|
HC COXSACKIE B AB CMPT
|
Facility
|
OP
|
$21.23
|
|
|
Service Code
|
CPT 86658
|
| Hospital Charge Code |
30200265
|
|
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 C PEPTIDE LEVEL
|
Facility
|
IP
|
$38.20
|
|
|
Service Code
|
CPT 84681
|
| Hospital Charge Code |
30100464
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$26.59 |
| Max. Negotiated Rate |
$34.38 |
| Rate for Payer: Aetna Commercial |
$32.47
|
| Rate for Payer: BCBS Trust/PPO |
$31.55
|
| Rate for Payer: BCN Commercial |
$31.55
|
| Rate for Payer: Cash Price |
$30.56
|
| Rate for Payer: Cofinity Commercial |
$32.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$30.56
|
| Rate for Payer: Healthscope Commercial |
$34.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$28.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$32.47
|
| Rate for Payer: Nomi Health Commercial |
$31.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$28.65
|
| Rate for Payer: PHP Commercial |
$32.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$33.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$26.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33.62
|
| Rate for Payer: UHC Core |
$31.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$28.65
|
|
|
HC C PEPTIDE LEVEL
|
Facility
|
OP
|
$38.20
|
|
|
Service Code
|
CPT 84681
|
| Hospital Charge Code |
30100464
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$6.73 |
| Max. Negotiated Rate |
$34.38 |
| Rate for Payer: Aetna Commercial |
$32.47
|
| Rate for Payer: Aetna Medicare |
$9.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11.94
|
| Rate for Payer: BCBS Complete |
$7.07
|
| Rate for Payer: BCBS MAPPO |
$9.55
|
| Rate for Payer: BCBS Trust/PPO |
$31.40
|
| Rate for Payer: BCN Commercial |
$31.40
|
| Rate for Payer: BCN Medicare Advantage |
$9.55
|
| Rate for Payer: Cash Price |
$30.56
|
| Rate for Payer: Cofinity Commercial |
$32.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$30.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9.55
|
| Rate for Payer: Healthscope Commercial |
$34.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$28.65
|
| Rate for Payer: Mclaren Medicaid |
$6.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10.03
|
| Rate for Payer: Meridian Medicaid |
$7.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10.98
|
| Rate for Payer: Molina Medicare/Medicaid |
$10.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$32.47
|
| Rate for Payer: Nomi Health Commercial |
$31.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$28.65
|
| Rate for Payer: PACE Senior Care Partners |
$9.07
|
| Rate for Payer: PACE SWMI |
$9.55
|
| Rate for Payer: PHP Commercial |
$32.47
|
| Rate for Payer: PHP Medicare Advantage |
$9.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$33.23
|
| Rate for Payer: Priority Health Medicare |
$9.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$26.59
|
| Rate for Payer: Railroad Medicare Medicare |
$9.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33.62
|
| Rate for Payer: UHC Core |
$31.90
|
| Rate for Payer: UHC Exchange |
$9.55
|
| Rate for Payer: UHC Medicaid |
$6.73
|
| Rate for Payer: UHC Medicare Advantage |
$9.55
|
| Rate for Payer: UHCCP Medicaid |
$6.73
|
| Rate for Payer: VA VA |
$9.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$28.65
|
|
|
HC CPK
|
Facility
|
OP
|
$54.33
|
|
|
Service Code
|
CPT 82550
|
| Hospital Charge Code |
30100178
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$9.58 |
| Max. Negotiated Rate |
$48.90 |
| Rate for Payer: Aetna Commercial |
$46.18
|
| Rate for Payer: Aetna Medicare |
$14.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16.98
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16.98
|
| Rate for Payer: BCBS Complete |
$10.06
|
| Rate for Payer: BCBS MAPPO |
$13.58
|
| Rate for Payer: BCBS Trust/PPO |
$44.66
|
| Rate for Payer: BCN Commercial |
$44.66
|
| Rate for Payer: BCN Medicare Advantage |
$13.58
|
| Rate for Payer: Cash Price |
$43.46
|
| Rate for Payer: Cofinity Commercial |
$46.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$43.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.58
|
| Rate for Payer: Healthscope Commercial |
$48.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$40.75
|
| Rate for Payer: Mclaren Medicaid |
$9.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14.26
|
| Rate for Payer: Meridian Medicaid |
$10.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15.62
|
| Rate for Payer: Molina Medicare/Medicaid |
