|
HC CAST PANTALOON
|
Facility
|
OP
|
$918.57
|
|
|
Service Code
|
CPT 29305
|
| Hospital Charge Code |
70000003
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$188.13 |
| Max. Negotiated Rate |
$826.71 |
| Rate for Payer: Aetna Commercial |
$780.78
|
| Rate for Payer: Aetna Medicare |
$238.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$287.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$287.05
|
| Rate for Payer: BCBS Complete |
$197.55
|
| Rate for Payer: BCBS MAPPO |
$229.64
|
| Rate for Payer: BCBS Trust/PPO |
$755.16
|
| Rate for Payer: BCN Commercial |
$714.19
|
| Rate for Payer: BCN Medicare Advantage |
$229.64
|
| Rate for Payer: Cash Price |
$734.86
|
| Rate for Payer: Cash Price |
$734.86
|
| Rate for Payer: Cofinity Commercial |
$789.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$734.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$229.64
|
| Rate for Payer: Healthscope Commercial |
$826.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$688.93
|
| Rate for Payer: Mclaren Medicaid |
$188.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$241.12
|
| Rate for Payer: Meridian Medicaid |
$197.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$264.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$780.78
|
| Rate for Payer: Nomi Health Commercial |
$753.23
|
| Rate for Payer: PACE Senior Care Partners |
$218.16
|
| Rate for Payer: PACE SWMI |
$229.64
|
| Rate for Payer: PHP Commercial |
$780.78
|
| Rate for Payer: PHP Medicare Advantage |
$229.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$188.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$597.07
|
| Rate for Payer: Priority Health HMO/PPO |
$799.16
|
| Rate for Payer: Priority Health Medicare |
$231.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$615.44
|
| Rate for Payer: Railroad Medicare Medicare |
$229.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$808.34
|
| Rate for Payer: UHC Core |
$767.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$229.64
|
| Rate for Payer: UHC Exchange |
$229.64
|
| Rate for Payer: UHC Medicare Advantage |
$229.64
|
| Rate for Payer: UHCCP Medicaid |
$188.13
|
| Rate for Payer: VA VA |
$229.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$688.93
|
|
|
HC CAST PANTALOON
|
Facility
|
IP
|
$918.57
|
|
|
Service Code
|
CPT 29305
|
| Hospital Charge Code |
70000003
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$597.07 |
| Max. Negotiated Rate |
$826.71 |
| Rate for Payer: Aetna Commercial |
$780.78
|
| Rate for Payer: BCBS Trust/PPO |
$749.83
|
| Rate for Payer: BCN Commercial |
$709.87
|
| Rate for Payer: Cash Price |
$734.86
|
| Rate for Payer: Cofinity Commercial |
$789.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$734.86
|
| Rate for Payer: Healthscope Commercial |
$826.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$688.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$780.78
|
| Rate for Payer: Nomi Health Commercial |
$753.23
|
| Rate for Payer: PHP Commercial |
$780.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$597.07
|
| Rate for Payer: Priority Health HMO/PPO |
$799.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$615.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$808.34
|
| Rate for Payer: UHC Core |
$767.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$688.93
|
|
|
HC CAST PTB WALKING
|
Facility
|
IP
|
$411.68
|
|
|
Service Code
|
CPT 29435
|
| Hospital Charge Code |
70000009
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$267.59 |
| Max. Negotiated Rate |
$370.51 |
| Rate for Payer: Aetna Commercial |
$349.93
|
| Rate for Payer: BCBS Trust/PPO |
$336.05
|
| Rate for Payer: BCN Commercial |
$318.15
|
| Rate for Payer: Cash Price |
$329.34
|
| Rate for Payer: Cofinity Commercial |
$354.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$329.34
|
| Rate for Payer: Healthscope Commercial |
$370.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$308.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$349.93
|
| Rate for Payer: Nomi Health Commercial |
$337.58
|
| Rate for Payer: PHP Commercial |
$349.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$267.59
|
| Rate for Payer: Priority Health HMO/PPO |
$358.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$275.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$362.28
|
| Rate for Payer: UHC Core |
$343.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$308.76
|
|
|
HC CAST PTB WALKING
|
Facility
|
OP
|
$411.68
|
|
|
Service Code
|
CPT 29435
|
| Hospital Charge Code |
70000009
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$97.77 |
| Max. Negotiated Rate |
$370.51 |
| Rate for Payer: Aetna Commercial |
$349.93
|
| Rate for Payer: Aetna Medicare |
