|
HC CORTISOL URINE RANDOM
|
Facility
|
OP
|
$76.39
|
|
|
Service Code
|
CPT 82530
|
| Hospital Charge Code |
30100473
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$13.47 |
| Max. Negotiated Rate |
$68.75 |
| Rate for Payer: Aetna Commercial |
$64.93
|
| Rate for Payer: Aetna Medicare |
$19.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23.87
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23.87
|
| Rate for Payer: BCBS Complete |
$14.14
|
| Rate for Payer: BCBS MAPPO |
$19.10
|
| Rate for Payer: BCBS Trust/PPO |
$62.80
|
| Rate for Payer: BCN Commercial |
$62.80
|
| Rate for Payer: BCN Medicare Advantage |
$19.10
|
| Rate for Payer: Cash Price |
$61.11
|
| Rate for Payer: Cofinity Commercial |
$65.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$61.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19.10
|
| Rate for Payer: Healthscope Commercial |
$68.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$57.29
|
| Rate for Payer: Mclaren Medicaid |
$13.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20.05
|
| Rate for Payer: Meridian Medicaid |
$14.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.96
|
| Rate for Payer: Molina Medicare/Medicaid |
$21.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$64.93
|
| Rate for Payer: Nomi Health Commercial |
$62.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$57.29
|
| Rate for Payer: PACE Senior Care Partners |
$18.14
|
| Rate for Payer: PACE SWMI |
$19.10
|
| Rate for Payer: PHP Commercial |
$64.93
|
| Rate for Payer: PHP Medicare Advantage |
$19.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$13.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$66.46
|
| Rate for Payer: Priority Health Medicare |
$19.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$53.17
|
| Rate for Payer: Railroad Medicare Medicare |
$19.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$67.22
|
| Rate for Payer: UHC Core |
$63.79
|
| Rate for Payer: UHC Exchange |
$19.10
|
| Rate for Payer: UHC Medicaid |
$13.47
|
| Rate for Payer: UHC Medicare Advantage |
$19.10
|
| Rate for Payer: UHCCP Medicaid |
$13.47
|
| Rate for Payer: VA VA |
$19.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$57.29
|
|
|
HC CORTISOL URINE RANDOM
|
Facility
|
IP
|
$76.39
|
|
|
Service Code
|
CPT 82530
|
| Hospital Charge Code |
30100473
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$53.17 |
| Max. Negotiated Rate |
$68.75 |
| Rate for Payer: Aetna Commercial |
$64.93
|
| Rate for Payer: BCBS Trust/PPO |
$63.09
|
| Rate for Payer: BCN Commercial |
$63.09
|
| Rate for Payer: Cash Price |
$61.11
|
| Rate for Payer: Cofinity Commercial |
$65.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$61.11
|
| Rate for Payer: Healthscope Commercial |
$68.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$57.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$64.93
|
| Rate for Payer: Nomi Health Commercial |
$62.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$57.29
|
| Rate for Payer: PHP Commercial |
$64.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$66.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$53.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$67.22
|
| Rate for Payer: UHC Core |
$63.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$57.29
|
|
|
HC CORTISOL URINE RANDOM CMPT
|
Facility
|
OP
|
$28.02
|
|
|
Service Code
|
CPT 82542
|
| Hospital Charge Code |
30100289
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$4.94 |
| Max. Negotiated Rate |
$25.22 |
| Rate for Payer: Aetna Commercial |
$23.82
|
| Rate for Payer: Aetna Medicare |
$7.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.76
|
| Rate for Payer: BCBS Complete |
$5.19
|
| Rate for Payer: BCBS MAPPO |
$7.00
|
| Rate for Payer: BCBS Trust/PPO |
$23.04
|
| Rate for Payer: BCN Commercial |
$23.04
|
| Rate for Payer: BCN Medicare Advantage |
$7.00
|
| Rate for Payer: Cash Price |
$22.42
|
| Rate for Payer: Cofinity Commercial |
$24.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7.00
|
| Rate for Payer: Healthscope Commercial |
$25.22
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.02
|
| Rate for Payer: Mclaren Medicaid |
$4.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7.36
|
| Rate for Payer: Meridian Medicaid |
$5.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8.06
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23.82
|
| Rate for Payer: Nomi Health Commercial |
$22.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.02
|
| Rate for Payer: PACE Senior Care Partners |
$6.65
|
| Rate for Payer: PACE SWMI |
$7.00
|
| Rate for Payer: PHP Commercial |
$23.82
|
