPO |
$5,991.23
|
| Rate for Payer: BCN Commercial |
$5,991.23
|
| Rate for Payer: Cash Price |
$5,803.34
|
| Rate for Payer: Cofinity Commercial |
$6,238.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,803.34
|
| Rate for Payer: Healthscope Commercial |
$6,528.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,440.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,166.05
|
| Rate for Payer: Nomi Health Commercial |
$5,948.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,440.64
|
| Rate for Payer: PHP Commercial |
$6,166.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$6,311.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,048.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,383.68
|
| Rate for Payer: UHC Core |
$6,057.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,440.64
|
|
|
HC CORO/CABG ANGIOS W RHC
|
Facility
|
OP
|
$7,254.18
|
|
|
Service Code
|
CPT 93457
|
| Hospital Charge Code |
48100016
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,278.91 |
| Max. Negotiated Rate |
$6,528.76 |
| Rate for Payer: Aetna Commercial |
$6,166.05
|
| Rate for Payer: Aetna Medicare |
$1,886.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,266.93
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,266.93
|
| Rate for Payer: BCBS Complete |
$1,342.75
|
| Rate for Payer: BCBS MAPPO |
$1,813.55
|
| Rate for Payer: BCBS Trust/PPO |
$5,963.66
|
| Rate for Payer: BCN Commercial |
$5,963.66
|
| Rate for Payer: BCN Medicare Advantage |
$1,813.55
|
| Rate for Payer: Cash Price |
$5,803.34
|
| Rate for Payer: Cofinity Commercial |
$6,238.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,803.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,813.55
|
| Rate for Payer: Healthscope Commercial |
$6,528.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,440.64
|
| Rate for Payer: Mclaren Medicaid |
$1,278.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,904.22
|
| Rate for Payer: Meridian Medicaid |
$1,342.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,085.58
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,994.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,166.05
|
| Rate for Payer: Nomi Health Commercial |
$5,948.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,440.64
|
| Rate for Payer: PACE Senior Care Partners |
$1,722.87
|
| Rate for Payer: PACE SWMI |
$1,813.55
|
| Rate for Payer: PHP Commercial |
$6,166.05
|
| Rate for Payer: PHP Medicare Advantage |
$1,813.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,278.91
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$6,311.14
|
| Rate for Payer: Priority Health Medicare |
$1,831.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,048.91
|
| Rate for Payer: Railroad Medicare Medicare |
$1,813.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,383.68
|
| Rate for Payer: UHC Core |
$6,057.24
|
| Rate for Payer: UHC Exchange |
$1,813.55
|
| Rate for Payer: UHC Medicaid |
$1,278.91
|
| Rate for Payer: UHC Medicare Advantage |
$1,813.55
|
| Rate for Payer: UHCCP Medicaid |
$1,278.91
|
| Rate for Payer: VA VA |
$1,813.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,440.64
|
|
|
HC CORONARY ANGIOS ONLY
|
Facility
|
IP
|
$7,701.38
|
|
|
Service Code
|
CPT 93454
|
| Hospital Charge Code |
48100013
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$5,360.16 |
| Max. Negotiated Rate |
$6,931.24 |
| Rate for Payer: Aetna Commercial |
$6,546.17
|
| Rate for Payer: BCBS Trust/PPO |
$6,360.57
|
| Rate for Payer: BCN Commercial |
$6,360.57
|
| Rate for Payer: Cash Price |
$6,161.10
|
| Rate for Payer: Cofinity Commercial |
$6,623.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,161.10
|
| Rate for Payer: Healthscope Commercial |
$6,931.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,776.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,546.17
|
| Rate for Payer: Nomi Health Commercial |
$6,315.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,776.03
|
| Rate for Payer: PHP Commercial |
$6,546.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$6,700.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,360.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,777.21
|
| Rate for Payer: UHC Core |
$6,430.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,776.03
|
|
|
HC CORONARY ANGIOS ONLY
|
Facility
|
OP
|
$7,701.38
|
|
|
Service Code
|
CPT 93454
|
| Hospital Charge Code |
48100013
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,357.75 |
| Max. Negotiated Rate |
$6,931.24 |
| Rate for Payer: Aetna Commercial |
$6,546.17
|
| Rate for Payer: Aetna Medicare |