$14.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$46.18
|
| Rate for Payer: Nomi Health Commercial |
$44.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$40.75
|
| Rate for Payer: PACE Senior Care Partners |
$12.90
|
| Rate for Payer: PACE SWMI |
$13.58
|
| Rate for Payer: PHP Commercial |
$46.18
|
| Rate for Payer: PHP Medicare Advantage |
$13.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.58
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$47.27
|
| Rate for Payer: Priority Health Medicare |
$13.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$37.81
|
| Rate for Payer: Railroad Medicare Medicare |
$13.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$47.81
|
| Rate for Payer: UHC Core |
$45.37
|
| Rate for Payer: UHC Exchange |
$13.58
|
| Rate for Payer: UHC Medicaid |
$9.58
|
| Rate for Payer: UHC Medicare Advantage |
$13.58
|
| Rate for Payer: UHCCP Medicaid |
$9.58
|
| Rate for Payer: VA VA |
$13.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$40.75
|
|
|
HC CPK
|
Facility
|
IP
|
$54.33
|
|
|
Service Code
|
CPT 82550
|
| Hospital Charge Code |
30100178
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$37.81 |
| Max. Negotiated Rate |
$48.90 |
| Rate for Payer: Aetna Commercial |
$46.18
|
| Rate for Payer: BCBS Trust/PPO |
$44.87
|
| Rate for Payer: BCN Commercial |
$44.87
|
| Rate for Payer: Cash Price |
$43.46
|
| Rate for Payer: Cofinity Commercial |
$46.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$43.46
|
| Rate for Payer: Healthscope Commercial |
$48.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$40.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$46.18
|
| Rate for Payer: Nomi Health Commercial |
$44.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$40.75
|
| Rate for Payer: PHP Commercial |
$46.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$47.27
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$37.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$47.81
|
| Rate for Payer: UHC Core |
$45.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$40.75
|
|
|
HC CPLX CHRNC CARE 1ST 60 MIN
|
Facility
|
OP
|
$420.54
|
|
|
Service Code
|
CPT 99487
|
| Hospital Charge Code |
51000108
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$74.14 |
| Max. Negotiated Rate |
$378.49 |
| Rate for Payer: Aetna Commercial |
$357.46
|
| Rate for Payer: Aetna Medicare |
$109.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$131.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$131.42
|
| Rate for Payer: BCBS Complete |
$77.84
|
| Rate for Payer: BCBS MAPPO |
$105.14
|
| Rate for Payer: BCBS Trust/PPO |
$345.73
|
| Rate for Payer: BCN Commercial |
$345.73
|
| Rate for Payer: BCN Medicare Advantage |
$105.14
|
| Rate for Payer: Cash Price |
$336.43
|
| Rate for Payer: Cofinity Commercial |
$361.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$336.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$105.14
|
| Rate for Payer: Healthscope Commercial |
$378.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$315.40
|
| Rate for Payer: Mclaren Medicaid |
$74.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$110.39
|
| Rate for Payer: Meridian Medicaid |
$77.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$120.91
|
| Rate for Payer: Molina Medicare/Medicaid |
$115.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$357.46
|
| Rate for Payer: Nomi Health Commercial |
$344.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$315.40
|
| Rate for Payer: PACE Senior Care Partners |
$99.88
|
| Rate for Payer: PACE SWMI |
$105.14
|
| Rate for Payer: PHP Commercial |
$357.46
|
| Rate for Payer: PHP Medicare Advantage |
$105.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$74.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$365.87
|
| Rate for Payer: Priority Health Medicare |
$106.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$292.70
|
| Rate for Payer: Railroad Medicare Medicare |
$105.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$370.08
|
| Rate for Payer: UHC Core |
$351.15
|
| Rate for Payer: UHC Exchange |
$105.14
|
| Rate for Payer: UHC Medicaid |
$74.14
|
| Rate for Payer: UHC Medicare Advantage |
$105.14
|
| Rate for Payer: UHCCP Medicaid |
$74.14
|
| Rate for Payer: VA VA |
$105.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$315.40
|
|
|
HC CPLX CHRNC CARE 1ST 60 MIN
|
Facility
|
IP
|
$420.54
|
|
|
Service Code
|
CPT 99487
|
| Hospital Charge Code |
51000108
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$292.70 |