| Rate for Payer: PHP Medicare Advantage |
$7.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$24.38
|
| Rate for Payer: Priority Health Medicare |
$7.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$19.50
|
| Rate for Payer: Railroad Medicare Medicare |
$7.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24.66
|
| Rate for Payer: UHC Core |
$23.40
|
| Rate for Payer: UHC Exchange |
$7.00
|
| Rate for Payer: UHC Medicaid |
$4.94
|
| Rate for Payer: UHC Medicare Advantage |
$7.00
|
| Rate for Payer: UHCCP Medicaid |
$4.94
|
| Rate for Payer: VA VA |
$7.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.02
|
|
|
HC CORTISOL URINE RANDOM CMPT
|
Facility
|
IP
|
$28.02
|
|
|
Service Code
|
CPT 82542
|
| Hospital Charge Code |
30100289
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$19.50 |
| Max. Negotiated Rate |
$25.22 |
| Rate for Payer: Aetna Commercial |
$23.82
|
| Rate for Payer: BCBS Trust/PPO |
$23.14
|
| Rate for Payer: BCN Commercial |
$23.14
|
| Rate for Payer: Cash Price |
$22.42
|
| Rate for Payer: Cofinity Commercial |
$24.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.42
|
| Rate for Payer: Healthscope Commercial |
$25.22
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23.82
|
| Rate for Payer: Nomi Health Commercial |
$22.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.02
|
| Rate for Payer: PHP Commercial |
$23.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$24.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$19.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24.66
|
| Rate for Payer: UHC Core |
$23.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.02
|
|
|
HC COTTONWOOD IGE
|
Facility
|
IP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200082
|
|
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 COTTONWOOD IGE
|
Facility
|
OP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200082
|
|
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 COUNSELING LUNG CA SCREENING
|
Facility
|
IP
|
$223.69
|
|
|
Service Code
|
HCPCS G0296
|
| Hospital Charge Code |
77000011
|
|
Hospital Revenue Code
|
770
|
| Min. Negotiated Rate |
$155.69 |
| Max. Negotiated Rate |
$201.32 |
| Rate for Payer: Aetna Commercial |
$190.14
|
| Rate for Payer: BCBS Trust/PPO |
$184.75
|
| Rate for Payer: BCN Commercial |
$184.75
|
| Rate for Payer: Cash Price |
$178.95
|
| Rate for Payer: Cofinity Commercial |
$192.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$178.95
|
| Rate for Payer: Healthscope Commercial |
$201.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$167.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$190.14
|
| Rate for Payer: Nomi Health Commercial |
$183.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$167.77
|
| Rate for Payer: PHP Commercial |
$190.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$194.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$155.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$196.85
|
| Rate for Payer: UHC Core |
$186.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$167.77
|
|
|
HC COUNSELING LUNG CA SCREENING
|
Facility
|
OP
|
$223.69
|
|
|
Service Code
|
HCPCS G0296
|
| Hospital Charge Code |
77000011
|
|
Hospital Revenue Code
|
770
|
| Min. Negotiated Rate |
$39.44 |
| Max. Negotiated Rate |
$201.32 |
| Rate for Payer: Aetna Commercial |
$190.14
|
| Rate for Payer: Aetna Medicare |
$58.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$69.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$69.90
|
| Rate for Payer: BCBS Complete |
$41.41
|
| Rate for Payer: BCBS MAPPO |
$55.92
|
| Rate for Payer: BCBS Trust/PPO |
$183.90
|
| Rate for Payer: BCN Commercial |
$183.90
|
| Rate for Payer: BCN Medicare Advantage |
$55.92
|
| Rate for Payer: Cash Price |
$178.95
|
| Rate for Payer: Cofinity Commercial |
$192.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$178.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$55.92
|
| Rate for Payer: Healthscope Commercial |
$201.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$167.77
|
| Rate for Payer: Mclaren Medicaid |
$39.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$58.72
|
| Rate for Payer: Meridian Medicaid |
$41.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$64.31
|
| Rate for Payer: Molina Medicare/Medicaid |
$61.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$190.14
|
| Rate for Payer: Nomi Health Commercial |
$183.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$167.77
|
| Rate for Payer: PACE Senior Care Partners |
$53.13
|
| Rate for Payer: PACE SWMI |
$55.92
|
| Rate for Payer: PHP Commercial |
$190.14
|
| Rate for Payer: PHP Medicare Advantage |