$2,002.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,406.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,406.68
|
| Rate for Payer: BCBS Complete |
$1,425.53
|
| Rate for Payer: BCBS MAPPO |
$1,925.35
|
| Rate for Payer: BCBS Trust/PPO |
$6,331.30
|
| Rate for Payer: BCN Commercial |
$6,331.30
|
| Rate for Payer: BCN Medicare Advantage |
$1,925.35
|
| Rate for Payer: Cash Price |
$6,161.10
|
| Rate for Payer: Cofinity Commercial |
$6,623.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,161.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,925.35
|
| Rate for Payer: Healthscope Commercial |
$6,931.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5,776.03
|
| Rate for Payer: Mclaren Medicaid |
$1,357.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,021.61
|
| Rate for Payer: Meridian Medicaid |
$1,425.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,214.15
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,117.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,546.17
|
| Rate for Payer: Nomi Health Commercial |
$6,315.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,776.03
|
| Rate for Payer: PACE Senior Care Partners |
$1,829.08
|
| Rate for Payer: PACE SWMI |
$1,925.35
|
| Rate for Payer: PHP Commercial |
$6,546.17
|
| Rate for Payer: PHP Medicare Advantage |
$1,925.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,357.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$6,700.20
|
| Rate for Payer: Priority Health Medicare |
$1,944.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,360.16
|
| Rate for Payer: Railroad Medicare Medicare |
$1,925.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6,777.21
|
| Rate for Payer: UHC Core |
$6,430.65
|
| Rate for Payer: UHC Exchange |
$1,925.35
|
| Rate for Payer: UHC Medicaid |
$1,357.75
|
| Rate for Payer: UHC Medicare Advantage |
$1,925.35
|
| Rate for Payer: UHCCP Medicaid |
$1,357.75
|
| Rate for Payer: VA VA |
$1,925.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5,776.03
|
|
|
HC CORONARY CRITICAL CARE R&B
|
Facility
|
IP
|
$6,464.21
|
|
| Hospital Charge Code |
21000001
|
|
Hospital Revenue Code
|
210
|
| Min. Negotiated Rate |
$1,819.25 |
| Max. Negotiated Rate |
$5,817.79 |
| Rate for Payer: Aetna Commercial |
$5,494.58
|
| Rate for Payer: Aetna Medicare |
$1,991.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,393.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,393.75
|
| Rate for Payer: BCBS MAPPO |
$1,915.00
|
| Rate for Payer: BCBS Trust/PPO |
$5,338.79
|
| Rate for Payer: BCN Commercial |
$5,338.79
|
| Rate for Payer: BCN Medicare Advantage |
$1,915.00
|
| Rate for Payer: Cash Price |
$5,171.37
|
| Rate for Payer: Cash Price |
$5,171.37
|
| Rate for Payer: Cofinity Commercial |
$5,559.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,171.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,915.00
|
| Rate for Payer: Healthscope Commercial |
$5,817.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,848.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,010.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,202.25
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,106.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,494.58
|
| Rate for Payer: Nomi Health Commercial |
$5,300.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,848.16
|
| Rate for Payer: PACE Senior Care Partners |
$1,819.25
|
| Rate for Payer: PACE SWMI |
$1,915.00
|
| Rate for Payer: PHP Commercial |
$5,494.58
|
| Rate for Payer: PHP Medicare Advantage |
$1,915.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$5,623.86
|
| Rate for Payer: Priority Health Medicare |
$1,934.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,499.09
|
| Rate for Payer: Railroad Medicare Medicare |
$1,915.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,688.50
|
| Rate for Payer: UHC Core |
$5,397.62
|
| Rate for Payer: UHC Exchange |
$1,915.00
|
| Rate for Payer: UHC Medicare Advantage |
$1,915.00
|
| Rate for Payer: VA VA |
$1,915.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,848.16
|
|
|
HC CORONARY SINUS CATHETER
|
Facility
|
IP
|
$1,592.74
|
|
|
Service Code
|
HCPCS C1733
|
| Hospital Charge Code |
27200023
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,108.55 |
| Max. Negotiated Rate |
$1,433.47 |
| Rate for Payer: Aetna Commercial |
$1,353.83
|
| Rate for Payer: BCBS Trust/PPO |
$1,315.44
|
| Rate for Payer: BCN Commercial |
$1,315.44
|
| Rate for Payer: Cash Price |
$1,274.19
|
| Rate for Payer: Cofinity Commercial |
$1,369.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,274.19
|
| Rate for Payer: Healthscope Commercial |