| Max. Negotiated Rate |
$378.49 |
| Rate for Payer: Aetna Commercial |
$357.46
|
| Rate for Payer: BCBS Trust/PPO |
$347.32
|
| Rate for Payer: BCN Commercial |
$347.32
|
| Rate for Payer: Cash Price |
$336.43
|
| Rate for Payer: Cofinity Commercial |
$361.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$336.43
|
| Rate for Payer: Healthscope Commercial |
$378.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$315.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$357.46
|
| Rate for Payer: Nomi Health Commercial |
$344.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$315.40
|
| Rate for Payer: PHP Commercial |
$357.46
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$365.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$292.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$370.08
|
| Rate for Payer: UHC Core |
$351.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$315.40
|
|
|
HC CPR
|
Facility
|
IP
|
$999.61
|
|
|
Service Code
|
CPT 92950
|
| Hospital Charge Code |
45000018
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$695.73 |
| Max. Negotiated Rate |
$899.65 |
| Rate for Payer: Aetna Commercial |
$849.67
|
| Rate for Payer: BCBS Trust/PPO |
$825.58
|
| Rate for Payer: BCN Commercial |
$825.58
|
| Rate for Payer: Cash Price |
$799.69
|
| Rate for Payer: Cofinity Commercial |
$859.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$799.69
|
| Rate for Payer: Healthscope Commercial |
$899.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$749.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$849.67
|
| Rate for Payer: Nomi Health Commercial |
$819.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$749.71
|
| Rate for Payer: PHP Commercial |
$849.67
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$869.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$695.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$879.66
|
| Rate for Payer: UHC Core |
$834.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$749.71
|
|
|
HC CPR
|
Facility
|
OP
|
$999.61
|
|
|
Service Code
|
CPT 92950
|
| Hospital Charge Code |
45000018
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$125.00 |
| Max. Negotiated Rate |
$899.65 |
| Rate for Payer: Aetna Commercial |
$849.67
|
| Rate for Payer: Aetna Medicare |
$259.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$312.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$312.38
|
| Rate for Payer: BCBS Complete |
$185.03
|
| Rate for Payer: BCBS MAPPO |
$249.90
|
| Rate for Payer: BCBS Trust/PPO |
$821.78
|
| Rate for Payer: BCN Commercial |
$821.78
|
| Rate for Payer: BCN Medicare Advantage |
$249.90
|
| Rate for Payer: Cash Price |
$799.69
|
| Rate for Payer: Cash Price |
$799.69
|
| Rate for Payer: Cofinity Commercial |
$859.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$799.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$249.90
|
| Rate for Payer: Healthscope Commercial |
$899.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$749.71
|
| Rate for Payer: Mclaren Medicaid |
$176.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$262.40
|
| Rate for Payer: Meridian Medicaid |
$185.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$287.39
|
| Rate for Payer: Molina Medicare/Medicaid |
$274.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$849.67
|
| Rate for Payer: Nomi Health Commercial |
$819.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$749.71
|
| Rate for Payer: PACE Senior Care Partners |
$237.41
|
| Rate for Payer: PACE SWMI |
$249.90
|
| Rate for Payer: PHP Commercial |
$849.67
|
| Rate for Payer: PHP Medicare Advantage |
$249.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$176.23
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$869.66
|
| Rate for Payer: Priority Health Medicare |
$252.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$695.73
|
| Rate for Payer: Railroad Medicare Medicare |
$249.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$879.66
|
| Rate for Payer: UHC Core |
$834.67
|
| Rate for Payer: UHC Exchange |
$249.90
|
| Rate for Payer: UHC Medicaid |
$176.23
|
| Rate for Payer: UHC Medicare Advantage |
$249.90
|
| Rate for Payer: UHCCP Medicaid |
$125.00
|
| Rate for Payer: VA VA |
$249.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$749.71
|
|
|
HC CRAB IGE
|
Facility
|
IP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200037
|
|
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 CRAB IGE
|
Facility
|