$55.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$39.44
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$194.61
|
| Rate for Payer: Priority Health Medicare |
$56.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$155.69
|
| Rate for Payer: Railroad Medicare Medicare |
$55.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$196.85
|
| Rate for Payer: UHC Core |
$186.78
|
| Rate for Payer: UHC Exchange |
$55.92
|
| Rate for Payer: UHC Medicaid |
$39.44
|
| Rate for Payer: UHC Medicare Advantage |
$55.92
|
| Rate for Payer: UHCCP Medicaid |
$39.44
|
| Rate for Payer: VA VA |
$55.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$167.77
|
|
|
HC COURT ORDERED BLOOD ALCOHOL
|
Facility
|
IP
|
$78.03
|
|
|
Service Code
|
CPT 80320
|
| Hospital Charge Code |
30100733
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$54.31 |
| Max. Negotiated Rate |
$70.23 |
| Rate for Payer: Aetna Commercial |
$66.33
|
| Rate for Payer: BCBS Trust/PPO |
$64.44
|
| Rate for Payer: BCN Commercial |
$64.44
|
| Rate for Payer: Cash Price |
$62.42
|
| Rate for Payer: Cofinity Commercial |
$67.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$62.42
|
| Rate for Payer: Healthscope Commercial |
$70.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$58.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$66.33
|
| Rate for Payer: Nomi Health Commercial |
$63.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$58.52
|
| Rate for Payer: PHP Commercial |
$66.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$67.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$54.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$68.67
|
| Rate for Payer: UHC Core |
$65.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$58.52
|
|
|
HC COURT ORDERED BLOOD ALCOHOL
|
Facility
|
OP
|
$78.03
|
|
|
Service Code
|
CPT 80320
|
| Hospital Charge Code |
30100733
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$13.76 |
| Max. Negotiated Rate |
$70.23 |
| Rate for Payer: Aetna Commercial |
$66.33
|
| Rate for Payer: Aetna Medicare |
$20.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24.38
|
| Rate for Payer: BCBS Complete |
$14.44
|
| Rate for Payer: BCBS MAPPO |
$19.51
|
| Rate for Payer: BCBS Trust/PPO |
$64.15
|
| Rate for Payer: BCN Commercial |
$64.15
|
| Rate for Payer: BCN Medicare Advantage |
$19.51
|
| Rate for Payer: Cash Price |
$62.42
|
| Rate for Payer: Cofinity Commercial |
$67.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$62.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19.51
|
| Rate for Payer: Healthscope Commercial |
$70.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$58.52
|
| Rate for Payer: Mclaren Medicaid |
$13.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20.48
|
| Rate for Payer: Meridian Medicaid |
$14.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22.43
|
| Rate for Payer: Molina Medicare/Medicaid |
$21.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$66.33
|
| Rate for Payer: Nomi Health Commercial |
$63.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$58.52
|
| Rate for Payer: PACE Senior Care Partners |
$18.53
|
| Rate for Payer: PACE SWMI |
$19.51
|
| Rate for Payer: PHP Commercial |
$66.33
|
| Rate for Payer: PHP Medicare Advantage |
$19.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$13.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$67.89
|
| Rate for Payer: Priority Health Medicare |
$19.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$54.31
|
| Rate for Payer: Railroad Medicare Medicare |
$19.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$68.67
|
| Rate for Payer: UHC Core |
$65.16
|
| Rate for Payer: UHC Exchange |
$19.51
|
| Rate for Payer: UHC Medicaid |
$13.76
|
| Rate for Payer: UHC Medicare Advantage |
$19.51
|
| Rate for Payer: UHCCP Medicaid |
$13.76
|
| Rate for Payer: VA VA |
$19.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$58.52
|
|
|
HC COVERED STENT GRAFT
|
Facility
|
IP
|
$6,655.44
|
|
|
Service Code
|
HCPCS C1874
|
| Hospital Charge Code |
27800009
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$4,632.19 |
| Max. Negotiated Rate |
$5,989.90 |
| Rate for Payer: Aetna Commercial |
$5,657.12
|
| Rate for Payer: BCBS Trust/PPO |
$5,496.73
|
| Rate for Payer: BCN Commercial |
$5,496.73
|
| Rate for Payer: Cash Price |
$5,324.35
|
| Rate for Payer: Cofinity Commercial |
$5,723.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,324.35
|
| Rate for Payer: Healthscope Commercial |
$5,989.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,991.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,657.12
|