$107.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$128.65
|
| Rate for Payer: Amish Plain Church Group Commercial |
$128.65
|
| Rate for Payer: BCBS Complete |
$197.55
|
| Rate for Payer: BCBS MAPPO |
$102.92
|
| Rate for Payer: BCBS Trust/PPO |
$338.44
|
| Rate for Payer: BCN Commercial |
$320.08
|
| Rate for Payer: BCN Medicare Advantage |
$102.92
|
| Rate for Payer: Cash Price |
$329.34
|
| Rate for Payer: Cash Price |
$329.34
|
| Rate for Payer: Cofinity Commercial |
$354.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$329.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$102.92
|
| Rate for Payer: Healthscope Commercial |
$370.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$308.76
|
| Rate for Payer: Mclaren Medicaid |
$188.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$108.07
|
| Rate for Payer: Meridian Medicaid |
$197.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$118.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$349.93
|
| Rate for Payer: Nomi Health Commercial |
$337.58
|
| Rate for Payer: PACE Senior Care Partners |
$97.77
|
| Rate for Payer: PACE SWMI |
$102.92
|
| Rate for Payer: PHP Commercial |
$349.93
|
| Rate for Payer: PHP Medicare Advantage |
$102.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$188.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$267.59
|
| Rate for Payer: Priority Health HMO/PPO |
$358.16
|
| Rate for Payer: Priority Health Medicare |
$103.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$275.83
|
| Rate for Payer: Railroad Medicare Medicare |
$102.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$362.28
|
| Rate for Payer: UHC Core |
$343.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$102.92
|
| Rate for Payer: UHC Exchange |
$102.92
|
| Rate for Payer: UHC Medicare Advantage |
$102.92
|
| Rate for Payer: UHCCP Medicaid |
$188.13
|
| Rate for Payer: VA VA |
$102.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$308.76
|
|
|
HC CAST REPAIR
|
Facility
|
OP
|
$178.81
|
|
| Hospital Charge Code |
27000041
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$42.47 |
| Max. Negotiated Rate |
$160.93 |
| Rate for Payer: Aetna Commercial |
$151.99
|
| Rate for Payer: Aetna Medicare |
$46.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$55.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$55.88
|
| Rate for Payer: BCBS Complete |
$71.52
|
| Rate for Payer: BCBS MAPPO |
$44.70
|
| Rate for Payer: BCBS Trust/PPO |
$147.00
|
| Rate for Payer: BCN Commercial |
$139.02
|
| Rate for Payer: BCN Medicare Advantage |
$44.70
|
| Rate for Payer: Cash Price |
$143.05
|
| Rate for Payer: Cofinity Commercial |
$153.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$143.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$44.70
|
| Rate for Payer: Healthscope Commercial |
$160.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$134.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$46.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$51.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$151.99
|
| Rate for Payer: Nomi Health Commercial |
$146.62
|
| Rate for Payer: PACE Senior Care Partners |
$42.47
|
| Rate for Payer: PACE SWMI |
$44.70
|
| Rate for Payer: PHP Commercial |
$151.99
|
| Rate for Payer: PHP Medicare Advantage |
$44.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$116.23
|
| Rate for Payer: Priority Health HMO/PPO |
$155.56
|
| Rate for Payer: Priority Health Medicare |
$45.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$119.80
|
| Rate for Payer: Railroad Medicare Medicare |
$44.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$157.35
|
| Rate for Payer: UHC Core |
$149.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$44.70
|
| Rate for Payer: UHC Exchange |
$44.70
|
| Rate for Payer: UHC Medicare Advantage |
$44.70
|
| Rate for Payer: VA VA |
$44.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$134.11
|
|
|
HC CAST REPAIR
|
Facility
|
IP
|
$178.81
|
|
| Hospital Charge Code |
27000041
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$116.23 |
| Max. Negotiated Rate |
$160.93 |
| Rate for Payer: Aetna Commercial |
$151.99
|
| Rate for Payer: BCBS Trust/PPO |
$145.96
|
| Rate for Payer: BCN Commercial |
$138.18
|
| Rate for Payer: Cash Price |
$143.05
|
| Rate for Payer: Cofinity Commercial |
$153.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$143.05
|
| Rate for Payer: Healthscope Commercial |
$160.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$134.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$151.99
|
| Rate for Payer: Nomi Health Commercial |
$146.62
|
| Rate for Payer: PHP Commercial |
$151.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$116.23