$1,433.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,194.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,353.83
|
| Rate for Payer: Nomi Health Commercial |
$1,306.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,194.56
|
| Rate for Payer: PHP Commercial |
$1,353.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,385.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,108.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,401.61
|
| Rate for Payer: UHC Core |
$1,329.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,194.56
|
|
|
HC CORONARY SINUS CATHETER
|
Facility
|
OP
|
$1,592.74
|
|
|
Service Code
|
HCPCS C1733
|
| Hospital Charge Code |
27200023
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$280.80 |
| Max. Negotiated Rate |
$1,433.47 |
| Rate for Payer: Aetna Commercial |
$1,353.83
|
| Rate for Payer: Aetna Medicare |
$414.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$497.73
|
| Rate for Payer: Amish Plain Church Group Commercial |
$497.73
|
| Rate for Payer: BCBS Complete |
$294.82
|
| Rate for Payer: BCBS MAPPO |
$398.19
|
| Rate for Payer: BCBS Trust/PPO |
$1,309.39
|
| Rate for Payer: BCN Commercial |
$1,309.39
|
| Rate for Payer: BCN Medicare Advantage |
$398.19
|
| Rate for Payer: Cash Price |
$1,274.19
|
| Rate for Payer: Cofinity Commercial |
$1,369.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,274.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$398.19
|
| Rate for Payer: Healthscope Commercial |
$1,433.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,194.56
|
| Rate for Payer: Mclaren Medicaid |
$280.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$418.09
|
| Rate for Payer: Meridian Medicaid |
$294.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$457.91
|
| Rate for Payer: Molina Medicare/Medicaid |
$438.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,353.83
|
| Rate for Payer: Nomi Health Commercial |
$1,306.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,194.56
|
| Rate for Payer: PACE Senior Care Partners |
$378.28
|
| Rate for Payer: PACE SWMI |
$398.19
|
| Rate for Payer: PHP Commercial |
$1,353.83
|
| Rate for Payer: PHP Medicare Advantage |
$398.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$280.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,385.68
|
| Rate for Payer: Priority Health Medicare |
$402.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,108.55
|
| Rate for Payer: Railroad Medicare Medicare |
$398.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,401.61
|
| Rate for Payer: UHC Core |
$1,329.94
|
| Rate for Payer: UHC Exchange |
$398.19
|
| Rate for Payer: UHC Medicaid |
$280.80
|
| Rate for Payer: UHC Medicare Advantage |
$398.19
|
| Rate for Payer: UHCCP Medicaid |
$280.80
|
| Rate for Payer: VA VA |
$398.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,194.56
|
|
|
HC CORONARY STENT DRUG ELUTING
|
Facility
|
OP
|
$11,340.73
|
|
|
Service Code
|
HCPCS C1874
|
| Hospital Charge Code |
27800008
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,999.37 |
| Max. Negotiated Rate |
$10,206.66 |
| Rate for Payer: Aetna Commercial |
$9,639.62
|
| Rate for Payer: Aetna Medicare |
$2,948.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,543.98
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,543.98
|
| Rate for Payer: BCBS Complete |
$2,099.17
|
| Rate for Payer: BCBS MAPPO |
$2,835.18
|
| Rate for Payer: BCBS Trust/PPO |
$9,323.21
|
| Rate for Payer: BCN Commercial |
$9,323.21
|
| Rate for Payer: BCN Medicare Advantage |
$2,835.18
|
| Rate for Payer: Cash Price |
$9,072.58
|
| Rate for Payer: Cofinity Commercial |
$9,753.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,072.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,835.18
|
| Rate for Payer: Healthscope Commercial |
$10,206.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,505.55
|
| Rate for Payer: Mclaren Medicaid |
$1,999.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,976.94
|
| Rate for Payer: Meridian Medicaid |
$2,099.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,260.46
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,118.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,639.62
|
| Rate for Payer: Nomi Health Commercial |
$9,299.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8,505.55
|
| Rate for Payer: PACE Senior Care Partners |
$2,693.42
|
| Rate for Payer: PACE SWMI |
$2,835.18
|
| Rate for Payer: PHP Commercial |
$9,639.62
|
| Rate for Payer: PHP Medicare Advantage |
$2,835.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,999.37
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$9,866.44
|