| Rate for Payer: Nomi Health Commercial |
$5,457.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,991.58
|
| Rate for Payer: PHP Commercial |
$5,657.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$5,790.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,632.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,856.79
|
| Rate for Payer: UHC Core |
$5,557.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,991.58
|
|
|
HC COVERED STENT GRAFT
|
Facility
|
OP
|
$6,655.44
|
|
|
Service Code
|
HCPCS C1874
|
| Hospital Charge Code |
27800009
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,173.35 |
| Max. Negotiated Rate |
$5,989.90 |
| Rate for Payer: Aetna Commercial |
$5,657.12
|
| Rate for Payer: Aetna Medicare |
$1,730.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,079.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,079.82
|
| Rate for Payer: BCBS Complete |
$1,231.92
|
| Rate for Payer: BCBS MAPPO |
$1,663.86
|
| Rate for Payer: BCBS Trust/PPO |
$5,471.44
|
| Rate for Payer: BCN Commercial |
$5,471.44
|
| Rate for Payer: BCN Medicare Advantage |
$1,663.86
|
| Rate for Payer: Cash Price |
$5,324.35
|
| Rate for Payer: Cofinity Commercial |
$5,723.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,324.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,663.86
|
| Rate for Payer: Healthscope Commercial |
$5,989.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4,991.58
|
| Rate for Payer: Mclaren Medicaid |
$1,173.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,747.05
|
| Rate for Payer: Meridian Medicaid |
$1,231.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,913.44
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,830.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,657.12
|
| Rate for Payer: Nomi Health Commercial |
$5,457.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,991.58
|
| Rate for Payer: PACE Senior Care Partners |
$1,580.67
|
| Rate for Payer: PACE SWMI |
$1,663.86
|
| Rate for Payer: PHP Commercial |
$5,657.12
|
| Rate for Payer: PHP Medicare Advantage |
$1,663.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,173.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$5,790.23
|
| Rate for Payer: Priority Health Medicare |
$1,680.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,632.19
|
| Rate for Payer: Railroad Medicare Medicare |
$1,663.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,856.79
|
| Rate for Payer: UHC Core |
$5,557.29
|
| Rate for Payer: UHC Exchange |
$1,663.86
|
| Rate for Payer: UHC Medicaid |
$1,173.35
|
| Rate for Payer: UHC Medicare Advantage |
$1,663.86
|
| Rate for Payer: UHCCP Medicaid |
$1,173.35
|
| Rate for Payer: VA VA |
$1,663.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4,991.58
|
|
|
HC COVID 19 ANTIBODY TEST
|
Facility
|
OP
|
$72.17
|
|
|
Service Code
|
CPT 86769
|
| Hospital Charge Code |
30200478
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$12.72 |
| Max. Negotiated Rate |
$64.95 |
| Rate for Payer: Aetna Commercial |
$61.34
|
| Rate for Payer: Aetna Medicare |
$18.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22.55
|
| Rate for Payer: BCBS Complete |
$13.36
|
| Rate for Payer: BCBS MAPPO |
$18.04
|
| Rate for Payer: BCBS Trust/PPO |
$59.33
|
| Rate for Payer: BCN Commercial |
$59.33
|
| Rate for Payer: BCN Medicare Advantage |
$18.04
|
| Rate for Payer: Cash Price |
$57.74
|
| Rate for Payer: Cofinity Commercial |
$62.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$57.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18.04
|
| Rate for Payer: Healthscope Commercial |
$64.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$54.13
|
| Rate for Payer: Mclaren Medicaid |
$12.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18.94
|
| Rate for Payer: Meridian Medicaid |
$13.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20.75
|
| Rate for Payer: Molina Medicare/Medicaid |
$19.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$61.34
|
| Rate for Payer: Nomi Health Commercial |
$59.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$54.13
|
| Rate for Payer: PACE Senior Care Partners |
$17.14
|
| Rate for Payer: PACE SWMI |
$18.04
|
| Rate for Payer: PHP Commercial |
$61.34
|
| Rate for Payer: PHP Medicare Advantage |
$18.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$12.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$62.79
|
| Rate for Payer: Priority Health Medicare |
$18.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$50.23
|
| Rate for Payer: Railroad Medicare Medicare |
$18.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$63.51
|
| Rate for Payer: UHC Core |