|
| Rate for Payer: Priority Health HMO/PPO |
$155.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$119.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$157.35
|
| Rate for Payer: UHC Core |
$149.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$134.11
|
|
|
HC CAST RISSER BODY ONLY
|
Facility
|
OP
|
$309.38
|
|
|
Service Code
|
CPT 29010
|
| Hospital Charge Code |
70000001
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$73.48 |
| Max. Negotiated Rate |
$278.44 |
| Rate for Payer: Aetna Commercial |
$262.97
|
| Rate for Payer: Aetna Medicare |
$80.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$96.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$96.68
|
| Rate for Payer: BCBS Complete |
$197.55
|
| Rate for Payer: BCBS MAPPO |
$77.34
|
| Rate for Payer: BCBS Trust/PPO |
$254.34
|
| Rate for Payer: BCN Commercial |
$240.54
|
| Rate for Payer: BCN Medicare Advantage |
$77.34
|
| Rate for Payer: Cash Price |
$247.50
|
| Rate for Payer: Cash Price |
$247.50
|
| Rate for Payer: Cofinity Commercial |
$266.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$247.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$77.34
|
| Rate for Payer: Healthscope Commercial |
$278.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$232.04
|
| Rate for Payer: Mclaren Medicaid |
$188.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$81.21
|
| Rate for Payer: Meridian Medicaid |
$197.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$88.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$262.97
|
| Rate for Payer: Nomi Health Commercial |
$253.69
|
| Rate for Payer: PACE Senior Care Partners |
$73.48
|
| Rate for Payer: PACE SWMI |
$77.34
|
| Rate for Payer: PHP Commercial |
$262.97
|
| Rate for Payer: PHP Medicare Advantage |
$77.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$188.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$201.10
|
| Rate for Payer: Priority Health HMO/PPO |
$269.16
|
| Rate for Payer: Priority Health Medicare |
$78.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$207.28
|
| Rate for Payer: Railroad Medicare Medicare |
$77.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$272.25
|
| Rate for Payer: UHC Core |
$258.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$77.34
|
| Rate for Payer: UHC Exchange |
$77.34
|
| Rate for Payer: UHC Medicare Advantage |
$77.34
|
| Rate for Payer: UHCCP Medicaid |
$188.13
|
| Rate for Payer: VA VA |
$77.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$232.04
|
|
|
HC CAST RISSER BODY ONLY
|
Facility
|
IP
|
$309.38
|
|
|
Service Code
|
CPT 29010
|
| Hospital Charge Code |
70000001
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$201.10 |
| Max. Negotiated Rate |
$278.44 |
| Rate for Payer: Aetna Commercial |
$262.97
|
| Rate for Payer: BCBS Trust/PPO |
$252.55
|
| Rate for Payer: BCN Commercial |
$239.09
|
| Rate for Payer: Cash Price |
$247.50
|
| Rate for Payer: Cofinity Commercial |
$266.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$247.50
|
| Rate for Payer: Healthscope Commercial |
$278.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$232.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$262.97
|
| Rate for Payer: Nomi Health Commercial |
$253.69
|
| Rate for Payer: PHP Commercial |
$262.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$201.10
|
| Rate for Payer: Priority Health HMO/PPO |
$269.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$207.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$272.25
|
| Rate for Payer: UHC Core |
$258.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$232.04
|
|
|
HC CAST SHORT ARM
|
Facility
|
IP
|
$300.18
|
|
|
Service Code
|
CPT 29075
|
| Hospital Charge Code |
43000001
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$195.12 |
| Max. Negotiated Rate |
$270.16 |
| Rate for Payer: Aetna Commercial |
$255.15
|
| Rate for Payer: BCBS Trust/PPO |
$245.04
|
| Rate for Payer: BCN Commercial |
$231.98
|
| Rate for Payer: Cash Price |
$240.14
|
| Rate for Payer: Cofinity Commercial |
$258.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$240.14
|
| Rate for Payer: Healthscope Commercial |
$270.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$225.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$255.15
|
| Rate for Payer: Nomi Health Commercial |
$246.15
|
| Rate for Payer: PHP Commercial |
$255.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$195.12
|
| Rate for Payer: Priority Health HMO/PPO |
$261.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$201.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$264.16
|
| Rate for Payer: UHC Core |
$250.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$225.14
|
|
|
HC CAST SHORT ARM
|