| Rate for Payer: Priority Health Medicare |
$2,863.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7,893.15
|
| Rate for Payer: Railroad Medicare Medicare |
$2,835.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,979.84
|
| Rate for Payer: UHC Core |
$9,469.51
|
| Rate for Payer: UHC Exchange |
$2,835.18
|
| Rate for Payer: UHC Medicaid |
$1,999.37
|
| Rate for Payer: UHC Medicare Advantage |
$2,835.18
|
| Rate for Payer: UHCCP Medicaid |
$1,999.37
|
| Rate for Payer: VA VA |
$2,835.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,505.55
|
|
|
HC CORONARY STENT DRUG ELUTING
|
Facility
|
IP
|
$11,340.73
|
|
|
Service Code
|
HCPCS C1874
|
| Hospital Charge Code |
27800008
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$7,893.15 |
| Max. Negotiated Rate |
$10,206.66 |
| Rate for Payer: Aetna Commercial |
$9,639.62
|
| Rate for Payer: BCBS Trust/PPO |
$9,366.31
|
| Rate for Payer: BCN Commercial |
$9,366.31
|
| Rate for Payer: Cash Price |
$9,072.58
|
| Rate for Payer: Cofinity Commercial |
$9,753.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9,072.58
|
| Rate for Payer: Healthscope Commercial |
$10,206.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8,505.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,639.62
|
| Rate for Payer: Nomi Health Commercial |
$9,299.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8,505.55
|
| Rate for Payer: PHP Commercial |
$9,639.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$9,866.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7,893.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,979.84
|
| Rate for Payer: UHC Core |
$9,469.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8,505.55
|
|
|
HC CORONARY THROMBECTOMY
|
Facility
|
IP
|
$4,145.24
|
|
|
Service Code
|
CPT 92973
|
| Hospital Charge Code |
48100001
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$2,885.09 |
| Max. Negotiated Rate |
$3,730.72 |
| Rate for Payer: Aetna Commercial |
$3,523.45
|
| Rate for Payer: BCBS Trust/PPO |
$3,423.55
|
| Rate for Payer: BCN Commercial |
$3,423.55
|
| Rate for Payer: Cash Price |
$3,316.19
|
| Rate for Payer: Cofinity Commercial |
$3,564.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,316.19
|
| Rate for Payer: Healthscope Commercial |
$3,730.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,108.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,523.45
|
| Rate for Payer: Nomi Health Commercial |
$3,399.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,108.93
|
| Rate for Payer: PHP Commercial |
$3,523.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,606.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,885.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,647.81
|
| Rate for Payer: UHC Core |
$3,461.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,108.93
|
|
|
HC CORONARY THROMBECTOMY
|
Facility
|
OP
|
$4,145.24
|
|
|
Service Code
|
CPT 92973
|
| Hospital Charge Code |
48100001
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$730.81 |
| Max. Negotiated Rate |
$3,730.72 |
| Rate for Payer: Aetna Commercial |
$3,523.45
|
| Rate for Payer: Aetna Medicare |
$1,077.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,295.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,295.39
|
| Rate for Payer: BCBS Complete |
$767.28
|
| Rate for Payer: BCBS MAPPO |
$1,036.31
|
| Rate for Payer: BCBS Trust/PPO |
$3,407.80
|
| Rate for Payer: BCN Commercial |
$3,407.80
|
| Rate for Payer: BCN Medicare Advantage |
$1,036.31
|
| Rate for Payer: Cash Price |
$3,316.19
|
| Rate for Payer: Cofinity Commercial |
$3,564.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,316.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,036.31
|
| Rate for Payer: Healthscope Commercial |
$3,730.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,108.93
|
| Rate for Payer: Mclaren Medicaid |
$730.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,088.13
|
| Rate for Payer: Meridian Medicaid |
$767.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,191.76
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,139.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,523.45
|
| Rate for Payer: Nomi Health Commercial |
$3,399.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,108.93
|
| Rate for Payer: PACE Senior Care Partners |
$984.49
|
| Rate for Payer: PACE SWMI |
$1,036.31
|
| Rate for Payer: PHP Commercial |
$3,523.45
|
| Rate for Payer: PHP Medicare Advantage |
$1,036.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$730.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,606.36
|
| Rate for Payer: Priority Health Medicare |