$60.26
|
| Rate for Payer: UHC Exchange |
$18.04
|
| Rate for Payer: UHC Medicaid |
$12.72
|
| Rate for Payer: UHC Medicare Advantage |
$18.04
|
| Rate for Payer: UHCCP Medicaid |
$12.72
|
| Rate for Payer: VA VA |
$18.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$54.13
|
|
|
HC COVID 19 ANTIBODY TEST
|
Facility
|
IP
|
$72.17
|
|
|
Service Code
|
CPT 86769
|
| Hospital Charge Code |
30200478
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$50.23 |
| Max. Negotiated Rate |
$64.95 |
| Rate for Payer: Aetna Commercial |
$61.34
|
| Rate for Payer: BCBS Trust/PPO |
$59.61
|
| Rate for Payer: BCN Commercial |
$59.61
|
| Rate for Payer: Cash Price |
$57.74
|
| Rate for Payer: Cofinity Commercial |
$62.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$57.74
|
| Rate for Payer: Healthscope Commercial |
$64.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$54.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$61.34
|
| Rate for Payer: Nomi Health Commercial |
$59.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$54.13
|
| Rate for Payer: PHP Commercial |
$61.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$62.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$50.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$63.51
|
| Rate for Payer: UHC Core |
$60.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$54.13
|
|
|
HC COVID 19 PCR
|
Facility
|
OP
|
$127.35
|
|
|
Service Code
|
HCPCS U0002
|
| Hospital Charge Code |
30600307
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$22.45 |
| Max. Negotiated Rate |
$114.61 |
| Rate for Payer: Aetna Commercial |
$108.25
|
| Rate for Payer: Aetna Medicare |
$33.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$39.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$39.80
|
| Rate for Payer: BCBS Complete |
$23.57
|
| Rate for Payer: BCBS MAPPO |
$31.84
|
| Rate for Payer: BCBS Trust/PPO |
$104.69
|
| Rate for Payer: BCN Commercial |
$104.69
|
| Rate for Payer: BCN Medicare Advantage |
$31.84
|
| Rate for Payer: Cash Price |
$101.88
|
| Rate for Payer: Cofinity Commercial |
$109.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$101.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31.84
|
| Rate for Payer: Healthscope Commercial |
$114.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$95.51
|
| Rate for Payer: Mclaren Medicaid |
$22.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$33.43
|
| Rate for Payer: Meridian Medicaid |
$23.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$36.61
|
| Rate for Payer: Molina Medicare/Medicaid |
$35.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$108.25
|
| Rate for Payer: Nomi Health Commercial |
$104.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$95.51
|
| Rate for Payer: PACE Senior Care Partners |
$30.25
|
| Rate for Payer: PACE SWMI |
$31.84
|
| Rate for Payer: PHP Commercial |
$108.25
|
| Rate for Payer: PHP Medicare Advantage |
$31.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$22.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$110.79
|
| Rate for Payer: Priority Health Medicare |
$32.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$88.64
|
| Rate for Payer: Railroad Medicare Medicare |
$31.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$112.07
|
| Rate for Payer: UHC Core |
$106.34
|
| Rate for Payer: UHC Exchange |
$31.84
|
| Rate for Payer: UHC Medicaid |
$22.45
|
| Rate for Payer: UHC Medicare Advantage |
$31.84
|
| Rate for Payer: UHCCP Medicaid |
$22.45
|
| Rate for Payer: VA VA |
$31.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$95.51
|
|
|
HC COVID 19 PCR
|
Facility
|
IP
|
$127.35
|
|
|
Service Code
|
HCPCS U0002
|
| Hospital Charge Code |
30600307
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$88.64 |
| Max. Negotiated Rate |
$114.61 |
| Rate for Payer: Aetna Commercial |
$108.25
|
| Rate for Payer: BCBS Trust/PPO |
$105.18
|
| Rate for Payer: BCN Commercial |
$105.18
|
| Rate for Payer: Cash Price |
$101.88
|
| Rate for Payer: Cofinity Commercial |
$109.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$101.88
|
| Rate for Payer: Healthscope Commercial |
$114.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$95.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$108.25
|
| Rate for Payer: Nomi Health Commercial |
$104.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$95.51
|
| Rate for Payer: PHP Commercial |
$108.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$110.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$88.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$112.07
|
| Rate for Payer: UHC Core |