Facility
|
OP
|
$300.18
|
|
|
Service Code
|
CPT 29075
|
| Hospital Charge Code |
43000001
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$71.29 |
| Max. Negotiated Rate |
$270.16 |
| Rate for Payer: Aetna Commercial |
$255.15
|
| Rate for Payer: Aetna Medicare |
$78.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$93.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$93.81
|
| Rate for Payer: BCBS Complete |
$197.55
|
| Rate for Payer: BCBS MAPPO |
$75.04
|
| Rate for Payer: BCBS Trust/PPO |
$246.78
|
| Rate for Payer: BCN Commercial |
$233.39
|
| Rate for Payer: BCN Medicare Advantage |
$75.04
|
| Rate for Payer: Cash Price |
$240.14
|
| Rate for Payer: Cash Price |
$240.14
|
| Rate for Payer: Cofinity Commercial |
$258.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$240.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$75.04
|
| Rate for Payer: Healthscope Commercial |
$270.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$225.14
|
| Rate for Payer: Mclaren Medicaid |
$188.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$78.80
|
| Rate for Payer: Meridian Medicaid |
$197.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$86.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$255.15
|
| Rate for Payer: Nomi Health Commercial |
$246.15
|
| Rate for Payer: PACE Senior Care Partners |
$71.29
|
| Rate for Payer: PACE SWMI |
$75.04
|
| Rate for Payer: PHP Commercial |
$255.15
|
| Rate for Payer: PHP Medicare Advantage |
$75.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$188.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$195.12
|
| Rate for Payer: Priority Health HMO/PPO |
$261.16
|
| Rate for Payer: Priority Health Medicare |
$75.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$201.12
|
| Rate for Payer: Railroad Medicare Medicare |
$75.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$264.16
|
| Rate for Payer: UHC Core |
$250.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$75.04
|
| Rate for Payer: UHC Exchange |
$75.04
|
| Rate for Payer: UHC Medicare Advantage |
$75.04
|
| Rate for Payer: UHCCP Medicaid |
$188.13
|
| Rate for Payer: VA VA |
$75.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$225.14
|
|
|
HC CAST SHORT LEG
|
Facility
|
IP
|
$368.85
|
|
|
Service Code
|
CPT 29405
|
| Hospital Charge Code |
70000007
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$239.75 |
| Max. Negotiated Rate |
$331.96 |
| Rate for Payer: Aetna Commercial |
$313.52
|
| Rate for Payer: BCBS Trust/PPO |
$301.09
|
| Rate for Payer: BCN Commercial |
$285.05
|
| Rate for Payer: Cash Price |
$295.08
|
| Rate for Payer: Cofinity Commercial |
$317.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$295.08
|
| Rate for Payer: Healthscope Commercial |
$331.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$276.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$313.52
|
| Rate for Payer: Nomi Health Commercial |
$302.46
|
| Rate for Payer: PHP Commercial |
$313.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$239.75
|
| Rate for Payer: Priority Health HMO/PPO |
$320.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$247.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$324.59
|
| Rate for Payer: UHC Core |
$307.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$276.64
|
|
|
HC CAST SHORT LEG
|
Facility
|
OP
|
$368.85
|
|
|
Service Code
|
CPT 29405
|
| Hospital Charge Code |
70000007
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$87.60 |
| Max. Negotiated Rate |
$331.96 |
| Rate for Payer: Aetna Commercial |
$313.52
|
| Rate for Payer: Aetna Medicare |
$95.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$115.27
|
| Rate for Payer: Amish Plain Church Group Commercial |
$115.27
|
| Rate for Payer: BCBS Complete |
$197.55
|
| Rate for Payer: BCBS MAPPO |
$92.21
|
| Rate for Payer: BCBS Trust/PPO |
$303.23
|
| Rate for Payer: BCN Commercial |
$286.78
|
| Rate for Payer: BCN Medicare Advantage |
$92.21
|
| Rate for Payer: Cash Price |
$295.08
|
| Rate for Payer: Cash Price |
$295.08
|
| Rate for Payer: Cofinity Commercial |
$317.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$295.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$92.21
|
| Rate for Payer: Healthscope Commercial |
$331.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$276.64
|
| Rate for Payer: Mclaren Medicaid |
$188.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$96.82
|
| Rate for Payer: Meridian Medicaid |
$197.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$106.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$313.52
|
| Rate for Payer: Nomi Health Commercial |
$302.46
|
| Rate for Payer: PACE Senior Care Partners |
$87.60
|
| Rate for Payer: PACE SWMI |
$92.21