$1,046.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,885.09
|
| Rate for Payer: Railroad Medicare Medicare |
$1,036.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,647.81
|
| Rate for Payer: UHC Core |
$3,461.28
|
| Rate for Payer: UHC Exchange |
$1,036.31
|
| Rate for Payer: UHC Medicaid |
$730.81
|
| Rate for Payer: UHC Medicare Advantage |
$1,036.31
|
| Rate for Payer: UHCCP Medicaid |
$730.81
|
| Rate for Payer: VA VA |
$1,036.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,108.93
|
|
|
HC CORTICAL MAPPING
|
Facility
|
OP
|
$2,193.52
|
|
|
Service Code
|
CPT 95961
|
| Hospital Charge Code |
92000009
|
|
Hospital Revenue Code
|
920
|
| Min. Negotiated Rate |
$386.72 |
| Max. Negotiated Rate |
$1,974.17 |
| Rate for Payer: Aetna Commercial |
$1,864.49
|
| Rate for Payer: Aetna Medicare |
$570.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$685.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$685.48
|
| Rate for Payer: BCBS Complete |
$406.02
|
| Rate for Payer: BCBS MAPPO |
$548.38
|
| Rate for Payer: BCBS Trust/PPO |
$1,803.29
|
| Rate for Payer: BCN Commercial |
$1,803.29
|
| Rate for Payer: BCN Medicare Advantage |
$548.38
|
| Rate for Payer: Cash Price |
$1,754.82
|
| Rate for Payer: Cofinity Commercial |
$1,886.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,754.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$548.38
|
| Rate for Payer: Healthscope Commercial |
$1,974.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,645.14
|
| Rate for Payer: Mclaren Medicaid |
$386.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$575.80
|
| Rate for Payer: Meridian Medicaid |
$406.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$630.64
|
| Rate for Payer: Molina Medicare/Medicaid |
$603.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,864.49
|
| Rate for Payer: Nomi Health Commercial |
$1,798.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,645.14
|
| Rate for Payer: PACE Senior Care Partners |
$520.96
|
| Rate for Payer: PACE SWMI |
$548.38
|
| Rate for Payer: PHP Commercial |
$1,864.49
|
| Rate for Payer: PHP Medicare Advantage |
$548.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$386.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,908.36
|
| Rate for Payer: Priority Health Medicare |
$553.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,526.69
|
| Rate for Payer: Railroad Medicare Medicare |
$548.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,930.30
|
| Rate for Payer: UHC Core |
$1,831.59
|
| Rate for Payer: UHC Exchange |
$548.38
|
| Rate for Payer: UHC Medicaid |
$386.72
|
| Rate for Payer: UHC Medicare Advantage |
$548.38
|
| Rate for Payer: UHCCP Medicaid |
$386.72
|
| Rate for Payer: VA VA |
$548.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,645.14
|
|
|
HC CORTICAL MAPPING
|
Facility
|
IP
|
$2,193.52
|
|
|
Service Code
|
CPT 95961
|
| Hospital Charge Code |
92000009
|
|
Hospital Revenue Code
|
920
|
| Min. Negotiated Rate |
$1,526.69 |
| Max. Negotiated Rate |
$1,974.17 |
| Rate for Payer: Aetna Commercial |
$1,864.49
|
| Rate for Payer: BCBS Trust/PPO |
$1,811.63
|
| Rate for Payer: BCN Commercial |
$1,811.63
|
| Rate for Payer: Cash Price |
$1,754.82
|
| Rate for Payer: Cofinity Commercial |
$1,886.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,754.82
|
| Rate for Payer: Healthscope Commercial |
$1,974.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,645.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,864.49
|
| Rate for Payer: Nomi Health Commercial |
$1,798.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,645.14
|
| Rate for Payer: PHP Commercial |
$1,864.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,908.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,526.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,930.30
|
| Rate for Payer: UHC Core |
$1,831.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,645.14
|
|
|
HC CORTICOL SALIVA
|
Facility
|
OP
|
$68.98
|
|
|
Service Code
|
CPT 82533
|
| Hospital Charge Code |
30100618
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$12.16 |
| Max. Negotiated Rate |
$62.08 |
| Rate for Payer: Aetna Commercial |
$58.63
|
| Rate for Payer: Aetna Medicare |
$17.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21.56
|
| Rate for Payer: BCBS Complete |
$12.77
|
| Rate for Payer: BCBS MAPPO |
$17.25
|
| Rate for Payer: BCBS Trust/PPO |
$56.71
|
| Rate for Payer: BCN Commercial |
$56.71
|
| Rate for Payer: BCN Medicare Advantage |
$17.25
|
| Rate for Payer: Cash Price |
$55.18
|
| Rate for Payer: Cofinity Commercial |