$106.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$95.51
|
|
|
HC COVID ABBOTT ID NOW
|
Facility
|
IP
|
$153.88
|
|
|
Service Code
|
CPT 87635
|
| Hospital Charge Code |
30600310
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$107.10 |
| Max. Negotiated Rate |
$138.49 |
| Rate for Payer: Aetna Commercial |
$130.80
|
| Rate for Payer: BCBS Trust/PPO |
$127.09
|
| Rate for Payer: BCN Commercial |
$127.09
|
| Rate for Payer: Cash Price |
$123.10
|
| Rate for Payer: Cofinity Commercial |
$132.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$123.10
|
| Rate for Payer: Healthscope Commercial |
$138.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$115.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$130.80
|
| Rate for Payer: Nomi Health Commercial |
$126.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$115.41
|
| Rate for Payer: PHP Commercial |
$130.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$133.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$107.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$135.41
|
| Rate for Payer: UHC Core |
$128.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$115.41
|
|
|
HC COVID ABBOTT ID NOW
|
Facility
|
OP
|
$153.88
|
|
|
Service Code
|
CPT 87635
|
| Hospital Charge Code |
30600310
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$27.13 |
| Max. Negotiated Rate |
$138.49 |
| Rate for Payer: Aetna Commercial |
$130.80
|
| Rate for Payer: Aetna Medicare |
$40.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$48.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$48.09
|
| Rate for Payer: BCBS Complete |
$28.48
|
| Rate for Payer: BCBS MAPPO |
$38.47
|
| Rate for Payer: BCBS Trust/PPO |
$126.50
|
| Rate for Payer: BCN Commercial |
$126.50
|
| Rate for Payer: BCN Medicare Advantage |
$38.47
|
| Rate for Payer: Cash Price |
$123.10
|
| Rate for Payer: Cofinity Commercial |
$132.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$123.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$38.47
|
| Rate for Payer: Healthscope Commercial |
$138.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$115.41
|
| Rate for Payer: Mclaren Medicaid |
$27.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$40.39
|
| Rate for Payer: Meridian Medicaid |
$28.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$44.24
|
| Rate for Payer: Molina Medicare/Medicaid |
$42.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$130.80
|
| Rate for Payer: Nomi Health Commercial |
$126.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$115.41
|
| Rate for Payer: PACE Senior Care Partners |
$36.55
|
| Rate for Payer: PACE SWMI |
$38.47
|
| Rate for Payer: PHP Commercial |
$130.80
|
| Rate for Payer: PHP Medicare Advantage |
$38.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$27.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$133.88
|
| Rate for Payer: Priority Health Medicare |
$38.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$107.10
|
| Rate for Payer: Railroad Medicare Medicare |
$38.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$135.41
|
| Rate for Payer: UHC Core |
$128.49
|
| Rate for Payer: UHC Exchange |
$38.47
|
| Rate for Payer: UHC Medicaid |
$27.13
|
| Rate for Payer: UHC Medicare Advantage |
$38.47
|
| Rate for Payer: UHCCP Medicaid |
$27.13
|
| Rate for Payer: VA VA |
$38.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$115.41
|
|
|
HC COVID FLU AB RSV GENEMARKERS
|
Facility
|
OP
|
$260.00
|
|
|
Service Code
|
CPT 87637
|
| Hospital Charge Code |
30600316
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$45.84 |
| Max. Negotiated Rate |
$234.00 |
| Rate for Payer: Aetna Commercial |
$221.00
|
| Rate for Payer: Aetna Medicare |
$67.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$81.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$81.25
|
| Rate for Payer: BCBS Complete |
$48.13
|
| Rate for Payer: BCBS MAPPO |
$65.00
|
| Rate for Payer: BCBS Trust/PPO |
$213.75
|
| Rate for Payer: BCN Commercial |
$213.75
|
| Rate for Payer: BCN Medicare Advantage |
$65.00
|
| Rate for Payer: Cash Price |
$208.00
|
| Rate for Payer: Cofinity Commercial |
$223.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$208.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$65.00
|
| Rate for Payer: Healthscope Commercial |
$234.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$195.00
|
| Rate for Payer: Mclaren Medicaid |
$45.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$68.25
|
| Rate for Payer: Meridian Medicaid |
$48.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$74.75
|
| Rate for Payer: Molina Medicare/Medicaid |