|
| Rate for Payer: PHP Commercial |
$313.52
|
| Rate for Payer: PHP Medicare Advantage |
$92.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$188.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$239.75
|
| Rate for Payer: Priority Health HMO/PPO |
$320.90
|
| Rate for Payer: Priority Health Medicare |
$93.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$247.13
|
| Rate for Payer: Railroad Medicare Medicare |
$92.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$324.59
|
| Rate for Payer: UHC Core |
$307.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$92.21
|
| Rate for Payer: UHC Exchange |
$92.21
|
| Rate for Payer: UHC Medicare Advantage |
$92.21
|
| Rate for Payer: UHCCP Medicaid |
$188.13
|
| Rate for Payer: VA VA |
$92.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$276.64
|
|
|
HC CAST SHORT LEG WALKING
|
Facility
|
OP
|
$368.85
|
|
|
Service Code
|
CPT 29425
|
| Hospital Charge Code |
70000008
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$87.60 |
| Max. Negotiated Rate |
$331.96 |
| Rate for Payer: Aetna Commercial |
$313.52
|
| Rate for Payer: Aetna Medicare |
$95.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$115.27
|
| Rate for Payer: Amish Plain Church Group Commercial |
$115.27
|
| Rate for Payer: BCBS Complete |
$197.55
|
| Rate for Payer: BCBS MAPPO |
$92.21
|
| Rate for Payer: BCBS Trust/PPO |
$303.23
|
| Rate for Payer: BCN Commercial |
$286.78
|
| Rate for Payer: BCN Medicare Advantage |
$92.21
|
| Rate for Payer: Cash Price |
$295.08
|
| Rate for Payer: Cash Price |
$295.08
|
| Rate for Payer: Cofinity Commercial |
$317.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$295.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$92.21
|
| Rate for Payer: Healthscope Commercial |
$331.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$276.64
|
| Rate for Payer: Mclaren Medicaid |
$188.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$96.82
|
| Rate for Payer: Meridian Medicaid |
$197.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$106.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$313.52
|
| Rate for Payer: Nomi Health Commercial |
$302.46
|
| Rate for Payer: PACE Senior Care Partners |
$87.60
|
| Rate for Payer: PACE SWMI |
$92.21
|
| Rate for Payer: PHP Commercial |
$313.52
|
| Rate for Payer: PHP Medicare Advantage |
$92.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$188.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$239.75
|
| Rate for Payer: Priority Health HMO/PPO |
$320.90
|
| Rate for Payer: Priority Health Medicare |
$93.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$247.13
|
| Rate for Payer: Railroad Medicare Medicare |
$92.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$324.59
|
| Rate for Payer: UHC Core |
$307.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$92.21
|
| Rate for Payer: UHC Exchange |
$92.21
|
| Rate for Payer: UHC Medicare Advantage |
$92.21
|
| Rate for Payer: UHCCP Medicaid |
$188.13
|
| Rate for Payer: VA VA |
$92.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$276.64
|
|
|
HC CAST SHORT LEG WALKING
|
Facility
|
IP
|
$368.85
|
|
|
Service Code
|
CPT 29425
|
| Hospital Charge Code |
70000008
|
|
Hospital Revenue Code
|
700
|
| Min. Negotiated Rate |
$239.75 |
| Max. Negotiated Rate |
$331.96 |
| Rate for Payer: Aetna Commercial |
$313.52
|
| Rate for Payer: BCBS Trust/PPO |
$301.09
|
| Rate for Payer: BCN Commercial |
$285.05
|
| Rate for Payer: Cash Price |
$295.08
|
| Rate for Payer: Cofinity Commercial |
$317.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$295.08
|
| Rate for Payer: Healthscope Commercial |
$331.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$276.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$313.52
|
| Rate for Payer: Nomi Health Commercial |
$302.46
|
| Rate for Payer: PHP Commercial |
$313.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$239.75
|
| Rate for Payer: Priority Health HMO/PPO |
$320.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$247.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$324.59
|
| Rate for Payer: UHC Core |
$307.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$276.64
|
|
|
HC CAST SUP LNG ARM ADULT FBRGLS
|
Facility
|
IP
|
$57.22
|
|
| Hospital Charge Code |
27200327
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$37.19 |
| Max. Negotiated Rate |
$51.50 |
| Rate for Payer: Aetna Commercial |
$48.64
|
| Rate for Payer: BCBS Trust/PPO |
$46.71
|
| Rate for Payer: BCN Commercial |
$44.22
|
| Rate for Payer: Cash Price |
$45.78
|
| Rate for Payer: Cofinity Commercial |
$49.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.78
|
| Rate for Payer: Healthscope Commercial |