OP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200037
|
|
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 CRE
|
Facility
|
OP
|
$1,482.28
|
|
|
Service Code
|
HCPCS C1726
|
| Hospital Charge Code |
27200104
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$261.33 |
| Max. Negotiated Rate |
$1,334.05 |
| Rate for Payer: Aetna Commercial |
$1,259.94
|
| Rate for Payer: Aetna Medicare |
$385.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$463.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$463.21
|
| Rate for Payer: BCBS Complete |
$274.37
|
| Rate for Payer: BCBS MAPPO |
$370.57
|
| Rate for Payer: BCBS Trust/PPO |
$1,218.58
|
| Rate for Payer: BCN Commercial |
$1,218.58
|
| Rate for Payer: BCN Medicare Advantage |
$370.57
|
| Rate for Payer: Cash Price |
$1,185.82
|
| Rate for Payer: Cofinity Commercial |
$1,274.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,185.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$370.57
|
| Rate for Payer: Healthscope Commercial |
$1,334.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,111.71
|
| Rate for Payer: Mclaren Medicaid |
$261.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$389.10
|
| Rate for Payer: Meridian Medicaid |
$274.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$426.16
|
| Rate for Payer: Molina Medicare/Medicaid |
$407.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,259.94
|
| Rate for Payer: Nomi Health Commercial |
$1,215.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,111.71
|
| Rate for Payer: PACE Senior Care Partners |
$352.04
|
| Rate for Payer: PACE SWMI |
$370.57
|
| Rate for Payer: PHP Commercial |
$1,259.94
|
| Rate for Payer: PHP Medicare Advantage |
$370.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$261.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,289.58
|
| Rate for Payer: Priority Health Medicare |
$374.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,031.67
|
| Rate for Payer: Railroad Medicare Medicare |
$370.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,304.41
|
| Rate for Payer: UHC Core |
$1,237.70
|
| Rate for Payer: UHC Exchange |
$370.57
|
| Rate for Payer: UHC Medicaid |
$261.33
|
| Rate for Payer: UHC Medicare Advantage |
$370.57
|
| Rate for Payer: UHCCP Medicaid |
$261.33
|
| Rate for Payer: VA VA |
$370.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,111.71
|
|
|
HC CRE
|
Facility
|
IP
|
$1,482.28
|
|
|
Service Code
|
HCPCS C1726
|
| Hospital Charge Code |
27200104
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,031.67 |
| Max. Negotiated Rate |
$1,334.05 |
| Rate for Payer: Aetna Commercial |
$1,259.94
|
| Rate for Payer: BCBS Trust/PPO |
$1,224.22
|
| Rate for Payer: BCN Commercial |
$1,224.22
|
| Rate for Payer: Cash Price |
$1,185.82
|
| Rate for Payer: Cofinity Commercial |
$1,274.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,185.82
|
| Rate for Payer: Healthscope Commercial |
$1,334.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,111.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,259.94
|
| Rate for Payer: Nomi Health Commercial |
$1,215.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,111.71
|
| Rate for Payer: PHP Commercial |
$1,259.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,289.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,031.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,304.41
|
| Rate for Payer: UHC Core |
$1,237.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,111.71
|
|
|
HC C REACTIVE PROTEIN
|
Facility
|
IP
|
$62.84
|
|
|
Service Code
|
CPT 86140
|
| Hospital Charge Code |
30200137
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$43.74 |
| Max. Negotiated Rate |
$56.56 |
| Rate for Payer: Aetna Commercial |
$53.41
|
| Rate for Payer: BCBS Trust/PPO |
$51.90
|
| Rate for Payer: BCN Commercial |
$51.90
|
| Rate for Payer: Cash Price |
$50.27
|
| Rate for Payer: Cofinity Commercial |
$54.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.27
|
| Rate for Payer: Healthscope Commercial |
$56.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$47.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$53.41
|
| Rate for Payer: Nomi Health Commercial |
$51.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$47.13
|
| Rate for Payer: PHP Commercial |
$53.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$54.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$43.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$55.30
|
| Rate for Payer: UHC Core |
$52.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$47.13