$71.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$221.00
|
| Rate for Payer: Nomi Health Commercial |
$213.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$195.00
|
| Rate for Payer: PACE Senior Care Partners |
$61.75
|
| Rate for Payer: PACE SWMI |
$65.00
|
| Rate for Payer: PHP Commercial |
$221.00
|
| Rate for Payer: PHP Medicare Advantage |
$65.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$45.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$226.20
|
| Rate for Payer: Priority Health Medicare |
$65.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$180.96
|
| Rate for Payer: Railroad Medicare Medicare |
$65.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$228.80
|
| Rate for Payer: UHC Core |
$217.10
|
| Rate for Payer: UHC Exchange |
$65.00
|
| Rate for Payer: UHC Medicaid |
$45.84
|
| Rate for Payer: UHC Medicare Advantage |
$65.00
|
| Rate for Payer: UHCCP Medicaid |
$45.84
|
| Rate for Payer: VA VA |
$65.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$195.00
|
|
|
HC COVID FLU AB RSV GENEMARKERS
|
Facility
|
IP
|
$260.00
|
|
|
Service Code
|
CPT 87637
|
| Hospital Charge Code |
30600316
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$180.96 |
| Max. Negotiated Rate |
$234.00 |
| Rate for Payer: Aetna Commercial |
$221.00
|
| Rate for Payer: BCBS Trust/PPO |
$214.73
|
| Rate for Payer: BCN Commercial |
$214.73
|
| Rate for Payer: Cash Price |
$208.00
|
| Rate for Payer: Cofinity Commercial |
$223.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$208.00
|
| Rate for Payer: Healthscope Commercial |
$234.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$195.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$221.00
|
| Rate for Payer: Nomi Health Commercial |
$213.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$195.00
|
| Rate for Payer: PHP Commercial |
$221.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$226.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$180.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$228.80
|
| Rate for Payer: UHC Core |
$217.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$195.00
|
|
|
HC COXIELLA BURNETTI ANTIBODY CMP
|
Facility
|
OP
|
$44.57
|
|
|
Service Code
|
CPT 86638
|
| Hospital Charge Code |
30200248
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$7.86 |
| Max. Negotiated Rate |
$40.11 |
| Rate for Payer: Aetna Commercial |
$37.88
|
| Rate for Payer: Aetna Medicare |
$11.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13.93
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13.93
|
| Rate for Payer: BCBS Complete |
$8.25
|
| Rate for Payer: BCBS MAPPO |
$11.14
|
| Rate for Payer: BCBS Trust/PPO |
$36.64
|
| Rate for Payer: BCN Commercial |
$36.64
|
| Rate for Payer: BCN Medicare Advantage |
$11.14
|
| Rate for Payer: Cash Price |
$35.66
|
| Rate for Payer: Cofinity Commercial |
$38.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11.14
|
| Rate for Payer: Healthscope Commercial |
$40.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$33.43
|
| Rate for Payer: Mclaren Medicaid |
$7.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11.70
|
| Rate for Payer: Meridian Medicaid |
$8.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$12.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$37.88
|
| Rate for Payer: Nomi Health Commercial |
$36.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$33.43
|
| Rate for Payer: PACE Senior Care Partners |
$10.59
|
| Rate for Payer: PACE SWMI |
$11.14
|
| Rate for Payer: PHP Commercial |
$37.88
|
| Rate for Payer: PHP Medicare Advantage |
$11.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.86
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$38.78
|
| Rate for Payer: Priority Health Medicare |
$11.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$31.02
|
| Rate for Payer: Railroad Medicare Medicare |
$11.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$39.22
|
| Rate for Payer: UHC Core |
$37.22
|
| Rate for Payer: UHC Exchange |
$11.14
|
| Rate for Payer: UHC Medicaid |
$7.86
|
| Rate for Payer: UHC Medicare Advantage |
$11.14
|
| Rate for Payer: UHCCP Medicaid |
$7.86
|
| Rate for Payer: VA VA |
$11.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$33.43
|
|
|
HC COXIELLA BURNETTI ANTIBODY CMP
|
Facility
|
IP
|
$44.57
|
|
|
Service Code
|
CPT 86638
|
| Hospital Charge Code |
30200248
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$31.02 |
| Max. Negotiated Rate |
$40.11 |
| Rate for Payer: Aetna Commercial |
$37.88
|
| Rate for Payer: BCBS Trust/PPO |
$36.81
|
| Rate for Payer: BCN Commercial |
$36.81
|
| Rate for Payer: Cash Price |
$35.66
|
| Rate for Payer: Cofinity Commercial |