$51.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$42.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$48.64
|
| Rate for Payer: Nomi Health Commercial |
$46.92
|
| Rate for Payer: PHP Commercial |
$48.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.19
|
| Rate for Payer: Priority Health HMO/PPO |
$49.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$38.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$50.35
|
| Rate for Payer: UHC Core |
$47.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$42.92
|
|
|
HC CAST SUP LNG ARM ADULT FBRGLS
|
Facility
|
OP
|
$57.22
|
|
| Hospital Charge Code |
27200327
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$13.59 |
| Max. Negotiated Rate |
$51.50 |
| Rate for Payer: Aetna Commercial |
$48.64
|
| Rate for Payer: Aetna Medicare |
$14.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17.88
|
| Rate for Payer: BCBS Complete |
$22.89
|
| Rate for Payer: BCBS MAPPO |
$14.30
|
| Rate for Payer: BCBS Trust/PPO |
$47.04
|
| Rate for Payer: BCN Commercial |
$44.49
|
| Rate for Payer: BCN Medicare Advantage |
$14.30
|
| Rate for Payer: Cash Price |
$45.78
|
| Rate for Payer: Cofinity Commercial |
$49.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$45.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.30
|
| Rate for Payer: Healthscope Commercial |
$51.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$42.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$48.64
|
| Rate for Payer: Nomi Health Commercial |
$46.92
|
| Rate for Payer: PACE Senior Care Partners |
$13.59
|
| Rate for Payer: PACE SWMI |
$14.30
|
| Rate for Payer: PHP Commercial |
$48.64
|
| Rate for Payer: PHP Medicare Advantage |
$14.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.19
|
| Rate for Payer: Priority Health HMO/PPO |
$49.78
|
| Rate for Payer: Priority Health Medicare |
$14.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$38.34
|
| Rate for Payer: Railroad Medicare Medicare |
$14.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$50.35
|
| Rate for Payer: UHC Core |
$47.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$14.30
|
| Rate for Payer: UHC Exchange |
$14.30
|
| Rate for Payer: UHC Medicare Advantage |
$14.30
|
| Rate for Payer: VA VA |
$14.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$42.92
|
|
|
HC CAST SUP LNG ARM PED FBRGLS
|
Facility
|
OP
|
$26.01
|
|
| Hospital Charge Code |
27200328
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$6.18 |
| Max. Negotiated Rate |
$23.41 |
| Rate for Payer: Aetna Commercial |
$22.11
|
| Rate for Payer: Aetna Medicare |
$6.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.13
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.13
|
| Rate for Payer: BCBS Complete |
$10.40
|
| Rate for Payer: BCBS MAPPO |
$6.50
|
| Rate for Payer: BCBS Trust/PPO |
$21.38
|
| Rate for Payer: BCN Commercial |
$20.22
|
| Rate for Payer: BCN Medicare Advantage |
$6.50
|
| Rate for Payer: Cash Price |
$20.81
|
| Rate for Payer: Cofinity Commercial |
$22.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.50
|
| Rate for Payer: Healthscope Commercial |
$23.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.11
|
| Rate for Payer: Nomi Health Commercial |
$21.33
|
| Rate for Payer: PACE Senior Care Partners |
$6.18
|
| Rate for Payer: PACE SWMI |
$6.50
|
| Rate for Payer: PHP Commercial |
$22.11
|
| Rate for Payer: PHP Medicare Advantage |
$6.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.91
|
| Rate for Payer: Priority Health HMO/PPO |
$22.63
|
| Rate for Payer: Priority Health Medicare |
$6.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$17.43
|
| Rate for Payer: Railroad Medicare Medicare |
$6.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.89
|
| Rate for Payer: UHC Core |
$21.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$6.50
|
| Rate for Payer: UHC Exchange |
$6.50
|
| Rate for Payer: UHC Medicare Advantage |
$6.50
|
| Rate for Payer: VA VA |
$6.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.51
|
|
|
HC CAST SUP LNG ARM PED FBRGLS
|
Facility
|
IP
|
$26.01
|
|
| Hospital Charge Code |
27200328
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$16.91 |
| Max. Negotiated Rate |
$23.41 |
| Rate for Payer: Aetna Commercial |
$22.11
|
| Rate for Payer: BCBS Trust/PPO |
$21.23
|
| Rate for Payer: BCN Commercial |
$20.10
|
| Rate for Payer: Cash Price |
$20.81
|
| Rate for Payer: Cofinity Commercial |
$22.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.81
|
| Rate for Payer: Healthscope Commercial |
$23.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.11
|
| Rate for Payer: Nomi Health Commercial |
$21.33
|
| Rate for Payer: PHP Commercial |
$22.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.91
|