$59.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$55.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17.25
|
| Rate for Payer: Healthscope Commercial |
$62.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$51.73
|
| Rate for Payer: Mclaren Medicaid |
$12.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18.11
|
| Rate for Payer: Meridian Medicaid |
$12.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19.83
|
| Rate for Payer: Molina Medicare/Medicaid |
$18.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$58.63
|
| Rate for Payer: Nomi Health Commercial |
$56.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$51.73
|
| Rate for Payer: PACE Senior Care Partners |
$16.38
|
| Rate for Payer: PACE SWMI |
$17.25
|
| Rate for Payer: PHP Commercial |
$58.63
|
| Rate for Payer: PHP Medicare Advantage |
$17.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$12.16
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$60.01
|
| Rate for Payer: Priority Health Medicare |
$17.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$48.01
|
| Rate for Payer: Railroad Medicare Medicare |
$17.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$60.70
|
| Rate for Payer: UHC Core |
$57.60
|
| Rate for Payer: UHC Exchange |
$17.25
|
| Rate for Payer: UHC Medicaid |
$12.16
|
| Rate for Payer: UHC Medicare Advantage |
$17.25
|
| Rate for Payer: UHCCP Medicaid |
$12.16
|
| Rate for Payer: VA VA |
$17.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$51.73
|
|
|
HC CORTICOL SALIVA
|
Facility
|
IP
|
$68.98
|
|
|
Service Code
|
CPT 82533
|
| Hospital Charge Code |
30100618
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$48.01 |
| Max. Negotiated Rate |
$62.08 |
| Rate for Payer: Aetna Commercial |
$58.63
|
| Rate for Payer: BCBS Trust/PPO |
$56.97
|
| Rate for Payer: BCN Commercial |
$56.97
|
| Rate for Payer: Cash Price |
$55.18
|
| Rate for Payer: Cofinity Commercial |
$59.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$55.18
|
| Rate for Payer: Healthscope Commercial |
$62.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$51.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$58.63
|
| Rate for Payer: Nomi Health Commercial |
$56.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$51.73
|
| Rate for Payer: PHP Commercial |
$58.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$60.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$48.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$60.70
|
| Rate for Payer: UHC Core |
$57.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$51.73
|
|
|
HC CORTISOL, SALIVA
|
Facility
|
IP
|
$67.63
|
|
|
Service Code
|
CPT 82533
|
| Hospital Charge Code |
30100750
|
|
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 CORTISOL, SALIVA
|
Facility
|
OP
|
$67.63
|
|
|
Service Code
|
CPT 82533
|
| Hospital Charge Code |
30100750
|
|
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 CORTISOL SERUM
|
Facility
|
IP
|
$68.98
|
|
|
Service Code
|
CPT 82533
|
| Hospital Charge Code |
30100174
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$48.01 |
| Max. Negotiated Rate |
$62.08 |
| Rate for Payer: Aetna Commercial |
$58.63
|
| Rate for Payer: BCBS Trust/PPO |
$56.97
|
| Rate for Payer: BCN Commercial |
$56.97
|
| Rate for Payer: Cash Price |
$55.18
|
| Rate for Payer: Cofinity Commercial |
$59.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$55.18
|
| Rate for Payer: Healthscope Commercial |
$62.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$51.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$58.63
|
| Rate for Payer: Nomi Health Commercial |
$56.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$51.73
|
| Rate for Payer: PHP Commercial |
$58.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$60.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$48.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$60.70
|
| Rate for Payer: UHC Core |
$57.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$51.73
|
|
|
HC CORTISOL SERUM
|
Facility
|
OP
|
$68.98
|
|
|
Service Code
|
CPT 82533
|
| Hospital Charge Code |
30100174
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$12.16 |
| Max. Negotiated Rate |
$62.08 |
| Rate for Payer: Aetna Commercial |
$58.63
|
| Rate for Payer: Aetna Medicare |
$17.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21.56
|
| Rate for Payer: BCBS Complete |
$12.77
|
| Rate for Payer: BCBS MAPPO |
$17.25
|
| Rate for Payer: BCBS Trust/PPO |
$56.71
|
| Rate for Payer: BCN Commercial |
$56.71
|
| Rate for Payer: BCN Medicare Advantage |
$17.25
|
| Rate for Payer: Cash Price |
$55.18
|
| Rate for Payer: Cofinity Commercial |