|
|
|
HC C REACTIVE PROTEIN
|
Facility
|
OP
|
$62.84
|
|
|
Service Code
|
CPT 86140
|
| Hospital Charge Code |
30200137
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$11.08 |
| Max. Negotiated Rate |
$56.56 |
| Rate for Payer: Aetna Commercial |
$53.41
|
| Rate for Payer: Aetna Medicare |
$16.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19.64
|
| Rate for Payer: BCBS Complete |
$11.63
|
| Rate for Payer: BCBS MAPPO |
$15.71
|
| Rate for Payer: BCBS Trust/PPO |
$51.66
|
| Rate for Payer: BCN Commercial |
$51.66
|
| Rate for Payer: BCN Medicare Advantage |
$15.71
|
| Rate for Payer: Cash Price |
$50.27
|
| Rate for Payer: Cofinity Commercial |
$54.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15.71
|
| Rate for Payer: Healthscope Commercial |
$56.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$47.13
|
| Rate for Payer: Mclaren Medicaid |
$11.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16.50
|
| Rate for Payer: Meridian Medicaid |
$11.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.07
|
| Rate for Payer: Molina Medicare/Medicaid |
$17.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$53.41
|
| Rate for Payer: Nomi Health Commercial |
$51.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$47.13
|
| Rate for Payer: PACE Senior Care Partners |
$14.92
|
| Rate for Payer: PACE SWMI |
$15.71
|
| Rate for Payer: PHP Commercial |
$53.41
|
| Rate for Payer: PHP Medicare Advantage |
$15.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.08
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$54.67
|
| Rate for Payer: Priority Health Medicare |
$15.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$43.74
|
| Rate for Payer: Railroad Medicare Medicare |
$15.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$55.30
|
| Rate for Payer: UHC Core |
$52.47
|
| Rate for Payer: UHC Exchange |
$15.71
|
| Rate for Payer: UHC Medicaid |
$11.08
|
| Rate for Payer: UHC Medicare Advantage |
$15.71
|
| Rate for Payer: UHCCP Medicaid |
$11.08
|
| Rate for Payer: VA VA |
$15.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$47.13
|
|
|
HC CREATE TEAR SAC DRAIN
|
Facility
|
IP
|
$5,261.47
|
|
|
Service Code
|
CPT 68720
|
| Hospital Charge Code |
76100308
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$3,661.98 |
| Max. Negotiated Rate |
$4,735.32 |
| Rate for Payer: Aetna Commercial |
$4,472.25
|
| Rate for Payer: BCBS Trust/PPO |
$4,345.45
|
| Rate for Payer: BCN Commercial |
$4,345.45
|
| Rate for Payer: Cash Price |
$4,209.18
|
| Rate for Payer: Cofinity Commercial |
$4,524.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,209.18
|
| Rate for Payer: Healthscope Commercial |
$4,735.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,946.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,472.25
|
| Rate for Payer: Nomi Health Commercial |
$4,314.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,946.10
|
| Rate for Payer: PHP Commercial |
$4,472.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$4,577.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,661.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,630.09
|
| Rate for Payer: UHC Core |
$4,393.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,946.10
|
|
|
HC CREATE TEAR SAC DRAIN
|
Facility
|
OP
|
$5,261.47
|
|
|
Service Code
|
CPT 68720
|
| Hospital Charge Code |
76100308
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$927.60 |
| Max. Negotiated Rate |
$4,735.32 |
| Rate for Payer: Aetna Commercial |
$4,472.25
|
| Rate for Payer: Aetna Medicare |
$1,367.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,644.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,644.21
|
| Rate for Payer: BCBS Complete |
$973.90
|
| Rate for Payer: BCBS MAPPO |
$1,315.37
|
| Rate for Payer: BCBS Trust/PPO |
$4,325.45
|
| Rate for Payer: BCN Commercial |
$4,325.45
|
| Rate for Payer: BCN Medicare Advantage |
$1,315.37
|
| Rate for Payer: Cash Price |
$4,209.18
|
| Rate for Payer: Cofinity Commercial |
$4,524.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,209.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,315.37
|
| Rate for Payer: Healthscope Commercial |
$4,735.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,946.10
|
| Rate for Payer: Mclaren Medicaid |
$927.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,381.14
|
| Rate for Payer: Meridian Medicaid |
$973.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,512.67