| Rate for Payer: Priority Health HMO/PPO |
$22.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$17.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.89
|
| Rate for Payer: UHC Core |
$21.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.51
|
|
|
HC CAST SUP LNG ARM SPLINT ADULT FBRGLS
|
Facility
|
OP
|
$26.01
|
|
| Hospital Charge Code |
27200332
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$6.18 |
| Max. Negotiated Rate |
$23.41 |
| Rate for Payer: Aetna Commercial |
$22.11
|
| Rate for Payer: Aetna Medicare |
$6.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.13
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.13
|
| Rate for Payer: BCBS Complete |
$10.40
|
| Rate for Payer: BCBS MAPPO |
$6.50
|
| Rate for Payer: BCBS Trust/PPO |
$21.38
|
| Rate for Payer: BCN Commercial |
$20.22
|
| Rate for Payer: BCN Medicare Advantage |
$6.50
|
| Rate for Payer: Cash Price |
$20.81
|
| Rate for Payer: Cofinity Commercial |
$22.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.50
|
| Rate for Payer: Healthscope Commercial |
$23.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.11
|
| Rate for Payer: Nomi Health Commercial |
$21.33
|
| Rate for Payer: PACE Senior Care Partners |
$6.18
|
| Rate for Payer: PACE SWMI |
$6.50
|
| Rate for Payer: PHP Commercial |
$22.11
|
| Rate for Payer: PHP Medicare Advantage |
$6.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.91
|
| Rate for Payer: Priority Health HMO/PPO |
$22.63
|
| Rate for Payer: Priority Health Medicare |
$6.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$17.43
|
| Rate for Payer: Railroad Medicare Medicare |
$6.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.89
|
| Rate for Payer: UHC Core |
$21.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$6.50
|
| Rate for Payer: UHC Exchange |
$6.50
|
| Rate for Payer: UHC Medicare Advantage |
$6.50
|
| Rate for Payer: VA VA |
$6.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.51
|
|
|
HC CAST SUP LNG ARM SPLINT ADULT FBRGLS
|
Facility
|
IP
|
$26.01
|
|
| Hospital Charge Code |
27200332
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$16.91 |
| Max. Negotiated Rate |
$23.41 |
| Rate for Payer: Aetna Commercial |
$22.11
|
| Rate for Payer: BCBS Trust/PPO |
$21.23
|
| Rate for Payer: BCN Commercial |
$20.10
|
| Rate for Payer: Cash Price |
$20.81
|
| Rate for Payer: Cofinity Commercial |
$22.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.81
|
| Rate for Payer: Healthscope Commercial |
$23.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.11
|
| Rate for Payer: Nomi Health Commercial |
$21.33
|
| Rate for Payer: PHP Commercial |
$22.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.91
|
| Rate for Payer: Priority Health HMO/PPO |
$22.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$17.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.89
|
| Rate for Payer: UHC Core |
$21.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.51
|
|
|
HC CAST SUP LNG ARM SPLINT ADULT PLST
|
Facility
|
IP
|
$43.00
|
|
| Hospital Charge Code |
27200392
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$27.95 |
| Max. Negotiated Rate |
$38.70 |
| Rate for Payer: Aetna Commercial |
$36.55
|
| Rate for Payer: BCBS Trust/PPO |
$35.10
|
| Rate for Payer: BCN Commercial |
$33.23
|
| Rate for Payer: Cash Price |
$34.40
|
| Rate for Payer: Cofinity Commercial |
$36.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.40
|
| Rate for Payer: Healthscope Commercial |
$38.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$32.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.55
|
| Rate for Payer: Nomi Health Commercial |
$35.26
|
| Rate for Payer: PHP Commercial |
$36.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.95
|
| Rate for Payer: Priority Health HMO/PPO |
$37.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$28.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$37.84
|
| Rate for Payer: UHC Core |
$35.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$32.25
|
|
|
HC CAST SUP LNG ARM SPLINT ADULT PLST
|
Facility
|
OP
|
$43.00
|
|
| Hospital Charge Code |
27200392
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$10.21 |
| Max. Negotiated Rate |
$38.70 |
| Rate for Payer: Aetna Commercial |
$36.55
|
| Rate for Payer: Aetna Medicare |
$11.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13.44
|
| Rate for Payer: BCBS Complete |
$17.20
|
| Rate for Payer: BCBS MAPPO |
$10.75
|
| Rate for Payer: BCBS Trust/PPO |
$35.35
|
| Rate for Payer: BCN Commercial |
$33.43
|
| Rate for Payer: BCN Medicare Advantage |
$10.75
|
| Rate for Payer: Cash Price |
$34.40
|
| Rate for Payer: Cofinity Commercial |
$36.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10.75
|