$59.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$55.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17.25
|
| Rate for Payer: Healthscope Commercial |
$62.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$51.73
|
| Rate for Payer: Mclaren Medicaid |
$12.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18.11
|
| Rate for Payer: Meridian Medicaid |
$12.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19.83
|
| Rate for Payer: Molina Medicare/Medicaid |
$18.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$58.63
|
| Rate for Payer: Nomi Health Commercial |
$56.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$51.73
|
| Rate for Payer: PACE Senior Care Partners |
$16.38
|
| Rate for Payer: PACE SWMI |
$17.25
|
| Rate for Payer: PHP Commercial |
$58.63
|
| Rate for Payer: PHP Medicare Advantage |
$17.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$12.16
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$60.01
|
| Rate for Payer: Priority Health Medicare |
$17.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$48.01
|
| Rate for Payer: Railroad Medicare Medicare |
$17.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$60.70
|
| Rate for Payer: UHC Core |
$57.60
|
| Rate for Payer: UHC Exchange |
$17.25
|
| Rate for Payer: UHC Medicaid |
$12.16
|
| Rate for Payer: UHC Medicare Advantage |
$17.25
|
| Rate for Payer: UHCCP Medicaid |
$12.16
|
| Rate for Payer: VA VA |
$17.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$51.73
|
|
|
HC CORTISOL URINE
|
Facility
|
IP
|
$48.82
|
|
|
Service Code
|
CPT 82530
|
| Hospital Charge Code |
30100172
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$33.98 |
| Max. Negotiated Rate |
$43.94 |
| Rate for Payer: Aetna Commercial |
$41.50
|
| Rate for Payer: BCBS Trust/PPO |
$40.32
|
| Rate for Payer: BCN Commercial |
$40.32
|
| Rate for Payer: Cash Price |
$39.06
|
| Rate for Payer: Cofinity Commercial |
$41.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$39.06
|
| Rate for Payer: Healthscope Commercial |
$43.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$36.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$41.50
|
| Rate for Payer: Nomi Health Commercial |
$40.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$36.62
|
| Rate for Payer: PHP Commercial |
$41.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$42.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$33.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$42.96
|
| Rate for Payer: UHC Core |
$40.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$36.62
|
|
|
HC CORTISOL URINE
|
Facility
|
OP
|
$48.82
|
|
|
Service Code
|
CPT 82530
|
| Hospital Charge Code |
30100172
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$8.61 |
| Max. Negotiated Rate |
$43.94 |
| Rate for Payer: Aetna Commercial |
$41.50
|
| Rate for Payer: Aetna Medicare |
$12.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15.26
|
| Rate for Payer: BCBS Complete |
$9.04
|
| Rate for Payer: BCBS MAPPO |
$12.21
|
| Rate for Payer: BCBS Trust/PPO |
$40.13
|
| Rate for Payer: BCN Commercial |
$40.13
|
| Rate for Payer: BCN Medicare Advantage |
$12.21
|
| Rate for Payer: Cash Price |
$39.06
|
| Rate for Payer: Cofinity Commercial |
$41.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$39.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12.21
|
| Rate for Payer: Healthscope Commercial |
$43.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$36.62
|
| Rate for Payer: Mclaren Medicaid |
$8.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12.82
|
| Rate for Payer: Meridian Medicaid |
$9.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14.04
|
| Rate for Payer: Molina Medicare/Medicaid |
$13.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$41.50
|
| Rate for Payer: Nomi Health Commercial |
$40.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$36.62
|
| Rate for Payer: PACE Senior Care Partners |
$11.59
|
| Rate for Payer: PACE SWMI |
$12.21
|
| Rate for Payer: PHP Commercial |
$41.50
|
| Rate for Payer: PHP Medicare Advantage |
$12.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$42.47
|
| Rate for Payer: Priority Health Medicare |
$12.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$33.98
|
| Rate for Payer: Railroad Medicare Medicare |
$12.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$42.96
|
| Rate for Payer: UHC Core |
$40.76
|
| Rate for Payer: UHC Exchange |
$12.21
|
| Rate for Payer: UHC Medicaid |
$8.61
|
| Rate for Payer: UHC Medicare Advantage |
$12.21
|
| Rate for Payer: UHCCP Medicaid |
$8.61
|
| Rate for Payer: VA VA |
$12.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$36.62
|
|