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,446.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,472.25
|
| Rate for Payer: Nomi Health Commercial |
$4,314.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,946.10
|
| Rate for Payer: PACE Senior Care Partners |
$1,249.60
|
| Rate for Payer: PACE SWMI |
$1,315.37
|
| Rate for Payer: PHP Commercial |
$4,472.25
|
| Rate for Payer: PHP Medicare Advantage |
$1,315.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$927.60
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$4,577.48
|
| Rate for Payer: Priority Health Medicare |
$1,328.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,661.98
|
| Rate for Payer: Railroad Medicare Medicare |
$1,315.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,630.09
|
| Rate for Payer: UHC Core |
$4,393.33
|
| Rate for Payer: UHC Exchange |
$1,315.37
|
| Rate for Payer: UHC Medicaid |
$927.60
|
| Rate for Payer: UHC Medicare Advantage |
$1,315.37
|
| Rate for Payer: UHCCP Medicaid |
$927.60
|
| Rate for Payer: VA VA |
$1,315.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,946.10
|
|
|
HC CREATININE CLEARANCE
|
Facility
|
OP
|
$78.45
|
|
|
Service Code
|
CPT 82575
|
| Hospital Charge Code |
30100182
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$13.83 |
| Max. Negotiated Rate |
$70.61 |
| Rate for Payer: Aetna Commercial |
$66.68
|
| Rate for Payer: Aetna Medicare |
$20.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$24.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$24.52
|
| Rate for Payer: BCBS Complete |
$14.52
|
| Rate for Payer: BCBS MAPPO |
$19.61
|
| Rate for Payer: BCBS Trust/PPO |
$64.49
|
| Rate for Payer: BCN Commercial |
$64.49
|
| Rate for Payer: BCN Medicare Advantage |
$19.61
|
| Rate for Payer: Cash Price |
$62.76
|
| Rate for Payer: Cofinity Commercial |
$67.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$62.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19.61
|
| Rate for Payer: Healthscope Commercial |
$70.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$58.84
|
| Rate for Payer: Mclaren Medicaid |
$13.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20.59
|
| Rate for Payer: Meridian Medicaid |
$14.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22.55
|
| Rate for Payer: Molina Medicare/Medicaid |
$21.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$66.68
|
| Rate for Payer: Nomi Health Commercial |
$64.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$58.84
|
| Rate for Payer: PACE Senior Care Partners |
$18.63
|
| Rate for Payer: PACE SWMI |
$19.61
|
| Rate for Payer: PHP Commercial |
$66.68
|
| Rate for Payer: PHP Medicare Advantage |
$19.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$13.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$68.25
|
| Rate for Payer: Priority Health Medicare |
$19.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$54.60
|
| Rate for Payer: Railroad Medicare Medicare |
$19.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$69.04
|
| Rate for Payer: UHC Core |
$65.51
|
| Rate for Payer: UHC Exchange |
$19.61
|
| Rate for Payer: UHC Medicaid |
$13.83
|
| Rate for Payer: UHC Medicare Advantage |
$19.61
|
| Rate for Payer: UHCCP Medicaid |
$13.83
|
| Rate for Payer: VA VA |
$19.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$58.84
|
|
|
HC CREATININE CLEARANCE
|
Facility
|
IP
|
$78.45
|
|
|
Service Code
|
CPT 82575
|
| Hospital Charge Code |
30100182
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$54.60 |
| Max. Negotiated Rate |
$70.61 |
| Rate for Payer: Aetna Commercial |
$66.68
|
| Rate for Payer: BCBS Trust/PPO |
$64.79
|
| Rate for Payer: BCN Commercial |
$64.79
|
| Rate for Payer: Cash Price |
$62.76
|
| Rate for Payer: Cofinity Commercial |
$67.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$62.76
|
| Rate for Payer: Healthscope Commercial |
$70.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$58.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$66.68
|
| Rate for Payer: Nomi Health Commercial |
$64.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$58.84
|
| Rate for Payer: PHP Commercial |
$66.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$68.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$54.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$69.04
|
| Rate for Payer: UHC Core |
$65.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$58.84
|
|
|
HC CREATININE SERUM
|
Facility
|
IP
|
$21.23
|
|
|
Service Code
|
CPT 82565
|
| Hospital Charge Code |
30100180