| Rate for Payer: Healthscope Commercial |
$38.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$32.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.55
|
| Rate for Payer: Nomi Health Commercial |
$35.26
|
| Rate for Payer: PACE Senior Care Partners |
$10.21
|
| Rate for Payer: PACE SWMI |
$10.75
|
| Rate for Payer: PHP Commercial |
$36.55
|
| Rate for Payer: PHP Medicare Advantage |
$10.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.95
|
| Rate for Payer: Priority Health HMO/PPO |
$37.41
|
| Rate for Payer: Priority Health Medicare |
$10.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$28.81
|
| Rate for Payer: Railroad Medicare Medicare |
$10.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$37.84
|
| Rate for Payer: UHC Core |
$35.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$10.75
|
| Rate for Payer: UHC Exchange |
$10.75
|
| Rate for Payer: UHC Medicare Advantage |
$10.75
|
| Rate for Payer: VA VA |
$10.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$32.25
|
|
|
HC CAST SUP LNG ARM SPLNT PED FBRGLS
|
Facility
|
IP
|
$24.97
|
|
| Hospital Charge Code |
27200333
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$16.23 |
| Max. Negotiated Rate |
$22.47 |
| Rate for Payer: Aetna Commercial |
$21.22
|
| Rate for Payer: BCBS Trust/PPO |
$20.38
|
| Rate for Payer: BCN Commercial |
$19.30
|
| Rate for Payer: Cash Price |
$19.98
|
| Rate for Payer: Cofinity Commercial |
$21.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.98
|
| Rate for Payer: Healthscope Commercial |
$22.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.22
|
| Rate for Payer: Nomi Health Commercial |
$20.48
|
| Rate for Payer: PHP Commercial |
$21.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.23
|
| Rate for Payer: Priority Health HMO/PPO |
$21.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$16.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21.97
|
| Rate for Payer: UHC Core |
$20.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.73
|
|
|
HC CAST SUP LNG ARM SPLNT PED FBRGLS
|
Facility
|
OP
|
$24.97
|
|
| Hospital Charge Code |
27200333
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$5.93 |
| Max. Negotiated Rate |
$22.47 |
| Rate for Payer: Aetna Commercial |
$21.22
|
| Rate for Payer: Aetna Medicare |
$6.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7.80
|
| Rate for Payer: BCBS Complete |
$9.99
|
| Rate for Payer: BCBS MAPPO |
$6.24
|
| Rate for Payer: BCBS Trust/PPO |
$20.53
|
| Rate for Payer: BCN Commercial |
$19.41
|
| Rate for Payer: BCN Medicare Advantage |
$6.24
|
| Rate for Payer: Cash Price |
$19.98
|
| Rate for Payer: Cofinity Commercial |
$21.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.24
|
| Rate for Payer: Healthscope Commercial |
$22.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.22
|
| Rate for Payer: Nomi Health Commercial |
$20.48
|
| Rate for Payer: PACE Senior Care Partners |
$5.93
|
| Rate for Payer: PACE SWMI |
$6.24
|
| Rate for Payer: PHP Commercial |
$21.22
|
| Rate for Payer: PHP Medicare Advantage |
$6.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.23
|
| Rate for Payer: Priority Health HMO/PPO |
$21.72
|
| Rate for Payer: Priority Health Medicare |
$6.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$16.73
|
| Rate for Payer: Railroad Medicare Medicare |
$6.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21.97
|
| Rate for Payer: UHC Core |
$20.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$6.24
|
| Rate for Payer: UHC Exchange |
$6.24
|
| Rate for Payer: UHC Medicare Advantage |
$6.24
|
| Rate for Payer: VA VA |
$6.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.73
|
|
|
HC CAST SUP LNG LEG ADULT FBRGLS
|
Facility
|
IP
|
$118.61
|
|
| Hospital Charge Code |
27200336
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$77.10 |
| Max. Negotiated Rate |
$106.75 |
| Rate for Payer: Aetna Commercial |
$100.82
|
| Rate for Payer: BCBS Trust/PPO |
$96.82
|
| Rate for Payer: BCN Commercial |
$91.66
|
| Rate for Payer: Cash Price |
$94.89
|
| Rate for Payer: Cofinity Commercial |
$102.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$94.89
|
| Rate for Payer: Healthscope Commercial |
$106.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$88.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$100.82
|
| Rate for Payer: Nomi Health Commercial |
$97.26
|
| Rate for Payer: PHP Commercial |
$100.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$77.10
|
| Rate for Payer: Priority Health HMO/PPO |
$103.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$79.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$104.38
|
| Rate for Payer: UHC Core |
$99.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$88.96
|
|