$38.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35.66
|
| Rate for Payer: Healthscope Commercial |
$40.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$33.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$37.88
|
| Rate for Payer: Nomi Health Commercial |
$36.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$33.43
|
| Rate for Payer: PHP Commercial |
$37.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$38.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$31.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$39.22
|
| Rate for Payer: UHC Core |
$37.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$33.43
|
|
|
HC COXSACKIE A AB CMPT
|
Facility
|
IP
|
$21.23
|
|
|
Service Code
|
CPT 86658
|
| Hospital Charge Code |
30200266
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$14.78 |
| Max. Negotiated Rate |
$19.11 |
| Rate for Payer: Aetna Commercial |
$18.05
|
| Rate for Payer: BCBS Trust/PPO |
$17.53
|
| Rate for Payer: BCN Commercial |
$17.53
|
| Rate for Payer: Cash Price |
$16.98
|
| Rate for Payer: Cofinity Commercial |
$18.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.98
|
| Rate for Payer: Healthscope Commercial |
$19.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.05
|
| Rate for Payer: Nomi Health Commercial |
$17.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.92
|
| Rate for Payer: PHP Commercial |
$18.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$18.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.68
|
| Rate for Payer: UHC Core |
$17.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.92
|
|
|
HC COXSACKIE A AB CMPT
|
Facility
|
OP
|
$21.23
|
|
|
Service Code
|
CPT 86658
|
| Hospital Charge Code |
30200266
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$3.74 |
| Max. Negotiated Rate |
$19.11 |
| Rate for Payer: Aetna Commercial |
$18.05
|
| Rate for Payer: Aetna Medicare |
$5.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.63
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.63
|
| Rate for Payer: BCBS Complete |
$3.93
|
| Rate for Payer: BCBS MAPPO |
$5.31
|
| Rate for Payer: BCBS Trust/PPO |
$17.45
|
| Rate for Payer: BCN Commercial |
$17.45
|
| Rate for Payer: BCN Medicare Advantage |
$5.31
|
| Rate for Payer: Cash Price |
$16.98
|
| Rate for Payer: Cofinity Commercial |
$18.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.31
|
| Rate for Payer: Healthscope Commercial |
$19.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.92
|
| Rate for Payer: Mclaren Medicaid |
$3.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.57
|
| Rate for Payer: Meridian Medicaid |
$3.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.10
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.05
|
| Rate for Payer: Nomi Health Commercial |
$17.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.92
|
| Rate for Payer: PACE Senior Care Partners |
$5.04
|
| Rate for Payer: PACE SWMI |
$5.31
|
| Rate for Payer: PHP Commercial |
$18.05
|
| Rate for Payer: PHP Medicare Advantage |
$5.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.74
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$18.47
|
| Rate for Payer: Priority Health Medicare |
$5.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.78
|
| Rate for Payer: Railroad Medicare Medicare |
$5.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.68
|
| Rate for Payer: UHC Core |
$17.73
|
| Rate for Payer: UHC Exchange |
$5.31
|
| Rate for Payer: UHC Medicaid |
$3.74
|
| Rate for Payer: UHC Medicare Advantage |
$5.31
|
| Rate for Payer: UHCCP Medicaid |
$3.74
|
| Rate for Payer: VA VA |
$5.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.92
|
|
|
HC COXSACKIE B AB CMPT
|
Facility
|
IP
|
$21.23
|
|
|
Service Code
|
CPT 86658
|
| Hospital Charge Code |
30200265
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$14.78 |
| Max. Negotiated Rate |
$19.11 |
| Rate for Payer: Aetna Commercial |
$18.05
|
| Rate for Payer: BCBS Trust/PPO |
$17.53
|
| Rate for Payer: BCN Commercial |
$17.53
|
| Rate for Payer: Cash Price |
$16.98
|
| Rate for Payer: Cofinity Commercial |
$18.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.98
|
| Rate for Payer: Healthscope Commercial |
$19.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.05
|
| Rate for Payer: Nomi Health Commercial |
$17.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.92
|
| Rate for Payer: PHP Commercial |
$18.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$18.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.68
|
| Rate for Payer: UHC Core |
$17.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.92
|
|