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$14.78 |
| Max. Negotiated Rate |
$19.11 |
| Rate for Payer: Aetna Commercial |
$18.05
|
| Rate for Payer: BCBS Trust/PPO |
$17.53
|
| Rate for Payer: BCN Commercial |
$17.53
|
| Rate for Payer: Cash Price |
$16.98
|
| Rate for Payer: Cofinity Commercial |
$18.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.98
|
| Rate for Payer: Healthscope Commercial |
$19.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.05
|
| Rate for Payer: Nomi Health Commercial |
$17.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.92
|
| Rate for Payer: PHP Commercial |
$18.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$18.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.68
|
| Rate for Payer: UHC Core |
$17.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.92
|
|
|
HC CREATININE SERUM
|
Facility
|
OP
|
$21.23
|
|
|
Service Code
|
CPT 82565
|
| Hospital Charge Code |
30100180
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$3.74 |
| Max. Negotiated Rate |
$19.11 |
| Rate for Payer: Aetna Commercial |
$18.05
|
| Rate for Payer: Aetna Medicare |
$5.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.63
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.63
|
| Rate for Payer: BCBS Complete |
$3.93
|
| Rate for Payer: BCBS MAPPO |
$5.31
|
| Rate for Payer: BCBS Trust/PPO |
$17.45
|
| Rate for Payer: BCN Commercial |
$17.45
|
| Rate for Payer: BCN Medicare Advantage |
$5.31
|
| Rate for Payer: Cash Price |
$16.98
|
| Rate for Payer: Cofinity Commercial |
$18.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.31
|
| Rate for Payer: Healthscope Commercial |
$19.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.92
|
| Rate for Payer: Mclaren Medicaid |
$3.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.57
|
| Rate for Payer: Meridian Medicaid |
$3.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.10
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.05
|
| Rate for Payer: Nomi Health Commercial |
$17.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.92
|
| Rate for Payer: PACE Senior Care Partners |
$5.04
|
| Rate for Payer: PACE SWMI |
$5.31
|
| Rate for Payer: PHP Commercial |
$18.05
|
| Rate for Payer: PHP Medicare Advantage |
$5.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.74
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$18.47
|
| Rate for Payer: Priority Health Medicare |
$5.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.78
|
| Rate for Payer: Railroad Medicare Medicare |
$5.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.68
|
| Rate for Payer: UHC Core |
$17.73
|
| Rate for Payer: UHC Exchange |
$5.31
|
| Rate for Payer: UHC Medicaid |
$3.74
|
| Rate for Payer: UHC Medicare Advantage |
$5.31
|
| Rate for Payer: UHCCP Medicaid |
$3.74
|
| Rate for Payer: VA VA |
$5.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.92
|
|
|
HC CREATININE URINE/OTHER SOURCE
|
Facility
|
OP
|
$39.43
|
|
|
Service Code
|
CPT 82570
|
| Hospital Charge Code |
30100181
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$6.95 |
| Max. Negotiated Rate |
$35.49 |
| Rate for Payer: Aetna Commercial |
$33.52
|
| Rate for Payer: Aetna Medicare |
$10.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12.32
|
| Rate for Payer: BCBS Complete |
$7.30
|
| Rate for Payer: BCBS MAPPO |
$9.86
|
| Rate for Payer: BCBS Trust/PPO |
$32.42
|
| Rate for Payer: BCN Commercial |
$32.42
|
| Rate for Payer: BCN Medicare Advantage |
$9.86
|
| Rate for Payer: Cash Price |
$31.54
|
| Rate for Payer: Cofinity Commercial |
$33.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$31.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9.86
|
| Rate for Payer: Healthscope Commercial |
$35.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$29.57
|
| Rate for Payer: Mclaren Medicaid |
$6.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10.35
|
| Rate for Payer: Meridian Medicaid |
$7.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11.34
|
| Rate for Payer: Molina Medicare/Medicaid |
$10.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$33.52
|
| Rate for Payer: Nomi Health Commercial |
$32.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$29.57
|
| Rate for Payer: PACE Senior Care Partners |
$9.36
|
| Rate for Payer: PACE SWMI |
$9.86
|
| Rate for Payer: PHP Commercial |
$33.52
|
| Rate for Payer: PHP Medicare Advantage |
$9.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$34.30
|
| Rate for Payer: Priority Health Medicare |
$9.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$27.44
|
| Rate for Payer: Railroad Medicare Medicare |
$9.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$34.70
|
| Rate for Payer: UHC Core |
$32.92
|
| Rate for Payer: UHC Exchange |
$9.86
|
| Rate for Payer: UHC Medicaid |
$6.95
|
| Rate for Payer: UHC Medicare Advantage |
$9.86
|
| Rate for Payer: UHCCP Medicaid |
$6.95
|
| Rate for Payer: VA VA |
$9.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$29.57
|
|
|
HC CREATININE URINE/OTHER SOURCE
|
Facility
|
IP
|
$39.43
|
|
|
Service Code
|
CPT 82570
|
| Hospital Charge Code |
30100181
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$27.44 |
| Max. Negotiated Rate |
$35.49 |
| Rate for Payer: Aetna Commercial |
$33.52
|
| Rate for Payer: BCBS Trust/PPO |
$32.57
|
| Rate for Payer: BCN Commercial |
$32.57
|
| Rate for Payer: Cash Price |
$31.54
|
| Rate for Payer: Cofinity Commercial |
$33.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$31.54
|
| Rate for Payer: Healthscope Commercial |
$35.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$29.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$33.52
|
| Rate for Payer: Nomi Health Commercial |
$32.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$29.57
|
| Rate for Payer: PHP Commercial |
$33.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$34.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$27.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$34.70
|
| Rate for Payer: UHC Core |
$32.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$29.57
|
|
|
HC CREATININE, WHOLE BLOOD
|
Facility
|
OP
|
$20.81
|
|
|
Service Code
|
CPT 82565
|
| Hospital Charge Code |
30100761
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$3.67 |
| Max. Negotiated Rate |
$18.73 |
| Rate for Payer: Aetna Commercial |
$17.69
|
| Rate for Payer: Aetna Medicare |
$5.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.50
|
| Rate for Payer: BCBS Complete |
$3.85
|
| Rate for Payer: BCBS MAPPO |
$5.20
|
| Rate for Payer: BCBS Trust/PPO |
$17.11
|
| Rate for Payer: BCN Commercial |
$17.11
|
| Rate for Payer: BCN Medicare Advantage |
$5.20
|
| Rate for Payer: Cash Price |
$16.65
|
| Rate for Payer: Cofinity Commercial |
$17.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.20
|
| Rate for Payer: Healthscope Commercial |
$18.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.61
|
| Rate for Payer: Mclaren Medicaid |
$3.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.46
|
| Rate for Payer: Meridian Medicaid |
$3.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5.98
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.69
|
| Rate for Payer: Nomi Health Commercial |
$17.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.61
|
| Rate for Payer: PACE Senior Care Partners |
$4.94
|
| Rate for Payer: PACE SWMI |
$5.20
|
| Rate for Payer: PHP Commercial |
$17.69
|
| Rate for Payer: PHP Medicare Advantage |
$5.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.67
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$18.10
|
| Rate for Payer: Priority Health Medicare |
$5.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.48
|
| Rate for Payer: Railroad Medicare Medicare |
$5.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.31
|
| Rate for Payer: UHC Core |
$17.38
|
| Rate for Payer: UHC Exchange |
$5.20
|
| Rate for Payer: UHC Medicaid |
$3.67
|
| Rate for Payer: UHC Medicare Advantage |
$5.20
|
| Rate for Payer: UHCCP Medicaid |
$3.67
|
| Rate for Payer: VA VA |
$5.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.61
|
|
|
HC CREATININE, WHOLE BLOOD
|
Facility
|
IP
|
$20.81
|
|
|
Service Code
|
CPT 82565
|
| Hospital Charge Code |
30100761
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$14.48 |
| Max. Negotiated Rate |
$18.73 |
| Rate for Payer: Aetna Commercial |
$17.69
|
| Rate for Payer: BCBS Trust/PPO |
$17.19
|
| Rate for Payer: BCN Commercial |
$17.19
|
| Rate for Payer: Cash Price |
$16.65
|
| Rate for Payer: Cofinity Commercial |
$17.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.65
|
| Rate for Payer: Healthscope Commercial |
$18.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.69
|
| Rate for Payer: Nomi Health Commercial |
$17.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.61
|
| Rate for Payer: PHP Commercial |
$17.69
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$18.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.31
|
| Rate for Payer: UHC Core |
$17.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.61
|
|
